Quality Assurance Data Integrity

Anne Gorrigan

Barrington, NJ 802-***-**** *********@*****.***

SUMMARY

Accomplished credentialing and operations leader with a proven track record of driving transformational improvements in healthcare and non-profit sectors. Expertise in optimizing complex workflows, ensuring strict regulatory compliance, and elevating financial oversight to exceed organizational goals. Renowned for advanced problem-solving, strategic planning, and risk mitigation, consistently enhancing operational efficiency, data integrity, and compliance. Skilled in managing credentialing processes and collaborating with cross-functional teams to uphold the highest standards of quality and accuracy.

CORE COMPETENCIES

Credentialing & Privileging Compliance: Ensures provider eligibility, licensing, and regulatory adherence.

Database Management & Optimization: Improved database efficiency by 40% through optimization and error-check protocols.

Regulatory & Accreditation Standards: Maintains compliance with federal, state, and industry regulations.

Financial Oversight & Budget Management: Handles financial reporting, reconciliations, and budget tracking.

Quality Assurance & Risk Mitigation: Achieved zero compliance findings during regulatory audits.

Program & Project Management: Develops, implements, and oversees key initiatives and operations.

Reporting & Data Analysis: Generates reports, tracks trends, and provides actionable insights.

EXPERIENCE

Credentialing Assistant Cooper University Health Care 2022 – Present

Manage end-to-end credentialing and reappointment processes for medical staff and allied health professionals, ensuring compliance with legal, federal, and state guidelines. Maintain accurate provider data in Symplr/Cactus, oversee background verification, and prepare materials for credentialing committees. Track licensure expirations and ensure timely renewals. Uphold strict confidentiality and data security protocols.

Key Achievements:

Optimized credentialing workflows, reducing processing time by 30% and saving 15 hours per week.

Enhanced provider data accuracy by implementing stringent validation and reconciliation protocols.

Successfully navigated NCQA and Joint Commission audits with zero compliance findings.

Database Manager Diocese of Camden 2018 – 2022

Administered Blackbaud’s Raiser’s Edge for donor management, ensuring data accuracy and financial integrity. Processed payments, managed reporting, reconciled discrepancies, and developed data-driven strategies to enhance fundraising performance. Created user-specific manuals to improve office efficiency. As a certified Trainer of Users (ToU) with the Vermont National Guard, specialize in end-user training. Managed Blackbaud’s Raiser’s Edge, ensuring data integrity, processing payments, reconciling discrepancies, and optimizing fundraising through data insights.

Key Achievements:

Improved data integrity, reducing discrepancies by 40% and saving $50,000 annually.

Developed standardized processes for reporting and financial reconciliation, increasing efficiency.

Led CRM data migration with zero data loss, ensuring seamless transition and continuity.

Operations Manager Make-A-Wish Foundation 2015 – 2018

Oversaw financial operations, donation processing, and reporting functions. Managed Raiser’s Edge database, aligned financial data with Financial Edge, and provided critical reports to executive leadership.

Key Achievements:

Strengthened financial oversight by implementing reconciliation processes, reducing errors by 35%.

Developed data extraction and reporting methodologies, improving grant and donor tracking.

Increased operational efficiency through database restructuring and automation.

EDUCATION

Master of Arts, International Project Design & Management

School for International Training – Brattleboro, VT

Bachelor of Arts, Psychology

Merrimack College – North Andover, MA

CERTIFICATIONS & TRAINING

Raiser’s Edge Professional Certification – Blackbaud

Financial Edge Fundamentals – Blackbaud

Trainer of Users (ToU) – Blackbaud

TECHNICAL PROFICIENCIES

Database Management: Raiser’s Edge, Financial Edge, Symplr/Cactus, SQL Queries

Healthcare Systems: EMR Systems

Productivity Tools: Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)

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