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@elizabethgeigle
I lead healthcare compliance and quality programs to reduce risk and ensure regulatory adherence.
I am a dedicated healthcare compliance and quality leader with extensive experience developing, implementing, and overseeing compliance and quality programs across state and federal regulatory environments. I translate complex regulations like HIPAA, Medicare/Medicaid, and SOC2 into practical guidance that fits operational workflows.
I have led policy management, audits, risk assessments, and engaging trainings while partnering with legal, marketing, and operations to embed compliance into digital tools and business initiatives. I create dashboards and present key compliance metrics to executive committees, and I’ve driven quality interventions that improved HEDIS, CAHPS, and overall care coordination.
I bring a hands-on approach to investigations, corrective action plans, and continuous improvement, prioritizing measurable risk reduction and member safety. I hold healthcare quality and compliance certifications and enjoy building cross-functional capability to scale compliant, high-quality care delivery.
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Work history, roles, and key accomplishments
Cityblock Health
Jan 2023 - Jul 2025 (2 years 6 months)
Translated complex healthcare regulations into operational guidance, led audits and corrective actions, and created compliance dashboards to surface trends and reduce organizational risk.
Molina Healthcare
Jan 2019 - Jul 2022 (3 years 6 months)
Oversaw national and state quality interventions and accreditation activities, driving gap closures and improvements in HEDIS, CAHPS, and HOS measures through targeted QI strategies.
Mount Carmel Health Partners
Jan 2015 - Jan 2019 (4 years)
Provided administrative and fiscal oversight for commercial and Medicare ACOs, analyzed cost and quality data to identify opportunities, and supported practices to achieve shared savings.
Athens County Children's Services
Jun 2013 - Jan 2015 (1 year 7 months)
Managed daily operations, staffing, procurement, and contract monitoring while improving operational efficiency and budget oversight for agency services.
Fairfield Medical Center
Jul 2012 - Jun 2013 (11 months)
Maintained timeliness and accuracy of patient account functions, developed departmental policies, and managed budgetary requests and quality assurance activities.
Fairfield Medical Center
Nov 2009 - Jul 2012 (2 years 8 months)
Prepared records for surveys and audits, drafted and maintained departmental policies, and served as custodian of medical records supporting release of information and certifications.
OSU Internal Medicine LLC
Jan 2008 - Jul 2009 (1 year 6 months)
Managed provider credentialing, reappointments, and managed care enrollment to ensure compliance with payer and regulatory requirements.
OSU Internal Medicine LLC
Dec 2003 - Dec 2008 (5 years)
Tracked billing and compliance across physicians and divisions, applied CPT/ICD-9 knowledge, and enforced HIPAA practices to ensure accurate revenue cycle operations.
Careworks of Ohio
Dec 2002 - Dec 2003 (1 year)
Managed medical care for BWC lost-time claims with caseloads of 80+ injured workers, coordinating medical management to support recovery and return-to-work.
Parkside Behavioral Healthcare
Jan 2002 - Dec 2002 (11 months)
Supervised billing operations to ensure prompt, accurate claim submission and adherence to hospital policies while tracking departmental productivity.
Parkside Behavioral Healthcare
Jan 2001 - Dec 2001 (11 months)
Conducted intake evaluations, recommended treatment programs, and facilitated and documented group activities for prospective patients.
Degrees, certifications, and relevant coursework
Master of Healthcare Administration, Healthcare Administration
Master of Healthcare Administration degree awarded by Park University in 2009, focused on healthcare administration and quality improvement.
Bachelor of Science, Social Psychology
Bachelor of Science in Social Psychology awarded by Park University in 2004.
Software and tools used professionally
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