Amanda Valencia
Jurupa Valley
Summary
Regulatory and Compliance Analyst with over four years of experience in healthcare compliance and regulatory affairs. Skilled in analyzing state and federal regulations, ensuring organizational adherence, and streamlining compliance processes. Proven ability to liaise between regulatory agencies and internal departments to ensure regulatory requirements are met. Strong expertise in policy enforcement, audit support, and training program development.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Regulatory and Document Analyst
Word and Brown Companies
06.2020 - Current
- Conduct in-depth reviews of state and federal regulations related to small group insurance to ensure compliance
- Act as the primary liaison between regulatory agencies and internal departments, facilitating compliance initiatives
- Support internal and external audits by preparing documentation and providing regulatory insights
- Monitor health plans to verify adherence to licensing and compliance requirements
- Develop and implement training programs to educate staff on regulatory policies and compliance risks
- Establish and maintain strong relationships with regulatory agencies to stay ahead of evolving industry standards
Program Operations Administrator
Word and Brown Companies
06.2015 - 06.2020
- Reviewed and verified benefit information within the Benefit Management system and marketing materials
- Coordinated procurement of rating and benefit details with multiple insurance carriers
- Processed and analyzed carrier reports for all Choice Administrators programs
- Served as a liaison between Plan Maintenance, IT, Sales, Customer Service, and carriers for rating and benefits information
Customer Service Project Manager
WNC Insurance Services, Inc.
06.2014 - 06.2015
- Managed and resolved product and consumer complaints through effective communication strategies
- Fostered positive relationships with customers, managers, and team members to enhance work environments
- Designed and conducted continuous training sessions to improve associate performance and customer satisfaction
- Responded to customer service requests within designated turnaround times, increasing client satisfaction ratings
- Led staff development initiatives to streamline processes and reduce inefficiencies
Education
Bachelor of Arts - Communication Studies, Pre-Law
California State University
San Bernardino, CA12-2025
Associate of Arts - Communication Studies
Chaffey College
Rancho Cucamonga, CA05.2024
Skills
- Regulatory Compliance & Policy Enforcement
- Healthcare & Insurance Regulations
- Audit Preparation & Support
- Stakeholder & Regulatory Agency Communication
- Training & Program Development
- Data Analysis & Risk Assessment
- Legal & Licensing Compliance
- Process Improvement & Workflow Optimization
Certification
- Compliance and Regulatory Affairs Training (Ongoing)
- Healthcare Compliance & Policy Enforcement Workshops
Timeline
Regulatory and Document Analyst
Word and Brown Companies
06.2020 - Current
Program Operations Administrator
Word and Brown Companies
06.2015 - 06.2020
Customer Service Project Manager
WNC Insurance Services, Inc.
06.2014 - 06.2015
Bachelor of Arts - Communication Studies, Pre-Law
California State University
Associate of Arts - Communication Studies
Chaffey College
Similar Profiles
Linh HuynhLinh Huynh
Vice President of Information Technology at Word & Brown CompaniesVice President of Information Technology at Word & Brown Companies
Anthony SalazarAnthony Salazar
Lvl 2 HelpDesk Technician at Word & BrownLvl 2 HelpDesk Technician at Word & Brown
Stacy BauerStacy Bauer
New Business Underwriting Assistant at Word & Brown - Choice AdministratorsNew Business Underwriting Assistant at Word & Brown - Choice Administrators