Zahir "Zee" Herrera
Fort Worth
Summary
Dynamic healthcare operations and account management professional with an MBA and over 8 years of progressive experience in Medicaid/CHIP, government programs, provider relations, and cross-functional operations. Expertise in data analysis, regulatory compliance, process optimization, and stakeholder engagement drives impactful results. Recognized for keen attention to detail and a proactive approach to problem-solving, consistently delivering outcomes that enhance team performance and organizational success. Committed to fostering collaborative environments that support strategic initiatives and improve service delivery.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Account Manager
UnitedHealthcare
02.2024 - Current
- As Senior Account Manager, I manage dental benefit implementation and compliance for Medicaid/CHIP clients, serving as the primary liaison across internal departments and external partners. I oversee regulatory alignment, documentation accuracy, reporting coordination, and project requirements while leading issue resolution and process improvements. My role includes facilitating cross-departmental communication, supporting audits, conducting desk reviews, and driving operational enhancements that support client goals, regulatory needs, and clinical initiatives.
Dental Provider Advocate – Children’s CHIP/Medicaid
UnitedHealthcare
12.2019 - 01.2024
- Supported Medicaid/CHIP dental networks by building strong relationships with providers, practice managers, and FQHCs. Managed escalated issues, delivered resolutions to stakeholders, and conducted in-person visits to support education, compliance, and network health. Led targeted recruitment and retention efforts to maintain network adequacy and improve provider engagement.
Provider Data Analyst (SME)
UnitedHealthcare
11.2017 - 12.2019
- Served as a subject matter expert overseeing provider data accuracy and workflow efficiency while training and guiding a team of 18 advocates. Conducted inventory reviews, analyzed KPIs, and supported SOP development to align with regulatory changes. Facilitated collaboration between offshore and onshore teams and performed root-cause analysis to resolve provider-related escalations and system issues.
Installation Specialist
UnitedHealthcare
11.2016 - 11.2017
- Executed accurate installation and billing setup for client accounts, ensuring data integrity across platforms. Researched and resolved provider configuration issues, maintained system accuracy, and acted as the primary contact for secure portal and contract-related inquiries.
Resolution Specialist
UnitedHealthcare
11.2015 - 11.2016
- Delivered high-quality support in a fast-paced call center environment by quoting benefits, resolving claim inquiries, and processing prior authorizations using CPT and ICD-10 codes. Consistently maintained accuracy, service quality, and effective communication with members and providers.
Education
Master of Business Administration - MBA
Western Governors University
03.2022
Bachelor of Science - Business Administration & Management
Western Governors University
01.2019
Skills
- Account & Client Management
- Government Program Compliance (Medicaid/CHIP)
- Cross-Functional Collaboration
- Data Collection, Reporting & Analysis
- Provider Relations & Network Development
- Training, Development & Team Leadership
- Project Management & UAT
- Process Improvement
- Partnership development
- Business development
- Customer relations
- Business strategies
Certification
- CompTIA Project+
- Trained Mentor
Languages
Spanish
Native or Bilingual
Timeline
Senior Account Manager
UnitedHealthcare
02.2024 - Current
Dental Provider Advocate – Children’s CHIP/Medicaid
UnitedHealthcare
12.2019 - 01.2024
Provider Data Analyst (SME)
UnitedHealthcare
11.2017 - 12.2019
Installation Specialist
UnitedHealthcare
11.2016 - 11.2017
Resolution Specialist
UnitedHealthcare
11.2015 - 11.2016
Bachelor of Science - Business Administration & Management
Western Governors University
Master of Business Administration - MBA
Western Governors University