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executive consultant risk management officer resume example with 19+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Entrepreneurial and driven executive with more than twenty years of leading industry expertise in founding, managing and growing companies in the health care market.

Specialties in compliance, risk management and growth. Proven networking skills, building fruitful partnerships with hundreds of clients and delivering multi-million dollar bottom line growth.

Demonstrated Achievements:

* Grew Wellness Willows Enterprises from $150,000 to $3 million annually and a tenfold personnel increase.

* Founded NuLife Sleep Diagnostics with a highly profitable exit.

* More than doubled referral orders since being employed with Texas Home Medical

Skills
  • Strategic marketing management
  • Judicial procedures knowledge
  • Quality assurance controls
  • Business Analyst
  • Healthcare Administration
  • Cross Cultural Training and Development
  • High Productivity with Collaborative Approachability
  • Leadership and Team Building
  • Risk Management and Performance Metrics
  • Adaptability
  • Diverse Communication Skills
  • Detail Oriented
  • Healthcare Ethics
Experience
Executive Consultant & Risk Management Officer , 05/2014 - Current
Abm Oceanside, CA,
  • Implemented unique methods and methodologies, which helped reduce issues, including paperwork hold up due to insufficient data compliance..
  • Reviewed established procedures to assess areas in need of improvement.
  • Collected, tracked and evaluated current business and market trend data.
  • Facilitated compliance with Medicare and Medicaid regulations.
  • Evaluated internal systems and prepared training initiatives to mitigate ongoing problems.
  • Reviewed diverse organizational problems to assess concerns with areas such as workflows, communication and cost controls.
  • Studied healthcare law to develop and implement enhancement recommendations and facilitate regulatory compliance.
  • Maintains working knowledge of new rules, regulations, and revisions, as set forth by CMS, the Medicare Administrative Contractor, and other entities regarding billing and reimbursement.
  • Executive planning focused on patients, products, and services that result in the achievement of monthly revenue goals.
  • Actively investigate market conditions, analyze competitive activities and devise new strategies.
  • Recommend changes to operational practices in order to maintain compliance and company goals.
  • Extracts information from databases and prepare various compliance reports
  • Prepares timely, thorough, clear, and concise written reports of compliance audits and investigations.
Implementation & Compliance Specialist, 07/2012 - 04/2014
Harvard University Menlo Park, CA,
  • Educated physicians and staff on implementation of system, billing, diagnostic codes, utilization of testing software programs and equipment.
  • Communicated effectively with physicians, Administrative staff, and other workforce members to ensure a successful audit process prior to implementation.
  • Reported weekly schedules and activity via Salesforce, Outlook, and Office 365.
  • Secured, Indexed, and Archived all documents for storage.
  • Administered training with employees and staff of all facilities.
  • Researched and Analyzed current trends and regulations in neuro-cognitive testing.
  • Liaison between staff, providers and testing facilities.
  • Ensured implementation is tailored to client needs by focusing solutions on industry-specific workflow, client base and protocols.
  • Coached, mentored and developed implementation managers by teaching best practices and protocols to reduce discrepancies.
  • Cultivated relationships with sales team to support and supply corrective actions.
  • Identified process gaps, determined solutions and implemented updates to drive efficiency improvements.
  • Monitored activities to assess compliance with records policies and document management regulations.
  • Grew profits by accomplishing account management and administrative retention goals while coaching staff on sales strategies.
  • Managed the configuration, installation and troubleshooting of applications and software for clients.
Vice President of Operations, 01/2009 - 05/2012
NuLife Sleep Diagnostic City, STATE,
  • Completed the tasks of accounting, managing employee payroll, processing accounts payable, maintaining budget control, finalizing monthly budget reports and preparing investment registers.
  • Quantified Billing Compliance Deficiencies
  • Identified billing and reimbursement compliance Issues to be audited
  • Addressed both business and scientific oriented needs of healthcare professionals by engaging in meaningful dialog to determine underlying patient needs and how testing could address those needs.
  • Identified and developed business relationships with targeted primary care physicians, hospitals and specialists.
  • Analyzed, Researched, and worked with compliance and regulatory officers on current business trends, policies and regulations to ensure compliance with all state, federal and institutional laws and regulations.
  • Ensured HIPAA compliance.
  • Reviewed current and new contractual and government regulatory changes and disseminated information.
  • Interviewed, hired, coached, trained, developed and terminated personnel in accordance with company standards and policies.
  • Enhanced operational effectiveness, emphasizing cost containment and high-quality patient care.
  • Integrated marketing and sales strategies with business development and operational leadership plans.
  • Delivered and implemented staff engagement, gender diversity and cultural programs alongside robust reporting tool, improving operational quality.
  • Facilitated HR operations, which included strategic workforce planning, performance management, staffing and administration of benefits.
  • Enhanced operational performance by developing effective business development strategies, systems and procedures.
Chief Operating Officer, 02/2001 - 11/2008
Wellness Willows Sleep Center City, STATE,
  • Directed and Managed contract negotiations and acquisition of new products, performed accounts receivable/payable duties, supply chain management, wrote and enforced corporate compliance policy, maintained business and financial records, created and administered budget and marketing strategies.
  • Analyzed and evaluated operations to identify ways to improve the efficiency and effectiveness of services.
  • Inspected work to ensure the highest quality standards were being maintained; verified all products and work processes met with established policy; implemented corrective action to address and resolve any issues or problems.
  • Interacted with regulatory agencies, insurance carriers, and other professional and community groups.
  • Established policies that promoted company culture and vision.
Education and Training
Master of Science: Legal Studies, Expected in 05/2020
-
Washington University School of Law - St. Louis, Missouri,
GPA:
Status -

GPA: 3.76

In addition to the Master's degree, I also obtained a Specialty Certificate in Regulatory and Compliance Law.

Bachelor of Science: Health Care Administration, Expected in 12/2018
-
Sam Houston State University - Huntsville, Texas,
GPA:
Status -

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Resume Overview

School Attended

  • Washington University School of Law
  • Sam Houston State University

Job Titles Held:

  • Executive Consultant & Risk Management Officer
  • Implementation & Compliance Specialist
  • Vice President of Operations
  • Chief Operating Officer

Degrees

  • Master of Science
  • Bachelor of Science

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