H Cohen

Experience

• 

  Versant Health

  Apr 2016 - Dec 2021

  o Performed project management, developed work plans and acted as Project Lead for projectso Managed multiple audit projects simultaneously with favorable resultso Maintained positive working relationships amongst business owners, client managers, and clients; meeting and exceeding requested resultso Facilitated CMS and client audits; including scheduling, coordination, internal notification, scope determination and oversighto Organization subject-matter expert for ODAG / SARAG CMS audit activities o Delivered training and feedback to staff and business process owners on audit facilitation and related processeso Provided communication of audit results, and supported the development of Company response to report issuanceo Assisted in development, monitoring, validation and reporting of all Corrective Action Plans (CAPs)o Supported the completion of departmental reporting to both internal and external customerso Interfaced with external customers throughout the audit processAccomplishments• Successfully transitioned audit process and procedures during our business merger in 2018• Completed 245 audits throughout a year ; handling all high priority clients, CMS Program, Regulatory, and onsite audits• Created External Audit SharePoint site Show less I managed call center associates in an audit, quality, and training capacity. I was the point of contact for FDRs and clients, performing monthly monitoring calls and internal audits. I implemented additional procedures, ensuring client satisfaction for member calls and the Diabetic Outreach program.During my time in this position the accomplishments I am most proud of are: • Evaluating, developing, and implementing training to ensure CMS compliance for the Call Center• Managing FDR compliance for Diabetic Outreach Program Project• Developing and implementing electronic daily supervisor tasks checklist utilizing SharePoint• Being a selected member of the Medicaid GAP analysis project team; ensuring call center compliance for the following states: NY, IL, NM, PA, and TX• Creating and managing the TA team to increase associate real time education, ensuring increased overall member/provider satisfaction• Creating and implementing an efficient model for Call Center onsite Job Fairs• Creating and Updating the Call Center CMS ODAG and SARAG manual for clients’ reference Show less

  • Quality Assurance and Business Analytics Manager

    Jun 2021 - Dec 2021

  • Senior Audit Analyst

    Jun 2018 - Jun 2021

  • Manager Customer Contact Center

    Apr 2016 - Jun 2018
• 

  Elevance Health

  Dec 2021 - now

  Compliance Manager