Jeannette Martinez-Vanegas

• Complete payer enrollment applications for a pipeline of providers and collect and compile required provider documentation.

• Update provider statuses through the credentialing funnel and analyze credentialing status across providers, organizations, locations, and payors.

• Enroll providers with Medicaid, Medicare, managed Medicaid, commercial, and Medicare Advantage plans.

• Serve as payor liaison and resolve credentialing issues in a timely, professional, and organized manner.

• Provide consistent follow-up with payors regarding credentialing status and maintain accurate provider information.

• Ensure CAQH records are current and complete attestations as required.

• Collaborated with upper management to implement employee feedback loop and coaching opportunities, enhancing data accuracy in Workday HRIS.

• Processed payroll for New York and California for more than 100 full-time employees and maintained accurate employee records.

• Collaborated with upper management to implement an employee feedback loop, coaching opportunities, and accurate tracking/data entry in Workday HRIS.

• Provided assistance to software users by addressing their questions and resolving issues.

• Led projects affecting data maintenance on HRIS applications and trained the team on ticket procedures for Workday-related channels and inquiry types.

• Advised HR Business Partners on the design and utilization of information systems.

• Administered comprehensive employee benefits programs, ensuring compliance and accessibility for health, dental, vision, life, disability, retirement, and related benefits.

• Processed payroll for over 100 full-time employees in New York and California while maintaining accurate employee records for compliance and reporting.

• Provided high-priority privacy inquiry resolutions through Zendesk within defined SLAs and identified best practices for team workflows.

• Conducted interviews and documented critical information in secure database to ensure accurate tracking of contact cases.

• Collaborated with public health officials, healthcare providers, and stakeholders to identify and address emerging trends and issues in public health.

• Ensured adherence to privacy and confidentiality policies while providing support and resources to enhance stakeholder compliance.

• Delivered HR support to employees and managers on policies, procedures, and programs, focusing on COVID-19 response initiatives.

• Provided HR support to employees and managers regarding HR policies, procedures, and programs with a nationwide focus on COVID-19 support.

• Managed employee-relations issues by conducting investigations, coaching managers, and resolving conflicts.

• Evaluated intake forms and employee concerns and determined appropriate resolution and escalation paths.

• Partnered with HR team and departmental managers to align HR initiatives with organizational goals.

• Addressed employee-relations issues through investigations, manager coaching, and conflict resolution.

• Organized workflow, monitored productivity, and provided constructive feedback and coaching.

• Resolved customer inquiries efficiently, enhancing overall satisfaction and loyalty.
• Utilized CRM software to manage customer interactions and track service issues effectively.
• Collaborated with cross-functional teams to streamline processes and improve service delivery.
• Trained new team members on best practices for customer engagement and support protocols.