Program Analyst Resume

Career Objective:
Highly dedicated for meeting the client’s needs, I aspire to find an information management consulting or administrative position in your esteemed institution. I can increase my knowledge of new medical methodologies and provide considerable diverse leadership to serve the community.

Professional Experience:

Confidential - March 2012 - Present
Contract Management:

Administrative position in the Provider Enrollment Unit Medicaid Contract Management.
Effectively monitor, coordinate, as well as support coordination in designing/testing/implementing system functions for several provider types for the state of Florida.
Responsible for/oversight of the Hewlett Packard systems contract with relation to provider enrollment activities related to specific provider types.
Develop and coordinate systematic implementation of Medicaid institutional and non-institutional provider types in the FMMIS system.

Confidential- March 2009 - Mar 2012
Program Analyst:

Review and approve provider qualifications and approve them for Florida Medicaid beneficiary services in an administrative capacity.
Navigate/Manipulate Florida Medicaid Management Information System, Medicaid’s management information system.
Effectively correspond with state, federal, providers, and consumer groups, for the purpose of implementing and maintaining program policies.
Productively collaborate with other bureaus within the Agency, other state agencies, and provider / consumer groups to encourage coordination, and communication.
Enrollment Coordinator for Long-Term and Behavioral Health Care unit; specifically Project AIDS Care, Community Mental Health, Familial Dysautonomia, Home Health Agencies.
Team projects: AIDS Supplemental Payments, Personal Care Assistance transition, Edits and Audits Task Force, which identified potential fraud or abuse and over-payment recoupment.

Confidential- June 2006 – March 2009
Volunteer Case Worker / Paralegal

Advocated for abused and neglected children in Dependency Court as a volunteer case worker.
Sole secretary and paralegal for the program.
Create legal documents for dependency court. Prepared files and attorneys for court.
Maintained appellate database and processed all related documentation. Prepared special motions and filings.
Opened, maintained, closed, and archived all dependency cases.

Confidential- March 2005 – March 2006

Adjuster, Auditor, examiner. Evaluate payments of unemployment benefits,compensation claims.
Created reports using investigated information on fraud and overpayments. Monitored unemployment overpayment cases by performing case work and documenting all actions in a created database.
Maintained up-to-date knowledge of Florida statute regarding unemployment compensation and related rules.
Fully investigated overpaid claims and adjustments, as well as fraud and abuse. Generated Legal documents necessary to open overpayment cases in Small Claims Court to retrieve the overpaid funds.
Represented the Agency in Small Claims Court.

Confidential- December 2003 – March 2005

Assisted Senators and the general public with legislative bills and amendments.
Data entry into legislative database. Prepared all files and documents for appropriation meetings.
Administrative assistant in legislative chambers

Education
Bachelors of Science Psychology & Sociology,
Health Information Management, Certification Studies, Applied

Skills
JAVAScript, HTML, FMMIS, Microsoft SQL, Citrix, QBasic, Visual Basic, Mainframe, C+, Microsoft Office: PowerPoint, Access, Excel, Word, Outlook. Ability to efficiently learn any database associated with position, as well as create personal data tracking to organize and maximize productivity.

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