2024 Speakers | Kisaco Research

2024 Speakers

2nd Annual Healthcare Payment & Revenue Integrity Congress West
11-12 September, 2024
Luxor Hotel & Casino, Las Vegas

MEET THE EXPERTS

  •

    Author:

    Darren Wethers

    Chief Medical Officer
    ATRIO Health Plans

    Darren Wethers is a board-certified internal medicine physician and certified physician executive.
    He graduated from Morehouse College, Northwestern University Medical School and completed internal medicine training at Emory University School of Medicine before establishing an internal medicine practice in the St. Louis, Missouri area, becoming a “Top Doctor” Honorée several years running. Dr. Wethers was the medical staff president at SSM St. Mary’s Health Center in 2006-07 and chaired the facility’s Credentials committee 2007-11.
    In 2011, Dr. Wethers began a career in administrative medicine, servings as a medical director with Coventry Health Care and Aetna, vice president of clinical operations at Blue Cross Blue Shield of Arizona and is now at Atrio Health Plans, where he serves as chief medical officer.
    Dr. Wethers is a member of the American Association for Physician Leadership, Fellow of the American College of Physicians, member of Alpha Phi Alpha and Sigma Pi Phi fraternities; he is a board member and immediate past chairman for Gamma Mu Educational Services (GMES) and is a board member of Northwestern University Medical School Alumni Association, for which he serves as president-elect and co-chair of the Inclusion and Allyship committee.

    ... read more

    Darren Wethers

    Chief Medical Officer
    ATRIO Health Plans

    Darren Wethers is a board-certified internal medicine physician and certified physician executive.
    He graduated from Morehouse College, Northwestern University Medical School and completed internal medicine training at Emory University School of Medicine before establishing an internal medicine practice in the St. Louis, Missouri area, becoming a “Top Doctor” Honorée several years running. Dr. Wethers was the medical staff president at SSM St. Mary’s Health Center in 2006-07 and chaired the facility’s Credentials committee 2007-11.
    In 2011, Dr. Wethers began a career in administrative medicine, servings as a medical director with Coventry Health Care and Aetna, vice president of clinical operations at Blue Cross Blue Shield of Arizona and is now at Atrio Health Plans, where he serves as chief medical officer.
    Dr. Wethers is a member of the American Association for Physician Leadership, Fellow of the American College of Physicians, member of Alpha Phi Alpha and Sigma Pi Phi fraternities; he is a board member and immediate past chairman for Gamma Mu Educational Services (GMES) and is a board member of Northwestern University Medical School Alumni Association, for which he serves as president-elect and co-chair of the Inclusion and Allyship committee.

  •

    Author:

    Jonique Dietzen

    Payment Integrity Director
    CareOregon

    With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
    Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.

    ... read more

    Jonique Dietzen

    Payment Integrity Director
    CareOregon

    With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
    Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.

  •

    Author:

    Helen Liu, Pharm.D.

    VP of Pharmacy Operations
    ATRIO Health Plans

    Dr. Liu is the Vice President of Pharmacy Operations for the ATRIO Health Plans, where she manages and oversees all Part D-related operations. Dr Liu has an extensive background in clinical pharmacy, medication safety, managed care, and data outcome analysis. Before this role, she developed and implemented the inpatient Drug Use Management program at Kaiser Permanente.

    ... read more

    Helen Liu, Pharm.D.

    VP of Pharmacy Operations
    ATRIO Health Plans

    Dr. Liu is the Vice President of Pharmacy Operations for the ATRIO Health Plans, where she manages and oversees all Part D-related operations. Dr Liu has an extensive background in clinical pharmacy, medication safety, managed care, and data outcome analysis. Before this role, she developed and implemented the inpatient Drug Use Management program at Kaiser Permanente.

  •

    Author:

    Josh Miller

    Director, Payment Integrity
    Prominence
    ... read more

    Josh Miller

    Director, Payment Integrity
    Prominence

  • Author:

    Michael Devine

    Director Special Investigations Unit
    L.A Care
    ... read more

    Michael Devine

    Director Special Investigations Unit
    L.A Care

  • Author:

    Stephanie Sjogren

    Director, Coding and Provider Reimbursement
    EmblemHealth/Connecticare

    Stephanie Sjogren is a director of coding and provider reimbursement, working with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining ConnectiCare/EmblemHealth, she performed provider audits and education at a women’s healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to stay in compliance with the Centers for Medicare & Medicaid Services’ rules and regulations. Her areas of specialty are payment integrity, auditing, and clinical documentation improvement. 

    ... read more

    Stephanie Sjogren

    Director, Coding and Provider Reimbursement
    EmblemHealth/Connecticare

    Stephanie Sjogren is a director of coding and provider reimbursement, working with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining ConnectiCare/EmblemHealth, she performed provider audits and education at a women’s healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to stay in compliance with the Centers for Medicare & Medicaid Services’ rules and regulations. Her areas of specialty are payment integrity, auditing, and clinical documentation improvement. 

