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

Aetna

  • Linda M. Brislin, AHFI
  • Robbin L. Cizek, AHFI, RN, BSN, LNC
  • Courtney Coates, AHFI, CFE, CPC
  • Linda Cote, AHFI
  • Linda Delaney, 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

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
  • Meghan Connor, AHFI
  • Edward Dyksterhouse, CPhT, AHFI
  • Malcolm Fletcher, AHFI
  • Andrea Geier, AHFI
  • Yolander Hall, AHFI, CFE
  • Amy Martin, LMSW, AHFI
  • Trevor McCall Sr., AHFI
  • Lisa Mendez, AHFI
  • Kimberly L. Miller, AHFI, CFE
  • Erin O'Connor-Pritchard, MS, AHFI
  • Heather Stuart, AHFI
  • John Valdario, AHFI
  • Valerie Yow, LMSW, AHFI

AmeriHealth Caritas Iowa

  • Stephanie Jones, RN, AHFI

Anthem

  • Jennifer C. Allen, AHFI
  • Amy Andercyk, AHFI
  • Stewart R. Balikov, DDS, AHFI
  • Stephen Ballew, AHFI
  • Dana Barfield, AHFI
  • Janet Bonham, AHFI
  • Lorraine Boothe, RN, AHFI
  • Sharron M. Cannella, AHFI
  • Teresa L. Cooper, AHFI
  • Katie Miller Cossette, AHFI
  • Mary Crane, D.C., AHFI
  • Mary Jude Cribbs, AHFI
  • Katie Dragovich, AHFI
  • Haley N. Everson, AHFI
  • Wayne Fisher, MBA, AHFI, CFE
  • Linda Gilbreath, CPC, CPC-I, COC, AHFI
  • Stacy L. Gilhooly, CPC, CFE, AHFI
  • Carrie A. Godby, MS, AHFI, CFE
  • Phyllis Heller, AHFI
  • Angela Herald, LPN, MBA, HCA, AHFI
  • Beverly Hunter-Foreman, 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
  • Michael J. Westbrook, AHFI
  • Alethea Williams, AHFI, CFE
  • Shannon M. Zabo, MPA, AHFI, CPC

Anthem Blue Cross

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

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
  • Courtney James, AHFI
  • Dela R McKee, AHFI, CPhT, HCAFA, MHP
  • Melissa R Stone, AHFI
  • Tammy Taylor, CFE, HIA, AHFI

AvMed, Inc.

  • Philip David, MBA, AHFI, CFE, RHIA, CPMA, CCS, CCS-P

Beam Benefits

  • Julie Ritzi, AHFI, RDH

Blue Cross and Blue Shield of Alabama

  • 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

  • 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
  • Anthony Valanzola, AHFI, HCAFA

Blue Cross and Blue Shield of Minnesota

  • David Coppage, AHFI
  • Richard Dickinson, AHFI
  • Melissa M. Entwistle, AHFI
  • Robin Johnson, CFE, AHFI
  • Aaron Krinke, 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
  • John Meyer, AHFI
  • Renee Minella, BSBSNC AHFI
  • Ashley Newberry, AHFI, CPhT
  • Holliday Simmons, AHFI
  • Dawn Thurman, AHFI
  • Dewayne White, AHFI

Blue Cross and Blue Shield of North Dakota

  • Susan Hanna, RHIT, AHFI, CPC
  • Kristina Stenseth, AHFI

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
  • 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
  • Jennifer Waddle, AHFI, CPC

Blue Cross Blue Shield of Michigan

  • Jason Bock, 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
  • Linda Rosal, AHFI
  • Jennifer Sims, AHFI

BlueCross BlueShield of South Carolina

  • Laurie Wiese, AHFI, CFE

BlueCross BlueShield of Tennessee

  • Bobby Angel, AHFI
  • Laura A. Bell, CPhT, AHFI
  • Jessica Harrell, CPC, AHFI
  • Ginger Morrow, CPC, COC, CHC, AHFI
  • Jeanniee Nolan, AHFI
  • Julie M. Wilson, AHFI

Booz Allen Hamilton

  • Sarah Albers, AHFI
  • Timothy L. Helms, MHSc, AHFI, CFCI
  • Robert Reifinger, AHFI

Bright Health Care

  • Ray G. Winfield Jr., AHFI

Cahaba Safeguard Administrators, LLC

  • Karen Hurley, AHFI, CFE

Cambia-Regence

  • Mallory Klum, CPC, AHFI
  • Joseph H. Popillo, AHFI, CPC-A, CPCO
  • James Wright, AHFI, CPC, CPMA

Capital District Physicians' Health Plan, Inc.

