COMPLIANCE CONSULTANTS AND ADVISORS

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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.  

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Nancy Roht, CHC, has over 20 years healthcare governance, compliance, ethics, and research professional experience serving in academic settings, multistate integrated healthcare systems, and non-profit and for-profit organizations.

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.   

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Jim Rough President SunHawk Consulting
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Martin Biegelman, CFE, CCEP, PI, 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.

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Wendella Howell-Bell has over 26 years of experience as a healthcare executive with a progressive and diverse background in commercial managed healthcare settings and government programs.

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Leah Lane, CFE, has over 31 years of combined global public and private sector fraud and ethics investigative experience. She has expertise involving allegations of FCPA violations, internal and external fraud, and employee misconduct. She is a lecturer and instructor on corporate ethics compliance programs, fraud investigations and prevention, and anti-bribery issues.

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Denise Atwood, JD, RN, CPHRM, has over 10 years of experience in risk and quality management, clinical research, EMTALA, and corporate ethics.

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Etosha McGee, CPC, CRC, CDEO, has over 15 years in CDM maintenance,  compliance, strategic pricing, revenue integrity program development and CMS regulations and claims review.

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Douglas Small, CPA, CFE, CFF has over 30 years of experience in fraud investigations, forensic accounting, and anti-corruption consulting services.

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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.

 

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Marc Lato, MD  is a physician executive with over 20 years of experience in managed care and compliance in Medicaid, Medicare and within hospital/healthcare systems. 

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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.  

Jan Elezian Colorado Healthcare Compliance Expert

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.

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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).

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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.

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Chris DePIPPO, ECI-LPEC, CCEP is a risk and compliance leader with 20 years of advisory and executive experience in Fortune 125 companies. From 2008-20 Chris was Chief Ethics and Compliance Officer of DXC Technology where, in response to an SEC investigation of then-CSC, DXC’s predecessor company, his efforts to build and lead effective ethics and compliance and internal investigations programs were the centerpiece of CSC’s cooperative remediation efforts.