AHFI Roster

The individuals listed below, by organization, have earned the Accredited Health Care Fraud Investigator (AHFI®) designation. Established in 2002, the AHFI® designation is a unique professional designation granted by the NHCAA to individuals who meet specific qualifications related to professional experience, specialized training and demonstrated knowledge in the detection, investigation and/or prosecution of health care fraud.

See more information about earning your AHFI® designation.

AHFI® Roster

1199SEIU Benefit & Pension Fund

  • Keenan Emmanuel, MS, CFE, AHFI, RMC

Aetna

  • Linda M. Brislin, AHFI
  • Robbin L. Cizek, AHFI, RN, BSN, LNC
  • Courtney Coates, AHFI, CFE, CPC
  • Linda Cote, AHFI
  • Linda Delaney, AHFI
  • Patricia B. Dralle, AHFI
  • Todd Durler, AHFI
  • Michael L. Fennessy, AHFI
  • Susan Fields, CPC, AHFI
  • Mari Ellen Kiefer, AHFI
  • Tabitha J. Kielb, AHFI, CPhT
  • Andree M. Lebel, MBA, AHFI, CFE, HCAFA
  • Susan A. Lee, RN, CHCQM, CCS-P, AHFI
  • Sandra P. Miller, AHFI, CPC
  • Christine Mozik-Zingale, AHFI
  • Amanda Musel, CPC, AHFI
  • Cherie Ottochian, CPC, AHFI
  • Kathy A. Richer, AHFI, RN, BSN
  • Heather Rickards, HCAFA, AHFI
  • Elizabeth A. Saragusa, MA, AHFI, CFE
  • Jodi L. Smith, AHFI, CPC, CPCO
  • David Zaccheo, AHFI, CPhT

Aflac

  • Karen Collins, AHFI, CFE
  • Sandra L. Frazier, AHFI, FCLS, HCAFA
  • Guy R. Powell, AHFI, CFE, FCLS, CICA

Allegiant Experts, LLC

  • Jessica S. Schmor, RN, CPC, CCS, CHCAF, AHFI, CLNC

Alliance Health

  • Tanya Held, AHFI

Amenity Consulting, LLC

  • Kristen K. Folding, AHFI, RHIA, CCS, CCS-P, CFE, CHDA

AmeriHealth Caritas

  • Vicki S. Bicking, AHFI
  • Edward Dyksterhouse, CPhT, AHFI
  • Malcolm Fletcher, AHFI
  • Yolander Hall, MBA, AHFI
  • Caitlin Jones, AHFI
  • Priscilla R. Leggs, AHFI
  • Kira Lucrezi, CEMA, CPIP, AHFI
  • Kimberly L. Miller, AHFI, CFE
  • Wesley Nichols, AHFI, CFE
  • Erin O'Connor-Pritchard, M.S., AHFI
  • Walter Smith, RN, MBA, CFE, CHC, CPC, CPC-P, CPCO, AHFI
  • Stacy Warner, AHFI
  • Arvin Wright, AHFI
  • Valerie Yow, LMSW, AHFI

AmeriHealth Caritas Iowa

  • Andrea Geier, AHFI
  • Stephanie Jones, RN, AHFI

AmerisourceBergen

  • Rachel DeMaree, AHFI, CHC

Anthem Blue Cross

  • Jessica Palmer, AHFI
  • Anne Louise Smith, AHFI, CFE

Anthem, Inc.

  • Jennifer Allen, AHFI
  • Amy Andercyk, AHFI
  • Stewart R. Balikov, DDS, AHFI
  • Stephen Ballew, AHFI
  • Janet Bonham, AHFI
  • Lorraine Boothe, RN, AHFI
  • Sharron M. Cannella, AHFI
  • Mary Jude Cribbs, AHFI
  • Krystal M. de la Piedra, AHFI
  • Dustin Dibble, AHFI
  • Marcee L. Doherty-Elst, MA, CHIE, AHFI
  • Katie Dragovich, AHFI
  • Maureen Eng-Tan, AHFI, CFE, CPC
  • Haley N. Everson, AHFI
  • Linda Gilbreath, CPC, CPC-I, COC, AHFI
  • Stacy L. Gilhooly, CPC, CFE, AHFI
  • Carrie A. Godby, MS, AHFI, CFE
  • Mary Heevner, D.C., AHFI
  • Phyllis Heller, AHFI
  • Kelly Hensley, AHFI
  • Beverly Hunter, MA, AHFI
  • Anthony F. Ingui, AHFI, CFE, CPC
  • Jamie S. Johnston, AHFI, CFE, CPC, HCAFA, DBA
  • Ayms Lang, MD CPC AHFI CFE
  • Charlene L. Marks, RN, AHFI, HCAFA, CPC
  • Melissa Martin, AHFI
  • Melinda Matzell, AHFI
  • Robert Mays, AHFI, CFE
  • Charles McCall, AHFI, CFI, FCLS
  • James V. McCall, AHFI
  • Trevor McCall Sr., AHFI
  • Amy Mize, RPh, MS, CPC, AHFI
  • Mary Morales, MHSA, RDH, AHFI
  • Sandra M. Nadler, AHFI
  • Amanda Patacsil, AHFI
  • Susan M. Rainey-Biler, AHFI, CFE
  • Carl Reinhardt, AHFI, CPC
  • Veronica Scott, AHFI
  • Justin Seward, AHFI
  • Frances Shirek, AHFI
  • Tina Sinclair, CPC, AHFI
  • Katina Spadoni, DDS, CDC, AHFI
  • Erin Walsh, AHFI
  • Alethea Williams, AHFI, CFE

APWU Health Plan

  • Talbert E. Cuffey Jr., AHFI
  • Stephanie L. McClellan, AHFI

Arete Pharmacy Network, LLC

  • Delia Catalasan, MBA,CFE, AHFI,CPhT

Arkansas Blue Cross Blue Shield

  • Tammy Chastain, AHFI, HCAFA, EMT-B

Artemis Health Inc.

  • Kim Ann Dufour, AHFI, MA

BAE Systems Applied Intelligence, Inc.

