AHFI Roster

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

See more information about earning your AHFI® designation.

AHFI® Roster

1199SEIU Benefit & Pension Fund

  • Keenan Emmanuel, MS, CFE, AHFI, RMC

Aetna

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

Aflac

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

AlaHealth

  • Presley Rebman, AHFI, CFE, PMP

Allegiant Experts, LLC

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

Alliance Health

  • Tanya Held, AHFI

Amenity Consulting, LLC

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

AmeriHealth Caritas

  • Vicki S. Bicking, AHFI
  • Edward Dyksterhouse, CPhT, AHFI
  • Malcolm Fletcher, AHFI
  • Yolander Hall, MBA, AHFI
  • Caitlin Jones, AHFI
  • 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
  • Stacy Warner, AHFI
  • Valerie Yow, LMSW, AHFI

AmeriHealth Caritas Iowa

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

AmerisourceBergen

  • Rachel DeMaree, AHFI, CHC

Amplifon

  • Andrea C. Johnson, MHA, 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
  • Janet Bonham, AHFI
  • Lorraine Boothe, RN, AHFI
  • Sharron M. Cannella, AHFI
  • Mary Jude Cribbs, AHFI
  • Krystal M. de la Piedra, AHFI
  • Dustin Dibble, AHFI
  • Marcee L. Doherty-Elst, MA, CHIE, AHFI
  • Katie Dragovich, AHFI
  • Maureen Eng-Tan, AHFI, CFE, CPC
  • Haley N. Everson, AHFI
  • Celia Fernandez, AHFI
  • Linda Gilbreath, CPC, CPC-I, COC, AHFI
  • Stacy L. Gilhooly, CPC, CFE, AHFI
  • Carrie A. Godby, MS, AHFI, CFE
  • Mary Heevner, D.C., AHFI
  • Phyllis Heller, AHFI
  • Kelly Hensley, AHFI
  • 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
  • Charlene L. Marks, RN, AHFI, HCAFA, CPC
  • Melissa Martin, AHFI
  • Melinda Matzell, AHFI
  • Robert Mays, AHFI, CFE
  • Charles R. McCall, AHFI, CFI, FCLS
  • James V. McCall, AHFI
  • Amy Mize, RPh, MS, CPC, AHFI
  • Mary Morales, MHSA, RDH, AHFI
  • Sandra M. Nadler, AHFI
  • Amanda Patacsil, AHFI
  • Susan M. Rainey Biler, AHFI, CFE
  • Carl Reinhardt, AHFI, CPC
  • Veronica Scott, AHFI
  • Justin Seward, AHFI
  • Frances Shirek, AHFI
  • Tina Sinclair, CPC, AHFI
  • Katina Spadoni, DDS, CDC, AHFI
  • Erin Walsh, AHFI
  • 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

Arete Pharmacy Network, LLC

  • Delia Catalasan, MBA,CFE, AHFI,CPhT

Artemis Health Inc.

  • Kim Ann Dufour, AHFI, MA

BAE Systems Applied Intelligence, Inc.

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

Beacon Health Options

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

Blue Cross and Blue Shield of Alabama

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

Blue Cross and Blue Shield of Kansas

  • Roger Palmer, AHFI, CFE

Blue Cross and Blue Shield of Louisiana

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

Blue Cross and Blue Shield of Massachusetts

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

Blue Cross and Blue Shield of Minnesota

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

Blue Cross and Blue Shield of Mississippi

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

Blue Cross and Blue Shield of North Carolina

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

Blue Cross and Blue Shield of 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
  • Jacqueline R. Morton, AHFI, CPC

Blue Cross Blue Shield of Arizona

  • Dawn Morgan, AHFI

Blue Cross Blue Shield of Illinois (HCSC)

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

Blue Cross Blue Shield of Michigan

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

Blue Cross Blue Shield of Montana (HCSC)

  • Jamie Smith, AHFI, CPC

Blue Cross Blue Shield of Texas (HCSC)

