Chris Smith Email & Phone Number

Winston-Salem, North Carolina, United States

Great Bend, Kansas, United States

Calera, Alabama

Manage daily operations of Ozan Winery and Yella Hound Spirits. This includes product development and finishing, marketing, sales and inventory management. Manage the reservation system, and create and manage special events (I.e., holiday events, musical events)

Schaumburg, IL

• Perform reviews of internal Medicare departments to ensure compliance with Centers for Medicare and Medicaid Services (CMS) standards and regulations
• Generate corrective action plan recommendations based on audit findings
• Perform follow-up reviews and testing of corrective action plans to ensure successful implementation and correction of the underlying issue(s)
• Subject matter expert in Medicare Part D operations and reporting requirements
• Lead a team of 3 analysts to ensure timely completion of audit objectives
• Conduct interviews with operational areas to gain a thorough understanding of their policies and procedures prior to audit engagement

Saint Paul, MN

• Conducted validation audits per CMS regulations, including responsibilities for audit planning, execution, review and completion of 15 clients annually
• Reviewed policies and procedures, and offered recommendations for improvements
• Provided guidance to clients based upon CMS changes to program operations, including communication with CMS directly for interpretations as needed
• Logged and tracked CMS responses to inquiries regarding data validation
• Assisted in development of corporate audit strategy based upon CMS regulations
• Authored client education blogs on CMS regulations and changes

Birmingham, Alabama Area

Primary responsibilities included: 1) Ensuring ongoing compliance with federal rules and regulations governing the Medicare Part D program 2) Serving as primary client contact for partner plan to provide prompt and accurate issue resolution 3) Development and recommendation of policies and procedures, as well as leading implementation of recommendations

Birmingham, Alabama Area

Primary responsibilities included: 1) Facilitate audits of claims performed by customers and external auditors, interpreting questions and issues and communicating resolution with internal and external constituents 2) Apply extensive knowledge of claims processing system to research and investigate issues and concerns expressed by external customers 3).

Birmingham, Alabama Area

Primary responsibilities included: 1) Developed audit programs for Medicare operations in order to assess compliance with Federal objectives and regulations 2) Utilized governmental resources to accurately perform compliance audits 3) Conducted internal operational and compliance audits of both Medicare and private business operations in accordance with.

Birmingham, Alabama Area

Primary responsibilities included: 1) Performed reviews of complaints filed and initiated investigations of possible fraudulent activity 2) Conducted interviews with beneficiaries and providers to substantiate and document cases of potential fraud 3) Conducted appropriate research and applied federal rules and regulations in conducting reviews of potential.

Columbia, South Carolina Area

Primary responsibilities included: 1) Conducted reviews of complaints filed and initiated investigations of possible fraudulent activity 2) Researched and applied federal rules and regulations in conducting reviews of potential fraud cases 3) Interviewed beneficiaries and providers to substantiate and document cases of potential fraud

Master Of Business Administration (Mba), Business Administration And Management, General

Activities and Societies: Phi Kappa Phi, Beta Gamma SigmaServed as Graduate School Senator in the Student Government Association.

Bachelor Of Arts (Ba), Political Science And Government