Director of Performance Improvement/Risk Management
Behavioral Hospital of Bellaire
Houston, TX
06.2022 - Current
Compile and present detailed reports on risk management activities and performance improvement metrics to stakeholders.
Provide direction and oversight to staff involved in safety and risk mitigation efforts, fostering a culture of continuous improvement.
Formulate and enforce risk management policies and procedures to ensure consistent and effective practices.
Manage regulatory site visits and develop comprehensive corrective action plans to address any deficiencies.
Lead performance improvement task forces, teams, and committees to drive collaborative efforts towards quality enhancement.
Advise hospital administration on potential risks and recommend strategic solutions to minimize exposure and enhance operational efficiency.
Advanced Quality Specialist
Texas Children’s Hospital
Houston, TX
05.2021 - 05.2022
Provides intradepartmental nursing leadership with consulting and analysis services to support behavioral health and patient flow initiatives intended to achieve breakthrough or incremental process improvement in patient care.
Ensures assigned system-wide accreditation, certifications, and designations are complete. – Successful completion of TCH Pediatric Physician Assistant Surgical Fellowship, TCH Orthopedic Physician Assistant Fellowship, and TCH Community Surgical Physician Assistant Fellowship application, which resulted in full accreditation with the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
Partner with operational leadership to oversee contractual services, to ensure that the services are provided safely and effectively to achieve optimal patient care. – quality metrics are tracked monthly and presented quarterly to the Regulatory Readiness committee and QSS Governing Board.
Director of Performance Improvement
Behavioral Hospital of Bellaire
Houston, TX
07.2018 - 05.2021
Reviewed and updated hospital policies and procedures to ensure compliance with The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and Texas Department of Health Services regulatory standards, Conditions of Participation, and administrative codes.
Established and measured performance metrics against organizational goals and objectives, ensuring progress in achieving programmatic growth and improving patient outcomes for both inpatient and outpatient populations.
Streamlined systematic process changes using Root Cause Analysis (RCA) and Failure Mode Effects Analysis (FMEA) to identify adverse or high-risk events and implement sustainable corrective actions, including process redesign.
Collected, analyzed, and managed quantitative data monthly, creating meaningful reports to drive business improvement for Solis Medical Laboratory, resulting in a 33.2% cost reduction ($13,399.96 to $8,952.57) within a three-month period, which is continuously maintained.
Created new service lines (Adolescent Partial Hospitalization Program/IOP) to guide the organization in maintaining and improving its competitive position and profitability.
Supervised the Medical Staff Credentialing Officer to ensure regulatory compliance regarding provider delineation of privileges and the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes.
Implemented a daily Environmental Hazard Round mechanism, leading to an 83% decrease in patient contraband from 2018 to 2019.
Senior Marketing Manager
Concern for Independent Living, Inc.
Medford, NY
09.2015 - 02.2018
Defined and identified market opportunities, implemented marketing strategies and developed sales plan to effectively penetrate the physician practices, hospitals, long-term care clinics, medical centers, surgical centers.
Demonstrated proficiency in the development and implementation of large group and individual presentations to identified customers and physicians on all aspects of the pharmaceutical services.
Promoted positive team relationships and maintained open lines of communication among sales, operations, clinical, and administrative personnel to achieve common goals and objectives.
Facilitated reporting and tracking on sales activities and developed forecasts on territory sales potential.
Assistant Director of Quality Assurance
St. Vincent’s Hospital Westchester
Westchester, NY
08.2013 - 08.2015
Implemented evidence-based interventions to reduce and prevent transmissions of infections in the hospital through a hand hygiene initiative and developed and maintained educational programs regarding infection control for a continuous 96-98% compliance in hand hygiene from all hospital employees, and contractors.
Facilitated team compliance of OMH, DOHMH, CMS, OSHA, and The Joint Commission compliance through documentation reviews, staff education and training, policy implementation, and tracking activities.
Responsible for ensuring quality standards for patient care is expanded to other clinical entities thus assuring efficient and effective coordination and delivery of all patient care services.
Provided in-depth analysis of all Medicaid Redesign Program metrics, patient satisfaction surveys, written and verbal compliments and complaints, and qualitative data from multiple sources.
Facilitated timely and accurate data collection, aggregation, and interpretation for submission to both internal and external regulatory and quality performance measurement entities.
Lead and managed projects using project plans; tracking key milestones using various project management tools to meet key deadlines and ensure team progress as we worked towards various departmental goals.
Administrative Coordinator of Psychiatry (CPEP)
Kings County Hospital
Brooklyn, NY
08.2009 - 08.2013
Launched and successfully managed 4 parts, 24 bed Comprehensive Psychiatric Emergency Program, with a budget of $4.5 million, interdisciplinary staff of 60, and commitment to clinical excellence and positive financial performance.
Managed and administered fiscal operations for total department, including accounting, planning budgets, authorizing expenditures, establishing rates for services and coordinating financial reports.
