eduardo garcia

Management, Update, Restructuring Medical Network in Sanatorio Durango. Internal improvement of recruitment, contracts, personal negotiation processes, cost containment, Medical Management.

A charge of 4 executives Network. Review of databases to improve and achieve sufficiency. Redistributing equity in care with providers TOP. Contact personalized with directors Groups Hospital, Medical Groups, Pharmacies, Cabinets, Laboratories. Tenders reliable information. Creating new processes for cost containment in cases of high hospital costs. Effective communication with internal customers to improve processes.

Labor In the Medical Unit of Male Detention East. Attention of 100% of emergency care at night shift was reached. Improved physician-patient relationship in institutions Risk. Changing processes in high stress situations. Grant comprehensive medical care to inmates, custody and administrative personnel in case of medical emergency. Case Tracking frequent and complicated conditions. Keep working hygiene measures within existing normativities. Application of procedures in case of contingencies (mass vaccination campaigns, local disease outbreaks, etc.).

Restructures and Contracting Medical Staf : Outpatient and Hospitalization. Improved Operational Offices Tower (Administrative, Call Center and Medical). Radical decrease in granting appointments and patient care at the Outpatient (decrease of complaints). Records for management review according to Norma Oficial Mexicana. Cost recovery. Staffing according to Powers. Evaluation of Personnel for maintenance and improvement. Board member of the Committee on Government Delivery Guard, Programming Surgery, Radiology, Continuous Improvement. Effective Management and Operational level communication.

Creating and Management Network Providers of Medical Doctors, Hospitals, Labs and Radiology Cabinets, Home Care, etc., at the national level, Evaluation of partners to improve services, costs , operational integration. Links priority negotiation with suppliers Elite (VIP) , cost containment level suppliers, custom Negotiations, personalized follow-up with International insured attentions within the country, replicate model based work (Miami ) in country. Review committee level providers in Latin America (Miami headquarters).

Collaborating with 6 direct team members. Development and implementation of new business strategies in the management of high-cost diseases (Case Management). Support in the selection and control of providers (doctors, hospitals , diagnostic support, etc.). Review and resolution of incidents and complaints with different providers. Synergy with operational areas for creation, improvements, implementation and monitoring of new projects. Support for different areas related to management (Operation, capture, executives call, payments). Adjustment, modification and application of business tabs. Selection of elite doctors. Customer Service unwieldy

2 years as Coordinator areas Medical Expenses Reimbursement, elective surgery, payment to suppliers, with staff in charge. Results with teams. Knowledge of Insurance regulations. Turnover decreased medical staff (less than 15% annually). Personnel management according to competencies (23 attending physicians). Take the medical opinion to 95% quality and response times established. Decreased medical processes error less than 5%. Percentage answering 98%. Reduction in time medical training without affecting quality or performance. Weekly and monthly feedback to staff. Immediate implementation of changes and new processes. Member of the Medical Committee. Organizing medical equipment for activities of opinion in different degrees of experience. Care Management Difficult customers. Management and conflict resolution. Support areas related opinion (complaints, customer service, call center executives). Monitoring of calls in the Call Center and processing format for registration.