Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Martha Janet Muñoz

Martha Janet Muñoz

Fillmore,CA

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

15
15
years of professional experience

Work History

Contract Analyst

Centene, Corp
03.2015 - Current
  • Creation and Publication of Schedule of Benefits
  • Keep up to date on all new benefit updates and language requirements
  • Maintain the language change process to ensure group/member coverage documents align with any internal policy changes and compliant with new law or regulations
  • Researches and responds to internal inquiries regarding benefit administration and plan information
  • Maintain email flow pertaining to Schedule of Benefits for the department
  • Benefit validation and contract issuance to employer groups and members
  • Plan Approvals for OR and CA Commercial contracts
  • EOC creation, editing and publication across CA and OR COMMERCIAL production
  • Manage the Production of Group Service Agreements and EOC/Certificates
  • Implement contracts in accordance with Employer Groups/Sales requirements
  • Contract creations for Non Standard Groups for Members
  • Help with Performance Guarantee reports on established employer group performance standards for internal and external review

Project Associate

Kelly Services
08.2013 - 02.2015
  • Configuration- Health Net
  • Contractor
  • ABS Medical Plan Load
  • ABS Mental Health Plan Load
  • ABS Audit
  • Assist with mapping procedures (Such as grid printing and model plan variations)
  • Schedule of Benefits Updating
  • SBC Creations
  • Table Loading

Operations Rep

Rose International, Recon Trust- Bank of America
02.2013 - 08.2013
  • Sort files and/or trailing documents
  • Pull files
  • File back files and/or trailing documents
  • Scan files
  • Package files for delivery to other departments
  • Inventory
  • Research/Locate mis-filed loan files or trailing documents
  • System research for unable to locate files or documents
  • Customer Service (internal and/or external)
  • Balancing requests/populations (using various systems)
  • Performance & production
  • Ability to cover various Vault Operations positions
  • Responsible for training all new employees
  • Quality Check on all work being processed
  • Help with the daily meetings and work assignments
  • Data Entry
  • Document Check and Verification

Plant Operations Intern

Providence Holy Cross Medical Center
10.2012 - 12.2012
  • Preceptor was Kaveh Houshmand Azad, Operational Excellence at Providence Health & Services
  • Submitted Invoices and filed them into their perspective folders
  • Help with work orders and making sure all techs received them when sent out and closed them
  • Organized and took inventory of their supply and parts storage room
  • Help formulate graphs that showed department spending and savings
  • Help organize data of all work orders; rate closed, rate of the days it took to close and rate remaining
  • Audited email of dispatchers work order process
  • Composed a report on the status of the new work order system and process from all techs and dispatchers
  • Sat in during the hospitals Safety and Hazards Committee Meeting
  • Any other projects assigned by preceptor or plant manager

Rose International
05.2009 - 08.2009
  • Document Processing- Bank of, Document Prep
  • Responsible for the reception and distribution of all incoming mail
  • Open and separate documents into proper distribution areas (mortgages, loans, insurance, etc.)
  • Deliver documents to appropriate departments
  • File and organize documents for outsourcing
  • Distribute work to team members

Education

Bachelor Of Science - Health Administration

California State University of Northridge
Northridge, CA

High School Diploma - Health Administration

Fillmore High School
Fillmore, CA

Skills

  • Microsoft Word, Excel, Outlook, Teams
  • MC400
  • ABS
  • GEMS
  • HIVE
  • AQUA
  • Access
  • Adobe Acrobat Pro
  • Adobe FrameMaker 2019
  • Contract Reviews and Edits
  • Project Support

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Contract Analyst

Centene, Corp
03.2015 - Current

Project Associate

Kelly Services
08.2013 - 02.2015

Operations Rep

Rose International, Recon Trust- Bank of America
02.2013 - 08.2013

Plant Operations Intern

Providence Holy Cross Medical Center
10.2012 - 12.2012

Rose International
05.2009 - 08.2009

Bachelor Of Science - Health Administration

California State University of Northridge

High School Diploma - Health Administration

Fillmore High School

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Martha Janet Muñoz