Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kjarsten A. Pedersen

Riverton,UT

Summary

Quality-driven Compliance Consultant familiar with tracking, documentation and reporting requirements, as well as disseminating the information. Assesses work, materials and procedures and recommends adjustments to maintain compliance. Over 8 years of leadership and management experience and motivated, energetic mindset.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Compliance Consultant

Select Health
03.2023 - Current
  • Compliance Project Manager for Stop-Loss and Level-Funded Initiative. Currently drafting white paper and new application documents for new Line of Business
  • Compliance liaison for Pharmacy Benefit Management (PBM) program. Coordinating with Select Health leaders and teams to integrate state-specific compliance standards into organizational operations
  • Initiated project with Sales team to automate Large Employer contract building process. When executed later this year, workload projected be reduced by over 70%

Operations Supervisor, Pharmacy Programs

Select Health
09.2021 - 03.2023
  • Led over 40 employees in pharmacy operations, helping them excel in the role and grow other career opportunities
  • Implemented new support system for Government Programs department, which increased response time to questions by ~50% and accurate information given to members and physicians by ~75%
  • Worked with external physicians and pharmacists, as well as leaders from other departments and direct managers on policies, best practices, and overall improvements to Pharmacy department.

Summer Internship - Researcher

Leavitt Partners, LLC
06.2020 - 08.2020
  • Assisted Principal on the consulting team on special projects related to research with public health and social determinants of health
  • Joined a consulting project as an advisor for provider billing and government health plans
  • Presented to consulting team on a topic of interest and beneficial to the Leavitt Partners team.

Process Improvement Specialist

R1 RCM, Inc.
02.2018 - 03.2020
  • Used Ishikawa method to determine gaps in productivity for Medicare billing, worked with leaders to train their employees on new processes. Improved turnaround time by 15%
  • Worked closely with leaders in Medicare field to determine proper procedures to create quick reference guides for employees
  • Created new procedures for document reviews, which helped foster trusting relationships with operational leaders.

Education

MBA - Project Management

Colorado Technical University
Colorado Springs
04.2025

Master of Healthcare Administration -

Weber State University
Ogden, UT
04.2023

Bachelor of Science -

Utah Valley University
Orem, UT
08.2020

Skills

  • Operational Leadership
  • Continuous Improvement Certification
  • Strategic Analysis
  • Compliance Monitoring
  • Documentation skills

Certification

  • Principles of Leadership, Intermountain Health - 2024
  • Continuous Improvement Certification Experience, Intermountain Health - 2021


Timeline

Compliance Consultant

Select Health
03.2023 - Current

Operations Supervisor, Pharmacy Programs

Select Health
09.2021 - 03.2023

Summer Internship - Researcher

Leavitt Partners, LLC
06.2020 - 08.2020

Process Improvement Specialist

R1 RCM, Inc.
02.2018 - 03.2020

MBA - Project Management

Colorado Technical University

Master of Healthcare Administration -

Weber State University

Bachelor of Science -

Utah Valley University

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Kjarsten A. Pedersen