Melina Sabounchi
Littleton,Colorado
Summary
Results-driven professional with extensive experience in Medicaid eligibility, policy interpretation, and program management. Skilled in leading teams, optimizing workflows, and ensuring compliance with federal and state regulations. Demonstrated ability to analyze complex policy issues, drive operational improvements, and collaborate with diverse stakeholders. Passionate about improving healthcare accessibility and efficiency through strategic leadership and policy development.
Overview
8
8
years of professional experience
Work History
Associate Eligibility Specialist Lead
Jefferson County Human Services
11.2022 - Current
- Lead and manage a team of 13 associate eligibility specialists, overseeing Medicaid and public assistance eligibility determination
- Develop and implement training programs to ensure compliance with state and federal regulations
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Monitor and analyze workflows, making data-driven recommendations to improve efficiency and service delivery
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Act as a subject matter expert in Medicaid eligibility policy, interpreting regulations and advising staff on complex cases
- Collaborate with state agencies and stakeholders to enhance policy application and program effectiveness
Associate Eligibility Specialist
Jefferson County Human Services
04.2022 - 11.2022
- Provided high-level customer support, resolving escalated cases and addressing client concerns with empathy and efficiency
- Maintained meticulous records, ensuring compliance with federal and state Medicaid policies
- Communicated with people from various cultures and backgrounds on application process.
- Assisted in training new staff and implementing process improvements
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Managed approximately 80-90 incoming calls, emails and voicemails per day from clients
Administrative and Project Support Specialist (Part-Time)
Advanced Consulting Engineers
03.2017 - 03.2020
- Coordinated project timelines, managed schedules, and facilitated cross-functional communication
- Analyzed customer feedback and operational data to improve service delivery
- Provided administrative support, including documentation and compliance tracking
Education
Master’s - Strategic Management (Human Resources Focus)
Colorado State University
ColoradoBachelor’s - Healthcare Administration and Management
Colorado State University
DenverSkills
- Medicaid Eligibility & Policy Interpretation
- Team Leadership & Staff Development
- Regulatory Compliance & Program Oversight
- Process Improvement & Workflow Optimization
- Cross-Functional Collaboration & Stakeholder Engagement
- Training & Policy Implementation
- Colorado Benefits Management System (CBMS)
- Microsoft Office Suite (Excel, Word, PowerPoint)
- Tableau & Data Analysis
- Benefits administration
Key Qualifications And Achievements
- Medicaid Policy Expertise: Extensive experience in Medicaid eligibility, interpreting state and federal regulations, and ensuring compliance.
- Leadership & Training: Proven ability to lead, mentor, and train eligibility staff to improve service delivery and operational effectiveness.
- Process Improvement: Implemented workflow optimizations that increased efficiency and reduced processing times.
- Error free quality assurance reviews for every month of 2024
Timeline
Associate Eligibility Specialist Lead
Jefferson County Human Services
11.2022 - Current
Associate Eligibility Specialist
Jefferson County Human Services
04.2022 - 11.2022
Administrative and Project Support Specialist (Part-Time)
Advanced Consulting Engineers
03.2017 - 03.2020
Master’s - Strategic Management (Human Resources Focus)
Colorado State University
Bachelor’s - Healthcare Administration and Management
Colorado State University
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