Stephanie Muscutt (Bierly),PMP

Experience

• 

  Lightyear Communications

  Apr 1998 - Oct 2001

  Financial Analyst
• 

  Humana

  Jan 2002 - Apr 2006

  Responsible for managing the administration of sales incentive payments to all captive Senior Products sales associates.

  • MarketPOINT Operations Manager

    Sept 2002 - Apr 2006

  • Compensation Analyst

    Jan 2002 - Sept 2002
• 

  Humana

  Apr 2007 - Aug 2019

  • Responsible for the end-to-end oversight of Clinical Quality Programs including CMS Part D Stars, URAC Commercial PBM Accreditation, and utilization management Quality audit.• Responsible for maintaining Humana’s PBM accreditation status with URAC, by ensuring that defined Quality standards are met on an on-going basis.• Oversee the CMS Part D Stars program, consisting of over 15 Quality measures including Medication Adherence, HIgh Risk Medications, and Diabetes Treatment. • Oversee a Quality audit team for both Part B and Part D drug utilization management Show less

  • Compliance Lead

    Jun 2016 - Aug 2019

  • PODS Strategic Partnerships Liaison

    Dec 2013 - Jun 2016

  • Clinical Quality Strategic Consultant

    Jun 2012 - Dec 2013

  • Audit Manager

    Mar 2008 - Jun 2012

  • Audit Consultant

    Apr 2007 - Mar 2008
• 

  Cigna Healthcare

  Aug 2019 - now

  - Guide cross-business compliance planning by working with Legal, Regulatory Law, Government Affairs, Compliance, and Business to plan for strategic and operational impacts.- Responsible for the development of a multi- year strategy, ensuring alignment between regulatory and operational strategic roadmaps.- Provide thought leadership and technical expertise to facilitate effective decision-making, enable execution, and maximize organization effectiveness in order to mitigate compliance risk for the enterprise. Show less

  • Operations Risk Strategy and Solutions - Sr Advisor

    Mar 2022 - now

  • Audit and Compliance Professional

    Aug 2019 - Apr 2022