Kenneth Nunez

Kenneth (Ken) Nuñez, MBA, CHC is the Chief Compliance Officer for Provider Partners Health Plans. He has held this position since August 2020, and in this role he is the main contact with the Centers for Medicare & Medicaid Services (CMS) for all regulatory and audit issues. He has over 29 years combined experience in MA-PD and Hospital/Facility Compliance. In his career, he has been involved in dozens of regulatory and OIG Audits including, CMS Program Audits, 1/3 Financial Audits, Data Validation Audits (DVA), Ad-hoc audits, etc. Here are some notable employment experiences in the MA-PD and Health Care Industry: Worked at United Health Group for seven (7) years as the National Director, Medicare Operational Compliance, Employed at Cigna/HealthSpring for six+ (6) years as Vice President, Medicare Compliance Audit & Risk Assessment, Worked at WellCare (Centene) for almost four (4) as the Director, Medicare Regulatory Affairs, and then as the Senior Director, Medicare Compliance Audit, Employed by Mercy Hospital System (HCA)/Doctor Care Mercy PHO for three (3) years as their Corporate Integrity Officer and then as Vice President, Compliance Ken also served for several years as a compliance consultant for boutique national firms assisting Medicare and Medicaid Health Plans in preparation for state and federal audits, compliance re-builds, operational optimization, and post-audit distress. Ken has been happily married for 28 years and has two grown children, and two grandchildren..