Regulatory Compliance Inspector

Kavin S. Young Jr.

818-***-**** *********@*****.*** Henderson, NV, 89074 LinkedIn

Compliance Development & Execution Risk Assessment & Mitigation Corporate Governance Audit & Reporting

Implemented Policies & Procedures: Saved $500K+ in potential fines at Elevance Health by instituting critical financial compliance measures to resolve delayed payment issues; implemented policies to expedite the processing of unaccounted funds.

Develop & Oversee Control Systems: Increased subscribing contractors from 2 to 10 per week at ABC by creating an Excel tracking system to streamline contractor subscription; championed company-wide DocuSign integration to accelerate the process.

Train and Develop Stakeholders: Improved contractors' public work law understanding at ABC by implementing orientation programs; delivered tailored educational content regarding wage issues and compliance updates via PowerPoint and Zoom.

Key Skills: Contract Review & Management Policy Development & Implementation Vendor Administration & Strategic Planning Regulatory Knowledge Contract Inspection & Oversight Tools: MS Office, Zoom, Flashpoint, SERT Cross-Functional Collaboration Executive Partnerships Multi-Tiered Stakeholder Management

Professional Summary

Plan Compliance Officer, Elevance Health (Contract) 02/2024 – 07/2024

Monitored compliance with state requirements, internal controls, and policies and procedures for 50+ employees. Oversaw the compliance team and handled day-to-day operations, including employee reviews and coaching. Orchestrated fraud investigations involving false service claims across different counties; collaborated with the Special Investigations Unit and Medicaid Fraud Unit. Analyzed and reported on complaints data. Prepared regulatory notifications to ensure compliance with change management requirements. Assisted the legal department with audits and contracts; worked with the finance team to ensure on-time payments.

Eliminated daily compliance risk penalties of $500 by revising adverse benefit determination letters to meet state regulations and coordinating with clinical teams to uphold contract terms.

Enhanced the company’s reputation for future contracts by leading the RFP bid process for state healthcare contracts, managing compliance aspects, and facilitating audits; ensured alignment with audits and regulatory frameworks.

Maintained provider relations and compliance with state guidelines by conducting rigorous internal investigations into claims non-payment complaints, and coordinating with providers and claims teams to rectify payment issues.

Improved overall operational compliance and efficiency by leading cross-functional team collaborations with clinical, accounting, network providers, and business change management teams.

Fostered a culture of compliance and ethical business practices across the organization by championing company-wide compliance training programs, including anti-discrimination and ethical practices.

~ Relocated from California to Nevada ~ 06/2023 – 02/2024

Compliance Advisor/Senior Clerk, Sincerus Solutions Employment Agency (Contract/Temporary) 01/2022 – 06/2023

-Compliance Advisor, Associated Builders and Contractors, SoCal (Temporary assignment 2)

Directed the implementation of comprehensive compliance protocols; mastered prevailing wage laws at the federal and state levels. Administered contractor payroll; spearheaded compliance-related education initiatives to secure grant funding and support apprenticeship programs. Facilitated Craft Championship competitions by assisting with event logistics. Enhanced contractor understanding of document handling and payroll processes by creating compliance newsletters. Represented the organization at California Apprenticeship Council and California Association for the Advancement of Apprenticeship and Training meetings.

Administered subscribing employer programs and guided contractors seeking membership; oversaw the collection of insurance certificates, created key documents and forms, and ensured all paperwork was properly completed, processed, and retained.

Streamlined transparency and adherence to state law by scanning, filing, and dispatching letters of receipt for DS-140 and 142 forms; developed reports using Flashpoint to track and confirm the receipts.

Optimized internal processes by revising existing program standards and procedures to ensure compliance with state and federal laws; modified DAS-7 forms, and updated Excel timeline sheets and contractor status reports.

Collaborated with the executives to maintain a high level of compliance by monitoring subscribing members; utilized Flashpoint to audit employee records and provided recommendations to facilitate workforce adjustments.

Partnered with the President and the Education Director to improve workforce diversity by designing a female-centric marketing strategy; advocated for inclusive language and promotional tactics to empower women in trades.

Refined enrolment processes and ensured data accuracy by maintaining the Employment Training Panel database; tracked OSHA 30-hour attendance, 90-day retention period employment, and post-retention wages; maintained copies of class rosters.

-Senior Clerk, Burbank Department of Water and Power (Temporary assignment: 1)

Ensured payroll administration accuracy through detailed auditing; coordinated with the payroll department and accounts payable to achieve error-free invoice processing. Enhanced the processing speed of 50+ vendor contracts within a tight timeframe through meticulous contract analysis. Oversaw budgetary compliance by verifying the alignment of invoice amounts with contract terms.

~ Completed a Juris Doctor degree and sat for the California Bar Examination. ~ 08/2016 – 06-2023

Legal Assistant, Testan Law (Law offices of Adelson, Testan, and Brundo) (Full-Time) 02/2015 – 08/2017

Standardized task execution for lawyers by creating and administering court appearance calendars and communicating deadlines and responsibilities. Ensured compliance with HIPAA regulations by diligently handling sensitive records to preserve client confidentiality. Improved document accuracy and completeness by analyzing and auditing legal documents to reduce potential errors.

Customer Service Supervisor, Signius (Full-Time) 01/2014 – 02/2016

Directed multiple customer accounts while leading a team of 7. Hired and trained the staff; fostered employee skills through on-the-job training, one-on-one sessions, and performance monitoring. Partnered with payroll and general management to improve administrative tasks and introduce new internal policies. Established compliance by ensuring adherence to internal policies.

~ Played professional international basketball. ~ 06/2008 – 01/2014

Education & Certifications

Doctor of Jurisprudence, Santa Barbara & Ventura Colleges of Law 2020

Certified Mediator, Ventura Center for Settlement Dispute 2019

Bachelor of Arts in Business Communications, California State University, Stanislaus 2008

Associate of Arts in Public Policy Analysis, San Joaquin Delta College 2004

Kavin Young Resume Page 02 818-***-**** *********@*****.*** Henderson, NV, 89074 LinkedIn

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