Marcus Gooden Email & Phone Number

Laid off

Saint Louis, MO, US

Saint Louis, MO, US

• Led development and implementation of Coordinated Care programs for Members, Providers, and staff.
• Managed program activities, created management software, and oversaw contract negotiations for PNCC entities.
• Collaborated with departments to extract data, monitored case management distribution, and ensured program success.

• Provided in-person, telephonic, and virtual application, outreach, and enrollment support toindividuals and families transitioning from state Medicaid programs to Qualified Health Plans(QHPs).
• Assisted consumers with all aspects of the enrollment and renewal processes using the CMS system,including profile creation, eligibility determination explanation, plan comparisons, and guiding themthrough the.
• Represented CMS and Cognosante professionally within the local community by attending events,health fairs, and other venues to reach the targeted population and provide enrollment or educationaloutreach services.
• Maintained accurate and timely documentation of daily activities and results, ensuring compliancewith Standard Operating Procedures (SOPs) and achieving quality scores of 90% with caseloads of30-40 consumers per week.
• Acted as a Subject Matter Expert (SME) for vulnerable and underserved populations, usingout-of-the-box thinking to support and exceed project goals in a production environment.

Spring, Texas, US

• Facilitated communication between patients and healthcare providers, ensuring patients received thenecessary information to make informed decisions about their healthcare.
• Assisted patients in setting up appointments for doctor visits and medical tests, coordinatingschedules to ensure timely access to medical services.
• Provided support in obtaining financial, legal, and social resources, helping patients navigate complexsystems and access needed assistance.
• Advocated for patient rights and needs, acting as a liaison to resolve issues and improve overallpatient satisfaction.
• Educated patients on healthcare processes and options, empowering them with knowledge to bettermanage their health and wellness.

Chicago, IL, US

• Provided exceptional customer service by promptly responding to inquiries, dedicating 90% of time to phone interactions.
• Conducted research to resolve issues, maintaining accurate records and documentation.
• Utilized strong communication skills to address and resolve customer concerns, ensuring high satisfaction levels.

Washington, District Of Columbia, US

• Analytical and evaluation skills to assess capability in meeting customer or project requirement.Perform a variety of specific tasks to develop knowledge and skill in applying Acquisition Logistics principles,methods.
• Compiles, organizes, and maintains documentation in an electronic document management system to includecorrespondence, software development and documentation, etc.

Washington, DC, US

• Demonstrated basic knowledge of Federal Acquisition Regulations, Department of Veterans AffairsAcquisition Regulations, contract law, and procedures applicable to acquisition and contractadministration to ensure.
• Applied knowledge of various contract types, including firm-fixed price, firm-fixed price witheconomic price adjustments, and cost reimbursement, as well as contract methods such as simplifiedacquisitions, sealed.
• Utilized negotiation techniques to effectively negotiate prices, terms and conditions, contractmodifications, and settlements, ensuring favorable outcomes and adherence to organizationalstandards.
• Communicated orally and in writing in a clear and concise manner, demonstrating knowledge ofPatient-Centered Medical Home (PCMH) principles, practices, evidence-based guidelines, andprocedures necessary to provide and.

Oklahoma City, Oklahoma, US

Verified patient information by interviewing patient, recording medical history, confirming purpose of visitPrepare patients for the health care visit by directing and/or accompanying them to the examining roomPerform preliminary physical tests; take blood pressure, weight and temperature; report patient history summarySecure patient information and.