Rise

Erin Ackenheil Owner

BlackPoint Insurance

Erin Ackenheil is a dynamic speaker, motivator and entrepreneur.  Erin spent over 20 years in corporate America leading Medicare Sales, most notably as an executive for a fortune 50 company, for the last 8 years of her carrier career.   In 2016, Erin launched BlackPoint Insurance, a General Agency, where the focus is on supporting agents who want to launch, grow and retain their Medicare businesses, with an emphasis on Medicare Part D, Medicare Supplement and Medicare Advantage products.  Erin is an accomplished trainer, author and educator.  Erin hosts three regular shows that broadcast on social media, two of which have been converted to a podcast format.  Insure Your Health Instant is a bi-weekly video series on Facebook, LinkedIn, and YouTube, breaking down complicated topics in small increments.  In addition, Erin hosts This is 65, a program featuring accomplished entrepreneurs, community leaders and other dynamic 65+ individuals whom she meets through her work.  Finally, Erin produces Insure Your Health, a podcast and video show featuring medical healthcare providers, industry experts and carrier spotlights.  Erin lives in Northern California with her family; when she’s not working she enjoys spending time with her husband, 3 children & her dog Stanley!

Tricia Beckmann Principal

Faegre Drinker

Tricia provides health policy and compliance counsel throughout the health care industry with a specific focus on health insurance including Medicare Advantage, and regularly advises clients on various compliance and programmatic topics. Tricia leads Faegre Drinker Consulting’s Health Plans and Providers team based in Washington, D.C. Previously, Tricia led ACA policy development at CMS, served as an in-house counsel to a population health company, and specialized in government relations for a managed care plan in California.

Gail Blacklock, CHC Compliance Officer

Astiva Health

Gail’s experience includes 20 plus years working in health care as a compliance officer and consultant in the Medcare arena. As an experienced Compliance Officer for health plans her approach to compliance involves dedication of the entire organization. This top-down organizational approach ensures support and accountability from each staff member and assists the Compliance Department with implementation and management of the Plan’s Program.  Gail’s responsibilities include implementing federal and state regulations, risk assessments, work plans, compliance programs, monitoring, auditing & oversight programs for health plans and delegated entities; lead and resolution on FWA incidents; and training on FWA, HIPAA and compliance.

Jeannine Bumford Director of Coding Operations

Southwestern Health Resources 

Jeannine Bumford has worked in the Risk Adjustment industry for over eleven years, beginning her journey in 2012 as a Risk Adjustment Auditor. She is currently the Director of Coding Operations for Southwestern Health Resources (SWHR). She has successfully built Provider Education, Coding, and Quality Assurance programs throughout her career and was accepted into the SWHR inaugural class for Women in Leadership. She graduated from the Collin College Coding and Billing program and holds Professional Coder (CPC) and Risk Coder (CRC) certifications. She lives in Waxahachie, Texas, with her husband and three girls.

Julie Davis Compliance Senior Manager

Honest Medical Group

Julie Davis, CPC, COC, CRC, CPMA, CPCO, CDEO, CEMC, CFPC, AAPC Approved Instructor has over 20 years of experience in healthcare administration. She has experience in coding, auditing, compliance, documentation improvement, consulting, and teaching. As the Sr. Manager of Compliance for Risk Adjustment and CDI, her primary responsibility is to provide guidance and oversight to ensure accurate coding and documentation for Medicare Advantage and ACO REACH. Julie’s focus has been in Risk Adjustment and documentation improvement. As a certified AAPC instructor, she enjoys teaching and mentoring others. Her goal is to pay forward all the help and support that she has received in her career. In addition to her role at Honest Medical Group, she is a member of the AAPC Documentation Advisory Committee, an officer for her local AAPC chapter, is working with ACDIS to revive their Colorado chapter, and works as a subject matter expert for AAPC.

Jennifer Del Villar Director of Government Programs Compliance / Medicare Compliance Officer

Cambia Health Solutions, Inc.

Director of Government Programs Compliance / Medicare Compliance Officer Cambia Health Solutions (Regence)

Jennifer Del Villar is the Director of Government Programs Compliance and the Medicare Compliance Officer for Cambia Health Solutions (Regence BlueCross/BlueShield). Jennifer joined Cambia in October of 2012.  Jennifer has been involved in the Health Insurance industry with a primary focus on Medicare Advantage Prescription Drug since 2006.

