Michael Hernandez, Mba Email & Phone Number

• Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholders• Manage the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products• Be responsible for assembling a project team, assigning and monitoring work of team members and providing guidance and leadership• Develop the program, integrated program plan, resource plan, contingency plan, and related project management artifacts• Define and track program milestones while developing, maintaining, and reporting on an overall integrated delivery plan• Work closely with business partners and peers to develop and enact strategies for letter review and revision• Use comprehensive auditing controls to ensure that MCS letters are maintained in accordance with regulatory and company standards• Work with business subject matter experts to ensure compliance and adherence to best practices

Monterey Park, Ca

• Responsible for creating process workflows in Visio, creating project plans utilizing excel, and applying project management methodology and practices.• Initiate, develop, and assess end-to-end process life cycles• Experience in coordinating inter-departmental meetings, tracking project milestones and maintaining project timelines.• Responsible for developing partnerships with project owners to create project charter, budget, scope, and deliverables.• Perform value-stream mapping to identify gaps and inefficiencies in processes, and making recommendations for improvement • Prioritizes an influential communication style to get buy-in on initiatives with internal and external stakeholders Demonstrated Outcomes o Created process workflows and conducted trainings for the Provider Relations department.o Co-authored the Provider Relations Service Manual encompassing all Health Plan processes for the Provider Relations department.o Experience working with multiple departments to meet annual Compliance and Regulatory requirements. o Helped configure multiple MSOs systems to be able to transfer data with the new Blue Shield adopted systems.o Enhanced and co-lead mid-level projects such as the Long-term Care and SNF facility settlement agreement process consisting of over 256 facilities. o Developed multiple tracking and reporting tools for internal teams to improve work performance.

Monterey Park, California

• Developed and implemented a comprehensive Participating Provider Group Master Roster to assist with accurate reporting and representation. • Assisted Provider Relations leadership in the reorganizing and refreshing of critical data by identifying errors and making recommendations to improve data quality and efficiency.• Reproduced outdated administrative processes including the Provider Portal, CITS Reporting Tool, and department project tracker.

Orange County, California Area

• Completed Notice of Changes and Preferred Provider Lists ensuring information on forms are inputted in IDX, HCP Connect, Visual Cactus and health plan websites.• Provided project planning and management support to leadership for IPA retention and growth efforts.• Conducted group, site, and provider level analysis to ensure the authenticity of all documentation and mitigate any inaccurate information.• Expedited and performed troubleshooting for provider terminations including the coordination of continuity of care with HealthCare Partners contracted providers.

Orange County, California Area

• Co-Headed the Senior Comprehensive Health Assessment (SCHA) program to expand healthcare appointments for over 800 senior patients served by 44 IPA offices. • Established detailed measurement reports to identify patterns of improvement and additional areas of opportunity within the SCHA program. • Managed the activities and inventory budget, while actively seeking ways to eliminate or reduce department expenses.• Facilitated weekly meetings with 14 cross-departmental leaders to discuss and integrate plans to support the region’s physicians and nurse practitioners throughout hospitals and contracted IPA offices.• Performed administrative duties such as taking meeting minutes, managing department calendars, organized all team events, produced forms and flyers using Microsoft Publisher.

Orange County, California Area

• Reported P4P and STAR rating measurements to onsite employed providers to communicated length of patient bed occupancy and incurred expenses, patient satisfaction survey scores, and membership enrollment. • Minimized patient wait time from an hour or more to 35 minutes, resulting in 15% cost reductions through the PEAK implementation process.• Created and maintained month to month reports expressing membership enrollment numbers, Hospital Bed Days, patient satisfaction, and readmission rates broken down by each region 6 (OC) group site.

West Covina, Ca

• Built book of business for 30 clients, expanding through industry networking and prospecting efforts.• Managed wealth expansion opportunities, savings plans, and retirement goals for each portfolio, and offered new products and services to existing and potential customers.• Gained $6,000 gross dealer concession revenue within two months.

Master Of Business Administration - Mba, Business Administration And Management, General

Bachelor Of Science (B.S.), Business Administration And Management, General