Wendy See
Summary
Results-driven Quality Assurance Compliance Analyst at Maximus with expertise in regulatory compliance and audit management. Improvement in audit readiness and enhanced operational efficiency. Skilled in data analysis and project management, fostering collaboration and ensuring adherence to HIPAA standards while driving client satisfaction.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Quality Assurance Compliance Analyst
Maximus
10.2023 - Current
- Administer regulatory compliance procedures aligned with California Department of Public Health Services (DPHS) guidelines, achieving a 20% improvement in audit readiness.
- Led implementation of policy updates to meet DHCS requirements, increasing operational efficiency by 15%.
- Conducted internal audits and collaborated with auditors to ensure ongoing HIPAA compliance.
- Oversaw Health Care Options (HCO) regulatory audits, reducing audit risk through detailed documentation and corrective actions.
Client Coordinator
Maximus
08.2022 - 10.2023
- Streamlined benefits eligibility and medical record coordination for program enrollees, achieving a 95% success rate within SLAs.
- Enhanced compliance tracking for California healthcare programs, boosting efficiency by 10%.
- Developed and implemented customized care plans in coordination with DHCS, improving client satisfaction by 12%.
HR Administrative Specialist
YouthSERVE
06.2020 - 06.2022
- Spearheaded recruitment and onboarding of 50+ volunteers annually, increasing engagement by 20%.
- Managed social media campaigns and content creation, resulting in a 25% boost in engagement.
- Handled payroll, budget monitoring, and project coordination to ensure organizational transparency and effectiveness.
Education
Bachelor of Arts - Psychology and Education
University of California
Santa Cruz01.2021
Skills
- Regulatory Compliance (HIPAA)
- Audit Management
- Healthcare Operations
- Project Management
- Data Analysis
- Microsoft Office Suite
- Knowledge of Medi-Cal and Medi-care
Certification
- Certified in Healthcare Compliance (CHC)
- HIPAA Certification
- Completion of Annual Compliance Training
Languages
English
Native/ Bilingual
Timeline
Quality Assurance Compliance Analyst
Maximus
10.2023 - Current
Client Coordinator
Maximus
08.2022 - 10.2023
HR Administrative Specialist
YouthSERVE
06.2020 - 06.2022
Bachelor of Arts - Psychology and Education
University of California
Similar Profiles
Nicole JuradoNicole Jurado
Bilingual Customer Service Representative at MaximusBilingual Customer Service Representative at Maximus
Keona RichardsonKeona Richardson
Human Resources Manager at MaximusHuman Resources Manager at Maximus
Lamondre HowardLamondre Howard
Customer Service Representive at MaximusCustomer Service Representive at Maximus
Jillian BethellJillian Bethell
Quality Analyst at MaximusQuality Analyst at Maximus
Fiona O. EdemFiona O. Edem
AML Regulatory Compliance Analyst at AvantLinkAML Regulatory Compliance Analyst at AvantLink