Julianne Graziano JD, RN

About

Compliance professional with 8+ years of experience in healthcare policy development, regulatory monitoring, and legal/compliance research. Expertise in ensuring alignment with federal and state regulations, managing compliance initiatives, and delivering regulatory training across multiple healthcare settings including Medicaid/Medicare programs and PACE organizations.

Experience

• Medical/Clinical Policy Writer · CareSource04-01-2023

  Leads the development and review of clinical and compliance policies, ensuring alignment with federal and state regulations for Medicaid/Medicare programs. Actively participates in compliance workgroups and regulatory submissions, facilitating cross-functional discussions on compliance risks, regulatory changes, and risk mitigation strategies. Demonstrates strong leadership in policy execution, driving team and departmental alignment with organizational goals, and ensuring high-level reporting to senior leadership regarding compliance and regulatory matters. Oversees and contributes to the creation and delivery of educational training for clinical and administrative teams to enhance understanding of regulatory requirements and best practices.

• Clinical Resource Registered Nurse · LIFE Pittsburgh06-01-2019 – 03-01-2023

  Led clinical teams at five locations in the federally/state funded PACE program, ensuring compliance with federal and state regulations, and developing operational strategies to reduce costs while improving care for the geriatric population. Coordinated with executive leadership to revise and develop policies and procedures in accordance with regulatory standards and evidence-based practice, ensuring continuous improvement in care delivery and operational compliance.

• Associate Attorney · Law Office of Scott Melton01-01-2021 – 07-01-2022

  Specializing in Medical Malpractice and Personal Injury law.

• Law Clerk · NBMS Law Firm10-01-2019 – 03-01-2020

  Assist with intake through settlement/trial for a wide range of civil and criminal matters. Responsible for analyzing personal injury cases and keeping client files up to date. Provide recommendations on healthcare related issues including injuries, guardianships, licensure issues, and competency. Compose and edit court filings and negotiations for clients.

• Judicial Law Clerk Intern · Superior Court of Pennsylvania05-01-2019 – 09-01-2019

  Conducted specialized legal research to aide in formulating the Court’s opinion. Completed full bench memos for Oral Arguments summarizing the parties’ positions and researched the accuracy of the purported legal precedent. Authored a non-precedential opinion adopted by the Court.

Education

• Thomas R. Kline School of Law of Duquesne UniversityDoctor of Law (J.D.)
• Penn State UniversityBachelor’s Degree, Registered Nursing/Registered Nurse

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