Esther Encinosa Application Package MI AM I B EAC H BOARD AND COMMITTEE APPLICATION FORM
Encinosa Esther
Last Name First Name Middle Initial
2801 sw 152 court Miami FL 33135
Home Address City State Zip Code
786-526-8163 305-300-4383 eencinosa@yahoo.com
Home Telephone Work Telephone Cellular Telephone Email address
South Florida Seniors in Action Managing Director
Business Name Occupation
833-6 street Miami Beach FL 33139
Business Address City State Zip Code
Professional License(describe): Expires:
Please attach a copy of currently effective professional license.
Pursuant to City Code section 2-22(4)a&b: Members of agencies, boards and committees shall be affiliated with the
City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for
a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a
business established in the City for a minimum of six months.
• Resident of Miami Beach for a minimum of six (6) months:Yes ar No
• Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months:Yes [a No
• Are you a registered voter in Miami Beach:Yes Ubr No
• I am now a resident of: North Beach South Beach Middle Beach
• I am applying for an appointment because I have special abilities,knowledge and experience. Please list below:
Healthcare Resources for disabled individuals, Social Services for entitlement programs
• Are you presently a registered lobbyist with the City of Miami Beach?Yes or No
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note thaj
only three(31 choices will be observed by the Office of the City Clerk,
Affordable Housing Advisory Committee Health Advisory Committee Parks and Recreation Facilities Board°O
G.O. Bond Oversight Committee Mayor's 41s`Street Committee
Art in Public Places Committee Health Facilities Authority Board Personnel Board*
Audit Committee * Hispanic Affairs Committee If Planning Board*
Board of Adjustment* Historic Preservation Board Police Citizens Relations Committee
Budget Advisory Committee Housing Authority Production Industry Council
Committee on the Homeless Human Rights Committee Senior Affairs Committee 2
Committee for Quality Education in MB LGBTQ Advisory Committee Sustainability Committee
Convention Center Advisory Board Marine&Waterfront Protection Authority Transportation, Parking, & Bicycle-Pedestrian
Facilities Committee
Cultural Arts Council * Miami Beach Commission for Women Visitor and Convention Authority
Design Review Board Normandy Shores Local Government Youth Commission
Neighborhood Improvement
Disability Access Committee 1 Ad Hoc Anti-Bullying Task Force Miami Beach Hall of Fame Selection Committee
Next Gen Council Animal Welfare Committee Mayor's Blue Ribbon Panel on Ocean Drive
* Board members are required to file Form 1 —"Statement of Financial Interest"with the State.
*If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review
Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License License Number
License Issuance Date License Expiration Date
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oO Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center:
• Please describe your past service with the City's Youth Centers(include dates of service):
• Present participation in Youth Center activities by your children:Yes 0 No 0
If yes, please list below the names of your children,their ages and the programs in which they participate:
Child's name: Age: Program:
Child's name: I—� f� Age: Program:
• Have you ever been convicted of a felony?Yes Ul or No If yes,please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach Code?Yes or NoZ1 If yes,please explain in detail:
• Do you currently owe the City of Miami Beach any money?Yes 0 or No'^ ' If yes,explain in detail:
•Are you currently serving on any City Board or Committee?Yes 0 or No If yes,which board/committee?
• In what organization(s)in the City of Miami Beach do you currently hold membership?
Name Position
Name Position
• List all properties owned or in which you have an interest within the City of Miami Beach:
•Are you now employed by the City of Miami Beach?Yes Ul or No'^ ■
Which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent 0, spouse 0, child 0 brother 0 or sister 0 who is
employed by the City of Miami Beach?Yes Eor No 01
If"Yes," identify person(s)and department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment. It is being asked to comply with City diversity reporting requirements.
Gender: Male I Female x
Race/Ethnic Categories
What is your race?
African-American/Black
Caucasian/White
ILi Asian or Pacific Islander
L1 Native-American/American Indian
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I Other—Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a.
0No
0 Yes
Doyouyou consider yourself Physically Disabled?
^ • No
0 Yes
NOTE: IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE
MEMBERS.THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:
o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the City(Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach
City Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from having
any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom
you have business or immediate family ties (CFR 570.611).
o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open
government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most
meetings of boards,commissions and other governing bodies of state and local governmental agencies or authorities.
o Voting conflict— Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or
elected board, council, commission, authority or committee. It applies equally to members of advisory and non-advisory bodies
who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.
Upon request,copies of these laws may be obtained from the City Clerk.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND
WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR
CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STATUTES ACCORDINGLY."
7/24/2019 Esther Encinosa
Applicant's Signature Date Name of Applicant(PLEASE PRINT)
Received in the Office of the City Clerk by:
Name of Deputy Clerk Control No. Date
ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION.
