Return to calendar

Fraud, Waste and Abuse and SIUs – Top Challenges & How We Can Work Together

Event Date: 12/5/2018

Event Overview

Wednesday, December 5, 2018
11:00CT – 12:00CT (60 minutes)

This event is hosted on our ReadyTalk platform

  

During this round table discussion, members will engage in lively conversation about their most pressing issues around managing fraud, waste and abuse, and setting up and running SIUs. Hear from other health plans on how they are addressing these challenges. The discussion will serve as a launch pad for 2019 webinar topics.

Participants are encouraged to come prepared to engage in active discussion with their Alliance peers and share their own experiences and lessons learned!   

 

Audience

Stakeholders involved in the implementation and management of fraud, waste and abuse programs and SIU units.

 

 

Other recommended events

Register now for these upcoming events

View the presentation materials from these recent events

 

Documents
Attendees

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

  • Karen Andersen
  • ALLIANCE GUEST
  • RN - Clinical Coding Auditor at SelectHealth
  • Kathy Coslett
  • ALLIANCE GUEST
  • SIU Investigator at Geisinger Health Plan
  • Emily Farrell
  • ALLIANCE GUEST
  • Sales Associate at Zelis Healthcare
  • Melissa Fox
  • ALLIANCE GUEST
  • Manager of Clinical Pharmacy Management at AvMed
  • Eugene Hahn
  • ALLIANCE GUEST
  • Vice President of Sales at Zelis Healthcare
  • Susan Leitzell
  • ALLIANCE GUEST
  • Lead Fraud Investigator at Geisinger Health Plan
  • Jaquelynn Mokry
  • ALLIANCE GUEST
  • Business Analyst at Scott & White Health Plan
  • Sandra Nary
  • ALLIANCE GUEST
  • Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Olamide Akanbi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Coordinator at Paramount Health Care
  • Jessica Allen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Analyst at Scott & White Health Plan
  • Abby Baldovinos
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Provider Relations Representative at Santa Clara Family Health Plan
  • Michael Baumann
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Analyst at Scott & White Health Plan
  • Sandra Blair
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Supervisor, SIU at Scott & White Health Plan
  • JorDwn Bowers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Compliance Investigator at Health Alliance Plan (HAP)
  • Rick Burguieres
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Manager Delegation Oversight at HealthTeam Advantage
  • Michelle Burnham
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • RN, Medical Coding Auditor at Neighborhood Health Plan of Rhode Island
  • Tonya Carrigan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Corporate Assurance and Advisory Services at AvMed
  • Amy Cornett
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Compliance Auditor at Scott & White Health Plan
  • Danielle Craig
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Data and Reporting Analyst at Geisinger Health Plan
  • Jacqueline Crews
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Government Programs & Regulatory Affairs at AvMed
  • Linda Cummings
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Clinical Quality Examiner at MetroPlus Health Plan
  • Nicole Davanzo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • RN, Compliance Manager - Fraud, Waste and Abuse at Health First Health Plans
  • Philip David
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Investigator at AvMed
  • Paula Davis
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Director, Operations - Quality & Development at Indiana University Health Plans
  • Jamie Forrest
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Regulatory Affairs & Product Management at Health First Health Plans
  • Sandra Fournier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • LTSS Oversight Manager at Neighborhood Health Plan of Rhode Island
  • Nichole Fournier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU Auditor at Network Health Plan
  • Juan Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU - Auditor at Network Health Plan
  • Kristin Griego
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU Investigator at Prominence Health Plan
  • Kim Hackenberg
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Data Analyst at Geisinger Health Plan
  • Brooke Haycraft
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU Analyst at Quartz Health Solutions
  • Deanna Homer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President, Pharmacy Operations and Quality Programs at HealthTeam Advantage
  • Cindy Ingram
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Services and FWA Manager at Health Alliance Medical Plans
  • Grace Johnson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Team Coordinator, Program Integrity/SIU at Sentara Health Plans (Optima)
  • Wendy Karsten
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Care N' Care Insurance Company, Inc.
  • Evelyn Kim
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU Manager at Community First Health Plans
  • Molly Knapsack
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Actuarial Analyst at Geisinger Health Plan
  • Flora Lewis
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Sr. Investigative Analyst at Mount Carmel Health Plan (MediGold)
  • Deborah Marine
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at SummaCare
  • Greta Matus
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • FWA Special Investigator at Health Alliance Medical Plans
  • Lisa McIntire
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Contractor at PreferredOne
  • Briana Merrill-Belval
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Director at Western Health Advantage
  • Kim Miller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Pharmacy Data Analyst at Mount Carmel Health Plan (MediGold)
  • Terrica Miller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Chief Compliance & Risk Officer at Health Alliance Medical Plans
  • Tammy Miller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Analyst at Scott & White Health Plan
  • Charles Palermo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director at Health Alliance Plan (HAP)
  • Carol Pawlosky
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • RN, BSN, SIU Program Manager at Mount Carmel Health Plan (MediGold)
  • Kirit Pindolia
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Medical Genetics and Genomics at Health Alliance Plan (HAP)
  • Teresa Powers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Special Investigations Coordinator at Samaritan Health Plans
  • Daniel Quan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at Chinese Community Health Plan
  • Natalie Ramello
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Chief Compliance & Risk Officer at CommunityCare
  • Janet Robbins
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Financial and Risk Management at Sentara Health Plans (Optima)
  • Patrick Robinson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Member Support Center Specialist, Service and Support at Vizient, Inc.
  • Katherine Ross
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Fraud, Waste and Abuse Analyst at Paramount Health Care
  • Melissa Rusk
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Claims and BPO Operations at SummaCare
  • Winifred Russell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Payment Integrity Manager at Health Alliance Plan (HAP)
  • Amie Schippa
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Program Manaer at Community Health Plan of Washington
  • Nakia Smith
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Gov't Programs & Compliance at Care N' Care Insurance Company, Inc.
  • Jeff Snyder
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President and Controller at Sentara Health Plans (Optima)
  • Louis Sorbo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product Development Specialist at Health New England
  • Stephen Souza
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Fraud, Waste & Abuse Investigator at Neighborhood Health Plan of Rhode Island
  • Erica Stanley
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Lead- Delegation/Oversight at Sharp Health Plan
  • Kristin Van Dusen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Officer at Health Alliance Plan (HAP)
  • Neill Vaughan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Special Investigations at CHRISTUS Health Plan
  • Sabrina Vera
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Special Investigations Unit at Geisinger Health Plan
  • Jenny Vu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • UM Supervisor at Valley Health Plan
  • Edward Yoon
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Medical Officer at Community Health Options
  • Christopher Zapart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Investigator at Geisinger Health Plan