Senior-level: operations / compliance/business/legal/health care

STACEY CUMMINGS

**** ****** ****** • Los Angeles, California 90046

310-***-**** • **********@*****.***

SENIOR-LEVEL: OPERATIONS / COMPLIANCE

Highly accomplished, results-oriented Operations and Compliance Strategist with 13+ years of progressive work experience, including 7+ years managing projects and programs to drive business success. Unique ability to understand complex legal and compliance issues and develop and implement highly effective solutions. Expertise in operations management, continuous process improvements, relationship management, and leading teams to deliver optimum, bottom-line results.

Operations Management • Compliance Oversight • Quality Improvements • Project Management

Audits • Policy / Procedure Development • Documentation / Reporting • Data Analysis

Team Leadership • Government Exp. • Negotiations • Corrective Action Plan • Grievances/Appeals

Strategic Planning • Program Management • Financial Management and Budgeting • Policy Implementation • Develop/Execute Strategic Plans

PROFESSIONAL EXPERIENCE

HOLLOWAY & CO., PLLC, Washington, DC • 2002 to Present

National health care consulting firm working primarily with the Centers for Medicare and Medicaid Services (CMS).

Consultant

Direct compliance, claims review, grievances, appeals and remediations and audit projects for clients in the health care industry. Develop action plans and goals in collaboration with Partners. Lead teams, assigning project tasks, providing guidance, and monitoring performance and delivery. Assess clients’ internal controls to determine effectiveness of operations and compliance with OMB Circular A-123, HIPAA, Medicare and SAS 70 Type II audits. Determine process improvements and present solutions to clients.

Key Achievements

• Delivered all project goals on time and under budget.

• Developed effective tools to analyze compliance and audit processes, resulting in more efficient formulation of evaluations and reports.

• Ensured efficacy of administrative, physical, and technical safeguards to maintain proper handling of personally identifiable health information with regards to the Privacy Act.

• Secured healthcare employees’ compliance with applicable laws and regulations, code of ethics, and conflict-of-interest standards.

• Identified risks and impacts of clients’ ineffective key control activities and developed corrective action plans to resolve issues.

• Significantly minimized clients’ financial risks by analyzing clients’ billing histories, identifying aberrant billing patterns, and developing/implementing/recommending billing process improvements.

STACEY CUMMINGS • Page Two • **********@*****.***

DISTRICT OF COLUMBIA DEPARTMENT OF BANKING, Washington, DC • 2001 to 2002

Government agency supervising area financial institutions.

Program Director

Administered $5 million Public Charter School Credit Enhancement fund for Charter School Program that issued grants to DC charter schools. Authored policies and procedures for the District of Columbia Municipal Regulations (DCMR) in collaboration with General Counsel. Reviewed all grants and created summary of grant applications to present to Board, counseling Board on grant administration. Monitored progress of grant recipients to enable success. Initiated community outreach and identified potential grant qualifiers.

Key Achievements

• Closed first 4 credit enhancement fund deals for program, enabling DC Charter schools to finance expansions, improvements, and purchases of facilities.

• Developed and implemented policies and procedures.

• Fostered community relationships.

• Significantly contributed to launch of program, the first of its kind in the country.

• Lobbied to receive additional $14 million from Congress to expand program.

• Developed strong relations with Board.

• Negotiated Certificates of Deposit and other contracts in collaboration with General Counsel.

• Marketed program to increase grant applications.

DISTRICT OF COLUMBIA, OFFICE OF DOCUMENTS AND ADMINISTRATIVE ISSUANCES, Washington, DC • 1999 to 2001

Government office preparing, editing, printing, and publicly distributing the District of Columbia Statutes-at-Large, the District of Columbia Register (DCR), the District of Columbia Municipal Regulations (DCMR), and other legal publications of the District of Columbia.

Legislative Affairs Specialist

Reviewed municipal regulations, executive orders, and proposed laws, managing 4 contract attorneys. Responded to inquiries from the public, government agencies, and members of Congress.

Key Achievements

• Researched, interpreted, and drafted final decisions on Freedom of Information Act administrative rulings.

• Updated District of Columbia Municipal Regulations (DCMR).

FORMAL EDUCATION

Juris Doctor

Catholic University School of Law – Washington, District of Columbia

Bachelor of Business Administration, Finance

Howard University – Washington, District of Columbia

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