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Solutions-Focused Health & Human Services Leader who offers a broad background in State Legislative & Regulatory Processes, the Patient Protection & Affordable Care Act, Healthcare Management Principles & Practices, Data Analysis & Interpretation, and Policy Decision-Making, as well as talent in Strategic Analysis & Planning, Trends Tracking, Team Building & Training, Process Optimization, and Multi-Project Management. Top Performer who makes sound decisions to reflect positively on multi-site, state-wide healthcare operations in alignment with policies. Ambitious Self-Starter who rises above challenges to achieve winning outcomes, including quickly adapting to evolving healthcare marketplace scenarios, as well as independently resolving in-depth issues to boost success. Excellent Communicator who develops synergistic relationships with cross-geographical decision-makers, business / operational teams, stakeholders, and the community, and who offers up-to-date awareness of national healthcare trends.
Designing results-centric process and procedure improvements.
Reducing expenses by creating pioneering cost-conscious strategies.
Continually assessing operational needs to implement core best practices.
Demonstrating talent in translating critical data for key policy decision-making.
Proactively serving as a proven Health & Human Services SME and trusted advisor.
Driving employee engagement and creating cross-functional collaborations to meet goals.
Product Manager ￨ Health & Human Services Subject Matter Expert
Capitalize on the opportunity to lead forward-thinking Medicaid, Public Health, and Human Services policies initiatives as a recognized Subject Matter Expert (SME) and trusted advisor to states. Produce a holistic government Integrated Eligibility System (IES) solution by defining state health exchange business requirements and creating detailed functional specification documents. Serve as a resourceful advisor to states on analyzing data, developing data stories, and presenting comprehensive data for strategic planning and policy decision-making activities.
Achieved fewer system defects and increased budget savings for states.
Significantly led reductions in monthly system defects from 1,120 to only 310.
Ensured developed systems satisfied needs of business clients via user acceptance testing.
Designed, developed, and initiated UAT protocols as final phase of applications development.
Interdepartmental Project Manager
Strategically steered the State of Xxxxxx s Health Exchange for the Medicaid Program, including serving as a recognized Medicaid Subject Matter Expert (SME) and System Expert. Collaborated with member volunteers as a resource for developing policy positions as related to healthcare regulations and human service policies. Rapidly identified and mitigated issues from end-to-end via defect management functions.
Expertly designed and developed data stories within the data mart to assist Medicaid Director in establishing policy and key operational decisions for critical Medical Assistance Programs.
Led user acceptance testing to ensure that developed systems satisfied the needs of the state health exchange as specified in functional requirements.
Lead Project Manager ￨ Health Promotion Specialist
Utilized broad scope of industry knowledge toward drafting language access policy for the State of Xxxxxx to comply with Executive Order 13166, and achieved state-wide mandatory policy implementation.
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Lead Project Manager ￨ Health Promotion Specialist
Served as the go-to Subject Matter Expert to the state s Health Director on access to care in hospital regulatory compliance, Certificate of Needs (CON), and the Culturally and Linguistically Appropriate Services (CLAS). Led departmental planning and implementation to improve health outcomes.
Coordinated and led patient-center medical home model pilot project.
Reduced frequent flyer emergency department visits from 65% to only 28%.
Reduced infant mortality rates among minority and disparately affected RI population.
Led a state-wide Healthy People 2010 / 2020 national health promotion and disease prevention initiative that brought together state and private agencies to reduce disparities and inequities.
Expertly procured and managed $3.4 million in a Welfare-to-Work federal grant while cohesively monitoring and managing high-volume billing and invoicing processes which was instrumental in optimizing success.
Successfully maintained burn rates within established budget.
Played a vital role in resourcefully identifying critical operational inefficiencies and improving upstream processes, including analyzing current enrollment rates and developing processes to boost global recognition.
Increased enrollment rates of international students from 5% in 2007 to 35% in 2008.
Assistant Project Manager
Applied strong leadership talents toward directing governance and guidance workstream through results-generating drafting and updating of key scorecards, business rules, and Standard Operating Procedures (SOPs). Contributed sharp analytical skills toward managing all financial and / or contractual status reporting.
Built and sustained productive operations by onboarding all new staff members.
Personally managed the engagement team s weekly and monthly reporting process.
Program & Contract Administrator
Demonstrated experience as a policy and program expert in Medicaid, Food Stamps, and Workforce Investment Act (WIA) programs. Optimized organizational success by proactively conducting comprehensive research, analysis, and interpretation of data pertinent to the development and implementation of policy positions and advocacy strategy as related to Welfare-to-Work and the Workforce Investment Act (WIA).
Generated significant organizational cost savings by drafting quantitative / qualitative data.
Achieved a 68% employment rate within one year from the development of a multiple skills training programs with community stakeholders for low-income and / or refugee populations.
Master of Public Health Grand Canyon University
Bachelor of Arts (Honors Graduate) University of Western Ontario
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Hiring Agent Name
I am exploring a new career opportunity within a challenging [ Insert Job Title ] role, and I believe that I can make a positive contribution to your success.
To acquaint you with my background, I offer proven experience in Health & Human Services, State Legislative & Regulatory Processes, Data Analysis & Interpretation, Policy Decision-Making, Strategic Analysis & Planning, and Trends Tracking. I am also highly skilled in Team Building & Training, Process Optimization, Healthcare Management Principles & Practices, the Patient Protection & Affordable Care Act, Multi-Project Management, and Regulatory Compliance, among other areas.
Currently, as a Product Manager and Health & Human Services SME for hCentive, Inc., I expertly lead forward-thinking Medicaid, Public Health, and Human Services policies initiatives. Within this role, I successfully produce a holistic government Integrated Eligibility System (IES) solution by defining state health exchange business requirements and creating detailed functional specification documents. I also am recognized as a resourceful advisor to states on analyzing data, developing data stories, and presenting comprehensive data for strategic planning and policy decision-making activities.
A sample of my accomplishments include:
Achieving fewer system defects and increasing budget savings for states.
Significantly leading reductions in monthly system defects from 1,120 to only 310.
Ensuring developed systems satisfied needs of business clients via user acceptance testing.
Designing and implementing key UAT protocols as a final phase of applications development.
Please note that I earned a Master of Public Health from Grand Canyon University and a Bachelor of Arts (Honors Graduate) from the University of Western Ontario.
As this is just an example of my abilities, please refer to my enclosed resume for additional project management, operations management, consultant, and program / contract administration experience.
I am eager to discuss how my qualifications uniquely match your current and future needs, and look forward to interviewing with you soon.
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