Melissa Foley
Norwell,MA
Summary
Through my work experience and education, I have extensive knowledge of quality improvement strategies, financial tracking, working on individual or group project presentations, and analyzing and interpreting data. I thrive in fast-paced work environments and pride myself on my ability to adapt and excel in challenging situations.
Overview
9
9
years of professional experience
Work History
Revenue Lead
Executive Office of Health and Human Services, Office of Federal Finance and Revenue
2022.06 - Current
- Collaborates with state agency CFO’s and contracted vendors to prepare state revenue projections, tracks year to date revenue, and revise end of year revenue target projections
- Identifies and implements mitigation strategies associated with revenue expansion projects and presents associated risks to Deputy Commissioner, Office of Federal Finance and Revenue
- Predicts state agency revenue impact due to variations in agency spending patterns and caseload
- Works with assigned agency CFO’s at the Department of Child Protective Services, Department of Youth Services, Executive Office of Veterans Services, and Soldiers Homes: Chelsea and Holyoke
- Coordinates activities associated with responding to audits and inquiries by Federal and state oversight agencies
- Completes twice annual DCF quality control audits for Title IV-E eligibility and Medicaid claiming
- Manages and monitors revenue service contracts with vendors including approving quarterly performance certifications
- Serves as a liaison between revenue vendor agency fiscal, programmatic, and IT staff
- Reviews quarterly Title IV-E and Medicaid claims completed by contracted vendors and sends to CFOs of state agencies for final approval
- Reviews and approves monthly invoicing from state contracted vendor agencies
- Maintains organized files and worksheets for state agency review of revenue status on a weekly basis
- Coordinates and runs monthly state agency revenue status meetings
- Annually projects and monitors over $350,000,000 million in state revenue
- Completes quarterly analysis of Medicaid eligible children in DCF custody to determine Medicaid eligibility rate for claiming purposes.
Acquired Brain Injury Service Coordinator
Executive Office of Health and Human Services, Department of Developmental Services
2018.09 - 2022.06
- Responsible for facilitating meetings with interdisciplinary teams to develop Individual Service Plans (ISPs)
- Coordinates activities with a multitude of service stakeholders including: MassHealth, UMASS, transitional entities, provider agencies, and rehabilitation day support services
- Completes referrals for Physical therapy, Occupational therapy, Speech and Language, and skilled nursing through contracted vendors and ensures billing is completed for services
- Reviews and approves transitional assistance plans before submitting to Massachusetts Rehabilitation Commission for approval
- Completes in person visits with individuals enrolled in serves on a monthly basis and submits site visit forms to supervisor and medical team for review
- Reviews legal status of guardianship and healthcare proxy documentation for individuals in state services
- Reviews all medical and behavioral incident reports submitted through HCSIS electronic database systems by provider agencies
- Responsible for ensuring incident reports action steps have been completed and documentation saved to database for future access
- Maintains and updated written and electronic healthcare records for caseloads of 60 individuals
- Acts a community liaison to nursing facility residents and waiver approved stakeholders
- Acts as a lead to disciplinary teams in the development, coordination, and integration of state service plans for assigned individuals enrolled in acquired brain injury and money follows the person programs
- Completes presentations and presents at Department of Developmental Services annual trainings within the Southeast region.
Director of Residential Supports
United Cerebral Palsy of Metro Boston
2015.03 - 2018.09
- Utilizes a strong leadership style of management infused with positivity that creates an environment which encourages staff to be enthusiastic in working towards the organization mission and values
- Participated in opening state funded group homes and undergoing quality control and licensure reviews
- Provides direct supervision and support to 90 supervisees by meeting consistently, working on performance goals, and staff training to increase skills and ability to positively contribute to the organization
- Responsible for staff training at acquired brain injury and developmentally disabled group homes
- Completes annual assessments for acquired brain injured clients and submits state entities for review
- Participates in acquired brain injury quarterly meetings at the Department of Developmental Services (DDS) area office
- Responsible for reviewing all monthly Induvial Serviced Plan progress notes for clients and submits to state entities for review
- Finalizes all ABI incident reports on HCSIS and completed follow-up action steps
- Evaluates department effectiveness and quality through internal and external monitoring systems, such as outcome measurements, data collection, compiling reports, and measurable goals
- Ensures all work submitted meets organization standards and state requirements
- Actively participates in agency events, meetings and committees, fundraising events, and company wide outreach
- Implements high standards of proficiency, promptness, quality performance and ethical commitment, while servicing 35 clients and 5 program sites for the department
- Incorporates sensitivity to cultural, religious, racial, disability and gender issues into daily practices and interventions
- Responsible for new clients transitions and completion family and individual care plans
- Responsible for completing coding on E-time and approving staff schedule changes/overtime submission
- Ensures state required assessments are completed accurately and submitted in a timely manner
- Scheduled and held monthly clinical meetings with Program Directors and nurses
- Compiled monthly data for residential outcome measurements and submitted to Vice President of Programs
- Ensured all medical and legal documentation is up to date in client records
- Assisted in launching electronic healthcare records and electronic scheduling systems
- Completes annual assessments for Acquired Brain Injury clients and submits to DDS for review.
Education
MHA - Masters in Healthcare Administration
Walden University
05.2016
BS - Bachelor of Science in Speech, Language, Hearing Science- Minor in Psychology
University of Arizona
Tucson, AZ05.2012
Skills
- Optimization
- Leadership
- Task Monitoring
- Operational Efficiency
- Financial and data analysis
- Controls and audit
- Stakeholder management
- Meeting faciliation
Timeline
Revenue Lead
Executive Office of Health and Human Services, Office of Federal Finance and Revenue
2022.06 - Current
Acquired Brain Injury Service Coordinator
Executive Office of Health and Human Services, Department of Developmental Services
2018.09 - 2022.06
Director of Residential Supports
United Cerebral Palsy of Metro Boston
2015.03 - 2018.09
MHA - Masters in Healthcare Administration
Walden University
BS - Bachelor of Science in Speech, Language, Hearing Science- Minor in Psychology
University of Arizona
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