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Care Delivery Management Intern

Location:
Yorba Linda, CA
Salary:
30
Posted:
October 27, 2023

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Resume:

Sophie Laguna

714-***-**** ad0ntm@r.postjobfree.com linkedin.com/in/sophielaguna

EDUCATION

UCLA ANDERSON SCHOOL OF MANAGEMENT Los Angeles, CA M.B.A., Full-Time Program June 2024

Honors: UCLA Anderson Merit Fellowship; Hispanic Scholarship Fund Scholar

Leadership: VP of Marketing and Communications, Healthcare Business Association; VP of Admissions, Marketing Association; VP of Diversity, Equity, & Inclusion, Net Impact; Leadership@Anderson Program

Membership: Women’s Business Connection, The Alliance for Latinx Management, Christian Student Fellowship UNIVERSITY OF CALIFORNIA, LOS ANGELES Los Angeles, CA B.A., Psychology June 2018

Employment: UCLA Library Computing Consultant; Private Tutor

Achievements: Graduated in 3 years

EXPERIENCE

OPTUM, INC. El Segundo, CA

Management Intern, California Accelerated Leadership Program June 2023 – August 2023

Drove alignment among 50+ Clinical and Ops stakeholders within 5 CA care delivery organizations and developed execution plan for deployment of comprehensive Population Health dashboard

Developed framework for implementation with analytics team and presented to senior leaders, resulting in targeted initiatives to standardize population health metrics, assess performance, and identify gaps in care delivery INTELLI-HEART SERVICES, INC. Irvine, CA

Operations Manager June 2019 – July 2022

Supervisor, Billing and Operations October 2018 – June 2019 Strategy and Process Optimization

Analyzed financial data of 15+ contracts with cardiac testing facilities and presented profitability forecasts to senior management to lay the groundwork for data-driven management decisions

Achieved 8% increase in company profits by leading negotiations with insurance companies and secured fee-for- service agreements with cardiac testing facilities to improve timeliness of reimbursements for care delivery

Ensured compliance with regulatory requirements, including Medicare and HIPAA, to safeguard the confidentiality of patient accounts, reduce billing errors by 90%, and promote department accountability Cross-Functional Collaboration

Oversaw 16-member cross-functional team from billing, shipping and logistics, and end-of-study to redesign the educational program on claims processing, which improved billing timeliness and rate of reimbursement by 6%

Created a comprehensive procedure for collecting patient data and conducting progress updates with the shipping and telemetry department for the delivery of cardiac monitors; achieved a 95% on-time delivery rate Leadership

Identified inefficiencies in collections for 10,000 patient accounts; led team to improve operational and review processes, reducing collection time by 75% and recovering $375K in outstanding invoices

Led initiative that streamlined onboarding process by 22%; revamped training and created mentorship opportunities for new hires, improving employee satisfaction and increasing productivity

Managed 10-member team in centralizing data and increasing visibility within workflows, improving communication of critical information among patients and facilities and strengthening organizational efficiency ADDITIONAL

Skills: Basic R, AdvancedMD, QuickBooks

Volunteer Work: Project Literacy, Research Apprenticeship with The National Center for Mental Health in Schools and Student/Learning Supports - Analyzed the effects of language impairments and communicative disorders on early development - Published as an information resource in Early Language Development Problems

Interests: Running half marathons, hiking, fishing, camping, cooking, tutoring, soccer



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