Summary
Overview
Work History
Education
Skills
Timeline
Generic

Heather Starks

Agua Dulce,CA

Summary

Forward-thinking Manager with comprehensive experience implementing new processes and managing and planning innovations. Bringing outstanding problem-solving and abilities paired with in-depth knowledge of policies and procedures.

Overview

23
23
years of professional experience

Work History

Manager, Membership and Accounting

Centene
Woodland Hills, CA
03.2017 - 12.2024
  • Delegated work to staff, setting priorities and goals.
  • Proposed or approved modifications to project plans.
  • Established processes to ensure efficient workflow throughout the organization.
  • Leveraged leadership skills to identify deficiencies and opportunities to improve policies, procedures and controls.
  • Ensured compliance with all applicable laws, regulations, industry standards.
  • Managed vendor relationships by negotiating contracts and ensuring timely delivery of goods and services.
  • Monitored staff performance and addressed issues.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.

Business Compliance Consultant

Health Net, Centene
Woodland Hills, CA
06.2014 - 03.2017
  • Investigated reported and identified compliance issues against accepted standards.
  • Provided guidance on appropriate corrective action in response to identified noncompliance issues.
  • Maintained compliance frameworks, policies and documentation to support audits.
  • Developed systems to track and monitor compliance with regulatory requirements and internal policies.
  • Collected and reviewed data to identify potential compliance issues requiring further review.
  • Reviewed and analyzed company policies and procedures to ensure compliance with applicable laws and regulations.
  • Participated in meetings with stakeholders and external organizations concerning regulatory compliance issues.

Sr. Compliance Analyst

Health Net, Centene
Woodland Hills, CA
01.2006 - 05.2014
  • Followed proper protocols for reporting suspected violations to internal personnel or outside governing agencies.
  • Monitored internal processes to ensure compliance with applicable rules and regulations.
  • Provided guidance and support to junior compliance analysts on regulatory requirements.
  • Performed fact-finding research by investigating, collecting and analyzing data and compiling in report format.
  • Developed and implemented strategies to ensure adherence to applicable laws, regulations, and policies.
  • Adhered to deadlines in optimizing regulatory and operational performance.
  • Planned and executed compliance audits to check company policies, procedures and controls.

Business Analyst

Health Net, Centene
Woodland Hills, CA
01.2004 - 01.2006
  • Maintained library of model documents, templates or other reusable knowledge assets.
  • Created detailed process flows and user stories to document system requirements and design solutions.
  • Analyzed existing systems and processes to identify areas of improvement.
  • Monitored project timelines and budgets by tracking milestones, deliverables, tasks.

Compliance Analyst

Centene
Woodland Hills, CA
01.2002 - 01.2004
  • Supported internal and external auditing teams conducting impartial compliance reviews.
  • Investigated reported and identified compliance issues against accepted standards.
  • Reviewed and monitored compliance with applicable laws, regulations, and policies to ensure compliance with regulatory requirements.

Broker Services Representative

Health Net, Centene
Woodland Hills, CA
07.2001 - 12.2002
  • Assisted brokers with commission statements research and various requests.
  • Responded promptly to broker questions to improve satisfaction.
  • Identified needs of brokers promptly and efficiently.

Project Coordinator

Health Net, Centene
Woodland Hills, CA
12.2001 - 07.2002
  • Collaborated with internal teams to develop project solutions resulting in on-time execution.
  • Facilitated meetings between stakeholders to discuss project requirements, objectives or outcomes.
  • Submitted project deliverables to clients, consistently adhering to quality standards.

Education

Canyon High School
Canyon Country, CA
06-1995

Skills

  • Operations Management
  • Policy Implementation
  • Project Management
  • Cross-Functional Teamwork
  • Medicare Compliance Oversight

Timeline

Manager, Membership and Accounting

Centene
03.2017 - 12.2024

Business Compliance Consultant

Health Net, Centene
06.2014 - 03.2017

Sr. Compliance Analyst

Health Net, Centene
01.2006 - 05.2014

Business Analyst

Health Net, Centene
01.2004 - 01.2006

Compliance Analyst

Centene
01.2002 - 01.2004

Project Coordinator

Health Net, Centene
12.2001 - 07.2002

Broker Services Representative

Health Net, Centene
07.2001 - 12.2002

Canyon High School
Heather Starks