JENNIFER A RAINWATER-ROE

• Subject matter expert of Medicaid and Medicare compliance contractual requirements in 7 states as well as Washington DC
• Responsible for Compliance Department implementation within new states of operation, to include hiring, training, and credentialing according to CMS and state regulations
• Supervised and trained Compliance Department Managers and Compliance Coordinators ensuring proper CMS and state contractual credentialing requirements were understood and maintained
• Worked with VP of Procurement and VP of Compliance for compliance related topics in RFPs and updating Compliance Policy and Procedures as necessary
• Worked with VP of Operations and VP of Compliance in resolutions for compliance related Corrective Action Plans issued by a Client
• Review documentation and pre-employment screenings for accuracy in hiring standards according to contractual requirements
• Direct oversight with annual training for URAC, HIPPA, and FWA
• Direct oversight for review and submission of 12+ annual MCO Audits, Workers Compensation Audits, and E-Verify Audits.
• Responsible for the monthly database review and report submission for SSDMF, SAM, and OIG for all internal staff, all downstream entities, company owners, and drivers
• Developed training material and reference sheets ensuring standardization of policies and procedures across all operations within compliance
• Created and delivered PowerPoint presentations for communication with internal and external stakeholders
• Created fillable PDFs to assist with documentation collection for contractual requirement (Request for Qualification Forms, W-9, E-Verify Forms, and Disclosure of Ownership Forms.)
• Proficient in multiple software platforms including Windows OS, Microsoft Office, Adobe, SharePoint, SharePoint Reports, LMS, IFormbuilder, Docstar Eclipse, Fountain, Survey Monkey, Streamline Verify, and eSupervision.

• Responsible for providing end-user training and company-wide mobile technology support over 5 states (Georgia, Tennessee, Virginia, Louisiana, and Arkansas) and Washington DC
• Responsible for the development of training material resources using PowerPoint, Word, Adobe PDF, Snag-It, and Camtasia software
• Responsible for loading the training material to ZenDesk Help Center for end-user access
• Conducted on-site and web-based training sessions for all new and existing end-users of the mobile devices, Southeastrans mobile app, and the Southeastrans Provider Portal website
• Pull and consolidate Excel reports for inventory control, device deployment, and device usage
• Device management (upgrades, patches, device tracking)
• Promote responsible usage and care of corporate equipment
• Utilize SharePoint to track iPad theft and damage, as well as storing company-wide Provider account information
• Provided company-wide Customer Service and Technology Support through phone calls, emails, and ZenDesk Help Center Tickets
• Understanding the mobile industry, familiar with mobile operators/carriers and different activation models
• Experienced with implementation and management of location based services and cellular based platforms
• Working knowledge of iOS and Android operating systems
• Knowledgeable in the operation of iFormBuilder used by internal staff for vehicle inspections and drivers to collect and submit trip data for billing purposes
• Knowledgeable in the operation of Airwatch for corporate mobile device management
• Working knowledge and understanding with Insight as it relates to the Call Center, Dispatch, Reconciliation, and Compliance
• Experience in scheduling, dispatching, and canceling trips for the Call Center through Insight
• Work closely with Quality Assurance and Fraud, Waste, and Abuse to ensure members are being transported to assist with identifying falsified documentation for reimbursement.

• Plan, schedule, and organize the logistics for the biannual inspections of more than 2,000 vehicles statewide
• Facilitated with training and troubleshooting of the Sharepoint database for the Compliance department across multiple regions in Georgia
• Maintained required data entry in the Sharepoint database from inspections, site visits, and spot inspections statewide
• Audit Provider files statewide in preparation for state scheduled audits and to ensure all Providers, drivers, and vehicles are in compliance with the State of Georgia Medicaid contracts
• Run multiple reports from different databases in search of delinquent Provider requirements.
• Ensure vehicle inspections, driver training, and required documentation were being performed and received by Southeastrans in a timely manner
• Communicate daily with multiple Providers to schedule inspections and re-inspections to maintain compliance standards statewide

• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Oversaw day-to-day operations, delegating tasks appropriately to ensure smooth workflow and timely completion of projects.

Completed two seven month shipboard deployments to the Persian Gulf, Sea of Aden at Yemen, Red Sea ant Egypt, and Mediterranean at Lybia.

Completed a year long deployment to Afghanistan for Intelligence support to the Army.