Health Care Manager Iii

RESUME OF:

TAMITHY “Tammy” HANCHEY GRAHAM

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

Cell: 405-***-****

Proven record of enhancing customer satisfaction and streamlining records management as a Clerk of Administrative Court/Legal Records Manager III for the State of Oklahoma Health Care Authority. Excelled in multitasking and critical thinking, successfully managing over 700 case files. Demonstrated exceptional organizational skills and a commitment to confidentiality, significantly contributing to the SoonerSelect Program's efficiency.

EXPERIENCE HIGHLIGHTS: Clerk of Administrative Court/ Legal Records Manager III 9/11/09 - 01/01/24 State of Oklahoma Health Care Authority (OHCA) 4345 Lincoln Blvd., Oklahoma City, OK 73105

Grievance and Appeals contact for the State of Oklahoma’s, new healthcare delivery model, SoonerSelect by assisting the agency and those contracted with compliance in their Grievance and Appeals processes.

Manage approximately 700 provider audit and Medicaid beneficiary administrative appeal requests filed with the agency to determine jurisdiction and compliance.

Developed and maintenance of legal case file folders (paper and electronic) to contain appeal requests received by email and U.S. mail and facsimile along with other various legal documents.

Responsible for the administrative court records/file management system; imaging records in preparation for retention, and electronic storage of court folders in compliance with Disposition schedule.

Review, file and issue orders of the court, motions, and pleadings to Office of General Counsel, opposing counsel and agency units.

Composition of business letters to inform beneficiary status of the appeal request, hearing notices, extension of Medicaid coverage during the appeals process using MS Word.

Docket, monitor and record administrative hearings using MS TEAMS and MS Outlook.

Maintain an Excel spreadsheet of all cases filed for statistical data, reporting and tracking.

Accurately maintain administrative court docket for hearings to be called.

Strong writing, organizational and interpersonal skills with the ability to compose, proofread and edit correspondence, reports, and other documents.

Strong critical thinking skills.

Provide administrative support for administrative law judges at the OHCA and the Office of Attorney General.

Work closely with OHCA’s Office of General Counsel.

Basic knowledge of agency and federal (Medicaid) regulations, laws, and procedures.

Coordination of multiple projects; divide time in accordance with deadlines to ensure completion of assigned projects.

Ability to use discretion, good judgment skills, initiative, and the ability to work independently and possesses a can-do attitude.

Ability to meet deadlines.

Heavy customer service, in-person, phone and email providing continuous contact with Appellee and Appellant’s.

Trained and supervised staff as needed.

Ability to work independently.

Reliable and dependable.

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