Experience

Wyoming Department of Health

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Program Integrity Manager

  • Nov 2016 - Present

  ➢ Leader of a multigenerational and diverse team tasked with auditing and investigating Medicaid service providers and beneficiaries to mitigate and prevent fraudulent, wasteful, and abusive spending of taxpayer dollars. ➢ Initiate and manage the imposition of adverse actions: recovery of overpayments, suspension of payments, referrals to law enforcement, against Medicaid providers and beneficiaries found to be out of compliance. ➢ Identify and mitigate vulnerabilities within the Wyoming Medicaid program through cross-functional collaboration with Medicaid program managers and Wyoming Department of Health senior leadership. ➢ Coordinate with law enforcement (FBI, US Attorneys, Medicaid Fraud Control Unit, Local Law Enforcement) partners when criminal activity is present. ➢ Facilitate strategic planning activities to drive continuous improvement. ➢ Contract Manager for a multi-million dollar technology based project. Experience includes: proposal drafting, requirement setting, project management, contract negotiations, design development and implementation of requirements, and operation and maintenance activities associated with post implementation contract management. ➢ Conduct performance appraisals for direct reports and set SMART goals to achieve organization initiatives. ➢ Coordinate Program Integrity efforts with: other states' program integrity teams, federal partners at the Center for Medicaid and Medicare Services, and through collaboration with private health insurance plans. ➢ Collaborate with program integrity leadership across the US to drive program integrity effectiveness nationally.



BIOLIFE PLASMA SERVICES

• United States
• 300 - 400 Employee

• Quality Manager

  • Mar 2007 - Oct 2016

  ➢ Established company policy direction, standards, and guidelines through the interpretation and implementation of Good Manufacturing Practices (GMPs) to ensure compliance to Food and Drug Administration (FDA), Code of Federal Regulations (CFR), Clinical Laboratories Improvement Amendments (CLIA), Plasma Protein Therapeutics Associations (PPTA), and European Medicines Agency (EMA) laws/guidelines.➢ Forecasted staff performance and administered continuous improvement actions to a team of up to 35 employees through performance improvement programs.➢ Conducted monthly meetings with facility leadership to ensure transparency in the facilities Key Quality Indicators (KQIs) and advised regarding the need for and development of strategic workforce planning initiatives.➢ Developed and managed quality systems to ensure gap free processes, operational efficiency, equipment and maintenance schedules, and unit disposition procedures.➢ Proposed and prepared changes to company policy based on changing regulatory requirements and business efficiency needs as a BioLife Procedure Writer, and coordinated communication between headquarters quality leadership and local operational leadership to control change.➢ Participated in candidate selection processes, the administration and management of training, development, and mentoring of 7 successful Quality Managers as a Core Quality Manager Trainer / Quality Manager Mentor. ➢ Worked in collaboration with local and headquarters management to ensure organization expectations for employee; performance, conduct, and general labor relations issues were being met, while maintaining an open feedback loop between employees and management.

• Accomplishments

  • Feb 2004 - Oct 2016

  ➢ BioLife Quality Manager Mentor Program​​​ 08/2015 - 10/2016➢ BioLife Procedure Writer​​​ 09/2014 - 10/2016➢ Core Quality Manager Trainer​​​​ 05/2008 - 10/2016➢ Lean Six Sigma Yellow Belt Certified​​ 06/2008 - Present➢ Donor Reaction System Project Member​​ 04/2013 - 01/2016➢ BabyBIG Project​Member/Baxalta SparkAward Winner​​​08/2013 - 2015➢ BioLife Internal Quality Auditor​​​​​​ 2008 - 2012➢ Exception Management Project Member​​ ​ 05/2010

• Center Supervisor

  • Feb 2005 - Mar 2007

  ➢ Conducted mentor meetings with designated staff to identify and develop individual performance improvement plans➢ Trainer: Phlebotomy, Medical History, and Plasma Processing Technician➢ Environmental Health and Safety Committee leader

• Plasma Processing Technician

  • Feb 2004 - Feb 2007

  ➢ Processed incoming plasma units and managed storage and shipping requirements➢ Performed shipment preparation procedures, packaging, and shipment of donor plasma samples➢ Managed center production supplies and inventory control➢ Trainer: Plasma Processing Technician➢ Environmental Health and Safety Committee leader