  • Lisa Vickerson, RN, AHFI, CPC, COC , CPMA
  • Jessica Ward, AHFI, RN, CPC
  • Todd Williams, AHFI

CareFirst BlueCross BlueShield

  • Alecia L. Cooke, CPC, AHFI, HCAFA
  • Elizabeth A. Kennedy, MA, AHFI, CFE
  • Charlene L. Marks, RN, BSN, HCAFA, AHFI, CPC

CareSource Management Group

  • Tynetra Bracken, AHFI
  • Angela S. Hyatt, AHFI, CPC
  • Lora Jones, CFE, AHFI
  • John Kimble, AHFI
  • Janine Kumanchik, AHFI, HCAFA
  • Pasquale Leone, HCAFA, CPhT, AHFI
  • Greg McDermitt, CFE, AHFI
  • Jessica Persinger, AHFI
  • Ann-Marie Sclafani, CPhT, HCAFA, AHFI

Castle Biosciences

  • Jason 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, CHC, AHFI
  • Jade Damschroeder, AHFI
  • Nathan Duling, HCAFA, AHFI
  • Kimberly A. Gentry, AHFI, HIA, HCAFA
  • Joey George, RN, BSN, CPC, AHFI
  • Harry B. Guglielmo, AHFI
  • Lisa Hanshew, BSEB, CPC, CPMA, AHFI
  • Patricia Hoofnagle, AHFI
  • Christopher H. Horan, CCEP, AHFI
  • Bradley Kirkbride, AHFI
  • Monica Luna, LPN, CPC, AHFI
  • Kay Moore, CPC, AHFI
  • Carol Motley, RHIA, LPN, CPC, CPCO, AHFI
  • Michael Newsham, CPC, CPMA, AHFI
  • Elizabeth Pannier, RN, CPC, CEMC, AHFI
  • Lori Peters, AHFI
  • Jesenka Ratkovic, CPC, CPMA, AHFI
  • Courtney R. Rhodes, MA, LPC, AHFI
  • Elsie D. Rios, AHFI
  • Jodi L. Smith, AHFI, LMSW, CPC, CPCO, COC
  • Rose Tippy, MA, CPC, AHFI

Central States Funds

  • Deena L. Gallo, BA, AHFI

Cigna Global Health Benefits

  • Lisa Speranzo, AHFI

CityBlock Health

  • Jeremy L. McNeill, AHFI, CPC

Clever Care Health Plan

  • Andrei Barlahan, MBA, AHFI

Coding Continuum, Inc.

  • Christina Melnykovych, BS, RHIA, CFE, AHFI

Codoxo

  • Rena V. Bielinski, PharmD, AHFI
  • Michelle Cobden, RN, AHFI, PMP
  • 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

Connecticut Department of Social Services

  • Jenna Giacomi, AHFI

Constellation Quality Health

  • Robyn S. Winters, RN, BSA, 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.

  • 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, CFE, AHFI
  • Megan Morrison, AHFI
  • Rhonda L. Nelsen, RN, BS, AHFI
  • Melanie Poole, RN, BSN, AHFI
  • Heather Rickards, HCAFA, AHFI, CFE
  • Erin M. Rutzler, AHFI, CFE, CPC
  • Vincent Smith, CFE, AHFI
  • Lindsay Sullivan, AHFI

CoventBridge (USA) Inc.

  • Anita Fuqua, AHFI

CVS Health

  • Michael Cariddi, AHFI, CFE, CPhT
  • Darunee Flatray, AHFI, CFE
  • Todd P. Hains, AHFI, CPhT

Dean Health Plan

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

Defense Health Agency, OIG, Health Care Fraud Division

  • Alison H. Coleman, AHFI, CFE, CHC,CCS-P, CPC, CPCO, CEMC
  • Tom Coufal, AHFI
  • Jennifer Dietz, AHFI, CFE, MSCR, MSL, CHC
  • James Gogue, MA, AIG, AHFI, CFE
  • Timothy A. Hockert, CFE, AHFI

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 M. Beal, AHFI

Delta Dental of Michigan, Ohio & Indiana

  • Christine J. Danford, AHFI

Delta Dental of South Dakota

  • Jennifer Murray, 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

  • 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
  • Alyssa Cangemi, MA, AHFI, CFE
  • Stephanie Canto, AHFI
  • David Denny, AHFI
  • Mindy Dummerth, MSW, AHFI, CFE
  • 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
  • Brittany Kiefer, AHFI, CPC
  • Kizah Kilgore, AHFI
  • Paul Lamay, DC MA, AHFI CFE CPC
  • Donna L. Lamb, AHFI
  • Elizabeth Lokiec, AHFI
  • Candice Nelson, AHFI
  • Sean Petree, AHFI
  • Kiersten Purves, AHFI, CFI
  • Tina Sabby, AHFI
  • 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.

