JASMINE MELENDEZ
Wimauma,FL
Summary
Dedicated Healthcare professional with over 9 years experience meeting company goals utilizing consistent and organized practices. Forward-thinking team leader skilled at operating departments efficiently to meet goals. .
Overview
9
9
years of professional experience
Work History
Operation Analyst II
Unite Us
09.2022 - Current
- Developed written documents and reports related to programs and operations.
- Identified and analyzed project risks and developed mitigation strategies.
- Developed program plans, goals, objectives, and milestones for evaluating and measuring effectiveness of operations.
- Performed validation and testing of models to promote adequacy and reformulate models as necessary.
- Determined and developed algorithms to improve and optimize operational processes.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Maintained energy and enthusiasm in fast-paced environment.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Operation, Manager
Unite Us
Tampa, FL
10.2021 - Current
- Communicating with board or other senior officials about shifting company priorities and projects
- Identifying potential problems and points of friction and working to find solutions to maximize efficiency and revenue
- Identifying opportunities to expand or shift course to take advantage of changes in market
- Collaborated with 3 interns and senior developer to brainstorm and implement ideas and feedback into app's development
- Partnered with 7 team members to monitor performance, reducing errors by 53%.
- Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
- Identified and resolved unauthorized, unsafe or ineffective practices.
- Delivered feedback to decision-makers regarding employee performance and training needs.
- Compiled data highlighting key metrics to report information, determine trends and identify methods for improving store results.
Operations Specialist
Unite Us
09.2021 - 10.2021
- Work as key member, define and executes on Learning & Evaluation functions of Customer Success Operations Team.
- Develop and track key performance indicators department-wide and regional levels.
- Optimized daily activities and performance business across board.
- Provided recommendations and suggestions for improvements in any aspects relating to increased performance.
- Responsible for technical configuration, database management, and other operational work-streams.
- Collected, arranged and input information into database system.
- Tracked and analyzed reports to determine needed improvements.
Operations Consultant
Unite Us
Tampa, FL
04.2021 - 08.2021
- Strong interpersonal skills
- Monitored corporate policies and procedures, ensuring compliance with federal regulations.
- Collaborated with clients to target issues and uncover methods that would increase operational efficiency.
- Implemented processes and procedures to improve overall efficiency in operations.
- Case evaluations, Responsible for complex client support requests escalated by support specialist team
- Operationalized Customer Success tools, including CRM, event management, and online learning management tool and act as points of contact.
- Collaborate with Enablement to provide them with learning information needed to turn into actionable coaching experiences for regional teams and account leads
- Train new hires as necessary and ensure policies and procedures are followed
Senior Clinical Administrative Coordinator
Wellmed
Tampa, FL
03.2017 - 03.2021
- Lead, monitor, and supervise group of 18 employees to achieve goals that contribute to growth of organization
- Motivated and inspired team by creating environment that promotes positive communication, encourages bonding of team members, and demonstrating flexibility.
- Used multiple communication tools, such as email, Jabber chat, outlook to schedule company meetings
- Documents all patient interactions in concise manner that is compliant with documentation requirements for Model of Care and Center for Medicare and
- Medicaid Services (CMS) regulations
- Performs daily preparation of Inpatient Census to include monitoring of UM concurrent in-patient cases in "pend" and informs Care Management Manager of outstanding cases to ensure adherence to CMS regulations
- Knowledge of PCC agendas, metrics, census, Tru-Care, IKA, provider relations and right fax
- Receive electronic referral form requests for medical/behavioral/clinical services
- Serve as mentor for new employees
- Coordinated, monitored, assigned and documented patient and clinical care activities.
- Implement new policies and educate staff on changes.
- Implemented ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
CTM Coordinator
WellCare
Tampa, FL
02.2016 - 02.2017
- Gathered and organized materials to support 100% operations.
- Received and responded to customer requests via letters, emails, telephone calls and in-person interactions.
- Entered data, generated reports and produced tracking documents.
- Coached employees through day-to-day work and complex problems.
- Responded to member, provider, CMS, SPAP and SHIP inquiries via telephone, CTM (Complaint Tracking Module) and email, while meeting all corporate, regulatory and CMS guidelines and performance standard.
- Complaints flagged with issue level of immediate action/need, plans.
- Track, and resolve complaints about Medicare Prescription Drug Benefit.
Senior Medical Assistant
My First Doctor
Riverview, FL
06.2013 - 12.2015
- Collecting and verifying insurance information
- Training new medical assistants, including supervising job tasks assigned
- Follow office procedures to ensure a safe and clean environment
- Possess a strong interpersonal skills to be an asset to the entire office
- Sanitized, restocked and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Prepared and administered medications to alleviate patient symptoms.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
Education
Bachelor of Science - Health Science
Keiser University
Tampa, FL04.2020
Associate of Applied Science - Medical Assistant
Keiser University
Fort Lauderdale, FL05.2013
Associate of Applied Science - Secretarial Studies And Office Administration
Caribbean University
05.1997
Skills
- Health Plan
Management System (HPMS) - Sharepoint
- Clinical data collection
- Asana-web and mobile work management platform
- Staff Training
- Team Leadership
- EHR system
- HIE (Health Information Exchange)
- CareWebQI- Access to MCG clinical content
- Microsoft Word
- Preparing Presentations
Accomplishments
- Promoted to Manager, Operations after 6 months.
- Supervised team of 6 staff members.
- Named Employee of the Month, March-2014.
- Recognized for going above and beyond the call of duty.
- Recognized for outstanding dedication to patient care.
- Resolved product issue through consumer testing.
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Operation Analyst II
Unite Us
09.2022 - Current
Operation, Manager
Unite Us
10.2021 - Current
Operations Specialist
Unite Us
09.2021 - 10.2021
Operations Consultant
Unite Us
04.2021 - 08.2021
Senior Clinical Administrative Coordinator
Wellmed
03.2017 - 03.2021
CTM Coordinator
WellCare
02.2016 - 02.2017
Senior Medical Assistant
My First Doctor
06.2013 - 12.2015
Bachelor of Science - Health Science
Keiser University
Associate of Applied Science - Medical Assistant
Keiser University
Associate of Applied Science - Secretarial Studies And Office Administration
Caribbean University
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