Accomplished Senior Director of Financial Services at Oklahoma Health Care Authority, skilled in financial analysis and budget management. Expertly directed a $11.7B budget, ensuring regulatory compliance while enhancing stakeholder communication. Proven track record in developing strategies that optimize resources and improve fiscal performance, driving significant operational efficiencies.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Director of Financial Services
Oklahoma Health Care Authority
08.2018 - Current
Directs the fiscal planning and budgetary activities; monitoring and analyzing trends in health care and fiscal policy, developing long and short-term strategies that align with state and agency goals, implementing changes to maximize the use of the agency’s resources, assists on matters of budgetary policy, law and regulation; oversee the preparation, submission, and subsequent revisions (if necessary) of the agency’s annual budget work program (BWP) and budget request assuring compliance with all governing laws and regulations.
Directs the preparation of financial statements and other financial reports; oversees agency fiscal operations, including purchasing, federal reimbursements, collection of fees, administrative claims processing, accounts payable, accounts receivable, and agency deposits; ensure staff are performing duties in accordance with agency policies and federal and state laws, policies, rules, and regulations.
Present financial position orally and in writing to OHCA Board, Medical Advisory Committee, Oklahoma legislature and other stakeholders.
Reviews and approves monthly financial reports presented to the OHCA Board, reviews and approves monthly financial transactions, reviews revenues, expenditures, and fund balances to ensure the agency is operating within budget and adequate allotments are available for the fiscal year; reviews analysis of operating results, monthly operations budget progress reports and financial trends to identify potential problems; initiates steps to prevent problems or to correct any abnormalities; researches, interprets and monitors changes in federal and state laws, regulations, and policies to ensure compliance. Inform CEO, CFO and other executive leadership of potential problems, impact to the organization, present solution(s), implement policy and/or make changes to current policy, or requirements for changes in workflow; develops, initiates and monitors changes to ensure compliance; works with Senate, House, OMES and agency staff on consequences/impact of change.
Responds to both federal and state auditors and provides information for the statewide audited financial statements for the State of Oklahoma, OHCA’s annual financial report in addition to providing information related to the financial internal control and compliance.
Manages the Performance Management Process for General Accounting, Purchasing, and Budget & Fiscal Planning staff; develops job accountabilities, designates accountability priority, performs employee evaluations, documents performance, and creates employee development plans.
Budget & Fiscal Planning Director
Oklahoma Health Care Authority
11.2016 - 07.2018
Responsible for planning, directing, and submission of the OHCA budget ($10.1B) to the Governor and Legislature.
Participate in legislative budget hearings and respond to questions regarding the agency's budget request.
Research and interpret federal and state laws, regulations and policies to ensure compliance.
Make oral and written presentations to executive staff, OHCA Board, Medical Advisory Committee and other stakeholders regarding the agency’s budget and financial impacts to the Medicaid program.
Monitor and analyze trends in health care and fiscal policy and implement changes to ensure program functions at maximum efficiency and aligns with agency goals.
Respond to and prepare budget impact statements and other ad hoc requests from Senate, House, OMES staff and other stakeholders.
Collaborate with executive staff and agency leadership to develop and implement procedures and practices to enhance agency operations.
Coordinate and facilitate meetings with executive staff, agency leadership, and other state agency leadership in preparation for the annual budget request submission.
Plan, coordinate, and supervise the daily budget operations through direct consultation and coordination with line managers.
Construct and monitor internal controls; analyzing workflow and the sequence of operations.
Review and analyze monthly financial reports and trends to timely identify abnormalities to correct (and/or) mitigate financial risk.
Directly oversee the adequacy and soundness of the agency’s budget and fiscal structure.
Review staff analysis of reports, studies, projects, and grant notifications for immediate and long range program development.
Work in collaboration with executive staff, agency leadership, and external stakeholders developing and implementing programs, policies, and proposed legislation.
Develop performance evaluation standards to provide feedback on staff work performance.
Responsible for the development and submission of OHCA Administrative Budget ($167M).
Review various internal data reports and analyze expenditures/savings.
Assist with the OHCA Annual Budget Request and Budget Work Program.
Evaluate budget requests and make recommendations to agency leadership based upon fiscal impact and assist with prioritization of requests.
Provide expenditure and revenue forecasting.
Prepare, monitor, and maintain budget to actual expenditure reports.
Prepare monthly accrual and expense reports for financial statements.
Investigate and resolve abnormalities within budgets.
Supervise and ensure response deadlines to legislative inquiries and other surveys from outside entities are met.
Provide guidance to division directors and facilitate meetings in preparation of the annual budget process.
Act as a liaison between division directors and Human Resources to ensure adequate funding is available to meet desired personnel needs.
Supervise the establishment and maintenance of general ledger accounts, approval and funding structure for professional service contracts and purchase orders.
Supervise the budgeting, reviewing and funding of inter-agency, professional service, grant, and MMIS contracts.
