SCCIPA is an Independent Physician’s Association under the fortune 500 parent company HCA. As a Network Management Associate supported/educated network of over 900 providers (primarily doctors) and their interaction with contracted Health Plans (HMO and PPO). Served as liaison between providers and Health Plans. Supervised daily provider inquiries, including capitation and reimbursement issues. Maintained strong relationships with contracted Health Plans. Communicated with payors, network providers, and members, in association with operational and contractual issues, including those related to claims, authorizations, and grievances. Represented SCCIPA at physicians’ offices, contracted health plans, committees, and industry events. Ensured adequate physician network recruitment and retention. Made presentations weekly to various audiences.

Active In-Home Therapy serves families in the San Francisco Bay Area by providing quality, in-home physical therapy, occupational therapy and speech therapy. Returned to the company to assist with special projects related to growth. Supported owner with assigned duties in Business Development. Tasked with creating new and supporting existing partnerships for the business. Prospected via Indeed and other job search engines for new therapists. Also successfully reached out to HHAs (Home Health Agencies) to partner with, in order to exchange referrals. Connected with and quickly developed relationships with key contacts at prospects. Created and prioritized strategic target account lists within a defined territory. Met or exceeded new business targets and drove results across the following areas:-Participated in increasing roster of therapists by 18%-Developed partnership with 7 new Home Health Agencies -39 new patients were accepted into service due to the new partnerships.-Average Monthly Gross Sales increased from $31K to $38K (a 23% increase)

Anthem Blue Cross is a fortune 100 American Health Insurance company. Responsible for communicating directly with individual providers and provider groups in order to educate on the benefits and financial gain of participation in Commercial Risk Adjustment. Presented Anthem’s commercial risk platform to a variety of audiences including but not limited to medical office managers, providers, and healthcare executives. Coordinated with internal contract managers to enforce contractual obligations in regards to our risk adjustment efforts. Served as a Risk Adjustment networking lead for our California market. Worked with the Anthem contracting team to create new contractual language in our provider contracts to enhance risk adjustment participation. Enhanced providers understanding/requirements relative to contract language which has resulted in increased participation in our retrospective risk program. -Exceeded goals set by state and enterprise team in the 2018 year for risk adjustment. -Envisioned and proposed a pending new incentive plan that is based on a profit-sharing model rather than an ad-hoc payment for participation.

Responsible for handling staffing needs during all business hours, and responding promptly to any person who calls, emails, or texts. Escalated issues as needed, including asking for assistance at times when staffing demands were intense. Responded to service inquiry calls, filled out inquiry form, entered prospect into CRM, and assigned therapist. If client did not sign up up, document reason and set up follow-up steps. Coordinated start of service documentation with clients and contracted companies. Scheduled therapists based on location, experience, and availability with clients. Collected therapist invoices and entered client visits into scheduling system in order to invoice for services. Created invoices in QuickBooks, received payments, produced A/R Aging reports for management, and followed up on delinquent accounts. Worked with HHA and WC companies to communicate staffing needs, exchanged paperwork for insurance companies (mainly Medicare), and held therapists accountable for sending in visit documentation into EMR systems such as Devero and Kinnser.-Participated in increasing roster of therapists by 36%-Monthly Gross Sales increased from $9,608 to $25,662-Established relationship with doctor’s office, through cold-calling and regular follow-ups. Received two referrals in the first week.

Synergy HomeCare is a non-medical home care company, providing caregivers to elderly in their home. As a previous employee of the company with a good understanding of its systems and business, was brought in to help in completing all new licensing requirements for the State of California. All caregivers actively working with the company had to complete a 10-step process to be registered with the state. This included daily reporting of progress, monitoring employee files to ensure completeness, and coordinating with other office staff. Kept in contact with the State’s Home Care Services Bureau to facilitate and accelerate approval of each employee’s registration. Coordinated with all employees to gather all documents in order to be compliant. Completed multiple rounds of audits of employee files.-Certified 50 employees in the first month.-Successfully completed all required licensing requirements by the deadline of July 1st, 2016.

Responsible for selling insurance and annuities through New York Life. Responsible for identifying and achieving clients’ long-term financial goals through an array of financial products and services. Organized special events, attended networking activities and groups, performed systematic follow-up with prospects and clients, and nurtured relationships. Implemented benefit program to offer life insurance to employees by working with HR department and Executive Director of a small business.-Surpassed company standards for new agents.-Earned license in Life, Health, and Accident insurance. Also certified in annuities.

Responsible for creation and implementation of marketing strategies that included analysis of market research. Organized and maintained office files and calendars to facilitate smooth daily operations. Developed marketing materials such as mailings and blog posts for key company events. Utilized SEO tools to increase visibility of search results. Educated seniors on Social Media. Employee recruitment and new employee onboarding (Screened employees, scheduled interviews, verified references and certifications, and created employee files). Maintained client contacts. Created calendar events and organized office and service schedule. -Captured number one spot on the first page of Google search by authoring and publishing SEO-rich blogs.-Surpassed ambitious weekly interview goal through targeted recruiting, careful screening, and aggressive scheduling.-Increased revenue potential by coordinating development of a dynamic marketing database.

Helped supervise kids aged K-8 in this residential summer program. Led camp songs and games, supervised children, resolved conflicts, entertained, played sports, and shared cabin with children as a supervisor.

Helped supervise kids age K-8, though for most of the day assigned to K-1. Went on field trips, led games, and made snacks.