Michael Kotch, Cfe Email & Phone Number

A detail-oriented, results driven professional with extensive senior-level management experience in managed health care start-ups, compliance, provider network management, operations, and delegation oversight. Expertise in the Medicare Advantage and Prescription Drug Benefit Program, Medicaid managed medical and behavioral health care programs, and TRICARE. Highly skilled in strategic planning, operations management, budgeting and business process improvement. Extensive training and experience in program integrity, including Special Investigation Units and anti-fraud plans, HIPAA, regulatory compliance, as well as preparation for NCQA, URAC, AAAHC and The Joint Commission accreditation surveys. Specialties: Government health care programs, regulatory compliance, provider network management, anti-fraud initiatives, international business, new business development, emergency planning, disaster recovery, and incident response, business process improvement, training development, operations management. and consulting.Certified Fraud Examiner since 1997 and active member of the Association of Certified Fraud Examiners (ACFE). Current Secretary of the Board of Directors and active member of the Tampa Bay Chapter of the ACFE, former Vice President of the Board of Directors, former Training Director, and former member of the Southern Arizona Chapter of the ACFE, former member of the Arizona Chapter of the ACFE, former Director, Vice President, and President of the Tampa Bay Chapter of the ACFE, and former Director of the Board of Directors of the Central Florida Chapter of the ACFE.Certified Financial Crimes Examiner (CFCE) and current Chair of the Financial Crimes Committee, Chair of the Healthcare Emergency Preparedness Committee, Certified Master Antiterrorism Specialist (CMAS) and active Director of the Anti-terrorism Accreditation Board (ATAB).Currently an active member of the Military Officers Association of America (MOAA), the Silver Caduceus Association, American Legion, and AMVETS. Past membership in the Health Care Compliance Association (HCCA), National Health Care Antifraud Association (NHCAA), National Association of Drug Diversion Investigators (NADDI), and the American Society of Military Comptrollers (ASMC). Former Secretary/Treasurer of the Board of Directors for the Michigan State Alumni Club of Tucson and former member of the Board of Directors for the Michigan State Alumni Club of Tampa Bay.

Listed skills include Process Improvement, Program Management, Leadership, Healthcare, and 46 others.