Lyndhurst, New Jersey, United States
elsa jimenez resume
Provide business development and marketing expertise to various organizations, utilizing vast business network within the healthcare industry. Clients include: VNS Choice New Jersey, Jan. 2012 – Dec. 2013 • Contributed to the expansion of contracted providers, creating a positive impact on company revenue. • Worked with FQHC’s and other community based organizations in contracting with VNS Choice New Jersey. • Served as a liaison between contracted providers and VNS Choice New Jersey. America’s First Choice, Aug. 2011 – Aug. 2012 • Contributed to the expansion of contracted providers, creating a positive impact on company revenue. • Worked with FQHC’s and other community based organizations in contracting with America’s First Choice. • Served as a liaison between contracted providers and America’s First Choice. Access Medicare NY: Cuatro, LLC, Jan. 2011 – Jul. 2011 • Contributed to the expansion of contracted providers, creating a positive impact on company revenue. • Worked with FQHC’s and other community based organizations in contracting with Access Medicare NY. • Served as a liaison between contracted providers and Access Medicare NY. Various Community Physicians, Jul. 2009 – Dec. 2012 • Provided business expertise services for individual physicians, as well as managed care organizations. • Worked as a liaison between contracted providers and all managed care organizations. • Managed provider membership rosters. • Established marketing schedules in order to increase PCP enrollments and renewals. • Assisted in the processing of provider credentialing applications.
• Increase RAF (Risk Adjustment Factor) scoring of community physicians by retaining on-site access to medical records for contracted vendors. • Helped establish & manage network development team. Advise business executives on improvements to specialty referrals & admissions program. • Raised & maintain specialty referral volume originating from community-based provider offices. • Boosted admissions by expanding Indirect Admissions / Trans Care program. • Liaise with community-based providers to glean referring privileges. • Collaborate with vendor, Data-Driven Delivery Systems, to establish bidirectional communication boosting RAF scoring & coding compliance. • Initiate & grow community marketing initiatives to boost enrollment in Healthfirst / Bronx Lebanon Risk Pool. • Manage projects: FIDA enrollment initiatives & DSRIP (Delivery System Reform Incentive Payment (DSRIP) Program.
Drove, led & oversaw direct sales activities of 15 sales representatives; recruited, hired & trained new reps; coached & mentored entire sales team. Reported to Director of Sales. • Met / exceeded all team performance & quota requirements throughout entire tenure. • Recruited sales pros & led intensive Medicare trainings. Refined sales processes continually to boost enrollment. • Targeted, closed & launched partnerships with senior centers, community-based providers / offices, Excelsior IPA. • Drove enrollment by establishing & managing weekly blitz campaigns. • Increased community enrollment dramatically by strategically-routing outreach vehicles. • Led monthly seminars & presentations to doctors & eligible consumers (senior citizens & Medicare-eligible). • Crafted, developed & executed strategies to hit enrollment goals foster positive PR. • Promoted Medicare products. Established & grew relationships with providers, faith-/community-based organizations.