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Health Care Administrator

Location:
Florida
Posted:
July 30, 2014

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Resume:

Jan Howell, JD

**** * ****** **** ** ***, Lakeland, FL 33809

ace557@r.postjobfree.com

859-***-****

Executive Account Leadership / Program Direction

Health & Human Services Design, Development & Administration

Thirteen years experience in health & human services, Medicaid & government health plan policy, benefits

design, administration, program development, financial management, operations, IT, regulatory/legal analysis

EXPERIENCE

Florida Department of Health in Polk County 2013 - 2014

Bartow, Florida Senior Counsel, Temporary Contract

Fielded inquiries, researched legal issues & drafted memoranda, briefs, pleadings regarding confidentiality, personnel,

contracts, other public health issues, etc.

Blue Cross of Idaho 2013

Meridian, Idaho Director, Medicaid Programs

Hired to develop Medicare Medicaid coordination dual demonstration program based on federal/state agreements.

Successfully applied with state government. Federal government ended project due to freedom of choice restrictions.

Polk County Board of County Commissioners

Division of Indigent Health Care 2008 – 2013

Bartow, Florida Director

Directed all aspects of daily operation & program transformation of $30 million healthcare program & 65 staff

serving low-income (100% FPL-Medicaid expansion population), chronically ill individuals, including policy, cost

containment, revenue maximization, claims processing & eligibility systems.

Significant profit and loss responsibility. Restored financing from loss at date of recruitment to surplus of $55 million

and cost avoidance of $25 million.

Designed health plan benefits, increasing quality of care while lowering cost of care. Developed marketing &

provider training materials, & presentations to advocacy organizations.

Managed provider contracts to increasingly measure, monitor, and audit quality outcomes with the goal of improving

member health outcomes.

Developed fully integrated physical behavioral health pilot for chronically ill, homeless, emergency room population,

partnering with hospital, health department, behavioral health providers. Attracted $4 million federal grant in 1 st

year, renewed 2nd year.

Trained personnel in transformation of program design, internal processes, & policies & procedures. Increased

employee trust levels & forged organizational stability, integrity, infrastructure, & group dynamic. Mentored

employees to gain new skill sets.

Frost, Van den Boom & Smith 2008

Bartow, Florida Law Clerk, Assistant Counsel

Researched legal issues &drafted memoranda, briefs, pleadings regarding complex civil issues.

Passport Health Plan 2006 – 2008

Louisville, Kentucky Legal Counsel, AVP Compliance & Human Resources

Served as in-house counsel for Medicaid/Medicare Advantage health plan providing advice regarding government

contracts, vendor contracts, provider contracts, privacy, security, electronic health, human resources, and other

miscellaneous issues.

Provided direction to the Compliance Department to ensure compliance with regulatory agencies, interpretation of

government agency contract, regulations, fraud and abuse, etc.

Provided oversight of Human Resources Department and created succession plan strategy to assist the organization

with identifying and coaching tomorrow’s potential leaders. Successfully implemented mentoring program.

Commonwealth of Kentucky

Cabinet for Health and Family Services 2004 – 2006

Department for Medicaid Services/CHIP Deputy Commissioner

Promoted to Deputy Commissioner to serve as representative of organization for Cabinet and Department leadership in

executive level meetings, providing leadership and direction to junior management, fielding issues with political, fiscal,

and operational implications. Reported directly to the Commissioner of Medicaid.

Directed financial division and $4.6 Billion Medicaid budget. Oversaw efforts of Medicaid financial team and resulting

budget requests to Kentucky legislature. Provided Cabinet leadership with budget policy recommendations.

Responsible for multiple vendor contract oversight and monitoring. Served as Project Manager for MMIS

implementation. Led project implementation team of internal IT consultants & managed national vendor team.

Oversight of daily operational and personnel issues. Served in a generalist capacity to provide administration of all

divisions, functions, policies, procedures, regulations, legislative activity, and records management, personnel.

Directed legal compliance efforts for heavily regulated program. Interpreted state and federal healthcare laws,

regulations, reporting requirements, State Medicaid Manual, HIPAA privacy, & state privacy laws. Oversaw staff and

coordination of policy changes made through Medicaid State Plan Amendments, regulations, and legislation.

Commonwealth of Kentucky 2001 – 2004

Cabinet for Families and Children Assistant Counsel

Office of General Counsel

Advised and represented cabinet departments on healthcare regulatory, community-based social services, and

behavioral health issues. Advised clients concerning contracts, procurements, employment, public benefits .

Advised clients regarding privacy law with focus on state open records laws, supoenas, confidentiality, privacy,

HIPAA Privacy/Security. Directed HIPAA privacy implementation.

Successful at Kentucky Court of Appeals in arguing that a social worker’s duty to investigate is subject to sovereign

immunity.

Commonwealth of Kentucky 2000 – 2001

State Capitol of Kentucky Judicial Law Clerk

Franklin Circuit Court, Judge William L. Graham

Researched state law and composed opinions and orders for the primary court hearing state administrative agency

appeals, civil legal issues, and criminal process. Accompanied & assisted state trial judge in hearings & motion hours.

EDUCATION

University of Kentucky School of Law, Juris Doctor; Georgetown College, B.A., Pre-Law

PROFESSIONAL ASSOCIATIONS

Florida Bar Association, Kentucky Bar Association, Florida Assisted Living Association – ALF CORE Certification



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