
Dynamic Vice President of Operations with a proven track record in process improvements, staff development, and performance analysis. Expertise in driving operational excellence and implementing training programs to enhance team performance.
Supported onboarding training for new employees within department to maintain consistent departmental readiness.
Provided subject-matter guidance to HCS staff to support resolution of Star Plus Waiver inquiries.
Provided on-demand training for STAR Plus Waiver leadership and staff to support program operations.
Supported case manager onboarding through star plus training for Dallas staff members.
● Assigned, tracked, and processed Star Plus Waiver assessments to Texas Medicaid, Healthcare Partnership, and Program Support Unit, ensuring timely compliance with state requirements
Reviewed and validated all documents for HHS compliance prior to submission to maintain regulatory adherence, reduce resubmission needs, and eliminate state fines.
Managed Star Plus waiver paperwork processing to support state deadline compliance and member eligibility for the Star Plus waiver program.
Partnered with management and the Star Plus Waiver specialist team to refine internal processes and support operational alignment.
Responded to state inquiries within established timeframes.
Completed various State reports and internal reports.
Developed updated job aides and standard operating procedures to support consistent processing of assessments across department workflows.
● Created a new design for the Waiver Request Management System and worked with management and IT regarding testing of the new system
● Developed multiple job aides to assist staff in daily tasks and Standard Operating Procedures for the department
Assigned, tracked, and processed STAR Plus waiver assessments for multiple state agencies, including Texas Medicaid and Healthcare Partnership, and supported STAR Plus Support Unit operations.
Reviewed and validated state compliance requirements across all submitted documents prior to submission to reduce fines and resubmission needs.
Processed Star Plus waiver paperwork timely to help members become or remain eligible for the program and gain additional income per month.
Collaborated with IT staff on two-year requirements-gathering effort to develop web-based application and implement more than 40 Star Plus Waiver program tracking reports.
Verified new application and reports through targeted testing following each update or correction to maintain data integrity.
Partnered with IT staff to refine application and reporting components for more accurate information delivery.
Developed training documents for staff and management to support consistent application use and standardized work processes.
Delivered retraining to staff and management with each application update to maintain readiness.
Partnered with management to establish department workflow processes and application workflow standards to support department operations.
Worked with management and IT staff to design and implement financial reporting functionality within the application for HHS payment verification.
Handled member calls to support access to eligibility and care-related information for general inquiries.
Dispatched educational materials, including power of attorney and advance directives forms, and supporting paperwork to members upon care coordinator request to support care coordination processes.
Maintained complete member contact records in member electronic file and communicated via Lotus Notes with appropriate members of the healthcare team.
Processed authorization requests by creating and duplicating authorizations for care coordinators and medical/home health companies.
Developed training materials for employees to maintain job function proficiency.
HCSSA Administrator Certification- July 2026-July 2027