Randy K. DeBoer
Denver,CO
Summary
Senior leader with 30 years of healthcare experience, focusing on regulatory compliance and management. Proven expertise in federal and state regulations, successfully developing investigations and action plans for compliance audits. Skilled mediator and influencer, enhancing service quality through collaboration with staff and leadership. Recognized for strong communication skills and commitment to diversity initiatives that drive organizational effectiveness.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Compliance/Privacy Senior Consultant
Optum/United Health Group
06.2015 - 11.2024
- Covered the Optum California, Oregon and Washington regions.
- Monitored changes to laws and regulations to ensure compliance with State & Federal laws, regulations and mandates.
- Establish and implement standard policies, procedures, processes and best practices across UHG to promote compliance with applicable laws and contractual obligations.
- Conduct state-specific legal research and monitor changes to requirements to mitigate risks and achieve compliance.
- Support the collection of data for regulatory filings, coordinate and develop reports, projects, assessment tools to verify compliance.
- Provided diligence reporting for ongoing merger and acquisition process within supported regions.
- Reviewed Business Associate Agreements (BAA’s) with authority to approve or decline vendor redlines and provide redline replies.
Legal & Compliance Project Manager
Associated Third Party Administrators
Alameda, CA
10.2014 - 01.2015
- Working in the Compliance and Privacy office and reporting to the Privacy and Security Officer.
- Responsible for ongoing development of HIPAA/Hi-tech training, Risk and Management Analysis, reviewing and revising policies and procedures.
- Managed Compliance investigations, reviewed subpoena requests and had oversight Business Associate Agreements (BAA's).
Senior Project Manager
Rose International
San Ramon, CA
04.2012 - 08.2012
- Responsible for implementation of program and project objectives related to updated data collection within the Kaiser Permanente electronic medical record system, Epic.
- Creation of a formalized clinician referral process (Nationally), created updated training module for Advanced Directives, updating of policies and procedures, ensuring compliance to State/Federal privacy regulations and updating Kaiser Permanente’s Culturally Competent Care Guidelines for LGBT Health.
Compliance & Privacy Officer
Kaiser Permanente
Southern Alameda Area, CA
03.2008 - 07.2011
- Was the Hospital and Health Plan Compliance Officer for a service area comprising of two hospitals and 5 clinic sites consisting of primary care (Internal, Family Medicine, OBGyn, Pediatrics) and multi-specialty, i.e. Cardiology, Neurology, Surgery, Ophthalmology, Psychiatry as well as multiple pharmacy and lab services.
- Responsible for the strategic development, implementation and evaluation of compliance management systems at the Medical Center, and contracted services.
- Analyzed legal, regulatory, licensing and accreditation requirements and impact on operations, oversaw the development of compliance risk mitigation and corrective action plans.
- Ensured controls were in place to guarantee privacy, security, to identify fraud, waste and abuse.
- Managed detailed audits of Health Plan and Hospital managed services.
- Developed strong collaborative relationships with the external regulatory agencies and accreditation bodies.
Health Care Ombudsman Mediator (HCOM)
Kaiser Permanente
San Francisco, CA
03.2004 - 03.2008
- Implemented the HCOM role for the San Francisco Medical Center via education/training to Senior Leaders, and department with potential risk or high care volume: i.e. all hospital bases services, OBGyn, Surgery, Cardiovascular.
- Provided confidential consultation to patient, their families and physicians to resolve patient care issues.
- Acted as neutral party; made recommendations to assist in resolution of issue/dispute.
- Collaborated facility senior leaders to implement program and ensure program success.
Member Services Director
Kaiser Permanente
San Francisco, CA
05.2000 - 03.2004
- Managed contracts for Kaiser Permanente, ensuring compliance with regulatory standards.
- Led senior management consulting initiatives to optimize health plan operations.
- Coordinated HIV benefit services, enhancing accessibility for members.
- Provided member services support, addressing inquiries and resolving issues efficiently.
Education
Masters - Business Administration
University of Phoenix
Oakland, CABachelors of Science - Business Administration
University of Phoenix
San Francisco, CASkills
- Regulatory compliance and HIPAA expertise
- Policy development
- Risk assessment and management
- Legal research and data analysis
- Project management
- Training design and delivery
- Effective communication
- Problem solving
- Collaboration and teamwork
- Public speaking skills
- Conflict resolution strategies
Certification
CHC (Certified in Healthcare Compliance-HCCA)
Community Affiliations
- Kaiser Permanente Pride, 1994-2011, Co-Chair of Council 1994-1996, Co-Chair of Council 2009-2011
- EQuality Scholarship Collaborative, 2006-2013, Event Committee Co-Chair 2008-2013, Steering Committee 2008-Present
- Out and Equal Workplace Advocates, 1995-2011, Founding member Board of Directors 1995-2001, Co-chair Program Committee 1995-1998
Timeline
Compliance/Privacy Senior Consultant
Optum/United Health Group
06.2015 - 11.2024
Legal & Compliance Project Manager
Associated Third Party Administrators
10.2014 - 01.2015
Senior Project Manager
Rose International
04.2012 - 08.2012
Compliance & Privacy Officer
Kaiser Permanente
03.2008 - 07.2011
Health Care Ombudsman Mediator (HCOM)
Kaiser Permanente
03.2004 - 03.2008
Member Services Director
Kaiser Permanente
05.2000 - 03.2004
Masters - Business Administration
University of Phoenix
Bachelors of Science - Business Administration
University of Phoenix
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