Compliance Management Resume Sample
Felipa Lang
7856 Adalberto Wells,
Phoenix,
AZ
+1 (555) 438 0853
Work Experience
Compliance Management Specialist
02/2017
-
PRESENT
Dallas, TX
- Managing all compliance aspects for UBS FML’s business to comply with relevant legal and regulatory requirements as well as with Group directives and standards
- Provide Clients and staff with accurate interpretation and analysis of Visa Rules in response to telephone or written inquiries and/or proposed Client or Merchant activities, and as a full project team member for assigned projects as required
- Responsibility and accountability in negotiating compliance action plans with Clients at senior officer level, using discretion within the regulatory framework
- Provision of advice and interpretation on all regulatory matters, as codified in the Visa By-Laws and Rules to Clients and staff
- Liaise with Clients and Visa Inc. Sales and Client Support Services Account Executives to ensure Client understanding and compliance with the By-Laws and Visa Rules
- Analyze all International and regional strategic initiatives, new products and services to ensure that, where appropriate, compliance issues are supported in their implementation and meet the commercial and regulatory framework in Visa Inc. markets to aid Business Development in an orderly and compliant fashion
- Responsible for ensuring all Management Information statistics, performance criteria and trends relating to Compliance processing are collated, analyzed, published and fed back to team Members to help define compliance strategy for Visa Inc. globally and regionally
- Tracking and control of Compliance actions plans as submitted by Clients
- Managing and assisting in the publication of the Visa Merchant Data Standards Manual
LVN, Utilization Management Compliance
11/2012
-
10/2016
Los Angeles, CA
- Contributes to current Care Management programs within the policies and procedures set by the Care Management Department
- Contributes to team decisions in the development and enhancements to the Electronic Referral Management system
- Initiates or oversees data entry into IS systems within the parameters of Care Management policies and procedures. Maintains accurate and complete documentation of services requested including CPT code, ICD-9, referral type, date, etc
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Reviews patients’ clinical records of acute inpatient assignment within 24 hours of notification
- Reviews patients’ clinical records within 48 hours of SNF admission
- Prioritizes patient care needs. Meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan
Summer Internship Risk Management & Compliance
06/2007
-
06/2012
San Francisco, CA
- Development of the Visa Rules Management Compliance Training for staff
- Investigation: Frequent investigation is required for invoice issues (ex: missing location identification, incorrect store name/address, non-Macy’s locations, research the history of inspection submittals to vendors upon receipt of penalty invoice(s)). These investigations are diverse and time consuming
- Provide proactive support and guidance to key stakeholders in various channel, Market and Corporate business units. Provide recommendations/ advice/assistance regarding controls and compliance
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Acts as a central resource with regards to regulatory requirements from participating regulatory agencies, health plan clinical review criteria and HMO benefits
- Contributes pertinent utilization-related materials to the departmental intranet site
- Assists in preparing the department for annual health plan audits
- Communicates authorization/denial for services to appropriate parties including patient (or agent), attending/referring physician, facility administration and HCP Claims Department as necessary
Education
Northwood University - Florida Campus
2001 - 2006
Bachelor's Degree in Accounting
Professional Skills
- Strong strategic planning capabilities with proven hands on implementation experience
- Strong Computer skills with the ability to multitask and work out of multiple systems
- Great relationship building skills – a compelling communicator and engager
- Build strong working relationships with stakeholders within and outside division in order to meet strategic priorities
- Extensive financial, headcount management and cost management skills
- Experience in assisted reproductive technology including general infertility, IVF or infertility care management, or women’s health
- Experience of working in a records management role
How to write Compliance Management Resume
Compliance Management role is responsible for design, training, retail, finance, credit, integration, purchasing, security, reporting, research.
