Jahayra Maria Flores
Riverview,FL
Summary
Senior Center Administrator and Operations Project Lead with over 20 years of healthcare leadership experience. Proven track record in enhancing operational efficiency, team engagement, and process optimization. Expertise in managing cross-functional projects that boost compliance and satisfaction for both patients and employees. Currently pursuing Lean Six Sigma certification to further enhance data-driven process improvement skills.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Senior Center Administrator
Optum
05.2001 - Current
- Secured consecutive 100% PHS audit scores through effective leadership in quality management.
- Cultivated a supportive environment while delivering key business results.
- Addressed operational gaps to boost efficiency and elevate patient satisfaction.
- Developed staff capabilities via focused coaching and mentorship initiatives.
- Managed daily operations, prioritizing resource distribution and adherence to policies.
- Acted as liaison between departments and leadership, improving interdepartmental communication.
Senior Medical Review Technician
Liberty Mutual Insurance Company
03.1997 - 05.2001
- Supervised a team of 10 teammates, providing leadership with strategic recommendations.
- Managed medical-only claims, collaborating with managed care teams on patient care planning.
- Negotiated resolutions for disputes involving doctors, patients, and third-party vendors.
- Communicated clearly with internal and external stakeholders regarding claim status and inquiries.
Medical Assistant
PMMR
10.1994 - 03.1997
- Assisted physicians with examinations, biopsies, and procedures.
- Performed patient assessments, EKGs, and administered injections and vaccinations.
- Processed referrals, medical billing, and coordinated care among departments.
Education
Associate of Science - Healthcare Administration
Hillsborough Community College
12.2020
Medical Assistant Certificate - undefined
Concorde Career Institute
10.1994
Associate of Business Administration - undefined
Hillsborough Community College
08.1993
Skills
- Project execution leadership
- Continuous process improvement
- Change management strategies
- Resource allocation and workflow efficiency
- Interdepartmental collaboration
- Compliance and risk management oversight
- Expertise in HRIS and EMR systems
- Fluent bilingual communication
Certification
Lean Six Sigma – In Progress
Languages
Spanish
Native or Bilingual
Timeline
Senior Center Administrator
Optum
05.2001 - Current
Senior Medical Review Technician
Liberty Mutual Insurance Company
03.1997 - 05.2001
Medical Assistant
PMMR
10.1994 - 03.1997
Associate of Science - Healthcare Administration
Hillsborough Community College
Medical Assistant Certificate - undefined
Concorde Career Institute
Associate of Business Administration - undefined
Hillsborough Community College