Gennadiy Daych
Director of Internal Audit (Audit Services) @L.A. Care Health Plan
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WORK HISTORY
Director of Internal Audit (Audit Services) @L.A. Care Health Plan
Los Angeles, CA, US
Directs and manages the Internal Audits; Develop and implement effective plans to improve business operations and remediate potential risks while observing Compliance department and L.A. Care enterprise needs; Establishes and maintains a quality assurance and improvement program that covers all aspects of the internal audit activity; Provides quarterly updates to the Compliance leadership regarding the status of the Audit Plan and communicates factors that could impact completion of the plan or necessitate revisions to the annual Audit Plan.
EDUCATION
California State University, Northridge
BS, Accounting / Economics
University of Phoenix
MBA, Healthcare Management
ABOUT GENNADIY DAYCH
SIGNATURE ACHIEVEMENTS• On several occasions, created and implemented effective: Corporate Compliance, FWA, Risk Management, Internal Audit, and HIPAA Privacy & Security-related structures/programs.• Designed and implemented effective training seminars for the internal audit staff. Such seminars were reviewed and approved by the HCCA (Health Care Compliance Association).• My efforts in building and implementing effective corporate Compliance and HIPAA-related functions, continuously helped the companies to successfully pass various Health Plans-related audits, audits conducted by the California Department of Health Care Services (DHCS), California Department of Managed Health Care (DMHC), as well as the accreditations (surveys) from the CARF (Commission on Accreditation of Rehabilitation Facilities) and the Joint Commission.SKILLS & ABILITIES:• Excellent written and oral communication/presentation/organizational skills, including ability to summarize complex issues succinctly for the key members of the senior/executive management.• Ability to exercise discretion, judgment, tact and poise in handling highly sensitive and confidential information. Ability to build strong/positive relationships and collaborate across various key business units/departments. Excellent understanding and application of project management principles.• Advanced knowledge of healthcare fraud and abuse laws (e.g, Anti-Kickback Statute, False Claims Act and Stark), HIPAA, and federal requirements for healthcare compliance programs.• Ability to lead GRC (Governance, Risk, and Compliance)-related efforts throughout organizations, by developing, enhancing, and operationalizing enterprise-level security, risk and privacy policies, processes and controls to mitigate risk and comply with applicable laws and regulations.• Ability to effectively collaborate with key stakeholders to review projects, business critical systems and related data to ensure compliance with data privacy laws, and if necessary, perform and advise on privacy impact assessments.Drafted and implemented these following documents: Compliance Plan, Compliance P & Ps, Fraud Detection & Prevention Plan, Risk Management Plan, Injury & Illness Prevention Plan,[HIPAA] Breach Risk Assessment Tool, annual HIPAA Risk Assessment, and IA (Internal Audit) Charter, IA Annual Plan, IA Policy Manual, and various Power Point training presentations for IA staff and companies’ employees, in the areas of: IA Process, Compliance, FWA, HIPAA Privacy & Security.
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