  • William R. Palmisano III, AHFI, CFE, CSPO

Beacon Health Options

  • Katie Miller Cossette, AHFI
  • Allison Smith-Holness, AHFI
  • Heather Stuart, AHFI

Blue Cross and Blue Shield of Alabama

  • Margaret Cox, AHFI
  • Lisa W. Johnson, AHFI, CFE, PMP
  • Cindy McKenzie, RN, AHFI
  • Claude W. "Trey" Millican III, AHFI
  • Leah Sheehan, AHFI, RN, CPC
  • Steven Sheppard, AHFI, CFE, CPC, CPhT

Blue Cross and Blue Shield of Kansas

  • Roger Palmer, AHFI, CFE

Blue Cross and Blue Shield of Louisiana

  • Kandyce S. Cowart, AHFI, CFE
  • Darrell Langlois, AHFI, CPA, CIA
  • Latisha Mire, AHFI, CFE

Blue Cross and Blue Shield of Massachusetts

  • Christine Ensko-Spadea, HCAFA, AHFI
  • Martin E. Flood, HCAFA, AHFI
  • Julie Georgoulis, AHFI
  • Matthew Kern, HCAFA, AHFI

Blue Cross and Blue Shield of Minnesota

  • Richard Dickinson, AHFI
  • Melissa M. Entwistle, AHFI
  • Aaron Krinke, AHFI
  • Kelly J. Lunde, AHFI
  • Sonia Metzger, AHFI, CBCS
  • Rick G. Peterson, AHFI
  • Eric Salkowski, AHFI
  • Jennifer Sawyer, AHFI

Blue Cross and Blue Shield of Mississippi

  • Jennifer J. Aultman, AHFI
  • Blair F. Pyron, AHFI
  • Stephen Scott, AHFI

Blue Cross and Blue Shield of North Carolina

  • Ellen Clemens, CPC, AHFI
  • Joseph H. Popillo, AHFI, CPC-A, CPCO
  • Ariel Vazquez, AHFI

Blue Cross and Blue Shield of Rhode Island

  • Sharon M. Dennis, AHFI, CPC, CPC-P
  • Kyla DePonte, AHFI
  • Josie Mazza, AHFI, CFE, CPC

Blue Cross Blue Shield Association

  • Lisa Chase-Craig, AHFI
  • Jacqueline R. Morton, AHFI, CPC

Blue Cross Blue Shield of Arizona

  • Dawn Morgan, AHFI

Blue Cross Blue Shield of Illinois (HCSC)

  • Benjamin Andersen, AHFI
  • Kevin Andersen, AHFI
  • Karla Miller, DC, RN, MS, CPC-P, CPMA, CPCO, AHFI
  • Mary Pray, RN, CCS, CCS/P, CHCA, CHACF, CHCAS, AHFI

Blue Cross Blue Shield of Michigan

  • Nina Burnett, JD, AHFI
  • Daniel Crowell, AHFI
  • David Dunn, AHFI
  • Diana Ford, AHFI
  • Brian Jatczak, AHFI
  • Jill M. Kraczon, AHFI
  • James Martin, AHFI
  • Brian Miller, AHFI
  • Sue Post, AHFI
  • Steve Ryner, AHFI
  • Amy Walker, AHFI
  • Brian Zasadny, AHFI

Blue Cross Blue Shield of Montana (HCSC)

  • Jamie Smith, AHFI, CPC

Blue Cross Blue Shield of Texas (HCSC)

  • Nathan Zimring, AHFI

Blue Cross Blue Shield of Vermont

  • Karen Fondry, RN, BC, AHFI, CPC-P

Blue Cross of Idaho

  • Mindy Scott, AHFI
  • Karen C. Wright, AHFI, CFE

Blue Shield of California

  • Karen Chrisman, AHFI
  • Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI
  • Maria Rodriguez-Ramel, AHFI

BlueCross BlueShield of Kansas City

  • Ashlee Heath, AHFI, CPC
  • Jennifer Waddle, MSW, AHFI

BlueCross BlueShield of South Carolina

  • Karen W. Davenport, AHFI

BlueCross BlueShield of Tennessee

  • Bobby Angel, AHFI
  • Laura A. Bell, CPhT, AHFI
  • Jessica Harrell, CPC, AHFI
  • Christine D. Howser, HIA, PAHM, AHFI
  • Ginger Morrow, CPC, COC, CHC, AHFI
  • Julie M. Wilson, AHFI

Booz Allen Hamilton

  • Afee Roberts, AHFI, CFE

Cahaba Safeguard Administrators, LLC

  • Karen Hurley, AHFI, CFE

Capital BlueCross

  • Dottie Berg, HSA, RN, AHFI, CPC

Capital District Physicians' Health Plan, Inc.

  • Lisa Vickerson, RN, AHFI, CPC, COC , CPMA

Cardinal Innovations Healthcare

  • Amber Burris, MBA/MHA, AHFI, CHC
  • Bobby Carter, AHFI

CareFirst BlueCross BlueShield

  • Alecia Cooke, CPC, AHFI, HCAFA

CareSource Management Group

  • Ann-Marie Asher, CPhT, HCAFA, AHFI
  • Tynetra Bracken, AHFI
  • Nathan Duling, HCAFA, AHFI
  • Dale E. Hockenbery, AHFI, CFE
  • Angela S. Hyatt, AHFI, CPC
  • Lora Jones, AHFI, CFE
  • Janine Kumanchik, AHFI, HCAFA
  • Katherine M. Leff, RN, ALHC, CLU, AHFI, CPC, CFE, CHC
  • Pasquale Leone, HCAFA, CPhT, AHFI
  • Brandon Olinger, AHFI, CPC, HCAFA

