Gail Blacklock Director Compliance/Compliance Officer
Inter Valley Health Plan
Gail Blacklock is Director of Compliance/Compliance Officer for Inter Valley Health Plan located in Pomona, CA. Gail’s experience includes 25 years working in health care. Inter Valley Health Plan is a not-for-profit Medicare Advantage Prescription Drug Plan “only” - with 18,000 members and devoted to giving back to the communities it has served for over 40 years.
Inter Valley’s “culture of compliance” approach to involves dedication throughout 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.
As Compliance Officer, Gail’s responsibilities include implementing federal and state regulations and ensuring the protection of members’ rights and access to MAPD benefits. Gail leads training programs to educate on compliance, fraud, waste and abuse and HIPAA. As part of the Plans’ comprehensive risk management process, Compliance monitors and audits the health plan and multiple delegated first tier, downstream, and related entities. Compliance, working as the Plan’s Special Investigations Unit, also investigates and resolves reported incidents of non-compliance within the health plan and health care system.
Kimberly Brandt is a Partner in the Washington, D.C. based policy firm Tarplin, Downs & Young, LLC where she advises the firm’s clients on a wide range of healthcare regulatory, enforcement and policy issues.
Prior to her current private sector roles, Kim served as Principal Deputy Administrator for Operations and Policy of the Centers for Medicare & Medicaid Services (CMS). In that role she supported the Administrator in overseeing all activities necessary for the operation and management of CMS’ $1.4 trillion dollar budget, 140 million beneficiaries and its programs, including, Medicare, Medicaid and the Children’s Health Insurance Program.
Kim served as Chief Oversight Counsel and General Counsel on the staff of the U.S. Senate Finance Committee from January 2011 – August 2017. Before joining the Finance Committee staff, Kim was a Senior Counsel at Alston & Bird in Washington, D.C. Her previous government service includes serving for seven years as the CMS Director of the Medicare Program Integrity Group. Prior to her first tenure at CMS, Kim worked for five years at the HHS Office of Inspector General as a Senior Counsel and Director of External Affairs.
NMOC Heathcare Compliance Consulting d/b/a Compli by Osato
NMOC Heathcare Compliance Consulting d/b/a Compli by Osato
Osato F. Chitou, Esq., MPH is an attorney by training, however, prior to finding the law and compliance was both an educator and a social worker. These experiences have allowed her to bring incredibly complex topics into easy to understand form, for a variety of audiences. Ms. Chitou is also an aspiring stand-up comic. She is a firm believer that laughter is critical for survival, especially when CMS is involved. Ms. Chitou is the Founder and Principal Consultant of NMOC Healthcare Compliance Consulting, LLC d/b/a Compli by Osato, which provides legal and compliance advisory services to Payors, Providers, and FDR's in receipt of government healthcare funds. She is also the Founder of Omuwa Luxe - a wellness brand catering to the needs of Women of the African Diaspora. Ms. Chitou received her Bachelors in Biological Anthropology from Boston University, her Masters in Public Health from the University of North Carolina-Greensboro, and her Juris Doctor from Rutgers School of Law- Newark. Ms. Chitou is admitted to practice Law in New York, New Jersey, and the Supreme Court of the United States.
Jennifer Del Villar
Director of Government Programs Compliance and Medicare Compliance Officer
Jennifer Del Villar Director of Government Programs Compliance and Medicare Compliance Officer
Cambia Health Solutions
Jennifer Del Villar is the Director of Government Programs Compliance and the Medicare Compliance Officer for Cambia Health Solutions (Regence BlueCross/BlueShield), joining the plan in October 2012. Prior to Cambia Health Solutions, Jennifer worked with GEMCare Health Plan for approximately six years. She has been working 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 MediGap and the Federal Employee Program. Jennifer has a team of 8 individuals. 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 on a daily basis touches a member.
Jennifer holds a Certification in Health Compliance through the Health Care Compliance Association. Jennifer was also a lead on the Industry Collaborative Effort (ICE) out of California in the past.
Jennifer lives in Portland, Oregon. She has 3 sons, 1 daughter and 3 incredible grandchildren as well as several feline and canine fur kiddos as well. Jennifer’s hobbies include writing, singing and creativity.
