Lashanda Baham Glasgow
Mullica Hill,United States
Overview
12
12
years of professional experience
Work History
Health Insurance Specialist
Centers for Medicare & Medicaid Services-OMH
09.2022 - 07.2025
- Conducted comprehensive analysis of Medicare and Medicaid statutes, regulations, and sub-regulatory guidance as part of the CMS Office of Minority Health (OMH), Policy and Program Alignment Group (PPAG), identifying opportunities for policy modifications and component engagement to improve health access and outcomes.
- Served as Program Manager and Government Task Lead for the OMH Technical Assistance (TA) Program, using data-driven insights for program redesign and modernization efforts, SOP development, contractor oversight, and operational improvements; provided bi-weekly briefings to executive OMH leadership to inform strategic decision-making.
- Collaboratively provided technical assistance to CMS components, states, and external partners, embedding health equity, rural health, and language access initiatives in existing and developing programs, policies, and rules.
- Co-presented national CMS Rural Health webinar with OMH Director, Rural Health Council, and Tribal Affairs leadership, promoting the CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities.
- Actively participated in rural stakeholder meetings with HRSA, CMS Rural Health Council, Rural Health CCI Workgroup, Rural Health Coordinator Workgroup, and the OMH rural health contractor’s budget and project meetings.
- Supported development and rollout of the CMS Sickle Cell Disease Action Plan and Provider Toolkit, and the CMS Climate Change Action Plan, strengthening capacity-building efforts for providers serving rural and underserved communities.
Health Insurance Spec/Special Assistant (Detailed)
CMS-OMH
02.2022 - 08.2022
- Managed high-level projects by coordinating resources, scheduling meetings, meeting deadlines, and maintaining budget compliance; facilitated clear communication between executives by preparing briefing materials and presentations before important meetings or presentations.
- Advised the OMH Deputy Director on environmental justice and climate-related health impacts, providing analysis of key issues with potential implications for OMH programs and priorities.
- Contributed to a positive office environment by modeling professionalism, applying strong interpersonal skills, and fostering collaboration among team members to enhance productivity and morale.
- Provided subject matter expertise on Community Health and Rural Transformation (CHART) Model applications, recognized by CMMI review team for excellence and valued contributions.
- Researched and interpreted statutes, regulations, and program guidance to support the development of CMS’s Draft Environmental Justice and Climate Health Action Plan.
Health Insurance Specialist/PMF (GS 9-13)
CMS-OPOLE
09.2013 - 08.2022
- Served as Regional Policy Lead and Technical Monitor for Medicare Audit and Reimbursement, overseeing three Medicare Administrative Contractors across six states; conducted Quality Assurance Surveillance Plan reviews using quantitative methodologies to evaluate contractor performance and ensure compliance with program requirements.
- Demonstrated integrity and a keen attention to detail by identifying MAC and provider oversight vulnerabilities in the provider enrollment and A&R functional areas resulting in 2 MACs updating internal processes and improving staff training, and an application refund for a Home Health provider.
- Conducted thorough regulatory and sub-regulatory reviews of Urban-to-Rural Reclassification, Rural Referral Center, Sole Community Hospital, Provider-Based Determination, and extraordinary circumstance relocation requests; delivered clear, well-reasoned recommendations that safeguarded the Medicare Trust Fund and achieved 100% timeliness.
- Conducted comprehensive regulatory and sub-regulatory reviews of provider Urban-to-Rural Reclassification, Rural Referral Center, Sole Community Hospital, Provider-Based Determination, and Extraordinary Circumstance Relocation requests; delivered clear, well-reasoned recommendations that safeguarded the Medicare Trust Fund and achieved 100% timeliness.
- Frequently sought out by providers, healthcare attorneys, peers, MACs, and CMS colleagues for technical guidance on the implementation of CMS regulations, program compliance and provider application processes; praised by leadership, partners and stakeholders for providing exceptional customer service.
- Worked collaboratively with the HHS Office of General Counsel on litigation preparation involving provider non-compliance with CMS regulations; drafted determination recommendation letters that provided factual, well-reasoned support for leadership decision-making.
- Facilitated meetings between CMS, state agencies, attorneys and providers to resolve complex matters, providing technical guidance to ensure provider compliance of CMS regulations that impact access and outcomes for both rural and urban populations.
- Thoroughly reviewed CMS policy and regulations in response to the COVID-19 public health emergency (PHE); and drafted standard language response templates to assist the CMS COVID-19 Help Desk staff
- Served as the regional rural health coordinator, expanding rural health subject matter expertise, responding to written and telephonic inquiries from Congressional offices, community partners, and beneficiaries concerning rural health issues; built rapport and maintained bi-directional communication with Federal, state, and community rural partners.
- Led a continuous quality improvement (CQI) project, improving the internal coordination and communication process within the region; within an 8-month time frame a 40% increase of FOIA cases were processed timely; featured in the CMS This Just In newsletter and received a CMS Honors Award
- Appointed as a Presidential Management Fellow (PMF), a highly selective training and leadership development program and successfully completed all program equirements
- Led a continuous quality improvement (CQI) project, improving the internal coordination and communication process within the region; within an 8-month time frame a 40% increase of FOIA cases were processed timely; featured in the CMS This Just In newsletter and received a CMS Honors Award
- Demonstrated extraordinary emotional intelligence by leading small group discussions to aid in the comprehension and implementation of the Chicago OPOLE-IFM’s core values; improved morale and cohesion among 30 personnel.
- Researched and conducted data analysis for group leaders which identified trends and ensured proper staffing to maintain the workload balance of the Federal Facilitated Marketplace (FFM) casework and the FOIA workload.
- Tasked to assist the Chicago region's Center for Medicaid and CHIP Services (CMCS) groups in decreasing a backlog of the Affordable Care Act (ACA) Medicaid casework.
Health Insurance Spec. (Intra-agency Rotation)
CMCS-State Demonstrations Group
01.2021 - 04.2021
- Conducted a 17-state 1115 Demonstrations analysis on community engagement (CE) policy; reviewed and edited the special terms and conditions (STC) outlining CE requirements while ensuring accuracy and alignment with the incoming Administration’s priorities; awarded a team CMS Honor Award.
- Analyzed Medicaid statutes, regulations and scholarly literature on section 1115 policies surrounding CE, uncompensated care for undocumented individuals, substance use disorder (SUD), and serious mental illness (SMI), to evaluate potential impacts on Medicaid beneficiaries and the Medicaid and CHIP programs.
- Researched, drafted and prepared for clearance, a high-profile state's CE 1115 Demonstration withdrawal letter, collaboratively with the Division of Demonstration Monitoring and Evaluation (DDME) and OGC.
- Conducted background research concerning three states’ COVID-19 Institutions for Mental Disorders (IMD) Exclusion flexibility requests; drafted and presented a policy issue paper to the SDG leadership team to support and drive decision-making.
- Participated in negotiations, and policy decision-making across CMS, OGC, Office of Management and Budget (OMB) and state government representatives on section 1115 Demonstration designs.
Timeline
Health Insurance Specialist
Centers for Medicare & Medicaid Services-OMH
09.2022 - 07.2025
Health Insurance Spec/Special Assistant (Detailed)
CMS-OMH
02.2022 - 08.2022
Health Insurance Spec. (Intra-agency Rotation)
CMCS-State Demonstrations Group
01.2021 - 04.2021
Health Insurance Specialist/PMF (GS 9-13)
CMS-OPOLE
09.2013 - 08.2022
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