Senior Consultant, Compliance Solutions
Jennifer Rogalla is a Senior Consultant at Gorman Health Group (GHG). In this role, she has assisted health plans with Centers for Medicare & Medicaid (CMS) sanction and audit remediation for Compliance, Appeals and Grievances for Part C and Part D. She has also worked on CMS audit preparation, mock audits and application filing. Jennifer brings GHG clients 20 years of experience from both the government and the private side of Medicare managed care. Her expertise includes compliance program review and implementation, appeals and grievances, marketing material and provider contract review, and Part D operations compliance.
Prior to joining GHG, Jennifer was an Account Manager at the CMS Seattle Regional Office for almost ten years. She was responsible for Medicare Advantage (MA) application review as well as audit and oversight of MA plans. She led or participated in CMS teams that developed audit protocols and application requirements for Private Fee-for-Service (PFFS) contractors. After leaving CMS, she accepted the role of Compliance Officer at a start-up MA plan. She was most recently part of the audit teams conducting compliance program audits for MA plans.
Jennifer is certified in Health Care Compliance from the Health Care Compliance Association