Kirby Stone, Phd Email & Phone Number

Greater Denver Area

Oversee non-standard and standard non-competitive proposals submitted by consultant colleagues related to health care services, reimbursement methodologies, strategic planning, service delivery, and public health. Prepare and review business proposals for the inclusion of correct terminology and proposal requisites. Provide non-competitive proposal management ensuring the process is smooth and the proposal is submitted within the established timeframe with a win rate of 90%.

Northern Colorado

Provide private, personalized project consultation. Provide assistance to families for aging issues navigation.

Greeley, Colorado

Business Analyst and Subject Matter Expert focused on CSG's Healthcare and Human Services Practice with an emphasis in human service programs, Medicaid, policy, and culture change. Experienced in proposal analysis, review, and development; policy research and analysis; strategic planning; program development and implementation; business process analysis and improvement; and, regulatory compliance. Co-authored multiple proposals including: MMIS and Eligibility Modernization IV&V Services, MITA… Show more Business Analyst and Subject Matter Expert focused on CSG's Healthcare and Human Services Practice with an emphasis in human service programs, Medicaid, policy, and culture change. Experienced in proposal analysis, review, and development; policy research and analysis; strategic planning; program development and implementation; business process analysis and improvement; and, regulatory compliance. Co-authored multiple proposals including: MMIS and Eligibility Modernization IV&V Services, MITA SS-A v3.1, PMO Services, Strategic Planning and Support Services, CSS Feasibility Study Services, and Procurement Support Services. Show less

Pierre, South Dakota

Oversight and management of the State of South Dakota’s Medicaid Program, one of the largest healthcare insurers in the state paying over $800 million annually for covered healthcare services for approximately 116,000 people. The Medicaid telephone services and claims processing unit efficiently and effectively processed over 5 million claims a year. Directed the surveillance and utilization unit responsible for investigating potential provider fraud and abuse. Oversight of the implementation… Show more Oversight and management of the State of South Dakota’s Medicaid Program, one of the largest healthcare insurers in the state paying over $800 million annually for covered healthcare services for approximately 116,000 people. The Medicaid telephone services and claims processing unit efficiently and effectively processed over 5 million claims a year. Directed the surveillance and utilization unit responsible for investigating potential provider fraud and abuse. Oversight of the implementation and administration of the Health Care Reform initiatives such as Health Homes, Money Follows the Person, and Home and Community Based Service programs/waivers. The Health Home initiative integrates physical healthcare, behavioral health and supportive services focusing on Medicaid recipients with multiple chronic conditions, high cost and high health care utilization. The goal of the program is to reduce inpatient hospitalizations/re-admissions, reduce unnecessary emergency room visits, enhance integration of behavioral health and physical health care services, and enhance access to additional community resource services through comprehensive care management, care coordination, health promotion and other wrap-around services. Oversight of South Dakota’s Medicaid State Plan and all communication with the Center for Medicare and Medicaid Services. Show less

Oversight of six units in the Human Services Department which included Aging & Adult Services, Child Support Enforcement, Food Assistance, Family & Energy Assistance, Temporary Assistance to Needy Families (TANF) Contract Section, and Quality Assurance with an emphasis on interdivision coordination and communication. Developed, prepared and recommended changes to the annual Division budget including enrollment projections. Reviewed and researched a variety of proposed State program rule changes… Show more Oversight of six units in the Human Services Department which included Aging & Adult Services, Child Support Enforcement, Food Assistance, Family & Energy Assistance, Temporary Assistance to Needy Families (TANF) Contract Section, and Quality Assurance with an emphasis on interdivision coordination and communication. Developed, prepared and recommended changes to the annual Division budget including enrollment projections. Reviewed and researched a variety of proposed State program rule changes and testified at the respective State mandated board either in support of or opposition of the proposed program rule change. Created a unified working environment utilizing strong interpersonal skills, leadership, and guidance. Worked closely with four of the Unit Managers to analyze existing business flows, designed and implemented new business processes to streamline efficiencies for program eligibility applications processing to meet mandated timeframes. Transformed the culture of a branch office from a negative, non-team environment to a very positive, team-oriented environment providing a high level of quality customer service. Show less

