Marisol Valle
Downey,CA
Summary
Dedicated and highly experienced professional with 20 plus years of exemplary dental industry performance. Highly skilled in dental benefits offering, provider recruitment and training. Proven to understand customer needs and requirements and translating into an actionable project plan. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Product Manager
Delta Dental Of California
2022.09 - Current
- Stakeholder relationship management to align business partners, technology teams and leadership
- Prioritize enterprise roadmap in order to achieve enterprise goals and metrics
- Develop product documentation to communicate upcoming feature delivery and products to internal teams
- Help manage business accepting testing and production release business checkouts
- Streamlined the production support ticket process and continue to assist with ticket resolution
- Direct Program Increment prep and Program Increment planning activities
- Lead cross-functional teams to keep feature work on-task and meet delivery goals of high-quality enhancements
Data & Research Analyst
Delta Dental Of California
2009.03 - 2022.09
- Managed DHMO line of business fee increase requests including creation of compensation amendments within 5 business days
- Conducted in-depth research to identify utilization trends and patterns of providers submitting compensation review
- Participated in special projects for DHMO line of business, serving as network subject matter expert
- Managed creation of compensation amendments, department report development
- Developed and maintained desk level procedures as well as provided new hire training
- Identified areas for process improvements within the department and worked to solutionize
PR Coordinator
Delta Dental Of California
2007.11 - 2009.03
- Organized and maintained recruitment collaterals to support DHMO product expansion into non-enterprise states
- Managed recruiter requests for non-standard provider compensation
- Prepared all compensation amendments for the department
- Managed the department's reporting needs
- Validated and managed new contract submissions for field recruiters
- Maintained desk level procedures and provided new hire training
- Managed prospective provider recruitment phone line and email inbox
Claims Adjudication Specialist
PMI
2003.06 - 2006.09
- Logged and assigned claims service forms for processors to work
- Reviewed group performance guarantee claims reports daily to ensure metrics were met
- Performed small sample size audits of claims processed to ensure quality and accuracy
- Executed claims payment check run
- Trained all new hire claims processors
Education
Applied Psychology
CSU Fullerton
Fullerton, CAAssociate of Arts - Psychology
Cerritos College
Norwalk, CA01.1996
Skills
- KPI Tracking
- Product Owner
- Product Lifecycle Management
- Professional Selling Skills
Certification
Pragmatic Management Certified PCM-Level I
Timeline
Product Manager
Delta Dental Of California
2022.09 - Current
Data & Research Analyst
Delta Dental Of California
2009.03 - 2022.09
PR Coordinator
Delta Dental Of California
2007.11 - 2009.03
Claims Adjudication Specialist
PMI
2003.06 - 2006.09
Applied Psychology
CSU Fullerton
Associate of Arts - Psychology
Cerritos College
Pragmatic Management Certified PCM-Level I
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