Jodi Robinson Email & Phone Number

United States

Assist CMS in implementation of the Consolidated Appropriations Act through systemic implementation of the Federal independent dispute resolution process.

Washington D.C. Metro Area

Product Management and Test Lead• Led development teams through operational implementation of the Affordable Care Act (ACA) Health Insurance Exchange enrollment data transmission and subsidy payment calculations for CMS and the Federally-facilitated Exchanges (FFE) while partnering with State-based Exchanges (SBEs) and issuers.• Performed as business lead using agile scrum methodology through project planning and budgeting, directing sprints, creating user stories, approving business and functional design requirements, approving user acceptance test (UAT) case scenarios, and performing defect resolution in testing and development of the CMS back end enrollment and payment systems.• Designed SBE 834 enrollment transaction external system integration test process including development of enrollment scenarios and expected results; Directed SBEs through testing; Led conversations with external and internal stakeholders to rectify front end electronic data interchange (EDI) and back end system errors.Enrollment and Payment Subject Matter Expert• Functioned as primary ASC X12 834 enrollment transaction, policy level enrollment data collection, and subsidy payment calculation business expert.• Negotiated SBE standards to align with the CMS 834 Companion Guide; Interpreted the 834 Implementation Guide (TR3) to ensure SBE 834 transactions are properly formatted and conform to the TR3.• Led presentations at SBE meetings, conducted trainings for issuers and SBEs, and worked closely with FFE and SBE issuers regarding enrollment data transmission and subsidy payment processing.• Led complex internal operational and policy discussions requiring management decisions, drafted issue papers, and briefed leadership on policy and operations concerning enrollment and payment issues.• Discussed use and design of the 834 and 820 TR3s for Exchange enrollment and payment with ASC X12 standards committee; Revise CMS 834 and 820 Companion Guides to align with CMS requirements.

Washington, Dc

Budget Formulation and Execution• Formulated the CMS discretionary budget; Drafted CCIIO FY discretionary budget request; Analyzed CMS discretionary budget requests, participated in negotiations with CMS and OMB regarding these requests, and briefed policy leadership regarding ramifications of cuts to funding.• Executed HHS budget by managing the $1 billion Affordable Care Act administrative funding appropriated to the Federal government for health reform implementation.• Coordinated and prepared President’s Budget legislative proposal briefing documents for the Secretary; Drafted portions of the HHS Budget in Brief document for public display.• Served as premium rate review and Exchange State grant application panelist.• Analyzed CMS mandatory budget baseline assumptions and prepared estimates for the President’s Budget; Worked with the Congressional Budget Office (CBO) to compare Executive to Congressional estimates.Health Policy Analyst• Reviewed, edited, and approved CMS draft legislation, regulations, spend plans, funding announcements, and apportionments; Portfolio included Medicare Part A and D, medical loss ratio, and premium rate review.• Briefed the Assistant Secretary and other policy officials on contents of regulations, guidance documents, and options papers and provided recommendations after analysis; Member of Exchange interoffice workgroup; Developed recommendations for HHS and White House regarding Exchange implementation.

Washington D.C. Metro Area

• Drafted requests for reconsideration and for administrative law judge hearings at the Office of Medicare Hearings and Appeals regarding denied inpatient rehabilitation hospital claims on behalf of hospitals.• Conducted case law and legislative research using Westlaw and Thomas relating to Medicaid common law fraud and the False Claims Act; Researched and analyzed State and Federal statutes and regulations regarding home health care, privacy, health care quality, accreditation, and Medicare reimbursement.• Analyzed patient medical records and Medicaid claim forms in relation to litigation of fraudulent claims and problems with third party payer reimbursement.

Washington D.C. Metro Area

• Responded to Questions for the Record from the Senate Finance Committee in relation to the CHIP budget and the President’s Affordable Choice Initiative; Reviewed, analyzed, and drafted responses to documents submitted for clearance including letters to State Medicaid Directors, letters to beneficiaries, and responses to OIG audits.• Reviewed and analyzed state health official letter regarding crowd-out and CHIP State plans, conducted legislative analysis of the same and drafted CMS comments, drafted Hill notification summarizing the letter.

Washington D.C. Metro Area

• Met and communicated with constituents and other Congressional office staff regarding graduate medical education for preventive medicine, implementation of a global health service, similar global health bills, and third party payer coverage of clinical trials; Represented the Congresswoman at a global health conference.• Assisted in development of strategy for introduction of a global health service bill and presented the approach toCongresswoman DeLauro; Researched issues and legislation and thereafter drafted memoranda to supervisor regarding Congresswoman DeLauro’s interest in supporting or introducing various bills.

Atlanta, Ga

• Managed plaintiff medical malpractice, nursing home litigation, pharmaceutical litigation, employment discrimination, wrongful death, and insurance defense cases from start to finish.• Analyzed and examined patient medical and billing records and drafted memoranda to attorneys and physicians regarding liability and potential for recovery of damages or weaknesses in the plaintiff’s argument for insurance defense cases.• Drafted letters, complaints, discovery responses, and other legal documents and pleadings; Met and corresponded with clients to respond to discovery requests and perform initial client intakes.

Master Of Public Health (M.P.H.), Health Policy

Bachelor Of Arts (B.A.), Social Policy And Psychology