KIMBERLY TASHANA WILLIAMS
Austin,TX
Summary
Professional with robust background in directing and managing large-scale operations, consistently driving success through strategic planning and execution. Adept at implementing innovative solutions that enhance productivity and operational effectiveness. Known for fostering teamwork and adapting to evolving business needs, ensuring alignment with organizational goals.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Director IV
HHSC
Austin, TX
04.2022 - Current
- Provides executive leadership and direction for program activities and business functions within the Cost Report Review Unit, ensuring alignment with the agency's strategic plan.
- Develops and implements goals, objectives, priorities, and performance standards; leads strategic planning initiatives.
- Oversees the collection and analysis of complex financial and statistical data used to establish payment rates for Medicaid and non-Medicaid programs, including hospital, acute care, and long-term care services.
- Develops, reviews, and approves budgets and major expenditures; ensures compliance with funding requirements and sound fiscal management.
- Reviews and approves management, productivity, and financial reports to evaluate program performance and inform decision-making.
- Directs the design, development, and enhancement of analytical methodologies and evaluation techniques to improve program effectiveness.
- Oversees the development and maintenance of advanced computer applications, complex spreadsheets, and large-scale databases supporting financial examinations and rate-setting processes.
- Reviews findings from audits, investigations, research studies, forecasts, and modeling efforts to guide strategic and operational decisions.
- Develops and implements policies, procedures, guidelines, and agency rules to ensure regulatory compliance and operational consistency.
- Provides subject matter expertise in auditing and financial examination standards and ensures adherence to applicable regulations.
- Directs and supervises professional and management staff as a second-level supervisor, providing leadership, mentorship, and performance oversight.
- Develops strategic recommendations to address complex operational and financial challenges.
- Performs related duties and leads special projects as assigned.
Manager V
HHSC
Austin, TX
12.2016 - 03.2022
- Managed daily operations within the Medicaid/CHIP Division, ensuring efficient program execution and alignment with organizational goals.
- Established staffing goals, priorities, and performance standards; develops work plans and conducts employee performance evaluations.
- Oversaw resource allocation to achieve timely outcomes and measurable objectives.
- Provided program and technical leadership for the development and implementation of policies, procedures, rules, and guidelines supporting managed care operations.
- Oversaw contractor performance and compliance, including monitoring data trends and addressing anomalies requiring corrective action.
- Directs contract compliance and performance assessments to ensure adherence to state and federal Medicaid requirements.
- Oversaw the collection, validation, analysis, and reporting of encounter data across managed care services, including medical, dental, pharmacy, and transportation.
- Directed the preparation of fiscal, management, and productivity reports to support forecasting, staffing, and program planning.
- Coordinated responses to internal and external requests for program data and reporting.
- Oversaw the implementation of technology projects, including those driven by new legislation, in coordination with internal and external stakeholders.
- Prepared and delivered project status reports to leadership, highlighting progress, key milestones, and performance metrics.
- Evaluated the impact of proposed state and federal laws on technology systems and encounter data processing.
- Developed and evaluated technical budget requests; monitors expenditures and makes adjustments to ensure fiscal accountability.
- Monitored compliance with policies and procedures and contributes to the development and refinement of program standards.
- Reviewed and approved evaluation tools, reports, and staff work products for accuracy, consistency, and regulatory compliance.
- Oversaw audits, reviews, and special projects, including multi-agency and cross-divisional initiatives.
- Communicated program policies, procedures, and technical information to internal and external stakeholders.
- Oversaw and approves program and technical communications to ensure clarity, accuracy, and consistency.
Budget Analyst
Texas Department of State Health Services
Austin, TX
02.2016 - 11.2016
- Served as the primary liaison between State Hospitals and financial/support service departments within DSHS, resolving complex financial and operational issues.
- Supervised staff in the Revenue Management Branch and Medicare Cost Report Branch; established priorities, schedules, and performance standards.
- Chaired standing and ad hoc committees and workgroups; led special projects to support organizational initiatives.
- Directed the collection, coordination, and reporting of revenue and expenditure data to executive leadership and Financial Services.
- Prepared monthly financial reports, ad hoc analyses, and executive presentations on operating budgets and financial performance.
- Developed and maintained reporting mechanisms for federal grant funds and tracking tools for federal revenue.
- Led development and evaluation of budget requests, including State Hospital appropriations for legislative approval.
- Coordinated preparation of annual operating budgets and biennial capital equipment plans.
- Developed staffing plans (FTEs and classifications) to support Legislative Appropriations Requests (LARs) and operational needs.
- Designed and maintained budget allocation methodologies and financial algorithms to support resource distribution across State Hospitals and LMHAs.
- Developed and implemented policies, procedures, rules, and guidelines governing daily financial operations.
