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Manager Health

Location:
League City, TX
Posted:
April 22, 2021

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Richard "Rocky" Mosquera

Chief Compliance Officer and Risk Manager

Innovative and entrepreneurial thinker with eight years of regulatory compliance experience. Juris Doctor recipient, MBA candidate

(anticipated graduation date of February 2021), accredited Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy (CHCP), and Certified Professional Compliance Officer (CPCO) holder. Natural leader with excellent analytical and problem solving skills, and outstanding oral, listening and written communication abilities. adlwbf@r.postjobfree.com 412-***-**** Houston, TX linkedin.com/in/rockymosquera KEY SKILLS

Innovative thinker Able to remain poised under pressure Proficient decision maker Self-motivated Efficient time manager Natural listener Easily adaptable to change Team player Influential supervisor and motivator WORK EXPERIENCE

Chief Compliance Officer and Risk Manager

Galveston County Health District

07/2018 - Present, Texas City, TX

Oversee all legal and compliance matters for the Galveston County Health District and its subsidiary Federally Qualified Health Center, Coastal Health & Wellness, an organization collectively comprised of approximately 300 employees. Directly supervise eight employees including the Manager of Information Technology, the Fleet and Facilities Coordinator, the Contracts Analyst Attorney, and the Risk and Safety Coordinator. Plan and enforce all Environment of Care and Life and Safety measures as established by The Joint Commission, and led Coastal Health & Wellness through its most recent Joint Commission survey, which was deemed 100% compliant. Manage any claims brought against the Galveston County Health District, and facilitate all organizational actions pertinent to the United States Federal Tort Claims Act.

Ensure entity and personnel compliance with all federal Health Resources Services Administration and Texas Department of Health & Human Services regulations.

Prepare and enforce a multitude of organizational policies related applicable healthcare laws including the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), mandatory physician reporting measures, Anti-Kickback and Stark laws, and requirements for plausible engagements with business associates. Regularly audit and report organizational adherence with technical, administrative and physical safeguards to corporate executives and applicable governing boards.

Establish policies and educate employees regarding the most efficient and expeditious means of identifying, reporting and responding to potential breaches, especially those of which pose a large-scale threat of information disclosure (500 patients or more). Contact: Kathy Barroso, Chief Executive Officer - 409-***-****; adlwbf@r.postjobfree.com Responsibilities and Achievements

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WORK EXPERIENCE

Legal and Compliance Specialist

Clinical Pathology Laboratories, Inc.

08/2017 - 06/2018, Austin, TX

Oversaw all compliance matters for three of the company's six regional markets (San Antonio, Dallas/Fort Worth and Louisiana). Evaluated a variety of arrangements to ensure adherence with Stark Law and the Anti-Kickback Statute. Managed and assessed commercial viability of property leases. Authored policies to uphold conformity with federal regulations (HHS, OIG, etc.). Insured compliance with HIPAA best practices.

Investigated internal compliance matters.

Remained current with and provided education to staff regarding applicable federal, state and local regulations. Reviewed, wrote and managed a multitude of contracts spanning an array of different business affairs. Contact: Bobby Smithson, President - 512-***-****; adlwbf@r.postjobfree.com Director of Contracts and Compliance

Galveston County Health District

03/2015 - 08/2017, Texas City, TX

Established and oversaw compliance measures created to prevent illegal, unethical and/or improper conduct within both the Galveston County Health District and the county’s sole Federally Qualified Health Center, which collectively operate as a multi-site governmental agency.

Monitored and reported results of internal and external investigations, tracked legislative changes and implemented subsequent policy revisions, and maintained agency bylaws in accordance with federal and state decrees. Monitored and enforced all HIPAA and PHI regulations. Provided guidance to county boards and members of senior management regarding pertinent healthcare, legislative and agency related issues.

Supervised all aspects of contractual management, including drafting all contracts, agreements and memorandums produced by the Health District, and maintained the organizations’s internal contract database. Contact: Kathy Barroso, Chief Executive Officer - 409-***-****; adlwbf@r.postjobfree.com CERTIFICATES

Ambulatory Care and Risk Management -- Level 4

Certified (10/2018 - Present)

Awarded by the Emergency Care Research Institute

Certified in Healthcare Compliance (CHC)

(05/2018 - Present)

Awarded by the Health Care Compliance Association

Certified in Healthcare Privacy (CHCP)

(09/2020 - Present)

Awarded by the Health Care Compliance Association

Certified Professional Compliance Officer (CPCO)

(12/2015 - Present)

Awarded by the American Association of Professional Coders EDUCATION

Master of Business Administration (anticipated graduation date of February 2021) Purdue University Global

09/2019 - Present, Online

Juris Doctorate

University of Pittsburgh

08/2008 - 05/2011, Pittsburgh, PA

Bachelor of Science in Education

Bowling Green State University

08/2004 - 05/2008, Bowling Green, OH

Responsibilities and Achievements

Responsibilities and Achievements



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