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Manager Health

Location:
Santa Fe, NM
Posted:
April 17, 2014

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Resume:

LARRY HEYECK, ESQ.

**** ******* **

Santa Fe, New Mexico 87507

575-***-**** (cellular)

EDUCATION

University of Arizona, College of Law, Tucson, Arizona

Juris Doctorate: May 1987

BA: May 1982

Major: American History Minor: Political Science

EMPLOYMENT

January 1, 2014 – present

STATE OF NEW MEXICO, HUMAN SERVICES DEPARTMENT

DIVISION: Child Support Establishment and Enforcement Division

Title: Deputy Director

Duties: Supervise all child support attorneys, interact with judicial personnel,

including chief judges and court administrators, assist in federal and state

reporting requirements, supervise Central Office staff, and provide advice on

policy initiatives proposed by the Department.

Supervisor, Betina McCracken, Acting Director: 505-***-****

May 2011 – present

STATE OF NEW MEXICO, HUMAN SERVICES DEPARTMENT

DIVISION: Office of General Counsel

Title: Deputy General Counsel

Duties: Serve as Deputy General Counsel for the New Mexico Human

Services Department, drafting contracts, including review of Centennial

Care, the State’s proposed Medicaid reform project; reviewing regulations,

policies and procedures, and proposed legislation; assist program divisions

that provide services to over 750,000 New Mexicans.

SIGNIFICANT ACHIEVEMENTS:

*Co-lead on State’s resolution of Sole Community Provider

Hospital investigation with CMS; brought closure to State’s

10-year exposure for alleged improper transfers.

*HSD point person with New Mexico Hospital Association and

New Mexico Association of Counties on development of

safety-net care pools for proposed 1115 waiver.

*Appointed to the Governor’s Taskforce for Procurement

Reform – Law and Rules Committee, lead writer of the

statutory changes.

Contact Information:

Andrew Vallejos, Esq.: 505-***-****

Rachelle Klump, Esq.: 505-***-****

November 2010 – May 2011

ACS, INC (TEXAS MEDICAID & HEALTHCARE PARTNERSHIP)

Title: Manager, Program Policy

Duties: Develop and implement Program Policy support function to assist the

State of Texas in providing research, analysis and implementation of

Federal and State laws, rules, regulations and guidelines that impact

State programs, including healthcare reform.

Contact Information:

Valerie Gallo-Pompa: 512-***-**** (cell)

March 2010 – October 2010

STATE OF NEW MEXICO, HUMAN SERVICES DEPARTMENT

DIVISION: CHILD SUPPORT ENFORCMENT

Title: Advanced Attorney A

Duties: Serve as an Assistant Attorney General for Child Support Enforcement;

Appear in Court in Establishment and Enforcement cases.

Contact Information:

M. Elizabeth Price, Esq.: 575-***-****, ext. 6005

Gretchen Aultman, Esq.: 575-***-****, ext. 292

April 2005 – February 2010

STATE OF NEW MEXICO, HUMAN SERVICES DEPARTMENT

DIVISION: MEDICAL ASSISTANCE DIVISION

Title: Deputy Director

Duties: Provide leadership for the State’s Medicaid and Medical Assistance

programs with an operating budget of over $3Billion providing

services for over 450,000 recipients

Direct Oversight/Coordination:

(A) Medicaid Reform, including analysis of new healthcare initiatives,

CHIP, long-term care, and health homes.

SIGNIFICANT ACHIEVEMENTS:

*One of the state’s lead presenters for healthcare

reform and impacts on Medicaid;

*Provided input on the initial draft Federal legislation

to the United States Senate Finance Committee staff;

*Worked with Centers for Healthcare Strategies on

integrating Medicaid and Medicare.

(B) Contracts Administration, including external Requests for

Proposals; all managed care contracts, including rate negotiation

for all health care contracts.

SIGNIFICANT ACHIEVEMENTS:

*Lead negotiator for all health care contracts,

SFY10 budget $2.5 billion - over $100 million saved;

*Procurement Manager for Salud! (Medicaid managed

care program), estimated value $10 billion.

(C) Programs and Benefits for fee-for-service Medicaid recipients;

Provider contracting; and CMS state plan amendments.

SIGNIFICANT ACHIEVEMENTS:

*Developed new program, “Birthing Options”;

*Developed new service, Plan B OTC;

*Developed new service, Adaptive Skills Building.

(D) Long-Term Care oversight, including home and community-based

waiver programs; PACE; long-term care facilities; and utilization

review.

SIGNIFICANT ACHIEVEMENTS

*Developed new home and community-based waiver;

*Developed “CoLTS”, Medicaid managed careprogram

integrating Medicaid and Medicare.

