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Consultants

James Rose - Healthcare Compliance Practice Leader, Corporate Compliance, Litigation Disputes

James Rose

Healthcare Compliance Practice Leader, Corporate Compliance, Litigation Disputes

James Rose, CPA, CIA, CRMA, CISA, CISSP, is an experienced healthcare operations, governance, risk, and compliance executive with over 25 years of experience focused on the healthcare and governmental industries. More…

Martin Biegelman Fraud, Corporate Investigations, Forensic Accounting

Martin Biegelman

Corporate Investigations Practice Leader, Corporate Compliance, Risk & Compliance, Fraud & Corruption Investigations

Martin Biegelman, CFE, CCEP, PI, has over 45 years of experience in law enforcement, consulting and the corporate sector. He helps clients navigate disruption, resolve business controversy, and build resilient organizations. More…

Lorraine Aniello - Healthcare Compliance, Clinical Coding Audit Director

Lorraine Aniello

Coding Audit Practice Leader, Healthcare Compliance, Litigation Disputes

Lorraine Aniello is a Registered Nurse and holds certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC) from the American Academy of Professional Coders (AAPC), and Advanced HCC Auditor (AHCCA) from Rise Health. More…

Nancy Roht - Healthcare Compliance, HIPAA Assessments, Billing & Coding Reviews

Odell Guyton

Corporate Compliance

Mr. Odell Guyton is a certified compliance and ethics professional. He is highly regarded in the compliance and ethics fields as an industry leader and a valuable resource in designing, implementing, and managing effective corporate governance and compliance programs for multi-national organizations. More…

Nancy Roht - Healthcare Compliance, HIPAA Assessments, Billing & Coding Reviews

Sam Cunningham

Health Information Management, Healthcare Compliance, Billing and Coding Compliance

Sam Cunningham, RHIA, CCS, has over 15 years of Health Information Management (HIM) experience working with payers and providers. He has supported clients with pre-acquisition due diligence and risk assessments.  More…

John Viola - Criminal and Administrative Investigations Consultant

Andy Weeks

Cybersecurity

Andy Weeks has a dynamic background spanning in Executive Management, Information Security, Identity Management, Information Technology, and Strategic Planning. He has proven expertise in leading high-performance teams and driving results across multiple business areas. More…

John Viola - Criminal Investigations, Administrative Investigations Consultant

John Viola

Criminal and Administrative Investigations

John Viola is a former supervisory federal agent with 27 years of extensive and meritorious experience conducting criminal and administrative investigations. As a United States Postal Inspector, he conducted and supervised complex investigations of fraud, internal and external theft, and financial crimes including bank fraud and identity theft. More…

Leah Lane Corporate Investigations, Corporate Fraud, IP Theft, Fraud Risk Assessment Consultant

Leah Lane

Corporate Investigations, Corporate Fraud, IP Theft, Fraud Risk Assessment

Leah Lane has more than 31 years of combined global public and private sector investigations and fraud examination experience. During her career, she has managed, conducted, and assisted on hundreds of global and domestic investigations involving allegations of Foreign Corrupt Practices Act violations, internal and external fraud, and employee misconduct. More…

Jerry Bamel - Corporate Investigations, Risk & Compliance, Fraud Investigations Consultant

Jerry Bamel

Corporate Investigations, Risk & Compliance, Fraud Investigations

Jerry is a former Special Agent with the Naval Criminal Investigative Service, a Supervisory Special Agent with the FBI, and a Group Investigations Manager with Microsoft.  He has over 35 years of experience in conducting fraud and bribery investigations, international terrorism investigations, mitigating risk, and promoting ethics and compliance programs. More…

Jim Rough - Healthcare Compliance, Forensic Investigation, Fraud Investigation

Jim Rough

Healthcare Compliance, Forensic Investigation, Fraud Investigation

James Rough, CFE, CHC, CCEP, is President of SunHawk Consulting, with 20 years of experience in Compliance, Investigations & Disputes Expert. He is a regular lecturer for the Health Care Compliance Association (HCCA) on best practices when Communicating with Government Regulators and Enforcement personnel. More…

Rachael Mills - Medical Claims Analytics, Statistical Analysis, Compliance Assessments, GRC Consultant

Rachael Mills

Medical Claims Analytics, Statistical Analysis, Compliance Assessments, GRC

Rachael Mills is a Managing Consultant with SunHawk Consulting, LLC and is experienced in medical claims analytics, statistical analysis, compliance assessments, GRC (governance, risk and compliance) platform configuration and overall project and program management. More…

Juliette Gust - Corporate Investigations, Internal Audit, Certified Fraud Examiner

Juliette Gust

Corporate Investigations, Internal Audit, Certified Fraud Examiner 

Juliette Gust, CFE, has over 20 years of experience in global Ethics and Compliance programs, whistleblower program implementation and management, global and internal investigations, anti-corruption risk assessment, and audit programs. More…

Marc Lato - Healthcare Compliance, Medicare, Medicaid Consultant

Dr. Marc Lato

Healthcare Compliance, Medicare, Medicaid

Marc Lato, MD  is a physician executive with over 20 years of experience in managed care and compliance in Medicaid, Medicare and within hospital/healthcare systems. More…

Kimulet Winzer - Healthcare Compliance, Medicare/Medicaid, DSNP Compliance Consultant

Kimulet Winzer

Healthcare Compliance, Medicare/Medicaid, DSNP Compliance

Kimulet “Kim” Winzer, JD, has over 25 years of experience in payer compliance development, program strategy, network and delegation oversight, specializing in Medicaid and Medicare programs. More…

