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Dirty Data, Clean Results: The Visible Difference Between a Vendor and a Partner
Event Date: 3/17/2026
Event Overview
3/17/2026
11:00 AM – 12:00 PM CT (60 minutes)
Zoom Meeting
This session will review how to move beyond the "noise" of data to find genuine concerns of healthcare fraud, waste, and abuse (FWA).
We'll explore why data mining models often generate numerous false positives and, more importantly, what you can do about it. Ensuring you have the right vendor is integral to this process. We'll cover practical strategies to questions you should ask your vendor, how to refine your data, tune your algorithms, and implement smarter review processes. By focusing on precision, you can significantly reduce the time and resources spent chasing down inaccurate leads, allowing your team to focus on investigations that truly matter.
1) What are the most common data pitfalls?
2) What is the best approach to addressing data integrity?
3) How can you evaluate if your vendor understands your data?
Learning Objectives:
- How to know if your vendor understands your data
- Is your vendor asking the right questions?
- Do you have the right answers?
Notice to participants
This sponsored webinar provides you the opportunity to learn from this organization's subject matter experts and hear about their programs and services. Please note that this does not constitute an endorsement by the Health Plan Alliance.
Questions or feedback?
Contact Jaime González, Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.
Sponsors
Thank you to our event sponsors
Bronze
Attendees
Below is a list of all delegates registered to date for this event
- Brit Ben-Zikri
- ALLIANCE MEMBER
- SIU Supervisor at Quartz Health Solutions
- Francesca Corbin
- ALLIANCE MEMBER
- Audit Integrity Analyst at Health First Health Plans
- Anna Cordon
- ALLIANCE MEMBER
- Manager of HEDIS Quality Operations at Health First Health Plans
- Janese Crawford-Chriscoe
- ALLIANCE MEMBER
- Revenue Integrity Analyst at Sentara Health Plans
- Juanita Dowell
- ALLIANCE MEMBER
- Manager Health Plans Compliance at CHRISTUS Health Plan
- Debbie Hirota
- ALLIANCE MEMBER
- Operations PM at Santa Clara Family Health Plan
- Mary Alice Jamison
- ALLIANCE MEMBER
- Director - Program Integrity at Presbyterian Health Plan
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- Brooke Johnson
- ALLIANCE MEMBER
- Pharmacy Benefit Services Strategy Specialist at CHRISTUS Health Plan
- Susan Kerrigan
- ALLIANCE MEMBER
- Manager Integrity Auditing and Monitoring at Health First Health Plans
- Stacy Knudsvig
- ALLIANCE MEMBER
- Director Government Programs CM at Select Health
- Denise Krassel
- ALLIANCE MEMBER
- Manager, Vendor Management Operations at Health First Health Plans
- Tracey McCloy
- ALLIANCE MEMBER
- Director, Strategic Growth & Product Development at HealthTeam Advantage
- Mary McMaster
- ALLIANCE MEMBER
- Lead Investigator at CommunityCare
- Princess Murchison
- ALLIANCE MEMBER
- Provider Network Development Analyst at Avera Health Plans
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Select Health
- Julie Pierson
- ALLIANCE MEMBER
- Product Administrator at Avera Health Plans
- Noelle Plumlee
- ALLIANCE MEMBER
- Compliance Consultant at Providence Health Plan
- Thelia Sinnett
- ALLIANCE MEMBER
- Risk Adjustment Coordinator at Samaritan Health Plans
- Rachel Thomas
- ALLIANCE MEMBER
- Senior Compliance Auditor at Sentara Health Plans
- Naomi Warren
- ALLIANCE MEMBER
- Compliance Specialist at HealthTeam Advantage
- Vanessa Williams
- ALLIANCE MEMBER
- Program Manager at CHRISTUS Health Plan
- Sherri Wynn
- ALLIANCE MEMBER
- HFHP Directory of Integrity at Health First Health Plans
- Elaine Zettel
- ALLIANCE MEMBER
- Product Manager, Medicare at Health Alliance Plan (HAP)