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HR Compliance Manager Resume

Posted: 7/1/2024 | Ref: #84655
Location Status Plano, TX
Work Environment
Target Salary Negotiable
Category Human Resources
Applied SkillsResearch SkillsTechnical SkillsHR Related Tools (QualtricsBambooHR) | Google Analytics | MedConnectMicrosoft Office 365 (WordExcelPowerPointand Teams) | SPSS | CRM SystemsAvaya | Zoom | Center X (Epic-EHR Integration System)

Candidate Pitch:

Results-oriented and highly motivated PhD candidate in Business Psychology with a focus on consulting and a Master of Public Administration, leveraging strong analytical and communication skills to excel in diverse environments. Proven track record of managing projects, enrollment management, and ensuring regulatory compliance in healthcare and academic settings. Adept in quantitative analysis and research methods, with experience in collecting and analyzing employee experience surveys using Qualtrics to improve workforce readiness. Skilled in the development of teams, fostering collaboration, and enhancing organizational effectiveness through strategic leadership and mentorship. Program Coordinator II | Cencora  Frisco, TX Oct 2019 – Present  Gather critical information to assist sales representatives, resulting in efficient scheduling via organization and communication.  Register nurse consultants and complete on-site account setup for in-services, ensuring smooth program initiation.  Handle enrollment of new nurse consultants, contributing to program growth through efficient onboarding processes.  Prepare, confirm, and follow up with RNCs for training programs, maximizing training completion rates through proactive communication, meticulous coordination, and consistent follow-up, resulting in a well-trained and highly competent team.  Verify and resolve license and compliance issues, guaranteeing regulatory adherence through research and problem-solving skills.  Streamline the onboarding process for new associates, resulting in a 20% reduction in time to completion through effective project coordination, data management, and training program optimization. Graduate Research Assistant | The Chicago School  Richardson, TX Sep 2019 – Dec 2021  Assisted professors from leading educational institutions with literature reviews, data collection, and analysis for Business Psychology and organizational behavior projects, resulting in a deeper understanding of the field via hands-on research experience.  Provided guidance to graduate students navigating the program, resulting in a smooth academic journey and high retention rates.  Instructed students one-on-one on using print and electronic resources specific to Business Psychology and I/O Psychology, resulting in improved research capabilities for their academic pursuits through anticipation.  Engaged in special projects by conducting surveys, analyzing organizational behavior data, and assisting with faculty research in Business Psychology, contributing to impactful research outcomes through comprehensive data collection and analysis.  Developed reports and presentations based on research findings to support faculty and student projects through effective data visualization and analysis, resulting in clear and concise communication of research results.  Facilitated career fairs and open houses while establishing strategic partnerships and researching engagement strategies through surveys and data collection, leading to an increase in program applications and overall program interest. Program Engagement Outreach Specialist | Inovalon  Nashville, TN Aug 2018 – Aug 2019  Coordinated and scheduled 20 provider home visits and client partnerships for patient wellness exams, utilizing psychological principles to enhance patient engagement and satisfaction while addressing patient inquiries.  Conducted 150 patient follow-up calls and surveys, applying psychology to assess experiences and refine communication strategies for external audiences like healthcare providers and referral partners, resulting in a more positive overall patient journey  Allocated and connected members with vendors and their health insurance, ensuring comprehension of plan coverages and benefits through effective communication strategies, resulting in more informed healthcare decisions.  Human Resources Customer Service Representative | Hospital Corporation of America  Nashville, TN June 2016 – Aug 2016  Supported compliance with HR policies and procedures while fostering a positive work environment through consistent policy enforcement and employee engagement initiatives, resulting in maximized staff productivity and reduced risks.  Assisted the HR Department with recruitment, onboarding, HR documentation, and employee engagement activities via efficient coordination and administrative support, contributing to a streamlined hiring process and enhanced employee satisfaction. Doctor of Philosophy in Business Psychology – Focus on Consulting, Dec 2024 | The Chicago School  Richardson, TX Master of Public Administration, Dec 2016 | Murray State University  Murray, KY Bachelor of Health Science, May 2014 | Tennesee State University  Nashville, TN Applied Skills Human Resources | Compliance Management | Risk Management | Strategic Planning Project Management | Process Transformation | Stakeholder Management Employee Engagement Strategy | DEI | Presenting | Regulatory Operations Research Skills Survey Administration | Structural Equation Modeling (SEM) | Classification Models Quantitative Analysis | Training & Development | Psychometric Analysis Research Design | Data Collection | Data Analysis | Data Visualization Technical Skills HR Related Tools (Qualtrics, BambooHR) | Google Analytics | MedConnect Microsoft Office 365 (Word, Excel, PowerPoint, and Teams) | SPSS | CRM Systems Avaya | Zoom | Center X (Epic-EHR Integration System) NVAE (Non-Verbal Adverse Event) – Project Coordinator II | Cencora  Frisco, TX Jan 2021 – Present Review, assess, edit, and correct over 100 program enrollment forms for potential technical complaints, SAEs (serious adverse events), medical discrepancies, or off-label diagnoses, resulting in a streamlined enrollment process and maintaining 95% monthly productivity through a diligent review process and utilization of the CRM system. Collaborate with higher management, stakeholders, and clients to implement new processes for assessing and reporting documents within the 24-hour deliverable timeframe according to client and FDA guidelines, ensuring regulatory compliance. Communicate with consumers/customers and healthcare professionals to ensure accurate customer demographics and PHI (Protected Health Information) while adhering to HIPAA regulations and safeguarding sensitive patient data. Lead the training of new associates, including external partners, on document review, assessment, and reporting through various portals, fostering a knowledgeable and efficient team and representing the company's expertise at industry conferences. PSQA (Program Service Quality Assurance) – Project Coordinator II | Cencora  Frisco, TX Jan 2021 - Present Process insurance and eligibility verification for over 100 consumer/customer enrollment forms, incorporating insights gained from insurance conferences by utilizing insurance verification systems/portals and Excel sheets in real time. Analyze various insurance providers' health plans and educate consumers/customers on their benefits, resulting in a substantial 20% increase in claims acceptance rates and improved customer satisfaction. Collaborate with providers and specialty health pharmacies, leveraging our organization's stellar reputation to ensure understanding of insurance benefits for members, promoting better patient care coordination and improved healthcare outcomes. Social Impact Day – I/O Student Consultant | The Chicago School  Richardson, TX Oct 2019 Consulted with non-profits on organizational change, resulting in more efficient operations. Utilized data analytics to measure the impact of social initiatives for non-profit organizations. Facilitated workshops and training sessions for non-profit employees on best practices for creating a socially responsible work environment, fostering a culture of purpose and positive societal contribution.
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