Summary
Work History
Education
Skills
Accomplishments
Work Availability
Timeline
Volunteer
Glenda Overstreet Vaughn

Glenda Overstreet Vaughn

Topeka,Kansas

Summary

A seasoned transformational leader with strategic management experience in managed care, community development programs, financial services and educational environments. Familiarity with regulatory compliance standards, including Medicaid and Medicare Program standards, experienced legislative advocacy, and demonstrates effective business acumen in leadership.

Work History

Quality, Compliance and Reporting Manager

Beacon Health Options
Topeka, KS
02.2017 - Current
  • Oversee and manage the quality and compliance program and lead change through strategic approaches that ensure higher efficiency and best practices through administration of the Kansas Behavioral Health Contract
  • Effectively analyze and trend program reports and build comparative data through benchmarking initiatives designed for performance improvement
  • Identify and capitalize on community business opportunities with effective networking.
  • Consult with representatives of regulatory agencies to complete accurate filings and uphold strict compliance.
  • Monitor, investigate, and report adverse incidents and quality of care issues to ensure quality and compliance standards are met and/or exceeded with external customers, providers and internal operations
  • Deliver training to 42 providers to meet and exceed performance improvement standards
  • Develop, analyze, and report satisfaction survey results and secure feedback to identify action steps necessary to enhance program development
  • Research and analyze program treatment data and statistics for over 40 reports monthly for legislative reporting
  • Work with federal, state, and local agencies to ensure effective communication in meeting contractual needs.

PMO QA Project/Program Manager III

Hewlett Packard Enterprise
Topeka, Kansas
01.2016 - 01.2017
  • Responsible for the quality management methodology and structure for the Project Management Office (PMO) of the Kansas Modular Medicaid System (MMIS)
  • Managed quality outcome of $215M in contract deliverables such as Deliverable Expectations Documents for the Modular systems, Business design documents, Design system documents and Requirements Validation Documents
  • Identified plans and resources required to meet project goals and objectives for the Kansas MMIS program.
  • Managed projects from procurement to commission.
  • Developed and initiated projects, managed costs, and monitored performance.
  • Achieved project deadlines by coordinating with contractors to manage performance.

Adjunct Faculty Instructor and SME

Online
Topeka
01.2015 - Current
  • Created course syllabi and materials that assist in the teaching and delivery of business related courses
  • Scope of teaching includes MBA and undergraduate business strategy leadership, organizational development, entrepreneurial management, and innovation courses
  • Serve as Subject Matter Expert (SME ) for Business, Quality Management, Entrepreneurship, HR, Training and Strategic Planning
  • Deliver online classroom instruction
  • Engaged students with insightful and compelling classroom discussion of topics relevant to coursework to boost student learning and retention.

Vice President of Business Affairs and Chief Financial Officer

Colby Community College
, Kansas
06.2013 - 06.2015
  • Managed a $14.5M budget and all related college business services and operations
  • Served as a member of the senior leadership team of the college, reporting directly to the President
  • Directed, monitored, and managed all college financial operations (accounts payable and receivable, student accounts, controller) including administration, planning and communications and information technology, financial aid operations, human resources, benefits, payroll, and facilities management
  • Developed and monitored the maintenance of sound fiscal policy and procedures, effective financial controls, and institutional fund budgeting
  • Ensured compliance with local, state, and federal regulations
  • Accountable for budgetary and financial procedures for the college including payroll, purchasing, inventory, investments, and insurance
  • Implemented innovated strategies to get the University’s financial system updated and to ensure financial sustainability.
  • Identified opportunities to improve business process flows and overall departmental productivity.

Business Consultant and Advisor

Cedar Valley College
CEDAR HILL, TEXAS
01.2011 - 06.2013
  • Provided consultation to small business regarding certification of women and minority owned businesses
  • Transformed lives in the Best Southwest communities by providing exemplary teaching and counseling to aspiring and existing entrepreneurs in order to strengthen the community through economic, professional, and workforce development
  • Worked with entrepreneurial clients to help them start and grow business by providing consultation, training, and research
  • Collected economic impact resulting in capital infusion, new employees, and retention of employees was also required
  • Built strategic alliances with internal and external partners.

President and Chief Executive Officer

Entrepreneurial Synergy
TOPEKA, KANSAS
01.2006 - 01.2011
  • Responsible for contract business development, project management, and operations management
  • Analyzed business processes to determine efficiencies to be gained in operational departments such as systems (IT), eligibility, mail services, customer service, and human resources
  • Delivered entrepreneurial training, business coaching and consulting services
  • I was also accountable for fiscal management (P & L) and the overall scheduling and compliance of project timelines and contract deliverables.

