Joseph McBride, JD, CHC, CHPC

Experience

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  The Law Office of J. Scott Watson

  May 2007 - May 2009

  Law Clerk

  ▪ Assisted attorneys representing educational institutions collecting on defaulted student loans.▪ Drafted and negotiated settlement and judgment agreements, and revised payment plans with debtors at civil hearings.

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  MAXIMUS

  May 2009 - Aug 2010

  Medicare Compliance Officer

  • Developed, initiated, maintained, and revised policies and procedures for the general operation of the compliance program• Researched issues pertaining to healthcare compliance, HIPAA, Medicare audits/appeals, and all other regulatory matters

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  Law Offices of Franklin & Associates

  Aug 2010 - Aug 2011

  Attorney

  • Represented clients with Social Security Administration claims, handling all facets of the administrative proceeding• Conducted client consultations, filed documentation, determined strategic and tactical plans for hearings, analyzed medical evidence, interviewed/prepared clients for hearings, and advocated cases before administrative law judges• Managed all aspects of cases including performing extensive research and preparing legal memoranda

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  Binder & Binder

  Sept 2011 - Sept 2012

  Attorney

  • Represented clients with Social Security Administration claims, handling all facets of the administrative proceeding• Conducted client consultations, filed documentation, determined strategic and tactical plans for hearings, analyzed medical evidence, interviewed/prepared clients for hearings, and advocated cases before administrative law judges• Managed all aspects of cases including performing extensive research and preparing legal memoranda

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  Optum

  Sept 2012 - May 2017

  Regulatory Affairs Attorney

  • Collaborated with regulatory team leadership and provided advice on regulatory, compliance, and risk management issues • Represented clients in administrative hearings, prepared legal documents, and drafted company policies and procedures• Conducted legal research on healthcare compliance for Medicare, Medicaid, and third-party payor payment provisions• Monitored proposed healthcare-related regulations and policies while applying and interpreting statutes and regulations • Ensured compliance with federal laws, rules, regulations, manuals, and transmittals relating to Medicare, Medicaid, HIPAA Show less

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  Medsurant Health

  May 2017 - Feb 2023

  General Counsel & Compliance Officer

  • Oversaw various legal areas including contract reviews, litigation management, employment law, and real estate leasing, government investigations, and mergers and acquisitions • Served as the Privacy Officer and Safety Officer while leading compliance and legal department across all practices including Medsurant, LLC, Bromedicon, LLC, Advanced Medical Resources, LLC, Evokes, LLC, Head and Spine Institute of Texas, LLC, Sensory Testing Systems, LLC, Physiologic Assessment Services, LLC, and American Intraoperative Monitoring, LLC • Developed, drafted, and monitored policies, procedures, and systems that promoted ethical and legal conduct • Created, coordinated, and conducted educational programs on compliance and privacy for employees, managers, and medical staff• Monitored regulatory compliance and report compliance risks and potential violations to the senior management and the Board• Interpreted vendor and service agreements and negotiated and drafted service agreements with healthcare providers• Coordinated personnel issues with HR, provided legal advice to management, and reviewed/drafted employment agreements• Successfully oversaw joint commission recertification and upon completion no requirements for improvement were found Show less

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  Cencora

  Jan 2023 - now

  Group Compliance Officer