managed care representative resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -

Take-charge professional delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes office management, accounts receivable, invoicing, dispatching, database management, and contract management. Recognized for exemplary customer service and team collaboration.

  • Performance Evaluations
  • Staff Development
  • Experience in Leadership
  • Friendly, Positive Attitude
  • Punctual and Dependable
  • Curriculum Planning
  • Decision Making
  • Training & Development
  • Supervision & Leadership
  • Reliable & Trustworthy
  • Good Work Ethic
  • Customer Service
  • Payroll Processing
  • Timesheet management
  • Exceptionally organized
  • Fluent in Spanish
  • Scheduling proficiency
  • Competent in Smartboard
  • Microsoft Office, Excel, and PowerPoint
  • Google Classroom, zoom, teams
  • Audio-Visual Demonstrations
Professional Experience
01/2008 to Current
Managed Care Representative Charles River Community Health Both Sites, MA,
  • Exercised good judgment and decision-making in escalating concerns and resolving issues.
  • Monitored staff performance and addressed issues.
  • Recruited and hired qualified candidates to fill open positions.
  • Led team meetings and one-on-one coaching sessions to continuously improve performance.
  • Entered time and attendance logs in preparation for payroll.
  • Enhanced team member performance through the use of strategic and tactical approaches, motivational coaching, and training.
  • Accomplished financial objectives by forecasting requirements, scheduling expenditures, and preparing annual budgets.
  • Enforced customer service standards and resolved customer problems to uphold quality service.
  • Created training modules and documentation to train staff.
  • Established and maintained relationships to meet community needs and avoid service duplication.
  • Attended and participated in industry events.
07/2002 to Current
Head Teacher/Program Coordinator Child Development Center At Queens College City, STATE,
  • Scheduled and developed program activities in accordance with program needs.
  • Facilitated educational workshops, meetings, and conferences associated with the program.
  • Delegated tasks to staff and volunteers during daily activities and organized events.
  • Prepared periodic reports, financial statements, and records on program activities, progress, and status for management.
  • Implemented hands-on, play-based strategies for experiential learning.
  • Stuck in daily routines to help children feel comfortable and promote development.
  • Encouraged children to be understanding of others, show good manners, and instruct in other social development behaviors.
  • Maintained daily records of individual activities, behaviors, meals, and naps.
  • Organized and led activities to promote physical, mental, and social development.
  • Collaborated with parents to develop and maintain strong support networks and build rapport to foster seamless communication.
  • Identified children in need of extra support for emotional, health-related, or developmental concerns and conceived improvement strategies.
  • Directed and supervised children during field trips and special activities.
  • Participated in workshops, training, and conferences to improve educational skills.
  • Identified early signs of emotional and developmental problems in children to bring concerns to parents' attention.
  • Participated in professional development opportunities to improve teaching practices and stay current on education trends and research.
  • Integrated technology into the lesson plan.
07/1996 to 01/2020
Volunteer-Co-Chair OPWDD-DDSO-QUEENS City, STATE,
  • Offered recommendations to the board on ways to improve the success of proposed plans and assure efficient execution.
  • Led weekly committee meetings to create and discuss facility events to recognize associates for various achievements.
  • Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies, and company policies.
  • Worked with leadership, parents, and volunteers to establish clear goals and guidelines for group meetings.
  • Conducted home visits and kept in contact with families by phone and email by agency policies.
  • Followed data security regulations to keep client information confidential.
  • Advocated for victims during difficult situations by filing police reports and connecting them to needed services.
  • Served as liaison between individuals, homes, schools, family services, child guidance clinics, courts, protective services, doctors, and other contacts to help children facing problems such as disabilities, abuse, or poverty.
  • Assisted parents with disabled youngsters with the initial front-door registration.
  • Identified appropriate community resources and provided referrals for services.
  • Maintained confidentiality through stringent handling of charts and data.
  • Worked with community resources to engage youth in pro-social activities and help families access services.
  • Interviewed clients individually and in groups to assess situations, capabilities, and problems.
  • Counseled parents on proper child-rearing choices.
  • Collaborated with state agencies and benefits coordinators to develop individualized plans for each case.
  • Attended hearings with victims to provide emotional support.
  • Managed parent support groups addressing topics such as positive discipline and parenting styles.
  • Informed victims about legal processes and timelines.
  • Conversed with people from different cultures daily, providing a high level of respect and patience with each interaction.
08/1999 to 05/2002
Elementary School Teacher/Bilingual Teacher Board Of Education City, STATE,
  • Handled challenging classroom behaviors with positive and affirming techniques.
  • Taught students subject-specific material, learning strategies, and social skills.
  • Attended in-service training and professional development courses to stay on top of policy and education changes.
  • Involved parents in student education by cultivating strong relationships.
  • Administered tests and assessed results to evaluate student understanding of the material.
  • Encouraged creativity by giving students choices in learning topics and methods.
  • Created customized grading rubrics and powerful assessment tools.
  • Prepared daily and weekly lesson plans to help students meet learning goals.
  • Pursued positive methods to correct student behavior, delivering constructive feedback upon improvement.
  • Offered hands-on learning opportunities to develop student self-esteem and life skills.
  • Translated lesson plans into learning experiences and routinely evaluated student progress and social development.
  • Upheld a values-based approach to maintain positive culture among students and staff.
  • Controlled classroom environments with clearly outlined rules and positive reinforcement techniques.
  • Met with parents to discuss child behavior and academic progress.
  • Identified children in need of extra support for emotional, health-related, or developmental concerns and conceived improvement strategies.
  • Participated in workshops, training, and conferences to improve educational skills.
  • Planned and implemented lessons using various teaching strategies to meet diverse student needs.
Education and Training
Expected in 05/2005
Master Of Arts: Elementary Education With a Bilingual Extension
Queens College of The City University of New York - Flushing, NY
Expected in 08/2002
Professional Development: Professional Development/ongoing
Rockefeller University - New York, NY
Expected in 05/1999
Bachelor Of Arts: Secondary Education/Spanish
Queens College of the City University of New York - Flushing, NY


M.A.T. - Certified

Professional Certificate-Grade 1-6

Mandated Reporter - Certified

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Resume Overview

School Attended

  • Queens College of The City University of New York
  • Rockefeller University
  • Queens College of the City University of New York

Job Titles Held:

  • Managed Care Representative
  • Head Teacher/Program Coordinator
  • Volunteer-Co-Chair
  • Elementary School Teacher/Bilingual Teacher


  • Master Of Arts
  • Professional Development
  • Bachelor Of Arts

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