Ralph Raposa
Smithville
Summary
Dynamic professional with extensive experience at the Social Security Administration, Centers for Medicare & Medicaid Services, excelling in Operations Supervision and fraud investigation. Proven problem-solver with strong communication skills, leading audit teams to enhance compliance and performance. Recognized for attention to detail and critical thinking in high-stakes environments.
Overview
30
30
years of professional experience
Work History
Medicare Contracts Regulator
Centers for Medicare & Medicaid Services, CMS
04.1995 - 09.2004
- Oversight of Medicare Part C Contractors, Peer Review Organizations Project Officer with Congressional Authority to continue or end federal contracts based on performance
- Team Leader for Audit Team of Clinicians, Administrative Professionals
- CMS National Policy Team Member
- Medicare Fraud Investigator
- CMS Official with Congressional Authority to Continue or Terminate Medicare Contracts with Peer Review Organizatiions
Operations Supervisor, Claims Representative
Social Security Administration, SSA
12.1980 - 05.1995
- Managed daily operations for optimal performance, ensuring smooth workflows and timely completion of tasks.
- Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
- Conducted regular performance evaluations for direct reports, identifying areas for improvement and setting development goals accordingly.
- Enhanced team productivity by providing ongoing training, coaching, and mentoring to staff members.
- Processed claims for Social Security benefits
- Investigated Social Security Fraud
- Expert Witness for SSA Administrative Law Judges
Specialty Code 208X0
United States Air Force
02.1975 - 08.1979
Classified Duties, Top Secret, Sensitive Compartmented Information (SCI), Codeword Clearances.
Education
Master of Public Administration - Industrial And Organizational Psychology
University of Nebraska At Omaha
Omaha, NEBachelor of General Studies - Psychology
University of Nebraska At Omaha
Omaha, NENo Degree - Korean Language
Defense Language Institute
Monterey, CASkills
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Excellent communication
Affiliations
- American Federation of Government Employees (AFGE)
Two-time Recipient Secretary of Department of Health and Human Services Distinguished Service Award
National awards for distinguished service in Department of Health and Human Services
Languages
French
Professional Working
Korean
Limited Working
Timeline
Medicare Contracts Regulator
Centers for Medicare & Medicaid Services, CMS
04.1995 - 09.2004
Operations Supervisor, Claims Representative
Social Security Administration, SSA
12.1980 - 05.1995
Specialty Code 208X0
United States Air Force
02.1975 - 08.1979
Master of Public Administration - Industrial And Organizational Psychology
University of Nebraska At Omaha
Bachelor of General Studies - Psychology
University of Nebraska At Omaha
No Degree - Korean Language
Defense Language Institute
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