Contract Manager
Florida Department Of Health
Fort Lauderdale, Florida
Six Sigma Green Belt certified. FDOH certified Contract Manager. Monitored all Ryan White Parts A, B, and C HRSA federal Provider/Vendor reporting scopes. Conducted local, state, and federal level quality QI monitoring of service delivery and provider compliance, supplier scorecards and KPI. Management of detailed Quality Assurance (QA) and Quality Control (QC) review for all active contract files to ensure accuracy and compliance with the annual Quality Assurance Review (QAR). Maintained multiple ACCESS SQL databases to provide statistical reporting and analysis. Able to work with diverse staff, manage multiple objectives and tasks, meet deadlines, monitor expenditures, prepare reports, and monitor programs. Developed and prepared program manuals, policies, procedures, standards, and rules. Interviewed ADAP, Medicaid, and Medicare applicants for benefits screening and linking to care. Case management and follow up with clients. Administered the "CAREware" and "Provide Enterprise" electronic health record databases for HRSA reporting and service provider payments and adjustments.• Team leader responsible for creation and implementation of policies and procedures for Electronic Health Record program in the Ryan White ADAP program using DMAIC principles.• Creation of continuing improvement processes to ensure all federally mandated reporting requirements are completed with increased accuracy, efficiency, and timeliness.• Lead staff providing eligibility training, database training, and continuing education to all new hires.• Team leader providing local Provider/Vendor contract monitoring, on-site auditing, and technical support.• Responsible for $50,000+ recoupment per year in Medicaid and Medicare billing. • Creation of policies and procedures to streamline Provider/Vendor invoicing.