She and her team are responsible for the overall Medicare Care Advantage Prescription Drug Compliance Program as well as Medicare Supplement and the Federal Employee Program. The team is tasked with auditing, monitoring, reporting, remediation, detection, training, FDR oversight, material reviews, oversight of external and regulatory audits and other tasks relating to the seven elements of compliance. Jennifer states her motto is Compliance is Everyone’s responsibility, never forgetting, everything we do touches a member.

Jennifer holds a Certification in Health Compliance through the Health Care Compliance Association and a Professional, Academy for Healthcare Management designation from AHIP.

Jennifer lives in Portland, Oregon.

Gregory Demske Partner, Goodwin Procter LLP

Former Chief Counsel to the Inspector General HHS OIG

Greg Demske is a partner at Goodwin Procter in Washington, DC. He provides strategic compliance counseling for healthcare and life sciences companies. Greg helps clients achieve their business goals while reducing risks under the Anti-Kickback Statute, False Claims Act, and other fraud and abuse authorities in business arrangements and transactions. He advises on developing and operating compliance programs, requesting advisory opinions, anticipating and addressing compliance issues, submitting voluntary disclosures, and responding to government investigations and enforcement actions.  Prior to joining Goodwin in 2023, Greg served for over 10 years as Chief Counsel to the Inspector General, Department of Health and Human Services (HHS), where he led the provision of all legal services and advice for the HHS Office of Inspector General (OIG).

Jordan Flynn Chief Compliance Officer

ATRIO Health Plans

Jordan’s experience includes 25 plus years working in the health care payer compliance industry, primarily in the Medicare Advantage arena. Prior to her current leadership role at ATRIO Health Plans, Jordan was the Vice President & Chief Compliance Officer at Evolent Health – a position she held for 6 years. Prior to joining Evolent Health, she was the National Compliance Manager with PricewaterhouseCoopers, LLC. (PwC), where she assisted numerous health care clients with operational and compliance-related risk assessments, CMS readiness reviews, delegation oversight, audit deficiency remediation, policy development, new plan education and implementations. In addition, Jordan was a Senior Consultant at Gorman Health Group, LLC., where she served in a variety of leadership roles across areas of plan compliance and operations to address areas of non-compliance, regulatory audits, fraud, waste and abuse, and training. Jordan also served as the National Director of Product Integrity & Compliance for UnitedHealth Group’s Community & State Division; as well as the National Medicare Compliance and Operations Manager at Health Net, Inc., where she worked for nearly 10 years.

Colleen Gianatasio Director, Clinical Documentation Integrity and Coding Compliance

Capital District Physician's Health Plan

Colleen Gianatasio CPC, CPCO, CRC, CDEO, CPC-P, CPMA, CPPM, CCS, CCDS-O, and AAPC Approved Instructor has over 20 years of experience in the health insurance field. She has experience in customer service, claims, quality, and coding. As Director, Clinical Documentation Integrity and Coding Compliance, Colleen’s primary responsibilities are provider engagement and clinical documentation improvement for accurate coding and reimbursement. Colleen specializes in developing innovative coding curriculum and instruction to support compliance with federal guidelines and appropriate reimbursement processes. She is a certified AAPC instructor and enjoys teaching a variety of coding, documentation, and auditing classes. Colleen serves as President of the AAPC National Advisory Board.

Ana Handshuh Principal

CAT5 Strategies

Ana Handshuh, Principal at CAT5 Strategies, is a government programs executive with expertise in creating and implementing corporate programs for the healthcare industry. Her background includes Quality, Core Measures, Care Management, Benefit Design and Bid Submission, Accreditation, Regulatory Compliance, Revenue Management, Communications, Community-based Care Management Programs and Technology Integration. Ms. Handshuh currently serves on the Board of the Resource Initiative and Society for Education (RISE), the preeminent national professional association dedicated to managed and accountable care financing and delivery. She is a sought after speaker on the national healthcare circuit in the areas of Quality, Star Ratings, Care Management, Member and Provider Engagement, and Revenue Management. Her recent consultancy roles have included assisting organizations create programs to address the unmet care management needs in the highest risk strata of membership, document their processes and procedures, achieve accreditation status, design and submit government program bids, institute corporate-wide programs and create communications strategies and materials. She possesses sophisticated business acumen with the ability to build consensus with cross-functional groups to accomplish corporate goals. Ms. Handshuh served as the Vice President of Managed Care Services at Central Florida Inpatient Medicine (CFIM). In this role, she provided leadership and strategy on CFIM projects and collaborations with physicians, risk entities, hospital health care systems, and health plans. CFIM is the largest Hospitalist group in Central Florida, with 70 providers discharging over 50,000 patients annually from multiple hospitals across two health care delivery systems and 24 skilled nursing facilities. At CFIM Ms. Handshuh previously served as the Vice President of Operations. Prior to those assignments, she worked with Precision Healthcare Systems as their Vice President of Quality Improvement. In that capacity, she led the IPA’s Quality efforts and collaborated with payers on implementing programs to move the needle on Quality and Star Rating initiatives. Ms. Handshuh also served as the Director of Corporate Program Development at Physicians United Plan. In this role, she led the Quality Management and Corporate Communications departments and spearheaded the development of innovative integrated technology solutions to drive business excellence and Star Rating achievement initiatives. For the past fifteen years Ms. Handshuh has taken an active role in redefining and implementing changes that have led to improvements and greater efficiency within Government programs and healthcare delivery. Prior to joining Physicians United Plan Ms. Handshuh was the founder of I-Six Creative. Under Ms. Handshuh’s vision and leadership, I-Six Creative provided expertise in the areas of managed Medicare benefit design, MSO/IPA operations, provider network strategy, new market launches, technology integration, corporate communications and quality improvement.

