Motivated administration professional skilled at building strong working relationships with fellow staff, supervisors and community members.
Developed and executed a plan of action that resulted in a complete reduction of SRT referrals for the Bureau of Disability Services Operations in less than 1 year.
Plan, direct and supervise the FIA Appeal Component.
Manage the process for quality assurance and quality control reviews.
Monitor and report program compliance.
Analyze data and ensure programs operate in accordance to local, state and federal policies and program requirements.
Oversee the monitoring process that evaluates program viability, compliance with mandates and quality customer service.
Consolidate, analyze and report data from a variety of sources including but not limited to payment accuracy, DHR and DHMH quality control reviews, recoupment and recovery and OIG fraud investigations.
Identify data trends and potential root causes.
Establish monitoring and reporting procedures to provide ongoing reviews of priority quality control errors.
Participate in planning, formulation and modification strategies to achieve long and short term resolution of identified errors and compliance deficiencies.
Assist in developing Corrective Action Plans to address payment errors and program deficiencies.
Prepare comprehensive monthly report of Quality Control findings, Recoupment and Recovery and fair hearings.
Participate in and provide technical assistance to departmental workgroups and stakeholders with regard to policies, procedures and new initiatives in an effort to maintain or achieve compliance.
Proficient in MS Word, MS Excel, MS Power Point.
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