Aspen Cummings
Crawfordville,USA
Summary
Background in operations and analysis with a strong focus on effective team collaboration and results-driven outcomes. Known for adaptability and reliability in high pressure situations. Skilled in policy analysis, project management, and process improvement. Recognized for leadership, strategic thinking, and communication abilities.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Government Operations Consultant I
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
05.2024 - Current
- Assist in the hiring process of vacant analyst positions.
- Develop and provide training for analysts and investigators.
- Create queries from an online Medicaid claims data warehouse as requested by investigators, attorneys, and referrals received from Managed Care Organizations (MCOs).
- Research and analyze large amounts of data to provide results in both written and visual forms which may be used in criminal, civil, and administrative actions.
- Calculate damages to the State of Florida Medicaid Program
- Utilize advanced Microsoft Office Suite functions to collect, analyze and effectively present data trends and findings.
- Prepare reports/schedules/charts pertaining to all aspects of the analysis and research for use in criminal prosecution, civil actions, and administrative referrals.
- Assist NAMFCU (National Association of Medicaid Fraud Control Unit) Global Case Teams with research and analysis on assigned cases.
Medicaid Fraud Analyst II
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
06.2022 - 05.2024
- Create queries from an online Medicaid claims data warehouse as requested by investigators, attorneys, and referrals received from Managed Care Organizations (MCOs).
- Research and analyze large amounts of data to provide results in both written and visual forms which may be used in criminal, civil, and administrative actions.
- Calculate damages to the State of Florida Medicaid Program
- Utilize advanced Microsoft Office Suite functions to collect, analyze and effectively present data trends and findings.
- Review data related to alleged violations of applicable healthcare laws relating to fraud and/or alleged abuse/neglect of patients in healthcare facilities governed by the state Medicaid Program
- Maintain the annual fraud referral spreadsheets.
- Member of the testing team; providing support with the implementation of new State of Florida Data Warehouse (EDW)
- Assist in the hiring process of vacant analyst positions.
- Create training materials related to EDW.
- Lead trainer for all analysts hired across the state.
- Complied with federal and state rules and regulations along with ethics-related policies and procedures including maintaining confidential information.
Administrative Assistant II
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
10.2020 - 06.2022
- Input both civil and criminal complaints
- Assisted with the completion of the intake process.
- Gathered reports through the Department of Children and Families (DCF) Florida Safe Families Network (FSFN) system.
- Accurately collected, maintained, verified, and analyzed spreadsheets for tracking and monitoring purposes.
- Reviewed and analyzed hiring packets to make recommendations accordingly.
- Managed all incoming and outgoing paperwork for internal and external partners through various mediums such as mail, Qui Tams, responses to Support Material Requests, etc.
- Provided internal and external customer service by providing responses to inquiries related to MCOs and Agency for Healthcare Administration, etc.
- Provided support to the department’s Paralegal Specialist, Government Analyst, and Medicaid Fraud Analysts (support included, but not limited to creation of paralegal notes, closing reports, completing Support Material Requests and Requests for Information)
Revenue Specialist II
State of Florida Department of Revenue, Child Support Enforcement
02.2019 - 10.2020
- Complied with federal and state rules and regulations along with ethics-related policies and procedures including maintaining confidential information.
- Researched, interpreted, and applied policies and procedures on a regular basis.
- Researched, analyzed, and prepared cases for court.
- Received, interpreted, and input orders into the Child Support Automated System (CAMS)
- Effectively communicated both verbally and in writing with all levels of employees and management, including the Clerk of Court, Legal Service Providers, and other states.
- Reviewed State Disbursement Unit (SDU) for received payments, disbursements, and statuses.
- Attend hearings and testify on behalf of the Department of Revenue Child Support Program
- Responsible for updating the system appropriately with the outcome of hearings.
- Manage multiple deadlines to ensure work is complete on time.
- Planned, scheduled, and facilitated meetings and conference calls within the Judicial Team
- Prioritized and maintained a high level of accuracy and flexibility as it relates to changing demands and organizational priorities.
- Collaborated in a team environment to manage staffing, workload priorities, and concerns.
Administrative Assistant
New Beginnings Child Development Center
04.2016 - 09.2017
- Organized and maintained confidential and non-confidential files for both on-site and electronic through an electronic document management system.
- Effectively communicated through various mediums with internal and external customers, colleagues, and executive management including managing the company phone lines.
- Interpreted and applied all health, security, and safety standards (Standard Operating Procedures (SOP) and Operational Manual (OM)
- Managed and maintained supply orders and other company logistics as needed.
- Managed all vendor month-to-month contracts to ensure compliance.
- Competitively priced vendors on large scale purchases
- Planned, scheduled, and facilitated meetings and conference calls.
- Developed training materials and trained new hires.
- Prioritized and maintained a high level of accuracy and flexibility as it relates to changing demands and organizational priorities.
Program Assistant
Easterseals Blake Foundation
10.2015 - 04.2016
- Effectively communicated through various mediums with internal and external customers, colleagues, and executive management including managing the company phone lines.
- Organized and maintained confidential and non-confidential files for both on-site and electronic through an electronic document management system.
- Quality assurance coordinator for all billing and data input
- Maintained state and federal policies and regulations including health standards.
- Planned, scheduled, and facilitated meetings and conference calls.
- Lead the parent/tot playgroup weekly.
- Evaluated Early Childhood Assessments
- Developed training materials and trained new hires.
Salon Manager
Zoom Tan (formerly Wolff Tan)
11.2013 - 04.2015
- Managed HR relations related to interviews, performance evaluations, accountability, and disciplinary actions.
- Maintained effective and positive customer service in person and on the phone.
- Effectively communicated through various mediums with internal and external customers, colleagues, and executive management
- Maintained state and federal policies and regulations including health standards.
- Utilized advanced Microsoft Office Suite functions to collect, analyze and effectively present data trends.
- Established and maintained office records, inventory, money deposits and other company logistics as needed.
- Developed training materials and trained new hires.
Education
A.S. - Criminal Justice
Columbia Southern University
Skills
- Comprehensive Case Information System (CCIS), Systems Applications and Products (SAP), ERP Central Component (ECC), Customer Relationship Management (CRM), Microsoft Office Suite (Word, Excel, Outlook, PowerPoint, Access), SharePoint, Electronic Document Management Systems (EDMS), Microsoft SQL Server, Cherwell, HCL America (formerly IBM Notes), Decision Support System (DSS), FX EDW
Certification
- Microsoft Office Suite - 2010
Timeline
Government Operations Consultant I
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
05.2024 - Current
Medicaid Fraud Analyst II
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
06.2022 - 05.2024
Administrative Assistant II
State of Florida Office of the Attorney General, Medicaid Fraud Control Unit
10.2020 - 06.2022
Revenue Specialist II
State of Florida Department of Revenue, Child Support Enforcement
02.2019 - 10.2020
Administrative Assistant
New Beginnings Child Development Center
04.2016 - 09.2017
Program Assistant
Easterseals Blake Foundation
10.2015 - 04.2016
Salon Manager
Zoom Tan (formerly Wolff Tan)
11.2013 - 04.2015
A.S. - Criminal Justice
Columbia Southern University
Skills
- Policy analysis
- Government relations
- Legislative affairs
- Customer relationships
- Operational efficiency
- Staff training and development
- Operations management
- Analysis and reporting
- Compliance
- Problem-solving
- Teamwork and collaboration
- Customer service
- Attention to detail
- Multitasking
- Effective leader
- Decision-making
- Task prioritization
- Analytical thinking