Elizabeth Mattes Email & Phone Number

Denver, Colorado, United States

-Lead processes to expand use of managed care in CHP+, inclusive of identifying project scope and requirements, creating project timelines and work plans, and collaborating with internal and external stakeholders for policy and project development, implementation, and evaluation.-Manage alignment of contractual requirements across CHP+ and Medicaid health plans to ensure consistency across programs and enable the State to better measure and manage the quality and cost of care across the CHP+ program.-Lead CHP+ COVID-19 response, including development, implementation, and management of a disaster response work plan in alignment and collaboration with overall State COVID-19 response, and in alignment with federal and state authority.-Serves as a SME for the CHP+ program, providing technical support, guidance, education, policy interpretation and training to other staff and vendors, CHP+ managed care organizations, and external stakeholders to ensure compliance with federal and state authorities.-Bridges policy, CHP+ program design, and implementation of federal and state authorities to ensure effective, efficient, and most appropriate implementation for CHP+ program compliance.

Denver, Co

-Manage the contract for the Stratus data aggregation tool and data tasks such as collecting, reviewing, cross-referencing, cleaning/aggregating and compiling reports from multiple data streams-Manage the submission of public and commercial payer evaluation data to ensure data is submitted in a timely and clean manner; Provide technical assistance related to submission of data for evaluation and reporting purposes. -Provide technical assistance to end users of Stratus, both individual practices and organizations, who provide data to SIM and creating data visualizations and presentations-Monitor specific data and query reports as it relates to measuring practice success in meeting SIM health objectives, issues such as timeliness, and data quality-Identify available data resources and gaps in current data; coordinate in the development of mechanisms for data collection and reporting; perform advanced dataset manipulation functions; conduct ongoing data quality monitoring

Denver, Co

-Assisted in the transition to a new Medicaid Management Information System, by outreaching to and collecting data from healthcare providers, and utilizing that information to aid in the tracking, analysis, and resolution of claims adjudication and provider enrollment issues-Coordinated with the Department policy and systems teams, fiscal agent, as well as other contracted vendors to research current state regulations and federal statutes, and provides expertise to adjudicate claim characteristics that do not match policy provisions -Liaised with managed care entities to facilitate their submission of encounters for evaluation, reporting, and CMS compliance purposes-Supported the collection and compilation of ACC 2.0 business design requirements

Denver, Co

Managed the international studies undergraduate internship program by advising 200 undergraduates on career paths, interview skills, networking techniques, and resume and cover letter developmentCollaborated and networked with local organizations to cultivate internship and career development opportunitiesDeveloped, organized, and directed professional development workshops for the undergraduate population

New York City

Greater Denver Area

Marshall Islands

Tamil Nadu, India

Mozambique

Master Of Arts (M.A.), International Development

Bachelor Of Science (Bs), Biology/Biological Sciences, General