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Compliance Hospital

Location:
Bakersfield, CA, 93306
Posted:
March 22, 2011

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Resume:

Laurie Hanvey

**** ******* **** ***** ? Bakersfield, California 93306 661-***-****

? ************@*****.***

Profile Professional with excellent background in strategic

and operational leadership pertaining to healthcare

compliance programs, coupled with personality,

internal respect, corporate culture and ethical

commitment that makes the role and function of

compliance effective. Skilled in high level

oversight of compliance with federal, state, local

and other third party requirements. Exceptional

ability with analysis, negotiations, networking and

team building. Ability to deal effectively with

controversial issues at all levels of a large

complex organization including Board members,

executives, directors, managers, medical staff,

employees, agents and contractors.

Experience Chief Compliance Officer

January 2006 - Present ? Methodist Hospital,

Arcadia CA

In partnership with senior leadership and the board

of directors, established and implemented a

customized compliance program to fit the

organization.

Chaired the Compliance-HIPAA Steering Committee.

Developed and communicated standards of procedures

designed to address ethical and regulatory matters

and to prevent and detect illegal or unethical

conduct.

Oversight of auditing and monitoring process for

assuring compliance with standards and procedures

as well as relevant federal, state and other

regulatory programs and periodically evaluate the

effectiveness of the compliance and ethics program.

Implemented online mandatory training for all staff

on HIPAA and Corporate Compliance.

Developed and conducted hands on education programs

on compliance related matters to staff and senior

leadership.

Developed a tracking mechanism to monitor and

address all compliance issues, corrective measures

through to resolution.

Promoted and enforced program requirements through

appropriate incentives and disciplinary measures.

Created and oversaw annual compliance work plans,

audits, risk assessments and corrective actions.

Improved internal controls in high risk areas such

as but not limited to: Stark & Anti-kick back laws,

coding and billing compliance, employee sanction

screening, HIPAA and Information Security.

Prepared and provided compliance reports to the

Board of Directors, Board, Finance, Audit and

Compliance Committee and various presentations

regarding compliance related topics.

Hospital Compliance and Privacy Officer

December 2004 - January 2006 Tenet Health Care,

San Diego, CA

Development and implementation of a new hospital

wide compliance program at a time when the facility

was being investigated by the Office Inspector

General.

Effective communication to influence and establish

buy in from senior leadership in the process of

creating a corporate culture of compliance.

Chaired the compliance committee that included

senior leadership and key stakeholders.

Dissemination and interpretation of policies and

procedures.

Provided new employee orientation and annual ethics

training for all staff.

Conducted and participated in corporate audits and

provided oversight of corrective action plans and

monitoring.

Investigated all compliance hotline and other

compliance issues raised internally through to

resolution.

Prepared and distributed monthly compliance

newsletters to all staff.

Oversee and monitor CMS visits and assist with the

coordination of the hospital response and

corrective actions.

Oversight of all physician arrangements and

compensation.

High level oversight of business associate

agreements and confidentiality agreements.

Monitor compliance issues through risk assessments

and corrective action plans.

Participate and assist with JCAHO preparation

activities.

Director of Managed Care and Compliance

January 1988 - December 2004 San Joaquin Community

Hospital (SJCH)- Adventist Health, Bakersfield, CA

Assisted with System wide negotiation for the five

Adventist Health Central Valley facilities on major

contracts (e.g. Blue Cross) providing financial

analysis, negotiation support, and development of

implementation and communication procedures.

Established a complete provider network that

included all specialties and primary care

physicians to service the Kern County inmate

populations, this was a major revenue stream for

SJCH.

Provided direct oversight of negotiation and

management of all physician agreements. (e.g.

physician arrangements, administrative services,

emergency call coverage, business associate

agreements, physician recruitment, retention,

medical directorship, loans, and professional

services).

In partnership with legal prepared all physician

arrangement risk analysis for board approval.

Managed and oversaw the activities for internal and

corporate compliance audits. Auditing contracts for

contractual performance as well as Stark and

Anti-Kickback compliance.

Facilitated Joint Operations Committee meetings

between the IPA, CDC and Hospital.

Managed the coordination and supported the hospital

with three major lawsuits regarding contract

disputes with positive outcomes.

Education &

Certificates University of Phoenix, Pasadena, CA - 2008

Masters Business Administration

Certified Health Care Compliance (CHC) - HCCA

Certified HIPAA Professional (CHP)

Certified Compliance and Ethics Professional (CCEP)

Certified Healthcare Research Compliance (CHRC)

Member of the Healthcare Roundtable for Chief

Compliance Officers

References: Available upon request



Contact this candidate