Reimbursement Manager
Current Manage team of actuarial specialists responsible for setting provider reimbursement and capitation rates across Medicaid. Program manager for all rate updates, contract renewals and certification packages for bureau of financial services. Regularly interact with senior management and external partners to coordinate cross-functional initiatives to ensure projects remain on schedule and meet scope requirements. Built MS Access database model using extensive VBA to standardize the process and track changes of coverage and pricing for medical procedures to replace existing process. Identified and in the process of executing multiple process improvement initiatives to improve consistency, reliability and accuracy across the department. Write SQL queries to mine data from multiple massive Medicaid data sources and perform various analysis on the data. Published my findings to senior leadership and legislators, making my analysis easy to understand and delivering impactful conclusions.