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senior policy specialist resume example with 11+ years of experience

Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Profile
Results-oriented and self-directed professional looking to obtain a position where my skills are valued and can benefit the organization. Experience in Healthcare, Healthcare Administration, Policy Development, and Research Analysis. Offering a record of successful job performance, proven problem solving ability and experience developing and implementing innovative solutions. Dedicated, focused and excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. 
Core Competencies
  • Healthcare Administration
  • Policy Development & Implementation
  • Data & Information Analysis
  • Client Relations
  • Researching & Report Writing
  • Program Development  
  • Document & File Management
  • Process Improvement & Quality Assurance
Education
Expected in May 2014 to to
Master of Business Administration: Healthcare Administration
Southern Nazarene University - ,
GPA: 3.7
Expected in May 2012 to to
Bachelor of Liberal Arts and Education:
Langston University - ,
GPA: 3.0
Professional Experience
2015 to Current
Senior Policy Specialist Pathpoint Santa Barbara, CA,
  • Develop, draft and coordinate Medicaid policy and programs as a result of changes in law, regulation, and strategic development of the agency
  • Conduct research, plan, and coordinate activities evaluating the efficiencies of programs, policies, and rules for inpatient/outpatient behavioral health and pharmacy
  • Research state and federal regulations, referencing materials such as Code of Federal Regulations, Centers for Medicare and Medicaid Services, other state polices, rules, state plans and state statutes to determine legal authority to validate new rules and regulations
  • Maintain history for all of the agency rules, track and log policies, and update online policies with outside agencies
  • Identify special areas of concern, while making recommendations for change and interpreting laws and regulations for Medicaid
  • Produce and analyze database reports as requested on scheduled or ad-hoc basis
  • Act as a liaison between other state agencies and local stakeholder and often leads teams of expert consultants involved in developing new continuing programs
2014 to 2015
Medically Fragile Wavier Coordinator Research Analyst Anne Carlsen Center For Children Fargo, ND,
  • Planned, developed, evaluated, monitored, and implemented individualized service plan for people with a chronic physical condition, regarding Medicaid services with a solid understanding of principles, practices, and techniques related to case management and service-coordination
  • Verified providers billing and claims for Medicaid services and eligibility for participants while coordinating members enrollment in the 1915c wavier program
  • Provided advocacy rights for an individual with a disability in the Medicaid waiver program, and guided the participant on how to file a formal appeal for program services
  • Worked with multiple home health agencies on the development, testing and implementation of program policies, business processes and system changes to ensure the state requirements of the participant service plan were met
2013 to 2014
Behavioral Health Rehabilitation Specialist One Step Counseling City, STATE,
  • Conducted comprehensive intakes and in-home bio-psychosocial assessments and reviews using a strengths-based approach
  • Prioritized and developed care plans with consumers and caregivers based on their immediate needs
  • Managed daily activities of relevant care plans on-site visits and conducting telephone monitoring calls
  • Arranged for provision of services and advocated and intervened with other agencies on behalf of clients
  • Applied principles and processes to advocate healthy living while coaching clients on goal setting to achieve healthier lifestyles Saint Anthony Hospital Oklahoma City Oklahoma
2010 to 2015
Nurse Technician Saint Anthony Hospital City, STATE,
  • Collaborated with health care providers to provide quality patient care
  • Collected vital signs, assisted with patient admissions, and performed patient care in an efficient manner
  • Documented and reported observations of patient behavior, complaints, or physical symptoms to nurses
  • Protected and promoted patient's rights and assisted individuals to achieve maximum independence
  • Collected blood, tissue, and other laboratory specimens in preparation for lab testing
IT Skills & Proficiencies
  • Microsoft 2013 (Word, Excel, PowerPoint , Outlook and Access)
  • Epic Production (EMR): Server-based application that enables medical organizations to perform actions such as scheduling, ordering and dispensing
  • Emergin Messenger: Hospital-based paging system
  • ICE (Oklahoma Healthcare Authority in-house system)
  • Atlantes (Medicaid case management system)
Professional Affiliations
  • Member, Delta Sigma Theta Sorority Inc.
  • Volunteer, Race for the Cure
  • Volunteer, Feed the Children
  • Volunteer, Fifth Street Baptist Church

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Resume Overview

School Attended

  • Southern Nazarene University
  • Langston University

Job Titles Held:

  • Senior Policy Specialist
  • Medically Fragile Wavier Coordinator Research Analyst
  • Behavioral Health Rehabilitation Specialist
  • Nurse Technician

Degrees

  • Master of Business Administration
  • Bachelor of Liberal Arts and Education

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