Risk Management Social Services
Resume:
Tiffiny Ragland
**********@*****.***
Summary
Focused Compliance & Risk management bringing 10+ years of expertise in regulatory compliance, audit procedures, project oversight and risk management. Excellent history of delivering effective leadership and training to support staff development. Driven and strategic with an aptitude for program management. Advanced knowledge of audit methodologies, functions and compliance teams. Highly motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Skills
• Compliance Reporting Policy Development
• Data Analysis Compliance Reviews
• SOP Development Leadership Techniques
• Business Intelligence Risk Management Strategies
• Project Coordination Operations Management
• Employee Relations Business Operations
• Instructional Methods
Experience
September 2023 - Present
Compliance Program Consultant (contractor)/NC DHHS
• Travel to local Departments of Social Services and Community Based Organizations for monitoring of FNS Employment and Training program and complete monitoring summary reports
• Conducts risk assessments for local Departments of Social Services and Community Based Organizations and provides technical assistance as needed
• Excellent oral and written communion skills
• Proven ability in analyzing and compiling financial data, forecasting, and/or modeling
• Demonstrated Employs instructional methods and materials that are most appropriate for meeting lesson objectives
• Completes the FNS-583 report quarterly and annually and submit to USDA assist the FNS E & T Coordinator with developing the E & T state plan, contracts, and invoices
• Knowledge of conducting audits, monitoring, or program assessmentsI
August 2023 - April 2024
Substitute Teacher/NC Durham Public Schools
• Employs instructional methods and materials that are most appropriate for meeting lesson objectives
• In the absence of the regular classroom teacher to help students to learn subject matter and scheduled lessons and to provide meaningful instruction for assigned classrooms
• Reports to school office at beginning of school day to pick up required materials / schedule of classes and at the end of the school day to return materials
• Follows sign out procedures as prescribed by the principal
• Takes attendance in accordance with school procedures
• Developed and implemented strategies necessary for minimizing risk of non-compliance
• Creates a classroom environment that is conducive to learning and appropriate to the maturity and interests of the students
• Knows school procedures and regulations
• Guides the learning process toward the achievement of curriculum goals and objectives as indicated in the lesson plans for the lessons, units, or projects assigned
January 2022 – February 2023
Compliance Research & Reporting Analyst (contractor)/ US Bank
• Maintained compliance frameworks, policies and documentation to support audits
• Maintained and revised policy procedures for general operation of compliance program
• Organized training programs to educate company staff on the benefits and consequences of complying with or defying regulations
• Developed and implemented strategies necessary for minimizing risk of non-compliance
• Adhered to deadlines in optimizing regulatory and operational performance
• Monitored compliance risk controls to identify deviations and offer recommendations
• Liaised between regulatory agencies and internal departments to facilitate regulatory and related matters
• Stayed abreast of applicable laws and state or federal regulation to report violations
March 2021 – May 2021
Operations Coordinator II (contractor)/ IQVIA
• Completed thorough opening, closing and shift change functions to maintain operational standards each day
• Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements
• Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked
• Implemented successful business strategies to increase revenue and target new markets
• Improved productivity initiatives, managing budgets and accounts, coordinating itinerary and scheduling appointments
• Provided leadership, insight and monitoring Moderma COvid-19 Vaccine to various company programs
• Used strong issue resolution and communication skills to cultivate and strengthen lasting client relationships
• Structured HR consulting services to support clients during organizational developments and changes
January 2018 – August 2020
Business Analyst Consultant (contractor)/ Wells Fargo
• Project management support liaison for projects impacting the Consumer Compliance and Risk Team Execute SharePoint projects that align with the business workflow and implement process, tracking, reporting and presentation documents for various regulatory assessments
• Banking Secrecy Act with risk and regulatory compliance experience
• Work as a liaison between development team, data analysis team, commercial banking operation managers and the senior level executives
• Execute BRDs, document processes, create test cases
• Responsible for leadership of cross functional/virtual teams to strategize, plan and execute a variety of programs, services and initiatives
• Provides technical assistance in identifying, evaluating, and share point developing systems and procedures that are cost effective and meet business requirements
• Execute SQL to access data, analyze, and manipulate useful metrics within SharePoint
• Workday tool assessed as a financial management application for cost and outcome analysis
January 2016 – January 2018
Sr Clinical Site Research Coordinator/AmerisourceBergen
• Ensured the effective operation and management of all functional areas of the branch such as customer service, clinical and distribution
• Coordinated the successful implementation of new programs deliverables with teams spread transversely the enterprise
• Implemented cost effective and practical HR solutions while ensuring the ability to attract and retain required skills (GCPs & SOPs) Clinical coordinating/research with field support & in-house monitoring or trial management (Oncology)
