Khadija Hamza

• Organized and updated databases, records and other information resources.
• Cultivated strong relationships with vendors and partners supporting administrative operations.
• Identified opportunities to streamline processes and improve office operations and efficiency.
• Created organized filing system to manage department documents.
• Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
• Negotiated and executed contracts on behalf of department.
• Implemented project management techniques to overcome obstacles and increase team productivity.

• Effectively communicated project status updates, blockers, and challenges to stakeholders, fostering transparency and maintaining alignment with project goals.
• Collaborated with stakeholders from various departments, working cross-functionally to gather information and understand procedures related to research participant compensation, medical and wellness devices, and transitioning medical devices from the research stage to the Product Development Process (PDP) stage, leading to the development of comprehensive standard operating procedures (SOPs).
• Developed informative slides to serve as training material for individuals interested in learning about Health Compliance, effectively communicating the key aspects and responsibilities of the department to facilitate comprehensive understanding among trainees and departments.
• Scheduled and led project-related meetings, facilitating productive discussions and driving progress towards project milestones.
• Maintained comprehensive project documentation, ensuring accurate and up-to-date records for future reference and compliance purposes.
• Administered various administrative tasks related to document governance, ensuring adherence to organizational standards and policies.
• Collaborated cross-functionally with various stakeholders, including the DSPA Health Compliance team and internal teams, to ensure seamless communication and alignment throughout project lifecycles.
• Orchestrated the annual share-out event, bringing together all teams and departments to share their lessons, projects, successes, and accomplishments with a diverse audience. Led the end-to-end planning process, ensuring seamless coordination and execution of the event.
• Utilized Google Apps to streamline project management processes and facilitate collaboration across teams.
• Conducted data analysis to gain insights and inform decision-making, contributing to the identification of opportunities for improvement and risk mitigation.

• Scheduled and facilitated meetings between project stakeholders to discuss deliverables, schedules, and conflicts, ensuring effective collaboration and alignment throughout the project lifecycle.
• Conducted thorough research and analysis to identify key project metrics, providing actionable insights to stakeholders and driving data-informed decision-making for project success.
• Communicated project status updates and progress reports to stakeholders and leadership, ensuring transparency, alignment with project goals, and timely decision-making.
• Identified necessary plans and resources required to achieve project goals and objectives, adapting project plans to meet organizational needs and priorities.
• Maintained strategic relationships with material vendors, negotiating contracts, and diversifying capabilities to lower costs and enhance project efficiency.
• Adhered to budget requirements through meticulous planning and consistent expense monitoring.
• Built comprehensive project plans covering objectives, resources, and staffing, ensuring adherence to schedules and successful project execution.
• Presented regular updates on project status to customers, maintaining open communication and ensuring their involvement throughout the project.
• Designed high-quality project decks and materials, effectively communicating project plans and objectives to stakeholders.
• Ensured compliance with all Federal, State, Local, and company regulations, policies, and procedures, working closely with project owners and associates.
• Collaborated with Finance, Indirect Procurement, HCP/HCO Engagement, and Leadership teams to establish effective compliance controls and mitigate risks while maintaining efficiency.
• Developed engaging training content on Ethics & Compliance tools, processes, and policies, fostering compliance awareness among team members.
• Drafted and negotiated consulting agreements based on approved templates and negotiated guidelines, ensuring favorable terms for project success.
• Streamlined operational methods and oversaw accounting procedures, improving efficiency and optimizing resource allocation.
• Facilitated communication and collaboration between internal personnel, contractors, and vendors, ensuring project cohesion and timely deliverables.

