Robert Carpino

Robert Carpino Email and Phone Number

Chief Compliance and Privacy Officer @ Company Confidential
Los Angeles, CA, US
Robert Carpino's Location
Los Angeles Metropolitan Area, United States, United States
Robert Carpino's Contact Details

Robert Carpino personal email

About Robert Carpino

Over 15 years of legal, compliance, and privacy background, including business strategy and culture, information technology, investigations, research ethics and protocols, state and federal healthcare regulatory compliance consulting, HIPAA Privacy and Security, insurance, billing, vendor and contract management, risk management, and legal experience in the areas of healthcare management and operational innovation, audit, professional collaboration and conflict resolution, as well as staff, project and program management. Leadership assignments include remedial training program management and development, change management, instructional design including virtual and e-learning, risk and security management, development of culture of compliance and privacy, organizational transformation via IT systems and EMR implementation, regulatory compliance and investigations, audit, SDLC business requirements and process redesign, and transactional legal practice. Expertise includes management, communication, consensus building, behavioral science and research, academic teaching and publishing, conflict resolution, and analytical decision making. An executive-level liaison and a self-starter, proved to be an excellent team player and team builder, with extensive legal and computer background, superior partnering skills, upbeat and pleasant personality and can-do attitude.• Operational Knowledge of Integrated Healthcare Model and Academic Medical Systems• HR – Instructional and Curriculum Design, Training Program Development, Talent Management, COI • Investigations and Cultural Change - Ethics, Code of Conduct, Conflicts of Interest, Financial / Billing • Information Technology – E-Learning, EMR Implementation, Business Requirements, Process Improvement• Healthcare Regulation – HIPAA, HITECH, Medicare, Stark, Anti-Kickback Statute, False Claims Act• Legal Environment - Policy Development, Legislative & Regulatory Analysis, Contracts, Dispute Resolution

