Bruce Hoffman, MBA

Industry Expertise
  • Health Care

    • Payer

    • Provider

    • Behavioral Health

    • Transportation

  • Government

    • ​Medicaid

    • Medicare Advantage

  • High-Technology

    • Fraud Prevention Software 

Bruce Hoffman has spent the majority of his career in managed healthcare. After 10 years providing regulatory oversight as a Medicaid Program Manager for the Florida Agency for Health Care Administration and the Florida Department of Health, Mr. Hoffman served six years as Chief Compliance Officer for a multi-state Florida based health plan.

 

As a nationally recognized healthcare consultant and subject matter expert in Medicare/Medicaid Grievance & Appeals, Fraud, Waste and Abuse Detection and Prevention, and Regulatory Compliance, Mr. Hoffman has provided consultation to a myriad of local and national health plans, state and federal regulatory agencies, and Pharmacy Benefits Management organizations. Mr. Hoffman has responded to regulatory audit requests, provided internal\external regulatory training, crafted RFP and RFI responses, and performed internal monitoring and auditing on behalf of his clients.  In addition, he has provided audit preparation for the Joint Commission (TJC) and National Committee for Quality Assurance (NCQA) certifications, developed compliance and fraud, waste and abuse plans, and investigated allegations of healthcare fraud. 

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SunHawk Consulting

1475 West Oak St. #549
Zionsville, IN 46077

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Tel. 317-775-3867