CAROLINA BARAJAS
Jurupa Valley,CA
Summary
Experienced and ambitious professional with a strong drive for success, currently seeking a challenging position within a health organization. Experienced and enthusiastic Consultant with track record of success across wide range of industries. Possesses exceptional interpersonal, problem-solving and analytical skills to provide advice and expertise to client organizations improving business performance. Experienced in all aspects of operations, strategy and finance.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Health and Life Insurance Consultant
Self-employed
01.2009 - Current
- Lead and train newly hired agents entering the Medicare and Medi-Cal sector, while also offering assistance in cultivating essential relationships to facilitate business expansion
- Managed client relationships through regular check-ins and updates during Annual Enrollment Period, and Special Enrollment Period.
- Extensive knowledge of Medicare, Medi-Cal, and county program and regulations, including CMS Compliance.
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.
- Liaised with clients, providers, and health plans to better understand client needs and recommend appropriate solutions.
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
- Enhanced communication among agents and providers, fostering a collaborative and supportive work environment.
- Created and developed detailed work plans to meet business priorities and deadlines.
- Assisted clients in navigating complex industry challenges, offering expert guidance and strategic recommendations.
- Delivered high-quality presentations to providers, Medicare beneficiaries, and community based organizations, effectively communicating project objectives and results.
- Developed effective improvement plans in alignment with goals and specifications.
- Educated provider staff on organizational mission and goals to help patients with access to care.
Business Development Manager
United Health Group
01.2008 - 01.2009
- Implemented and managed cohesive community-wide educational initiatives and outreach efforts for Medicare programs, focusing on cultivating positive public relations
- Increased client base by identifying new business opportunities and cultivating strong relationships with key decisionmakers.
- Designed and executed community engagement initiatives to generate leads and increase sales opportunities for the sales team
- Facilitated regular communication with clients to ensure their needs were met, fostering long-lasting relationships built on trust and mutual respect.
- Provided comprehensive training and education to sales team members and providers, serving as a trusted consultant in product sales and marketing strategies
- Coordinated community events in collaboration with multiple health associations to enhance the promotion of product lines, encompassing strategic marketing strategies, contract negotiations, and meticulous budget planning
- Developed and managed educational presentations for various audiences of varying sizes
- Utilized collaborative efforts and strategic networking to broaden market opportunities, drive sales growth, and enhance community outreach
- Collaborated with advertising group to create uniformity between advertising messages and retail incentives in both English and Spanish.
- Expanded product offerings through educational outreach initiatives, community presentations, and public relations campaigns to enhance awareness
- Offered professional guidance to the Sales Manager by providing strategic planning support through in-depth financial and management information analysis, detailed reports, and informed recommendations
- Developed and maintained reports based on thorough research for senior management with the goal of enhancing communication and maximizing marketing prospects.
Territory Manager
HealthNet of California
01.2005 - 01.2007
- Produced leads to meet sales goals from Providers, community events and members through education and awareness of product; generated sales through telemarketing, In-Home presentations, and by conducting sales seminars
- Managed a team of Advocates with on-going training and coaching to support revenue channels
- Educated contracted Providers, PCPs and their staff on product benefits and acted as a liaison in the distribution of corporate information through In-Service and relationship building venues
- Participated in marketing opportunities in assigned territory and establish a strong presence in local communities.
Provider/Marketing Representative
Inland Empire Health Plan
01.2000 - 01.2005
- Marketing Representative: Identified, gathered information for qualified potential IEHP members
- Organized and executed community events, including budgeting, contract negotiations, and delegate assignments for over 100 volunteers for small and major events
- Developed strategic business plans to promote primary product lines
- Established and maintained contact with IEHP Physicians, county employees, and community-based organizations
- Networked with community organizations to create new events for promotions and marketing
- Provider Representative: Implemented and executed a new program, including developing promotional materials
- Created training manuals for physicians, such as Physician Policy and Procedure Manuals
- Implemented special Foster Care projects, which included research, analysis and presentation of competitive data
- Established and maintained relationships with IEHP Physicians regarding metrics and measures for compliance
- Communicated and worked effectively with Network Quality Team to help increase provider performances and scores
- Established and maintained a professional relationship with low to high volume providers as their trusted liaison between IEHP and their practice.
Education
Master of Legal Studies – Healthcare Law -
University of Oklahoma College of Law
01.2025
Bachelor of Arts Degree in English -
California Polytechnic State University, Pomona
01.1999
Skills
- Project Management
- Organizational Development
- Computer Literacy
- Integrity and Honesty
- Problem-Solving
- Attention to Detail
- Team Leadership & Development
- Client Relationships
- Reporting capabilities
- Subject Matter Expert
- Employee Management
- Business Planning
Certification
Life and Health, 01/01/2005
Volunteer Experience
- Foundations, President, 2010 - 2012
- Mustangs Baseball Board, Ways & Means and Communications, 2016 - 2019
- BNI, President, 2019
Languages
Spanish
Native or Bilingual
Timeline
Health and Life Insurance Consultant
Self-employed
01.2009 - Current
Business Development Manager
United Health Group
01.2008 - 01.2009
Territory Manager
HealthNet of California
01.2005 - 01.2007
Provider/Marketing Representative
Inland Empire Health Plan
01.2000 - 01.2005
Master of Legal Studies – Healthcare Law -
University of Oklahoma College of Law
Bachelor of Arts Degree in English -
California Polytechnic State University, Pomona
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