Work History
Timeline
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Remy Frago

1537 Ravanusa Drive,Nevada

Work History

Manager, Project Management. National Quality Mgmt

Aetna, CVS Health
Henderson, Nevada
2021 - 2023
  • Conducted regular meetings with staff to discuss progress and identify areas of improvement.
  • Established processes to ensure efficient workflow throughout the organization.
  • Initiated new projects that resulted in increased productivity across all departments.
  • Implemented new technologies to streamline operations, reduce costs, and improve customer service.
  • Collaborated with other departments to ensure timely completion of projects within budget constraints.
  • Ensured compliance with all applicable laws, regulations, industry standards.
  • Monitored staff performance and addressed issues.
  • Exercised good judgment and decision-making in escalating concerns and resolving issues.
  • Conducted quality, timely performance feedback and performance appraisals.
  • Created training modules and documentation to train staff.

Training And Quality Consultant

Aetna - CVS Health
Henderson, Nevada
2017` - 2021
  • Analyzed complex information from multiple sources to identify patterns or trends that could be used as a basis for decision-making.
  • Reviewed existing policies and procedures and suggested improvements where necessary.
  • Coordinated activities among internal departments while ensuring compliance with all applicable laws and regulations.
  • Engaged in regular professional development activities such as attending webinars or reading relevant literature in order to stay abreast of current trends in the consulting industry.
  • Assisted in developing and implementing different workflows and communication processes.
  • Participated in training and managing new hires to bring new team members up to speed.
  • Maintained positive working relationship with fellow staff and management.
  • Implemented strategies to take advantage of new opportunities.
  • Oversaw quality control to identify inconsistencies and malfunctions.
  • Wrote and submitted reports on industry trends, prompting managers to develop business plans.

Associate Manager, UM

Aetna - CVS Health
Henderson, Nevada
2013 - 2017
  • Facilitated the development of staff by providing training, coaching, and feedback.
  • Managed daily workflow of team members to meet organizational goals.
  • Created monthly reports outlining progress on key initiatives.
  • Identified opportunities for process improvements and increased efficiency.
  • Conducted regular performance reviews with direct reports.
  • Monitored customer complaints and provided timely solutions to improve customer experience.
  • Ensured compliance with company regulations, laws, and safety standards.
  • Scheduled meetings with internal stakeholders to review departmental objectives.
  • Handled responsibilities successfully in manager's absence.
  • Evaluated performance of team members and provided consistent coaching to improve skills.
  • Prioritized and delegated tasks for efficient completion within team environment.
  • Organized schedules, workflows and shift coverage to meet expected business demands.
  • Directed and led employees, supervising activities to drive productivity and efficiency.
  • Coached team members and delivered constructive feedback to promote better productivity and build confidence.
  • Delegated daily tasks to team members to optimize group productivity.

Associate Manager, CM

Aetna - CVS Health
Henderson, Nevada
2010 - 2013
  • Facilitated the development of staff by providing training, coaching, and feedback.
  • Managed daily workflow of team members to meet organizational goals.
  • Created monthly reports outlining progress on key initiatives.
  • Identified opportunities for process improvements and increased efficiency.
  • Conducted regular performance reviews with direct reports.
  • Monitored customer complaints and provided timely solutions to improve customer experience.
  • Ensured compliance with company regulations, laws, and safety standards.
  • Scheduled meetings with internal stakeholders to review departmental objectives.
  • Handled responsibilities successfully in manager's absence.
  • Evaluated performance of team members and provided consistent coaching to improve skills.
  • Prioritized and delegated tasks for efficient completion within team environment.
  • Oversaw daily operations, maintenance and administration of various properties.
  • Organized schedules, workflows and shift coverage to meet expected business demands.
  • Mentored staff to enhance skills and achieve daily targets, using hands-on and motivational leadership.
  • Coached team members and delivered constructive feedback to promote better productivity and build confidence.
  • Delegated daily tasks to team members to optimize group productivity.

Case Manager, Team Lead

Aetna - CVS Health
Henderson, Nevada
2004 - 2010
  • Assessed clients' needs, developed service plans and monitored progress towards goals.
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Developed individualized care plans with input from clients and their families.
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Maintained accurate case records and documentation according to agency guidelines.
  • Counseled clients on available resources within the community that could help meet their needs.
  • Monitored client progress through regular follow-up contacts.
  • Participated in interdisciplinary team meetings to discuss treatment options.
  • Supported family members by providing information on local support groups.
  • Advised staff members on effective strategies for working with challenging client behaviors.
  • Acted as an advocate for vulnerable populations by advocating for policy changes at the state level.
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Assisted individuals with eligibility for available benefits.
  • Adhered to ethical principles and standards to protect clients' confidential information.
  • Advocated for clients by obtaining information regarding treatment options and clinical status.
  • Participated in regular team meetings and in-house training sessions to boost group effectiveness.
  • Reviewed treatment plans against individual goals and healthcare standards.
  • Consulted with staff on resolution of complex service issues.

UM Nurse Consultant

Aetna - CVS Health
Henderson, Nevada
2000 - 2004

· Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.

· Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care

· Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs

· Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization

· Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

· Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

· Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.

· Proficiency with computer skills which includes navigating multiple systems and keyboarding.

· Effective communication skills, both verbal and written

Timeline

Manager, Project Management. National Quality Mgmt

Aetna, CVS Health
2021 - 2023

Training And Quality Consultant

Aetna - CVS Health
2017` - 2021

Associate Manager, UM

Aetna - CVS Health
2013 - 2017

Associate Manager, CM

Aetna - CVS Health
2010 - 2013

Case Manager, Team Lead

Aetna - CVS Health
2004 - 2010

UM Nurse Consultant

Aetna - CVS Health
2000 - 2004
Remy Frago