Nicole Vega Verdejo
Washington,DC
Overview
10
10
years of professional experience
Work History
Associate General Counsel
Molina Healthcare, Inc.
07.2019 - 07.2023
- 07/2019 - 07/2023
- Provided comprehensive legal counsel to health plans operating Medicaid, Medicare and Marketplace products, supporting over 885,000 members nationwide.
- Advised health plan and corporate leadership on strategic legal matters, resulting in a 20% reduction in legal risks associated with regulatory compliance.
- Managed pre-litigation disputes with healthcare providers, achieving 85% resolution rate through adept negotiation skills, saving approximately $1.5 million in potential litigation costs.
- Represented the company at 50+ Member Fair Hearings and administrative hearings, maintaining a 90% success rate in favorable outcomes.
- Skillfully negotiated 30+ contracts and settlement agreements, ensuring the company's best interests and resulting in $2 million in cost savings.
- Prepared 40+ legal letters annually in compliance with auditor's requests for the review and signature of the company's Chief Legal Officer.
- Collaborated with government agencies and regulators to maintain open lines of communication and facilitate smooth resolution of any regulatory inquiries or investigations.
- Supervised and coordinated with external legal counsel for efficient handling of legal matters, reducing external legal spend by 10% while maintaining high-quality legal representation.
- Mitigated risks associated with health plans operations by providing guidance on local laws and regulations in various jurisdictions.
Litigation Legal Assistant
Law Office of Ramin R. Younessi, A.P.L.C.
12.2018 - 05.2019
- Conducted case management activities including preparation and filing of legal documents such as case management statements, proofs of service of summons, legal notices, and objections
- Ensured meticulous attention to detail in all legal documentation, contributing to the smooth progression of the legal cases.
Law Clerk
Sánchez Betances, Sifre & Muñoz Noya, P.S.C
07.2016 - 11.2017
- Prepared legal memorandum after legal research by studying laws, statutes, constitutions, regulations and court opinions using LexisNexis and Westlaw
- Contributed to the organization of legal documents, including complaints, declarations, discovery requests, responses, and other pleadings as requested by lead attorney
- Assisted in the deposition process and prepared legal drafts, enhancing case preparation efficiency.
Accountant
University of Puerto Rico
03.2014 - 06.2015
- Maintained accurate accounting records and financial reports, ensuring compliance with reporting standards
- Contributed to financial analysis processes, supporting informed financial decision-making.
Medicaid Program Technician
Puerto Rico's Department of Health
06.2013 - 03.2014
- Evaluated applicant documents to determine eligibility for Medicaid programs, utilizing socio-economic factors for assessment.
Education
Juris Doctor (JD) -
University of Puerto Rico
08.2017
Master of Business Administration (MBA) -
University of Puerto Rico
08.2017
Bachelor of Business Administration -
University of Puerto Rico
06.2013
Skills
- Bilingual Proficiency (English, Spanish)
- Legal Expertise: Legal Research, Contract Negotiation, Settlement Agreements, Regulatory Compliance
- Healthcare Industry Knowledge: Medicaid Managed Care, Provider Disputes, Health Plan Operations
- Administrative and Organizational Skills: Multitasking, Case Management, Document Preparation
- Financial Acumen: Accounting, Financial Analysis, Reporting Standards
Timeline
Associate General Counsel
Molina Healthcare, Inc.
07.2019 - 07.2023
Litigation Legal Assistant
Law Office of Ramin R. Younessi, A.P.L.C.
12.2018 - 05.2019
Law Clerk
Sánchez Betances, Sifre & Muñoz Noya, P.S.C
07.2016 - 11.2017
Accountant
University of Puerto Rico
03.2014 - 06.2015
Medicaid Program Technician
Puerto Rico's Department of Health
06.2013 - 03.2014
Juris Doctor (JD) -
University of Puerto Rico
Master of Business Administration (MBA) -
University of Puerto Rico
Bachelor of Business Administration -
University of Puerto Rico