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
Advize Health
- Joseph Croce, AHFI, CFE
- Heather Rickards, HCAFA, AHFI
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
- 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
- Garry Williams, PhD, AHFI
Aflac
- Guy R. Powell, AHFI, CFE, FCLS, CICA
AlaHealth
- Presley Rebman, AHFI, CFE, PMP
Allegiant Experts, LLC
- Jessica S. Schmor, RN, CPC, CCS, CHCAF, AHFI, CLNC
Alliance Health
- Tanya Held, AHFI
- Jelore S. Little, MBA, AHFI
AmeriHealth Caritas
- Stacy Batson, AHFI
- Vicki S. Bicking, AHFI
- Tonya Carter, CPC, AHFI
- Edward Dyksterhouse, CPhT, AHFI
- Malcolm Fletcher, AHFI
- Andrea Geier, AHFI
- Yolander Hall, MBA, AHFI
- Caitlin Jones, AHFI
- Meghan LaChapelle, AHFI
- Trevor McCall Sr., AHFI
- Kimberly L. Miller, AHFI, CFE
- Wesley Nichols, AHFI, CFE
- Erin O’Connor-Pritchard, MS, AHFI
- Walter Smith, RN, MBA, CFE, CHC, CPC, CPC-P, CPCO, AHFI
- Heather Stuart, AHFI
- Valerie Yow, LMSW, AHFI
AmeriHealth Caritas Iowa
- Stephanie Jones, RN, AHFI
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
- Dana Barfield, AHFI
- Janet Bonham, AHFI
- Lorraine Boothe, RN, AHFI
- Anna Bowen, CPC, AHFI
- Sharron M. Cannella, AHFI
- Teresa L. Cooper, AHFI
- Mary Jude Cribbs, AHFI
- Krystal M. de la Piedra, AHFI
- Katie Dragovich, AHFI
- Maureen Eng-Tan, AHFI, CFE, CPC
- Haley N. Everson, AHFI
- Wayne Fisher, MBA, AHFI, CFE
- Stacy L. Gilhooly, CPC, CFE, AHFI
- Carrie A. Godby, MS, AHFI, CFE
- Mary Heevner, D.C., AHFI
- Phyllis Heller, AHFI
- Kelly Hensley, AHFI
- Angela Herald, LPN, MBA, HCA, 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
- Tara Loftis, AHFI
- Melissa Martin, AHFI
- Melinda Matzell, AHFI
- Robert Mays, AHFI, CFE
- Charles R. McCall, AHFI, CFI, FCLS
- Stephen McNulty, AHFI
- Amy Mize, RPh, MS, CPC, AHFI
- Sandra M. Nadler, AHFI
- Leonor Newby, AHFI
- Amanda Patacsil, AHFI
- Shelley Patnaude, AHFI
- Susan M. Rainey Biler, AHFI, CFE
- Carl Reinhardt, AHFI, CPC
- Veronica Scott, AHFI
- Justin Seward, AHFI
- Frances Shirek, AHFI
- Brian Signorelli, RN, AHFI
- Tina Sinclair, CPC, AHFI
- Michael J. Westbrook, AHFI
- Alethea Williams, AHFI, CFE
- Shannon M. Zabo, MPA, AHFI, CPC
Apparent Healthcare
- Sunday A. Adesina, M,Sc, MPH, AHFI, CFE, CHDA,CPCO, CPC-P,CPMA
APWU Health Plan
- Talbert E. Cuffey Jr., AHFI
- Stephanie L. McClellan, AHFI
Aridell Associates, LLC
- Lynda Stewart, AHFI
Arkansas Blue Cross Blue Shield
- Dena Bynum, CPB, AHFI
- Celeste Wendee Holloway, AHFI, HCAFA
- Dela R McKee, AHFI, CPhT, HCAFA, MHP
- Melissa R Stone, AHFI
- Tammy Taylor, CFE, HIA, AHFI
Artemis Health Inc.
- Kim Ann Dufour, AHFI, MA
AvMed, Inc.
