Eric Rivera Email & Phone Number

San Diego, Ca, Us

-Department lead for the 2021 Department of Managed Health Care (DMHC) Medical Audit-Department project lead for process implementation of regulatory approval for all beneficiary communications sent by the Health Plan-Serve as the Health Plan’s internal subject matter expert by interpreting and applying contract, legislative and regulatory requirements throughout the Health Plan

Rancho Cucamonga, California, United States

-Appointed as department lead for the 2020 DMHC Financial Audit-Analyzed and disseminated new and revised laws/regulatory guidance throughout the Health Plan-Developed recommendations to ensure the Health Plan was in compliance with contract(s) with the Department of Health Care Services (DHCS), and Knox-Keene license(s) with the DMHC-Received, coordinated, and responded timely to all requests from the multiple regulatory agencies

Rancho Cucamonga, A

-Conduct research of community based resources within Riverside and San Bernardino counties -Provide resources for housing, health, disability and food assistance to health plan members-Document, track, and close department referrals in a timely manner-Audit, track, and prepare interpreter services invoices-Develop alternative formats for health plan member materials -Develop spreadsheets and assist with projects at request of Program Manager

Orange County, California Area

Review dental screening results with parents and address any questions or concerns• Educate parents on the importance of dental care• Provide dental/insurance resources to families• Schedule appointments for new patients and conduct follow ups on referrals• Develop spreadsheets on Excel to keep track of department goals and milestones• Submit monthly reports on time to supervisor and directors

Rancho Cucamonga, Ca

● Conduct research of community based resources within Riverside and San Bernardino counties ● Provide resources for housing, health, disability and food assistance to health plan members● Document, track, and close department referrals in a timely manner● Audit, track, and prepare interpreter services invoices● Develop alternative formats for health plan member materials ● Develop spreadsheets and assist with projects at request of Program Manager