Management High School

Sidney S Lewis

Email: abpfjw@r.postjobfree.com

Address:

City: Saint Cloud

State: FL

Zip: 34772

Country: USA

Phone: 407-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Objective To utilize unique administrative, management, computer and technical skills to enhance productivity at a dynamic and growing company.

Educational Background:

High School Dipolma from Andover Newton Theological School, Newton MA 1/2001 to 3/1990 (Functional and vocational rehab.)

High School Dipolma from Boston University, Newton MA 1/2001 to 10/2012

Job History / Details:

Professional Summary

Objective To utilize unique administrative, management and technical skills to enhance productivity at a dynamic and growing company

Education and Training

Andover Newton Theological School Newton, MA

Masters of Divinity

9/1982 6/1987 Boston University Boston, MA

Rehabilitation Counseling/BS Functional and vocational rehab.

Skill Highlights

Motivation techniques

Personnel management

Conflict resolution

Public speaking skills

Planning and development

Analytical thinking

Leadership

Recruiting and hiring

Strong presentation skills

Effective staff coach

Proficient in multiple health care and state computer specialty programs.

Staffing management

Supervisory experience

Knowledge of Medicaid statutes and regulations

Medicaid Management Information Systems

Independent judgment and decision making

Budgeting proficiency

Government relations knowledge

Supervisory training

Professional Experience

December 2005 to Current

Agency for Health Care Administration Orlando, FL

Sr. Human Services Program Specialist

State of Florida Medicaid specialist for the Medicaid compliance department.

Interpret state policies, Florida statues, beneficiary benefits and claims resolution.

Monitor multiple related programs; review program integrity and file maintenance.

Assist Medicaid contracts and programs development.

Troubleshoot medical billing and coding issues.

Resolve provider policy, enrollment and application processing issues.

Medicaid liaison for fair hearings; resolve contractual disputes.

Conduct organizational studies and evaluations; provide technical assistance.

Develop operations and procedures to assist organization in efficient and effective operations.

Program analysis and management consulting.

Organizational, staff and provider trainer.

Orlando EMA planning council representative for Medicaid waiver utilization and contract management.

APD Steering Committee representative.

Experienced with call center duties.

1/2006 to Current

Coventry Healthcare Orlando, MA

Intake Coordinator

Vendor consultant for Florida Hospital Behavioral Health services.

Intake liaison for (7) Florida Hospitals within the greater Orlando FL area.

Review and process medical records.

Policy interpretation, review Baker Acts, oversee behavioral health admissions, review insurance information, pre-authorization and pre-certification processing.

Communicate with other hospital behavioral programs.

7/1995 to 8/2005

Work Incorporated N. Quincy, MA

Program Director

Supervise staff and manage daily operations of residential communities for disabled adults.

Develop and monitor program strategies.

Manage all legal, financial and health policy concerning staff and individuals.

Execute case management, case presentations, behavior modification assessments and various evaluations.

Develop job enhancing training for all agency staff.

Manage payroll and staffing for residential programs.

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