Jacob C. Email & Phone Number

Arlington, Virginia, United States

Arlington, Virginia

Falls Church, Va

Falls Church, Va

Provides direction and management to all Credentialing and Compliance staff to ensure all compliance and regulatory requirements and goals are met.● Revamped credentialing processes to increase compliance with NCQA and state regulatory standards by 30 percent while decreasing turnaround times by 25 percent.● Developed new processes for identifying Fraud, Waste and Abuse, and coordinated recovery activities with external vendors.● Coach direct reports to ensure the development of skills and knowledge of all organizational policies, procedures and best practices.● Chair Joint Vendor Committee meetings, acted as voting member of Compliance and Quality Management Committees, and organized Credentialing Committee meetings as a non-voting member.

Falls Church, Va

Developed a new Internal Audit and Vendor Oversight program within the Compliance Dept. requiring annual audits and monthly report reviews of all health plan vendors.● Created and maintained new custom databases used to monitor over 1,000 contract deliverables by the State Medicaid Agency and other regulatory bodies.● Drafted annual compliance and risk management work plans.● Oversaw all regulatory reporting to the State Medicaid Agency, and ensured all monthly submissions received perfect “A” compliance scores.● Voted “Employee of the Month” twice by senior executive leadership.

Greater Minneapolis-St. Paul Area

Served as the lead business analyst for the implementation of a new PeopleSoft ERP system responsible for budgets, contracts and RFP bids of up to $2 billion each year.● Developed a new paperless vendor contracting and RFP process, including system functionality and workflows, to increase efficiency and decrease turnaround times.● Managed testing of all scenarios and rollout of training to departmental staff.

Supervised all purchasing activities for construction on state-owned buildings and properties.● Developed all contracts and RFPs for up to 400 projects and $100 million annually.● Monitored vendor performance to ensure all deliverables of contracts were met.

Materials Management Division

Performed oversight of all statewide vendor contracting and acquisitions.● Created and managed the operation of databases used to track and report on all acquisitions and contract spend totaling over $500 million per year.● Implemented an award-winning reverse auction procurement program.

Bachelor Of Science (B.S.), Individualized Study- Strategic Health Care Communications, 4.0

Activities and Societies: Academic Excellence Award, Dean's List Honors

Communication, Journalism, And Related Programs

Communication, General