Tracy B.

Tracy B.

WashingtonMO

Director Managed Care

CAREER PROFILE My expertise in Healthcare Compliance includes 15 years in Audit and Management. Development of a Medicare Audit Compliance Department which included audit policy and procedure creation, and Audit result maintenance, as well as Managed Care record keeping for a fortune 500 Company. The audit tools, audit programs and annual risk assessments were included in the department development. The annual audit schedule was planned and posted within the department for further employee development. Training, coaching, and employee annual review input was also implemented into my lead role. The Medicare Compliance Audit department improved audit results for all internal Medicare departments. While increasing the passing percentages of internal audits, the Medicare areas also achieved a successful audit with CMS. I have 7 years Banking and Financial Services experience in both Audit and Operations. In addition, my audit experience includes areas of Operational, Financial, IT, and Medicare Part D. Licensed Pharmacy Technician. Seeking a master’s degree in Healthcare Administration. Highly skilled Audit Manager with strengths in strategic risk assessments, budgeting, leadership of colleagues as well as employees, creation of P&P, overcoming challenges, identifying critical issue while formatting solutions quickly and decisively while executing the reporting of audit findings to Senior Management via verbal and written formats. Presentation of corrections to procedures and policies to ensure corrective actions were completed by audited departments. CAREER HIGHLIGHTS Audit Process/Efficiency- Process improvements and best practice suggestions were always given to the auditee with every finding to ensure a better future audit rating Compliance/Company Growth – Developed the Medicare Compliance Department Leadership/Management – Trained and developed approximately 15 staff members to advance in their careers Oral/Written Compliance – All Audit finding meetings with Senior Management were documented with written and oral reports. Senior Management involvement improved the audit corrective action plans significantly which made the validation audit timely. Customer Service – All internal and external customer service standards were always maintained throughout every type of transaction. Inform customers or managers of areas of concern in a professional manner with possible corrections available to ensure helpfulness.
Tracy B.

Tracy B.

WashingtonMO

Director Managed Care

Specializes in
CAREER PROFILE My expertise in Healthcare Compliance includes 15 years in Audit and Management. Development of a Medicare Audit Compliance Department which included audit policy and procedure creation, and Audit result maintenance, as well as Managed Care record keeping for a fortune 500 Company. The audit tools, audit programs and annual risk assessments were included in the department development. The annual audit schedule was planned and posted within the department for further employee development. Training, coaching, and employee annual review input was also implemented into my lead role. The Medicare Compliance Audit department improved audit results for all internal Medicare departments. While increasing the passing percentages of internal audits, the Medicare areas also achieved a successful audit with CMS. I have 7 years Banking and Financial Services experience in both Audit and Operations. In addition, my audit experience includes areas of Operational, Financial, IT, and Medicare Part D. Licensed Pharmacy Technician. Seeking a master’s degree in Healthcare Administration. Highly skilled Audit Manager with strengths in strategic risk assessments, budgeting, leadership of colleagues as well as employees, creation of P&P, overcoming challenges, identifying critical issue while formatting solutions quickly and decisively while executing the reporting of audit findings to Senior Management via verbal and written formats. Presentation of corrections to procedures and policies to ensure corrective actions were completed by audited departments. CAREER HIGHLIGHTS Audit Process/Efficiency- Process improvements and best practice suggestions were always given to the auditee with every finding to ensure a better future audit rating Compliance/Company Growth – Developed the Medicare Compliance Department Leadership/Management – Trained and developed approximately 15 staff members to advance in their careers Oral/Written Compliance – All Audit finding meetings with Senior Management were documented with written and oral reports. Senior Management involvement improved the audit corrective action plans significantly which made the validation audit timely. Customer Service – All internal and external customer service standards were always maintained throughout every type of transaction. Inform customers or managers of areas of concern in a professional manner with possible corrections available to ensure helpfulness.
More than 30 hrs/week