Lori Gravelle, MBA, CHC

Director of Compliance and Quality Assurance at Southwest Care Center (SCC)
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Contact Information
us****@****om
(386) 825-5501
Location
Charlotte, North Carolina, United States, US
Skills

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Credentials

  • Certified in Healthcare Compliance (CHC)
    Compliance Certification Board
    Dec, 2013
    - Oct, 2024

Experience

  • Southwest Care Center (SCC)
    • United States
    • Medical Practices
    • 1 - 100 Employee
    • Director of Compliance and Quality Assurance
      • Oct 2020 - Present

      Excited to return to a nonprofit community health center committed to improving access and quality of care to rural and underserved patients. Excited to return to a nonprofit community health center committed to improving access and quality of care to rural and underserved patients.

  • US Radiology Specialists
    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Compliance Officer Physician Practice Management and Credentialing
      • Jun 2017 - Jul 2020

      Administration of the physician practice compliance programs in Arizona, Colorado, North Carolina, and South Carolina for over 1500 employees; compliance integration of new acquisitions, alignment initiatives, risk assessments, vendor management, development of auditing and monitoring work plans, workforce awareness and education, integrated dashboards, and board reporting. Management and direction of the teleradiology licensing, credentialing, privileging and enrollment for approximately 1000 physicians and advanced practice professionals in compliance regulatory requirements, accreditation standards and hospital bylaws; centralized the credential’s verification office improving efficiencies, leveraging technologies to align with regulatory requirements, accreditation standards, accelerating hospital privileges and claims submission for reimbursement. Show less

  • Hudson Headwaters
    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • VP Risk Management & Compliance (Chief Compliance, Privacy and Security Officer)
      • Jan 2012 - Jun 2017

      Administration and direction all aspects of regulatory compliance, 340B pharmacy compliance, risk management, safety, accreditation surveys, HIPAA privacy and security, health information management, patient rights and responsibilities, policy management, governance and peer review activities for a workforce of nearly 800 employees, including 185 employed providers at 17 different locations covering nearly 5000 square miles. Compliance, risk management and credentialing consulting engagements, implementation of compliance programs, risk assessments and plans of correction in preparation for and in response to regulatory audits and surveys. Show less

  • Glens Falls Hospital
    • Hospitals and Health Care
    • 700 & Above Employee
    • Director of Medical Staff Operations
      • Oct 2004 - Feb 2012

      Responsible for the development of a comprehensive credentialing, privileging and peer review system for over 700 members of the independent medical and allied health staff; managing all medical staff activities at the hospital and 25 off-site locations. Coordination of all activities of the organized medical staff including meeting management, financials, and governance requirements. Maintenance of Medical Staff Bylaws, federal and state regulations. Responsible for compliance and accreditation requirements for the Medical Staff Chapter of the Joint Commission. Show less

    • Human Resources Specialist
      • May 2003 - Oct 2004

      Responsible for the management of the human resources information system (HRIS), processing new hire applications, job changes, pay rate changes and maintaining the position control reports. Participation in job fairs, recruitment initiatives, onboarding, orientation and exit interviews. Management of workers compensation and unemployment claim in compliance with federal, state and local employment and benefits laws and regulations.

Education

  • Western Governors University
    Master of Business Administration (MBA), Healthcare Management
    2014 - 2015
  • The George Washington University
    Graduate Certificate in Healthcare Corporate Compliance, Health/Health Care Administration/Management
    2013 - 2013
  • SUNY Empire State College
    Bachelor of Science (B.S.), Business Administration with a concentration in Healthcare Management
    2008 - 2010
  • The George Washington University
    Graduate Certificate, Healthcare Corporate Compliance

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