Currently working or affiliated with multiple states working on numerous design, development, and implementation (DDI) projects. Ohio DDI2021• Advisor for the State Ohio’s Medicaid System • Tied requirements to interfaces and reports • Documented and mapped needed interfaces for the eligibility and financial subsystems • Worked with a team of ETL developers and testers to ensure interfaces met the requirements and CMS certification Mississippi… Show more Currently working or affiliated with multiple states working on numerous design, development, and implementation (DDI) projects. Ohio DDI2021• Advisor for the State Ohio’s Medicaid System • Tied requirements to interfaces and reports • Documented and mapped needed interfaces for the eligibility and financial subsystems • Worked with a team of ETL developers and testers to ensure interfaces met the requirements and CMS certification Mississippi DDI2019-2020• Transformation Rules Analyst (TRA) for the State of Mississippi’s Medicaid System • Mapped and developed reporting solutions for the Program Integrity, Buy-In, and Pharmacy subsystems. Show less

New Jersey DDI 01/2017-2019• Transformation Rules Analyst (TRA) for the State of New Jersey's Medicaid System Design, Development, and Implementation (DDI). Responsibilities: Documenting, mapping, and converting Third Party Liability, Department of Corrections, Medicaid Part D, and various other interfaces as well as the testing and implementation of those interfaces. Also tasked with the data conversion for those areas from a mainframe system to a relational database system (SQL… Show more New Jersey DDI 01/2017-2019• Transformation Rules Analyst (TRA) for the State of New Jersey's Medicaid System Design, Development, and Implementation (DDI). Responsibilities: Documenting, mapping, and converting Third Party Liability, Department of Corrections, Medicaid Part D, and various other interfaces as well as the testing and implementation of those interfaces. Also tasked with the data conversion for those areas from a mainframe system to a relational database system (SQL Server).Test Data Manager 02/2016-01/2017• Test Data Manager responsible for working with Computer Associates in researching and developing company wide test data creation procedures for all of Molina Healthcare’s Medicaid Contracts. West Virginai DDI/Operations 01/2013-Present• TRA Lead for the State of West Virginia's Medicaid System DDI. Responsibilities: Documenting, mapping, and converting all external and internal interfaces as well as the testing and implementation of all interfaces. Also tasked with maintaining and updating the state’s drug rebate data on a monthly basis.Maine DDI/Operations 01/2010-03/2013• TRA for the State of Maine’s DDI. Responsible for the conversion of non-claims financial data into the FLEXI system. Also tasked with process development for the claim line gap data as well as the preloading of the claim accumulation data. Also, developed the Primary Care Case Management (PCCM) Sweep to ensure members were placed into and taken out of the State of Maine's Managed Care System. This involved working with a team of development and analytical experts as well as conducting in depth requirements analysis. Also resolved various trouble reports for the client as needed. This resulted in data research and developing various solutions to address the client's concerns. Show less

1. Develop and design encouraging videos and music for daily living2: Write scripts/lyrics3. Perform video editing and publishing for each piece of content4. Write book(s) related to professional expertise and/or fiction.

Developed various .NET solutions and provided business development consulting on request.

Client Contact Information: (402) 471-9575Responsibilities: Served as the Team Lead responsible for the implementation of the Client track from logical through physical design. The scope of this track included client/eligibility, early periodic screening, diagnosis and treatment (EPSDT), benefit management, and managed care functionality. The crucial tasks involved working with state and FourThought teams to complete business process modeling, building the communications inventory… Show more Client Contact Information: (402) 471-9575Responsibilities: Served as the Team Lead responsible for the implementation of the Client track from logical through physical design. The scope of this track included client/eligibility, early periodic screening, diagnosis and treatment (EPSDT), benefit management, and managed care functionality. The crucial tasks involved working with state and FourThought teams to complete business process modeling, building the communications inventory (correspondence, interfaces, and reports), service and component development (web services, xml schemas, data contracts, operation contracts, BizTalk 2009 orchestrations, and business rules), screen development, and data reconciliation. Show less

Project: Massachusetts Assistance in Preparing for a MITA SS-ACustomer name: Executive Office of Health and Human Services (EOHHS)Successfully completed MITA assessment for the Commonwealth of Massachusetts. This included completing the MITA Technical Assessment of the entire Medicaid system.

Team lead for the Louisiana MITA Self-Assessment. This involves planning the concept of operations, developing the MITA Maturity Model, planning and developing the Business Process Model for all 14 sections in Medicaid, planning the Business Capability Matrix, preparing for the information and technical architectures and Participating in HL7/MITA conferences and CMS workgroups.Procurement Experience with the Louisiana Medicaid IV& V contract. Possess a wide ranging .NET… Show more Team lead for the Louisiana MITA Self-Assessment. This involves planning the concept of operations, developing the MITA Maturity Model, planning and developing the Business Process Model for all 14 sections in Medicaid, planning the Business Capability Matrix, preparing for the information and technical architectures and Participating in HL7/MITA conferences and CMS workgroups.Procurement Experience with the Louisiana Medicaid IV& V contract. Possess a wide ranging .NET Development and Project Management background with a PMP certificationDeveloped: Online MITA tool as well as a Portal to facilitate the MITA Assessment; Mediplex System. Used to track projects and allow for more effective planning and communication between project stakeholders; An online Map statistical reporting tool using Asp.Net, JavaScript, and XML. This allowed for the client side retrieval of data using a simple mouse over. Used by upper management; Thumb scanning application for emergency response and tracking using the grfinger SDK and the .NET 2.0 Framework; Budget Estimating Tool for upper management; Online Microsoft Word Letter Template Application for Third Party Liability; Online Call Center for logging and tracking incoming and outgoing calls into Medicaid. Developed ad hoc reports for SQL Server 2000 based Data Warehouse via Transact SQL and Enterprise Guide (SAS); Several SQL Server Databases; Intranet portal using DotNetNuke 2.1 through 4.5. This involved creating custom modules as well as debugging commercial modules.Managed the MMIS FTP Server for DHH and the Medicaid Fiscal Intermediary. Conducted several demos and training exercises for employees and other stakeholders Show less

Worked in Third Party Liability (TPL): Developed an application using VBA which records and tracks the logging of checks for the Department of Health and Hospitals. This application allowed DHH to log checks that were previously up to three months past due.

Performed nightly, weekly, and monthly backups on servers. Helped Monitor users on local network via Windows NT and 2000 Servers.Aided in Developing phone tracking system using Microsoft Access and Crystal Reports.