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Compliance Officer

Location:
Cordova, TN
Posted:
August 06, 2022

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Resume:

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502-***-****

adr1a4@r.postjobfree.com

Cordova, TN

Sabrina Moore

E X P E R T I S E

Executive Leadership

Regulatory Compliance

Equal Opportunity, Diversity,

Inclusion

Operations Management

Quality Assurance

Risk Management

People Management

Performance Management

Emotional Intelligence

Audit Facilitation

Executive Compliance Director

E D U C A T I O N

Master of Arts in Human Resource

Management

Webster University

May 2017

Bachelor of Science in Criminal

Justice

Purdue University Global

June 2007

A B O U T M E

Strategic thought leader with over 10 years of compliance experience. Effective leader dedicated to delivering results that are aligned with the strategic vision of the organization. Proven ability to build relationships and exercise influence across functions, lines of business and regional sites.

E X P E R I E N C E

Loving Arms, LLC June 2020 – Present

Executive Compliance Director

• Operational oversight of Compliance, Finance, Billing, Nutrition and Office Administration Departments in a TN DIDD waiver/MCO provider agency with 200+ staff and 100+ member population

• Led 10+ annual audits/surveys, recredentialing, financial accounting audits, forecasts, trending and variance control, risk mitigation and quality assurance

• Accountable for company-wide Protection From Harm, Reportable Events Management, provider investigations, Electronic Visit Verification, electronic documentation systems (HSI), and fleet management Commonwealth of Kentucky July 2019 – June 2020

Equal Opportunity Officer - Department of Workforce Investment (DWI)

• Ensured all offices within DWI remained compliant with Equal Opportunity regulations and reporting requirements as well as ADA guidelines through training, EO operations plan implementation, monitoring and auditing

• Oversaw the investigative, mediation and resolution process for discrimination complaints across all regional offices in KY

• Served as point of contact for document translation and phone interpretation services per regulatory guidelines

University of Louisville July 2018 – June 2019

Educational Research Coder (Grant Funded - Term Assignment) Aetna Better Health of Kentucky Mar 2014 – Sept 2017 Plan Compliance Officer

• Maintained regulatory compliance and contractual obligations working as a liaison between MCO and Department of Medicaid Services, Department of Insurance, Office of the Inspector General, and Office of the Attorney General

• Responsible for responding to state inquiries, Letters of Concern, request for Corrective Action Plans, monthly state reporting, approval of attestations, Prompt Pay inquiries, and fraud investigation data requests

• Facilitated External Quality Review audits, Market Conduct Exams, Internal Audit reviews, and compliance readiness reviews



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