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.

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.

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.

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.