Michele Salerno Email and Phone Number

Accomplished Regulatory Compliance professional with over 9 years of leadership experience in state and federal regulatory frameworks. Expertise in risk identification, project management, and procedural implementation; coupled with a proven track record of driving organizational excellence and compliance. Adept at managing cross-functional teams to meet strategic goals within deadlines and budget constraints. Acclaimed for successfully navigating regulatory landscapes and fostering continuous operational improvement. • Lead a diverse team responsible for the implementation of state regulations in New York, Pennsylvania, West Virginia, and Delaware and federal regulations that impact the organization. • Oversee cross-functional teams responsible for facilitating external audits by state and federal agencies.• Maintain comprehensive knowledge of regulatory changes and their impact on business operations. • Advise stakeholders on regulatory requirements, aiding in policy development and compliance risk mitigation. • Work collaboratively with Legal, Government Affairs, Corporate Operations, Internal Audit, and Senior Risk Partners to support strategic and regulatory initiatives.

Spearheaded initiative to create a new unit within the Corporate Compliance Department responsible for NY state and federal regulations. Developed a corporate-wide process for implementing new regulations for Commercial and ASO business. Established a centralized repository for regulatory documentation and tracking. Managed compliance risks through education training, and ongoing monitoring initiatives. Lead cross-functional team responsible for annual NYS Department of Health Article 44 Operational Audit.

Directed the implementation of new regulations affecting the corporate product portfolio. Lead cross-functional team responsible for implementing the New York State No Surprises Act. Collaborated with various departments to ensure regulatory compliance and project success. Conducted detailed monitoring and analysis of regulatory changes. Functioned as a subject matter expert on compliance projects, providing critical guidance and support. Project lead responsible for implementing Federal Mental Health Parity regulations.

Ensured compliance with state and federal regulations across multiple business units. Project Lead responsible for implementing key provisions of the Affordable Care Act. Regularly communicated critical regulatory information to corporate leadership. Conducted monitoring and analysis of current and upcoming regulations.

Fostered business relationships with hospitals and ancillary providers, focusing on high impact providers.Negotiated complex contracts, ensuring alignment with organizational goals. Coordinated with various departments to enforce medical reimbursement and operational policies.

Responsible for network recruitment and contract negotiations for inpatient and outpatient mental health and behavioral health services.Ensured compliance with contractual obligations for Commercial and Medicaid business.Proven ability to resolve service issues and payment disputes, continuously building and fostering relationships with network providers Recommended program updates to senior management to improve compliance and network efficiency.

Responsible for marketing and sale of group health insurance to national and large employer groups.