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Pablo Hernandez

@pablohernandez

Detail-oriented public affairs professional with case management and quality assurance expertise.

United States
Message

What I'm looking for

I am seeking a role that leverages my case management and quality assurance skills in a mission-driven organization, with opportunities for mentorship, professional growth, and meaningful impact on clients and communities.

I am a detail-oriented public affairs professional with a Master of Public Affairs and a Bachelor of Science in Criminal Justice, complemented by a Minor in Psychology and educator preparation. I am fluent in English and Spanish and bring strong communication skills and a lifelong passion for learning.

In my professional experience I have worked in case management, quality assurance, appeals and grievances, and customer service across healthcare and social services settings. I coordinated reunification processes for minors, maintained compliance with federal standards, analyzed credit card fraud processes, and trained and mentored team members on Medicare appeals and grievance procedures.

I seek roles where I can apply my analytical mindset, regulatory knowledge, and people-focused approach to support vulnerable populations or improve operational quality. I enjoy mentoring others and aim to contribute to organizations that value professional development and community impact.

Experience

Work history, roles, and key accomplishments

TU

Appeal and Grievance Analyst

Teleperformance USA

Jan 2019 - Jan 2023 (4 years)

Monitored and trained team members on Medicare appeals and grievance processes, ensuring adherence to guidelines and improving team performance.

TU

Customer Service Advocate

Teleperformance USA

Jan 2018 - Mar 2018 (2 months)

Responded to Medicaid beneficiaries' inquiries, fulfilled health insurance requests, and provided floor support to the customer service team.

Education

Degrees, certifications, and relevant coursework

The University of Texas Rio Grande Valley logoTV

The University of Texas Rio Grande Valley

Master of Public Affairs; Bachelor of Science, Public Affairs; Public Administration; Criminal Justice; Psychology

Completed graduate and undergraduate studies with a Master of Public Affairs (concentration in Public Administration) and a Bachelor of Science in Criminal Justice; also completed a Minor in Psychology and the Educator Preparation Program; passed TExES Social Studies 4-8.

Tech stack

Software and tools used professionally

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Pablo Hernandez - Case Manager - Southwest Key Programs | Himalayas