Maria Pistritto

Phone: 860-***-**** adtmob@r.postjobfree.com

Summary

Self-motivated and results-oriented professional with experience managing staff and operations. Able to navigate large matrix corporations, problem solve and team build. SME and possess knowledge of SOX, healthcare industry law, audit standards and ACA medical insurance compliance parameters.

Skilled in creating RFP’s, balancing accounts payable and receivables. Program management, Project Management, Project Coordinator, RFP creator, Accounts payable and receivables and IT control maintenance.

Education

Certificate of Science in Health and Well Being

Yale, 2022

BA Psychology

University of Saint Joseph, 2008

Experience

Operations Manager, LA Fitness

2022 – current, Trumbull, CT

Oversaw and coordinated LA Fitness’ operations, club staff and janitorial team.

Managed quality control, purchased materials, created work orders, planned inventory and scheduled staff.

Recruited, trained and supervised staff.

increased the quality of customer service and ratings, with a positive increase of 80%, by with mentorship staff training.

Increased customer retention 20% by improving facility structures and equipment.

Process efficiency increased commission revenue and profit by 20%.

Accounting Project Manager (Pratt & Whitney)

2021 – 2022, Remote Contractor

Contracted to work at in the Manufacturing and Accounting Department at Pratt & Whitney.

Assigned to manage 6,000+ employees’ payroll.

Continuous process improvement expectation met by developing training material to resolve payroll compliance issues for union and non-union employees and HR.

Aligned with needs of client for new rollout of payroll platform in US factories and government offices and lowered payroll errors by 75%.

Utilized MS Project and formed internal and external relationships to meet project objectives.

Provided guidance and support throughout the lifecycle of projects and provided requirements for future international project launch.

MassMutual, Senior Data Management Project Manager

2019, Contractor, Springfield, MA

Managed broad scope project and maintained a matrix reporting relationship with stakeholders, business owners, IT and vendors as company transitioned to a new sale and claims platform.

Assigned to collect and document data, interpret and analyze project scope.

Completed a vital project within three months versus company project scope of nine months.

Cigna, Infrastructure Program Manager

2018 – 2019, Contractor, Bloomfield, CT

Provided recommendations to ensure objective of maintaining 100% corporate compliance and identification of system and user-interface issues to adhere to SOX standards (Sarbanes-Oxley).

Exceeded target deadline of Phase 1 Sprint three months ahead of scheduled deadline.

Managed and executed Compliance project activities to ensure that SA-3 controls were followed and systems updated to allow for more automation.

Regulatory Affairs and Compliance Associate, Aetna

2001 – 2022, Hartford, CT

Presented to executive level partners (i.e., President, CEO, and Medical Directors).

Researched healthcare laws and became subject matter expert expertise (SME).

Identified key risks and repetitive filing errors and lowered filing errors by 25% within 1st quarter of project implementation.

Provided solutions to become best in class and created audit template for medical, dental, and vision filings.

Improved performance ratings, procured materials, and secured resources to maintain state and federal compliance.

Consulted legal department to translate HIPAA and ACA laws into readable Fleischman scored language.

Worked directly with senior and executive leadership, legal and state regulatory departments to offer consultative support to honor service level agreements (SLA’s) and to ensure all departments have an understanding of legal filing language.

Created and approved Ready for Proposal (RFP) sales document for medical, dental, pharmacy and vision benefits for Account Managers, Legal Department, Underwriters and Sales Department.

Interacted with account managers, sales, underwriting and legal departments to ensure projects and sales presentation were compliant.

Volunteer for annual enrollment fairs at regional VA Hospitals and the United States Postal Service hubs.

Appeals analyst for medical, dental, vision and pharmacy as well as CMS and Medicare.

Skills & Proficiency

Fluent in English and Italian

Advanced comprehension of Microsoft Office Suite, Microsoft Teams, MS Project Manager SharePoint, Workday, PeopleSoft, CRM, CMS, ACA, HIPPA, SAP, Kronos, LexisNexis, Zoom and WebEx.

Extensive volunteer experience working with all walks of life to assist in their daily lives (e.g., English as a second language teacher, Substitute teacher, Girl Scout leader, Substitute para-professional, IEP assistant, and mental health aide for hospice and suicide prevention).

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