Deana Estes Email & Phone Number

Dallas, Texas, United States

Frisco, Tx

*Establishes and manages commercial client relationships with Conifer compliance.*Ensures quality and timeliness of client communications and reports.*Facilitates communications between clients and key client compliance contacts and establishes agreements regarding engagement and scope of work for compliance services.*Leads and develops a team of Compliance Officers, Associate Compliance Officers, and Compliance Specialists who are responsible for responding to compliance matters. *Manages Compliance Officers who will be functioning as Compliance Client Liaisons for assigned clients or client markets and regions. *Reviews designated client compliance metrics to identify key risks and trends, and develops and implements mitigation strategies. *Escalates incidents to Senior Leaders and other stakeholders as appropriate.*Provides direct oversight on incident documentation quality assurance and addresses deficiencies.

Frisco, Tx

Compliance Incident Management• Responding to, investigating, and resolving potential compliance issues referred to him/her through the centralized department incident management process.• Communicating with clients and collaborating with internal business partners including, but not limited to: Human Resources, Legal, and Operations, as needed, throughout the incident management process.• Identifying potential trends in the incident management process at client sites and working with members of operations to mitigate future compliance issues of similar types.• Continuously working to improve efficiency within the incident management process. • Identifying monitoring and auditing opportunities to reduce recurring compliance issues. Training and Education• Developing training tools that can be used to mitigate potential compliance issues.• Ensuring that all employees understand the compliance program, related policies and regulatory requirements, and the importance of maintaining the effectiveness of the program.• Helping to implement department awareness activities enterprise-wide.Policies and Procedures Management• Developing and/revising policies, procedures, and job aids within the Ethics and Compliance Department as directed.• Identifying needs for policies, procedures, or job aids.

Rockville, Md

*Supervise a team of up to 6 members to ensure multiple aspects of the region's compliance program including privacy, security, fraud, abuse, EEO investigation and agency responses, auditing, care delivery compliance and training, are executed in accordance with regulatory requirements, applicable standards, and internal policies and procedures.*Oversee compliance assessments, investigations, corrective actions and monitoring activities.*Develop and nurture collaborate relationships with regulators, medical group partners and physicians, national and regional compliance colleagues and business, labor and operational leaders and personnel.*Create, monitor, and communicate compliance metrics and measures in order to evaluate compliance program performance, identify risks, and create solutions to address potential concerns.Key Accomplishments:*Introduced fraud monitoring reports and analyses to the region, improving the region's ability to identify fraud risks as well as its ability to meet regulator expectations regarding monitoring and controls.*Created baseline Medicaid compliance program for the region including regulatory reporting, metrics, policies, procedures, and procedures for timely responses to regulator inquiries thereby improving adherence to regulatory requirements and reducing risk of penalties and sanctions.*Instituted collaborative infrastructure for management of investigations and audits across corporate entities which improved closure rates, efficient use of resources, and quality of corrective actions.

Rockville, Md

*Consulted with and advised leadership in the development of compliant policies, procedures and workflows in support of strategic clinical initiatives. *Researched and interpreted laws and regulations pertaining to health care delivery and assessed risks associated with non-compliance. *Investigated potential violations of policy, procedure or regulatory requirements. *Developed and monitored corrective action plans to mitigate identified violations and risks. *Created and implemented training and communication programs to cultivate a compliant and ethical organizational culture. *Developed and nurtured cooperative relationships with regulators.Key Accomplishments:*Provided expert advice and consulting to project teams setting up and opening internalized ESRD clinics in DC, Maryland and Virginia. Ensured Conditions for Coverage were understood, filing requirements were embedded in the project schedule and key resources were engaged, and conducted "mock audits" to ensure facility readiness for regulatory assessments.*Established region-wide notification process, conducted educational campaign and instituted sustainable infrastructure, which ensures key members of leadership and necessary resources (such as legal, quality and compliance) are notified when members of law enforcement, regulatory or accreditation agencies arrive at any of nearly 40 facilities, so the needs of the visitor can be met immediately and in a coordinated and consistent manner.*Provided expert advice to the project team internalizing hearing services, including providing interpretation and guidance regarding the regulatory and licensing requirements of MD, DC and VA, as well as reconciling workflow concerns with internal SOX control and system access and controls concerns.

Rockville, Md

*Interpreted care delivery laws and regulations and advised management in the development of compliant policies and procedures and practices. Investigated potential violations of policy and regulation. *Developed and monitored corrective action plans in collaboration with management as necessary. *Monitored compliance with HIPAA requirements as Privacy and Security Officer of the medical group. *Ensured compliance with human subjects protections as Research Integrity Officer. *Conducted compliance related training courses. *Provided advice and support to Governance and Nominating Committees of the Board of Directors. *Performed administrative functions at the direction of the Board of Directors including drafting and development of policies, preparing and coordinating ballots, calculating and certifying ballot results, preparing and maintaining minutes, and developing communications.

Rockville, Md

*Directed payroll, HRIS, benefits, compensation and HR service center activities for DC, MD, VA and Ohio. *Project manager for PeopleSoft as the HR and payroll systems in Ohio and Mid-Atlantic Regions.*Transitioned Mid-Atlantic from paper-based time records to Kronos timekeeping system. *Oversaw adaptation of personnel, workflows and HR infrastructure to new technologies and shared services organization. *Provided training, communications and support to employees and managers throughout the organization to support effective adoption of new HR technologies and services.

Mba, Technology Management, 3.91

Ma, Human Resource Management, 3.99

Activities and Societies: Treasurer of the student Human Resource Association. Member Delta Epsilon Sigma honor society.

Ba, Psychology, 3.73

Activities and Societies: Secretary of Psi Chi honor society. Member of Psychology Council. Member Phi Kappa Phi honor society.Developed.