Carolinas Center for Medical Excellence

  • Robyn S. Winters, AHFI

Castle Biosciences

  • Jason L. Martin, MBA, CFE, AHFI

Centene Corporation

  • Denise Brown, MS, BSN, RN, CLNC, AHFI
  • Joyce Chinock-Somuah, AHFI
  • Tammi Ciaravino, AHFI
  • Jade Damschroeder, AHFI
  • Amber Edler, AHFI, CFE, CPC
  • Haley Fisher, AHFI
  • Tamiko F. Garrison, AHFI, CFE
  • Kimberly A. Gentry, AHFI, HIA, HCAFA
  • Joey George, RN, BSN, CPC, AHFI
  • Elizabeth Govero, RN, CPC, CEMC, AHFI
  • Talvin T. Herbert, AHFI
  • Bradley Kirkbride, AHFI
  • Lisa-Noelle LeGare, AHFI, CFE
  • Monica Luna, LPN, CPC, AHFI
  • Kay Moore, CPC, AHFI
  • Carol Motley, RHIA, LPN, CPC, CPCO, AHFI
  • Matthew Nickley, CFE, AHFI
  • Meghan Sebaugh, AHFI
  • Lisa M. Sweatland, AHFI
  • Rose Tippy, MA, CPC, AHFI
  • Sandra S. Weston, AHFI

Central Florida Law, LLC

  • Brian T. Forman, JD, AHFI

Central States Funds

  • Deena L. Gallo, BA, AHFI

Central States Health & Life Co. of Omaha

  • Carleen Gerjevic, ALHC, ACS, CIFI, FLMI, AHFI, HCAFA, AIRC

CGI Federal Inc.

  • Andrea Boyd, AHFI
  • Susan DeMay, AHFI, CPC

Change Healthcare

  • Sunday A. Adesina, M,Sc, MPH, AHFI, CFE, CHDA,CPCO, CPC-P,CPMA
  • David William Field, AHFI
  • Jenica Lyon, AHFI
  • Kimberly Nelson, AHFI
  • Debra Riekkoff, AHFI, FLMI, HIA, HCAFA, ACS

Cigna

  • Deanna L. Anderson, AHFI
  • Aneta C.D. Andros, AHFI
  • Brittany Fritz, AHFI
  • Katherine Giuliani, AHFI
  • Michael Goldfarb, JD, AHFI
  • Ronald J. Gontasz Jr., AHFI
  • Briana Hollenbeck, MS, AHFI, CPC, CFE
  • Donna Jallits, AHFI
  • Kizah Kilgore, AHFI
  • Paul Lamay, DC, AHFI CFE CPC
  • Donna L. Lamb, AHFI, HIA
  • Elizabeth Lokiec, AHFI
  • Kayla Maciejewski, AHFI, CFE, CPC-A
  • Daniel J. Nicoll, MD, AHFI
  • Jolanta Nowak, AHFI
  • Sean Petree, AHFI
  • Kiersten Purves, AHFI
  • Lisa Speranzo, AHFI

Cigna-HealthSpring

  • Mark Halbach, AHFI, CPC
  • Yvette Spalding, AHFI

ClaimSecure Inc

  • Mostafa M. Shaheen, MD, MBA, CFE, AHFI, ACFS, PMP

Clever Care Health Plan

  • Andrei Barlahan, MBA, AHFI

Coding Continuum, Inc.

  • Christina Melnykovych, BS, RHIA, CFE, AHFI

Codoxo (formerly Fraudscope)

  • Rena V. Bielinski, PharmD, AHFI

Community Behavioral Health

  • Kenneth Inness, AHFI

Community Care Plan

  • Rosa Castellanos, AHFI

Community Health Choice

  • Andrea Lopez, MSM, AHFI
  • Ramona Turner, MHA, AHFI, CPC, CPC-H

Comply Systems, LLC

  • Carol A. Daniels, AHFI

CONDUENT, Inc.

  • Jennie Tupas-Peou, CPhT, AHFI

ConnectiCare

  • Patrick D. Hurley, AHFI

Context 4 Healthcare, Inc.

  • Steve Nesnidal, MD CPC AHFI

Continuum Security Solutions

  • Jeffrey J. Matza, AHFI, CFE

Convey Health Solutions

  • Susan Garofolo, AHFI

Cotiviti, Inc.

  • David A. Bohnenstingel, AHFI
  • Denese Ellis, AHFI
  • Martin L. Estell, AHFI, CSPO, CSM
  • Laurie Jamieson, AHFI
  • Stacey Lemmons, RHIT, AHFI
  • Angela Mitchell, AHFI
  • Douglas Moore, AHFI, CFE
  • Megan Morrison, AHFI
  • Rhonda L. Nelsen, RN, BS, AHFI
  • Melanie Poole, RN, BSN, AHFI
  • Erin M. Rutzler, AHFI, CFE, CPC
  • Lindsay Sullivan, AHFI

Coventbridge (USA) Inc.

  • Anita Fuqua, AHFI

CVS Health

  • Todd P. Hains, CPhT, AHFI
  • Robert Hurd, AHFI

CVS/Caremark, Inc.

  • Michael Cariddi, AHFI, CFE, CPhT
  • Darunee Flatray, AHFI, CFE
  • Robert H. Page Jr., MS, CPhT, AHFI

Dean Health Plan

  • Joanne L. Green, AHFI, CFE, HCAFA, HIA

Delaware Department of Insurance, Fraud Prevention Bureau

  • Edwin R. Barker, AHFI
  • Stephen Kutch, AHFI

Delta Dental of Arizona

  • Kathy Morrow, AHFI

Delta Dental of Kansas

  • Kathryn Beal, AHFI

Delta Dental of Michigan, Ohio & Indiana

  • Christine J. Danford, AHFI
  • Tammy Forman, AHFI

Delta Dental of Virginia

  • Kimberly A. Brown, RDH, AHFI
  • Patricia M. Shifflett, RDH, AHFI

Delta Dental Plans Association

  • Mark Franklin, AHFI

Easterseals UCP NC & VA

  • Jelore S. Little, MBA, AHFI
  • Denise Mannon, AHFI, CHPC

Elixir

  • Detra Gunn, AHFI

EmblemHealth

  • Gayle Esposito, RN, CPC, AHFI
  • Christopher Lupo, AHFI
  • Chavonne D. Slade, AHFI, CFE

Envolve Health

  • Katherine Bass, AHFI

Evolent Health

  • Mary L. Beach, AHFI, CFE, HCAFA, HIA, MHP

Excellus Blue Cross Blue Shield

  • Margaret Paris, AHFI

EXP Healthcare Consulting, LLC

  • Sandy Newstein, RN, CPC, CPC-P, CPC-H, CPUR, AHFI, CPMA, CCDS

Express Scripts, Inc.

