Consultants
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
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
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…
Odell Guyton
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…
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…
Andy Weeks
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 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
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
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
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
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, 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…
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
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
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
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…
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
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
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…
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
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
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 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 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…
Brandy Obenski
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…
Gayle Haas
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 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
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…