JOEL A.

LAMM, CPA

Highland Park, IL 60035 lammjoel@gmail.com Cell: 847-275-5355 SUMMARY

CPA with extensive management experience in internal audit, compliance and fraud control seeking related management position. Exceptional leader, strong communicator, excellent verbal, written and interpersonal skills. Interact comfortably with all levels of management and staff. Highly organized, analytical, with sound professional judgment. Creative and proactive. Employers include NorthShore University HealthSystem, UnitedHealthcare, Blue Cross and Blue Shield of Illinois, CNA Insurance and the Wisconsin Insurance Department. EXPERIENCE NORTHSHORE UNIVERSITY HEALTHSYSTEM, Evanston, IL (Formerly Evanston Northwestern Healthcare)
Jan. 2006 Sept. 2013

NorthShore is an academic health system affiliated with the University of Chicago. It is comprised of Evanston, Glenbrook, Highland Park, and Skokie Hospitals as well as the NorthShore Medical Group, Research Institute, Foundation, and Home Health Services. Approximately 10,000 employees and 1,000 licensed beds. Director, Internal Audit Lead staff of four senior auditors and manage all financial, operational and compliance audits. Responsible for numerous supervisory functions including hiring and performance appraisals. Perform special projects and internal investigations. Develop/produce quarterly results packets for Audit Committee (AC), which are consistently commended by AC for quality and comprehensiveness. Approve audit programs, lead opening/closing meetings, conduct weekly status meetings to ensure that audit procedures are effective and projects are completed timely. Perform detailed workpaper reviews ensuring findings are substantive and defensible. Thoroughly review and edit all audit reports, resulting in consistently high-quality deliverables. Keep Internal Audit Management and Auditee Management teams informed about status and key issues throughout audits. Work with AVP Internal Audit & Corporate Compliance on annual risk assessment and development of annual audit plan. Maintain and update corporate compliance policies and procedures (P&P); Serve as entity-wide database administrator for Compliance 360 P&P database. Key audits include: Controlled Substances, Clinical Trials, Research Time & Effort, Medicare Cost Reporting, Retail Pharmacies, Medical Group Cash Controls, Home Health Services, Vendor Rebates, Payroll, Supply Chain, Business Continuity, Annual Expense Reimbursements and Procard, CON (construction), Capital Expenditures, Foundation, Anti-Kickback & Stark, HIPAA (Privacy, HITECH, BAAs), Sanctioned Providers, Payment Card Industry (PCI) compliance, Physician Privileging and Credentialing, and Perioperative Services.

RESOURCES GLOBAL PROFESSIONALS (RGP), Chicago, IL

Mar. 2005 Dec. 2005 RGP is an international professional services firm that provides experienced consultants for project-based engagements. Practice areas include Internal Audit, Compliance, Accounting and Finance, and Information Management. Consultant Conducted Sarbanes-Oxley (SOX) compliance engagements for Fortune 500 clients including Caremark, Hewitt Associates and Waste Management Inc. Interviewed process owners and developed detailed process maps of operations. Performed complex risk-control assessments using the COSO model.

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Designed comprehensive audit programs to test the effectiveness of existing internal controls. Performed testing and remediation of internal controls over such processes as drug manufacturer rebates, billing-to-collections, business process outsourcing, deferred revenue and deferred compensation. Worked effectively with client management teams to efficiently manage SOX 404 compliance projects. Feb. 2003 Dec. 2004
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UNITEDHEALTHCARE (UHC), Chicago, IL

UHC is part of UnitedHealth Group, a Fortune 100 company, ranked 4 best performing public US corporation by Business Week. UHC provides access to health care through network based offerings. National Director, Fraud Control Led the team responsible for oversight of outsourced fraud control vendor functions. The vendor employed 120 FTEs who conducted fraud investigations, adjudicated claims from suspect providers, and pursued recoveries on behalf of UHC. Developed financial & operational performance metrics, providing a disciplined approach to managing results. Established a vendor audit program, ensuring periodic verification of vendor-reported results. Exceeded annual targets for fraud savings and recoveries by $2M. Led fraud-control process improvement project, including the roll-out to Sr. Mgmt teams at 28 health plans, resulting in an award for operational excellence. Conducted quarterly meetings with health plans leadership, increasing participation in the fraud con trol effort. Developed Zoomerang customer satisfaction surveys that evidenced strong stakeholder satisfaction.