  • Jessica Casanover, AHFI, MBA
  • Harriet M. Lewis, MBA, AHFI, CFE, CPC
  • Blake Stockwell, CPhT, AHFI

Fidelis Care New York

  • Harry B. Guglielmo, AHFI

Florida AHCA, Bureau of Medicaid Program Integrity

  • Maureen Barker, AHFI
  • Fred Becknell, AHFI
  • Kelly A. Bennett, JD, CFE, AHFI
  • Dawn Coste, AHFI
  • Stephanie Gregie, LCSW, AHFI
  • Timothy Helms, MHSc, LDO, AHFI
  • Cymeia Hill, AHFI
  • Karen Isch, AHFI
  • Ann Kaperak, AHFI, CFE
  • Karuna Khan-Gordon, AHFI
  • Angel Morales, AHFI
  • Gina Nerey, AHFI
  • Trevor Phipps, AHFI
  • Robert Reifinger, AHFI
  • Jesus H. Rossello, AHFI
  • Tracy Ryder, AHFI
  • Ramona Stewart, AHFI
  • Penny Taylor, AHFI
  • Jessica Zimmerman, AHFI

Florida Blue

  • Maria E. Guerrero, CFE, AHFI
  • Dawn Murphy, AHFI, CPC, COC, CPC-P, CPB
  • Jose Manuel Ramos, AHFI
  • Mary C. Tejada, AHFI, CFE, CPC-P, CICA
  • Timothy Thacker, AHFI
  • Sabrina B. Vera, AHFI

Florida Dept of Management Services, Division of State Group Insurance

  • Jim K. Hampton, AHFI

Fraud Solutions

  • Erin K. Smith, AHFI, CFE

Gainwell Technologies

  • Erica Marshall, MSW, AHFI

Gallagher Benefit Services

  • Leslie Leach, AHFI

Gateway Health Plan

  • Melissa S. Berdell, DHCE, MS, AHFI, CFE, CHC

Geisinger Health Plan

  • Susan Leitzell, CPhT, AHFI

Geisinger Health Plan

  • Kathy Coslett, AHFI

General Dynamics Information Technology

  • Christopher Canfield, AHFI, CFE
  • Barbara Ann Connolly, AHFI
  • Brandon R. Duffek, CFE, AHFI
  • Mark D. Starinsky, AHFI, CFE, CHC

GeoBlue

  • Pieter Rijken, AHFI

Guardian Life Insurance Co.

  • Brian M. Bannon, AHFI
  • Kelly Gillespie, AHFI
  • Deborah L. Palmeri, AHFI
  • Lori Retort, AHFI

Guardian/Avesis

  • O. Andy Elliott, DMD, AHFI
  • Jonathan W. Rich, DMD, CDC, AHFI

Harvard Pilgrim Health Care, Inc.

  • Brian Robinson, CFE, AHFI
  • Jessica Silverman, AHFI, CPC, CEMC, CFE

Health Care Service Corporation

  • Steven J. Adams, AHFI
  • Stephanie Tabak, AHFI

Health Net Federal Services Tricare

  • Miguel Bryant, AHFI
  • Kelly R. Carpenter, PMP® AHFI
  • Mark A. Nelson, MA, SA (Ret), AHFI
  • Rita Uhren, CPC, AHFI

Healthcare Fraud Shield

  • Debbie Brandenburg, RN CPC CPMA CEMC AHFI
  • Kenneth M. Cole III, AHFI, CFE, CPC
  • Cassandra L. Roberts, AHFI, CPC
  • Maria Seedorff, DC, AHFI, CPC
  • Kathleen A. Shaker, RN, BSN, CPC, CPC-H, AHFI
  • Jennifer Steffee, RN, BSN, AHFI, CPC, CPMA
  • William E. Van Fleit, AHFI
  • Shannon Webster, AHFI
  • Karen Weintraub, AHFI, CPC-P, CPMA, MA

Healthfirst

  • Kimberly Breininger-Starling, MHA, CPC, AHFI
  • Shakeema C. Thom, AHFI

HealthPartners, Inc.

  • Thea Ann Lind, RN, AHFI

Highmark

  • Tina Beall, BSN, RN, AHFI, CPC, COC
  • Earl D. Bock, AHFI, CIFI, HCAFA
  • Susan M. Collare, AHFI, CFE, CPHT
  • Latrisha Oswald, MSFS, AHFI, CFE
  • Kathy E. Piccioni, AHFI, CFE
  • Elizabeth Schreiner, CPC, AHFI
  • Deborah V. Wright, AHFI, HCAFA

HMS, Inc.

  • Kevin P. Bradley, MA, AHFI
  • Shirley P. Vosika, AHFI, CFE, MBA

Horizon Blue Cross Blue Shield of New Jersey

  • Lorraine Buckman, AHFI
  • Douglas E. Falduto, AHFI
  • Jennifer Kovaly, CPC, AHFI
  • Mathew B. Lawrie, AHFI
  • Megan McCarthy, AHFI
  • David Menendez, AHFI
  • Paul Michael Thomas, AHFI

Humana, Inc.

