Summary
Overview
Work History
Education
Skills
Timeline
Generic

LAUREN POLITE

Chicago,IL

Summary

Experienced, highly motivated and passionate health policy expert with over 16 years in Medicaid eligibility and managed care and Federal and State health care legislation. Quickly adapts to new environments and challenges. Resourceful and results driven. Committed to developing strong partnerships between payors with community organizations to best address health related social and medical needs. Seeking to leverage my leadership, energy and expertise working for an Illinois Medicaid Health Plan to implement Healthcare Transformation programs.

Overview

35
35
years of professional experience

Work History

Medicaid Program Analyst (Contractor)

Illinois Department of Healthcare and Family Services
07.2013 - 03.2024
  • Oversaw operations of three HealthChoice IL and MMAI Health Plans covering 1.6M recipients as an Account Manager in IDHFS' Bureau of Managed Care (BMC). Ensured compliance with contractual, policy requirements to improve health outcomes through equitable, timely, quality, medically necessary care
  • COVID-19 Public Health Emergency (PHE) - Participated on HFS' cross-agency teams to implement and subsequently unwind from the PHE, developed and tracked MCO reporting on COVID-19 vaccinations
  • Eligibility Redeterminations - Integral to the strategic development and oversight of HFS and MCO efforts to support eligibility redeterminations of over 3.5M Medicaid recipients, resulting in the successful redetermination and retention of 73% and connection to coverage of over 230,000 recipients no longer Medicaid eligible - ensuring program and recipient benefits of continuity of care
  • Communication and Training - Represented HFS in hundreds of meetings and trainings with a broad range of internal and external stakeholders, developing materials and training on ACA Medicaid expansion, the Federal Marketplace, eligibility policy, managed care and the COVID Public Health Emergency, to ensure stakeholders had accurate information to support State efforts

Legislative Liaison and CHIP Outreach Coordinator

Indiana Family and Social Services Administration (FSSA)
01.1998 - 05.2000
  • Formed and led a team of 10 program analysts to review, analyze, develop position papers over 100 proposed bills affecting FSSA and to testify and negotiate on bills moving through the legislative process
  • Successfully worked with the Governor's Office, FSSA, legislative co-sponsors and outside interest groups to draft, negotiate and finalize passage of legislation authorizing Indiana's Children's Health Insurance Program (CHIP)
  • Participated on an FSSA team of Medicaid and Division of Family and Children staff on implementation of CHIP, specifically streamlining and simplifying the medical application and training and coordinating enrollment outreach efforts of community-based organizations

Legislative Fellow for Health Care

Health Subcommittee, Senate Labor and Human Resources Committee
01.1995 - 05.1997
  • Participated on the team that researched, developed, revised and negotiated HIPAA, the Children's Health Insurance Program (CHIP) legislation (1997) and reauthorization of the Federally Qualified Health Center Program (1996)
  • Prepared speeches, briefing memos, press releases, and summary materials for Senator Kennedy and other Committee members for press conferences, member meetings, committee hearings and floor debates
  • Represented the Senator in meetings with special interest groups, responded to constituent inquiries, worked with Committee staffers, and staffed floor debates

Two-Year Presidential Management Intern (PMI)

Office of the Assistant Secretary for Management and Budget in the Department of Health and Human Services
08.1992 - 08.1994
  • Budget Analyst: Assisted in the development of the agency-wide budget; prepared written and graphical analyses of budget options for consideration; analyzed program budget proposals from agency departments and prepared budget documents for testimony
  • Legislative Fellow for Health Care, Office of Senator Bill Bradley
  • Staffed Senator on health-care issues specific to Senate Finance Committee action on the Health Security Act during a three-month rotation
  • Program Analyst, Chicago Regional Office of the Department of Children and Families
  • Assisted program staff with on-site review and evaluation of child support enforcement, Head Start, and childcare programs during a three-month rotation to the Region 5 Chicago Regional Office

Legal Assistant

Kirkpatrick & Lockhart
11.1988 - 08.1990

Supported a team of lawyers litigating suits against domestic and international insurance companies for environmental cleanup costs.

Education

Master of Public Administration -

University of Pittsburgh
Pittsburgh, PA
05.1992

Bachelor of Liberal Arts - undefined

Kenyon College
Gambier, OH
05.1988

Skills

  • Problem-solving abilities
  • Analytical expertise
  • Communication skills
  • Program Management & evaluation
  • Cross-functional team leadership
  • Strategic planning abilities
  • Developing community partnerships
  • HFS service platforms: ABE, IES, IMPACT, MEDI, ADT

Timeline

Medicaid Program Analyst (Contractor)

Illinois Department of Healthcare and Family Services
07.2013 - 03.2024

Legislative Liaison and CHIP Outreach Coordinator

Indiana Family and Social Services Administration (FSSA)
01.1998 - 05.2000

Legislative Fellow for Health Care

Health Subcommittee, Senate Labor and Human Resources Committee
01.1995 - 05.1997

Two-Year Presidential Management Intern (PMI)

Office of the Assistant Secretary for Management and Budget in the Department of Health and Human Services
08.1992 - 08.1994

Legal Assistant

Kirkpatrick & Lockhart
11.1988 - 08.1990

Bachelor of Liberal Arts - undefined

Kenyon College

Master of Public Administration -

University of Pittsburgh
LAUREN POLITE