Patricia G. Simpson
Middletown,DE
Summary
Senior compliance and regulatory affairs professional with 20+ years in Medicaid health plan operations. Experienced in regulatory monitoring, audit coordination, and corrective action planning. Known for timely reporting, cross-functional leadership, and effective navigation of state compliance requirements.
Overview
21
21
years of professional experience
Work History
Director, Regulatory Affairs
Aetna, a CVS Company
Columbia, Maryland
06.2023 - 04.2026
- Collaborated with external officials to assess Aetna Better Health of Maryland's positive impact on Medicaid members statewide and nationally.
- Monitored regulatory activity to facilitate timely and effective responses for Aetna Better Health of Maryland.
- Facilitated meetings with department heads to evaluate and align on progress of strategic initiatives.
Compliance Officer, Aetna Better Health of MD
Aetna, a CVS company
Columbia, Maryland
01.2021 - 06.2023
- Evaluated internal and external regulatory requirements to ensure ongoing compliance.
- Reviewed State of Maryland annual compliance reviews to ensure alignment with contract requirements.
- Compiled and filed required reports with State of Maryland on schedule, ensuring adherence to reporting timelines.
Senior Compliance Officer
Aetna, a CVS company
Newark, Delaware
01.2005 - 12.2020
- Developed and implemented comprehensive compliance policies and procedures.
- Coordinated regulatory audits with internal teams and external examiners.
- Investigated potential compliance issues across health plan operations and vendor activity.
- Conducted risk assessments to identify areas of non-compliance and recommend corrective action plans.
- Drafted compliance reports, policies, and corrective action documentation.
- Partnered with legal, audit, and operations teams on remediation plans.
- Coordinated with legal counsel to resolve complex compliance issues.
- Reviewed third-party vendor contracts for any potential conflicts of interest or legal risks associated with them.
Education
MBA - Business Administration
Wilmington University
New Castle, DE01-2006
Bachelor of Science - Business
Wilmington University
New Castle, DE05-1998
Associate of Applied Science - Business Administration
Delaware Technical Community College
Dover, Delaware05-1985
Skills
- Regulatory affairs
- Regulatory compliance
- Regulatory strategy
- Regulatory filings
- Compliance oversight
- Compliance risk assessment
- Policy development
Timeline
Director, Regulatory Affairs
Aetna, a CVS Company
06.2023 - 04.2026
Compliance Officer, Aetna Better Health of MD
Aetna, a CVS company
01.2021 - 06.2023
Senior Compliance Officer
Aetna, a CVS company
01.2005 - 12.2020
MBA - Business Administration
Wilmington University
Bachelor of Science - Business
Wilmington University
Associate of Applied Science - Business Administration
Delaware Technical Community College