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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.

 

 

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Documents
12/3/2018

Presentation: Fraud, Waste and Abuse and SIUs --Top Challenges & How We Can Work Together
During this round table discussion, members engage in lively conversation about their most pressing issues around managing fraud, waste and abuse, and setting up and running SIUs. The discussion serves as a launch pad for 2019 webinar topics.

Attendees

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

  • Emily Farrell
  • ALLIANCE GUEST
  • VP of Health Plan Sales at Zelis Healthcare, LLC
  • Eugene Hahn
  • ALLIANCE GUEST
  • Vice President of Sales at Zelis Healthcare, LLC
  • Abby Baldovinos
  • ALLIANCE MEMBER
  • Senior Provider Relations Representative at Santa Clara Family Health Plan
  • Michael Baumann
  • ALLIANCE MEMBER
  • Director of Compliance at Baylor Scott & White Health Plan
  • Michelle Burnham
  • ALLIANCE MEMBER
  • Manager Special Investigations Unit at Neighborhood Health Plan of Rhode Island
  • Amy Cornett
  • ALLIANCE MEMBER
  • VP, Compliance at Baylor Scott & White Health Plan
  • Kathy Coslett
  • ALLIANCE MEMBER
  • SIU Manager at Geisinger Health Plan
  • Danielle Craig
  • ALLIANCE MEMBER
  • Data and Reporting Analyst at Geisinger Health Plan
  • Jacqueline Crews
  • ALLIANCE MEMBER
  • Director, Public Policy & Benefit Contracts at AvMed
  • Linda Cummings
  • ALLIANCE MEMBER
  • Lead Clinical Quality Examiner at MetroPlusHealth
  • Nicole Davanzo
  • ALLIANCE MEMBER
  • Director, Payment Integrity at Health First Health Plans
  • Jamie Forrest
  • ALLIANCE MEMBER
  • Chief Operating Officer at Health First Health Plans
  • Kim Hackenberg
  • ALLIANCE MEMBER
  • Data Analyst Supervisor at Geisinger Health Plan
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Kim Houk
  • ALLIANCE MEMBER
  • Senior Pharmacy Data Analyst at MediGold
  • Cindy Ingram
  • ALLIANCE MEMBER
  • Quality Services and FWA Manager at Health Alliance Medical Plans
  • Evelyn Kim
  • ALLIANCE MEMBER
  • SIU Manager at Community First Health Plans
  • Molly Knapsack
  • ALLIANCE MEMBER
  • Senior Actuarial Analyst at Geisinger Health Plan
  • Susan Leitzell
  • ALLIANCE MEMBER
  • Lead Fraud Investigator at Geisinger Health Plan
  • Flora Lewis
  • ALLIANCE MEMBER
  • Sr. Investigative Analyst at MediGold
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Baylor Scott & White Health Plan
  • Jaquelynn Mokry
  • ALLIANCE MEMBER
  • Physician Compliance Auditor at Baylor Scott & White Health Plan
  • Sandra Nary
  • ALLIANCE MEMBER
  • Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Charles Palermo
  • ALLIANCE MEMBER
  • Vice President, Claim Services at Health Alliance Plan (HAP)
  • Carol Pawlosky
  • ALLIANCE MEMBER
  • RN, BSN, SIU Program Manager at MediGold
  • Kirit Pindolia
  • ALLIANCE MEMBER
  • Director, Medical Genetics and Genomics at Health Alliance Plan (HAP)
  • Teresa Powers
  • ALLIANCE MEMBER
  • SIU Analyst - Special Investigations Coordinator at Samaritan Health Plans
  • Daniel Quan
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Santa Clara Family Health Plan
  • Janet Robbins
  • ALLIANCE MEMBER
  • Director of Financial and Risk Management at Sentara Health Plans (Optima)
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Nakia Smith
  • ALLIANCE MEMBER
  • Chief Compliance & Ethics Officer at Parkland Community Health Plan
  • Jeff Snyder
  • ALLIANCE MEMBER
  • Vice President and Controller at Sentara Health Plans (Optima)
  • Louis Sorbo
  • ALLIANCE MEMBER
  • Product Development Specialist at Health New England
  • Jenny Vu
  • ALLIANCE MEMBER
  • UM Manager at Valley Health Plan