Quality Assurance Manager

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This is how employers will see your resume as it appears in the ACHE Resume Bank. Please review the information carefully. To make changes, close this window to return to the Confirm Resume screen and click the Edit link in the section you want to change. HTMLRendererResumeNavigationLinksResumeInstructionalTextReferralContactInfopixel.gifpixel.gif CONTACT INFOimages/Wordtemplate.gifhttp://www.ache.org/upload/resumes/29399/Resume Evelyn_2011.docView Uploaded Filepixel.gifEvelyn Nunez, FMG, MHA

4602 SW 160TH AVE Apt. 521

MIRAMAR,FL 33027

Other Phone: 954-***-****

Contact Preference: E-mail

E-mail: mailto:abo2cs@r.postjobfree.com

Nunez

Titlepixel.gifpixel.gif EXPERIENCEpixel.gif Jan-2005 PresentUnitedHealthcareMiramar, FLSoutheast Region Affordability ConsultantJob Responsibilities:

Analyzing and Tracking Medical Costs for the South Florida, Tennessee and Arkansas markets. Maintain market leadership up to date on medical cost and utilization trends. Ideate, develop and implement projects that will improve the quality and affordability of healthcare for our members my assigned markets or the entire Southeast Region. Work with the National Lines of Service within UnitedHealthcare assisting in the deployment of national quality and affordability initiatives for my assigned markets. Job Accomplishments:

- Initially hired for the Utilization Management Department as a Pre-certification Specialist. - Promoted to Onsite Inpatient Care Manager 3 months after being in the company. - Hired as an Affordability Consultant in July of 2008 spacer.gif Jan-2008 Jul-2008ContinucareHialeah, FLDisease ManagerJob Responsibilities:

Identifying patients with Diabetes, Heart Failure and Chronic Obstructive Pulmonary Disease who are non-compliant with care and require frequent hospitalizations. Coordinate these patients care with their PCP s and other providers; as well as keeping close communication with them to assure compliance with their treatment. Assist patients in obtaining governmental assistance through various programs in an effort to optimize their health and wellbeing. Job Accomplishments:

Started the Disease Management Program spacer.gifTitlepixel.gifpixel.gif EDUCATIONpixel.gifEducation2008University of PhoenixPhoenix, AZMHA Master in Health Administration2000Universidad Pontificia BolivarianaMedellin, InternationalMD Doctor in Medicine

Titlepixel.gifpixel.gif ADDITIONAL INFORMATIONpixel.gifEducationYears of Healthcare Management Experience: 7List of Other Previous PositionsMedical Assistant General Physician in ColombiaMajor Work Experience Managed Care/HMO/PPO 7 Quality Assurance/Utilization 3

Titlepixel.gifpixel.gif OTHER INFORMATIONpixel.gifEducationSalary Requirements $90,001-120,000 Willingness to Relocate As specified Where Are You Willing To Relocate START OF SmartSource Data Collector TAG END OF SmartSource Data Collector TAG

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