Shirley S.

About Shirley S.

Highly accomplished Managed Care Professional with two decades of progressive experience in optimizing healthcare delivery and cost-efficiency within managed care organizations. Proven ability to lead and manage complex initiatives, ensuring regulatory compliance, and driving positive patient outcomes. Adept at strategic planning, contract negotiation, and building strong relationships with providers, payers, and members. Further demonstrating leadership and organizational skills as a successful Volunteer Program Lead, inspiring and motivating teams to achieve impactful community initiatives. Seeking to leverage this combined expertise to contribute significantly to a challenging and rewarding role.Complementing a strong managed care background are leadership and community engagement skills developed through volunteer program development and management. Demonstrated experience in mobilizing teams and collaborating effectively for impactful outcomes in community settings. The goal is to leverage comprehensive expertise in managed care and volunteer leadership to drive organizational growth and improve patient care.Core Qualifications• Outstanding interpersonal and organizational skills• Result oriented.• Experience in developing, launching, and scaling successful volunteer programs.• Developing strong relationships with community partners to enhance program reach and impact.• Six Sigma Black belt certification• Highly adaptable• Resourceful and self sufficient• Works efficiently in a demanding and fast paced work environment.• Health & Accident License• Developing and implementing managed care strategies to optimize financial performance and ensure the delivery of high-quality patient care.• Proficient in Microsoft Office Suite: Outlook, Word, PowerPoint, Excel, Access• Bilingual Spanish, English and Italian • Utilizing data analytics to identify trends, enhance operational efficiencies, and improve patient outcomes.• Enhance public understanding of preventive care and wellness programs and increase enrollment into health insurance products.

Experience

1. Events & Activation Manager

   Healthfirst

   Jun 2025 — Present

   The Community Engagement Events Manager works closely with the Community Engagement team with the responsibility for creating and implementing a strategic plan to support Healthfirst’s in becoming the pre-eminent and socially responsible health plan in our service area. The manager collaborates with other CE managers and internal partners to plan and produce major events, along with key programming that supports measurable growth, retention, stakeholder satisfaction, and addresses social determinants of health. The manager is instrumental in creating and improving activations, appraising new partnerships, evaluating technology, and gathering and reporting key data and information to support high team performance, providing an optimal experience for Healthfirst members and their communities. The manager leads efforts to inform the company regularly about CE accomplishments and to promote meaningful volunteering opportunities at CE engagements. The individual at this level will embody Healthfirst’s Culture Drivers through his/her workplace behavior, while promoting and reinforcing subordinate behavior that is consistent with Healthfirst’s desired culture.

Education

• Jones International University, Centennial, Colorado

  Business Administration – BBA Sales and Marketing Management

• John Jay College (CUNY)

  Master psychology

• LaGuardia Community College, Long Island City, NY

  Business Administration-Associate degree

• Universidad Católica de Santiago de Guayaquil

  Master of Science (MSc)