Joy Wonah
Frederick,MD
Summary
Experienced healthcare compliance professional with a strong background in privacy and risk management. Eager to excel in the role of a senior regulatory Compliance analyst. Skilled in navigating HIPAA regulations, ensuring Medicare, Medicaid and pharmacy compliance, and conducting thorough privacy incident investigations. Proficient in legal research, adept at policy development, and committed to delivering top-notch compliance training programs.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Health Insurance Analyst
Maryland Insurance Administration
01.2023 - 10.2024
- Ensured updated systems contained accurate documentation.
- Facilitated administrative operations through effective communication with clients, mail distribution, and document scanning.
- Assessed Medicare and Medicaid supplement applications to ensure adherence to state regulatory standards.
- Performed legal research to detect any potential violations of the Code of Maryland Regulations (COMAR).
- Thorough understanding of CMS, URAC, and state regulations governing pharmacy compliance.
- Reviewed and validated content to ensure clarity, consistency, and alignment with requirements.
- Partnered with legal, regulatory, and other internal teams to review and maintain standards.
- Identifying and addressing gaps in Medicare, pharmacy and health plan applications.
- Ensured accuracy and excellence in writing and editing for regulated communications.
Compliance Analyst
K-Force- Health New England
12.2021 - 12.2022
- Analyzed and prepared reports for internal and external audits, ensuring adherence to HIPAA regulations and company procedures.
- Conducted comprehensive training sessions on fraud, waste, abuse, and HIPAA for employees, enhancing organizational compliance awareness.
- Facilitated risk management by supporting investigations and managing a high-volume privacy incident communication channel.
- Maintained an up-to-date understanding of healthcare compliance and ethics, staying abreast of changing regulations and standards.
- Provided direct oversight of the compliance plan and program, including billing and coding, privacy, conflicts of interest, anti-kickback and physician self-referral, HIPAA Privacy, Stark law, and fraud, waste, and abuse (FWA).
- Maintained the code of conduct, privacy policy, compliance plan, and other compliance-related policies and procedures.
- Handled highly sensitive and confidential information discreetly with interdepartmental personnel, clinical staff, patients and families, and insurance companies.
- Maintained current knowledge of applicable federal and state laws and regulations and addressed new and emerging requirements.
- Reviewed and analyzed contracts for legal and compliance regulations, requirements, and statutes.
- Partnered with outside legal counsel and vendors on compliance issues, as needed.
- Conducted timely investigations of identified compliance issues and consulted with leadership.
- Coordinated the Compliance Committee and related activities in conjunction with the CCO.
- Managed the Compliance Hotline.
EMR and Compliance Specialist
CSAAC
08.2019 - 12.2021
- Organized and filed critical documents ensuring adherence to confidentiality protocols.
- Digitized and archived over 500 medical records into SharePoint for efficient data retrieval.
- Conducted HIPAA compliance training for clients and provided system support as a designated super user.
Privacy Officer
Azalea Health
07.2021 - 09.2021
- Managed compliance initiatives, ensuring adherence to HIPAA regulations and maintaining ISO standards across the organization.
- Conducted thorough privacy incident investigations and risk assessments, contributing to robust record-keeping and data protection practices.
- Developed and delivered comprehensive HIPAA training programs for employees, enhancing the organization's privacy and security culture.
Health Advocacy Specialist
Office of the Attorney General-Maryland
03.2019 - 08.2019
- Facilitated communication between consumers and healthcare providers to resolve disputes and improve access to healthcare services.
- Conducted comprehensive investigations into consumer complaints regarding healthcare services, insurance coverage, and billing issues.
- Collaborated with legal teams to provide support in cases involving healthcare fraud, abuse, and regulatory compliance.
- Educated consumers on their healthcare rights and responsibilities through workshops, seminars, and informational materials.
- Analyzed healthcare policies and regulations to provide informed recommendations for policy improvements and consumer protection initiatives.
- Developed and maintained relationships with community organizations, healthcare providers, and government agencies to enhance advocacy efforts.
- Prepared detailed reports and documentation for case files, ensuring accuracy and compliance with legal and regulatory standards.
- Assisted in the development and implementation of outreach programs aimed at increasing public awareness of healthcare advocacy resources.
Behavior aid/Medication Technician
Community Living INC
01.2013 - 01.2018
- Supported individuals with developmental disabilities in achieving personal goals through tailored interventions.
- Implemented and monitored behavior intervention plans, ensuring adherence to established protocols.
- Collaborated with a multidisciplinary team to develop and adjust individualized care plans.
- Provided training and support to clients and families, enhancing understanding of behavior management techniques.
- Administered medication to individuals.
Education
Graduate Certificate - Healthcare Corporate Compliance
George Washington University
Washington, DC08.2019
Master of Laws - Law
George Mason University
Fairfax, VA12.2023
MBA - Business Administration
Hood College
Frederick, MD05.2018
Bachelor of Science - Law
Ebonyi State University
Outside US12.2004
Skills
- Great Analytical and Communication Skills
- Microsoft Office 365 Proficiency
- SharePoint Administrationn
- Project Management
- Experience With Legal Research and Westlaw
- Records and Data Management
- Knowledge of HIPAA and Privacy Laws
- Privacy and compliance Incident Investigation, Risk Assessment, and Corrective Action Plans (CAP)
- Knowledge of Medicare and Medicaid
- Policy Development
- Deep understanding of CMS, URAC, pharmacy compliance and state regulatory requiremen
Attention to Detail
Certification
- Certified in Healthcare compliance (CHC), HCCA- In progress
- Certified Compliance Professional, Health Ethics Trust- 2024
Timeline
Health Insurance Analyst
Maryland Insurance Administration
01.2023 - 10.2024
Compliance Analyst
K-Force- Health New England
12.2021 - 12.2022
Privacy Officer
Azalea Health
07.2021 - 09.2021
EMR and Compliance Specialist
CSAAC
08.2019 - 12.2021
Health Advocacy Specialist
Office of the Attorney General-Maryland
03.2019 - 08.2019
Behavior aid/Medication Technician
Community Living INC
01.2013 - 01.2018
Graduate Certificate - Healthcare Corporate Compliance
George Washington University
Master of Laws - Law
George Mason University
MBA - Business Administration
Hood College
Bachelor of Science - Law
Ebonyi State University
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