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Daniel Maclang

@danielmaclang

Healthcare compliance specialist at Forta Health who conducts audits and turns regulatory findings into corrective actions.

Philippines

Message

At Forta Health, I monitor healthcare compliance, conduct audits and assessments, and recommend corrective actions. I also develop and refine policies, procedures, and internal controls to support the compliance program.

Previously, I coordinated regulatory audits at Astiva Health and managed audit staff overseeing delegated functions at CenCal Health. At UnitedHealthcare, I conducted delegation assessments and audits covering claims, utilization management, credentialing, provider data, and member services.

Experience

Work history, roles, and key accomplishments

Senior Compliance Specialist

Forta Health

May 2025 - Nov 2026 (1 year 6 months)

Monitored organizational compliance with healthcare regulations, conducted audits, and developed policies. Investigated compliance concerns and prepared audit findings and reports.

Healthcare Compliance Regulatory Oversight Compliance Audits Policy Development Risk Assessment Corrective Action Plans HIPAA Data Security Audit Reporting

Compliance Auditor

Astiva Health

Nov 2022 - May 2025 (2 years 6 months)

Served as liaison between business units and regulatory agencies, supported compliance program development, and coordinated regulatory submissions and audits. Conducted risk assessments and prepared committee presentations.

Healthcare Compliance Regulatory Submissions Policy Reviews Risk Assessment Audit Coordination Cross Functional Collaboration HIPAA Data Security

Senior Delegation Oversight Auditor

CenCal Health

Oct 2017 - Oct 2022 (5 years)

Oversaw delegated functions including utilization management, claims, credentialing, and privacy. Managed audit staff, coordinated audits, and developed corrective action plans.

Delegation Oversight Compliance Audits NCQA Standards Utilization Management Claims Credentialing HIPAA Data Security Corrective Action Plans Staff Management

Delegation Oversight Specialist

UnitedHealthcare

Jun 2009 - Oct 2017 (8 years 4 months)

Conducted oversight and monitoring of delegated entities for compliance with CMS, NCQA, and state regulations. Performed audits, developed corrective action plans, and supported regulatory audits.