Kristen Kearney
Lead Director, Medicaid Provider Compliance @Aetna, A Cvs Health Company
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WORK HISTORY
Lead Director, Medicaid Provider Compliance @Aetna, A Cvs Health Company
Hartford, CT, US
Oversight of compliance of provider data operations compliance in support of federal requirements, state regulations, multiple health plan policies, and contractual obligations. •Responsible for leading cross-functional initiatives to support audit readiness and collaborate with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations. •Serves as key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams.
EDUCATION
Eastern Connecticut State University
Bachelor of Science (B.S.), Accounting
Albertus Magnus College
Master of Business Administration (M.B.A.), Business Administration
Albertus Magnus College (New Dimensions)
Masters of Science, Business Management
ABOUT KRISTEN KEARNEY
Strategic leader offering over 23 years of progressive experience in Internal Audit, Accounting, Compliance, Operations and Third-Party Oversight leadership roles. Visionary leader who establishes the strategic direction of the department, while anticipating risks and adapting to change, to ensure a clear and successful path to achieving goals. Champion of departmental turnaround strategies to close compliance gaps, leverage technology and automation, maximize economies of scale, optimize results, and expand resource capacity while eliminating single points of failure and waste. Change agent capable of delivering on departmental strategies and objectives through the empowerment and capitalization of team capabilities and deployment of stretch assignments to promote growth and development of skills and leadership competencies. Highly adept developer of people committed to continuous growth and career mobility, ultimately maximizing performance and enabling succession planning.
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