EXPERIENCE
Medicaid (AHCCCS), Hybrid-Phoenix, AZ May 2022 – May 2024
Associate General Counsel (In-House)
- As a legal generalist conducted in-depth legal research and drafted memoranda providing legal counsel on a variety of complex Medicaid-related issues, including compliance with the Affordable Care Act,
Reverse False Claims Act, Anti-Kickback, Stark Law, HIPAA, Fraud, Waste, and Abuse (FWA),
EMTALA, Telephone Consumer Protection Act, immigration laws, secured transactions, and anti-
discrimination laws.
- Collaborated with a cross-functional internal team and crafted the team’s termination of contract letters with behavioral health providers, ensuring adherence to quality, safety, and licensing standards for
Medicaid recipients.
- Represented the agency in administrative hearings and facilitated strategic negotiations to address and resolve quality of care and safety violations in Fee-For-Service behavioral health facilities and various healthcare claim reimbursement cases including Emergency Medical Condition cases.
- Closely coordinated and managed outside counsel on litigation matters involving behavioral health provider termination cases.
- Reviewed and revised contract language and policies with subject matter experts to enhance clarity and legal precision.
- Analyzed the impact of state legislative bills and Notice of Proposed Rulemaking on the agency’s policies and informed business leaders of the impacts.
- Evaluated the effects of Special Treatment Trusts, Non-Grantor Trusts, and Non-Special Treatment
Trusts on Medicaid member eligibility for long-term care and developed and delivered Continuing Legal
Education presentations to estates attorneys.
- Interviewed and hired legal interns; the selected candidate was well-liked and successful at the organization.
Colorful Egg, LLC, Remote Apr 2022 – Present
Telemedicine Licensed Professional Counselor/Owner
- Deliver high quality individual telemedicine psychotherapy to adults and adolescents, using cognitive behavioral and person-centered therapy techniques to foster mental health and well-being.
- Maintain comprehensive client treatment documentation through consistent use of SOAP progress notes.
- Cultivate and sustain long-term therapeutic relationships by demonstrating unconditional positive regard and active listening skills.
- Credentialed with multiple health insurance plans and licensed nationally and in two states.
Law Offices of Kevin Jensen, Mesa, AZ Sept 2021 – Apr 2022
Family Law Associate Attorney• Litigated as first-chair attorney for various family law matters, achieving a favorable decision in a high conflict child custody case within the first two months of employment.
- Managed and represented 40-50 clients, participating directly in all aspects of case preparation,
including drafting petitions, responses, and motions, and earned recognition in the firm for exceptional legal writing skills.
- Negotiated settlements focused on innovative and mutually beneficial solutions, demonstrating strong interpersonal skills in high-stakes cases.
Law Offices of Glynn Gilcrease, Jr., Tempe, AZ Jun 2020 – Sept 2021
Personal Injury/Tort Law Clerk
- Drafted legal memoranda and demand letters for cases involving wrongful death, medical malpractice,
and violations under the Trafficking Victims Protection Act and Communications Decency Act.
- Assisted in a wrongful death case involving the Indian Self-Determination and Education Assistance Act and Federal Torts Claim Act.
- Composed a complaint on premises liability after interviewing the plaintiff.
- Developed a Continuing Legal Education presentation addressing hyperflexion/hyperextension injuries.
- Created deposition summary for a wrongful death lawsuit and performed client interviews to ascertain case facts.
Innovation Advancement (Business Law) Clinic at ASU law, Phoenix, AZ Jan 2020 – May 2020
Rule 38 Certified Limited Practice Student
- Provided legal counsel to startup clients, ensuring compliance through the creation of operating and consulting agreements.
- Drafted work made for hire agreements addressing scope of work and intellectual property rights.
- Achieved recognition for academic excellence with the CALI Award in the study of legal principles and applications.
Solera Health, Phoenix, AZ Aug 2019 – Mar 2020
In-House Legal Extern
- Conducted a thorough review and revision of contracts, ensuring precise language and clarity of terms in
Master Service Agreements, Business Associate Agreements with commercial and Medicaid health insurers, diabetes prevention service providers, and vendors.
- Researched and analyzed HIPAA and relevant state medical privacy regulations to maintain strict compliance and mitigate legal risks.
Arizona Legal Center, Phoenix, AZ Sep 2018 – May 2019
Volunteer- Intake and staffing client cases
- Conducted comprehensive assessments of civil and criminal cases, ensuring meticulous attention to detail and accuracy in client documentation using the CLIO system.
- Managed conflict verification processes, contributing to the integrity and reliability of case assignments for volunteer attorneys.
Aurora Behavioral Health Systems, Glendale & Tempe, AZ Jul 2012 – Aug 2017
Psychotherapist
- Developed and implemented a Standard Operating Procedure to ensure compliance with minor patient custody orders, enhancing the hospital's legal adherence and patient care quality.
- Conducted utilization reviews resulting in optimized insurance reimbursements, contributing to the organization's financial performance; was known as the best utilization reviewer on the team.
- Facilitated cross-functional team meetings with psychiatrists and nurses while coordinating comprehensive discharge plans, ensuring continuity of patient care post-hospitalization.
- Facilitated psychotherapy groups, individual counseling, and family sessions for patients of inpatient,
partial hospitalization program (PHP), and Intensive Outpatient Program (IOP).
