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.
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 longtime Board Member of the Health Care Compliance Association (HCCA).
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).
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.
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
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.
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.
Michael Kotch, CFE, CMAS, CFCE, has over 30 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.
Craig Srsen, MPP, has over 16 years of experience in data analysis and program evaluation, mostly in Medicaid and its associated healthcare programs. He has led or participated in data analysis projects in 25 states and in Canada, primarily focused on public healthcare financing and payment.
Randy Graham has over 15 years of healthcare and financial auditing, compliance forensic dispute & litigation, and consulting experience.
Todd Krause is a CPA with over 20 years of accounting, financial management, and fund administration experience.
Concetta E. Dudley, JD, CCEP, Master of Bioethics, 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, investigations, and conflict management.