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Health Medical

Location:
Claymont, DE, 19703
Salary:
60000
Posted:
November 15, 2017

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Resume:

EDUCATION

Drexel University Thomas R. Kline School of Law, Philadelphia, PA

J.D. Candidate, Health Law Concentration, May 2016

GPA: 3.06

Selected Grades: Health Law II Case Study (A); Health Care Finance (A-); Regulating Patient Safety (A-); Health Law II (B+); Health Law I (B); Health Care Fraud & Abuse (B); Labor Law (A-); Employment Law (B)

Drexel University Dornsife School of Public Health, Philadelphia, PA

M.P.H. Candidate, Health Management and Policy Concentration, June 2016

GPA: 3.78

Relevant Coursework: Advanced Healthcare Financial Management (A); Environmental and Occupational Health (A); Issues in U.S. Health Policy (A); Principles of Epidemiology (A-); Principles of Biostatistics (A-)

Elizabethtown College, Elizabethtown, PA

Bachelor of Science, Business Administration, Marketing Concentration, May 2012

GPA: 3.33

EXPERIENCE

Pentec Health, Glen Mills, PA

Compliance Analyst, January 2017 – November 2017

Under the direction of Compliance Supervisor, perform detailed internal audits in accordance with policy and the annual Corporate Compliance Work Plan

Research and gather appropriate documentation or other information needed to complete the audit with accuracy and efficiency, while maintaining audit scope

Analyze audit findings against applicable compliance standards, organizational policies and procedures, and federal, state and local laws, statutes and regulations

Challenge the reliability of financial reports, records and/or safeguarding of assets

Develop and present timely internal audit report findings to Compliance Supervisor with the ability to professionally and effectively support opinion, recommendations and outcomes

Seek collaboration and/or input from manager, as needed, to ensure accuracy, reliability and objectivity throughout the course of the audit

Active participation, input and support in the daily functional requirements of the company’s Compliance Program, including but not limited to the following essential responsibilities: (1) Agreement requests; (2) Periodic review and revision of compliance policies and training materials; and (3) Participation in compliance concern investigations, as assigned

Provide support for corporate compliance functions specific to organizational vulnerability assessment and gaps related to agreements and promotional and distributed business materials

Complete initial and monthly exclusions for associates and potential new hires, using approved exclusion software

Using healthcare expertise, conducts analysis for prevention and detection of any risk associated with internal policy through observation, associate interviews, payer contractual obligation, False Claims Act and Fraud, Waste and Abuse regulations

Actively assist with educational development and training related to Compliance Program

Provide input and recommendations for the implementation of proposed solutions

Capital Health System Inc., Trenton, NJ

Legal Extern, August 2015 – April 2016

Researched and prepared memoranda on employment issues including discipline and compensation, as well as federal and state compliance issues including property taxation and event reporting

Drafted and edited contracts including Affiliation Agreements, Master Service Agreements, Rental Agreements, Supply Contracts, Employee Voucher Agreements, and Consulting Agreements

Drafted letters and documents, including contract addendums, letter amendments, and extension letters

Reviewed patient files and drafted guardianship documents including Verified Complaints, Order’s for Hearing and Appointment of Counsel, and Certifications

Drafted case summaries on new case law for Associate General Counsel and Chief Legal Officer

Exposed to risk management functions and drafted event insurance applications, auto accident recovery claims, and memorandums on other issues such as facility supplied advanced directives

Reviewed and revised facility policies including Sick Leave and Withdrawal of Ineffective Treatment

Researched and prepared memorandum on Medical Futility in New Jersey

Drafted proposal on Medical Futility Policy

Reviewed and revised defense interrogatories and requests for production of documents, and redacted documents in connection with discovery requests

Attended depositions and guardianship hearings

Salus University, School of Public Health, Clinical Operations, Elkins Park, PA

Intern, May 2015 – March 2016

Conducted research and analysis of federal and state Medicaid legislation on children’s vision care

Performed objective review of current compliance program and identified potential issues within clinics

Drafted proposal for an Impaired Provider Program

Researched and reviewed Centers for Medicaid and Medicare Services stance on optometrists referral authority to audiologists

Developed draft for university wide risk management program

Albert Einstein Healthcare Network, Law Department, Philadelphia, PA

Co-op Intern, Summer 2015

Researched and prepared legal memoranda on physician employment issues; property sale and acquisition; and federal and state compliance issues

Drafted letters and documents, including leases, contracts, addendums, and resolutions

Reviewed, edited, and commented on proposed contracts including Affiliation and Master Service Agreements

Worked with outside counsel on ongoing litigation including identifying and gathering documents and correspondence for discovery requests

Drafted case summaries on new case law for hospital attorneys, staff and executives

Participated in client meetings, board meetings, risk management webinars, attorney conferences, and credentialing meetings

Exposed to compliance, risk management and malpractice claims functions

Attended depositions and trial

Philadelphia Veterans Administration Medical Center (PVAMC), Employee Relations, Philadelphia, PA

Legal Intern, Summer 2013

Conducted research and drafted memos on various legal issues pertaining to labor and employment, employee discipline, employee leave, and disability

Reviewed and redrafted leave policy and outdated medical center memorandum on leave policy

Researched federal statues including FMLA, ADA, and Title VII

Shadowed attorneys in counseling meetings with employees

LANGUAGES & PROFESSIONAL ORGANIZATIONS

Fluent in Russian

Member, American Health Lawyers Association

Member, Health Care Compliance Association



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