Power BI integrated OutSystems software
Hi, I’m
Alison Pryor
Compliance, Internal Auditing and Educator
Phoenix,AZ
Summary
Dynamic individual with hands-on experience in Case Management, Grant Management, Appeals & Grievances Internal Auditing and talent for navigating challenges. Brings strong problem-solving skills, refined critical thinking skills and proactive approach to new tasks. Known for dependability, adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Narration Link: https://drive.google.com/drive/folders/1C-Vje39sF_IxTIKieIjU9O6VqUh3pggQ?usp=drive_link
Overview
12
years of professional experience
3
years of post-secondary education
Work History
Horne
Case Manager, LA County Rent Relief
10.2021 - 09.2024
Job overview
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Analyzed case data to identify trends and patterns, improving case resolution efficiency by 20%.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances, policy updates and new applicant information.
- Contributed to team discussions actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Assisted clients in navigating program eligibility requirements to access benefits of rent and utility assistance to avoid eviction.
Horne
Appeals Specialist, CA Rent Relief
02.2022 - 03.2024
Job overview
- Simultaneously assisted with program close-out assignments while on LA County Rent Relief project from March 2024 to June 2024.
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
- Navigated and resolved over 75 cases submitted to appeals exceeding weekly production goals with a 2% return rate.
- Employed accounting skills to determine award adjustments and appeal offsets as appropriate.
- Communicated with applicants to obtain additional documentation to further validate their appeals while providing superior customer service.
- Reviewed and modified appeals audit tools and completed internal audits of appeals cases previously completed upon request.
- Special projects as assigned.
- Assisted in training team members as requested.
Horne
Eligibility Analyst - TN Rent Relief Temporary
04.2023 - 05.2023
Job overview
- Facilitated communication between clients and relevant departments to ensure timely processing of applications.
- Increased accuracy of eligibility determinations with thorough documentation review and verification.
- Enhanced client satisfaction by efficiently processing eligibility applications and determining accurate benefit amounts.
- Analyzed and reported on eligibility data, identifying trends and discrepancies.
- Expedited case resolution by proactively addressing discrepancies or incomplete information in application materials.
- Provided excellent customer service while gathering necessary information from applicants, fostering trust and rapport.
- Resolved complex eligibility issues by collaborating with applicants and cross-functional teams.
Horne
Fraud, Waste & Abuse Case Manager, CA Rent Relief
01.2022 - 02.2022
Job overview
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted detailed investigations that resulted in the recovery of $50,000 in fraudulent claims.
- Analyzed claim patterns to identify discrepancies, reducing false claims by 20%.
- Ensured compliance with industry standards and regulations, resulting in minimal compliance findings during audits.
- Analyzed substantial amounts of data to find patterns of inconsistencies including financial and identity documentation to mitigate risk to program.
- Identified and escalated applications with unverifiable information.
- Identified applications for recapture.
Horne
Eligibility Analyst, TX Rent Relief
10.2021 - 12.2022
Job overview
- Assisted management with staff training initiatives, sharing expertise on eligibility analysis techniques to improve overall team proficiency.
- Successfully managed deadlines under pressure without compromising quality or accuracy of work.
- Continuously exceeded monthly performance metrics by effectively managing caseloads and prioritizing high-impact tasks.
- Implemented new strategies for handling complex cases, resulting in higher success rates for challenging eligibility determinations.
The Volen Center
Director of Compliance
07.2019 - 07.2021
Job overview
- Managed compliance efforts, reporting and audits.
- Prepared records and data for regular audits.
- Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations.
- Consulted with clients on best practices and served as project manager for all process improvements and regulatory initiatives.
The Volen Center
Director of Programs
10.2019 - 02.2020
Job overview
- Built partnerships with external organizations that enhanced program offerings and expanded outreach efforts.
- Designed evaluation tools that measured the success of various programming aspects against organizational objectives.
- Led staff training sessions on best practices in program delivery, increasing overall effectiveness across the organization.
- Launched new initiatives that addressed identified gaps in services, expanding the organization''s offerings to better meet community needs.
The Volen Center
Quality Assurance Specialist
07.2019 - 10.2019
Job overview
- Assessed training needs of Programs staff in coordination with Department of Elder Affairs standards and guidelines.
- Coordinated Quality Assurance Reviews of all programs for the Department of Elder Affairs.
- Produced monthly financial reports with supervision.
JAFCO Children's Ability Center
Social Worker
07.2018 - 11.2018
Job overview
- Updated client documentation for accurate, compliant and current records.
- Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
- Collaborated with multidisciplinary teams to ensure appropriate care coordination and resource allocation for clients.
- Educated families on available community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers.
