1. Gayle E. A. Fowler
Summary of Qualifications
• 25+ years of management, operations and project
management, and Federal, State and contractual
compliance
• 20+ years of contract management, vendor
relations, and reviewed prospective vendor bids.
• 15+ years of business/systems analysis, including
data flow, process mapping, business process
improvement, testing, quality management, audits,
and verification and validation.
• 15+ years of scheduling, budgeting, resource
management and forecasting.
• 11+ years of State government program
administration experience for Health Care
programs administered by the State of Colorado
• Proficient in Microsoft Excel, PowerPoint, Access
and Project, and Cognos and Business Objects.
Education
• MASTERS of Business Administration, Regis
University – Denver, Colorado
• Bachelor of Business Administration, University of
Hawaii – Honolulu, Hawaii
Professional Experience
GEAF GIFTS, LLC.
OWNER____________________________________________________January 2013 – Present
INDEPENDENT CONSULTANT
SELF-EMLOYED___________________________________________September 2015 – Present
• Provide consultant services for public assistance programs (Medicaid, SHIP, SNAP, TANF,
etc.) in numerous States.
• Subject matter expert in system implementations such as eligibility and enrollment, MMIS and
enrollment broker projects.
• Subject matter expert in State government process, policies and client interaction for State of
Colorado, familiar with State of Wyoming.
COGNOSANTE – HEALTH DATA AND COMMUNICATIONS
MANAGER, CONSUMER SERVICES______________________________July – September 2015
• Temporary Part time position to assist with building relationships in Colorado, identifying
potential opportunities and responding to RFPs.
• Provide Colorado specific Medicaid and CHP+ program knowledge, in addition to Federal
regulations.
9160 W. 91
st
Place • Westminster, Colorado 80021
Ph. 303-432-0051 • Cell 303-521-1707 • gaylefowler@comcast.net
2. • Participate in various public meeting to broaden the Colorado specific knowledge of the
health insurance enrollment and outreach process.
PUBLIC KNOWLEDGE – VARIOUS STATE CONTRACTS, JUNE 2013 TO SEPTEMBER 2014
MANAGEMENT CONSULTANT_____________________________June 2013 – September 2014
• Performed Independent Verification and Validation (IV&V), including Quality Assurance, UAT
and defect analysis.
• Medicaid Management Information System (MMIS) IV&V for Eligibility and Enrollment system
and Medicaid Management Information System.
• Participated in Medicaid Information Technology Architecture (MITA) State Self-Assessment
(SS-A).
• Conducted Medicaid rule revisions, business and data analysis, and participated in proposal
submissions and evaluations.
MAXIMUS – COLORADO ELIGIBILITY AND ENROLLMENT FOR MEDICAL ASSISTANCE
PROGRAMS PROJECT, JANUARY 2011 TO JUNE 2013
BUSINESS MANAGER_________________________________________June 2012 – May 2013
ACCOUNT MANAGER/PROJECT DIRECTOR____________________January 2011 – June 2012
• Manage internal application tracking system’s change request process.
• Initiated system changes to improve project performance and changes to the contract.
• Generated reports, conducted data analysis and validation using Cognos.
• Identified trends and implemented business/operations process improvements.
• Managed staff performance plans, reviews and personnel actions for management team.
STATE OF COLORADO – DEPARTMENT OF HEALTH CARE POLICY AND FINANCING ,
JANUARY 2004 TO JANUARY 2011
PROJECT MANAGER __________________________________September 2008 - January 2011
CBMS MANAGEMENT LIAISON________________________September 2007 - September 2008
ELIGIBILITY OPERATIONS SECTION MANAGER________________July 2005 - September 2007
ELIGIBILITY SECTION MANAGER______________________________October 2004 - July 2005
MEDICAID ELIGIBILITY SPECIALIST_________________________January 2004 - October 2004
_____________________________________________________________________________
• Project Manager of the Department’s Eligibility and Enrollment for Medical Assistance
Program projects and initiatives.
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3. • Department representative on systems related business requirements sessions and
compliance monitoring.
• Point of contact for the State Attorney General’s Office and Governor’s office regarding
CBMS and the Medicaid and CHP+ eligibility determination process.
• Lead analyst on CBMS class action lawsuit and settlement performance monitoring.
• Managed the Medical Assistance (MA) Site Contract Manager – managed six MA sites
contracts.
• Lead analyst on proposed legislation and its affect on the eligibility and enrollment
determination process and compliance of Medicaid state and federal rules and regulations.
• Initiated State Plan Amendment changes and state statute rule changes/additions.
• Administered staff performance plans and reviews, personnel actions including disciplinary
actions, hiring or establishing goals and objectives.
• Developed and managed Section budget to ensure Departmental, Division and Section goals
and objectives.
STATE OF COLORADO – DEPARTMENT OF HUMAN SERVICES, CBMS PROJECT, JUNE
2002 TO JANUARY 2004
USER ACCEPTANCE TESTER________________________________June 2002 – January 2004
• Managed Date Advance Testing Schedule and testers.
• Created and maintained testing forecasts and tracked results.
• Met and surpassed current project deadlines.
• Create and maintain internal production schedule.
• Trained new workers, policy personnel, and subject matter experts on the use of the CBMS
application as well as County Workers on reading scenarios, scripts, and test execution.
• Researched, reported and monitored application, business process and eligibility rules
defects.
References available upon request.
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