Roberto De Jesús, MBA, DHA, CRCR
Healthcare Financial Management Association (HFMA) at Healthcare Financial Management Association (HFMA)- Claim this Profile
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Bio
Experience
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Healthcare Financial Management Association (HFMA)
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Healthcare Financial Management Association (HFMA)
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Feb 2021 - Present
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ACHE
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Texas, United States
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ACHE Member
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Jan 2020 - Present
I am a member of the American College of Healthcare Executives (ACHE) and will be seeking my CHE at the appropriate time. I am a member of the American College of Healthcare Executives (ACHE) and will be seeking my CHE at the appropriate time.
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Family Health South Texas Clinic
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Texas, United States
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Practice Manager, Doctorate Internship (Practicum)
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Jan 2020 - Oct 2020
In my most recent position I work with the providers to optimize their practice reimbursements and quality. I find working with the physician medical groups very rewarding. I have both the technical and people skills to assist the providers in optimizing their clinic bottom line, while being focused on the quality reporting and patient care services. In my most recent position I work with the providers to optimize their practice reimbursements and quality. I find working with the physician medical groups very rewarding. I have both the technical and people skills to assist the providers in optimizing their clinic bottom line, while being focused on the quality reporting and patient care services.
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Humana Inc.
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United States
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Insurance
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700 & Above Employee
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Financial Analyst ( Market Finance Professional)
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Apr 2019 - Jan 2020
Humana Inc., San Antonio, TX Market Financial Analyst Professional 2 April 2019 – Present Actuary, MRA, Corporate Finance, Clinical, Provider Engagement and Market Point internally and Providers/Hospitals/Ancillary externally to drive optimization using data pulled from EDW data warehouse. Support the strategic planning and addressing specific business performance issues across matrixed organization including STAR rating, clinical metrics HEDIS and Performance balances. Provide support in activities spanning decisions required for day-to-day operations. Attend and conducts performance improvement meetings and fostering key relationships with business stakeholders. Support department, segment, and organizational strategy and operating objectives. Makes decisions regarding own work methods, occasionally in ambiguous situations. Requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Show less
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Financial Accounting Analyst
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Sep 2015 - Jan 2017
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Validation Specialist (Information Analyst)
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May 2012 - May 2015
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Service Representative
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Mar 2008 - May 2012
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Education
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HFMA
Certified Specialist Physician Practice Management, Healthcare -
HFMA
CRCR, Revenue Cycle Representative -
Capella University
Doctor Of Health Adm, Doctor Health Administration (DHA) -
Billing, Coding and Auditing Certified
Healthcare -
Universidad Interamericana de Puerto Rico
Master of Business Administration (M.B.A.), Finance, General -
universidad Interamericana de Puerto Rico
Bachelor of Business Administration (BBA), Business Administration and Management, General