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High School Management

Location:
Pleasanton, CA
Salary:
130K/year
Posted:
December 22, 2013

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Resume:

EXPERIENCE

* Manager, Healthcare Compliance, and Privacy Officer, Questcor

Pharmaceuticals, Inc., Hayward, CA; August 2012 to Present. Designed

and implemented healthcare compliance auditing and monitoring

programs. Conducted compliance risk assessment, identifying gaps,

instituting internal controls and developing annual work plan.

Developed specific audit programs and testing methodologies to

addresses identified control weaknesses and mirror industry benchmarks

and Corporate Integrity Agreement requirements. Subject matter expert

on PhRMA Code, FDA and HHS/OIG rules and guidelines. Designed,

communicated and enforced corrective action plans. Drafted curricula

for internal and external training programs, both live and web-based.

Conducted live trainings of Commercial, Medical and Sales Operations

staff, as well as contracted physicians. Conducted internal

misconduct investigations, developed corrective actions plans and

implemented sanctions. Served as company's Privacy Officer: drafted,

implemented and enforced Patient Privacy Policy. Developed

methodology for securing patient Protected Health Information (PHI),

conducted internal trainings on best practices for safeguarding PHI

and conducted internal investigations pertaining to potential

inappropriate uses or disclosures of PHI.

* Equal Employment Opportunity Specialist, U.S. Department of Homeland

Security, Customs and Border Protection, Office of Diversity & Civil

Rights, Oakland, CA; July 2010 to August 2012. Conducted

investigations regarding allegations of employment discrimination per

Title VII of the Civil Rights Act. Managed case load of 35-40 active

EEO complaint investigations: conducting witness interviews, reviewing

evidence and relevant documentation, coordinating with management,

counsel, union officials and other relevant parties. Monitored file

redaction to ensure employee privacy. Served as technical expert on

Title VII anti-discrimination regulations and EEOC policies for

management/command staff in the areas of race, gender, age and

disability discrimination. Worked with management and employees to

resolve conflicts, conducting alternative dispute resolution meetings,

negotiating settlement agreements and preventing further program

disruptions. Monitored compliance with EEO policies, regulations and

settlement agreements.

* Internal Auditor, University of California, San Francisco, CA; July

2009 to July 2010. Designed and conducted audits and investigations

of university/medical center programs to ensure compliance with

University of California rules and regulations, as well as FDA and

HHS/OIG compliance and accreditation requirements. Relevant subject

areas included healthcare privacy, medical record content, billing,

coding and pricing rules, inventory management, and accreditation

requirements. Developed, implemented and monitored corrective action

plans. Provided training and technical assistance to medical center

management on healthcare compliance issues.

* Senior Auditor, Genentech, Inc., South San Francisco, CA; August 2007

to July 2009. Developed and implemented Healthcare Compliance

Monitoring program, writing protocols, conducting live and

retrospective monitoring, analyzing results and presenting high level

findings to business leadership. Conducted investigations of alleged

violations of internal healthcare compliance policies and FDA/HHS

regulations. Conducted annual risk assessment, identifying compliance

weak points and implementing targeted monitoring programs based on

risk assessment results. Served as healthcare privacy and Foreign

Corrupt Practices Act subject matter expert. Developed curriculum

for business-wide healthcare compliance training, including

interactive case studies and role plays. Coordinated with outside

vendor to design data collection system for healthcare compliance

audits and monitoring.

* Equal Opportunity Specialist, U.S. Department of Health and Human

Services, Office for Civil Rights, San Francisco, CA; January 2000 to

September 2001 and July 2005 to August 2007. Audited healthcare

providers for compliance with Federal civil rights, privacy and ethics

laws. Wrote up investigation and audit plans, conducted testing and

on-site investigations. Served as member of initial team of DHHS/OCR

HIPAA investigators. Investigated over 200 cases of alleged violations

of the HIPAA Privacy Rule. Issued findings to senior agency staff

and external program managers. Worked with management and employees

to resolve conflicts, conducting alternative dispute resolution

meetings, negotiating settlement agreements and preventing further

program disruptions. Planned and conducted educational presentations

to healthcare and social service consumers. Managed Spanish-speaking

intake and investigated voluminous case load of healthcare privacy and

civil rights cases.

* Social Studies Teacher, Latino College Preparatory Academy, San Jose,

CA; September 2004 to June 2005. Taught 12th grade

Government/Economics and 9th grade Reading to students of varying

ability levels at a dual-language charter high school. Completed

student teaching at Berkeley High School, January 2004 to June 2004.

* Investigator, Protection & Advocacy, Inc., Oakland, CA; August 2002 to

December 2003. Audited state mental health and developmental

disability programs for compliance with state laws protecting the

human rights of individuals in residential institutions. Conducted

research in support of legislative advocacy goals. Provided policy

briefs pertaining to proposed State Assembly bills. Investigated

allegations of abuse and neglect against persons with disabilities in

residential and educational institutions. Provided outreach to

consumers and service providers.

.

Teacher of English as a Second Language, Institute Universitaire de

Formation des Maitres and Lycee Alain, Alen on, France; September 2001 to

June 2002. Taught a methodology course in ESL to graduate students of

Education at a public university in Normandy. Also taught US History to

high school students at a rural boarding school and assisted the English

Department in the development of new curricula for ESL students.

* Program Evaluator, U.S. Department of Transportation, Office of the

Inspector General, San Francisco, CA; July 1998 to December 1999.

Audited airline security programs for compliance with Federal security

regulations. Wrote audit plans, work papers and letters of findings.

Implemented complex audit plans that included on-site testing at 15

different international airports. Briefed senior agency officials,

airline executives and congressional leadership on audit findings.

Secret Security Clearance.

EDUCATION

California Preliminary Single Subject Credential in Social Sciences, Single

Subject Teaching Credential Program, San Francisco State University. CLAD

certification, May 2004.

Master of Arts in Pacific International Affairs with a Concentration in

Comparative Public Policy, University of California, San Diego, School of

International Relations and Pacific Studies. June 1998.

Bachelor of Arts in Political Science with a Specialization in Education,

University of California, Los Angeles. December 1995.

TRAINING/SKILLS/AWARDS

. 2011 Annual Performance Award DHS/CBP

. HCCA Compliance Training 2010

. Certified Healthcare Compliance Specialist, Seton Hall University, School

of Law, 2008

. Fluent in Spanish

. Fluent in Conversational French

. Central Intelligence Agency: Graduate Fellow, Top Secret Security

Clearance (Summer 1997)

. Presidential Management Fellow (1998)

. U.S. Department of Transportation Excellence Award (1999)



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