Dimitri Lara Email & Phone Number

Rancho Cucamonga, California, United States

- Analyzes compliance issues and inquiries from internal departments and external agencies.- Performs necessary research and analysis to provide accurate responses and recommendations.- Conducts regulatory review of Medicare marketing items and letters to ensure adherence to CMS and/or DHCS guidelines. - Executes regulatory assessments when receiving updates from government entities to ensure that the impacted departments have met or is working towards compliance of contractual regulations and guidelines. - Communicates new and revised laws and regulatory guidance that affect the Plan and interpret/summarize the requirements.- Submits plan documents through the Health Plan Management System (HPMS) for regulatory approval. - Notable projects include the transition of marketing materials from the Cal MediConnect (CMC) program line of business to the Dual Eligible Special Needs Plan (D-SNP) under the California Advancing and Innovating Medi-Cal initative (CalAIM) and regulatory submission of 2024 and 2025 D-SNP marketing materials.

Riverside, California, United States

- Oversaw all HICAP related activities, including supervision of personnel, volunteers and site visits- Finalized and reviewed intakes to ensure that counselors were adhering to California Department of Aging (CDA) standards when providing service to clients- Prepared and generated reports on key figures pertaining to call center data, MIPPA low-income applications, and intake volume on a monthly basis utilizing Excel and Microsoft Power BI software- Provided program management and leadership in the following areas: personnel, budgets, contracts, supervision, and recruiting- Developed data dashboards to track, analyze, and display key performance indicators, metrics, and data points- Served as a liaison between Council on Aging Southern California (COASC), California Department of Aging (CDA), and the County of San Bernardino- Successfully expanded counseling sites throughout in the Inland Empire region; specifically in Rancho Cucamonga, Redlands, Riverside, and Yucca Valley.- Successfully completed the request for proposal (RFP) in 2021 and was awarded the renewal of the $1,350,000 HICAP contract for 2021-2024. - Implemented the usage of the applications GoToMeeting and Microsoft Teams during the COVID-19 pandemic on volunteer in-services, trainings, and staff meetings.

Rancho Cucamonga, California, United States

- Monitored low-income applications to ensure that MIPPA benchmark goals are being met for both Riverside and San Bernardino Counties on a monthly/fiscal basis- Generated charts, data and statistics for key figure reports that showcased both call center and low-income assistance outcomes - Tracked mileage and operating expenses of company vehicles while reserving use of them to Outreach Department staff- Coordinated with the HICAP Volunteer Coordinator to ensure that adequate coverage is being provided in the Call Center while assisting with the on-boarding of new HICAP Counselor volunteers- Finalized counseling takes completed in Peerplace and runs an error report to identify accurate documentation and collection of mandatory fields- Successfully integrated the transition from paper-based client scheduling to an online system to increase efficiency and accessibility- Created a TV dashboard for the front office that highlights key performance figures/business metrics, upcoming HICAP news, Medicare updates, and outreach events on a daily basis- Supervised and coordinated the daily activities of the call center and front office - Provided Medicare counseling to Medicare beneficiaries on the following Medicare topics: Medigap, Medicare Advantage (HMO and PPO), Original Medicare, Part D plans (including drug formularies), Cal MediConnect, Medi-Cal - Screened and assisted clients in applying for the Medicare Savings Program and Low Income Subsidy (Extra Help)

Rancho Cucamonga, California, United States

- Responsible for administrative tasks such as sending out client satisfaction surveys, updated HICAP counseling tools/handouts, and maintained stock of HICAP/Medicare materials- Tracked operation costs for the HICAP and Ombudsman programs on a monthly and fiscal year basis- Generated statistical data for client satisfaction, call log volume and client outcomes- Maintained all aspects of the HICAP website page, HICAP social media profiles, and internet community partnership web pages - Monitored call center operations and volunteer counselors; identifies training needs and provides report to the HICAP Development Training staff- Reviewed training guides, reference materials for use of phone, computers, Peerplace, plan comparisons and phone screenings/counseling of clients- Performed front office duties such as client reception, phone operations and vendor correspondence - Assisted with logistics for Annual Enrollment Period (AEP) clinics and team leader/counseling activities - Audited intake form filling, maintains cabinet storage, and shreds intake forms following HICAP safety awareness protocol - Provided Medicare counseling to Medicare beneficiaries on the following Medicare topics: Medigap, Medicare Advantage (HMO and PPO), Original Medicare, Part D plans (including drug formularies), Cal MediConnect, Medi-Cal - Screened and assisted clients in applying for the Medicare Savings Program and Low Income Subsidy (Extra Help)

Anaheim, California, United States

- Provided assistance with activities of daily living by serving meals, feeding patients as necessary; ambulating, turning, and positioning patients; providing fresh water and nourishment between meals- Managed difficult and emotional patient safety situations with diligence, sensitivity, and awareness - Maintained patient stability by checking vital signs and weight; obtained lab samples; recorded intake and output information- Floated to provide additional patient care in the Emergency Department, Medical-Surgery (Med-Surg), Intensive Care Unit (ICU), and Mental Health units

Patton, Ca.

- Developed proposals for the implementation of a community-based mentoring program that supports recovery in the forensic patient population - Coordinated outreach events for promoting the Rock Your Commute campaign and the Employee Assistance Program (EAP)

Non-Profit/Public/Organizational Management

Healthcare Administration (B.S.), Health/Health Care Administration/Management

Activities and Societies: ACHE's College Bowl 2015, First Year Experience/SOAR, Healthcare Administration Student Forum, H2OLA, Leadership.

A.A. Administration & Information Systems