Elizabeth Kok
Government Programs Operations Leader | Duals Program Manager | Process Optimization | Regulatory Oversight
- Role
- Manager, Program Project Management at Elevance Health
- Location
- Miami-Fort Lauderdale, FL, US
- LinkedIn followers
- 500 followers
About Elizabeth Kok
Have you ever watched a loved one\'s health needs outpace their financial resources?…
Experience
Manager, Program Project Management
Oct 2019 — Present · Miami, FL, US
Provided strategic leadership for 15+ Business Analysts within Enrollment and Billing division, fostering culture of accountability, optimization of workflows, and continuous improvement to achieve program objectives and compliance within state and federal regulations. Streamlined Special Needs operations, achieving 70% reduction in manual Medicaid validation by enhancing D-SNP business rules for eligibility verification; creation of monitoring reports for 21 markets to ensure audit readiness and implementation of default and FIDE/HIDE alignment/integration. Led system enhancements using Jira and Agile methodologies, defining business requirements, crafting effective user stories, executing user acceptance testing, resulting in on-time delivery of regulatory changes and process improvement initiatives with zero post-production defects. Spearheaded translation, configuration, and deployment of 120 member notifications in 15 languages for CA D-SNP members, improving member engagement and meeting state regulatory requirements. Ensured 100% compliance with new regulatory standards by evaluating 200+ CMS/HPMS memorandums, Final Rule notifications, and State Medicaid Agency Contracts annually to identify process impacts and initiate necessary project implementations. Identified and remediated 30+ non-compliance areas through root cause analysis, population impact assessment, remediation, and ongoing monitoring, reducing recurrence and supporting culture of compliance.
Education
Walsh College of Accountancy and Business Administration
Master of Business Administration - MBA
Wayne State University
Bachelor of Science (BS)
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