Mark Miller

About Mark Miller

Experience: • Articulate, highly-productive executive across a broad range of Senior Leadership roles in Program Operations, Compliance, and Finance with expert knowledge of Long-Term Services and Supports (LTSS), Dual Eligible Special Needs Plans (D-SNP), and Home and Community Based Services (HCBS). • An attorney with critical issue-spotting and risk analysis capabilities that inform overall strategic direction. Results: • Thought and strategy co-lead in attacking increasing costs in MassHealth\'s Home Health Program that led to rapid deployment of regulatory revisions and provider audits producing in excess of $500 Million in aggregate cost savings to the Commonwealth. • Developed and implemented an Enterprise Risk Management (ERM) governance structure, including the creation of a Vendor Management Oversight Protocol. • Merged 5 units consisting of 92 employees into a single Program Integrity Division for a multi-billion dollar state agency. • Closed 2 federal corrective action plans within 1 year of hire, and partnered with another state agency to resolve overstated accounts receivable in excess of $10 Million. Specialties: • Business process redesign within challenged organizations. • Identifying efficiency opportunities. • Implementing enhanced program integrity initiatives. • Strategic problem-solving.

Experience

1. Chief Transformation Officer

   South Shore Elder Services

   Jan 2021 — Present · Braintree, MA, US

   Serve on the Senior Management Team to ensure progressive planning, competency building, data accuracy and management, compliance and quality assurance are met with continuous quality improvement. Partner in the development of visionary changes to the strategic plan for the agency and implement a framework for focused growth in enterprise management, fundraising, philanthropy and succession planning. Provide oversight to matters relating to SSES fiscal, information technology, compliance, quality, staff performance management, and Senior Care Options. Accomplishments:* Established a quarterly compliance reporting structure and launched the SSES Compliance Committee.* Migrated SSES Policies and Procedures from paper to an Online Policy Library serving as a single source of truth location and developed and implemented a new policy governing the issuance, modification, and decommissioning of policies and procedures.* Revised and updated both the Employee HIPAA and Confidentiality Training and Fraud, Waste & Abuse (FWA) Trainings.* Executive sponsor in overseeing the migration of all-staff, new hire, and management development training into an online learning management system (LMS) environment along with the establishment of a Management Development Curriculum within the LMS to improve management staff skills.* Revised and updated the SSES Conflict of Interest Statement and Acknowledgment and introduced annual certification by Employees, Advisory Committee, and Board members.

Education

• Questrom School of Business, Boston University

  BSBA, magna cum laude, Management with a Finance concentration

  1986 — 1989

• Revere High School

  Valedictorian

  1981 — 1985

• Boston University School of Law

  JD, Law, Edward F. Hennessey Scholar

  1989 — 1992