Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Energetic management professional versed in business management, finance and sales. Experienced Office Manager with the ability to develop and nurture long-term relationships. Organized and diligent with strong background in sales, planning, budgeting and staffing. Brings strong presentation, analytical and problem solving skills. Innovative individual defined by ability to rapidly understand new technologies and gain new skill sets, seeking to bring an understanding of changing business principles and processes.

Professional Experience
07/2015 to Current
Outpatient Utilization Management Temp Sbm Management Syracuse, NY,
  • Create and assist with the preparation of referral requests
  • Verify eligibility, benefits, and requests any needed clinical notes
  • Accurately complete or forward referral of next steps
  • Ensure that all referral policies and procedures are followed as required to meet all contractual, regulatory and federal requirements
  • Research and process incoming referral requests received via fax or system generated
  • Check Health Plan eligibility and benefits as needed
  • Gather clinical notes and Health Plan criteria as needed
  • Assist providers, patients, other departments regarding issues related to referrals
  • Scan and attach faxed clinical information
04/2003 to 07/2015
Office Manager Athenahealth Inc. Austin, TX,
  • Oversee database management of lead systems and lead trackers using CRM software.
  • Developed, managed, and implemented marketing approach and strategies to potential clients by utilizing mailings and phone solicitations; making presentations to groups at company-sponsored gatherings and speaking publicly to community groups on the subject of financial well-being.
  • Worked collaboratively with the underwriters and processors of different insurance companies to ensure data and information gathered from prospective clients are complete and accurate.
  • Installed bookkeeping systems and resolved system problems.
  • Trained and supported users during new software systems implementations and upgrades.
  • Ensured that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.
  • Prepared invoices, reports, memos, letters, financial statements, and other documents using word processing or spreadsheet, database or presentation software.
  • Identified staff vacancies and recruit, interview and select applicants.
  • Managed employee payroll, open, sort, and distribute incoming correspondence including faxes and emails.
04/2014 to 11/2014
Intern Qurate Retail Group Chesapeake, VA,
  • Integrated into the day-to-day operation of the hospital and its clinics by observing and shadowing the Executive Director upon administering her department as she exemplifies a wide set of skills and knowledge in long term planning, development of operating budgets, and creation of an overall system for efficient delivery of medical services.
  • Conducted an analysis on the possibility of outsourcing a call center for the hospital's outpatient clinics in order to address its current issues on improving both internal and external customer satisfaction through improved access.
  • Produced reports using data gathered from other children's hospitals that utilize call center initiatives.
  • Developed a Business Case that presented the results of the analysis that features both the advantages and disadvantages of outsourcing a call center and included an ROI computation for the said project.
09/2000 to 04/2003
Area Manager Cna Financial Corp. Warren, NJ,
  • Provided overall restaurant direction to the management team in carrying out on a day-to-day basis the efficient operation of each restaurant unit in order to achieve long term sales optimum profit and total customer satisfaction.
  • Provided an organized system of leasing, monitoring, and influencing to lead and drive results that positively influence performance of each restaurant in the achievement of goals.
  • Enhanced and developed staff's people skills through proper use of effective communication and leadership skills to get the best possible effort and productivity from each restaurant team.
  • Initiated negotiations regarding vendor contracts and kept updated records of contracts.
  • Developed a strategic plan to market and increase visibility to prospective and existing customers resulting in increased revenue of over 100%.
05/1999 to 09/2000
Operations Consultant McDonalds Inc. City, STATE,
  • Exhibited thorough knowledge of foods, beverages, supervisory duties, service techniques, and guest interactions.
  • Handled multiple number of restaurants and ensured that key areas of operations, specifically Quality, Service, Cleanliness, Sales, and Profitability in these restaurants are in place.
  • Assigned tasks and oversaw the direction of employees to ensure compliance with food safety procedures and quality control guidelines.
  • Trained the Restaurant Managers in hiring and training people for their restaurants.
  • Developed and equipped the Restaurant Managers with the ability to relate the effects of store operations with the financial results of Profit and Loss Statements.
  • Guided the Restaurant Managers in identifying areas of opportunities in each of their restaurants and come up with action plans and marketing plans for their restaurants to ensure an annual sales growth of at least 10%.
Education and Training
Expected in 2014
B.S: Health Care Management
Concordia University - Irvine, California

Completed Coursework in the Following Areas:

  • Introduction to Health Care Administration
  • Marketing and Strategic Planning for Health Care Organizations
  • Legal Aspects of Health Care
  • Introduction to Quality Management
  • Financial Management of Health Care Organizations
  • Economical, Social and Political Issues in Health Care
  • Health Information Systems
  • Human Resources Management in Health Care
  • Leadership and Direction in the Administration of Health Services

State of California Licensed Health and Life Insurance Agent

Covered California Certified Insurance Agent

Professional Affiliations

Member of the American College of Health Care Executives (ACHE)

Member of the Health Care Executives of Southern California (HCE)

  • Committee member and Technical Support on the Board of Governor's Study Group (2013 - 2014)
  • MS Office Suite (Excel, Outlook, Word, Power Point)
  • Sugar CRM and Salesforce Software

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Job Titles Held:

  • Outpatient Utilization Management Temp
  • Office Manager
  • Intern
  • Area Manager
  • Operations Consultant


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