Imagine…Close your eyes and take a deep breath. Imagine stepping into a space where empathy and understanding surround you like a warm embrace. You feel psychologically safe, knowing you can be your authentic self without judgment. This space fosters emotional intelligence and self-awareness, encouraging you to connect with your colleagues and navigate challenges gracefully.Empowerment fills the air, igniting a spark within you and your team. You feel supported and challenged to grow, both individually and collectively. Open communication allows for exploring unconscious biases, paving the way for a more inclusive and equitable environment. Diversity thrives here, with every voice valued and respected, creating a rich tapestry of perspectives.A powerful sense of community and connection binds you to the others around you. You belong, your purpose intertwined with theirs. This shared journey fosters strong relationships and a supportive network where encouragement and understanding flow freely.Here, mental well-being is a priority. You feel encouraged to care for your mind and spirit, allowing you to return to your work feeling recharged and focused. A healthy work-life balance is championed, ensuring you have the space to flourish in all aspects of your life.This is the essence of The Mindful Spaces Initiative. It’s a sanctuary for growth and impact, where you can contribute meaningfully to the world around you, feeling empowered and supported every step of the way. Open your eyes, and know this space exists, waiting to welcome you.Join the Mindful Spaces Initiative today and connect with me to learn how we can transform your organization into a catalyst for positive change.

I took a leave from my career to prioritize my mental and emotional well-being. This necessary step allowed me to recharge and return with a renewed focus, energy, and a more profound commitment to advocating for mindful spaces that foster psychological safety.

Highlight: Successful 3-year CARF and BALC audits.-Managed all daily operations of the company, including IT, Spaces and Experience, HR, and Compliance and Quality Improvement. -Ensured that the Josselyn business structure can collaborate effectively and meet goals according to its strategic plan and budget. -Kept Josselyn’s key functions and shared services running smoothly through plan implementation and goal achievements. -Monitored compliance activities within all departments of the company and collaborated with department heads to identify trends in non-compliance. -Identified vulnerable areas of risk and non-compliance and developing corrective action plans. -Developed goals and objectives that created growth, sustainability, and a positive margin for HR, IT, Finance, and Spaces. -Developed and monitored policies and procedures to ensure consistency and efficiency in accordance with all Federal (HIPAA, SAMHSA), State (DHS, DMH, BALC, Rule 132) and accreditation bodies (CARF) rules and regulations across appropriate departments and staff. -Oversaw project management of each Strategic Initiative to improve efficiency and effectiveness.

Highlight: Promoted from Director of Quality Improvement in January 2017 managing 15 staff to V.P., FCS managing 275+ staff including 4 Senior Directors and 30+ Managers and Supervisors-Participated in ongoing strategic planning for non-profit management, including the expansion, growth, and increased effectiveness of the organization; worked in collaboration with the Executive leadership team in coordinating and directing all short- and long-range organizational planning with a Diversity, Equity, and Inclusion approach-Spearheaded all aspects of IDHS CCAP and CORE/QRIS programs: strategic visioning and planning, budgets ($30M+) and financial analyses, program implementation, contract management including compliance, personnel, I.T. systems, and negotiations with collective bargaining group including labor-relation strategies-Reviewed and vets potential programs with the mission and strategic vision of the organization to determine potential grants and funding services for new programs and resources through a Community Systems and Development lens-Successfully built relationships and consensus among diverse stakeholders (internal and external) to lead and drive change, including influencing and motivating others towards a common goal-Leveraged technology to increase access for clients and providers through automation and other technological efficiencies and effective business processes to better serve Families, Providers, and Communities-Assessed future leadership potential of current staffing, diagnosed and implemented developmental needs, create growth plans, and provided professional and leadership coaching to cultivate development for succession planning

Highlight: Successfully implemented Key Performance Indicators and Metrics to reduce the number of processing days from 53+ business days to 10 business days in 90 business days -Advised Executive Team and Board of Directors on Program Integrity risks and mitigation of those risks-Oversaw, developed and implemented effective fraud management strategies; managed the ethics reporting system (EthicsPoint) to understand components necessary to reduce incidents and fraud -Participated in both long- and short-term agency and IDHS projects with responsibilities including managing subpoenas, document gathering, data analysis, interpretation, and presentation of results, including recommendations and strategies, and testifying on behalf of IDHS-Developed and maintained the balanced scorecard for the agency to align agency activities to the vision and strategy to the organization, including monitoring organization performance-Contributed intellectual capital, best practices, and key lessons learned to leverage existing methodologies ensured internal and external alignment, and cross-departmental collaboration for successful department/program implementations and service roll-outs-Developed, updated, and implemented company policies and procedures/protocols such as Information and Security, Conflict of Interest, and Code of Conduct policies and acknowledgmentsCCMS Project Manager-Project managed a team of staff to write both business and technical specifications; design and develop workflows, workarounds, and business processes; write testing scripts and User-Acceptance Test errors, critical fixes, and enhancements throughout the project lifecycle-Developed an integrative approach to drive adoption of the CCMS and greater utilization of new processes around the new system, including change management analysis, strategy and planning, solution development, and workforce management to the CCAP department in preparation for the new system