Prepare grant budgets and federal financial reports and submit to Centers for Medicaid and Medicare Services through Grant Solutions.
Supervise and oversee the accuracy of position line item budgeting activities.
Financial Manager III (Budget & Fiscal Planning)
Oklahoma Health Care Authority
08.2012 - 11.2014
Responsible for the development, maintenance and submission of the OHCA Administrative Budget ($202M) in Great Plains and PeopleSoft general ledger systems.
Review various internal data reports and analyze expenditures/savings.
Prepare and submit Insure Oklahoma Administrative and Program Budget ($120M).
Assist with the Agencies Annual Budget Request and Budget Work Program.
Provide expenditure and revenue forecasting.
Prepare, monitor, and maintain budget to actual expenditure reports.
Prepare monthly accrual and expense reports for financial statements.
Investigate and resolve abnormalities within budgets.
Supervise and ensure response deadlines to legislative inquiries and other surveys from outside entities are met.
Provide guidance to division directors and facilitate meetings in preparation of the annual budget process.
Act as a liaison between division directors and Human Resources to ensure adequate funding is available to meet desired personnel needs.
Establish general ledger accounts, approve and provide funding structure for professional service contracts and purchase orders.
Budget, review and fund inter-agency, professional service, grant, and MMIS contracts.
Prepare grant budgets and federal financial reports and submit to Centers for Medicaid and Medicare Services through Grant Solutions.
Supervise and oversee the accuracy of personnel position line item budgeting activities.
Financial Manager II (Budget & Fiscal Planning)
Oklahoma Health Care Authority
11.2008 - 07.2012
Develop and maintain the administrative personnel position budgeting report ($41M/496 FTE).
Assist with the submission of the Administrative Budget through PeopleSoft.
Review various internal data reports and analyze expenditures/savings.
Prepare and submit Insure Oklahoma Administrative and Program Budget ($120M).
Assist with the OHCA annual Budget Request and Budget Work Program.
Provide expenditure and revenue forecasting for Insure Oklahoma.
Investigate abnormal variances within budgets.
Respond to legislative inquiries and other surveys from outside entities.
Act as a liaison between division directors and Human Resources to ensure accurate funding for FTE (personnel).
Financial Manager II (Provider Rates & Analysis)
Oklahoma Health Care Authority
12.2003 - 11.2008
Review and audit hospital cost reports to determine current cost to charge ratios for UPL calculations.
Maintain the GME system of payments and billing of state share for the PMTC contract.
Develop and maintain database of nursing home costs to evaluate and analyze reasonableness, monitor trends and population growth.
Audit and analyze nursing home cost reports to aid in the establishment of patient reimbursement rates for long-term care facilities (approx. 389 NH’s).
Correspond with nursing home facilities regarding reimbursement rates and timely filing of annual cost reports.
Calculate, maintain, and update rates for the Focus on Excellence program in MMIS (approx. 285 ICF’s).
Assisted with the development of the on-line cost reporting system; Responsible for maintenance of the on-line cost reporting system and facilitate training to users/providers.
Prepare monthly expenditure reports for long-term care facilities.
Assist with budgetary planning.
Accountant II (General Accounting)
Oklahoma Health Care Authority
03.2000 - 12.2003
Assist in maintaining monthly expenditure and revenue reports of operations.
Reconcile agency funds to the Office of State Finance and State Treasurer’s Office, including Fund 340 (Medical Assistance), Fund 200 (Administrative funds) and 1807B (Clearing account).
Maintain the agency general ledger, cash journals, federal grant awards, and other related fiscal records.
Calculate the federal revenue due to the agency based on expenditures and process weekly draws through the payment management system.
Prepare other fiscal documents and worksheets as requested, such as for management or GAAP reporting.
Classify expenditures and revenues according to the chart of accounts as prescribed by the Financial Management Unit.
Responsible for reissue, stop payment or cancellation of Fund 340 and Clearing Account checks.
Maintain agency Clearing Account; A/R, A/P, Vouchers and Transfers.
Process garnishments, CMP offsets, IRS levies and 31% withholding penalties against medical providers.
Performed extensive back up duties for Accountant III positions which included billing other state agencies, classifying expenditures, maintaining the medical warrant register, depositing medical refunds, drug rebates, and third party reimbursements.
Financial Analyst I (Adjustments)
Oklahoma Health Care Authority
05.1998 - 02.2000
Analyze, research and/or investigate voluntary refunds, claim adjustments of Medicaid funds.
Respond to oral and written inquiries from medical providers, recipients and third party administrators.
Initiate the recovery of erroneous payments.
Adjudicate claims as appropriate after review and analysis.
Correct erroneous payments, recover third party liability or other funds, and make final disposition of a claim for payment.
Research and verify insurance coverage for SoonerCare members.
Balance refund receipts.
Process recoupments from SoonerCare providers.
Maintain control of all initiated transactions to ensure accuracy and compliance with agency policies and state and federal guidelines.