Melanie Nigro Email and Phone Number

$68m budget process lead with multiple funding sources, medical revenue and over 600 costing centersImplementation of Questica including design, functionality and training to both financial and clinical end users Proficient in Power Bi through projects containing raw revenue cycle data that creates end user reports from journal entry recording to understanding revenue and cash collections over multiple grant programs. Created consolidation of entities with varying financial year ends on three distinct platforms.

Developed multi-year forecasts Oversee $55m budget processDeveloped three (3) year pro-forma for impending merger Key contributor in post-merger financial department restructure Developed activity based costing analysis for all business divisionsLed process/key contributor in multiple process improvement projects Led Implementation of multiple financial systems including Microsoft Dynamics SL; Frx Reporting; Frx Forecaster, XAKTClaim medical billing, ADP payrollDeveloped financial dashboards and other reporting tools for Board and executive leadership Strategic financial partner to business leadersNegotiated favorable Federal indirect cost rateKnowledgeable in Medicaid reimbursement Proficient in SQL Management Studios; Microsoft Xcel; Crystal ReportsConsolidated Audit Statement preparation Managed Accounts Receivable department and oversaw collections of multiple business divisions including medical reimbursement and both cost reimbursement and contract billingFederal Form 990 preparationAccomplished Project ManagerExcellent business writer

Managed entire financial operations for a 200-bed skilled nursing facility Team of six (6) staffIn depth understand of Medicaid and Medicare reimbursement Preparation of Medicaid and Medicare SNF cost reportsDeveloped budgeted and recommended changes to nursing salary compensation levels Managed annual external audit

Led audit fieldwork for multiple industries with a focus on skilled nursing facilities both for profit and not for profit; Visiting Nurse Associations and other not for profits and service organizations including financial statement preparation, management lettersPrepared federal, state and local taxes for individuals; C-Corps; S-Corps; partnership, not-for-profits, estates; gift taxes and payroll taxesTax PlanningFinancial pro-forma forecast preparationProcess improvement engagementsCompilation of financial statements both corporate and personalFinancial ledger system training SNF Medicaid reimbursement training