Maxine Sandoval Chavez
Kerman,CA
Summary
Motivated and detail-oriented professional with strong interpersonal, organizational, and problem-solving skills. Experienced in managing multiple priorities, maintaining accurate records, and ensuring timely follow-through on tasks and client needs. Quick to learn new systems, build positive relationships, and support team initiatives that improve operational efficiency and deliver strong team outcomes. Bilingual in Spanish and English.
Overview
2027
2027
years of professional experience
1
1
Certification
Work History
Account Manager
INTEGRATED PRESCRIPTION MANAGEMENT
09.2023 - 05.2025
- Closely worked with employer groups, health plans, and internal teams to deliver customized, cost-effective pharmacy benefit solutions. Served as the main point of contact for clients, ensuring they received strategic support and insights to optimize plan performance.
- Managed a diverse portfolio of employer groups and health plans, serving as the primary point of contact for pharmacy benefit strategy and service delivery.
- Consulted on benefit design, utilization management, and formulary strategies to drive cost savings and improve member outcomes.
- Analyzed pharmacy claims data to identify trends, mitigate cost drivers, and recommend targeted interventions.
- Led client renewals and contract discussions, preparing performance reports and delivering executive-level presentations.
- Collaborated cross-functionally with clinical, analytics, and operations teams to address service issues and enhance client experience.
- Supported the implementation of new clients and benefit changes, ensuring on-time delivery and stakeholder alignment.
- Prescription Benefits Management
Server
YOSEMITE RANCH LLC
02.2021 - Current
- Fine Dining Restaurant
- Responsible for providing exceptional service in a fast-paced, detail-oriented environment where guest experience is the top priority. My role requires a strong understanding of fine dining etiquette, extensive menu knowledge, and the ability to create memorable dining experiences.
- Deliver exceptional table service in a fast-paced, upscale steakhouse environment, adhering to fine dining protocols and standards.
- Expertly guide guests through the menu, including steak cuts, preparation styles, and wine pairings to enhance the dining experience.
- Maintain a high service standard by anticipating guest needs, resolving issues promptly, and creating a welcoming atmosphere.
- Manage multiple tables efficiently while maintaining poise, attention to detail, and personalized service.
- Collaborate closely with kitchen and bar staff to ensure accuracy, timing, and overall guest satisfaction.
Social Worker
COUNTY OF FRESNO
10.2017 - 03.2021
- Specialized in case management with an emphasis on family reunification. Assessed safety and risk factors to develop and implement reunification plans in collaboration with families, service providers, and the court.
- Provided ongoing support and referrals to programs, treatment, and other resources to facilitate family stability.
- Monitored progress toward case plan goals, and documented all interactions to ensure compliance with legal and agency requirements.
- Interviewed clients at home or in the office and assessed social services needs.
- Research, evaluate, and develop a case plan to meet client needs.
- Counsel clients on available resources, independent living skills, and other areas involving defined problems or concerns to accomplish case plan goals.
- Interpret and apply laws, policies, procedures, rules and regulations governing social services programs to clients and the public.
- Consult with supervisors regarding resources, regulations and programs.
- Refer clients to community resources, agencies or organizations as needed.
- Maintain case files and prepare reports, memoranda and correspondence.
- Arrange, oversee, and transport clients to scheduled social services related appointments as needed.
- Be an agency witness in court hearings and prepare related written reports.
Eligibility Worker
COUNTY OF FRESNO
- Determined client eligibility for government assistance in accordance with federal, state, and county regulations.
- Conducted interviews, reviewed applications, and verified documentation related to income, residency, and household composition.
- Maintained accurate case records and processed determinations within mandated timeframes.
- Utilized automated systems to track cases, report changes, and ensure timely benefits issuance.
- Determine special needs and refer to other agencies; interpret and apply social service program regulations.
- Assist in compiling documentation and information for appeals and fair hearings.
Education
Bachelors Degree - Sociology
California State University
Fresno, CAAssociates Degree - Sociology
Fresno City College
Fresno, CASkills
- Strong Communication and Interpersonal skills
- Dependable team player and can effectively work independently
- Quality Customer Service Building and Maintaining Client Relationships
- Sales Strategies Account Management Cross-collaboration Creative Solutions-driven
- High degree of integrity, maturity, and sound judgment
- In previous roles I have been able to clearly convey complex information to clients and internal teams, fostering trust and collaboration Hold an understanding of HIPAA compliance, care coordination and the importance of patient-centered solutions
Languages
Spanish
Native or Bilingual
English
Full Professional
Certification
- Cross Cultural Competency, California State University of Fresno
- NAHU Advanced Self Funded, National Association of Benefits and Insurance Professionals
Timeline
Account Manager
INTEGRATED PRESCRIPTION MANAGEMENT
09.2023 - 05.2025
Server
YOSEMITE RANCH LLC
02.2021 - Current
Social Worker
COUNTY OF FRESNO
10.2017 - 03.2021
Eligibility Worker
COUNTY OF FRESNO
Bachelors Degree - Sociology
California State University
Associates Degree - Sociology
Fresno City College