FirstCarolinaCare Insurance CompanyCompliance Officer / Director of Compliance and Program Management
May. 2013 - Sep. 2021Pinehurst, NCThis position entails oversight of Medicare Advantage Prescription drug plan (MAPD) compliance, and commercial group health compliance. Experienced in pre-delegation auditing, vendor implementation, training, reporting, risk assessments, and ongoing auditing and monitoring plans. Involved in oversight of compliance related functions associated with Part C and D operations, and implementation of compliance notifications and corrective action plans when necessary. Also experienced in internal and external root cause investigations, Service Area Expansion and application process, bid process, and CMS Program Audits.