Alicia Santore
Medicare Compliance Manager @Arkansas Blue Cross and Blue Shield
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WORK HISTORY
Medicare Compliance Manager @Arkansas Blue Cross and Blue Shield
Assists with all Medicare Advantage (MA) compliance activities, including managing components of the administration, interpretation, and enforcement of the Compliance Program. Responsible for managing the regulatory affairs, prevention, detection, and correction functions of Compliance. Analyzes business needs, identify potential problems, ensure effective lines of communicating business and compliance issues, and assist in remediation and corrective action plans. Manages the development and participation in regular, multifaceted communication, educational, and training programs to ensure all Company directors, officers, employees, consultants, vendors and subcontractors who work on MA products are knowledgeable about and comply with the MA Compliance Program, and all federal, state and local laws and regulations. Manages the hiring, coaching/training, employee development and performance management of assigned team. Works with internal and external auditors, as necessary, to ensure effective coordination and implementation of audit requests, and ensure audit readiness. Ensures timely and accurate submissions of CMS-required documents.
EDUCATION
Central Penn College
Bachelor of Science, Business Administration and Management, General
McCann School of Business and Technology
Associate's degree, Business Administration and Management, General
Penn State World Campus
Master's degree, Health/Health Care Administration/Management
ABOUT ALICIA SANTORE
I’m a compliance leader who believes that collaborative compliance, clear communication…
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