Health Insurance

Shakeba DuBose

Email: *********@********.***

Address: **** ******* ******

City: Canal Winchester

State: OH

Zip: 43110

Country: USA

Phone: 614-***-****

Skill Level: Experienced

Salary Range: $125,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

SHAKEBA DUBOSE, ESQ./MBA/MHSA

Columbus, OH * 614-***-**** * **************@*******.*** * http://www.linkedin.com/in/shakebadubose

Profile

Experienced attorney with a Masters of Health Services Administration and expertise in healthcare and health law. Demonstrated expertise with Medicaid, Medicare, regulatory compliance, provider contracts, and operations. Excellent communication (verbal, written, and presentation) skills. Solid work ethic with attention to detail. Known for being approachable and responsive.

Legal Experience

CareSource Management Group Co., Dayton, OH March 2008 - September 2012

Associate General Counsel

Served as 1 of 3 attorneys for $3B nonprofit Medicaid managed care company with 1300 employees & 950,000 members. Handled day-to-day legal issues, ensuring regulatory compliance and effective risk management.

Prepared and rendered legal opinions to executives, staff, and committees on issues including, but not limited to: Medicaid and Medicare laws, CMS regulations, and HIPAA / privacy regulations.

Drafted and reviewed corporate and operational policies / procedures, assuring regulatory compliance.

Made presentations to staff on organization risk reduction and regulatory / statutory compliance topics, increasing education and compliance.

Developed and presented "Mandated Duty to Report" as accredited class for Health Services staff, increasing education and minimizing risk.

Prepared and reviewed vendor and provider contracts / agreements, minimizing company liability.

Represented company in hearing proceedings before Bureau of State Hearings (member appeals).

Contributor, Executive Summary-Highmark and Independence Blue Cross Part Ways-Pennsylvania Regulatory Hurdles Thwart Attempted Consolidation, American Health Lawyers Association (2010).

Ohio Attorney General's Office, Columbus, OH September 2004 - March 2008

Assistant Attorney General

Served as Medicaid attorney to the Ohio Department of Job and Family Services (ODJFS) in matters involving Medicaid provider fiscal audits (SURS/LTC); denials and terminations of Medicaid benefits; provider-agreement terminations; terminations of ambulette licenses; and provider garnishments

Litigated and negotiated settlements of Medicaid provider fiscal audit cases up to six figure range

Prepared and filed various motions, procedural briefs, and merit briefs in administrative proceedings, courts of common pleas, and appellate courts (4 appellate briefs/3 oral arguments)

Prepared for hearings and assisted other attorneys in preparing for hearings; responsible for pre-hearing motions, discovery, depositions, and witness preparation

Performed HIPAA research relative to business associate agreements and compliance plan elements

Presented to Speech & Audiology Students and Residence Life Staff at the University of Akron-An Overview of HIPAA Privacy Regulations

Served as counsel to the Ohio Minority Health Commission in matters regarding personnel and contract disputes, by conducting contract reviews and legal orientation for grantees, and by providing legal advice to the Commission's Board and staff

Education

Doctor of Jurisprudence, May 2004, Maurer School of Law Indiana University - Bloomington

Business Editor, Indiana Journal of Global Legal Studies

M.B.A. & Master of Health Services Administration, May 2000, Arizona State University - Tempe

B.S., Commerce & Business Administration, December 1997, University of Alabama - Tuscaloosa

Bar admissions, Memberships, & Activities

Alabama State Bar, Ohio State Bar, and the U.S. District Court, Southern District of Ohio

American Health Lawyers, Columbus, Dayton, & Ohio State Bar Associations

America's Health Insurance Plan's Minority Management Development Program Fellow 2010-2011

Contact this candidate