TIEN T TRAN
Olympia,WA
Summary
Highly efficient Program Compliance Coordinator with expertise in internal auditing and data analysis. Hardworking and team-oriented professional assesses and develops systems for regulatory compliance.
Overview
3
3
years of professional experience
Work History
Program Compliance Coordinator I & II
Consumer Direct Care Network
08.2024 - Current
- Monitor all state, federal, and contract requirements and conduct corresponding internal reviews.
- Handle complex service programs such as Timecard Fraud and Medicaid Fraud. Gather and compile all relevant information to substantiate the fraud claim and submit a referral to DSHS.
- Handle complex special projects such as Corrective Action for Over Authorization and Over Work Week Limit. Investigate and issue a corrective action for any individual provider who has exceeded the monthly authorized hours and the Work Week Limit.
- Demonstrate effective problem solving and decision-making skills.
Service Coordinator I & II & III
Consumer Direct Care Network
01.2022 - 08.2024
- Assist with daily intake and referral processes to set clients up for services, coordinating their in-home care needs in compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules.
- Maintain and coordinate a caseload of clients enrolled in Medicaid programs and conduct regular check-ins on clients to update care plans if that client’s needs change.
- Collaborate with stakeholders regarding the delivery of services. Comply with applicable legal requirements, standards, policies, and procedures. Represent the company at stakeholder meetings, health fairs, and provider fairs.
- Provide excellent customer service to internal and external clients.
- Handle complex service programs and special projects, enroll clients and employees in services, web portal, and EVV systems as needed.
- Answer and make phone calls and occasional video calls.
- Incumbent may encounter frequent interruptions throughout the workday.
Customer Success Coordinator I
Actriv Healthcare
05.2023 - 04.2024
- Obtain detailed assignment information from customers and utilize it to provide effective customer service.
- Schedule/coordinate client care staff according to client's needs and specialties, especially immediate or last-minute orders.
- Managing daily, weekly and monthly orders. Create shift reports and conduct routine maintenance to the database.
- Develop work schedules by allocating employees open shifts and assignments.
- Troubleshooting to resolve the problems or complaints of customers and employees.
- Accurately enter and maintain data relative to scheduling using company software.
- Strictly oversees and implements client contact requirements while ensuring compliance with internal and external policies and regulation.
Education
Bachelor of Arts - Management Information Systems
University of Washington
Bothell, WA08-2020
Skills
- Time management
- Excellent communication
- FLUENT IN Vietnamese
- Critical thinking
- Data management
- Decision-making
- Multitasking
- Task prioritization
- Analytical and critical thinking
- Collaboration
Timeline
Program Compliance Coordinator I & II
Consumer Direct Care Network
08.2024 - Current
Customer Success Coordinator I
Actriv Healthcare
05.2023 - 04.2024
Service Coordinator I & II & III
Consumer Direct Care Network
01.2022 - 08.2024
Bachelor of Arts - Management Information Systems
University of Washington
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