  • Debra Anderson, AHFI, HCAFA
  • Adela Banawis, AHFI, CFE
  • Mary L. Ducat, AHFI
  • Deborah L. Hill, AHFI
  • Christa J. Jewsbury, JD, CFE, AHFI
  • Tammy Jones, MSN, RN, NE-BC, AHFI, CPC, CRC
  • Deanne M. Ketterer, AHFI
  • John Kimble, AHFI
  • Bruce McClure, AHFI, CPA
  • David S. Popik, AHFI, CFE
  • Dexter Price, AHFI, CFE, CFS
  • Jared Russell, AHFI
  • Kayla Schaeffer, CPA, CFE, AHFI
  • Paula Stankevitz, AHFI, CPC
  • Lesa Stevenson, RN, CPC, CPC-H, CCS, AHFI
  • Ksenia Strobel, RN, CPC, AHFI
  • Jeffrey M. Wickwire, AHFI
  • Benjamin Wilbur, AHFI, CFE
  • Chunmiao Ye, CPC-A, AHFI

Husch Blackwell LLP

  • Brian G. Flood, AHFI, CIG, CFS, CHC

IBM Watson Health

  • Sarah Albers, AHFI
  • Jonathan Boylan, AHFI
  • Heidi Bryan, AHFI
  • Christine Caufield, AHFI
  • Zachery Charlson, AHFI
  • Michelle Cobden, AHFI
  • Daryl Fair, AHFI
  • Kristine Knutson, AHFI
  • Michael S. Kromer, AHFI, CFE
  • Suzette Long, RDH, AHFI
  • Jane A. Naig, RN, AHFI, CFE
  • Lindsey Phelps, MBA, RHIA, CHDA, AHFI
  • Jillian Scalvini, AHFI
  • Amy Thomas, AHFI

Independence Blue Cross, LLC

  • Shamar L. Best, AHFI
  • Justin Cottrell, AHFI
  • Christopher E. Deery, CFE, AHFI
  • Glenn Forte Jr., AHFI

Independent Health

  • Teresa Stonebraker, RN, CPC, AHFI

Integrity Advantage

  • Jala Attia, AHFI, CFE, CHC
  • Cambria Day, AHFI
  • Jessica Gay, AHFI, CPC, CFE

International SOS

  • Keri Andrews, MS, AHFI

Jeff & Marci Barnhart Enterprises, LLC

  • Marci Barnhart, AHFI, COC

John Hancock Financial Services

  • Carmen E. Russo, AHFI, CFE

Kaiser Permanente

  • Denise Barrow, AHFI
  • Jeffrey Fairbanks, AHFI, CFE, CPC
  • Luz M. McCullough, RN, MSN, AHFI, CPC, CCS
  • Ericson Salmo, MD, CCS, CRC, AHFI
  • Mike Shen, AHFI

KPMG, LLP

  • Holly Atkins, M.Ent., CFE, CGAP, CHC, AHFI

L.A. Care Health Plan

  • Joe T. Christensen, AHFI, CWFI
  • Patricia Luna, AHFI
  • Edd Malone Jr., CFS, AHFI
  • Dahlene M. Smith, AHFI

LeBauer Behavioral Medicine

  • Kathleen Lindner Collins, MA, LPC, NCC, AHFI

Liberty Dental Plan

  • Rebecca Nichols Gould, AHFI
  • Mary Grace Vanatta, AHFI

Louisiana Department of Health

  • John Korduner, JD, AHFI

Magellan Health, Inc.

  • Wendy J. Bohannon, AHFI
  • Vanessa Emlich, CFE, CPhT, AHFI
  • Patricia Hoofnagle, AHFI
  • Noelle Richardson, CPC, AHFI
  • Gabriel J. Sena, MA, LPCC, CPC, AHFI

Mastercard International Incorporated

  • Tim McBride, CPC, AHFI

Mayo Clinic

  • April Carlson, MBA, AHFI, CFE, CPC, CPhT

Medica Health Plans

  • Nancy Holt, HCAFA, AHFI

Medicaid Fraud Control Division, Tennessee Bureau of Investigation

  • Sheila Finlason, AHFI

Medicaid Fraud Control Unit of Florida, OAG

  • Touckay L. McCurdy, AHFI
  • Joseph Ricci, AHFI

Medicaid Fraud Control Unit of Indiana, OAG

  • Andrea Anderson, AHFI
  • Ronnie Formyduval, AHFI
  • Tina M. Hampshire, AHFI
  • Rebecca Reinhard, AHFI
  • Sherri Taylor, AHFI

Medicaid Fraud Control Unit of Louisiana, OAG

  • Katherine Ross Collins, AHFI
  • Glynn B. Edwards, AHFI
  • Myra L. Lafleur Bates, AHFI
  • Erin L. McAlister, AHFI
  • Todd G. Scioneaux, AHFI, CFE

Medicaid Fraud Control Unit of Mississippi, OAG

  • Randolph Brown, AHFI, CFE
  • David L. Domino, AHFI

Medicaid Fraud Control Unit of Oregon, DOJ

  • Pamela Graham, AHFI

Medicaid Fraud Control Unit of West Virginia, OAG

  • Michael Taylor, AHFI

Medical Affairs Partners, LLC

  • Fred F. Holt, MD, JD, AHFI

Medical Card System, Inc.

  • Olgamarién Castillo Aguiar, JD, AHFI, CFE, CHC, CHPC
  • Shayra Martinez Arcelay, RN, RHIA, AHFI

MetLife

  • Dorene Whaley, HCAFA, AHFI

MetroPlus Health Plan

  • Shawn Mullen, AHFI
  • Linda Osborn, AHFI, CFE, CPC, CEMC, CPMA, CCS

Midwest Medical Examiners Office

  • Cheryl Witsoe, AHFI

Minnesota Department of Human Services, OIG

  • Rachel Lewis, AHFI, CPC

MMM Holdings, LLC

  • Gilberto J. Alvarado Serrano, AHFI, CFE, JD

Moda Health

  • Toni L. Slocum, AHFI, CPC, CPC-P

Molina Healthcare, Inc.

  • Regina Hedman, AHFI, CFE
  • Sergio Rosales, AHFI
  • Lorna Smith, AHFI
  • Shane O. Tiernan, AHFI

MVP Health Care

  • Sandra Caffarella, RN, CPC, AHFI
  • Rocco Cordato IV, ACAMS, AHFI

My Care Alabama

  • Presley Rebman, AHFI, CFE, PMP

Myers and Stauffer LC

  • Melissa Parks, CFE, AHFI
  • Toni Prine, RPH, CPC, AHFI

NALC Health Benefit Plan

  • Karen L. West, AHFI

National Enforcement Investigation Agency

  • Garry Williams, PhD, AHFI

National Health Care Anti-Fraud Association

  • Cynthia A. Lucas, AHFI

Navitus Health Solutions

  • Traci M. Ahola, AHFI

NCI AdvanceMed Corporation

  • Sharon M. Doorley, RN, AHFI, CPMA

Nebraska Department of Insurance, Insurance Fraud Prevention Division

  • Kimberly P. Church, SCLA, CIFI, AHFI
  • Charles P. Starr, SCLA, CIFI, AHFI

Needles & Associates, LLC

  • Alma Vazquez-Hernandez, AHFI

New Directions Behavioral Health, LLC

  • Jill Carraher, LMSW, AHFI
  • Kendra Daniels, LPC, AHFI
  • Veronica Highley, MA, LPC, AHFI

