Eric Rivera Email & Phone Number

-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.

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.

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.

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