Senior healthcare professional with 17+ years of experience at CMS, specializing in leading cross-cutting initiatives and policy implementation. Proven track record of providing expert technical advice to senior management, coordinating multi-team projects, and developing comprehensive policies across CMS programs. Experienced in representing CMS leadership in high-level stakeholder engagements and managing strategic program evaluations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Health Insurance Specialist GS-13
Centers for Medicare & Medicaid Services (CMS)
04.2007 - Current
Conduct analytical studies of AO oversight program (9 national Accrediting Organizations that consists of 23 approved Medicare programs) and operational processes for all aspects of the accreditation programs approved by CMS.
Make recommendations to senior leadership related to enhanced oversight for deeming authority.
Develop policies and procedures to be used by internal and external groups related to all aspects of AO oversight.
Collaborate with key officials and groups within and outside the CMS to resolve problems pertaining to accreditation and deemed status.
Subject matter expert (SME) for Psychiatric Residential Treatment Facilities, Community Mental Health Centers, Intermediate Care Facilities/Individuals with Intellectual Disabilities (ICF/IID), and Rural Emergency Hospitals programs.
Provide technical guidance to CMS-approved accrediting organizations, CMS locations, State Survey Agencies, and healthcare facilities
Assist team in developing and/or updating interpretive guidance, revising the State Operations Manual and ASPEN related to Psychiatric Residential Treatment Facilities, Community Mental Health Centers, ICF/IID Facilities and Rural Emergency Hospitals, to address changes in statute and regulations
Serve as Contracting Officer Representative for Report to Congress contract
Consistently track and review the contract’s progress, meeting contract deadlines with satisfactory deliverables, and the assessment of these factors with the Scope of Work
Oversaw the full lifecycle of acquisition process, including time management, deliverable tracking, and compliance with contract terms
Ensured budgetary alignment by monitoring expenditures, approving invoices, and maintaining accurate contract records
Successfully managed one contact totaling $3.6 million, ensuring optimal resource utilization and contract fulfillment
Health Insurance Specialist GS-14 Temporary Promotion
Centers for Medicare & Medicaid Services (CMS)
03.2024 - 07.2024
Provided expert technical advice and assistance to senior managers and staff to assure the accomplishment of the goals and objectives of the strategic plans for CMS, CCSQ, and QSOG
Oversaw and provided technical advice related to Medicare certification and enforcement policies for division programs
Coordinated team of ten members activities related to evaluation and oversight of division’s eight programs
Provided timely oral and written expert guidance, technical assistance and consultation pertaining to regulations and policies and related data systems
Served as a resource person and technical authority and coordinated cross-cutting projects, tracked all meetings/action items and deliverables for both the Director and Branch manager, including regulations and other sensitive matters, and conducted special assignments on a wide range of significant management, operational, and policy issues
Health Insurance Specialist GS-14 Temporary Promotion
Centers for Medicare & Medicaid Services (CMS)
07.2022 - 10.2022
Provided expert technical advice and assistance to senior managers and staff to assure accomplishment of goals and objectives of strategic plans for CMS, CCSQ, and QSOG
Oversaw and provided technical advice related to Medicare certification and enforcement policies for division programs
Coordinated ten team members activities related to evaluation and oversight of division nine programs
Provided timely oral and written expert guidance, technical assistance and consultation pertaining to regulations and policies and related data systems
Served as resource person and technical authority and coordinated cross-cutting projects, tracked all meetings/action items and deliverables for both the Director and Branch manager, including regulations and other sensitive matters, and conducted special assignments on a wide range of significant management, operational, and policy issues
Assisted team in development of interpretive guidance for new provider (Rural Emergency Hospitals)
Validation Program Lead
Centers for Medicare & Medicaid Services (CMS)
09.2014 - 09.2019
Coordinated validation surveys for all nine accreditation programs
Responsible for making sure all key schedule information is received from AOs on time to support AO performance assessment through validation surveys
Provided CMS ten Regional Offices (ROs) with monthly notification of hospital and non-hospital facilities selected for validation survey by State Survey Agencies
Responsible for providing accurate and complete information authorizing payments by budget staff to50 State Survey Agencies for supplemental surveys
Participated in periodic calls with ROs to facilitate timely and consistent implementation of validation program
Responsible for drafting, revising, and finalizing written policies and procedures for Validation Survey Program
Reviewed validation team analysis and finalized for review by Senior Leadership annually
Including number of validation surveys targeted; number assigned; number completed; number assigned, but not completed; and, reason not conducted, by program type, state, and region
SME for CMS Validation Redesign Pilot Project- provided guidance on site selection and ensured team functioned within confines of the Mission Priority Document (budget - quote) (MPD) and regulation
Education
Master of Science -
Towson University
Towson, MD
12-2006
Bachelor of Science - Healthcare Management; Business Administration
Towson University
Towson, MD
05-2003
Skills
Strategic Program Analysis
Cross-functional Team Leadership
Policy Development & Implementation
Senior Leadership Advisory
Stakeholder Management
Program Evaluation & Oversight
Technical Guidance & Training
Project Coordination
Certification
Contracting Officer Representative II
Accomplishments
Led cross-cutting initiatives by coordinating a team of ten members' activities related to evaluation and oversight of the division's eight programs during the GS-14 temporary promotion.
Served as a resource person and technical authority for the Director and Branch manager, tracking all meetings, action items, and deliverables, including regulations and sensitive matters
Achieved 100% success rate in completing application reviews and publishing final notices on time.
Developed a comprehensive tracking system for technical inquiries during Rural Emergency Hospital program development, ensuring accurate stakeholder response during implementation.
Coordinated validation surveys across nine accreditation programs, managing relationships with 50 State Survey Agencies and 10 Regional Offices.
Timeline
Health Insurance Specialist GS-14 Temporary Promotion
Centers for Medicare & Medicaid Services (CMS)
03.2024 - 07.2024
Health Insurance Specialist GS-14 Temporary Promotion
Centers for Medicare & Medicaid Services (CMS)
07.2022 - 10.2022
Validation Program Lead
Centers for Medicare & Medicaid Services (CMS)
09.2014 - 09.2019
Health Insurance Specialist GS-13
Centers for Medicare & Medicaid Services (CMS)
04.2007 - Current
Contracting Officer Representative II
Master of Science -
Towson University
Bachelor of Science - Healthcare Management; Business Administration
Towson University
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