Devon Briggs Email & Phone Number

Albany, New York

Albany, New York Area

• Oversight of multiple parallel projects for the implementation of the MMIS system while ensuring delivery of high quality to New York State Department of Health (NYSDOH) in accordance with the project schedule.
• Responsible for planning and tracking all key deliverables to NYSDOH including: planning, operational, and security documentation.
• Manage the official communication process between NYSDOH and Conduent, while adhering to contract requirements.

Albany, New York Area

Responsible for creating policies and procedures to foster the education of New York Medicaid providers on the new Medicaid Management Information System.

• Execute single case rate agreement negotiations for non-participating providers including hospitals, individual physicians and ancillary providers.
• Analyze and review claims data and pricing trends to develop strategies for new contracting opportunities.
• Actively suggest and implement health value strategies that refine systems, processes and improve overall financial and quality contract performance.
• Responsible for the collection of pertinent provider data elements to support CDPHP systems and business needs.
• Establish and maintain internal relationships across a variety of departments to support strategic providers.

Albany, NY

• Participated in the College Graduate Training and Development Rotational Program.
• Worked on various ad-hoc projects and participated in interdepartmental workgroup for Health Network Strategy Department, specifically focusing on the preparation work for the planning and implementation of new.
• Researched and analyzed various portions of PPACA to assist in the development and documentation of the business requirements surrounding the NYS Public Exchange project.
• Consulted in the design, testing, and implementation phases of the NYS Public Exchange project.

• Determined member eligibility for government programs in accordance with CMS and EMEDNY systems in addition to state and federal policies and procedures.
• Processed new member applications, terminations, and updates to members of government programs efficiently and accurately in compliance with government regulations.
• Efficiently loaded electronic funds transfers as well as other modes of billing for Medicare Choice and Medicare Supplement products.

Master Of Business Administration (M.B.A.), Health/Health Care Administration/Management

Bachelors, Accounting

Activities and Societies: Delta Sigma Pi, Siena College Ambassador's Club, Charity Week Committee Member