• Proactively identified and effectively managed project risks and issues, mitigating potential disruptions and ensuring smooth project delivery.
• Updated operational methods and implemented efficient accounting procedures, leveraging data tracking and analysis to drive process improvements and optimize overall efficiency.
• Cultivated strong relationships with HCPs/HCOs, fostering positive working partnerships and facilitating collaboration for successful project outcomes.
• Manage HCP/HCO contract process from beginning to end ensuring final payment.
• Applied a thorough understanding of policies and procedures, reviewing and implementing them effectively to ensure compliance and adherence to established guidelines.
• Successfully addressed discrepancies in project progress by conducting comprehensive performance reviews, analyzing spending patterns, and closely monitoring project timelines.
• Oversaw the planning, design, and scheduling phases of high-profile projects, ensuring their successful execution within specified constraints.
• Streamlined the purchase order process for non-HCP vendors engaged in CE&T projects, ensuring efficient procurement and smooth project operations.
• Demonstrated excellent budget, schedule, and scope management skills, effectively balancing project constraints while mitigating risks and maintaining adherence to established processes.
• Managed allocated cross-functional internal and external resources, ensuring their optimal deployment to achieve program objectives while fostering strong relationships with key business partners.
• Monitored and evaluated project resource needs, ensuring continuity of projects and timely communication with stakeholders for efficient project execution.

· Demonstrated a commitment to compliance by promptly escalating incidents to the appropriate level, ensuring adherence to the company's standards and procedures.

· Gathered and synthesized information from multiple reliable sources, effectively organizing and uploading it into the system for easy access and reference.

· Delivered regular status reports on project progress to key stakeholders, providing clear and concise updates on project milestones, risks, and achievements.

· Applied strong skills in budgeting, project management, and resource management, effectively utilizing these competencies to drive project success.

· Maintained day-to-day communication, coordination, and management of client project teams, fostering effective collaboration and ensuring project objectives were met.

· Collaborated closely with project team members to identify and promptly address problems, fostering a proactive and solution-oriented approach to project management.

· Scheduled and facilitated productive meetings between project stakeholders, creating an environment for open communication and effective collaboration to discuss deliverables, schedules, and conflicts.

· Developed comprehensive project plans encompassing objectives, resources, and staffing, ensuring alignment with project schedules and successful project execution.

· Demonstrated expertise in confirming accurate diagnosis and CPT codes for requested procedures/visits, ensuring adherence to coding standards and guidelines.

· Processed and managed claims approvals and denials, efficiently navigating insurance processes to facilitate accurate reimbursement for healthcare services.

· Conducted thorough investigations of claims to verify accuracy and authenticity, applying meticulous attention to detail and analytical skills.

· Successfully supervised multiple projects from start to delivery, effectively prioritizing tasks, assigning responsibilities, and ensuring timely project completion.

· Maintained accurate and up-to-date authorization records for requested services, conducting research on procedure and diagnosis codes to meet criteria and ensure proper authorization.

· Developed an in-depth understanding of insurance policies, laws, and regulations, ensuring compliance and adherence to industry guidelines.

· Investigated, verified, and recorded all insurance claims made by doctors, clinics, and hospitals, ensuring accurate and timely processing of claims.

· Oversaw onboarding and mentorship programs, facilitating the successful integration of new team members, organizing and executing meetings, and creating comprehensive project documentation.

· Managed the administrative intake of members or physician offices for prior authorization requests, ensuring efficient and timely processing.

· Served as a liaison between members, physician offices, and various functional teams including nurses, social workers, and medical directors, fostering effective communication and collaboration.

· Proactively monitored, tracked, and effectively conveyed important patient information to healthcare staff, contributing to optimized treatment planning and delivery of care.

· Identified opportunities for service improvements, implementing recommendations to minimize recurring patient issues and complaints, and enhance overall patient satisfaction.

· Engaged with patients to understand their concerns and needs, providing guidance and making appropriate referrals to specialist healthcare providers when necessary.

· Conducted comprehensive claim investigations, ensuring accuracy and validity before offering medication management to individuals, maintaining a high level of quality assurance.

· Acted as a liaison between patients and various departments and staff, facilitating seamless communication and ensuring effective coordination of care.

· Evaluated patients' insurance coverage, deductibles, claims, and remaining balances, assisting patients in understanding their financial responsibilities and navigating insurance processes.

· Maintained meticulous records of patient interactions, capturing pertinent details of inquiries, complaints, or comments, ensuring accurate documentation for future reference and analysis.