Health Care Compliance Officer Resume Example Bickford Senior Living

HEALTH CARE COMPLIANCE OFFICER

Professional Summary

Certified Compliance Professional with diverse experience in the Health Care and Pharmaceutical Industries. * Strong track record of building relationships at all levels of the organization to drive awareness of compliance and its importance to the business. * Reputation for exercising sound judgment, behaving with integrity, being highly adaptable to new situations and assignments, and mentoring others.

Skills

Certifications

Data Privacy / HIPAA Promotional Compliance Process Improvement Risk Assessment Risk Mitigation Management Action Plans Mentoring and Coaching

Work History

01/2002 to 01/2009
Bickford Senior Living – Crawfordsville , IN

01/2011 to Current

Built an impressive record of achievements in positions of increasing responsibility within this global healthcare company.

Health Care Compliance Officer, 01/2013 to Current
Bickford Senior Living

Health Care Compliance Officer, 01/2011 to 01/2013
Bickford Senior Living

Provide overall direction, guidance, support, and oversight for the HCC program for the multiple companies -Animas Corporation, Calibra Medical, the Johnson & Johnson Diabetes Institute, and LifeScan Inc.
Chair the US Compliance Steering Committee that drives implementation of controls and risk mitigation strategies in support of an effective Compliance Program as defined by the US Federal Sentencing Guidelines.
Oversee execution of Billing and Contract Compliance Program for Animas, a Durable Medical Equipment Supplier, including maintenance of required state provider licenses and adherence to payer requirements to enable claims reimbursement.
Serve as key stakeholder and voting member on Commercial Pricing Committee and Promotional Copy Approval to ensure company initiatives are designed in alignment state, federal and international compliance requirements.
Conduct due diligence of domestic and international third party intermediaries interacting with Health Care Professionals and Government Officials in order to mitigate risks related to Foreign Corrupt Practices Act.
Facilitate review of cross border activities to confirm adherence with international compliance requirements pertaining to but not limited to Hospitality and Fair Market Value compensation.
Manage and provide guidance of appropriate handling of sensitive and protected health information in accordance with obligations as a HIPAA covered entity.
Health Care Compliance & Privacy Compliance Manager Office of Compliance - Johnson & Johnson Group of Consumer Companies.

01/2007 to 01/2009

Recognized as Subject Matter Expert and Leader in the department and selected to represent the Consumer Sector on the cross-sector Johnson & Johnson Compliance Leadership Team.
Established the foundation for a robust US Privacy Compliance Program across the Consumer Sector.
Educated ~600 employees over a five day period on privacy and the obligations to appropriately use, store, transfer, disclose, and destroy personal information collected by the company.
Authored a refined Privacy Incident Response Policy to clearly delineate roles and responsibilities enabling a coordinated response to any identified data breach.
Managed the reaffirmation of the Safe Harbor Certification for Clinical Data under an aggressive timeline and with no additional resources.
Earned colleague-nominated Encore award for Team Work and exemplifying Credo Values.
Health Care Compliance - Promotional Review Manager Ortho-McNeil Janssen Pharmaceutical Services Health Care Compliance Group.

01/2005 to 01/2007

Managed all aspects of the compliance program for Ortho Women's Health and Urology, Division of Ortho-McNeil Pharmaceutical, Inc.
and PRICARA including reviewing, documenting, and approving programs that involved interaction and value exchange with health care professionals, providing oversight of 175-person field sales organization, and delivering targeted compliance training.
Awarded colleague-nominated Encore awards for pivotal role on Promotional and Sales Training Review Committees enabling successful launch of two new products in the pain franchise: ULTRAM*ER and IONSYS*.
Increased organizational awareness of HCC, Regulatory Compliance, Information Security, and Samples Compliance by flawlessly orchestrating a sector-wide Compliance Showcase.

