Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ope Gbadegesin

Member Enrollment Lead
Hyattsville,MD

Summary

Ambitious results driven Lead Enrollment Specialist with exemplary listening and communication skills. Adept at planning, organizing and facilitating enrollment process. Results-driven professional with strong analytical skills and experience in people and project management. Well-organized and resourceful with multitasking skills that optimize limited resources to achieve outstanding results. Exceptional people management and interpersonal communication skills that inspire client confidence while forging synergies with a diverse group of colleagues. Decisive leader with excellent verbal and written skills and a solid understanding of all areas of enrollment processing.

Overview

10
10
years of professional experience
6
6
years of post-secondary education

Work History

Member Enrollment Lead

Twin Health
12.2023 - Current
  • Developed and executed strategic plans for process improvement, driving operational excellence across organization.
  • Analyzed existing processes to identify opportunities for optimization, recommending changes that led to significant cost savings and improved performance.
  • Increased member satisfaction by improving product quality through robust process controls and proactive defect prevention measures.
  • Invented and built a robust call quality evaluation and employee 1.1 in TalkDesk for Agents and instituted continuous coaching in areas needing development.
  • Spearheaded employee engagement initiatives focused on building Lean culture, driving ownership of continuous improvement efforts throughout the organization.
  • Coached employees on problem-solving tools for effective issue resolution within their respective areas of responsibility.
  • Championed the culture of continuous improvement by fostering employee engagement and promoting best practices consistently.
  • Identified root causes of recurring issues through rigorous problem-solving techniques, developing long-term solutions to prevent recurrence.

Remote Member Engagement Specialist

HealthMap solutions
4 2022 - 12.2023
  • Assign case files to Care Navigators
  • Outreach to members
  • Utilization of client-specific welcome script
  • Review patient records and collect data as needed
  • Input data into Electronic Health Record and/or internal care management documentation system
  • Call patients to schedule appointments and obtain demographic information
  • Transfer Callers to Care Navigator
  • Research missing demographics for client population
  • Schedule appointments for members with Care Navigators
  • Comply with HIPAA privacy laws and all other federal, state, and local regulations
  • Protect and maintain confidentiality of company and customer information, policies, and processes.
  • Served as knowledgeable resource for members seeking information about benefits, services, or opportunities within organization.

Remote Member Engagement Specialist

Public Health Institute
03.2019 - 04.2022
  • Review and verify new membership applications prior to approval and update existing members demographics
  • Answer member questions online with speed and professionalism
  • Maintain healthy member database by monitoring email opt-out requests and updating records with new contact information
  • Assist enrolled patients in scheduling appointments for office visits and documenting all activity within appropriate system(s)
  • Assist clients with eligibility and/or enrollment related issues to ensure streamlined enrollment processes for patients.

Remote Health Resource Specialist

LOMINA HEALTH
01.2014 - 03.2019
  • Provides general information to patients on Lomina's adherence program and objectives; eligibility requirements and benefits; confidentiality of information, etc
  • Performs outreach via phone to enroll patients into the program
  • Conducts data entry of information (sometimes medication and health-related) into Scene databases during enrollment
  • Review patient record and collect or update data as needed.

Education

BSC Sociology -

Anglia Ruskin University
01.2006 - 05.2010

MBA - undefined

Anglia Ruskin University
01.2013 - 05.2014

Skills

  • Excellent Customer service and communication skill

  • Decision Making

  • Member engagement and enrollment

  • Critical Thinking

  • Problem Solving

  • Multitasking Skill

  • Case records management

  • Diverse customer base

  • Microsoft Word

  • Excel

  • PowerPoint

  • Outlook

  • Google doc

  • Adobe Acrobat

  • Compass

  • Zendesk

  • EMR

  • Tableau

  • Talk Desk

  • Sales force

  • USCAP

  • Health Gorrila

  • Light Dash

Timeline

Member Enrollment Lead

Twin Health
12.2023 - Current

Remote Member Engagement Specialist

Public Health Institute
03.2019 - 04.2022

Remote Health Resource Specialist

LOMINA HEALTH
01.2014 - 03.2019

MBA - undefined

Anglia Ruskin University
01.2013 - 05.2014

BSC Sociology -

Anglia Ruskin University
01.2006 - 05.2010

Remote Member Engagement Specialist

HealthMap solutions
4 2022 - 12.2023
Ope GbadegesinMember Enrollment Lead