Shannon Boyd, CHC

Experience

• 

  Communitycare of Oklahoma

  Mar 2005 - Feb 2022

  Audit of operations for compliance with Medicare Advantage and Medicare Prescription Drug Plan regulations.Development of audit reports and summary of results for review by Senior Management, Executive staff, and the Board of Directors.Participation in, and responsible for various aspects of a CMS Program Audit including, universe preparation and submission, webinar coordination, and compliance case summary presentation.Performance of Risk Assessments and development of annual Auditing and Monitoring Work Plans.Coordination with all operations process owners to assist in effective corrective actions to address audit findings.Coordination with all operational areas performing functions focused on in a CMS Program Audit to assist in audit preparation.Data analysis of audit results and universe submissions for reporting through the Compliance Infrastructure.Coordination of special projects developed to streamline manual processes. Show less

  • Senior Internal Auditor

    Feb 2013 - Feb 2022

  • Senior Auditor, Configuration

    May 2009 - Feb 2013

  • Claims Trainer

    Sept 2007 - May 2009

  • Lead Claims Examiner

    Jan 2007 - Sept 2007

  • Auditor, Claims

    Jun 2006 - Jan 2007

  • Medical Claims Examiner

    Mar 2005 - Jun 2006
• 

  Health Care Service Corporation

  May 2019 - now

  • Analytics & Reporting Consultant

    Jan 2022 - now

  • Program Oversight Specialist II

    May 2019 - Feb 2022

  • Senior Regulatory Analyst

    May 2019 - Feb 2022