  • Stephanie Benson, CFE, AHFI
  • Jessica Davis, AHFI, MBA
  • Harriet M. Lewis, MBA, AHFI, CFE, CPC
  • Valerie Nielson, AHFI
  • Jennifer Saenz, AHFI
  • MacKenna Shackley, CFE, CPhT, AHFI
  • Blake Stockwell, CPhT, AHFI

Farm Credit Illinois

  • Susan R. Adamson, CHC, RIMS-CRMP, CPC, 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
  • Angel Morales, AHFI
  • Trevor Phipps, AHFI
  • Jesus H. Rossello, 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, CFCS

Gainwell SPBM

  • Dale Hockenbery, CFE, AHFI
  • Matthew Nickley, AHFI, CFE

Gainwell Technologies

  • 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

Guardian Life Insurance Co.

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

Guardian/Avesis

  • Olin Elliott II, DMD, AHFI

Health Alliance Medical Plans

  • Wesley Nichols, AHFI, CFE

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

Healthcare Fraud Prevention Partnership - TTP

  • Jill Carraher, LMSW, AHFI
  • Daniel Kreitman, CFE, AHFI
  • Jessica Silverman, AHFI, CPC, CEMC, CFE

Healthcare Fraud Shield

  • Debbie Brandenburg, RN CPC CPMA CEMC AHFI
  • Kenneth M. Cole III, AHFI, CFE, CPC
  • Margaret Cox, AHFI, CFE, CPC, CPCO
  • Celia L. Fernandez, AHFI
  • William R. Palmisano III, AHFI, CFE, CSPO
  • Cassandra L. Roberts, AHFI, CPC
  • Maria Seedorff, DC, AHFI, CPC, CPMA
  • 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

  • Shawn Mullen, AHFI, CFE

HealthPartners, Inc.

  • Thea Ann Lind, RN, AHFI

Highmark

  • 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.

  • Adela Banawis, AHFI, CFE
  • Mary L. Ducat, AHFI
  • Deborah L. Hill, AHFI
  • Christa J. Jewsbury-Marshall, JD, CFE, AHFI
  • Deanne M. Ketterer, AHFI
  • David S. Popik, AHFI, CFE
  • Dexter Price, AHFI, CFE, CFS
  • Jared Russell, AHFI
  • Kayla Schaeffer, CPA, CFE, AHFI
  • Aimee Smith, AHFI, CPC
  • Paula Stankevitz, AHFI, CPC
  • Lesa Stevenson, RN, CPC, CPC-H, CCS, AHFI
  • Debra M. Teeter, CFE, AHFI

Husch Blackwell LLP

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

IBM (formerly IBM Watson Health)

  • Jonathan Boylan, AHFI
  • Heidi Bryan, AHFI
  • Zachery Charlson, 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, AHFI, CPhT
  • Noel Rugnetta, AHFI, CPhT

Independent Health

  • Jennifer Fanning, AHFI

Indiana University Health Plans, Inc.

  • Nadine Y. Casey, AHFI

Integrity Advantage

  • Jala Attia, AHFI, CFE, CHC
  • Carlyn Hoffman, AHFI
  • Caitlin Jones, AHFI, CHC

International SOS

  • Keri Andrews, MS, AHFI

Jeff & Marci Barnhart Enterprises, LLC

  • Marci Barnhart, AHFI, CPC, COC

John Hancock Financial Services

  • Aleksandra Silvio, CFE, AHFI

Kaiser Permanente

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

KPMG, LLP

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

L.A. Care Health Plan

  • Frank Arteaga, AHFI
  • 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
  • Tanya Pennington, CFE, AHFI
  • Noelle Richardson, CPC, AHFI
  • Allison Smith-Holness, AHFI

Mass General Brigham Health Plan

  • Brian Robinson, CFE, 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
  • Rebecca Reinhard, AHFI
  • Sherri Taylor, AHFI

Medicaid Fraud Control Unit of Louisiana, DOJ

  • Katherine Ross Collins, AHFI
  • Glynn B. Edwards Jr., AHFI
  • Erin McAlister, CPC,CPMA,CFE,AHFI
  • Joseph Springer, AHFI

Medicaid Fraud Control Unit of Minnesota, OAG

  • Lawrence Ashworth, AHFI

Medicaid Fraud Control Unit of Mississippi, OAG

  • 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, AHFI

Medical Imaging of Lehigh Valley, P.C.

