Tiffany Fleckenstein

About Tiffany Fleckenstein

Core Competencies: Energetic and analytical legal executive armed with 20+ years\' experience and success. Expertise in health care operations, regulatory and compliance best practices, human resources/employee relations, business transactions, including mergers and acquisitions and changes of ownership of health care companies, state licensure of health care facilities, Medicare and Medicaid licensure and compliance, provider scope of practice and credentialing, payor and vendor contracting, and corporate compliance issues. Strong research, writing, and executive presentation skills. Adapts quickly to new environments and thrives on multiple projects and deadlines. Works well with clients and colleagues ofall sophistication levels, while demonstrating authentic and empathetic leadership. A sincere heart for servant leadership and improving health care delivery and patient experience and outcomes.Key Achievements: 1. Litigation Management: Efficient and expert handling of 300+matters since 2009, guiding best possible outcome, early resolution, least possible business disruption, and implementation of any needed remediation steps to avoid future claims. M&A and Changes of Ownership: Handled 45 CHOW transactions in the LTC space from 20••••17; played a critical role in Signify completing three asset acquisitions from 20••••23, as well as the $8 billion sale of Signify to CVS Healthin 2023. Key contributor to effective integration post-acquisition. Contract Management: Led implementation and successful adoption of new contract management system; routinelyexceed KPIs for heavy volume of payor agreements and vendor contracts; lead contract drafting for new product offerings, such as disease-specific focused visits. CPOM Implementation: Played key role in Signify\'s establishment and implementation of a compliant, national corporate practice of medicine entity structure, including associated policies and procedures, corporate governance and contracting. Product Development: Serve as legal lead for two growing lines of business (Diagnostic and Preventative Services and Care Coordination). Successfully launched new focused visits and multiple care coordination service offerings since 2022, inspiring trustin business leaders by providing expert legal issue spotting and adept and collaborative problem solving, allowing the business to meet the desired go-live dates with a compliant service offering.

Experience

1. General Counsel

   VitalCaring Group

   Oct 2025 — Present · Dallas, TX, US

Education

• South Texas College of Law Houston

  JD, cum laude

  1995 — 1998

• Southern Methodist University

  Master of Liberal Arts

• Texas A&M University

  BA, English

  1991 — 1995

Skills

• Employment Law
• Mediation
• Legal Compliance
• Hipaa
• Litigation Management
• Regulations
• Courts
• Medicare
• Document Drafting
• Licensing
• Alternative Dispute Resolution
• Administrative Law
• Privacy Law
• Mergers
• Claim
• Legal Research
• Medicaid
• Employment Contracts
• Healthcare
• Arbitration
• Legal Writing
• Litigation
• Business
• Elder Law
• Dispute Resolution
• Mergers & Acquisitions