Director
JD
Kimulet Winzer
Healthcare Compliance, Medicare/Medicaid, DSNP Compliance
Kimulet Winzer has 25 years of Medicaid managed care experience. She’s worked with healthcare providers, advocates, regulators, payor plans, attorneys, vendors, lobbyists and healthcare leaders on a myriad of operational remediations, innovations and core compliance program development, implementations and training. Most recently she served in a leadership role with UnitedHealthcare as a regional compliance director for the Medicaid program. Prior to her 13 years with UnitedHealthcare she helped to build and implement Medicaid and Medicare DSNP Compliance programs; oversee member and provider grievance and appeal processes and help in the understanding of regulatory changes impacting the delivery of managed Medicaid services and programs.
In addition, for the past 8 years Kimulet has contributed her time to volunteering in the area of early childhood development where the regional council she serves on oversees the administration of $20 million through determining strategy, vendor selection and overseeing vendor performance for the state of Arizona’s early childhood development agency. She is a Flinn-Brown Civic Leadership Fellow and a lifetime member of Arizona Town Hall.
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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SunHawk Consulting specializes in professional consulting services and has a team of highly skilled subject matter experts with substantial backgrounds in:
* Healthcare Compliance: statistical sampling & coding audit services, design and implementation of healthcare compliance programs, evaluation of compliance programs and risk assessments, HIPAA compliance risk assessments & training, corporate integrity agreement (CIA) board advisor, independent review organization (IRO) services, interim healthcare compliance support, physical security assessment;
* Corporate Investigations: fraud investigations and forensic accounting, anti-money laundering (AML), bank secrecy act (BSA), know your customer (KYC), foreign corrupt practices act, third-party due diligence;
* Corporate Compliance: Evaluation and Design of Corporate Compliance Programs, Interim Compliance Support, Compliance Risk Assessments, Physical Security Assessment, Enterprise Risk Management, Private Equity Governance, GRC System Support, Audit Function Support, Fraud Risk Assessments, Investigations Program Assessment and Enhancements, Qui Tam Investigations, Hot Line Support;
* Litigation Disputes: Complex Litigation and Disputes, Mergers and Acquisitions: Regulatory Due Diligence, Expert Witness, Statistical Analysis, Healthcare Payment Disputes, Litigation Support, Physical Security Assessment, and Neutral Party Data Analysis.