Maryann Yamin is a Senior Consultant with over 30 years of experience in Medicaid. She has worked in Texas and Oregon helping to improve Medicaid programs through her expertise in business operations and information technology. Currently, she is the project manager for Texas' ICD-10 implementation, providing oversight and collaborating with the project team. Her background includes roles as a business analyst, manager, supervisor, and examiner supporting Medicaid programs and systems in areas like claims processing, encounters, standards, and testing.

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Maryann Yamin
Qualifications
Maryann is a Senior Consultant with CSG and has worked in Medicaid for 30 years. Throughout her tenure at
Electronic Data Systems/Hewlett-Packard, Maryann helped multiple state agencies improve the quality and
efficiency of their Medicaid programs through her knowledge and experience with Medicaid business operations
and MMIS information technology. A seasoned Business Analyst, she possesses a thorough understanding of
industry standards and the ways in which business and technical processes can
improve to fulfill them most effectively.
Experience
 30 years in Medicaid, including 19 in Texas and 7 in Oregon
 Co-managed the Texas Compass21 CMS Certification
 Manager of Claims Resolutions Division for Texas NHIC Medicaid Account
 15 years supporting Texas Medicaid as Business Analyst
 7 years supporting Oregon Medicaid as the lead Business Analyst on the MMIS
InterChange (HP) Claims and Encounter subsystem
Expertise
 ICD-10
 5010 HIPAA transaction standards
 National Council for Prescription Drug Programs (NCPDP) standards
 Electronic Data Interchange (EDI)
 Business requirements analysis and documentation
 Process design and process improvement
 Operational Readiness Testing
 Business rules configuration
 Medicaid Claims and Adjustments processing
 Medicaid Encounters processing
 PBM Pharmacy claims
Professional Summary
2013 – Present
1982 – 2012
CSG Government Solutions
Electronic Data Systems (EDS)/Hewlett-Packard (HP)
CSG Government Solutions 11/2013 – Present
Senior Consultant supporting CSG’s Healthcare and Human Services Practice
 Texas ICD-10 ProjectManager, providingremediation oversight supportfor the Texas HHSC Enterprise ICD-10
implementation.
 Development of the project management plan deliverable.
 Collaborate and strategize with CSG/HHS ICD-10 team.
 Facilitates meetings with HHS agencies project managers and MCD policy operations/development mangers
 Oversees the ongoing activities of the CSG Team in support of HHSC Enterprise PM
 Maintain ICD-10 Dashboard
 Integrated ICD-10 Enterprise Project Schedule
 Provider Outreach activities
 Analysis trading partners testing participation level, and testing outcomes
 Identify, communicate, record and monitor action items, issues, risks, and key decisions for the

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project.
 Support HHSC Enterprise PM by researching, analyze of issues, and creating executive level
documents.
 CMS/Noblis required ICD-10 month progress reports, Critical Success Factors test results
reporting
ElectronicData Systems/Hewlett-Packard 09/1982 – 10/2012
Business Information Analyst (12/1997 – 10/2012)
 Business Analyst supporting Texas, Oregon and Kansas Medicaid from 12/1997 to 10/2012
 On site in Kansas at the Medicaid account from January to February 2003 assisting with operational
process reviews, and again off site from April 2004 to October 2005 working with system developers to
address and test system defects.
 7 years supportingOregon Medicaid as the lead Business Analyst on the Claims and Encounter subsystem
through implementation phases of the MMIS InterChange (HP) system, NCPDP transaction update from
5.1 to D.0 and the 5010 transactions update.
 15 years supporting Texas Medicaid as Business Analyst through implementation phases of the MMIS
Compass21 system.
 Co-managed the Texas Compass21 CMS Certification, the cooperative EDS and HHSC review and approval
process of the certification documentations and coordinated the CMS Pre-certification and on-site visit.
 Created trainingmaterials,developed lesson plans,scheduled sessionsand conducted trainingfor internal
and external customers on Texas Phoenix online application.
Customer Support and EDI Testing Coordinator (04/1995 – 12/1997)
 Customer Support and EDI Testing Coordinator for Misys Healthcare Systems.
Supervisor of Outpatient Claims Adjustment Department, EDS Medicaid (05/1992 – 03/1995)
 Supervisor of Outpatient Claims Adjustment Department for the Texas NHIC Medicaid Account.
Manager of Claims Resolutions, EDS Medicaid (10/1989 – 04/1992)
 Manager of Claims Resolution Division for the Texas NHIC Medicaid Account.
Supervisor of Physicians Resolutions Department, EDS Medicaid (07/1987 – 09/1989)
 Supervisor of Physicians Resolutions Department for the Texas NHIC Medicaid Account.
Claims and Adjustments Examiner, EDS Medicaid (09/1982 – 06/1987)
 Claims and Adjustments Examiner for the Texas NHIC Medicaid Account.
RelevantSkills
 Microsoft Office Tools: Word, Excel, PowerPoint, Visio 2013, Project 2010
 Collaboration & Content/Knowledge Management Tools: SharePoint, Lync, CSG REALize℠
 Strategic Planning and Analysis: TeamCSG℠ Risk Assessment Models, CSG REALize℠ ICD-10 Analysis, CSG
REALize℠ Maturity Models
 Requirements Development and Management: TeamCSG℠ ICD-10 Business Process Assessment,
Requirements Analysis and Strategic Test Planning
 Testing and Quality Management: Mercury Test Director, Edifecs Transaction Manager, Txn Generator, HP’s
Quality Center test management tool, Mercury Loadrunner, test plan development, test case development,
manual and automated test execution, User Acceptance Testing