Jocelyn Rizzo
Chicago
Summary
Clifton Strengths: Relator, Connectedness, Input, Learner and Strategic.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
18
18
years of professional experience
4
4
Languages
Work History
Provider Engagement Professional 2
Humana
Chicago, IL
10.2025 - Current
- Reviews provider inquiries concerning eligibility, benefits, and claims issues while applying policy and procedure knowledge to reduce escalations.
- Investigates claim discrepancies and routes complex cases to appropriate teams for resolution.
- Assists network and service operations by tracking requests, follow-ups, and case status amongst cross-functional teams.
- Represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence.
- Supports the build of an inclusive culture by serving as a member of the Associate Engagement Committee.
Care Coordinator, Long Term Support and Services
Humana
Chicago, IL
05.2023 - 09.2025
- Validated completeness and accuracy of authorization requests and referrals, ensuring alignment with plan requirements.
- Reviewed care plan effectiveness periodically, making necessary adjustments using feedback from patients and providers.
- Strengthened trust and rapport while conducting in-person visits and telephone check-ins to improve HCBS delivery and ensure appropriate continuous care on an ongoing basis.
- Engaged mentorship to better understand Humana culture and growth opportunities within a 6-month time frame.
- Achieved documentation excellence by maintaining detailed records and completing a warm hand-off to guarantee seamless transitions.
- Enabled teammate success by sharing best practices, sharing resources, and proactively assisting peers.
Team Lead, Provider Network Services
ComPsych Corporation
Chicago, IL
04.2019 - 05.2023
- Reviewed escalated cases, identified root causes, and guided appropriate follow-up actions.
- Coordinated staff resource allocation through hiring manager and trainer responsibilities, maintaining proper staffing and production levels for work volume.
- Ensured cost containment and quality standards consistent with internal goals and budgets by reviewing negotiating and approving rate requests.
- Analyzed workflow opportunities and implemented process improvements to raise operating efficiency across departments.
- Maintained a positive work environment supporting high-performing teams, as reflected by growing the team by 70%.
Care Manager Team Lead
Erie
Chicago, IL
05.2017 - 03.2019
- Led daily team workflow, assigned priorities, and maintained consistent output across shifting workloads.
- Coached team members on procedures, quality standards, and effective problem-solving techniques.
- Developed, prepared, and analyzed reports following established database systems supporting Erie and other government partners.
- Assessed critical information and developed creative recommendations for quality service delivery, staff training, and community resources to support care managers and community health workers during daily duties.
Long Term Support and Services Care Coordinator
Cigna HealthSpring & Community Care Alliance of Illinois
Chicago, IL
03.2015 - 04.2017
- Coordinated member outreach, assessments, and follow-up to support individualized care plans.
- Documented case notes accurately in care management systems to maintain compliant records.
- Executed detailed home visits to evaluate members’ care plans aligned with high, moderate, and low risk guidelines.
- Completed outreach to members before, during, and after interventions to coordinate services and follow-up care.
- Fulfilled mandated reporting requirements to safeguard safety, quality of life, and health of members.
Social Services Supervisor
Heartland Alliance
Rosemont, IL
04.2014 - 03.2015
- Provided guidance to passengers on available options while facilitating referrals to appropriate agencies for support.
- Supported vulnerable passengers through social services, crisis intervention, and protective travel services*, serving severely injured military repatriates, passengers with special needs, refugees, and other at-risk travelers.
- Oversaw volunteers and conducted *PTS training; available for additional training and general support.
- Tracked daily service deliveries by completing case notes paperwork and monthly reports according to guidelines.
Employment & Education Specialist
Casa Central, La Posada (Transitional Housing)
Chicago, IL
09.2012 - 05.2014
- Facilitated students’ transition into homelessness by securing students’ rights that are granted and upheld by the school.
- Assisted with job readiness and corresponding job searches from resume creation through mock interviews and outfit selection.
- Provided for the supportive needs such as food, clothing, interpretation, and accompanying parents to IEP meetings or school hearings.
English Professor
French Ministry of Education
Blois, France
10.2010 - 08.2012
- Presented engaging classroom instruction across reading, writing, speaking, and listening competencies by sharing American culture perspectives tailored to level and age.
Family Service Worker II
Catholic Charities, Head Start
Joliet, IL
08.2008 - 09.2010
- Performed weekly, monthly and quarterly reports and maintained the site’s monthly food restrictions list (calendar).
- Administered intake interviews, assessed social emotional needs and served as a liaison between the parents and staff.
- Modeled team-player behavior through peer assistance during short-staffed classroom operations and the completion of the Illinois Food Sanitation training to aid with lunch and snack service.
Education
Bachelor of Science - Psychology, French
Iowa State University
Ames, IA05-2007
Skills
- Business Process Improvement
- Project management
- Solutions-oriented
- Attention to detail
- Effective communication
- Relationship building
- Adaptability and flexibility
- Inclusion Champion
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
French
Professional Working
Italian
Elementary
Interests
- Nature (birdwatcher & hiker)
- Photography
- Being a Foodie
Timeline
Provider Engagement Professional 2
Humana
10.2025 - Current
Care Coordinator, Long Term Support and Services
Humana
05.2023 - 09.2025
Team Lead, Provider Network Services
ComPsych Corporation
04.2019 - 05.2023
Care Manager Team Lead
Erie
05.2017 - 03.2019
Long Term Support and Services Care Coordinator
Cigna HealthSpring & Community Care Alliance of Illinois
03.2015 - 04.2017
Social Services Supervisor
Heartland Alliance
04.2014 - 03.2015
Employment & Education Specialist
Casa Central, La Posada (Transitional Housing)
09.2012 - 05.2014
English Professor
French Ministry of Education
10.2010 - 08.2012
Family Service Worker II
Catholic Charities, Head Start
08.2008 - 09.2010
Bachelor of Science - Psychology, French
Iowa State University