Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic
Leo Ronces

Leo Ronces

San Diego,CA

Summary

Quality assurance professional prepared to enhance operational efficiency and maintain compliance. Proven ability to identify areas of improvement and implement corrective actions in collaboration with cross-functional teams. Known for reliability and adaptability, with focus on ensuring product and process quality.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Corporate Quality Auditor/ Analyst

Community Health Group
09.2024 - Current


  • Monitored, audited, and analyzed internal processes to ensure adherence to regulatory, contractual, and accreditation standards for Corporate Quality departmental activities.
  • Prepared and maintained quality reports and documentation for regulatory, contractual, and accreditation requirements.
  • Implemented continual monitoring and process improvement strategies to enhance departmental quality.
  • Identified and addressed potential quality issues (PQIs) through proactive analysis and corrective action.
  • Streamlined internal processes to improve efficiency and accuracy in quality-related activities.

Grievance & Appeal Analyst

Community Health Group
02.2023 - 09.2024
  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
  • Ensure timely, customer focused response to appeals, complaints and grievance.
  • Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all services.
  • Effectively manage a high volume of inbound and outbound Medicaid member calls

Account Executive

Yelp
03.2022 - 02.2023
  • Provide superior customer service to all customers
  • Respond to telephone and online inquiries from future clients and deliver information to inform and educate
  • Performs necessary analysis and planning to assure that the objectives and priorities for each event property are established and met in time frames acceptable to the client
  • Identifies and cultivates brands/marketing executives within targeted accounts who make event marketing, VIP hospitality decisions
  • Provided exceptional customer service, addressing client concerns promptly and effectively to ensure long-term loyalty.

Sales & Leasing

Pacific Coast Commercial
05.2020 - 12.2021
  • Engaged in data entry, record keeping, spreadsheets, faxing, scanning, and inbound/outbound calling
  • Provided information, typing, scheduling, problem-solving, and customer service
  • Process lease applications, background verifications, and lease signings
  • Create and submit daily reports on leasing activities

Education

Bachelor of Science - Business Management

San Diego State University
San Diego, CA
06-2021

Skills

  • Quality control processes
  • Customer focus
  • Internal auditing
  • In-process inspection
  • Data collection
  • Sales Presentation
  • Time Management
  • Negotiations
  • Compliance requirements

Certification

American Heart Association First Aide CPR AED

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Corporate Quality Auditor/ Analyst

Community Health Group
09.2024 - Current

Grievance & Appeal Analyst

Community Health Group
02.2023 - 09.2024

Account Executive

Yelp
03.2022 - 02.2023

Sales & Leasing

Pacific Coast Commercial
05.2020 - 12.2021

Bachelor of Science - Business Management

San Diego State University

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Leo Ronces