Quality, Health, and Safety Specialist

AJA WADE

**** *. *** **** ****. # ***; Friendswood, TX 77546

Phone: 832-***-**** Email: **********@*****.***

QUALITY & COMPLIANCE MANAGEMENT

An exceptionally multi-tasked, goal focused, and very detail oriented professional with proven experience in Healthcare and Business Administration functions, Quality Assurance, and Compliance Management. Highly regarded for the ability to build professional relationships and achieve outstanding results in rapidly changing environments.

PROFESSIONAL HISTORY

Bureau Veritas North America Corporate: 7/2017 – 4/2020

QHSE & Compliance Coordinator

Maintained working knowledge of the Integrated QHSE Management System via the ISO 9001/ 45001/ ISO 17025 accreditations, maintained the organization USCBP program, and compliant with current Good Manufacturing Practices (cGMP) requirements.

Organized and managed the Continuous Quality Management, Audit System, and LMS system programs at the corporate level.

Supervised the day to day activities for timely initiation/submission, tracking, and closure of Quality and Safety KPI’s, Non-Conformance's, and CAPA(s) via local US offices and global locations.

Developed and coordinated the internal and external Site Audit Schedule; scheduled and conducted site audits.

Advised and informed Site Manager on Quality issues, status, trends, and metrics.

Traveled to US and Caribbean offices to conduct internal QHSE operations and laboratory inspection audits of local offices to verify conformance to the ISO standards.

Participated in and/or led staff investigations, customer complaints and generated internal reports based on investigations results, and reported to external client databases.

Served as the primary Liaison in all functioning departments to maintain resilient business relationships with staff and stakeholders.

Revised and updated all internal QHSE Audit Plans, policies and procedures, and forms via document control and document change process, as applicable to the ISO standards and/or client requirements.

Supported tenders and contract reviews in regard to QHSE, conducted internal annual survey reports and managed other projects as assigned.

ADAPT Programs (Non-profit): 9/2015 – 10/2017

Contract & Credentialing Consultant

Complied with all legal insurance and regulatory policy and procedure state and federal requirements.

Prepared and maintained reports of credentialing activities such as accreditation, CAQH membership, and facility/provider privileges.

Verified all Credentials of new and existing licensed or certified staff and facilities.

Submitted applications and re-enrollment forms for private, MCO’s and CMS insurance plans to ensure timely processing and project requirements prior to expiration dates all facilities and licensed professionals in appropriate insurance plans to ensure effective billing.

Reviewed and updated policies and procedures ensured facilities met all standards and requirements.

Served as the main point of contact for providers and met monthly to discuss chart deficiencies to ensure quality of documentation.

Scheduled and facilitated all location site visits via insurance company requirements.

Managed other multiple projects simultaneously and under tight deadlines.

Community Health Network (Non-profit): 4/2012 – 11/2016

Quality Assurance & Compliance Coordinator

Implemented the Quality, Health & Safety Program to ensure all locations met compliance with state and federal regulatory body requirements. (i.e. Women’s Health, PHC, Title V MCH & Dental, HIV/STD’s, and Pharmacy Management)

Performed routine compliance monitoring via regulatory internal audits in Financial, Operations, Medical, Dental, Labs, Behavioral Health, and Pharmacy’s Patient Assistance Program.

Updated and managed the QA/QI Compliance Program, SOP’s & Protocols, and emergency & safety plan procedures via document control and change process.

Delivered leadership management through training, mentoring, and development of current and new staff.

Conducted monthly DSHS program health record audits, developed summary reports for Committees/BOD, implemented CAP’s, and set target goals and objectives to meet quality and compliance.

Served as the primary Liaison between all functioning departments, staff, and providers to develop short and long-term PDSA quality and safety goals and objectives, providing weekly or monthly one on one visits to discuss chart coding or quality deficiencies.

Facilitated and served as an active participant, writing minutes, for several Center Sub-Committees, Executive and BOD meetings.

Participated in annual budget, grant submissions via HRSA, FTCA, and DSHS, and maintained the private, MCO, and CMS contracts and grants for state programs.

Collected UDS, MU, NCQA’s - HEDIS and PCMH measures to identify opportunities for improvement, measured performance, monitored the success of quality improvement initiatives, and tracked ongoing improvements via the internal EMR system.

Assisted with project management, event planning, strategic business planning processes, and managed multiple locations with minimal supervision.

EDUCATION

University of Houston; Clear Lake, TX: 01/2021 – Masters: Business Administration and Operations

Texas State University; San Marcos, TX: 08/2016 - Bachelors: Health Information Management (RHIA)

ISO 9001 Quality Management System Certificate – 07/2017 / ISO 17025 Lab Quality Certificate – 05/2019

SKILLS

Customer Service, Leadership, Critical & Analytical Thinking, Active Listening, Time Management, Self-Direction, Document Control Change Management, Project Management, Verbal & Written Communication, Directing, Coordinating, Public Relations, Compliance Management, Microsoft Software, Office 365, Health Information Analysis, ISO 9001 Auditor, Team Building

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