Detail-oriented compliance professional well-versed in training process development, improvement recommendations and comprehensive analysis reporting. Seeking professional growth in a managerial position that will fuel my career progression. Driven with quality-focused and proactive approach. Well-organized and systematic with excellent communication and planning abilities.
Overview
9
9
years of professional experience
2
2
Languages
Work History
Senior Compliance Support Analyst
Healthfirst Management Services, LLC
07.2019 - Current
Assisted in the managing of company-wide compliance initiatives, policies and procedures, such as: Conflict of Interest, Compliance Hotline, Compliance Training and Compliance Program Effectiveness.
Utilized project management skills to assess compliance program risks, working with all business teams on the development, implementation and continuous monitoring of all Compliance training programs and initiatives.
Managed all communications reported to the organization’s Compliance email inbox and liaised with internal departments to direct compliance issues to appropriate channels for investigation and resolution.
Collaborated with other teams on the coordination of timely organizational policy reviews and approvals.
Gathered, organized and evaluated detailed data to make accurate assessments for frequent audits.
Maintained confidentiality of all information related to members, providers, employees, integrity issues, audits and as appropriate, other information.
Followed established and newly implemented changes in Federal and State government requirements, such as: The Mental Health Parity and TCPA trainings.
Implemented improvement initiatives and developed compliance testing program to monitor and identify gaps in new and existing practices.
Used Workday and COI Smart to create reports to keep senior management informed of progress of compliance education and requirements.
Played key role in development and launch of Annual Training 2019-2021, providing research and development of training requirements and securing approval for implementation.
Enhanced strategic performance and prepared and managed training programs to improve compliance at all levels, reduce overdue compliance activities, and to keep in alignment with all compliance requirement deadlines.
Sales Auditor
Healthfirst Management Services, LLC
01.2014 - 01.2019
Ensure all Healthfirst Marketing representatives, Facilitated Enrollers, Field Recertification representatives, as well as Field Service Agents are compliant with State and Federal guidelines and company policies
Administer quarterly product knowledge training with the purpose of assessing field Marketing representative’s product knowledge
Ensure that field marketing representatives comply with Federal and State requirements
Provide support to regional Sales Managers and collaborate with Organizational Development to reinforce company and/or regulatory requirements to Field Sales staff within their assigned territory
Conduct regular Compliance monitoring to ensure requirements as well as CMS guidance for Part C and D Sponsors
Ensure compliance with HIPAA/Privacy guidelines throughout the sales organization by means of conducting Privacy Audits to our Corporate Office, community offices and community office vehicles to support Healthfirst’s goal of becoming the pre-eminent health plan in our market.
Sales Consultant
AT&T Inc
01.2012 - 01.2013
Developed and attained extraordinary customer experience and sales objectives for location
Handle all administrative aspects of the sale
Maintained strong knowledge of all products, accessories, pricing plans, promotions and service features
Handled service inquiries from customers, provided efficient, courteous customer service and assisted in all aspects of product offerings and services.