Kavita Khadar
OZONE PARK,NY
Summary
Mission-driven healthcare leader with progressive experience supporting patient-centered operations, employer-sponsored plans and benefit navigation. Driven to implement innovative and results-driven strategies, with expertise in benefit interpretation, vendor collaboration, quality improvement, service excellence, and operational leadership. Recognized for building partnerships, mentoring teams, and developing programs that reduce barriers to care, address social isolation, promote mental wellness, and improve health equity. Prepared to contribute strategic insight and governance leadership to mission-driven health organizations.
Overview
10
10
years of professional experience
Work History
Site Supervisor
EmblemHealth Neighborhood Care
Queens
10.2022 - Current
- Serve as site-level operational lead, supporting decision-making and continuity of services in the absence of regional management.
- Lead resolution of high-impact escalations, involving access to care, benefit coverage, and social determinants of health.
- Provide expert interpretation of medical, pharmacy, and wellness benefits.
- Coordinate and support health education seminars, wellness programs, and vendor-led initiatives aligned with population health goals, such as mental health, chronic illnesses and public health initiatives.
- Develop community programming and manage budget allocation for federal and state grant funding.
- Mentor and upskill staff to ensure consistent patient experience and service excellence standards.
- Represent EmblemHealth with community partners, vendors, and internal stakeholders.
Customer Care Navigator
EmblemHealth Neighborhood Care
Queens
04.2018 - 10.2022
- Guided members and employer plan participants through healthcare benefits, claims, authorization, referrals and pharmacy coverage.
- Reviewed claims and collaborated with billing, clinical and vendor teams to resolve discrepancies and coverage issues.
- Educated members on preventative care benefits, care pathways, and available support programs.
- Supported NY State of Health (NYSOH) enrollment and member education initiatives.
Patient Service Representative
AdvantageCare Physicians
New York
06.2016 - 04.2018
- Maintained short wait times and provided fast paced registration in a walk-in-based setting.
- Register patients with patient contact and demographic information, take copayments, as well as assisting to complete required forms.
- Accurately documents the patient's admitting diagnosis.
- Interact with office staff, physicians, and medical assistants to provide efficient health care for patients.
- Respond to patient in-basket inquiries and concerns in a professional manner.
Medical Billing Assistant
Associated Cardiology Consultants
Queens
02.2016 - 06.2016
- Posted insurance payments and claims using ICD-10 coding.
- Registered new patients and supported revenue cycle operations.
Education
Master of Science - Healthcare Management
Colorado Technical University
Colorado Springs, CO12-2025
Bachelor of Science - Pharmaceutical Science
CUNY York College
Jamaica01-2016
Skills
- SME health benefit navigation and customer service
- Enrollment and claims specialist
- NYSOH Marketplace
- Social Care Network (SCN) Screener and Navigator
- Quality outreach (HEDIS, GICs, and CAHPS)
- Care coordination
- Member experience
- Community Outreach and Public Health initiative implementation
- Health Plan Enrollment and Transaction Systems (Salesforce-Symphony Console and Sales Cloud, Facets, UMR, Epaces, Judi, Express Scripts, Clinical Care Advance)
Research and publications
- Pancreatic Proteome Profiling of Type 1 Diabetic Mouse – BBRC (In Press)
- Research Assistant, Research Foundation of CUNY, 2014-2016
- FDA Semester Internship – Analytical Microbiology (cGMP, BAM), 2016
Certifications
NY State of Health (NYSOH) Certified Application Counselor 2020
Certified Mandated Reporter 2019
Mental Health First Aid USA 8-hour Certification 2018
Timeline
Site Supervisor
EmblemHealth Neighborhood Care
10.2022 - Current
Customer Care Navigator
EmblemHealth Neighborhood Care
04.2018 - 10.2022
Patient Service Representative
AdvantageCare Physicians
06.2016 - 04.2018
Medical Billing Assistant
Associated Cardiology Consultants
02.2016 - 06.2016
Master of Science - Healthcare Management
Colorado Technical University
Bachelor of Science - Pharmaceutical Science
CUNY York College