Tiffany Krampota
Humana, Inc.
Tallahassee,FL
Summary
Healthcare operations and project coordination professional with experience supporting cross-functional initiatives, stakeholder engagement, program administration, reporting, and regulatory compliance across healthcare, higher education, and government organizations. Proven ability to coordinate meetings and workgroups, manage documentation and reporting, track projects and deliverables, facilitate communication among diverse stakeholders, and support process improvements that enhance operational effectiveness and team performance.
Work History
Senior Compliance Professional
3 Years 3 Months- Serve as dual eligible special needs (D-SNP) compliance subject matter expert supporting regulatory compliance, operational risk management, auditing, and program oversight
- Interpret regulatory requirements, State Agency Medicaid Contracts (SMACs), and organizational policies to provide guidance, ensure compliance, and support operational decision-making.
- Conduct end-to-end internal audits, including scope development, scheduling kick-off meetings, managing deliverables, tracking timelines, facilitating stakeholder communications, and preparing final reports.
- Develop status reports, project trackers, workflow documentation, and presentation materials used to support leadership decision-making and organizational readiness activities.
- Coordinate and facilitate recurring cross-functional workgroups by scheduling meetings, preparing materials, documenting action items, tracking follow-up activities, and ensuring alignment on regulatory and operational initiatives.
Social Science Research Analyst
1 Year 10 Months- Coordinated annual Medicaid External Quality Review (EQR) reporting activities across 45 states, partnering with contractors and stakeholders to manage timelines, facilitate meetings, track deliverables, prepare status updates, and validate findings that supported performance monitoring and compliance oversight.
- Developed reports, technical assistance resources, and Medicaid.gov content supporting federal managed care requirements.
- Coordinated webinar logistics, prepared presentation materials, managed stakeholder communications, and delivered technical assistance sessions supporting program implementation and compliance efforts.
- Prepared executive reports, presentations, briefing materials, and status updates for leadership, ensuring information was organized, accurate, and actionable.
Government Analyst II
4 Years- Managed ongoing Agency communications and coordination activities for 11 managed care organizations, tracking reporting requirements, resolving issues, and ensuring timely completion of Medicaid program deliverables.
- Planned and facilitated virtual and in-person stakeholder meetings, prepared meeting materials, documented key decisions, and coordinated follow-up actions across participating organizations.
- Created reporting tools, project documentation, workflow resources, and process guides that improved program tracking, reporting accuracy, and operational efficiency.
- Drafted clear written and verbal communications, including policy transmittals, Agency presentations, reports, and public-facing materials, to ensure transparency and alignment among managed care plans, internal departments, and external stakeholders.
Clinical Program Coordinator
4 Months- Managed administrative and operational functions supporting the clinical education phase of the Physician Assistant (PA) Program, ensuring compliance with accreditation standards and coordination of student clinical experiences across six regional campuses.
- Coordinated complex scheduling, onboarding, credentialing, and placement activities for physician assistant students across six regional campuses while tracking deadlines and compliance requirements.
- Maintained program calendars, coordinated meetings, prepared reports and supporting documentation, and tracked action items related to accreditation and clinical operations..
Provider Liaison
5 Years 5 Months- Built and maintained strong provider network relationships across eight counties for a Medicaid managed care plan run by the University of Florida.
- Resolved client and member-level issues by actively listening to concerns, researching prior authorization, claims, credentialing, and directory discrepancies, and coordinating with internal teams to deliver timely, accurate resolutions.
- Conducted direct provider outreach, site visits, email, and phone support to promote understanding of policies, procedures, and plan requirements.
- Maintained provider databases and credentialing records to support reporting accuracy, regulatory compliance, and directory integrity.
Staffing Systems Coordinator
5 Years 6 Months- Managed hospital-wide float pool staffing operations by analyzing patient census, acuity, and workforce data to optimize staffing coverage and resource utilization across inpatient nursing units.
Certified Nursing Assistant
5 Years 5 Months- Provided direct patient care in a hospital setting while supporting clinical staff, patient safety, and service quality.
Education
Master of Science - Healthcare Administration
Bachelor of Arts - Exceptional Student Education
Skills
Virtual Meeting Facilitation (Webex
Zoom and Microsoft Teams)
Microsoft Excel
Word
Powerpoint
Outlook
SharePoint
Salesforce
PowerBi Dashboard Reporting and Metrics Monitoring
Adobe Acrobat Pro
Database Management
Smartsheets
SKILLS
- Project Coordination and Tracking
- Stakeholder Management
- Documentation Management
- Cross-Functional Collaboration
- Status Reporting
Certification
CPC-A, Certified Professional Coder - American Academy of Professional Coders, ID#01443277
Timeline
Social Science Research Analyst
Centers for Medicare & Medicaid Services (CMS)
06.2023 - 04.2025Read More
Senior Compliance Professional
Humana, Inc.
05.2023 - CurrentRead More
Government Analyst II
Florida Agency for Health Care Administration (AHCA)
05.2019 - 05.2023Read More
Clinical Program Coordinator
Florida State University, College of Medicine
01.2019 - 05.2019Read More
Provider Liaison
University of Florida, College of Medicine
08.2013 - 01.2019Read More
Staffing Systems Coordinator
Tallahassee Memorial Hospital
01.2008 - 07.2013Read More
Certified Nursing Assistant
Bay Medical Center
07.2003 - 12.2008Read More
University of West Florida
Master of Science from Healthcare Administration
Read More
University of West Florida
Bachelor of Arts from Exceptional Student Education
Read More