Experience

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  American Health Care Association

  • Washington D.C. Metro Area

  • Associate Vice President, Therapy Advocacy

    • Jul 2013 - Present
    • Washington D.C. Metro Area

    Advance AHCA’/NCAL advocacy efforts regarding rehabilitation therapy and other post-acute care policy. Formulate, coordinate and implement AHCA/NCAL quality and payment policy actions and strategies relating to therapy and other post-acute services. Manage regulatory analysis, research, policy development, and member education in therapy-related as well as broader post-acute and long term quality, payment policy and compliance areas.

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  MEDPROTECT, an SAIC Company

  • Baltimore, Maryland Area

  • Principal Consultant

    • Mar 2012 - Jul 2013
    • Baltimore, Maryland Area

    Provided subject matter expertise to support business development, solution strategy, internal research and development initiatives, and provider education and outreach activities.

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  CSC

  • United States
  • Information Technology & Services
  • 700 & Above Employee

  • Senior Consultant

    • Dec 2010 - Mar 2012

    Horizontal subject matter expert to support this Physician Quality Reporting System (PQRS), Electronic Prescription (eRx), and other Medicare incentive programs contract.

  • Senior Consultant

    • Oct 2010 - Dec 2010

    Provided business acquisition support including analysis of the Affordable Care Act (ACA) provisions to identify contracting opportunities.

  • Project Director - CMS STATS Project

    • Oct 2008 - Sep 2010

    Managed entire CMS Short Term Alternaties to Therapy Services (STATS) project, including utilization analysis, payment modeling, business intelligence reporting, and the development of payment policy recommendations.

  • Consultant

    • May 2008 - Oct 2008

    Consultant to CMS CROWNWeb end-stage renal disease quality network project generating reports matching quality data submitted by large renal dialysis organizations with CMS claims and enrollment data.

  • Project Coordinator

    • Sep 2007 - Sep 2008

    Project Coordiantor to CMS Outpatient Therapy Alternative Payment Study - 2 (OTAPS 2). Performed claim utilization analysis to inform CMS policy decisions and other coverage and payment policy support to CMS.

  • Policy Expert

    • Oct 2002 - May 2008

    Developed provider education materials for CMS Division of Provider Education and Training contract (instructional guidebooks, fact sheets, webpage updates, web-based training [WBT]).

  • Consultant

    • May 2007 - Apr 2008

    Consulant to CMS Medicare Prescription Drug (MARx) program PDAG quality group.Developed process improvements for internal Medicare Part C and Part D payment audits.

  • Project Coordinator

    • Oct 2005 - Apr 2007

    Project Coordiantor to CMS Outpatient Therapy Alternative Payment Study. Performed claim utilization analysis and provided coverage and payment policy recommnendations to CMS. Evaluated clinical outcomes literature and developed requirements for future CMS pilots/demonstrations of outpatient therapy service need, resulting in CMS implementation of the Developing Outpatient Terapy Payment Analysis (DOTPA) project.

  • Policy Expert

    • Oct 2006 - Mar 2007

    Conducted program compliance policy analysis and develop audit support materials for CSC Part D Program activities with MemberHealth.

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  CSC

  • United States
  • Information Technology & Services
  • 700 & Above Employee

  • Policy Expert

    • Oct 2002 - Apr 2006

    Developed beneficiary education content for national 1-800-Medicare helpline, Medicare.gov internet inquiries, and other related projects/initiatives. Lead in CSR script redesign project from topical to beneficiary-centric organization.

  • Project Coordinator

    • Apr 2003 - Nov 2004

    Project Coordinator to CMS Outpatient Rehabilitation Services Payment System Evaluation (ORSPSE) contract. Performed claim utilization analysis and developed alternative payment models for outpatient therapy services. Provided coverage and payment policy support to CMS.

  • Lead Physical Therapist

    • Sep 2000 - Apr 2003

    Key lead in the CMS Therapy Review Program/CERT contract. Prepared a national utilization report for outpatient therapy services as well as a CERT national paid-claims error rate medical review study.Developed numerous provider education products and LMRP/LCD and Program Memoranda drafts.

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  Marriott International - Senior Living Services Division

  • Wilmington, Delaware Area

  • Area Manager Rehabilitation Services

    • Oct 1994 - Sep 2000
    • Wilmington, Delaware Area

    Responsibilities progressed from facility Physical Therapy director, to facility Rehabilitation Director, to Area Rehabilitation Manager for five facilities. Also served temporary positions as Facility Drector of Staffing and Nursing Home Administrator during transition periods. Local responsibilities included direct clinical practice, staff trainning, and department and facility management. National responsibilities involved supporting development of corporate rehabilitation services strategies.

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  Ciolek Physical Therapy

  • Wilmington, Delaware Area

  • Owner

    • Apr 1991 - Jan 1995
    • Wilmington, Delaware Area

    Provided physical therapy services on a contractual basis to a variery of hospitals, home health agencies, nursing homes and private practice physical therapy offices in the Wilmington, Delaware Area.

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  Taylor Made Therapy

  • Greater Philadelphia Area

  • Physical Therapist

    • Oct 1989 - Oct 1991
    • Greater Philadelphia Area

    Provided physical therapy services in a private practice setting to patients of all ages.

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  New York Presbyterian Hospital

  • Greater New York City Area

  • Senior Physical Therapist

    • May 1987 - Oct 1989
    • Greater New York City Area

    Performed physical therapy services to hospital inpatients, outpatients, and those in employee injury programs.