Shirley Vosika
Program Director at HMS A Gainwell Technologies Company
- Role
- Program Director at Gainwell Technologies
- Location
- Omaha, NE, US
- LinkedIn followers
- 500 followers
About Shirley Vosika
Experienced and driven Certified Fraud Examiner and Accredited Healthcare Fraud Investigator, holding an MBA with a Project Management Professional certification and has more than 5 years of Medicaid audit experience and 17 years of Medicare audit, reimbursement, and investigation experience. Focused on Medicaid audit, quality and training for more than five years. Provided training on Medicare and Medicaid billing and reimbursement policies and regulations to benefit integrity staff, and is well-versed in GAGAS and GAS.
Experience
Program Director
May 2022 — Present
Oversees and manages multiple project portfolios across an array of products and clients• Oversees and leads the current Utah third party liability (TPL) contract• Manages daily project operations for New Mexico and Utah projects• Oversees delivery of a variety of program integrity (PI) services, such as Medicaid TPL identification, TPL billing and recoupment, overpayment identification and recovery, accounts receivable services, data receipt, management, and administrative support• Serves as the primary point of contact for clients on all project tasks and deliverables• Provides quality assurance for all project business processes and client deliverables to maintain a high level of client satisfaction and contract compliance• Collaborates with clients to maximize cost containment opportunities through TPL recovery and identification, overpayment identification and recovery, and other PI services
Education
University of Nebraska-Lincoln
Bachelors, Accounting
1990 — 1994
Bellevue University
Master of Business Administration (MBA), Project Management Concentration
2011 — 2014
Skills
- Fraud
- Training
- Auditing
- Healthcare
- Sarbanes-Oxley Act
- Certified Fraud Examiner
- Financial Reporting
- Leadership
- Accounting
- Process Improvement
- Analysis
- Budgets
- Medicare
- Sec
- Gaap
- Management
- Data Analysis
- Financial Analysis
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