Summary
Overview
Work History
Skills
PERSONAL HISTORY
Timeline
Generic

Rebecca Alvarado

Sacramento,California

Summary

I am an accomplished health care professional with experience building and maintaining successful and meaningful client partnerships. I excel with this because of my passion for leading complex projects and solutioning problems. My 25 years of experience in health care is broad, including work with respect to call center management, project management, product management, supervising staff, and building strong partnerships, all in the commercial, exchange, Medicaid and Medicare lines of business.

Overview

25
25
years of professional experience

Work History

Program Manager

Wellframe
06.2022 - Current
  • Serve as the primary and daily point of contact to various healthplan partners, with a strong focus on building lasting relationships.
  • Help customers forge more meaningful connections with members, across their healthcare journey.
  • Collaborate with cross-functional internal and external teams to deliver successful project outcomes.
  • Coordinate resources and requirements for initial execution, ongoing success, and operations.
  • Quickly identify and communicate potential risks as they emerge that may impact timeliness and success.
  • Lead conference calls, train staff, and ensure deliverables are met on time and of the highest quality.
  • Proficient use of MS products (PPT, excel, outlook, etc), data/reporting, and handling protected health information.

Senior Manager, Account Management

Magellan Healthcare
04.2003 - 06.2022
  • Responsible for all aspects of various managed health care customers, through honesty, trust, and vigorous day-to-day effort, while energetically looking for ways to accomplish growth and long-term success.
  • Responsible for client partnerships exceeding $10M in annual revenue.
  • Supervisor of up to 30 staff
  • Strong understanding of patient and customer needs, clinical business objectives, and industry specific trends.
  • Collaborate with clients to address their needs while adhering to internal budgets.
  • Liaison to internal Engineering teams. to accomplish client requirements, including business requirements documentation, use-case development, quality and end user testing.
  • Ensure compliance with client and regulatory requirements and provide necessary support for successful third-party audits.
  • Implement new accounts and new products for existing clients.
  • Strategically manage large-scale projects, as well as system and business process enhancements, to achieve optimal results and implement tasks reliably.
  • Provide leadership and coaching of staff by analyzing performance, promoting growth, and offering a spirit of teamwork.

Segment/Regional Call Manager

Aetna
01.1999 - 03.2003
  • Served as air traffic controller of the call center, for Aetna's California Service Operations Center.
  • Responsible for scheduling and staffing 400+ telephone agents, so that members and providers received the best possible call response times.

Skills

  • Strong problem-solving abilities
  • Analytical and critical thinker
  • Attention to detail
  • Experienced in managing staff
  • Dependable and responsible
  • Community service driven
  • Passionate about helping at risk youth
  • Policy and Procedure Improvement

PERSONAL HISTORY

Community Service Advocate - Volunteer for At-Risk Youth - Empowering children, ages 4-18, through mentorship - Non-Profit Driven - Animal Rescue

Timeline

Program Manager

Wellframe
06.2022 - Current

Senior Manager, Account Management

Magellan Healthcare
04.2003 - 06.2022

Segment/Regional Call Manager

Aetna
01.1999 - 03.2003

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Rebecca Alvarado