Summary
Overview
Work History
Education
Skills
Additionalinformation - Militaryexperience
Timeline
Work Preference
Generic

Tara Torres

Central Bridge,NY

Summary

Detail-oriented Government Program Analyst with over 10 years of expertise in healthcare and dental sectors, focusing on Medicaid policy development and analysis. Demonstrates a strong ability to interpret and implement federal and state legislation, ensuring compliance and enhancing service delivery. Excels in collaborative settings, driving policy enhancements and stakeholder communication to optimize healthcare outcomes.

Seasoned Senior Analyst with a strong background in analyzing complex financial data, developing comprehensive reports and presenting findings to key stakeholders. Possess analytical skills, strategic planning abilities, and business acumen. Known for improving operational efficiency and contributing to revenue growth through insightful analysis and forecasting.

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.

Overview

26
26
years of professional experience

Work History

SENIOR ANALYST, NETWORK RELATIONS-RETENTION

AETNA
Remote, NY
05.2024 - Current
  • Managed dental product resources, enhancing provider performance
  • Negotiated contracts, ensuring network quality and provider compensation
  • Led projects, delivering innovative solutions and measurable results

MEDICAL ASSISTANCE SPECIALIST 1

New York State Department of Health
Remote, NY
09.2023 - 05.2024
  • Led cost optimization strategies, saving over $100M annually in Medicaid/Medicare expenses
  • Supervised claims review team, ensuring compliance with updated procedures
  • Resolved escalated claims through meticulous research and payment history verification
  • Fostered innovation through cross-functional projects, driving measurable results

PROFESSIONAL RELATIONS AMBASSADOR

Delta Dental
Remote, NY
05.2018 - 09.2023
  • Managed 1000+ service provider network of Medicaid, Child Health Plus, Health and Recovery Program (HARP) and Essential Plans providers, ensuring Delta QA adherence
  • Fostered strong business relationships, facilitating smooth provider onboarding
  • Analyzed network data, identifying and addressing improvement areas
  • Compiled competitive intelligence, aiding strategic management decisions
  • Exceeded network management targets, enhancing service quality and provider satisfaction

MEDICAL ASSISTANCE SPECIALIST 1

New York State Department of Health
Albany, NY
04.2014 - 05.2018
  • Assisted senior staff in drafting business and medical responses
  • Streamlined regulations for Medicaid programs, enhancing policy efficiency
  • Supervised Medicaid Eligibility Examiners, ensuring state compliance
  • Led innovative projects, driving cost savings for health programs

SOCIAL WELFARE EXAMINER

Montgomery County Department of Social Services
Fonda, NY
03.2008 - 04.2014
  • Streamlined eligibility assessments for public aid programs
  • Reduced operational costs through innovative process optimization
  • Enhanced applicant support network by connecting them to additional aid programs
  • Conducted meticulous field investigations to prevent fraud
  • Fostered meaningful relationships with community resources, resulting in positive client feedback

Personnel Journeyman

Air & Space Expeditionary Force Center (AEFC)
Langley AFB, VA
02.2003 - 03.2007

Personnel Journeyman

54th Air Refueling Squadron
Altus AFB, OK
02.2002 - 02.2003

Personnel Journeyman

97 Mission Support Squadron
Altus AFB, OK
03.2001 - 02.2002

Personnel Journeyman

97th Security Forces Squadron
Altus AFB, OK
12.2000 - 03.2001

Personnel Journeyman

510th Fighter Squadron
Aviano Air Base, Italy
12.1998 - 12.2000

Education

PROJECT MANAGEMENT PROFESSIONAL BOOTCAMP CERTIFIED -

University of Syracuse-IVMF
01.2022

MASTER OF SCIENCE - Management & Leadership

Western Governors University
Salt Lake City, UT
01.2016

BACHELOR OF SCIENCE - Community & Human Services

Suny Empire State College
Saratoga Springs, NY
01.2014

ASSOCIATES DEGREE - Human Resource Management

Community College of the Air Force
Montgomery, AL
01.2006

PERSONNEL JOURNEYMAN SCHOOL -

United States Air Force
01.1998

Skills

  • Data analysis
  • Staff Management
  • Communication
  • Testing
  • Application Performance
  • Credentialing
  • Contracting
  • Recruiting
  • Recruitment
  • Training
  • Development
  • Administrative Management
  • Healthcare Administration
  • Analytics program experience
  • Client management
  • Performance monitoring
  • Knowledge of business operations
  • Analytics software
  • Advanced Excel
  • Budget Planning
  • Financial Forecasting
  • Metric tracking
  • Network Management
  • Stakeholder Communication
  • Data Analysis
  • Statistical modeling
  • Business Intelligence
  • Data Modeling
  • Cost-benefit analysis
  • Report Preparation
  • Client Relationship Management
  • Competitive Analysis

Additionalinformation - Militaryexperience

  • Personnel Journeyman, Air & Space Expeditionary Force Center (AEFC) (ACC), Langley AFB, Langley, VA, 02/01/03, 03/01/07
  • Personnel Journeyman, 54th Air Refueling Squadron (AETC), Altus AFB, Altus, OK, 02/01/02, 02/01/03
  • Personnel Journeyman, 97 Mission Support Squadron (AETC), Altus AFB, Altus, OK, 03/01/01, 02/01/02
  • Personnel Journeyman, 97th Security Forces Squadron (AETC), Altus AFB, Altus, OK, 12/01/00, 03/01/01
  • Personnel Journeyman, 510th Fighter Squadron (USAFE), Aviano Air Base, Aviano, Italy, 12/01/98, 12/01/00

Timeline

SENIOR ANALYST, NETWORK RELATIONS-RETENTION

AETNA
05.2024 - Current

MEDICAL ASSISTANCE SPECIALIST 1

New York State Department of Health
09.2023 - 05.2024

PROFESSIONAL RELATIONS AMBASSADOR

Delta Dental
05.2018 - 09.2023

MEDICAL ASSISTANCE SPECIALIST 1

New York State Department of Health
04.2014 - 05.2018

SOCIAL WELFARE EXAMINER

Montgomery County Department of Social Services
03.2008 - 04.2014

Personnel Journeyman

Air & Space Expeditionary Force Center (AEFC)
02.2003 - 03.2007

Personnel Journeyman

54th Air Refueling Squadron
02.2002 - 02.2003

Personnel Journeyman

97 Mission Support Squadron
03.2001 - 02.2002

Personnel Journeyman

97th Security Forces Squadron
12.2000 - 03.2001

Personnel Journeyman

510th Fighter Squadron
12.1998 - 12.2000

PROJECT MANAGEMENT PROFESSIONAL BOOTCAMP CERTIFIED -

University of Syracuse-IVMF

MASTER OF SCIENCE - Management & Leadership

Western Governors University

BACHELOR OF SCIENCE - Community & Human Services

Suny Empire State College

ASSOCIATES DEGREE - Human Resource Management

Community College of the Air Force

PERSONNEL JOURNEYMAN SCHOOL -

United States Air Force

Work Preference

Work Type

Full TimeInternship

Work Location

HybridRemote

Important To Me

Work-life balanceFlexible work hoursCompany CulturePersonal development programsWork from home optionTeam Building / Company Retreats
Tara Torres