* Spearheaded all facets of the company's Continuous Quality Improvement (CQI) Department which covered coordinating compliance, incidents and investigations, filing, electronic medical record, data, and policies, while administering risk management activities
* Drove efforts in acquiring, establishing, accrediting, and upholding Council on Accreditation (COA); as well as in developing and executing yearly CQI plan
* Acted as the agency's Health Insurance Portability and Accountability Act (HIPAA) privacy officer
* Maintained active communication with the board of directors regarding internal and external audit results, high profile incidents and investigations, board compliance requirements, and risk management activities
* Led and guided a team of managers, directors, assistant vice president, and a general counsel, along with a total staff of 30 Career Highlights:
* Expanded the CQI Department from 2 to more than 25 staff members, thus enabling the agency to support various company programs
* Served as driving force behind the execution of agency-wide electronic health record in 2018
* Strategically directed three successful accreditation cycles with two leading to expedited accreditation acknowledging no deficiencies in identified agency practice