Emily Marcus Email & Phone Number

Chesapeake, VA, US

Richmond, Virginia, United States

• Led administrative investigations related to allegations of senior employee misconduct, violations of ethical conduct, operations, and policies, and allegations of VA contractor reprisal. Responsible for developing.
• Lead analyst on five investigations resulting in sixteen recommendations to facilitate resolution of employee misconduct.
• Lead team to investigate allegations of a VA contractor reprising against former employee.
• Led Congressional briefings on findings and conclusions of investigations
• Conducted over fifty witness interviews including presidential appointees.
• Written numerous workpapers analyzing evidence collected such as employee personnel, cell phone, and financial records, email communication, laws, regulations, policies and procedures in connection with the.

Washington D.C. Metro Area

• Led national performance audits and hotline reviews of the Department of Veterans Affairs programs to promote operational integrity and efficiency while deterring fraud, waste, and abuse. Responsible for developing.
• Served as team lead. Led a team of five auditors to complete three national audits and two hotline reviews resulting in twenty-seven recommendations to improve internal controls.
• Led the development of risk analyses to identify gaps in VA internal controls resulting in proposed audit topics.
• Conducted over hundred witness interviews to obtain evidence to form audit findings and conclusions.
• Independently collected and analyzed evidence such as patient records, contracts, police inspection reports.
• Led Congressional briefings on findings and conclusions of audits and reviews.

Washington D.C. Metro Area

• Business responsibilities included a comprehensive critical review and evaluation of the processing and paying procedures for the Geriatric Extended Care program in Non-VA Medical Care Department. Continuously made.
• Initiated collaboration with the contracting department to locate contracts between the hospital and contracted home health agencies. This effort resulted in the correction of hourly payment rates charged to the.
• Organized meetings with owners of contracted home health agencies to review past-due accounts of over $100K that resulted in payments and restoration of care to veterans who were previously denied due to outstanding.
• Initiated collaboration with compliance officer to perform audits on previous payments made to home health facilities resulting in the correction and recouping of previously made overpayments.
• Utilized reports and pivot tables to identify claims in the system aging greater than 30 days resulting in payment of the claims and increased compliance with the Prompt Payment Act.
• Trained staff on laws, regulations, guidelines, and approved payment procedures for Geriatric Extended Care claims.

Newington, CT

• Business responsibilities included processing Centers for Medicare & Medicaid Services HCFA 1500 and UB 04 forms for veterans receiving community healthcare. Researched and educated staff on current CMS regulations.
• Implemented the national Non-VA Care Coordination Program to improve and standardize non-VA medical care to meet measures of veterans being seen within 30 days.
• Compiled requested information for audits by the Office of Inspector General which resulted in passing and maintaining compliance with federal and state laws.
• Interviewed and trained new staff for the Non-VA medical care department.
• Wrote standard operating procedures which provided education on current practices for Non-VA Medical Care procedures to maintain compliance with state and federal laws.

Newington, CT

• Independently rewrote stand operating procedures which provided education on current practices for Non-VA Medical Care procedures to maintain compliance with state and federal laws.
• Independently compiled requested information for audits by the Office of Inspector General which resulted in passing and maintaining compliance with federal and state laws.

• Assisted residents in meeting clinical and emotional needs which resulted in promoting residents’ safety and well being in daily and emergency environments.

• Evaluated the current Press Ganey hospital patient safety culture survey and analyzed previous hospital and individual unit data which lead to identification of areas of improvement for safety within Middlesex Hospital.
• Researched current methodologies on improving patient safety with hospitals resulting in the development of solutions for areas identified for improvement.
• Collaborated with the quality management team to provide an analysis of hospital’s strengths and areas for improvement and proposed solutions.

Master Of Business Administration (Mba), Health/Health Care Administration/Management

Bachelor'S Degree, Health And Science Studies