Industry Veteran to Lead Compliance Efforts
Waltermire’s primary responsibility will be overseeing and managing compliance issues within Aveta. In this role, Waltermire will work to ensure that Aveta is complying with regulatory requirements and that all company employees are complying with internal policies and procedures. Waltermire will report to Aveta president and CEO, Dr. Richard Shinto.
“As the heavily regulated healthcare industry continues to evolve, compliance issues will remain a top priority,” said Richard Shinto, M.D., president and CEO of Aveta. “Nancy’s expertise will be a valuable asset for Aveta.”
Waltermire has a strong background in healthcare compliance. Most recently, she was in the compliance area at Horizon Blue Cross Blue Shield of New Jersey in Newark. In that role, she managed the Medicare Prescription Drug Plan Contract with CMS and provided regulatory support to all areas of operations within the plan. Prior to that, Waltermire was the manager of Medicare operations/compliance at AmeriChoice Health Services in Newark and was the government contracts administrator at HIP Health Plan of New Jersey in North Brunswick.
“For years, I’ve worked closely with regulatory agencies,” said Waltermire. “I look forward to this new opportunity and ensuring that Aveta meets all current and future compliance regulations.”
Waltermire has been a speaker at the HMO Group Annual Medicaid Managed Care Conference and at the AAHP Annual Managed Care Conference. She is also active with many industry groups such as the Human Services Managed Care Task Force and the Human Services DYFS Mandated Managed Care Committee, among others. She is currently a member of the Delaware Valley Chapter Scleroderma Foundation Board of Directors. Waltermire attended Middlesex County College and Raritan Valley Community College. She has earned certifications in ICD 9 Coding, CPT 4 Coding, Medical Terminology, Hospital Contracting and Total Quality Management.
About Aveta Inc.
One of the largest providers of managed healthcare services in the United States, Aveta Inc. is redefining healthcare management to meet the challenges of today’s complex healthcare environment. Developing innovative models that coordinate care for more than 230,000 Medicare beneficiaries and more than 300,000 commercial members, Aveta builds provider networks and Medicare Advantage programs that are sustainable, cost-effective and utilize advanced technologies. The company is headquartered in Fort Lee, New Jersey, and currently has operating subsidiaries in California, Illinois, Arizona and Puerto Rico. For more information, visit www.aveta.com.
For Aveta Inc.
Emily Ayres, 615-254-0575
KEYWORDS: United States North America New Jersey
INDUSTRY KEYWORDS: Health Managed Care