Sarai Fuertes
Pacoima,CA
Summary
Experienced in account management with a strong record of building client relationships, driving revenue growth, and managing complex accounts. Known for my ability to collaborate with teams, adapt to change, and deliver results. Expertise in strategic planning, client communication, and problem-solving make me a reliable and flexible professional who can meet evolving business needs.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medicare Account Manager (Licensed)
Curana Health
01.2025 - Current
- Responsible for driving and delivering growth and retention results for ASC-MAPD plans by leading sales escalations, communications, and trainings
- Develop and oversee short and long-term strategic roadmaps to ensure member growth and retention
- Collaborate with building staff, external brokers, compliance, legal, network management, marketing, and customer experience as health plan SME
- Identify and engage with prospective customers to determine eligibility for Advantage Medicare product
- Participate in telemarketing and outreach efforts, complete enrollment applications accurately and timely, and submit reports for sales performance
- Attend sales meetings, training programs, and special events to stay up to date on company initiatives
Care Ally
Curana Health
10.2021 - 01.2025
- Supported Medical Group’s by completing Health Risk Assessments, facilitated Interdisciplinary Care Team meetings, developed Care Plans, and coordinated Medicare/Medi-Cal health plan benefits
- Acted as Health Plan Liaison for inpatient admissions and discharge planning
- Responsible for triaging doctor orders and coordinated care by supporting nurse case managers
- Collaborated with community resources including Enable Dental, Alzheimer's Association, Papa Pals, and The Helper Bees
- Developed & managed projects for member growth by collaborating with leadership on CMS regulations related to sales and marketing strategies
- Analyzed data to identify insights and opportunities for performance improvements, assessed effectiveness of strategies and delivered actionable recommendations for performance improvement
Small Group Services Representative
Centene Corporation
08.2018 - 07.2020
- Responsible for achieving sales retention, growth, and profitability goals by contributing to email marketing, print advertising, and client communications
- Developed new business, grew existing accounts, and met PPO enrollment quarterly goals
- Facilitated business meetings between the health plan, sales brokers, and potential clients for enrollment objectives
- Developed operational monthly meetings with partners for quality improvement and enhancements
Care Coordinator
Health Net, Inc
03.2015 - 08.2018
- Supported membership by coordinating referrals to Long-Term Support Services and community-based organizations (IHSS, MSSP, CBAS, SNFs, housing/shelters, transportation, and food assistance)
- Coordinated provider referrals by assisting with prior authorizations, appointment scheduling, and coordinating Medicare/Medi-Cal benefits
- Facilitated ICT meetings with external entities including Mental Health and Participating Provider Groups
- Served as Project Manager for Transition of Care/Continuity of Care policies & procedures
- Supported California County Regional Centers as Patient Liaison for problem resolution and benefit coordination
- Collaborated with changes of policies & procedures by developing agendas, outreach strategies, and implementing action plans
Education
Master of Science - Health Administration
University of Phoenix
Bachelor of Science - Health Administration
University of Phoenix
Certified Medical Assistant -
Charter College
Skills
- Teamwork and collaboration
- Strategic planning
- Relationship building and management
- Sales development
- Networking skills
- Project management
- Sales reporting
- Contract negotiation
- Client development
- Territory management
- Employee mentoring
- Sales meetings and orientations
Degree
MHA
Certification
- Certified Medical Assistant, National Certificate# 770094
- Life, Health, Accident, CA Sales License# 0M58786
Languages
Spanish
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medicare Account Manager (Licensed)
Curana Health
01.2025 - Current
Care Ally
Curana Health
10.2021 - 01.2025
Small Group Services Representative
Centene Corporation
08.2018 - 07.2020
Care Coordinator
Health Net, Inc
03.2015 - 08.2018
Bachelor of Science - Health Administration
University of Phoenix
Certified Medical Assistant -
Charter College
Master of Science - Health Administration
University of Phoenix
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