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Skills

  • Team building
  • Process management
  • Compliance documentation
  • Project organization
  • Document reviews
  • Conducting investigations
  • Organization
  • First Aid/CPR
  • Quality controls
  • Client communication and compliance advising

Work Experiences

  • Coordinated bi-annual mock audits.
  • Consistently led the team in accreditation audits.
  • Achieved zero significant findings.
  • Collaborated with IT and legal teams to implement necessary changes to align company operations with updated accreditation laws.
  • Oversaw quality programs aimed at reducing late compliance activities.
  • Analyzed regulatory trends.
  • Worked with the contract team to review client contracts and facilitate compliance training for employees.
  • Achieved a perfect compliance score during 2015 audit.
  • Analyzed regulatory trends and proactively updated company policies, achieving a perfect compliance score during 2017 audit.
  • Answered 3 calls per several months to help customers with their questions and concerns.

Summaries

  • Accreditation Manager with 16 years of successful strategic planning and data analysis experience.
  • Accreditation Manager is a multi-talented Accreditation Manager who is consistently rewarded for planning and operational improvements.
  • Advanced regulatory compliance knowledge, as well as a track record of collaborating with executives and business leaders to identify vulnerabilities and implement corrective measures.
  • Accreditation expert with over 17 years of experience.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the category business.
  • Accreditation Manager skilled in aligning internal processes with industry standards, achieving accreditation for 13 institutions across the Midwest. Expertise in developing audit readiness initiatives that cut accreditation timelines by 85%.
  • Knowledgeable Compliance Manager with a track record of developing policies, leading training programs, and managing compliance reporting.
  • Accreditation Manager with strong skills in mock audit coordination and process development. Led bi-annual review sessions that improved compliance outcomes by 45% ahead of each audit cycle.
  • Accreditation Manager with a focus on process improvement and policy revision. Successfully reduced risk exposure by $2 during Lean updates, while enhancing departmental adherence to evolving standards.
  • Accreditation Manager excelling in cross-functional collaboration.

Accomplishments

  • Collaborated with team of 17 in the development of framework.
  • Reduced non-compliance risks by executing a thorough compliance gap analysis, minimizing accreditation deficiencies by 28%.
  • Successfully aligned internal policies to meet evolving regulatory requirements, reducing policy review time by 20% hours.
  • Awarded a distinction for achieving full accreditation across 6 facilities while reducing administrative workload by 48%.
  • Consolidated regulatory documentation, which led to a 84% decrease in review time and improved compliance accuracy.
  • Facilitated cross-departmental workshops leading to 64% increased performance in compliance-related assessments.
  • Created and executed a risk management plan, preventing potential accreditation lapses and saving Vantage $126,000 in penalties.
  • Established key performance indicators (KPIs) directly tied to maintaining accreditation standards, reducing process inconsistencies by 75%.
  • Conducted internal staff workshops on accreditation and compliance, increasing overall staff compliance awareness by 18%.
  • Introduced a corrective action plan that decreased the window between audits and re-accreditation approval by the past year.

Affiliations

  • National Board of Medical Examiners (NBME)
  • Association of Clinical Research Professionals (ACRP)
  • National Association of Accrediting Commissions (NAAC)
  • American Society of Safety Professionals
  • Association for the Accreditation of Cellular Therapy (FACT)
  • Project Management Institute (PMI) Member
  • Member, National Commission for Certifying Agencies (NCCA)
  • American Medical Informatics Association
  • Chartered Quality Institute (CQI)
  • Association for the Advancement of Medical Instrumentation (AAMI)

Certifications

  • First Aid/CPR Certified
  • Healthcare Accreditation Certified Professional (HACP)
  • Certified Healthcare Accreditation Professional (CHAP) – Ironclad Systems
  • Certified Quality Improvement Associate (CQIA) - 2021
  • Joint Commission Accreditation Certification
  • Cisco Certified Network Associate (CCNA)
  • Certified Enterprise Risk Manager (CERM)
  • Accreditation and Quality Assurance Professional (AQAP)
  • Project Management Professional (PMP) – 2024
  • Certified Business Analysis Professional (CBAP)

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