Account Director

First Health Services
GLEN ALLEN, VA
01.2009 - 01.2010
  • Account Management
  • General project and client/contract management responsibilities and the development of business opportunities for a $20 Million Family Healthcare Project
  • Direct responsibility for provider credentialing and enrollment into the Family Health Care
  • Program for providers
  • Accountable for the management of the company’s IT projects in addition to client, supplier, and provider relations
  • Provided oversight of administrative duties in human resources, business operations, contract management, compliance, operations system implementation and maintenance, including the direct/indirect management of 120 employees
  • Utilized Microsoft products including the use of MS Project as the primary tool for the implementation and maintenance of company projects
  • Created project management plans and established performance standards.
  • Motivated team members to meet and exceed contractual performance targets.
  • Maintained deep understanding of company services and products in order to offer most knowledgeable client and customer support.

Independent ASO Contractor

MAXIMUS, Inc.
Atlanta, Georgia
11.2006 - 11.2008
  • Assisted in the implementation of the Georgia ASO Project to roll out the Healthcare program in the State of Georgia.
  • Trained new hires in completing Medicaid Eligibility case record reviews.
  • Delivered outstanding service to customers to maintain and extend relationships for future business opportunities.
  • Consulted with customers, clients and stakeholders to assess needs and propose optimal solutions for contractual compliance.

Deputy Project Manager /Quality Assurance/Training/Marketing Manager/HIPAA, Compliance Officer

MAXIMUS, Inc.
Topeka, Kansas
04.1999 - 10.2006
  • Provided project management oversight assistance of the Health Wave program (a health insurance program for uninsured children) - Project staff (approximately 125 with a contract of nearly $12 million, that subsequently grew to $20M)
  • Primarily provided day to day oversight of Quality and training operations with subsequent expansion to Marketing and HIPAA Compliance operations
  • Responsible for implementing and monitoring quality management activities to ensure program requirements and regulatory compliance were met.

Human Resources Consultant

SECURITY BENEFIT GROUP, INC
HARRISON, TOPEKA, KANSAS
11.1984 - 04.1999
  • Provided generalist human resource services and consultative services on human resource matters for IT department managers and IT associates at various work levels.

Corporate Administrator

  • Provided the overall strategic planning, design, and facilitation of the quality improvement program with certification standards and provided professional development courses for 550 employees.

Assistant Vice President

  • Securities Compliance
  • Managed day to day compliance of mutual funds and annuity products pursuant to federal and state regulatory requirements
  • Overall accountable for managing a budget of approximately $500,000
  • Worked closely with the SEC and NASD to effect compliance
  • Registered as Series 6, 26 and 63.

Federal Compliance Manager

  • Managed the federal and state compliance activities and coordinated federally mandated filings with regulatory agencies
  • I was also responsible for implementing cost saving methods associated with required federal and state filing fees without jeopardizing compliance.

Education

DBA - Business Administration

University of Phoenix
Phoenix, AZ

MBA - Business Administration

University of Phoenix
Phoenix, AZ

Bachelor of Arts - Communications

Washburn University
Topeka, KS

Associate of Science - Legal Assistant

Wichita State University
Wichita, KS

No Degree - Law (Pre-Law)

Northwestern California School of Law
California

Skills

  • Optimization of community program design
  • Positive collaboration and relationship-building strategies
  • Strategic leadership and decision-making
  • Effective and diplomatic communication skills
  • Efficient in aligning program(s) with regulatory standards and legislative strategies to meet defined objectives
  • Financial and Quality Compliance experience
  • Professional research, writing and presentation of legislative policy

Accomplishments

  • Successful completion of contracts that previously experienced contractual compliance issues
  • Direct supervision of 6 managers and total of 120 employees
  • Effective engagement with community leaders, residents and organizations to address legislative needs and meet defined objectives
  • Developed operational policies and procedures to improve organizational performance
  • Implemented upgraded systems and processes to improve operational efficiency
  • Increased cash flow/revenue through the implementation of creative solutions

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Quality, Compliance and Reporting Manager

Beacon Health Options
02.2017 - Current

PMO QA Project/Program Manager III

Hewlett Packard Enterprise
01.2016 - 01.2017

Adjunct Faculty Instructor and SME

Online
01.2015 - Current

Vice President of Business Affairs and Chief Financial Officer

Colby Community College
06.2013 - 06.2015

Business Consultant and Advisor

Cedar Valley College
01.2011 - 06.2013

Account Director

First Health Services
01.2009 - 01.2010

Independent ASO Contractor

MAXIMUS, Inc.
11.2006 - 11.2008

President and Chief Executive Officer

Entrepreneurial Synergy
01.2006 - 01.2011

Deputy Project Manager /Quality Assurance/Training/Marketing Manager/HIPAA, Compliance Officer

MAXIMUS, Inc.
04.1999 - 10.2006

Human Resources Consultant

SECURITY BENEFIT GROUP, INC
11.1984 - 04.1999

DBA - Business Administration

University of Phoenix

MBA - Business Administration

University of Phoenix

Bachelor of Arts - Communications

Washburn University

Associate of Science - Legal Assistant

Wichita State University

No Degree - Law (Pre-Law)

Northwestern California School of Law

Corporate Administrator

Assistant Vice President

Federal Compliance Manager

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Glenda Overstreet Vaughn