Mary A. Inman Partner

Constantine Cannon

Tracy Jones Interim Chief Compliance Officer

Summa Care

Tracy Jones is Interim Chief Compliance Officer for SummaCare Health Plan in Akron, Ohio. She has been with SummaCare for over 19 years and has a background in database management and operational process evaluation. Tracy is also responsible for the implementation of compliance initiatives such as dashboard reporting, policy management, and internal compliance department oversight. 

Angela Keenan Compliance Officer

Network Health

Angela has been with Network Health, a progressive and fast-growing health insurance company in the Midwest, for more than 13 years. She is certified in healthcare compliance (CHC) and healthcare privacy compliance (CHPC) and has a master’s degree in Leadership and Organizational Development through Lakeland University. Over the past several years, Angie has been instrumental in the development, maintenance and execution of all aspects of the organization's compliance program. Throughout her tenure at Network Health, Angie has had a key role in the establishment of the Corporate Training department which provides training resources organization wide as well as the creation of a centralized Quality Assurance Program to enhance the monitoring of controls within the organization.

Dalissa Kelly Director, Regulatory Pharmacy & Operations

Neighborhood Health Plan of Rhode Island

Dalissa Kelly, PharmD is the Director of Regulatory Pharmacy & Operations at Neighborhood Health Plan of Rhode Island.  Dalissa has over 10 years of experience in government programs including Medicare Advantage Prescription Drug, PACE, Medicare-Medicaid, and Prescription Drug Plans. With a proven track record of ensuring adherence to Medicare Part D requirements, she brings a wealth of knowledge and the expertise to navigate complex regulatory landscapes while optimizing pharmacy operations for efficiency and patient safety. Dalissa’s background includes FDR oversight, Formulary and Benefit Design, Transition Program, CDAG, Quality, ODAG, Customer and Provider Service, Claims, MTM, and FWA.

Tina Korty Vice President of Legal, Compliance, and Regulatory

Indiana University Health Plans

Tina Korty joined Indiana University Health Plans, an 80,000-member plan, in 2017 as an Associate General Counsel. She quickly took on the additional role of Interim Compliance Director and has been involved with the IU Health Plans compliance team since. In February 2019, Tina was promoted to Vice President of Legal, Compliance and Regulatory.

Tina previously spent 15 years at the Indiana Department of Insurance, serving under five different administrations and as General Counsel for the last six years. She previously worked at the law firm of Henderson, Daily, Withrow and Devoe.

Tina is a lifelong Hoosier and has a J.D. from IU McKinney School of Law, and both a B.A. and B.S. degree from Purdue University. When Tina is not working, she enjoys traveling, taking photos and spending time with her husband and kids. Tina also serves as a Trustee for The Orchard School, a private progressive school in Indianapolis.

