Accepted position to lead largest filing team and act as change agent for filing area• Successfully mentored and coached multi-state/region Product Compliance staff, via a strategic filing plan to achieve successful and compliant filings in high profile states, meeting tight designated timelines. • Created and strengthened successful regulatory relationships, ensuring best practices, accuracy and consistency of forms, while balancing compliance and business needs for cross-functional teams. • Developed organizational prototype for filing area, ensuring defined career path, efficiencies in consistency in filing language and better focus on meeting target implementation dates. • Advocate for DOI outreaches on company objectives and initiatives, including joint ventures and refinement of forms, resulting in quicker approvals/speed to market, consistency in administration and simplification of language for member and DOI reviewers.

2012 to 2017: Compliance Process Owner, Humana Insurance Company, Waukesha, WIAccepted promotion to set up process for exchange participation and integrate filing functions • Built a new filing team and infrastructure to file, deliver and support highly regulated and deadline driven QHP filings, on and off exchange for 24 states, and nationwide dental, vision, life and financial protection products.• Facilitated cross team collaboration to ensure quality and timelines were met, resulting in less errors and quicker approvals on products.• Primary company liaison with CMS and state DOIs on individual product filing issues; due to strong relationship and ability to communicate effectively on complex issues, was able to negotiate initiatives to meet compliance and balance business needs.• Developed, collaborated, initiated process improvement and streamlined functionality within filing process through automation of forms, policy simplification and portfolio consolidation.• Led successful regulatory negotiations with state and federal regulators on various audit requests, portfolio changes, discontinuances and market exits to achieve management objectives and ultimate shut down of product cycle.

Rejoined industry after recommendation of prior industry co-worker• Provided accurate and timely analysis and interpretations of new state and federal laws and regulations. Lead Risk Advisor for Humana individual association issues.• Evaluated business initiatives, delivered critical research and technical guidance on regulatory impacts to ensure compliance is maintained, including product introductions, letter requirements, and complaint/grievance responses.• Trained and mentored new Risk Advisors; recommended changes to workflow procedures and staff procedure manual to streamline for consistency and improve communication within staff.

Started own consulting firm• Drafted life, medical, dental, vision and property and casualty insurance forms; filed with DOIs via SERFF for clients lacking inhouse contract resources. • Provided market conduct examination advice and review of complaint responses, in negotiations with DOIs to reduce forfeitures and potential corrective actions and ensure compliant answers to interrogatories.• Managed workflow redesign for company departments to increase efficiency.

Promoted by General Counsel for integration of multiple companies to ensure healthcare compliance• Managed staff of compliance analysts and market conduct analysts across multiple sites; accurate and timely dissemination of newly enacted laws and regulations; successful oversight, resolution, reduction of forfeitures of medical market conduct examinations.• Developed a corporate compliance process and referral structure to disseminate and implement compliance information across multiple sites.• Chaired Market Conduct Committee for all health companies; collaborated with business units to develop regulatory required multi-company compliance plan.• Authored quarterly reportd to parent company progress on compliance and monthly reports for senior staff on compliance issues and suggested action plans.• Successful state DOI visits for complaint and compliance issues, resulting in fine avoidance and relationship building. • Oversight of complaint process and quality assurance measures, state insurance department exams for three health companies. • White paper creation and recommendation of solutions to senior management.

Promoted by Counsel to manage and oversee regulatory issues• Managed market conduct examinations for two health companies.• Facilitated subgroups for implementation of compliance issues.• Monitored compliance through cross-site compliance process.• Liaison between company and internal/external customers and regulators on compliance issues.

Promoted by Counsel to review HIPAA/ major initiatives• Facilitated timely answered compliance questions from internal business customers.• Monitored proposed legislation and notifed business units of upcoming changes. • Summarized enacted federal and state laws and regulations.• Prepared company position statements.• Reviewed all company advertising for compliance.• Managed company market conduct examinations.• Oversight of company complaint process.