Accomplished customer service expert specializing in operational verification and validation. Extensive experience in policy compliance, quality assurance, and training, driving improvements that enhance organizational efficiency and effectiveness.
Overview
17
17
years of professional experience
Work History
OV&V Analyst
Onebridge
06.2019 - 06.2026
Perform Weekly Reviews on IMPACT Cases to make sure that the Vendor is following the requirements per the current Contract & DFR Policy
Complete Local IMPACT Site Visit every Quarter to make sure that the staff is following DFR Policy & the Contract set forth for IMPACT Requirements
Complete reviews of the SNAP & TANF Childcare Report to make sure that the funds are being issued out correctly monthly
Perform 2nd and 3rd Party Reviews for Indiana SNAP, TANF, and Medicaid Eligibility
Assist with creating updated processes and solutions for the Quality Assurance side of OV&V for Validating Vendor Reviews. (Trainings, Updating and Maintaining Score Guides, staying up to date on Policy Updates and Changes from the DFR that will impact the Vendor Reviews)
Creating usable training videos on how to update, process and pull reports, complete reviews, and how to complete a Site Visit Report for IMPACT
Staying up to date with the IEDSS System and maintaining knowledge of the Legacy system to assist with the Validation Process of Vendor Reviews
Assist the EBT Fraud Unit when requested by the State to help track SNAP and TANF Fraud
Assist with research and obtaining data information when requested from the DFR for Vendor Reviews
Staying up to date with the current and existing business process flow
Quality Assurance Analyst for Training
CFA
10.2018 - 06.2019
Quality Assurance reviews for new trainees for the FSSA per IHCPPM and IPPM program guidelines
Provides written and verbal feedback to Trainees and Trainers as needed
Senior Eligibility Specialist
FSSA/ALPHA-RAE/CONDUENT
06.2009 - 10.2018
Trained new eligibility specialists on TANF, SNAP, and Medicaid policies, Conduent procedures, and program aids including SMART, FACTS, ICES, TRON, and OPS to ensure compliance and effective service delivery
Eligibility review for Medicaid including MA D, Nursing Homes/Waivers, Refugees, ESRD, and PACE cases
Processed documents for TANF, SNAP, and Medicaid to ensure timely eligibility determinations.
Conducted quality assurance reviews and analyzed production statistics to maintain high standards and improve team performance
Coached team members to improve skills and performance.
Assisted Eligibility Specialist by answering questions about cases and policies to ensure clarity.