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Luis MartinezLM
Open to opportunities

Luis Martinez

@luismartinez10

I improve healthcare operations through care management support, data analysis, and IT troubleshooting.

Zimbabwe
Message

At Humana, I support care management operations by supervising 13 associates, monitoring quality and MOC compliance, and tracking daily, weekly, and monthly performance metrics.

I analyze grievances, appeals, clinical-platform data, reports, incidents, and opportunities to inform action plans. I also provide guidance, training, and support to help teams meet productivity goals.

Previously, I supported clinical staff, members, and providers at Humana, earning Star Awards in 2017 and 2018 and recognition as a top production performer. My background also includes hotel operations, project coordination, revenue oversight, and computer sales support.

Experience

Work history, roles, and key accomplishments

Humana, Inc. logoHI
Current

Supervisor Care Management Support

Feb 2019 - Present (7 years 6 months)

Directly contribute to administration of care management support of 13 associates, perform quality assurance call monitoring audits, and manage Grievance and Appeals through data analysis in clinical platforms. Monitor performance metrics and provide guidance, training, and support to ensure productivity goals are met.

Education

Degrees, certifications, and relevant coursework

NU

National College University

Associate's Degree, Computer and Network Development

2014 - 2017

Pursued an Associate's Degree in Computer and Network Development, gaining foundational knowledge in computer systems and network technologies.

Tech stack

Software and tools used professionally

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