- Philip David, MBA, AHFI, CFE, RHIT, CPMA, CCS, CCS-P
Beacon Health Options
- Katie Miller Cossette, AHFI
Beam Benefits
- Julie Ritzi, AHFI, RDH
Blue Cross and Blue Shield of Alabama
- Margaret Cox, AHFI, CPC
- Lisa W. Johnson, AHFI, CFE, CRC, PMP
- Claude W. "Trey" Millican III, AHFI
- Leah Sheehan, AHFI, RN, CPC
- Steven Sheppard, AHFI, CFE, CPC, CPMA, CPhT
Blue Cross and Blue Shield of Louisiana
- Kandyce S. Cowart, AHFI, CFE
- Tamiko F. Garrison, AHFI, CFE
- Jenifer Leonard, CPC, CHC, AHFI
- Latisha Mire, AHFI, CFE
Blue Cross and Blue Shield of Massachusetts
- Christine Ensko-Spadea, HCAFA, AHFI
- Martin E. Flood, HCAFA, AHFI
- Julie Georgoulis, AHFI
- Anthony Valanzola, AHFI, HCAFA
Blue Cross and Blue Shield of Minnesota
- Richard Dickinson, AHFI
- Melissa M. Entwistle, AHFI
- Robin Johnson, CFE, AHFI
- Aaron Krinke, AHFI
- Dick Mah, AHFI
- Rick G. Peterson, AHFI
- Eric Salkowski, AHFI
Blue Cross and Blue Shield of Mississippi
- Jennifer J. Aultman, AHFI
- Blair F. Pyron, AHFI
- Stephen R. Scott, AHFI
Blue Cross and Blue Shield of North Carolina
- Carrie Bowden, RN, CPC, CPCO, AHFI
- Ellen Clemens, CPC, AHFI
- Renee Minella, BSBA, AHFI
- Ashley Newberry, AHFI, CPhT
- Joseph H. Popillo, AHFI, CPC-A, CPCO
- Holliday Simmons, AHFI
- Dawn Thurman, AHFI
- Ariel Vazquez, AHFI
- Dewayne White, AHFI
Blue Cross and Blue Shield of North Dakota
- Susan Hanna, RHIT, AHFI, CPC
Blue Cross and Blue Shield of Rhode Island
- Sharon M. Dennis, AHFI, CEMA, CPC, CPC-P
- Kyla DePonte, AHFI
- Josephine Mazza, AHFI, CFE, CPC
Blue Cross Blue Shield Association
- Lisa Chase-Craig, AHFI
- Mary Morales, MHSA, RDH, AHFI
- Jacqueline R. Morton, AHFI, CPC
- Shadonna Wallace, MSN, RN, CFE, CPMA, AHFI
Blue Cross Blue Shield of Arizona
- Dawn Morgan, AHFI
Blue Cross Blue Shield of Illinois (HCSC)
- Kevin Andersen, AHFI
- Karla Miller, DC, RN, MS, CPC-P, CPMA, CPCO, AHFI
- Mary K. Pray, RN, CCS, CCS/P, CHCA, CHACF, CHCAS, AHFI
- Stephanie Tabak, AHFI
Blue Cross Blue Shield of Kansas City
- Amber Edler, AHFI, CFE, CPC
Blue Cross Blue Shield of Michigan
- Jason Bock, AHFI
- Nina Burnett, JD, AHFI
- Daniel Crowell, AHFI, CFE
- David Dunn, AHFI
- Diana Ford, AHFI
- Jerry Hall, AHFI
- James S. Howell, AHFI
- Sarah Jaafar, AHFI
- Brian Jatczak, AHFI
- Jill M. Kraczon, AHFI
- James Martin, AHFI
- Brian Miller, AHFI
- Joann D. Morse, RN, AHFI
- Steve Ryner, AHFI
- Amy Walker, AHFI
- Ted Wink, AHFI
- Brian Zasadny, AHFI, CFE
Blue Cross Blue Shield of Texas (HCSC)
- Heather Allen, CPC, AHFI
- Nathan Zimring, AHFI
Blue Cross Blue Shield of Vermont
- Karen Fondry, RN, BC, AHFI, CPC-P
Blue Cross of Idaho
- Mindy Wendler, AHFI
- Karen C. Wright, AHFI, CFE
Blue Shield of California
- Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI
- Maria Rodriguez-Ramel, AHFI
BlueCross BlueShield of Kansas City
- Ashlee Heath, AHFI, CPC
- Jennifer Waddle, AHFI, CPC
BlueCross BlueShield of South Carolina
- Karen W. Davenport, AHFI
- Kathy Spires, 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
- Timothy L. Helms, MHSc, AHFI, CFCI
- Afee Roberts, AHFI, CFE
Bright Health Care
- Ray G. Winfield Jr., AHFI
Cahaba Safeguard Administrators, LLC
- Karen Hurley, AHFI, CFE
Cambia-Regence
- Mallory Klum, CPC, AHFI
- James Wright, AHFI, CPC
Capital District Physicians' Health Plan, Inc.
