Angel Bergeron

About Angel Bergeron

Healthcare regulatory and compliance professional with 10+ years of experience across…

Experience

1. Regulatory Specialist

   Healthfirst

   Aug 2023 — Present

   Serve as a key liaison between regulatory, clinical, and operations teams to support internal audits, process improvements, and contract implementation across multiple lines of business. Lead the coordination of regulatory audits and pre-survey deliverables, ensuring timely and accurate documentation across departments.Audit internal processes and monitoring reports to assess compliance with CMS, DOH, DFS, and contractual timeframes; develop and track corrective action plans (CAPs) to resolution.Review and update departmental policies and procedures to reflect new regulatory requirements and operational changes.Partner with Utilization Management, Care Management, Clinical Quality, and Appeals & Grievances teams to operationalize contract changes and improve compliance workflows.Analyze monitoring and performance reports to identify compliance trends, risks, and opportunities for process improvement.Support accreditation submissions, internal audits, and survey readiness activities by reviewing documentation and responding to auditor requests.

Education

• Spartanburg High School

  High School Diploma

• Southern New Hampshire University

  Bachelors of Science

• York Technical College

  Associate's Degree