To write great resume for compliance management job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Compliance Management Resume
The section contact information is important in your compliance management resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Compliance Management Resume
The section work experience is an essential part of your compliance management resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous compliance management responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular compliance management position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Compliance Management resume experience can include:
- Strong leadership skills of highly-technical engineers and architects
- Present recommendations to many audiences through strong written and verbal communication
- Strong knowledge of PMLC practices
- Able to prioritize and execute tasks
- Recent clinical experience
- Experience in a customer service or customer support focused role
Education on a Compliance Management Resume
Make sure to make education a priority on your compliance management resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your compliance management experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Compliance Management Resume
When listing skills on your compliance management resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical compliance management skills:
- Work on various Technology Risk initiatives – consolidate SOC 2reporting, analyze payment risk metrics, and perform metrics validation
- Four or more years of work experience with a concentration in operational Compliance, engineering, business controls or Finance
- Over 1 year and up to and including 3 years of clinical experience
- Experience in an information or records management function
- Excellent communication in English or Spanish/English
- Performing specific compliance auditing or monitoring projects; and,
List of Typical Experience For a Compliance Management Resume
1
Experience For Compliance Management Specialist Resume
- Ten years of professional IT Infrastructure experience
- Work with team members on reports provided to External Reporting and Regulatory Reporting
- Above average general understanding of IT Infrastructure systems and processes
- Reports directly to Epsilon’s Chief Information Security Officer (CISO) and on IT-related risk management activities
- In-depth knowledge of a broad range of standards and frameworks — for example, International Standards Organization (ISO) 27001, IT Infrastructure Library and ISO 20000, Capability Maturity Model Integration and Six Sigma
- Present recommendations to many audiences through strong written and verbal communications
- Create reports on a variety of credit statistics
2
Experience For LVN, Utilization Management Compliance Resume
- Review and approval of key company policies
- Assist in the quarterly enterprise wide risk assessment process
- Assist with Corporate Compliance “top initiative” project tasks managed within the Program Operations team
- Through compliance validation, ensure in team’s solutions and deployments, the security of our enterprise infrastructure and compliance with all applicable security standards (PCI, PII, HIPPA etc.)
- Adapt and work with project management tools
3
Experience For Manager, Resource & Compliance Management Resume
- Analyze issues, use sound judgment, and solve complex problems
- Travel, domestically as well as internationally, approx. 10%
- Work outside normal business hours as needed to support business needs or projects
- Develop presentations for senior management as well as broader audiences
- Draft impactful communications and website content
4
Experience For Compliance & Facilities Management Manager Resume
- Map out processes and offer strategies to develop efficiencies and improvements
- Certified Regulatory Examiner
- GDM IT KSR
List of Typical Skills For a Compliance Management Resume
1
Skills For Compliance Management Specialist Resume
- Documenting, with clarity, compliance auditing and monitoring
- Understanding of development and project management processes and methodologies
- Understanding of industry trends as well as successful strategies and product roadmaps
- Highly proficient with MS Excel – Graphing, pivoting, formulae
- Highly proficient with PowerPoint – simplifying and distilling information to develop high impact presentations
2
Skills For LVN, Utilization Management Compliance Resume
- Statistical software coding/programming
- Provides oversight, collaborating with University leads, to ensure the accurate and timely submission of Title IV and other related required reports
- Maintain awareness raising, advisory and guidance material shared through MOTOR pages and Knowledge Central
- Escalate any incident or breach affecting information or data used by RDD, Supply Chain or Operations
- Certified Anti-Money Laundering Specialist (CAMS),
- Adapt to changing business circumstances with appropriate actions and positive attitude
- Chairs internal committees covering subject matter expertise
- Manage to revenue, EBITDA, and forecasting goals
- Understand and anticipate changing client needs
3
Skills For Manager, Resource & Compliance Management Resume
- Expand revenue from existing clients
- Support the team that provides oversight and guidance on Fair and Responsible Banking complaint responses
- Manage as necessary, the team’s agility against project capacity to support as the highest level of engineering escalation for issues encountered
- Knowledge of current records management theory and practice
- Experience and understanding of Records Management/ Document Control in an engineering discipline (ideally working within a quality management framework aligned to relevant ISO standards)
- Collect and track data, and to analyse data to derive actionable insights
4
Skills For Compliance & Facilities Management Manager Resume
