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
  • Rosa Castellanos, AHFI
  • Edward Dyksterhouse, CPhT, AHFI
  • Malcolm Fletcher, AHFI
  • Andrea Geier, AHFI
  • Yolander Hall, MBA, AHFI
  • Caitlin Jones, AHFI
  • Meghan LaChapelle, AHFI
  • Kira Lucrezi, CEMA, CPIP, AHFI
  • Trevor McCall Sr., 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
  • 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
  • Marcee L. Doherty-Elst, MA, CHIE, 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
  • Melissa Martin, AHFI
  • Melinda Matzell, AHFI
  • Robert Mays, AHFI, CFE
  • Charles R. McCall, AHFI, CFI, FCLS
  • James V. McCall, AHFI
  • Stephen McNulty, AHFI
  • Amy Mize, RPh, MS, CPC, AHFI
  • Sandra M. Nadler, AHFI
  • Leonor Newby, AHFI
  • Clifton Parker, AHFI, CPIP
  • 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

APWU Health Plan

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

Arkansas Blue Cross Blue Shield

  • 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, 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, CPhT

Blue Cross and Blue Shield of Kansas

  • Roger Palmer, AHFI, CFE

Blue Cross and Blue Shield of Louisiana

  • Kandyce S. Cowart, AHFI, CFE
  • Tamiko F. Garrison, AHFI, CFE
  • 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, 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, CPC, CPC-P
  • Kyla DePonte, AHFI
  • Josie 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 Montana (HCSC)

  • Jamie Smith, AHFI, CPC

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

  • 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 8032640267 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

  • 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 BlueCross

  • Dottie Berg, HSA, RN, 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 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. 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
  • Michael Espree, 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 6362365875 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
  • 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

Change Healthcare

  • 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
  • Alyssa Cangemi, AHFI
  • Stephanie Canto, AHFI
  • Gregory Erceg, AHFI
  • Julie Eshelman, CPhT, 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
  • Jammy Miranda, RN, AHFI, CPC-A
  • Daniel J. Nicoll, MD, AHFI
  • Jolanta Nowak, AHFI
  • JoAnn Nunes, AHFI
  • Sean Petree, AHFI
  • Kiersten Purves, AHFI
  • Lauren Sgro, AHFI
  • Lisa Speranzo, AHFI

Cigna-HealthSpring

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

Claiminformatics

  • Sunday A. Adesina, M,Sc, MPH, AHFI, CFE, CHDA,CPCO, CPC-P,CPMA

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
  • 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
  • Carlyn Hoffman, 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
  • Robert Hurd, AHFI
  • Robert H. Page Jr., MS, 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
  • 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

  • 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

EmpiRX Health

  • Meghan Sebaugh, AHFI

Envolve Health

  • Jonathan W. Rich, DMD, CDC, AHFI

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
  • Tracy Ryder, 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

  • 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 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 Plan

  • Susan Foreman, 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
  • 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, MA

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
  • 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
  • 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
  • Christine Caufield, AHFI
  • Zachery Charlson, AHFI
  • Michelle Cobden, RN, AHFI
  • Daryl Fair, AHFI
  • Kristine Knutson, AHFI
  • Michael S. Kromer, AHFI, CFE
  • Suzette Long, RDH, AHFI
  • Jane A. Naig, RN, AHFI, CFE
  • 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

International SOS

  • Keri Andrews, MS, AHFI

Jeff & Marci Barnhart Enterprises, LLC

  • Marci Barnhart, AHFI, COC

Kaiser Permanente

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

KelseyCare Advantage

  • John Kimble, AHFI

KPMG, LLP

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

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

  • Sheila Finlason, AHFI
  • 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, OAG

  • 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 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 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 Lewis, AHFI, CPMA, CPC

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
  • Jim K. Hampton, AHFI
  • 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
  • Shane O. Tiernan, AHFI

Morgan & Morgan Complex Litigation Group

  • Clark J. Bolton, JD, AHFI, CFE

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 Dougherty, 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 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
  • 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, 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
  • Shannon Patino, AHFI
  • Diane Paturalski, RN, MHSA, CCS-P, AHFI
  • Marisela Rountree, RN, AHFI
  • Dawn E. Voris, AHFI, COC, CPC, CPC-P
  • Robert Wilder, AHFI
  • Claire M. Wrisley, AHFI, CFE

OptumRx

  • Susana Cabrera, CPhT, AHFI
  • 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

  • Nicole Matty, 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

  • 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

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

Presbyterian Health Plan

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

PricewaterhouseCoopers LLP

  • Mark Anderson, MBA, AHFI

Prime Therapeutics LLC

  • Vanessa Emlich, CFE, CPhT, AHFI
  • Michael Ihrke, AHFI
  • Leslie Leach, 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

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
  • Christopher Mabile, CFE, AHFI
  • Megan Pedersen, AHFI
  • Robert Reifinger, AHFI
  • Todd G. Scioneaux, AHFI, CFE
  • Jeffrey D. Sells, AHFI
  • Lynda Stewart, AHFI
  • Carrie Ward, AHFI, CFE
  • Stephen Scott Ward, AHFI, CFE

SafeGuard Services, LLC

  • Brian Koch, CPC, AHFI
  • Ruth Morin, 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, 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, CPC

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 MITRE Corporation

  • Lisa R. Cannady, RN, BSN, CPC, AHFI
  • Amber L. Fee, AHFI, CPC
  • Timothy Helms, MHSc, LDO, AHFI
  • 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

  • Lawrence Ball, AHFI, CFE
  • 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 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, VHA Office of Integrity and Compliance, Division of Program Integrity

  • Shawn O'Neill, AHFI

UCare of Minnesota

  • Lawrence Ashworth, AHFI

Ultimate Health Plans, Inc.

