Lisa Artale-Bross

Senior Consultant

 

Lisa Artale-Bross is a Senior Consultant at Gorman Health Group (GHG). In this role, she provides compliance assistance and guidance on regulatory requirements. Lisa brings GHG clients more than15 years of experience in state and federal regulatory compliance along with extensive audit and compliance expertise, passion, and dedication to her work.

Prior to joining GHG, Lisa served as the Medicare Compliance Officer for a Colorado health plan where she was responsible for promoting and ensuring compliance with Medicare Advantage (MA) and Part D requirements as well as other federal and state laws, regulations, and guidance. Lisa also spent almost ten years with the Centers for Medicare & Medicaid Services (CMS), during which time she held various positions including a key role as a CMS Regional Medicare Advantage Prescription Drug (MA-PD) plan Contract Manager. Some of her specific responsibilities included Medicare health and drug plan oversight (including MA-PD, Special Needs Plans (SNPs), Health Care Pre-Payment, Medicare Medical Savings Account (MSA), and Program of All Inclusive Care for the Elderly (PACE) plans); review of MA-PD and MSA initial and service area expansion (SAE) applications; review of marketing materials; and education/training for internal and external groups such as employer/unions and CMS-contracted audit staff.

During her later tenure at CMS, Lisa’s primary focus was leading, coordinating, and conducting programmatic audits to identify operational deficiencies and monitoring corrective action plans (CAPs) to ensure identified deficiencies were corrected. Lisa’s audit specializations include both Part C and Part D appeals and grievances and compliance program effectiveness (CPE) reviews.

Lisa resides in Denver, Colorado, with her husband and dog where she enjoys doing outdoor activities such as hiking, snowshoeing, and bicycling.

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