Risk Management Regulatory Compliance

NANNETTE (NAN) L. PALMER

Clarksville, IN ***** 502-***-**** ************@******.***

PROFESSIONAL SUMMARY

Seasoned operations and compliance leader with over a decade of experience managing complex projects, optimizing workflows, and leading cross-functional teams in highly regulated environments. Proven ability to oversee multimillion-dollar initiatives, mitigate risk, monitor contractual obligations, and foster productive client relationships. Adept at budget forecasting, contract oversight, and ensuring organizational compliance with regulatory standards. Combines strong business acumen with technical and financial insight to drive successful project outcomes.

CORE COMPETENCIES

Capital & Aftermarket Contract Oversight

Risk Identification & Mitigation

Regulatory Compliance (CMS, Medicare)

Cross-Functional Project Leadership

Customer Liaison & Relationship Management

Budgeting & Forecasting

Process Optimization & Performance Monitoring

Strategic Planning & Execution

Team Leadership & Vendor Management

PROFESSIONAL EXPERIENCE

Humana Inc. – Louisville, KY

Risk Management Professional 2

Apr 2022 – Mar 2025

Managed cross-functional operational projects in compliance with CMS guidelines and performance metrics.

Served as key liaison for internal and external stakeholders to ensure strategic alignment and operational efficiency.

Conducted risk assessments and compliance reviews to proactively identify project threats and drive resolution strategies.

Developed and presented comprehensive reports on project progress, budget impact, and monthly forecasting.

Team Lead – Compliance Control Monitoring (CCM)

Oct 2019 – Apr 2022

Oversaw all aspects of project execution for multiple vendor operations, including contract performance and service delivery.

Spearheaded contract updates and operational enhancements to reduce risk exposure and improve vendor-client alignment.

Led monthly business reviews, negotiated contract improvements, and managed service-level agreements (SLAs).

Tracked financial and performance data to ensure contract compliance and forecast accuracy.

PDP IRT Team / Appeals Specialist / Critical Inquiry Specialist

2015 – 2019

Directed end-to-end resolution of critical customer inquiries, appeals, and compliance cases.

Partnered with clinical, legal, and IT departments to resolve contractual discrepancies and improve workflow efficiency.

Played a key role in process improvement initiatives tied to Medicare compliance and customer experience.

Trover Solutions – Louisville, KY

Customer Service Specialist

Sep 2008 – Sep 2011

Managed contractual claims and subrogation processes for Fortune 500 insurance clients.

Ensured compliance with federal and state regulations in claim resolution and payment distribution.

EDUCATION & CERTIFICATIONS

Master of Business Administration (MBA) – University of Phoenix, Tempe, AZ (2022)

Bachelor of Science – University of Phoenix, Tempe, AZ (2021)

Certificate in Operations Management – University of Phoenix, Tempe, AZ (2021)

ADDITIONAL HIGHLIGHTS

Experience managing full project lifecycle and reporting on KPIs, risks, budgetary variances, and ROI.

Strong interpersonal and communication skills developed through client-facing roles and stakeholder negotiations.

Knowledge of legal/contractual frameworks, financial planning, and operational risk controls.

Leadership in international-facing roles, vendor operations, and matrix team environments.

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