Brian Connolly Email & Phone Number

Boston, Ma, Us

Boston, Ma, Us

New York, New York, United States

Managed compliance program: Developed & implemented tailored compliance program for mental healthcare startup, ensuring adherence to regulations. Led SOC 2 Type 1 & 2 certifications, showcasing commitment to data security. Created robust policies & procedures, guiding employees. Oversaw compliance investigations, ensuring prompt resolution. Directed HIPAA Certification efforts, safeguarding health information. Enhanced data security measures, protecting confidentiality. Chaired compliance committee, fostering compliance culture. Provided compliance support to Sales & marketing teams. Conducted comprehensive employee training programs. Collaborated with HR on compliance with employment laws. Conducted regular internal system audits. Managed IT help desk support, ensuring compliance. Conducted legal reviews to stay updated on regulations. Managed insurance policies & claims. Served as Privacy Officer, ensuring compliance with privacy laws. Led privacy & security teams, mitigating risks. Managed privacy & security incident response procedures. Directed internal audits & penetration tests, implementing corrective actions. Developed AI policy with Engineering team. Contract Management and Review. Responsible for Document Retentions and Storage. RFP Submission assistance. Compliance/Privacy/Security Assessments. Developed process for FOIA Request submissions. Performed OIG Sanctions Screenings and Background Investigations

Boston, Massachusetts, United States

Developed Healthcare Compliance Program for organization specializing in College/University Student Mental Health. Led SOC 2 Type 1 and Type 2 and HIPAA certifications. Oversaw all compliance activities within organization. Assisted in contracts review, insurance review, privacy matters, implementation of new vendors and technology partners. Managing Drive Access. IT Help Desk Manager. Assessing in HR functions such as on-boarding and off-boarding. Leading Privacy and Security operations. Coordinating audits and pen tests. Contract review and management. OIG/SAM sanctions screening. Compliance investigations.

Boston, Massachusetts, United States

Boston, Massachusetts, United States

Managed compliance program: Developed and implemented a tailored compliance program for a healthcare startup. Ensured HIPAA Privacy Rule compliance, safeguarding patient information. Created policies, code of conduct, and training programs for employees. Reviewed insurance policies to mitigate risks. Implemented OIG/SAM screening for staff. Managed vendor relationships, ensuring compliance. Oversaw CCPA and GDPR compliance. Collaborated with cross-functional teams on compliance initiatives. Chaired compliance committee meetings, monitored progress, and facilitated decision-making. Provided expert compliance guidance since March 2023.

Cambridge, Massachusetts, United States

Review compliance issues and incidents for improvement, ensuring prompt corrective actions. Develop, review, and update company policies to reflect regulatory changes. Assist Privacy/Security teams with HIPAA-related queries and investigations. Lead monthly compliance meetings with senior management. Create annual training programs on Privacy, Compliance, Fraud, and Abuse. Oversee vendor agreements for compliance. Review contracts to mitigate compliance risks. Research healthcare laws for company implications. Perform risk assessments and develop mitigation strategies. Assist in employee onboarding and termination for compliance. Conduct OIG and SAM screenings for eligibility in federal healthcare programs. Configure Salesforce CRM for compliance activities. Update Compliance page on company intranet. Review ethical guidelines for federal healthcare compliance. Administer learning management system for compliance training. Oversee clinician licensing for state compliance.

North Kingstown, Ri

Review compliance issues and incidents: Conduct thorough investigations, identify root causes, and implement corrective actions. Develop, review, and update policies and procedures to align with regulations and best practices. Assist Privacy/Security teams with HIPAA matters. Maintain and update the compliance dashboard for real-time visibility. Lead monthly compliance meetings with senior management. Plan and execute quarterly and annual audits. Deliver annual General Compliance training for employees. Oversee vendor relationships for compliance. Review contracts for compliance implications. Stay informed on regulatory changes and industry standards. Conduct risk assessments and develop mitigation strategies. Collaborate on employee onboarding and termination processes. Perform OIG and SAM screenings. Configure Salesforce CRM for compliance. Work with HR on Fair Market Value determinations. Update Compliance page on SharePoint. Review ethical guidelines for compliance. Administer the learning management system.

East Providence, Ri

Law/regulation research: Stay current with relevant laws, regulations, and industry standards pertaining to healthcare compliance. Conduct in-depth research and analysis to interpret regulatory requirements and assess their impact on the organization. This includes monitoring updates from regulatory agencies such as the Department of Health and Human Services (HHS) and the Office for Civil Rights (OCR).Reviewing and updating policies and procedures: Regularly review existing policies and procedures to ensure they align with current regulations, industry best practices, and organizational needs. Update policies as necessary to address changes in laws or regulations, emerging risks, or lessons learned from compliance incidents. Collaborate with key stakeholders to gather input and ensure policies are clear, comprehensive, and effectively communicated to employees.Assisting Privacy/Security teams on HIPAA issues/questions: Provide guidance and support to the Privacy/Security teams regarding compliance with the Health Insurance Portability and Accountability Act (HIPAA). Assist in interpreting HIPAA requirements, implementing privacy and security measures, and addressing inquiries or incidents related to protected health information (PHI). Collaborate with IT and legal teams to develop and implement HIPAA-compliant policies, procedures, and technical safeguards.

