Terrence Christopher
Atlanta,GA
Summary
Accomplished, goal-driven professional with a comprehensive background encompassing the areas of program management and regulatory compliance. Strong leadership abilities, with proven expertise in developing and managing strategic programs; leading cross-functional teams; and directing a broad range of departments and projects. Highly knowledgeable in state and federal legislative and regulatory processes. Career track record of successful accomplishments, including managing a Compliance program and creating a compliance committee. Versatile Executive Director focused on promoting mission and increasing effectiveness of key programs. Passionate about managing and overseeing implementation of company's daily operations. Quick and firm decision-maker possessing first-rate communication and organizational skills. Recognized for successfully collaborating with management to develop work plans, financials and strategies.
Overview
24
24
years of professional experience
Work History
Chief Health Plan Compliance Officer
UnitedHealthcare Community Plan
07.2018 - Current
- Developed and maintained compliance database, tracking all compliance activities and documents.
- Prepared and submitted regulatory filings in timely manner.
- Managed relationships with regulators, maintaining open lines of communication to ensure transparent operations.
- Identified, investigated and documented compliance violations and recommended corrective measures.
- Enhanced regulatory compliance by developing and implementing comprehensive policies and procedures.
- Collaborated with cross-functional teams to address compliance concerns, fostering a culture of shared responsibility.
- Promoted a culture of continuous improvement through ongoing evaluation and refinement of compliance program elements.
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
Compliance Officer
UnitedHealthcare Community Plan
01.2013 - 08.2018
- Manage and implement the Compliance Program and the UHG Code of Conduct, respectively
- Developed and maintained compliance database, tracking all compliance activities and documents.
- Identified, investigated and documented compliance violations and recommended corrective measures.
- Managed relationships with regulators, maintaining open lines of communication to ensure transparent operations.
- Prepared and submitted regulatory filings in timely manner.
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
Regional Director, Clinical Compliance
UnitedHealthcare
01.2007 - 01.2013
- Serve as a subject matter expert for new and proposed legislation and regulation for assigned jurisdictions
- Motivated employees through effective communication, recognition programs, and tailored incentive structures that aligned with corporate objectives.
- Streamlined operations for improved efficiency by evaluating existing processes and introducing innovative solutions.
- Produced 5 reports per week to analyze job performance against team goals.
Manager, Service Compliance Operations
Horizon BCBSNJ
01.2005 - 01.2007
- Managed a multitude of compliance activities, including policy development and implementation
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Accomplished multiple tasks within established timeframes.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
Contract Administration Manager
AmeriChoice
01.2003 - 01.2005
- Collaborated with government officials to promote AmeriChoice’s business goals and objectives
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
Behavioral Health Care Manager
AmeriChoice
01.2001 - 01.2003
- Oversaw all utilization management activities pertaining to the behavioral health care of plan members
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Worked with providers to define quality metrics and outcome reporting process.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Arranged transportation and documented details of discharge transition plans.
Education
Continuing Education -
Woodrow Wilson School of Public Policy and International Affairs, Princeton University
Princeton, NJMaster of Social Work, Social Policy and Planning -
Rutgers University
New Brunswick, NJBachelor of Arts, Journalism -
Rutgers University
New Brunswick, NJHealth Law And Policy -
Seton Hall University School of Law
Newark, NJSkills
- Compliance Management
- Monitoring Procedures
- Legislative Processes
- Sarbanes-Oxley Implementation
- Program Management
- Strategic Planning
- Policy Development
- Public Policy
- Team Leadership
- Relationship Management
- Public Relations
- Industry Communications
- Compliance Monitoring
- Document Review
- Auditing processes
- Internal Audits
Timeline
Chief Health Plan Compliance Officer
UnitedHealthcare Community Plan
07.2018 - Current
Compliance Officer
UnitedHealthcare Community Plan
01.2013 - 08.2018
Regional Director, Clinical Compliance
UnitedHealthcare
01.2007 - 01.2013
Manager, Service Compliance Operations
Horizon BCBSNJ
01.2005 - 01.2007
Contract Administration Manager
AmeriChoice
01.2003 - 01.2005
Behavioral Health Care Manager
AmeriChoice
01.2001 - 01.2003
Continuing Education -
Woodrow Wilson School of Public Policy and International Affairs, Princeton University
Master of Social Work, Social Policy and Planning -
Rutgers University
Bachelor of Arts, Journalism -
Rutgers University
Health Law And Policy -
Seton Hall University School of Law
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