About CalOptima

Carmen Dobry

Executive Director, Compliance

Carmen Dobry

As Executive Director, Compliance, Carmen Dobry, M.S., CHC, oversees CalOptima’s regulatory and compliance functions to ensure that the agency’s programs meet all applicable statutory, regulatory and contractual requirements. She is responsible for maintaining CalOptima’s relationships with regulatory agencies, ensuring readiness for all internal and external compliance and auditing activities, and overseeing fraud, waste and abuse and HIPAA privacy activities. She has more than 20 years of payor and provider leadership experiences in creating cultures of proactive compliance and corporate responsibility, detecting and correcting compliance shortfalls, monitoring changing compliance standards, and maintaining compliance to meet regulatory standards.

Prior to CalOptima, she held compliance leadership positions at other health plans and provider organizations, including Verity Health System of California, Chinese Community Health Plan, and Inland Empire Health Plan. In addition to being certified in health care compliance, she holds a master’s degree in Health Services Administration and a bachelor’s degree in Health Science, both from California State University, San Bernardino.

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