Lori Granados
Albuquerque,NM
Summary
Communications professional with a strong background in engaging diverse audiences through educational presentations, community events, and outreach programs. Expertise in coordinating cross-functional projects and ensuring compliance with regulatory standards while maintaining effective stakeholder communication.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Inside Sales Representative
PRESBYTERIAN HEALTH PLAN
Albuquerque, NM
04.2014 - Current
- Developed and delivered educational presentations, informational seminars, and outreach programs to community members, brokers, healthcare professionals, and prospective members.
- Coordinated virtual and in-person events to communicate health plan information, enrollment opportunities, regulatory updates, and organizational initiatives.
- Created and maintained reports, informational resources, and communication materials used by leadership, stakeholders, and external partners.
- Served as a primary point of contact for communicating complex healthcare and regulatory information to diverse audiences.
- Collaborated with multiple departments including Enrollment, Billing, Operations, Compliance, Marketing, and Leadership to ensure consistent messaging and successful program implementation.
- Supported state and federal reporting initiatives requiring accurate communication of program information and outcomes.
- Facilitated communication between health plan leadership, external stakeholders, and community organizations.
- Provided bilingual communication and translation services for Spanish-speaking members and community partners.
- Generated performance reports and presented findings to management to support strategic planning and decision-making.
- Maintained strict compliance with federal and state communication standards, including CMS requirements.
- Led educational outreach programs serving large and diverse audiences throughout New Mexico.
- Maintained 100% audit compliance during federal and state regulatory reviews.
- Recognized with multiple organizational awards for leadership, communication, and community engagement.
Provider Care Unit Representative
PRESBYTERIAN HEALTH PLAN
Albuquerque, NM
02.2013 - 03.2014
- Served as liaison between healthcare providers and health plan operations.
- Responded to provider requests for information regarding eligibility, benefits, and health plan services.
- Conducted provider education and outreach activities.
- Facilitated effective communication between healthcare professionals and organizational leadership.
- Maintained exceptional quality standards and audit performance.
Customer/Member Services Representative
PRESBYTERIAN HEALTH PLAN
Albuquerque, NM
10.2007 - 01.2013
- Responded to high-volume requests for information from members and the public.
- Communicated benefit information, policies, procedures, and program updates.
- Assisted with training and onboarding of new employees.
- Provided bilingual communication and translation services.
- Prepared reports and documentation supporting department operations.
Finance / Accounts Receivable
PRESBYTERIAN HEALTH PLAN
Albuquerque, NM
12.1999 - 09.2007
- Produced financial reports to support decision-making and ensure compliance.
- Coordinated information management and reporting to enhance data accuracy and accessibility.
- Supported departmental communication and documentation to streamline workflow and improve collaboration.
Education
Some College (No Degree) - Finance and Marketing
Central New Mexico Community College
Albuquerque, NMSome College (No Degree) - Elementary Education, Child Psychology, and Spanish
Cerritos College
CaliforniaSkills
- Sales Strategy Development
- Customer Relationship Management
- Stakeholder Communications
- Strategic Communications
- Marketing & Promotional Activities
- Communications strategy
- Content creation
- Event management
- Project Coordination
- Bilingual communication
- Data reporting
- CRM Systems
- Microsoft Office proficiency
- Virtual meeting tools
- Data reporting
- Information dissemination
- Information dissemination
Certification
- Certified Spanish Translator
- America's Health Insurance Plans (AHIP) Certification
- New Mexico Accident & Health Insurance License
- NIPR/OSI Licensed
Accomplishments
- Wellness Ambassador
- Top Performance Award Recipient
- Maintained 100% Federal Audit Compliance
- Organized and Coordinated Large Group Meetings and Events for Audiences of Up to 250 Participants
- Led Community Outreach and Educational Programs Across New Mexico
Languages
Spanish
Full Professional
Timeline
Senior Inside Sales Representative
PRESBYTERIAN HEALTH PLAN
04.2014 - Current
Provider Care Unit Representative
PRESBYTERIAN HEALTH PLAN
02.2013 - 03.2014
Customer/Member Services Representative
PRESBYTERIAN HEALTH PLAN
10.2007 - 01.2013
Finance / Accounts Receivable
PRESBYTERIAN HEALTH PLAN
12.1999 - 09.2007
Some College (No Degree) - Finance and Marketing
Central New Mexico Community College
Some College (No Degree) - Elementary Education, Child Psychology, and Spanish
Cerritos College