  • Nathan Zimring, AHFI

Blue Cross Blue Shield of Vermont

  • Karen Fondry, RN, BC, AHFI, CPC-P

Blue Cross of Idaho

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

Blue Shield of California

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

BlueCross BlueShield of Kansas City

  • Ashlee Heath, AHFI, CPC
  • Jennifer Waddle, AHFI, CPC-A

BlueCross BlueShield of South Carolina

  • Karen W. Davenport, AHFI

BlueCross BlueShield of Tennessee

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

Booz Allen Hamilton

  • Afee Roberts, AHFI, CFE

Bright Health Care

  • Ray G. Winfield Jr., AHFI

Cahaba Safeguard Administrators, LLC

  • Karen Hurley, AHFI, CFE

Capital BlueCross

  • Dottie Berg, HSA, RN, AHFI, CPC

Capital District Physicians' Health Plan, Inc.

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

Cardinal Innovations Healthcare

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

CareFirst BlueCross BlueShield

  • Alecia Cooke, CPC, AHFI, HCAFA
  • Terrence Payton, AHFI
  • Arvin Wright, AHFI

CareSource Management Group

  • Tynetra Bracken, AHFI
  • Nathan Duling, HCAFA, AHFI
  • Dale E. Hockenbery, AHFI, CFE
  • Angela S. Hyatt, AHFI, CPC
  • Lora Jones, AHFI, CFE
  • Janine Kumanchik, AHFI, HCAFA
  • Pasquale Leone, HCAFA, CPhT, AHFI
  • Brandon Olinger, AHFI, CPC, HCAFA
  • Ann-Marie Sclafani, CPhT, HCAFA, AHFI

Carolinas Center for Medical Excellence

  • Robyn S. Winters, AHFI

Castle Biosciences

  • Jason L. Martin, MBA, CFE, AHFI

Centene Corporation

  • Jacquelyn Autie, AHFI
  • Joyce Chinock-Somuah, AHFI
  • Tammi Ciaravino, AHFI
  • James P. Conroy, MS, CFE, AHFI
  • Jade Damschroeder, AHFI
  • Amber Edler, AHFI, CFE, CPC
  • Haley Fisher, AHFI
  • Tamiko F. Garrison, AHFI, CFE
  • Kimberly A. Gentry, AHFI, HIA, HCAFA
  • Joey George, RN, BSN, CPC, AHFI
  • Elizabeth Govero, RN, CPC, CEMC, AHFI
  • Talvin T. Herbert, AHFI
  • Christopher H. Horan, CCEP, AHFI
  • Bradley Kirkbride, AHFI
  • Lisa-Noelle LeGare, AHFI, CFE
  • Cheryl A. Lowry, CFE, AHFI
  • Monica Luna, LPN, CPC, AHFI
  • Kay Moore, CPC, AHFI
  • Carol Motley, RHIA, LPN, CPC, CPCO, AHFI
  • Matthew Nickley, CFE, AHFI
  • Lori Peters, AHFI
  • Meghan Sebaugh, AHFI
  • Lisa M. Sweatland, AHFI
  • Rose Tippy, MA, CPC, AHFI
  • Sandra S. Weston, AHFI

Central Florida Law, LLC

  • Brian T. Forman, JD, AHFI

Central States Funds

  • Deena L. Gallo, BA, AHFI

Central States Health & Life Co. of Omaha

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

CGI Federal Inc.

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

Change Healthcare

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

Cigna

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

Cigna-HealthSpring

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

ClaimSecure Inc

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

Clever Care Health Plan

  • Andrei Barlahan, MBA, AHFI

Coding Continuum, Inc.

  • Christina Melnykovych, BS, RHIA, CFE, AHFI

Codoxo (formerly Fraudscope)

  • Rena V. Bielinski, PharmD, AHFI
  • Douglas Moore, AHFI, CFE

Community Behavioral Health

  • Kenneth Inness, AHFI

Community Care Plan

  • Rosa Castellanos, AHFI

Community Health Choice

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

Comply Systems, LLC

  • Carol A. Daniels, AHFI

CONDUENT, Inc.

  • Jennie Tupas-Peou, CPhT, AHFI

ConnectiCare

  • Patrick D. Hurley, AHFI

Context 4 Healthcare, Inc.

  • Steve Nesnidal, MD CPC AHFI

Continuum Security Solutions

  • Jeffrey J. Matza, AHFI, CFE

Convey Health Solutions

  • Susan Garofolo, AHFI

Cotiviti, Inc.

