Senior Director of Compliance SolutionsRegan is a Senior Director in Compliance Solutions at Gorman Health Group. For the past 15 years, she has held a number of roles in Medicare Advantage Operations and Compliance and has participated in numerous Centers for Medicare & Medicaid (CMS) site visits. During the past four years, she has helped dozens of GHG clients achieve success by providing compliance assistance and by sharing insight on industry best practices. She leads multidisciplinary teams on a variety of projects such as Part C and Part D audits, new applications and service area expansion submissions, and risk assessments.
Most recently, she has aided clients with the Qualified Health Plan application process for consideration in the Federal Marketplace. She has also guided Medicare-Medicaid Plan applicants in preparation of their readiness reviews.
She has spoken at a number of industry events on topics such as perspectives on the CMS audit process, sales agent oversight, and the CMS application process. Readers can also find her thoughts and insight on the GHG blog and on the Point.
Prior to joining GHG, Regan managed the Compliance team at Blue Cross & Blue Shield of Rhode Island. She received her bachelor’s degree from the College of the Holy Cross in Worcester, Massachusetts. She earned her Managed Healthcare Professional designation from America’s Health Insurance Plans (AHIP) in 2004 and her Professional of Health Insurance Advanced Studies designation in 2014.