JUAN CARLOS CARDENAS
New Windsor,NY
Summary
Results-driven professional with extensive experience supervising enrollment and recertifictaions activities in healthcare settings. Expertise in coaching new hires and conducting audits, ensuring compliance and operational efficiency. Aiming to leverage strong communication skills to enhance team performance.
Overview
13
13
years of professional experience
Work History
MEMBER ENGAGEMENT SUPERVISOR
Molina Healthcare
03.2017 - 04.2025
- Managed comprehensive enrollment processes to facilitate access to services through direct engagement with hospitals, provider offices, city agencies, and community partners.
- Performed comprehensive audits on all applications on a daily, weekly, and monthly basis to maintain accuracy prior to NYSOH marketplace submission.
- Oversaw planning and execution of health-related activities and special events, including evening and weekend engagements. Coordinated health fairs, parades, holiday-themed events, trade show expos, hospital orientations, and provider-sponsored events to align with organizational objectives.
- Trained new employees on best practices for daily management of book of business (BOB), emphasizing compliance with organizational policies.
- Achieved compliance with annual NYSOH marketplace recertification and corporate training requirements. Enhanced workplace culture through successful sexual harassment training initiatives. Streamlined understanding and application of policies for facilitated enrollment and renewal processes.
Marketing Supervisor
Affinity Health Plan
06.2012 - 03.2017
- Conducted outreach programs to educate members about available services.
- Participate in weekly, bi-weekly, and monthly staff meetings, one-on-one meetings with management, as well as required training sessions.
- Engage in enrollment activities over the phone or in person through onsite coverage at hospitals, provider offices, City agencies, community business partners, and Community Based Organizations (CBOs).
- Complete and review all applications prior to submitting them to the NYSOH marketplace.
- Assist members with selecting a high-quality primary care physician (PCP), ordering member ID cards, and making monthly premiums.
- Establish and maintain good working relationships with external business partners, such as hospital and provider organizations, City agencies, small businesses, and Community-Based Organization personnel, where enrollment activities are conducted. Develop and strengthen relations in order to generate new opportunities for Affinity by Molina Helathcare, including new sites and event requisitions.
- Maintain current working knowledge of product benefits, formulary, sales system functionality, policies and procedures.
- Demonstrate working knowledge of regulatory and corporate guidelines.
- Must stay abreast on changes to all lines of business to ensure sales business practices are in compliance with Regulatory, marketing guidelines, and overall corporate policies.
Education
BBA - Business Administration
Antonio Narino University
BOGOTA, COLOMBIA05-1995
Skills
- Employee onboarding and training
- Prioritization and scheduling
- Achievement focused
- Strategic team guidance
- Guidance and support
- Process optimization
- Proficient conflict resolution
- Event coordination
- Analytical problem solving
- Effective communication
- Staff management
- Customer engagement
Languages
English
Professional
Spanish
Native/ Bilingual
Timeline
MEMBER ENGAGEMENT SUPERVISOR
Molina Healthcare
03.2017 - 04.2025
Marketing Supervisor
Affinity Health Plan
06.2012 - 03.2017
BBA - Business Administration
Antonio Narino University
Education and Training
NYSOH Policies and Compliance