Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mariel Arce

San Diego,CA

Summary

Accomplished Project Management Consultant with proven expertise in healthcare and senior leadership roles. Exceptional leader, problem-solver and conflict manager with unsurpassed work ethic and over 10 years of related experience.

Overview

11
11
years of professional experience

Work History

Senior Manager - Solar Projects

Family First Solar Electric Inc.
03.2023 - Current
  • Provided strong leadership to enhance team productivity and morale.
  • Managed large-scale projects and introduced new systems, tools, and processes to achieve challenging objectives.
  • Implemented and developed operational standards, policies and procedures.
  • Conducted performance evaluations, compensations and hiring to maintain appropriate staffing requirements.
  • Boosted team member productivity by enhancing performance monitoring and instituting motivational approaches.
  • Reviewed and analyzed reports, records and directives to obtain data required for planning department activities.
  • Brainstormed and developed sales strategies to achieve short and long term sales revenue objectives.
  • Analyzed revenue distribution, bank reconciliations and account analysis documents to execute month-end closing.
  • Manage existing projects and contribute to expanding portfolio of projects while growing and developing a team to support these efforts.
  • Collaborate with all team leas within the organization.
  • Responsible in ducting market intelligence and research when moving into new markets and areas in the US and support innovative and creative ways of developing utility-scale projects.
  • Responsible for coordinating all federal, state, and local permits and studies.
  • Organize, lead and facilitate cross-functional project teams.
  • Project schedule management.
  • Work on a wide range of problems with diverse scopes using data to determine root causes and to develop efficient solutions.
  • Assist or lead teams responsible for detailed design and layouts of utility-scale solar projects
  • Fully understand financial drivers of all projects assigned

Senior Quality Analyst

Cedar
07.2021 - 03.2023
  • Develop and customize SOPs (Standard Operating Procedures) according to Cedars client utilization management
  • Provide oversight of the use of appropriate process documents and review requests for new or modifications to existing document templates
  • Provide staff and users with assistance solving application-related problems
  • Tasked with problem-solving with internal and external customers around complex concepts and competing interests for risk mitigation and avoidance of Corrective Action Plans
  • Assist in the diagnosis and resolution pertaining to client questions or problems in the areas of system configuration/setup, product functionality, and or bugs/enhancements
  • Provide accurate and timely information and escalate when there are issues
  • Advises management of results and recommends actions
  • Interact with the business stakeholders and subject matter experts, internal and external as appropriate, in order to understand their problems and needs
  • Work cooperatively with Training Department to develop and deliver policy-related training for staff and new hires
  • Ensure that the representatives under their training know the proper way to approach each call, how to walk a customer through a variety of inquiries, and promote high levels of customer service and quality
  • Select calls for performance evaluation in a random fashion to provide a valid sampling representative of overall performance levels
  • Escalate any disconnects between client expectations, the contract and Cedar’s interests
  • Work with business stakeholders to support and improve product/solutions by studying current practices; designing modifications; writing specifications, as appropriate
  • Analyzed quality and performance data to support operational decision-making.
  • Communicated between product owners and developers to clarify features.
  • Performed regression, exploratory and negative tests.

Senior Patient Advocate // Team Manager

Cedar
02.2019 - 07.2021
  • Ensured satisfaction of Gastro Health clients through proactively meeting their service needs.
  • Fostered and maintained valuable relationships with our current Gastro Health client.
  • Assessed service issues and resolve technical problems through independent judgment and advanced problem-solving skills.
  • Proactively consulted Gastro Health Client on best practices and necessary system and process changes to achieve client goals throughout the year.
  • Researched and recommend system and processes enhancements based on client needs and expectations.
  • Consistent efforts to deliver quality solutions, inclusive of supporting implementations and rollouts as per agreed scope.
  • Customer focus and close alignment with the customers’ business objectives.
  • Worked with Cedar’s Product Manager/Team to optimize chat trees on our platform.
  • Responsible for calibrating calls for our Cedar Advocates.
  • Assisted with interviewing process specifically bilingual candidates.
  • Responsible for following through on escalations to the healthcare provider.
  • Analyzed trends in errors or issues commonly submitted by advocates and provide feedback in our weekly meetings.

