Terry Hu

Experience

• 

  Compliagent

  Jan 2012 - Jan 2014

  Compliance Consultant

  Client-Facing Consulting Services:• Conducted client training: general compliance training, abuse reporting, HIPAA• Developed policies and procedures, carried out compliance audits, provided regulatory guidance• Investigated and resolved compliance concernsBusiness Development:• Contributed to marketing strategy and planning• Engaged new clients and partners• Created tools and processes to improve internal operations

• 

  California Department of Public Health

  Nov 2014 - Mar 2016

  Investigator

  Licensing and Certification• Investigated allegations of healthcare fraud and abuse• Reported investigative findings and recommendations of penalties• Collaborated with the Department of Justice Bureau of Medi-Cal Fraud and Abuse• Represented the Department of Public Health at appeal hearings

• 

  Anthem, Inc.

  Mar 2016 - Jul 2021

  • Facilitated annual First-Tier, Downstream, and Related Entities (FDR) monitoring surveys, working with medical groups (IPAs and PMGs), vendors, and management services organizations (MSOs)• Drove proactive compliance in partnership with FDR Oversight Team to collect, review, and communicate demonstrated evidence for compliance. Specific experience related to standards of conduct distribution; CMS mandated Medicare Part C and D Compliance and Fraud, Waste, and Abuse training; OIG and GSA/SAM federal exclusion list screening. Show less

  • Regulatory Oversight Manager

    May 2018 - Jul 2021

  • Senior Business Change Advisor

    Oct 2016 - May 2018

  • Regulatory Compliance Consultant

    Mar 2016 - Sept 2016
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  Evolent

  Jul 2021 - now

  Project management for Business Process as a Solution (BPaaS) client implementations, operations, integration and business improvement initiatives Managed care contract implementations - payer administrative services, delegated risk, Medicaid/Medicare/IFP payer-provider arrangements across the US

  • Senior Director

    Mar 2024 - now

  • Director, Delegation Operations

    Jul 2021 - Mar 2024