Kirstie Sanchez
Temple
Summary
Results-driven professional with a proven ability to excel in leadership roles by streamlining operations and fostering collaborative team environments to achieve organizational objectives. Reliable and adaptable in navigating changing demands while consistently maintaining high performance standards. Recognized for a strong commitment to driving measurable outcomes and enhancing team productivity.
Overview
11
11
years of professional experience
Work History
Operations Senior Analyst -Supervisor
Accenture-Texas Medicaid & Healthcare Partnership (TMHP)
Austin, TX
09.2024 - Current
- Directed daily operations of a 10-12 member team focused on prior authorization, enhancing workflow and team performance.
- Monitor the delivery of programs, projects, or managed services
- Collaborate with project managers to establish project plans, timelines, and estimates
- Ensure a balanced distribution of responsibilities among team members
- Ensure that tasks and deliverables align with the statement of work and service level agreement
- Track delivery performance and quality using metrics and status reporting
- Effectively communicate with multiple stakeholders to manage expectations, accountability, and impact
Customer Service Associate - Prior Authorizations Specialist and Workflow Coordinator
Texas Medicaid & Healthcare Partnership (TMHP)
03.2020 - 08.2024
- Review Medicaid request forms for which prior authorization is necessary to determine if eligibility and essential requirements are met.
- Subject matter expert (SME) in multiple areas of the department with experience in training.
- Assisted in multiple special projects both with the Prior Authorizations department and others within TMHP.
- Make phone calls and receive phone calls from providers and call center representatives regarding urgent PA matters to ensure no lapse in care for the client.
- Work in collaboration with leadership in inventory management.
- Workflow Coordinator who focuses on inventory flow to assure all authorizations are processed in a timely manner, keep track of four phone queues to ensure they are covered for escalated and nursing related phone calls.
- Have taken over the Workflow Coordinator lead role in absence of team lead and managed inventory and staff needs successfully.
- Support the team when they have questions about processing or resource location.
Receptionist and Hospital Assistant
Westlake Animal Hospital
05.2019 - 12.2019
- Assisted clients with all their pet care needs from health to billing questions both over the phone and in person while working alongside doctors and technicians.
- Handled high volume calls and in person interactions seamlessly.
Patient Care Advocate/Patient Access Representative II
Express Scripts-Accredo Specialty Pharmacy
10.2017 - 09.2018
- Requested Prior Authorizations for specialty pharmacy medications for high-risk clients by advocating on their behalf. Including contacting their doctor, insurance companies, and assisting with copay assistance.
- Balanced high volumes of requests particularly during the new year while also maintaining compassion and open communication with the patients to ensure their medications are shipped timely.
Merchandise Coordinator, Trainer, Cashier, and Stocker
Walt Disney World/Disney’s Animal Kingdom (DAK)
11.2014 - 10.2016
- Coordinated 30 staff members to facilitate timely breaks and lunches. Supported staffing and stocking efforts at 5 store locations in Dak Africa during peak seasons and high temperatures.
- Assisted in opening and closing five locations by managing cash drawers and processing bank deposits. Addressed customer feedback and complaints to improve satisfaction levels.
- Conducted training sessions for new hires in five distinct areas, incorporating a newly created training guide to support learning objectives.
Education
Bachelor of Arts - Business Administration
Keiser University
Fort Lauderdale, FL01-2021
Skills
- Proficient in Microsoft Office Suite and many other software applications
- Highly responsible, detail oriented, and able to learn new systems and software quickly regardless of previous exposure
- Dynamic leader that thrives in a team environment
- Operational excellence
- Process flows
- Strategic planning
- Have a strong working relationship with leadership and peers
- Superior verbal and written communication skills
- Able to remain calm under pressure
- Skillful in delegating/categorizing tasks to get them done timely and efficiently
- Always willing to volunteer for any business needs in support of the team/program
Accomplishments
Graduate of Accenture's Achieving Your Leadership Potential (AYLP) program, 2022.
Timeline
Operations Senior Analyst -Supervisor
Accenture-Texas Medicaid & Healthcare Partnership (TMHP)
09.2024 - Current
Customer Service Associate - Prior Authorizations Specialist and Workflow Coordinator
Texas Medicaid & Healthcare Partnership (TMHP)
03.2020 - 08.2024
Receptionist and Hospital Assistant
Westlake Animal Hospital
05.2019 - 12.2019
Patient Care Advocate/Patient Access Representative II
Express Scripts-Accredo Specialty Pharmacy
10.2017 - 09.2018
Merchandise Coordinator, Trainer, Cashier, and Stocker
Walt Disney World/Disney’s Animal Kingdom (DAK)
11.2014 - 10.2016
Bachelor of Arts - Business Administration
Keiser University