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director of quality assurance resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - - -
Summary

Financial Management professional with proven knowledge in accounting processes within substance use disorder and mental health non-profit organizations. Knowledgeable about AP/AR, financial and regulatory reporting, budgeting and all other aspects of successful financial operations including general knowledge of Generally Accepted Accounting Principles (GAAP). Exceptional organizational and problem-solving skills and keen ability to identify areas for process improvements. Effective communicator with good written communication skills and good time-management skills to respond to the needs of management and the organization.

Skills
  • Accessing virtual platforms (Zoom, Google Meet, Go To Meeting)
  • Account Reconciliation
  • Attention to Detail
  • Audit preparation
  • Claims Adjudication
  • Complaint Resolution
  • Deadline Adherence
  • Effective Multitasking
  • Friendly, Positive Attitude
  • General Ledger Activity
  • Good Work Ethic
  • Mental Health Wellness Information Network (MH-WIN)- PCE
  • MS Dynamics GP Financing Platform
  • Planning and Organizing
  • Proactive and Focused
  • Team Oriented
Experience
09/2021 to 10/2022
Director of Quality Assurance Albertsons Company Inc. Brighton, CO,
  • Orchestrated data collection, report generation and review of quality issues.
  • Investigated Recipient Rights grievances and consumer complaints to conduct causation analysis and suggest responsive action to administrators.
  • Maintained regular communication with on-site Directors to obtain feedback for enhancing quality initiatives and address issues.
  • Reviewed qualitative customer feedback to address quality issues such as mistreatment by addressing staff and recommending re-training or disciplinary action.
  • Conducted focus group with consumers to gauge response to service delivery.
  • Responded to requests from the Coordinated Access Management Team (CAM) on determination of grievance's based substantive evidence and formally addressed with leaders.
  • Performed qualitative review of client case records for completeness and assessed quality of case notes and service plans for SUD treatment, housing and shelter programs.
  • Oversaw and assisted with implementation of an EHR for a new program operation. Responsible for building the billing codes and managing the administrative function of employee access.
04/2014 to 08/2021
Finance Manager Alteryx Portland, OR,
  • Reported to and worked closely with CFO on Managing SUD finance, year end reconciliations and regulatory reporting to State of Michigan.
  • Managed $55 million in revenue and expenses for the SUD line of business and multiple funding sources.
  • Lead a staff of three, reviewed and approved daily payment transactions for batch processing, reviewed and approved monthly accruals, approved timesheets and provided feedback on annual employee development plan.
  • Provided financial, accounting and administrative data for sud and mental health department managers and other members of Management and Budget.
  • Worked with the Supervisor of Auditing to provide supporting documentation such as GL accounts for audit preparation with annual state and A-133 audit.
  • Prepared monthly and quarterly financial reports for management and external parties (e.g., MDHHS, State of MI, network providers)
  • Prepared financial transactions including journal entries and payment vouchers, posted invoices and vouchers, and revenue reconciliation.
  • Prepared annual budget for SUD and subsequent amendments through the budget adjustment process as necessary to align with approved funding.
  • Provided back-up for Accounts Payable manager in batch processing of bi-weekly payments and distribution of EFT's and manual payments.
  • Initiated various monthly and quarterly payments, including Insurance Provider Assessment Act (IPAA), state hospital payments to MI Department of Treasury and state hospital providers.
  • Prepared annual Income Tax Return to State of Michigan.
  • Worked closely with IT staff to resolve billing/IT issues related to GL structure and reporting.
01/2000 to 04/2014
Senior Accounting Specialist Dairy Farmers Of America Hooksett, NH,
  • Provided accounting support to managers of substance use disorder and workforce development, including preparation and review of program budgets and analysis of revenue and expense reports.
  • Verified monthly insurance eligibility for consumers using the Mental Health Wellness Information Network (MH-WIN).
  • Processed HCFA-1500 claims through the web-based billing system CareNet.
  • Conducted site visits to network providers and reviewed consumer case records for billing integrity. Determined a corrective action plans (CAP) and any monetary discrepancies, then implemented payment reduction process.
  • Held provider meetings with network to discuss new information, provided technical assistance when necessary.
  • Assisted with compilation of documents necessary for annual state and A-133 audits.
  • Answered calls from the Access Management Department (AMS) for consumers seeking access to treatment.
  • Participated in multiple organized community events throughout Wayne County and provided outreach and community engagement for needs assessment.
  • Maintained monthly compliance Excluded Parties List/SAM.GOV for network members and staff, ensuring they are approved service providers.
  • Conducted satisfaction surveys with substance use disorder and workforce development consumers to gauge consumer satisfaction and reviewed results of surveys for management to use in best practices meeting.
  • Created a contract status report for program managers to use for monitoring finances in real-time, making recommendations for increases/reductions in funding, forecasting and budgeting for the fiscal year.
Education and Training
Expected in 08/2023 to to
MBA: Finance
Central Michigan University - Mount Pleasant, MI
GPA:
Expected in 05/2010 to to
Bachelor of Arts: Business Administration And Management
Marygrove College - Detroit, MI
GPA:

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Resume Overview

School Attended

  • Central Michigan University
  • Marygrove College

Job Titles Held:

  • Director of Quality Assurance
  • Finance Manager
  • Senior Accounting Specialist

Degrees

  • MBA
  • Bachelor of Arts

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