Experience

• Department of Medical Assistance Services

  Department of Program Integrity

  DMAS administers Medicaid and the State Children’s Health Insurance Program (CHIP) for Virginia. Job experience:
  * Level of care (LOCERI) evaluations and review for DADS/DMAS,
  * Long Term Services (LTSS),
  * Training for contractors on LOC, and correct assessment of patients/clients,
  * Service Authorization and contract monitoring,
  * Represent LTSS in Appeals process,
  * Special Projects as assigned by Managers,
  * Hospital Utilization/QM/Bill Review working in Program Integrity,
  * Provider Utilization/QM/Bill Review working in Program Integrity.
  

• Medicaid, DMAS

  Analyst

  Program Integrity
  Hospital QM/UR
  Contract monitor
  Long Term Services and Supports, Level of Care reviews

• J. Sargeant Reyonlds Community College

  Adjunct Professor, Anatomy & Physiology

  Instructor, lecture and laboratory for Biology and Anatomy and Physiology for the NVCC (previous), presently working at Germanna Community College and J. Sargeant Reynolds.
  Rated 4.9/5.0 by students,
  Advisor to students guiding them through professional development and exploring multiple interests in
  health care.

• Virginia Department of Rehabilitative Services

  Disability Analyst

  Training in disabiity determinations for Social Security Disability claimants. Analysis of medical and psychological claimant files, experience with electronic medical records, wage/earnings software, work descriptions and work transferabiltiy.

• Maryland Automobile Insurance Fund

  Technical Lead, Medical Management

  Robert worked at Maryland Automobile Insurance Fund as a Technical Lead, Medical Management