Adrian Hernandez
Miami
Summary
Proven Compliance Analyst with a track record at Solis Health Plans, adept in enhancing operational efficiency and ensuring regulatory compliance. Excelled in auditing, risk identification, and implementing corrective action plans. Skilled in fostering a culture of compliance and privacy awareness, demonstrating exceptional due diligence and interpersonal skills. Achieved significant improvements in compliance performance metrics.
Overview
3
3
years of professional experience
Work History
Compliance Analyst
Solis Health Plans
06.2022 - 09.2024
- Establish and monitor compliance performance metrics as outlined in service agreements, enhancing data distribution and auditing processes to optimize operational efficiency.
- Maintained all comprehensive compliance programs to meet regulatory requirements for Medicare, Medicaid (CMS), enhancing Compliance, Privacy, and Risk Management for Part C & Part D.
- Delivered regular compliance reports to the sponsor's corporate governing body, CEO, and compliance committee, including detailed presentations for the compliance and risk committee, and board of director meetings.
- Designed and coordinated educational training programs on compliance, risk management, and privacy (HIPAA) for staff at all levels involved in the Medicare program, fostering a culture of awareness and compliance.
- Maintain rigorous reporting and auditing mechanisms for the internal compliance work plan approved by the board of directors, ensuring accountability and transparency.
- Led investigations in response to potential fraud, waste, and abuse (FWA) reports, collaborating with the Special Investigations Unit (SIU) to implement corrective actions promptly including agency reporting and collaborations.
- Ensured comprehensive monthly reviews of DHHS OIG and Government Services Administration (GSA) exclusion lists for personnel, providers, and vendors effectively managing resulting issues and maintaining workforce integrity.
Real Estate Assistant
H&R Paving
11.2021 - 05.2022
- Maintained efficient office operations by handling errands and administrative functions, ensuring smooth workflow and timely completion of tasks to support team productivity. Managed office supplies, organized schedules, and addressed day-to-day operational needs.
- Improved office organization through the implementation of efficient filing systems, database management, and document preparation. Developed and maintained digital and physical filing systems that increased accessibility and streamlined information retrieval, contributing to faster decision-making.
- Cultivated and maintained professional relationships with clients, real estate agents, lenders, and escrow personnel. Acted as a key point of contact, providing timely updates, resolving inquiries, and fostering long-term partnerships to support seamless real estate transactions.
- Coordinated appointments to show marketed properties, ensuring clients had a smooth and informative experience. Managed scheduling logistics, communicated with potential buyers and agents, and ensured properties were prepared and accessible for viewings, enhancing the client experience.
Education
Bachelor of Science - Philosophy (Pre-Law)
University of Miami
Miami, FL12-2021
Skills
- Compliance Monitoring
- Due Diligence
- Anti-money Laundering
- Corrective Action Plans
- Microsoft Office
- Auditing
- Reporting skills
- Compliance training
- Data analysis
- Risk identification
Languages
Spanish
Native or Bilingual
Timeline
Compliance Analyst
Solis Health Plans
06.2022 - 09.2024
Real Estate Assistant
H&R Paving
11.2021 - 05.2022
Bachelor of Science - Philosophy (Pre-Law)
University of Miami
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