Assistant Track Coach - Baltimore County Public Schools, New Town High School
(2026-02)
Provide leadership and coaching expertise to the Varsity and Junior Varsity Track team. Support the Office of Athletics and provides leadership and direction for the interscholastic athletic program by supporting students, administrators and athletic directors to provide a quality athletic program for student athletes.
- Encourages and promote student athletes to make academic progress and attend all classes to ensure that that the development of all student athletes are up to standards while emphasizing the primary importance of integrity and academic excellence.
- Monitors, maintains, and supports county-wide expectations for appropriate student athlete behaviors related to the classroom and sportsmanship in athletic events. Compliance with all rules and regulations of the BCPS and MPSSA. Work cooperatively with the high school administration and support staff.
- Provides opportunities for students with disabilities to participate in interscholastic athletics by offering a comprehensive range of activities.
Branch Chief - Appeals and Dispute Branch / Division of Customer Support - Health Resources Services Administration (HRSA) - Rockville, MD
(2022-07 - 2025-05)
Spearheaded strategic oversight of case review for the Medicare Decision Review and Dispute Review activities performing post-pay quality control reviews, reviewing medical Audits and reporting non-compliance to government debt collection activities, managing anti-fraud, compliance, quality assurance, and productivity initiatives, driving interagency collaboration with internal and external partners.
- Oversaw analyst in the communication and tracking in system of Healthcare agencies and Medical claims appeals and disputes and the adjudication process through the Medicare and Medicaid debt collection process.
- Managed oversight of the Program Integrity Operations Branch, supporting business operations, compliance, and policy development, risk mitigation across Medicare Integrity operations.
- Directed performance and budgetary oversight of debt collection and appeals contractors, administering a $120M portfolio to detect improper payments and adjudicate appeals claims case review.
- Partnered with the Division Director to plan and execute division-wide objectives, aligning staff performance standards with measurable goals tied to Agency and Center priorities.
- Managed the oversight of the fraud risk management, Audit and Assessment Strategy Services, Governance and Statistical services to resolve program Integrity issues to identify program and financial deficiencies.
- Served as Contracting Officer Representative (COR), strategically managed and monitored 2 large contracts, budget, preparing program evaluations, and ensuring contractor compliance with the Statement of Work.
- Monitored financial budget expenditures and revenues, analyzed variances, and determined the impact on programs and policies.
Health Insurance Specialist, Center for Clinical Standards and Quality, iQuality-Division of Beneficiary Reviews and Care Management - Centers for Medicare and Medicaid Services (CMS) - Woodlawn, MD
(2019-02 - 2022-11)
Lead the day-to-day operations of the Medicare Quality Improvement Organizations case review for chronically ill Medicare population and diverse communities.
- Served as the liaison to families and caregivers to support and provide assistance to information and resources for Nursing Homes and Skilled Nursing Facilities.
- Monitored and evaluated Quality Improvement Organizations program policies and data related to statutorily mandated reviews of hospitals, nursing homes, hospices, SNFs and home health agencies to ensure agency programs meet Federal government guidelines and policies.
- Reviewed and analyzed medical claims to errors in payment to identify claim errors for repayment to the Medicare Trust Fund.
- Managed, developed, and streamlined contracts and developed contract acquisitions; reviewed and developed Statements of Work (SOWs); and provided guidance on contract administration for pre-award and post-award activities.
- Developed and managed the financial budget for services tracking expenses to stay within financial constraints recommending programmatic budgetary and financial resource levels.
- Served as the Medicare Liaison to internal and external partners for communicating and disseminating Center for Medicare and Medicaid policy on Medicare review of Medical services.
- Activities Coordinator - Organized and Planned the Yearly Medical Quality Conference. Coordinating events and activities engaging with community centers, healthcare facilities, families and Medical centers to organize to assist the community.
- Evaluate effectiveness of activities through participant feedback using data to make improvements.
- Led the data exchange team to develop the Claims Services Data Dashboard to improve oversight by reviewing financial and health data to identify medical clinical data elements.
Health Insurance Specialist, Center for Program Integrity - Division of Medicare Integrity Contractor Operation - Centers for Medicare and Medicaid Services (CMS)
(2012-04 - 2019-07)
Oversaw complex confidential fraudulent investigations, reviewing evidence to support fraud, waste, and abuse investigations in pre- and post-Medicare financial claims review. Managed the oversight for Medicare Program Integrity operations, including payment integrity, operational, and fraud and abuse activities.
- Supervised and managed a team of 4 members, providing direction, coaching, mentoring, and advising on contract oversight and operations.
- Developed Medicare policy, operational instructions, and technical direction letters to Program Integrity Contractors to implement program and policy updates.
- Managed and tracked contractor operational activities, including budget tracking, financial auditing, and identifying financial overpayments.
- Negotiated with vendors and tracking budget also reviewing and developing contract modifications, prepared Independent Government Cost Estimates (IGCEs), performed cost/price analysis, and developed procurement support materials.
- Contracting Officer Representative - Conducted yearly Performance Evaluations of contractors and developed Corrective Action Plans and Performance Improvement Plans.
- Responded to inquiries and prepared reports for senior leadership, Congress, GAO, FOIA, and OIG.
- Team Lead (Dec 2015 – Mar 2016 & Aug 2014 – Nov 2014) - Provided management oversight, contracting and financial direction within CMS' Medicare Integrity Operations Division, leading efforts in anti-fraud compliance and overseeing up to 10 employees. Led the team in analyzing fraudulent issues to develop a CMS agency-wide fraud and abuse IT System to improve data analytics and identify Medicare fraudulent billing patterns.
Business Management Coordinator, Office of Information Management - U.S. Food and Drug Administration (FDA)
(2009-11 - 2012-04)
Served as the Business Operations and Information Technology (IT) systems coordinator to the Center for Veterinarian Medicine and Center for Drug Evaluation and Research, focused on improving business and IT processes, interoperability, and Health IT issues.
- Served as Project Manager for large project teams (50+ people) from IT requirements gathering through implementation, establishing integrated project plans for mission critical projects.
Project Lead, 1-800 Medicare Beneficiary Call Center Operations, Office of Communications - Centers for Medicare & Medicaid Services (CMS)
(2004-01 - 2009-11)
Oversaw the 1-800 Medicare Beneficiary Call Center program, including day-to-day operations, formulating and implementing policies to improve customer service, access to information, quality, and beneficiary satisfaction.
- Directed oversight and technical direction on Medicare enrollment/eligibility, health benefits, claims, appeals, and enrollment for beneficiaries on Medicare Parts A, B, Managed Care, and Part D.
- Led the division team and worked with Center Director to implement the First Call Resolution process. The new process I developed resulted in efficient call center operations improvements and reduced the call center customer service repeat calls by 30%.
- Led the CMS Administrator's Agency wide project on Preventive Services facilitating discussions and working between the Office of Communications, Social Security Agency and Medical communities to implement the agency goals to inform and provide access to the public.
- Served as the Medicare Liaison - Answered and responded to complex inquiries from the general public, beneficiary ombudsman, and outreach activities for health care providers, beneficiaries, employers/unions, congressional inquiries regarding Medicare and Medicaid program.
- Prepared, track and reviewed data calls for internal and external agencies which include, Government Accountability Office audits (GAO), Freedom of Information (FOIA), and Congressional inquiries.
- Activity Coordinator - led community outreach and developed promotional and training materials to advertise event and activities to inform beneficiaries.