Nichole graduated from Indiana University of Pennsylvania in 2003 with a Bachelor of Arts degree. She’s worked in healthcare administration for 16 years, with a focus on Medicare health plan compliance for almost 10 years, working with Medicare Advantage and Prescription Drug plans in Florida, Texas and Nebraska. Nichole has been with Mutual of Omaha since 2018, first implementing and then managing compliance for their stand-alone prescription drug plan, serving over 170,000 beneficiaries in 49 states. Nichole is based in the Kansas City, MO area, she loves to travel and her favorite destination is Sanibel Island, FL.
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.
Angela has been with Network Health, a progressive and fast-growing health insurance company in the Midwest, for more than 10 years. She is certified in healthcare compliance (CHC) and is currently pursuing 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. In her current role, 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.
Deepti A. Loharikar is the Director of Regulatory Affairs for the Association for Behavioral Health and Wellness (ABHW). She joined the organization in January 2020. ABHW is the national voice for specialty behavioral health and wellness companies. ABHW member companies provide services to over 200 million people in both the public and private sectors to treat mental health, substance use and other behaviors that impact health and wellness.
Deepti brings over 12 years of legal and policy experience in the healthcare industry. Prior to joining ABHW, Deepti was the Director of Federal and State Public Policy at the National Association of Chain Drug Stores and also previously worked on the implementation of the Affordable Care Act at HHS. Before shifting her focus to health policy, Deepti practiced law, focused on civil litigation, insurance defense, and health law.
Deepti received a B.A. in Genetics and Philosophy from Rutgers College in New Jersey and a J.D. from University of Maryland with a concentration in Healthcare Law and Policy.
Deborah Marine – Chief Compliance Officer Deborah joined SummaCare as the Medicare Compliance Officer in January 2015, and became the Chief Compliance Officer for the insurance arm of Summa Health (SummaCare and Summa Insurance Company) later that year. She is responsible for the health plan compliance program, encompassing all lines of business with an emphasis on Medicare Advantage, Part D, and Marketplace products. Deborah became the health plan Privacy Officer in 2017. Prior to joining SummaCare, Deborah served as the Compliance & Privacy Officer for Health Alliance Plan in Detroit, Michigan for 12 years. She was in-house counsel, focusing on regulatory compliance, for Univera Healthcare in Buffalo, NY from 1996 to July 2002. Qualifications and Credentials Deborah earned a law degree from Case Western Reserve University in Cleveland Ohio in 1995 and is licensed to practice in Ohio (inactive status), New York (retired status), and Michigan (active status). She received her certification in healthcare compliance (CHC) in 2009.
Michelle O’Neill is responsible for the development, implementation and management of Summit Health Management, Summit Medical Group, Summit Medical Group in Oregon, and City MD’s Corporate Compliance and Privacy Program. Ms. O’Neill monitors compliance with federal, state and local regulatory requirements on a national level. She has spoken at several seminars and conferences, most recently lecturing at the National Compliance Institute in Las Vegas, NV and several virtual conferences. Additionally, Ms. O’Neill has been interviewed for and authored several articles related to privacy and security of patient information.
Prior to joining Summit Health Management in 2012, she was employed by Saint Barnabas Medical Center for 14 years, working in the areas of health care management, physician contracting, and corporate compliance. Ms. O’Neill is a graduate of Saint Peter’s College, with a BS in Health Care Management and Seton Hall Law School with a Master’s of Science in Jurisprudence, specializing in Health Law.
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.
Joseph A. Piccolo Vice President, Corporate Compliance & Ethics, Corporate Compliance and Privacy Officer
Inspira Health Network
Joe has over thirty years of experience in Healthcare Administration and is currently the Vice President of Corporate Compliance and Ethics Compliance Officer for Inspira Health in Mullica Hill, New Jersey, a position he has held since 2015. Joe has served as a Compliance Officer at various organizations since 1996 and was a member of the first group of individuals to receive Certification in Healthcare Compliance as granted by the Healthcare Compliance Certification Board.
In addition to Compliance, Joe has held leadership positions overseeing Specialty and Primary Care physician practices as well as leadership positions in Hospital Administration at academic, specialty, and community hospitals.
Joe has lectured and published extensively on various topics including Compliance, HIPAA, Enterprise Risk Management, and Physician Practice Management, He has served on the advisory boards of various professional organizations
Joe is a native of Philadelphia and is active in various civic associations. He holds an undergraduate degree from the University of Pennsylvania and a Masters in Business Administration from LaSalle University.
Ms. Janette Rojas is the Compliance Manager 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 2019, Ms. Rojas served as the Compliance Officer at UniPhy ACO, a Next Generation Accountable Care Organization (NACO). Ms. Rojas was responsible for the implementation and management of the Compliance Program, polices, and practices to ensure compliance with CMS NGACO participation requirements.
