Clinical Quality & Compliance Manager Resume Example
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CLINICAL QUALITY & COMPLIANCE MANAGER
Professional Summary
Quality and Compliance executive offering results-oriented expertise gained through 10 years of organizational change successful contributions. Motivating leader with history of building and managing multidisciplinary teams. Proficient at identifying deficiencies and integrating systematic solutions to achieve organizational strategy. Strong relationship builder works well with stakeholders and corporate teams. Documented success in developing policies, leading training programs, and managing reporting to ensure compliance.
Skills
- Data Analysis
- Organizational Leadership
- Performance management
- Program Management
- Project management
- Public health
- Quality Improvement
- Quality Assurance
- Six Sigma
- Strategic Development
- Investigations skills
- Regulatory compliance
- Disease trend knowledge
- Leadership training
- Risk mitigation strategies
- Improving clinical quality outcomes
Education
University of Maryland - BaltimoreCity, StateExpected in 2021Master of Science: Medical Cannabis Science & Therapeutics
Strayer University City2014Master of Science: Health Service Administration
Graduated magna cum laude
Member of Honor Society
University of DelawareCity, State2014Bachelor of Science: Human Service, Education And Public Policy
Minored in African American Studies
Certifications
CPR certified through American Heart Association
Phlebotomy Technician
Civility in the Workplace
White Belt Six Sigma
Work History
Clifton Larson Allen- Clinical Quality & Compliance Manager
Boise , ID09/2018 - Current
Boise , ID09/2018 - Current
- Assists in development of Clinical Operations quality systems, including Standard Operating Procedures, document management, Clinical Operations personnel training, and quality control processes
- Provides direction setting and leadership, with accountability for quality program(s), specialized audits, special reviews, projects and initiatives
- Developed system maintenance and updating of compliance policy and procedures to ensure compliance with relevant Federal and state rules, inclusive of federal securities and other applicable laws
- Established risk-based approach, conduct ongoing compliance reviews and surveillance to evaluate and test for compliance with applicable rules, regulations, and policies
- Standards of epidemiology and immunization compliance
- Collaboration of cohorts and staff/faculty calibrations
- Tracking and monitoring of infection control and bloodborne pathogens
- Completes required medical and program reports and maintained medical records system, program filing system and EHR, following clinic standard operating procedures
- Identifies control gaps in processes, procedures and systems through in-depth research and assessment and suggested methods for improvement
- Achieved 100% on-boarding of all faculty, residents, pre-doctoral students and staff members in electronic immunization/training compliance system
Connections CSP- Performance Improvement and Quality Assurance
City , STATE11/2011 - 09/2018
City , STATE11/2011 - 09/2018
- Compliance with Centers of Medicaid and Medicare services laws and regulations, policies and guidelines, HIPAA privacy and security regulations and stakeholders
- Planned and facilitated implementation of provider site based projects and initiatives overseeing acceleration and dissemination of best practice activities throughout organization to ensure organizational alignment
- Increased performance management and quality improvement capacity of organization in order to ensure that public health goals are effectively and efficiently met
- Monitored ongoing legislative and regulatory developments at state and federal levels that could potentially impact organization's strategic and business objectives, bringing such to executive's attention for review
- Supervised employees who lead or facilitate quality improvement activities, provide project management, data analysis and measurement of outcomes, document and report results and accomplishments of quality improvement initiatives
- Improved compliance by 90% in preparation for state licensure and accreditation
ONYX - Addiction Recovery Services- Director of Quality Management
City , STATE04/2016 - 04/2017
City , STATE04/2016 - 04/2017
- Supported accomplishment of corporate strategic plans that achieve high impact and significant improvements in organizational performance
- Made recommendations to Executive Director on employment, termination, layoffs, promotions, and other personnel activities in order to maintain efficient, cost-effective program and compliance committee meetings
- Supervised employees who lead or facilitate quality improvement activities, provide project management, data analysis and measurement of outcomes, document and report results and accomplishments of quality improvement initiatives
- Collaborated with leadership team to develop strategic plans across multiple business groups, improving process and surpassing standard
- Coordinated, managed and implements projects for auditor and examiner evaluations
- Developed and implemented corrective actions to bring business areas in line with standards
- Evaluated design and operating effectiveness of audit areas, including efficiency, effectiveness, and mitigating controls
- Kept records of quality reports and statistical reviews
- Managed new policies and implementation strategies for organization
- Increased compliance by 90% with electronic tracking tools
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Resume Overview
School Attended
- University of Maryland - Baltimore
- Strayer University
- University of Delaware
Job Titles Held:
- Clinical Quality & Compliance Manager
- Performance Improvement and Quality Assurance
- Director of Quality Management
Degrees
- Master of Science : Medical Cannabis Science & Therapeutics
Master of Science : Health Service Administration
Bachelor of Science : Human Service, Education And Public Policy
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