Candidate Spotlight 4

Featured Candidate

Candidate Profile #4 - Compliance Program Manager

This candidate has 8 years of experience in compliance having severed as a Medical Auditor at multiple complex health care organizations. This candidate has lead a team of professionals engaged in risk assessment, data analytics, comprehensive training and education, and communications.

The candidate had led various projects to align compliance metrics with executive incentives, and implement systems to expedite incident resolution. This candidate has solid knowledge of healthcare related laws and regulations including False Claims Act as well as OIG Work Plans and Federal Sentencing Guidelines.

This candidate is passionate about enhancing the maturity of compliance program elements and increasing the effectiveness of the program.

The candidate has a Master of Business Administration (MBA), is certified in Healthcare Compliance (CHC), and is holds several coding certifications such as Certified Risk Adjustment Coder (CRC), Certified Evaluation and Management Coder (CEMC), Certified Professional Medical Auditor (CPMA), and Certified Professional Coder (CPC).

This candidate has a Master of Science in Nursing, is a Certified Fraud Examiner, Certified Professional Coder and is Certified in Healthcare Compliance.

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