Co-Chair, Moo and Chew Networking GroupHIPAA COW (HIPAA Collaborative of WisconsinLeading networking group initiatives to foster collaboration and knowledge sharing among compliance professionals.Coordinating and facilitating meetings, discussions, and events focused on various healthcare compliance topics, including HIPAA, data privacy, and regulatory updates.Enhancing the group's engagement and outreach efforts to support the professional development of members.

• Served as a primary contact with external state and federal auditing agencies• Followed up on corrective actions concerning external audits• Investigated potential compliance, ethical, fraud, privacy security, HR concerns • Managed breach incidents and report to OCR and CMS as appropriate • Managed and maintained a repository of company policies and procedures• Experience managing major breaches due to ransomware attacks• Served as Privacy Officer for the organizationAudits Conducted:Advance Payments of the Premium Tax Credit (APTC) AuditsCO–OP Compliance ReviewsFederal Market Conduct Examinations – Market-wide requirementsHigh-Cost Risk Pool (HCRP) AuditsMedical Loss Ratio (MLR) ExaminationsTransitional Reinsurance Program AuditsFFE Compliance Reviews/Network Adequacy Reviews

Responsible for ensuring that the requirements of an effective compliance program are met as set forth by CMS in chapters 9 & 21 of the Medicare Manual. Strong familiarity with the U.S. Sentencing Guidelines and the seven components of an effective compliance program. Knowledgeable about Medicare Advantage Plans/Special Needs Plans (SNP) Accomplishments: Created the following processes and documents• Investigative Process• FDR Oversight Process• Compliance Training Modules • Code of ConductJob Responsibilities Include:• Managing Compliance Policies and Procedures• Conducting Compliance Investigations• HIPAA Privacy• Conducting Compliance Effectiveness (Parts C and D)• Creating Compliance Training Modules• Reviewing Business Associate Agreements• Contributing to the Compliance Work Plan• Reporting FWA/Compliance Concerns to OIG, OCR, and State Regulatory Bodies• Reviewing the State Medicare/Medicaid Contract

COMPETENCIES ACQUIRED AS RESULT OF BUSINESS OWNERSHIPAs a business owner, I have acquired a wide range of skills. I am accustomed to taking on significant responsibilities. Specifically, I have great project management skills. Moreover, I developed an efficient customer services scheme, keep accurate records, and made accurate business forecast and predictions. Further, I mastered the principles of giving business presentations and public speaking. Most importantly, I have learned to be a continuous learner, detailed organizer, strategic planner, and communicator to a diverse group of people. Some of my accomplishments are:Cox Tax & Insurance Consulting is a full tax and insurance consulting agency. This agency consults primarily with individuals and small businesses. Independent broker of life and health insurance with access more than 40 top rate life insurance companies and 4 major health insurance companies.• I provide a level of competency to clients that assist resolving complex collection tax issues with Federal and State taxing authorities, saving clients $10,000 on the average.• Develops effective tax strategies for clients resulting in tax savings • Delivers effective estate planning that facilitates the orderly transfer of assets to beneficiaries and provides security to surviving spouses.TRANSFERABLE SKILLS Because of my business acumen, I understand dealing with business situations in a manner that is likely to lead to a good outcome. In addition, I have applied my regulatory skills in adhering to life and health regulations, as well as tax code requirements.