JAFCO Children's Ability Center
Direct Care Supervisor
05.2016 - 07.2018
Job overview
- Supervised, trained and coached 50 part-time employees in providing care and services to children diagnosed with developmental disabilities.
- Modeled effective leadership, conducted monthly program meetings and promoted teamwork through positive reinforcement.
- Collaborated with interdisciplinary teams to develop comprehensive care solutions for clients.
- Improved overall patient outcomes with consistent monitoring and timely interventions.
- Ensured regulatory compliance by maintaining accurate documentation and adhering to established policies.
- Mentored junior staff members, fostering professional growth and skill development.
National Counseling GroupFredericksburg, VA
Therapeutic Foster Care Case Manager
06.2014 - 03.2016
Job overview
- Provided crisis intervention services to prevent disruptions in placements and ensure child safety.
- Enhanced client progress by developing individualized treatment plans and coordinating with interdisciplinary teams.
- Assisted foster parents in understanding the unique needs of their foster children, promoting a supportive environment.
- Reduced placement disruptions by offering ongoing support and resources to therapeutic foster families.
- Developed rapport with clients through active listening and empathy, fostering trusting relationships vital for successful case management.
- Managed caseloads effectively through prioritizing tasks, meeting deadlines, and maintaining open communication with all parties involved in the child''s care plan.
- Ensured compliance with federal and state regulations by maintaining accurate records and submitting required reports in a timely manner.
- Monitored medication administration within foster homes, ensuring adherence to prescribed regimens for optimal health outcomes.
- Promoted positive outcomes for children by advocating for their best interests during court hearings and agency meetings.
Walker Grant Middle SchoolFredericksburg, VA
Special Education Teacher
08.2012 - 06.2014
Job overview
- Created and managed IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
- Participated in ongoing professional development opportunities focused on evidence-based practices in special education teaching methodologies.
- Conducted assessments to identify students' strengths and areas for improvement, informing instructional strategies.
- Reduced feelings of isolation among students with special needs by implementing inclusive classroom practices.
- Integrated social skills training into curriculum, facilitating improved peer interactions and social integration.
- Developed and executed behavioral intervention plans, leading to decrease in disruptive behaviors and increase in classroom participation.
- Utilized technology to create meaningful lessons that engage students.
- Enhanced students' understanding of complex topics by incorporating interactive technologies and hands-on learning experiences.
Education
Columbia College, Chicago, Chicago, IL
Bachelor of Arts from Liberal Arts
Arizona State University, Online
Master of Arts from Education
05.2020
University Overview
- Honor Roll - All Semesters
- 3.8 GPA
The Chicago School of Professional Psychology, Los Angeles, CA
Certificate in Industrial & Organizational Psychol from Organizational Leadership
09.2020 - 06.2021
Hampton University, Hampton, VA
08.1988 - 05.1991
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Decision-Making
- Positive Attitude
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Company CultureWork from home option401k matchWork-life balanceFlexible work hoursHealthcare benefitsPaid time offPaid sick leaveSoftware
Neighborly Software - Treasury Emergency Assistance
Interests
The Arts, Health and Wellness and Traveling
Timeline
Eligibility Analyst - TN Rent Relief Temporary
Horne
04.2023 - 05.2023
Appeals Specialist, CA Rent Relief
Horne
02.2022 - 03.2024
Fraud, Waste & Abuse Case Manager, CA Rent Relief
Horne
01.2022 - 02.2022
Case Manager, LA County Rent Relief
Horne
10.2021 - 09.2024
Eligibility Analyst, TX Rent Relief
Horne
10.2021 - 12.2022
The Chicago School of Professional Psychology
Certificate in Industrial & Organizational Psychol from Organizational Leadership
09.2020 - 06.2021
Director of Programs
The Volen Center
10.2019 - 02.2020
Director of Compliance
The Volen Center
07.2019 - 07.2021
Quality Assurance Specialist
The Volen Center
07.2019 - 10.2019
Social Worker
JAFCO Children's Ability Center
07.2018 - 11.2018
Direct Care Supervisor
JAFCO Children's Ability Center
05.2016 - 07.2018
Therapeutic Foster Care Case Manager
National Counseling Group
06.2014 - 03.2016
Special Education Teacher
Walker Grant Middle School
08.2012 - 06.2014
Hampton University
08.1988 - 05.1991
Columbia College, Chicago
Bachelor of Arts from Liberal Arts
Arizona State University
Master of Arts from Education
Similar Profiles
Alexis BakerAlexis Baker
Senior Accounting Technician at HorneSenior Accounting Technician at Horne
Anthony StanfordAnthony Stanford
Disaster Case Manager Supervisor at HorneDisaster Case Manager Supervisor at Horne
Karen Hofmann-SchmidtKaren Hofmann-Schmidt
Supervisor at HorneSupervisor at Horne