Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic

Monique Thomas

Little Elm

Summary

Compliance expert with a track record of leading investigations and developing risk mitigation strategies. Skilled in analyzing compliance trends and collaborating with cross-functional teams to enhance organizational frameworks and ensure regulatory adherence.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Compliance Investigations Officer

Conifer Health Solutions
Frisco
01.2023 - Current

Lead investigations into noncompliance, assessing risks and collaborating with stakeholders for corrective actions.

  • Investigated and resolved complex compliance matters referred through centralized compliance processes.
  • Established relationships with client compliance contacts to facilitate effective issue resolution.
  • Identified trends across service lines, partnering with operations to mitigate recurring risks.
  • Identified monitoring and auditing opportunities to reduce compliance exposure.
  • Advised compliance leadership on emerging risks and necessary training needs.
  • Assisted in developing remediation plans for substantiated compliance issues.

Compliance Administrator

Dallas Nephrology Associates (DNA)
Dallas
01.2022 - 12.2022

Oversaw compliance investigations, developed policies, and mitigated risks to strengthen organizational compliance framework.

  • Conducted investigations and risk assessments for breach incidents, ensuring adherence to compliance standards and minimizing future risks.
  • Developed and revised policies to enhance compliance operations, aligning practices with regulatory requirements and organizational goals.
  • Implemented compliance incident reporting program for all team members.
  • Facilitated quarterly compliance committee meetings aligned with annual work plan.
  • Collaborated with HR, legal, information security, and clinical operations during investigations.
  • Identified monitoring and auditing opportunities to minimize recurring issues.

Compliance Investigations Officer

Conifer Health Solutions
Frisco
01.2020 - 12.2022
  • Investigated and resolved complex compliance issues, ensuring regulatory adherence across multiple client sites.
  • Monitored client-specific trends to develop targeted risk-reduction strategies that enhanced compliance protocols.
  • Identified compliance patterns and collaborated with operations to implement preventative measures against future occurrences.
  • Provided leadership with insights on emerging risks and potential training opportunities.

Associate Compliance Officer

Conifer Health Solutions
Frisco
01.2019 - 12.2020
  • Identified risk areas and developed targeted mitigation plans to minimize exposure to compliance violations.
  • Guided business units to achieve compliance with policies and procedures, enhancing regulatory adherence.
  • Established collaborative relationships with client compliance contacts and internal stakeholders, fostering open communication and alignment on compliance objectives.

Senior Compliance Analyst

Conifer Health Solutions
Frisco
01.2018 - 12.2019
  • Conducted compliance reviews to ensure adherence to regulatory requirements and internal policies.
  • Identified potential risks through thorough analysis of compliance practices.
  • Presented detailed reports outlining risks and recommendations for improvement.
  • Developed standardized processes and templates to enhance team efficiency.

Regional Care Continuity Supervisor

Conifer Health Solutions
Frisco
01.2017 - 12.2018
  • Reduced patient return visits by over 60% through optimized follow-up processes.
  • Trained staff to overcome performance barriers, enhancing overall patient outcomes.
  • Managed hiring, training, scheduling, and performance development to strengthen team capabilities.
  • Supervised 15 remote coordinators to ensure continuity of patient care across nine hospitals.

Medical Eligibility & Counseling Services Supervisor

Conifer Health Solutions
Frisco
01.2015 - 12.2017
  • Supervised 10 financial advocates to ensure compliance with 501(r) regulations and assistance policies.
  • Oversaw financial assistance write-offs and appeals, collaborating with market leaders to optimize resources.
  • Streamlined workflows through targeted process improvements, resulting in enhanced customer satisfaction.

Education

Master of Healthcare Administration (MHA) -

Ashford University

Bachelor of Science - Criminal Justice

University of North Texas

Skills

  • Compliance auditing and monitoring
  • HIPAA and PHI risk assessment
  • Compliance investigations
  • Corrective action and remediation
  • Policy development
  • Trend and risk analysis
  • Cross-functional collaboration
  • Client relationship management
  • Process improvement
  • Regulatory Compliance

Websites

Certification

Certified in Healthcare Privacy Compliance (CHPC), 10/27/22

Timeline

Compliance Investigations Officer

Conifer Health Solutions
01.2023 - Current

Compliance Administrator

Dallas Nephrology Associates (DNA)
01.2022 - 12.2022

Compliance Investigations Officer

Conifer Health Solutions
01.2020 - 12.2022

Associate Compliance Officer

Conifer Health Solutions
01.2019 - 12.2020

Senior Compliance Analyst

Conifer Health Solutions
01.2018 - 12.2019

Regional Care Continuity Supervisor

Conifer Health Solutions
01.2017 - 12.2018

Medical Eligibility & Counseling Services Supervisor

Conifer Health Solutions
01.2015 - 12.2017

Master of Healthcare Administration (MHA) -

Ashford University

Bachelor of Science - Criminal Justice

University of North Texas

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Monique Thomas