OBJECTIVE

Challenging position with a dynamic, growth-oriented company that will lead to advancement opportunities. A hands-on, profit-oriented management/administrative professional with a proven record of success in fast track, competitive environments. Recognized for leadership and for getting results.

SUMMARY OF QUALIFICATIONS

Seasoned professional with many years of Executive Assistant experience

Skilled at working independently, multi-tasking and delegating responsibilities

Highly motivated, confident, reliable and committed to professional standards

Excellent organizational and priority setting skills.

Committed to meeting any and all deadlines

Highly skilled in MS Word, Excel, PowerPoint, Outlook Express, Windows 95, 98, NT, 2000, XP; Internet savvy

Able to follow detailed instructions

Skilled at advanced levels of research on the Internet

Type 70 wpm

Run and create daily, monthly and quarterly reports

PROFESSIONAL EXPERIENCE

2006-12/2017 Molina Healthcare, (MHI) Central Programs Operations, Inc

Long Beach, CA

Executive Assistant to Estrella Ramirez RN, VP of Healthcare Services and Maria Reyes BSN, Director of Healthcare Services

•Provide support to the VP, Management and related team members

•Prepared correspondence, scheduling, travel, approval coordination, and expense reconciliation

•Schedule conference calls and/or booking of conference rooms

•Maintain staff’s attendance and vacation schedule in Kronos and the Calendar

•Coordinate all travel arrangement for VP, Management and department staff and create reimbursement for expenses in Concur for five Executives.

•Expert in using PowerPoint, Run CUIC Reports, Excel and Access

•Create Monthly OMT and All State Reports

•Can create and revise systems and procedures by analyzing operating practices, recordkeeping systems, forms control, office layout, and budgetary and personnel requirements; implementing changes.

•Draft correspondence, policies/procedures, position descriptions, etc. Responsible for maintenance and coordination of department’s policies updates/revisions

•Functions as committee recording secretary for the Utilization Management Committee and attends various meetings within the organization to represent UM and JOM as appropriate. Maintain minutes, prepares agendas and corresponding documents/reports and forwards to all committee members in advance

•Run and create weekly, monthly and quarterly productivity reports. Subsequently create graphs and spread sheets.

2005-2006 Molina Healthcare Inc., Long Beach, CA

HEDIS Project Coordinator

Responsible for the coordination of major HEDIS Compliance Audit activities – HOQ, BAT. Interacts with plan HEDIS coordinators and compliance auditors to ensure timely completion of the HOQs and to meet BAT timelines.

Works directly with health plans to maintain and coordinate a master schedule and support of intervention activities directed at HEDIS rate improvement and disease management programs.

Work directly with Director of HEDIS Operations to coordinate with health plans the development of a provider profiling program that will allow provider, group, and IPA specific evaluation and feedback on HEDIS measures in the Effectiveness of Care, Access/Availability of Care, and Use of Services domains.

Coordinates collection of data, reporting and audit activities related to non-Quality Spectrum produced measures (i.e., provider turnover, new service measures, etc.)

Draft SOPs to be used as table top documentation of processes.

Responsible for the generation of specific monthly reports, and create graphs and Excel spreadsheets for management as requested.

Maintains supply ordering within budgetary parameters, identifies and researches budgetary variances.

Schedules appointments, handle travel arrangements

2004-2005 Molina Healthcare Inc., Long Beach, CA

Administrative Compliance Trainer/Internal Auditor (Healthcare Services)

Responsible for the Non- Clinical Orientation and ongoing performance standard monitoring for all UM Department staff

Initiate monthly and quarterly Performance Standards Data Collection / Process Auditing and development of Corrective Action Plans as needed.

Created graphs and Excel spreadsheets for management as requested.

Evaluate UM Processes on an ongoing basis. Research and make recommendations to UM Management for processes improvement.

Instrumental in obtaining the initial and re-accreditation for NCQA.

In collaboration with the UM Manager, prepared documentation for annual or as needed audits by all the following regulatory/oversight agencies DHS, DMHC, Health Net

As well as the other duties listed below.

2003-2004 Molina Healthcare Inc., Long Beach, CA

Administrative Project Coordinator (Health Care Services)

Organizes medium to large scale projects, including documentation of project plan, time lines, implementation and reporting using Excel spreadsheets.

Played a key role in the drafting, revising and reviewing of the Inland Empire RFP process

Autonomously developed and implemented the Business Continuity & Disaster Plan for the UM dept.

Coordinate the hiring process for all new employees which includes, the Human Resource required document submission, orientation schedule, and facility set up including PC, phone, business cards and Cellular Phone as needed

As well as the other duties listed below.

2000-2003 Molina Healthcare Inc., Long Beach, CA Inc., Long Beach, CA Long Beach, CA

Administrative Assistant

Performs complex secretarial work of an administrative nature including organizing and assisting the AVP, Health Care Services complete projects and improvement efficacy of Department operations

Functions as committee secretary and attends committee meetings to take minutes, prepares agendas and corresponding documents/reports, and notify members of meeting dates, etc. Produced Power Point presentations for quarterly and executive meetings. Provided all levels of administrative support to the entire Utilization Management Department and Quality Management as needed

Draft correspondence, policies/procedures, position descriptions, etc., for the Health Care Services Department. Responsible for maintenance and coordination of department’s policies updates/revisions in compliance with state, federal and local regulations.

Responsible for the generation of specific monthly QMACs reports, and create graphs and spread sheets in Excel for management as requested.

Maintains supply ordering within budgetary parameters, identifies and researches budgetary variances.

Place orders for all resource manuals and maintains inventory of orders placed.

Establish and maintain confidential documents and records per policy/procedure.

Maintain files for license personnel and monitor expiration dates.

Maintains calendar of HCS staff annual evaluation and remind management of the annual date.

Schedules appointments, handles travel arrangements; receives visits or calls which may be resolved or referred to proper person for resolution.

Prepare monthly physician’s back up schedules

Arranged all Educational Inservices for staff

Gather and verify PTO availability. Maintain attendance log for Health Care Services/UM Staff.

1995-2000 Wilshire Outpatient Surgery Center Los Angeles, CA

Office Manager

Reported directly to the Medical Director

Assured that Office was in compliance with state, federal and local regulations and policies

Upheld and enforced defined policies and procedures as well as identify and communicate effectively areas for potential enhancements

Directly supervised the Customer Service Representatives, Insurance Verifiers, and Clerical staff.

Assisted the Medical Director in recruiting physician’s and anesthetists

Plans, directs and coordinates staff functions, including development and training of new staff. Develops and maintains up to date job descriptions

Responsible for scheduling and ensuring that all cases were appropriately staffed

Negotiated all insurance payments.

In collaboration with the Medical Director, developed and reviewed departmental policies & procedures and Standard Operating Procedures to satisfy regulatory changes, benefit changes and contracts

Responsible for annual budget preparation and its maintenance within allocated parameters.

Ordered, tracked and monitored inventory supplies ensuring proper handling and corresponds to billing and bookkeeping

Provided analytical purchasing decision, including overseeing existing contracts

Established and maintain professional rapport with all outside vendors

Medical Transcription

EDUCATION

1992-1993 Paramedical and Technical College Long Beach, CA

Certified Surgical Technologist

Surgical Technologist Graduate

1985-1987 Los Angeles Harbor College Wilmington, CA

A.A. Liberal Arts

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