Karen Palacios
Ontario,CA
Summary
Highly-motivated Analyst with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Policy and Regulatory Operations Analyst II
Inland Empire Health Plan
Rancho Cucamonga, CA
03.2023 - Current
- Plan and manage cross-functional projects supporting regulatory compliance, system enhancement, process development, and improvement within various departments including Health Services, Quality Systems, Provider Services, and Member Services.
- Develop, monitor, and maintain detailed project plans, communicating potential risks and ensuring successful relationships between project stakeholders and resources to ensure timely delivery of project outcomes.
- Collaborate with department policy owners to review, update, and manage internal and provider policies to ensure compliance with applicable regulatory and accreditation requirements.
- Manage multiple projects with competing deadlines and changing priorities effectively, ensuring successful completion of deliverables.
- Research and analyze current and proposed policies to evaluate their potential impact on stakeholders, identifying gaps and suggesting solutions for bridging those gaps.
Family Home Agency Specialist
San Gabriel Pomona Regional Center
Pomona, CA
06.2020 - 03.2023
- Conducted quality assurance monitoring to Family Home Agencies to ensure adherence to agency standards and regulatory requirements.
- Developed and prepared monthly reports to identify trends and areas of improvement in quality processes.
- Conducted internal and external audits to verify compliance with quality standards and regulatory requirements.
- Assisted in the development of quality assurance policies and procedures.
Service Coordinator
San Gabriel Pomona Regional Center
Pomona, CA
10.2013 - 06.2020
- Completed all case management reports, including annual and quarterly reports, within mandated timelines to ensure regulatory compliance and continuity of care.
- Maintained thorough documentation within mandated timelines, ensuring accurate records for all individuals served, facilitating efficient communication and coordination of services.
Case Manager
Prototypes
Pomona, CA
04.2012 - 10.2013
- Led and managed the Child Protective Services' Differential Response Path 1 program in Los Angeles County, overseeing the provision of referrals and resources to clients in need.
- Conducted research and outreach activities to identify the needs of local community, facilitating community capacity building, reducing social isolation, and promoting economic stability.
Education
Master of Public Administration -
University of La Verne
06.2019
Bachelor of Arts, Sociology -
California State Polytechnic University
06.2011
Skills
- Cross-Functional Teamwork
- Problem-Solving
- Project Management
- Microsoft Excel
- Workfront
- SPSS
Timeline
Policy and Regulatory Operations Analyst II
Inland Empire Health Plan
03.2023 - Current
Family Home Agency Specialist
San Gabriel Pomona Regional Center
06.2020 - 03.2023
Service Coordinator
San Gabriel Pomona Regional Center
10.2013 - 06.2020
Case Manager
Prototypes
04.2012 - 10.2013
Master of Public Administration -
University of La Verne
Bachelor of Arts, Sociology -
California State Polytechnic University
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