Charro Knight-Lilly

Charro Knight-Lilly

Senior Director, Compliance Solutions

Charro Knight-Lilly brings to Gorman Health Group clients a unique ability to merge both compliance requirements and business operating knowledge. Charro has more than 20 years of experience in the Medicare Advantage (MA) industry and has been a member of the GHG team for three years.
 
While at GHG, Charro has supported clients in a multitude of areas including, but not limited to, compliance and operational corrective action plan (CAP) remediation and performance optimization, CMS audit assistance, mock audits, application filing, bid filing, and exchange rate filings.

Charro’s areas of expertise include Compliance, Sales and Marketing, Member Services, Enrollment/Disenrollment, Appeals and Grievances, CMS bid filing, state application filing, Medicaid application filing for Special Needs Plan (SNP) contracting, and CMS application filing and implementation. She is well-versed in CMS audit protocol, conducting mock audits, case file review, and various aspects of audit preparation.

Prior to joining GHG, Charro served as the Vice President of Compliance and Regulatory Affairs as well as Compliance Officer for a Medicare Advantage Organization operating in 15 states in over 250 counties. She began with that company in its start-up phase with an initial enrollment of five members in one state, operating in only one county.