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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Government Contract Specialist with over one year of experience working with Kentucky Medicaid and managed care organizations. Experienced researcher and analyst with track record for developing tools to help track and monitor deliverables.

Education and Training
University of North Carolina Wilmington Wilmington, NC Expected in 2012 Masters of Public Administration : Public Management - GPA :
University of Kentucky Lexington, KY Expected in 2009 Bachelor of Arts : Communication - GPA :

Minor In History

Skill Highlights
  • Detail oriented
  • Personal and professional integrity
  • Proficient in Word
  • Proficient in Excel including pivot tables and vertical lookups
  • Self-disciplined
  • Team oriented
  • Proficient with SharePoint
  • Creative problem solving
  • Research
  • Familiar with Kentucky Medicaid regulations and statutes
  • Strong written communication skills
  • Self motivated and dedicated
Professional Experience
Kion Group - Government Contract Specialist
Beech Island, SC, 09/2013 - Current
  • Developed the Kentucky Market SharePoint site from scratch
  • Designed the Regulatory Request list and accompanying workflow to track regulatory tasks, memorialize documentation, and notify Business owners of deadlines
  • Designed and maintained Regulatory Report Tracking SharePoint list to distribute notifications to business owners, track submissions of deliverables, and create high level reports for executive leadership
  • Designed lists to track and monitor member welcome calls to ensure HIPAA compliance
  • Monitor Kentucky Medicaid Inbox, primary means of communication with the Kentucky Department for Medicaid Services and Humana, CareSource's business partner
  • Reviewed and analyzed email communication and determined appropriate targets for distribution
  • Developed policies and procedures to establish best practices for managing Kentucky Medicaid Inbox
  • Thoroughly researched and responded to Department of Insurance Complaints and member Disenrollment Requests
  • Investigated and researched regulatory inquiries from business owners
  • Led Regulatory Review meetings to foster discussion and understanding of how new and changing regulations impact different business areas
  • Ensured timely and accurate submission of action plans from business owners to Humana
  • Assisted in preparation for IPRO Audit
Healthcare Services Group - Account Manager
City, STATE, 10/2012 - 09/2013
  • Oversee, evaluate, and manage employee performance
  • Recruit, interview, and hire potential employees
  • Address personnel conflicts and issues
  • Terminate unsatisfactory employees
  • Ensure facility and staff are compliant with state regulations and facility protocols
  • Ordering supplies and managing inventory
  • Manage department supply and personnel budget
  • Assess quality and develop methods for improvement
  • Maximize efficiency with limited resources and supplies
Internships
Cape Fear Council of Governments - Intern
Wilmington, NC, 01/2012 - 05/2012
  • Researched, analyzed, and prepared Parks and Recreation (P&R) Master Plan for Whiteville, NC
  • Created application documentation for Parks and Recreation Trust Fund grant for Whiteville P&R Department
  • Located additional sources of funding for Lower Cape Fear Sustainable Communities Consortium to create efficient communication between partners
Black River Health Services - Intern
Burgaw, NC, 04/2011 - 07/2011
  • Assisted Executive Director regarding Medicare and Medicaid payments
  • Compiled potential solutions to address fraudulent workers' compensation claim
  • Reviewed, analyzed, and rewrote company material including board orientation manuals, conflict of interest policy guidelines, and confidentiality agreements
  • Participated in evaluation of applicants for pharmacy position including review of candidates, interviews, and selection of final candidate
  • Assisted Executive Director with daily operations including Board of Directors meeting preparation, employee relations, and budgetary review
Kentucky League of Cities - Intern
Lexington, KY, 04/2009 - 07/2009
  • Created, presented, and evaluated integration matrix model to help management determine feasibility of potential merger with potential nonprofit organization
  • Updated and created content for company website
  • Developed PowerPoint presentations for committees and meetings

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Resume Overview

School Attended

  • University of North Carolina Wilmington
  • University of Kentucky

Job Titles Held:

  • Government Contract Specialist
  • Account Manager

Degrees

  • Masters of Public Administration
  • Bachelor of Arts

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