Harold Nations
Branson,MO
Summary
Strategic Healthcare Leader and Compliance Consultant with experience in health-tech innovation, PBM operations, and regulatory oversight. Juris Doctorate (JD) professional with deep expertise in healthcare transparency laws, fiduciary duty, and audit management / readiness for employer-sponsored benefits. Proven track record in managing complex regulatory audit-readiness preparations, conducting state-specific legal research, and leading discovery / investigations. Expert at translating complex federal / state mandates into actionable business strategies that drive compliance, profitability, and client retention.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Founder & Principal Consultant
Lucidus Compliance
04.2025 - Current
- Fiduciary Consultation: Consult on healthcare compliance and transparency, focusing on fiduciary duties and regulatory adherence for provider organizations.
- Audit Readiness: Advise clients on regulatory audit processes to ensure alignment with federal requirements.
- Risk Management: Utilize open-source intelligence and regulatory databases to identify compliance risks and track corrective actions for employer benefit sponsors and other clients.
- Research & Policy: Conduct deep-dive legal research into evolving healthcare statutes to mitigate risks and implement best practices for business operations.
- Document Architecture: Monitor evolving federal regulations and guidance, maintaining a global repository of inspection insights and legal research.
- Contract Analysis & Oversight: Audit complex business arrangements to ensure legal accuracy.
- Stakeholder Communication: Analyze complex data sets and deliver intelligence briefings to senior leadership using Power BI and SharePoint.
Department Head / Practice Leader
Healthcare Reporting
05.2023 - 04.2025
- Strategic Partnerships: Managed an extensive book of business, driving organic growth ensuring high client satisfaction.
- Contractual Compliance: Monitored performance guarantees and rebate performance, ensuring all contractual obligations were reported and met according to multi-year agreements.
- Performance Reviews: Prepared and presented regular client performance reviews, identifying cost drivers and providing data-driven recommendations for cost savings.
- Cross-Functional Leadership: Collaborated with Sales, Legal, Compliance, and IT teams to develop and deploy new programs and standardized workflows and articulate their financial and operational value to stakeholders.
- Training & Growth: Developed and presented training modules focused on evolving healthcare and regulatory compliance regulations for internal stakeholders, colleagues and subordinates, and external clients.
Recovery Analyst
Benefit Recovery Group
04.2022 - 05.2023
- Audit Management & Investigations: Led and coordinated regulatory / external audits for subrogation, managing client correspondence, virtual reviews / interviews, and logistics.
- Regulatory Reporting: Documented and reported audit-related information, including scope, review periods, audit findings, and corrective action plans to business leadership.
- Stakeholder Communication: Translated complex regulatory data into clear, concise communications for non-technical clients and internal business partners.
Attorney/Owner
Nations Law, PLLC
09.2013 - 05.2017
- Legal Research & Investigations: Conducted complex and extensive legal research and fact-gathering to advise clients on regulatory and contractual compliance.
- Contract & Legal Document Analysis: Reviewed and analyzed legal agreements, court documents, and state / federal frameworks to ensure legal defensibility.
- Communication & Privacy: Managed client communications and rigorous document review protocols with high degree of discretion.
Education
Juris Doctorate (JD) -
Thomas M. Cooley Law School
Bachelor of Science - Criminal Justice
College of The Ozarks
Skills
- Software: MS Office Suite (Expert Excel, Word, & Outlook), Google Suite, Adobe Acrobat, CRM Dashboards, Jira RIM, Power BI
- Leadership: Management of Direct Reports, Respectful, Emotional & Cultural Intelligence
- Audit Tools: Regulatory Assessment Tools, eDiscovery Platforms, Audit-Readiness / Management Systems
- PBM & Claims: PBM Industry Trends, Healthcare Transparency Laws
- Discovery: Legal Research, Case Management
- Professional Communication: Technical & Legal Writing
Certification
Certified In Healthcare Compliance (CHC) Candidate, Anticipated 2026 | Health Care Compliance Association
CORE COMPETENCIES
- Audit-Readiness & Regulatory Management: CMS, OIG, & Audit Deliverable Coordination.
- Legal & Compliance Oversight: Juris Doctor, Fiduciary Duty, FWA & Federal/State Mandates.
- Strategic Account Management: PBM Operations, Contract Performance, Rebate Monitoring, & Upsell Programs.
- Research & Communications: State-Specific Legal Research, Policy Development, & Executive C-Suite Presentations.
- Integrity & Discretion: HIPAA / PHI Compliance, Confidentiality, Secure Remote Office.
Timeline
Founder & Principal Consultant
Lucidus Compliance
04.2025 - Current
Department Head / Practice Leader
Healthcare Reporting
05.2023 - 04.2025
Recovery Analyst
Benefit Recovery Group
04.2022 - 05.2023
Attorney/Owner
Nations Law, PLLC
09.2013 - 05.2017
Juris Doctorate (JD) -
Thomas M. Cooley Law School
Bachelor of Science - Criminal Justice
College of The Ozarks