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Richard Schelfe
Manager Embedded Compliance @CareFirst BlueCross BlueShield
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WORK HISTORY
Manager Embedded Compliance @CareFirst BlueCross BlueShield
Baltimore, MD, US
Responsible for the development, implementation and management of CareFirst Administrators embedded compliance program to ensure compliance and alignment with Federal and State regulatory statutes. • Manages a comprehensive risk-based audit program to effectively test controls and improve departmental policies and procedures to achieve greater efficiencies and effectiveness.• Reviews complex business processes, systems, workflows, and SOP’s to identify, document, and elevate presence of risks and trends that may be non-compliant with contracts and or statutory requirements. • Assists management in mitigating risks, safeguarding assets, identifying fraudulent activity, complying with laws and regulations directly tied to operational efficiency.
EDUCATION
University of Maryland
Bachelor's Arts and Humanities
SKILLS
ABOUT RICHARD SCHELFE
Richard Schelfe currently serves as Manager Embedded Compliance at CareFirst BlueCross…
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