- Lisa Vickerson, RN, AHFI, CPC, COC , CPMA
- Jessica Ward, AHFI, RN, CPC
- Todd Williams, AHFI
Cardinal Innovations Healthcare
- Randall Pelham, AHFI
- Susan Stewart, AHFI
CareFirst BlueCross BlueShield
- Alecia L. Cooke, CPC, AHFI, HCAFA
- Elizabeth A. Kennedy, MA, AHFI, CFE
- Charlene L. Marks, RN, BSN, HCAFA, AHFI, CPC
- Arvin Wright, AHFI
CareSource Management Group
- Tynetra Bracken, AHFI
- Angela S. Hyatt, AHFI, CPC
- Lora Jones, AHFI, CFE
- Janine Kumanchik, AHFI, HCAFA
- Pasquale Leone, HCAFA, CPhT, AHFI
- Greg McDermitt, CFE, AHFI
- Ann-Marie Sclafani, CPhT, HCAFA, AHFI
Carolinas Center for Medical Excellence
- Robyn S. Winters, AHFI
Castle Biosciences
- Jason L L. Martin, MBA, CFE, AHFI, CHC
Centene Corporation
- Jacquelyn Autie, AHFI
- April A. Barden, AHFI
- Denise Brown, MS, BSN, RN, CLNC, AHFI
- Joyce Chinock-Somuah, AHFI
- Tammi Ciaravino, AHFI
- Jessica Clark, LMHC, AHFI
- Jade Damschroeder, AHFI
- Benjamin Defibaugh, AHFI
- Nathan Duling, HCAFA, AHFI
- Haley Fisher, AHFI
- Kimberly A. Gentry, AHFI, HIA, HCAFA
- Joey George, RN, BSN, CPC, AHFI
- Harry B. Guglielmo, AHFI
- Lisa Hanshew, BSEB, CPC, CPMA, AHFI
- Talvin T. Herbert, AHFI
- Patricia Hoofnagle, AHFI
- Christopher H. Horan, CCEP, AHFI
- Bradley Kirkbride, AHFI
- Cheryl A. Lowry, CFE, AHFI
- Monica Luna, LPN, CPC, AHFI
- Kay Moore, CPC, AHFI
- Carol Motley, RHIA, LPN, CPC, CPCO, AHFI
- Michael Newsham, CPC, CPMA, AHFI
- Matthew Nickley, CFE, AHFI
- Elizabeth Pannier, RN, CPC, CEMC, AHFI
- Lori Peters, AHFI
- Jesenka Ratkovic, CPC, CPMA, AHFI, CPC, CPMA, AHFI
- Courtney R. Rhodes, MA, LPC, AHFI
- Elsie D. Rios, AHFI
- Jodi L. Smith, AHFI, CPC, CPCO
- Lisa M. Sweatland, AHFI
- Rose Tippy, MA, CPC, AHFI
- Sandra S. Weston-Stein, AHFI
Central States Funds
- Deena L. Gallo, BA, AHFI
CGI, Inc.
- Andrea Boyd, AHFI
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
- Dustin Dibble, AHFI
- Douglas Moore, AHFI, CFE
Community Behavioral Health
- Kenneth Inness, 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
Connecticut Department of Social Services
- Jenna Giacomi, 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.
- Mae Abernathy, AHFI
- Kevin P. Bradley, MA, AHFI
- Ryan Cleverly, AHFI
- Martin L. Estell, AHFI, CSPO, CSM
- Meghan Gordon, M.A., AHFI
- Laurie Jamieson, AHFI
- Stacey Lemmons, RHIT, AHFI
- Edward McCormick, AHFI, CFE, CPC
- Angela Mitchell, AHFI
- Megan Morrison, AHFI
- Rhonda L. Nelsen, RN, BS, AHFI
- Melanie Poole, RN, BSN, AHFI
- Erin M. Rutzler, AHFI, CFE, CPC
- Vincent Smith, AHFI
- Lindsay Sullivan, AHFI
CoventBridge (USA) Inc.
- Anita Fuqua, AHFI
Curana Health
- Faith Achenbach, CPC, AHFI
CVS Health
- Michael Cariddi, AHFI, CFE, CPhT
- Darunee Flatray, AHFI, CFE
- Todd P. Hains, CPhT, AHFI
Dean Health Plan
- Joanne L. Green, AHFI, CFE, HCAFA, HIA
Defense Health Agency, Program Integrity Division
- Alison H. Coleman, AHFI, CFE, CHC,CCS-P, CPC, CPCO, CEMC
- Tom Coufal, AHFI
- Jennifer Dietz, AHFI, CFE, MSCR, MSL, CHC
- James Gogue, M.A., CFE, AHFI
- Timothy A. Hockert, CFE, AHFI
- Don E. Wunderlin, MS, AHFI, CFE
Delaware Department of Insurance, Fraud Prevention Bureau
- Edwin R. Barker, AHFI
- Stephen Kutch, AHFI
Deloitte
- Dan Olson, CFE, AHFI
- Lindsey Phelps, MBA, RHIA, CHDA, AHFI
Delta Dental of Kansas
- Kathryn Beal, AHFI
Delta Dental of Michigan, Ohio & Indiana
- Christine J. Danford, 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
- Denise Mannon, AHFI, CHPC
EmblemHealth
- Gayle Esposito, RN, CPC, AHFI
- Christopher Lupo, AHFI
- Chavonne D. Slade, AHFI, CFE, PMP
EmpiRX Health
- Meghan Sebaugh, AHFI
Envolve Health
- Jonathan W. Rich, DMD, CDC, AHFI
Evernorth Health Services
- Deanna L. Anderson, AHFI
- Aneta C.D. Andros, ACC, AHFI
- Alyssa Cangemi, MS, AHFI, CFE
- Stephanie Canto, AHFI
- David Denny, AHFI
- Melinda Dummerth, MSW, AHFI
- Gregory Erceg, AHFI
- Julie Eshelman, CPhT, AHFI
- Brittany Fritz, AHFI, CFI
- Katherine Giuliani, AHFI
- Michael Goldfarb, JD, AHFI
- Ronald J. Gontasz Jr., AHFI
- Briana Hollenbeck, MS, AHFI, CPC, CFE
- Donna Jallits, AHFI
- Jammy Jimenez, RN, AHFI, CPC-A
- Kizah Kilgore, AHFI
- Paul Lamay, DC, AHFI CFE CPC
- Donna L. Lamb, AHFI
- Elizabeth Lokiec, AHFI
- Daniel J. Nicoll, MD, AHFI
- Jolanta Nowak, AHFI
- Sean Petree, AHFI
- Kiersten Purves, AHFI, CFI
- Lauren Sgro, AHFI
- Yvette Spalding, AHFI
- Kayla Uba-Oyibo, AHFI, CFE, CPC-A
Evolent Health
- Mary L. Beach, AHFI, CFE, HCAFA, HIA, MHP
Excellus Blue Cross Blue Shield
- Margaret Paris, AHFI
- Kim Timblin, RHIT, CCS-P, AHFI
EXP Healthcare Consulting, LLC
- Sandy Newstein, RN, CPC, CPC-P, CPC-H, CPUR, AHFI, CPMA, CCDS
Express Scripts, Inc.