Carissa Lingenhag Supervisor of Compliance

Network Health

Carissa has been with Network Health, a Wisconsin based health insurance company, for over 5 years. She is certified in healthcare compliance (CHC) and has an associate’s degree in Paralegal Studies through Northeast Wisconsin Technical College. Prior to her career at Network Health, Carissa served as a paralegal for Bollenbeck Fyfe, S.C. and Shopko. Over the past five years, Carissa has assisted with various audits, including Data Validation, investigations and the facilitation of such projects as the annual QHP certification required for the ACA line of business. She is now working on growing and refining her compliance professional skills through additional projects and assisting the compliance officer in various day to day activities

Angela Lloyd Associate Compliance Officer

Jefferson Health Plans

Angela Lloyd is the Associate Compliance Officer at Jefferson Partners Plans of Philadelphia (JHP). She oversees all functions under Compliance which encompasses the audit program, day-to-day incidents/inquiries, the risk program, regulatory interpretation, and regulatory reporting for all lines of business (Medicare, Medicaid, CHIP). In addition, her oversight includes operations and processes, analyzing data, and reviewing Policies and Procedures.  Fostering collaborative relationships with the leadership of operational units, and partners with vendors to ensure compliance with state and federal regulatory statutes.

Angela has worked for JHP for 17 years and possess over twenty years of product, compliance and operations experience in CHIP, Medicaid and Medicare programs. Her creative and result focused program has proven successful in driving compliance throughout the organization. Her expertise in the execution of regulatory contractual requirements with the understanding of policy in various channels has improved the companies understanding and awareness of the products offered under the Centers of Medicare and Medicaid Services, the Department of Human Services and the Office of CHIP especially the Special Needs product. Angela truly strives for excellence in everything she does keeping the JHP communities and membership in mind. Angela received a bachelor’s degree in business law, a master in  public health from Drexel University and certified in HealthCare Compliance.

Jordan Muhlestein Compliance & Ethics Director

Intermountain Healthcare

Jordan has worked in healthcare Compliance since 2012, and is currently a Compliance and Ethics Director for Intermountain Healthcare. He works on a broad range of topics, with an emphasis on program effectiveness, compliant physician financial relationships (e.g., Stark, AKS, Conflict of Interest), and compliance communications. A licensed attorney and former newspaper reporter, Jordan enjoys teaching complicated topics in simple and entertaining ways. Jordan received his BA from Brigham Young University and his JD and MHA degrees from The Ohio State University.

Sarah Peix Compliance and Privacy Officer

ChenMed 

Ms. Sarah Peix is the Director of Compliance for the ChenMed Family of Companies, a Florida-based, integrated primary care practice focused on serving Medicare Advantage beneficiaries. ChenMed has a unique physician-led culture that provides coordinated care to moderate- to low-income seniors.  

Before joining ChenMed in 2015, Ms. Peix served as the Medicare Compliance Officer at Health New England, an HMO in Springfield, Massachusetts. Ms. Peix oversaw Medicare Compliance when HNE was a 5-star plan and CMS conducted a Best Practice Review to develop its audit protocol in 2012.  

Ms. Peix has 11 years’ experience in Medicare compliance and 16 years in health care compliance. Ms. Peix has her BA from Mount Holyoke College and MBA from the Isenberg School of Management at UMASS, Amherst.  

Shelley Segal CEO

SEGAL MEDICARE EXPERTS

A seasoned executive with more than three decades of experience in the Medicare managed care industry, Shelley Segal is an accomplished collaborator with the unique ability to listen and understand the dynamics of the industry aspects. Shelley’s extensive operational expertise provides clients the insight necessary to optimize operations and achieve better bottom-line results. Shelley is a nationally recognized compliance, regulation and training expert in the Medicare, Medicaid, managed care industry, whose services include day-to-day operational management, interpretation and implementation of Medicare regulations, guidance for CMS program audits, and more. Shelley has worked at various health plans leading such functional areas as: Compliance, Operations (Enrollment, Call Center/Member Services, Retention, Claims, Appeals and Grievances) and Sales and Marketing.  Her subject matter expertise provides the ability to work cross functionally, saving time and costs.

Laura Sheriff Vice President, Risk Adjustment

Southwestern Health Resources

Laura Sheriff, RN, MSN, is currently working as VP, Risk Adjustment for SWHR.   She is also a consultant with physician groups and health plans to capitalize on risk adjustment performance and operations.  Laura is an MSN with >12 years’ experience in Medicare, Medicaid, and Marketplace Managed Care and has led teams in risk, quality, telehealth, and population health analytics.  Laura demonstrates effective leadership, innovative problem-solving techniques, and goal-oriented focus to execute business objectives and meet performance metrics.  Laura has designed and coordinated activities including provider education, training, auditing, data mining, and data analysis to direct program success.  Laura has a Master’s in Nursing Education and is also a certified professional coder and a certified risk coder.   Laura is also a frequent speaker for RISE, a best-in-class organization for all things related to accountable care and government healthcare reform. 

