Experience
ledgerarc is built on a long record of hands-on delivery inside regulated organizations. Below is a selection, described at a high level to protect client confidentiality.
Health Plans & Managed Care
- Contract portfolio of 750+ agreements with Medicare Advantage, Medicaid, and commercial health plans: master agreements, statements of work, BAAs, and amendments.
- More than $30M in cumulative cost savings through negotiation and contract restructuring.
- Standardized statement-of-work library spanning twelve benefit lines, from transportation and dental to meals, vision, hearing, and funded card programs.
- Food-is-medicine program terms with a national managed care organization, including the compensation model and service levels.
- Channel partnership structure for consumer-directed healthcare (HRA, FSA, HSA) services with a regional Blue plan.
Government Programs
- USDA WIC Farmers’ Market Nutrition Program and state WIC/eWIC contracting as contract owner, negotiator, and compliance lead, including direct responses to state agency RFPs.
- Program agreements with a tribal nation, working with tribal officials, the tribal council, and agency heads.
- State-program partnerships for benefit card programs, chips, and card-reader equipment.
- Subcontractor teaming arrangement with a large federal prime for a Department of Veterans Affairs program.
- Public policy engagement with HHS and CMS.
Vendor & Outsourcing Governance
- Complete contract package for a nearshore call-center operation: master agreement, statement of work, BAA, downstream BAA, and Medicare Advantage addendum under U.S. and Mexican law.
- Healthcare exclusion screening (OIG, SAM, OFAC, state Medicaid) built into recruitment vendor agreements for a multi-state retail hiring program.
- Technology vendor agreements across SaaS, cloud security, conversational AI, and contact-center platforms, with data-protection and BAA terms.
- Business process outsourcing statements of work with staffing, attrition, and KPI models.
Risk, Privacy & Audit Readiness
- Audit readiness for PCI DSS, SOC 2 Type II, and HITRUST.
- Security incident response alongside the general counsel and chief technology officer.
- Privacy, terms, and HIPAA notice refresh for an acquired subsidiary’s public website.
- Compliance and audit oversight for a youth education nonprofit.
Fintech, Payments & Retail Networks
- Contract and compliance oversight for a payments partner relationship: PCI, banking regulation, and state money-transmitter requirements.
- Retail network agreements integrating grocers into a benefit card network: point-of-sale integration, item-level eligibility, and settlement.
- Retail healthcare partnership with a national warehouse-club chain.
Transactions & Operating Infrastructure
- M&A diligence and post-acquisition integration.
- Contract portfolio redesign: one tracker for 500+ client matters across 19 account leads, with a KPI dashboard.
- Contract management for a national distributor: SaaS licensing, data-protection terms, and negotiations while the company built proprietary technology and cloud platforms.
Bring Us the Complicated Part
Describe the problem, the context, and the timeline. We will tell you how we would approach it.