Kim Tellez-Giron

• Partner with senior leadership to evaluate impact of various scenarios on business outcomes, enabling better risk assessment and mitigation planning.
• Coordinated departmental and analytical requests, ensuring technical accuracy, data integrity, and staff members' work reconciliation. Managed ticket triage for data team, optimizing issue resolution processes and reducing turnaround time by 30%.
• Forged strong cross-functional collaboration with Business Intelligence, driving development and enhancement of 20+ Qlik Sense tools. Independently designed custom applications and dashboards. Led User Acceptance Testing (UAT) and acted as subject matter expert (SME), ensuring seamless communication and alignment with business objectives.
• Increased data literacy by 25% by leading Qlik Sense training sessions for team members and management through quarterly workshops.
• Prepare presentations for various levels of authority, utilizing data-driven insights to drive decision-making.

• Automated and monitored operational and system KPIs in Qlik Sense and Excel, as well as conducted cohort analyses to uncover trends and patterns, driving strategic initiatives.
• Led optimization and creation of 10+ state reports by working with cross-functional teams performing data testing, quality assurance and data validation.
• Reviewed monthly departmental budget and provided commentary on financial metric variances in StrataJazz, contributing to financial planning and decision-making processes.
• Offered ongoing training to end users, providing technical support and troubleshooting assistance, while also organizing Excel workshops for management and their teams.

• Crafted monthly presentations on Care Coordination's operations for executives, incorporating storytelling techniques. Resulted in noticeable increase in executive engagement, as evidenced by higher participation rates, increased interaction during meetings, and positive feedback from attendees.
• Initiated action by developing custom scorecards for managers to track individual metrics, leveraging Qlik Sense analytics to enhance decision-making processes. This initiative resulted in 30% increase in data accuracy and improvement in decision-making efficiency.
• Led ad hoc projects, fostering collaboration with cross-functional teams across various departments to achieve shared objectives. This resulted in improvement in project completion time and increase in overall team satisfaction.
• Created Excel-based tools featuring macros aimed at enhancing operational efficiency, currently widely utilized across Care Coordination.

• Provided structured reporting by extracting and analyzing data for high-priority projects for upper leadership, contributing to informed decision-making processes.
• Built and gathered analytic reports and audits using updated case management data, providing valuable insights to STAR Kids Program managers on monthly/quarterly basis.
• Acted as primary liaison between Managed Care Organizations (MCOs) and State, managing a team of 6 Care Management Assistants to ensure smooth transitions for member transfers while adhering to HHSC state guidelines.
• Developed new workflow model featuring automated processes for Local IDD Authorizations and referrals, resulting in improved organizational efficiency and quality for referral process for STAR Kids startup program.

• Effectively managed +100 clients, consistently achieving revenue cycle management goals and earning recognition as top performer for consecutive months.
• Collaborated with cross-functional team on high-revenue project to assist families with children's acute illnesses, providing compassionate care management and support.
• Managed application process for state and other financial assistance programs, expediting access to healthcare for families in need and ensuring timely assistance.
• Maintained strong rapport between stakeholders of state, medical executives and families, fostering positive relationships and enhancing communication channels.

Medical Front Office Associate