Tamyra has over 20 years of experience working in all aspects of Medicaid program design and implementation. Tamyra supports clients in the full life-cycle of program design including waiver support, stakeholder engagement, procurement, and contract development as well as robust development of organizational redesign supported by training and resource development for program oversight, monitoring, and quality improvement. Tamyra has deep expertise in special populations, long-term care, social determinants of health and managed care. Her state experience includes Alabama, Pennsylvania, Kentucky, North Carolina, Indiana, Mississippi, Texas, Louisiana, New Hampshire, Nevada, the District of Columbia, Maryland, Kansas, Ohio, Iowa, Illinois, Hawaii, Missouri, Nebraska, Arkansas, New Mexico, Arizona, Virginia, Florida, Illinois and Georgia.
Tamyra assists states in their design and development of program reforms for their long-term care programs. She works with state clients to develop concept papers, stakeholder engagement efforts, waivers, and state plan modifications. She also coordinates efforts with legislative mandates and affiliated workgroups.
Tamyra has supported and directed various aspects of program design and implementation. Roles in this area have included concept paper development, internal stakeholder facilitation, development and drafting of waiver applications (1915 b and c, as well as 1115), updating and drafting state plans and developing and reviewing budget neutrality calculations. Tamyra has also assisted states in coordination and meeting with CMS to usher through the waiver approval process. Supported New Hampshire, Kentucky, Pennsylvania, and Alabama in these aspects of program design implementation. She has conducted various reviews of internal state oversight functions and provided technical assistance and recommendations for performance improvements in several states, and she has designed and directed the development of a state training institute to assist clients in program transitions from fee-for-service to managed care and to provide ongoing staff development resources.
Bachelor of Science in Public Health, Health Policy and Administration with Highest Honors, University of North Carolina at Chapel Hill, School of Public Health