Maribel Gonzalez
Quality Assurance & Compliance Professional | MPH | 10+ Yrs in QA, Call Center Ops & Healthcare | SOPs • Document Control • Medicare Compliance • Driving Accuracy + Outcomes
- Role
- Bilingual Qc Admin Ii at Maximus
- Location
- Tampa, FL, US
- LinkedIn followers
- 500 followers
About Maribel Gonzalez
Healthcare quality and compliance professional with experience in Medicaid eligibility…
Experience
Bilingual Qc Admin Ii
Aug 2022 — Present · Tampa, FL, US
Quality assurance professional supporting Medicaid documentation, eligibility reviews, and compliance improvement across state health programs. Provide bilingual QA support (English/Spanish), ensure accuracy in consumer case files, and contribute to policy and appeals evaluations.Key Responsibilities & Achievements:• Review Medicaid applications and client records to evaluate Eligibility Specialist performance, documentation accuracy, and adherence to program standards.• Deliver quality feedback to agents and participate in calibration meetings using Microsoft Teams to ensure consistent evaluation practices.• Process appeals, resolve documentation discrepancies, and support high-stakes case handling for consumer services.• Assist with training and mentoring of new hires on quality procedures, scoring metrics, and compliance policies.• Utilize QCAT, SharePoint, Workday, and Panviva for reporting and audit tracking.• Twice recognized as Customer Service Employee of the Month for service excellence.
Education
University Of Puerto Rico
Bachelor of Arts (BA)
Walden University
Master's degree
2009 — 2012
New Millenium Institute
Computer Assembly & Repair/Web page Design Certification
Skills
- Bilingual Engish - Spanish
- Account Management
- Training & Development
- Ability to Communicate in German, French and Portuguese
- Strong Collection and Repossession Skills
- Mac/Pc Proficient
- Interpersonal and Communication Skills
- Health Education
- Communication Skills
- Collections
- German
- Bilingual
- Spanish
- Communication
- Interpersonal Skill
- Public Health
- Employee Training
- Leadership
- Strategic Planning
- Fundraising
- Research
- Program Planning & Evaluation
- Cultural Competence
- Disease Prevention
- Management
- Training
- Editing
- Event Planning
- Social Networking
- Access
- Public Speaking
- Community Outreach
- Program Development
- Recruiting
- Sales
- Qualitative Research
- Analysis
- Grants
- Nonprofits
- Grant Writing
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