- Jennifer Adams, AHFI
- Stephanie Benson, CFE, AHFI
- Jessica Davis, AHFI, MBA
- Harriet M. Lewis, MBA, AHFI, CFE, CPC
- Valerie Nielson, AHFI
- MacKenna Shackley, CFE, CPhT, AHFI
- Blake Stockwell, CPhT, AHFI
Florida AHCA, Bureau of Medicaid Program Integrity
- Maureen Barker, AHFI
- Kelly A. Bennett, JD, CFE, AHFI
- Dawn R. Coste, AHFI
- Stephanie Gregie, LCSW, AHFI
- Ann Kaperak, AHFI, CFE
- Karuna Khan-Gordon, AHFI
- Angel Morales, AHFI
- Trevor Phipps, AHFI
- Jesus H. Rossello, AHFI
- Ramona Stewart, AHFI
- Penny Taylor, 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
- Sabrina B. Vera, AHFI
Fraud Solutions
- Erin K. Smith, AHFI, CFE, CFC
Gainwell Technologies
- Dale Hockenbery, CFE, AHFI
- Shirley P. Vosika, AHFI, CFE, MBA
Gallagher Benefit Services
- Sherri Ballou, RPh, AHFI
Geisinger Health Plan
- Susan Leitzell, CPhT, AHFI
Geisinger Health Plan
- Kathy Coslett, AHFI, LNCC
General Dynamics Information Technology
- Christopher Canfield, AHFI, CFE
- Barbara Ann Connolly, AHFI
- Brandon R. Duffek, CFE, AHFI
Government Employees Health Association
- Celia L. Fernandez, AHFI
Guardian Life Insurance Co.
- Brian M. Bannon, AHFI
- Kelly Gillespie, AHFI
- Deborah L. Palmeri, AHFI
- Lori Retort, AHFI
Guardian/Avesis
- Olin Elliott II, DMD, AHFI
Health Alliance Medical Plans
- Susan R. Adamson, CHC, RIMS-CRMP, CPC, AHFI
Health Care Service Corporation
- Steven J. Adams, AHFI
- Erin J. Mutter-McKeon, AHFI
Health Net Federal Services Tricare
- Miguel Bryant, AHFI
- Mark A. Nelson, MA, AHFI, SA (Ret)
- Rita Uhren, CPC, AHFI
- Michele M. Woodbury, AHFI, CPC, HCAFA
Healthcare Fraud Prevention Partnership - TTP
- Jill Carraher, LMSW, AHFI
- Daniel Kreitman, CFE, AHFI
- Amy Sellers, AHFI
- Jessica Silverman, AHFI, CPC, CEMC, CFE
Healthcare Fraud Shield
- Debbie Brandenburg, RN CPC CPMA CEMC AHFI
- Kenneth M. Cole III, AHFI, CFE, CPC
- William R. Palmisano III, AHFI, CFE, CSPO
- Cassandra L. Roberts, AHFI, CPC
- Maria Seedorff, DC, AHFI, CPC
- Kathleen A. Shaker, RN, BSN, CPC, CPC-H, AHFI
- William E. Van Fleit, AHFI
- Shannon Webster, AHFI
- Karen Weintraub, AHFI, CPC-P, CPMA, CDC
Healthfirst
- Kimberly Breininger-Starling, MHA, CPC, AHFI
- Shawn Mullen, AHFI, CFE
HealthPartners, Inc.
