Manager Medical

Carmen Guzman-Rivera

EXECUTIVE SUMMARY

Result driven, healthcare professional with continual profits attained through focused, strategic workflow, staffing and business practice analysis. With over 20 years of diverse experience in various healthcare sectors and corporate office operations, I currently lead and direct the overall operations of multiple regions and its facilities in accordance with patient needs, government regulations, and company policies. Strong focus on maintaining excellent customer service for both internal and external customers, while effectively and efficiently contributing to the organizations bottom-line profitability.

PROFESSIONAL EXPERIENCE

MedPost/ CareSpot 05/13 - Present

South Texas Region

Regional Director 05/17 – Present

Initially, the region consisted of 10 centers between 2 regions, San Antonio and El Paso. We had approximately 125 employees with 8 direct reports. The Center Managers needed leadership development to get their centers to meet KPI’s and achieve budget. We quickly established an accountability model for each of the CM’s to meet the operational benchmarks and objectives for each center.

Key Accomplishments:

Ensure the broad strategic vision of the executive team is clearly communicated to the managers, and it’s being implemented on a divisional level.

Translate strategic direction and client needs into team vision and deliverables.

Established a positive, high-energy workplace culture with a high level of employee trust and engagement.

Assure progressive clinical excellence through oversight of orientation, training, and competency validation process.

Successfully launched the grand opening of three new facilities within a six month period; furthermore, all exceeded a positive variance to budget and direct margin by year end.

Increased total regional responsibilities by 50% within the first twelve months; going from 10 centers to 15.

CareSpot/ MedPost

Fort Lauderdale, Florida

Center Manager 05/13 – 05/17

After seven months as a Center Manager, company requested that a second center be added to the list of current responsibilities. As a result of efficiently managing the two centers, it became the model for the company and each manager was subsequently given a second location to manage. Acted as the catalyst to ensure the staff was passionate about delivering genuine, caring, friendly, and convenient healthcare.

Key Accomplishments:

The only Center Manager to receive the Summit Club award for consecutive years 2014, 2015, & 2016 in both facilities.

NPS (customer satisfaction) scores for 2014, 2015, & 2016 were among the top three in S. FL.

Exceeded corporate budget volume goals in multiple centers (2014-2017); exceeded direct margin goals.

Spearheaded training classes to train and certify staff on conducting DOT appropriate drug screens and breath alcohol screenings. Conducted DOT audits biannually to ensure compliance.

Master Trainer 05/15 – Present

Served as ongoing support for a multitude of centers throughout various states including GA, CA, AZ, TX, and MI. Facilitated training as necessary. Provided training to newly hired Center Managers and Regional Directors. Served as an ongoing first point of contact for trainees.

Key Accomplishments:

In 2016, as a result of the MedPost acquisition, traveled across the country to successfully facilitate transition of 50+ centers to a new platform.

Trained Center Managers, Providers and support staff on new processes and ensured compliancy.

Sustained corporate compliance guidelines resulting in multiple centers achieving and maintaining the status of Center of Excellence - Summit Club (2015, 2016 & 2017).

Aviva Health & Wellness 07/11 – 04/13

Kissimmee, Florida

Office Manager

Responsible for successful launching the rapid growth of a dual medical practice and spa. Played a key role in helping the business transform from startup mode to high efficiency operation by implementing policies, procedures, and processes for staffing, cost control mechanisms, service recovery, and scheduling. Supervised patient scheduling, registration, financial counseling, medical records, billing and collection, data entry and processing, and cash posting.

Key Accomplishments:

Established quality control process to ensure that correct billing information is collected to produce and generate clean claims for submission.

Coordinated credentialing for the practice with Medicare, commercial plans & Medicare Advantage Plans in a timely fashion. Ensured all state medical licenses are up-to-date including attestation for CAQH for all providers.

Directly responsible for recruiting additional Physicians to the Practice.

Assisted the organization in achieving financial goals by monitoring costs, tracking all financial data, and making recommendations for ongoing improvement.

Family Physicians Group 01/10 – 05/11

Kissimmee, Florida

Office Manager

Worked in a fast paced, hyper growth environment, requiring the handling of multiple issues or inquires during all hours of the day. Built community relations resulting in customer loyalty, maintained minimal employee turnover, and increased profits.

Key Accomplishments:

Recognized for building the practice from a solo practitioner to four full-time Medical Doctors resulting in a 350% increase in business in less than 6 months.

Executed purchasing of office and medical supplies, as well as maintaining the medical supply inventory through SharePoint.

Coordinated and ensured compliance with all HEDIS requests.

Responsible for staffing, training, and supervising all personnel. Completed evaluations and suggested training as applicable to enhance employee development.

Followed through on timely and accurate month-end closings and financial reporting activities.

PROFESSIONAL SKILLS

Knowledgeable in various EMR systems.

Strong management, communication, and organizational skills.

Thorough knowledge of insurance and medical terminology.

Solid ability to lead by example and build solid teams.

Bilingual; English & Spanish.

CERTIFCATIONS

CPR

PUBLIC NOTARY

EDUCATION

University of Phoenix

Completed 60 credits towards BSHA, 2011

Bronx Community College

Completed all pre-requites for Nursing Program (1989- 1991)

St. Raymond Academy

High School Diploma, 1989

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