Quality Assurance Manager

Inga S. Boyd, MPA

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

Mitchellville, Maryland 20721

202-***-****- Direct Line

**************@*****.***

PROFESSIONAL PROFILE

Highly Motivated Public Health Professional with more than 15 years of experience in the management and

leadership of public health and social services programs. Effectively developed quality systems and

programs, processes and methodologies to reorganize/revitalize program operations, increase revenue

and enhance overall operations and performance. In-depth knowledge of Federal, State and Local

regulations including, but not limited to Medicaid, ADA, HIPAA, COMAR and CFR. Strong organizational,

writing, analytical, planning, management, problem solving and communication skills.

CORE QUALIFICATIONS

• Analytical thinker with demonstrated talent for identifying and streamlining complex work processes

and procedures

• Innovative problem solver who generates workable solutions and resolves complaints

• Computer literate professional with extensive software proficiency covering a variety of applications

• Goal oriented leader task manager who maintains a productive and ethical climate and confidently

motivates, mobilizes and coaches employees to meet high performance standards

• Proven relationship builder with stakeholders, staff, vendors/providers

ACCOMPLISHMENTS

• Increased agency revenue by $4 million via claims dispute and account resolution with DHCF

• Authored and Implement procedural guidelines to improve timely filing of Medicaid claims, to reduce

errors and to lessen denials

• Developed and implemented client services program, which expanded the base by 35%

• Designed monitoring and tracking system to reduce lag time and prevent the submission of late

annual re-certifications by 75%; thus increasing reimbursement.

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AREAS OF EXPERTISE

Program Manager Medicaid EPD Waiver

Nursing Enterprises, Inc

Washington, DC 2010-Present

• Manage daily operations of the Elderly and Persons with Disability Medicaid Waiver Program as it

pertains to the provision of services, Medicaid compliance and reimbursement

• Ensure all beneficiaries receive, from their case manager, a comprehensive assessment of their

individual health, functional, home, social and environmental needs

• Monitor and track the provision of services to recipients enrolled in the EPD Waiver

Coordinate, monitor/track the development/changes of the client's ISP to ensure timely entry

• Wrote policy and developed process for Incident reporting and Corrective Action Plans

1

Director of Training and Compliance

PSI Family Services, Inc.

Washington, DC 2006-2010

• Expanded and developed innovative and creative training modules for foster parents and staff, in

addition to the mandatory PRIDE Pre-Service Training

• Wrote annual compliance procedural guidelines based on COMAR and DC Final Rulemaking

• Instituted quality assurance tracking system to ensure timely compliance reviews in accordance

with state and agencies standards

• Recruited, selected, trained and supervised intake and compliance staff

• Conducted quarterly mock-audits, appraisals and provided staff development in-service

training on amended COMAR and DC Final Rulemaking regulations

Special Education Consultant

Practice Management Consulting, LLC

Bowie, MD 2002-2006

• Created and/or revised where necessary Special Education Programs for Public Charter

School's Special Education Programs

• Developed Standard Operating Procedure (SOP) manuals and quick reference guides to address

program implementation, quality assurance, IEP development, staff and parent training

• Provided educational training workshops and seminars on IEP development, Medicaid, IDEA, ADA,

Section 504 and HIPAA regulations

• Created and implemented Quality Assurance Program to monitor daily, monthly and quarterly

documentation and performance of all staff and vendors

Program Manager Contractor-Medicaid Billing Unit

United Planning Organization, Inc.

Washington, DC 2002-2004

• Development of a Medicaid Billing Unit for the reimbursement of health and health related services

rendered to Medicaid eligible children

• Negotiated, coordinated and managed vendor contracts and services.

• Restructured and implemented documentation procedures to decrease errors and to improve the

overall record maintenance, information sharing and integrity

Project Manager

Davis and Associates/HMI, Inc.

Washington, DC 1999-2002

• Developed and coordinated Medicaid Managed Care and CHIP enrollment initiative for nine-

(9) Community Health Centers throughout the District of Columbia

2

• Managed project staff of 25 assigned to client enrollment program

• Wrote the procedural manual for the agency's Eligibility Verification System (EVS)

• Increased number of Medicaid Managed Care enrollees within the DC Community Health Centers

by 60%

• Developed outreach programs/seminars to address Disease Prevention and Health Promotion.

EDUCATION

M.P.A., Public Administration Health Services, Southeastern University

B.S., Biology and B.S. Medical Technology, Morgan State University

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