- Thea Ann Lind, RN, AHFI
Highmark
- Tina Beall, BSN, RN, AHFI, CPC, COC
- Melissa S. Berdell, DHCE, MS, AHFI, CFE, CHC
- Earl D. Bock, AHFI, CIFI, HCAFA
- Susan M. Collare, AHFI, CFE, CPHT
- Latrisha Oswald, MSFS, AHFI, CFE
- Terrence Payton, AHFI
- Amanda Peryea, CPC, COC, CPMA, CRC, AHFI
- Kathy E. Piccioni, AHFI, CFE
- Robert Rivers, CFE, AHFI
- Elizabeth Schreiner, CPC, AHFI
Horizon Blue Cross Blue Shield of New Jersey
- Lorraine Buckman, AHFI
- Douglas E. Falduto, AHFI
- Jennifer Kovaly, CPC, 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-Marshall, JD, CFE, AHFI
- Tammy Jones, MSN, RN, NE-BC, AHFI, CPC, CRC
- Deanne M. Ketterer, AHFI
- Bruce McClure, AHFI, CPA
- David S. Popik, AHFI, CFE
- Dexter Price, AHFI, CFE, CFS
- Jared Russell, AHFI
- Kayla Schaeffer, CPA, CFE, AHFI
- Aimee Smith, AHFI
- Paula Stankevitz, AHFI, CPC
- Lesa Stevenson, RN, CPC, CPC-H, CCS, AHFI
- Benjamin Wilbur, AHFI, CFE
Husch Blackwell LLP
- Brian G. Flood, AHFI, CIG, CFS, CHC
IBM (formerly IBM Watson Health)
- Sarah Albers, AHFI
- Jonathan Boylan, AHFI
- Heidi Bryan, AHFI
- Zachery Charlson, AHFI
- Michelle Cobden, RN, AHFI
- Daryl Fair, AHFI
- Kristine Knutson, AHFI
- Michael S. Kromer, AHFI, CFE
- Suzette Long, RDH, AHFI
- Munirah Rahmaan-Harrell, 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
- Dana Mertz, CPhT, AHFI
Independent Health
- Jennifer Fanning, AHFI
Indiana University Health Plans, Inc.
- Nadine Y. Casey, AHFI
Integrity Advantage
- Jala Attia, AHFI, CFE, CHC
- Jessica Gay, AHFI, CPC, CFE
- Carlyn Hoffman, AHFI
International SOS
- Keri Andrews, MS, AHFI
Jeff & Marci Barnhart Enterprises, LLC
- Marci Barnhart, AHFI, CPC, COC
Kaiser Permanente
- Jeffrey Fairbanks, AHFI, CFE, CPC
- Luz M. McCullough, RN, MSN, AHFI, CPC, CCS
- Ericson Salmo, MD, CCS, CRC, AHFI
- Mike Shen, AHFI
KelseyCare Advantage
- John Kimble, AHFI
KPMG, LLP
- Holly Atkins, M.Ent., CFE, CGAP, CHC, AHFI, CHIAP, CSOE
L.A. Care Health Plan
- Joe T. Christensen, AHFI, CWFI
- Angelo A. Cruz, AHFI
- Patricia Luna, AHFI
- Dahlene M. Smith, AHFI
LeBauer Behavioral Medicine
- Kathleen Lindner Collins, MA, LPC, NCC, AHFI
Liberty Dental Plan
- Amber Burris, MBA/MHA, AHFI, CHC, CHPC
- Pamela Horn, AHFI
- Rebecca Nichols Gould, AHFI
Lucet
- Kendra Daniels, LPC, AHFI
- Veronica Highley, LPC, AHFI
Magellan Health, Inc.
- Wendy J. Bohannon, AHFI
- James Hurley, CFE, AHFI
- Noelle Richardson, CPC, AHFI
- Allison Smith-Holness, AHFI
Mastercard
- Tim McBride, CPC, AHFI
Medica Health Plans
- Priscilla R. Leggs, CFE, AHFI
Medicaid Fraud Control Division, Tennessee Bureau of Investigation
- Samantha Steinfort, 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
- Rebecca Reinhard, AHFI
- Sherri Taylor, AHFI
Medicaid Fraud Control Unit of Louisiana, DOJ
- Myra L. Bates, AHFI
- Katherine Ross Collins, AHFI
- Glynn B. Edwards, AHFI
- Erin McAlister, CPC, CFE, AHFI
- Joseph Springer, AHFI
Medicaid Fraud Control Unit of Minnesota, OAG
- Lawrence Ashworth, AHFI
Medicaid Fraud Control Unit of Mississippi, OAG
- Randolph Brown, AHFI, CFE
- David L. Domino, AHFI
- William Spradling, AHFI
Medicaid Fraud Control Unit of Oregon, DOJ
- Pamela Graham, AHFI, CPC
Medicaid Fraud Control Unit of West Virginia, OAG
- Michael W. Taylor, AHFI
Medical Card System, Inc.
- Olgamarién Castillo Aguiar, JD, AHFI, CFE, CHC, CHPC
- Shayra Martinez Arcelay, RN, RHIA, AHFI
MetLife
- Dorene Whaley, HCAFA, AHFI
Minnesota Department of Human Services, OIG
- Rachel N. Lewis, AHFI, CPMA, CPC
Missouri Medicaid Audit & Compliance
- Clifton D. Parker, AHFI, CPIP
Moda Health
- Toni L. Slocum, AHFI, CPC, CPC-P
Molina Healthcare, Inc.
