Jeannie Hoover

Compliance Director at Elevance Health
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Contact Information
us****@****om
(386) 825-5501
Location
US
Skills

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Credentials

  • Certified in Health Care Compliance (CHC)
    Health Care Compliance Association (HCCA)
    Oct, 2012
    - Nov, 2024

Experience

  • Elevance Health
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Compliance Director
      • May 2021 - Present

      Responsible for development and management of a comprehensive proactive audit readiness program that includes education, risk identification/mitigation, and data analysis focused on improving audit outcomes. Responsible for development and management of a comprehensive proactive audit readiness program that includes education, risk identification/mitigation, and data analysis focused on improving audit outcomes.

  • Kaiser Permanente
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Director Health Plan Administration Compliance
      • Mar 2020 - May 2021

      • Managed health plan compliance for Kaiser Foundation Health Plan of Colorado

    • Senior Compliance Manager-Health Plan Administration
      • Apr 2012 - Mar 2020

      • Compliance Consultant for cross functional regulatory implementation projects• Accountable for annual risk assessment process and development of compliance work plan• Researched and responded to health plan compliance questions• Provided oversight of external regulatory audits • Established a compliance liaison program • Presented compliance reports to Executive Compliance Committee and Medical Group Board

    • Compliance Auditor
      • Sep 2011 - Apr 2012

      • Developed regional audit plan• Conducted regional audits • Ensured operational units had appropriate compliance controls • Reviewed policies and procedures, marketing materials, and training materials

    • Appeals Analyst
      • Sep 2003 - Sep 2011

      • Investigated and documented member appeals • Appeals project lead for implementation of ACA Full and Fair Review requirements• Medicare appeals regulatory subject matter expert, and CMS appeals audit coordinator• Represented Kaiser Permanente at administrative law judge hearings

  • Irving Burton Associates, Inc, Tricare, Office of General Counsel
    • Litigation Paralegal
      • Aug 2002 - Sep 2003

      • Conducted legal research on government contract and healthcare law issues • Monitored key regulations • Collaborated with multiple departments in preparation for litigation • Gathered documentation to respond to production of document requests • Conducted legal research on government contract and healthcare law issues • Monitored key regulations • Collaborated with multiple departments in preparation for litigation • Gathered documentation to respond to production of document requests

Education

  • University of Denver
    Masters of Professional Studies (MPS), Health Care Leadership
  • University of Colorado at Denver
    Bachelor of Arts (B.A.), Political Science and Government
    1993 - 1996
  • Arapahoe Community College
    Associate of Applied Science, Legal Assistant
    1991 - 1993

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