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Carla Wallace
Chief Compliance Officer at Wellpath
Professional Background
Carla Wallace is a distinguished health care executive, recognized for her extensive expertise in healthcare compliance, operations, and leadership. With over twenty years in the field, she has developed a robust professional identity as a compliance expert and an engaging national speaker. Carla's career is complemented by her advanced certifications—Certified in Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC), and Healthcare Research Compliance (CHRC)—which endorse her comprehensive understanding of the healthcare regulatory landscape.
In her current role as Chief Compliance Officer at Wellpath, Carla is dedicated to fostering a culture of compliance and excellence in healthcare delivery. Her strategic approach emphasizes not only compliance but also operational efficiency and effective policy implementation. Over the years, she has demonstrated her ability to lead complex compliance programs that navigate the intricacies of healthcare regulations and standards. Carla's leadership style is characterized by her effective communication and project management skills, making her a respected figure among her peers and colleagues.
Prior to her tenure at Wellpath, Carla made significant contributions as a Compliance Executive Consultant, utilizing her broad skillset to support various healthcare organizations in enhancing their compliance frameworks. Her experience also includes notable positions such as Chief Compliance Officer at naviHealth, Inc., and Compliance Consulting Practice Leader at Quorum Health Resources, where she honed her leadership abilities and deepened her expertise in compliance methodologies. Throughout her career, Carla has been instrumental in driving initiatives that align healthcare practices with federal and state compliance requirements.
Education and Achievements
Carla pursued her higher education at prestigious institutions, earning a Master’s Degree in Health Care Administration from Independence University. This academic foundation has informed her strategic decision-making processes and shaped her career trajectory. Prior to her master’s studies, she completed her Bachelor's Degree in Medical Technology at the University of Alabama. These qualifications reflect her commitment to academic excellence and her dedication to understanding both the clinical and administrative aspects of healthcare.
Her educational background and professional experiences have enabled her to specialize in critical areas such as billing compliance and claims processing, coding compliance, beneficiary eligibility and enrollment, and various legislative frameworks including the Stark Law, Anti-Kickback Statute, and the Emergency Medical Treatment and Labor Act (EMTALA). Moreover, her proficiency with the False Claims Act and adherence to HIPAA regulations showcases her commitment to upholding the highest standards of patient privacy and care.
Carla’s contributions extend beyond her immediate roles; she actively participates in discussions about healthcare policy, process improvements, and compliance best practices. Renowned for her insightful perspectives, she is often invited to share her knowledge at national conferences, highlighting her status as a speaker and thought leader in the healthcare compliance community.
Achievements
Throughout her esteemed career, Carla has been recognized for her ability to implement transformative change within complex organizational structures. As a Principal & Compliance Consulting Practice Leader at Quorum Health Resources, she established effective compliance programs that not only mitigated risks but also enhanced operational efficiencies across the organization. Her visionary leadership as AVP of Compliance further solidified her reputation as a trusted authority in healthcare compliance.
Carla’s previous roles highlight her versatility and expertise. As the Chief Compliance Officer, Associate Vice President for Ancillary Services at Jennie Stuart Medical Center, and as Laboratory Director/Compliance Officer at Pennyrile Family Physicians, she has consistently demonstrated her ability to balance clinical and compliance priorities, driving results that benefit both organizations and patients alike. Her work as a Medical Technologist at the Medical Center at Bowling Green and the Department of Veterans Affairs Medical Center laid the groundwork for her understanding of the clinical environment, enabling her to bridge the gap between clinical capabilities and compliance mandates effectively.
Conclusion
In summary, Carla Wallace is an accomplished healthcare executive whose comprehensive expertise and commitment to compliance make her a valuable asset to any organization. Her extensive background in healthcare leadership, along with her proactive approach to navigating regulatory challenges, positions her as a leading voice in the field of healthcare compliance. Her journey is a testament to the importance of healthcare integrity and the vital role of compliance in delivering quality care.
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