Rita Isnar, JD, MPA
Compliance SpecialistCorporate Headquarters
5911 Kingstowne Village Parkway
Alexandria, VA 22315
Ms. Isnar joined Strategic Management in 2003 and is responsible for client fulfillment activities. She has over 15 years of healthcare regulatory compliance consulting experience and specializes in compliance advisory services including corporate compliance program development and implementation, evaluation of compliance program effectiveness, as well as conducting work related to federal corporate integrity / state settlement agreements, and serving as interim compliance officer for a variety of health care organizations. Her hands on knowledge and compliance experience includes: managed care, Part C & D compliance program development and implementation, Sarbanes Oxley (SOX), HIPAA, government enforcement initiatives, quality of care issues, Stark Laws, False Claims, and Anti-Kickback regulations.
Ms. Isnar has worked with a number of health care organizations such as health systems, health plans, physician practices, and pharmacy benefit managers, life sciences / pharma business. More recently, she has focused on assisting managed care organizations and accountable care organizations with their compliance needs in various settings which includes serving as interim compliance officer and providing consulting services to managed care organizations related to their contractual arrangements with downstream contractors, including pharmaceutical benefit managers. She otherwise routinely assists clients in assessing compliance program effectiveness, development and implementation, and a broad range of specific compliance risks. Further, she has extensive experience reviewing and analyzing contractual, statutory and regulatory requirements that MCOs are obligated to meet. Further, she has experience reviewing and assessing internal policies and procedures that have been implemented by organizations to meet applicable regulatory requirements (i.e., marketing, enrollment and disenrollment, member benefits, etc.).
In addition, she spends much of her time leading engagements relating to Corporate Integrity Agreements (CIAs) with the Department of Health and Human Services Office of Inspector General (OIG). She assists clients in developing internal controls and fulfilling their obligations under high-profile CIAs and has worked with various institutions in assessing compliance program effectiveness, development and implementation, and a broad range of specific compliance risks. She has served as the Project Lead for independent review organization (IRO) engagements for national managed care organizations. She has overseen multi-team and multi-state IRO engagements and worked to facilitate complex annual work plans. Part of her responsibilities includes liaising with all stakeholders including the organization and the OIG.
Ms. Isnar has also conducted retrospective and real-time reviews of Medicaid enrollment applications to determine their compliance with state requirements and to identify errors based on internal, contractual, statutory and regulatory requirements. She has also assisted organizations with interpreting regulatory requirements of the Medicare Advantage and Prescription Drug Benefit including Part D and PACE organizations in addition to providing guidance on how to develop effective compliance initiatives. She provides consulting services to managed care organizations related to their contractual arrangements with downstream contractors, including pharmaceutical benefit managers and other healthcare entities; which include the development and implementation of accountable care organizations.
She has presented on various topics at both regional and national conferences. She has authored books and articles in industry and trade publications such as those of the American Health Lawyers Association and Health Care Compliance Association.
Previous Work Experience
Prior to joining Strategic Management, Ms. Isnar’s regulatory and compliance experience in the health care industry included interning at the New York State Office of the Attorney General in Syracuse, New York and working with a regulatory compliance firm to perform research and analysis on HIPAA related issues.
Ms. Isnar holds a Bachelor of Arts from York University, Toronto, Canada; a Juris Doctor, cum laude, Syracuse University College of Law, Syracuse, New York, and a Masters of Public Administration, Maxwell School of Syracuse University, Syracuse, New York. She is admitted to the New York Bar.