Compliance professional with 10 years' experience specializing in risk management and policy development. Demonstrated success in conducting thorough audits and collaborating across departments to pinpoint compliance gaps. Expertise in tracking regulatory changes and executing corrective actions to improve compliance effectiveness.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Health Data Goverment Anaylst
Blue Cross Blue Shield of Nebraska
01.2024 - Current
Led risk assessment initiatives, pinpointing areas requiring enhanced controls to address potential issues.
Assessed compliance and pharmacy audit data of CMS systems, ensuring adherence to federal regulations and identifying trends for strategic decision-making.
Monitored corrective action plan progress, ensuring timely completion to maintain compliance standards.
Collaborated with cross-functional teams to streamline data collection methods, enhancing accuracy and reliability.
Participated in regular meetings with stakeholders to discuss ongoing compliance efforts.
Compliance Analyst
Mutual of Omaha
01.2020 - 01.2024
Developed and executed corrective action plans after identifying non-compliance issues.
Collaborated with various departments within the organization to develop effective solutions for ensuring ongoing compliance.
Monitored regulatory changes, communicated audit findings to senior leadership, and revised processes to ensure compliance.
Educated cross-functional teams on regulatory requirements and industry best practices to enhance compliance awareness.
Analyzed potential areas of risk and developed strategies to mitigate such risks.
Pharmacy Quality Auditor
Centene(Wellcare Health Plans)
01.2015 - 01.2020
Monitored governance and compliance of rules, regulations, policies, and procedures.
Assessed protocol amendments and raw data for accuracy and conformity.
Analyzed audit findings, providing insights to drive organizational quality initiatives and align with strategic goals.
Developed training materials on quality assurance topics, enhancing staff understanding of document control, change management, and defect prevention.
Created training materials to improve staff knowledge and adherence to quality assurance procedures.
Pharmacy Quality Analyst
John Hopkins All Children Hospital
01.2012 - 01.2015
Conducted quality audits on patient care processes to ensure compliance with standards.
Collaborated with clinical staff to develop targeted quality improvement initiatives.
Reviewed incident reports to identify trends and recommend actionable corrective actions.
Assisted in the implementation of regulatory guidelines across departments.
Analyzed customer feedback to pinpoint specific areas for enhancing product quality.
Pharmacy Technician
CVS Pharmacy
11.2011 - 01.2012
Assisted pharmacists in medication preparation and inventory management, ensuring accurate stock levels.
Processed prescriptions accurately and efficiently for diverse customer needs.
Delivered exceptional customer service by addressing inquiries and resolving issues promptly, enhancing customer satisfaction.
Data Records and Health Information Intern at Benadir Regional Administration (BRA) – Health DepartmentData Records and Health Information Intern at Benadir Regional Administration (BRA) – Health Department