Latoya Martin
Elkins Park,PA
Summary
Knowledgeable Compliance Analyst skilled in developing and implementing tracking and training programs to promote Healthcare compliance. Highly ethical and focused team player with productive, diligent approach. Bringing 18 years of experience in compliance and auditing.
Overview
15
15
years of professional experience
Work History
Product & Regulatory Affairs Sr. Analyst
CVS Health
09.2021 - Current
- Prepare and submit rate, rule, and form filings in SERFF
- Responsible for the preparation of responses to DOI interrogatories
- Coordinate with other business units to write business rules in support of implementing new product and systemic updates related to forms, rates and rules
- Reduce risk of non-compliance penalties with proactive identification and resolution of potential issues.
- Establish clear channels for interdepartmental communication regarding regulatory updates, leading to more efficient dissemination of information throughout the organization.
- Intermediate to advanced knowledge of MS Word, Excel, Adobe Acrobat and QuickBase, with the ability to learn proprietary systems.
- Support successful product launches by collaborating with cross-functional teams to ensure adherence to regulatory guidelines.
- Write and update standard operating procedures, work instructions or policies.
Senior Consultant- Business Process Improvement
CVS
03.2014 - 09.2021
- Managed the implementation and continuous improvement of the Medicare Advantage MA & PDP operational processes according to Chapter 2 CMS guidance
- Supported the adoption, implementation, and assurance of the Medicare guidance across the various site departments to ensure company best practices and procedures are understood, implemented, and followed.
- Clear understanding of corrective action processes (Gap Analysis, 5-Why, RCA, etc.)
- Collaborated with Learning & Performance to reduce process/ system gaps within the organization through learn- do- teach processes.
- Implemented practices and procedures to reduce expenditures and increase savings.
- Demonstrated experience implementing Lean and Six Sigma methodologies.
- Evaluated existing business processes, recommending improvements that led to increased operational efficiency.
Plan Sponsor Service Consultant
Aetna
09.2008 - 03.2014
- Assisted with the investigation, analysis and development of solutions to client-specific (internal and external) problems.
- Completed plan reconciliation via the CMS TRR transactions
- Completed the accurate and timely set-up of benefits, account structure, rates, and enrollment and confirms all changes to be in compliance with state and Federal legislative mandates.
- Partnered with other internal business areas and department counterparts to deliver services and products that are properly aligned with customers' benefit requirements.
- Monitored internal installation process and maintain case tracking tools in support of client satisfaction.
- Participated in Aetna Process Improvement project.
- Reviewed and correct transaction errors generated through enrollment and eligibility interfaces.
Education
MBA - Business Administration
University of Phoenix
Philadelphia, PAMaster of Science - Health Administration
University of Phoenix
Tempe, AZ06.2025
Bachelor of Science - Health Policy And Administration
The Pennsylvania State University
University Park, PA05.2005
Skills
- Regulatory Policies
- Information Verification
- Standard Operating Procedures
- Impact Assessment
- Regulatory Submissions
- Cross-Functional Teamwork
- Research and Development
- Forms management
- Regulatory guidelines
- Quality control tests
- Lean Six Sigma
- Business Process Analysis
- 5S methodology
- User Acceptance Testing
- User requirements
- Project Management Professional (PMP)
Timeline
Product & Regulatory Affairs Sr. Analyst
CVS Health
09.2021 - Current
Senior Consultant- Business Process Improvement
CVS
03.2014 - 09.2021
Plan Sponsor Service Consultant
Aetna
09.2008 - 03.2014
MBA - Business Administration
University of Phoenix
Master of Science - Health Administration
University of Phoenix
Bachelor of Science - Health Policy And Administration
The Pennsylvania State University