Image of Carmen Alfonso

Carmen Alfonso's Email & Phone Number

Key Decision Maker in Mission-Critical Healthcare Business Improvement Strategies / Subject Matter Expert in Medicare Standards and Administration / Providing a Patient-First Approach to Healthcare Pr

Carmen Alfonso's Email Addresses

ca****[email protected] Personal Email
d****[email protected] Work Email

Carmen Alfonso's Phone Numbers

(602) ***-*333 Phone number

Carmen Alfonso's Work Experience

Managed Care Consulting, Inc.

Senior Medical Advisor, Tenet Healthcare Plans

October 2013 to Present

HUMANA

Medical Director West Coast Region

October 2011 to Present

Carmen Alfonso's Education

University of New England

January 1986 to January 1990

University of Miami

January 1980 to January 1985

Letterman Army Medical Center, Presidio, San Francisco, CA

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Carmen Alfonso's Professional Skills Radar Chart

Based on our findings, Carmen Alfonso is ...

Open
Outgoing
Organized

What's on Carmen Alfonso's mind?

Based on our findings, Carmen Alfonso is ...

52% Left Brained
48% Right Brained

Carmen Alfonso's Estimated Salary Range

About Carmen Alfonso's Current Company

HUMANA

Frequently Asked Questions about Carmen Alfonso

What company does Carmen Alfonso work for?

Carmen Alfonso works for HUMANA


What is Carmen Alfonso's role at HUMANA?

Carmen Alfonso is Medical Director West Coast Region


What is Carmen Alfonso's personal email address?

Carmen Alfonso's personal email address is ca****[email protected]


What is Carmen Alfonso's business email address?

Carmen Alfonso's business email address is d****[email protected]


What is Carmen Alfonso's Phone Number?

Carmen Alfonso's phone (602) ***-*333


What industry does Carmen Alfonso work in?

Carmen Alfonso works in the Hospital & Health Care industry.


About Carmen Alfonso

💼 Past Experience

Medical Director West Coast Region at HUMANAPHoenix, AZ. Responsible for the Medicare Model of Care for the West Coast Region. CDC - Datamine databases to provide analysis of vital statistics and market trends. Milliman Expert Certified - Utilization Management (MCG/Milliman Expert Certified). Manage the inpatient population through the various levels of care. Analyze trends to determine areas of potential growth and expansion to spearhead efficiency, provide highest level care, and increase revenue. Technologicallysavvied and able to leverage this technology to educate plan physicians/providers in order to meet the "5 stars" expectations-transforming healthcare into the "value-based" system being mandated by congress and CMS. Promoting member retention which will also be clearly impact the "5 Stars" program; Insuring that MLR's are maintained at less than 85% to insure plan Survival.Provide medical leadership and strategy for a regional Health Services Operations. Provide support and ensure compliance with all regulatory issues related to utilization management. Implement quality improvement programs as defined by corporate leadership and CMS. Responsible for medical interpretation, reviews, and decisions as required for plan administration. Participate on committees that require medical expertise.


🎓 Education

Carmen Alfonso has a B.A. from the University of Miami in 1980 and a Doctorate of Educational Psychology from the University of New England in 1986. Carmen Alfonso has been a teaching assistant and then a full-time professor at the University of Miami since 1990. Carmen Alfonso's areas of study have included early intervention, behavior modification, and education for social workers. Carmen Alfonso has received many awards for her work, including the2016 American Educational Research Association, the 2016 Louisville Conference on Teaching, Learning and Scholarship Award, and the 2017 American Psychological Association Investigator Award for First-Year Teaching.


💡 Technical & Interpersonal Skills

skills: Medical Director West Coast Region at HUMANACarmen Alfonso has a background in medical interpretation, reviews, and decisions as required for plan administration. Manage the inpatient population through the various levels of care. skills: Medical Director West Coast Region at HUMANA has a background in medical interpretation, reviews, and decisions as required for plan administration.


Carmen Alfonso’s Personal Email Address, Business Email, and Phone Number

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In a nutshell

Carmen Alfonso's Ranking

Ranked #176 out of 3,520 for Medical Director West Coast Region in Arizona

Carmen Alfonso's Personality Type

Extraversion (E), Sensing (S), Feeling (F), Judging (J)

Average Tenure

2 year(s), 0 month(s)

Carmen Alfonso's Willingness to Change Jobs

Unlikely

Likely

Open to opportunity?

There's 79% chance that Carmen Alfonso is seeking for new opportunities

Carmen Alfonso's Social Media Links

/in/carmenalfonso
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