MELISSA FOLEY
Norwell
Summary
Through my work experience and education, I have extensive knowledge of quality improvement strategies, financial tracking, contract management, working on individual or group project presentations, and analyzing and interpreting data. I thrive in fast-paced work environments and pride myself on my ability to adapt and excel in challenging situations.
Overview
11
11
years of professional experience
Work History
Director of Contracts
Department of Youth Services
11.2024 - Current
- Directs, monitors, and manages the operation of the Department of Youth Services' Contract Unit.
- Provides direction to and oversight of the implementation of the agency's competitive procurement process for purchase of service and consultant services.
- Negotiates, executes contracts, and provides training and technical assistance as needed.
- Directs and assists Contract and regional staff in troubleshooting and resolution of audit findings and/or internal control issues within the agency or its provider programs.
- Evaluates business processes and adjust as necessary to promote efficiency.
- Evaluates the performance of Contract staff.
- Leads the Department's Contract quality assurance efforts in the development, tracking, monitoring, and reporting of contract performance metrics.
- Coordinates efforts with other DYS business units including residential and community program monitors, fiscal, investigations, training and JRAs and establish system for review, feedback, and use of results for contract and procurement purposes.
- Manages the Chapter 257 Regulation process for all DYS POS contracts.
- Meets with the Executive Team to present the new residential service rates developed by the EHS Chapter 257 staff for approval and attend Chapter 257 Public Hearing meetings as the DYS representative.
- Formulates, writes, and implements policies for contract administration.
- Interprets promulgated regulations and directives disseminated by oversight agencies.
- Analyzes the efficacy of current practices and the operational requirements of the POS service system.
- Establishes the agency's POS policies and procedures.
- Prepares, provides, and disseminates informational memoranda to DYS Regional Directors and Fiscal Managers.
- Maintains effective communication with oversight federal/state grant awarding agencies, including OSD, EHS, DESE, and OSC, DYS executive and senior management staff, and provider agency executive directors and CFOs.
- Ensures compliance with all POS regulations by providing training and technical assistance, disseminating information and materials, and reviewing and analyzing reports and other pertinent information.
- Represents the Department at DYS Provider meetings and collaborate with and provide technical assistance to Providers on issues that impact the delivery of services to DYS.
- Communicates effectively, both verbally and in writing, the POS goals, objectives, and outcomes monthly.
- Serves as Department lead for any POS issues in audits from the State Auditor's Office, EOHHS, or OSD Audits.
- Works with DYS legal and other agencies as applicable in the timely resolution of the audit findings.
Revenue Lead and Contract Manager
Office of Federal Finance and Revenue
06.2022 - 11.2024
- Collaborates with state agency CFOs, Deputy Commissioners, and contracted vendors to prepare annual state revenue projections, tracks and manages year-to-date revenue, and revises year-end revenue target projections.
- Identifies and implements mitigation strategies associated with revenue expansion and maximization projects.
- Manages DCF's vendor contracts with Public Consulting Group.
- Collaborates with OFFR Policy Director to amend SOW contracts and create new contracts for revenue enhancement projects.
- Works with assigned agency CFOs at state agencies, including DCF, DYS, BPHC, CPHC, EOVS, and soldiers' homes, to complete spending and revenue exercises throughout the fiscal year.
- Manages UMASS contract with DYS to ensure all Medicaid Rehab and TCM services are federally reimbursed.
- Coordinates activities and provides requested support documentation in response to audit inquiries by federal and state oversight agencies, including ACF, ANF, and the Office of Comptrollers.
- Completes and manages twice annual DCF quality control audits for Title IV-E, Medicaid, and CBAR claiming based on contract requirements.
- Manages and monitors revenue contracts and contractual requirements with service vendors, including approving quarterly performance measures and monthly invoices.
- Serves on contracted service RFR panel to review and score vendor-proposed service contracts for revenue enhancement opportunities.
- Serves as a liaison between the contracted revenue vendor agency, fiscal, programmatic, and IT staff.
- Reviews monthly and quarterly Title IV-E, Medicaid Admin, and Medical Admin claims completed by contracted vendors, UMASS, and PCG.
- Enters cash requests (CRs) into state databases, CAMS, and MMIS, quarterly.
- Edits invoices and vouchers submitted by contracted vendors to process vendor payments.
