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Vice President/General Counsel- Compliance, Regulatory Affairs

Location:
Greensboro, NC, 27410
Posted:
February 15, 2011

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Resume:

GREG M. GERTZ, JD, MPH

**** ********* *****

Greensboro, NC 27410

336-***-****

Email: c1b926@r.postjobfree.com

LinkedIn: www.LinkedIn.com/in/gmgertz

SUMMARY: Accomplished legal professional with 11 years experience at Fortune 21 Company leading healthcare compliance and managing regulatory affairs. Skilled team leader with hands-on experience creating and actively implementing extensive compliance program. Effective advocate and change agent with proven record enhancing external regulatory relationships. Licensed attorney in North Carolina, Georgia and Minnesota. Masters in Public Health, health policy, from University of North Carolina-Chapel Hill.

PROFESSIONAL EXPERIENCE:

UNITEDHEALTH GROUP, INC.:

--UnitedHealthcare of the Carolinas (Greensboro, NC)

Director, Legal & Regulatory Affairs (2005 – 2009)

Accountable for operational and regulatory compliance in the market. Regulatory affairs advocate responsible for ensuring ongoing positive relationship with regulatory authorities through continued outreach, transparency, and open dialogue. Change agent responsible for continuous quality oversight, proactive monitoring, corrective action, and satisfaction of regulatory commitments. Legal and regulatory affairs subject matter expert supporting Company filings, business and compliance operations.

Accomplishments:

• Successfully secured release from onerous regulatory reporting and oversight under 2004-negotiated state agreement.

• Strengthened relationships with state regulatory authorities, culminating in transition to efficient multistate settlement agreement (MAWG) and hastening approval of innovative products and programs.

• Implemented robust monitoring and quality improvement practices, significantly increasing customer satisfaction and quality of service.

• Achieved year-over-year reductions in number and complexity of complaints and grievances, the result of collaborative teamwork with management leaders in operations and service.

• Provided ongoing support to successful Provider Relations organization, leading to significantly improved provider satisfaction in the Carolinas.

• Improved operating efficiency and accuracy in legislation implementation, working closely with operations leaders, internal business partners, government affairs management, and lobbyists.

UNITEDHEALTH GROUP, INC.:

--UnitedHealthcare of North Carolina (Greensboro, NC)

Director, Market Compliance

(1998–2005)

Market Compliance leader responsible for establishing, implementing, and overseeing an effective compliance program and integrated governance structure. Management team member accountable for market conduct examination activity, regulatory and legislative affairs, and company-wide market compliance. Responsible for creating compliance awareness among all personnel, delivering compliance activity reports to senior leaders, representing Company at external functions, engaging regulatory authorities.

Accomplishments:

• Built company's first-ever Integrity and Compliance Program and governance structure.

• Implemented company-wide compliance monitoring, auditing and oversight practices.

• Successfully instilled a culture of ethics, integrity and compliance.

• Consistently maintained all products in compliance, approved by state regulators.

• Successfully educated staff on scope and impact of newly-enacted healthcare legislation, ensuring timely implementation and operational compliance.

• Lead Company through first-ever Market Practices examinations (HMO; Insurance Company; PPO business). Worked closely with State examiners, achieving successful outcomes at post-examination settlement proceedings.

FOURTH JUDICIAL DISTRICT COURT (Minneapolis, MN)

Judicial Staff Attorney (1986–1996)

Conducted significant legal research and provided decision recommendations. Drafted Orders, bench briefs, and professional articles. Managed Court’s active civil and criminal caseload. Civil actions included medical malpractice, insurance coverage disputes, civil commitments, product liability, personal injury, wrongful death, termination of life support. Provided court wide support and assistance to judicial staff. Coordinated hearings, settlement conferences, trials and mediation. Supervised law practicum judicial interns.

EDUCATION:

>> Masters of Public Health, Health Policy & Administration,

University of North Carolina at Chapel Hill.

(Thesis: "Contemporary Legal Issues for Healthcare Organizations and Providers in Minnesota")

>> Juris Doctorate, Hamline University School of Law, Saint Paul, MN

>> Bachelor of Arts, cum laude, University of Minnesota, Minneapolis, MN

ACADEMIC EXCELLENCE:

Phi Beta Kappa Honor Society

BAR ADMISSIONS:

>> North Carolina State Bar

>> State Bar of Georgia

>> Minnesota Supreme Court

PROFESSIONAL AFFILIATIONS:

>> Health Care Compliance Association

>> Society of Corporate Compliance and Ethics

>> North Carolina Bar Association, Health Law Section

>> North Carolina Society of Healthcare Attorneys

>> State Bar of Georgia, Health Law Section



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