MARIO CHAVEZ
McKesson
Avondale,AZ
1
Language
14
years of professional experience
Healthcare professional with extensive experience supporting quality operations, compliance, customer support, training, and performance improvement within healthcare organizations. Proven ability to collaborate with cross-functional stakeholders, educate internal and external partners, resolve complex issues, interpret healthcare policies and procedures, and drive process improvements that enhance customer outcomes. Recognized for building strong relationships, navigating healthcare regulations, conducting detailed analyses, and delivering solutions that improve access, operational efficiency, and customer satisfaction. Bilingual in English and Spanish.
Analytical, organized and detail-oriented accountant with GAAP expertise and experience in the full spectrum of public accounting. Collaborative team player with ownership mentality and a track record of delivering the highest quality strategic solutions to resolve challenges and propel business growth.
Work History
Quality Analyst
8 Years 6 Months- Analyze quality trends and performance data to identify barriers impacting customer experience and operational effectiveness.
- Conduct detailed audits and assessments to ensure adherence to SOPs and compliance requirements.
- Educated and coached team members on healthcare processes, quality standards, and best practices, enhancing performance outcomes.
- Collaborated with cross-functional stakeholders to implement process improvements, driving operational excellence.
- Educate and coach team members on healthcare processes, quality standards, and best practices to improve performance outcomes.
- Support continuous improvement initiatives designed to enhance service quality and customer satisfaction.
- Supported continuous improvement initiatives, enhancing service quality and customer satisfaction.
- Analyzed quality data to identify defects, trends, and root causes across operational workflows.
- Collaborated with cross-functional teams to resolve quality issues and improve workflow consistency.
- Trained staff on quality procedures, documentation standards, and compliance expectations.
- Recommended process improvements based on recurring quality gaps and performance reviews.
- Analyzed quality and performance data to support operational decision-making.
- Conducted audits to verify compliance with SOPs, regulatory requirements, and internal quality standards.
Case Manager
1 Year 10 Months- Coordinated client assessments, service plans, and referrals across behavioral health and community resources.
- Managed caseloads, prioritized urgent needs, and maintained accurate documentation in electronic records.
- Monitored progress toward case goals and adjusted intervention plans based on changing circumstances.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Resolved customer inquiries and order status issues using CRM and ERP systems.
- Documented cases accurately to maintain compliant records and service continuity.
- Reviewed account details to identify discrepancies and correct processing errors.
- Trained new agents on procedures, systems navigation, and call handling standards.
- Resolved inbound customer inquiries, providing accurate account information and service support.
- Monitored ongoing cases closely, adjusting case management strategies based on evolving circumstances.
Quality Analyst
1 Year 3 Months- Acted as a subject matter expert supporting quality, compliance, and operational performance initiatives.
- Identified trends impacting quality outcomes and recommended actionable solutions to improve performance and operational efficiency.
- Recommended process enhancements that increased productivity and improved customer service delivery
- Provided coaching and educational support to employees, increasing understanding of healthcare processes and quality expectations. [
- Delivered coaching and educational support to employees, improving understanding of healthcare processes and quality expectations.
- Participated in calibration and stakeholder meetings to ensure consistent interpretation of policies and business requirements.
Foreman
3 Years 3 Months- Managed project operations, personnel, and scheduling, ensuring regulatory compliance and adherence to quality standards.
- Cultivated leadership, communication, problem-solving, and customer relationship management skills to enhance team effectiveness.
- Coordinated resources and budgets with personnel to achieve operational objectives and optimize project efficiency.
- Supervised concrete crew operations, ensuring safe, efficient workflow on active job sites.
- Coordinated formwork, pouring, finishing, and curing activities to maintain project quality standards.
- Inspected work progress, corrected installation issues, and upheld compliance with specifications.
- Assigned daily tasks to crew members based on workload, skill level, and schedule priorities.
- Trained workers on concrete placement techniques, equipment use, and jobsite safety practices.
- Communicated with supervisors and trades to resolve delays and coordinate site requirements.
- Monitored materials, tools, and equipment to prevent shortages and maintain uninterrupted production.
- Documented crew performance, site conditions, and completed work for project accountability.
Education
High School Diploma
Skills
Provider education
Insurance & Benefits Knowledge
Patient Access Support
Medicare & Medicaid Awareness
HIPAA Compliance
Stakeholder Relationship Management
Problem Resolution
Case Coordination
Cross-functional teamwork
Training & Coaching
Quality Assurance
Regulatory Compliance
Process Improvement
Data Analysis & Reporting
Root Cause Analysis
Presentation & Communication Skills
Strategic Critical thinking
Business Acumen
Patient Experience
Continuous Improvement
Healthcare Operations
Patient Education
Compliance Monitoring
HIPAA training
Stakeholder Management
Coaching & Mentoring
Audit Management
Procedure documentation
Performance Analytics
Training Facilitation
Relationship Building
Verbal & Written Communication
Microsoft Office Suite
Bilingual English/Spanish
Quality management
Customer-oriented
Data interpretation
Quality enhancement
Audit compliance
Report generation
Process optimization
Project coordination
Project scheduling
Training development
SOP development
Issue resolution
Case coordination
Task prioritization
Case record-keeping
Listening skills
Documentation reporting
Networking
Prior authorization process
Medical terminology
Medical appeals handling
Insurance verification
Authorizations
Patient referrals
Data entry
Languages
Spanish
Native or Bilingual
Timeline
Quality Analyst
Signify Health
07.2022 - 10.2023Read More
Quality Analyst
McKesson
04.2018 - CurrentRead More
Case Manager
McKesson
06.2016 - 04.2018Read More
Foreman
Key Stone Concrete
02.2013 - 05.2016Read More
G. Holmes Braddock Senior High School
High School Diploma
Read More