NATASYA PANJAITAN
Inland Empire,CA
Summary
Health Plan Compliance Manager at Loma Linda University Health with proven expertise in regulatory compliance and complex health plan appeals. Successfully led internal initiatives that ensured audit readiness and fostered cross-functional collaboration. Extensive experience in Human Resources, covering talent acquisition, benefits, compensation, and employee relations. Proficient in data analysis and policy implementation, driving operational excellence and supporting organizational objectives.
Overview
4
4
years of professional experience
Work History
Health Plan Compliance Manager
Loma Linda University Health
Loma Linda, CA
05.2023 - Current
- Manage Level 1–3 health plan appeals in compliance with ERISA, DOL, and other regulations.
- Oversee subrogation cases from intake through recovery with insurers, attorneys, and providers.
- Supervise staff, conduct evaluations, and ensure adequate coverage and scheduling.
- Implement regulatory updates, maintain required notices, and coordinate vendor contracts.
- Lead internal initiatives and maintain audit-ready documentation for health plan compliance.
Management Resident, Shared Services Operations
Loma Linda University Health
Loma Linda, CA
04.2021 - 05.2023
- Completed leadership rotations in Talent Acquisition, Benefits, Compensation, Employee Engagement, Employee Relations, Compliance, Workers’ Compensation, Liability, and Analytics.
- Coordinated hiring for 90+ roles and led 7 job fairs during medical center expansion.
- Managed the Virtual Employee Benefits Fair and developed communication on wage adjustments.
- Supported workplace investigations, authored employee memos, and updated compliance workflows.
- Launched employee surveys and assisted in developing analytics dashboards for high-cost claims.
- Developed process maps, conducted audits, and drove improvements across HR functions.
Education
Master of Business Administration -
Claremont Graduate University
Claremont, CA05.2024
Bachelor in Business Administration -
Southern Adventist University
Collegedale, TN12.2020
Skills
- Regulatory compliance
- Health plan management
- Subrogation processes
- Data analysis
- HR software proficiency
- HR analytics
References
References available upon request.
Timeline
Health Plan Compliance Manager
Loma Linda University Health
05.2023 - Current
Management Resident, Shared Services Operations
Loma Linda University Health
04.2021 - 05.2023
Master of Business Administration -
Claremont Graduate University
Bachelor in Business Administration -
Southern Adventist University
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