Job Search Status
Open to workDesired start date: 2 weeks notice
Open To Work
Geraline Savoia MBA
Oroville,WA
Work Preference
Summary
Enterprise healthcare compliance leader with 15+ years driving audit readiness, regulatory performance, and risk reduction across Medicare, Medicaid, and commercial plans. Expert in CMS audit preparation, enterprise compliance programs, governance, and data-driven oversight that aligns operations, product, and compliance functions.
Overview
20
20
years of professional experience
1
1
Certificate
Work History
Operations Compliance Program Manager / Product Benefit Oversight
Providence
2023.07 - Current
- Provide second-line compliance oversight for Individual & Family Plan products, ensuring adherence to CMS, ACA, and state regulations across multi-state markets
- Partner with product and operational leaders to operationalized regulatory requirements and reduce compliance risk
- Lead monitoring and remediation of benefit administration issues, improving audit readiness and reducing regulatory exposure
- Develop executive dashboards and KPI reporting to enhance leadership visibility and accelerate remediation decisions
- Support governance processes for benefit configuration and change management, improving implementation accuracy
- Serve as SME during audits and regulatory inquiries, strengthening audit response and evidence quality
- Collaborated with legal teams to interpret regulations, ensuring alignment with organizational policies and practices.
- Evaluated existing controls for effectiveness, recommending improvements where necessary for enhanced risk management efforts.
- Evaluated third-party vendors for adherence to company compliance requirements, mitigating risks associated with outsourcing.
Corporate Compliance Manager - Oversight, Monitoring & External Audit
CareSource
2020.04 - 2023.07
- Led enterprise audit programs including CMS and state regulatory exams, improving audit outcomes and reducing repeat findings
- Designed risk-based monitoring frameworks that strengthened issue identification and remediation effectiveness
- Managed end-to-end regulatory audit responses, including evidence governance and corrective action planning
- Enhanced compliance reporting and executive dashboards to improve enterprise visibility into risk and performance
- Strengthened governance frameworks through policy and control standardization across business units
- Developed and implemented compliance policies to align with federal and state regulations.
- Conducted regular audits to assess compliance with internal policies and external regulations.
- Led training sessions for staff on compliance procedures and regulatory requirements.
- Managed relationships with regulatory agencies, ensuring timely communication of compliance issues.
- Oversaw investigations of compliance violations, implementing corrective actions as necessary.
Privacy Officer/Investigator | Senior Compliance Consultant
Aetna
2013.09 - 2020.04
- Led enterprise HIPAA investigations and privacy risk assessments, improving compliance enforcement and response timelines
- Partnered with IT and security teams to enhance privacy monitoring tools and governance capabilities
- Managed delegated entity oversight programs, including audits and corrective action implementation
- Developed and delivered enterprise-wide privacy and compliance training
- Developed and implemented privacy policies ensuring compliance with HIPAA regulations.
- Led training sessions for staff on privacy protocols and data protection measures.
- Monitored regulatory changes impacting privacy legislation and advised stakeholders accordingly.
- Conducted thorough risk assessments for the organization, identifying potential data breaches and recommending solutions.
Program Administrator/Manager
Agency for Health Care Administration
2006.08 - 2013.09
- Directed Medicaid program compliance and oversight initiatives across multiple operational domains
- Developed policies aligned with federal and state regulations, improving program integrity
- Led process improvements that enhanced reporting accuracy and operational efficiency
- Completed bi-weekly payroll for 5 employees.
- Managed stakeholder communications, ensuring alignment with organizational goals and regulatory requirements.
- Collaborated with external partners such as vendors or consultants as needed to execute projects efficiently within specified timelines successfully.
- Maintained accurate records of program activities, using data-driven analyses to inform future planning and decision making.
Education
Master of Business Administration (M.B.A.) - Health/Health Care Administration/Management
Colorado Technical University
Colorado Springs, CO2016-01
Bachelor of Science - Health/Health Care Administration/Management
Colorado Technical University
Colorado Springs2014-01
Associate of Science - AS - Health/Health Care Administration/Management
Colorado Technical University
Colorado Springs, CO2012-06
Skills
- Compliance Regulations
- Regulated Industry
- Operational Compliance
- Audit Readiness
- Vendor Management
- Management
- Program Management
- Auditing & Monitoring Oversight
Certification
Certified in Health Care Compliance, CHC
Timeline
Operations Compliance Program Manager / Product Benefit Oversight
Providence
2023.07 - Current
Corporate Compliance Manager - Oversight, Monitoring & External Audit
CareSource
2020.04 - 2023.07
Privacy Officer/Investigator | Senior Compliance Consultant
Aetna
2013.09 - 2020.04
Program Administrator/Manager
Agency for Health Care Administration
2006.08 - 2013.09
Master of Business Administration (M.B.A.) - Health/Health Care Administration/Management
Colorado Technical University
Bachelor of Science - Health/Health Care Administration/Management
Colorado Technical University
Associate of Science - AS - Health/Health Care Administration/Management
Colorado Technical University