Anthony Genovese Scullin

Director Of Regulatory Compliance & Implementations (Medicaid, Harp, Ib Duals & Child Health Plus) @ EmblemHealth

About Anthony Genovese Scullin

Anthony Genovese Scullin serves as the Director of Regulatory Compliance & Implementations at EmblemHealth, focusing on Medicaid and related programs. He has extensive experience in regulatory compliance, having held various positions in the health care sector since 2002.

Current Role at EmblemHealth

Anthony Genovese Scullin serves as the Director of Regulatory Compliance & Implementations at EmblemHealth, a position he has held since 2021. In this role, he focuses on Medicaid, HARP, IB Duals, and Child Health Plus programs. His responsibilities include managing external regulatory audits and surveys, ensuring compliance with state-sponsored programs, and leading the implementation of changes to relevant laws and regulations. He also oversees the intake of all incoming regulatory communications related to these programs.

Previous Experience in Compliance Management

Before joining EmblemHealth, Scullin held various positions at Jaffe & Asher LLP, where he worked from 2010 to 2013. He started as an Operations Compliance Specialist and progressed to Operations Compliance Manager within the NY/NJ Creditors’ Rights Team. His role involved conducting regulatory and compliance consultations, as well as providing education and training to internal teams and external vendors. Additionally, he worked at VNSNY Choice Health Plans as a Grievance & Appeals Specialist, focusing on Medicaid, MLTC, and Medicare.

Educational Background

Scullin has a diverse educational background. He studied at Fairfield University, earning a Bachelor of Arts with a dual concentration in Political Science and Religious Studies/Theology. He later pursued a Master of Science in Health Care Administration at Utica University. Currently, he is studying for a Master of Business Administration (MBA) at William Paterson University of New Jersey, which he is expected to complete in 2023.

Expertise in Regulatory Compliance

Scullin has developed a strong expertise in regulatory compliance, particularly concerning state-sponsored programs such as Medicaid, HARP, IB Duals, and Child Health Plus. His work involves representing compliance programs at meetings with trade associations and state regulatory agencies. He is responsible for leading the implementation of changes to laws, regulations, and agency guidance, ensuring that the programs he oversees remain compliant with evolving standards.

Career Progression in Health Care Administration

Scullin's career in health care administration began at Montefiore Health System, where he worked as an Associate from 2002 to 2007. He later served as a Compliance Specialist at RiverSpring Health for eight months in 2013-2014. His roles have consistently involved regulatory compliance and implementation, showcasing his commitment to ensuring adherence to health care regulations and improving program effectiveness.

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