Hospitals and Health Care
Government Administration
Active

Rocky Mosquera

Chief Legal and Compliance Officer: Leveraging Legal Experience to Drive Organizational Success

About Me

Established policies and regulatory standards serve as a blueprint for executing strategic plans. Hence, my extensive experience in compliance operations, regulatory law, contracts, government relations, and driving company growth has significantly contributed to organizational development. I take great pride in bringing to the table my 10+ years of leadership experience optimizing operations in various health systems. Furthermore, I leverage my expertise in business operations, contract management, auditing, risk monitoring, data architecture, and analytics to galvanize collaborative partnerships and impact operational efficiency. Here are some of my career highlights: ✓ Established Exceed Healthcare’s first formal compliance program by drafting and implementing 20+ Privacy Policies and 15+ Security Policies aligned with HIPAA, NIST, and industry best practices. ✓ Optimized operational efficiency by establishing clear guidelines aligned with regulatory requirements mandated by the US Department of Health and Human Services, the Center for Medicare and Medicaid Services, the Office of the National Coordinator for Health Information Technology, the Federal Trade Commission, and various state privacy laws. ✓ Mitigated potential risks by examining contracts involving commercial payers, potential referral partners, and third-party vendors to verify the inclusion of appropriate safe harbors (e.g., AKS and Stark arrangements) and business associate agreements (BAAs). Stringent compliance with state and federal regulations influences the clients' confidence in strengthening strategic business alliances. Thus, upholding steadfast commitment and integrity in optimizing processes impacts impressive outcomes. If my vision and values are the same as yours, and you think I would make a great leader to complement your team, you can reach me at mosquera.richard@gmail.com Expertise: Privacy, Compliance Operations, Risk Mitigation, Correspondence Management, Continuous Process Improvement

Jurisdiction

United States

Experience

Seniority LevelExecutive
Years of Experience10-15 years
Current StatusActive
Chief Legal and Compliance Officer
2024 - Present

In my capacity, I govern the organization’s legal strategy, compliance framework, and privacy and regulatory programs to promote scalable and compliant organizational growth. I reduce enterprise legal exposure by competently serving as the organization’s legal counsel and advising executive leadership on governance, operations, contracting, and enterprise risk. I also strengthen contractual protections by drafting, reviewing, and negotiating complex service agreements, professional agreements, administrative services agreements, and amendments. My work centers on securing audit readiness by leading compliance, privacy, and regulatory programs across all service lines and entities. I standardize organizational practices by developing and implementing written policies and procedures governing privacy, data security, risk management, and compliance operations. With my key performance, I enhance privacy protections by overseeing HIPAA compliance programs, including minimum necessary standards, access controls, breach response, and PHI lifecycle management. My duties and accomplishments include the following: ✓ Enabled compliant service expansion by ensuring compliance with the Anti-Kickback Statute (AKS), Stark Law, Fraud, Waste and Abuse laws, physician compensation rules, and state practice-of-medicine requirements through structured service-line arrangements. ✓ Improved financial predictability by providing legal guidance on financial issues, including revenue models, reimbursement structures, and accounts-receivable considerations. ✓ Established the company’s first formal compliance program by drafting and implementing 20 privacy policies and 15 security policies aligned with HIPAA, NIST, and industry best practices. ✓ Successfully launched a comprehensive Compliance and Privacy Handbook for 250+ workforce members with user-friendly summaries of key policies and reporting channels. ✓ Structured 15+ Master Service Agreements and 30+ Business Associate Agreements. In my capacity, I govern the organization’s legal strategy, compliance framework, and privacy and regulatory programs to promote scalable and compliant organizational growth. I reduce enterprise legal exposure by competently serving as the organization’s legal counsel and advising executive leadership on governance, operations, contracting, and enterprise risk. I also strengthen contractual protections by drafting, reviewing, and negotiating complex service agreements, professional agreements, administrative services agreements, and amendments. My work centers on securing audit readiness by leading compliance, privacy, and regulatory programs across all service lines and entities. I standardize organizational practices by developing and implementing written policies and procedures governing privacy, data security, risk management, and compliance operations. With my key performance, I enhance privacy protections by overseeing HIPAA compliance programs, including minimum necessary standards, access controls, breach response, and PHI lifecycle management. My duties and accomplishments include the following: ✓ Enabled compliant service expansion by ensuring compliance with the Anti-Kickback Statute (AKS), Stark Law, Fraud, Waste and Abuse laws, physician compensation rules, and state practice-of-medicine requirements through structured service-line arrangements. ✓ Improved financial predictability by providing legal guidance on financial issues, including revenue models, reimbursement structures, and accounts-receivable considerations. ✓ Established the company’s first formal compliance program by drafting and implementing 20 privacy policies and 15 security policies aligned with HIPAA, NIST, and industry best practices. ✓ Successfully launched a comprehensive Compliance and Privacy Handbook for 250+ workforce members with user-friendly summaries of key policies and reporting channels. ✓ Structured 15+ Master Service Agreements and 30+ Business Associate Agreements.

Education

Doctorate of LawUniversity of Pittsburgh School of Law
2008 - 2011

Certification

Total Certifications1

Licensed Attorney

Texas Bar Association

Credential ID: 24137644

Skills

Core skills0
Languages1

Languages

English