New Jersey Office of the State Comptroller, Medicaid Fraud Division

  • Jennifer Cregg, AHFI, CPC

New York Life

  • Richard J. Matarante, AHFI, CFE

North Carolina Dept. of Health & Human Services

  • Susan Bryan, MBA, AHFI, NCI
  • Donde Jones, AHFI

NovoDynamics

  • Greg Hunter, AHFI, CPC

Optima Health Plan

  • Caroline L. Abenante, AHFI, CPC

Optum

  • Betzaida Arroyo, D.M., MBA, AHFI
  • Jennifer Corinella, CFE, AHFI
  • Holli A. Dexter, AHFI
  • Susan Gibbs, AHFI
  • Christopher Hensley, CFE, AHFI
  • Angela Herald, LPN, MBA, HCA, AHFI
  • Blake C. Hughes, AHFI, MPA
  • Jacob Kearney, AHFI
  • Deborah M. Kreps, AHFI, CPC, HIA
  • Dwayne Luby, AHFI, CPA, MBA, CFE
  • Traci Mack, MBA, AHFI
  • Gwen Masser, AHFI
  • Gisele Moses, AHFI
  • Tara Nauha, AHFI
  • Diane Paturalski, RN, MHSA, CCS-P, AHFI
  • Christy A. Torres, AHFI
  • Michele M. Woodbury, AHFI, CPC, HCAFA

Optum/QSSI

  • Olive Page Fleury, AHFI

OptumRx

  • Susana Cabrera, CPhT, AHFI
  • Tiffany Mlodzik, MA, AHFI, CFE, CPhT
  • Lisa Regalado, MSPharm, CPhT, AHFI
  • Mandy Rhubin, MBA, AHFI, HCAFA, CPhT

Oscar Insurance Corporation

  • Nicole Matty, AHFI
  • Shauna Vistad, CFE, CPC, CFI, MBA, AHFI

Palmetto GBA

  • Marlena R. Harris, AHFI, ACFE, CFE
  • Barry McManus, AHFI, ACFE, CFE
  • Kathy Spires, AHFI
  • Laurie Wiese, AHFI, CFE

Partners Behavioral Health Management

  • Michael Bomar II II, LCSW, AHFI
  • Julie Pitt, MSW, LCSW, AHFI
  • Summer Surratt, MS, AHFI

PBMares, LLP

  • Adahzell T. McMillan, AHFI

Penstock

  • Jeffrey A. Snyder, AHFI

Performant

  • Ted Doyle, MA, AHFI, CFE, CIFI

PGBA, LLC/TRICARE

  • Robin Holland, AHFI

Pharmacy Investigators and Consultants

  • Susan A. Hayes, AHFI, CPhT

Physicians Health Plan of Northern Indiana, Inc.

  • Janice R. Konchalski, RN, AHFI, COC, CPC, CPC-P, CRC, CFPC, CPEDC

Pivot Health

  • Mindy L. Stadel, FMLI, PCS, AHFI

Plessen Healthcare

  • William R. Banter, AHFI, CFE

Preisch Audit & Investigations

  • Steven P. Price, AHFI, CFE, PI

Premera Blue Cross

  • Ingrid Gaurys, AHFI
  • Laura H. Hunter, AHFI, HCAFA, CPC-P, CFE
  • Gena L. Rooney, AHFI, CFE, CCEP, CPC, CPC-P, CPMA, CPCO

Presbyterian Health Plan

  • Mary Alice Jamison, AHFI, CPC, HCAFA, CHC

Presbyterian Health Plan

  • Sandra J. Brewer, LPN, CMAS, CPC, AHFI
  • Jennifer Sample, B.S.B.A., HCAFA, AHFI

PricewaterhouseCoopers LLP

  • Mark Anderson, MBA, AHFI
  • Sherri Ballou, RPh, AHFI

Prime Therapeutics LLC

  • Michael Ihrke, AHFI
  • Jared Mendoza Duenas, AHFI

Priority Health

  • Annette DeGraaf, RHIA, CCS-P, AHFI
  • Brenda Gross, RN, BSN, AHFI

Probity Financial Services

  • Gayle Ann Seyl, AHFI, CFE

ProCode Compliance Solutions, LLC

  • Alicia Shickle, AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC

Prominence Health Plan

  • Kristin Griego, AHFI

Provider Resources, Inc.

  • Marie L. Templeman, MSA, PMP, CCS, AHFI

Purisolve, Inc.

  • Humberto Marrero, AHFI, CFE

Qlarant

  • Trudy Bell, AHFI
  • Dana Causey, AHFI, CFE
  • Rachael Lozano Cheleuitte, CFE, AHFI
  • James Conroy, MS, CFE, AHFI
  • Nancy K. Downes, BSN, RN, AHFI
  • Polly C. Lacoco, RN, AHFI, CPC, HCAFA
  • Christopher Mabile, CFE, AHFI
  • Wendy L. Naquin, AHFI, CPC
  • Kay Rankin, MD, MBA, AHFI, CFE, CPC, CPC-H
  • Jeffrey D. Sells, AHFI
  • Lynda Stewart, AHFI
  • Carrie Ward, AHFI, CFE
  • Stephen Scott Ward, AHFI, CFE

SafeGuard Services, LLC

  • Ruth Morin, AHFI
  • Christianne Sucher, AHFI
  • Kristi B. Van Slyke, AHFI

SAS Institute Inc.

