Mauricio Viola, JD

West Chester, OH ***** actuxl@r.postjobfree.com 513-***-****

http://webprofile.info/mviola/

Attorney / Legal Counsel

Government Relations • Public Policy • Healthcare • Legal Service A Committed Attorney with a Passion for Delivering Legal Service in Litigation, Compliance and Government Relations with Strong Skills in Advocacy, Project Management and Strategic Planning

EXECUTIVE PROFILE

An intuitive attorney committed to providing legal expertise regarding government relations, regulatory compliance and litigation in the legal services, insurance, public service and healthcare industries. Extensive experience in the health insurance field within government relations, public policy, compliance and regulatory affairs.

CORE COMPETENCIES

• Advocacy • Business Development • Communication

• Leadership • Legal Analysis • Team Building

• Strategic Planning • Project Management • Consulting PROFESSIONAL

EXPERIENCE

BLACK LETTER DISCOVERY & UNITEDLEX Cincinnati, OH

PROJECT ATTORNEY 2015 - Present

A legal services firm providing legal staffing, project management and document review solutions to law firms and corporations nationally. Responsible for reviewing documents generated during discovery and analyzing the documents for litigation. Studied Spanish-language documentation for meaning and interpretation.

$8,000+ in expenses saved from a 10% decrease in two projected five-week projects to retain more than $210 per attorney work-hour, enhance efficiency and enable counsel to prepare for the trial by screening-out redundant records during a Spanish-language discovery review.

Evaluated business records for a client company involved in a multi-party, class-action lawsuit to efficaciously protect privileged drafts from disclosure during litigation. INDEPENDENT LEGAL / BUSINESS

CONSULTANT West Chester, OH LEGAL CONSULTANT 2014 - Present

A business consultation firm delivering legal insight on health insurance issues.

Provided legal insight into insurance coverage and benefits for positive patient re-admission rates that facilitated the development of a comprehensive marketing strategy for an overseas company to launch a medical monitoring device.

Presented in-depth explanation of the application of the Medicaid hospital re-admission payment adjustment regulation in order to assist with business plan development for a healthcare firm.

WELLPOINT Mason, OH

HEALTH POLICY DIRECTOR 2011 - 2014

A leading health benefits firm in the US with nearly 71 million customers. Monitored the impact of proposed state and federal legislation and regulations in order to streamline the development of proactive public policy while attaining business goals. Managed a portfolio of public policy issues, ensured regulatory affairs and compliance to mandates.

$150 per prescription savings attained for employers and plan sponsors by leading the charge to amend state legislation that resulted in preservation of the cost-sharing program for oral oncology pharmaceutical drugs.

Sustained the company’s multimillion-dollar investment in ICD-10 upgrades by championing in opposition to additional extensions of the ICD-10 requirement effective date.

Led the introduction of a new tele-health product by developing support coalitions advocating doctor-patient interaction via remote technologies.

Prevented the release of confidential, sensitive business information by CMS to consumer advocacy groups under the Freedom of Information Act.

GOVERNMENT AFFAIRS DIRECTOR 1999 - 2009

Served as a SME in analyses of proposed legislation and crafted strategic response as a company advocate. Amended state legislation, developed strong business relations with corporate public affairs officers, legal department, federal and state legislators, government agencies and trade associations. Trained staff in HIPAA privacy and security regulations and reviewed documents to ensure compliance.

$10,000 in expenses avoided by developing and implementing a virtual training program for pharmacy operations on HIPAA privacy regulations and laws.

Authored a series of notification letters to allow the prior authorization area to pass a regulatory audit and attain an excellent accreditation rating with NCQA.

Garnered a favorable ruling from the State of Louisiana Department of Insurance on the new state mandate for remittance advices.

Devised a set of administrative policies permitting pharmacy benefits to pass a state regulatory audit.

Originated and published an internal newsletter for improved legal and regulatory communications to stakeholders and key clients.

Defused a potentially negative legislative proposal by drafting amendatory language and generating support from a key employer consortium.

Coordinated inter-department work teams to ensure adherence to the Department of Labor guidelines for employer benefit plans.

5.1% average cost savings realized due to the mail order / maintenance drug benefit by fulfilling the Department of Insurance inquests to any-willing provider laws and pharmacy complaints.

OPTUMHEALTH / ALL-MED STAFFING SERVICES

ANALYST / INDEPENDENT CONTRACTOR 2010 - 2011

A staffing services firm serving the healthcare industry. Analyzed benefit structure of behavioral health plans to ensure compliance with the federal mental health parity mandate.

Assured compliance to a federal mental health parity requirement by assessing the benefits structure and presenting recommendations to business leaders.

Expedited completion of a multi-company compliance project by identifying areas of risk and incorporating solutions with best practices.

LAW OFFICES OF RICHARD M. LESTER, MCLEAN & IRVIN Woodland Hills, CA LITIGATION ATTORNEY

A litigation firm focusing on personal injury, contract and general civil litigation. Litigated cases in civil courts, bankruptcy court, Central District Court of California and the federal workers’ compensation appeals board. Conducted contract work. Supervised paralegals and legal staff. Evaluated cases for prospective settlement value and liability. Negotiated settlements in civil and workers’ compensation cases.

$18,000 verdict achieved in tort litigation in the Los Angeles Superior Court by securing an advantageous ruling in a motion to allow previously-recorded testimony into evidence.

Won a favorable settlement for a client by securing a non-binding arbitration award and leveraging that to bolster the defendant’s settlement offer.

Negated a claim against a client and the workers’ compensation carrier to nuisance value by effectively trying the case in front of the workers’ compensation appeals board.

Garnered compensation for a client in a commercial property case satisfying an overdue financial obligation.

ADDITIONAL EXPERIENCE

Direct Service Professional, Benchmark Human Resources, Cincinnati, OH, 2015

EDUCATION & CERTIFICATION

JURIS DOCTOR, LOYOLA LAW SCHOOL

BACHELOR OF ARTS, UNIVERSITY OF CALIFORNIA AT LOS ANGELES California State Bar, Member

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