Sarah Walker, Mba Email & Phone Number

Oklahoma City, OK, US

Oklahoma City, Oklahoma Area

Lead and mentor a team of 4 senior research analysts that interpret, analyze and visualize complex data and associated state or federal rules and policies. Collaborate with internal and external stakeholders to facilitate the implementation and evaluation of coordinated initiatives requiring data specific to the Oklahoma Medicaid program. Perform extensive.

Analyzed administrative claims data and developed visualizations that allowed for actionable conclusions and recommendations.Performed complex analysis using SAP Business Objects, SPSS and Tableau on Oklahoma Medicaid data. Developed queries and dashboards to accurately track and report Prior Authorization totals and trends.Contact person responsible for.

Plan and conduct audits of pharmacy records and other information to verify that products billed to the Medicaid program were the same products purchased; that the products were delivered to the specified Medicaid client; and that a valid prescription order exists for each claim billed. Prepare reports and other information concerning inspections.

Serve as a lead worker to Contract Specialist I and II in researching, reviewing and replying to a large range of complex telephone inquiries from providers, billing agencies, law offices, recipients and others relating to agency and federal rules for Medicaid contracts.Provide assistance to Provider Contract Specialist I and II involved in reviewing.

Enter all incoming contracts on the MMIS Application Tracking file.Review provider file on MMIS for appropriate resolutions to providers for accurate and complete information.Independent decisions on how to resolve any problem provider is experiencing through individual research and interpretation of federal rules and procedures and agency rules in.

Receive and date stamp in all incoming mail.Log in contracts on Access database and assign to appropriate personnel.Research, review and reply to entry level correspondence and written inquiries regarding Medicaid rules and agency procedures relative to Medicaid provider programs.

Masters Of Business Administration, Business

Bachelor, Business Administration; Finance