Kevin Castillo Email & Phone Number

United States

Chula Vista, California, Estados Unidos

Collect, analyze, and manage healthcare data for Medical and Medicare populations in the County of San Diego to create and implement targeted interventions, aiming to improve population health outcomes.Collaborate with healthcare providers to discuss MCP goals and compliance with HEDIS technical guidelines and data accuracy (claims & supplemental data).Liaise with vendors to ensure quality delivery in purchased services such as HEDIS management software, outreach services, and mailhouses.Deliver HEDIS onboarding for new network partners including Medical, Medicare, D-SNP, and CSNP lines of business.Oversee various outreach campaigns executed by HEDIS outreach specialists. Monitoring KPI, conduct annual performance checks, manage time cards through Paycom. Train and onboard new staff. train and oversee record retrieval staff during HEDIS Medical record review season to ensure compliance with HEDIS NCQA technical specification standards and HIPPA guidelines.Support HEDIS manager in the annual HEDIS audit for Medi-Cal/Medicaid, Medicare, and D-SNP lines of business.Manage HEDIS rate reports with all departments involved in quality assurance and health management.Attend collaborative meetings with DHCS to discuss healthcare trends, strategies, and issues throughout the state.Manage HEDIS-directed member incentive programs requiring state review and approval.Audit internal and external databases and reports to maximize accuracy and compliance.Manage purchase request process and department product inventory.Ensure compliance with protected health information regulations and standards through annual training.Proficient in EMR systems such as EPIC, E-clinical Works, Cerner, Allscripts, CAIR, Veradigm, NextGen, etc.

Post job descriptions and source candidates for roles such as Software Developer, Software Engineer, Data Scientist, UI/UX Designer, for US and LATAM regions.Conducted Boolean searches on google and Linkedin Recruiter.Assisted solving employee HR policy inquiries.Scheduled candidate interviews for recruiters and manage calendar appointments.Supported a Salesforce placement program by screening applications and resumes, reference checking, and logging candidates in the candidate pipeline.Gather candidate documentation to submit to HireRight for background screening completion, such as SSA-89 forms, employment verification documentation, and criminal background check consent forms.Generated sales leads using LinkedIn Recruiter and ZoomInfo.Followed up with candidates on timesheet submission, inquiries, and system issues.Ensured that all resumes submitted to clients met format criteria.Generated reports for Sales and Recruitment teams using Salesforce and Excel.Maintained employee records in Salesforce and Google Docs.

México

Coordinated the education of over 200 employees to meet Cambridge English proficiency requirements, enabling staff to relocate and help start a new company branch in Texas, USA.Conducted training needs assessments and developed corresponding training programs based on the results.Presented periodic employee KPI performance reports to HR training and development department to track and communicate progress.Managed departmental budgets to meet administrative needs and acquire training materials.Created and managed databases for storing and filing information necessary for audits.Received continuous training in database management, Office Suite, and Google Suite products.

Cuautla, Morelos, México

- Job posting and sourcing through recruitment platforms such as LinkedIn, Facebook. - Review of candidatures and preselection. - Skills Interview and evaluation. - Onboarding new hires. Apply training needs diagnoses. - Positions placed: Chefs, Cooks, Waitresses, Gardners.- Psicometric test: AMITAI Honesty test.- Background check documentation.