Claudine Racine Raymond
About Claudine Racine Raymond
Claudine Racine Raymond serves as the Director of Commercial Compliance at EmblemHealth, bringing extensive experience in health insurance compliance and strategic planning. She has held various managerial roles in Medicare billing and enrollment across notable organizations, demonstrating expertise in process improvements and customer experience enhancement.
Current Role at EmblemHealth
Claudine Racine Raymond serves as the Director of Commercial Compliance at EmblemHealth. She has held this position since 2020, contributing to the organization's compliance strategies and operations. In this role, she focuses on ensuring adherence to regulatory requirements and managing compliance for various government contracts, including Medicare Advantage and Medicaid programs.
Previous Experience at EmblemHealth
Prior to her current role, Claudine Racine Raymond worked at EmblemHealth in several capacities. She was the Medicare Enrollment Manager from 2012 to 2015, overseeing enrollment processes. Following this, she served as the Lead Product Regulatory Operations Specialist from 2015 to 2017, and then as the Director of Regulatory Compliance Operations from 2017 to 2020. Her tenure at EmblemHealth has spanned over eight years, during which she has developed expertise in regulatory compliance and operational management.
Experience at Horizon Blue Cross Blue Shield of New Jersey
Claudine Racine Raymond has extensive experience at Horizon Blue Cross Blue Shield of New Jersey, where she held multiple roles. She worked as Supervisor II of COBRA Elect from 2007 to 2008, then as Supervisor III of Medicare Billing and Enrollment from 2008 to 2009, and later as Manager of Medicare Billing, Enrollment, and Reconciliation from 2009 to 2010. Her work at Horizon focused on Medicare processes and compliance, contributing to her knowledge in the health insurance field.
Educational Background
Claudine Racine Raymond earned her Bachelor of Technology (B.Tech.) in Computer and Information Sciences and Support Services from CUNY New York City College of Technology. She studied there from 2000 to 2004, gaining foundational knowledge that supports her career in healthcare compliance and operations.
Expertise in Healthcare Compliance
Claudine Racine Raymond specializes in Enrollment, Billing, and Reconciliation within the healthcare sector. She has a proven track record of implementing strategic planning and business process improvements. Her expertise includes identifying bottlenecks and deficiencies in processes, leading to initiatives that enhance customer experience and achieve departmental goals.