BLUECROSS BLUESHIELD OF ILLINOIS (BCBSIL), Chicago, IL

Sept. 1998 Jan. 2003 1998-2003 BCBSIL is the largest health insurer in Illinois and a division of Health Care Service Corporation. The company offers HMO, PPO, POS and indemnity products. Senior Manager, National Fraud Investigations (2000-2003) Managed one supervisor, four investigators and two clerical workers in the Special Investigations Unit (SIU). Assigned work, hired staff, evaluated performance, led special projects. Managed the SIUs relationships with key national accounts. Worked with staff, intra-departmental management and attorneys to facilitate provider reviews. Directed recoveries of overpayments. Supervised prepayment reviews. Realigned resources during department reorganization. Repaired relationship with a key account by establishing a dedicated unit & customizing controls. Internal Controls Consultant (1999-2000) Planned and supervised special projects for Internal Audit. Identified control weaknesses, recommended corrective actions, wrote project reports and presented findings. Served as department lead on HIPAA compliance project, meeting target dates for all deliverables. Conducted entity-wide presentations on HIPAA regulations and internal controls. Supervised Y2K Quality Assurance teams, completing all projects in advance of target dates. Led investment audit team performing tests for external auditors, assuring that financials were fairly stated. Senior Internal Auditor (1998-1999) Conducted and supervised internal audits of health and life insurance operations. Reviewed internal controls, wrote audit reports, presented findings to management, and evaluated the performance of assisting auditors. Operations reviewed included premiums, claims, enrollment, HMO capitation, purchasing and expense processing. Conducted SAS 70 reviews with Ernst & Young staff, demonstrating quick-study ability in new areas. Wrote detailed audit plans and designed tests that resulted in thorough reviews of internal controls.

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Made cost-effective recommendations to strengthen controls and obtained management buy-in. Received an outstanding performance review and was promoted to Internal Controls Consultant.

CNA INSURANCE COMPANIES, Chicago, IL

Jan. 1996 Jul. 1998 CNA is a multi-line insurer and the largest commercial insurance group in the US. As of year-end 1997, CNA Financial had assets of $63 billion and annual revenue of $18 billion. Account Executive/Underwriter- Affinity Markets (1998) Performed financial underwriting of group medical coverages. Prepared renewal pricing packages and served as company liaison to third-party administrators (TPAs). Developed renewal packages, using analytical skills to balance premiums with benefits offerings. Negotiated premiums and benefits adjustments with TPAs, while maintaining strong partnerships. Identified and terminated unprofitable business relationships, safeguarding company assets. Responded to complaints from insurance depts. while maintaining excellent rapport with regulators. Internal Auditor, Life & Health Operations - Internal Audit Division (1996-1997) Performed financial, operational and compliance audits of life and health operations. Wrote audit programs, performed fieldwork, supervised assistants, reviewed work papers, and wrote audit reports. Operations audited included premiums, claims, purchasing, expense processing, facilities and human resources. Monitored compliance with audit findings. Identified control weaknesses and recommended policies and procedures to strengthen them. Consistently wrote well-crafted audit reports that were rapidly approved by Quality Control. Worked with external auditors on annual audit, receiving written commendation for quality of work.

OFFICE OF THE COMMISSIONER OF INSURANCE (OCI), Madison, WI

Nov. 1992 Dec. 1995 OCI is the state agency responsible for regulating insurance companies domiciled in Wisconsin. The agency monitors financial solvency, regulates market conduct, grants licenses and imposes sanctions. Financial Examiner Performed financial, operational and compliance audits of life, health and property & casualty insurers. Customized audit programs, conducted fieldwork, wrote audit reports and presented findings to management. Led audit teams and reviewed work papers. Performed desk audits of financial statement, identifying and addressing violations of investment statutes. Reviewed premium tax returns, identifying and addressing errors in tax computations. Consistently completed audit work on a timely basis and received excellent work paper reviews. Promoted twice during tenure at OCI from Financial Examiner I up to Financial Examiner III.

EDUCATION & CERTIFICATIONS

Certified Public Accountant (CPA) MBA Program, University of Illinois, Chicago, IL. Completed 12 courses. BA, Liberal Arts, University of Illinois, Chicago, IL. Graduated with academic honors Completed accounting coursework required for CPA exam. Oakton College, Des Plaines, IL Six Sigma Champion Managed Health Professional (Health Insurance Association of America)

ORGANIZATIONAL AFFILIATIONS
Association of Healthcare Internal Auditors Institute of Internal Auditors