Collaborate across workstreams understanding work interdependencies and the associated schedule implications.
Prepare and present quarterly reports for business reviews.
Coordinate essential information collection with clients and producers.
Manage the initiation of client and internal meetings, facilitate discussion, gather critical information with the client and producer, and timing of deliverables.
Accountable for a book of business of over 300 employer groups.
Created and maintain workstream project plans, status reporting, and documentation, including but not limited to decisions, risks, issues, and change control.
Care Team Lead
Angle Health
12.2022 - 03.2024
Guided and supervised a team of 7 customer care representatives on a daily basis.
Oversaw call center operations to guarantee quick and professional call handling.
Led development and upkeep of appeals and grievance department.
Create a performance evaluation system for the care team to enhance productivity.
Coordinate across departments to enhance customer satisfaction processes.
Conducted performance appraisals for team members, providing feedback and identifying areas of improvement.
Operations Quality Coach
Oscar Health Insurance
07.2022 - 12.2022
Analyzed customer feedback surveys to identify areas for improvement.
Detected recurring issues through trend identification.
Designed personalized action steps to meet objectives
Create detailed coaching performance reports on a weekly, monthly, and annual basis.
Establish quality department standards and procedures
Managed project lifecycle in adherence to established contracts
Performed periodic quality audits evaluating process effectiveness
Reduced defect rates by conducting thorough inspections and recommending process improvements.
Complaints and Grievance Intake Coordinator
Oscar Health
11.2020 - 07.2022
Ensured member complaints were acknowledged and assigned per state guidelines
Managed a team of 20 employees by overseeing hiring, training, and professional growth
Compiled and submitted reports on complex case investigations
Created weekly reports on production status for the intake team
Coordinate with multiple teams to analyze complaints and grievances
Enabled clear communication between complaints intake and liaison teams to expedite complaint resolutions
Care Guide-Population Health
Oscar Health
07.2020 - 11.2020
Contributed to the Risk Adjustment initiative for the reallocation of funds among health insurers
Executed strategies resulting in a $50,000 expense reduction over a four-month period
Ensured adherence to state/federal regulations via policy creation
Managed daily calls exceeding 100 to resolve customer issues
Care Guide
Oscar Health
08.2019 - 07.2020
Engaged with regional members through inbound and outbound calls
Liaised with members to improve satisfaction
Ensured coordination of healthcare delivery across outpatient, emergency, and in-home care scenarios