Compliance Officer

• Sep 2022 - Present

In my role as Compliance Officer at Network Solutions IPA I provide key compliance support to the organization in the areas of review and update of credentialing and privacy policies and procedures, physician billing reviews, serve as a member of the Credentialing Committee meetings and general compliance oversite of organizational activities as required. In my role as Compliance Officer at Network Solutions IPA I provide key compliance support to the organization in the areas of review and update of credentialing and privacy policies and procedures, physician billing reviews, serve as a member of the Credentialing Committee meetings and general compliance oversite of organizational activities as required.

Compliance Consultant

• May 2019 - Present

Mentor

• May 2004 - Present

Provide without charge, mentoring and guidance to individuals entering the job market by reviewing their resumes with them and helping to prepare them for job interviews. Provide without charge, mentoring and guidance to individuals entering the job market by reviewing their resumes with them and helping to prepare them for job interviews.

Director of Compliance

• 2014 - 2018

✓ Transformed the functionality and effectiveness of a privacy, compliance and auditing program affecting a network of over 75K providers throughout NY and NJ. ✓ Spearheaded a multi-pronged ACA compliance initiative including elements such as shared responsibility, calculation of transitional reinsurance fees, and calculation of patient center outcomes research fees. ✓ Led investigations into potential HIPAA breaches as well as instances of provider fraud and abuse, collaborating with organizations like the NY State Department of Health and NY State Attorney General. Show less

Chief Compliance Officer

• 2011 - 2013

✓ Led ideation-through-launch development of a holistic Compliance and Ethics program leveraging Best Practices within the healthcare industry and integrating elements such as a Conflict of Interest program, intensive HIPAA and Compliance training for cross-disciplinary staff, a dedicated investigative function, and a 24/7 hotline. ✓ Audited the accreditation process for all 180 providers in practice and reduced Medicare and Medicaid exclusions through targeted monitoring of US and NY state exclusion websites. ✓ Headed up all investigations into potential HIPAA breaches, fraud and waste, eliminating heavy fines and potentially years of oversight and reporting to Office of Civil Rights of HHS through "deep dives" into events and strategic development of reporting documentation. Show less

Director of CPA Licensing Compliance

• 2006 - 2011

✓ Raised the CPA license compliance level amongst PwC's 9400 CPAs and partners across all 50 U.S. states by double digits through highly interactive firm-wide AICPA renewal process, saving staff thousands of hours previously spent on membership renewal. ✓ Secured major cost savings through outsourcing 12 key functions of the CPA Licensing Compliance Department to offshore vendor, working heavily on the frontlines to ensure a smooth transition with no drop in quality. ✓ Raised the CPA license compliance level amongst PwC's 9400 CPAs and partners across all 50 U.S. states by double digits through highly interactive firm-wide AICPA renewal process, saving staff thousands of hours previously spent on membership renewal. ✓ Secured major cost savings through outsourcing 12 key functions of the CPA Licensing Compliance Department to offshore vendor, working heavily on the frontlines to ensure a smooth transition with no drop in quality.

Director Of Compliance

• 1992 - 2006

✓ Originated Mount Sinai's Compliance and Privacy program, setting the stage for rapid organizational growth and development. Created Mount Sinai's first-ever clinical trials QA audit program. ✓ Played integral role in the merger of Mount Sinai Medical Center and NYU Medical Center through building a merged Compliance program leveraging the unique resources and strengths of both organizations. ✓ Held prior roles as Interim Chief Compliance Officer (2001-2003), Director of Compliance (1997-2001), and Internal Audit Manager (1992-1997). Show less