COMPLIANCE CONSULTANTS AND ADVISORS
James Rose, CPA, CIA, CRMA, CISA, CISSP, is an experienced healthcare operations, governance, risk, and compliance executive with over 25 years of experience focused on the healthcare and governmental industries.
Jan Elezian, MS, RHIA, CHC, CHPS, has 40 years of Healthcare and Privacy/HIPAA Compliance, Revenue Cycle Integrity, Coding Management, experience, including serving as Chief Compliance Officer for a multi-facility Integrated Health System.
Kimulet "Kim" Winzer, JD, has over 25 years of experience in payer compliance development, program strategy, network and delegation oversight, specializing in Medicaid and Medicare programs.
Martin Biegelman, CFE, CCEP, has over 45 years of experience in law enforcement, the corporate sector, and consulting. He helps clients navigate disruption, resolve business controversy, and build resilient organizations. Martin’s practice includes conducting internal investigations, corporate compliance program assessments and enhancements, fraud risk assessments, anti-bribery program compliance, and litigation support.
James Rough, CFE, CHC, CCEP, is President of SunHawk Consulting, with 20 years of experience in Compliance, Investigations & Disputes Expert. He is a regular lecturer for the Health Care Compliance Association (HCCA) on best practices when Communicating with Government Regulators and Enforcement personnel.
Shawn DeGroot, CHC-F, CCEP, CHRC, CHPC, has over 30 years of compliance experience, including serving on the Board of an Integrated Healthcare System and as former President and Board Member of the Health Care Compliance Association (HCCA).
Jerry is a former Special Agent with the Naval Criminal Investigative Service, a Supervisory Special Agent with the FBI, and a Group Investigations Manager with Microsoft. He has over 35 years of experience in conducting fraud and bribery investigations, international terrorism investigations, mitigating risk, and promoting ethics and compliance programs.
Michael Kotch, CFE, CMAS, CFCE, has over 35 years experience in government health programs, strategic planning, compliance, and provider network management. In addition, he is a seasoned healthcare fraud and financial crimes investigator who has developed and implemented anti-fraud programs and managed Special Investigation Units for several large managed care organizations.
Karen Shade, CISSP, CISA, PMP, specializes in Information Security and Privacy. She is an IT Security and Audit executive and holds certifications in Information Security (CISSP), Information Systems Auditing (CISA) and Project Management (PMP).
Sally Adams, has over 37 years experience in the healthcare management consulting industry in both the public and private sectors, working with all provider types, state and local government, and managed care insurance providers, specializing in Medicaid and Medicare programs.
Maria Herlihy, MS, has 25+ years of experience focused on data sciences & advanced analytics. She has leveraged her Masters in Statistics and Operations Research to perform complex statistical analyses, data interpretation, and pattern detection for healthcare and international clients.
Concetta E. Dudley, JD, CCEP, Master of Bioethiecs, has nearly 30 years of experience serving in various roles including, General Counsel, Compliance Professional, and Strategic Business Advisor. She specializes in ethical and regulatory biotechnology, HIPAA/HI-TECH, and corporate compliance and investigations.