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Esther Encinosa
Miami Florida(305)300-4383 eencinosa@yahoo.com
EXPERIENCE
Encinosa Management and Consultants July 2014-Present
President
• Focus is on comprehensive operational management of physician groups. OSHA, HIPPA,
CMS, FDOL compliance training and implementation. Financial analytics of daily operations
and efficiency implementations inclusive of software programs, security program, social
media presence. Prevent Fraud, Waste and abuse by quality care guideline implementation.
Implement best payroll,training and HR practices.
Senior Contracting Specialist July 2011-July 2014
CarePlus/Humana Healthplans-Provider Operations
• Managed all of Miami Dade County primary physician provider contracting. Coordinated with
Social Services,Long Term Care,Ancillary Facility, Finance,Specialty Physician contracting
and Hospital teams on various goals. Five Star plan status initial achievement acquired
through group efforts and individual accountability. Concentrated on educating primary care
physicians in various adult programs in addition to entitlement programs available to all
seniors. Managed and maintained primary care providers with in highest performance
standards and utilization efficiency. Provided risk management training, trained physicians
and staff on Fraud,Waste and Abuse state standards.
Provider Contracting Specialist April 2005 to June 2011
Florida Healthplan Administrators-Provider Operations Department
Vista Healthplan and Summit Healthplan Miami,FL
• Responsible for processing contracts of Primary Care Physicians, Specialty Care Physicians
and Physician Groups. Provide educational packets ensuring provider and staff understand
company policies and procedures. Maintain Physician files compliant with State and
Medicare laws regarding licensure, insurance coverage and credentialing documentation.
Maintenance of multiple physician corporate financial documents to facilitate payment and
recovery.Manage incoming provider inquiries; identify potential claim trends and follows-up
with provider and internal departments ensuring identified problems have been resolved.
Negotiate L.O.A.'s (Letter of Agreement) between Healthplan and Non-Participating
providers as needed to fill network gaps or continuity of care. Lead the effort to establish
consistent, positive and strong relationship between provider offices and the Healthplan.
Provide PCP's, IPA's and MSO's financial benchmark reports for review of their overall
managed care performance. Dominant focus on Medicare risk contracting including provider
network gaps,MLR target goal,capitation and partial risk management for cost effectiveness.
Most importantly knowledgeable regarding financial viability,network participation,provider
issues,services,and availability for all types of providers.
Provider Relations/Utilization/Office Manager October 2001 to April 2005
Physicians Management Network/PMN Medical Center Miami,FL
■ Responsible for processing and managing contracts of PCP's. Regularly updating physician
partners through monthly site visits. Provide physicians with pharmacy, ancillary facility,
specialty network and hospital performance reviews quarterly and monthly. Provide PCP's
with educational tools for staff enrichment through regular training visits. Annual IPA
medical records review for adherence to CMS and HMO requirements of documentation and
record keeping HIPPA regulations. Create personalized Inservice materials for PCP's,
providing a preferred delivery system based on location, facilitating the use pre approved
ancillary/specialist providers based on competitive MA% rates. Lead the notification effort
for our IPA to HMO partners regarding mandatory encounter submission for HCC value
review. Manage IPA daily operations and medical center physicians and staff. Sustain IPA
and Medical Center Physician's credentialing and licensing information updated. Uphold
OSHA and HIPPA annual required training for all medical center staff. Responsible for all
Medical Center and IPA employee scheduling, payroll, and management of daily operations,
along with policies and procedures for the Medical Center and its staff.
Medical Office Manager January 1997 to October 2001
Rene J.Garcia M.D.,Miami,FL
• Responsible for multiple health plan contract management. Daily operations management.
Maintained UM school of medicine rotation roster for UM students, as a teaching physician
practice. Achieved full computer automation of patient charts and daily prescription registry.
Administrated follow through on patient care and treatment regiments as ordered by physician.
EDUCATION
Miami Dade Community College Miami,FL(Esther Gonzalez)
AA Health Care Administration 1998
VOLUNTEER SERVICES
South Florida Seniors in Action—Managing Director
American Heart Association—Volunteer/Fundraising
Camillus House—Volunteer/Fundraising
Leukemia&Lymphoma Society Fundraiser;
Camp Fun Rise for JRA(Arthritis Foundation)
SKILLS:
• Computer: Proficient in Microsoft Office,Word,and Excel
• Healthcare Programs: Power MHS 5.22,Aprovider,EXP Macess,AllScripts, AdvancedMD...
• Language: Fluent in Spanish and English.
• Excellent written skills and the ability to speak well publicly
• Talented in managing 20+staff members of various disciplines fairly and impartially
• Motivate team work goals through recognition of individual contributions.
• Ability to organize multiples tasks and work environment for optimal efficiency
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