Managed Child Support Enforcement (CSE), Low-Income Energy Assistance Program (LEAP), Investigations & Recovery (I&R), and the Child Care Assistance Program contract. Worked closely with the finance department to develop the Division’s annual budget. Conducted joint temporary division management of the Public Assistance and Eligibility Determination Division resulting in improved benefit eligibility determination processing timeframes and enhanced quality customer service. Transformed the… Show more Managed Child Support Enforcement (CSE), Low-Income Energy Assistance Program (LEAP), Investigations & Recovery (I&R), and the Child Care Assistance Program contract. Worked closely with the finance department to develop the Division’s annual budget. Conducted joint temporary division management of the Public Assistance and Eligibility Determination Division resulting in improved benefit eligibility determination processing timeframes and enhanced quality customer service. Transformed the culture of the Division from separate/individual units to a unified/cohesive Division, including consolidating the whole Division into one office. Changed the CSE unit culture from re-active to pro-active improving customer service; restructured the CSE unit into two ‘cradle-to-grave’ teams which process cases from application to closure; revamped and improved the CSE contempt process through collaboration with the CSE staff, the County Attorney’s Office and the 20th Judicial District. Redesigned the use of LEAP temporary staff to the beginning of the LEAP season instead of the end of the LEAP season; initiated the use of the TANF intern program to increase LEAP staff without impacting the BCHHS personnel budget while providing on-the-job-training for TANF recipients; restructured and renamed the LEAP unit to include the foster care revenue generation and diligent search functions from the I&R unit to enhance the focus of the I&R unit on fraud and recoveries of public assistance programs. Show less

Managed the Nursing Facilities (NF) Section staff through establishment of goals and objectives, to ensure personnel guidelines are met. Monitored program operations of NF and alternative care facility (ACF) providers that provide medical care to Medicaid clients, including reviews of proposed legislation, compliance with the Code of Colorado Regulations (CCR), compliance with the Code of Federal Regulations (CFR), and the Volume VIII rules. Applied research and analytical skills for… Show more Managed the Nursing Facilities (NF) Section staff through establishment of goals and objectives, to ensure personnel guidelines are met. Monitored program operations of NF and alternative care facility (ACF) providers that provide medical care to Medicaid clients, including reviews of proposed legislation, compliance with the Code of Colorado Regulations (CCR), compliance with the Code of Federal Regulations (CFR), and the Volume VIII rules. Applied research and analytical skills for development of regulatory changes to ensure compliance with federal and state mandates that impact Medicaid providers. Worked with providers and staff to identify the potential impacts of new or existing state policies, and ways to limit/manage impacts. Developed written responses as required to the Center for Medicaid and Medicare Services relating to the state operation of the Medicaid NF program. Participated in the development of narrative and fiscal responses to questions from the state’s Joint Budget Committee. Show less

Responsible for development and implementation of adult protective services, options for long-term care services, adult medical and financial eligibility, family Medicaid, food assistance (SNAP), and food bank contract coordination. Provided educational presentations to community members, city officials, and city council and county commissioners regarding services and programs offered by the EDMS Division. Worked with the Department’s budget division to develop the Division’s annual budget… Show more Responsible for development and implementation of adult protective services, options for long-term care services, adult medical and financial eligibility, family Medicaid, food assistance (SNAP), and food bank contract coordination. Provided educational presentations to community members, city officials, and city council and county commissioners regarding services and programs offered by the EDMS Division. Worked with the Department’s budget division to develop the Division’s annual budget. Assisted Broomfield & Jefferson County Housing Authority with project coordination for the development of Section 8 housing in Broomfield. Wrote and reviewed RFPs for Broomfield’s Community Center Board (CCB) feasibility study and Single Entry Point (SEP) agency contract. Negotiated and monitored the CCB feasibility study contract and the SEP contract with entities awarded the contracts. Functioned as Broomfield’s internal project coordinator for CBMS pilot and implementation, which included development of measurable tracking systems and problem-solving techniques. Created unified working environment, utilizing strong interpersonal skills and identifying individual employee’s abilities to assist all staff to achieve personal and professional success. Show less

Doctor Of Philosophy - Phd, Education And Human Resource Studies

Program emphasis in Human Resource Development and Public Policy.

Ma, Gerontology - Administration Of Aging Programs

Ba, Business Administration And Management