Assistant Director of Care Programs - FSSA Office of Medicaid Policy & Planning, State of Indiana - Indianapolis, IN
(2023-01 - 2026-12)
Developed and Manager the regulations, policy and procedures for Care Programs
- Oversee the developed, launched and managed of the MLTSS program
- Director of Hoosier Care Connect, Indiana Pathways for Aging, DSNP, and Hoosier RX Programs managing financial, compliance, and state and federal regulatory oversight
- Transitioned the Dual Eligible Special Need Medicare Plans into a fully integrated plan (FIDE)
- Assisted in the policy development for many initiatives including self-direction programs, level of service process, home health reform, multidepartment state plan on aging, waiver service transition and other initiatives
Director of Integrations & Compliance - PURPOSECARE - Indianapolis, IN
(2022-01 - 2023-12)
Start-up venture capital company focused on home health care with operations in over 5 states (purchased Alliance Home Health Care).
- Advise senior management regarding merger, acquisition, joint venture, investment, and divestiture transactions.
- Oversee organizations integration program, operating model, and program strategies.
- Manage integration participants including internal business units, corporate services, and relevant external parties.
- Manage integration planning through project completion with development of KPIs and monitoring to determine the success of integration.
- Lead auditing and compliance practices including the development of a risk assessment model.
- Handle CHOW filing in multi states with CMS, State Department of Health, and other relevant governmental and financial entities.
- Lead response to all program-level issues, risks, decisions, escalations & interdependencies
- Developed agile integration playbook for a guide to multi-department teams through the acquisition process with emphasis on change management.
- Developed and implemented customized communication plans for different types of acquisitions.
- Implemented compliance roadmap, perform periodic audits in partnership with operational and clinical leadership, lead compliance investigations, compliance policy reviews/updates/development.
Healthcare Administrator (Strategic oversight) - ALLIANCE HOME HEALTH CARE - Indianapolis, Indiana
(2016-01 - 2022-12)
$6MM home health care organization serving over 500 senior clients and over 300 employees for over 30 years. Developed strategic plans and managed projects on best practices for improving outcomes and quality of care.
Director of Operations (Led day-to-day operations) - ALLIANCE HOME HEALTH CARE - Indianapolis, Indiana
(2006-01 - 2016-12)
Directly managed teams in marketing, HR, finance, and clinical care coordinators and managed all operations.
- Oversaw all clinical and financial operations, expanded agency footprint, and increased census with referral source collaboration.
- Evaluated and audited patient care delivery processes on a regular, systematic, and frequent basis.
- Implemented appropriate work structures and processes to accomplish goals for patient care specific to COP requirements and P&Ps.
- Established contracts with Anthem, Humana, United, Medicaid, Optum, Medicaid Waiver, and Veterans Administration.
- Created and implemented strategies for promoting the growth of a home health agency census; performed community outreach activities, led operations and Home Health QA /PI best practices.
- Directly supervised, hired, and trained a team of marketing, customer service, care coordinators, attendant care managers, all nursing staff, case management attendant care clients, and social service staff.
- Reviewed all incident reports, client complaints, and supervisory reports and approved all plans of action.
- Established and educated staff on best practices of OASIS, PDGM and BPCI, etc.
- Managed team of 5 department directors and developed KPI dashboard for performance management.
- Established and maintained personnel policies, department policies, and procedures.
- Developed career paths and a ladder advancement program, bonus program, and mentoring program to improve retention and recruitment.
- Interpreted regulations and standards and communicated performance objectives to the staff.
- Provided guidance and direction on state licensure, accreditation, and regulatory agency requirements.
- Participated/developed process improvement committees/initiatives such as patient safety, adverse/sentinel event review, performance improvement, etc.
- Led event planning including special events, health fairs, educational seminars, and conferences.
- Prepared annual budget and evaluated the financial status monthly to maximize EBIDTA.
- Oversaw contracting, and billing for Medicaid, Medicaid Waiver, LTC Insurance, and Private Duty.
- Implemented telehealth, nostalgia program, care advisory, and outpatient therapy clinics.
Director of Development (Strategic marketing & sales) - ALLIANCE HOME HEALTH CARE - Indianapolis, Indiana
(2004-01 - 2006-12)
Led strategic planning for marketing, branding, website, CRM, and sales to increase profitability and revenue.
Adjunct Professor - BUTLER UNIVERSITY, Lacy School of Business
(2016-01 - 2018-12)
Adjunct Professor of Marketing - UNIVERSITY OF INDIANAPOLIS, School of Business
(2015-01 - 2016-12)
