Carter's practice focuses on individual, small group, and large group health insurance contracting, including insured, self-insured, MEWA and hybrid arrangements, and jointly administered arrangements.He has extensive experience from his work as in-house counsel in these areas:- provider, vendor, ancillary contracting, including financing, administration, and negotiation- health insurance oversight and regulation including Tele-Health design and implementation- claims and customer service operations (including on-/off-shoring)- regulatory audits- member/provider grievances and appeals- claims systems migrations, management, and regulation

An innovative, enterprising, and forward-thinking health care executive with broad experience in legal counseling, compliance, regulatory implementation, public policy, strategic planning, complex contract interpretation and negotiations, program management, and cost/budget analysis and oversight. Displays analytical and problem-solving skills to motivate and optimize workforce productivity to drive initiatives to completion. A change-oriented and pioneering leader who empowers an organization to maximize efficiencies, cultivate seamless operations, and enhance business opportunities and growth.

Senior Vice President and Counsel - Managed and directed legal support of commercial business segment, including regulatory oversight (both state and federal), ACA implementation, sales, marketing, producer channels, product implementation, and clinical operations, including medical management programs, disease management and case management programs, medical policy, clinical guidelines, and pharmacy. Supervised legal staff, including lawyers, clerks, interns, paralegals, and administrative staff, throughout the U.S.• Responsible for legal interpretation, implementation, and oversight of the Affordable Care Act. Decisions and planning were made with little input from the Federal Government in law or regulation, which required many carefully considered plans and decisions. Ultimately, no plans or decisions had to be changed or significantly modified, saving Anthem millions of dollars in reimplementation costs and/or fines or penalties.• Responsible for designing and implementing various personnel programs within the legal department to improve overall job satisfaction of employees while improving overall staffing. Programs included a Diversity Forum, partnering with the national Street Law Program, and implementing law school externship and internship programs designed to build diverse staffing pipelines.• Enjoyed updated and expanded opportunities and responsibilities over career in various locations, including Cincinnati, OH (1996-1999), Denver, CO (2000), Manchester, NH (2001-2005 and 2008-2018), and Atlanta, GA (2006-2007).