Raquel Dominguez
Charlotte,NC
Summary
Forward-thinking team leader skilled at operating departments efficiently to meet goals. Successful background matching employees with roles for maximum performance. Proactive and hardworking individual focused on continuous operational improvement. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
12
12
years of professional experience
Work History
TRAINING MANAGER
CENTENE
01.2021 - Current
- Collaborate with organizational leadership to plan and implement enterprise-wide strategic training and development opportunities
- Analyze and identify training needs and information gaps through needs analysis to develop appropriate training programs
- Confer with leadership to gain knowledge of work processes and systems to develop appropriate training programs and materials
- Implemented and managed new employee orientation training process for more than 20 employees each year.
- Facilitate creation, revision, and maintenance of training material and content of online training
- Measure and analyze training effectiveness, assessing the need for modifications to content and structure to increase Return on Investment (ROI)
- Effectively lead, manage, and organize multiple training initiatives simultaneously
- Develop and revise policy and procedures to ensure consistency across the training department.
- Implemented a robust performance evaluation system, enabling data-driven decision-making on future workforce development strategies.
- Streamlined HR efficiencies, coordinated new hire orientations and provided onboarding and training for new employees.
- Managed new employee orientation training process for more than 20 employees each year.
SUPERVISOR, REFERRAL SERVICES
CENTENE
01.2021 - 03.2023
- Managed the implementation of three Health Plans, improved daily productivity from 50% to 80%, by training over 50+ employees ranging from individual contributors to Vice Presidents
- Partnered with UM Director to develop work processes reducing authorization load errors by 60%
- Analyzed data to identify trends and areas for improvement within the intake department, leading to increased effectiveness.
- Operated as a Subject Matter Expert, providing training, coaching, guidance, and support to employees
- Worked with analysts, programmers and Stakeholders in adapting and testing programs and procedures to adhere to our standard operating procedures
- Developed, monitored, coached, and managed staff, ensuring the development of employees through orientation, training establishing objectives, communication of rules, constructive discipline
POPULATION HEALTH CONSULTANT
A FRAZIER & ASSOCIATES, LLC.
01.2017 - 01.2021
- Developed customized healthcare strategies for clients, resulting in enhanced operational efficiency and patient satisfaction.
- Established performance benchmarks for various functions within client organizations, ensuring consistent progress toward organizational goals.
- Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
CENSUS FIELD SUPERVISOR
US CENSUS
01.2020 - 01.2020
- Provided supervision and oversight to employees, managing data collection within specific assigned regions
- Utilized problem-solving skills to develop timely solutions to problems, escalating complex or unusual issues to senior leadership
- Assisted senior leadership with managing staffing demands, including recruiting, hiring, and training personnel.
REFERRAL SPECIALIST II
CENTENE CORPORATION
01.2014 - 01.2017
- Led efforts behind the successful launch of CMU, reducing authorization load errors by 70%
- Assessed operational procedures and streamlined processes to ensure the office is running smoothly and efficiently
- Assisted management with training and coaching personnel to ensure efficient workflow
- Established communication pipelines between various departments and sites
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
PHARMACY HELP DESK TECHNICIAN
ENVISION RX OPTIONS
01.2012 - 01.2014
- Responded efficiently and accurately to inbound customer service calls from pharmacies and members for a large Pharmacy Benefit Manager
- Partnered with a medical professional to evaluate and process drug authorizations request via phone
- Answered incoming calls in a fast-paced environment, answering clients' questions in relation to their pharmaceutical benefits, including eligibility, prior authorization requests, out of pocket costs, and claim issues or errors.
Education
High School Diploma -
South Broward High School
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ01.2023
Skills
- Organizational improvement
- Product Development
- Managing Operations and Efficiency
- Data presentation skills
- Investigation tactics
- Management Skills
- Business Insights
- Strategic Communications
Languages
Spanish
Professional Working
Timeline
TRAINING MANAGER
CENTENE
01.2021 - Current
SUPERVISOR, REFERRAL SERVICES
CENTENE
01.2021 - 03.2023
CENSUS FIELD SUPERVISOR
US CENSUS
01.2020 - 01.2020
POPULATION HEALTH CONSULTANT
A FRAZIER & ASSOCIATES, LLC.
01.2017 - 01.2021
REFERRAL SPECIALIST II
CENTENE CORPORATION
01.2014 - 01.2017
PHARMACY HELP DESK TECHNICIAN
ENVISION RX OPTIONS
01.2012 - 01.2014
High School Diploma -
South Broward High School
Bachelor of Science - Business Management
University of Phoenix
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