  • David A. Bohnenstingel, AHFI
  • Ryan Cleverly, AHFI
  • Denese Ellis, AHFI
  • Martin L. Estell, AHFI, CSPO, CSM
  • 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
  • Lindsay Sullivan, AHFI

CoventBridge (USA) Inc.

  • Anita Fuqua, AHFI
  • Gina Nerey, AHFI

CVS Health

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

CVS/Caremark, Inc.

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

Dean Health Plan

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

Delaware Department of Insurance, Fraud Prevention Bureau

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

Delta Dental of Arizona

  • Kathy Morrow, AHFI

Delta Dental of Kansas

  • Kathryn Beal, AHFI

Delta Dental of Michigan, Ohio & Indiana

  • Christine J. Danford, AHFI

Delta Dental of Virginia

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

Delta Dental Plans Association

  • Mark Franklin, AHFI

Easterseals UCP NC & VA

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

Elixir

  • Detra Gunn, AHFI

EmblemHealth

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

Evolent Health

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

Excellus Blue Cross Blue Shield

  • Margaret Paris, AHFI

EXP Healthcare Consulting, LLC

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

Express Scripts, Inc.

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

Fidelis Care New York

  • Harry B. Guglielmo, AHFI

Florida AHCA, Bureau of Medicaid Program Integrity

  • Maureen Barker, AHFI
  • Fred Becknell, AHFI
  • Kelly A. Bennett, JD, CFE, AHFI
  • Dawn Coste, AHFI
  • Stephanie Gregie, LCSW, AHFI
  • Cymeia Hill, 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
  • Jessica Zimmerman, AHFI

Florida Blue

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

Florida Department of Children and Families

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

Florida Dept of Management Services, Division of State Group Insurance

  • Jim K. Hampton, AHFI

Fraud Solutions

  • Erin K. Smith, AHFI, CFE, CFC

Gainwell Technologies

  • Erica Marshall, MSW, AHFI

Gallagher Benefit Services

  • Sherri Ballou, RPh, AHFI
  • Leslie Leach, AHFI

Gateway Health Plan

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

Geisinger Health Plan

  • Susan Leitzell, CPhT, AHFI

Geisinger Health Plan

  • Kathy Coslett, AHFI

General Dynamics Information Technology

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

Guardian Life Insurance Co.

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

Guardian/Avesis

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

Health Care Service Corporation

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

Health Net Federal Services Tricare

  • Miguel Bryant, AHFI
  • Mark A. Nelson, MA, SA (Ret), AHFI
  • Rita Uhren, CPC, AHFI

Healthcare Fraud Shield

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

Healthfirst

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

HealthPartners, Inc.

  • Thea Ann Lind, RN, AHFI

Highmark

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

HMS, Inc., a Gainwell Technologies Company

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

Horizon Blue Cross Blue Shield of New Jersey

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

Humana, Inc.

  • Debra Anderson, AHFI, HCAFA
  • Adela Banawis, AHFI, CFE
  • Mary L. Ducat, AHFI
  • Deborah L. Hill, AHFI
  • Christa J. Jewsbury, JD, CFE, AHFI
  • Tammy Jones, MSN, RN, NE-BC, AHFI, CPC, CRC
  • Deanne M. Ketterer, AHFI
  • 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
  • Jeffrey M. Wickwire, AHFI
  • Benjamin Wilbur, AHFI, CFE

Husch Blackwell LLP

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

IBM Watson Health

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

Independence Blue Cross, LLC

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

Indiana University Health Plans, Inc.

  • Nadine Y. Casey, AHFI

Integrity Advantage

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

International SOS

  • Keri Andrews, MS, AHFI

Jeff & Marci Barnhart Enterprises, LLC

  • Marci Barnhart, AHFI, COC

John Hancock Financial Services

  • Carmen E. Russo, AHFI, CFE

Kaiser Permanente

  • Jeffrey Fairbanks, AHFI, CFE, CPC
  • Luz M. McCullough, RN, MSN, AHFI, CPC, CCS
  • Ericson Salmo, MD, CCS, CRC, 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
  • Patricia Luna, AHFI
  • Edd Malone Jr., CFS, AHFI
  • Dahlene M. Smith, AHFI

LeBauer Behavioral Medicine

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

Liberty Dental Plan

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

Louisiana Department of Health

  • John Korduner, JD, AHFI

Magellan Health, Inc.