Conducted daily comprehensive assessments for individuals admitted with HIV/AIDS, substance abuse; suicidal ideations, sexual trauma, domestic violence, and other issues associated with their mental and physical health.
Collaborated with Psychiatrists to plan, monitor, review, and evaluate the efficiency of medication reconciliations and provided direct insight on drug applications and characteristics.
Education
Bachelor’s Degree - NursinG
University of Tulsa
01.2025
Master’s Of PubLic administration - health care management
Long Island University- Brooklyn Campus
01.2017
Bachelor’s Degree - criminology
John Jay College of Criminal Justice
01.2013
Skills
Expertise
Regulatory Compliance
TJC Standards/ CMS’ CoP’s
Data Analysis
Business Expansion
Process Improvement
Leadership/Management
Financial Operations
Provider Relations
Timeline
Director of Performance Improvement/Risk Management
Behavioral Hospital of Bellaire
06.2022 - Current
Advanced Quality Specialist
Texas Children’s Hospital
05.2021 - 05.2022
Director of Performance Improvement
Behavioral Hospital of Bellaire
07.2018 - 05.2021
Senior Marketing Manager
Concern for Independent Living, Inc.
09.2015 - 02.2018
Assistant Director of Quality Assurance
St. Vincent’s Hospital Westchester
08.2013 - 08.2015
Administrative Coordinator of Psychiatry (CPEP)
Kings County Hospital
08.2009 - 08.2013
Bachelor’s Degree - NursinG
University of Tulsa
Master’s Of PubLic administration - health care management
<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.
Director of Performance Improvement, Risk Management & Facility Compliance Officer at UHS Garfield Park HospitalDirector of Performance Improvement, Risk Management & Facility Compliance Officer at UHS Garfield Park Hospital
<ul><li>Key Role: Heading the HSE & AI department and acting as a Senior Management Personnel (SMP)</li><li>Responsibilities:</li><li>Corporate HSE & AI Functions:</li><li>Developed and implemented IRM’s HSE & AI policy and management system.</li><li>Spearheaded leadership development and safety culture initiatives across all levels.</li><li>Facilitated internal and external HSE communications and corporate-level engagement programs.</li><li>Oversaw compliance for ERDMP certification, PCB consents, and environmental audits.</li><li>Led HSE training strategy including induction programs and annual training calendars.</li><li>Initiated and monitored HSE & AI performance improvement plans and audits.</li><li>Developed strategic safety KPIs, trend analysis, and corporate-level MIS reporting.</li><li>Managed safety tours, incident investigations, and safety reward programs.</li><li>Championed process safety, MOC, RCA reviews, and critical safety studies.</li><li>Ensured effective GA-level implementation of HSE policies and risk management.</li><li>Conducted safety campaigns, mock drills, and employee engagement activities.</li><li>Geographical Area (GA) Operations HSE & AI Oversight:</li><li>Engaged field teams and contractors for proactive HSE compliance and audits.</li><li>Reviewed and maintained Asset Integrity systems including HAZOP, QRA, and Risk Registers.</li><li>Participated in PNGRB, IMS audits and implemented corrective actions at GA level.</li><li>Facilitated incident reporting to authorities and supported root cause investigations.</li><li>Supported GA-level environmental and emergency preparedness programs.</li></ul> at IRM Energy Limited<ul><li>Key Role: Heading the HSE & AI department and acting as a Senior Management Personnel (SMP)</li><li>Responsibilities:</li><li>Corporate HSE & AI Functions:</li><li>Developed and implemented IRM’s HSE & AI policy and management system.</li><li>Spearheaded leadership development and safety culture initiatives across all levels.</li><li>Facilitated internal and external HSE communications and corporate-level engagement programs.</li><li>Oversaw compliance for ERDMP certification, PCB consents, and environmental audits.</li><li>Led HSE training strategy including induction programs and annual training calendars.</li><li>Initiated and monitored HSE & AI performance improvement plans and audits.</li><li>Developed strategic safety KPIs, trend analysis, and corporate-level MIS reporting.</li><li>Managed safety tours, incident investigations, and safety reward programs.</li><li>Championed process safety, MOC, RCA reviews, and critical safety studies.</li><li>Ensured effective GA-level implementation of HSE policies and risk management.</li><li>Conducted safety campaigns, mock drills, and employee engagement activities.</li><li>Geographical Area (GA) Operations HSE & AI Oversight:</li><li>Engaged field teams and contractors for proactive HSE compliance and audits.</li><li>Reviewed and maintained Asset Integrity systems including HAZOP, QRA, and Risk Registers.</li><li>Participated in PNGRB, IMS audits and implemented corrective actions at GA level.</li><li>Facilitated incident reporting to authorities and supported root cause investigations.</li><li>Supported GA-level environmental and emergency preparedness programs.</li></ul> at IRM Energy Limited