Jilyan Kramer CHC, RN
Springboro,OH
Summary
Strategic and results-driven compliance executive with over a decade of progressive leadership experience in healthcare compliance, operations, and regulatory governance. Proven expertise in developing and executing enterprise-wide compliance programs, managing risk mitigation strategies, and guiding organizations through complex federal and state regulatory environments including DOJ, HHS, OIG, CMS, HIPAA, and Anti-Kickback regulations. Skilled at presenting compliance strategies to boards and executive teams, leading cross-functional initiatives, and supporting organizational growth through M&A compliance due diligence.
Overview
13
13
years of professional experience
Work History
Vice President, Compliance
Alternate Solutions Health Network
Kettering, Ohio
04.2018 - Current
- Lead the development, execution, and oversight of the corporate-wide compliance program supporting multi-state operations while ensuring adherence to federal and state regulations.
- Successfully lead OIG audit protecting over $32 million dollars in revenue
- Directed annual risk assessments to identify areas of exposure and implemented targeted mitigation strategies, resulting in measurable reduction of compliance risks.
- Presented compliance updates, audit findings, and strategic recommendations to the Corporate Compliance Committee and Board of Directors.
- Oversaw compliance due diligence for mergers, acquisitions, and joint ventures to safeguard organizational reputation and operational integrity.
- Developed and maintained Code of Conduct, corporate policies, and comprehensive compliance education programs for employees, vendors, and volunteers.
- Conducted and supervised internal investigations, providing executive-level reporting and resolution recommendations.
- Designed, implemented, and maintained network-wide training and education for annual and ad-hoc educational needs.
Director, Operations
Alternate Solutions Health Network
Kettering, Ohio
05.2016 - 04.2018
- Oversaw internal operations supporting direct patient care while leading key strategic initiatives.
- Led the integration of multiple agency acquisitions while maintaining operational performance and patient care quality.
- Led cross-functional teams (referral management, scheduling, and quality departments) to implement strategic initiatives, improving service delivery standards resulting in 25% gain in operational efficiencies
- Developed and managed departmental budgets to align with corporate financial goals.
Manager, Process Optimization, RN
Alternate Solutions Health Network
Kettering Ohio
03.2014 - 05.2016
- Designed and launched the Process Improvement Department to lead enterprise-wide process optimization and project management initiatives.
- Implemented data-driven process models to enhance operational efficiency and scalability.
- Led complex projects, ensuring deliverables met deadlines, budgets, and quality standards r
- Promoted a positive change culture through stakeholder engagement and structured communication plans.
- Streamlined workflows, resulting in reduced processing times for healthcare services
Unit Manager, RN
Health South at Drake Hospital Neurotrauma Unit
Cincinnati, Ohio
12.2012 - 03.2014
- Managed multidisciplinary teams providing direct patient care to individuals with neurotrauma injuries.
- Oversaw staffing, evaluations, and addressed patient/caregiver concerns to ensure quality care.
- Collaborated with healthcare teams to improve patient outcomes and care coordination.
- Developed and implemented training programs to maintain staff competency and compliance.
Education
Associate Degree in Nursing - Nursing, RN
Hondros College of Nursing
West Chester, OH03.2012
Level I & II Certified Fire Fighter, Emergency Medical Technician -
Sinclair Community College
Dayton, OH03.2006
Skills
- Corporate Governance
- DOJ Compliance
- OIG Compliance
- CMS Compliance
- Risk Assessment & Mitigation
- Board Reporting
- Executive Leadership
- M&A Compliance Due Diligence
- HIPAA Governance
- Strategic Policy Development
- Process Improvement
- Audit & Monitoring
- Training & Education Programs
Volunteer Leadership
- Director, Springboro Lacrosse Club, Designed and implemented volunteer recruitment and retention strategies to support organizational growth.
- Volunteer, Punk Rock Saves Lives, Supported initiatives focused on mental health, women's health, and healthcare worker programs.
- Volunteer, Love Hope Strength, Facilitated national bone marrow registration and specimen collection campaigns.
Timeline
Vice President, Compliance
Alternate Solutions Health Network
04.2018 - Current
Director, Operations
Alternate Solutions Health Network
05.2016 - 04.2018
Manager, Process Optimization, RN
Alternate Solutions Health Network
03.2014 - 05.2016
Unit Manager, RN
Health South at Drake Hospital Neurotrauma Unit
12.2012 - 03.2014
Associate Degree in Nursing - Nursing, RN
Hondros College of Nursing
Level I & II Certified Fire Fighter, Emergency Medical Technician -
Sinclair Community College