CASSEY PAULA
Central Valley,NY
Summary
Compliance professional with over 8 years in healthcare compliance and risk assessment. Conducts 50+ monthly compliance audits, supports CIBMTR audits, identifies gaps, and implements corrective actions. Develops compliance policies and training while partnering with cross-functional teams to ensure adherence to regulatory standards.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Healthcare Compliance Specialist / Data Manager
NEW YORK MEDICAL COLLEGE / BOSTON CHILDREN'S HEALTH PHYSICIANS
Hawthorne, NY
08.2020 - Current
- Conduct 50+ random compliance audits monthly to evaluate adherence to regulatory requirements, identify control gaps, and support corrective actions and risk mitigation.
- Develop and implement compliance policies, procedures, and operational processes designed to support regulatory requirements and organizational standards.
- Conduct internal audits and risk assessments involving fraud, abuse, billing, documentation, and operational compliance risks.
- Reviewed audit results to identify compliance deficiencies and trends, investigated discrepancies, and recommended corrective and preventive actions.
- Prepare audit findings, compliance reports, and vendor compliance documentation to support management oversight, accountability, and risk mitigation.
- Designed and delivered compliance and HIPAA training to staff, reinforcing understanding of regulatory requirements and organizational policies.
- Successfully supported 2 CIBMTR audits, contributing to audit preparation, data validation, documentation review, issue identification, and corrective action activities.
- Manage, collect, validate, and audit 1,000+ data forms annually, ensuring adherence to established regulatory, protocol, and data-quality requirements.
- Lead data cleanup and remediation efforts to resolve historical errors and inconsistencies, strengthening data integrity and reducing compliance and operational risk.
- Manage longitudinal clinical data dating from 1998 to present for thousands of patients and candidates who received bone marrow and hematopoietic stem cell transplants.
- Led process-improvement initiatives to strengthen controls, enhance data quality, and streamline compliance workflows.
- Collaborate with physicians, clinical teams, research personnel, administrative stakeholders, and compliance teams to address issues, implement process changes, and support regulatory objectives.
Spanish Patient Coordinator / Administrative Assistant / Pre-Certification Specialist
BOSTON CHILDREN'S HEALTH PHYSICIANS
Hawthorne, NY
06.2018 - 08.2020
- Provided Spanish-language support to patients and families throughout administrative and care-coordination processes.
- Managed pre-certifications, pre-determinations, and referrals to ensure required approvals were obtained in accordance with organizational and payer requirements.
- Maintained accurate insurance and patient documentation while adhering to regulatory, organizational, and procedural requirements.
- Served as a liaison among patients, providers, and internal departments to facilitate issue resolution and maintain effective operational controls.
- Identified documentation and administrative issues, coordinating resolutions with internal departments and stakeholders to enhance operational effectiveness.
- Supported workflows through accurate documentation, timely follow-up, and regulatory adherence, fostering cross-functional coordination.
- Facilitated stakeholder meetings to communicate procedural changes and support implementation of updated processes, ensuring alignment across teams.
Education
Master of Studies in Law (M.S.L.) - Corporate Compliance & Ethics
FORDHAM UNIVERSITY SCHOOL OF LAW
New York, NYBachelor of Arts (B.A.) - Organizational Leadership
FORDHAM UNIVERSITY
Bronx, NYSkills
- Corporate & Ethics Compliance: Regulatory Compliance Compliance Programs Compliance Training Compliance Monitoring Policy & Procedure Development Ethics & Compliance Risk Mitigation
- Audit & Risk: Internal Auditing Risk Assessments Internal Controls Audit Testing Issue Identification Corrective Actions Investigations Remediation Audit Readiness
- Governance & Operations: Data Governance Compliance Documentation Data Integrity Quality Assurance Process Improvement Reporting & Analysis Vendor Compliance Cross-Functional Collaboration
Certification
Certified Compliance & Ethics Professional (CCEP) — Certification in Progress
LANGUAGES
English: Fluent | Spanish: Fluent
Timeline
Healthcare Compliance Specialist / Data Manager
NEW YORK MEDICAL COLLEGE / BOSTON CHILDREN'S HEALTH PHYSICIANS
08.2020 - Current
Spanish Patient Coordinator / Administrative Assistant / Pre-Certification Specialist
BOSTON CHILDREN'S HEALTH PHYSICIANS
06.2018 - 08.2020
Master of Studies in Law (M.S.L.) - Corporate Compliance & Ethics
FORDHAM UNIVERSITY SCHOOL OF LAW
Bachelor of Arts (B.A.) - Organizational Leadership
FORDHAM UNIVERSITY