Summary
Overview
Work History
Education
Skills
Timeline
Generic

ED FUNES

Long Beach,CA

Summary

  • Strong background in many areas including data analysis, interpretation of state & federal healthcare guidelines, dental lab practices, standard operating procedure implementation, compliance adherence, risk analyzation, customer experience, program management, team leading, staff training and development, new program and process implementation, training program development, performance management, vendor management, new client management, escalation management, and customer relations.
  • Hard-working and driven, while highly experienced in all aspects of customer experience, new account management, operations, and is thoroughly familiar with dental, healthcare, telecommunications, and retail industries
  • Experienced in managing large-scale and mid-size organizations globally, in office and/or remotely, and in developing and deploying new programs, projects, and processes which meet with consistent success in an ever-changing environment.
  • Well-versed in understanding the client experience and is firmly committed to attaining the highest levels of customer satisfaction, loyalty, and retention.
  • Adept in the recruitment, training, supervising, and mentoring of all levels of personnel, and in seeing all individuals to their maximum performance potential.
  • An experienced, driven, and accomplished professional leader, with a wealth of experience working for and leading high-profile companies. Possesses extensive experience within the dental laboratory, healthcare, retail, and telecommunications industries.

Dedicated professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

12
12
years of professional experience

Work History

Director of New Accounts

Spectrum Killian Dental Lab Alliance
11.2023 - 03.2024
  • Acquired $1.5 million in new sales through consistent sales and follow up
  • Achieved between 110% and 175% of target for 3 months in a row by developing a dashboard to keep track of all orders
  • Engaging proactively with existing clients, leading meetings, and collaborating on strategic initiatives
  • Managed 4 Account Managers by consistent touch bases, phone calls, and daily updates on tasks
  • Managing revenue projections in alignment with client objectives and capabilities
  • Maintain consistent weekly touchpoints with clients ensuring their needs are met and exceeded
  • Collaborate closely with internal teams to execute client strategies effectively
  • Working alongside customer care team to ensure full retention of clients
  • Create and update weekly and daily onboarding dashboards to drive and exceed company revenue of new clients.

Customer Service Leader– Member Services

MOLINA HEALTHCARE
01.2015 - 10.2023
  • Managed a call center of 80 employees
  • Train, coach, monitor, and manage overall performance to meet or exceed company and department performance expectations
  • Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication, and follow through to closure
  • Ensure compliance with Contractual and Regulatory requirements
  • Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care
  • Achieves individual performance goals as it relates to Member Services objectives
  • Demonstrates personal responsibility and accountability and leads by example through individual performance
  • Support projects and special initiatives as appropriate.
  • Responsible for developing and performing audits and oversight function involving business-critical enrollment operations and vendor outsourcing arrangements for the company
  • Validate that appropriate oversight, reporting, and controls are in place for the operational function of the organization and outsourced vendor work
  • Interpret and analyze state and federal regulatory rules, contracts, and other guidance to assess compliance
  • Support building regulatory compliance audit procedures through analyzing risk areas, performing audits, creating excel reports and pivot tables, and by educating and following up with business areas and owners.

Sales Supervisor

VERIZON COMMUNICATIONS
01.2012 - 01.2015
  • Responsible for managing daily sales operations, establishing sales goals, sales staff training and supervision, monitoring staff performance, analyzing sales trends, key staff recruitment, and other managerial functions. Managed a sales operation which consistently met all companywide expectations. Consistently met competitive KPI’s, including net revenue, TV add-ons, and after-call surveys. Trained, supervised, and mentored personnel to their peak performance.

Education

Bachelor of Science in Business Administration - Management and Accounting

UNIVERSITY OF CALIFORNIA, RIVERSIDE
Riverside, California

Skills

  • Word
  • Excel
  • PowerPoint
  • Access
  • NICE Engage
  • QNXT
  • SQL Server
  • Cisco Finesse
  • CRM
  • IEX
  • Salesforce
  • Verint
  • Various state Medicaid websites
  • Strategic Planning
  • Verbal and written communication
  • People Management
  • Operations Management
  • Project Coordination
  • Staff Management
  • Strategies and goals
  • Creativity and Innovation
  • Project Management
  • Team Management
  • Budget Management
  • Organizational Development
  • Budget Control

Timeline

Director of New Accounts

Spectrum Killian Dental Lab Alliance
11.2023 - 03.2024

Customer Service Leader– Member Services

MOLINA HEALTHCARE
01.2015 - 10.2023

Sales Supervisor

VERIZON COMMUNICATIONS
01.2012 - 01.2015

Bachelor of Science in Business Administration - Management and Accounting

UNIVERSITY OF CALIFORNIA, RIVERSIDE
ED FUNES