Experience

GE Capital

• United States
• Financial Services
• 700 & Above Employee

• Lead Auditor - Reinsurance Operations

  • Jun 2018 - Present

  • Develop the annual risk assessment and audit plan for the long term care reinsurance line of business. • Execute financial and operational audits on ceding companies and their third party administrators to determine compliance to complex reinsurance treaties and associated policies. • Execute the audit independently, working directly with the ceding companies and third party administrators, along with internal stakeholders, to identify and mitigate any areas of risk. • Present audit results in a formal report for the ceding company, third party administrators, and internal stakeholders that identifies each concern and control issue, the root cause of the issue, and corrective action. Show less



Blue Cross and Blue Shield of Kansas City

• United States
• Insurance
• 700 & Above Employee

• Medicare Advantage Compliance Consultant

  • Jun 2015 - 2018

  Implementation and maintenance of a new Medicare Advantage compliance program including: • Development and ongoing maintenance of compliance and operational policies and procedures• Development of reports, dashboards, and other documentation/metrics for the Compliance department and operational departments, including risks analysis and trending of data to evaluate performance in various areas.• Risk assessment activities including the annual compliance risk assessment and development of an audit plan to identify and prioritize areas of significant compliance risk. • Internal and external compliance audits and monitoring for compliance with applicable laws/regulations and the compliance plan. Assist business partners in interpreting audit findings, preparing and completing audit responses, and development of corrective actions as appropriate. • Development, implementation, track progress, and report on compliance objectives, projects, timelines, and deliverables for the Compliance Plan. • Monitoring and oversight of compliance with various Medicare Advantage and Part D requirements including but limited to Medicare Parts C and D reporting, data validation activities, and review, submission, and tracking of marketing materials. • Document, investigate, and maintenance of detailed files to assist with reports of health plan non-compliance and fraud, waste, and abuse (FWA). • Evaluate operating procedures, systems, and standards of operational departments and first tier vendors; identify potential or actual compliance risks; identify deficiencies and provides suggestions for resolution. • Tracking and analysis of new regulations and information from regulatory agencies for impact on the organization and report to applicable operations and compliance management• Compliance 360 administrator including workflow and form development and maintenance in Compliance 360 Show less

• Compliance Analyst

  • Jul 2013 - Jun 2015

  • Performed risk assessments on complex ethics and compliance issues and implement programs to mitigate any risk identified.• Development and annual review of corporate policies and procedures.• Served as backup to the Assistant Privacy Officer through investigating HIPAA violations, system security issues, answering attorney requests and processing member rights requests.

• Senior Internal Auditor

  • Dec 2008 - Jul 2013

  • Analyzed business risks, design, implement and test internal control activities, and reported findings to management for various business operations for Model Audit Rule compliance and risk-based internal audits.• Managed outside auditors to verify requests were provided, issues were resolved and work was completed timely with minimal impact on company operations.



Deloitte

• Business Consulting and Services
• 700 & Above Employee

• Senior Consultant - Enterprise Risk Management

  • Mar 2004 - Dec 2008

  • Led teams in designing audit programs which included defining the scope, objective, work schedules, staffing, time and cost estimates, client billing, status update reports, client meetings, and client deliverables. • Evaluated business and technical environments of various companies to determine potential risk through interviews of individuals at all levels and review of documentation. • Designed and tested control objectives and control activities covering business operations, accounting and information technology processes to determine the level of risk. • Prepared and issued audit report of findings to Deloitte management and clients’ executive management. Show less



Midland Loan Services

• Financial Services
• 200 - 300 Employee

• Senior Internal Auditor

  • Sep 2002 - Mar 2004

  • Planned and performed Agency Servicing audits, Origination audits and other audits as designated by PNC. Evaluated results and reported findings to management to ensure compliance with applicable Agency guidelines.• Assisted with external audit coordination, risk management and other activities as needed.

• Accountant

  • Jun 2000 - Sep 2002

  • Reconciled GL Balance Sheet accounts on a monthly and daily basis.• Prepared and tracked goodwill, prepaid accounts, tax accruals, depreciation on fixed assets and various amortization and accrual transactions on a monthly basis.• Researched and communicated revenue and cost report variances to Finance Management on a monthly basis.• Prepared and reported quarterly Missouri/Kansas State Use Tax.• Organized and prepared the monthly financial reporting package for management.• Performed year end procedures for closing the financial statements.• Prepared and filed statutory financial statements to the Mortgage Broker Association. Show less