Ketan Umare
Ketan Umare is the CEO and co-founder at Union.ai. Previously he had multiple Senior roles at Lyft, Oracle, and Amazon ranging from Cloud, Distributed storage, Mapping (map-making), and machine-learning systems. He is passionate about building software that makes engineers' lives easier and provides simplified access to large-scale systems. Besides software, he is a proud father, and husband, and enjoys traveling and outdoor activities.
Ketan Umare
Ketan Umare is the CEO and co-founder at Union.ai. Previously he had multiple Senior roles at Lyft, Oracle, and Amazon ranging from Cloud, Distributed storage, Mapping (map-making), and machine-learning systems. He is passionate about building software that makes engineers' lives easier and provides simplified access to large-scale systems. Besides software, he is a proud father, and husband, and enjoys traveling and outdoor activities.
Ketan Umare
Ketan Umare is the CEO and co-founder at Union.ai. Previously he had multiple Senior roles at Lyft, Oracle, and Amazon ranging from Cloud, Distributed storage, Mapping (map-making), and machine-learning systems. He is passionate about building software that makes engineers' lives easier and provides simplified access to large-scale systems. Besides software, he is a proud father, and husband, and enjoys traveling and outdoor activities.
Ketan Umare
Ketan Umare is the CEO and co-founder at Union.ai. Previously he had multiple Senior roles at Lyft, Oracle, and Amazon ranging from Cloud, Distributed storage, Mapping (map-making), and machine-learning systems. He is passionate about building software that makes engineers' lives easier and provides simplified access to large-scale systems. Besides software, he is a proud father, and husband, and enjoys traveling and outdoor activities.
Michael Stahl
Matt Akromis
Clay Wilemon
Clay serves as CEO at 4L Data Intelligence™. He has launched over 500 new healthcare brands and holds patents in artificial intelligence and medical technologies. Clay is on the Board of Directors at Octane, a Southern California non-profit economic development organization that has helped hundreds of technology and med-tech companies get started. He a graduate of Vanderbilt University.
Greg Lyon
Greg is a recognized anti-fraud expert with experience in Financial Services and Healthcare Payments that includes serving as Director of Fraud Prevention at United Healthcare. His guiding principle is, “The best way to fight fraud is to prevent it.” Greg is a graduate of Colgate University and is a Certified Financial Planner.
4L Data Intelligence
Website: https://4ldata.com/
4L Data Intelligence™ uses the patented power of Integr8 AI™ to find, fight and prevent fraud, waste, and abuse fast with the revolutionary provider-centric FWA approach. Integr8 AI technology, coupled with our continuously credentialed provider database, detects FWA you can’t see with claim data-centric approaches, solving a challenge every payment integrity platform has today.
The 4L FWA Prevention™ solution rapidly detects and prevents FWA at five points across the claims management workflow including pre pre-payment, pre-payment and post-payment positions. At each point, Integr8 AI dynamically and continuously detects provider behaviors, relationships, and outlier status without the limitations of rules-based and claim data-centric solutions. In short, it enables you to see what providers are doing individually, in relationship with all other providers, and in relationship to all other claims on each-and-every claim submitted.
4L FWA Prevention pre-payment and post-payment detection and prevention results are delivered in four distinct categories. These are:
- Provider Integrity Edits
- Adaptive Claims Edits
- Provider Behavior Analysis
- Provider Schemes Analysis.
For fraud and SIU teams, Integr8 AI detects fraud and collusion schemes you can’t see now, or can’t see fast enough, with claim-centric approaches. Our suite of tools automates continuous near real-time SIU-in-a-box detection and documentation so you can Find, Fight and Prevent Fraud Fast™.
Dave Cardelle
Helen Liu, Pharm.D.
Helen Liu, PharmD, brings 29 years of diverse pharmacy experience, blending clinical expertise, operational efficiency, technological innovation, and management across various healthcare settings.
Over the past four years, Helen has successfully led pharmacy operations at ATRIO Health Plans (Medicare), achieving significant milestones in PA/ST, FWA, MTM programs, resulting in over $4.5M in savings. She’s conducted formulary analyses to support actuary Medicare annual bid submissions, including IRA and M3P programs, collaborated with partners and the Pharmacy Benefit Manager (PBM) to identify cost-saving opportunities through formulary alternatives, biosimilars, and rebate strategies, and partnered in the RFP PBM selection process and resolved complex pharmacy-related issues through cross-departmental collaboration.
Before ATRIO, Helen spent seven years at Kaiser Permanente, where she served as Regional Assistant Director to implement hospitals Drug Use Management Program. Her efforts led to over $20 million in savings through inventory management, drug cost-saving initiatives, and the standardization of clinical content/practice guidelines.
AMS Intelligent Analytics
Website: http://www.amspredict.com/
Advanced Medical Strategies (AMS) is the premier provider of payment integrity, risk management, and business intelligence solutions to identify and address excessive claims, prevent and recoup overpayments, and effectively manage the risks associated with high-cost claimants and group health underwriting.