Compliance executive with 30+ years of experience in managed care, including Medicare Advantage and Part D
programs, commercial fully insured, and self-funded plans. Proven leader with a broad Operations
background and extensive experience in building, governing, and operating enterprise compliance programs
aligned to CMS, state regulatory, and accreditation expectations. Deep expertise across all seven elements of
an effective compliance program, First Tier, Downstream, and Related Entity (FDR) oversight, regulatory audits
and exams, policy governance, and cross-functional risk mitigation. Trusted advisor to Boards, C-Suite
leadership, and regulators with a strong record of audit readiness, corrective action execution, and
operational compliance integration.More...