  • Alison Gibson, MHL, BSHIM, RHIA, AHFI, CPC, CDEO, CPMA, CRC, CEMC

MetLife

  • Dorene Whaley, HCAFA, AHFI

MetroPlus Health Plan

  • Benjamin Defibaugh, 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.

  • Mae Abernathy, AHFI
  • Faith Achenbach, CPC, AHFI
  • 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 M. Hedman, AHFI, CFE
  • Julie Jensen, AHFI, CPC
  • Sergio Rosales, AHFI
  • Lorna Smith, AHFI
  • Shane O. Tiernan, AHFI
  • Jennifer Whitten, M.S.C.S, B.S.B.A., CPC, HCAFA, AHFI

MVP Health Care

  • Sandra Caffarella, RN, CPC, AHFI, CPMA
  • 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 Enforcement Investigation Agency

  • Garry Williams, PhD, AHFI

National Health Care Anti-Fraud Association

  • Stephanie Lentz, AHFI

National Health Insurance Company-Daman

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

NCI AdvanceMed Corporation

  • Sharon M. Doorley, RN, AHFI, CPMA

Nebraska Department of Insurance, Insurance Fraud Prevention Division

  • Kimberly P. Church, 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

Optum

  • Betzaida Arroyo, D.M., MBA, AHFI
  • Tiffany Birchfield, AHFI
  • Elizabeth Bourland, AHFI, CFE, CPhT
  • David William Field, AHFI
  • Jennifer Frost, CFE, AHFI
  • Susan Gibbs, AHFI
  • Lisa Hagen, AHFI, HCAFA
  • 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
  • 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

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
  • Nicole Matty, AHFI
  • Eleni Papadakos, CPC, CPMA, CEMA, AHFI

Palmetto GBA

  • Marlena R. Harris, AHFI, ACFE, CFE

Partners Health Management

  • Michael Bomar 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
  • Arianna Sassone, CPC, AHFI

Preisch Audit & Investigations

  • Steven P. Price, AHFI, CFE, PI

Premera Blue Cross

  • Ingrid Gaurys, AHFI

Presbyterian Health Plan

  • Sandra J. Brewer, LPN, CMAS, CPC, AHFI

Presbyterian Health Plan

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

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
  • Nancy K. Downes, BSN, RN, AHFI
  • Denese Ellis, AHFI
  • Christopher Mabile, CFE, AHFI
  • Megan Pedersen, AHFI, CPC
  • Todd G. Scioneaux, CFE, AHFI
  • Carrie Ward, AHFI, CFE
  • Stephen Scott Ward, AHFI, CFE
  • Arvin Wright, AHFI

R3 Continuum

  • Jennifer L. Fitzgerald, Ph.D., LMHC, CFE, AHFI

Royle Vazquez LLP

  • Alma Vazquez Hernandez, AHFI, MPAcc

SafeGuard Services, LLC

  • Ross Heflin, AHFI
  • Brian Koch, CPC, AHFI
  • Christianne Sucher, AHFI

Sagility

  • Ashlee Heath, AHFI, CPC

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

SmartLight Analytics

  • James L. Guy II, MHA, CFE, AHFI
  • Claire M. Wrisley, AHFI, CFE

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 D. Riley, MSN, RN, CPC, AHFI
  • Jessica Zimmerman, AHFI

Travelers Insurance

  • Kristen V. 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

  • Lawrence Ball, CFE, AHFI
  • 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. Office of Personnel Management

  • Anna Bowen, CPC, 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 Group

  • Taryn S. Risucci, MBA, AHFI, MPM, PMP

UnitedHealthcare Community Plan

  • Haley Fisher, AHFI

UnitedHealthcare Investigations

  • Raymond Alamo, AHFI
  • Katherine Bass, AHFI
  • Matthew Berls, MA, AHFI
  • Jennifer Boren, CPhT AHFI
  • Patricia C. Bramlet, AHFI
  • Megan Brown, AHFI
  • Joel Calvert, AHFI
  • Bobby Carter, AHFI, CFE
  • Paulina N. Davis, JD, MPH, CFE, CPC,AHFI
  • Holli A. Dexter, AHFI
  • Alena Dietz, CPhT, AHFI
  • Matthew Doran, AHFI
  • Michael Espree, AHFI, CPhT
  • Matthew M. Green, 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
  • Jasmine Magitt, AHFI
  • Ruslana Martchev, AHFI
  • Richard E. Munson, AHFI
  • Tracelia Musinami, MBA, CPhT, AHFI
  • Tara Lauren Nauha, AHFI
  • Melissa Nevala, AHFI, CFE
  • Samantha Osbon, AHFI
  • Lawnie Pawlak, AHFI
  • Randall Pelham, AHFI, CFE, CAMS
  • Shatina Ray, AHFI
  • Lucy Russo, CPC, AHFI
  • Christine Staats, AHFI, CBCS
  • Charmayne Yvonne Stalhood, AHFI
  • Karleen Tilque, 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
  • 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
  • Michele M. Woodbury, AHFI, CPC, HCAFA

