Elizabeth Brooks Email & Phone Number

Boston, Ma, Us

Boston, Massachusetts, United States

Effectively monitor Medicaid and Medicare lines of business to ensure compliance with CMS regulations, federal and state laws.Create standard operating proceduresWork collaboratively with other departments to ensure compliance and new processes.

Massachusetts, United States

Non-Profit for children.

Boston, Massachusetts, United States

Created business processes, standard operating procedures, and trained staff to the newly created Case Intake section. Improved the timeliness of entering referrals. Oversaw several vendor's activity to ensure contract compliance. Proactively had data team reviewing data for any potential fraud, waste and abuse.

Recovered over sixteen million dollars in fraud, waste and abuse.Worked effectively with the different departments to ensure Medicaid dollars were being spent appropriately.Reviewed potential legislation yearly that could adversely affect Program Integrity efforts.Drafted and updated Medicaid policies regarding Program Integrity.Oversaw all vendors for contract compliance while effectively working together to combat fraud, waste and abuse.

Greater Atlanta Area

Managed a staff of four employees.Proactively looked for fraud, waste and abuse in the State of Georgia's healthcare program.Trained junior attorney how to successfully litigate matters with Medicaid providers.Effectively worked with and advised different areas within the Office of Inspector General: Third Party Liability; Special Investigations Unit and Data Integrity.

Greater Atlanta Area

Handled litigation matters on behalf of the agency that involved members and Providers.Saved the Agency over six million dollars in litigation exposure.Reviewed Medicaid Policies and Procedures and legislative bills to advise the impact to the Agency.Effectively worked with different departments within Medicaid to mitigate risks to the Agency.

Juris Doctorate, Law

Bachelor Of Science, History