Designed and launched a robust Compliance Program for over 15 practice locations within 18 months; program included over 150 policies & procedures, trainings, forms, and supporting documentation. Implemented implement policy management, training, and disclosure management systems. Developed and implemented an extensive auditing and monitoring program, which included enterprise risk assessment, application security assessments, security risk assessment, National Institute of Standards and Technology Assessments, and local practice audits. Developed a comprehensive remedial action plans in the event audit findings required further action. Established solid foundation for success by researching, interpreting and advising the organization on compliance with laws, regulations, and regulatory inquiries from HHS, CMS, and OIG regulators.

Contributed to the development and growth of a Compliance Program with a focus on the Seven Elements of an Effective Compliance Program. Managed all privacy investigations, documentation, risk analysis, reporting, and notification to members and to the Office for Civil Rights.Developed and maintained Compliance and HIPAA-specific policies and procedures as well as Compliance Program / Plan descriptions. Demonstrated leadership and communication by implementing, revising, and managing a comprehensive Third-Party Vendor Oversight program. Managed delegated third-party vendors including Behavioral Health, Pharmacy (PBM), Vision, Dental, and Disease Management. Evaluated and assessed Medicaid, Medicare, and Marketplace contracts and Business Units annually to ensure compliance with all requirements.

Instituted, monitored, and managed Compliance, Health Information Management, and HIPAA activities for over 50 radiation and medical oncology centers and corporate offices across 13 states. Ensured compliance with all requirements established by a Corporate Integrity Agreement in close partnership with internal and external resourcesMaintained the compliance program’s monthly / quarterly metrics reports and dashboards; highly skilled in auditing and monitoring the compliance and HIPAA programs. Provided quality leadership for the planning, design, and implementation of new programs and directives. Established protocols for auditing and monitoring Compliance programs, including privacy and security audits, cancer registry compliance, documentation audits, billing and coding audits, and other essential internal audits. Coordinated administrative response to external compliance reviews / audits and breach investigations in partnership with the Office for Civil Rights and other investigative agencies.✯ Director of Health Information Management (Privacy Officer) | 2012 to 2016✯ Manager of Health Information Management | 2011 to 2012✯ Quality Improvement Specialist | 2009 to 2011✯ Assistant Health Information Manager | 2006 to 2009