Project Manager Home Care
Resume:
GLENNY ROJAS
Woodhaven, ***** NY
*********@*****.***
OBJECTIVE
Results-driven Project Manager with over 15 years of experience consistently exceeding performance expectations across diverse business platforms. Skilled in leadership, communication, and analytical thinking, with a strong background in healthcare industry operations. Proven track record in overseeing and coordinating complex projects, managing inbound/outbound call centers, and delivering detailed reporting and insights. Adept at handling sensitive, confidential information while maintaining professionalism and diplomacy in high-pressure environments. Flexible, personable, and motivated, with a demonstrated ability to lead cross-functional teams and navigate cultural differences with ease. Thrives in deadline-driven settings, ensuring successful project outcomes.
SKILLS
Project Management
Budgeting and Financial Management
Data Analysis and Reporting
Content Development and Marketing
Claims Authorization and Denial Management
Leadership and Team Management
Effective Communication
Strategic Decision-Making
Relationship Management
Adaptability and Quick Learning
EMPLOYMENT HISTORY
Project Manager / Platinum Home Care 12/2016 - Current
Developed and managed detailed project plans, establishing clear milestones and ensuring strict adherence to deadlines.
Strategically delegated tasks to team members based on their skills and expertise, maximizing efficiency and project success.
Facilitated effective decision-making by evaluating multiple options and selecting the best approach to keep the project on track.
Coordinated communication among cross-functional teams, ensuring alignment and synergy across all project phases.
Conducted ongoing quality control, adjusting project schedules and targets in response to changing needs and financial constraints.
4o
Vice-President / Beyond Home Care -NYC 11417 12/2016 - 09/2021
Spearheaded Strategic Growth Initiatives: Led the design and execution of initiatives focused on achieving corporate growth targets and expanding market share within the rapidly changing healthcare industry, driving consistent revenue growth.
Directed Budget Management and Forecasting: Managed multi-million dollar operating budgets, overseeing forecasting and financial planning efforts that optimized profitability and aligned with corporate objectives, particularly within Value-Based Payment models.
Developed and Adapted Marketing Strategies: Continuously assessed market trends, competitive landscapes, and industry shifts to refine and implement agile marketing strategies that maintained the company's market leadership.
Oversaw In-Depth Market Research and Competitive Analysis: Led comprehensive market research initiatives to uncover growth opportunities, monitor competitor activities, and develop data-driven strategies that enhanced the organization's competitive advantage.
Optimized Marketing and Sales Operations: Directed cross-functional teams in optimizing marketing operations and sales processes, resulting in increased market penetration and stronger brand positioning across key regions.
Business Development Manager / Premier Home Care-NYC, New York 10001
Collaborated with Sales Teams to Enhance Performance: Worked closely with sales teams to design and deliver effective sales tools and training programs, ensuring key staff are equipped for optimal performance.
Developed and Managed Customer Care Programs: Spearheaded customer care initiatives aimed at improving client satisfaction and boosting sales conversion rates, resulting in sustained revenue growth.
Created High-Impact Marketing Content: Led the development of compelling product collateral and company marketing materials to effectively communicate brand value and support business growth.
Drove New Business Acquisition and Brand Awareness: Successfully identified and pursued new business opportunities, increasing brand visibility and expanding the customer base through targeted outreach and strategic networking.
Maintained Strong Client Relationships and High Referral Rates: Cultivated and nurtured long-term relationships with key clients, leading to a significant increase in referrals and consistent achievement of enrollment targets.
Senior Relationship Coordinator Manager / Nursing Home Unit Leader / Healthfirst – NYC, New York 10007
Led Nursing Home Care Division Operations: Managed all aspects of patient care within the Nursing Home Division, overseeing scheduling, coordination, and the delivery of quality care across multiple facilities.
Supervised a Team of 20 Relationship Coordinators: Directed and mentored a team of Relationship Coordinators, ensuring efficient communication and collaboration between nursing home staff, social workers, and patient families.
Liaised Between Nursing Homes and Social Services: Acted as the primary liaison for nursing homes, handling social worker correspondence and scheduling to ensure seamless patient transitions and support.
Enhanced Departmental Sales through Call Auditing: Conducted sales call audits as part of a departmental initiative to boost sales performance, identifying improvement areas and implementing strategies to increase conversions.
Handled Client and Provider Grievances: Managed and resolved grievances from both clients and healthcare providers, maintaining high satisfaction rates and strengthening relationships within the nursing home care network.
Relationship Coordinator / Healthfirst – NYC, New York 10007
Consistently Exceeded Call and Appointment Targets: Met and surpassed daily, weekly, and monthly goals for outbound telemarketing calls and appointment bookings, driving high client engagement and conversions.
Managed High Volume of Client Inquiries: Handled inbound and outbound calls from clients, addressing inquiries about healthcare coverage, and providing clear and comprehensive information on Medicaid and Medicare plans.
Delivered Accurate Plan Disclosures: Ensured full compliance with Medicaid and Medicare standards by providing detailed plan disclosures and answering client questions with clarity and precision.
Coordinated Field Appointments Efficiently: Scheduled field appointments for Healthfirst Complete Care Specialists and Intake Nurses within 48 hours of receiving referrals, optimizing scheduling for joint visits between Specialists and Nurses.
Maintained High Standards of Client Communication: Provided professional, courteous, and accurate communication, ensuring clients fully understood their healthcare options and resolving any concerns promptly.
Claims Representative / Healthfirst -NYC, New York 10007
Managed Authorization Approvals and Denials: Reviewed and processed authorization approvals and denials across various lines of service, ensuring compliance with company policies and regulatory requirements.
Conducted Provider Account Reviews: Performed comprehensive reviews and approvals of provider accounts, maintaining accuracy in billing and claim processing.
Led Monthly Reassessment Authorizations: Handled monthly reassessment authorizations while also being responsible for training and onboarding new staff to ensure consistent performance and adherence to procedures.
Provided Daily Claims Support to Providers: Addressed day-to-day provider inquiries and concerns regarding claims, delivering timely updates and solutions to maintain smooth operations.
Handled Denials and Appeals for External Providers: Managed the denial and appeal process for claims submitted by external providers, working to resolve issues and ensure fair outcomes.
EDUCATION
B.A.: Health Administration 01/2017
Monroe College
Minor: Accounting and Finance
GPA: 3.0
Manhattan Institute
Certified Nursing Assistant
Certified Nurse Technician – EKG / Phlebotomy
AWARDS
Healthfirst, 2014, SPOT AWARD – (Top Sales Performer – RC Department), Thomas Dalton – Relationship Coordinator Manager
Healthfirst, 2013, STARS AWARD – (Customer Service and Sales Techniques), Thomas Dalton – Relationship Coordinator Manager
Healthfirst, 2012, Top Sales Representative, Thomas Dalton – Relationship Coordinator Manager
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