Location:
33 Cool Springs Rd, Signal Mountain, TN 37377
Work:
Parkridge Health System
Jul 2016 - Feb 2019
Senior Market Ethics and Compliance Officer, Ethics and Compliance Office
Bluecross Blueshield of Tennessee
Jul 2016 - Feb 2019
Pharmacy Operations Compliance Oversight
Bluecross Blueshield of Tennessee
Jul 1, 2013 - Jul 2016
Manager, Regulatory and Contractual Compliance
Bluecross Blueshield of Tennessee
Jul 2011 - Jul 2013
Corporate Compliance and Regulatory Oversight
Cigna
Apr 2010 - Jun 2011
National Accounts Implementation Manager
Cigna
Aug 2008 - Apr 2010
Operations Director, Implementation
Unum
May 2003 - Aug 2008
Director, Benefit Operations
The Hartford
Mar 2002 - May 2003
Senior Claims Examiner
Liberty Mutual Insurance
Feb 1998 - Mar 2002
Business Analyst and Specialist
Education:
Southern New Hampshire University 2012 - 2015
Master of Business Administration, Master of Science, Masters, Management, Healthcare Administration, Finance
Southern New Hampshire University 2004 - 2006
Bachelors, Bachelor of Science, Human Resource Management
Mcintosh College 1998 - 2000
Associates, Computer Systems Management
Ellington High School 1991
Skills:
Insurance, Employee Benefits, Process Improvement, Health Insurance, Medicare, Risk Management, Hipaa, Claim, Management, Medicaid, Business Process Improvement, Training, Risk Assessment, Disability Insurance, Provider Relations, Workers Compensation, Policy, Brokers, Account Management, Human Resources, Fraud Investigations, Compliance Oversight, Product Development, Development Coaching, Corporate Fraud Investigations, Emtala, Anti Kickback Statute, Hospital Operations, Americans With Disabilities Act, Affordable Care Act, Certificate of Need, Business Process Re Engineering, Leadership, Strategic Planning, Healthcare Management, Healthcare Information Technology, Public Speaking, Innovation, Corporate Integrity Agreement, Stark Law, Anti Discrimination, Information Security Compliance, Leadership Development, Cross Functional Team Building, Strategy, Project Management, Program Management, Healthcare, Health Policy, Six Sigma, Business Strategy, Life Insurance, Information Security Investigation, U.s. Health Insurance Portability and Accountability Act, Corporate Integrity Agreement
Interests:
Social Services
Children
Environment
Education
Poverty Alleviation
Science and Technology
Disaster and Humanitarian Relief
Human Rights
Animal Welfare
Health
Languages:
Spanish
Italian
Latin
German
Certifications:
Certified In Healthcare Compliance (Chc)
Certified Compliance and Ethics Professional (Ccep)