Brenda Wade Email and Phone Number

As a senior compliance professional with over 20 years of progressive leadership experience in health care management and regulatory compliance, I've learned a thing or two about CMS and state-level regulations.• First and foremost — You don't want to find yourself on the business end of a regulatory enforcement action.• A close second — You need to be prepared for audits as well as appeals and grievances (A&G) notices at all times, not just when the regulators come calling; by that time, if your governance, risk management and compliance (GRC) processes aren’t updated with real-time data, it's already too late.Regulatory compliance is 33.33% science, 33.33% art and 33.33% experience. After many years fighting fires on the front lines, I embrace all three elements because, time and again, they've saved the day for my health plans and clients, alike. Let's break it down.• Compliance as science — The scientific approach to compliance empowers me to support adherence to regulatory objectives and improve health plan GRC processes; by leveraging data-driven, AI-enabled automation tools to streamline workflows, health plans can ensure they generate clean universes and submit error-free reports.• Compliance as art — Empathy forms the artful foundation for compliance. It’s not just knowing who the client is and what they must achieve, it also includes understanding the end-to-end processes — from the health plan’s CFO to the compliance manager — and appreciating the unique headaches each faces due to data collection across disjointed systems, unique reporting platforms employed by different departments and workflow bottlenecks that a non-unified compliance program produces.• Compliance through experience — This element is what defines the level of quality a compliance program delivers because it answers the question regarding how. It’s the experienced practitioner of federal and state-level healthcare regulatory compliance who can not only put the pieces of the puzzle together, but s(he) can act as a trusted consultant that guides the organization through the entire process.My keen abilities to unearth organizational risks, identify opportunities and implement appropriate response measures, combined with years of successfully cultivating and managing productive relationships with customers, business partners and regulatory agencies — including CMS and CA Department of Managed Health Care (DMHC) — are what leads peers to consider me as one of the prominent leaders within the healthcare compliance industry.