Resourceful NEMT and program officer offering history of success coordinating and monitoring operations across various departments. Dedicated and proven exemplary performer with mentality to assist organization with compliance monitoring and reporting efforts.
Overview
9
9
years of professional experience
Work History
Program Manager (NEMT and Managed Care)
Idaho Department Of Health And Welfare
04.2022 - Current
Actively assist in managing and overseeing personnel performance, reporting, and monitoring in Bureau of Care Management; program manager responsible for five employees and five service and managed care contracts ($120M annually)
State's subject matter expert for NEMT and knowledge of managed care throughout the state and region; deep understanding of design, models, funding, requirements, and politics of NEMT regionally as well as in peer markets nationally
Implemented and stabilized a new NEMT program contract that has led to increased successful delivery, outreach, fraud mitigation, reduced complaints (by over 2/3), enhanced provider payment timeliness, reduced administrative inefficiencies, and increased efficiencies and safety processes for at risk populations
Leading procurement and implementation of new dental MCO contract
Design and carry out program oversight in requirements, financing, and procurement activities
Work with MCOs to remediate and prevent lapses in compliance
Develop and oversee maintenance and provision of technical and program specific training to stakeholders of programs in overseen portfolio
Assign and oversee progress of corrective action or performance improvement actions
Collaborate with care management leadership to prepare and furnish required compliance and performance reporting to state and federal partners/regulators
Contracts and Ext. Resources Management Officer
Idaho Department Of Health And Welfare
12.2020 - 04.2022
Oversaw tracking and implemented workflow processes for 100+ invoices monthly, 50+ audits annually, and 100+ procurement actions annually for team of two officers
Conducted, oversaw, and planned internal and external reviews and audits of external resources (80+ contracts)
Led monitoring team through compliance reviews backlogged multiple years through pandemic conditions and process revisions
Ensure Department and federal standards met or exceeded in invoice and procurement activity scheduling and performance
Identify possible erroneous or fraudulent billing or inconsistent reporting by contractors
Oversaw relationship with external contract resources including technical assistance, documentation of guidance, and information exchange maintenance
Instructor/Program Supervisor
Treasure Valley Community College
04.2015 - 12.2020
Provided reporting, procurement, and resource monitoring in an adult education outreach program, supervising provision of education in a minimum custody Eastern Oregon facility
Assisted leadership of college in negotiations and budgeting for million dollar education program (serving 700+ students annually)
Provide reporting and enforcement updates to funding stakeholders
Operationalized efficiencies reducing cost per student and increasing graduation rates, and reducing time to complete threefold within first year
Developed asynchronous and then remote instruction for provision during pandemic
Recognized as contractor of the quarter at Snake River Correctional Institution twice (out of 100+ eligible) and finalist three additional during tenure