Elaine Martinez
Summary
Dynamic leader with a proven track record at the State of NM Human Services Department, excelling in time management and problem resolution. Demonstrated success in enhancing process efficiencies and team collaboration, significantly improving application processing and Medicaid program implementation. Skilled in multitasking and communication, adept at driving projects to completion with meticulous attention to detail. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
MANAGEMENT ANALYST SUPERVISOR
State Of NM Human Services Department
04.2024 - Current
- Responsible for managing the Presumptive Eligibility Application Processing Unit
- Manage and supervise all functions, activities and assignments of the PE Processing Unit,
including all PE and APPRISS tasks received and applications received from prison and county
jail inmates through the Justice-Involved Utilization of State transitioned Healthcare (JUST
Health) program; - Responsible for compiling reports and working with state prison and county jail employees
for the JUST Health program applications that include HSD/MAD partners such as the NM
Department of Corrections (NMCD), the NM Children, Youth and Families Department (CYFD),
the NM Department of Health (DOH), the NM Primary Care Association (NMPCA) and other
entities as needed. - Supervising, mentoring, and providing leadership to PE Applications Processing Unit staff;
- Delegating responsibilities and assignments as applicable to staff's experience, expertise and
knowledge; - Monitoring the completion of assignments with attention to detail and quality
- Processing inmate Medicaid applications; track active Medicaid recipients in prison/jail and suspending their
benefits after 30 days of incarceration - Tracking active Medicaid recipients in prison/jail at the time of their release so their Medicaid benefits
could be reactivated - Working the PE & JUST Health Program unit to ensure full implementation, and continued operation,
of the Appriss project for JUST Health reinstatements and suspensions - Developing processes for addressing tasks created from data sharing with facilities nationwide,
including PE tasks
HLTHCARE PRACTIONER &TECH SUPV
State Of NM Human Services Department
12.2018 - 04.2024
- Served as Lead Processor reporting to the staff manager of the Application Processing Unit;
- Assist with all functions, activities and assignments in the Application Processing unit, including processing Medicaid applications received from prison and county jail inmates thru the Justice-Involved Utilization of State Transitioned Healthcare (JUST Health) program;
- Assist compiling reports and assisting state and county jail staff for the JUST Health Program;
- Work with Human Services Department (HSD) and Medical Assistance Division (MAD) partners such as Children, Youth and Families Department (CYFD), New Mexico Department of Health (DOH), New Mexico Primary Care Association and other partners when required.
- Supervising staff, providing direction and leadership to staff within the Processing Unit;
- Working collaboratively with PE/JUST Health program unit staff;
- Assisting with inmate application questions and Presumptive Eligibility Determiner (PED) questions;
- Evaluating and processing Medicaid JUST Health program applications;
- Processed all APPRISS tasks from ASPEN by tracking active Medicaid cases to ensure benefits are suspended or reinstated per JUST Health program rules:
- Processed and completing Presumptive Eligibility (PE) task for Medicaid clients in ASPEN;
- Auditing and assisting PEDs by outreaching with support and following auditing process and procedures;
- Researching and resolving problem inquires received via-email or phone.
HEALTHCARE PRAC-A
State Of NM Human Services Department
07.2017 - 12.2018
- Processed all PE and APPRISS tasks and applications received from prison and county jail inmates through the Justice-Involved Utilization of State transitioned Healthcare (JUST Health) program
- Conducted extensive research and analysis
- Resolved complex recipient eligibility and enrollment issues requiring the use of multiple systems
- Troubleshoot and correct the suspension eligibility, and enrollment span for JUST Health and Presumptive Eligibility Medicaid clients
- Researched and resolve problem inquires received via e-mail or phone
PURCHASING AGENT-O
State Of NM Human Services Department
02.2016 - 06.2017
- Facilitated smooth operations through accurate tracking of purchase orders, invoices, and payments.
- Work with Program Mangers to obtain the necessary date to complete the Contract Request Form Packets
- Monitor and track the contract processing
- Maintain contractor filing system for all contractual and fiscal documents
- Ensure Invoices and operating transfers are paid timely to support accurate grant reporting
- Create requisitions for contracts and/or other procurement
- Receipt invoice through SHARE
- Send appropriate invoice packet to ASD for processing
- Maintain invoice and payment tracking system to ensure timely payment to contractors
- Maintain accurate up-to-date invoice filling system
- Reconcile all contract budget balances with SHARE monthly
- Maintain an accounts payable transaction log
- Track vendor invoices for payment verification
- Maintain up-to-date accounts payable files
- Work with contractors in a problem-solving role when necessary to resolve contract and invoice problems
- Work with ASD to ensure that division contractual documents are timely and accurate and that contractors receive payments timely
EXEC SEC& ADM ASST-O
State Of NM Human Services Department
12.2015 - 02.2016
- Provide administrative support for Human Service Department at the Behavioral Health Services Division (BHSD), including Bureau Chiefs, Deputy Bureau Chiefs, and other program support staff.
- Clerical and administrative tasks as assigned to support the Behavioral Health Services Division
- Preparing and submitting requisitions and receipts for purchase orders;
- Routing documents for approval;
- Preparing and submitting Security Access Request (SAR) forms, Numbered Memos and assorted access systems request documents;
- Coordinating and submitting travel reimbursement and reservation of State cars for staff;
- Submitting IT tickets;
- Scheduling/organizing meetings and reservation of conference rooms;
- Maintaining office supply inventory and ordering supplies;
- Maintaining recycling/shred bin pickup;
- Serving as the Safety committee lead and point of contact for the emergency preparedness plan;
- Preparing memos, letters and internal documents;
Family Assistance Analyst
State Of NM Human Services Department
07.2014 - 12.2015
- Processed complex eligibility determinations for multiple income support programs
- Provided employment assistance to a diverse population
- Provided case management in compliance with federal and state regulations, performance measures, and mandated timeliness;
- Coordinated client utilization of multiple public assistance programs which may contain conflicting eligibility criteria
- Performed the full range of duties in determining eligibility for and authorizing public assistance services
- Independently manages a caseload
- Identifies and responds to clients needs, and provides timely and appropriate customer service
Education
Bachelor of Science - Business
Western New Mexico University
Silver City, NM12.2011
Skills
- Time Management
- Attention to Detail
- Flexible and Adaptable
- Dependable and Responsible
- Multitasking Abilities
- Excellent Communication
- Problem Resolution
- Teamwork and Collaboration
Timeline
MANAGEMENT ANALYST SUPERVISOR
State Of NM Human Services Department
04.2024 - Current
HLTHCARE PRACTIONER &TECH SUPV
State Of NM Human Services Department
12.2018 - 04.2024
HEALTHCARE PRAC-A
State Of NM Human Services Department
07.2017 - 12.2018
PURCHASING AGENT-O
State Of NM Human Services Department
02.2016 - 06.2017
EXEC SEC& ADM ASST-O
State Of NM Human Services Department
12.2015 - 02.2016
Family Assistance Analyst
State Of NM Human Services Department
07.2014 - 12.2015
Bachelor of Science - Business
Western New Mexico University
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