Louis

PRODUCT/PROGRAM SPECIALIST - ELIGIBILITY WORKER I/II
MaleConsulting Project ManagerLive in United StatesNationality
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Work experience

  • PRODUCT/PROGRAM SPECIALIST - ELIGIBILITY WORKER I/II

    Santa Clara County Social Services Department
    2023.01-Current(3 years)
    • Analyzed/processed complex Medi-Cal eligibility cases, ensuring compliance with federal, state, & local regulations while managing high-volume caseloads. • Leverage data-driven decisions to conduct eligibility redeterminations & balancing efficiency with accuracy in a fast paced environment. • Deliver exceptional client service by explaining program policies, benefits to diverse populations, bridging gaps in health literacy & ensuring equitable access to healthcare resources. • Collaborate cross-functionally with internal leadership, IT teams, & state agencies to streamline case processing systems, improving operational workflows & reducing processing time. • Manage sensitive data, including Personally Identifiable Information (PII)/healthcare records, adhering to HIPAA standards & implementing best practices for data security & privacy. • Develop technical proficiency in case management systems, adapting quickly to new software tools and workflows to maintain productivity & enhance service delivery. • Gained hands-on experience using State/Federal systems, including CALSAWS, CalHEERS, MEDS, and IEVS.
  • PATIENT RECRUITMENT SPECIALIST.

    Velocity Clinical Research, Inc.
    2023.01-2024.01(a year)
    • Recruited & pre-screen clinical trial candidates through database reviews, outreach, & patient engagement, ensuring compliance with trial-specific protocols. • Built strong rapport with potential participants, addressing inquiries about study details, informed consent, & procedures. • Maintained precise records in clinical database, safeguarding patient privacy - adhering to HIPAA standards. • Scheduled and coordinated screening visits while collaborating with Site Director to optimize staffing and operational efficiency. • Collect and evaluate key patient information, such as medical records and authorizations, to facilitate proper enrollment. • Maintain study documentation, including enrollment/screening logs, ensuring accuracy & compliance. • Promote clinical studies by attending community events & assessing recruitment campaign effectiveness through data-driven analysis. • Utilize medical terminology, Microsoft Office tools, & strong organizational skills to streamline recruitment workflows in a dynamic environment. Additional Job Experience (Google, Cisco Systems, etc.) & References available upon request
  • SR. PREMIER PARTNER OPS SPECIALIST

    Facebook via
    2019.04-2023.04(4 years)
    • Verifies client data to determine eligibility for Facebook’s white glove programs provided to personas such as government officials, celebrities, Fortune 500 companies, & major content creators • Cross-trained across 40+ programs and responsible for educating on best-practices & performing training for new hires. • Interviews clients for request clarifications to guide users in navigating online tools & evaluate eligibility for new value-add programs. • Engaged cross-functionally (IT, Engineering, Partner Ops, etc.) to solve complex issues and drive system enhancements resulting in 16,000 hours of productivity gain annually • Documents client reported information, cross-functional team actions, & relevant financial details within a case management system while maintaining consistent 95-100% quality & productivity scores. • Connects 100+ employees on a weekly basis to share new policies, build team cohesion, & drive philanthropic agendas (e.g. raised $5k for Make-A-Wish) as Vice President of the Team Engagement Committee
  • ORDER MANAGEMENT SPECIALIST

    Chargepoint & Delta Electronics via Ultimate Staffing
    2018.04-2019.02(a year)
    • Validated & processed commerce records such as Quotes, Opportunities, Renewals, etc. for accuracy & compliance whilst maintaining detailed logs of findings across up to 100 transactions per week. • Optimized operational cost by analyzing inventory locations, product pricing, & shipping addresses. • Managed customer profiles within Salesforce & NetSuite including information such as financial data & projected purchasing trends.
  • ASSET MANAGER

    Crown Castle via MGA
    2017.07-2018.03(9 months)
    • Collected client information to verify Joint Pole Applications, ensuring qualified private & public sector applicants are accurately submitted for shared usage of utility poles (electrical, telecommunication, etc.) • Proactively contacts individuals, businesses, or relevant agencies to confirm data discrepancies, documents, and information gaps
  • TEAM LEAD – DATA STEWARDSHIP

    Genentech via Incedo Inc
    2014.10-2017.06(3 years)
    • Led a team of 10 analysts to identify & cleanse financial documents for legal compliance with the Federal “Sunshine Act” • Verified personal, professional, and financial information via client databases, ensuring strict data integrity requirements were met.

Educational experience

  • San Jose State University

    BS Business Administration (Online)
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