by Stephani Simmons
July 12, 2017
MMM Healthcare, LLC
Mrs. Myra Plumey is the Corporate Compliance Officer for MMM, Healthcare LLC, a subsidiary of Innocavacare, Inc. She holds a Bachelor’s Degree in Natural Sciences and a postgraduate degree as Health Information Administrator from the University of Puerto Rico.
Throughout over 30 years of experience in the healthcare industry, Ms. Myra Plumey has occupied lead positions as: PSRO Regional Director, director and consultant of utilization management, quality, certification and accreditation programs. She has also developed Fraud, waste and abuse programs, managed Privacy Programs, and held a position as Vice-president of PR Blue Cross and Blue Shield Medicare Advantage Program (Triple S). Since 2011, she leads the MMM Holdings, LLC’s Compliance Department. As part of Innovacare , Inc. has had the opportunity to support Corporate strategies, compliance related , to launch other Health care programs.
Ms. Plumey has vast knowledge about the regulations of the Centers for Medicare and Medicaid Services (CMS), the federal agency that rules Medicare Advantage plans; as well as about those of the Insurance Commissioner, and the State Medicaid Health Insurance Administration (ASES, for its acronym in Spanish) in Puerto Rico. Her experience in operations has allowed her to efficiently support the areas on regulatory implementation. She has successfully established communication tools to promote behavior codes, routine monitoring systems and procedures for proper management of risk situations. She has demonstrated excellent strategic planning, decision making, leadership abilities to ensure compliance and successful accomplishment of goals.