- Evaluated program activities to identify improvement opportunities and enhance efficiency.
- Oversaw central office and State Hospital contracts, including invoice approval for goods and services.
- Conducted quarterly, biannual, and annual contract compliance and performance assessments to ensure adherence to state and federal requirements.
Systems Analyst III
Texas Department of Insurance
Austin, TX
12.2012 - 02.2016
- Served as a key liaison between business units and IT, translating complex technical concepts into clear, actionable information for non-technical stakeholders.
- Collaborated with executives, management, and staff to identify, define, and resolve business and technology challenges.
- Provided regular project updates and communicated progress, risks, and outcomes to leadership and project teams.
- Analyzed business processes, existing procedures, and information systems to identify inefficiencies and recommend improvements.
- Designed, modified, and implemented business processes to enhance workflow, efficiency, and effectiveness.
- Developed process performance measures and supported transition planning for new or improved processes.
- Conducted studies and produced reports outlining findings, recommendations, and implementation strategies.
- Evaluated and tested new and existing systems, applications, and utility programs to ensure functionality, efficiency, and effectiveness.
- Determined operational, technical, and support requirements for hardware, software, and data systems.
- Provided technical support, troubleshooting, and resolution for software, hardware, and application issues.
- Monitored system interfaces, subsystems, and integrations to ensure optimal performance.
- Partnered with project managers to support deliverables, including business requirements documentation and project tracking.
- Facilitated meetings, documented minutes, tracked action items, and followed up on deliverables with internal and external stakeholders.
- Developed comprehensive project documentation accessible to both technical and business audiences.
- Assisted in defining system goals and creating process flow diagrams and logical models.
- Supported implementation of systems, hardware, and software, including mobile devices (Apple and Android).
- Assisted with installation, configuration, testing, and certification of system upgrades.
- Delivered end-user training, documentation, and hands-on support for new systems and technologies.
- Provided ongoing technical training and support to ensure successful adoption and utilization.
- Assisted in information systems security administration and compliance activities.
- Contributed to disaster recovery planning by defining roles, responsibilities, and procedures to ensure business continuity.
Program Specialist IV
Department of Aging and Disability Services
Austin, TX
08.2009 - 11.2012
- Performed a broad range of technical, administrative, and program support functions for Medicaid programs, including the Medicaid Estate Recovery Program (MERP), Pre-Admission Screening and Resident Review (PASRR), and Durable Medical Equipment (DME).
- Managed technical projects and day-to-day operational tasks, supporting program planning, development, and implementation.
- Processed and approved DME requests for long-term care facilities, ensuring compliance with program requirements.
- Developed and revised policies, procedures, rules, manuals, and program literature to support effective program administration.
- Analyzed legislation and provided recommendations to guide program implementation, funding adjustments, and policy improvements.
- Prepared administrative reports, research studies, and special project deliverables to support decision-making.
- Developed, monitored, and adjusted program budgets for MERP, PASRR, and DME to ensure fiscal responsibility.
- Monitored vendor contracts to ensure compliance with state and federal laws, regulations, and program requirements.
- Designed and implemented program monitoring and evaluation tools to assess performance and ensure quality outcomes.
- Collected, organized, and analyzed program data to support reporting and respond to information requests.
- Developed and delivered training materials, manuals, and presentations for staff and stakeholders.
- Served as a liaison to staff, government agencies, community organizations, and the public to communicate program requirements and policies.
- Served as IT liaison for daily operations and special projects, bridging program needs with technical solutions.
- Coordinated procurement of hardware and software and supported system-related initiatives.
Program Lead
Department of Aging and Disability Services
Austin, TX
07.2007 - 07.2009
- Assisted in the planning, development, and implementation of policies and procedures for Quality Assurance Fee (QAF), Cost Reports, and Trust Fund Audits programs.
- Developed, revised, and maintained program policies, procedures, and provider guidance materials, including informational letters published on the agency website.
- Created and maintained the Personal Needs Allowance (PNA) program policies, procedures, and user manuals, ensuring accuracy and operational effectiveness.
- Conducted inspections, audits, and reviews to ensure compliance with agency certification standards, regulations, and procedures.
- Resolved complex Trust Fund Audit and Cost Report inquiries escalated from other agencies.
- Audited, monitored, and reconciled Cost Report deductions for delinquent providers, ensuring accuracy and compliance with program requirements.
- Identified trends and resolved technical and procedural issues related to program operations and policy application.
- Developed, monitored, and revised program budgets for QAF, Cost Reports, and Trust Fund Audits.
- Analyzed financial and program data to support planning, monitoring, and implementation of program initiatives.
- Managed technical projects and program tasks throughout the development, implementation, and monitoring phases.
