MARIA EASON
Garner,NC
Summary
MEDICAID PROGRAM MANAGER Results-driven management professional with 32 years of experience in Medicaid Programs, comprised of experience across case management, training, grants management, contracts management, supervision, hospital revenue cycle leadership, and program management.
Overview
32
32
years of professional experience
Work History
Medicaid Program Manager
Wake County Health & Human Services at WakeMed
Raleigh, NC
10.2006 - Current
- WakeMed, Analyze Medicaid, Managed Care, Charity Care program policies and propose modifications to policies
- Analyze Medicaid policies in draft and make recommendations for change before release by State of NC
- Assist attorneys with review of NC Medicaid policy to ensure compliance with CMS policies
- Develop program guidance to manage revenue cycle at the hospital by establishing protocols for screening patients for Medicaid
- Manage 33 employees under a Wake County Human Services/WakeMed Hospital contract
- Set standards and enforce strict accountability to meet WakeMed’s goals
- Leader at WakeMed in the Revenue Cycle; interact across all levels of the organization
- Coordinate Medicaid applications with social workers to ensure appropriate discharge of patients to Long-Term Care facilities
- Coordinate dialysis care for patients needing Medicaid to pay for cost of care
- Provide numerous weekly reports and monthly reports outlining revenue and work performed at the sites, extracting data from many different Wake County, State, and WakeMed systems
- Recruit, hire, and onboard new employees
- Manage employee relations issues, performance plans, and disciplinary actions
- Manage employee performance through goal setting, measurement, and evaluations
- County Champion liaison with State of NC for Medicaid policy implementation in NCFAST
- Read, understand, and interpret MAGI and Adult Medicaid policy daily
- Consult with WakeMed staff and attorneys on Medicaid policy
- Serve on multiple State committees that provide feedback on new Medicaid policies
Human Services Project/Grant Manager
Wake County Health & Human Services
Raleigh, NC
01.2001 - 10.2006
- Children’s Access Program Team
- Worked with John Rex Endowment, Wake Medical Society, and Wake County to build a team from the “ground up” to meet Medicaid enrollment, Medicaid re-enrollment, and Health Check goals outlined in the grant
- Team consisted of both Wake Medical Society employees and Wake County Human Services employees
- I set up the first telecommuting team at Wake County
- Provided monthly reports to show progression toward our goals to the Endowment and to Wake Medical Society
- Made presentations to the Endowment Board to show progress and confirm sustainability
- Our grant was successfully renewed after 3 years
- Set up bonus structure and plan for employees
- Utilized data analysis to determine best portals for enrollment, methods to improve re-enrollment, and increase compliance rate with Health Check standards
- Partnered with Wake County Public School system to reach families who might be eligible for Medicaid/NCHC
- Designed marketing program to market our Public Health Insurance program (Medicaid/NCHC);
- Brochures went out every year with the free/reduced lunch application to every WCPSS family
- Accomplished several sustainable outcomes beyond the grant period (ie, WakeMed hired several additional case managers due to an enrollment effort I established in their Pediatric Emergency Department
- Once the grant ceased payment for these positions, WakeMed began paying for these positions and has continued to do so.
- Partnered with Workforce Capital Development to reach out to companies laying off employees
- Partnered with NC Department of Corrections to reach out to mothers being released from prison and re-united with their children
- Partnered with Wake Health Services and had employees located in all sites across Wake County to enroll/re-enroll Medicaid/NCHC patients
- Employee performance management
- Maintained Wake County Medical Society budget for the grant and submitted monthly reports to show expenditures and balances; Responsible for all purchases and team expenses
Human Services Supervisor
Wake County Health & Human Services
Raleigh, NC
01.2000 - 01.2001
- Blended Team (Family & Children’s Medicaid/Food and Nutrition Services)
- Supervise a team of case managers doing reviews and applications for Family and Children’s Medicaid and Food and Nutrition Services
- Maintain daily monitoring of work progress
- Employee performance management
Program and Staff Development Trainer
Wake County Health & Human Services
Raleigh, NC
06.1998 - 01.2000
- Developed curriculum for Food and Nutrition Services and Family and Children’s Medicaid
- Trained new and existing employees
- Served as backup for Adult Medicaid trainers
Trainer
Johnston County Department of Social Services
Smithfield, NV
01.1994 - 06.1998
- Trained new and existing staff in all Economic Service Programs, including Energy Assistance, Medicaid, and SNAP
Case Manager
Johnston County Department of Social Services
Smithfield, NC
09.1991 - 01.1994
- Navigated through all Economic Service Programs, including Medicaid and SNAP, during my tenure as a case manager
Education
AS - Accounting
Johnston Community College
BS - Economics and Business
UNC
Skills
- Compliance Enforcement
- Organizational Performance
- Policy and Procedure Development
- Budget Preparation
- Business Systems
- Project Coordination
- Team Management
- Training and Development
- Community Outreach
- Partnerships and Resource Mobilization
- Work Planning and Prioritization
- Presentation Creation and Delivery
- Performance Monitoring
- Relationship Building
- Personnel Management
- Project Management
- Cost Management
- Team Leadership
- Verbal and Written Communication
- Recruitment and Hiring
- Employee Development
- Policy and Procedure Improvements
- Team Building
- Complex Problem Solving
- Onboarding and Orientation
- Technical Proficiency
- Documentation and Reporting
- Staff Training
- Performance Evaluations
- Goal Setting
- Employee Coaching and Motivation
- Teamwork and Collaboration
- Managing Operations and Efficiency
- Problem Resolution
- Project Planning
Timeline
Medicaid Program Manager
Wake County Health & Human Services at WakeMed
10.2006 - Current
Human Services Project/Grant Manager
Wake County Health & Human Services
01.2001 - 10.2006
Human Services Supervisor
Wake County Health & Human Services
01.2000 - 01.2001
Program and Staff Development Trainer
Wake County Health & Human Services
06.1998 - 01.2000
Trainer
Johnston County Department of Social Services
01.1994 - 06.1998
Case Manager
Johnston County Department of Social Services
09.1991 - 01.1994
AS - Accounting
Johnston Community College
BS - Economics and Business
UNC
Similar Profiles
Dalesha GholsonDalesha Gholson
Child Protective Services Social Worker at Wake County Health and Human ServicesChild Protective Services Social Worker at Wake County Health and Human Services
Elizabeth Money, BSN, RNElizabeth Money, BSN, RN
School Nurse at Wake County Health & Human ServicesSchool Nurse at Wake County Health & Human Services
Tawanda HowardTawanda Howard
CPS Assessment Social Worker at Wake County Health and Human ServicesCPS Assessment Social Worker at Wake County Health and Human Services