Open To Work
Tamani Guy
HARVEY
Summary
Senior Healthcare Compliance and Privacy professional with 25+ years of experience supporting Commercial and Medicare Advantage health plans. Expertise in Medicare and Medicaid Part C and D regulatory compliance, audits, risk assessments, and program implementation across multi-state operations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Senior Manager, Corporate Compliance / Health Plan Compliance
CVS Health, Inc (Aetna)
02.2019 - Current
- Lead compliance oversight for Medicare Part C/D Dual-Eligible Special Needs Plans (D-SNPs) across 27 states
- Implemented CMS and State regulatory guidance to enhance business operations
- Coordinated audit readiness and supported CMS and State reviews, ensuring compliance standards were met
- Conducted audits, monitoring, investigations, and developed corrective action plans to address compliance issues
- Reviewed and approved policies and regulatory submissions to align with compliance requirements
- Provided compliance training to internal teams and external partners to enhance regulatory understanding
- Serve as liaison between compliance, privacy, and operational leadership
Senior Compliance Specialist / Health Plan Compliance Officer
Aetna Better Health of Michigan
Detroit
09.2016 - 02.2019
- Led risk assessments and internal audits, ensuring accurate regulatory reporting and compliance with standards
- Developed and implemented Medicare and Medicaid compliance and FWA programs, enhancing adherence to regulatory standards
- Communicated regulatory requirements to operational leadership to facilitate compliance and operational alignment
- Coordinated HIPAA compliance activities as Privacy Officer, promoting data protection and regulatory adherence.
Manager, FDR Oversight
Peoples Health Network (PHN)
Metairie
03.2012 - 08.2016
- Presented compliance program performance to executive leadership and Compliance Committee, influencing strategic decision-making
- Oversaw compliance for 40+ delegated entities, driving adherence to regulations and standards
- Supervised audit and reporting staff (4 FTEs), ensuring timely and accurate regulatory communications
Compliance Project Manager
Peoples Health Network (PHN)
Metairie
03.2010 - 03.2012
- Led compliance system implementations, enabling alignment with regulatory initiatives across the organization.
- Represented compliance department during company-wide system implementations, ensuring compliance requirements were met across all departments.
- Implemented internal compliance systems for cross-business operational use, integrating compliance activities into processes and developing documentation modules for compliance tracking.
Regulations and Guidance Manager
Peoples Health Network (PHN)
Metairie
03.2008 - 03.2010
- Led team in distributing and implementing new CMS and regulatory guidance, ensuring adherence to compliance standards.
- Led team in implementing new patient care protocols, improving alignment with regulatory standards.
- Coordinated training sessions for staff on compliance standards, improving regulatory knowledge and application.
- Managed daily operations of healthcare services, supporting staff in delivering quality patient care.
Education
Certificate of Completion - Louisiana Notarial Civil Law & Practices
INotaryNow
New Orleans, Louisiana04-2026
Master of Public Health (MPH) - Maternal and Child Health
Tulane University
New Orleans, Louisiana12-1998
Bachelor of Science - Cell and Molecular Biology
Tulane University
New Orleans, LA05-1997
Skills
- Medicare & Medicaid Regulatory Compliance
- Policy & Procedure Development
- Risk Assessment & Regulatory Reporting
- Auditing
- Monitoring & Corrective Action Plans
- Program Implementation & Project Management
- Contract & Regulatory Interpretation
- Training Development & Delivery
- Compliance 360
- Regulatory Compliance Tools
- Risk Management Software
- Health Plan Management
- Data Analytics
- Quality Improvement Strategies
- Microsoft Office
- Project Tracking Systems
- SharePoint
Certification
- Lean Six Sigma – Yellow Belt and White Belt, 2017
- Leadership Development Program – Aetna, 2017
- LSU Executive Management Leadership Program, 2016
- Louisiana State Notary Exam, Scheduled 06/01/26
Volunteer Experience
- Innis Community Senior Citizen Center, Innis, LA, 12/01/22, Conducted 2 floral decorating classes over 2 days for 10-15 senior citizens of local rural community center, Assisted staff with serving lunch and desserts to senior citizens
- Cherbonnier Rillieux Elementary School (K-8th grade), Waggaman, LA, 12/01/21, 12/01/22, Volunteer as teacher assistant for 1/2 day in 3rd or 4th-grade class, Regularly provide schools supplies and nutrition items to class
- Zeta Phi Beta Sorority, Inc (Undergraduate and Graduate chapters), Participate in community service projects within the Greater New Orleans (Feeding programs, Christmas gift giveaways for needy families and children, support local churches)
Affiliations And Organizations
- CVS Health, Member, 2023, Appointed to Resources for Integrated Care National Organization’s Health Equity Committee
- CVS Health, Member, 2022, Diversity & Inclusion Council, Corporate Compliance, WISE Committee, Black Colleague Resource Group
- CVS Health, Member, 2020-Current, BCRG Employee Local Chapter
- Louisiana Notary Association, Member, 2024-Present
- Jugs Social & Aid Club, Inc./Krewe of NOMTOC, Member, 2022-Current
- Tulane University Alumni Association, Member, 1997-Current, 1997/25th year Reunion Committee Member- 2022
- Zeta Phi Beta Sorority, Inc, Member, 1997-Current
Accomplishments And Awards
- CVS Health 'Heart At Work' Recognition Awards, 2021-Present
- Values in Action Award, 2025
- Aetna 'Appreciates You' Awards, 2018
- Conference Presenter – FDR Oversight Best Practices Summit, 2015
Work Preference
Job Search Status
Open to workWork Type
Full TimeSalary Range
$125000/yr - $250000/yrTimeline
Senior Manager, Corporate Compliance / Health Plan Compliance
CVS Health, Inc (Aetna)
02.2019 - Current
Senior Compliance Specialist / Health Plan Compliance Officer
Aetna Better Health of Michigan
09.2016 - 02.2019
Manager, FDR Oversight
Peoples Health Network (PHN)
03.2012 - 08.2016
Compliance Project Manager
Peoples Health Network (PHN)
03.2010 - 03.2012
Regulations and Guidance Manager
Peoples Health Network (PHN)
03.2008 - 03.2010
Certificate of Completion - Louisiana Notarial Civil Law & Practices
INotaryNow
Master of Public Health (MPH) - Maternal and Child Health
Tulane University
Bachelor of Science - Cell and Molecular Biology
Tulane University