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Kristen RodriguezKR
Open to opportunities

Kristen Rodriguez

@kristenrodriguez

I improve quality systems and resolve complex healthcare grievances and appeals.

United States
Message

What I'm looking for

I'm looking to improve quality, compliance, and operational processes while partnering across departments to resolve complex issues and strengthen business practices.

At Centene, I compile state reports, resolve member and provider grievances and appeals, and serve as a liaison among members, providers, regulatory agencies, and internal teams. I improved peer-to-peer turnaround time, reduced pending scheduling requests, and updated work instructions to support new hires.

I've also led quality systems at Stupp Corporation, maintaining ISO 9001 and API Q1 certifications, coordinating audits, corrective actions, controlled documentation, and quality personnel. My earlier laboratory work at BP Castrol, ExxonMobil, and A & E Testing built a strong foundation in regulatory compliance, analytical testing, data integrity, safety, and process improvement.

Experience

Work history, roles, and key accomplishments

Centene logoCE
Current

Grievance & Appeals Coordinator II

Apr 2023 - Present (3 years 5 months)

Compiled state reports, updated work instructions, and improved peer-to-peer processes. Collaborated with subject matter experts and served as a liaison between members, providers, and regulatory agencies.

Education

Degrees, certifications, and relevant coursework

University of North Texas logoUT

University of North Texas

Bachelor of Arts, General Studies

Grade: 3.35

Activities and societies: Dean's List one semester, Honor Roll six semesters

Earned a Bachelor of Arts in General Studies with a focus on Geology, Biology, and Archaeology. Graduated with a cumulative GPA of 3.35 and was named to the Dean's List one semester and the Honor Roll six semesters.

Tech stack

Software and tools used professionally

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