Joseph N. Dumas Jr.

*** ***** ***** ****** *****: 630-***-****

Aurora, Illinois 60505 E-Mail: adjif3@r.postjobfree.com

REGULATORY/COMPLIANCE PROFESSIONAL

Innovative and dynamic professional with over 20 years of progressive experience crafting strategic, big-picture views of legal and compliance regulations. Leverages subject matter expertise, coupled with advanced education to provide guidance regarding financial policies & procedures to large national institutions. Versatile and knowledgeable regulatory professional with the proven competency to synthesize complex information while simultaneously cultivating relationships with cross-functional partners. Recognized regulatory professional with the ability to resolve critical, complex issues with tact and diplomacy.

Areas of Expertise

West Law

Quick Silver

Lexis-Nexus

Emptoris

CODE

Management Reporting

Contract Review

JIRA

HIOS

Concordance

SERFF

Regulatory Compliance

SharePoint

Education & Training

Juris Doctorate, Southern University Law Center, Baton Rouge, Louisiana Bachelor of Arts – Anthropology, University of Illinois, Champaign-Urbana, Illinois FLMI LOMA Level 1 Insurance Fundamental Diploma – Completed LOMA 280, 290 & 311 Associate Insurance Regulatory Compliance (AIRC) – In Progress Professional Experience

CENTENE COMMERCIAL SOLUTIONS, CHICAGO, ILLINOIS 2018-2020 REGULATORY OPERATIONS SPECIALIST

Regulatory Operations will work within the department and across the business to ensure product benefits are compliant and align with corporate and Health (HP) commercial strategy.

• Monitor and identify communications from federal agencies on regulatory actions impacting the commercial lines of business.

• Act as a person of contact (POC) for state department of Insurance (DOI) regulator interaction pertaining to all commercial product (Form and Rate/Binders) filings.

• Be responsible for policy and legal research related to the commercial product.

• Maintain and update the Reg Ops Tracker used for intake and dissemination of passed federal guidance and proposed and passed state regulations.

• Engage with Health Plans (HP), Government Relations (GR) and/or compliance teams to stay abreast of regulatory and legislative activity impacting the commercial lines of business. Review and summarize potential impact and disseminate to corporate Subject Matter Experts (SME’s) or affected departments with recommendations or guidance on timing and necessary actions to maintain compliance with well-planned policies and procedures. Close loop by providing corporate feedback to HP GR and/or compliance

HEALTH CARE SERVICE CORPORATION, CHICAGO, ILLINOIS 2015-2018 SENIOR CONTRACT SPECIALIST

Leverage subject matter knowledge to provide an extensive scope of contractual services including advanced data analysis, compiling drafts and leading negotiations of policies, and managing contract reports. Utilize core competencies to support organizational strategic objectives.

• Perform data mining, manipulation and analysis to support the development of New Mexico dental, pharmacy and vision policies.

• Effectively compile and extrapolate healthcare claims data and evidence-based practices to objectively identify fields for improvement and strategically create competitive advantages for the organization.

• Actively assist with the PPO and HMO Small, Large, Non-Regulated Mid-Market Medical policies, on and off-exchange; draft, negotiate, and file policies in accordance with goals and objectives.

• Manage contract reports for missing agreements and process for obtaining contracts.

• Consistently fill monthly provider directories for New Mexico BlueCross Blue Shield under the ACA law.

Key Achievements

• 2015 Employee Services Award: Recognized for contributions as a flexible and adaptable colleague with a demonstrated commitment to providing an extensive scope of service in support of overarching initiatives.

BCS FINANCIAL CORPORATION, OAKBROOK TERRACE, ILLINOIS 2008 – 2015 COMPLIANCE ANALYST II

Spearheaded the timely drafting of assigned limited, fixed-indemnity benefits and various forms; scope of responsibility extended to managing reviews of limited and fixed-indemnity benefit summary plan descriptions.

• Informed peers of pertinent changes in the law, and diligently worked toward the attainment of compliance team objectives.

• Updated the Insurance Regulatory Compliance Chart on a daily basis in alignment with organizational standards of accuracy.

• Regularly assessed and identified new legislation, laws and regulations that directly impacted corporate products, policies and procedures.

• Administered System for Electronic Rate and Form Filing (SERFF) application.

• Researched and prepared new subject matter sections to BCS Mandate Manual due to Federal Health Reform.

Key Achievements

• Managed a large volume of policy issuance requests; ensured concise issuance in accordance with corporate guidelines.

• 2013 Charity Bike Build Challenge Champion (Team Building)

• BCS All Employee Picnic Tournament Champion (Team Building) CONTRACTOR 2000 – 2007

JD/PARALEGAL

Accepted contract assignments through numerous firms including Kelly Law Registry, Special Counsel, Strategic Legal Resources, Providus, Apple One, TMP-Global, Venturi Law Resources and many other third-party legal service providers.

• Reviewed documents related to violation of antitrust laws, class actions, sexual harassment, mergers and acquisitions and contract review.

• Directed the implementation and review of legal aspects of a computer-based stock sharing program.

• Collaborated with in-house attorneys and consultants to facilitate implementation of an enterprise contract management system.

• Conducted quality assurance audits and ensured accuracy of more than 2000 healthcare contracts through extensive reviews.

• Instrumental in the summation and coding of documents in a pharmaceutical class action law suit.

• Researched and reviewed financial documents concerning credit agreements, amendments, assignments, compliance and borrowing base certificates.

• Shepherded the conversion of a Fortune 10 company sub-ledger onto the commercial finance sub-ledger.

• Audited legal invoices to ensure compliance with guidelines and determine reasonableness of fees.

• Authored comprehensive reports detailing audit findings and payment recommendations for claims professionals.

• Provided services to clients including Kirkland and Ellis, Culligan International, Sears, Walgreens, GE Antares, Zurich N.A., Jenner and Block, Amoco, Waste Management, Rohm and Haas and several others.

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