- Francette Agnant, AHFI, CFE, CPC, COC, CPB, CRC, CPMA, CPCO, CPPM
- Athena Doersam, AHFI
- Michael Flores, HCAFA, AHFI
- Evan A. Fox, AHFI, HCAFA
- Kristin Griego, CFE, AHFI, CPC
- Regina Hedman, AHFI, CFE
- Julie Jensen, CPC, AHFI
- Sergio Rosales, AHFI
- Jennifer Sample, M.S.C.S, B.S.B.A., CPC, HCAFA, AHFI
- Lorna Smith, AHFI
MVP Health Care
- Sandra Caffarella, RN, CPC, AHFI
- Rocco Cordato IV, AHFI
- Pamela Durant, MSN, RN, CPC, AHFI
Myers and Stauffer LC
- Melissa Parks, CFE, AHFI
- Toni Prine, RPH, CPC, AHFI
NALC Health Benefit Plan
- Karen L. West, AHFI
National Health Care Anti-Fraud Association
- Stephanie Lentz, AHFI
National Health Insurance Company-Daman
- Mostafa M. Shaheen, MD, MBA, CFE, AHFI, ACFS, PMP
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
New Jersey Office of the State Comptroller, Medicaid Fraud Division
- Jennifer Cregg, AHFI, CPC
North Carolina Dept. of Health & Human Services, Division of Health Benefits, NC Medicaid
- Donde Jones, AHFI
Optima Health Plan
- Caroline L. Abenante, AHFI, CPC
Optum
- Betzaida Arroyo, D.M., MBA, AHFI
- Elizabeth Bourland, AHFI, CFE, CPhT
- David William Field, AHFI
- Jennifer Frost, CFE, AHFI
- Susan Gibbs, AHFI
- Alison Gibson, MHL, BSHIM, RHIA, AHFI, CPC, CDEO, CPMA, CRC, CEMC
- Paula Harmon, AHFI
- Christopher Hensley, CFE, AHFI, CIFI
- Blake C. Hughes, AHFI, MPA
- Mary A. Hull, RN, CCM, CCS-P, CPCO, AHFI
- Greg Hunter, AHFI, CPC
- Jacob Kearney, AHFI
- Dwayne Luby, AHFI, CPA, MBA, CFE
- Jenica Lyon, AHFI
- Traci Mack, MBA, AHFI, CPC, CPMA
- Gwen Masser, AHFI
- Gisele Moses, AHFI
- Kimberly Nelson, AHFI
- Shannon Patino, AHFI
- Diane Paturalski, RN, MHSA, CCS-P, AHFI
- Debra Riekkoff, AHFI, FLMI, HIA, HCAFA, ACS
- Marisela Rountree, RN, AHFI
- Dawn E. Voris, AHFI, COC, CPC, CPC-P
- Robert Wilder, AHFI
- Claire M. Wrisley, AHFI, CFE
OptumRx
- Karen Arceo, AHFI, CPhT
- Susana Cabrera, AHFI, CFE, CPhT
- Cristina Learned Drake, CPhT, AHFI
- Tiffany Mlodzik, MA, AHFI, CFE, CPhT
- Lisa Regalado, MSPharm, CPhT, AHFI
- Mandy Rhubin, MBA, AHFI, HCAFA, CPhT
Oscar Insurance Corporation
- Rosa Castellanos, AHFI
- Susan Foreman, AHFI
- Annel Llanes, AHFI, CPCO
- Nicole Matty, AHFI
- Eleni Papadakos, CPC, CPMA, CEMA, AHFI
Palmetto GBA
- Marlena R. Harris, AHFI, ACFE, CFE
- Barry McManus, AHFI, ACFE, CFE
- Laurie Wiese, AHFI, CFE
Partners Health Management
- Michael Bomar II II, LCSW, AHFI
- Julie Pitt, MSW, LCSW, AHFI
- Summer Surratt, MS, AHFI
PBMares, LLP
- Adahzell T. McMillan, AHFI
Penstock/Goodroot
- Jeffrey A. Snyder, AHFI
Peraton
- Cymeia Hill, RHIA, CPC, AHFI, CPIP
- Karina Snow, CFE, 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, CPMA
Pivot Health
- Mindy L. Stadel, FMLI, PCS, AHFI
Point32Health
- Abigail Bond, MBA, LCSW, CPC, AHFI
- Brian Robinson, CFE, AHFI
- Arianna Sassone, CPC, AHFI
Preisch Audit & Investigations
- Steven P. Price, AHFI, CFE, PI
Premera Blue Cross
- Ingrid Gaurys, AHFI
- Laura H. Hunter, AHFI, HCAFA, CPC-P, CFE
Presbyterian Health Plan
- Sandra J. Brewer, LPN, CMAS, CPC, AHFI
Presbyterian Health Plan
- Mary Alice Jamison, AHFI, CPC, HCAFA, CHC
PricewaterhouseCoopers LLP
- Mark Anderson, MBA, AHFI
Prime Therapeutics LLC
- Vanessa Emlich, CFE, CPhT, AHFI
- Michael Ihrke, AHFI
- Leslie Leach, AHFI
- Jared Mendoza Duenas, AHFI, RN, PHN
Priority Health
- Annette DeGraaf, RHIA, CCS-P, AHFI
- Brenda Gross, RN, BSN, AHFI
ProCode Compliance Solutions, LLC
- Alicia Shickle, AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC
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
- Nancy K. Downes, BSN, RN, AHFI
- Denese Ellis, AHFI
- Christopher Mabile, CFE, AHFI
- Megan Pedersen, AHFI
- Robert Reifinger, AHFI
- Todd G. Scioneaux, AHFI, CFE
- Jeffrey D. Sells, AHFI
- Carrie Ward, AHFI, CFE
- Stephen Scott Ward, AHFI, CFE
Royle Vazquez LLP
- Alma Vazquez Hernandez, AHFI, MPAcc
SafeGuard Services, LLC
- Brian Koch, CPC, AHFI
- Christianne Sucher, AHFI
San Joaquin Commission dba Health Plan of San Joaquin
- Cambria Day, AHFI
SAS Institute Inc.
