Mariana Nevarez
Hedis Specialist
Talent
USMember since October 28, 2026
MAGIC customer service training certifiedTyping certificateSales
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MAGIC customer service training certifiedTyping certificateSales
About
Collect and review medical records for audits to ensure compliance with health plan quality measures. Outreach initiatives to improve member compliance and care coordination. Train and supervise staff on proper documentation and reporting.
Experience
Hedis Specialist - Community Health Group
(2023-04 - 2026-08)
- Collect and review medical records for audits to ensure compliance with health plan quality measures.
- Outreach initiatives to improve member compliance and care coordination.
- Train and supervise staff on proper documentation and reporting.
- Partner with providers and members to drive engagement and resolve issues promptly.
- High volume of inbound and outbound phone calls/emails.
Customer Service/Sales Rep - Youngevity
(2019 - 2021)
- Supported customers with wellness product selection, boosting sales and repeat purchases.
- Processed orders, managed confidential data, and assisted with account setups.
- Delivered consistent sales results by upselling and cross-selling products.
- Handled high call and email volume ensuring client satisfaction and retention.
- Scheduled appointments for large volume pickups.
Administrative Assistant - Hilton Hotel and Resort
(2016 - 2019)
- Promoted from restaurant support staff to admin assistant within 1 year.
- Prepared reports, supported management, and coordinated staff scheduling, completed monthly inventory.
- Delivered high quality customer service in hospitality, handled hotel guest requests and ensured guest satisfaction.
Education
High School Diploma - Castle Park High School (2016)
Bachelor’s - Business Admin - San Diego Mesa College
Skills
Hedis Specialist

