by Jasmine Batchelor
July 18, 2018
Chief Compliance Officer, Compliance,
Medical Card System Inc.
Maité Morales Martínez, serves since 2012 as Chief Compliance Officer of MCS Healthcare Holdings, LLC (MCS) a Puerto Rico company that through its subsidiaries MCS Life Insurance Company and MCS Advantage, Inc., offer medical insurance to over 400,000 beneficiaries in the Commercial and Medicare Advantage segments, of which over 205,000 are in MA.
Under her charge, she is responsible for the implementation and monitoring of the company’s Compliance, Fraud, Waste and Abuse and Privacy programs. The objective of her functions is to ensure full compliance with the internal procedures established by the company, as well as with applicable local and federal laws and regulations.
She joined MCS in 2010 as Legal Director of Medicare. Ms. Morales Martínez has a successful career in the health insurance industry with more than 10 years of experience, due to her visionary leadership, expertise and performance of her duties.
Given her extensive knowledge of health laws and regulations regarding the Centers for Medicare and Medicaid Services (CMS) and other regulatory agencies such as the Health Insurance Administration (ASES), the Office of the Commissioner of Insurance (OCI), the Office of the Inspector General (OIG) and the Office of Civil Rights (OCR), her work has focused, mainly, on offering legal counseling and compliance services to Medicare Advantage Plans, carving out a successful career in the health insurance industry. She also provided legal advice to government agencies on issues related to health, family and women.
Ms. Morales Martínez graduated from the Law School of the University of Puerto Rico and holds a Master’s degree in Health Law from the University of Houston. Also, she has a certification from the Health Care Compliance Association (HCCA) confirming her commitment to the healthcare field. Apart from her work, the great passion of Ms. Morales Martínez are her children, José Enrique and Raúl Ignacio and the pleasant moments that she seeks to have with them, her husband and the rest of her family.