Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
AssistantManager

BARBARA GARCIA

Jersey City,NJ

Summary

Highly efficient Clinical Programs Support Associate well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency. Dedicated and results-driven professional with a proven track record in managing cross functional partnerships, optimizing workflows, and ensuring efficient operations in the healthcare sector. Seeking a challenging position to leverage my skills in clinical vendor management, process improvement, and team collaboration.

Overview

7
7
years of professional experience
1
1
Certificate

Work History

Clinical Programs Associate

Clover Health
06.2020 - Current
  • Manage partnerships with clinical vendors that provide medical equipment and services; duties include invoicing, data reconciliation, escalations and resolutions, and routine service level monitoring
  • Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
  • Managed health plan member relations through communication and helpful interactions.
  • Developed strong rapport with members and created positive impression of behavioral health services.
  • Oversee inventory of medical equipment and supplies for team of 50+ field clinicians; duties include budget tracking, researching new/updated equipment as needs shift, and developing process improvement tools as teams scale
  • Assisted in building ticketing system to track clinical field requests and prioritize urgent supply and equipment needs.
  • Routine monitoring of services provided by vendors to standardize reporting, identify trends, and report monthly findings to our Delegation Oversight Committee (e.g., home visit programs with MedZed, Heal, and EpiSource)
  • Supporting Operations Managers with development of efficient, scalable workflows for new and existing initiatives (e.g., transitioning between home visits and telehealth visits during ongoing Covid-19 pandemic)

Clinical Quality and Programs Support Specialist

Clover Health
02.2018 - 01.2020
  • Managed inventory of medical equipment and supplies for team of 60+ field clinicians; duties included coordination of shipping, partnering with Marketing team for branded materials, and ensuring quality, calibration, and shelf-life expectancy of equipment was up to date.
  • Onboarded trained and oversaw team of ten Med Adherence Agents for successful outreach of 10,000+ members, placing reminder calls for meds by mail 2019
  • Assisted in collecting uploading and routing staff for RAF (Risk Adjustment Factor) chart chases
  • Other duties included management of data transfers between Clover Health and clinical vendors, development of clinician onboarding and offboarding processes, serving as a subject matter expert for member and provider call campaigns, and campaign-related member grievance investigations
  • Monitored vendor Secure File Transfer Platform (SFTP) and quickly troubleshot errors with IT support.


Wellness Coordinator

Clover Health
11.2016 - 01.2018
  • Daily monitoring of incoming member test results; duties included updating trackers, outreaching members about results, and escalating abnormal test results to clinical managers and providers
  • Assisted in training and lead team of 12 CMX Agents for RAF (Risk Adjustment Factor) Chart Chase 2017
  • Other duties included maintenance of test results repositories, coordination of follow-up care with providers and specialists, and ad-hoc participation in member outreach initiatives during peak seasons for HEDIS gap closures

Education

American Medical Technologists Certified Registered Medical Assistant AMT ID 201054 RMA Certified Active Member through -

HoHoKus School of Business and Medical Sciences
Hackensack, NJ
2011

Skills

  • Microsoft Office Suite, Google Suite, Salesforce, eClinicalWorks, EpiConnect, Zendesk, Salesforce, AthenaNet
  • Language Line Solutions BFAC Spanish Fluency Competency score of 85%
  • Volunteer Work
  • Jersey Cares Project Coordinator 2019 - present
  • Clinical Operations Management Support
  • Multiple Priorities Management
  • Issue Resolution
  • Behavioral Health Team Calendar Management

Certification

  • RMA - Registered Medical Assistant

Languages

Spanish
Native or Bilingual

Timeline

Clinical Programs Associate

Clover Health
06.2020 - Current

Clinical Quality and Programs Support Specialist

Clover Health
02.2018 - 01.2020

Wellness Coordinator

Clover Health
11.2016 - 01.2018

American Medical Technologists Certified Registered Medical Assistant AMT ID 201054 RMA Certified Active Member through -

HoHoKus School of Business and Medical Sciences

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