Timothy Ramsey, Consultant
Tim Ramsey started with Compliance Strategies in 2016 and has over 25 years of leadership, and hands-on experience in Medicare, Medicaid, and Commercial business lines. Tim is a wide-ranging and resourceful business executive offering expertise in building, implementing, and managing exceptional governance, compliance, audit, and risk management programs for organizations.
Since Joining Compliance Strategies, Tim has been a lead consultant for assurance activities such as performing audits, risk assessments, and data validation. For advisory services, Tim evaluates, designs, and implements governance, compliance program, and audit structures/functions for healthcare organizations.
Prior to joining Compliance Strategies, Tim was the Vice President of Risk Management at Prudential Retirement. He was also the Chief Audit Executive at WellCare Health Plans, a Fortune 500 health insurance company, where he designed, implemented, and led several governance functions including Internal Audit, Enterprise Risk Management, and Sarbanes-Oxley/Model Audit Rule compliance functions. His leadership there was instrumental in rebuilding governance functions and establishing new credibility with multiple regulators, during a time when the company was under a Deferred Prosecution Agreement and Corporate Integrity Agreement. Prior to WellCare, Tim led United HealthCare’s Business Risk and Control group as Vice President of the Operational Risk Management, Sarbanes-Oxley compliance, Business Continuity Planning, and SAS70 Reporting functions. Tim was also Director of Internal Audit and Compliance at ConnectiCare, Inc., where he developed and led the Medicare/State compliance functions and Internal Audit. Prior to ConnectiCare, Tim served in several Risk, Audit, and Compliance leadership roles at CIGNA and Shawmut National Bank. Tim is also a veteran of the United States Marine Corps.
Tim earned his bachelor's degree in Accounting from the University of Massachusetts (summa cum laude) and a master's degree in Business Administration (with distinction) from the University of Connecticut. He also completed the Wharton School of Business Executive Management program at the University of Pennsylvania. Tim is a Certified Internal Auditor, a Certified Financial Services Auditor, and has his Certification in Risk Management Assurance designations.