Natarsha Cassamajor
Sanford,FL
Summary
Knowledgeable Compliance Manager equipped with strategic planning and program leadership abilities honed Healthcare and Education industry environments. Establishes strong and successful policies to mitigate risk at each level and establish clear procedures for assessments, prevention and containment. Familiar with regulatory requirements to maintain strict controls.
Overview
9
9
years of professional experience
Work History
Vendor Risk and Oversight Manager
CareSource Management Group
Remote
05.2023 - Current
- Maintained direct oversight for assigned vendors and providers
- Participated in the development and maintenance of departmental policies and procedures
- Supported departmental subject matter experts in interpreting vendor and provider contract requirements, business, and compliance and regulatory requirements
- Monitored delegated/non-delegatedvendor/providers and internal business owner relationships to ensure compliance, optimal delegate/non-delegate performance and achievement of business goals according to service level and other contractual requirements
- Documented meetings with stakeholder to provide performance metrics feedback and identify opportunities to reduce risk and cure corrective action plans
- Supported the implementation of strategies to increase delegates/non-delegates engagement in driving toward quality outcomes and cost control initiatives
- Supported the development, approval and review of delegated/non-delegatedcontracts; ensure service levels meet current regulatory and quality baseline requirements
- Conducted pre-delegation assessments, ongoing delegation oversight, annual audits, deficiencies, and corrective action plans for vendors/providers
- Participated in joint operating committee and document quarterly business reviews, strategic partner reviews, and operational meetings with business owners and delegated/non-delegatedvendors and providers
- Maintained monthly/quarterly/annualreporting and ensure timely receipt of accurate and complete all regulatory and contractually required reports for delegated vendor and provider activities
- Supported delegated vendor and provider onboarding, including training, reporting and document retention; provide support to departments and business owners to enable effective management of delegates
- Stayed informed about the latest developments in delegation oversight field, including new products and services, through relevant subject matter resources, professional associations, industry conferences, training seminars, and other information sources
- Supported the development and accomplishment of delegation program activities in support of company strategies, goals and objectives
- Coordinated activities with all levels of staff as well as with delegated and potentially delegated external entities through clear and concise verbal and written communication
- Assisted in managing operational problems by bringing the vendor and departmental ops teams together to develop solutions and implement a chosen course of action
- Performed any other job duties as requested
Manager of Compliance and Risk Management
UCP Of Central Florida
Orlando, FL
03.2022 - 05.2023
- Developed short-term goals and long-term strategic plans to improve risk control and mitigation.
- Advised senior managers and staff on policy strategies for reducing liability and preventing losses.
- Oversaw risk and compliance function for six charter schools that also offer medical therapy services throughout the Central Florida region.
- Investigated allegations to check validity and recommend actions to minimize risk.
- Employed strong program management skills to successfully define and manage ongoing initiatives designed to control school and medical risks.
- Developed, implemented, and performed periodic audits to ensure compliance with school district, Florida statute, and federal therapy standards.
- Streamlined and centralized the risk reporting process and created a risk matrix according to common school and medical therapy risks.
Practice Manager
AdventHealth Centra Care
09.2018 - 03.2022
- Responsible for recruiting, staffing, training, disciplining, and evaluating center personnel
- Managed employee time and attendance and monitored staff turnover, absenteeism, and other human resource concerns
- Responsible for fiscal management of center operations, charged with developing an annual budget and daily financial duties
- Daily rounding with staff and patients to ensure the delivery of AdventHealth patient experience standards
- Ensured center operating activities are in compliance with regulatory licensure and accrediting regulations
- Communicated and maintained relationships with corporate clients to ensure satisfaction
- Responsible for aspects of accounts receivable management including monitoring claims and ensuring timely submission of reports
- Cross trained to handle front desk, clerical, and registration duties to ensure smooth center operation
- Extensive other duties as assigned due to the broad range of the position
Office Manager
Inspiration Health Care/Family Tree Chiropractic
05.2016 - 09.2018
- Managed the scheduling of patient appointments for two businesses with over 400 patients
- Coordinated office activities and operations to secure efficiency
- Familiar with insurance benefits verification and explanation of benefits
- Tasked with the financial management of the office and reconciling patient accounts
- Updated and assisted with the maintenance of a patient database system
- Coordinated the retrieval of medical records and authorized the HIPAA compliant release of records
- Managed the creation and upkeep of EMR charts
- Ensured the adherence of birth center regulations through thorough communication and staff meetings
- Built business relationships with different company representatives
Health Promotions Intern
American Lung Association
08.2016 - 04.2017
- Conducted research in order to build five presentations for signature American Lung Association programs
- Managed data collection for quarterly analysis for 13 Better Breathers Clubs
- Served as an American Lung Association Representative at different health fairs throughout Central Florida
- Managed constituent relations and gained experience in phone call outreach and cold call targeting
- Assisted in vetting and recruiting participants and speakers for American Lung Association events
- Extensive volunteer management experience for a signature American Lung Association event that raised over $60,000
Office Assistant
University of Central Florida
08.2015 - 01.2017
- Acted as a liaison between first year students and their advisors; interacted with 300+ constituents daily
- Participated in the strategic planning process for the academic year alongside the Executive Director
- Entrusted with major logistics roles for over 6 events with at least 200 attendees
- Managed the training for onboarding assistants, including general operations and special events training
Office of Health Informatics, RA University of Central Florida
05.2015 - 08.2015
- Collaborated with professor and other work study students in an active research study
- Conducted constituent interviews and reported back to the research team
- Named as co-author in published research article
Education
Bachelor of Science - Health Services Administration
University of Central Florida
Orlando, FL05.2017
Skills
- Microsoft office proficiency (Word, Excel, Access), EMR Software (NextGen, Prognocis, Sevocity, Smartcloud), Insurance Verification Software (TriZetto, Availity)
- Staff Recruitment and Hiring
- Risk Management Framework
- Compliance Assessments
- Proactive and Focused
- Business Relationship Management
- Quality Improvement Plans
- Prioritizing and Planning
- Prevention Strategies
- Risk Management Processes
Timeline
Vendor Risk and Oversight Manager
CareSource Management Group
05.2023 - Current
Manager of Compliance and Risk Management
UCP Of Central Florida
03.2022 - 05.2023
Practice Manager
AdventHealth Centra Care
09.2018 - 03.2022
Health Promotions Intern
American Lung Association
08.2016 - 04.2017
Office Manager
Inspiration Health Care/Family Tree Chiropractic
05.2016 - 09.2018
Office Assistant
University of Central Florida
08.2015 - 01.2017
Office of Health Informatics, RA University of Central Florida
05.2015 - 08.2015
Bachelor of Science - Health Services Administration
University of Central Florida