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@silmaliahyancy
Healthcare operations manager driving member-focused service, compliance, and team performance.
United StatesI am a healthcare operations manager with 5+ years overseeing member services, claims support, and benefits administration across Medicare, Medicaid, and commercial plans. I lead teams, maintain compliance, and consistently meet service level agreements.
My background includes direct member engagement, care coordination, and improving operational workflows through documentation and cross-functional collaboration. I have experience using EHR/EMR and CRM systems to ensure accurate case documentation and continuity of care.
I bring proven leadership—managing teams up to eight—strong communication skills, and a focus on process improvement to reduce escalations and increase efficiency. I seek roles where I can drive service quality, compliance, and member outcomes.
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Work history, roles, and key accomplishments
Wex Inc
Provided frontline support for employee benefits inquiries with focus on COBRA and group health administration, guiding HR representatives and brokers through plan navigation and resolving claims and policy issues.
Korkis Inc
Managed customer relationships and led an eight-person team to deliver services, resolve conflicts, and coordinate cross-functional activities while handling client records and service scheduling.
One Call Management Medical
Oversaw care delivery for patients with complex needs, liaised between patients, providers, and administrative staff, and managed scheduling and documentation to improve clinical outcomes and timely service execution.
Degrees, certifications, and relevant coursework
FJAssociate Degree, Business Administration
Studied business administration at Florida State College at Jacksonville, focusing on administrative and office productivity skills relevant to healthcare operations.
Software and tools used professionally
United StatesYou can contact Silmaliah and 90k+ other talented remote workers on Himalayas.
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