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Fraud Waste and Abuse and SIU Peer Group Call: December 2022

Event Date: 12/8/2022

Event Overview

Tuesday, 12/8/2022
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Health Plan Alliance

Fraud Waste and Abuse (FWA) and SIU managers convene to share challenges and best practices. Join us to learn how Alliance member health plans engage in sound processes and structures and innovative solutions for managing fraud, waste, and abuse. Hear how organizations leverage their SIUs or are approaching creating one.

 

PLATFORM NOTES: The roundtable discussion will be hosted on Zoom.

Audience

Stakeholders responsible for fraud, waste, and abuse detection and prevention, and those involved in SIUs at their plan. Those responsible for payment integrity, financial management, compliance, and legal aspects of FWA along with team members in government programs are also invited to join the call.

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Documents
12/21/2022

Recording: Fraud Waste and Abuse and SIU Peer Group Call: December 2022
Want to learn how Alliance member health plans engage in sound processes and structures and innovative solutions for managing fraud, waste, and abuse? We have a peer group that includes Fraud Waste and Abuse (FWA) and SIU managers who convene to share challenges and best practices. Tune in to hear how organizations leverage their SIUs or are approaching creating one.

Attendees

Below is a list of all delegates registered to date for this event

  • Christine Bedoya
  • ALLIANCE MEMBER
  • Director of Payment Integrity at Neighborhood Health Plan of Rhode Island
  • Brit Ben-Zikri
  • ALLIANCE MEMBER
  • SIU Supervisor at Quartz Health Solutions
  • Michelle Burnham
  • ALLIANCE MEMBER
  • Manager Special Investigations Unit at Neighborhood Health Plan of Rhode Island
  • Nadine Casey
  • ALLIANCE MEMBER
  • Compliance Consultant - Fraud, Waste and Abuse Program at IU Health Plans
  • Karla Colasacco
  • ALLIANCE MEMBER
  • CPhT at FirstCarolinaCare Insurance Company
  • Kathy Coslett
  • ALLIANCE MEMBER
  • SIU Manager at Geisinger Health Plan
  • Herbert Dean
  • ALLIANCE MEMBER
  • Director, Regulatory Compliance at Paramount Health Care
  • Kathleen Durham
  • ALLIANCE MEMBER
  • Senior SIU Investigator at Paramount Health Care
  • Marisa Ellis
  • ALLIANCE MEMBER
  • Senior Compliance Partner II at SelectHealth
  • Maira Fraire
  • ALLIANCE MEMBER
  • Quality Assurance at Alliant Health Plans
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Shannon Kast
  • ALLIANCE MEMBER
  • PIU Analyst at Prominence Health Plan
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
  • Arvind Kumar
  • ALLIANCE MEMBER
  • Director – Business Intelligence and Data Governance at AvMed
  • John Lesmeister
  • ALLIANCE MEMBER
  • FWA Program Manager at Samaritan Health Plans
  • Flora Lewis
  • ALLIANCE MEMBER
  • Sr. Investigative Analyst at MediGold
  • Mary McMaster
  • ALLIANCE MEMBER
  • Lead Investigator at CommunityCare
  • Traci Meadows
  • ALLIANCE MEMBER
  • Business Intelligence Analyst at Cox HealthPlans
  • Garland Morton
  • ALLIANCE MEMBER
  • Director of Compliance and Privacy at Piedmont Community Health Plan
  • Mai-Phuong Nguyen
  • ALLIANCE MEMBER
  • FWA Program Manager at Santa Clara Family Health Plan
  • Chris Norman
  • ALLIANCE MEMBER
  • AVP-SHP Compliance Officer at Samaritan Health Plans
  • Caryn O'Haire
  • ALLIANCE MEMBER
  • RN Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Teresa Powers
  • ALLIANCE MEMBER
  • SIU Analyst - Special Investigations Coordinator at Samaritan Health Plans
  • Noreen Rhoades
  • ALLIANCE MEMBER
  • Program Integrity Manager at Community Health Plan of Washington
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Elaine Tucker
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • John Waugh
  • ALLIANCE MEMBER
  • Director - SIU at Johns Hopkins Health Plans
  • Elfrieda Winters
  • ALLIANCE MEMBER
  • SIU Manager at Parkland Community Health Plan
  • Katherine Yue
  • ALLIANCE MEMBER
  • Director of SIU at Providence Health Plan
  • Carol Znaniecki
  • ALLIANCE MEMBER
  • Corporate Compliance & SIU Data Analyst at Health Alliance Medical Plans