Kimberly Ko Email and Phone Number
I believe in the value and importance of a strong and collaborative compliance program. With managed care compliance experience across health plans, provider organizations, and hospitals, I’ve had the opportunity to foster best practices in a variety of settings and partner with individuals in all roles to promote compliance excellence. Regulatory Compliance & Affairs | Internal & External Audit | Delegation Oversight | NCQA Accreditation | Managed Care
L.A. Care Health Plan
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Manager, Regulatory Affairs, ComplianceL.A. Care Health Plan Jun 2024 - PresentLos Angeles, California, United States
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Program Manager, Health Plan Delegation, Hoag ClinicHoag Health System Aug 2021 - Jun 2024Costa Mesa, California, United StatesOversaw regulatory and delegation compliance for Hoag Medical Group and Hoag Physician Partners IPA, including audit management, reporting, material review, and compliance change management. Acted as the main liaison to regulators and contracted health plans. Served as a key consultant to internal leaders on compliance requirements and best practices. -
Compliance Advisor Ii, Regulatory Audits And MonitoringL.A. Care Health Plan May 2020 - Aug 2021Los Angeles, California, United StatesManaged regulatory audits, including DHCS Medical Audits, DMHC Routine Surveys, and CMS Program Audits. Conducted audit readiness activities, including mock audits, data validation, and compliance monitoring. Monitored corrective action plans to validate non-compliance remediation.
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Compliance AnalystLiberty Dental Plan Dec 2019 - May 2020Irvine, California, United StatesManaged contracted health plan and regulatory audits for multiple state markets, including California, New York, and Hawaii. Collaborated with cross-functional teams in implementation of audit and deliverable management functions within SharePoint. -
Program Coordinator, Health Network Relations, Network ManagementCaloptima Dec 2017 - Dec 2019Orange, California, United StatesActed as the first point of contact for delegated entities and supported management in ensuring delegate compliance with regulatory and contractual requirements. Conducted research to support and assisted with delegate implementation of Medi-Cal programs, including Whole Child Model and Prop 56. -
Healthcare Management InternCollege Hospital Costa Mesa Jun 2017 - Dec 2017Costa Mesa, California, United StatesServed as intern to CEO. Audited business associate agreements, conducted research into hospital seismic compliance requirements, and assisted in facilitating staff trainings to support EMR transition.
Frequently Asked Questions about Kimberly Ko
What company does Kimberly Ko work for?
Kimberly Ko works for L.a. Care Health Plan
What is Kimberly Ko's role at the current company?
Kimberly Ko's current role is Manager of Regulatory Affairs at L.A. Care Health Plan | Certified in Health Care Compliance.
What schools did Kimberly Ko attend?
Kimberly Ko attended Uc Irvine.
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Kimberly Ko
Creative Director, Content Marketer, And Podcaster Who'S Also Board Certified In Ophthalmology And Lifestyle Medicine.Los Angeles Metropolitan Area -
Kimberly Ko
San Ramon, Ca -
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