6684 Baca Grande Drive, Albuquerne, New Mexico 87101
Business Analyst with superior analytical skills applied to
contract negotiations, business processes, data collection
and management for major health providers, including Health
First. Consistently promoted to positions of increased
responsibility, advancing three times within a one-year period.
Excellent communicator with fluency in English and Spanish.
Proven leadership in training employees and conducting formal
presentations to all levels of management. Outstanding academic
credentials in business, international management, and
Completed contracting for 6,000+
providers within 6 months for CHAMPUS contract.
Improved production 20% through the
establishment of department production standards.
Launched marketing department for the
State of New Mexico.
Financial & Business Analysis
Performed complex analyses for
system-wide negotiations, projections, and line-of-business
reviews in addition to analysis of population
distribution, claim/utilization, and cost.
Identified, collected, and organized
data from multiple sources for input into monthly,
annual, and ad hoc reports provided to
contracting/finance departments and senior management.
Designed and implemented database
applications used in contract rate and risk management
analysis as well as the identification and correction of
date errors and discrepancies.
Management & Supervision
Analyzed, interpreted, and resolved
claims with authorization for payments up to $75,000.
Directed activities of 40 claims
analysts at a large project site.
Interacted daily with enrolment,
claims, utilization/quality management, and customer service
resolve provider issues.
HEALTH FIRST, Albuquerque, New Mexico, 1997-2003
Manager, Contract Analysis/Senior Financial Analyst
FEDERAL HEALTH SERVICES, Albuquerque, New Mexico, 1994-1997
Manager, Provider Relations
CROSS HEALTH CARE, Albuquerque, New Mexico, 1993-1994
Albuquerque, New Mexico, 1990-1993
GRADUATE SCHOOL OF BUSINESS, Albuquerque, New Mexico
Master of Business Administration, 1992
NEW WEST UNIVERSITY, Albuquerque, New Mexico
Bachelor of Arts in Business, 1989