Fany Flores

Oversaw financial operations of the 340B Drug Pricing Program, ensuring compliance and accuracy in reconciliations and audits. Analyzed program savings and utilization trends, driving initiatives generating over $3M in annual savings. Facilitated audits by preparing comprehensive documentation demonstrating compliance.

Developed and maintained comprehensive project plans to clarify timelines and resource allocation. Led data analysis and validation efforts, resulting in a 25% improvement in audit readiness. Spearheaded implementation of a 340B split billing system, achieving $50M in annual savings.

Spearheaded design and evaluation of community programs addressing social determinants of health. Cultivated partnerships with healthcare providers and organizations to enhance health equity initiatives. Monitored and ensured compliance with a $1M annual program budget and grant requirements.

Streamlined internal workflows and implemented project tracking systems, enhancing team efficiency and collaboration. Coordinated cross-functional projects, ensuring alignment with organizational goals and timelines. Provided high-level administrative support to the Executive Director, advancing health equity initiatives in underserved communities.

Delivered administrative and regulatory support for neurology-focused clinical trials at NCRI, including ALS and MS studies. Coordinated patient appointments, MRI schedules, and biomarker collection across multiple protocols, ensuring compliance and data accuracy. Acted as primary liaison for clinical staff, study sponsors, and participants, facilitating effective communication and study operation

Reviewed medical records and billing documentation to ensure medical necessity and accuracy in coding. Supported resolution of complex claim denials by providing comprehensive audit summaries and regulatory references. Conducted audits of Medicare and third-party claims to ensure compliance with CMS guidelines and hospital policies.

Monitored insurance eligibility and updates in a non-profit billing system. Collaborated with Intake Coordinators and families to gather accurate information. Ensured compliance and tracked insurance lapses through effective stakeholder follow-up.

Verified insurance eligibility and benefits (including Medicaid, Medicare, and commercial plans) to ensure accurate billing and minimize claim denials. Collaborated with healthcare teams to streamline financial processes, improving service delivery. Designed and implemented financial education programs, increasing patient awareness of resources and options.

Studied project management principles and methodologies. Gained expertise in project planning, execution, and monitoring.