Ekaterina English
Bokeelia,FL
Summary
Distinctive leader with knowledge in Corporate Compliance, Data and Business Analysis, Continuous Process Improvement, Internal Audit, Change Management, and Project Management fields. Experience in several industries maximizing skills in development of effective compliance programs, systems, and processes. Passionate about challenging work, creative ideas, and innovative solutions. Firm belief that teamwork and collaboration enhance organizational capacity, increase product and service quality, and ultimately lead to better outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Ethics, Compliance, Risk & Privacy Manager
MILLENNIUM PHYSICIAN GROUP
06.2023 - Current
- Develop, implement, and manage a robust 7-elements compliance program to ensure compliance with laws and regulations including HIPAA, AKS, Stark Law, FCA, etc
- Establish effective policies, procedures and guidance for employees and practitioners to prevent illegal, unethical, or improper conduct
- Monitor regulatory changes and support operational leaders in collaborative implementation of updates
- Conduct risk assessments to identify compliance vulnerability areas to develop effective mitigation strategies
- Safeguard organizational assets
- Developed internal preventive controls to reduce risk of controlled substance and opioid diversion
- Guide a team of investigators in discovery, analysis and resolution of violations and misconduct
- Recommend, implement, and monitor remedial measures and corrective action plans
- Deliver compliance guidance to divisional leaders
- Provide continuous compliance training and education
Ethics, Compliance, Risk & Privacy Investigator, C360 System Administrator
MILLENNIUM PHYSICIAN GROUP
06.2022 - 06.2023
- Optimized incident monitoring processes to handle 800+ cases annually
- Developed and administered annual Compliance Program Effectiveness assessment
- Conducted confidential investigation of suspected violations of Stark Law, AKS, FCA, and alleged misconduct
- Analyzed operational data to identify trends, patterns, and opportunities to improve regulatory adherence
- Enhanced compliance quarterly and annual reports delivered to the Board of Directors
- Reduced resolution times of escalated matters requiring extensive data mining and analysis by 50%
- Simplified investigation processes by creating detailed documentation for system configurations, procedures, and best practices.
- Managed user access rights to maintain a high level of information security while ensuring appropriate levels of accessibility for authorized personnel.
Sr. Business Alignment and Governance Analyst
LEE COUNTY ELECTRIC COOPERATIVE
12.2019 - 04.2022
- Pioneered development and implementation of enterprise-wide risk assessment
- Enhanced corporate Identity Theft Prevention Program
- Resolved allegations of fraud and abuse of company resources, processes
- Lead process improvement initiatives for storage, transmission, retention, and disposal of sensitive data according with laws and regulations
- Conducted annual audits of 3 core operational cross-functional processes
- Lead development of preventive and detective internal controls to reduce operational and financial risk
- Presented complex data to executive leadership team in various settings
Sr. IT Business Analyst
LEE COUNTY ELECTRIC COOPERATIVE
03.2015 - 12.2019
- Managed and delivered several complex enterprise-wide projects
- Supervised testing of new systems, processes, and procedures
- Facilitated engagement of multiple sponsors, stakeholders, IT developers, and trainers
- Led on average 10 assessments, due diligence, and onboarding of IT vendors and contractors annually
- Audited CISCO, Oracle, and custom-built multi-channel systems
Revenue Assurance Analyst
LEE COUNTY ELECTRIC COOPERATIVE
08.2014 - 03.2015
- Developed automated daily QA reconciliation that reduced process time by 70%
- Implemented audit process of large government accounts that significantly improved billing accuracy
- Supervised quarterly and annual equity distribution, retirements, and debt collection activities
- Audited CIS and GIS systems integration, data flows and controls
- Development of comprehensive billing audit of commercial and residential accounts
Business Analyst / Sr. Systems Analyst
HILLSBOROUGH COUNTY PUBLIC UTILITY
01.2013 - 07.2014
- Developed 2 innovative quality assurance program
- Conducted oversight of financial transactions on key accounts
- Reconciled multimillion business transactions
- Monitored security access to core systems
- Performed gap analysis between existing systems or processes and desired state, identifying areas for improvement or enhancement.
Billing & Enrollment Operations Supervisor
HEALTHPLAN SERVICES
05.2009 - 01.2013
- Managed 20 senior customer service agents
- Facilitated employee training
- Investigated health insurance fraud and DOI complaints
- Supported implementation of PCI compliant software
Education
Juris Master - Legal Risk Management, Contracting and Compliance
FLORIDA STATE UNIVERSITY COLLEGE OF LAW
Tallahassee, FL05.2023
Bachelor of Art - Criminology
UNIVERSITY OF TAMPA
Tampa, FL12.2008
State and Municipal Management -
RUSSIAN STATE UNIVERSITY FOR THE HUMANITIES
Moscow, RUS06.2000
Skills
- Exceptional Team Leadership
- Work Planning and Prioritization
- Continuous Process Improvement
- Technical Proficiency
- Complex Problem-Solving
- Strategic Planning
- Project Management
- Negotiation and Conflict Resolution
- Training and Development
- Cross-Functional Teamwork
Certification
- Certified in Healthcare Compliance (CHC), HEALTH CARE COMPLIANCE ASSOCIATION, 06/23
- Lean Six Sigma Green Belt, FLORIDA GULF COAST UNIVERSITY, 06/21
- Leadership Principles, HARVARD BUSINESS SCHOOL ONLINE, 03/21
- Project Management Essentials, PROJECT MANAGEMENT COLLEGE, 01/20
- Change Management Practitioner, PROSCI, 11/19
Bilingual - Languages
Fluent in Russian
Membership
- The Honor Society of Phi Kappa Phi
- Health Care Compliance Association
Affiliations
- The Honor Society of Phi Kappa Phi
- Health Care Compliance Association
Languages
Russian
Full Professional
Additional Information
CERTIFICATIONS
- HEALTH CARE COMPLIANCE ASSOCIATION, June 2023
Certified in Healthcare Compliance (CHC) - FLORIDA GULF COAST UNIVERSITY, June 2021
Lean Six Sigma Green Belt - HARVARD BUSINESS SCHOOL ONLINE, March 2021
Leadership Principles - PROJECT MANAGEMENT COLLEGE, January 2020
Project Management Essentials - PROSCI, November 2019
Change Management Practitioner
Timeline
Ethics, Compliance, Risk & Privacy Manager
MILLENNIUM PHYSICIAN GROUP
06.2023 - Current
Ethics, Compliance, Risk & Privacy Investigator, C360 System Administrator
MILLENNIUM PHYSICIAN GROUP
06.2022 - 06.2023
Sr. Business Alignment and Governance Analyst
LEE COUNTY ELECTRIC COOPERATIVE
12.2019 - 04.2022
Sr. IT Business Analyst
LEE COUNTY ELECTRIC COOPERATIVE
03.2015 - 12.2019
Revenue Assurance Analyst
LEE COUNTY ELECTRIC COOPERATIVE
08.2014 - 03.2015
Business Analyst / Sr. Systems Analyst
HILLSBOROUGH COUNTY PUBLIC UTILITY
01.2013 - 07.2014
Billing & Enrollment Operations Supervisor
HEALTHPLAN SERVICES
05.2009 - 01.2013
Juris Master - Legal Risk Management, Contracting and Compliance
FLORIDA STATE UNIVERSITY COLLEGE OF LAW
Bachelor of Art - Criminology
UNIVERSITY OF TAMPA
State and Municipal Management -
RUSSIAN STATE UNIVERSITY FOR THE HUMANITIES
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