Virgilio Florentino - Compliance Strategies

How does he contribute to the team?

Virgilio launched Compliance Strategies and brings with him over 30 years of practical experience in managed care compliance, regulatory oversight and training and development.

When do we call on him?

Compliance and regulatory oversight program development
CMS Medicare Advantage Prescription Drug application filings and bid submissions
Operational Gap Assessments
Strategic Organization Implementation

What’s his story?

Virgilio launched his managed care career in 1992 with FHP, Inc. tasked with developing oversight processes for the sales and marketing division — leveraging his experience in regulatory compliance from the financial sector. Virgilio then accepted a position with Empire Blue Cross and Blue Shield in New York as its Director of Compliance charged with coordinating its Medicare Risk (now Medicare Advantage) filing and program implementation. In addition to Medicare compliance, Virgilio was responsible for managing Empire’s Medicare training, enrollment, verification, and member relations functions.

Realizing the lack of compliance resources available for Medicare Managed Care Plans to assist them with navigating through regulatory requirements, Virgilio launched Compliance Strategies in 1997. Since then, Virgilio has assisted countless organizations successfully launch Medicare Plans throughout the nation — from its feasibility assessment to product launch and beyond. Additionally, Virgilio has served as compliance officer or interim compliance officer for Medicare Plans in California, Connecticut, New York, Puerto Rico, Florida, and an Illinois plan serving Michigan, North Carolina, Colorado, and Texas.