• Manage compliance with local state/federal agencies (CMS, COP, AHCCCS, AzDHS, OSHA,etc.) by monitoring rules, regulations, and standards applicable to the organization • Oversees Pharmacy survey readiness programs.• Coordinates and completes applications for licensure, certification, and accreditation.• Provides guidance, implementation and maintenance of organization’s Corporate IntegrityProgram and HIPAA Privacy policies and procedures.• Performs proactive and reactive compliance risk assessments.• Delivers compliance and privacy training and orientation to all employees, volunteers, medicaland professional staff, contractors, business associates and other appropriate third parties.• Establishes and administers a process for receiving, documenting, tracking, investigating andacting on all complaints of non-compliance.• Accountable for the planning, implementation and operation of the department to meet theneeds of the organization.• Responsible for compliance reporting directly to the CEO and/or Governing Board, andreports to General Counsel for day-to-day operations.• Provide ongoing compliance training to all departments.

• Managed briefings and prepare comprehensive reports for internal and external audits• Used Lean/Six Sigma projects to achieve breakthrough improvements and problem-solving• Implemented root cause analysis to define the problem and identify solutions and implement changes• Worked independently on analyses plans for a wide variety of projects related to the planning and implementation• Conducted meetings with other department managers to implement improvement strategies and provide solutions

• Supported management monitor control activities and associated documentation updates.• Executed procedures, performed detailed data analysis, reached conclusions, documented results, and suggested ideas for efficiencies• Helped with special projects to upgrade of Risk Management Information System• Performed quantitative and qualitative risk assessments and produced reports

• Provided leadership to operations managers and worked with executives across product lines to define the overall goals and objectives for administrative and clinical operations • Used strategic planning and met regularly with operation managers to drive revenue growth in the region• Managed, developed, and motivated staff to achieve operational goals and high-reliability environment capital assets impacting clinical operations• Worked on training material for new hires and presented training strategy meetings and developed realistic improvement goals and action plans• Responsible for setting and enforcing protective workplace safety and health standards in compliance with OSHA and HIPPA regulations