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

Mastercard International Incorporated

  • Tim McBride, CPC, AHFI

Mayo Clinic

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

Medica Health Plans

  • Nancy Holt, HCAFA, AHFI
  • Priscilla R. Leggs, CFE, AHFI

Medicaid Fraud Control Division, Tennessee Bureau of Investigation

  • Sheila Finlason, AHFI

Medicaid Fraud Control Unit of Florida, OAG

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

Medicaid Fraud Control Unit of Indiana, OAG

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

Medicaid Fraud Control Unit of Louisiana, OAG

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

Medicaid Fraud Control Unit of Mississippi, OAG

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

Medicaid Fraud Control Unit of Oregon, DOJ

  • Pamela Graham, AHFI, CPC

Medicaid Fraud Control Unit of West Virginia, OAG

  • Michael Taylor, AHFI

Medical Affairs Partners, LLC

  • Fred F. Holt, MD, JD, AHFI

Medical Card System, Inc.

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

MetLife

  • Dorene Whaley, HCAFA, AHFI

MetroPlus Health Plan

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

Midwest Medical Examiners Office

  • Cheryl Witsoe, AHFI

Minnesota Department of Human Services, OIG

  • Rachel Lewis, AHFI, CPC

MMM Holdings, LLC

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

Moda Health

  • Toni L. Slocum, AHFI, CPC, CPC-P

Molina Healthcare, Inc.

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

MVP Health Care

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

Myers and Stauffer LC

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

NALC Health Benefit Plan

  • Karen L. West, AHFI

National Enforcement Investigation Agency

  • Garry Williams, PhD, AHFI

National Health Care Anti-Fraud Association

  • Cynthia A. Lucas, AHFI

Navitus Health Solutions

  • Traci M. Ahola, AHFI

NCI AdvanceMed Corporation

  • Sharon M. Doorley, RN, AHFI, CPMA

Nebraska Department of Insurance, Insurance Fraud Prevention Division

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

Needles & Associates, LLC

  • Alma Vazquez-Hernandez, AHFI

New Directions Behavioral Health, LLC

  • Kendra Daniels, LPC, AHFI
  • Veronica Highley, MA, LPC, 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
  • Jennifer Corinella, CFE, AHFI
  • Holli A. Dexter, AHFI
  • Susan Gibbs, AHFI
  • Christopher Hensley, CFE, AHFI
  • Blake C. Hughes, AHFI, MPA
  • Greg Hunter, AHFI, CPC
  • Jacob Kearney, AHFI
  • Dwayne Luby, AHFI, CPA, MBA, CFE
  • Traci Mack, MBA, AHFI
  • Gwen Masser, AHFI
  • Gisele Moses, AHFI
  • Tara Nauha, AHFI
  • Diane Paturalski, RN, MHSA, CCS-P, AHFI
  • Christy A. Torres, AHFI
  • Dawn E. Voris, AHFI, COC, CPC, CPC-P
  • Michele M. Woodbury, AHFI, CPC, HCAFA

OptumRx

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

Oscar Insurance Corporation

  • Nicole Matty, AHFI

Palmetto GBA

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

Partners Behavioral Health Management

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

PBMares, LLP

  • Adahzell T. McMillan, AHFI

Penstock

  • Jeffrey A. Snyder, AHFI

Performant

  • Ted Doyle, MA, AHFI, CFE, CIFI

PGBA, LLC/TRICARE

  • Robin Holland, AHFI

Pharmacy Investigators and Consultants

  • Susan A. Hayes, AHFI, CPhT

Physicians Health Plan of Northern Indiana, Inc.

