Della R. Mayle
Buckhannon
Summary
Results-driven Compliance professional and seasoned executive administrator with extensive expertise in various facets of healthcare administration. Proven track record as a dynamic leader, adept investigator, and proficient technical writer. Demonstrated ability to oversee concurrent projects with precision. Proficient in steering mission-oriented small teams, pinpointing and rectifying system inadequacies, and designing and executing comprehensive training programs. Extensive experience in human resources oversight and policy development, further enhancing organizational efficiency and compliance. Possesses exceptional crisis management and interpersonal abilities, bolstered by a robust clinical and auditing background spanning public and private sectors.
Overview
21
21
years of professional experience
Work History
Compliance Officer
Bright Spring Health Services
Louisville
02.2018 - Current
- Dedicated healthcare compliance subject matter expert at a $6 billion private human services provider, responsible for on-site and desk-level audits and investigations in all elements of the company portfolio. Spearheaded company-wide compliance initiatives, ensuring adherence to federal and state laws, regulations, and contractual obligations. • Assisted in crafting annual audit plans for each line of business. • Conducted comprehensive compliance audits in all lines of business, providing insights for continuous improvement. • Led attorney-client privileged investigations, demonstrating a commitment to maintaining the highest ethical standards. • Completed compliance risk analyses to identify potential vulnerabilities and implement proactive risk mitigation strategies. • Developed and implemented company-wide compliance and ethics training curricula, fostering a culture of awareness and responsibility. • Utilized data analytics to generate quarterly and annual board reports, offering valuable insights into audit metrics and industry trends. • Managed compliance processes during diligence and integration phases of mergers and acquisitions, ensuring a seamless transition while upholding regulatory standards.
Bright Spring Health Services
Buckhannon
02.2015 - 02.2018
- Responsible for oversight of all operations, including the implementation of policies and procedures, the strategic plan, quality assurance, and financial initiatives. Participated as a member of the Operations management team. Responsible for assisting in the strategic planning process. Ultimately responsible for the day to day operations, including financial, internal quality outcomes, employee relations, external quality outcomes, and compliance with local, state, and federal law. Essential job responsibilities: First in Quality • Followed up daily on any compliance or quality related concerns and assisted with development of action plans • Reviewed current and upcoming surveys, potential or existing punitive actions, Plan of Correction issues and updates on any Best In Class and/or Compliance Action Plans. • Reviewed operational reports such as Quality Improvement Plans, Safety Committee Reports, best in class, compliance audits, external surveys and reviewed follow up with all active plans of correction. Conducted site reviews monthly and validated findings from previous month reviews. • Developed Quality Improvement Plans yearly for assigned locations. Operational Excellence: Followed up daily on key communication via email and voicemail. • Provided daily coaching, mentoring and guidance. • Spoke to and followed up daily on any internal and external customers who needed assistance. • Weekly overview of expense management. • Weekly review of hiring reports from the Staffing Solutions Team to proactively address staffing needs in operations. • Ensured each service site supervised developed and fully implemented a targeted recruitment and retention plan. • Weekly review of labor management reports. • Reviewed Agency Reporting Package by month and quarter, including by location, and developed plans of action if needed. • Reviewed MOR and QOR reports. • Reviewed the annual strategic plan and company goals. • Prepared budgets and Operation Compensation Plans. • Completed Annual Performance Evaluations. Customer Growth: • Daily focus on census and admissions, including a review of the census leaderboard and follow-up on communication for daily admissions and discharges. • Reviewed discharges and corresponding exit interviews weekly, developing a plan of action where needed. • Reviewed weekly call activity logs, census targets, and growth opportunities. • Researched business expansion opportunities/organic growth. • Discussed legislative/Political Action Committee issues and activities of Provider Associations. • Met with the management team monthly to discuss new lines of business and other growth opportunities. • Managed growth incentives. • Made contact with referral sources and provider associations to discuss satisfaction with services. • Develops\ed growth plans for each operation and region as a whole.
Bright Spring Health Services
Buckhannon
02.2004 - 02.2018
- Responsible for providing leadership and administration to meet the needs of our clients across various lines of business while ensuring effective operations in planning and overall day-to-day operations of program development, human resources and staff development, business development and fiscal oversight. ESSENTIAL JOB RESPONSIBILITIES • Reviewed Operational performance/support needs with Executive Management. • Analyzed Operations and Branch Staff for alignment with, and promotion of Company's vision, mission, and values. Provided operations with leadership support and tools to meet established goals. •increased sales to meet or exceed goals in consult with the Corporate Sales Team regarding implementation strategies. • Trained staff on systems, standard processes, company policies, and procedures. Provided leadership support and guidance to operations experiencing performance issues and/or administrative vacancies by implementing standard processes to improve service delivery and outcomes. • Established relationships and functioned as a liaison between operations and the Executive Leadership Team. • Assessed processes and performance. • Assisted with process implementation geared toward improving performance goals. Provided support and supervision to operations with branch manager and executive director vacancies. Gathered data and prepared a written report to be utilized as documentation for exit interview process.
Education
Bachelor of Arts - Education
Glenville University
Glenville, WV05-1996
Skills
- Leadership & Team Building Human Resources Oversight Policy Development Training Development & Implementation Compliance Program Management Crisis Management Technical Writing Monitoring & Auditing Investigation & Root Cause Analysis Ethics Hotline Management Paycheck and ADP /HRIS systems
Timeline
Compliance Officer
Bright Spring Health Services
02.2018 - Current
Bright Spring Health Services
02.2015 - 02.2018
Bright Spring Health Services
02.2004 - 02.2018
Bachelor of Arts - Education
Glenville University
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