Veronica Escobar Email & Phone Number

Remote

• As the PMO Medicaid Consultant, I provided expertise and recommendations for the new Care Management DDI efforts. I participated in all Agile-driven systems consolidated efforts, consulting with senior leadership to.
• I lead project wide training to the OHCA business end users on the UAT Care Management System and on the test execution testing tool
• I provide assistance and expertise to the Oklahoma Medicaid Program business end users on all UAT testing activitiesI identify risks and issues pertaining to approved RFP Functional, Non-Functional, Value-Add and.

Pennsylvania Medicaid

As the Medicaid Subject Matter Expert, I am responsible for managing the development process of business processes and business requirements for the System Integration Data Hub (SI/DH) module, including requirements that were leveraged for selection, configuration, and initial installation of MMIS modules and services.I took ownership of the System.

San Juan, Pr, Puerto Rico

San Juan, Pr, Puerto Rico

Responsible for providing provider enrollment subject matter expertise in the Puerto Rico DDI effort. Also responsible for transferring MMIS provider enrollment and operations knowledge and techniques to Medicaid program staff that will be managing and operating the PRMMIS.

Nevada MMIS DDI Modernization Project-As the Provider Subject Matter Expert (SME), I am responsible for conducting gap analysis of the current system and user documentation to define or clarify any deficiencies within the current operational process. I provide support in replacing the current legacy Core and transfer to a modernized MMIS by creating a.

Round Rock, Texas

Subject Matter Expert (SME) in the Provider Functional Area for the Montana MMIS DDI Project. I provide support in the pre/post-implementation of Enterprise Medicaid Management Information System (MMIS) to the Provider state customer.I develop and maintain the functional design specification document (DSD) including: use case specifications, user interface.

Provider System Test Lead for the Alaska Enterprise MMIS Project-including cross functional testing knowledge of Member and Claims Processing. I oversee the Provider System and Technical Supporting activities. I create and write Parent and Child Test Scripts by leveraging the associated artifact Use Cases that explains the Provider system process. I define.

Austin, Texas Area

I assisted Provider Services Representatives in development of provider education and training programs to provide support, direction and evaluation at provider education functions.I interacted with providers and their offices staff to resolve issues related to claims processing, program and policy updates, client education/behavior concerns. I assumed.

Austin, Texas Area

Managed 20 direct reports. Monitored and maintained work flow of Medicaid Claims that suspend and adjudicate by using the system's online claims resolution function. Ensured that all claims were adjudicated in accordance with HHSC approved procedures.Assisted and advised claim analysts in resolving problems and issues that arose with internal and external.

Albuquerque, New Mexico Area

As the Team Lead in Provider Enrollment and Provider Relations, I provided support and development to the unit that included:Quality control of phone inquiries as well as written correspondence issues. Monitoring workflow and provided support and development of the unit. Maintained written procedures for completing the tasks and maintained up-to-date.