Experience

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  Einstein Healthcare Network

  • Greater Philadelphia Area

  • Chief Compliance Officer

    • 2018 - Present
    • Greater Philadelphia Area

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  Hawaii Health Systems Corporation

  • Honolulu, Hawaii

  • Chief Compliance and Privacy Officer

    • Feb 2014 - Feb 2016
    • Honolulu, Hawaii

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  MARICOPA INTEGRATED HEALTH SYSTEM

  • Phoenix, Arizona Area

  • Chief Compliance Officer/Privacy Officer

    • Oct 2007 - Sep 2013
    • Phoenix, Arizona Area

    Recruited to stabilize and expand the Compliance and Risk Management Programs and to establish the Internal Audit Department. Responsible for the development, implementation and administration of a comprehensive, organization-wide compliance program in this integrated, academic healthcare delivery system, to ensure enterprise compliance with all local, state and federal laws and regulations and organizational policies. Direct reports included Director of Compliance, Director of Risk Management, Director of Internal Audit, Director of Safety and Director of Security. Developed Code of Conduct and Ethics and Compliance Program. Re-established the Compliance Committee, serving as Chair.

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  PARKLAND HEALTH & HOSPITAL

  • Chief Compliance Officer

    • Jul 2005 - Aug 2007

    Established the corporate compliance department and program. Responsibilities include identifying areas of legally mandated compliance as well as best practices relating to corporate compliance. Worked with Board, Senior Management and Office of Inspector General to self-report billing and coding errors. Responsible for leading and overseeing compliance training initiatives. Ensured that compliance program met requirements of Federal Sentencing Guidelines. Led all investigations of violations of fraud and/or abuse laws, conflict of interest laws and policies, financial crimes, etc.

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  ERLANGER HEALTH SYSTEM

  • Chief Compliance Officer 2003

    • Nov 2003 - Jul 2005

    Recruited to establish the corporate compliance department and program. Worked with outside counsel, the U.S. Attorney, and the FBI in response to a federal investigation of alleged violations of Fraud and Abuse/Anti-kickback laws. Responsible for leading and overseeing compliance training initiatives. Led detailed investigations that utilized resources and personnel from Internal Audit and Information Systems departments.

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  Guthrie Healthcare System

  • Vice President of Legal Affairs/Corporate Compliance Officer

    • Mar 1999 - Jul 2002

    Established Corporate Legal Department and Compliance Department and initiated compliance program for a 2400-employee healthcare system. Provided legal counsel to CEO and other health system officers and employees. Reviewed and negotiated contracts and provided general legal support intended to protect the System from legal exposure. Maximized compliance with statutory, regulatory, and case law requirements. Coordinated internal legal activities, and monitored outside law firms. Supervised subordinates, oversaw internal audit, risk management and insurance programs, and consulted internally on workers' compensation and safety. Served as Assistant Secretary to Board of Directors.

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  OFFICE OF LEGAL COUNSEL - Pennsylvania Dept. of Health

  • Assistant Counsel

    • Jan 1998 - Mar 1999

    Provided legal counsel to Secretary and Assistant Secretaries of Health as well as various divisions and bureaus. Assisted in the authorship of legislation and regulations for acute care, hospices, and the Head Injury Program. Represented the Department at court proceedings and administrative board hearings. Drafted and reviewed contracts insuring compliance with appropriate regulations. Responsible for all legal issues arising at District Health Centers throughout the Commonwealth, as well as the Division of Acute and Ambulatory Care, the Bureau of Epidemiology, the Chronic Renal Disease Program, and the Head Injury Program.

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  CONTEMPORARY HEALTH CARE, INC

  • Senior Consultant

    • Jan 1996 - Jan 1998

    Typical consulting projects included needs assessments for proposed programs, appraisal of physicians practices targeted for acquisition, planning a new ambulatory care facility, and community surveys to identify health professional shortages. Selected projects:Assisted Delaware Department of Health and Social Services in developing an action plan for a comprehensive consumer delivery system for individuals with Traumatic Brain Injury (TBI). Assisted in preparation and implementation of a strategic business plan for a Medicaid "Healthy Start" program in New Orleans. Guided transformation of agency from a city program to a Non-Profit Foundation.

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  North Philadelphia Health System

  • Hospitals and Health Care
  • 100 - 200 Employee

  • Vice President of Legal Affairs

    • Mar 1987 - Aug 1996

    Established Risk Management and Legal Departments and coordinated internal and external legal support for a new health care organization formed by merger. Maximized compliance with JCAHO, AOA, HCFA and Department of Health rules and regulations, resulting in continued accreditation and maximized government funding. Supervised three subordinates and provided oversight for risk management, workers compensation, and safety programs involving over 1400 employees. Assistant Secretary to Board of Directors. Member of the Senior Administrative Council. Member of Finance Committee that refinanced existing debt and improved cash flow, insuring hospital's viability. Conducted mock JCAHO, AOA, HCFA and Department of Health surveys and served as corporate liaison.Reduced workers' compensation claims more than 85%, from $1.5M to $250K in two years, and cut annual premiums by $700K in same period by designing and implementing aggressive claims elimination and Employee Health and Safety programs.Negotiated major labor and vendor contracts which resulted in more than $200K annual savings.Responsible for the creation and operation of a hospital-based, multi-specialty physician practice.Minimized Medicaid fraud and abuse, and optimized Medicare funding.

  • Director of Legal Affairs

    • Jan 1989 - Jan 1990

    Responsible for establishing Department of Legal Affairs and continuing oversight of risk management and security programs. Developed and managed legal services, reviewed contracts and agreements, and assisted in developing by-laws, policies, and procedures.Reduced the need for outside counsel, saving more than $350K in legal fees.As part of a team, planned and managed merger/bankruptcy of two financially distressed hospitals, resulting in creation of new health care organization.Reorganized security operations to ensure safety.

  • Director of Risk Management

    • Jan 1987 - Jan 1989

    Responsible for establishing the Risk Management Department, directing 24 hour security operation of a 44-man department, reviewing contracts, and working with insurance carrier and defense counsel to manage professional, general, and product liability claims.Wrote procedural manual that established the first centralized operation for coordinated incident reporting and streamlined claims handling.Developed and administered system for risk identification, investigation, and analysis.Positioned the hospital to successfully contract with managed care providers.

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  U.S. Army Reserves

  • Commissioned Officer

    • Jan 1985 - Jan 1994

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  Bensalem Township Police Department

  • Police Officer

    • 1977 - 1980