June 07, 2011 | Palo Alto, California: MetricStream Inc., the market leader in Enterprise Governance, Risk and Compliance (GRC) solutions, announced today that Judith Nelson, Vice President and Chief Compliance Officer of BlueCross BlueShield (BCBS) of Tennessee, will feature in a webinar, entitled ‘Best Practices in Implementing a Compliance Program on Tuesday, June 7, 2011 at 10 am Pacific.

About the webinar
Confronted with increasing regulatory scrutiny and rising stakeholder expectations, health insurance companies are striving to implement risk-resilient and compliance-centric GRC programs. Operational efficiency is critical, even as risks become more intertwined and compliance regulations increase in number and complexity. Today, the average health plan has to navigate not only industry-specific compliance mandates such as HIPAA and  NAIC Model Audit  Rule, but also cross-industry regulations such as SOX and PCI-DSS, in addition to regional regulations and internal policies. They have to stay updated on regulatory changes, integrate external mandates with internal policies, monitor controls regularly and resolve issues as soon as they occur.

Managing these regulations and responsibilities is challenging, even as the competition grows fiercer, customer demands increase, and operations become more complex. However, numerous health insurance organizations, including BCBS companies, are experiencing significant benefits from integrated and sustainable compliance programs.

Technology plays an integral role in such programs. Not only does it automate compliance workflows, but it also streamlines and integrates GRC programs across the enterprise.

Participants at the webinar will receive further insights into the importance of technology, as well as other best practices and strategies for the effective management of compliance, risks and audits. The speakers will provide perspectives on:

  • Challenges facing the healthcare industry from a risk, compliance and audit perspective
  • Best practices for addressing these challenges
  • The role of technology in adopting and implementing an effective compliance program
  • Case studies highlighting how select BCBS affiliates architected their compliance program


The webcast will be hosted by MetricStream and will feature Judith Nelson who is currently the Vice President and Chief Compliance Officer at BlueCross BlueShield of Tennessee (BCBST). Her responsibilities include guiding and directing the enterprise-wide compliance program, the Chief Security Officer and the Provider Audit and Enterprise Investigative Services supporting the corporation. The compliance program, coupled with the Code of Conduct and related policies, sets an ethical tone for conducting business, and creates a corporate culture that strengthens the reputation of BCBST. An integral program goal is to integrate compliance with management accountabilities and day-to-day business operations.

Judith has twenty-plus years of experience in the health insurance industry, and has been with BlueCross BlueShield of Tennessee since 1990. Her previous responsibilities include health data analysis, utilization and quality management, and provider contracting along with significant project management activities. She received her Bachelor of Science in Business from the University of Tennessee at Chattanooga in 1985.


About MetricStream

MetricStream is the independent market leader in enterprise cloud applications for governance, risk, compliance (GRC), and quality management. MetricStream apps and software solutions improve business performance by strengthening risk management, corporate governance, regulatory compliance, audit management, vendor governance, and quality management for organizations across industries, including banking and financial services, health care, life sciences, energy and utilities, consumer brands, government, technology, and manufacturing. MetricStream is headquartered in Palo Alto, California, with an operations and GRC innovation center in Bengaluru, India, and sales and operations support in 12 other cities globally.(www.metricstream.com).

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