Emily Keane Email & Phone Number

Pittsburgh, PA, US

Wheeling, West Virginia, United States

• Established, streamlined, and enhanced the audit and advisory function as a collaborative business partner including:
• Implemented an annual audit plan including a risk-based approach for Model Audit Rule (MAR).
• Develop, documented, and implemented MAR controls to prevent, detect, and mitigate risks.
• Coordinated and drove external audit engagements, including but not limited to financial statement audits, SOC 1 Type II reviews, and group customer audits.
• In partnership with external auditors, issued two, SOC 1 Type II audit with no findings.
• After six months of employment, inherited the payment integrity team and quickly established processes to enhance the payment integrity function and prevent over-payments.

Pittsburgh, Pennsylvania, United States

Dedicated Learning Advisor leading a team of learning advisory consultants, responsible for liaising with the Highmark Health Enterprise multiple operating units in their learning and development needs, wants, and interests. Providing specialized learning consultation focused on infusing learning and development as the catalyst for change. Develop, design.

Greater Pittsburgh Area

• Directed the administration and oversight of an effective compliance program, including the Code of Business Conduct, exclusion screening, and investigation of reported integrity and compliance concerns.
• Strengthened the effectiveness of the compliance program through the first a risk-based monitoring and auditing of First Tier, Downstream, and Related Entities (FDRs).
• Enhanced, systematized, and executed the annual conflict of interest disclosure certification requirements across the enterprise.
• Prepared, facilitated, and articulated the required compliance program documentation to external examiners, customers, and partner plans to fulfill contractual obligations.
• Performed confidential investigations with integrity and empathy, in partnership with human resources, to resolve potential conflicts of interest, compliance violations in support of the Code of Conduct and Core.
• Identified, oversaw, and negotiated contract reviews across the enterprise to comply with federal and state regulations.

Greater Pittsburgh Area