Erin Carter

Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for medium/high risk states. Guides and conducts special projects; assists in the development of and implementation of auditing and monitoring strategies for medium/high-risk states

• Maintains and reviews regulatory documentation necessary to maintain corporate standards
• Handles maintenance and implementation of department policies, procedures, and work processes
• Creates and maintains Qualified Health Plan (QHP) templates for 5 medium-risk states
• Collaborates with cross-functional teams to confirm the validity of data and assist with regulatory filings
• Conducts new hire training on how to create and audit 5 out of 11 Qualified Health Plan (QHP) templates

Aligned to support Commercial Solutions by performing regulatory filings and interpretation, reporting, policy research, and issue advocacy. Responsible for the creation of QHP templates and member policy documents for medium-risk states

• Monitored pending legislation and regulations affecting Centene’s commercial product in medium risk states.
• Managed relationships with the Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)
• Maintained and reviewed regulatory documentation necessary to maintain corporate standards
• Oversaw and prepared formal regulatory filings, seeking approval of commercial health plans within the Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF) for medium-risk states
• Produced and audited Qualified Health Plan (QHP) templates for 5+ medium-risk states
• Collaborated with cross-functional teams to streamline workflow processes.

Guided and supported fellow Office of Legal and Regulatory Affairs members to prepare form filings for regulatory review by various state Department of Insurance and lenders

• Prepared, filed, documented, and maintained all corporate licenses, certificates of authority, and other regulatory filings for 25+ states -submitting all filings by required state due dates, saving the Dept. $100K+ in potential fines
• Drafted Vehicle Service Contracts, Vehicle Protection Products, and GAP Administrators filings for regulatory review.
• Communicated with insurers, lenders, and state regulators regarding filings and approval of product contracts
• Facilitated initial licensure and renewal for the Executive team and claim adjusters with a third-party insurance licensing company
• Planned, executed, and managed nationwide notification process for corporate changes (emails and letters to various Dept of Insurance and lenders), maintaining files after completion of each project
• Researched and monitored state regulatory and legislation changes that might affect licensing
• Provided guidance on compliance best practices to staff across departments
• Tracked and updated corporate/regulatory filing requirements, providing periodic status reports to management
• Conducted internal audits to ensure adherence to industry regulations

Developed and managed client-business relationships and oversaw system implementation

• Coordinated communication to ensure timely responses to inquiries from dealer/lender partners, sales team, and internal departments
• Facilitated dealer and lender partner enrollment process across multiple systems
• Supported sales team by preparing product information and presentations
• Provided expertise training on rating system and product/form knowledge to dealer partners
• Collaborated with sales team, dealer partners, and shipping departments to process necessary supplies and manage related logistics
• Analyzed current processes, identified areas of improvement, and implemented changes