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

Pivot Health

  • Mindy L. Stadel, FMLI, PCS, AHFI

Plessen Healthcare

  • William R. Banter, AHFI, CFE

Point32Health (formerly Tufts Health Plan & Harvard Pilgrim Health Care)

  • Patricia A. Ganley, RN, AHFI
  • Brian Robinson, CFE, AHFI
  • Jessica Silverman, AHFI, CPC, CEMC, CFE

Preisch Audit & Investigations

  • Steven P. Price, AHFI, CFE, PI

Premera Blue Cross

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

Presbyterian Health Plan

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

Presbyterian Health Plan

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

PricewaterhouseCoopers LLP

  • Mark Anderson, MBA, AHFI

Prime Therapeutics LLC

  • Michael Ihrke, AHFI
  • Jared Mendoza Duenas, AHFI

Priority Health

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

Probity Financial Services

  • Gayle Ann Seyl, AHFI, CFE

ProCode Compliance Solutions, LLC

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

Provider Resources, Inc.

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

Purisolve, Inc.

  • Humberto Marrero, AHFI, CFE

Qlarant

  • Trudy Bell, AHFI
  • Kay Bistline, MD, MBA, AHFI, CFE, CPC, CPC-H
  • Dana Causey, AHFI, CFE
  • Rachael Lozano Cheleuitte, CFE, AHFI
  • Nancy K. Downes, BSN, RN, AHFI
  • Polly C. Lacoco, RN, AHFI, CPC, HCAFA
  • Christopher Mabile, CFE, AHFI
  • Wendy L. Naquin, AHFI, CPC
  • Megan Pedersen, AHFI
  • Robert Reifinger, AHFI
  • 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
  • Kristi B. Van Slyke, AHFI

SAS Institute Inc.

  • John L. Maynard, CPA CFE AHFI
  • Benjamin S. Wright, AHFI, CDP

SelectHealth

  • Jason L. Bailey, AHFI

Sempra Energy

  • Teresa L. Cooper, AHFI

Social Security Administration, Office of Anti Fraud Programs

  • Mark Majestic, AHFI, CFE

South Carolina Department of Health & Human Services

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

Specialized Medical Investigations, Inc.

  • Vicki Kirby, AHFI, CPC, MS

Sterling Life Insurance

  • Susan Durham, MBA, AHFI

SureBridge Insurance

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

T&M USA LLC

  • Anthony Spaventa, AHFI

Tapp Agency LLC.

  • Dana Crenshaw, AHFI, CFS

Tenet Healthcare

  • Joanne Thompson, AHFI, CHC, CCEP, LPEC

Texas Health & Human Services, OIG

  • Glynn Bell, CFE, AHFI

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

Travelers Insurance

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

Trillium Health Resources

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

Trusted Third Party

  • Jill Carraher, LMSW, AHFI
  • Daniel Kreitman, CFE, AHFI

Trustmark Insurance Company

  • Pamela S. Ankley, AHFI

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

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

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

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

U.S. Dept. of Justice, Criminal Division, Fraud Section

  • 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, Office of Community Care, Directorate of Business Integrity & Compliance, Dept. of Program Integrity

  • Shawn O'Neill, AHFI

United Concordia Companies, Inc.

  • Jill D. Williamson, AHFI

United States Attorney's Office, Central District of Illinois

  • Thomas E. Henrikson, CPA, AHFI, CFE

United States Attorney's Office, Middle District of Florida

  • Kevin M. Codol, AHFI

United States Attorney's Office, Middle District of Georgia

  • Donna J. Davis, AHFI, CFE

United States Attorney's Office, Middle District of Louisiana

  • Virginia L. Brandt, AHFI

UnitedHealth Group

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

UnitedHealthcare Investigations

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

UnitedHealthcare/Optum

  • David Beachler, AHFI
  • Paulina N. Davis, JD, CPC, AHFI
  • Roberta Ferlita, ALHC, FCLA, AHFI
  • James L. Guy II, CFE, AHFI
  • Diane M. Hedges, MBA, CFE, AHFI
  • Latanya Johnson, AHFI
  • Grace Kopakow, AHFI
  • Deborah M. Kreps, AHFI, CPC, HIA
  • Jaime Leyden, AHFI, CPC, CPC-H
  • Annel Llanes, AHFI
  • John J. Logan, AHFI, CFE, CFS
  • Julie N. Miller, AHFI
  • Olive Page Fleury, AHFI
  • Lynne A. Reed, AHFI, CPC
  • Adam K. Rich, DMD, AHFI
  • Amy Sellers, AHFI
  • Claire M. Wrisley, AHFI, CFE

