A challenging career opportunity in the Village where my audit, compliance, and project management background add value to a fast-paced and diverse organization. Proven ability to prioritize and manage multiple projects while implementing strategies that support business and financial objectives
Identify process gaps and improve procedures by optimizing the free flow of ideas and knowledge through cross-functional teams, with a view to reducing cycle time and cost
Work collaboratively and committed to achieving corporate goals
12/2015 to Current
Sr Compliance AnalystDavita Inc － Denver, CO
Manage new, existing and ad hoc compliance activities via project management, data analysis, and auditing methodologies to ensure compliance with federal and state rules and regulations and Village policies.
This includes obligations detailed in the Corporate Integrity Agreement (CIA) between DaVita and the Office of Inspector General (OIG) and various non-CIA projects.
Business Courtesy Expenses - manage the expense process as part of the CIA obligation to track all business courtesy expenses.
This includes ensuring policy adherence and data integrity by monitoring expenses via the LexisNexis Expense Manager software application, producing monthly reports and metrics, and managing a corrective action process for non-compliance.
Certifications - manage the certification process as part of the CIA obligation to obtain periodic certifications as to DaVita's compliance with applicable Federal health care program requirements and report this information to the OIG.
This includes coordinating with Village executives to identify their sub-certifiers and obtain their certifications.
Covered Vendors - manage the covered vendor process as part of the CIA obligation to identify vendors who provide patient care items or services or who perform billing or coding functions on behalf of DaVita Dialysis, and ensure they receive compliance training as necessary.
This includes coordinating with Accounts Payable to review all new vendors and review and report accordingly.
Facility Changes - manage the facility change process as part of the CIA obligation to notify the OIG of all proposed sales, changes, closures, purchases or establishments of facilities.
This includes coordinating with Licensure & Certification and Deal Depot to obtain monthly reports of all changes and prepare the OIG reports.
This also includes assisting Licensure & Certification with ongoing database reconciliation and data validation.
Deficit Reduction Act (DRA) Attestations - manage the DRA attestation process to ensure adherence to the Act which requires entities that receive or make annual payments to Medicaid of at least $5M to have established written policies and procedures regarding the Federal and State False Claims Act.
This includes researching and tracking state Medicaid reporting requirements, and sending annual attestations to the state Medicaid office regarding False Claims Act education for states that have reporting requirements and meet the threshold.
Provider Attestations - coordinate with the Payor Contracting team to provide guidance regarding compliance elements of provider requests.
This includes determine DaVita's contractual obligation to provide the requested materials and the associated penalties for non-compliance.
StarPoint Management - maintain the compliance team's StarPoint site, which is the primary document repository.
This includes maintaining public and private sub-sites for each work lane within compliance.
06/2014 to 12/2015
IT Audit AnalystDavita Inc － Denver, CO
Developed and implemented an audit program for the IT Program Management Office to govern the progress of technology and system projects for all areas of the organization.
Improved the quality of project management and decreased cycle times by ensuring that all projects followed a formal and consistent approval and gating process.
Partnered with Corporate Internal Audit on an ongoing basis to ensure compliance with corporate standards.
Performed audits quarterly, and identified and resolved recurring issues such as:.
Project financial estimate inconsistencies.
Updated project management plan to require current, accurate financial estimates at all milestone approval gates.
Developed comprehensive process for project managers and stakeholders on calculating financial estimates.
Project Change Requests (PCRs).
Updated project management plan to categorize, track and report PCRs accurately, as well as how to reduce unnecessary change requests.
06/2011 to 05/2014
Process AnalystCenturyLink Communications Inc － Denver, CO
Subject matter expert for the Metro Optical Ethernet product offered by the company to other telecommunications companies.
Developed and implemented processes for ordering and inventory systems, billing, troubleshooting and customer training.
This included developing, writing and testing business requirements for scheduled and ad hoc software releases, and documenting processes for end user training and product reference.
History of successful implementation of programs and projects with high visibility and financial impact; this included analyzing existing service delivery processes and providing recommendations for a revised, streamlined process.
Expertise in root cause analysis, data gathering, and gap closure; conducted audits and created improvement plans; developed and monitored business unit metrics such as order volume and error rates.
This required proficiency in a variety of systems for ordering, provisioning, validation and inventory, and included troubleshooting complex issues from internal partners such as operations, sales, and project management.
12/2008 to 06/2011
Internal AuditorQwest Communications － Denver, CO
Audit lead for audits in the wholesale and network department.
Executed approximately 20 audits per year by working with internal business partners to analyze and improve business processes and controls where financial or operational risks have been identified.
Identified trends, fraud patterns, root causes, and variances from standards, to identify and recommend solutions to mitigate business control weaknesses
Presented audit findings and recommendations to executive management to remedy process and controlweaknesses
Followed up with business partners to measure the effectiveness of the solutions that were implemented, and determined if additional process improvement was required
Specialized in the auditing following business areas: Wholesale Service Delivery, Sales incentive programs, Network construction
Sarbanes-Oxley (SOX) control owner for the Wholesale, Network, and Procurement departments.
