Summary
Overview
Work History
Education
Skills
Timeline
Generic

Teresa Schorr

Winter Garden,US

Summary

Certified and accomplished executive with 15+ years of experience driving compliance and operational excellence in healthcare. Expertise in strategic planning, mergers and acquisitions, and team development, consistently enhancing organizational efficiency and growth. Proven track record in implementing robust compliance programs and fostering community partnerships for business success.

Overview

20
20
years of professional experience

Work History

ASSISTANT VICE PRESIDENT, COMPLIANCE

Humana
03.2020 - Current
  • Led compliance program optimization across clinical lines, aligning with strategic business direction and overseeing M&A due diligence for seamless integration.
  • Spearheaded team development and acquisition strategies, adapting to rapid business growth and new service lines while doubling existing operations.
  • Directed Fraud, Waste, and Abuse programs across clinical sectors, implementing robust oversight mechanisms to safeguard organizational integrity.
  • Orchestrated comprehensive compliance strategies, fostering a culture of ethical practices while supporting substantial business expansion and diversification.
  • Directed M&A due diligence and integration, ensuring seamless compliance alignment across newly acquired clinical service lines.
  • Partnered with strategic performance and marketing teams, driving organizational success through aligned compliance initiatives.

ENTITY COMPLIANCE OFFICER FOR GOOD SAMARITAN AND UNION MEMORIAL HOSPITALS

Med Star Health Inc.
05.2018 - 03.2020
  • Led Compliance Committee to address compliance issues, enhancing operational efficiency.
    Implemented policies and procedures, ensuring adherence to Code of Conduct and conflict of interest guidelines.
  • Supported growth initiatives, improving service line efficiency and fostering community partnerships.
  • Spearheaded growth initiatives, optimizing service line efficiency and fostering community partnerships.
  • Served as key resource for cross-functional teams, aligning compliance strategies with organizational goals. Facilitated seamless
    policy integration.
  • Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
  • Developed and implemented corrective action plans for non-compliance issues.
  • Developed risk assessment models to identify potential compliance risks.

DIVERSIFIED COMPLIANCE OFFICER

Med Star Family Choice
11.2016 - 05.2018
  • Completed audit for all vendor contracts to review compliance with privacy, security, and operational requirements.
  • Developed a plan to audit processes under contract for each of the third-party vendors. The program was piloted and adopted across all entities within the system.
  • Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
  • Advised clients on compliance fraud and investigations, as well as potential remedies and required actions.

COMPLIANCE AND PRIVACY OFFICER

Greater Baltimore Medical Center
01.2013 - 11.2016


  • Led Compliance Committee to address compliance issues, enhancing operational efficiency
  • Reviewed claims and conducted monthly exclusion screenings, maintaining regulatory compliance
  • Supported growth initiatives, improving service line efficiency and fostering community partnerships
  • Ensured robust implementation of Code of Conduct, Conflicts of Interest program and Exclusion reviews for all associates.
  • Spearheaded growth initiatives, optimizing service line efficiency and fostering community partnerships
  • Drove strategic compliance improvements across acute, post acute, and provider organizations
  • Served as key resource for cross-functional teams, aligning compliance strategies with organizational goals for enterprise EMR integration

Compliance Analyst

United Healthcare
04.2008 - 12.2012

Compliance Consultant

OptumHealth and Spectera
08.2004 - 04.2008

Education

MBA -

Loyola University Maryland
Baltimore, MD
05.2019

PARALEGAL CERTIFICATE BUSINESS CONCENTRATION -

Community College Of Baltimore County
Baltimore, MD
05.2006

BA IN PSYCHOLOGY AND MARKETING -

La Salle University
Philadelphia, PA
05.2000

Skills

  • Business strategy creation
  • Healthcare Compliance Risk Management (CHC)
  • Cross-functional team leadership
  • Healthcare Operations Management
  • Healthcare Documentation and Coding (CPC)
  • Change Management
  • Policy compliance
  • Strategic Planning & Transformation

Timeline

ASSISTANT VICE PRESIDENT, COMPLIANCE

Humana
03.2020 - Current

ENTITY COMPLIANCE OFFICER FOR GOOD SAMARITAN AND UNION MEMORIAL HOSPITALS

Med Star Health Inc.
05.2018 - 03.2020

DIVERSIFIED COMPLIANCE OFFICER

Med Star Family Choice
11.2016 - 05.2018

COMPLIANCE AND PRIVACY OFFICER

Greater Baltimore Medical Center
01.2013 - 11.2016

Compliance Analyst

United Healthcare
04.2008 - 12.2012

Compliance Consultant

OptumHealth and Spectera
08.2004 - 04.2008

MBA -

Loyola University Maryland

PARALEGAL CERTIFICATE BUSINESS CONCENTRATION -

Community College Of Baltimore County

BA IN PSYCHOLOGY AND MARKETING -

La Salle University
Teresa Schorr