Experience

Alabama Medicaid Agency

• Insurance
• 100 - 200 Employee

• Medicaid Administrator (Waivers)

  • Mar 2022 - Present

  Montgomery, Alabama, United States - I am a Program Manager of three Specialized Waiver programs, ensuring services are received and reporting is accurate. - Assist in developing reporting tools as needed for determination of compliance. - Build queries, create and submit reports regarding enrollment that aids in budgeting and enrollment projections. - Analyze claim data for irregularities and to determine basis for claim denials. - Lead meetings to discuss and analyze reports on reasons for claim denials. -… Show more - I am a Program Manager of three Specialized Waiver programs, ensuring services are received and reporting is accurate. - Assist in developing reporting tools as needed for determination of compliance. - Build queries, create and submit reports regarding enrollment that aids in budgeting and enrollment projections. - Analyze claim data for irregularities and to determine basis for claim denials. - Lead meetings to discuss and analyze reports on reasons for claim denials. - Complete HCBS waiver funding reports and calculate totals; submit to federal office. - Make changes to waiver recipients’ level of care data in waiver management system. - Submit requests for operational changes to vendor; review changes and approve.

• Medicaid Administrator (Contract Monitoring)

  • Jul 2020 - Mar 2022

  Montgomery, Alabama, United States - Coordinated with Associate Director to implement new policies/procedures. - Developed/maintained training manual; trained new staff; trained current staff on procedure updates. - Conducted interviews for hiring new Administrative Analyst staff. - Designed and maintained department’s relational database (Access), including forms and reports that organizes and displays various data sets regarding contract requirements and validation data. - Conducted data analysis of contractual… Show more - Coordinated with Associate Director to implement new policies/procedures. - Developed/maintained training manual; trained new staff; trained current staff on procedure updates. - Conducted interviews for hiring new Administrative Analyst staff. - Designed and maintained department’s relational database (Access), including forms and reports that organizes and displays various data sets regarding contract requirements and validation data. - Conducted data analysis of contractual vendor requirements for auditing purposes. Scheduled and performed vendor audit; submitted vendor performance reports (monthly and quarterly) and made recommendations for CAPs. - Developed, maintained, and presented accurate and up-to-date metrics to report on the Fiscal Agent service level agreements. - Reconciled bank account statements of the Fiscal Agent to ensure accuracy related to the source documents and cost allocated to proper expenditure accounts. - Created user acceptance test cases for verification system updates and verify test claims are processing according to the edits and audits. - Performed cost analysis of Agency's monthly and annual expenditures on the Fiscal Agent contract.



EBSCO Industries

• United States
• Information Services
• 200 - 300 Employee

• Content Loading Specialist

  • Jan 2015 - Jul 2020

  - Maintained online journal and database usage reports for subscribing customers. - Developed and managed three relational databases used for reporting and auditing purposes (Microsoft Access / MySQL). - Conducted data analysis of large data sets. - Evaluated usage statistics data to create analysis reports. - Researched publisher platforms and analyzed statistics on publisher reports. - Performed customer cost analysis on titles purchased through EBSCO. - Provided customer… Show more - Maintained online journal and database usage reports for subscribing customers. - Developed and managed three relational databases used for reporting and auditing purposes (Microsoft Access / MySQL). - Conducted data analysis of large data sets. - Evaluated usage statistics data to create analysis reports. - Researched publisher platforms and analyzed statistics on publisher reports. - Performed customer cost analysis on titles purchased through EBSCO. - Provided customer service for my clients.

• Order Processing Representative

  • Mar 2011 - Dec 2014

  - Prepared customers’ orders for yearly renewal of periodicals using computer database. - Analyzed information sent by the customer and coded the appropriate titles in our system.



Auburn University

• United States
• Higher Education
• 700 & Above Employee

• Writing Consultant / Athletic Tutor

  • Aug 2010 - Dec 2010

  Auburn, AL I worked individually with athletes to improve their writing; clearly explained any improvements/corrections to apply to paper; and scheduled appointments and performed data entry.

• Writing Lab Coordinator (Graduate Assistantship)

  • Jan 2010 - May 2010

  Auburn, AL / Smiths Station, AL I established pilot Writing Lab at Smiths Station High School (partially online); communicated directly with teachers to arrange schedules; and trained AU students to be effective writing consultants.



University of North Alabama

• United States
• Higher Education
• 700 & Above Employee

• Writing Consultant / Tutor

  • Jan 2008 - May 2009

  Florence, AL I worked with students of various ages and majors, individually and in large groups; worked with ESL students and students with special needs; and scheduled appointments and performed data entry.