
Bilingual professional fluent in Spanish and English with experience in healthcare coordination, administrative support, and customer service. Skilled in document management, scheduling, and patient education, with a focus on effective communication and problem-solving. Proficient in CRM software and adept at fostering positive relationships across diverse cultural backgrounds.
Conduct and coordinate Annual Health Risk Assessments (HRAs) for Medicare Advantage members in compliance with CMS requirements.
Identify care gaps, chronic management opportunities, and follow-ups needs based on HRA findings.
Ensure all submitted diagnoses meet CMS documentation and risk adjustments standards.
Support member self-management through education, resources linkage, and follow-up on identified care needs.