Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Todd Quigley

Ridgecrest,CA

Summary

Results-driven Configuration and Regulatory Analyst with extensive experience in healthcare systems, compliance communications, and enterprise data management. Proven track record of leading large-scale platform migrations, successfully auditing and transferring hundreds of millions of dollars in client accounts while safeguarding organizational compliance and financial integrity. Proficient in Hyland OnBase, QNXT, Clinical CareAdvance (CCA), PCT, Tableau, SharePoint, Smartsheet, and Microsoft Office Suite, with a strong focus on designing and optimizing regulatory correspondence for Medicare, Medi-Cal, Commercial, and DSNP programs. Recognized for enhancing operational efficiency, streamlining workflows, and developing scalable knowledge frameworks that mitigate risk, improve audit readiness, and foster cross-functional collaboration.

Overview

10
10
years of professional experience

Work History

Regulatory Letters Senior Analyst

Regal Medical Group
04.2023 - Current
  • Reengineered regulatory letter templates at Regal Medical Group by conducting a thorough analysis of existing templates, identifying gaps in compliance with state and federal healthcare regulations, including HIPAA and PHI standards, which involved cross-referencing current guidelines to ensure accuracy and completeness.
  • Leveraged Microsoft Excel to analyze and track template performance metrics, including compliance rates and error frequencies. By creating comprehensive spreadsheets that recorded feedback and revision histories, I identified trends and areas for improvement, facilitating the development of more effective letter templates that met regulatory requirements and enhanced operational efficiency.
  • Utilized advanced features in Microsoft Word to design dynamic templates that automate the insertion of patient-specific data and compliance language, leveraging tools like mail merge and conditional formatting to enhance operational efficiency and ensure consistent adherence to regulatory standards across various communication types.
  • Integrated industry best practices from previous experience with La Care Denials, Approvals, and Care Outs into the template reconfiguration process, working closely with a third-party translation team to implement and adapt all threshold languages. This collaboration ensured compliance with regulatory requirements and improved accessibility for diverse patient populations while streamlining workflows for utilization management and appeals processing.
  • Conducted training sessions for team members on the newly configured templates, providing guidance on best practices for usage and compliance, which facilitated smoother operations in medical management and ensured all staff were equipped to leverage the updated system effectively.
  • Remote

Configuration Analyst II - Surround Systems

Beacon Hill (L.A. Care)
05.2025 - 11.2025
  • Directed the migration of documentation platforms to Hyland OnBase , successfully configuring and deploying over 400 regulatory and client-facing templates across multiple Lines of Business. This modernization streamlined template management and accelerated update cycles, reducing turnaround time by more than a third while ensuring full accessibility for cross-functional teams.
  • Partnered closely with Quality Assurance teams to conduct peer reviews and validation exercises, strengthening compliance oversight and driving a measurable reduction in post-deployment defects. This collaboration established a higher standard of accuracy and consistency across all correspondence and configuration deliverables.
  • Designed, optimized, and maintained correspondence templates for Medicare, Medi-Cal, Commercial, and DSNP programs, aligning every deliverable with rigorous state and federal regulatory requirements. These efforts safeguarded 100% audit compliance while improving operational efficiency across critical health plan communications.
  • Enhanced system integrations with QNXT, Clinical CareAdvance (CCA), and Process Communication Tracking (PCT), eliminating redundant manual processes and creating more seamless data exchanges. These improvements reduced processing errors and strengthened workflow reliability for both clinical and administrative teams.
  • Championed the creation of detailed process documentation that standardized configuration practices, strengthened compliance readiness, and positioned the organization for long-term scalability and reduced operational risk during audits and system transitions.

Operations Analyst

KForce, Inc.
01.2020 - 03.2023
  • CRM Integration and Revenue Validation: Spearheaded the merger of multiple Salesforce CRM programs, resulting in a streamlined process that directly supported cross-functional teams in accurately validating over $40 million in annual revenue. This initiative enhanced data consistency and reliability across sales operations, significantly improving our team's efficiency in revenue tracking and reporting.
  • Data Translation for Strategic Insights: Translated complex data sets from various sources into actionable insights for senior management, enabling data-driven strategic decision-making. By synthesizing information from disparate CRM systems, I facilitated clear visualizations and reports that guided the executive team's initiatives to optimize revenue growth and enhance customer experiences.
  • Auditing and Discrepancy Resolution: Conducted comprehensive audits to identify and validate over 4,000 discrepancies in core sales values between two Salesforce CRMs. This rigorous analysis not only corrected inaccuracies but also improved overall data integrity, enabling sales leadership to make informed decisions with confidence in their metrics.
  • ATR Calculation Testing and Implementation: Analyzed and tested the new ATR (Average Transaction Revenue) calculation implementation by simulating various scenarios within a Salesforce sandbox environment. This proactive approach helped identify potential issues and optimized formula adjustments before implementation, ensuring seamless deployment and accuracy in revenue reporting.
  • Cross-Departmental Collaboration: Collaborated with sales, finance, and IT teams to develop and implement standardized processes for data entry and management across Salesforce platforms. This partnership fostered a unified data approach, improved inter-departmental communication, and laid the groundwork for future enhancements in revenue lifecycle management, ensuring Conga continued to lead the market effectively.

