Summary
Overview
Work History
Education
Skills
Affiliations
Languages
Timeline
Generic

Melissa Prato

Honolulu

Summary

Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.

Overview

12
12
years of professional experience

Work History

Manager of Operations

Lemuria Crystal Shop
08.2023 - Current

Employee Guidelines Manual: Updated "Employee guidelines" manual with current rules and expectations to provide employees with up-to-date information, promoting clarity in expectations, and ensuring compliance with policies.

Verbal and Written Warnings: Created language for verbal and written warnings with scenarios and examples to help establish consistency in addressing performance issues, ensuring fairness and transparency in the disciplinary process.

Employee Training Manual: Created "Employee training manual" outlining all in-store processes and workflows to contribute to the effective onboarding of new employees and maintain consistency in operational processes.

Inventory Management Process: Created a new process for incoming inventory and made a 'checklist for out-of-stock and FYI items to ensure efficient operations and prevent stock-related issues.

Conflict Resolution: Facilitated conflict resolution to ensure a happy and healthy workplace to maintain a positive work environment, fostering collaboration, and enhancing employee morale.

Constructive Feedback and Action Steps: Gave constructive feedback and action steps to help an employee succeed in their role to support employee development and contribute to success within the organization.

Staff Training: Train staff members on company policies, procedures, and best practices to ensure that employees are well-informed and equipped to perform their roles effectively, contributing to overall exceptional performance.

Store Operations Management: Manage store operations to optimize efficiency to create a seamless shopping experience for customers.

Customer Service: Provide exceptional customer service addressing inquiries and resolving issues to enhance overall customer satisfaction.

Procedural Content Writing and Maintenance: Write, format, edit, review, and proof procedural content to maintain accurate and well-documented procedural content for consistency and adherence to best practices.

Staff Aids and Guides: Build and maintain staff aids such as 'how-to', tutorials, user guides, and knowledge-based content to support ongoing employee development and reference.

Onboarding: Onboard all new employees to ensure new employees integrate seamlessly into the organization.

Communication and Scheduling: Maintain constant communication with owners on the status of tasks for alignment with organizational goals.
Create a full staff schedule for proper staffing levels and smooth operations.

Manager, Benefit Development

Cambia Health Solutions
02.2020 - 06.2022


  • Community-Based Interventions: Implemented 4+ community-based interventions: Successfully executed multiple interventions iin addressing health disparities at the community level.
  • Market Research: Conducted comprehensive market research, identifying and addressing critical gaps in health disparities, leading to the development of targeted interventions with demonstrable impact.
  • Community Relationship Building: Fostered and maintained existing community relationships. Sought new opportunities for collaboration through targeted outreach efforts.
  • Research-Based, Data-Driven Approach: Led a hands-on approach to design and development activities. Utilized findings to make informed decisions based on evidence and analysis.

Consumer-Focused Designs:

  • Promote competitive and consumer-focused designs in commercial benefit plans as a commitment to providing valuable and attractive benefit offerings.
  • Project Management: Responsible for planning and delivery of numerous cross-functional projects.
  • Stakeholder Alignment: Align with internal stakeholders to increase product alignment and visibility across the organization.

Policy and Procedure Evaluation:

  • Evaluate the efficacy of existing policies and procedures for continual improvement to ensure that benefit plans are effective and aligned with organizational goals.

Compliance Oversight:

  • Ensure compliance with state and federal benefit requirements to uphold regulatory and healthcare standards.
  • Legislative Impact Analysis: Analyze draft state bills/rules for plan impacts and provide feedback to Legislative Affairs.
  • Mandate Implementation: Assess and implement mandate requirements after conducting detailed analysis. Ensured 100% compliance with state and federal benefit requirements, successfully navigating regulatory changes without any compliance issues.
  • Provided crucial insights to Legislative Affairs by analyzing draft state bills/rules, resulting in proactive adjustments to benefit plans and avoiding potential legal challenges.
  • Led the detailed analysis and implementation of mandate requirements, streamlining processes and ensuring timely compliance with new regulatory mandates.

Benefit Development Specialist II

Cambia Health Solutions
07.2016 - 02.2020

Competitive Analysis: Conduct national and local competitive analysis of plan materials and other sources to stay informed about industry trends and identify opportunities for improvement in benefit plans. Identify gaps, trends, and unique design ideas.

Benefit Change Proposals: Research benefit change proposals and new requests, including mandated requirements.