- Participated in the design and implementation of internal systems supporting the PNA program.
- Coordinated procurement and tracking of hardware and software to support program operations.
- Researched, analyzed, and interpreted data to support program development, operational improvements, and agency initiatives.
- Prepared administrative reports, documented procedural changes, and contributed to program evaluation and performance monitoring efforts.
Program Lead
Department of Aging and Disability Services
Austin, TX
12.2006 - 06.2007
- Led operational and analytical functions for the Personal Needs Allowance (PNA), Cost Reporting, and Quality Assurance Fee (QAF) programs.
- Performed eligibility determinations for reprocessing returned PNA warrants using TIERS, SAS, Uniscope, and internal databases.
- Contacted consumers to resolve issues related to returned warrants and ensure accurate case resolution.
- Performed data entry and processing of QAF monthly payments and refunds within program systems.
- Developed, monitored, and revised program budgets for PNA and QAF to ensure fiscal accuracy and compliance.
- Generated and analyzed administrative reports for PNA, OAF, and Cost Report programs to support monitoring and decision-making.
- Audited and monitored Cost Reports for delinquent providers, including processing automated deductions to recoup funds.
- Reviewed and tracked recovered deductions to ensure proper reconciliation and reporting.
- Audited program transactions and provider Cost Reports to ensure compliance with program requirements and financial regulations.
- Prepared documentation and supporting materials for legal proceedings, hearings, and related enforcement actions.
- Managed technical projects and operational tasks supporting unit programs.
- Participated in the planning, development, and implementation of internal PNA systems, applying independent judgment in a supervisory capacity.
- Maintained and utilized program databases and reporting systems to support operational needs and analysis.
- Developed, implemented, and revised program policies and procedures for the PNA program and related operations.
- Continuously evaluated and improved existing policies to enhance efficiency, accuracy, and compliance.
- Prioritized and assigned workloads; monitored daily and weekly performance metrics and reporting.
- Provided ongoing training and guidance to new and existing staff on policies, procedures, and system updates.
- Applied agency resources, policies, and management tools to resolve operational and performance-related issues.
Texas Works Advisor IV
HHSC
Austin, TX
11.2005 - 12.2006
- Performed complex eligibility determinations and redeterminations for SNAP (Food Stamps), Temporary Assistance for Needy Families (TANF), and Medicaid programs.
- Interviewed clients and verified financial and supporting documentation to ensure accurate eligibility decisions.
- Processed case changes, overpayments, and benefit adjustments, including restoration of benefits when appropriate.
- Conducted case reviews to assess the accuracy and validity of eligibility determinations made by other staff.
- Provided clients with program information, application guidance, and assistance throughout the eligibility process.
- Responded to client complaints and resolved service issues in accordance with program policies and procedures.
- Reviewed suspected fraud cases and referred findings to investigative units for further action.
- Served as team lead, providing direction, coaching, mentorship, and performance feedback to call center staff.
- Assisted the unit supervisor with daily operations, policy interpretation, and staff support.
- Acted as supervisor in the absence of the unit supervisor, ensuring continuity of operations and service delivery.
- Completed periodic unit, statistical, and narrative reports to support operational monitoring and leadership decision-making.
- Initiated and supported service improvement projects and tracked program performance metrics.
- Contributed to process improvements to enhance accuracy, efficiency, and customer service delivery.
- Performed administrative and management functions within a high-volume Texas Works call center environment.
- Assisted in interpreting and applying policies to ensure consistent and compliant case processing across staff and client interactions.
Education
High School Diploma/GED -
Alief Elsik
Houston, TXMaster of Public Administration -
University of Phoenix
Houston, TX, US2012
Bachelor's Degree - Business Management
University of Phoenix
Houston, TX2009
Skills
- Organizational development
- Goal setting
- Employee development
- People management
- Contract and vendor management
- Problem-solving
- Team building
- Leadership development
- Analytical thinking
Certification
CTCM, CTCM11111603, 2017-01-01, 2022-01-01
Timeline
Director IV
HHSC
04.2022 - Current
Manager V
HHSC
12.2016 - 03.2022
Budget Analyst
Texas Department of State Health Services
02.2016 - 11.2016
Systems Analyst III
Texas Department of Insurance
12.2012 - 02.2016
Program Specialist IV
Department of Aging and Disability Services
08.2009 - 11.2012
Program Lead
Department of Aging and Disability Services
07.2007 - 07.2009
Program Lead
Department of Aging and Disability Services
12.2006 - 06.2007
Texas Works Advisor IV
HHSC
11.2005 - 12.2006
High School Diploma/GED -
Alief Elsik
Master of Public Administration -
University of Phoenix
Bachelor's Degree - Business Management
University of Phoenix