Highlight: Increased independently practicing physician revenue by as much as 20% through claims revenue cycle analytics and data intelligenceWEDI ICD-10 TESTING SWG CO-CHAIR-Coordinated, staffed, and provided oversight to the Workgroup for Data Interchange ICD-10 Testing Sub Workgroup where the team developed an ICD-10 testing readiness plan and ensured all gaps, deficiencies, and issues were identified and corrected prior to the U.S. Implementation of ICD-10-Coordinated ICD-10 projects and Co-Chair involvement with WEDI ICD-10 Sub Workgroups to promote consistency and integration of all WEDI resources impacting the Healthcare community for migration-Provided healthcare providers with fact-finding and feasibility studies based on physician specialty and claims history according to ICD-9/10 general equivalence mappings-Worked with EMR and Healthcare Billing vendors to manage the migration of specialty diagnosis from ICD-9 to ICD-10 in PMS, EMR, and other practice applications and solutions5010 Project Manager-Performed gap/impact analysis on all HIPAA 5010 business processes and applications, including the feasibility study for new additional 5010 transactions, ensuring 5010 compliance-Documented existing and new workflows, system application designs, and 4010/5010 data and EDI mappings-Developed claims testing strategy and activities and remediation plans for ongoing payer companion guidesEMR Project Manager-Worked with physician practices to manage the implementation of Electronic Medical Record systems into provider practices to make sure a smooth transition from paper to electronic record-keepingICD-10 Project Manager-Provided providers with fact-finding and feasibility studies based on physician specialty and claims history according to ICD-9/10 general equivalence mappings-Worked with physician practices to manage the migration of specialty diagnosis from ICD-9 to ICD-10 in PMS, EMR, and other practice applications and solutions

Highlights: Rolled out of the National Health Insurer Report Card (NHIRC); Mobilized U.S. major payers reported on the NHIRC through collaborative efforts to make changes in the way that they report data on the 835 Electronic Remittance Advice to automate the claims reconciliation process; Coordinated and staffed the Federation Administrative Simplification workgroup to identify health insurer and information technology modifications in administrative simplification impacting physicians on an ongoing basis; Developed and implemented the AMA's online Claims Workflow Assistant Tool to aid physicians in the handling of denials and adjustments when reported on the electronic remittance advice (ERA); Managed the implementation of AMA Path, a product to help physician practices analyze their fee schedule including procedure and modifier usage, into productionNHIRC, Project Manager:-Developed health insurer transparency surveys, compiled NHIRC metric results, and developed online results lay-out-Managed team to compile, post and promote the use of the NHIRC and health insurer transparency survey-Provided presentations to state and specialty societies, as well as, industry associations on the NHIRC and its impact on physicians and payersAMA PATH, Project Manager:-Developed and maintained SharePoint site to organize project plan, all document content, and resources. -Identified and managed all project issues and escalated issues that could not be resolved by the team. -Coordinated and facilitated all UAT, results, and recommendations to improve the end-user experience and conducted UAT debriefing sessions.CWA, Project Manager:- Provided subject-matter expertise and actively participated in WEDI discussions to standardize the reporting of claims adjustment group codes, claims adjustment reason codes, and remittance advice remark codes-Participated in X12, CAQH CORE, WEDI, and state EDI efforts

Highlight: Saved the organization from 5.5M lawsuit through the recommendation, design, development, and implementation of automating reconciliation processes with partnered vendors-Provided oversight and guidance to the business team in the development of department policies, procedures, projects, and "best" practices for effective and efficient operations management by defining, documenting, and reengineered business processes to automate production-related and regulatory process controls-Successfully managed the reporting & analytic functions, as well as identified measures to improve overall system processes that provided senior management with accurate and timely reports to facilitate informed decision-making -Managed report writing functions and utilized multiple databases and reporting tools to accurately report data including identifying key metrics, writing business requirements, and designing, validating, data analysis, and publishing reports -Designed, developed, and implemented the following management system applications (SQL Server, VB. NET): Audit Report Administrator, Claims Informational Retriever, Disability Manager, Overpayments and Returned Checks Manager, and State Restrictions and Regulations Compiler-Used statistical analysis to identify trends, benchmarks, and efficiency opportunities across all departments, including health informatics, operations, quality assurance, and fraud and abuse

-Assisted adult students with their continuing education in both Information Technology and Medical Programs-Informed students on the importance of education, as well as, help them to become enthusiastic about the education process-Provided support to students by learning their learning styles and helping them to apply those characteristics to their education to complete their MOUS, MCDBA, and MCSD .NET certifications, and Medical Administrative Specialist, Medical Coding Associate (including ICD-9 and CPT coding instruction), and Medical Reimbursement Specialist programs-Completed all administrative tasks such as: completing course and certification paperwork, maintaining student database, class schedules, creating student timelines, etc. -Provided career support such as resume and cover letter writing and mock interview session

-Evaluated and reengineered current business processes-Documented business requirements and recommended solutions-Analyzed, planned, and redesigned large business processes around new healthcare computer applications system, FACETS-Strategized implementation tasks for business liaisons, application developers, and IT operations staff to complete an effective and successful implementation-Collaborated with company executives and directors to implement reorganizational structures and new business processes-Reengineered processes for departments such as Claims, Provider, Member Services, Billing, etc.

-Managed and led a team of 10 reporting analyst that provided canned and ad-hoc reports to all business units within the organization including Claims, Provider Relations, Underwriting, Billing, Finance, Customer Service, and Membership-Managed all aspects of FACETS data, including Claims, Provider, Member, Billing, and Finance-Supported database design and functionality, and ensured data integrity using MS Access and SQL Server-Developed and managed the reporting and data extraction processes, while maintaining and enhancing FACETS and LEGACY systems utilizing text files, Excel, Access, SQL Server and DB Artisan.

-Delivered a broad variety of computer training to employees using techniques such as formatted presentations, technical manuals, and demonstration-Trained employees on Windows NT, Office 97, and other software applications-Researched and developed new training programs to support the FACETS business initiatives-Planned and scheduled employees to participate in specific training programs-Tracked and analyzed performance of employees who completed training sessions-Wrote technical manuals, aids, and handouts-Recommended new curricula, equipment, options, and changes in the training environment and the technical field