• Experienced with consent orders and other regulatory matters presented to executive leaders
• Uses SharePoint features/functionality, as well as custom developed applications
• Provided consultation to the contract negotiating team on the key reimbursement drivers
• Oversaw the organizing, coordinating and monitoring all clinical operations and non-clinical
• Managed progress by tracking regulatory submissions, recruitment, case report form (CRF) completion, and data query resolution
• Adhered to standards in areas involving data collection, research protocols and regulatory reporting
December 2010 – January 2015
Ticketing Sales Operation (Supervisor)/ Charlotte Hornets Basketball, LLC
• Supervised and marketed events and oversaw sponsorship sales
• Forecasted, scoped, processed invoices, implemented workforce planning and forecasting initiatives in alignment with the site and corporate human resource processes and goals
• Collaborated with human resources and leadership to provide advice on labor regulatory issues, provided coaching to leaders to support effective relationships with their employees
• Solved analytical system and customer issues, negotiated and set up contracts and payments for corporate clients and troubleshooting and resolving SharePoint issues
• Workday tool assessed as a financial management application for cost and outcome analysis
• Utilized corporate support resources to deliver tactical and operational support by ensuring documentation effective delivery selling promotions
• Understanding of cross-functional business process development and the ability to diagram or map business processes in varying levels of detail for different audiences
• Provides technical assistance in identifying, evaluating, and share point developing systems and procedures that are cost effective and meet business requirements
November 2008 – November 2010
Program Assistant Clinical Director/Fellowship Health Resources, Inc
• Ensured operational procedures comply with federal, state, local and JCAHO regulations
• Ensured the effective operation and management of all functional areas of the branch such as customer service, accounts receivable, clinical and distribution
• Coordinated the implementation of new programs with other key leaders to ensure all-inclusive reporting and communication strategies
• Implemented cost effective and practical HR solutions while ensuring the ability to attract and retain required skills (GCPs & SOPs)
• Provided consultation to the contract negotiating team on the key reimbursement drivers
• Conduct risk assessments, testing and validation of business processes and application controls
• Oversaw the organizing, coordinating and monitoring all clinical operations and non-clinical
• Peoplesoft implemented for customer relationship management
March 2007 - October 2008
Patient Account Specialist/Duke Medical University Health Systems
• Clinical Sites Coordinator
• Collections/Customer Service/Wage analysis
• Manage 5 team members
• Analyze issues and drive decisions regarding progression of the projects consistent with corporate policies
• Set priorities, coordinate multiple assignments, and work in a fast paced, multi-tasked environment, exercising sound judgment in setting priorities with a strong attention to detail
• Audit Patient Accounts & Medicare/Medicaid cost report
• Analyzes proposed managed care reimbursement schemes for net revenue, contractual discount and contribution, and net margins
January 2002 – October 2005
Patient Financial Counselor (Supervisor)/ Holly Hill Psychiatric Hospital
• Implemented human resource improvements as directed to improve operational effectiveness and efficiency in the site
• Instructed patients on policies and required actions for different types of appointments and procedures.
• Experience with consent orders and other regulatory matters
• Comprised hospitals, physicians, ancillary and free-standing outpatient centers for owned, leased, managed and affiliated providers
• Engage with senior level leadership, including project sponsors, leadership, and board-level committees
• Negotiated and set up site contracts and site payments
• Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
• Accountable for ensuring that attribute requests are processed in accordance with the corresponding data standards and guidelines
February 1998 - December 2001
Accounting Technician/NC DHHS
• Balance, accrual and maintain end of the month logs for Disbursements from the patient's account
• Produced a daily report used excel to analyze and track the Receipt payments of Medicaid and Medicare
• Keys data and post Family & insurance payments to patient's accounts at the state Hospitals and centers
• Execute on GL-specific project forecasting/deliverables
• Make daily certification deposit into NC State Treasurer Department
• Access the NC Accounting and Cash Management Systems to encode Client's accounts
• Interact with (13) State Drug/Psych Hospitals and Centers private banks For Patient's personal funds
• File liens with the County Clerk of Court, which is drawn on Bad debt accounts of patient's
• Update patient accounts and information on a daily basis & verified and created claim numbers by communicating with various insurance companies & verified payments done by insurance companies were accurate and according to contract guidelines
Education
August 2016
Master of Art: Healthcare Administration / Ashford University
January 2014
Bachelors: Healthcare Administration specializations Human Resources Management & Long-Term care Management / Ashford University
May 2007
ASSOCIATES: Medical Technology / NC State Envisionary Care I School
Additional Key Tools
• Sales Force Yardi & EMR
• CRM SQL & Tableau
• Enterprise Plus & EHR & Cerner
• KYC Omni & EOCMS (Ethics Office Case Mgmt. System)
• GL Property Accountant
• NC Fast/Beacon/FIORI/NC Works
• WCIS
• Medical Medicare & Medicaid
• Managed Care Systems
• Workday Peoplesoft & Great plains
• MS Word MS Excel MS Outlook PowerPoint & Pivot Tables
• QuickBooks SAP/SAS/ADP
• Reports SharePoint & Patient Plus
Contact this candidate