Paulette Richards

Dell Federal Government Services

Sr. Healthcare Analyst - June 2009 - November 2011

• Air Force Medical Operations Agency
• Customer: Keith Andre 210-395-9228
• Duties: Provides reliable support to Air Force Medical Operations Agency (AFMOA) Medical Expense and Performance Reporting System (MEPRS), manages personal performance; may act as a resource for others within the team. Using knowledge of the MEPRS, applies technical expertise to ensure effective and efficient operations of the Air Force Medical Treatment Facilities (MTFs). Understands and works to anticipate customer needs. Proactively seeks customer feedback and input to improve customer service. Performed Program Manager and Analyst duties. Using extensive knowledge of MEPRS, developed several reports to assist Air Force MTFs.
• Establish and maintain key performance indicator metrics to monitor workload and expense of seventy four Air Force facilities using EASIV Repository and M2. Provides analysis of monthly MEPRS data, if data anomalies are identified MEPRS Program Managers (MPMs) contacted. Provides guidance and training to MEPRS MPM if data problems are identified.
• Design, create, and maintain an automated dashboard/report card to track key performance indicators that allows AFMOA Leadership and MTFs access to both summary and detailed level information by MTF or major command. Developed detail expense and workload reports that provide MTF personnel a tool to better understand their data and easily identify issues. Created a feedback mechanism for MTFs to respond to any data anomaly identified in the dashboard. Apply statistical methods to perform monthly analysis of Air Force MTF data, discuss any data outliers with customer. Contact MTF to discuss findings and, provide assistance or guidance to correct data variance and/or errors if required.
• Considers customer commitments priority, working with others to ensure the customer's needs are met. Prioritizes and independently manages work on several concurrent assignments. Coordinates with individuals outside the division to meet requirements of task as needed. Frequently solves problems using personal judgment and involving managers and others as appropriate. Works as a part of a team, seeks ways to improve work processes.

Management Div, USA MEDCOM

Health Systems Specialist - October 1998 - June 2009

• Supervisor: LTC Bradley A. Lieurance - 210-295-2873
• Duties: Performs financial analyst functions on policy, operational issues, and programs. Responsible for analyzing TRICARE contracts affecting Army catchment and non-catchment areas, in particular the areas that fall under the North contract. Responsible for financial analysis of business case initiatives and Business Plans submitted by Army Medical Treatment Facilities (MTFs).
• Oversight of North Region entails monitoring financial issues, purchased care trends affecting the region s $165M funding target for MTF enrollees. Correlates findings regarding the North Region, identifies problems or potential problems, formulate recommendations and makes presentations to commander, staff, and key MEDCOM personnel.
• Conduct analysis, evaluate, and coordinate health care delivery systems as they relate to the TRICARE Managed Care Support (MCS) contracts, Department of Veterans Administration (VA), Department of Defense (DoD) Resource Sharing Programs, and Military Treatment Facilities (MTFs) Business Plans, adhering to policy and directives set forth by the Office of the Assistant Secretary of Defense for Health Affairs (HA) and the TRICARE Management Activity (TMA) policies and procedures. Comprehensive analysis and studies prepared to improve systems and increase saving and proficiency of the Army Medical Treatment Facilities
• Extensive knowledge of DOD Military Health Care Systems (MHS) utilized to evaluate and analyze business plans, DoD-VA Joint Incentive Fund (JIF) Program proposals, studies, business case analysis initiatives, venture capital initiatives, and resource sharing agreements submitted by Army MTFs. Coordinates with higher headquarters (TMA, HQDA, and OSD) in the review and analysis of business plans. Analyze data and validate cost effectiveness of proposals submitted by MTFs, reviewing for possible current and future financial implications on the Command s operating budget, in particular as it relates to the Prospective Payment System. Use MHS data systems to analyze the Army s military direct healthcare system cost as compared to other alternative sources of care. Identifies potential problems, make current and long-term projections and formulates recommendations to senior lead analyst.
• All analysis utilizes proficient knowledge of the Military Health System Management Analysis and Reporting Tool (M2), Medical Expense and Performance Reporting System (MEPRS), Managed Care Forecasting and Analysis System (MCFAS), TMA Purchase Care Website and Patient Encounter Performance Reporting.
• Utilizing knowledge of TRICARE Operations Manual, DOD Instructions, United States Codes, public laws and existing guidance provides advice and guidance on economic/cost analysis policies to Major Command staff and subordinate activities Assist Lead Analyst with development, coordination, and implementation of financial policy. Review and evaluate economic analyses studies prepared by independent government contractors, HQDA, and other federal agencies.
• Conducts training and staff visits as required to subordinate commands and other activities to provide advice and assistance on the financial impacts of the TRICARE contracts, VA-DoD JIF, and DoD Resource Sharing Programs.

MEPRS Div., USA Medical Command

Management Analyst - August 1987 - October 1998

• Supervisor: Romona Bacon - 210-295-3370
• Duties: Serve as a Program/Management Analyst, analyzing medical treatment facility operations to ensure that AMEDD cost projections (capitation budgeting, Status of Approved Resources, and bid price adjustments) were accurate and that they reflected current cost data from the Medical Treatment Facilities (MTF). Served as a staff advisor for the Army Medical Command (MEDCOM), provide expert advice to Army organizations on the interpretation of regulations, policies, and their application to specific situations regarding the MEPRS. As the Army's MEPRS authority, Represented the Army on all MEPRS related issues including developing and maintaining automated systems and setting Medical Expense and Performance Reporting System (MEPRS) policies with Tri-service work groups. Responsible for the design, implementation and maintenance of the Expense Assignment System Version III (EASIII), Defense Medical Human Resource System (DMHRS), Army Health Care Financial Management System (AHCFMS), Workload Assignment Module (WAM), and the Uniform Chart of Accounts Personnel Utilization System (UCAPERS).
• Recommends regulations changes or additions to meet Army requirements on issues such as data collection and cost distribution methodology for ambulatory procedures visits, observation care, and small hospital study. These changes are in the form of issues that are presented to the MEPRS tri-service work group or other tri-service workload committees and if adopted are published as Health Affairs guidance.
• Performed training and staff visits as required to subordinate commands and other activities to provide advice and assistance on the MEPRS and related systems.