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Sherina G
@sherina_gonzal
Bridging policy, tech, and execution for smoother projects
United States
English
About me
I’m a healthcare and government IT project professional with experience in MES modernization, CMS compliance, contract management, and data‑driven evaluations. I help organizations organize complex projects, document requirements, improve workflows, and manage vendors with clarity and precision. I bring PMP‑certified structure and real-world Medicaid IT expertise to every project.
Skills
Sherina G
Offline •
See my services
Project Management
I will create project plans, workflows, and pm documentation
Portfolio
Work experience
Medicaid IT Business Project Manager
Florida Connexion • Full-time
May 2025 - Present • 1 yr 1 mo
• Manage projects with the MITA Business Architecture (BA) and Medicaid Enterprise Systems (MES) Certification Unit and (PMO) program managers, agency executives and sponsors, internal and external business partners, and the Centers for Medicare and Medicaid Services (CMS) MES liaison, and other agency entities as needed. • MES subject matter expertise regarding CMS requirements and expectations of the State Medicaid Program for CMS certification of the implemented systems as the MES Certification Lead for the Agency for Health Care Administration. Ensure the resulting replacement systems for the MES meet federal guidelines to ensure the ability of the state to receive enhanced funding for maintenance and operations of the MES. • Provide subject matter expertise in FX procurement activities. Participate in the FX project design and implementation. Participate in FX program and project activities including analyzing FX MES requirements and solution designs for compliance with CMS certification of FX modules. Facilitate the exchange of information between policy and technical staff for the effective implementation of Medicaid business requirements solutions. Analyze federal laws, regulations, and guidance related to MES certification. • Provide oversight to MITA BA and MES Certification Vendor management of certification activities in FX projects, as assigned, according to the principles described in the guidelines for Project Managers known as the Project Management Body of Knowledge (PMBOK) and CMS Streamlined Modular Certification. Provide subject matter expertise through all phases of a project from initiation though close-out. These responsibilities involve assisting in the development of Advanced Planning Documents (APDs) and solicitation documents as it relates to assigned FX projects.
Health.gov
Full-time • 3 yrs 7 mos
Medicaid Program Manager
Jan 2023 - May 2025 • 2 yrs 4 mos
• Provides supervisory guidance, training, and development to a team of contract managers that manage research and evaluation contracts that assess the care that is provided to over 5 million individuals that are served by the Florida Medicaid program. • Led a team of contract managers in overseeing seven (7) contracts estimated at $40 million collectively including the waiver evaluation in accordance with Section 1115 of the Social Security Act waiver evaluation, the evaluation of the Florida KidCare program in accordance with 409.8177, F.S., the external quality review (EQR) activities in accordance with 42 CFR 438.350, and the Florida Medical Schools Quality Network (FMSQN) initiatives in accordance with 409.975(2), F.S. • Developed policies and procedures for the federally required encounter data validation of Medicaid claims data. • Serves as a liaison with other state agencies, universities, Federal Centers for Medicare and Medicaid Services (CMS), Florida Medicaid managed care plans and Agency vendors related to health policy. • Developed and implemented program monitoring and auditing tools that enhanced the efficiency and effectiveness of the evaluation of the Medicaid programs and evaluation contracts. • Reviewing and scoring grant applications for the Sickle Cell Disease Research and Treatment Grant Program, which awards $10M for projects aimed at improving healthcare services and advancing research on sickle cell disease in Florida.
Medicaid Project Manager
Oct 2021 - Jan 2023 • 1 yr 3 mos
• Managed performance optimization contracts for insurance companies serving 5.5M clients, with internal and external stakeholders. • Linked external evaluations to internal executive management action by analyzing system design and data reporting metrics which enhanced the administration of monitoring projects and regulatory oversight. • Cut external review costs by 25.0 percent ($8M) by securing a new responsive vendor for external review activities, improving vendor management capabilities for the organization. • Collaborated on a $128M IT modernization project, working with agency clients to create a new unified platform, data warehouse, and enterprise software, simplifying data exchanges, bolstering data-driven decision-making, and customer service delivery.
