Cynthia Rios
Bloomfield,CT
Summary
Administration Professional experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
4
4
years of professional experience
19
19
years of post-secondary education
Work History
Utilization Management Supervisor
EmblemHealth
Farmington, CT
5 2022 - 06.2024
- Develop and implement strategic plans, setting clear goals and objectives for the team
- Effectively allocate resources and delegate responsibilities, optimizing productivity and workflow
- Quickly adapt to new technologies, systems, and processes, leveraging them to enhance team efficiency and productivity
- Utilize critical thinking and analytical skills to gather and analyze relevant information, evaluate options, and weigh potential outcomes
- Consider needs of the origination and team members to make informed decisions that align with strategic objectives.
- Completed bi-weekly payroll for [Number] employees.
Utilization Management Case Specialist
EmblemHealth
07.2019 - 05.2022
- Maintained strict confidentiality of sensitive information, adhering to legal regulations and company policies.
- Developed expertise in specialized areas of casework, becoming a go-to resource for colleagues seeking advice or guidance.
- Enhanced team collaboration with regular communication, sharing of resources, and support for colleagues.
- Streamlined internal processes by identifying inefficiencies and proposing actionable solutions for improvement.
Gold Line Advocate
EmblemHealth
09.2018 - 07.2019
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Worked effectively with fellow team members to coordinate effective solutions to any question or concern
Education
Bachelor of Science - Marketing
Johnson & Wales University
Providence, RI 09.2005 - 05.2024
Skills
Utilization Review Expertise
Medical terminology knowledge
Microsoft Office
Problem-solving abilities
Critical thinking abilities
Decision-making capabilities
Performance metrics analysis
Additional Information
Develop and implement strategic plans, setting clear goals and objectives for the team. Effectively allocate resources and delegate responsibilities, optimizing productivity and workflow. Quickly adapt to new technologies, systems, and processes, leveraging them to enhance team efficiency and productivity. Effectively communicate goals, expectations, and provide details to the team, ensuring clarity and alignment. Actively listen to the team concerns, provide constructive feedback, and facilitate open and honest communication channels to foster a collaborative work environment.
Timeline
Utilization Management Case Specialist
EmblemHealth
07.2019 - 05.2022
Gold Line Advocate
EmblemHealth
09.2018 - 07.2019
Bachelor of Science - Marketing
Johnson & Wales University
09.2005 - 05.2024
Utilization Management Supervisor
EmblemHealth
5 2022 - 06.2024
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