Robin Paige Conner
Hollywood,Florida
Summary
Leverage extensive knowledge of federal and state healthcare regulations to lead compliance teams in developing strategic educational initiatives. Conduct thorough audits and prepare actionable reports that enhance organizational adherence and risk management. Cultivate a culture of compliance through effective training and stakeholder engagement.
Overview
1
1
Certification
34
34
years of professional experience
Work History
Director Corporate Compliance
Memorial Health Care Systems
Hollywood, Florida
01.2021 - Current
- Performed compliance audits to evaluate system adherence to state and federal laws, Medicare and Medicaid guidelines, and hospital policies and procedures.
- Reviewed and analyzed conflicts of interest, escalating potential issues to committee for resolution.
- Drafted and published educational materials for hospital system employees on compliance topics.
- Educated healthcare system leaders on federal and state healthcare laws and updates through audit working committees and presentations.
- Facilitated departmental meetings to discuss compliance audit findings and develop action plans.
- Supported the Chief Compliance Officer in creating policies and procedures for the ACO.
- Developed policies and procedures to support compliance with corporate standards.
- Collaborated with MHS legal team to prepare medical information for pending litigation and government payer recovery.
- Worked with a compliance officer to develop and implement an annual compliance department work plan.
- Monitored direct reports and supported growth in skill development, regulatory knowledge, and productivity.
- Supervised and developed compliance staff to strengthen knowledge of departmental policies, workflows, compliance regulations, and fraud and abuse laws.
- Maintained compliance with relevant regulations, policies, and procedures.
- Participated in ACO meetings and monitored completion of education, conflict of interest, compliance, and code of conduct attestations.
- Analyzed data to inform decision-making and influence strategic direction.
- Contributed to discussions in committee meetings to ensure alignment with compliance standards.
- Prepared audit reports with corrective action recommendations.
- Partnered with the compliance officer to support hospital system adherence to state and federal laws.
- Assessed employee performance against established benchmarks and targets.
- Represented the organization at industry events, conferences, and public meetings.
- Supported hotline investigations and communicated findings to relevant stakeholders.
- Partnered with staff to create professional development plans supporting personal and business growth.
Compliance Auditor
Memorial Health Care Systems
Hollywood, Florida
06.2009 - 01.2021
- Conduct compliance audits to assess system alignment with state and federal laws, Medicare and Medicaid guidelines, and hospital policies and procedures.
- Perform focused audits, analysis, and reporting to identify compliance gaps, strengthen internal controls, and improve cost efficiency and processes.
- Investigate non-compliance concerns raised by employees, patients, physicians, and the public.
- Compiled audit reports with findings and actionable recommendations for corrective actions and process improvements.
- Coordinated audit activities with external auditors and presented results to Memorial Healthcare System leadership.
- Facilitated meetings with departments to review compliance audit findings and develop action plans.
- Train and develop new compliance audit staff on departmental policies, procedures, workflow, and productivity expectations.
Clinical Resource Manager
Memorial Regional / Joe DiMaggio Children's Hospital
Hollywood, Florida
01.2005 - 06.2009
- Controlled costs through thorough case review and strategic resource allocation.
- Developed outcome improvement programs to enhance patient care processes.
- Coordinated discharge planning to ensure alignment with appropriate care levels.
- Reviewed utilization using InterQual criteria to support correct patient status.
- Obtained authorizations according to state-regulated program requirements.
- Participated in CMS initiatives to enhance compliance.
Manager
Vista Health Plan
Sunrise, Florida
01.1998 - 01.2005
- Coordinated support for 30-member staff of case managers and disease managers to enhance program effectiveness.
- Facilitated preauthorization chart review and ensured utilization oversight to optimize patient care.
- Helped develop and carry out disease management program policies and procedures.
- Served as a resource contact for Medicaid and Medicare.
- Supported contract negotiations with third-party providers.
- Oversaw health plan compliance with state program requirements to mitigate regulatory risks.
ICU Nurse
Memorial Regional Hospital
Hollywood, FL
07.1997 - 07.1998
- Assisted with life-saving procedures and emergency interventions for critically ill patients.
- Provided registered nursing care for critically ill children.
- Provided comprehensive support in pediatric ICU and medical-surgical care for critically ill children.
- Collaborated with physicians and specialists to develop tailored patient care plans.
- Participated in interdisciplinary rounds to enhance coordinated patient care.
Charge Nurse
Miami Children's Hospital
Miami, Florida
06.1992 - 07.1998
- Supported ECMO specialist in managing life-saving procedures for high-acuity patients.
- Facilitated code team response to ensure timely emergency care.
- Directed nursing staff to deliver high-quality patient care.
- Created and implemented nursing care plans tailored to individual patient needs.
- Completed daily rounds to assess patient conditions, track progress toward goals, and document care changes.
- Supported case management activities by tracking patient needs and care coordination.
- Facilitated discharge planning to ensure patients transitioned safely to the next care settings.
- Worked with physicians to align patient treatment plans.
- Led staff meetings focused on patient care improvements.
- Delivered staff instruction and training to enhance nursing competencies.
- Served as preceptor for new nurses, providing orientation, clinical coaching, and professional guidance.
- Participated in quality improvement initiatives to uphold best-practice standards across unit.
- Assisted the transport team in safely moving patients between care areas.
Education
Master Healthcare Administration -
Western Governors University
09-2026
Master in Business Administration -
Florida Atlantic University
Davie, Florida01-2001
Bachelors Science - Nursing
Western Carolina University
Cullowhee, North Carolina06-1992
Skills
- Regulatory compliance
- Compliance auditing and analysis
- Policy development
- Risk assessment
- Data analysis
- Project management
- Stakeholder engagement
- Team leadership
- Compliance training
Personal Information
Title: Director Corporate Compliance
Certification
Certified Healthcare Compliance (CHC), Certified Professional Medical Auditor (CPMA) AAPC April 2016, Certified Professional Coder (CPC) AAPC February 2009, Certified Case Manager (CCM) October 2002, Legal Nurse Consultant (LNC) June 1999, Advanced Cardiac Life Support (ACLS) July 1997, PALS/ NALS/BLS June 1992
Timeline
Director Corporate Compliance
Memorial Health Care Systems
01.2021 - Current
Compliance Auditor
Memorial Health Care Systems
06.2009 - 01.2021
Clinical Resource Manager
Memorial Regional / Joe DiMaggio Children's Hospital
01.2005 - 06.2009
Manager
Vista Health Plan
01.1998 - 01.2005
ICU Nurse
Memorial Regional Hospital
07.1997 - 07.1998
Charge Nurse
Miami Children's Hospital
06.1992 - 07.1998
Master Healthcare Administration -
Western Governors University
Master in Business Administration -
Florida Atlantic University
Bachelors Science - Nursing
Western Carolina University