Emory Saucedo
Ellicott City
Summary
Health law and policy expert with extensive experience in federal and state health insurance programs. Skilled in identifying issues and conducting thorough research and analysis of complex healthcare legal and regulatory frameworks. Proven success in providing policy advisement, enhancing organizational efficiency, and navigating legislative processes. Strong collaborator focused on problem-solving and achieving impactful results.
Overview
8
8
years of professional experience
Work History
Senior Regulatory Compliance Analyst
Examination Resources, LLC
Ellicott City
08.2025 - Current
- Interpreted federal and state statutes related to mental health parity for MHPAEA audits on behalf of CCIIO.
- Monitored regulatory changes, implementing policies to ensure legal compliance.
- Responded to client inquiries regarding legal and regulatory matters with accuracy and timeliness.
- Drafted compliance review reports detailing findings and recommendations.
- Identified non-compliance areas through comprehensive data analysis from various sources.
- Developed training materials on legal and regulatory requirements for staff education.
- Conducted thorough research on government regulations and industry standards.
- Managed preparation and submission of regulatory filings and compliance reports.
Attorney Advisor
Centers for Medicare and Medicaid (CMS)
Baltimore
08.2023 - 05.2025
- Advised the Provider Reimbursement Review Board on policies, regulations, and guidance related to cost report appeals and regulatory compliance issues
- Performed research and analysis of complex legal questions related to Medicare reimbursement
- Reviewed cases for jurisdictional impediments and subsequently drafted substantive recommendations and Motions to Dismiss
- Fostered expertise in Medicare law, regulations, CMS rulings and reimbursement policies, Board decisions, and related federal court decisions in order to advise the Board on specific issues under their review
- Ensured all draft Board or Hearing Officer decisions were supported in case law and unaddressed findings of facts were brought to the Board’s attention
- Attended hearings to advise the Board as parties presented their case in order to subsequently draft necessary Memos or final Board Decisions serving as the final agency action on the matter
Staff Attorney – Administrative Law Unit
Maryland Legal Aid
Baltimore
07.2022 - 08.2023
- Managed caseload of approximately 20 cases per month, representing clients in administrative law proceedings involving the Social Security Administration, Maryland Department of Health, and CMS
- Performed client intake and interviews of clients to spot legal issues, research remedies, and advise without formal representation when appropriate
- Drafted legal documents, such as Petitions, Memos, Motions, Demand Letters, and Briefs
- Managed all areas of hearing preparation, including reviewing discovery, interviewing witnesses and preparing them for testimony, obtaining records, preparing subpoenas, and compiling hearing preparation notebooks
- Coordinated trainings for attorneys in various Legal Aid offices across the state in Long Term Care Assistance, Medicare and Medicaid coverage appeals, and important regulatory changes in public health affecting clients
- Collaborated with the Executive Team during Legislative Session to draft and present bill testimony for bills related to healthcare in the public sector
Health Policy Analyst
State of Maryland – Maryland Department of Health
Baltimore
02.2021 - 07.2022
- Evaluated and analyzed departmental policies for billing procedures, appeals processes, and Standard Operating Policies for the Long-Term Care, Professional, and Institutional Services units
- Researched, developed, and proposed policy changes and recommendations to management and the Executive level team regarding approaches that will streamline the processes by which our department manages issues that require escalation or attention, including special projects such as a large-scale provider EFT reactivation project in coordination with the Comptroller’s office
- Addressed provider inquiries and concerns from the Governor’s office and elected officials, including research, delegation, and drafting and sending the formal response to the provider, constituent, or Official
Policy and Program Associate
National Alliance for Hispanic Health
Washington
07.2019 - 12.2019
- Performed research and analysis of the Medicaid program to develop expertise in individual state issues, differences in program administration, such as waivers and reform efforts, and stayed abreast of policy changes to advise executive staff on pertinent issues affecting the organization’s mission and goals
- Drafted memoranda and potential policy interventions in the form of comment letters to regulatory agencies, action alerts or updates to the organization’s members and community-based organizations regarding topics such as ACA and policy proposals from FDA, CMS, DHS, etc
- Coordinated and implemented training and other dissemination of information via webinars and PowerPoint
- Attended coalition meetings, congressional hearings, and participated in other off-site training on behalf of the organization
Law Clerk
National Association of Attorneys General
Washington
01.2019 - 05.2019
- Researched specific issues related to consumer protection, criminal justice, ethics, and more to support the NAAG Training and Research Institute’s development of training programs
- This position allowed me to acquire familiarity with the Association’s Medicaid Fraud Control Unit and efforts to mitigate claims abuse through research and administrative support
- Drafted legal memoranda to aid in the development of training materials or other useful policy proposals; for example, a program partnering with international prosecutors to combat sex and human trafficking in Central and South America
- Analyzed data: Performed quantitative and qualitative research to support the organization’s Supreme Court fellows on specific state interests
- This included a large-scale review of maternal health, morbidity, and mortality in the U.S
- For the purpose of drafting amicus briefs and other legal documents and memos
Law and Compliance Clerk
People Incorporated Mental Health Services
St. Paul
05.2018 - 08.2018
- Analyzed all current company policies and procedure manuals to make recommendations based on any changes in employment law, health law, and federal, state, and local rules or regulations after the legislative session ended and through regular monitoring of relevant authoritative sources, such as the Minnesota Department of Health
- Drafted policy language to effectuate any legislative changes for implementation
- Assisted in the audit process of over 70 mental health programs in the Minneapolis and St
- Paul area to ensure deadlines for document submissions were met, files were updated, and records maintained
- Facilitated licensure applications and renewals when necessary for the above services and programs
- Supported the organization’s in-house counsel in analyzing any and all legal matters within the organization and its mental health programs and services, and attended Counsel meetings
Education
Juris Doctorate -
University of Kansas School of Law
Lawrence, Kansas05.2019
Bachelor of Arts - English and American Literature
University of Texas at El Paso
El Paso, Texas05.2016
Skills
- Legal and regulatory research
- Data analysis
- Strong writing
- Project management
- Team collaboration
- Organizational skills
Languages
Spanish, Native proficiency
Bar Admission
Maryland, July - 2022
Affiliations
Fellow, Academy for Healthcare Management
Timeline
Senior Regulatory Compliance Analyst
Examination Resources, LLC
08.2025 - Current
Attorney Advisor
Centers for Medicare and Medicaid (CMS)
08.2023 - 05.2025
Staff Attorney – Administrative Law Unit
Maryland Legal Aid
07.2022 - 08.2023
Health Policy Analyst
State of Maryland – Maryland Department of Health
02.2021 - 07.2022
Policy and Program Associate
National Alliance for Hispanic Health
07.2019 - 12.2019
Law Clerk
National Association of Attorneys General
01.2019 - 05.2019
Law and Compliance Clerk
People Incorporated Mental Health Services
05.2018 - 08.2018
Juris Doctorate -
University of Kansas School of Law
Bachelor of Arts - English and American Literature
University of Texas at El Paso