Business Relationship Manager, 01/2002 to 01/2005
Bickford Senior Living

Partnered with designated Sales and Marketing Teams to create a competitive advantage by leveraging technology to deliver compliant and innovative business solutions.
Cost avoidance of $1.1M on external vendor web development by helping to develop in-house strategic capabilities for scalable platform to launch several new websites including Key Opinion Leader / Speakers portal and reimbursement resource website.
Successfully led the development and launch of four new online web properties in support of Day One Readiness Plan for two new indications and new product formulation.
Recognized by business partners for contributions to support achievement of $1.0B Sales Milestone for two key products: ACIPHEX* and DURAGESIC*.
Privacy Compliance Lead Janssen Pharmaceutica (2003) Raised organizational awareness of Privacy Compliance through eLearning tools and facilitated integration of privacy requirements into existing business processes.
Selected by Chief Information Officer for expanded responsibilities in the Privacy Compliance arena.
Achieved 96% completion rate of web-based Privacy Awareness Training by field-based employees and contractors and thus successfully met corporate mandate and enabled continued inclusion in contracting initiatives.
Enabled uninterrupted field access to key customers by designing and implementing a process for centralized review of Business Associate and Confidentiality Agreements and proactively developing an internally approved contract template which was leveraged across operating companies.
Streamlined Compliance Vendor Audit Tool based on proactive assessment of existing process and building collaborative partnership with Manager of Computer System Validation and Chief Information Security Officer.
Earned Standards of Leadership award for exceptional performance in achieving business objectives.

Manager, 01/2009 to 01/2011
East West Bancorp, Inc. – Portage , CA

Corporate Compliance Managed key components of Compliance program with emphasis on Sales, Marketing, and Promotional Compliance including oversight of internal staff and vendor resources to ensure adherence to agreed-upon service levels.
Developed a phased enterprise wide vision, strategy, and approach for the Aggregate Spend and Transparency Program that enabled consolidation, analysis, proactive monitoring and reporting of spend to address the various state, Federal "Sunshine Act", and Corporate Integrity Agreement (CIA) requirements.
Managed current state assessment to identify channels for engaging covered recipients (e.g.,healthcare professions and healthcare organizations).
Developed common definitions framework of customer and spend activity types across the Corporate, Commercial, and Research organizations.
Standardized and defined new business processes and requirements for technical solutions to enable integrated view of spend thereby facilitating transparency and organizational efficiencies.
Served as Compliance Point of Contact for Anti-Infective Franchise including member of Promotional Review Committee providing guidance in context of healthcare fraud and abuse laws, privacy laws, industry better practices, and company compliance policies.
Defined framework for a comprehensive Privacy Compliance Program including training and awareness and approach for Safe Harbor Certification.
Championed standardization of end to end process for Fee for Service Consulting Arrangements including consistent documentation of Needs Assessment, Fair Market Value, Proof of Performance, and Debarment and Exclusion Screening.
Facilitate compliance awareness among third party vendors through roll-out of online training and verification program in accordance with CIA requirements.

Management Consultant, 01/1998 to 01/2002
Adp – Suffolk , MI

Consumer Industrial Products - Pharmaceutical Practice.
Provided strategic and process improvement consulting services to health care organizations and major pharmaceutical manufacturers.
Specifically, efforts were targeted to the Sales & Marketing functional areas.
Achieved reallocation of $1.0M investment based on in-depth assessment of operational and commercial viability of a biotechnology company's proposed e-business venture.
Enabled development of proactive and reactive pricing strategies to mitigate adverse impact of new market entrants on market share and sales of flagship biotechnology product.

Professional Sales Representative, 01/1993 to 01/1996
Gap International – Urbandale , PA

Education

Master of Business Administration: Marketing and Management of Organizations, Columbia University - City, State
Marketing and Management of Organizations

Bachelor of Science: Public Health Administration, Rutgers University - City, State
Public Health Administration

Certificate of Health Care Compliance: 2006
Seton Hall University - City, State

Affiliations

International Association of Privacy Professionals (IAPP) Member and Certified Information Privacy Profession / United States (CIPP/US) Health Care Compliance Association (HCCA) Member and Certified Health Care Compliance (CHC) Member - Society of Corporate Compliance and Ethics (SCCE) Member and Certified Compliance & Ethics Professionals (CCEP) continued. continued.

Resume Overview

School Attended

Columbia University
Rutgers University
Seton Hall University

Job Titles Held:

Health Care Compliance Officer
Business Relationship Manager
Manager
Management Consultant
Professional Sales Representative

Degrees

Master of Business Administration : Marketing and Management of Organizations ,
Bachelor of Science : Public Health Administration ,
Certificate of Health Care Compliance : 2006

Health Care Compliance Officer Resume Example

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