Luis Cerda work email
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Luis Cerda personal email
Experienced Medicare Star Ratings Program consultant with a demonstrated history of working in the healthcare industry. Strong business development professional with a Master's degree focused in Economics. Skilled in Analytical Processes, Research, Reporting, Project Management, Quality Improvement, Medicare Advantage, and Financial Risk.
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Star Ratings ConsultantRex Wallace Consulting, Llc Apr 2022 - PresentKingwood, Tx, Us• Serve as a subject matter expert (SME) for all things related to Star Ratings.• Work with clients to assess performance barriers and identify areas of opportunity.• Develop strategies to help improve Star Ratings results.• Provide support at different levels of engagement such as interim management, education, analytics, etc.
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Medicare Stars Program Regional DirectorCigna Jun 2018 - Mar 2022Bloomfield, Ct, Us• Responsible for all aspects of development, coordination, and implementation of strategies for the Stars Program in Cigna’s northeast region markets (Pennsylvania, Mid-Atlantic, Connecticut, Ohio, Illinois, Kansas, and St. Louis).• Developed several methodologies to assess the risk of member non-compliance, prioritize member interventions, and to determine/monitor measure goals at the market/group/provider level on a monthly basis.• Helped improve incentive programs for members, providers, and office staff.• Improved the performance of the Pennsylvania market from 3.5 to 4 stars and Mid-Atlantic market from 3 to 3.5 stars for the Stars 2020 cycle, and improved the performance of the Illinois market from 3 to 4 stars and the Kansas market from 3 to 3.5 stars for the Stars 2022 cycle. -
Medicare Stars Program DirectorMcs Puerto Rico Apr 2015 - May 2018San Juan, Puerto Rico, Pr• Responsible for all aspects of analysis, development, coordination, and implementation of strategies for the Stars program.• Served as a company liaison and advocate for the Stars program in meetings and conferences with several entities such as CMS, healthcare providers and groups, institutions, company management and employees, etc. • Successfully developed and implemented several strategies, ranging from analytics and reporting to benefit design improvement and operational logistics, in order to reach an Overall 4-stars rating for the company in the Stars 2017 and 2018 cycles and an Overall 4.5-stars rating in the Stars 2019 cycle securing an additional premium revenue of ~$130M per cycle (~200K members)• Led a comprehensive campaign to make the company a Stars-oriented institution, which included but was not limited to education, awareness, and engagement with the Stars program for all employees, healthcare providers and service vendors. -
Medicare Stars Program ManagerMcs Puerto Rico Aug 2013 - Apr 2015San Juan, Puerto Rico, Pr• Responsible for all aspects of research, analysis, coordination, and monitoring of strategies for the Stars program.• Served as a company SME for the Stars program.• Enhanced the availability and comprehensiveness of reports in order to better analyze the performance of measures and identify opportunities for improvement.• Managed several initiatives, ranging from education and engagement to reporting, communication between entities and technological improvements that helped achieve an Overall 3.5-stars rating for the company in Stars 2015 cycle.
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Pde SpecialistMcs Puerto Rico Nov 2011 - Aug 2013San Juan, Puerto Rico, Pr• Responsible for monitoring and auditing of the submission process of the Prescription Drug Event data.• Served as a company SME for the Prescription Drug Event process.• Developed and implemented several customized reports in order to improve the analysis of both the operational and financial aspects of the Prescription Drug Event process.• Coordinated technological and operational improvements for the Prescription Drug Event process that resulted in estimated savings of $500K a year for the company.
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Business AnalystMcs Puerto Rico Apr 2011 - Nov 2011San Juan, Puerto Rico, Pr• Responsible for all measurable aspects of the pharmacy utilization.• Identified and monitored operational, clinical, and educational processes related to pharmacy.• Created and developed several custom reports to analyze pharmacy paid claims, monitor pharmacy drugs costs, and identify patterns and trends of misuse on both the Medicare and Commercial line of business.
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Investment AnalystOmega Overseas Invesments, Inc. Jul 2008 - Apr 2011• Made recommendations on asset allocation and on the selection of outside managers by analyzing risks, consistent with the company's risk profile and long term investment horizon.• Worked closely with the Investment Committee and Chief investment Officer in all phases of the investment process, with special focus on qualitative analysis.• Developed custom reports that reduced the Investment Committee's analysis time, increased the investments options to be reviewed, and improved overall investment portfolio analysis.• Improved the company's portfolio asset allocation, increased assets under management, and reduced risk by expanding the investment options range through recommendations in different investment categories.
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ProfessorColegio San Ignacio De Loyola Aug 2007 - Apr 2011San Juan, Pr, Pr• Professor of Economics• Professor of Japanese Language• Professor of World History -
Urban Development Project ManagerJorge Rigau, Faia Architects Oct 2006 - Dec 2007• Researched, analyzed, and assessed the economic impact of a series of government proposed projects to various municipalities within the island of Puerto Rico.• Elaborated an assortment of socioeconomic reports with recommendations in categories ranging from employment and urban development to land use and resource management.
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Assistant Language TeacherThe Jet Programme Sep 2005 - Jul 2006• English teacher at elementary, intermediate, and high school levels.• Occasional translator for the local Board of Education.• Provided lectures in both English and Japanese on several different topics for the local community.
Luis Cerda Skills
Luis Cerda Education Details
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University Of Puerto Rico, Río PiedrasEconomics -
Marquette UniversityEconomics And Political Science
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Colegio San Ignacio De LoyolaHigh School
Frequently Asked Questions about Luis Cerda
What company does Luis Cerda work for?
Luis Cerda works for Rex Wallace Consulting, Llc
What is Luis Cerda's role at the current company?
Luis Cerda's current role is Medicare Star Ratings Consultant.
What is Luis Cerda's email address?
Luis Cerda's email address is lu****@****gna.com
What schools did Luis Cerda attend?
Luis Cerda attended University Of Puerto Rico, Río Piedras, Marquette University, Colegio San Ignacio De Loyola.
What are some of Luis Cerda's interests?
Luis Cerda has interest in Arts And Culture, Health.
What skills is Luis Cerda known for?
Luis Cerda has skills like Quality Management, Public Speaking, Economics, Insurance, Portfolio Management, Data Analysis, Investments, Financial Risk, Business Analysis, Finance, Asset Allocation, Medicare Advantage.
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