Compliance Director at TelliHealth (2024-10 – 2026-01)
Following PE acquisition of Accuhealth, promoted to lead compliance integration across the newly formed TelliHealth organization.
- Directed post-acquisition M&A compliance integration of Accuhealth and Signal Lamp into TelliHealth — conducting due diligence assessments and unifying compliance frameworks, privacy protocols, and operational metrics across merged entities.
- Led enterprise-wide compliance and privacy program administration across multi-site, virtual, and multi-state healthcare operations, ensuring HIPAA privacy and security compliance and continuous audit readiness.
- Managed the full Medicare and Medicaid provider enrollment lifecycle across multiple entities and states — including applications, revalidations, and updates through CMS PECOS and HPMS — monitoring enrollment and licensing deadlines to prevent any lapse in participation.
- Maintained CMS ACCESS participation, ensuring quarterly reports were accurate, complete, and compliant prior to submission, and completed all reporting obligations tied to active licenses and enrollments.
- Built and maintained a centralized contract compliance database tracking client and partner requirements — including AI use restrictions, offshore data restrictions, and record retention obligations — and partnered with Implementation to configure systems and workflows to contractual specifications.
- Designed and conducted compliance and privacy audits, assessments, and vendor evaluations; led investigations through timely issue resolution and responded to external audit requests from partners and clients across multiple entities.
- Developed and maintained compliance and privacy policies and procedures aligned with HIPAA, SOC 2, and organizational standards — drafting policy updates and routing final drafts for review and signature — and maintained privacy incident logs and required incident reports accurately and on time.
- Served as compliance point of contact for internal stakeholders across Product, Engineering, Business Development, and Client Success; identified and escalated contract and compliance risks to executive leadership.
- Developed and delivered risk-based compliance and privacy training for employees and board members; coordinated annual training cycles and prepared analytical reports for compliance, leadership, and board meetings.
- Supported executive compliance leadership with regulatory research, compliance oversight of company initiatives, and Compliance Committee presentations.
Vice President of Operations at Accuhealth (2019-11 – 2024-10)
- Managed a $15 million P&L while establishing comprehensive compliance and quality management systems for a direct-to-patient service delivery model across distributed operations.
- Drove operational excellence and compliance infrastructure that contributed to a successful Private Equity acquisition; subsequently supported M&A integration as the company acquired and merged with additional healthcare entities.
- Maintained Medicare and Medicaid provider enrollments, revalidations, and licensing across multiple states; monitored enrollment and reporting deadlines to ensure uninterrupted participation.
- Designed and implemented compliance monitoring and auditing programs with real-time dashboards tracking operational performance, quality outcomes, and privacy metrics.
- Led investigations into compliance concerns, developed and tracked corrective action plans, and maintained privacy incident logs and required incident reports ensuring timely, accurate resolution.
- Developed and delivered compliance training programs ensuring personnel competency in regulatory standards, privacy requirements, and operational procedures.
- Collaborated with executive leadership to prepare compliance reports and risk assessments for board meetings and strategic planning sessions.
- Achieved $200,000 monthly profit improvement through operational efficiency initiatives and process optimization while maintaining compliance standards.
Compliance Officer at Nuestra Clinica Del Valle, Inc. (2019-04 – 2019-11)
- Administered the compliance and privacy program across a 12-branch healthcare system; maintained multiple concurrent accreditations including Joint Commission, NCQA PCMH, AAAHC, and HRSA.
- Maintained Medicare and Medicaid provider enrollments and associated license-related reporting obligations across the multi-branch system, monitoring deadlines to prevent lapses.
- Conducted internal compliance audits and privacy investigations; maintained privacy incident logs and implemented corrective and preventive actions ensuring continuous regulatory compliance.
- Developed comprehensive compliance and privacy training programs and orientation materials for all disciplines and departments.
- Analyzed regulatory requirements and monitored policy changes; authored and revised standard operating procedures and compliance documentation.
Corporate Compliance Coordinator at Selah Hospice Care, Inc. (2017-01 – 2019-01)
- Maintained Joint Commission accreditation through proactive compliance monitoring, auditing, and investigation of potential compliance concerns.
- Maintained provider enrollment, licensing, and associated reporting obligations across multiple sites; coordinated annual compliance training cycles to ensure timely organization-wide completion.
- Developed and implemented policies and procedures ensuring regulatory compliance across multiple sites; ensured readiness for external audits and inspections.
- Implemented compliance metrics and performance monitoring systems resulting in 40% operational improvement.
Administrator / Office Manager at Doctors Hospital at Renaissance, Inc. (2006-01 – 2016-12)
- Directed compliance and administrative operations for hospice and palliative care services; ensured adherence to Medicare Hospice Conditions of Participation and state regulatory requirements.
- Managed Medicare provider enrollment and licensing maintenance, ensuring timely revalidations, renewals, and accurate reporting obligations.
- Led preparation for regulatory inspections and accreditation surveys; maintained continuous compliance standards across rehabilitation, outpatient, and home health programs.
- Reviewed financial statements and performance data to measure goal achievement and identify areas needing improvement or corrective action.