Yusara Millan
San Jose,CA
Summary
Proven Compliance Analyst and Clinical Data & Project Specialist at Satellite Healthcare, adept in leveraging analytical thinking and project management to enhance compliance and operational efficiency. Excelled in developing training programs and leading change initiatives, significantly mitigating risk and fostering a culture of regulatory adherence. Demonstrates exceptional problem-solving abilities and a commitment to outstanding customer service.
Overview
7
7
years of professional experience
Work History
Compliance Analyst
Satellite Healthcare
01.2019 - Current
- Assisted with Regulatory assignments such as: Mock surveys, Administrative surveys, teaching the Regulatory Class for new comers, assisted with clinic plan of correction for the State.
- Conducted reviews for investigations in he field.
- Assisted in the preparation of reports for senior management, outlining findings from investigations into suspected non-compliant activities.
- Collaborated with cross-functional teams for the successful implementation of new compliance initiatives.
- Contributed to the development of a strong compliance culture within the organization by promoting awareness of relevant rules and guidelines through training sessions and communications campaigns.
- Assisted investigation and risk management teams with fraud investigations and risk identification.
- Prepared documentation and records for upcoming audits and inspections.
- Administrator of the reporting Hot Line
- Participated in external audits, liaising with regulators to address any concerns raised during inspections effectively.
- Improved company''s risk management strategy by identifying, assessing, and mitigating potential risks related to noncompliance.
- Developed comprehensive training programs to ensure staff understanding of relevant regulations and policies.
- Conducted regular reviews of company policies and procedures for alignment with regulatory requirements and industry best practices.
Clinical Data & Project Specialist
Satellite Healthcare
08.2017 - 12.2018
- Implemented change management initiatives that minimized disruptions during periods of organizational transition or restructuring.
- Spearheaded process improvements that resulted in increased productivity and streamlined workflows.
- Optimized resource allocation by closely monitoring project progress and adjusting as needed to maintain efficiency.
- Conducted thorough market research before launching new projects, ensuring a solid foundation for success and mitigating potential risks.
- Serves as Security Officer with access to CW accounts for all Satellite Dialysis and WellBound centers; considered the subject matter expert for CW
- Maintains (activates/deactivates) user accounts and assigns appropriate role and scope
- Monitors achievement of annual security training requirements
- Notifies account holders of changes, trainings, updates
- Trains/assists account holders as needed
- Ongoing monitoring /correction of patient identifiers
- Contacts centers, Accounts Receivable, CW, Network, and CW data to resolve issues, often direct action has to be taken
- Monitors status of Electronic Submissions
- Resolves error codes
- Identifies and enters missing data
- Audits data submission accuracy and works with IT to resolve inaccurate data pulls
- Contacts the Network or other providers to check and correct patient status if necessary
- Monitors notices from CW to centers to ensure requests are fulfilled (missing forms, incomplete forms, patient activity reports)
- Complete or assist with CW data entry, forms, attestations, accretions
- Regulatory and/or education projects, as assigned
- Responsible for driving the Satellite Healthcare culture through values and customer service standards
- Accountable for outstanding customer service to all external and internal customers
- Develops and maintains effective relationships through effective and timely communication
- Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
Education
MBA - Healthcare Administration
University of Phoenix
Arizona2013
Skills
- Knowledge of laws and regulations
- Analytical thinking
- Problem-solving abilities
- Project Management
- Investigations expertise
- Regulatory knowledge
- Problem-solving abilities
- Investigative reporting
- Compliance Training
- Corrective action plans
- Internal Auditing
- Regulatory understanding
Languages
Spanish
Native or Bilingual
Timeline
Compliance Analyst
Satellite Healthcare
01.2019 - Current
Clinical Data & Project Specialist
Satellite Healthcare
08.2017 - 12.2018
MBA - Healthcare Administration
University of Phoenix
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