Matthew Martin Email and Phone Number

• Assist business operations executive directors in implementing IT solutions to ensure compliance with state and federal regulations.• Assist in development of improvements to Electronic Health Records tools and EPIC software used by all levels of healthcare operations. • Act as liaison between business and IT departments to document requirements for software needs and care delivery operations.• Manage IT projects within budget constraints, ensuring timely implementation and adherence to project timelines.• Present proposals to executive leadership, detailing the necessity for new technology, updates to existing systems and software, and strategies to meet regulatory requirements.• Collaborate cross-functionally to solve business problems and communicate progress to leadership.• Manage priorities, deadlines, and expectations, and milestones supporting business projects and outcomes.• Consult with various business units to align stakeholders on strategic initiatives and projects, securing buy-in and approval for innovative solutions to business challenges. • Develop requirements for business solutions, creating comprehensive business cases, build documents, and user experience designs. • Support business initiatives by understanding current processes and recommending improvements.• Contribute to strategic initiatives by planning, organizing resources, setting goals, monitoring progress, mitigating risks, and ensuring that the initiatives are completed on time, within budget, and to the desired quality standards for successful implementation.• Lead change management activities through use of project management tools such as RAID logs, RACI charts, Work Breakdown Structures, and dashboards. • Assist with vendor management, ensuring service level agreements are met.

• Successfully manage multiple large and complex IT projects, overseeing the migration of enrollment systems from an external contracted platform to Centene's internal enrollment and billing system, EMBARK.• Lead a high-performing team of analysts, ensuring effective identification, mitigation, and resolution of risks, issues, and dependencies within the enrollment and billing projects.• Collaborate closely with the IT development team, product owners, and systems analysts to identify and implement technology fixes, addressing IT issues and supporting Centene's operational needs.• Take charge of the development and management of IT bug tickets, issue tracking, and reporting, providing clear and concise explanations to upper management.• Facilitate and coordinate cross-functional meetings, bringing together Data Quality teams, Product Owners, and IT developers to solve technology-related challenges and align with business objectives.• Leverage in-depth knowledge and expertise of company IT systems, spanning multiple business and technical domains, to drive efficient project execution and delivery.• Recognized with the Key-Contributor award within the first five months of employment for significantly reducing errors in IT systems, showcasing dedication to quality and continuous improvement.

• Led a cross-divisional team in the strategic development of complex, large-scale program budgets aimed at advancing public healthcare initiatives.• Oversaw the comprehensive development of the State of California's COVID-19 staffing cost projections, utilizing a multi-billion-dollar budget allocation to ensure sufficient staffing levels in state facilities during public health emergencies.• Provided diligent program oversight, establishing robust monitoring activities to track COVID-19 budget allotments and ensure compliance with contractual obligations while maintaining fiscal discipline.• Directed and mentored a team in successfully developing grant proposals to the federal Centers for Medicare and Medicaid Services (CMS), securing critical funding for public health programs.• Monitored federal grant expenditures, ensuring adherence to approved budget awards, and prepared detailed quarterly reports for CMS to ensure transparent financial accountability.• Collaborated closely with internal and external stakeholders, division directors, the Department of Finance, and the Emergency Medical Services Agency to create budget recommendations that aligned with organizational objectives and strategic priorities.• Initiated proposals to enact changes to the California Budget, advocating for improved funding and resource allocation to support the Department of Public Health and its programs.• Effectively managed multiple fiscal projects within a fast-paced financial environment, ensuring timely completion of deliverables and employing change management strategies to overcome obstacles.• Conducted extensive research and developed procedure manuals to standardize and document division processes, improving operational efficiency and knowledge sharing among staff.• Cultivated a collaborative and growth-focused work environment for direct reports, providing training, organizing team-building exercises, and fostering individual achievement.

• Served as a trusted liaison between the CFOs and financial departments of major California Managed Care health plans, including Kaiser and Partnership Health Plan, and the Department of Health Care Services Rate development team.• Conducted comprehensive analyses of healthcare policies, state statutes, federal regulations, contractual requirements, and industry standards to assess their impact on Managed Care programs.• Collaborated with cross-functional teams and DHCS contractors to develop capitated insurance rates for all California Managed Care Health Plans, ensuring accurate and fair reimbursement structures for the upcoming fiscal year.• Presented well-researched analyses and strategic recommendations to project leads, management, internal and external actuaries, and health plans, contributing to informed decision-making and effective financial planning.• Spearheaded process improvements by automating data examination processes in Excel, streamlining a weeklong quarterly project, and enhancing efficiency in analyzing large financial datasets.• Reviewed and analyzed financial income and expense reports of Medi-Cal Managed Care health plans, ensuring compliance with state and federal regulations while optimizing the utilization of funds.• Utilized SAP BusinessObjects, Microsoft Excel, Access, and PowerPoint to extract, analyze, and present large volumes of financial and claims data to senior management in a concise and visually impactful manner.• Conducted detailed legislative bill analysis, assessing the implications of legislative changes on division activities, and communicated findings and recommendations to leadership, enabling informed decision-making.

• Led a team of analysts in a highly successful project aimed at streamlining healthcare provider application processing, resulting in a remarkable 65% increase in division efficiency.• Conducted thorough quality assurance and user acceptance testing for the department's Medi-Cal enrollment web application software, utilizing test scripts and test cases to ensure optimal functionality and user experience.• Provided valuable recommendations to leadership regarding new features and designs for the online Medi-Cal Fee-for-Service provider application system, contributing to enhanced efficiency and user satisfaction.• Expertly interpreted state and federal statutes, guidelines, and policies pertaining to healthcare providers' enrollment in the Medi-Cal Fee-for-Service program, ensuring strict adherence to compliance requirements.• Assessed existing policies and actively proposed clarifications, revisions, and new procedures for division-wide implementation, effectively improving operational consistency and regulatory compliance with the support of upper management.• Delivered comprehensive training to staff on the utilization of the web-based application system, Microsoft Access databases, Excel, and division procedures, fostering a high level of proficiency and user competence.• Conducted meticulous background verifications by leveraging multiple databases of information on healthcare providers, meticulously analyzing data for accuracy and consistency with applications.

• Maintained excellent relationships with internal and external clients based on open communication to accomplish shared goals.• Managed pipeline of multiple high-priority loan products, requiring excellent time-management and prioritization along with expert level knowledge of federal regulations and guidelines.• Directed multiple cross-divisional staff throughout each client’s loan to ensure timely completion of the process while mitigating and eliminating obstacles.• Analyzed applicants’ financial status, credit, and property evaluations to determine loan feasibility in line with company policy and guidelines.• Exhibited excellent interpersonal skills in negotiations with clients and major banks when looking for rates for client loans.