Accomplished Senior VP of Quality Assurance and Compliance at Femwell Group Health, LLC, with expertise in regulatory compliance and risk management. Spearheaded initiatives that led to zero findings in audits, while fostering a culture of accountability and continuous improvement. Proven ability to develop policies and implement data analytics for enhanced performance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior VP of Quality Assurance and Compliance
Femwell Group Health, LLC
02.2021 - Current
Directed enterprise-wide quality assurance and regulatory compliance programs across all business units, ensuring adherence to federal and state healthcare laws.
Developed multi-year compliance strategies and quality frameworks supporting organizational goals and patient safety.
Led compliance committees, delivering updates on audit outcomes and regulatory risks to the Board of Directors.
Spearheaded readiness for government audits, achieving zero findings in consecutive compliance reviews.
Managed a national team of directors and specialists in compliance, driving performance and accountability.
Oversaw development and implementation of over 200 compliance policies and training modules organization-wide.
Implemented data dashboards for real-time monitoring of quality metrics, resulting in 30% reduction in compliance violations.
Collaborated with clinical, legal, IT, and operational leaders to foster a culture of compliance.
Corporate Compliance and Quality Assurance Officer
Femwell Group Health, LLC
08.2015 - 02.2021
Direct enterprise-wide quality assurance and regulatory compliance programs across all business units, ensuring alignment with federal and state healthcare laws, including HIPAA, HITECH, CMS, and OIG regulations.
Developed and executed multi-year compliance strategies and quality frameworks to support organizational goals, risk mitigation, and patient safety.
Lead compliance committees, report to the Board of Directors, and provide regular updates on audit outcomes, regulatory risks, and corrective action progress.
Spearhead readiness for government and third-party audits, achieving zero or minimal findings in consecutive compliance reviews.
Manage and mentor a national team of directors, managers, and specialists in compliance, audit, risk, and quality assurance, driving performance and accountability.
Oversaw the creation, review, and implementation of more than 200 compliance policies, SOPs, and training modules across the organization.
Implemented enterprise data dashboards for real-time monitoring of quality metrics, audit results, and risk indicators, leading to a 30% reduction in compliance violations.
Partnered with clinical, legal, IT, and operational leaders to ensure a culture of compliance and continuous improvement across all levels.
Education
High School Diploma -
Coral Gables High School
Coral Gables, FL
Skills
Regulatory compliance
Quality assurance and performance improvement
Audit management
Data analytics and reporting
Policy development and regulatory research
Risk assessment
Healthcare compliance and risk management
HIPAA, HITECH, Stark, and Anti-Kickback regulations
Value-based care and ACO alignment
Internal auditing and claims review
Staff education and training
Certification
Certified Professional Coder
Certified Professional Medical Auditor
Certified Medical Compliance Officer
Languages
English
Full Professional
Spanish
Native/ Bilingual
Timeline
Senior VP of Quality Assurance and Compliance
Femwell Group Health, LLC
02.2021 - Current
Corporate Compliance and Quality Assurance Officer