Yenny Henriquez
Vero Beach
Summary
Quality-driven Compliance Professional familiar with tracking, documentation and reporting requirements. Assesses work, materials and procedures and recommends adjustments to maintain compliance. Over 10 years of experience in managed care with a motivated and energetic mindset.
Overview
15
15
years of professional experience
Work History
Compliance Professional 2
Humana Insurance Inc
06.2022 - Current
- Serve as subject matter expert by advising business partners and working directly with external agencies through implementations and audits
- Served an integral part in the implementations of Ohio, Louisiana, Oklahoma, and Indiana Medicaid plans
- Collaborated with Business Intelligence to develop the Medicaid Duals Member Communications (MDMC) process into the QuickBase platform
- Facilitated the merging of The Hub into the QuickBase platform
- Regularly conduct quality reviews to uncover workflow and communication issues
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
- Train and continually provide support to business partners with QuickBase and SharePoint applications
- Stayed current with latest changes to applicable regulatory standards and company procedures
- Communicated project updates to stakeholders at all levels
- Assist the team with stretch projects to improve business practices
Care Coach
Humana Insurance Inc
03.2018 - 06.2022
- Coordinate home health services for over 60 Medicaid Recipients in LTC by collaborating with network providers daily
- Completed NCQA training for accreditation within Long Term Care
- Performed project management duties for special projects such as the 'Service Cart Pilot' and 'IT/Business Immersion Initiative'
- Communicate internally with several departments to ensure services are administered
- Utilize Humana systems daily such as CGX, data reports and Sharepoint to meet all contractual obligations, financial and business metrics
- Mentored new hires and served as team lead, ensuring support, productivity, accuracy and commitment to Humana values and processes
Realtor
Elite Ocean View Realty
05.2015 - 02.2018
- Handled day-to-day operations of the real estate office, consistently growing client bases and increasing revenue
- Increased home sales through persuasion, negotiation and ability to close
Case Manager
Douglas Gardens CMHC
02.2013 - 03.2016
- Managed a caseload of 40 adult clients with mental health conditions
- Solely coordinated the 'Partners for Homes (PFH)' housing program while serving as a supervisor to fellow case managers
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers
- Provided group therapy sessions multiple times per week
Preventive Case Manager
New York Foundling
04.2011 - 10.2011
- Provided Functional Family Therapy (FFT) to 15 at-risk families
- Improved behaviors through modeling, role-playing and other effective strategies
- Developed and maintained clinical records and program documentation according to organization standards
Foster Care Case Manager
Catholic Guardian & Home Bureau
02.2010 - 12.2010
- Managed caseload of 26 children in welfare system to provide comprehensive, community-based care
- Supervised visitations between birth parents and children
- Completed court and agency reports weekly, documented contacts daily
- Served as a liaison between family court, attorneys and families
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration
Education
Bachelor of Arts - Behavioral Science
Mercy College
12.2009
Skills
- Compliance oversight
- Leadership
- Project Management
- Business Process Improvement
- Corrective action plans
- Reporting tools
- Managed Healthcare
- Operations support
- Data management
- Business process mapping
Timeline
Compliance Professional 2
Humana Insurance Inc
06.2022 - Current
Care Coach
Humana Insurance Inc
03.2018 - 06.2022
Realtor
Elite Ocean View Realty
05.2015 - 02.2018
Case Manager
Douglas Gardens CMHC
02.2013 - 03.2016
Preventive Case Manager
New York Foundling
04.2011 - 10.2011
Foster Care Case Manager
Catholic Guardian & Home Bureau
02.2010 - 12.2010
Bachelor of Arts - Behavioral Science
Mercy College
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