Cheryl A. Wasserman, JD, CHC, CHPC
Director of Compliance and Part C
Cheryl A. Wasserman, JD, CHC, CHPC, is the Director of Compliance and Part C at BluePeak Advisors, a division of Gallagher Benefit Services, Inc., with 29 years of experience in managed care, indemnity insurance and government programs (Medicare and Medicaid). She has a broad range of experience in regulatory compliance and healthcare operations, advising health plans and similarly regulated entities on compliance programs, auditing, delegate oversight, HIPAA privacy and security concerns, as well as day-to-day operational management concerns.
Prior to joining BluePeak, Cheryl worked at several large Medicare and commercial health insurance payors. Cheryl served as Vice President and Medicare Compliance Officer for a large regional MA-PD with responsibility for the Medicare Compliance Program, including Compliance Auditing and Monitoring, Delegation Oversight, Sales Oversight, and the Special Investigations / Fraud, Waste and Abuse function. Cheryl also served as Senior Director and Chief Privacy and Security Officer for a large, national MA-PD Plan. She also served as a Director in the Claims Operations area, overseeing claims processing and adjustment functions for both the Medicare Advantage and Medicaid lines of business. Cheryl also served in the roles of Senior Director for HIPAA Compliance, Director of Claims & Service, Director Special Services and Support (including Enrollment, Front End, Performance Guarantee Groups and Claims Quality) and Corporate BlueCard Executive. Throughout her career, Cheryl has conducted and supported numerous audits with her primary expertise in Part C Organizational Determinations, Appeals, Grievances (ODAG), Compliance Program Effectiveness (CPE) and Medicare-Medicaid Plan Service Authorization Requests, Appeals and Grievances (MMP_SARAG).
At BluePeak, Cheryl serves as the compliance team lead for commercial, Medicaid, and self-funded plan issues. Cheryl is the primary account manager and contact for multiple clients of varying sizes that include SNP, and her focus is on Compliance Program Effectiveness (CPE) and Part C Service Authorization Requests, Appeals, and Grievances (SARAG) and Organization Determinations, Appeals, and Grievances (ODAG). Cheryl serves as a primary SME for CMS audit support for Part C clients, in the areas of SARAG and ODAG, and CPE. Cheryl is part of the BluePeak audit committee and chairs the BluePeak guidance committee. Cheryl advises and trains other SMEs in CPE and SARAG. Cheryl also supports clients with claims strategies and best practices.
Cheryl is a New York licensed attorney, and a member of the Health Care Compliance Association (HCCA), certified in both Health Care Compliance (CHC) and Health Care Privacy Compliance (CHPC). Case Manager. Compliance (CHC) professional through the Health Care Compliance Association (HCCA).