Samantha Oyen
Barneveld,WI
Summary
Results-driven compliance professional with a proven track record of navigating complex regulatory landscapes to ensure organizational adherence to legal standards. Strong commitment to team collaboration while delivering reliable compliance solutions in dynamic environments. Expertise includes risk assessment, policy development, and regulatory reporting, complemented by a proactive and analytical approach to problem-solving. Adept at fostering a culture of compliance that aligns with organizational goals and mitigates potential risks.
Overview
12
12
years of professional experience
Work History
Compliance Consultant II
Medica
01.2024 - Current
- Lead, develop, and implement effective procedure initiatives to ensure compliance with all applicable laws, regulations, and organizational standards.
- Identify and drive organization wide initiatives to establish an efficient and robust sanction screening process that aligns with government programs, regulatory obligations, and maintains company integrity.
- Establish and grow internal business relationships to develop, improve, and execute oversight of meetings, auditing and monitoring, and department programs.
- Conduct internal and external audits with delegates vendors and internal stakeholders, including Compliance Program Effectiveness and final reporting to leadership.
Compliance Analyst II
Medica
01.2023 - 01.2024
- Provide monthly sanction screenings for compliance with state and federal standards.
- Identify areas of duplicative work, streamline processes for monthly and quarterly reporting to leadership.
- Co-own and lead annual risk assessments at an organization level.
- Assist in both internal and external auditing, monitoring, and reporting to delegates and leadership.
Care Coordinator II
Medica (formally known as Dean Health Plan)
01.2022 - 01.2023
- Team leader of training and new report initiatives.
- Direct member outreach to engage in healthcare screenings and preventative care.
- Lead initiative in pilot programs to grow our footprint in community support.
- Develop, grow, and train staff on outreach metrics to meet quality, HEDIS, and STARS requirements.
Regulatory Compliance Billing
UW Carbone Cancer Center
01.2021 - 01.2022
- Provide support for auditing activities related to financial reporting requirements.
- Collaborated with internal teams to ensure timely resolutions of customer and provider concerns related to billing disputes or errors.
- Reviewed contract and clinical trial agreements to ensure compliance with applicable regulations and laws pertaining to billing practices.
Finance Accounts Payable
Agrace HospiceCare Inc
01.2014 - 01.2021
- Resolved discrepancies between vendors and internal records.
- Managed relationships with vendors, ensure timely payments, and adherence to government and commercial contract regulations.
- Develop comprehensive reports on accounts payable activities to support senior management decisions.
- Monitored adherence to CMS, Medicaid, and commercial insurance contracts.
- Identify and implement opportunities for process improvement, cost savings, and automation of manual processes.
- Developed and lead support staff training to all levels of leadership within the organization.
Education
Bachelors of Science - Healthcare Administration
University of Phoenix
01-2012
Skills
- Project Management
- Risk Assessment
- Compliance monitoring
- Internal controls
- Sanctions compliance
- Corrective action plans
- Project management
- Detail Orientated
- Regulatory Knowledge
- Process Improvement
- Regulatory expertise
- Audit coordination
Timeline
Compliance Consultant II
Medica
01.2024 - Current
Compliance Analyst II
Medica
01.2023 - 01.2024
Care Coordinator II
Medica (formally known as Dean Health Plan)
01.2022 - 01.2023
Regulatory Compliance Billing
UW Carbone Cancer Center
01.2021 - 01.2022
Finance Accounts Payable
Agrace HospiceCare Inc
01.2014 - 01.2021
Bachelors of Science - Healthcare Administration
University of Phoenix