Sr. Vice President, Compliance Officer, General Counsel

Continues

Port ***-knuzzo*@SENIOR down cross-businesses business Regulatory government, Thorough 312-by Education, St. Analysis, functional complex collating, Lucie, VICE 5989 gmail.risk conform PRESIDENT Compliance, FL compliance Reporting, compliance exposure Relationship and com departments analyzing, external to evolving through AND Data specialist Policy matters and Management, client GENERAL to Privacy, reporting laws mitigate & shaping Procedure relationships. to drawing KELLY and ensure Information COUNSEL, compliance COMPLIANCE regulations. proactive on HR on operations educated Development, Business background Hold AREAS DANE Security, compliance issues. HITRUST, Prevent HUNT, certifications workforces. Partnering, and STREET AND OF Quality as Display HIPAA performance illegal, EXPERTISE attorney PRIVACY programs. SSAE LLC Enable Communication, and Improvement, in transformational unethical, 18 2013 corporate JD, Protected and data. OFFICER Steer strategic CCEP, demonstrating to Nurture and Present incident compliance, Health CHCP Standards decision improper Problem training and investigations Information sound manage making of ethics, Solving, operations, and Conduct, judgment coaching and internal and MS (PHI)in healthcare quality Legal Office as collaboration, abilities, to Training well stakeholder, Counsel, ensure and improvement as privacy. Visio, minimize breaking and that with Risk Direct operations and devise strategic operational business plans to drive revenue, workforce scalability, and continuous improvement. Recruit and train senior management teams. Maintain compliance with state and federal regulations. Negotiate and manage company contracts. Oversee legal department and provide legal counsel. Handle litigation relating to contract disputes, physician Compliance credentialing, and labor issues. Lead HR function and strategy. Manage 11 direct reports and $6.7M budget. Quality § § § § Improvement Assembled interdepartmental Maximized Westlaw Implemented protection Conducted HITRUST. Next, and ongoing data organization’s Compliance compliance HIPAA privacy Compliance security and and Advisor, with first HITECH regulatory and & privacy Compliance Ethics contractual and requirements, Committee. Capital regulations. compliance & Watch. audits, Ethics Crafted including through department along company-with administering portability, managing reporting wide risk accessibility, annual regulatory to assessment the SSAE governing tracking and 18 to monitor type privacy; authority database II certification risk ensured and exposure. leveraging formed data and Training § § § § Orchestrated continuous Built department Created case Directed optimal & Mentoring audits, quality medical and project process, physician training, trained audit quality necessity addressing tool, system, reducing reviewer staff management recruited analysis, on and addendums quality key deposition tool increasing nurse clinical improvement. program assurance auditors testimony, and and peer-clarification and operational policy to to-assess investigations, peer polished to conversation requests prevent medical issues annual unauthorized from and peer to success hotline quality support customers review reporting, rate and management physician physician 45%from IME . cases, 12% lowering report reviewers to and work 25% changes; risk created in plan in 100%6 performing months. analyzed targeted to . drive Accreditation § § Designed curriculum; Trained Coached URAC standards. and up enterprise’s refined to mentored 150 programs operational VPs first and online and chief systems staff, training executives, improving based and on ensuring testing their evolving performance learning compliance laws and platform regulations. with and compliance policies for privacy, and with procedures, security, best practice and regulations, compliance protocols. and

§ Recognized organizations’ as URAC SME in and accreditation NCQA accreditation to healthcare with 100% customers success and for nearly staff, leading 10 years. managed care and utilization review KELLY HUNT, JD, CCEP, CHCP Page 2 of 2

REGIONAL MANAGER OF QUALITY IMPROVEMENT, COVENTRY HEALTH CARE INC. 2012 to 2013 Promoted from manager to oversee quality improvement initiatives for Commercial, Medicare, and Medicaid lines of business across 9 states while serving as health plan accreditation expert. Ensured compliance with state regulations and handled government affairs. Collaborated cross-functionally to investigate and resolve member, client, and provider complaints. Generated evaluation reports Compliance based on performance tracking and trend analysis. Controlled department budget and led over 15 direct reports. Quality § § Improvement Shaped compliance accreditation Conducted credentialing comprehensive with audits and standards. federal recredentialing of health Patient Sustained yet plans user-Protection activities 100% to friendly protect success and of network accreditation grievance Affordable rate in providers. URAC Care and status and Act, appeals Maintained NCQA insurance and reinforce accreditation. policy compliance legislation and regulatory procedure with in 9 states, HIPAA compliance. manual, and and URAC privacy ensuring Oversaw / NCQA laws. Team § § § § Building Enhanced framework Played Collaborated improving Devised business & key areas medical Leadership efficiency quality for role continuous with on in HEDIS record crafting and and IT safety to and providing review monitoring, integrate Anti-encouraged of Fraud care strategy, better evaluation, customer and and plan-tracking elevating Abuse service wide and grievance and plan participation to ratings improvement. trending members, to minimize in program insights. 15 to employers, of achieve fraud, 21 with HEDIS waste, quality plan’s and performance and program customers abuse member and goals measures. boost database through and member requirements. Educated establishing platform, safety. all ASSOCIATE § § § Recruited HEDIS Showcased committees Directed programs. ATTORNEY medical “Know Partnered and and excellent record D’AMICO trained delivering Your with review communication over & Number” third frequent CARIMI 15 nurses. party clinical LAW member presentations to enroll FIRM and and relationship administrative education members 2010 to leadership to 2012 in initiative health management staff, team. benefits including to solicit program skills RNs, participation while LPNs, at no acting charge quality in as to health representatives, lead members. facilitator and wellness on and 6 Managed 250 active personal injury and workers’ compensation cases. Performed legal research in preparation for all stages of pleadings. Drafted correspondence, pleadings and memoranda, discovery requests, and responses. Interfaced with clients and witnesses Earlier § § Roles Leveraged reputation Represented for in damages preparation as influential against top over for associate direct 3,LA 000 Department negotiation, and plaintiffs attorney cross-examinations. of in during Natural mediations. relationship legal Exploration, Led proceedings negotiations management, BP Exploration relating in mediation and to and detailed BP oil and Production spill; arbitration. documentation executed Inc., and class-other skills action defendants. to petition earn EXECUTIVE SECRETARY AND CO-FOUNDER, ABITA RECREATION BOOSTER CLUB, 2010 to 2012 SOLO PRACTITIONER, KNH LAW FIRM LLC, 2008 to 2010

LAW CLERK; CONTRACT ATTORNEY, HARLEY M. BROWN, 2007 to 2009 STAFF ATTORNEY, VINET AND DAY LLC, 2008 to 2009

CONTRACT ATTORNEY, PRO BONO PROJECT, 2009 to 2011

LAW CLERK, CAVE LAW FIRM, 2008

CERTIFIED CERTIFIED BACHELOR COMPLIANCE IN HEALTH OF EDUCATION ARTS AND JURIS CARE ETHICS IN DOCTOR COMMUNICATIONS LOUISIANA PRIVACY AND PROFESSIONAL, SOUTHERN PROFESSIONAL COMPLIANCE, BAR LICENSE, AND UNIVERSITY SOCIETY LATIN HEALTH NO. DEVELOPMENT OF 32026 LOUISIANA LAW CORPORATE CARE CENTER COMPLIANCE STATE COMPLIANCE UNIVERSITY ASSOCIATION AND ETHICS