Heather Johnson

Heather Johnson, Chief Compliance Officer, is responsible for creating a vison of effective compliance and leading the implementation of a structure and process that ensures nirvanaHealth is compliant with all applicable federal and state rules/guidelines, as well as all regulations pertaining to Medicare, Medicaid, Affordable Care Act, and Commercial PBM business. She is accountable for driving the consistent application of nirvanaHealth’s Compliance Program, Code of Conduct, and compliance policies across the enterprise. She works collaboratively with all key stakeholder – clients, team members, customers, regulatory agencies, and other external entities such as accreditation organizations, delegated partners, etc. – to ensure responsive and effective compliance performance. Heather also facilitates and supports the organization for URAC accreditation, NCQA accreditation, SOC audits, and maintains all relevant licensures. Prior to joining, Heather was VP of Business solutions at Beacon Health Solutions, responsible for overall client engagement including compliance, audits, and CMS deliverables. While at Beacon, Heather led her team to ensure all operational/compliance areas exceeded CMS service levels. Prior to her role at Beacon Health Solutions, as Director of Medicare at ikaSystems, Heather was responsible for overall compliance across all lines of business. In fact, throughout her 20-years professional healthcare career working for TPAs, health plans, and health technology companies, Heather has always been involved interpreting CMS guidance, communicating this interpretation to stakeholders, and automating such regulations by leveraging technology. She holds a Bachelor of Science from Thomas Jefferson University.