Connie Hoffmann Pilarski, MBA, C Ph T, Chc
About Connie Hoffmann Pilarski, MBA, C Ph T, Chc
Connie Hoffmann Pilarski is a Compliance Manager with extensive experience in statistical analysis, training delivery, and Medicare compliance. She has held various roles in healthcare organizations, including UnitedHealth Group and Navitus Health Solutions, and currently works at Magellan Rx Management.
Work at Magellan Rx Management
Connie Hoffmann Pilarski serves as the Compliance Manager at Magellan Rx Management since 2021. In this role, she leads special projects assigned by the Senior Compliance Manager and Senior Compliance Director. She conducts monitoring and oversight of government programs to ensure contractual compliance and creates dashboard reports for senior management. Additionally, she acts as the current CMS external point of contact (EPOC) for the organization, assisting internal users and managing access approvals. Connie also leads biweekly virtual meetings to review HPMS memos and communications with internal business partners.
Education and Expertise
Connie Hoffmann Pilarski has a strong educational background with a Master of Business Administration (MBA) in Human Resources Management and Services from the University of Wisconsin-Whitewater, completed between 2000 and 2004. She also holds two Bachelor of Science (BS) degrees, one in Education from the University of Wisconsin-Eau Claire (1989-1991) and another in Education from the University of Wisconsin-Stevens Point (1991-1994). Her expertise includes statistical and data analysis, contract analysis, health risk assessment, and Medicare Part D compliance implementation.
Background
Connie Hoffmann Pilarski has extensive experience in the healthcare compliance field, having worked in various roles across multiple organizations. Prior to her current position at Magellan Rx Management, she held roles such as Government Programs Audit Analyst at UnitedHealth Group and Compliance Analyst/Medicare Part D Audit at Navitus Health Solutions. Her career also includes positions at CareFirst BlueCross BlueShield, Humana, Coventry Health Care, and WPS Health Solutions, where she developed skills in compliance, auditing, and training delivery.
Achievements
Throughout her career, Connie Hoffmann Pilarski has demonstrated a commitment to compliance and quality assurance in healthcare. She specializes in Medicare Part D compliance implementation and monitoring, as well as the creation of CDAG universes per CMS protocols. Her experience includes managing delegation audits from engagement through final reporting, including corrective action plans and remediation. Connie's ability to liaise with internal business partners to craft effective corrective action plans showcases her analytical and leadership skills.