  • Benjamin S. Wright, AHFI, CDP

SelectHealth

  • Jason L. Bailey, AHFI

Sempra Energy

  • Teresa L. Cooper, AHFI

Social Security Administration, Office of Anti Fraud Programs

  • Mark Majestic, AHFI, CFE

South Carolina Department of Health & Human Services

  • Catherine S. Hyman, ALHC, AHFI, CPC-A
  • Althea B. Myers, AHFI, CFE, CFS, CPM, NCI
  • Larry Overbaugh, AHFI, CPC

Specialized Medical Investigations, Inc.

  • Vicki Kirby, AHFI, CPC, MS

Sterling Life Insurance

  • Susan Durham, MBA, AHFI

SureBridge Insurance

  • Elizabeth Bullinger, AHFI
  • Debbi Cheatham, AHFI
  • Kristi Colbert, AHFI
  • Taryn S. Risucci, MBA, AHFI, MPM, PMP

T&M USA LLC

  • Anthony Spaventa, AHFI

Tapp Agency LLC.

  • Dana Crenshaw, AHFI, CFS

Tenet Healthcare

  • Joanne Thompson, AHFI, CHC, CCEP, LPEC

Texas Health & Human Services, OIG

  • Glynn Bell, CFE, AHFI, CFI

The MITRE Corporation

  • Lisa R. Cannady, RN, BSN, CPC, AHFI
  • Amber L. Fee, AHFI, CPC
  • Alanna M. Lavelle, AHFI, MS, CPC

The van Halem Group

  • Wayne H. van Halem, AHFI, CFE

Thomson Reuters

  • Kristen Koelle, AHFI, CPCO, CEMA
  • Gregory Riley, MSN, RN, CPC, AHFI

Travelers Insurance

  • Kristen Rouch, AHFI, CFE
  • Brent Walker, SCLA, AHFI

Trillium Health Resources

  • Katie Hewitt, AHFI
  • Julie Kokocha, AHFI
  • Amanda M. Willett, MS, CHC, AHFI

TriWest Healthcare Alliance

  • Susan Foreman, AHFI

Trusted Third Party

  • Daniel Kreitman, CFE, AHFI

Trustmark Insurance Company

  • Pamela S. Ankley, AHFI

Tufts Health Plan

  • Patricia A. Ganley, RN, AHFI

U.S. Dept. of Defense, Defense Health Agency

  • Alison Coleman, AHFI, CFE, CHC,CCS-P, CPC, CPCO, CEMC
  • Tom Coufal, AHFI
  • James Gogue, M.A., CFE, AHFI
  • Timothy A. Hockert, CFE, AHFI
  • Cindy Roegner, MS, AHFI, CFE
  • Don E. Wunderlin, MS, AHFI, CFE

U.S. Dept. of Health & Human Services, CMS

  • Lawrence Ball, AHFI, CFE
  • Gina G. Bertram, AHFI
  • Elizabeth Brady, AHFI, CFE
  • Ilene S. Jacob, RN, AHFI

U.S. Dept. of Justice, Federal Bureau of Investigation

  • Larry Guerin, CFE, AHFI

U.S. Dept. of Labor, Office of Workers' Compensation Programs, Division of Federal Employees' Compensation

  • Eric King, AHFI, CFE

U.S. Dept. of Veterans Affairs, Office of Community Care, Directorate of Business Integrity & Compliance, Dept. of Program Integrity

  • Shawn O'Neill, AHFI

United Concordia Companies, Inc.

  • Jill D. Williamson, AHFI

United States Attorney's Office, Central District of Illinois

  • Thomas E. Henrikson, CPA, AHFI, CFE

United States Attorney's Office, Middle District of Florida

  • Kevin M. Codol, AHFI

United States Attorney's Office, Middle District of Georgia

  • Donna J. Davis, AHFI, CFE

United States Attorney's Office, Southern District of Texas

  • Rosemary Moll, AHFI, CFE

UnitedHealth Group

  • Joseph Croce, AHFI, CFE
  • Mary A. Hull, RN, CCS-P, AHFI

UnitedHealthcare Investigations

  • Mia Alderete, CPC, CCS-P, CFE, CHISP, AHFI
  • Mabel Louisa Barnes, MHA, AHFI
  • Matthew Berls, MA, AHFI
  • Jennifer Boren, MBA CPhT CFE AHFI
  • Patricia C. Bramlet, AHFI
  • Alena Dietz, CPhT, AHFI
  • Lisa Hagen, AHFI, HCAFA
  • John M. Haney, AHFI
  • Bridgett A. Hard, AHFI
  • Andrea C. Johnson, MHA, AHFI
  • Kelly A. Kalemba, AHFI
  • Thomas D. Laurila, CFE, AHFI, CPCO
  • Jeffrey G. Lewitzke, AHFI
  • Bob Lucyk, AHFI
  • Brianne McCort, CFE, CPC, AHFI
  • Richard E. Munson, AHFI
  • Melissa Nevala, AHFI, CFE
  • Wendy Pellett, RN, RHIT, CPC-P, AHFI
  • Shatina Ray, AHFI
  • Robert Rivers, CFE, AHFI
  • Lucy Russo, CPC, AHFI
  • Cynthia Simmons, AHFI
  • Christine Staats, AHFI
  • Kelly Tobin, AHFI, CFE
  • David Webb, AHFI, HCAFA

UnitedHealthcare/Optum

  • Raymond Alamo, AHFI
  • Stephanie Baumert, AHFI, CPC
  • David Beachler, AHFI
  • Paulina N. Davis, JD, CPC, AHFI
  • Roberta Ferlita, ALHC, FCLA, AHFI
  • Celia Fernandez, AHFI
  • James L. Guy II, CFE, AHFI
  • Roberta Hooyman, HIA, AHFI
  • Grace Kopakow, AHFI
  • Jaime Leyden, AHFI, CPC, CPC-H
  • Annel Llanes, AHFI
  • John J. Logan, AHFI, CFE, CFS
  • Julie N. Miller, AHFI
  • Lynne A. Reed, AHFI, CPC
  • Adam K. Rich, DMD, AHFI
  • Amy Sellers, AHFI
  • Dawn E. Voris, AHFI, COC, CPC, CPC-P
  • Claire M. Wrisley, AHFI, CFE

