KAIT R. MICELI, ESq.
Orchard Park,NY
Summary
Seasoned Attorney and Director of Compliance and Privacy Officer at Kaleida Health and its captive physician group, General Physician, P.C., adept in risk assessment, internal audit, and leading cross-functional teams. Demonstrated expertise in corporate compliance with a proven track record in legal research and negotiation. Achieved significant improvements in compliance processes, showcasing a strong ability to analyze laws and regulations.
Overview
19
19
years of professional experience
Work History
Director of Compliance and Privacy Officer
Kaleida Health
01.2022 - Current
- In addition to my duties with Kaleida Health’s captive PC
Risk, Compliance and Privacy Officer
General Physician, P.C.
02.2020 - Current
- Company Overview: General Physician, P.C
- Is the captive physician group of Kaleida Health
- Develops and implements compliance policies and procedures to adequately ensure compliance with State and Federal law and regulatory guidelines
- Oversees the Corporate Compliance program and manages the day-to-day operations of the program
- Responsible for developing, coordinating and conducting training and education pertaining to the corporate compliance program
- Implement and conduct screening procedures for excluded individuals/entities
- Coordinates and/or conducts compliance investigations or complaints of alleged violations of law, regulation and internal policies
- Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required as well as provides reports on a regular basis, and as directed to keep the Compliance Committee and management informed of the operation and progress of compliance efforts
- Serves as chair of the Compliance Committee and reports/recommends corrective action to leadership
- Oversees all aspects of litigation matters related to medical malpractice, provider licensing issues, regulatory actions, and commercial general liability
- Manage Entity’s commercial insurance portfolio including medical malpractice, general liability and cyber security litigation cases
- Investigates actual and potential adverse outcomes and assists in implementing corrective action
- General Physician, P.C
- Is the captive physician group of Kaleida Health
Claims Specialist, Healthcare Division
CNA Insurance
08.2019 - 02.2020
- Interpretation and analysis of insurance coverage
- Management of claims from pre-suit through disposition of complex claims
- Coordinates and performs investigations and evaluations of both claim/suits through contact with insureds, claimants, witnesses and experts
- Collaboration with attorneys, account representatives, agents and medical providers regarding the handling and/or disposition of complex claims
- Evaluates exposure and sets appropriate reserves to manage the matter within the set reserve
- Utilizes negotiation skills to resolve claims through mediation or other methods of alternative dispute resolution
- Superior knowledge of medical malpractice laws and regulations as well as insurance industry trends
Attorney
Roach, Brown, McCarthy & Gruber, P.C.
01.2014 - 01.2019
- Representation of clients including healthcare providers, medical institutions, and municipalities at all stages of litigation from pre-suit claims through trial
- Responsible for drafting court submissions
- Analysis of contracts by and between physicians and health care organizations
- Investigation of claims and preparation of witnesses of varying levels of experience for depositions and trial
- Taking and defending the testimony of witnesses at depositions and trial
- Locating, retaining and preparing experts
- Preparing and developing case review summaries for clients to allow them to accurately assess exposure and set reserves
- Evaluation and consultation relative to the internal investigation and auditing of physician practices including analysis, recommendation and drafting of policies and practices for hospital compliance, quality assurance, risk management and credentialing and licensing of physicians and mid-level providers
- Recommendation of policies and procedures relevant to State and Federal regulatory compliance including medical malpractice prevention programs
- Settlement negotiations and drafting of settlement documents
Law Clerk
Roach, Brown, McCarthy & Gruber, P.C.
01.2010 - 01.2013
- Conducted extensive legal research, performed litigation preparation including file reviews, conducted legal and medical research
- Drafted memorandum, pleadings and motions, participated in discovery proceedings and prepared letters to clients in response to legal inquiries
Receptionist
Roach, Brown, McCarthy & Gruber, P.C.
04.2010 - 08.2010
- Drafted and organized legal documents, including inter-office memorandum and Summons and Complaints
- Drafted letters and managed communication between the firm and the legal community, as well as clients
Clinical Research Assistant
Elizabeth Wende Logan Breast Care L.L.C.
01.2007 - 01.2009
- Extensive experience conducting medical literature searches, preparation of clinical cases, and editing of Coordinator’s summarization
- Active involvement in data collection, organization and preparation for abstract submissions and radiologist’s evaluation
Intern
Monroe County District Attorney’s Office
02.2006 - 05.2006
Intern
Rochester City Court
12.2005 - 02.2006
Intern
Monroe County’s Hall of Justice Family Court
10.2005 - 12.2005
Education
Juris Doctor -
UNIVERSITY AT BUFFALO SCHOOL OF LAW
05-2013
Bachelor of Arts - Social Science, Minor in English (Magna Cum Laude)
UNIVERSITY AT BUFFALO
12-2009
Admission January 2014
New York State Bar
Admission April 2014
U.S. District Court, Western District of New York
Skills
- Risk Assessment and Internal Audit
- Corporate compliance and governance
- Data privacy
- Legal research and writing
- Regulatory expertise
- Ability to analyze laws and regulations
- Risk Mitigation
- Negotiation
- Cross-functional team leadership
- Knowledge of EMR systems
- Change Management
Affiliations
- Erie County Bar & New York Association
- Medical Group Management Association
- New York Medical Management Association
- American Health Information Management Association
- Western New York Healthcare Association
References
References available upon request.
Timeline
Director of Compliance and Privacy Officer
Kaleida Health
01.2022 - Current
Risk, Compliance and Privacy Officer
General Physician, P.C.
02.2020 - Current
Claims Specialist, Healthcare Division
CNA Insurance
08.2019 - 02.2020
Attorney
Roach, Brown, McCarthy & Gruber, P.C.
01.2014 - 01.2019
Receptionist
Roach, Brown, McCarthy & Gruber, P.C.
04.2010 - 08.2010
Law Clerk
Roach, Brown, McCarthy & Gruber, P.C.
01.2010 - 01.2013
Clinical Research Assistant
Elizabeth Wende Logan Breast Care L.L.C.
01.2007 - 01.2009
Intern
Monroe County District Attorney’s Office
02.2006 - 05.2006
Intern
Rochester City Court
12.2005 - 02.2006
Intern
Monroe County’s Hall of Justice Family Court
10.2005 - 12.2005
Juris Doctor -
UNIVERSITY AT BUFFALO SCHOOL OF LAW
Bachelor of Arts - Social Science, Minor in English (Magna Cum Laude)
UNIVERSITY AT BUFFALO
Admission January 2014
New York State Bar
Admission April 2014
U.S. District Court, Western District of New York
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