Daniel Gómez-Rios, Mhsa Email & Phone Number

Florida, United States

Florida, United States

• Design, develop, and present coaching programs and provide consultative support to increase operational effectiveness to improve customer satisfaction. • Partner with market leadership in Human Resources & Learning Department to create service training programs throughout the company for employees to improve the member & patient experience.• Assist in collecting and analyzing internal and external data and its management and use in determining the opportunities for improvement in employee/member/patient/customer experience. • Develop proactive working relationships with all levels within the enterprise. Works closely with performance improvement teams, committees, and market/department leaders to develop and execute improvement plans.• Provides support to physicians, patient care and operating units, and teams in developing data-driven and evidence-based solutions. • Researches and benchmarks industry standards and changes in Customer Experience functions• Evaluate current market/departmental needs and assess where there are opportunities for improvement • Serves as the subject matter expert for service excellence, maintaining an active understanding of current thinking and innovative interventions/programs regarding the member/patient/family experience both locally, nationally, and globally.

Puerto Rico Area

• Development and maintenance of collaborative partnership with IPA's.• Counseling Cost Containment strategies in the Networks• Strategic negotiation of contracts with potential providers (HCP) based on metrics reflected in results.• Development, implementation, and management of cost containment strategies for HCP.• Strategic alignment and teamwork with internal departments to achieve strategic corporate goals.• Accountable for issue and grievance escalation and management in the provider network.• Identification, development, and implementation of new strategies to promote the use of the MSO Provider Network, Cost Containment, Provider’s Engagement, and Network Contracting Opportunities.

Puerto Rico

• Development and maintenance of collaborative partnership with assigned IPA's.• Management of Cost Containment strategies • Identification, development, and implementation of new strategies to promote the use of the MSO Provider Network, Cost Containment, Provider’s Engagement and Network Contracting Opportunities

• Strategy, contracting, and performance management of the Subspecialists Network• Increase utilization and maximization of provider network through strategies with primary physicians (PCP) • Direct the development, implementation, and management of cost containment plans for assigned network in collaboration with clinical leaders

Master'S Degree, Health Services Administration

Bachelor'S Degree, Business Administration And Management, General