Angela Diaz

Experience

• 

  Humana Inc.

  May 2013 - Jan 2018

  Operations Lead
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  Humana

  May 2013 - Jan 2018

  Operation Team Specialist (Bilingual)

  Operation Team Specialist (Bilingual), Medicaid/ Medicare - Duals Other (For Illinois)I piloted a new Preferred Program that targeted mass affluent clients exclusively within the Termination and Redetermination status. I was in charge of acquisition, growth, and retention of clientele that fit this specific profile.  Analyzed data of operations to discover insights that inform business decisions perform yearly audits and process improvements at Fortune 100 healthcare company. Convert findings into actionable solutions to business problems and clearly communicate to business leaders. Using excel, pivot tables, and power point presentations. Responsible for, monthly, quarterly and yearly reports.  Part of the HEDIS and NCQA audit Educate and assist members with access to their benefits, physician and transportation appointments, Primary Care Provider changes, legal documentation including Power of Attorney Leveraged extensive knowledge of our complete line of products and solutions as well as that of partners in outside lines of business to advise clients.  Complete and process health risk screenings and document the outcomes of new and returning member responses Show less

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  UnitedHealth Group

  Jan 2018 - Jan 2020

  I piloted the new Preferred Program that targeted mass affluent clients exclusively within the Termination and Redetermination status. I was in charge of acquisition, growth, and retention of clientele that fit this specific profile.  Analyzed data of operations to discover insights that inform business decisions perform yearly audits and process improvements at Fortune 100 healthcare company. Convert findings into actionable solutions to business problems and clearly communicate to business leaders. Using excel, pivot tables, and powerpoint presentations. Responsible for, monthly, quarterly and yearly reports.  Part of the HEDIS and NCQA audit Educate and assist members with access to their benefits, physician and transportation appointments, Primary Care Provider changes, legal documentation including Power of Attorney Leveraged extensive knowledge of our complete line of products and solutions as well as that of partners in outside lines of business to advise clients.  Complete and process health risk screenings and document the outcomes of new and returning member responses Show less

  • Clinical Coordinator

    Jan 2018 - Jan 2020

  • Senior Clinical Coordinator (Bilingual) C

    Jan 2018 - Dec 2019
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  Evolent

  Feb 2020 - Apr 2022

  NetWork Operations