Shaunie Long
Policy Professional
Portland,OR
Summary
Shaunie Long is an experienced policy professional with dynamic leadership skills and project management experience. With a strong background in Medicaid and CHIP policy, Shaunie has worked with the Washington State Health Care Authority in various roles, including Senior Policy Analyst, Program Manager, Northwest Regional Medical Enrollment Supervisor, and Medical Assistance Specialist. Shaunie's accomplishments include coordinating monthly CMS meetings, developing policy and procedures, managing stakeholder relations, translating federal policy and guidance, analyzing agency policy and operations, and monitoring implementation of healthcare initiatives and strategies. Shaunie has also demonstrated her ability to lead, train, and motivate staff while fostering a culture of growth and development. Shaunie is authorized to work in the US for any employer.
Overview
15
15
years of professional experience
Work History
Senior Policy Analyst
Washington State Health Care Authority
07.2022 - Current
- Coordinate monthly CMS meetings to ensure HCA follows Medicaid and Title XXI/CHIP
- Develop and clarify policy and procedures for legislative staff, constituents, other state agencies, HCA staff and community based organizations
- Lead and manage stakeholder relations for implementing necessary changes including federal partners as necessary
- Translate Federal policy and guidance to formulate statewide Medicaid policy through Washington
- Administrative Code development and adoption
- Analyze agency policy and operations; make decision on improvements and work with agency staff to implement
- Develop proposals for review by executive management on Medicaid policy, practice and implementation
- Consult with Health Benefit Exchange and the Department of Social and Health Services and their contractors in the development of statewide eligibility and enrollment tools to ensure adherence to federal and state policy
- Monitors implementation of health care initiatives and strategies
- Leads HCA and other agencies on progress, challenges and provides substantial input for Medicaid policy changes
- Update federal State Plans as required
- Project management as it relates to implementation of Medicaid policy and planning
- Responds to legislative and constituent inquiries on behalf of the Director and other senior managers
- Review all legislative bills that have potential impacts to Medicaid and Title XXI/CHIP, make recommendations to remain consistent with strategic long range plans
- As the representative of the Director, resolve local issues regarding the incorrect use of policy or procedures which impact the accurate implementation of the Medicaid program
- Expertise in Medicaid policy is utilized to implement policy and train staff at an agency level and the community-based environment
- Assesses training needs of staff and arranges for or provides instruction
- Direct implementation of policy, negotiate with stakeholders on behalf of the agency
- Serve as point of contact in a region for the agency on policy and implementation guidelines
- Resolve complex issues with CBO’s and HCA staff independently when appropriate, and involve leadership as needed
- Engage, communicate with and present to community partners, stakeholders, and leadership by webinars, stakeholder meetings, and/or conference calls
- Manage divisional contracts as needed.
Policy Manager
Washington State Health Care Authority
10.2019 - 07.2022
- Plan agency strategy for implementing federal and state law
- Identify long-term strategies and short term goals and objectives and implementation plans with a special focus on children's and family policy and coverage options
- Develop and submit annual and monthly reports to the Center for Medicaid and Medicare Services (CMS) and associated partners
- Coordinate monthly CMS meetings to ensure HCA follows Medicaid and Title XXI/CHIP
- Manage contracts funded through CHIP and work with finance staff to ensure appropriate claiming on this program
- Draft and manage eligibility system change requests for CHIP
- Develop and clarify policy and procedures for legislative staff, constituents, other state agencies, HCA staff and community based organizations
- Lead and manage stakeholder relations for implementing necessary changes including federal partners as necessary
- Translate federal policy and guidance to formulate statewide CHIP policy through Washington
- Administrative Code development and adoption and state plan amendments
- Analyze agency policy and operations; make decisions on improvements and work with agency staff to implement
- Develop proposals for review by executive management on Medicaid policy, practice and implementation
- Consult with the Health Benefit Exchange and the Department of Social and Health Services and their contractors in the development of statewide eligibility and enrollment tools to ensure adherence to federal and state policy
- Monitors implementation of health care initiatives and strategies
- Leads HCA and other agencies on progress, challenges and provides substantial input for Medicaid policy changes
- Monitor enrollment strategies that are being carried out by HCA staff and community based organizations (CBO)
- Provide long and short range policy plans that seek to meet client needs, meets federal Medicaid guidelines, and create cost efficient plans in policy implementation
- Train local stakeholders to ensure communities understand Medicaid/CHIP, and the Affordable Care
- Act as it relates to implemented strategies for enrollment policies and procedures
- Responsible for project management and process improvement.
