Jeff Dover, Jd, Chc Email & Phone Number

Texas, United States

DOL Healthcare program providing in-home care under the EEOICPA.- Manage outside counsel relationships- Employment Law- Mergers and Acquisitions- Regulatory Reporting- Contracting

Oregon, United States

Compliance Officer for an Oregon CCO. Oversight of all aspects of Compliance and Privacy and Credentialing for a Medicaid CCO including a dual eligible population.

Corvallis, Oregon, United States

Executive Position for Physician led multi-specialty provider organization. The Corvallis Clinic had 8 clinics, Ambulatory Surgical Center, Lab, and Urgent Care facilities. Chair Compliance Committee  Report directly to the Board Shareholder relations Peer Review Prepare Enterprise Risk Assessment Litigation Management State Regulatory Liaison Manage Corporate Training Clinical Quality and Safety Manage State, internal, and external billing and coding audits HIPAA and CFR Part 2 Oversight Manage Insurance Contracts  Vendor and Delegated Entity Oversight DEI Oversight Administrative and Licensing Law Commercial Leases Real Estate Transactions Four Direct Reports Manage Policies and Procedures Employment Litigation Medical Malpractice Litigation Departmental Budgeting

California, United States

Responsible for a comprehensive Compliance Program for a 30+ practice dermatology organization. I oversee a Chart Audit program, Information Security, PCI-DSS Compliance, Corporate Compliance Training, Vendor Compliance, Contract Compliance.

Portland, Oregon Area

Responsible for EMTALA, ED, PCI, and data reporting compliance. Supervise Compliance 360 data team. New employee training, supervise external vendor audit projects, CMS data reporting.

I teach Criminal Law and Policy 200 level to 400 level courses; Health Care Ethics, Regulation, Law, and Policy.

Oregon

Build and Manage a corporate compliance program for a 40 Clinic Dental Care Organization. Managed a significant Data Breach, Liaison with IT, Office of Civil Rights, Outside Counsel, and Internal Workgroups. Performed Enterprise Wide Risk Analysis, IT Security Assessment and Risk Management Program. Designed and implementing an audit work plan including HR, IT Security, and Database Analysis. Review and Manage Policies and Procedures for all Business Units including Billing and Enrollment, Claims, Production, and IT. Coordinate delegated entity audits from Coordinated Care Organizations.

Perform commercial and self funded regulatory compliance and audit for Oregon, Washington, Arizona and California in all business units including Sales, Pharmacy, Network and Provider management, Utilization Management and Underwriting. Prepare regulatory filings through SERFF, Washington Form B, Oregon Prompt Pay, Responses to Regulatory Agency requests including Data Calls, Market Analysis, Appeals and Grievances, Corrective Action Plans, Notices of Violation. NCQA and URAC Compliance Experienced with SOX, NCQA, and ERISA. Provide Advice on Regulatory Litigation, Interpret Statutes, Rules, Regulatory Circulars. ACA Compliance and Implementation. Identify and Monitor Metrics.

Represent State Agencies at Contested Case Hearings including actions regarding ethics violations, Advise State Agencies on Rule Interpretations, Rule Making, Draft Orders in Contested Cases, Draft Contested Case Notices, Draft Advice Letters, Prepare Briefs for Litigation, Take and Defend Depositions, Supervise and Assign Work to Law Clerks and Paralegals, Assist in Preparing Fiscal Impact Statements, Advise on Rate and Fee Increases, Advise on Litigation Cost Recovery Policies, Advise on Policy, and Advise Agency’s during the Legislative Session. Types of Agencies – OR-OSHA, Health Related Licensing Boards, Real Estate Agency, Oregon Health Licensing Agency, Insurance Division, Teachers Standards and Practices Commission, and Oregon Board of Accountancy.

35-40 Felony and Misdemeanor Jury Trials, Grand Jury and Charging, Sentencing, PretrialMotions, Plea Negotiations, Civil Commitments, Probation Hearings, Post Conviction Relief, Supervise and Train New Attorneys, Assisted in Grant Writing for Victims’ Advocacy

Salem, Oregon

Research and Prepare Memoranda, Design and Maintain Website, Prepare and Distribute Case Summaries, Maintain Research Bank

Eugene, Oregon Area

Provided Enterprise, Small Business, and Personal System Support. Microsoft Office Training to End Users Both Corporate and Individuals. Network Assessment, Troubleshooting.

Juris Doctorate, Law

Member Oregon State Bar - #042755 Appellate Moot Court Competition Semifinalist, Donald Turner Criminal Moot Court Competition, Business.

Ba, Criminal Justice

Activities and Societies: Sigma Pi, Inter Greek Council

B.A, Criminal Justice