Policy & Program Analysis Leader, Federal to Private Sector

RONETTA D. RANDLE

410-***-**** *************@*****.*** Randallstown, Maryland Veteran status: N/A SUMMARY

● Health Insurance Specialist with 35 years of federal experience at the Centers for Medicare & Medicaid Services (CMS) specializing in policy analysis and program oversight for Medicaid and CHIP.

● Led complex executive operations and regulatory clearances, processed executive level correspondence to ensure program integrity.

● Modernized internal SOPs using project management methodologies, exceeding Phase 1 completion goals by 61% to improve operational efficiency.

● Expertise in coordinating GAO/OIG audits, Correction Action Plans (CAPs), processing Paperwork Reduction Act (PRA) packages, and evaluating program operations data to identify trends and opportunities for process improvement.

WORK EXPERIENCE

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) Woodlawn, MD Health Insurance Specialist GS-13/10 Dec 2024 - Jul 2025 Office of Minority Health (OMH), Business Operations Services Engagement Group (BOSEG) 40 hours per week. Supervisor: Sherry Armstead **********@*******.*** 410-***-****

● Led SWIFT executive correspondence and clearances, streamlining workflows to ensure timely policy input from leadership and SMEs for program oversight.

● Coordinated GAO/OIG audits and exit conferences, implementing detailed tracking systems to monitor audit progress across multiple agency programs.

● Presented audit metrics to leadership during biweekly meetings, synthesizing complex data to inform executive decision-making and program priorities.

● Managed regulatory clearances and FOIA requests, overseeing document preservation and dissemination to maintain program integrity and compliance.

● Served as OMH Records Liaison Officer, collaborating with program managers to ensure strict compliance with federal records schedules and accuracy.

Operations Analyst GS-13/10 Jan 2024 - Apr 2024

Office of Minority Health (OMH), Business Operations Services Engagement Group (BOSEG) 40 hours per week. Supervisor: Sherry Armstead **********@*******.*** 410-***-****

● Spearheaded the modernization of operational SOPs using project management methods to improve program efficiency and stakeholder engagement.

● Conducted end-user retrospectives and interviews to align SOPs with real-world functionality.

● Developed a centralized SOP repository and standardized templates, exceeding initial implementation goals by 61% to optimize program operations.

● Analyzed program metrics to identify operational trends and opportunities for agency-wide process improvements.

Health Insurance Specialist GS-13 May 2006 - Dec 2024 Center for Medicaid and CHIP Services (CMCS),Operations Services Group (OSG), Division of Operations & Executive Support (DOES)

40 hours per week. Supervisor: Kenneth Taylor *******.******@***.***.*** 443-***-****

● Reviewed and edited Medicaid and CHIP regulatory guidance documents to support federal health insurance program implementation.

● Analyzed program data to identify trends, delivering policy analysis summaries and recommendations to management for internal operations improvements.

● Authored white papers on sub-regulatory guidance workflows, providing critical policy analysis to inform executive leadership decision-making.

● Produced monthly SES reports calculating center-wide metrics to monitor program performance and support executive oversight.

● Collaborated with the Medicaid and CHIP Operations Group to manage program operations during high- volume transitions and policy shifts.

● Collaborated with cross-functional teams to evaluate program operations and support the effective administration of health insurance policies.

● Supported stakeholder management initiatives by providing guidance on Medicaid policy to states and external contractors.

Administrative and Policy Support Positions GS-1 to GS-12 Jul 1989 - May 2006

● Managed diverse federal operations and healthcare policy implementation across CMS, ensuring program integrity and compliance during organizational growth. EDUCATION

High School Diploma (1986-1990 General Studies)

Woodlawn High School

1801 Woodlawn Drive

Woodlawn, Maryland 21207

SKILLS

Policy & Program Oversight: Policy Analysis, Regulatory Guidance, Medicaid & CHIP, Program Integrity, Program Oversight, Compliance Monitoring

Operational Excellence & Data: Program Operations, Data Analysis, Metrics Evaluation, Process Improvement, SOP Development, Dissemination of Digital Mail

Stakeholder & Executive Support: Stakeholder Management, Executive-Level Correspondence, Cross-Functional Collaboration, GAO/OIG Audit Coordination

Governance & Administration: Health Insurance Policy, Records & Information Management, Regulatory Compliance, FOIA & Litigation Responsiveness

KEY ACHIEVEMENTS

● Exceeded Standard Operating Procedures (SOPs) modernization goals by 61% during a CMS Intra-Agency 90-day Rotation Program project using Human Centered Design (HCD) principles.

● Spearheaded the “External Clearances Redesign” pilot, improving efficiency across CMCS Groups.

● Designed and trained Regional Offices on the new Strategic Work Information Folder Transfer (SWIFT) system workflows, expanding national capacity.

● Recognized as the CMCS Employee of the Month for innovation and operational leadership.

● Honored by HHS Secretary for contributions to Correspondence Initiative (2013).

● Temporarily promoted to GS-14 for leading key metrics and strategy execution initiatives in 2021.

● 30-Year Federal Service Milestone Oct 2019

TRAINING COURSES

● Effective English (1994)

● Interpersonal Communications (1994)

● Proofreading (1994)

● Microsoft Word, Excel, Outlook 365, PowerPoint

● 508 Compliance for PowerPoint Slides (2012)

● Foundations of Leadership (2014)

● Crucial Conversations (2014)

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