Professional Documents
Culture Documents
Matthews
1627 Calvados Drive
Cocoa, FL 32926
(321) 431- 9140
Janetmatthews1022@yahoo.com
Professional Objective
Productive and efficient professional ready to contribute excellent project management, communication, client relation,
and supervisory skills, in support of operations for an organization with long-term career opportunities.
Professional Experience
Health First Health Plans, Inc.
Regulatory Compliance Analyst - 7/18/11 to Present
Support compliance with regulatory and contractual requirements specific to event CMS data and financial
reconciliation. Ensure the integrity of all lines of business critically analyzing and identifying areas of operational
improvement. Read, analyze, data mine and interpret federal government regulations to effectively develop and
present research outcomes in clear and concise reports and other communications as needed. Research and
develop processes for implementation of the accounting for Medicare Part D as well as identify and or establish
policies and procedures with governmental regulations. Coordinate and develop methodologies to monitor the
performance of the Medicare line of business as it relates to data.
Review and analyze compliance monitoring reports and other related source documents for fraud or suspicious
patterns of activity. Lead the data process and define problems, data mining, establishes facts, valid conclusions,
and review all relevant records in accordance with CMS rules and regulations. Maintain accurate records and a
process for submission and reconciliation of all data. Participate in compliance reviews, projects and associate
training efforts fostering a compliance culture. Subject matter expert of federal regulation.
Holmes
Regional
Medical
Center
Maintain office equipment and submits repair requests to the appropriate departments and follows up as needed.
Reconcile charges accordingly including to custom braces and CRRT. Performs unit audits as directed. Initiates
quiet time or monitors noise level. Complies with safety policies and procedures including standard precautions.