Annie Shieh Sr. Director of Compliance, California Compliance Officer

Bright Health Group

Annie Hsu Shieh is Sr. Director of Compliance, CA ComplianceOfficer at Bright Health, where she specializes in health care laws,reimbursement, compliance, fraud & abuse, privacy, antitrust, andcontractual issues.

Annie develops corporate-wide policies andprocedures, administers HIPAA/HITECH privacy and compliancetraining, conducts internal audits, investigates complaints, andinterprets CMS, HHS, OIG, managed care, and Medicare regulationsand guidance. Annie has received numerous publication credits, including “LegalIssues Concerning Retail Clinics,” a Reproductive Health Guideto the Medicaid Program, and a tutorial on Medicare AdvantageCompliance Program Guidelines. Annie is a Citation Editor for theJournal of Health & Life Sciences Law. Annie spoke at the 2011American Health Lawyers Association Annual Meeting on ethicsand served as the Social Media Workforce Chair of the YoungProfessionals Council from 2010-2013.Annie’s experience began with Lehman Brothers’ WashingtonEquity Research Group. There, she wrote weekly articles toinstitutional investors about expected changes in Medicarereimbursement and how they financially impacted the health careindustry.

In law school, she worked as the first Diversity Internfor the American Health Lawyers Association; Law Clerk for theDepartment of Managed Health Care; Summer Associate at aproducts liability law firm where she worked on the Merck Vioxxsettlement; and Post-Bar Fellow at the National Health Law Program.Annie obtained her B.A. in Public Health from Johns HopkinsUniversity and her J.D. from Loyola Law School, where shecompleted the Health Care Law track and was President of theHealth Law & Bioethics Association. In 2014, Annie was namedthe Alumni Honoree by the Loyola Law School Health Law & Bioethics Association for her contributions to establishing a healthlaw externship for law students and post-bar fellows.

Tina C. Tolliver Executive Ethics, Compliance, Risk & Privacy Advisor

TCT Consulting

Tina’s most recent role she created and managed a “State of the Art” Corporate Compliance, Ethics, Risk and Privacy Program for Millennium Healthcare for the last 5+ years.Tina’s program included a Sustainability Program, Legal team, Privacy Program, Contracts office, Drug Diversion Program, Health Information Department, and Enterprise Incident Risk Management.

Tina possesses over 37 years of health care experience. Her entrepreneurial approach is both creative and strategic. Her career path has included hospital systems, physician practices/groups, health care clinics, home health, consultation environment and behavioral health agencies. Tina is in the top 5% in the nation of compliance & ethics professionals holding her level of experience, certification, education, skills and knowledge. She is a strong and clear communicator, especially when speaking about her passion of ethics & compliance.

Her use of creative HIPAA & Privacy programming has won privacy excellence awards, later becoming a “Peer Judge,” a prestigious recognition and honor of her privacy knowledge. Tina was recently the Health Care Compliance Association’s cover story for the Compliance Today magazine, April 2023 issue. She also was honored by SAI Global’s interview and publication regarding her use of their software for optimal compliance programming.

Tina has served on local and regional boards, one as the Treasurer for the SWFL Association of Fraud Examiners (ACFE), board member for a local behavioral health program, as well as, serving on the Customer Experience Program Advisory Panel (USF).

Tina holds a Master of Jurisprudence with honors, from Delaware Law School, and a Bachelor of Health Care Administration with honors (Upsilon Phi Delta) from Old Dominion University, several Master certifications, Corporate Compliance & Ethics Professional (CCEP),

Leadership Professional of Ethics & Compliance (LPEC),

Certified Healthcare Privacy Compliance (CHPC),

Certified Health Care Quality Management – Patient Safety/Risk Management (CHCQM-PSRM).

She also holds the prestigious designation of Diplomat and Fellow of the American Board of Quality Assurance and Utilization Review Physicians and an additional Fellowship of the American Institute for Healthcare Quality.

Nakis Urfi Former Compliance Officer & ESG Leader

Babylon Health

Nakis Urfi was the Compliance Officer & ESG Leader at global digital health company, where he was responsible for the development, implementation, and oversight of compliance activities related to the growth of Babylon's products and services, which include digital/AI health, telehealth, and value based care offerings. Additionally, Nakis led ESG strategy and efforts.

Nakis has worked in various capacities throughout his career including contracting as a federal regulator and consultant to Centers for Medicare and Medicaid Services (CMS), compliance officer, privacy officer, and attorney.