francis secada resume - july 2015

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(1 of 2) FRANCIS SECADA Brooklyn, NY 11215 [email protected] | (646) 504-8260 | https://www.linkedin.com/in/francissecada SUMMARY Masters of Public Administration graduate with five years’ experience in private health care sector looking for employment opportunities related to healthcare, policy, planning, development and strategy. Experience with customer relations, vendor relationship management, budgeting, forecasting, policy review, trend analysis, and organizational best practices. Effective professional who promotes and develops efficiencies in organizational behaviors, and skilled with managing diverse interdisciplinary teams. CORE COMPETENCIES Healthcare Policy Research Policy Proposal + Evaluation New York State Medicaid Case Management Vendor Selection & Contracting Documentation + Quality Management Windows OS + Microsoft Office Suite Network Management PROFESSIONAL EXPERIENCE Consultant – New York, NY 2014-Present Sole Proprietorship - Advise clients in non-profit and for-profit settings on best practices for their organization/company. - Provide analysis and evaluation of patient medical plans for prior approval from New York State o Appropriate use of medical information o Appropriate determination of medical and social needs o Appropriate documentation of clinical needs o Appropriate budgeting and forecasting of annual and daily costs o Appropriate Discharge Planning - Advise individuals on effective methods for navigating public entitlement systems - Provide analysis to small non-profit organizations (1-15 staff members) on Activities-Based-Costing, Logic Modelling, Going-Away-Costing and communication strategies - Advise on next-step and short-term planning for implementation of long-term strategy ALL METRO HEALTH CARE – New York, NY 2011–2014 Senior Intake Coordinator - Supported patients to apply for and enroll in appropriate Medicaid Long-Term Waiver Programs - Client Interfacing in community and in clinical settings o Collected clinical and medical documentation to verify level of need o Documented and Budgeted costs associated with managing medical needs - Identified and interpreted medical information to facilitate application (e.g.: noting comorbidity of health issues as compelling reason for long-term care) - Designed and crafted operating procedures to help patients secure living space, household items, medical equipment and appropriate care - Served as Reviewer/QA specialist for reporting to New York State Department of Health o Redesigned reporting procedures by centralizing reports directly to 3-person team

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Page 1: Francis Secada Resume - July 2015

(1 of 2)

FRANCIS SECADA Brooklyn, NY 11215

[email protected] | (646) 504-8260 | https://www.linkedin.com/in/francissecada

SUMMARY

Masters of Public Administration graduate with five years’ experience in private health care sector looking for

employment opportunities related to healthcare, policy, planning, development and strategy. Experience with

customer relations, vendor relationship management, budgeting, forecasting, policy review, trend analysis, and

organizational best practices. Effective professional who promotes and develops efficiencies in organizational

behaviors, and skilled with managing diverse interdisciplinary teams.

CORE COMPETENCIES

Healthcare Policy Research Policy Proposal + Evaluation

New York State Medicaid Case Management Vendor Selection & Contracting

Documentation + Quality Management

Windows OS + Microsoft Office Suite

Network Management

PROFESSIONAL EXPERIENCE

Consultant – New York, NY 2014-Present

Sole Proprietorship

- Advise clients in non-profit and for-profit settings on best practices for their organization/company.

- Provide analysis and evaluation of patient medical plans for prior approval from New York State

o Appropriate use of medical information

o Appropriate determination of medical and social needs

o Appropriate documentation of clinical needs

o Appropriate budgeting and forecasting of annual and daily costs

o Appropriate Discharge Planning

- Advise individuals on effective methods for navigating public entitlement systems

- Provide analysis to small non-profit organizations (1-15 staff members) on Activities-Based-Costing, Logic

Modelling, Going-Away-Costing and communication strategies

- Advise on next-step and short-term planning for implementation of long-term strategy

ALL METRO HEALTH CARE – New York, NY 2011–2014

Senior Intake Coordinator

- Supported patients to apply for and enroll in appropriate Medicaid Long-Term Waiver Programs

- Client Interfacing in community and in clinical settings

o Collected clinical and medical documentation to verify level of need

o Documented and Budgeted costs associated with managing medical needs

- Identified and interpreted medical information to facilitate application (e.g.: noting comorbidity of health

issues as compelling reason for long-term care)

- Designed and crafted operating procedures to help patients secure living space, household items, medical

equipment and appropriate care

- Served as Reviewer/QA specialist for reporting to New York State Department of Health

o Redesigned reporting procedures by centralizing reports directly to 3-person team

Page 2: Francis Secada Resume - July 2015

FRANCIS SECADA · [email protected]

(2 of 2)

o Created new submission procedure to maintain accountability across organizational hierarchies

o Catalogued and compiled annual reports for serious incidents within NYS downstate area

o Catalogued and compiled annual reports on internal incidents

- Member of Performance Review Committee

o Attended quarterly meetings on internal auditing and evaluation practices and findings

o Reviewed and evaluated findings from trend reporting, ethics inquiries, chart audits, and program

planning analysis

- Negotiated and enacted contracts with third-party vendors to ensure delivery of goods and services on

behalf of patients

- Served in other capacities at recommendation of Vice President of Waiver Programs

Isabella Visiting Care – New York, NY 2009-2011

Service Coordinator for the Traumatic Brain Injury (TBI) Waiver Program

- Provided direct services to patients in social work settings

- Compiled and developed linkages to community resources

- Helped patients apply for and enroll in appropriate Medicaid Long-Term Waiver Programs

- Client Interfacing in community and in clinical settings

- Collected clinical and medical documentation to verify level of need

- Documented and budgeted costs associated with managing medical needs

- Managed care teams involving medical, clinical and social service providers

- Managed reauthorization of medical and social services through clinical review of patients’ needs

- Assisted other programs as needed

EDUCATION

Baruch College, CUNY – New York, NY

Master of Public Administration, School of Public Affairs – July 2015

Gallatin School of Individualized Study, NYU – New York, NY

Bachelor of Arts in Individualized Major – May 2008

RELEVANT COURSES

- Policy Analysis (Major)

o Policy Analysis

o Healthcare Policy

o Program Evaluation

o Economics of the Public Sector and

Private Finance

- Healthcare Policy (secondary Major)

o Health and Healthcare

o Healthcare Policy

o Program Evaluation

o Policy Analysis

- Public Management

o Public and Non-Profit Management II

o Communication Strategy

o Leadership and Strategy in Public

Affairs

- Core Curriculum

o Public Affairs

o Public and Non-Profit Management I

o Economic Analysis + Public Policy

o Research & Analysis I and II

o Communications in Public Settings

o Budgeting, Accounting and Financial

Analysis