Anaelis Casanova
Palm Bay,FL
Summary
Forward-thinking Public Health Specialist bringing 8 years of expertise in Medicaid and ACA enrollment for healthcare sector Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in Word, Confluence and Jira, among other software programs. Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Healthcare Operational Policy Consultant
ARDX & Associates
Arlington
08.2021 - Current
- Promote attendee-centric program adjustments by reporting monthly metrics and recommending engagement strategies, increasing participation by 10%
- Facilitate federal health program optimization by providing regulatory advice, managing process implementation, and administrating policy updates to allow for improved care.
- Conducted enrollment logistics, outreach, and content management for Centers for Medicare and Medicaid Services (CMS) for weekly webinar communications for Federally Facilitated Marketplace (FFM), HHS-Risk Adjustment Data Validation (HRADV), and national-based issuers for Qualified Health Plans (QHP)
- Presentation and training materials for target audiences and maintain consistency for all outreach and content pertaining to stakeholders
- Responsible for continuously researching health policy/federal regulations and analyzing impacts to clients which helped obtain company other business contracts.
- Provide regulatory advice to CMS staff in support of federal health program design, implementation, and evaluation.
- Experience with managing development and implementation of operational processes and standard operating procedures to support CMS
- Extensive knowledge of CMS, Affordable Care Act, and Medicare-specific value-based care policy and initiatives
- Analyzed webinar statistics which include outreach metrics to advise clients of trends and provide recommendations.
- Network within organization to identify gaps and propose efficiencies that unify best practice procedures to better assist stakeholders.
Communication and Marketing Specialist
Centene
Tampa
11.2019 - 08.2021
- Directed specific Member Engagement and Communication initiatives for improvement of member retention and engagement.
- Offered corporate partners, health plans, and vendors strategic solutions for variety of communication projects.
- Identified and used internal and external market data, research insights, and possibilities to help create communications and engagement.
- Developed over 50 Medicare and Medicaid newsletter which range from different of healthcare subjects.
- Developed and implemented communication methods to enhance knowledge and adoption of CDC-recommended infection prevention practices across different health entities.
Quality Assurance Coordinator
WellCare
Tampa
03.2018 - 11.2019
- Participated in design reviews of new products or processes to ensure compliance with applicable standards or regulations.
- Maintained records of all product defects, complaints, and other issues that could affect product quality.
- Collected data under CAHPS (Consumer Assessment of Healthcare Providers and Systems)
- Conducted regular audits of production facilities to identify potential issues with employee safety practices or environmental concerns.
- Identified opportunities for improvement in production methods and recommended changes in equipment, materials, or processes.
- Designed QA inspection measures for CAPHS analysis, improving fault and return rates by 3%.
Lead Bilingual Analyst (Community Services)
University of South Florida
Tampa
11.2016 - 03.2018
- Supervised daily operations including participant or client scheduling, purchasing, and record requests for assessing health disparities for subgroup low-income families.
- Worked collaboratively with community partners funding organizations, and universities across the state of Florida to conduct Medicaid enrollment for families and their children under the CHIP (Children's Health Insurance Plan) which is known as Florida Kid Care, to enroll over 200 families.
- Developed informational materials for the promotion and marketing of all workshops and activities being offered, including newsletters, pamphlets, and web postings.
- Analyzed quantitative and qualitative data to evaluate program effectiveness
- Researched new funding sources and opportunities that contributed to approved grants.
Education
Master of Arts - Public Health
Argosy University
Tampa, FL05.2014
Bachelor of Arts - Interdisciplinary Studies
University of South Florida
Tampa, FL05.2011
Associate of Arts - Business Administration
Keiser University
Melbourne, FL05.2004
Skills
- Healthcare and Administration
- Medicaid enrollment
- Statistical research
- Risk management
- HIPPA compliance
- Member engagement
- Quality assurance
- Program coordination
- Interpersonal communication
- Process Analysis
- Project Planning
- Policy analysis
- Logistics Coordination
Certification
- HIPPA Awareness and Compliance, 01/2024
- Introduction to Health Administration: Overview of healthcare organizations and management, 02/2014
- Healthcare Finance: Understanding financial aspects of healthcare organizations, 01/2023
- Health Information Systems: Utilization of technology in healthcare information management, 05/2021
- Healthcare Quality Improvement: Strategies for enhancing the quality of healthcare services, 03/2019
- Healthcare Ethics: Exploration of ethical issues in healthcare administration, 01/2023
- Strategic Planning in Health Services: Development and implementation of strategic plans in healthcare, 02/2014
- Health Law: Study of legal issues and regulations in the healthcare industry, 02/2014
- Human Resource Management in Healthcare: Management of personnel in healthcare organizations, 02/2014
Languages
Spanish
Native or Bilingual
French
Limited Working
Timeline
Healthcare Operational Policy Consultant
ARDX & Associates
08.2021 - Current
Communication and Marketing Specialist
Centene
11.2019 - 08.2021
Quality Assurance Coordinator
WellCare
03.2018 - 11.2019
Lead Bilingual Analyst (Community Services)
University of South Florida
11.2016 - 03.2018
Master of Arts - Public Health
Argosy University
Bachelor of Arts - Interdisciplinary Studies
University of South Florida
Associate of Arts - Business Administration
Keiser University