Univera Healthcare an Excellus Company

  • Sharon Cortese, RN, AHFI

UPMC Health Plan

  • Heidi Beggan, RN, BSN, AHFI, CPC, CPMA
  • Richard M. Celko, DMD, MBA, AHFI
  • Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
  • Kathy Kokal, AHFI
  • Eleanor Medved, RN, MSN, AHFI

Vaya Health

  • Donna Baker Oliver, LCSW, CI, AHFI
  • Anthony Philmon, AHFI
  • Tina Takala, AHFI

Verisk Insurance Solutions

  • Alisha Evans, CPC, AHFI
  • Julie Jensen, CPC, AHFI
  • Lori Olsen, AHFI, CPC
  • Corie Thomas, AHFI, CPC

Verisys Corporation

  • John P. Benson, JD, AHFI, CFE, CIFI
  • Richard Duggan, AHFI

Virginia Department of Medical Assistant Services

  • Louis Elie, AHFI

Vision Service Plan

  • Thomas M. Jones, AHFI, CFE, CPO
  • Jennifer Mahoney, AHFI, CFE, CPO
  • Brent J. Riddles, AHFI, CFE
  • Monica Shriver, CFE, CPO, AHFI
  • Brandon Utterback, CFE, AHFI

Viveka Health

  • Laurent Laor, AHFI

Well Sense Health Plan

  • Katherine Boutin, JD, CFE, AHFI

WellCare

  • Jacquelyn Autie, AHFI
  • Christopher H. Horan, CCEP, AHFI
  • Latanya Johnson, AHFI
  • Cheryl A. Lowry, CFE, AHFI
  • Lori Peters, AHFI
  • James Eric Shell, AHFI

Other Organization

  • Joanne Allison, RN, AHFI, CCM, PA
  • Lynn Anderton, RN, AHFI, CPC
  • Joanna M. Andrade, AHFI, CFE, CPC
  • Stanley Ayers, DDS, AHFI
  • Brittany Bechtel, AHFI
  • Carolyn J. Bennett, HIA, AHFI, HCAFA
  • Clark J. Bolton, JD, AHFI, CFE
  • Dan S. Bowerman, DC, DABCO, AHFI, CPC, DABCC
  • Virginia Brandt, AHFI
  • Kurt Bremer, AHFI
  • Thomas P. Brennan Jr., AHFI
  • Dawn E. Brinkley, AHFI
  • Amanda Brown, MBA, AHFI
  • Thomas J. Cantwell, AHFI, CFE
  • William E. Capps, AHFI, CFE, FCLS
  • Richard Carbone, AHFI
  • Nadine Y. Casey, AHFI
  • Ryan Cleverly, AHFI
  • Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
  • Karen Dunn, AHFI
  • Pamela Durant, MSN, RN, CPC, AHFI
  • Kay Eckroth, DDS, CDC, AHFI
  • Edward Eklund, LCSW, AHFI
  • Lisa M. Ellis, RN, CPC, AHFI
  • Jennifer L. Fitzgerald, Ph.D., LMHC, CFE, AHFI
  • Flora Focarino, AHFI
  • David M. Ford, AHFI, CFE
  • Adolfo Garcia, AHFI
  • Kelli L. Garvanian, AHFI
  • Darrell Gates, AHFI
  • Sharon Gilmore, AHFI, CFE
  • Sharon Green, AHFI, CFE
  • Karen Gwinn, AHFI, CFE
  • R. Kathleen Hallinan, AHFI, CFE
  • Carolyn Ham, JD, AHFI
  • Diane M. Hedges, MBA, CFE, AHFI
  • Dave Hennings, AHFI, CFE
  • Edward L. Hewitt Sr., AHFI, CFE
  • Bernard A.K.S. Ho, AHFI, MBA, CFE
  • Pamela Horn, AHFI
  • Miko Hughes, ACFE, CFE, AHFI
  • Karen Kinser, AHFI
  • Mary Kiteley, AHFI
  • Brian Koch, CPC, AHFI
  • Sharon D. Kvasnicka, AHFI
  • Brian A. Lane, AHFI, CFE
  • Stefanie Lawrence, RN, BSN, AHFI, CPC
  • Howard Levinson, DC, AHFI, CFE, DABFP, CPC
  • Lois H. Lovejoy, AHFI, CPC, CPC-P, HCAFA
  • Julie Lowrie, AHFI, CFE, CEBS
  • Cynthia W. Makara, AHFI
  • John T. Malloy, AHFI
  • Thomas E. Mills, CFE, AHFI
  • Shirley A. Mize, RN, CPC, AHFI
  • Marguerite Mzhickteno, AHFI, CPC
  • Tammy O'Hare, AHFI
  • Doreen A. Paola, AHFI, CPC
  • Bonnie Parenteau, AHFI, FCLS, BSRN
  • Gerardo Patrizio, AHFI
  • Megan Pedersen, AHFI
  • Richard Pierce, MBA, CFE, AHFI, CPIP
  • Jack L. Price, AHFI, ALHC, CFE
  • Roger I. Purnell, AHFI, CFE
  • Marca Reese, AHFI
  • Daniel Reutlinger, AHFI, CFE
  • Lisa Robinson, AHFI
  • Michael Robinson, CFE, AHFI
  • Rose M. Sabo, AHFI, MPA
  • Deon L. Scaife, AHFI
  • Susan P. Schultz, AHFI, CPC-H
  • Barbara Scott, BSN, RN, CPC, CFE, AHFI
  • Jean L. Sexton, AHFI
  • Mitchell K. Sherrod, MPA, BSCJ, AHFI
  • Teresa C. Shirley, AHFI
  • Cynthia Steedman, RN, BSN, AHFI, CPC, HCAFA
  • Barbara A. Stencil, AHFI
  • Judy Taylor-Fischer, AHFI
  • Cissy Walker, AHFI, RHIA, CFE
  • Phyllis Watson, JD, AHFI
  • Jon P. Wengronowitz, AHFI
  • Frances White, AHFI, CFE
  • Ray G. Winfield Jr., AHFI
  • Janice M. Winston, AHFI

Member Benefits

NHCAA offers membership categories for health insurers, governmental entities, and other companies and organizations that support the NHCAA Mission, as well as individuals, who want to join us in the fight against health care fraud.

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