- Jason DiNovi, CPMA, AHFI
- Karen Haralson, RN, AHFI
- John L. Maynard, CPA CFE AHFI
SelectHealth
- Jason L. Bailey, AHFI
- Cody Wright, AHFI
Shift Technology
- Mark D. Starinsky, AHFI, CFE, CHC
Simply Healthcare Plans
- Jennifer L. Fitzgerald, Ph.D., LMHC, CFE, AHFI
Social Security Administration, Office of Anti Fraud Programs
- Mark Majestic, AHFI, CFE
South Carolina Department of Health & Human Services
- Althea B. Myers, AHFI, CFE, CFS, CPM, NCI
- Larry Overbaugh, AHFI
SureBridge Insurance
- Elizabeth Bullinger, AHFI
- Debbi Cheatham, AHFI
- Kristi Colbert, AHFI
T&M USA LLC
- Anthony Spaventa, AHFI
Tapp Agency LLC.
- Dana Crenshaw, AHFI, CFS
Texas Health & Human Services, OIG
- Glynn Bell, CFE, AHFI
Texas Mutual Insurance Company
- Mitchell K. Sherrod, MPA, BSCJ, AHFI
The Health Plan of West Virgina
- Richard Howell, AHFI
The MITRE Corporation
- 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
- Jessica Zimmerman, AHFI
Travelers Insurance
- Kristen Rouch, AHFI, CFE
Trillium Health Resources
- Katie Hewitt, AHFI
- Julie Kokocha, AHFI
- Amanda M. Willett, MS, CHC, AHFI
U.S. Dept. of Health & Human Services, CMS
- Ilene S. Jacob, RN, AHFI
U.S. Dept. of Health & Human Services, OIG-OI
- Gilberto J. Alvarado Serrano, AHFI, CFE, JD
U.S. Dept. of Justice, Drug Enforcement Administration
- Rosemary Moll, AHFI, CFE
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, VHA Office of Integrity and Compliance, Division of Program Integrity
- Shawn O'Neill, AHFI
Umpqua Health
- Jamie Smith-Reese, AHFI, CPC-P
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 Georgia
- Donna J. Davis, AHFI, CFE
United States Attorney's Office, Middle District of Louisiana
- Virginia L. Brandt, AHFI
UnitedHealth
- Michael Espree, AHFI
UnitedHealth Group
- Taryn S. Risucci, MBA, AHFI, MPM, PMP
- Tina Sabby, AHFI
UnitedHealthcare Investigations
- Raymond Alamo, AHFI
- Katherine Bass, AHFI
- Matthew Berls, MA, AHFI
- Jennifer Boren, MBA CPhT AHFI
- Patricia C. Bramlet, AHFI
- Joel Calvert, AHFI
- Alena Dietz, CPhT, AHFI
- Matthew Doran, AHFI
- Matthew M. Green, AHFI
- Lisa Hagen, AHFI, HCAFA
- John M. Haney, AHFI
- Bridgett A. Hard, AHFI
- Kelly A. Kalemba, AHFI
- Brian J. Klozik, CFE, AHFI
- Thomas D. Laurila, CFE, AHFI, CPCO
- Jeffrey G. Lewitzke, AHFI
- John J. Logan, AHFI, CFE, CFS
- Bob Lucyk, AHFI
- Michelle Luong, CPhT, AHFI
- Ruslana Martchev, AHFI
- Brianne McCort, CFE, CPC, AHFI
- Richard E. Munson, AHFI
- Tara Lauren Nauha, AHFI
- Samantha Osbon, AHFI
- Lawnie Pawlak, AHFI
- Shatina Ray, AHFI
- Lucy Russo, CPC, AHFI
- Cynthia Simmons, AHFI
- Christine Staats, AHFI, CBCS
- Charmayne Yvonne Stalhood, AHFI
- Karleen Tilque, AHFI
- Christy A. Torres, AHFI
- Michelle Tsan, CPhT, AHFI
- Kerry Walker, AHFI
- David Webb, AHFI, HCAFA
UnitedHealthcare/Optum
- Becki Archerd, CPC, CPCO, AHFI
- Stephanie Baumert, AHFI, CPC
- David Beachler, AHFI
- Bobby Carter, AHFI, CFE
- Paulina N. Davis, JD, CPC, AHFI
- Holli A. Dexter, AHFI
- Roberta Ferlita, ALHC, FCLA, AHFI
- James L. Guy II, MHA, CFE, AHFI
- Diane M. Hedges, MBA, CFE, AHFI
- Roberta Hooyman, AHFI, HIA
- Latanya Johnson, AHFI
- Deborah M. Kreps, AHFI, CPC, HIA