Regional Medical Enrollment Supervisor
Washington State Health Care Authority
08.2017 - 10.2019
- Plan, lead, prioritize, and direct activities and performance of nine remote HCA staff located at community-based facilities across five counties
- Manage workload performance and service delivery of Medicaid programs at a local/community level -Maintain work procedures and processes according to eligibility rules published in WAC
- Provide service-focused leadership and guidance to community-based staff and to support them in their roles, enhancing their ability to effectively serve the public
- Responsible to recruit, hire, and oversee training for new staff
- Provide operational oversight, coaching, recognition, and continuous training to existing staff
- Manage represented staff per CBA
- Reinforce established job expectations and directly supervise staff
- Foster a culture of growth and development of direct reports
- Provide feedback and input into strategic planning
- Provide ongoing support to supervisor team
- Cultivate culture, quality, engagement, and experience within the team
- Develop and nurture relationships with other community-based organizations, facilities, and tribal governments
- Provide opportunities for staff to become involved in events throughout the region including Project Homeless Connect, resource fairs, etc.
Medical Assistance Specialist
Washington State Health Care Authority
03.2015 - 07.2017
- Provided tribal support and attended outreach activities as directed by the supervisor
- Independently analyzed applications to determine initial and ongoing eligibility of Medicaid programs
- Conducted interviews with clients, providers and/or third parties to obtain information for required documentation and verification to support program eligibility decisions
- Answered inquiries and assists facility partner staff with Medicaid eligibility issues
- Worked in partnership with advocates, providers, Health Benefit Exchange, other state agencies, community based organizations and other units within HCA to provide clarification, resolve disputes, solve problems, coordinate referrals and/or answer inquiries
- Utilized multiple electronic systems such as ACES, Provided One, HPF, UTAB, SOLQ, and Barcode
Family Services Specialist II
State of Nevada, Supportive Services
04.2013 - 03.2015
- Provided case Management services to a high-volume caseload
- Performed applicant screening, interviewing, and eligibility determination based on complex eligibility policies, budgeting, ongoing and intake cases, client interviews (Medicaid, SNAP, and TANF.)
- Provided training and mentorship to new FSS staff in a satellite office
- Supervisor candidate prior to relocating to Washington State.
Group Leader/Interim Program Director
Sequel Youth and Family Services
12.2010 - 10.2012
- Conducted application and resume reviews
- Established candidate pools
- Conducted interviews and provided feedback in hiring decisions for all levels, including executive management
- Supervised and trained new employees, maintained 24-hour employee scheduling, scheduled staff for student transports, made scheduling and staffing adjustments to ensure adequate coverage and additional support when needed
- Managed service delivery of a complex system of individualized treatment programs
- Observed and assessed staff in the milieu and provided coaching and training as needed, both formally and informally
- Completed monthly and annual employee evaluations
- Devised, assigned, and monitored Corrective Action Plans for staff members when necessary
- Provided close supervision to 30+ court-adjudicated youth in residential placement
- Planned and coordinated the establishment of a resident Girls Program
- Maintained relationships with outside agencies (e.g
- Courts, advocacy groups, schools, state and federal commissions, etc.)
