Mariah Decker

Supported compliance program operations across various health plans by aligning with CMS federal and state regulations. Assisted in compliance initiatives to enhance regulatory readiness through the development and delivery of training programs. Monitored regulatory changes affecting Medicare Advantage and healthcare operations. Maintained compliance documentation systems to promote audit readiness and regulatory accuracy. Collaborated with teams to aid in policy development and timely implementation of compliance updates. Coordinated responses to Medicare Advantage and Medicaid audits, including documentation analysis and submission support. Conducted compliance risk analysis and contributed to continuous improvement efforts across the organization. Oversaw repository systems to align with legal, contractual, and regulatory standards.

Assisted a team of compliance and credentialing specialists in managing clinician credentialing and file clearance according to federal, state, and Joint Commission standards. Conducted thorough reviews and audits of compliance documentation to support adherence to healthcare regulations and organizational policies. Aided in developing and implementing internal process improvements to boost accuracy and turnaround time. Collaborated with management to evaluate compliance metrics and workload distribution to align operations with department KPIs. Facilitated staff training and coaching sessions to enhance regulatory knowledge and team performance. Coordinated with internal departments and client facilities to address escalations and interpret compliance requirements. Supported the creation of standard operating procedures and documentation templates for the compliance department.

Monitored laws and regulations to promote public safety and order in Battle Creek, Michigan. Compiled reports documenting incidents and investigations for legal and administrative use. Assisted in gathering evidence and establishing facts during investigations.

Monitored federal, state, and tribal laws within Nottawaseppi Huron Band of Potawatomi jurisdiction to promote safety for tribal members, employees, and visitors. Conducted regular patrols and addressed incidents on tribal lands, including FireKeepers Casino, housing areas, and community facilities. Assisted in criminal and administrative investigations related to theft, fraud, narcotics, and other offenses on tribal land and within casino operations.

Led witness interviews to extract vital information and strengthen case integrity. Employed advanced investigative methods to reveal evidence and address complex case challenges. Oversaw case management processes to drive timely and effective legal outcomes.