Charriet Womble
Medicare Compliance Officer Director of Regulatory Compliance @BlueCross BlueShield of Tennessee
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WORK HISTORY
Medicare Compliance Officer Director of Regulatory Compliance @BlueCross BlueShield of Tennessee
Designs, develops and oversees all aspects of the regulatory compliance assurance process for Medicare Advantage products. Also monitors and coordinates both internal and external audits, oversees day-to-day operations of the regulatory compliance team.
EDUCATION
University of Phoenix
Master of Business Administration - MBA, Health/Health Care Administration/Management
Middle Tennessee State University (MTSU)
Bachelor of Science - BS, Psychology
ABOUT CHARRIET WOMBLE
Accomplished, solution-oriented business and compliance professional with more than 25 years\' experience in the health care industry and Managed Care. Expertise in government sponsored health care with a focus on promoting program integrity, operational excellence and compliance with the Centers for Medicare & Medicaid Services (CMS) regulations. Has a known reputation for an expertise in Medicare Parts C and D, CMS program audits, and internal auditing and monitoring.Core Competencies include:Medicare Advantage (Medicare Managed Care)Product ManagementRequest for Proposals (RFPs) Health Insurance Portability and Accountability Act (HIPAA)Health Risk AssessmentsVendor OversightVendor Contracting/Sourcing and ProcurementStrategic PlanningDelegated Entity OversightStaff Education and TrainingQuality ImprovementAuditing and MonitoringOther: proud member of Alpha Kappa Alpha Sorority, Inc.
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