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Greater Los Angeles Area United States

Audit, Fraud Control, Analytics, Reimbursement

Medical / Health Care / Pharmaceuticals

A solutions-focused analytical leader with the ability to interpret complex regulations and requirements and collaborate with business and clinical partners to develop effective strategic plans that achieve desired results. Adept at compliance and anti-fraud program design, and governance, risk and compliance system implementations. Engages and acts to minimize operational impact and surprises to leadership. Areas of Expertise: -strategic partnering -health care and health plan, and hospital compliance -data mining and analytics -fraud control -internal auditing and monitoring -Medicare reimbursement and fraud control regulations -risk management