UPMC Health Plan

  • Heidi Beggan, RN, BSN, AHFI, CPC, CPMA
  • Michele Brown, AHFI
  • Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
  • Sheenan Hatala, BSN, RN, AHFI, CPC, CPMA, CPCO
  • Rachel Herisko, AHFI
  • Kathy Kokal, AHFI
  • Mary Beth Ledergerber, RN, BSN, AHFI, CPC
  • Eleanor Medved, RN, MSN, AHFI, CHC
  • Laurie A. Neal, AHFI
  • Leslie Tarlo, RN, BSN, CPC, 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
  • Susan Stewart, AHFI
  • Tina Takala, AHFI

Verisk Insurance Solutions

  • Alisha Evans, CPC, AHFI
  • 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, CMRS

Vision Service Plan

  • Jennifer Mahoney, CFE, AHFI
  • Brent J. Riddles, AHFI, CFE
  • Mary Simone, AHFI, CFE
  • Brandon Utterback, CFE, AHFI

Viveka Health

  • Laurent Laor, AHFI

Washington State Health Care Authority

  • Jennifer Steffee, BSN, RN, AHFI, CPC, CPMA

Well Sense Health Plan

  • Katherine Boutin, JD, CFE, AHFI

WellSense Health Plan

  • Shawn Hill, CPC, CFE, AHFI
  • Tammy Jones, MSN, RN, NE-BC, AHFI, CPC, CRC

Other Organization

  • Debra Anderson, AHFI, HCAFA
  • Lynn Anderton, RN, AHFI, CPC
  • Denise Barrow, AHFI
  • Myra L. Bates, AHFI
  • Fred Becknell, AHFI
  • Elizabeth Brady, AHFI, CFE
  • Thomas P. Brennan Jr., AHFI
  • Dawn E. Brinkley, AHFI
  • Randolph Brown, AHFI, CFE
  • Susan Bryan, MBA, AHFI, NCI
  • Nina Burnett, JD, AHFI
  • Thomas J. Cantwell, AHFI, CFE
  • Christine Caufield, AHFI
  • James P. Conroy, CFE, AHFI
  • Sharon Cortese, RN, AHFI
  • Karen W. Davenport, AHFI
  • Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
  • David L. Domino, AHFI
  • Karen Dunn, AHFI
  • Edward Eklund, LCSW, AHFI
  • Gayle Esposito, RN, CPC, AHFI
  • Sheila Finlason, AHFI
  • Flora Focarino, AHFI
  • Adolfo Garcia, AHFI
  • Kelli L. Garvanian, AHFI
  • Sharon Green, AHFI, CFE
  • Mark Halbach, AHFI, CPC
  • Dave Hennings, AHFI, CFE
  • Talvin T. Herbert, AHFI
  • Bernard A.K.S. Ho, AHFI, MBA, CFE
  • Thomas M. Jones, AHFI, CFE
  • Karuna Khan-Gordon, AHFI
  • Mari Ellen Kiefer, AHFI
  • Karen Kinser, AHFI
  • Sharon D. Kvasnicka, AHFI
  • Mathew B. Lawrie, AHFI
  • Howard Levinson, DC, AHFI, CFE, DABFP, CPC
  • Lois H. Lovejoy, AHFI, CPC, CPC-P, HCAFA
  • Julie Lowrie, AHFI, CFE, CEBS
  • Cynthia A. Lucas, AHFI
  • Dick Mah, AHFI
  • John T. Malloy, AHFI
  • James V. McCall, AHFI
  • Bruce McClure, AHFI, CPA
  • Thomas E. Mills, CFE, AHFI
  • Shirley A. Mize, RN, CPC, AHFI
  • Kathy Morrow, AHFI
  • Daniel J. Nicoll, MD, AHFI
  • JoAnn Nunes, AHFI
  • Lori Olsen, AHFI, CPC
  • 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
  • Lori Retort, 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
  • Amy Sellers, AHFI
  • Jean L. Sexton, AHFI
  • Teresa C. Shirley, AHFI
  • Cynthia Steedman, RN, BSN, AHFI, CPC, HCAFA
  • Barbara A. Stencil, AHFI
  • Ramona Stewart, 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

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