07/2007 to 12/2008
Process AnalystQwest Communications － Littleton, CO
Developed and implemented processes for the Network Program Management Office, to track the intake and approval of technology and system initiatives that impacted the Network Services organization.
Improved the quality of incoming network projects and decreased cycle times by ensuring all projects followed a formal and consistent intake, approval, and gating process.
Coordinated with Network Services and Engineering Operations to reduce the cycle time for new products/technology introduction and implementation from 130 to 75 days
Utilized Business Process Improvement (BPM) methodology to develop processes that aligned intake and project management functions for network projects.
Coordinated with the Chief Technology Office team to develop and implement systematic and process tools to control the Network Intake process; these tools enabled management to track all projects, budgets, and gated approval
SOX process owner for Network Technology Process, which included coordinating with Internal Audit to ensure compliance with company policies.
10/2003 to 07/2007
Process AnalystQwest Communications － Denver, CO
Developed and implemented processes for the Wholesale Service Delivery team to continuously improve the customer experience.
Identified/resolved process gaps and fallout/bottleneck points to increase efficiency and reduce cost.
Subject matter expert for voice and data products (Voice, Internet Access, Toll Free) which included developing/improving service delivery processes to focus on timely delivery and consistency across service centers by analyzing gaps and developing initiatives to standardize, improve, and simplify the service delivery processes
Reviewed FCC mandates for the toll free service and developed/updated processes to align as appropriate
Coordinated with Provisioning to develop a trunk ordering process to streamline the flow of data from order entry systems to provisioning systems
Developed training curriculum, job aids, process flows, and work procedures which included analysis, evaluation and documentation of business and functional requirements; analyzed and streamlined toll free product documentation from 83 to 11 documents, and trained all toll free service delivery representatives on the improvements
Conducted operational reviews and audited center training classes for the Denver and Minneapolis service centers to identify knowledge level, strengths and opportunities for improvement, and validate compliance with company initiatives and policies; recommendations included standardizing order entry practices for the toll free products, provide ongoing training to service delivery personnel, and updating the methods and procedures to include additional order keying detail
Coordinated with IT on a regular basis to develop and test product-specific business requirements for system updates on toll free and internet services and products
SOX process owner for National Wholesale Service Delivery, which included quarterly testing and coordinating with Internal Audit to ensure compliance with company policies.
02/1998 to 10/2003
Wireless EngineerUS West/Qwest Communications － Denver, CO
Led operational, improvement, and maintenance activities for the wireless SS7 (system signaling 7 protocol) network.
Managed large projects that encompassed multi-platform functionality, such as feature functionality releases from vendors, local number portability services, and call roaming capability improvements.
Managed SS7 and wireless roaming feature functionality, which included vendor management, complex translations for Nortel and Lucent wireless switches, network element translations and cross-platform messaging, and adherence to protocol standards (Interim Standard 41 (IS41), Code Division Multiple Access (CDMA), Global System for Mobiles (GSM))
Led a cross-functional team of 12 network engineers to implement Wireless Number Portability within the Wireless Network Operations Center; completed the 24-month project in 18 months
Developed procedures and test plans to convert complex translations on wireless network elements from Qwest Communications-owned point codes (parent company) to Qwest Wireless-owned point codes (independent subsidiary) on 24 network elements to align with FCC mandates for the wireless business unit to operate independently of Qwest Communications
Provided Tier 4 (final level) trouble ticket analysis and resolution for wireless roaming, Local Number Portability (LNP), and SS7-based services via Remedy and Clarify ticketing applications
Member of the Wireless Change Control Board to review proposed network upgrades and changes; this included reviewing software load schedules, node back-up schedules, new vendor features (Alcatel, Lucent, Nortel, Tekelec)
Performed software upgrades and diagnostic test procedures on Nortel and Lucent network nodes and cell sites; analyzed results to maintain network health and isolate trouble and restore service during service outages.
This included working with cell site technicians on node and central office alarm test and turn-up, troubleshooting, and service outages and restoration (which required FAA notification)
President's Club award recipient for service excellence.
Education and Training
Master of Technology ManagementUniversity of Denver － Denver, CO
Bachelor of Arts: Communication ArtsAbilene Christian University － Abilene, TXCommunication Arts
Accounts Payable, streamline, ad, auditing, back-up, billing, budgets, business processes, Business Process Improvement, Clarify, interpersonal, data analysis, data validation, database, Delivery, Dialysis, documentation, Ethernet, executive management, fast, features, financial, focus, functional, GSM, Inspector, Internal Audit, internet services, Internet Access, inventory, managing, materials, messaging, Access, Office, Network, Nortel, order entry, patient care, personnel, policies, processes, process improvement, Procurement, test product, producing, Program Management, coding, progress, project management, quality, relationship-building, reporting, researching, Sales, Sarbanes-Oxley, self-starter, SS7, supervision, switches, user training, telecommunications, time management, translations, troubleshooting, upgrades, validation, vendor management, voice and data, written