Mark D.

Senior Director, National Medicaid Compliance Officer, ADA Compliance Officer at Commonwealth Care Alliance

Mark D. has a diverse work experience spanning multiple industries. Their most recent role was as the Senior Director and National Medicaid Compliance Officer, as well as the ADA Compliance Officer, at Commonwealth Care Alliance. Mark was responsible for overseeing Medicaid compliance for various lines of business and leading investigations into confidential issues. Prior to this, Mark held roles such as Director of Health Plan Compliance and Compliance Manager at the same company.

Before joining Commonwealth Care Alliance, Mark worked at CVS Health, where they served as a Coordination of Benefits Analyst and Claims Adjudication Administrator. In these positions, they focused on regulatory compliance for government insurance programs, including Medicare and Medicaid, and played a key role in implementing and maintaining pharmacy software databases.

Mark also has experience in the education sector, having worked as a Graduate Assistant at Marymount University, where they provided website support and assisted with graduate recruiting in the Humanities program.

Earlier in their career, Mark served in the United States Army Reserve as a Private First Class, and they also worked as a Medical Records Clerk at ENT Specialists, Inc.

Overall, Mark D. has a strong background in compliance, regulatory research, and strategic planning, with experience in healthcare, pharmaceuticals, education, and the military.

Mark D. has a strong educational background. Mark earned a Bachelor's degree in Military History and Management from Bridgewater State College, which they attended from 2004 to 2009. Mark then pursued a Master's degree in Humanities at Marymount University from 2010 to 2012. Additionally, Mark has obtained several certifications, including "Microsoft Teams Essential Training," "Make the Move from Individual Contributor to Manager," and "Managing High Potentials" from LinkedIn in 2020. Mark also obtained the "Communicating about Culturally Sensitive Issues" certification from LinkedIn in the same year. Furthermore, Mark achieved certification in Health Care Compliance (CHC) from the Health Care Compliance Association (HCCA) in 2018.

Links

Previous companies

Marymount University logo

Timeline

  • Senior Director, National Medicaid Compliance Officer, ADA Compliance Officer

    January, 2024 - present

  • Director, Heath Plan Compliance; ADA Compliance Officer

    November, 2022

  • Director, Health Plan Compliance

    August, 2022

  • Compliance Manager

    March, 2021

  • Senior Compliance Specialist

    March, 2019

  • Compliance Specialist

    September, 2017

  • Compliance Specialist, FWA Case Coordinator

    July, 2016