Results-driven compliance operations professional with 7+ years of experience in regulatory compliance programs and driving cross-functional initiatives in heavily regulated industries. Proven expertise in compliance management systems, policy development, audit readiness, and process optimization. Track record of leading strategic compliance initiatives that generate significant cost savings while maintaining 100% regulatory adherence. Skilled in project management, vendor coordination, and team leadership with strong analytical capabilities for supporting business decision-making.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Corporate Compliance Manager
Devoted Health Plans, Inc.
03.2018 - 05.2025
Maintained comprehensive oversight of CMS regulatory compliance, ensuring adherence to Medicare Advantage guidelines, Federal Regulatory Codes, and State laws across operational workflows
Promoted transparency within the organization by establishing clear communication channels for reporting suspected violations or seeking clarifications on compliance matters.
Authored and maintained critical compliance policies and procedures in alignment with regulatory guidelines, ensuring compliant sales, marketing, and operational activities
Established proactive compliance monitoring programs with actionable guardrails to prevent, detect, and remediate regulatory deficiencies before audit exposure
Conducted systematic risk assessments to identify internal and external compliance risks, analyzing downstream impact on business operations and developing targeted mitigation strategies
Led regulatory change management initiatives, monitoring evolving requirements and implementing process updates to maintain continuous compliance across multiple business units
Achieved 100% completion of annual attestation compliance KPIs for First Tier, Downstream, and Related Entities (FDRs), specifically Third-Party Marketing Organizations (TPMO)
Directed comprehensive audit preparation activities, including mock audit protocols and corrective action plan (CAP) development in alignment with regulatory audit standards
Director of Sales Operations
Devoted Health Plans, Inc.
02.2011 - 03.2018
Managed operational compliance programs while leading cross-functional strategic initiatives
Led development of Agent Onboarding and Certification platform, generating $3.4M in cost savings while ensuring regulatory compliance throughout the implementation lifecycle
Designed and operationalized compliance-driven workflows supporting multi-channel distribution while maintaining regulatory adherence
Served as primary compliance consultant to sales organization leadership, collaborating with key stakeholders to identify and address regulatory deficiencies in timely manner
Partnered with agent and agency onboarding teams to streamline and scale licensure and appointment regulatory requirements
Developed comprehensive training programs and certification assessments ensuring agents and brokers maintained compliance during marketing and sales activities
Manager of Sales Administration
Humana, Inc.
02.2011 - 03.2018
Drove compliance operations and process optimization across sales administration functions
Enforced Medicare Advantage policies and procedures through comprehensive training and resource development, increasing regulatory adherence and reducing compliance issues
Conducted systematic audits of agent commission data and payment processes, ensuring accurate compensation and resolving discrepancies in alignment with regulatory requirements
Collaborated with management teams to conduct competitive market analysis while maintaining compliance with regulatory marketing guidelines
Partnered with market directors to develop, review, and approve marketing campaigns ensuring adherence to regulatory standards
Co-created Leadership Experience Program for Region 1, resulting in six internal promotions while maintaining compliance standards throughout leadership development initiatives
Administrative Services Coordinator
Humana, Inc.
02.2011 - 03.2018
Streamlined administrative processes by implementing efficient systems and procedures, resulting in improved office productivity.Implemented compliant documentation and filing systems for Medicare Advantage market records in accordance with regulatory requirements
Managed sales materials inventory systems for Medicare Advantage and traditional insurance products, ensuring distribution compliance and regulatory adherence
Organized new hire orientations and training sessions incorporating compliance education and regulatory awareness components
Education
Master of Business Administration - Global Management
Nova Southeastern University
Ft. Lauderdale, FL
01.2014
Bachelor of Business Administration - Management
Northwood University
West Palm Beach, FL
01.2009
Skills
Regulatory Compliance
Policy Development & Management
Audit Readiness
Risk Assessment & Mitigation
Testing & Monitoring Programs
Cross-Functional Project Leadership
Process Improvement & Optimization
Workflow Development
Training & DevelopmentCross-Cultural Communication
Microsoft & Google Suites
Data Analysis
Compliance Management Systems
Certification
Life, Health, and Variable Annuities License (2-15) | 2010
Disney Institute Alum – PSX Humana | 2017
Gold Key International Honor Society Member (3.79 GPA) | 2014
Delta Epsilon Iota Academic Honor Society Member | 2014
Timeline
Corporate Compliance Manager
Devoted Health Plans, Inc.
03.2018 - 05.2025
Director of Sales Operations
Devoted Health Plans, Inc.
02.2011 - 03.2018
Manager of Sales Administration
Humana, Inc.
02.2011 - 03.2018
Administrative Services Coordinator
Humana, Inc.
02.2011 - 03.2018
Bachelor of Business Administration - Management
Northwood University
Master of Business Administration - Global Management
GRIEVANCE AND APPEALS REPRESENTATIVE at Humana Health Plans Inc./CarePlus Health PlansGRIEVANCE AND APPEALS REPRESENTATIVE at Humana Health Plans Inc./CarePlus Health Plans