Quality Improvement Strategies: Collaborate to develop ongoing quality improvement strategies.
Mitigate risk and identify cost-saving opportunities. Focus on risk management and cost-saving opportunities is crucial for ensuring the financial sustainability of benefit programs.

Consumer Publication Validation:

  • Validate consumer publications to ensure quality and intent.
  • Review of Plan Materials: Review plan booklets, collateral, and web data to provide clear and accurate information to consumers.

Proofing Manual Product Repository:

  • Assist in proofing manual product repository throughout the year in order to maintain the accuracy of product information and consistency across various channels.

Plan Highlights Creation:

  • Create Plan Highlights – customer overview of plan options and benefit coverage to communicate complex information in a clear and accessible manner, enhancing consumer understanding.
  • Policy and Procedure Evaluation: Evaluate the efficacy of existing policies and procedures.
  • Process Improvement Implementation: Suggest and implement process improvements where applicable to enhance operational efficiency and overall quality.
  • Interdepartmental Team Involvement: Committee member of an interdepartmental team collaborating in a cross-functional approach to decision-making and planning for benefit and product-related changes.
  • Documentation and Communication: Responsible for documenting PPT discussions and decisions to maintain a record of discussions and decisions, ensuring transparency and accountability.
  • Communicate results to stakeholders on a quarterly basis to keep them informed and engaged in the decision-making process.
  • Standardized Benefit Analysis Form: Enhanced documentation through the creation of a standardized benefit analysis form to improve processes, increasing efficiency, and ensuring consistency in the analysis of benefit changes.
  • Product Platform Development Support: Support development of product platform to increase efficiency and productivity to enhance organizational efficiency and productivity.

Supervisor, Community Relations Outreach

Tufts Health Plan,
01.2015 - 05.2016

Community Education: Educate our diverse population on resources available and address healthcare barriers. Focus on addressing healthcare barriers to improve health outcomes and accessibility.

Initiative Implementation: Envision and implement new initiatives to encourage the public to be more proactive and invested in their healthcare.

Formalized Training: Responsible for creating formalized training, including resource documents to equip team members or the community with the necessary knowledge and resources.

Supervisor, Appeals & Grievances

Tufts Health Plan
08.2011 - 12.2014

External Constituency Interaction:

  • Successfully interfaced with state review agencies, Office of Patient Protection, accreditation agencies, and high-profile employer groups, resulting in a smooth regulatory review process and positive relationships with key stakeholders.

Internal Liaison and Conflict Resolution:

  • Served as a liaison with departments facilitating communication and collaboration within the organization.
  • Handling sensitive issues and using effective de-escalation techniques for conflict resolution, employing de-escalation techniques for maintaining a positive and productive work environment.
  • Team Management: Scheduled meetings with direct reports to offer directives and provide feedback ensuring clear communication and feedback.
    Corrective action plans when needed to address performance issues and maintain high standards.

Education

Bachelor of Arts - Psychology

Boston University
Boston, MA

Bachelor of Science - Criminal Justice

Salem State University
Salem, MA

Skills

  • Management
  • Conflict Resolution
  • Problem Solving
  • Process Improvement
  • Strategic thinker
  • Regulatory Compliance
  • Data Analysis
  • Community Outreach
  • Bilingual- English/Spanish

Affiliations

  • Member of HOLA, employee resource group at Cambia Health Solutions aimed at increasing awareness and opportunities for the Hispanic and LatinX communities
  • Selected as a Consumer Champion at Cambia Health Solutions, for my dedication to solving pain points and suggesting process improvements
  • Member of the Association of Latino Professionals for America (ALFPA)
  • Former Board Member of Haiti Agape Health, Y Achiever’s Tufts Health Plan Chapter and the Stoneham Alliance Against Violence

Languages

Spanish
Native or Bilingual

Timeline

Manager of Operations

Lemuria Crystal Shop
08.2023 - Current

Manager, Benefit Development

Cambia Health Solutions
02.2020 - 06.2022

Benefit Development Specialist II

Cambia Health Solutions
07.2016 - 02.2020

Supervisor, Community Relations Outreach

Tufts Health Plan,
01.2015 - 05.2016

Supervisor, Appeals & Grievances

Tufts Health Plan
08.2011 - 12.2014

Bachelor of Arts - Psychology

Boston University

Bachelor of Science - Criminal Justice

Salem State University
Melissa Prato