Wellesley, Ma

Marketing event and material submissions to CMS: Ensure compliance by reviewing and submitting marketing events and materials for approval. Coordinate with marketing to align with CMS guidelines. Tracking employee training: Maintain records of training activities, ensuring compliance and following up with employees. Updating compliance dashboard: Provide real-time visibility into key metrics, including training completion rates and audit findings. Updating HPMS: Ensure accuracy by updating member data, provider networks, and benefits in the Health Plan Management System. OIG and SAM screenings: Conduct screenings to verify eligibility and prevent compliance violations.Updating company intranet: Keep employees informed of compliance requirements and initiatives. Vendor Oversight: Monitor vendor compliance to mitigate risks. Tracking HPMS memos: Stay informed of regulatory updates and policy changes. Updating General Compliance training: Develop and deliver training programs to ensure awareness of compliance requirements. Updating code of conduct: Review and communicate the organization's code of conduct. Assisting in mock audits: Assess compliance readiness and implement corrective actions. Assisting in records retention: Develop and maintain a retention schedule to comply with legal requirements. Law/regulation research: Stay informed of changes in healthcare regulations. Reviewing and updating policies: Ensure alignment with regulations and organizational needs. Assisting Privacy/Security teams on HIPAA: Provide guidance and support on HIPAA compliance.

Watertown, Massachusetts

Contributor to the commercial compliance team: Collaborate with the commercial compliance team to ensure adherence to regulatory requirements and industry standards. Contribute expertise and insights to compliance initiatives, projects, and activities aimed at mitigating compliance risks and promoting ethical business practices. Reviewing laws, regulations, and statutes for Rhode Island and Massachusetts validation projects: Conduct comprehensive reviews of laws, regulations, and statutes applicable to Rhode Island and Massachusetts for validation projects. Analyze legal requirements and assess their impact on compliance efforts, ensuring alignment with state-specific regulations and guidelines. Assisted with the Department of Labor audit: Provide support and assistance during the Department of Labor (DOL) audit process. Gather requested documentation, prepare responses to audit inquiries, and collaborate with internal stakeholders to address audit findings and ensure compliance with labor laws and regulations. Assisting with the Mental Health Parity validation: Support the validation process for Mental Health Parity compliance. Review plan documents, policies, and procedures to ensure compliance with federal and state parity laws, including the Mental Health Parity and Addiction Equity Act (MHPAEA). Provide guidance on interpretation and implementation of parity requirements. Participated in meetings regarding new laws/regulations and implementation strategies: Attend meetings to stay informed about new laws, regulations, and implementation strategies relevant to the organization's operations. Collaborate with stakeholders to assess the impact of regulatory changes, develop implementation plans, and ensure timely compliance with new requirements.

Boston, Ma

Assisting underwriting teams: Aid in insurance policy issuance and management tasks. Expanded duties: Handle state filings and reporting for regulatory compliance. Managing producer and claims adjuster databases: Maintain accurate databases, ensuring compliance with licensing rules. Reviewing policies: Ensure insurance policies comply with state, federal, and international guidelines. Reviewing policy forms: Verify policy forms meet regulatory and company standards.Submitting premium rates and forms: Prepare and submit rate and form approvals domestically and internationally. New employee onboarding: Provide compliance training for new hires. Online compliance training: Coordinate and administer online training modules. Maintaining regulatory compliance: Stay updated on insurance regulations to ensure compliance. Responding to state audits: Collaborate on state regulatory inquiries. Filing reports: Submit required reports to state authorities regularly. Staying updated on industry regulations: Keep abreast of insurance industry laws and regulations. Managing corporate licenses: Oversee corporate licensing compliance.Managing producer licensing: Handle licensing for agents across states. Claims adjuster licensing: Ensure compliance with claims adjuster licensing regulations. State appointments for producers: Facilitate producer appointments in line with state regulations. OFAC compliance checks: Ensure compliance with OFAC regulations. Global administrator for OFAC software: Oversee OFAC software system administration. Assisting in compliance operations: Support day-to-day compliance tasks.Assisting in fraudulent claim reporting: Collaborate on reporting and investigating fraudulent claims.

Providence, Rhode Island Area

Duties include managing all aspects of insurance licensing/contracting in Life, Long Term Care and Annuities with over 30 insurance carriers. Anti-Money Laundering compliance. Processing agent/carrier contracts, handling agent/carrier questions by phone and email, insurance compliance (agent licensing, state and product training), sending contracts/training information to agents, managing agent database, tracking appointment status, and assisting wholesalers on licensing/contracting questions.

Woonsocket, Ri

Promotional pricing, editing and reviewing current promotions, tracking all advertisement changes, revising weekly newspaper circular advertisements, assisting retail store managers with promotional pricing issues, inserting/deleting products to brand promotions

North Attleboro, Massachusetts, United States

Duties include sale and marketing proposal creation and delivery through mail merges, generating weekly sales and marketing reports, sales lead tracking and management, database management, data entry, sales, assisting sales and marketing team managers on day to day operations and administrative tasks

Burlington, Massachusetts, United States

Market research using phone interview and internet resources

Worcester, Massachusetts, United States

Planning, staffing, creation, and hosting of all conferences, meetings, and events happening on campus and on external sites.

Worcester, Massachusetts, United States

Coordinated general office tasks including answering phones, e-mail responses, and assisting walk-in customers

Bachelors, Business Administration Concentration In Marketing

Healthcare

Activities and Societies: Nationally recognized Healthcare Compliance InstituteAll aspects of healthcare

Healthcare

Activities and Societies: Nationally recognized Healthcare Compliance InstituteAll aspects of healthcare compliance

Education record