Daniela Mendoza Email & Phone Number

Responsible for building and maintaining the core claims logic and system, as well as implementing and renewing client health benefit plans on the Collective Health platform.Act as a peer leader on the Plan Design team among the other team members.Ensuring that the artifacts delivered meet the industry standards, Improves current project trackers, KB pages, and knowledge on the team through project leadership. Including but not limited to SBCs, SPDs, OE takeaways, network benefit grids, portals.Create portals for our new and renewal clients in the implementation season to ensure accuracy of our high-visibility deliverables.Project planning for rule build outs and plan testing as well as resolving bugs related to the plan stack prior to go-live. Uses technical skills to improve existing artifact generation tools by updating & de-bugging rules, and increasing automation of documents.Work with the development team to build internal tools to improve processes as we identify and fix problems.Collaborates cross-functionally with Plan Operations, Eligibility, Member Claims, Product, Development, Legal, Clinical, Copy, Client Success, and other teams to delight our customersWork daily with Looker, Zendesk assist, and Pythons, PandaDoc, ect. Support the execution of the day-to-day operations of our medical plans, including but not limited to: Researching & responding to member inquiries related to your team's area of expertise.Coordinating with relevant external and internal departments on key team initiatives.Acting as the subject matter expert across multiple domains.

Support the execution of the day-to-day operations of our medical plans, including but not limited to:Researching & responding to member inquiries related to your team's area of expertiseCoordinating with relevant external and internal departments on key team initiativesBuild (and/or work with the development team to build) internal tools to improve processes as we identify and fix problemsCollaborate cross-functionally with Member Claims, Product, Analytics, Development, Legal, Clinical, and Client Success teams to delight our customersWhen business needs arise, assist with work from other Plan Operations teams

+ Be on the frontlines of addressing and resolving a variety of memberinquiries to help people understand, navigate, and pay for healthcare.+ Communicate with members via phone, email, and chat.+ Solve daunting member problems with research, intellect, grit, and mostimportantly, empathy.+ Collaborate across the Member Services department to find strategicsolutions to member pain points.+ Support and cultivate office culture that aligns with Collective Healthvalues and incorporates the unique aspects of the team.

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Senior Agent-Latin Market