  • Annel Llanes, 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 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
  • Tina Sabby, AHFI

UnitedHealthcare Investigations

  • Raymond Alamo, AHFI
  • Katherine Bass, AHFI
  • Matthew Berls, MA, AHFI
  • Jennifer Boren, MBA CPhT CFE 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
  • 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
  • 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
  • Katee Biby Wilkes, AHFI
  • Michele Brown, AHFI
  • Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
  • Rachel Herisko, AHFI
  • Kathy Kokal, AHFI
  • Mary Beth Ledergerber, RN, AHFI
  • Eleanor Medved, RN, MSN, AHFI

Utah Office of Inspector General of Medicaid Services

  • John Slade, CFE, CIGI, AHFI

Utica College

  • James P. Conroy, MS, CFE, 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
  • Brandon Utterback, CFE, AHFI

Viveka Health

  • Laurent Laor, AHFI

Washington State Health Care Authority

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

WellSense Health Plan

  • Shawn Hill, CPC, CFE, AHFI

Other Organization

  • Lynn Anderton, RN, AHFI, CPC
  • Joanna M. Andrade, AHFI, CFE, CPC
  • Denise Barrow, AHFI
  • Brittany Bechtel, AHFI
  • Fred Becknell, AHFI
  • Elizabeth Brady, AHFI, CFE
  • Thomas P. Brennan Jr., AHFI
  • Dawn E. Brinkley, AHFI
  • Amanda Brown, MBA, AHFI
  • Susan Bryan, MBA, AHFI, NCI
  • Thomas J. Cantwell, AHFI, CFE
  • Kelly R. Carpenter, PMP® AHFI
  • Tammy Chastain, AHFI, HCAFA, EMT-B
  • Sharon Cortese, RN, AHFI
  • Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
  • Karen Dunn, AHFI
  • Edward Eklund, LCSW, AHFI
  • Denese Ellis, AHFI
  • Lisa M. Ellis, RN, CPC, AHFI
  • Flora Focarino, AHFI
  • Adolfo Garcia, AHFI
  • Kelli L. Garvanian, AHFI
  • Sharon Green, AHFI, CFE
  • Karen Gwinn, AHFI, CFE
  • R. Kathleen Hallinan, AHFI, CFE
  • Dave Hennings, AHFI, CFE
  • Bernard A.K.S. Ho, AHFI, MBA, CFE
  • Dale Hockenbery, AHFI, CFE
  • Miko Hughes, ACFE, CFE, AHFI
  • Mari Ellen Kiefer, AHFI
  • Karen Kinser, AHFI
  • Sharon D. Kvasnicka, AHFI
  • Brian A. Lane, AHFI, CFE
  • Stefanie Lawrence, RN, BSN, AHFI, CPC
  • 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
  • Kelly J. Lunde, AHFI
  • Cynthia W. Makara, AHFI
  • John T. Malloy, AHFI
  • Cindy McKenzie, RN, AHFI
  • Thomas E. Mills, CFE, AHFI
  • Shirley A. Mize, RN, CPC, AHFI
  • Kathy Morrow, AHFI
  • Marguerite Mzhickteno, AHFI, CPC
  • Gina Nerey, AHFI
  • Tammy O'Hare, AHFI
  • Linda Osborn, AHFI, CFE, CPC, CEMC, CPMA,
  • Doreen A. Paola, AHFI, CPC
  • Bonnie Parenteau, AHFI, FCLS, BSRN
  • Gerardo Patrizio, AHFI
  • Richard Pierce, MBA, CFE, AHFI, CPIP
  • Sue Post, AHFI
  • Jack L. Price, AHFI, ALHC, CFE
  • Roger I. Purnell, AHFI, CFE
  • Marca Reese, AHFI
  • Daniel Reutlinger, AHFI, CFE
  • Pieter Rijken, AHFI
  • Lisa Robinson, AHFI
  • Michael Robinson, CFE, AHFI
  • Michelle Ryan, AHFI
  • Rose M. Sabo, AHFI, MPA
  • Deon L. Scaife, AHFI
  • Barbara Scott, BSN, RN, CPC, CFE, AHFI
  • Amy Sellers, AHFI
  • Jean L. Sexton, AHFI
  • James Eric Shell, AHFI
  • Teresa C. Shirley, 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
  • Cissy Walker, AHFI, RHIA, CFE
  • Phyllis Watson, JD, AHFI
  • Janice M. Winston, AHFI
  • Benjamin S. Wright, AHFI, CDP
  • Chunmiao Ye, CPC-A, 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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