Compliance Analyst Data Analysis

Christopher DeBarbieris

Gonzales, LA ***** 225-***-**** *********@*****.***

https://www.linkedin.com/in/christopher-debarb/

Education

Master of Business Administration, Healthcare Management Western Governors University 2025

• Specialization: Compliance & Risk Mitigation, Data Analysis, Regulatory Strategy Bachelor of Science, Healthcare Management Western Governors University 2023

• Focus: CMS, HIPAA, OIG, and DHHS Compliance Frameworks Paralegal Certificate, Louisiana Civil Law Addendum University of Georgia Center for Legal Studies 2017

Professional Summary

Detail-oriented compliance professional with over 15 years of experience in regulatory oversight, data analysis, and process improvement within healthcare and claims environments. Seeking the Workers’ Compensation Compliance Analyst 1/2 position at the Louisiana Workforce Commission to ensure adherence to workers’ compensation statutes, support data mapping for electronic reporting, and monitor compliance systems. Proven expertise in auditing claims data, resolving discrepancies, and collaborating with stakeholders to maintain integrity and efficiency, aligning with OWCA’s mission to enforce workers’ compensation laws and promote workplace safety.

Professional Experience

Pharmacy Technician

American Oncology Network Baton Rouge, LA October 2022 – October 2024

• Conducted detailed compliance reviews of prescription claims and billing data, ensuring alignment with regulatory statutes and reducing errors by 15%, similar to monitoring workers’ compensation form compliance.

• Analyzed and linked documentation across systems to resolve operational gaps, implementing improvements that enhanced workflow efficiency by 10% and supported accurate reporting.

• Responded to vendor and stakeholder inquiries on compliance issues, providing direct resolutions and training to over 20 staff members on regulatory protocols and data integrity. Pharmacy Audit & Compliance Lead

Optum Infusion Services Baton Rouge, LA December 2017 – September 2022

• Led audits of claims and infusion services, identifying compliance issues and achieving a 95% pass rate for regulatory reviews, demonstrating ability to make accurate judgments based on established standards.

• Utilized SQL and Excel to map and analyze data elements in claims systems, uncovering discrepancies that resulted in $50,000 annual savings through corrective actions, transferable to mapping 1002/1003 forms to SROI for EDI reporting.

• Monitored task management systems and developed policy documentation to support system migrations and compliance scorecards, ensuring resources were managed effectively for maximum value.

Sterile Compounding Lead Technician

National Infusion Services Baton Rouge, LA August 2007 – June 2017

• Performed analyses of reimbursement and claims data, identifying errors and facilitating resolutions with payers, saving $30,000 annually while maintaining ethical standards and regulatory compliance.

• Created training materials on billing policies and data navigation, improving staff adherence to statutes and boosting approval rates by 20%, akin to assisting with compliance scorecards and vendor communications.

• Supported prior authorization and documentation processes, ensuring accurate linkage of forms and data to meet regulatory requirements, enhancing overall system efficiency. Skills

• Compliance & Regulatory: Statutory Adherence, Risk Assessment, Medicare/Medicaid Compliance, Workers’ Compensation Frameworks (Transferable)

• Data Analysis & Mapping: SQL, Excel, Data Element Mapping, Electronic Data Interchange

(EDI) Support, Statistical Analysis • Process Management: Vendor Task Monitoring, Compliance Scorecard Production, Resource Optimization

• Communication: Inquiry Resolution, Training Delivery, Stakeholder Collaboration

• Technical: Microsoft Office Suite, Dashboard Creation, Internal Control Frameworks (COSO)

• Professional: Ethical Decision-Making, Accurate Judgment, Integrity, Adaptability Certifications

• Certified Pharmacy Technician (CPhT), Pharmacy Technician Certification Board, Valid Through June 2027

• Licensed Pharmacy Technician, Louisiana Board of Pharmacy, Active Since 2001

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