Experts

Our Team

James Rose

Auditing, Accounting, Healthcare Compliance

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.

Nancy Roht

Healthcare Compliance, HIPAA Assessments, Billing & Coding Reviews

Nancy Roht, CHC, has over 20 years healthcare governance, compliance, ethics, and research professional experience serving in academic settings, multistate integrated healthcare systems, and non-profit and for-profit organizations.

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.

Martin Biegelman

Corporate Investigations, Risk & Compliance, Fraud & Corruption Investigation

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. Martin’s practice includes conducting internal investigations, corporate compliance program assessments and enhancements, fraud risk assessments, anti-bribery program compliance, and litigation support.

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.

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.

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.

Leah Lane

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

Leah Lane, CFE, has over 31 years of combined global public and private sector fraud and ethics investigative experience. She has expertise involving allegations of FCPA violations, internal and external fraud, and employee misconduct. She is a lecturer and instructor on corporate ethics compliance programs, fraud investigations and prevention, and anti-bribery issues.

Denise Atwood

Corporate Compliance, Healthcare Risk Management

Denise Atwood, JD, RN, CPHRM, has over 10 years of experience in risk and quality management, clinical research, EMTALA, and corporate ethics.

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.

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.

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.

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.

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.

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.

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. 

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. 

Jan Elezian

Healthcare Compliance, HIPAA, Coding Education

Jan Elezian, MS, RHIA, CHC, CHPS, has 40 years of Healthcare and Privacy/HIPAA Compliance, Revenue Cycle Integrity, Coding Management,  experience, including serving as Chief Compliance Officer for a multi-facility Integrated Health System.

Karen Shade

Healthcare Compliance, Information Security, Privacy, Security Assessment

Karen Shade, CISSP, CISA, PMP, specializes in Information Security and Privacy. She is an IT Security and Audit executive and holds certifications in Information Security (CISSP), Information Systems Auditing (CISA) and Project Management (PMP).

Maria Herlihy

Healthcare Compliance, Data Interpretation, Organizational Assessment

Maria Herlihy, MS, has 25+ years of experience focused on data sciences & advanced analytics.  She has leveraged her Masters in Statistics and Operations Research to perform complex statistical analyses, data interpretation, and pattern detection for healthcare and international clients.

Chris DePIPPO

Corporate Investigations, Compliance Training, Internal Audit

Chris DePIPPO, ECI-LPEC, CCEP is a risk and compliance leader with 20 years of advisory and executive experience in Fortune 125 companies. From 2008-20 Chris was Chief Ethics and Compliance Officer of DXC Technology where, in response to an SEC investigation of then-CSC, DXC’s predecessor company, his efforts to build and lead effective ethics and compliance and internal investigations programs were the centerpiece of CSC’s cooperative remediation efforts.

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 thelaw enforcement and regulatory agencies with whom the results of the investigation may eventually be shared.