Yanelis Vargas

Senior Analyst, Account Management (05/2020 - Current)

• Leverage industry expertise to create and facilitate presentations utilizing Microsoft PowerPoint for Annual Enrollment Period (AEP) and Open Enrollment Period (OEP) seminars for rooms of 100+ Medicare members.
• Establish strong relationships with Medicare members by providing ongoing support after AEP and OEP seminars, maintaining successful YOY lapse rate of 3-5% with over 1,200 members assisted.
• Collaborate with local risk provider groups to host in-office educational seminars for patients and staff at 12 medical clinics. Met monthly to provide Tableau data-driven analysis and join forces to identify opportunities for improvements and inform strategic initiatives.
• Develop and manage committee consisting of management from Network, Sales, Product, and Operations departments, dedicated to analyzing trends in grievances, CTMs, and MEDS surveys to hold vendor partners accountable and strategically focus on solutions for leading issues.
• Decipher data and generate high-level MOM Excel reports and create PowerPoint presentations to communicate findings and progress on multiple projects, including PCP auto-assignment report which maintained targeted YOY auto-assignment rate of 7-9%.
• Build and manage several Quickbase applications for various market departments such as Network, Product, and Member Services to alleviate pressure and streamline internal processes.

Government Programs Unit Specialist (10/2017 - 5/2020)

• Exceeded performance metrics, maintained 98% accuracy while conducting outreach to dual-eligible Medicare, Medicaid, and non-dual eligible members to screen for eligibility or recertify for Medicare Savings Programs (MSP) with FL Department of Children's and Families (DCF).
• Created department policies and procedures and updated existing processes with innovated computer-generated scripts to support call handing. Improved efficiency and accuracy by 3% by EOY.
• Generate monthly call volume and MSP application submission status report, analyzed data, and provided production reports and phone data by skill set reports to FL Market Sales team.
• Worked closed with department Informatics Analyst to QA and ensure cohesive and comprehensive reports were distributed to FL Market colleagues.
• Served as department point of contact and coordinated all team and departmental events and projects. Assisted with organizing and participating in company initiatives such as our yearly field day, holiday food drives, and back-to-school drives for low-income families.

• Monitored 500 accounts monthly for compliance with established payment plans.
• Created court documents such as affidavits, modifications and forbearance agreements.
• Negotiated bids with investors for notes and sales to market delinquent mortgage notes.
• Trained new team members on scripts, company services and performance strategies.