Summary
Education
Work History
Skills
Summary of Qualifications
Timeline
OperationsManager

Celida Madrid

Fontana,CA

Summary

Pursued opportunities within a professional environment to leverage skills and experience for organizational success.

Education

MBA - undefined

BSHA - Health Care Administration and Health Care Management

Lean Six Sigma Green Belt - undefined

Bone Densitometry Certification - Radiology

Phlebotomy Certification - undefined

Surgical - Tumescent Anesthesia mix training

Cutera Laser Training - undefined

Medical Assistant - undefined

United Education Institute Ontario, CA

Work History

Operations Manager

Leidos QTC Health Services
  • Duties: Responsible for team performance productivity and timeliness. Oversee and lead day to day team’s functions, manage and supervise supervisor duties and assign projects as needed. Responsible for recruiting employees, work assignments, recognitions and disciplinary actions. Conduct 1:1 with Supervisors as needed. Manage department initiatives, and assign teams to perform and execute projects. Manage performance in scheduling Veteran exams, and conduct Case Management for direct staffing accountability.

QI Administrative Manager & Interim Director

EPIC Management, L.P.
  • Duties: Oversee and lead day to day quality department functions, supervise QI-Coordinators and QI- Nurses. Manage quality initiatives, and projects to raise P4P scores and STAR scores. Lead PTI initiative and rollouts; attend all PBGH conference and CMO QI mtgs, work and step into department director in all projects as needed to assist and cover. Channel strategic vision into concrete plans of action by allocating resources appropriately. Take appropriate risks and Advocate on behalf of patients for quality service and metrics through provider audits, chart review, and grievance investigations. Provide strategic vision of future goals and objectives. Coordinate medical group trainings such as customer service, P4P, and STARs to maximize financial payout. Safety Officer Co-Chair, for corporate building with evacuation planning, fire drill, safety training implementation and coordination, and city fire marshal corporate office walkthrough. Manage grievance department for all contracted medical groups (8) and report monthly findings during board meeting any HP investigations, providers under review, Risk, or on probation.

Clinic Manager (Multi-Specialty Fontana & Rialto)

Molina Healthcare
  • Duties: Oversee and lead day to day clinical operations with assigned supervisors, ensure safe working environment, monitoring of different departments to maintain compliance (Front Desk, Back Office, and Referrals), payroll-Kronos, monitor logs, bank deposits, conduct staff meetings, staff 1:1coachings, conduct disciplinary actions, and merit increases. Conduct monthly clinical audits, clinic Prep for CHDP, VFC, and Health Plan Audits for the Fontana and Rialto clinic locations. Work with lead Physician to execute and plan clinic operations. Work with CI- site specialist on reporting and staff training opportunities. Recruited by leadership to Train new Administrators on Admin workflows and partner with Regional manager, and Pilot programs. Partner with engagement department to pilot mobile mammogram clinics to increase HEDIS scores resulting in good metric track record and staff hitting goals consistently.

Utilization Management/ Social services

Molina Healthcare
  • Duties: Reach out to members in their homes and empower them to self manage their health with the assistance of Case Managers, supervisor, interdisciplinary care team and PCP. Provide community resources and Molina benefits to help break down barriers. Educate members in understanding and navigating their health care. Maintain timely and proper documentation working independently, and remote, working directly with case managers, social workers, and performing health assessments in member’s homes. Training new staff.

Office Manager

JWR Wellness Clinics
  • Duties: Provide Customer Service to patrons and Co-workers, train new employees, perform end-of-day financial reconciliations and daily bank deposits if required, ensure safe working environment, create work schedules and Process multiple financial transactions, general office duties, assist Doctor with paying office bills, and on-line referral processing, contracting and re-credentialing, and prepare the office for Audits.

Medical Assistant

Loma Linda University
  • Duties: Vital signs and referrals. Float between all “Faculty Medical Offices” in all specialties. Work with HR for all onboarding health physicals and on any investigative Chain of command protocols with specimens.

Loma Linda University Occupational Clinic and Urgent Care
  • 160 hrs of Internship Duties: DOT physical, Dot drug testing, breath alcohol testing, assist in minor surgical procedures, develop X-Ray Films, immunizations, ect.

Skills

Problem-solving

Team leadership

Operations management

Customer service

Operational efficiency

Decision-making

Employee relations and conflict resolution

Staff management

Operations oversight

Policies and procedures implementation

Performance monitoring

Staff development

Interpersonal communication

Delegation

Cost reduction

Summary of Qualifications

  • 9 plus years Manager, patient advocate, experience in Multi Medical Specialties
  • Bilingual (English and Spanish) reading writing and business dialogue Berlitz Certified.
  • Review and process payroll information for staff in Kronos & WFM. Prepare schedule for nurses, doctor, receptionists and audit attendance for Supervisors.
  • Demonstrated ability to meet the needs of patrons, dependable, hard working, reliable, and punctual.
  • Financial budged planning for multiple facilities which varied by staffing model and year projection.
  • Managing and resolving human resource issues, labor relations, employee and department safety.
  • Determines the appropriate staff mix for the department, develops processes to screen, interview, hire, train, and maintain the competency of all department staff.
  • Lead and provide department leadership to highly visible sensitive and multifaceted projects.
  • Manage daily operations, ensures staff provide the highest quality of care.
  • Act as a liaison in problem solving and facilitator between Health plan and Med Group CMO
  • HMO- experience in managed care policies, HEDIS, P4P/AMP measures
  • Skilled in HIPPA, CLIA, Malpractice, physician licenses’, physician DEA licenses’, OSHA, hazardous waste disposal regulations, required logs throughout multiple clinics, and EMRs.
  • PTI- Practice Transformation Coach Certification w/California Quality Collaborative 5 years

Timeline

Operations Manager

Leidos QTC Health Services

QI Administrative Manager & Interim Director

EPIC Management, L.P.

Clinic Manager (Multi-Specialty Fontana & Rialto)

Molina Healthcare

Utilization Management/ Social services

Molina Healthcare

Office Manager

JWR Wellness Clinics

Medical Assistant

Loma Linda University

Loma Linda University Occupational Clinic and Urgent Care

MBA - undefined

BSHA - Health Care Administration and Health Care Management

Lean Six Sigma Green Belt - undefined

Bone Densitometry Certification - Radiology

Phlebotomy Certification - undefined

Surgical - Tumescent Anesthesia mix training

Cutera Laser Training - undefined

Medical Assistant - undefined

United Education Institute Ontario, CA
Celida Madrid