UPMC Health Plan

  • Heidi Beggan, RN, BSN, AHFI, CPC, CPMA
  • Katee Biby Wilkes, AHFI
  • Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
  • Rachel Herisko, AHFI
  • Kathy Kokal, AHFI
  • Mary Beth Ledergerber, RN, AHFI
  • Eleanor Medved, RN, MSN, AHFI

Vaya Health

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

Verisk Insurance Solutions

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

Verisys Corporation

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

Virginia Department of Medical Assistant Services

  • Louis Elie, AHFI

Vision Service Plan

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

Viveka Health

  • Laurent Laor, AHFI

Well Sense Health Plan

  • Katherine Boutin, JD, CFE, AHFI

Other Organization

  • Joanne Allison, RN, AHFI, CCM, PA
  • Lynn Anderton, RN, AHFI, CPC
  • Joanna M. Andrade, AHFI, CFE, CPC
  • Stanley Ayers, DDS, AHFI
  • Denise Barrow, AHFI
  • Brittany Bechtel, AHFI
  • Carolyn J. Bennett, HIA, AHFI, HCAFA
  • Clark J. Bolton, JD, AHFI, CFE
  • Dan S. Bowerman, DC, DABCO, AHFI, CPC, DABCC
  • Kurt Bremer, AHFI
  • Thomas P. Brennan Jr., AHFI
  • Dawn E. Brinkley, AHFI
  • Amanda Brown, MBA, AHFI
  • Denise Brown, MS, BSN, RN, CLNC, AHFI
  • Susan Bryan, MBA, AHFI, NCI
  • Thomas J. Cantwell, AHFI, CFE
  • William E. Capps, AHFI, CFE, FCLS
  • Richard Carbone, AHFI
  • Kelly R. Carpenter, PMP® AHFI
  • Richard M. Celko, DMD, MBA, AHFI
  • Tammy Chastain, AHFI, HCAFA, EMT-B
  • Sharon Cortese, RN, AHFI
  • Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
  • Karen Dunn, AHFI
  • Pamela Durant, MSN, RN, CPC, AHFI
  • Kay Eckroth, DDS, CDC, AHFI
  • Edward Eklund, LCSW, AHFI
  • Lisa M. Ellis, RN, CPC, AHFI
  • Flora Focarino, AHFI
  • David M. Ford, AHFI, CFE
  • Susan Foreman, AHFI
  • Adolfo Garcia, AHFI
  • Kelli L. Garvanian, AHFI
  • Darrell Gates, AHFI
  • Sharon Gilmore, AHFI, CFE
  • Sharon Green, AHFI, CFE
  • Karen Gwinn, AHFI, CFE
  • R. Kathleen Hallinan, AHFI, CFE
  • Carolyn Ham, JD, AHFI
  • Dave Hennings, AHFI, CFE
  • Edward L. Hewitt Sr., AHFI, CFE
  • Bernard A.K.S. Ho, AHFI, MBA, CFE
  • Miko Hughes, ACFE, CFE, AHFI
  • Karen Isch, AHFI
  • Karen Kinser, AHFI
  • Mary Kiteley, 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 W. Makara, AHFI
  • John T. Malloy, AHFI
  • Thomas E. Mills, CFE, AHFI
  • Shirley A. Mize, RN, CPC, AHFI
  • Marguerite Mzhickteno, AHFI, CPC
  • Tammy O'Hare, AHFI
  • Doreen A. Paola, AHFI, CPC
  • Bonnie Parenteau, AHFI, FCLS, BSRN
  • Gerardo Patrizio, AHFI
  • Richard Pierce, MBA, CFE, AHFI, CPIP
  • 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
  • Rose M. Sabo, AHFI, MPA
  • Deon L. Scaife, AHFI
  • Susan P. Schultz, AHFI, CPC-H
  • Barbara Scott, BSN, RN, CPC, CFE, AHFI
  • Jean L. Sexton, AHFI
  • James Eric Shell, AHFI
  • Mike Shen, 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
  • Jon P. Wengronowitz, AHFI
  • Frances White, AHFI, CFE
  • Janice M. Winston, AHFI
  • Deborah V. Wright, AHFI, HCAFA
  • 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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