Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Kelly Good

Harrisburg,PA

Summary

Dynamic leader in healthcare regulatory compliance with extensive experience at Teladoc Health. Demonstrated success in developing robust compliance programs and negotiating high-value contracts. Expertise in strategic planning and relationship building enhances operational efficiency while ensuring regulatory adherence. Committed to fostering cross-functional collaboration to drive organizational success.

Overview

9
9
years of professional experience

Work History

Director – US Group Health Contracts and Legal

Teladoc Health
05.2020 - Current
  • Review, draft, and negotiate client contracts, including Business Associate Agreements, Master Services Agreements, Non-Disclosure Agreements, Scopes of Work, Regulatory Addendums, and contract Amendments.
  • Develop and implement strategic plans related to compliance with government regulations, and oversee aspects of the contracting process that require compliance input.
  • Responsible for maintaining customer- and regulator-facing documents, such as contract templates, internal policies, and compliance-related programs, to be presented to regulatory agencies, clients, and internal stakeholders.
  • Work closely with Health Plan partners to ensure compliance with CMS and state Medicaid requirements.
  • Oversee the tracking of legal and regulatory developments in the telehealth industry to maintain a position at the forefront of industry compliance trends and new requirements.
  • Coordinated resources across departments to maximize productivity levels.
  • Reviewed internal reports and identified areas of risk or potential cost savings.
  • Developed and implemented comprehensive strategies to improve operational processes and organizational efficiency.
  • Facilitated collaboration between teams by encouraging open communication channels.
  • Recruited, trained, supervised, evaluated and mentored staff members.
  • Monitored market conditions and competitor activities to inform business decisions.
  • Negotiated agreements with external partners such as contractors or consultants.
  • Ensured compliance with all relevant regulations, policies and procedures.
  • Coordinated activities with other departments to expedite work and improve collaboration.
  • Led cross-functional teams to drive project completion within budget and deadlines.
  • Negotiated high-value contracts with vendors and partners to optimize resource allocation.

National Director of Compliance – Government Programs

OneCall Gov’t Solutions
07.2018 - 05.2020
  • Responsible for all aspects of the Government Programs arm of the company with a focus building a comprehensive compliance program from the ground up.
  • Worked closely with multiple functional areas to grow the Government Programs side of the business to develop policies and procedures and other pieces of technical writing needed to fulfill regulatory requirements.
  • Participated in state Medicaid Readiness Reviews with clients to demonstrate compliance with CMS regulations.
  • Responsible for obtaining regulatory approvals for certain provider types and new products.
  • Developed and implemented national strategies to increase organizational capacity, improve service delivery, and expand public outreach.
  • Cultivated relationships with key leaders in government and industry to advance organizational goals.
  • Ensured compliance with applicable federal laws, regulations, policies, procedures, standards and guidelines.
  • Directed the development of policy initiatives related to organizational mission objectives.
  • Analyzed data collected through surveys or other research methods to inform decision-making processes.
  • Collaborated with external consultants and experts to identify new opportunities for growth.
  • Created reports on program outcomes for senior management and funders as needed.
  • Evaluated existing operations and services; identified areas needing improvement and recommended solutions.
  • Facilitated strategic planning sessions and facilitated discussions among stakeholders regarding policy issues.
  • Proposed or approved modifications to project plans.

National Director – Requests for Proposals

Molina Healthcare
03.2016 - 07.2018
  • Responsible for all compliance and legal related items in all RFPs, including maintaining detailed compliance and corrective action histories for each state health plan.
  • Worked closely with the corporate legal department and state health plans to identify new programmatic requirements when evaluating new business or re-procurement opportunities.
  • Responsible for working across many functional areas to create solutions based upon state specific contract requirements for areas such as operational efficiencies, value based purchasing programs, member and provider engagement, and quality improvement.
  • Evaluated all bids for compliance with the state specific requirements for programmatic requirements.
  • Worked with legal to ensure that template provider contracts and letters of agreement meet all state specific requirements and all internal Molina corporate requirements.
  • Coordinated legal protest efforts, including protest development and defense.
  • Maintained compliance with applicable laws, regulations, policies, procedures.
  • Served as primary contact point between organization's headquarters and regional offices across the nation.
  • Managed and coordinated the work of a team of regional directors in various parts of the country.
  • Evaluated existing operations and services; identified areas needing improvement and recommended solutions.
  • Facilitated strategic planning sessions and facilitated discussions among stakeholders regarding policy issues.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Produced thorough, accurate and timely reports of project activities.
  • Delegated work to staff, setting priorities and goals.
  • Proposed or approved modifications to project plans.
  • Assigned work and monitored performance of project personnel.

Education

Juris Doctor -

Widener University School of Law
Harrisburg, Pennsylvania

Skills

  • Healthcare Regulatory Compliance
  • Compliance Program Development
  • Relationship building with regulatory agencies
  • HIPAA Program development
  • Baa negotiation and drafting
  • Experience with Accessibility laws, regulations and guidelines
  • Legal and compliance reviews of Policies, Contracts and Operational functions
  • Experience in a Telehealth setting
  • Contract negotiation
  • Regulatory compliance
  • Policy writing
  • Strategic planning
  • Data analysis
  • Risk assessment
  • Team leadership
  • Operational efficiency
  • Stakeholder engagement
  • Cross-functional collaboration
  • Compliance monitoring
  • Communication skills
  • Cross-functional team leadership
  • Coaching and mentoring
  • Contract management
  • Process improvement
  • Legal and regulatory compliance
  • Project coordination
  • Risk management
  • Company guidelines
  • Relationship building
  • Verbal and written communication
  • Time management
  • Content development
  • Creativity and innovation
  • Rules and regulations
  • Partnerships and alliances

Personal Information

Title: Healthcare Compliance Executive

Timeline

Director – US Group Health Contracts and Legal

Teladoc Health
05.2020 - Current

National Director of Compliance – Government Programs

OneCall Gov’t Solutions
07.2018 - 05.2020

National Director – Requests for Proposals

Molina Healthcare
03.2016 - 07.2018

Juris Doctor -

Widener University School of Law

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Kelly Good