- Ensured all required reports were accurate and submitted within statutory timeframes
- Facilitated ongoing trainings for staff member according to state and federal regulatory timeframes
- Participation in strategic planning for all phases of program development and maintenance
- Management of budget allocated to group living programs
PBX Operator/Receptionist
GYN Associates
07.2010 - 12.2010
- Operated PBX phone system and for 13 physician OB/GYN practice
- Processed and managed FMLA claims
Business Manager
High Desert Hitmen
01.2008 - 08.2010
- Supervised and co-managed a team of 10 Professional Athletes, overseeing training schedules, appearances, competitions, contracts, media relations, and travel
- Provided comprehensive skills assessment for athletic management candidates
- Supervised and managed an athletic facility including sales, coaching, scheduling, maintenance, and bookkeeping
- Responsible for the management and delivery of multiple programs designed specifically for youth and women of all skill-levels and abilities, as well as delivery of a comprehensive self-defense training program
- Management of vendor contracts
- Oversight of program-specific licensing requirements and permitting
- Recruited and managed event crews of over 25 individuals in the planning, set-up, operations, and break-down phases of each event
- Provided prompt setback resolution and delegated tasks to staff and crew members to meet deadlines and objectives
- Provided creative marketing solutions for a professional athletic team and event promoter
- Assisted in creating an effective campaign to ensure a thriving, member-driven facility
- Secured sponsorships, coordinated events from set-up to break-down, and hosted VIPs
Education
Bachelor Of Science - Business Administration And Management
Western Governors University
High School Diploma -
Spring Creek High School
06.2000
Skills
- Media relations
- Events management
- Public relations
- Program management
- Program development
- Team management
- Proposal writing
- Process improvement
- Branding
- Social Justice
- Excellent Administrative Abilities
- Performance Metric
- Office Operations
- Policy Compliance Understanding
- Policy Recommendation
- Evaluating Legislation
- Policy Management
- Critical Thinking
- Social Perceptiveness
- Identifying Best Practices
- Reading Comprehension
- Composing Business Correspondence
- Policy Planning
- Employee Timesheet Processing
- Employment Equity
- Writing White Papers
- Policy Evaluation
- Government Policy
- Complex Problem-Solving
- Third-Party Contracts
- Policy Drafting
- Time Management
- Client Needs Assessment
- Program Administration
- Microsoft Office
- Policy Changes
- Active Listening
- Hosting Meetings
- Policy and Procedure Explanations
- Corrective Actions
- Legislative Tracking Techniques
Timeline
Senior Policy Analyst
Washington State Health Care Authority
07.2022 - Current
Policy Manager
Washington State Health Care Authority
10.2019 - 07.2022
Regional Medical Enrollment Supervisor
Washington State Health Care Authority
08.2017 - 10.2019
Medical Assistance Specialist
Washington State Health Care Authority
03.2015 - 07.2017
Family Services Specialist II
State of Nevada, Supportive Services
04.2013 - 03.2015
Group Leader/Interim Program Director
Sequel Youth and Family Services
12.2010 - 10.2012
PBX Operator/Receptionist
GYN Associates
07.2010 - 12.2010
Business Manager
High Desert Hitmen
01.2008 - 08.2010
Bachelor Of Science - Business Administration And Management
Western Governors University
High School Diploma -
Spring Creek High School
Similar Profiles
Lena MolinaLena Molina
Health Care Program Specialist at The Washington State Health Care AuthorityHealth Care Program Specialist at The Washington State Health Care Authority
Jessica LaneJessica Lane
Medical Assistant Program Specialist 2 at State of Washington - Health Care AuthorityMedical Assistant Program Specialist 2 at State of Washington - Health Care Authority
Rebecca PriceRebecca Price
Medical Assistant Specialist 3 at State Of Washington Health Care AuthorityMedical Assistant Specialist 3 at State Of Washington Health Care Authority
COURTNEY PATTERSONCOURTNEY PATTERSON
Asset and Environmental Stewardship (AES) Director at MetroAsset and Environmental Stewardship (AES) Director at Metro
Hanna Valencia MartinezHanna Valencia Martinez
Barista and Cashier at StarbucksBarista and Cashier at Starbucks