Proficient in documentation management and effective communication, with a focus on optimizing member experiences. Experienced in processing prior authorizations and improving patient outcomes through data analysis and teamwork.
Overview
11
11
years of professional experience
Work History
Optum Engage Specialist
United Health Group, Optum
Arizona City, AZ
12.2025 - Current
Supported data analysis efforts to improve member outcomes and operational efficiency.
Collaborated with cross-functional teams to streamline workflows and enhance service delivery.
Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Clinical Administrative Coordinator
United Health Group, Optum
Arizona City, AZ
11.2020 - 12.2024
Processed prior authorization requests efficiently, ensuring compliance with insurance guidelines.
Reviewed medical documentation to determine eligibility for services and treatments.
Communicated effectively with healthcare providers to gather necessary information for approvals.
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Pharmacy Care Coordinator
Humana
Arizona City, AZ
12.2014 - 11.2020
Coordinated medication therapy management to optimize patient outcomes.
Developed and maintained strong relationships with healthcare providers and patients.
Implemented care plans in collaboration with interdisciplinary teams to enhance service delivery.
Analyzed patient data to identify gaps in care and recommend actionable solutions.
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