Summary
Overview
Work History
Education
Skills
Accomplishments
Membership/Community
Timeline
Generic

TRINA Y. COX

Harrisburg,PA

Summary

Performance Driven Leader with organizational leadership skills that is committed to maintaining confidentiality, and can undertake complex assignments, meet tight deadlines, and deliver superior performance. Possesses practical business knowledge, able to optimize and develop talent, while engaging teams and meeting corporate initiatives, and can lead in a competitive environment. Well versed in creating a diversified and inclusive workplace environment for employees to feel safe, respected and valued, as well as selecting diversified suppliers to accommodate business initiatives. Applies strong planning, structural and analytical skills to ever changing legal and regulatory environments while maintaining up-to-date knowledge of industry standards and trends.

Overview

24
24
years of professional experience

Work History

Senior Manager, Vendor Management

Centene/PA Health & Wellness
10.2019 - Current
  • Monitor and manage relationships with external suppliers (to include diversified suppliers), vendors, and/or subcontractors to ensure contractual obligations, quality standards, and compliance requirements are met.
  • Perform vendor contract onboarding and due diligence.
  • Evaluate vendor performance.
  • Conduct vendor audits and monitoring.
  • Collaborate with Business Leads/Owners to address issues.
  • Negotiate contracts.
  • Collaborate with various internal departments to ensure a smooth vendor relationship.
  • Lead oversight meetings.
  • Provide quarterly updates on performance metrics.

Manager, Compliance

Centene/PA Health & Wellness
04.2017 - 10.2019
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Coordinated activities within the lines of business to ensure compliance with ethical, legal and regulatory standards.
  • · Worked to help develop and implement Anti-Money Laundering and Privacy training programs for agents and brokers, as well as New Employee Onboarding training for new employees.
  • · Created processes and conducted reviews for Annuity Suitability to ensure compliance as a general agency.
  • · Created and implemented policies, procedures, and audits for Compliance Manuals.
  • · Reviewed and approved marketing materials to ensure materials meets requirements set forth by applicable state and federal laws and regulations.
  • · Monitored and searched records to identify and provide responsive information with respect to particular investigative subjects as it relates to Financial Crimes Enforcement Network 314a Program.
  • · Conduct compliance audits, to include, but not limited to, HIPAA desk audits, and monitoring in an effort to minimize risk and report, and identify, any trends and/or deficiencies appropriately.
  • · Manage complaint process for clients, producers, and participants reported directly to state regulators or the Health Plan.
  • · Provide guidance and training to business partners regarding compliance issues related to privacy and fraud, waste and abuse.
  • · Gather, review and interpret current market and industry trends.
  • · Track deliverables due to regulators to ensure timely development, review, and approval prior to submission.
  • · Monitor achievement of performance measures and contractual reporting obligations, as well ad hoc reporting requirements based on the request of regulators.
  • · Facilitate communication between regulators and Business Leaders.
  • · Access contracts, rules and regulations to ensure compliance with contractual requirements.
  • · Resource and liaison on policies, State contracts, vendor contract issues and provisions, communications, workflow and quality improvement initiatives.
  • · Communicate state and federal requirements to internal and external customers.
  • · Assisted in the review of insurance carrier and clients; agreements to ensure company compliance.
  • · Collected documentation related to litigation, producer complaints, and regulatory inquiries.

Bank Officer, Compliance Risk Officer

Crump Life/BB&T Bank
03.1999 - 04.2017
  • Prepared and presented data for the Carrier Financial Strength Due Diligence programs.
  • Implemented and conducted meetings to include materials highlighting risks for the Executive Team Risk Management Committee who met quarterly to review data for insurance carrier partnership.
  • Developed and managed internal and external (including off-shore) operational functions.
  • Conducted quality control review and implementation measures.

Education

Master of Jurisprudence Corporate & Business Law -

Widener University, Delaware Law School

B.S. & Master - Business Management

University of Phoenix
Timonium, MD

No Degree - Diversity, Equity, And Inclusion Certificaton

University of South Florida
Tampa, FL

No Degree - Six Sigma Greenbelt

Villanova University
Villanova, PA

Skills

  • Managing on New Employee Onboarding
  • Business Performance Management
  • Strong Communication
  • Negotiate pricing
  • Risk Management
  • Ability to assess vendor performance effectively
  • Evaluate metrics to make informed decisions

Accomplishments

  • Developed an effective team to manage programs and projects to meet business and department initiatives as well as manage department conflict resolution. It is a priority to promote an inclusive environment and to assist in all areas whenever needed. Having a strong worth ethic is a key in being a contributing factor to the success of a department and business. For example, I have conducted various engagement activities for the department staff meetings.
  • Established good working relationships and partnerships with customers/clients internal and external. For example, when working projects, I am able to use the relationships I have built to narrow down processing time to improve customer satisfaction. I worked with Centene, Corporate Compliance Implementation Team to demonstrate an effective Compliance Program for in the state of Pennsylvania with the PA Department of Human Services Office of Long-Term Living. I have also used such relationships to investigate and resolve compliance issues.
  • Worked with IT to develop an electronic platform featuring tools to streamline the producer and agency insurance contract and appointment process improvements. As part of the producer and agency insurance licensing and contracting management team, we developed an internal tool called the Appointment Wizard to minimize the number by more than 50% of documents needed for the producer and agency appointment process with various insurance carriers.
  • Managed material changes required to adapt to certain external and internal factors that impact business operations. I was named to a sub-committee challenged to develop ways to manage through the new processes for annuity suitability. I help to finalize a suitability grading system for each annuity case; developing and implementing a change suitability process which includes the roles of annuity solution center case management and compliance teams; working with LIMRA as they roll out their new annuity suitability data base; developing and maintaining a new annuity suitability website that provides producers with information about the regulation, how to satisfy its CE requirements, and a listing of carrier bulletins.

Membership/Community

Diversity, Equity and Inclusion Certificate, University of South Florida 

St. Louis Business Diversity Initiative’s The Fellows Experience 2022-2023

Securities & Insurance Licensing Association (SILA) Certificate

Junior Achievement Parent Volunteer

Tri-Chair Fundraising Committee, Delta Sigma Theta Sorority, Inc.

Timeline

Senior Manager, Vendor Management

Centene/PA Health & Wellness
10.2019 - Current

Manager, Compliance

Centene/PA Health & Wellness
04.2017 - 10.2019

Bank Officer, Compliance Risk Officer

Crump Life/BB&T Bank
03.1999 - 04.2017

Master of Jurisprudence Corporate & Business Law -

Widener University, Delaware Law School

B.S. & Master - Business Management

University of Phoenix

No Degree - Diversity, Equity, And Inclusion Certificaton

University of South Florida

No Degree - Six Sigma Greenbelt

Villanova University
TRINA Y. COX