- Jaime Leyden, AHFI, CPC, CPC-H
- Jennifer Macias, AHFI
- Julie N. Miller, AHFI
- Olive Page Fleury, AHFI
- Lynne A. Reed, AHFI, CPC
- Adam K. Rich, DMD, AHFI
- Ashley Staupe, AHFI
UPMC Health Plan
- Heidi Beggan, RN, BSN, AHFI, CPC, CPMA
- Michele Brown, AHFI
- Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
- Rachel Herisko, AHFI
- Kathy Kokal, AHFI
- Mary Beth Ledergerber, RN, BSN, AHFI, CPC
- Eleanor Medved, RN, MSN, AHFI
- Katee Biby Wilkes, AHFI
Utah Office of Inspector General of Medicaid Services
- John Slade, CFE, CIGI, AHFI
Vaya Health
- Donna Baker Oliver, LCSW, CI, AHFI
- Anthony Philmon, AHFI
- Tina Takala, AHFI
Verisk Insurance Solutions
- Alisha Evans, 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
Virginia Premier Health Plan
- Sephora Machlus White, AHFI, CCS, CPC, CFE, CPMA, CDEO, CPCO, CPPM
Vision Service Plan
- Thomas M. Jones, AHFI, CFE
- Jennifer Mahoney, AHFI, CFE
- Brent J. Riddles, AHFI, CFE
- Monica Shriver, CFE, CPO, AHFI
- Mary Simone, AHFI, CFE
- Brandon Utterback, CFE, AHFI
Viveka Health
- Laurent Laor, AHFI
Washington State Health Care Authority
- Jennifer Steffee, RN, BSN, AHFI, CPC, CPMA
Well Sense Health Plan
- Katherine Boutin, JD, CFE, AHFI
WellSense Health Plan
- Shawn Hill, CPC, CFE, AHFI
Other Organization
- Lynn Anderton, RN, AHFI, CPC
- Denise Barrow, AHFI
- Fred Becknell, AHFI
- Elizabeth Brady, AHFI, CFE
- Thomas P. Brennan Jr., AHFI
- Dawn E. Brinkley, AHFI
- Susan Bryan, MBA, AHFI, NCI
- Thomas J. Cantwell, AHFI, CFE
- Christine Caufield, AHFI
- James P. Conroy, CFE, AHFI
- Sharon Cortese, RN, AHFI
- Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
- Karen Dunn, AHFI
- Edward Eklund, LCSW, AHFI
- Sheila Finlason, AHFI
- Flora Focarino, AHFI
- Adolfo Garcia, AHFI
- Kelli L. Garvanian, AHFI
- Sharon Green, AHFI, CFE
- Karen Gwinn, AHFI, CFE
- Mark Halbach, AHFI, CPC
- Dave Hennings, AHFI, CFE
- Bernard A.K.S. Ho, AHFI, MBA, CFE
- Mari Ellen Kiefer, AHFI
- Karen Kinser, AHFI
- Sharon D. Kvasnicka, AHFI
- Mathew B. Lawrie, AHFI
- Katherine M. Leff, RN, ALHC, CLU, AHFI, CPC, CFE, CHC
- Howard Levinson, DC, AHFI, CFE, DABFP, CPC
- Lois H. Lovejoy, AHFI, CPC, CPC-P, HCAFA
- Julie Lowrie, AHFI, CFE, CEBS
- Cynthia A. Lucas, AHFI
- John T. Malloy, AHFI
- James V. McCall, AHFI
- Thomas E. Mills, CFE, AHFI
- Shirley A. Mize, RN, CPC, AHFI
- Kathy Morrow, AHFI
- Jane A. Naig, RN, AHFI, CFE
- JoAnn Nunes, AHFI
- Linda Osborn, AHFI, CFE, CPC, CEMC, CPMA,
- Bonnie Parenteau, AHFI, FCLS, BSRN
- Gerardo Patrizio, AHFI
- Richard Pierce, MBA, CFE, AHFI, CPIP
- Sue Post, AHFI
- Jack L. Price, AHFI, ALHC, CFE
- Marca Reese, AHFI
- Daniel Reutlinger, AHFI, CFE
- Pieter Rijken, AHFI
- Lisa Robinson, AHFI
- Michelle Ryan, AHFI
- Tracy Ryder, AHFI
- Rose M. Sabo, AHFI, MPA
- Barbara Scott, BSN, RN, CPC, CFE, AHFI
- Jean L. Sexton, AHFI
- Teresa C. Shirley, AHFI
- Lisa Speranzo, AHFI
- Cynthia Steedman, RN, BSN, AHFI, CPC, HCAFA
- Barbara A. Stencil, AHFI
- Teresa Stonebraker, RN, CPC, AHFI
- Ksenia Strobel, RN, CPC, AHFI
- Judy Taylor-Fischer, AHFI
- Shauna Vistad, CFE, CPC, CFI, MBA, AHFI
- Benjamin S. Wright, AHFI, CDP
- Chunmiao Ye, CPC-A, AHFI
