CORE CAPABILITIES
| FWA / SIU Program Leadership | Build, revamp, or lead SIU and FWA programs for health plans across Medicare, Medicaid, and Commercial lines |
| OSINT-Enhanced Investigations | Digital open-source intelligence techniques applied to provider fraud investigations, identity verification, and scheme detection |
| Payment Integrity Consulting | Audit services, data analytics, claims integrity, and overpayment recovery for national and regional payors |
| Network Development & Contracting | Executive-level provider contract negotiations, market expansion, M&A due diligence, and value-based contracting |
| Program Assessment & Buildout | SIU/FWA program gap analysis, policy development, work plan design, and regulatory compliance (CMS, OIG, MFCU) |
| Team Leadership & Training | Staff development, investigative training, data mining methodology, and SIU onboarding for new or growing teams |
Take Action Now
Transform Your Healthcare Compliance Today
Join us in creating a fraud-free healthcare environment.
Our dedicated team is ready to partner with you to ensure compliance and protect your resources effectively.
AVAILABLE ENGAGEMENT TYPES
| Fractional SIU Director | Part-time SIU program leadership for plans without a dedicated FWA director (30–60% time) |
| Interim FWA Director | Full-time coverage during leadership transitions, CMS audits, or program buildouts (30–90+ days) |
| Project Consulting | Point-in-time engagements: program assessments, gap analyses, vendor selection, policy development |
| Outsourced Investigations | Case overflow support, complex provider investigations, OSINT-based case development |
| Network Contracting Consulting | Contract negotiation support, market expansion, M&A due diligence for health plans |
Available for Interim, Contract & Consulting Engagements | Remote / Hybrid / On-site