Epic Optimization Analyst

Rady Children's Hospital
03.2014 - 02.2019
  • Collaborated with Senior Leadership (V.P., CFO, COO, Directors, and Managers) in developing, maintaining, and analyzing business trends and variances on an ongoing basis
  • Tested new features, identified bugs, and suggested enhancements to make EPIC user friendly to providers and staff
  • Managed patient access for six of our 26 specialty divisions for Rady Children’s, averaging 65-70 provider schedules
  • Responsible for managing dashboards and visualizations to democratize data insights
  • Maximized provider clinical time utilization, by adjusting template settings to meet forecasted demand for long-term strategic planning, and to ensure appointment slots do not go unused daily
  • Worked with industrial engineers, management analysts, and report writers to create/modify reports needed to interpret template utilization and provider productivity
  • Analyzed supply, demand, and TNA through the utilization of reporting and management tools such as Access Dashboard daily
  • Collaborated with managers, directors, senior leadership, industrial engineers, and physicians to maximize office space utilization
  • Trained staff to efficiently optimize appointment slot availability and utilize Epic functionality without overriding template settings
  • Responsible for reviewing, interpreting, analyzing, and illustrating data in a manner that stimulates and supports innovative and enlightened thinking and decision making for patient access
  • Analyzed dashboard and uses reporting tools to provide options to resolve potential increases in delay due to insufficient supply
  • Assisted Cadence Analysts, Providers, Program Managers, and Staff with creating and updating questionnaires to improve scheduling accuracy and efficiency.

Quality Analyst

Magellan, Human Affairs
04.2016 - 12.2017
  • Coordinated projects resulting in continuous quality improvement and process improvement
  • Coordinated assigned quality and process improvement activities which include accreditation support, process improvement projects, quality studies, CQI (continuous quality improvement) process training for staff, prevention program coordination, care coordination initiatives, satisfaction survey coordination, and follow-up, provider and member advisory groups, tracking of adverse incidents
  • Assisted in the preparation of audits for Joint Commission and DMHC
  • Conducted analyses of data findings for quality and process improvement and assisted in report preparation for internal and external customers
  • Coordinate Quality/ Accreditation/Delegated initiatives and project plans, monitoring, and execution to meet timely deliverables
  • Provided direct interventions with members and providers to address gaps in care
  • Developed, in collaboration with the customer and communication department, informational and training materials for providers and members
  • Provided interface with customers, National Quality/Clinical, and CCOE staff for HEDIS planning, reporting, and program enhancements.

Front Office Supervisor

Rady Children's Physician Management Services
08.2012 - 03.2014
  • Developed and implemented best front office practices to maximize patient flow, increase patient satisfaction, and ensure ongoing compliance with JCAHO, DHS, CLIA, OSHA, and Health Plans guidelines.
  • Performed employee evaluations, payroll, conflict resolution, and staff development training.
  • Assisted with CHDP audits and guidelines.
  • Oversaw staff to ensure procedures and tasks are completed correctly and in accordance with RCPMS standards with a specific focus on customer service and patient flow.
  • Followed all legal and policy requirements for HIPAA protected data.
  • In charge of template request changes for all providers
  • Responsible for finding staff coverage and manage call outs (including providers).
  • Managed patient concerns and grievances.

Education

Bachelor of Science - Health Administration

National University
San Diego, CA
06.2016

San Diego City College
San Diego

Medical Administrative Assistant Certificate -

PIMA Medical Institute
San Diego
09.2008

Skills

  • Implementation experience
  • Ability to interact professionally with diverse groups, teams, and leadership
  • Diverse groups, teams, and
  • Leadership
  • Experience with telephony/IVR management and NiceInContact
  • Strong understanding and experience with technical systems; ability to identify technical solutions for business problems
  • Logical approach to problem-solving
  • Ability to anticipate client needs and take initiative to satisfy them
  • Medical Scheduling/Improvement
  • Strong analytical and problem-solving skills
  • 10 years of EMR and EPIC
  • Experience with: AthenaHealth, eClinicalWorks, Centricity, Meditech, and EPIC
  • Managing Vendors
  • Logistics Operations Management
  • Managing Operations and Efficiency
  • Plan Projects
  • Troubleshooting and Problem Resolution
  • Managing on Boarding

Timeline

Senior Manager - Solar Projects

Family First Solar Electric Inc.
03.2023 - Current

Senior Quality Analyst

Cedar
07.2021 - 03.2023

Senior Patient Advocate // Team Manager

Cedar
02.2019 - 07.2021

Quality Analyst

Magellan, Human Affairs
04.2016 - 12.2017

Epic Optimization Analyst

Rady Children's Hospital
03.2014 - 02.2019

Front Office Supervisor

Rady Children's Physician Management Services
08.2012 - 03.2014

Bachelor of Science - Health Administration

National University

San Diego City College

Medical Administrative Assistant Certificate -

PIMA Medical Institute

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Mariel Arce