Karina Ribadeneira
Kew Gardens
Summary
Detail-oriented Compliance Auditor with expertise in risk analysis, internal controls assessment, and regulatory compliance monitoring. Demonstrates strong critical thinking and problem-solving skills, fostering collaboration with stakeholders to ensure adherence to regulatory standards and uphold operational integrity.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Compliance Auditor
Centerlight Healthcare
Brooklyn
12.2025 - 04.2026
- Conducted compliance audits to ensure adherence to healthcare regulations.
- Reviewed policies and procedures for regulatory alignment and effectiveness.
- Collaborated with cross-functional teams to address compliance issues proactively.
- Prepared detailed reports on audit findings for management review.
- Developed training materials to educate staff on compliance standards.
- Assisted in implementing corrective actions following audit recommendations.
- Developed audit plans for evaluating compliance with regulatory requirements.
- Analyzed specific risks within specific areas of client operations to avoid compliance issues.
- Identified areas of non-compliance and recommended corrective action plans.
Care Manager
Care Design NY
New York
10.2025 - 12.2025
- Coordinated care plans for individuals with developmental disabilities.
- Collaborated with multidisciplinary teams to ensure comprehensive support services.
- Conducted assessments to identify client needs and preferences.
- Monitored service delivery to maintain compliance with regulations.
- Provided guidance to families navigating the care system.
- Facilitated the coordination of medical appointments and transportation for clients when needed.
- Assisted clients in developing and achieving short-term and long-term goals.
Operations Support Manager
Maximus
New York
05.2022 - 04.2025
- Led team of supervisors and coordinators in delivering care coordination services for children and youth eligible for the Children's Waiver.
- Monitored daily operations to ensure the timeliness and appropriateness of services provided
- Coordinated with different departments including nursing, quality assurance, systems and reporting on different areas of monitoring and improvement
- Monitored program performance metrics with the use of reports including the development of Smartsheets and Power BI dashboard
- Increased the percentage of children receiving services by 25%
- Developed and implemented policies and procedures to align with New York State Department of Health requirements
- Collaborated with stakeholders to enhance ongoing care for the population served.
- Provided ongoing mentoring and support of staff by developing training and corrective action plans
Quality Assurance and Training Supervisor
Maximus
Queens
01.2019 - 05.2022
- Developed and implemented QA tools and processes to assess accuracy and timeliness of performance metrics.
- Created staff training modules and post training assessments on policies and standard operating procedures
- Evaluated staff training needs to ensure knowledge of multiple program areas
- Produced quality reports identifying issues for Supervisory team regarding program expectations, performance metrics, and QA scores
- Monitored and evaluated performance, developing reports on key outcomes to inform strategic decisions
- Provided support to the IT team UAT collaborator on client's system to assess issues and gather data to escalate
- Conducted root cause analysis on trends to identify areas for improvement, enhancing service quality
- Acted as the project's Privacy Officer, reporting issues related to confidentiality and following through on remediation recommendations to prevent future occurrences.
- Provided oversight of internal and external audits
Quality Assurance Manager
NYC Health and Hospitals
New York
08.2012 - 01.2019
- Conducted audits on medical and mental health services for Correctional Health services
- Developed tools and implemented audits
- Developed reports for Management and line staff on performance metrics
- Assigned and assessed work of co-workers for accuracy and timeliness
Real Estate Broker Assistant
Realty Depot
New York
06.2013 - 06.2014
- Assisted broker with rental and sales properties by preparing open houses and individual client appointments
- Managed office calendars to ensure efficient daily operations
- Developed marketing strategies for active listings
- Assisted broker and senior realtors with client paperwork processing
Senior Public Health Advisor
NYC Department of Health and Hygiene
New York
06.2007 - 08.2012
- Conducted home visits to new mothers and provided maternal education and brochures
- Conducted environmental assessments on health hazards such as lead paint and need of window guards. Cases were escalated to respective parties
- Lead team member and provided assignment and mentorship to co-workers
- Coordinated maternal services in hospitals in Brooklyn and Upper Manhattan
Public Health Advisor
NYC Department of Health and Hygiene
New York
01.2006 - 06.2007
- Counseled students individually on various health issues, facilitating personalized support and guidance
- Educated high school students in NYC on health topics, promoting awareness and healthy choices
- Conducted in-class training for students and teachers, enhancing knowledge on health-related subjects
Education
Master's - Health Administration
University of Phoenix
Phoenix, AZ08-2010
Bachelor's - Health Science
City University of New York - Hunter College
New York, NY08-2005
Skills
- Auditing
- Regulatory enforcement
- Healthcare compliance
- Quality Assurance and Improvement
- Root Cause Analysis
- Risk assessment
- Data analytics
- Power BI
- Microsoft Office
- Team management
- Management experience
- Project management
- Staff training
- Corrective action planning
- QA tools development
Certification
- Six Sigma Green Belt, 11/17, Present
- Driver's License
Languages
Spanish, Fluent
Timeline
Compliance Auditor
Centerlight Healthcare
12.2025 - 04.2026
Care Manager
Care Design NY
10.2025 - 12.2025
Operations Support Manager
Maximus
05.2022 - 04.2025
Quality Assurance and Training Supervisor
Maximus
01.2019 - 05.2022
Real Estate Broker Assistant
Realty Depot
06.2013 - 06.2014
Quality Assurance Manager
NYC Health and Hospitals
08.2012 - 01.2019
Senior Public Health Advisor
NYC Department of Health and Hygiene
06.2007 - 08.2012
Public Health Advisor
NYC Department of Health and Hygiene
01.2006 - 06.2007
Master's - Health Administration
University of Phoenix
Bachelor's - Health Science
City University of New York - Hunter College