Kristen Dodge

Payer Strategy, Policy, and Operations Expert Lead Consultant @Booz Allen Hamilton

Denver, CO, US
MOBILE NUMBERS
+17•••••••50

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WORK HISTORY

Sep 2018 — Present

Payer Strategy, Policy, and Operations Expert Lead Consultant @Booz Allen Hamilton

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Denver, CO, US

Federal Government Client: Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO) Federally-facilitated Exchange Oversight• Leads the Documentation Review (DR) Workstream managing 6 FTEs. The DR team reviews documentation submitted to CMS from insurance agents & brokers to evaluate their consumer-related processes for CMS regulatory compliance pertaining to fraud, waste, and abuse• Worked on the Enhanced Direct Enrollment (EDE) Operational Readiness Reviews team completing business audit reviews to identify gaps and monitor ongoing compliance with EDE guidelines and CMS regulatory requirements pertaining to the entities enrolling consumers into Marketplace plans• Other responsibilities: CMS Health Technology Ecosystem Initiative (health IT/interoperability) research; Proposal bid summaries; Jira experience; Job Leader; and Career Manager

EDUCATION

N/A

The University of Texas Southwestern Medical Center at Dallas

BS

SKILLS

Healthcare IndustryImaging SalesAccountable Care OrganizationMedical HomeWorking with PhysiciansManaged CarePharmaceutical SalesEhrMedicareHealthcare Information Technology (Hit)Medical BillingHealthcare ManagementPhysician BillingPhysician AlignmentCpoePhysician CodingPhysiciansClinical IntegrationSalesHealthcareHospitalsEmrHipaaCernerPhysician RelationsPractice ManagementHealthcare ConsultingPqriHealthcare Information TechnologyElectronic Medical Record (Emr)TrainingU.s. Health Insurance Portability and Accountability Act (Hipaa)Pqrs

ABOUT KRISTEN DODGE

Results-oriented healthcare professional with extensive experience in the physician…

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