Douglas Small - Corporate Investigations, Compliance Training, Internal Audit Consultant

Douglas Small

Corporate Investigations, Compliance Training, Internal Audit

Douglas Small, CPA, CFE, CFF has over 30 years of experience in fraud investigations, forensic accounting, and anti-corruption consulting services. More…

Scott Moritz - Corporate Investigations, Regulatory Compliance Consultant

Scott Moritz

Corporate Investigations, Regulatory Compliance

Scott Moritz is a highly experienced investigations leader and regulatory compliance advisor based in New York. He assists clients in managing their response to “bet the company” event-driven financial crime, misconduct and bribery investigations and regulatory actions which entail working with company leadership, the audit committee, outside auditors, legal counsel and the law enforcement and regulatory agencies with whom the results of the investigation may eventually be shared. More…

Pete Sullivan - Corporate Investigations, Security Management, IP, Corporate Compliance Consultant

Peter Sullivan

Corporate Investigations, Security Management, IP, Corporate Compliance

Peter Sullivan has over 40 years of leadership experience in Federal Law Enforcement, Corporate Investigations, Global Security Management, and Consulting. He has provided investigative, security management, audit, compliance, and other risk consulting services to numerous organizations in over 25 counties. More…

Robert Weiner - Corporate Investigations, Securities, Fraud, Money Laundering, Kickback Schemes  Consultant

Robert Weiner

Corporate Investigations, Securities, Fraud, Money Laundering, Kickback Schemes 

Robert Weiner is a renowned compliance and legal professional with over 25 years of experience leading critical regulatory and compliance investigations in over 80 countries. He is a subject matter expert in assessing, designing, and implementing compliance programs that identify and mitigate risks to safeguard client investments across the globe. More…

Etosha McGee - Healthcare Compliance, CDM Compliance, Healthcare & Risk Adjustment Coding Consultant

Etosha McGee

Healthcare Compliance, CDM Compliance, Healthcare & Risk Adjustment Coding

Etosha McGee, CPC, CRC, CDEO, has over 15 years in CDM maintenance,  compliance, strategic pricing, revenue integrity program development and CMS regulations and claims review. More…

Wende Howell-Bell - Healthcare Compliance, Medicaid Consultant

Wendella Howell-Bell

Healthcare Compliance, Medicaid

Wendella Howell-Bell has over 26 years of experience as a healthcare executive with a progressive and diverse background in commercial managed healthcare settings and government programs. More…

Sally Adams - Healthcare Compliance, Medicare, Medicaid Consultant

Sally Adams

Healthcare Compliance, Medicare, Medicaid

Sally Adams, has over 37 years experience in the healthcare management consulting industry in both the public and private sectors, working with all provider types, state and local government, and managed care insurance providers, specializing in Medicaid and Medicare programs. More…

Michael Kotch - Corporate Investigations, Healthcare Fraud Consultant

Michael Kotch

Corporate Investigations, Healthcare Fraud

Michael Kotch, CFE, CMAS, CFCE, has over 35 years experience in government health programs, strategic planning, compliance, and provider network management.   In addition, he is a seasoned healthcare fraud and financial crimes investigator who has developed and implemented anti-fraud programs and managed Special Investigation Units for several large managed care organizations. More…

Steve Anderson

Steve Anderson

Steve Anderson is a Director with SunHawk Consulting, LLC. Mr. Anderson engages firms to help optimize their operations, make informed data-driven decisions, and deliver end-user value within their day-to-day processes. He also leads project teams that assisted clients with regaining operational control and reaching financial targets. More…

Tammy Harris

Tammy Harris

Medical Coding

Tammy Harris is a Coding/Auditing expert at SunHawk Consulting, LLC. Ms. Harris is a CPC and CRC through the American Academy of Professional Coders. She served as an associate director with Optum Health where she managed quality programs associated with CPT, modifiers, and ICD-10-CM coding.   More…

Michael Kotch - Corporate Investigations, Healthcare Fraud Consultant

Brandy Obenski

Medical Coding

Ms. Obenski is certified by the American Academy of Professional Coders as a certified professional medical auditor (CPMA) and a certified risk adjustment coder (CRC). She also holds certification from the American Health Information Management Association (AHIMA) as a certified documentation improvement practitioner (CDIP) and a certified coding specialist (CCS).  More…

Maria Herlihy - Healthcare Compliance, Data Interpretation, Organizational Assessment Consultant

Gayle Haas

Medical Coding

Ms. Haas is certified by the American Academy of Professional Coders (AAPC) as a certified professional coder (CPC), and certified professional coder instructor (CPC-I), as well as a Certified risk adjustment coder (CRC). Gayle also holds certifications from the American Health Information Management Association (AHIMA) as a Registered Health Information Technician (RHIT) and a Certified Coding Specialist (CCS). More…

Dave Fairburn

Dave Fairburn

FedRAMP

Dave Fairburn is a Director at SunHawk Consulting. He is a seasoned cyber professional with more than 30 years of experience designing and implementing programmatic security solutions. He is an expert in security requirements including CMMC, FedRAMP, FISMA, NIST 800-53 R4 and 800-37 R1, NIST 800-171, HIPAA, GDPR, SOC 1, SOC2, and SOC 3. More…

Brigita Landstrom HEDIS

Brigita Landstrom

HEDIS

Brigita Fody Landstrom has 25 years of Medicare/Medicaid managed care, Community Health Center Quality, and large hospital and healthcare systems experience. Passionate about population health, Brigita has dedicated her career to serving the health of communities, with extra attention on traditionally marginalized populations. More…