Years of experience: 27

ComplianceBusiness OwnerInsuranceProduct ConsultantC-level ExecutiveStartup Founder

Trust Score

Exceptionally trusted; proven professional excellence.

80%
Erin's Career Path
Director Of Operations and Program ManagementSep. 2021 -
Present
FirstCarolinaCare and Health AllianceDirector Of Operations and Program Management
Director Of Operations and Program ManagementSep. 2021 -
Apr. 2026
Health AllianceDirector Of Operations and Program Management
Champaign, IL and Pinehurst, NC
Compliance Officer / Director of Compliance and Program ManagementMay. 2013 -
Sep. 2021
FirstCarolinaCare Insurance CompanyCompliance Officer / Director of Compliance and Program Management
Pinehurst, 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 ...

Erin's Posts

  • 0

    How I can help you

    • Set up full compliance programs for new or growing plans, aligned to the seven core elements • Prepare for CMS and state audits, or respond when an audit notice arrives • Experience: built Medicare Advantage compliance, FWA, and FDR oversight from the ground up

  • 0

    People I am looking for

    • Managed Care organizations seeking to strengthen or launch compliance • Brokers working with MCOs and Medicare Advantage plans • Provider groups and networks partnering with health plans

  • 0

    Experience & Cases

    • Built a full compliance program that helped reduce a major CMS audit penalty • Cut recovery vendor commission fees by 25% through review and audit • Long track record coaching leaders, including mentoring a Six Sigma Black Belt • 27 years of in‑house managed care experience

  • 0

    How to contact

No responses yet
0