Jacqueline Yarbrough
Hendersonville,TN
Summary
Detail-oriented Compliance Manager offering 20+ years of expertise in risk management, policy development and strategic planning. Advanced knowledge of regulatory compliance with proven track record of partnering with executives and business leaders to identify vulnerabilities and create corrective actions. Collaborative and team-oriented with excellent communication and interpersonal skills to foster strategic partnerships and promote company reputation.20
Overview
20
20
years of professional experience
1
1
Certification
Work History
Government Programs Compliance Manager
CGS Administrators
01.2011 - Current
- Responsible for operational and organizational compliance activities across all CGS Contracts
- Responsible for reviewing Organizational Conflict of Interest documents for proposal submissions
- Manage, document and track compliance issues/questions as they arise
- Responsible for staff that support Medicare Contracts for Compliance with internal control requirements
- Manage Compliance Staff to include internal and external audit engagements, Corrective Action Plan maintenance to ensure action plan completion
- Train organizational staff and contractors on HIPAA Privacy and Security Rules
Compliance Specialist (Part B)
CIGNA Government Services
01.2009 - 12.2011
- Coordinated and monitored all internal and external audit engagements, ensuring Corrective Action Plans contain appropriate controls and perform appropriate follow-up reviews to ensure Corrective Action Plans are successfully implemented
- Facilitated revision process for policies and procedures in organizations-wide document management system
- Guided management in the implementation of ISO 9000 standards through coordination of activities with the Continuous Improvement Department, including documentation of processes and coordination of quality improvement activities
- Led Lean Team to improve productivity and reduce workload using Lean Six Sigma methodology
- Completed Lean Six Sigma Green Belt Training
Business Project Specialist/Project Manager
CIGNA Government Services
01.2008 - 12.2009
- Lead system requirement evaluation teams and developed new procedures/processes/policy solutions to address business needs
- Led team to implement the RightFax and eCopy solution and create an electronic process eliminating the existing manual paper-intensive process, and annual cost of $38,000 associated with the paper-intensive process such as Fed-Ex mailings, supplies and scanning of files
- Assessed business impact and implications from a cost, efficiency, contractual, legal, and regulatory standpoint
Compliance Specialist (Support)
CIGNA Government Services
01.2006 - 12.2008
- Assisted Lead in Lean Quality Management Tool project to reduce backlog for the DME Appeals team and increased production output by more than 500 percent in nine months, while at the same time reducing operating expenses
- Participated in workgroups for implementation of an internal records management system and production workflow management system
Auditor (Part B)
CIGNA Government Services
01.2005 - 12.2006
- Coordinated, performed, and assisted in audits of business functions to ensure adequacy of controls, operating efficiency and effectiveness, and compliance with internal and external guidelines
- Performed internal quality audits to ensure continual process improvement in operational areas
- Facilitated informal and formal training session's related to Quality/ISO initiatives
- Coordinated with Compliance Department regarding Centers for Medicaid & Medicare Services (CMS) directives for inclusion in the Change Request process for Part B assignments
Quality Assurance Associate (DME)
CIGNA Government Services
01.2004 - 12.2005
- Performed monthly audits as requested by Benefit Integrity Unit manager, utilize random sampling and confidence level methods to determine monthly goals and ensure individual audit requirements are me
- Developed standard operating procedures for Benefit Integrity Unit quality processes to ensure compliance with CMS guidelines and CIGNA Healthcare policies
Education
Bachelor of Science - Quality Management
Friends University
Wichita, KSAssociates in Applied Science (Honors) - Accounting
Olive Harvey College
Chicago, ILSkills
- Conducting Investigations
- Audit Oversight
- Risk Assessment
- Training Delivery
- Project Management
- Quality Management Processes
- Team Leadership
- Change Management
- Compliance Reporting
- Process Improvement
- Decision Making
- Policy Development
Certification
- Certified CMMI Appraisal Team Member 2020 - current
- Certified in Healthcare Privacy Compliance (CHPC) 2018 - current
- Certified Compliance Professional (CCP) 2014 - 2017
- TNCPE Examiner 2008 & 2009
- ISO Lead Auditor 2011 - Present
- Certified Quality Improvement Associate (CQIA), ASQ
- Level 1 FLMI
Timeline
Government Programs Compliance Manager
CGS Administrators
01.2011 - Current
Compliance Specialist (Part B)
CIGNA Government Services
01.2009 - 12.2011
Business Project Specialist/Project Manager
CIGNA Government Services
01.2008 - 12.2009
Compliance Specialist (Support)
CIGNA Government Services
01.2006 - 12.2008
Auditor (Part B)
CIGNA Government Services
01.2005 - 12.2006
Quality Assurance Associate (DME)
CIGNA Government Services
01.2004 - 12.2005
Bachelor of Science - Quality Management
Friends University
Associates in Applied Science (Honors) - Accounting
Olive Harvey College
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