Jamie Cronan

■ Acted as liaison between software developers and business users to ensure the software functions according to the end users needs

■ Collaborated with business users to write Change Requests to make changes to current software functionality

• Facilitate Business Change Work Group by working with all bureaus, the PRISM team, and OCM team to capture business process and policy changes that impact PRISM design
• As project coordinator for Medicaid Integration and Expansion, worked with various program managers to set goals, establish priorities, and review project progress and results
• Received Quarterly Bureau Award for helping develop and Deliver C1 PRISM training to 30 individuals in BMHC
• Engage in contract development and management activities for the Medicaid dental and CHIP programs and provides assistance in solving problems
• Represent the Bureau for Medicaid administrative hearings and aids in solving patient/physician disputes with Medicaid Managed Care Entities
• Review CHIP and Medicaid dental program plans, rules, and manuals to ensure compliance with federal and state laws
• Reviewed and made changes to the CHIP member guide and Medicaid welcome letters so members have access to correct information ensuring they get the most out of their benefits.

• Performed User Acceptance testing for the PRISM system and recorded and compared actual testing results to expected results
• Received, researched and responded to incoming questions and problems from providers and facilitated resolutions
• Identified problems or program inefficiencies and recommended solutions
• Reviewed and inspected provider Electronic Health Record (EHR) Incentive attestations for quality, accuracy, and completeness.

• Analyzed quality metric data and created meaningful charts for Medicaid member use
• Conducted extensive research on national Medicaid-related programs, allowing our bureau to better understand how other states manage their Medicaid systems
• Organized and led team meetings and made recommendations to management to develop solutions to problems based on research findings
• Experience working with hospital administrators and Medicaid providers.

• Recognized by secret shoppers as having superior customer service and people skills.