Shannon Osborn Email & Phone Number

As a seasoned professional I have held management positions for twenty years and executive leadership for the past four with demonstrated success in directing, planning and managing operations for several different government healthcare programs. As the Director of Quality Management on the Medi-Cal Fiscal Intermediary I am responsible for directing the operations of the Quality Assurance department. My diverse business background has a proven track record of consistent success in exceeding organization goals in the areas of quality assurance, cost containment and business process improvement. The knowledge and experience I have gained in serving the state of California Medi-Cal population in the fee-for-service healthcare environment has given me a strategic lens into how large complex healthcare programs operate and how to create and drive efficiencies. Notable experience with Medi-Cal, Medicare, Tricare, and commercial healthcare payers and strong computer proficiencies in data analytics and data science. Known for creating outstanding team engagement through coaching, mentoring, developing, accountability, offering perspectives through challenge as well as always looking for ways to reward and acknowledge the efforts of my team members. Specialties: Stakeholder Management, Teambuilding, Strategy, Managing Fiscal Responsibilities, Operational Efficiencies, Advanced Data Analysis, Trending, Service Level Requirements, MS Access, SQL, Business Objects, Claims Adjudication, Medicare, TRICARE, Medicaid/Medi-Cal (FFS/MCO), MMIS (Medicaid Management Information System), Program Compliance, Program Performance, Agile (Scrum master training), Anomaly Detection, Machine Learning (custom designed software) for datamining Fraud, Waste, Abuse (FWA) by the Palo Alto Research Center (PARC), Lean Six Sigma.

Listed skills include Health Insurance, Insurance, Medicare, Claim, and 31 others.