- Anticipate potential consequences of unaddressed risk factors or shortfalls in compliance and recommend appropriate controls. Continually challenge LOB staff through ongoing dialogue and discussion to identify opportunities to implement more effective compliance-related policies and procedures
- Elevate high profile or high risk cases to the Compliance and LOB management to ensure visibility and prompt resolution
- Execute appropriate testing and analyze key performance indicators to ensure requirements of the LOB policies and programs are maintained at a level commensurate with regulatory expectations. Support root cause analysis in response to material control failures in line(s) of business
- Prepare complete, accurate documentation of compliance monitoring and surveillance activities. Report findings to Compliance and LOB management and provide timely follow-up on outstanding issues
- Federal Sentencing Guidelines and OIG guidance, healthcare-related laws, regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act) and regulatory agencies to implement and monitor changes to Federal and State healthcare compliance program requirements, including systems, processes, policies and procedures
- Advisement to executive leaders on healthcare compliance and ethics matters, including designed healthcare compliance controls recommendations
- Oversight, development and conduct of healthcare compliance education and training programs
- Extensive knowledge of fraud and abuse prevention programs, compliance hotline protocols, and compliance investigation process and procedure
5
Skills For Compliance, Compliance Management, Analyst Resume
- Vision ability includes: close vision, color vision, depth perception and ability to adjust focus
- Support the Global Head of Information Management and Governance to implement information and data management policy relevant to RDD, Supply Chain and Operations
- Contribute to the creation and maintenance of Records Management Policy (supporting compliance with global requirements for Quality Management)
- Contribute to the Annual Review of Information Governance Policy Framework
- Cascade details of changes to Information Governance Policy Framework to key stakeholders in RDD, Supply Chain and Operations
6
Skills For Information Management & Compliance Specialist Resume
- Be licensed without restrictions
- Highly motivated, detail oriented, organized
- Compliance Regulatory Environment knowledge
- Project Management technical and practical knowledge
- The flair and ability to write concise but impactful responses in English and German or Italian
- The flair and ability to write concise but impactful responses in English and German
- Train other RN's on Medicare Compliances
7
Skills For Summer Internship Risk Management & Compliance Resume
- Monitor and manage database through Microsoft Access
- Partner with the team to achieve successful compliance timeframes, enhancement of workflows and processes
- Work within interdisciplinary team
- Serving as a consultant, auditor or business process specialist within a professional services firm or large enterprise, including interfacing with clients on control solutions and leading the planning and execution of projects
- Ensure supporting knowledge is up to date and fit for purpose
8
Skills For Director, Visa Rules Management, Compliance Resume
- Assist the supervisor in partnering with the business within the assigned area of responsibility
- Act as the first line for compliance related enquiries
- Deliver a service to employees globally in a timely manner
- Support the creation of master data and reference data across multiple domains
- Actively participate in projects and support the implementation of results and sustainability of achievements
- Provide end user support for master data related queries
- Distribute and perform trainings
- Assist the supervisor to partner with the business within the assigned area of responsibility
- Train and explain SPM, Kalido master and reference data set up within the team and to business partners
9
Skills For Administrative Specialist Business Planning & Compliance Management Resume
- Train and explain SPM, SPOT, Kalido master and reference data set-up within the team and to business partners
- Make timely, informed decisions and communicate rationale with factual accuracy and clarity
- Stay abreast of market and industry trends and project credibility in chosen area of expertise
- Identify business opportunities and develop strategies to capitalize on them
- Collaborate with other leaders throughout FIS
- Build organizational structure to meet business goals and objectives
- Lead and participate on client engagements
- Prepare policies and procedures
10
Skills For Specialist Data Management Compliance Resume
- Present regulatory updates to executive management and boards of directors
- Manage all the security risk-related activities of Epsilon’s IT organization, including budgeting, planning, testing, reporting, and recommending appropriate remediation measures
- Benchmark the risk management practices of other companies — particularly those in related industries or with similar business models — maintain an up-to-date understanding of industry best practices, and monitor the legal and regulatory environment for developments that could require changes to Epsilon’s established IT policies and practices
- Create, disseminate, and (as required) update documentation of Epsilon’s matrix of identified IT risks and controls
- Review risk assessments, analyze the effectiveness of Epsilon’s IT control activities and report on them — with actionable recommendations — to the CISO, the CIO, and applicable Lines of Business executive leadership
- Validation of management resolutions of moderate and low risk Corporate Audit Services issues
- Five years’ experience leading teams of at least five members
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