Healthcare Compliance Operations Manager
Resume:
Julia M. Martinez
Warwick, RI 02886
**************@*****.***
Operations & Compliance Officer
15+ years’ success collecting, reviewing, and monitoring healthcare regulations, compliance, and safety Process-oriented officer with experience in general healthcare compliance that include and not limited to safety, pathology, histological techniques and procedures; history of strengthening compliance, improving processes, elevating output, and employee morale; excel at preparing financial documentation including, payroll, audits and quality assurance involving the development of protocols and quality assurance of laboratory machinery. Ensure adherence and compliance to unionized labor contracts, medical regulations within internal and external departments including medical institutions, law offices, and independent insurance companies. Fully Bilingual in writing and speech: English and Spanish Highlights of Expertise
General Healthcare Compliance Budget Administration Laboratory Operations & Compliance Quality Assurance Policy and Procedures Development OSHA, HIPPA, and DOH Regulations Product Research & Implementation Team Building and Leadership Dept. of Health, CMS, CLIA, CLEP,CLIS requirements Project Management Unionized Labor Contracts
Career Experience
ProPhase Diagnostics, Inc. Garden City, NY
In a laboratory environment specializing the testing of COVID-19 helped establish and implement regulatory federal and state guidelines for two laboratories with respect to all lab operations utilizing working experience, educational knowledge in medical technology, law healthcare safety and compliance. LABORATORY OPERATIONS AND COMPLIANCE OFFICER (01/11/21-present)
Accountable for keeping the laboratory abreast of all regulatory guidelines as well as creating and implementing policies and procedures to maintain the laboratory compliant with governmental agencies with regards to OSHA, HIPPA, Privacy, FDA, EEOC, DOT etc.
Responsible for assessing laboratory risk including and not limited to biological, chemical, labor and legal
Responsible for performing laboratory audits and pertinent competencies
Responsible for creating and updating policies and procedures
Responsible for creating and maintaining the Quality Assurance program and committee
Responsible for safety education, training, assessments and safety committee
Responsible for the safeguarding and submission of documents to State with respect to application and maintenance of laboratory licensures
Responsible for assuring and maintaining the laboratory in compliance regarding quality control and assurance
Complaint addressing
Other duties as assigned
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Acupath Laboratories, Inc. Anatomic Pathology Specimen Grosser Plainview, Long Island Through acquired knowledge and following regulatory guidelines perform specimen selection, dissection, submission for further analysis and diagnosis by a pathologist. Anatomic Pathology Specimen Grosser (10/28/2019 to 01/08/2021)
Responsible for receiving, examining, dissecting and submission of human tissue specimens for diagnostic and research purposes.
Responsible for performing embedding of the specimens already grossed for micro-sectioning.
Other duties as assigned
North Shore-LIJ Health System - Northwell Health Foundation, Long Island, New York Provided leadership and accountability for; Lab Operations, Laboratory Safety, and Regulatory/Compliance at the Long Island Jewish Valley Stream and Long Island Jewish Forest Hills Hospitals ANATOMIC PATHOLOGY OPERATIONS MANAGER/LABORATORY SAFETY COMPLIANCE OFFICER (03/2012 to 10/2018)
Accountable for a staff of more than 500 employees including; hiring, time and attendance, organization and direction, disciplinary actions, coaching, training, payroll, paid time off and quality control and assurance observing both hospital and 1199 union contract rules; ensured safety in the workplace, educating staff, conducting risk assessments biological and otherwise on a monthly and yearly basis. Managed specimen receipt and processing, lab expenditures (financial reporting), including new equipment research, justification and purchase.
Ensured standards for the Clinical Laboratory Evaluation Program, Centers for Medicare & Medicaid Services, Department of Health, The College of American Pathologists, The Department of Environmental Protection and the Joint Commission on Accreditation of Healthcare Organization were met.
Successfully obtained new instrumentation that improved quality of the work and turnaround time; resulting in renovation project achievement without hindrance to work.
Managed legal requests from law firms, doctors’ offices, and hospitals, ensuring laboratory and staff adhered to laboratory policies and procedures with respect to patient privacy and confidentiality.
Served as liaison among department staff including; staff pathologists and system legal team when litigation or possible litigation arose.
Introduced strategic and tactical policies; relating to laboratory procedures and safety.
Facilitated the education of prospective medical personnel on; laboratory and hospital procedures. Julia M. Martinez Page 3
Member of the Environment of Care (EOC) Committee. CBL Path Westchester, New York
Set the direction and managed the overnight operations of the laboratory including; specimen receipt and processing.
OVERNIGHT LAB OPERATIONS MANAGER (08/2011 to 03/2012)Accountable for staff with respect to time and attendance, organization and direction, disciplinary actions, payroll, paid time off and quality control and assurance.
Evaluated procedures and techniques for tests used in the analysis of specimens.
Organized and performed quality control auditing and documentation. Clinical Laboratory Partners at Hartford Hospital, Hartford, Connecticut Collaborated with system leadership and developed three pathology laboratory operational strategies in alignment Hartford Hospital Healthcare system.
ANATOMIC PATHOLOGY MANAGER (09/2009 to 08/2011)
Responsible for more than 30 employees including the development and submission of operating and capital equipment expense budget; accountable for sustaining and advancing the quality assurance program in pathology according to healthcare regulations, departmental goals, and objectives; performed monthly meetings with section leaders.
Key contributor to the operational transition of the Histology Laboratory operations including; specimen delivery, processing and registration; ownership was transferred over to Clinical Laboratory Partners from Hartford Hospital.
Contributed to expansion and execution of hospital/department policies and procedures including; healthcare regulations.
Researched and analyzed new instrumentation; resulting in improved quality of work and turnaround time.
Additional Experience
Anatomic Pathology Supervisor (2007 to 2009) Cape Cod Hospital, Hyannis, Massachusetts Research Associate (2005 to 2007) Aureon Biosciences, Yonkers, New York Histology Supervisor (2001 to 2004) New York Methodist Medical Center, Brooklyn, New York Education & Credentials
Juris Doctorate, William Howard Taft Law School, Santa Ana, CA, 2017 Master of Business Administration in Finance, Western International University, Tempe, AZ, 2008 Master of Arts in Biology, City University of New York, H.H. Lehman College Campus, Bronx, NY, 2001 Bachelor of Arts in Biology/Psychology, City University of New York, H.H. Lehman College Campus, Bronx, NY, 1991
Certifications
● Certified Clinical Laboratory Technologist, New York State University, Albany, NY, 2007
● New York State Fire Department Certification –C14, Chemical Laboratory Handling
● Certified Safety Healthcare Professional (CSHP)
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● Certified in Healthcare Compliance (CHC)
Affiliations
● Healthcare Compliance Association
● American Association for Professional Coders
Academic/Research
Technical Contributor: “Paraffin-resistant Antigens Detectable by Antibodies L26 and Polyclonal CD3 Predict the B-T Cell Lineage of 95% of Diffuse Aggressive Non-Hodgkin’s Lymphomas.” American Journal of Pathology, September 1994, Volume 3
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