PC

Patsy Serna Mls, Chc, Cpcu

Director, Compliance Officer at Spring Health

Patsy Serna has a diverse and extensive work experience in the healthcare and insurance industries. In 2017, they worked as a Senior Insurance Analyst at the Arizona Department of Insurance and Financial Institutions, where they developed expert knowledge in compliance with Arizona laws and regulations. During their time there, they also reviewed complex state form and rate health and property & casualty filings for compliance and completeness.

In 2019, Patsy joined Oscar Health as a Sr. Analyst of Operational Compliance. Patsy served as a subject matter expert on operational, corporate, and regulatory compliance for Commercial and Medicare Advantage lines of business. Patsy also increased compliance program efficiency for corrective action plans and developed an enterprise compliance investigation program.

At Oscar Health, Patsy progressed to become an Associate in Corporate Compliance & Audit in 2020. Patsy executed and implemented an organization-wide strategic approach to meet the elements of an effective compliance program. Patsy significantly improved the organization's annual risk assessment process.

In 2021, Patsy became the Manager of SBE Operations and Implementation at Oscar Health. In this role, they were responsible for state-based exchange account management, operations, integration, and implementation of contractual obligation management. Patsy established a programmatic approach to managing contractual requirements and collaborated in the design of an internal exchange governance framework.

Patsy's most recent role was at Spring Health as the Director of Corporate Compliance, which they started in 2022. Patsy designed, developed, and implemented the corporate compliance program, policies, and committee. Patsy also managed the resolution of compliance matters.

Overall, Patsy's work experience demonstrates their expertise in corporate compliance, regulatory implementation, and operational efficiency in the healthcare and insurance sectors.

Patsy Serna, MLS, CHC, CPCU completed a Master's degree in Legal Studies from the Sandra Day O'Connor College of Law at Arizona State University. This education was obtained from 2015 to 2017. Prior to that, Patsy Serna earned a Bachelor of Science (B.S.) in Criminology and Criminal Justice, graduating Magna Cum Laude from Arizona State University between 2011 and 2014.

In addition to their formal education, Patsy Serna has obtained several certifications. These include Cybersecurity at Work and Learning GDPR from LinkedIn in June 2022, Foundations of Project Management from Coursera in July 2021, Foundations of Public Procurement from the National Association of State Procurement Officials in July 2021, Project Initiation: Starting a Successful Project from Coursera | Google in July 2021, Agile Foundations from LinkedIn in January 2021, Certified in Health Care Compliance (CHC) from the Compliance Certification Board (CCB)® in February 2020, SQL for Data Science from Coursera in June 2019, Chartered Property Casualty Underwriter from The Institutes in August 2018, CPCU in Good Standing from The Institutes in December 2020, Business Metrics for Data-Driven Companies from Coursera in August 2020. Patsy Serna has also obtained licenses as a Life and Health Producer and a Property and Casualty Producer from the Arizona Department of Insurance and Financial Institutions. The specific dates for obtaining these licenses are not provided.

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Timeline

  • Director, Compliance Officer

    September 1, 2023 - present

  • Director Corporate Compliance

    June, 2022

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