Data Analyst / Billing Specialist

The Care Group
01.2016 - 01.2020
  • Achieved and Exceeded Revenue Objectives: Consistently met and surpassed team-wide revenue targets by ensuring data accuracy and integrity, while leading the training of team members on industry best practices and departmental protocols to enhance performance.
  • Conducted Comprehensive Inventory Audits: Executed thorough audits of inventory transactions in alignment with corporate standards, performing investigative analyses that facilitated timely and effective resolutions to discrepancies, thereby supporting operational excellence.
  • Oversaw Prescription Transactions: Managed and validated prescription sales and refill orders using the Digital RX software system, ensuring accurate confirmation of patient insurance information and eligibility to optimize service delivery and compliance with regulatory requirements.
  • Resolved System Issues and Elevated Customer Service Standards: Actively troubleshot technical system issues and addressed customer escalations, developing and implementing standardized tracking methodologies in Excel and Google Drive that established a benchmark for transaction monitoring across the organization.
  • Enhanced Operational Efficiency through Data Insights: Leveraged analytical skills to derive actionable insights from complex data sets, contributing to informed decision-making processes and driving efficiencies within billing operations and customer service initiatives.
  • Verified accuracy of accounts payable payments, resulting in 30% reduction in payment errors and check reissues.

Financial Administrator

The Proper Image
01.2016 - 01.2020
  • Spearheaded the solicitation and management of charitable contributions from both corporate and individual sponsors, significantly enhancing fundraising outcomes for various high-profile events.
  • Served as the primary point of contact for clients, providing expert guidance throughout the event planning process and ensuring a seamless and personalized experience from conceptualization to execution.
  • Collaborated effectively as a liaison among clients, vendors, and public agencies to coordinate and execute high-profile events, such as the LA Wine Fest, ensuring all logistical elements were strategically aligned and delivered with excellence.
  • Oversaw comprehensive financial management functions, including accounts receivable and payable, as well as collection efforts, utilizing Claris FileMaker Pro cross-platform relational database software to ensure accuracy and integrity of customer billing and account validation.
  • Developed and implemented efficient event coordination processes, leading cross-functional teams to execute strategic initiatives and maintain high standards of service delivery across all stages of event management.

Education

High School Diploma -

North Hills Prep
North Hills, CA
01-1995

Skills

  • Hyland OnBase
  • QNXT
  • Clinical CareAdvance (CCA)
  • Process Communication Tracking (PCT)
  • Tableau
  • SharePoint
  • Smartsheet
  • Microsoft Office Suite
  • Regulatory Correspondence (Medicare, Medi-Cal, Commercial, DSNP)
  • HIPAA/PHI Compliance
  • Audit Readiness
  • Workflow Optimization
  • Data Analysis & Reporting
  • Process Documentation
  • Cross-Functional Collaboration
  • Quality Assurance
  • System Integration
  • Template Configuration

Accomplishments

  • Oversaw one of the largest account migrations in company history , ensuring the seamless transfer and audit of hundreds of millions of dollars in client portfolios. Exposed systemic discrepancies that, once corrected, safeguarded the organization from potential compliance failures and financial exposure.
  • Advanced rapidly to Senior Analyst status at Regal Medical Group, recognized for consistently exceeding quality benchmarks and driving innovation in regulatory correspondence management.
  • Spearheaded accessibility in healthcare communications , introducing streamlined processes for multi-language correspondence that strengthened patient engagement while maintaining full compliance with state and federal requirements.
  • Devised a scalable knowledge framework through formalized process documentation and targeted team training, significantly reducing onboarding times and reinforcing organizational readiness for audits and transitions.
  • Elevated executive decision-making by refining revenue reporting calculations within Salesforce, delivering accurate, actionable metrics that improved forecasting confidence and performance tracking.

Timeline

Configuration Analyst II - Surround Systems

Beacon Hill (L.A. Care)
05.2025 - 11.2025

Regulatory Letters Senior Analyst

Regal Medical Group
04.2023 - Current

Operations Analyst

KForce, Inc.
01.2020 - 03.2023

Data Analyst / Billing Specialist

The Care Group
01.2016 - 01.2020

Financial Administrator

The Proper Image
01.2016 - 01.2020

High School Diploma -

North Hills Prep