• Designed and implemented activities that led to improved accuracy of Presbyterian Health Plan’s Medicare submissions and resulting risk scores including: resolving rejected submissions, prioritizing and tracking quality assurance coding initiatives, and developing member outreach strategies.• Led cross-functional teams responsible for successfully handling multiple risk adjustment data validation audits.• Developed proactive audit mitigation strategies to reduce compliance risk.• Gather and analyze data to support the department’s provider incentive programs related to risk adjustment.• Responsible monthly for: the creation and analysis of risk score projections, member stratification lists for clinical outreach teams, and creating/gathering metrics reported on leadership scorecards.

• Provide support in multiple efforts to increase the accuracy of Presbyterian Health Plan's Medicare submissions and resulting risk scores including: resolving rejected submissions, prioritizing and tracking QA coding initiatives, and assisting in the management of department’s vendors.

• Initiated, planned, and managed multiple annual Enterprise Risk Management processes in consultation with senior management and other leaders.• Managed risk owners' and managers' contributions and engagement in the risk program to achieve process objectives and meet key reporting deadlines• Responsible for monthly corporate-wide reporting delivered to senior management and the Board of Directors.• Selected to join the company’s leadership development program and led a cross-functional team in a research project as a result.

• Developed and implemented a corporate wide policy to manage Cloud Computing requests within the company.• Independently managed multiple projects with varying responsibilities and multiple deliverables while maintaining client relationships.• Gathered financial data and created reports for the purpose of planning the departmental budget.• Consistently surpassed client satisfaction requirements set by management.• Created, updated and maintained compliance and audit documentation for review by management in a timely manner.

• Researched and analyzed historical financial documents for multiple government entities.• Composed and reviewed audit programs, results documentation, and client reports.• Performed analysis on large SQL/Access databases for the purposes of data mining and making recommendations to clients.• Developed and conducted presentations to clients and prospective clients.• Conducted risk assessments for various government entities.• Analyzed financial/contract information to make recommendations to clients.

• Responsible for reporting monthly and quarterly metrics to upper management detailing progress and achievements.• Performed daily audits of the Accounts Payable processing center to ensure disbursements were accurate and timely.• Identified and recovered duplicate payments in excess of $1 million annually.• Wrote various process narratives for the A/P Audit department for future training.

• Gathered requirements, developed documentation, and performed testing on risk management software for various DOI offices.• Interviewed client upper management for the purpose of developing risk management procedures.• Wrote monthly progress reports and various executive summary reports for upper management and clients.