Nancy Mundy, RN, is a compliance expert with nearly 30 years of experience, with specialties in Medicaid and Medicare, and Commercial compliance and plan operations.  As a compliance and privacy officer, she has served on multiple executive leadership teams. Her expertise includes compliance program design and implementation, risk assessment/management and audit plan creations, key indicator report development, root-cause analysis, corrective and preventive action plan formations, ethics, third-party delegate oversight, investigations, material filings with regulators, regulator inquiries/complaints, regulatory guidance interpretation and implementation oversight, fostering regulatory relationships, governing body reporting, program integrity, and leading external audits. She has experience crosses multiple product types including Medicaid, Medicare Advantage, Medicare Part D, commercial, FEHB, and ASO self-funded arrangements. Nancy is a member of the HealthCare Compliance Association and certified in Healthcare Compliance.

On February 28, 2023   /