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.
• 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.
• 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.
• 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.

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.
• 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.

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.
• 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.
• 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.
• 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.

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.
• 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