Sandra Olaguez
Ontario,CA
Summary
Compliance professional with extensive experience in regulatory adherence and risk assessment. Adept at fostering collaborative environments and driving compliance initiatives. Known for flexibility and reliability in dynamic settings, leveraging analytical skills and attention to detail.
Overview
8
8
years of professional experience
Work History
Analyst II
Inland Empire Health Plan, Care Management
06.2022 - Current
- Verified documentation against compliance standards and communicated deficiencies to resolve issues.
- Enforced regulatory policies and procedures across different teams and programs.
- Investigated reported and identified compliance issues against accepted standards.
- Collected and reviewed data to identify potential compliance issues requiring further review.
- Reviewed records in cases of potential liability and determined compliance actions.
Project Coordinator (Contract Position)
Pulse Clinical Alliance
09.2021 - 10.2021
- Collaborated with cross-functional teams to draft schedules and plans.
- Set project goals and schedule with owners and team members.
- Produced status reports for customers and senior management.
- Documented labor hours and budget expenses for projects.
- Implemented procedural updates to correct deficiencies and improve operations.
Quality Analyst
United Health Group, Optum
01.2018 - 07.2021
- Maintained quality assurance procedure documentation.
- Identified quality trends to investigate process inefficiencies.
- Recommended improvements to systems and procedures for increased productivity.
- Streamlined processes, increasing efficiency and consistency.
- Created and revised SOPs and training materials.
- Analyzed data sets gathered through testing to produce and present reports.
Claims Customer Representative
United Health Group, Optum
04.2017 - 01.2018
- Complied with confidentiality regulations in handling customer information.
- Checked documentation for appropriate coding, catching errors and revisions.
- Examined claims, records and procedures to grant approval of coverage.
- Assessed policy coverage and pulled contracts for review.
- Served as subject matter expert for claims, appeals and grievances
Education
J.D. - Legal Studies
University of La Verne, College of Law
Ontario, CA12-2027
Master of Science - Leadership And Management
University of La Verne
La Verne, CABachelor of Science - Organizational Management
University of La Verne
La Verne, CASkills
- Microsoft office
- Audit processes
- Policy knowledge
- SOP development
- Project Management
- Continuous Improvement
- Regulatory compliance monitoring
Timeline
Analyst II
Inland Empire Health Plan, Care Management
06.2022 - Current
Project Coordinator (Contract Position)
Pulse Clinical Alliance
09.2021 - 10.2021
Quality Analyst
United Health Group, Optum
01.2018 - 07.2021
Claims Customer Representative
United Health Group, Optum
04.2017 - 01.2018
J.D. - Legal Studies
University of La Verne, College of Law
Master of Science - Leadership And Management
University of La Verne
Bachelor of Science - Organizational Management
University of La Verne
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