Robert Carpino's Current Company Details
Company Confidential

Company Confidential

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Chief Compliance and Privacy Officer
Los Angeles, CA, US
Robert Carpino Work Experience Details
  • Company Confidential
    Chief Compliance And Privacy Officer
    Company Confidential
    Los Angeles, Ca, Us
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  • Company Confidential
    Head Of Compliance
    Company Confidential Jun 2022 - Present
    • Pioneered the university's first comprehensive clinical compliance program, extending to diverse disciplines and services including traditional patient care (dentistry, pharmacy, occupational and physical therapy), behavioral and mental health services, community development and emergency medical services. • Reporting to the Chief Compliance Officer of the system, provide regular updates and counsel to the Health System Governing Board, interfacing with government representatives, and other stakeholders• Conducted comprehensive risk assessments across 17 clinical programs, initiating critical audits on revenue cycle, sensitive health exams, and HIPAA compliance, leading to the development and implementation of mandatory online compliance training courses, enhancing operational integrity.• Collaborated with senior leadership, clinical program leaders, and the health system governing board to enhance regulatory compliance processes and foster a culture of compliance • Spearheaded clinical regulatory compliance operations, encompassing HIPAA breach investigations, policy enforcement, compliance audits, conflict of interest reviews, and mandatory training programs
  • Pipeline Health System
    Chief Compliance & Privacy Officer
    Pipeline Health System Feb 2017 - Jun 2022
    El Segundo, California, Us
    • Executive oversight and implementation of (7) multi-state hospital system-wide compliance and privacy initiatives, programs, investigations, audit, mandatory compliance training for physicians and employees, and other regulatory mandates and activities (EMTALA, MOON, HIPAA, HITECH, CMS, FCA, AKS Stark) throughout the multi-hospital system and its affiliated clinics and corporate officeso Investigations, remediation and response to external regulatory agencies (OCR, DHHS, CMS, OIG)o System-wide compliance risk assessment and audit readiness activities including root-cause analysis, trending, and resolution of identified audit issues with Corrective Action Plans • Working with the Office of Inspector General of the U.S. Department of Health and Human Services (HHS) to enter into a Corporate Integrity settlement agreement (CIA) to further promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.S.C. §1320a-7b(f)) (Federal health care program requirements) • Reporting to the CEO of the system and providing regular updates and counsel to the Board, interfacing with government representatives, and other internal and external stakeholders (e.g., medical groups) • Partnering with each hospital’s board and executive administrators on improvement processes and building the culture of regulatory compliance
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  • Quest Diagnostics
    Regional Director Of Compliance
    Quest Diagnostics Jul 2013 - Feb 2017
    Secaucus, Nj, Us
    • Directing all regulatory compliance efforts for this Fortune 500 company’s west-coast and esoteric regions (California, Oregon, Washington, Nevada, Idaho Hawaii, Alaska and Virginia) among multiple laboratories and international facility service site areas (India, UK, Mexico)• Overseeing projects and functions of mandatory compliance training; Internal (Hotline) and External Investigations (OCR) including fraud, waste, and abuse, Stark, FCA, AKS & Prohibited Services, HIPAA breach allegations; Provider and Hospital Contracting; Billing, Conflicts of Interest (COI), OIG Exclusions, Results Reporting, and root cause analysis and resolution of identified regional compliance audit issues • Leading compliance, contracts and bioethics processes in laboratory diagnostic functions, including compliance review and approval of research testing protocols and agreements, strategic planning, program development risk assessment and mitigation, and financial risk management • Managing a staff of (6) healthcare compliance professionals and partnering with stakeholders at all levels to build a culture of ethics, privacy, and legal compliance for the company’s west-coast and esoteric operations with 10,000 employees. Reporting directly to the Chief Privacy Officer at headquarters ion the East Coast.
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  • Company Confidential
    Executive Consulting Director
    Company Confidential Apr 2012 - Jul 2013
    • Designed and implemented a certification and training program for full-body medical diagnostic imaging techniques and research that incorporate thermography and ultrasound technologies• Directed and led healthcare practice risk assessment and impact analysis to advise as to the current regulatory landscape and compliance mandates for expanding practice and physician affiliate business areas • Operationalized care delivery processes, policies, and procedures per practice expansion requirements for full service patient-centric diagnostic imaging services, international research, and consultations
  • University Medical System
    Director Of Compliance
    University Medical System May 2011 - Apr 2012
    Baltimore, Md, Us
    • Directed the strategic system-wide integration of compliance programs, mandates and training initiatives (e.g. HIPAA Privacy & Security, HITECH, physician relationships, records retention, billing, and scope of practice) for UMMS academic medical center, nine system hospitals and affiliated clinics • Structured, implemented and led corporate compliance training program and strategy (including new employee orientation, annual training, online education content and module development using Articulate Presenter) for new and existing hospital and administrative staff to comply with university and regulatory compliance mandates partnering with HR, Legal, and senior leadership• Managed UMMS system-wide internal investigations including (HIPAA, Fraud, Waste, Abuse, COI) with metrics reporting and corrective action for compliance with internal, statutory and regulatory mandates• Performed as Senior UMMS leadership compliance liaison/ program manager for EPIC implementation and integration with Cerner radiology and other systems• Led comprehensive HIPAA audits and defined appropriate procedures regarding requests, access and disclosure of PHI in accordance with HIPAA regulations• Led external inquiry and complaint response including DHS Office of Civil Rights, Centers for Medicare and Medicaid Services, FBI, State Attorney General, and Maryland Health Authority • Oversaw system-wide physician contracting audit function including fair market value, recruitments, contracts, session leases, subsidies & loans for compliance with Stark, Anti-Kickback, False Claims Act• Mentored Hospital Compliance Officers to implement and enforce developed compliance policies, procedures, standards, templates, and guidance vis-à-vis changes to applicable regulations • Policy writing and advancement in conjunction with Legal, HR, Senior Leadership, and CMS guidance
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  • Kaiser Permanente
    Compliance Program Leader - Consultant Specialist
    Kaiser Permanente Mar 2006 - Nov 2010
    Oakland, California, Us
    • Program manager for mandatory compliance training program for over 6,800 IT employees and executives • IT Regional lead directing matrix teams coordinating and conducting sensitive investigations (e.g. HIPAA Privacy/ Security, senior level allegations of fraud, waste, and abuse etc.) including logging and addressing violations; implementing corrective action plans (CAP's); reporting for senior IT compliance leadership, and managing regional and national metrics and issue resolution• Designed and implemented organizational development training and communication plans and success metrics tracking criteria; and executive summary reporting of training delivered• Matrix organization management oversight of 35 FTE’s over fluctuating project/ program teams • Triaged IT Conflict of Interest (COI) disclosures and investigations for the IT region including documenting and addressing disclosures, and as needed implementing corrective action plans • Developed IT procurement/ purchasing and SOX policies; evaluated and advised for conformance, and made recommendations for contract engagements and vendor purchases • For the Southern California Permanente Medical Group, managed critical parts of physician support during system implementation projects and instructed on Epic software for KP HealthConnect including go-live and pre/post-deployment system evaluation and application training of health plan staff • Consulted & trained hospital personnel on Epic modules supporting Emergency and Inpatient processing; Orders; ED; Resolute; OR, Scheduling, Admission, Discharge, Transfer protocols • Compliance and system audit consulting at KP-IT and SCPMG during EPIC implementation & its feeding legacy systems including Epic data integrity/quality issues during and after implementation• Executed critical Go-Live procedures synchronizing clinical and business workflows
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Robert Carpino Skills

Healthcare Hipaa Software Documentation Security Risk Management Management Policy Program Management Sarbanes Oxley Act Process Improvement Compliance Training Access Change Management Risk Assessment Sdlc Integration Healthcare Information Technology Leadership Healthcare Management Strategic Planning Healthcare Consulting Medicare Hospitals Electronic Medical Record Managed Care Team Building Business Analysis Informatics Working With Physicians Organizational Development Strategy Healthcare Industry Vendor Management Project Management U.s. Health Insurance Portability And Accountability Act Software Development Life Cycle Public Policy Business Process Improvement Microsoft Access Healthcare Information Technology

Robert Carpino Education Details

  • University Of Oklahoma College Of Law
    University Of Oklahoma College Of Law
    Law
  • University Of Oklahoma
    University Of Oklahoma
    Psychology/ Pre-Med

Frequently Asked Questions about Robert Carpino

What company does Robert Carpino work for?

Robert Carpino works for Company Confidential

What is Robert Carpino's role at the current company?

Robert Carpino's current role is Chief Compliance and Privacy Officer.

What is Robert Carpino's email address?

Robert Carpino's email address is rc****@****ail.com

What schools did Robert Carpino attend?

Robert Carpino attended University Of Oklahoma College Of Law, University Of Oklahoma.

What skills is Robert Carpino known for?

Robert Carpino has skills like Healthcare, Hipaa, Software Documentation, Security, Risk Management, Management, Policy, Program Management, Sarbanes Oxley Act, Process Improvement, Compliance, Training.

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