Bradley B. Blunt, PMP
3808 Jesse's Dominion
Lexington, KY  40514
 [Send email to request phone number] 19-0420
[Send email using form at bottom] 


BUSINESS SKILL-SET
> Ten years experience in project management and data analysis

> Extensive experience in overseeing software development projects, including
compiling business rules, tracking development progress and overseeing testing
and deployment 

> Significant experience in process improvement, root cause analysis, performing
technical research, developing solutions and customer relations

> Strong verbal and written communications skills to develop reports, proposals
and presentation of research and findings

> Extensive analytical skills used in trend analysis and quality assurance
measures


PROFESSIONAL EXPERTISE
Manager, Frankfort, KY July 1997 - October 2007
Myers and Stauffer CPA - provides consulting services to state Medicaid agencies


Rate Setting and Analysis Contract
> Transferred to Frankfort location in 1998 at contract inception to assist
office manager with developing office policies, procedures and work processes

> Key lead on major new nursing facility reimbursement methodology initiative,
which involved IT project coordination with development activities in a FoxPro
environment, developing a comprehensive Excel reimbursement model for quality
assurance and data modeling, designing MDS provider reports, formulating ad hoc
analyses, establishing an MDS help desk and coordinating policy and procedures
with the state

> Supervised four professionals to perform MDS processing and analytical
projects utilizing Access, Oracle and FoxPro for delivery of monthly provider
reports and ad hoc analyses in a virtual office setting

> Team lead on MDS system conversion and program development with seven
professionals; fully revamped business requirements that included a full risk
assessment, implemented solutions to reduce risk, increased performance,
eliminated inefficient processing and improved accuracy

> Coordination of software development and testing activities utilizing the
Rational Unified Process (RUP) that included development, review and/or approval
of multiple business rule documents for compliance with technical requirements;
coordinated document sharing through use of SourceGear's Vault software for
version control

Payment Integrity Contract
> Project manager for new contract to identify and collect Medicaid
overpayments; including researching of Medicaid, Medicare, national medical
coding and medical billing policy and practices, identification of claim
overpayments, presentation of findings to various policymakers and collection of
provider overpayments; assisted with tracking, researching and coordinating
provider appeals; project included establishing a web-based interface designed
for providers to self-schedule informal appeal and reconsideration discussions

> Supervised seven professional staff on policy research, development of SQL
Server computer algorithms, FoxPro provider reports and payment collection
processes; developed project work plan and tracked algorithms from initial
development to final mailing; performed data analysis on claims databases to
identify potential algorithms and perform quality assurance on findings

> Established solid working relationship with Fiscal Agent to obtain claims data
extracts, develop understanding of claims processing system, and acquire system
documentation of edits/audits and data dictionary to assist claims review

> Provided numerous presentations of findings to various state agencies and
provided recommendations for new policies, edits/audits and modifications to
reduce claims processing system errors

> Knowledgeable of medical coding and reimbursement methodologies, including
DRG, RBRVS, RUG-III, per diem, ASC, ICD-9, revenue codes, CPT and CDT

Ad hoc Projects, Reporting and Quality Assurance
> Provided narrative policy reports and data analyses to the client for policy
decision making; researched and compiled findings for presentation to client
utilizing CMS policy, Federal Register, national associations, firm resources and
analysis of claims/assessment data; compiled ad hoc reports for law enforcement
and policy staff with accompanying narratives

> Developed Excel budget monitoring tool from claims summary reports to track
expenditures against budgeted amounts using charts, graphs and tables

> Developed quality assurance processes using computerized algorithms,
standardized reports and checklists to ensure delivery of high quality products


Research Analyst, Indianapolis, IN October 1996 - July 1997
Indiana University, Institute for Social Research
> Participated in a grant funded project on a state mental health hospital that
examined the fiscal impact of closing a state mental health hospital and the
residents' subsequent placement into a community-based setting

> Developed statistical analysis using SPSS statistical software

> Compiled findings into a final report for presentation to the state
legislature


Graduate Assistantship, DeKalb, IL September 1994 - August 1996 
Northern Illinois University - Department of Sociology
> Performed statistical analysis on Chicago Collar County survey data to
identify trends and patterns in community living utilizing SAS statistical
software

> Compiled survey database to analyze relationship between marital satisfaction
and division of household responsibilities using structural equation modeling


EDUCATION / CERTIFICATIONS
M.S., Sociology, Northern Illinois University, DeKalb, IL
B.A., Political Science, Bradley University, Peoria, IL

Project Management Professional (PMP) - Certified through Project Management
Institute


COMPUTER TECHNOLOGY SKILLS
Software: SQL Server, FoxPro, Excel, Word, PowerPoint, Visio, SourceGear Vault,
SPSS, SAS, BusinessObjects