(E) Fraud and Abuse, including audits, recoupments and referrals;

Member, Health and Human Services provider oversight group and

Medicaid Fraud Control Unit

SIGNIFICANT ACHIEVEMENTS

*Developed and implemented DRA requirements;

*Developed training materials on Employee Education

(F) Other Duties/Assignments, including representing division at

Legislative hearings, providing testimony, reports and other data

requests; work with CMS on integration of Medicare/Medicaid for

long-term care recipients; developed outreach/marketing

strategies; and assigned by Governor and Cabinet Secretary to

various health care task forces.

SIGNIFICANT ACHIEVEMENTS

*Department leader on autism, including lead drafter

of report, “Autism in New Mexico”;

*Department leader on trauma systems in New Mexico

*Department leader on medical/health homes

Contact Information:

Julie Weinberg, Medicaid Director: 505-***-****

Sandra Chavez, Bureau Chief: 505-***-****

November 2004 – April 2005

LINX LIMITED CO, a New Mexico Limited Liability Co.

Title: Contract Attorney

Duties: Legal research and writing for New Mexico attorneys in areas of civil

rights, healthcare, and employment law

SIGNIFICANT ACHIEVEMENTS

*Retained by Molina Healthcare, Inc. as consultant to draft response

to the State of New Mexico’s RFP on statewide coverage insurance –

Molina awarded the contract;

*Ghost written over 750 legal briefs.

Contact Information:

Jerry Walz, Esq.: 505-***-****

former Chief Justice William F. Riordan: 505-***-****

Gerald Landgraf, former President/CEO, Molina: 505-***-****

June 2003 – October 2004

HEALTHCARE HORIZONS, INC., d/b/a Molina Healthcare of New

Mexico, Inc., f/k/a Cimarron Health Plan, Albuquerque, New Mexico

Title: General Counsel

Duties:Provide assistance to company’s leadership and Board of Directors in

reviewing contracts, policies and procedures, and risk management issues.

Direct Oversight:

(A) Contract review, including network provider contracts, IT

contracts, and State managed care contracts;

(B) Manage outside counsel, including resolution of litigation,

review all legal invoices, and developed litigation strategies;

(C) Preparation of internal policies and procedures, including new

policies and procedures to meet regulatory compliance;

(D) Risk Management, including review of all internal/external

Complaints and grievances to determine risk.

Contact Information:

Gerald Landgraf, former President/CEO: 505-***-****

December 1996 – June 2003

LINX LIMITED CO, a New Mexico Limited Liability Co.

Title: Contract Attorney

Duties: Legal research and writing for New Mexico attorneys in areas of civil

rights, healthcare, and employment law

Contact Information:

Jerry Walz, Esq.: 505-***-****

former Chief Justice William F. Riordan: 505-***-****

Kathleen M.V. Oakey, Esq.: 505-***-****

October 1999 – January 2006

METROPOLITAN COLLEGE, Albuquerque, New Mexico

Title: Instructor/Director, Paralegal Studies

Duties: Provided instruction in the following courses of study: 20th Century

American History; Introduction to Law; Corporations; Contract Law;

Criminal Law and Procedure; Law Office Management; Civil Litigation;

Interviewing and Investigations; and Healthcare Law.

PROFESSIONAL ACTIVITIES

Seminar Presentations/Articles

December 2012 - Medicaid Payment Withholds For Credible Allegations

Of Fraud, ABA Health Lawyer, Vol. 26

August 2012 – The Legal Ethics of Blogging, Tweeting, and Facebooking

August 2012 – The Implications of Turner v. Rogers

June 2012 – The Uninsured and Medicaid, Centennial Care and Safety-

Net Care Pools

April 2012 – eDiscovery, Litigation Holds and the Duty to Preserve

September 2011 – HIPAA Changes

September 2011 – The Government Lawyer – Representing State

Agencies

September 2010 – An Overview of Medicaid and Healthcare Reform

May 2009 – National Medicaid Congress, Long-Term Care Initiatives;

April 2009 – Healthcare Financing;

December 2008 – Medicaid Best Buys – Integrating Care for Duals;

November 2008 – Special Needs Plans in New Mexico;

November 2008 – Medicare Parts A and B and Medicaid;

November 2007 – Medicaid Fraud; and

April 2004 – The Nuts and Bolts of Managed Care: An Overview.

American Health Insurance Plans, Washington, DC

National Health Insurance

Committee Member: Amicus Briefs

COMMUNITY AND PERSONAL ACTIVITIES

Little League Baseball, Inc.

International Board of Director, Williamsport, PA

Manager, Coach and Umpire

United Way of Greater Albuquerque

Loaned Executive

Allocations Panelist

Stand-Up Comedian, for charities around New Mexico

Laff’s Comedy Club

Catch a Rising Star

New Mexico State Fair



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