Ms. Rojas has over 10 years of Managed Care, Grievance & Appeals, and Regulatory Compliance experience having worked at CarePlus Health Plans, Inc., a 5-star plan.
Beth is the Chief Strategy Officer at Socoski Design & Consulting. She has worked in the healthcare industry for over 20 years, focusing on compliance, patient outcomes, quality improvement, and innovation.
Beth believes that we all have the ability to make a difference, and that everyone should. She is the curator and host of TEDxWestshore, the Board Vice President of Tampa Crossroads, the Board Chair of the American Lung Association in Tampa Bay, author of the #1 best-selling book collaboration "Living Kindly", and runs her own small non-profit helping bring awareness to other organizations doing good in the world.
Beth has an MSW from the University of Pittsburgh, an MBA from Waynesburg University, and an MSCL from Duquesne University.
John Tanner has the dual responsibilities of overseeing all compliance-related issues for Beacon Healthcare Systems and its clients and providing leadership for the Company’s acclaimed Virtual Compliance Manager (VCM). As the industry leader in its space, VCM provides state-of-the-art compliance, analytics, monitoring, and regulatory guidance-tracking and routing capabilities. VCM includes hundreds of built-in Medicare audit rules for real-time auditing and monitoring of transactional data that allow a health plan the opportunity to correct and address issues immediately. John has 30 years of managed care experience, including nine years with Molina Health Care in the roles of Vice President, Compliance operations and Medicare Compliance Officer, and eight years with SCAN Health Plan, five of which were as the Director of Regulatory Compliance, where he fostered an environment of early identification, notification, and resolution of compliance issues.
Vanessa has 10 years of compliance and regulatory experience within the healthcare industry, including 7 years of compliance leadership in government programs for managed care plans in New York. She has specialized in Medicare managed Care, managed long term care and integrated care lines of business and has supported organizations through a wide variety of regulatory audits, including CMS program audits and Article 44/49 State comprehensive reviews. Her background includes regulatory implementation, compliance auditing and monitoring, regulatory submissions, management of regulatory relationships, non-compliance response and resolution tracking, and regulatory reporting and review activities, all at both the State and Federal levels.
Jessica Vander Zanden, CHC Vice President, Compliance and Audit
Network Health Insurance Corporation
Jessica Vander Zanden leads Network Health’s efforts in compliance and member privacy, internal audit, human resources and appeals and grievances. She has over a decade of leadership experience in the areas of compliance, privacy, corporate integrity, human resources and organization development.
Jessica is a graduate of the University of Wisconsin – Oshkosh and holds a Masters of Social Work from the University of Wisconsin – Milwaukee and a Masters in Organizational Business and Business Leadership from Silver Lake College in Manitowoc, WI. She holds certifications in Health Care Compliance from the Health Care Compliance Association, Strategic Decision and Risk Management from Stanford University and Gerontology from the University of Wisconsin – Milwaukee. She holds a current Wisconsin license as an Advance Practice Social Worker and is also a Six Sigma Green Belt and a certified Gallup Strengths Coach.
Karen Weintraub is the Executive Vice President SIU for Healthcare Fraud Shield. As EVP, Ms. Weintraub is responsible for the design and development of the company’s healthcare fraud detection software products and services. She provides subject matter expertise on system design and workflow, business rule development, data mining and fraud outlier algorithms as well as SIU policies and procedures.
Prior to joining Healthcare Fraud Shield, Ms. Weintraub was the Senior Manager of SIU Services at GDIT and the Supervisor of Investigations for Health Net, Inc. and managed all northeast healthcare investigations for all commercial, Medicaid and Medicare business and claims of fraudulent activity. Ms. Weintraub received a BA in Criminal Justice from the University of Delaware and an MA in Criminal Justice from Rutgers University. Ms. Weintraub is a Certified Professional Coder for Payers (CPC-P), a Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders and the founder of the Hamilton, NJ AAPC chapter. She is also an Accredited Healthcare Fraud Investigator (AHFI) from the National Healthcare Anti-Fraud Association (NHCAA). Ms. Weintraub Taught CPT Coding, Fraud & Audits, and Medical Billing, Laws and Ethics and the local community college. Ms. Weintraub is also a well known speaker and is asked to speak regularly by NHCAA. Other speaking engagements include, but is not limited to NJSIA, IFPA, FBI and more.