Stacy Fish Email & Phone Number

Frankfort, KY

• Provide direction and oversight of multiple, complex large-scale information technology projects in various stages of development and implementation with budgets of over 400 Million dollars for the Department for.
• MMIS, MWMA, MPPA, PBM, Kentucky Medicaid Electronic Health Record Incentive Program, DSS, MEMS project, EVV project and T-MSIS reporting. Responsibilities include:
• Account management to the Department for Medicaid Services for multiple applications and contracts.
• Provide leadership and make key strategic decisions for the Division.
• Maintain and manage vendor relationships and ensure vendor compliance to contract timelines, terms and conditions, product quality and service level agreements.
• Coach project teams to understand all aspects of the prime contract objectives relating to their respective responsibilities. Oversee waterfall, agile and hybrid project management methodologies.

Frankfort, Kentucky

• Instrumental in implementing a new Medicaid Eligibility and Enrollment Solution and served as the Eligibility Operations Manager from 2013 until June of 2015 and Business Solutions Coordinator during.
• Review state and federal laws, regulations and guidance to prepare and provide input to business partners and vendors to maintain compliance.
• Lead/Attend Joint Application Design meetings to provide guidance to vendors on federal and state laws and help design an efficient and flexible system that meets stakeholder needs.
• Provide Commonwealth Project Management and Vendor Management services for the following areas of application design, development and implementation: Business Intelligence, Worker Portal, Document Management, Data.
• Review design documents to ensure compliance with business requirements.
• Liaison between vendors and the Department for Medicaid Services, Kentucky Office of the Health Benefit and Information Exchange and the Department for Community Based Services.

• Performed system analysis, lead testing efforts across multiple eligibility programs and functioned as an associate project manager for larger implementation projects on the KAMES IBM Mainframe solution prior to the.
• Lead tester for the following Mainframe systems: KAMES, SDX, and KCD. As well as Document Management (ECF), e-Forms, OTIS, ISEP and multiple databases associated with these systems.
• Identify, analyze and test system defects and changes.
• Coordinated testing efforts for multiple large change requests including: The Governor's Managed Care Initiative, Exparte & Extended Managed Care and OTIS integration.
• Provided batch support for SDX Demo environment.
• Key tester for our annual disaster recovery test.

• Determine Eligibility for Social Security Disability and Supplemental Security IncomeResponsibilities Include:
• Determine eligibility for disability benefits and prepare a personalized formal explanation of the determination.
• Conduct phone interviews with claimants to obtain information.
• Use knowledge of human anatomy, disease processes and diagnostic studies to process claims.
• Evaluate statements and evidence for sufficiency, consistency, validity and credibility.
• Research medical and vocational issues.

• Determine eligibility for the Supplemental Nutrition Assistance Program and Family Medical ProgramsResponsibilities include:
• Interview clients and process applications timely and accurately in order to determine client eligibility.
• Make collateral contacts with various organizations and employers to validate information.
• Answer inquiries from clients regarding their cases.
• Review policy clarifications to remain up to date on federal regulations.
• Utilize various computer programs to aid in processing applications.