- Completes reconciliation of vendor payments through completing queries in CIW, MMIS, MMARs, and Cognos queries.
- Works with DCF's Deputy Commissioner to complete vendor contract amendments and extensions.
- Coordinates and runs monthly DCF revenue status meetings with contracted vendor, PCG.
- Annually projects and monitors over $360 million in state revenue.
- Completes quarterly analysis of Medicaid-eligible children in DCF custody to determine Medicaid eligibility rate for claiming purposes.
Acquired Brain Injury Service Coordinator
Department of Developmental Services
09.2018 - 06.2022
- Facilitated meetings with interdisciplinary teams, including residential provider agencies and vendors, to develop Individual Service Plans (ISPs) on a regular basis.
- Coordinated activities and meetings with a multitude of stakeholders, including MassHealth, UMASS, Easter Seals, Mass Rehab Commission, transitional entities, residential provider agencies, and rehabilitation day support service teams.
- Manages DDS contracts with residential providers to support the service delivery of DDS clients.
- Reviews and approves contract amendment requests for increased staffing and medical equipment support within the group home based on client needs.
- Completed referrals for physical therapy, occupational therapy, speech and language, and skilled nursing through contracted vendors.
- Ensured service billing was completed and approved specialized medical equipment (SME) for vendor contracts.
- Approved all vendor contract requests for SME's.
- Reviewed DDS contracts to ensure service coordination matched contractual agreements between state entities and residential providers.
- Reviewed and approved resident transitional assistance plans before submitting them to MRC for approval.
- Reviewed and completed legal documentation, including guardianship and healthcare proxy documentation, for individuals in state services.
- Reviewed all HCSIS medical and behavioral incident reports submitted by residential provider agencies and assigned action steps.
- Ensured incident reports' action steps were completed by provider agencies and documentation was saved to the state database for future access.
- Maintained and updated written and electronic healthcare records in MEDITECH.
- Completed presentations and presented at DDS annual training within the Southeast region.
Director of Residential Supports
United Cerebral Palsy of Metro Boston
03.2015 - 09.2018
- Utilized a strong leadership style of management infused with positivity that creates an environment which encourages staff to be enthusiastic in working towards the organization's mission and values.
- Developed new contracts with DDS to fund residential group homes.
- Participated in contract negotiations with state entities to open state-funded group homes, including undergoing quality control and licensure reviews.
- Responsible for completing contract renewal support documentation, including providing cost report reconciliation to DDS for approval.
- Responsible for all contract amendments due to increased service needs and caseload variation.
- Provided direct supervision to 5 Program Directors and indirectly oversaw 90 employees by meeting consistently, working on performance goals, and staff training to increase skills and ability to positively contribute to the organization.
- Responsible for staff training at acquired brain injury (ABI) and developmentally disabled (ID/DD) group homes in the Southeast Region.
- Completed multiple annual assessments for residents and submitted them to state entities for review and approval.
- Finalized all ABI, DD, and ID incident reports in the state database, HCSIS, and completed follow-up action steps.
- Evaluated department effectiveness and quality through internal and external monitoring systems by utilizing outcome measurements, data collection, compiling reports, and implementing measurable goals.
- Ensures all internal document submissions meet organization standards and state requirements.
- Actively participated in agency events including meetings and committees, fundraising events, and company-wide events
- Completed coding support for electronic timecard submission, E-time, and approved staff schedule changes and overtime submissions.
- Ensured state-required assessments and support documentation were completed accurately and submitted by the requested deadlines.
Education
MHA - Healthcare Administration
Walden University
BS - Speech, Language, Hearing Science- Minor in Psychology
University of Arizona
Tucson, AZSkills
- Contract management
- Operational efficiency
- Financial and data analysis
- Controls and audits
- Stakeholder management
- Task monitoring
- Optimization
- Leadership
Timeline
Director of Contracts
Department of Youth Services
11.2024 - Current
Revenue Lead and Contract Manager
Office of Federal Finance and Revenue
06.2022 - 11.2024
Acquired Brain Injury Service Coordinator
Department of Developmental Services
09.2018 - 06.2022
Director of Residential Supports
United Cerebral Palsy of Metro Boston
03.2015 - 09.2018
MHA - Healthcare Administration
Walden University
BS - Speech, Language, Hearing Science- Minor in Psychology
University of Arizona