Accomplished Health and Human Resources Specialist Senior with a proven track record at the West Virginia Department of Human Services, adept in policy analysis and project management. Excelled in developing and implementing strategies that enhanced grantee performance and outcomes. Skilled in communication and complex problem-solving, consistently delivering concise reports and effective solutions.
• Leading meetings with grantees currently under the Expanded School Mental Health grant
• Tracking and reporting grant progress for state and grant leadership
• Administering presentations at both local and virtual conferences for statewide partners
• Maintaining grant documentation repository
• Assisting in the research of certain Evidence Based Programs
• Reviewing deliverables for state and grantee leadership
• Conducting site visits and evaluations
• Assisting in the design and administration of grantee reporting tools
• Developing concise summaries, reports, and presentations of complex data for grantee leadership
• Review and reconciliation of newborn eligibility records
• Communicating with Primary Care Providers
• Creation of meeting notes
• Assisted with COVID-19 data tracking
• Reconciliation of eligibility overlap reports
• MCO verification between paper claims and the claims processing system
• Researched diagnostic and procedure codes as assigned
• Identified Medicaid fraud, waste, and abuse cases for detailed discussions with MCOs and the Office of Program Integrity
• Review and reconciliation of newborn eligibility records
• Communicating with Primary Care Providers
• Creation of meeting notes
• Assistance with the development of the Children with Serious Emotional Disorder Waiver (CSEDW) Policy Manual
• Participation in meetings related to COVID-19 data tracking
• MCO verification between paper claims and the claims processing system
• Researched diagnostic and procedure codes as assigned
• Communicating with Primary Care Providers
• Creation of meeting notes
• Participation in meetings for an MCO transition
• Reconciliation of eligibility overlap reports
• MCO verification between paper claims and the claims processing system
• Researched diagnostic and procedure codes as assigned