Abby B. Email & Phone Number

Atlanta, Georgia

As the Ombudsman for the Georgia Families 360 program, the managed care program that oversees the Medicaid benefits for nearly 29,000 youth in state or adoptive custody. In this role I am the sole point of contact for local and state partners in managing and resolving complaints as it relates to the healthcare needs of members. Specifically, this entails: • Developing and executing a statewide strategic engagement plan aimed to strengthen collaborations and partnerships• Creating and… Show more As the Ombudsman for the Georgia Families 360 program, the managed care program that oversees the Medicaid benefits for nearly 29,000 youth in state or adoptive custody. In this role I am the sole point of contact for local and state partners in managing and resolving complaints as it relates to the healthcare needs of members. Specifically, this entails: • Developing and executing a statewide strategic engagement plan aimed to strengthen collaborations and partnerships• Creating and supporting training and education to improve the understanding of stakeholders and partners that interact with and/or influence policy• Advocates for fair and equitable healthcare solutions for members • Engages in routine recommendations to senior leadership for process and program improvement to better meet the needs of members. • Leads the statewide human trafficking efforts for Amerigroup Georgia• Facilitates and directs the statewide GF360 Steering Committee, a body of diverse thought leaders and stakeholders who provide advice and counsel to Amerigroup leadership on organizational strategy, improved community relations and inform policy and procedures Show less

In addition to the duties of a Behavioral Health Care Manager, I initiated additional responsibilities focused on increasing overall quality, while decreasing unnecessary costs. With this, I developed and monitored an internal tracking and reporting system aimed to increase HEDIS compliances and decrease costs associated with rapidly-readmitting members. I was selected to begin participation in process improvement groups related to staff retention, onboarding activities, and enhanced… Show more In addition to the duties of a Behavioral Health Care Manager, I initiated additional responsibilities focused on increasing overall quality, while decreasing unnecessary costs. With this, I developed and monitored an internal tracking and reporting system aimed to increase HEDIS compliances and decrease costs associated with rapidly-readmitting members. I was selected to begin participation in process improvement groups related to staff retention, onboarding activities, and enhanced programmatic development related to Psychiatric Residential Treatment Facilities (PRTF). I also delivered multiple trainings to various community groups and stakeholder-conferences. I was tasked with training new hires as well as providing ongoing targeted training to the team, aimed to increase operational gains and support contractual compliance. Show less

Responsible for managing the coordination and connection of both Medicaid-billable services and community supports to increase the stability of youth with severe behavioral health or physical health needs.

Oversaw the development and implementation of programmatic initiatives related to process improvement, quality assurance and strategic alignment under the single, statewide organization tasked to identify and support victims of Commercial Sexual Exploitation (CSE). In this role, I aided in the creation of improved operational guidelines, collaborated with nationally-recognized professionals to create an evidence-based assessment tool, and oversaw research and reporting to support contractual… Show more Oversaw the development and implementation of programmatic initiatives related to process improvement, quality assurance and strategic alignment under the single, statewide organization tasked to identify and support victims of Commercial Sexual Exploitation (CSE). In this role, I aided in the creation of improved operational guidelines, collaborated with nationally-recognized professionals to create an evidence-based assessment tool, and oversaw research and reporting to support contractual compliance. My role also allowed for oversight of the 24-hour crisis hotline, development of community training and awareness events, along with co-chairing the statewide CSE-focused Multidisciplinary Team (CSE-MDT) along with co-chairing a statewide CSE-prevention workgroup. Additionally, I supervised a team of 8 full-time staff, as well as oversaw the high-school and college internship program. I also led the creation of the first volunteer-program for the organization. Show less

Developed, monitored, evaluated and provided ongoing technical assistance to youth development grant programs that were in receipt of state funding. In this position, I created four new grant programs related to military-family support, after-school programs, academic enrichment and bullying-preventionIn this position, I developed and delivered training to increase grantee success as it aligned with grant-related outcomes, provided ongoing technical assistance to over thirteen grant… Show more Developed, monitored, evaluated and provided ongoing technical assistance to youth development grant programs that were in receipt of state funding. In this position, I created four new grant programs related to military-family support, after-school programs, academic enrichment and bullying-preventionIn this position, I developed and delivered training to increase grantee success as it aligned with grant-related outcomes, provided ongoing technical assistance to over thirteen grant programs in Georgia and also created and managed a community-focused newsletter aimed to increase grantee awareness of additional resources and funding opportunities available. Show less

Coordinated behavioral and mental health services for at-risk youth transitioning from Psychiatric Residential Treatment Facilities to community settings through the CBAY program and Non-Waiver Wraparound Program. In this position, I also coordinated with community stakeholders and foster youth in a 13-county region to implement a program with the focus on empowering foster youth with the knowledge, resources and advocacy skills to successfully age out of foster care.

Master Of Social Work (M.S.W.), Social Work

Graduate Research Assistant, Office of Undergraduate Studies •Served as an academic coach to Georgia State University freshman students..

Bachelor'S Degree

Bachelor'S Degree, Social Work