  •

    Author:

    Erik Carter-Nadeau

    Operations Manager, Provider Network
    CareOregon

    With over a decade in healthcare leadership, I am passionate about fostering provider engagement and delivering strategic support to improve the health of Oregonians, particularly in rural and underserved areas. As a native Oregonian, growing up in these communities across my state has provided me with unique insights into the cultural and geographic factors that influence healthcare delivery. I am committed to leveraging this understanding to enhance quality, access, and equity in healthcare for all Oregonians.

    ... read more

    Erik Carter-Nadeau

    Operations Manager, Provider Network
    CareOregon

    With over a decade in healthcare leadership, I am passionate about fostering provider engagement and delivering strategic support to improve the health of Oregonians, particularly in rural and underserved areas. As a native Oregonian, growing up in these communities across my state has provided me with unique insights into the cultural and geographic factors that influence healthcare delivery. I am committed to leveraging this understanding to enhance quality, access, and equity in healthcare for all Oregonians.

  •

    Author:

    Eric Renteria

    Senior Fraud Investigator
    L.A. Care Health Plan
    ... read more

    Eric Renteria

    Senior Fraud Investigator
    L.A. Care Health Plan

  • Author:

    CJ Wolf

    Professor and Asst. Program Director
    Brigham Young University-Idaho
    ... read more

    CJ Wolf

    Professor and Asst. Program Director
    Brigham Young University-Idaho

  • Author:

    Brittany Biggett-Heeren

    Compliance Analyst
    Orlando Health
    ... read more

    Brittany Biggett-Heeren

    Compliance Analyst
    Orlando Health

  • Author:

    Jennifer Callahan

    COO
    ATRIO Health Plans

    Jen Callahan is the President and Chief Operating Officer of ATRIO Health Plans. For over 20 years, Jen has established herself as a trusted thought leader who helped shape the managed care industry with her innovative ideas and expertise. Jen has dedicated her career almost exclusively to Medicare Advantage and Medicare Supplement programs.

    Prior to joining ATRIO, she co-founded a field management organization, Keen Insurance Services, Inc. to create a provider-centric Medicare focused sales and distribution organization from the ground up. Prior to that, she held the position of Vice President, Medicare Product at Aetna, a CVS Health company where she oversaw the product development and implementation of Aetna’s entire Medicare portfolio supporting record breaking growth for the Medicare organization. Throughout her career, Jen has also held various leadership positions at Healthfirst and Elevance.

    Jen received her Bachelor of Science degree from Fordham University and MBA from North Carolina State University. Jen currently resides in Waxhaw, a suburb of Charlotte, North Carolina with her husband, their three kids, tuxedo cat, Vivi and golden retriever puppy, Steve.

    ... read more

    Jennifer Callahan

    COO
    ATRIO Health Plans

    Jen Callahan is the President and Chief Operating Officer of ATRIO Health Plans. For over 20 years, Jen has established herself as a trusted thought leader who helped shape the managed care industry with her innovative ideas and expertise. Jen has dedicated her career almost exclusively to Medicare Advantage and Medicare Supplement programs.

    Prior to joining ATRIO, she co-founded a field management organization, Keen Insurance Services, Inc. to create a provider-centric Medicare focused sales and distribution organization from the ground up. Prior to that, she held the position of Vice President, Medicare Product at Aetna, a CVS Health company where she oversaw the product development and implementation of Aetna’s entire Medicare portfolio supporting record breaking growth for the Medicare organization. Throughout her career, Jen has also held various leadership positions at Healthfirst and Elevance.

    Jen received her Bachelor of Science degree from Fordham University and MBA from North Carolina State University. Jen currently resides in Waxhaw, a suburb of Charlotte, North Carolina with her husband, their three kids, tuxedo cat, Vivi and golden retriever puppy, Steve.

  •

    Author:

    Zeeshan Syed

    Chief Executive Officer
    Health at Scale

    Zeeshan serves as Health at Scale’s CEO and was a Clinical Associate Professor at Stanford Medicine and an Associate Professor with Tenure in Computer Science at the University of Michigan. He was previously part of the early stage team that launched Google[X] Life Sciences (now Verily). Zeeshan is a recipient of multiple  awards including an NSF CAREER award and holds a PhD from MIT EECS and Harvard Medical School in Computer Science and Biomedical Engineering, and MEng and SB degrees in EECS from MIT.

    ... read more

    Zeeshan Syed

    Chief Executive Officer
    Health at Scale

    Zeeshan serves as Health at Scale’s CEO and was a Clinical Associate Professor at Stanford Medicine and an Associate Professor with Tenure in Computer Science at the University of Michigan. He was previously part of the early stage team that launched Google[X] Life Sciences (now Verily). Zeeshan is a recipient of multiple  awards including an NSF CAREER award and holds a PhD from MIT EECS and Harvard Medical School in Computer Science and Biomedical Engineering, and MEng and SB degrees in EECS from MIT.

  •

    Author:

    Richelle Marting, JD, MHSA,RHIA,CPC,CEMC,CPMA

    Director of Managed Care
    North Kansas City Hospital
    ... read more

    Richelle Marting, JD, MHSA,RHIA,CPC,CEMC,CPMA

    Director of Managed Care
    North Kansas City Hospital

  • Author:

    Joshua Preuss

    Special Agent at U.S. Department of Health & Human Services
    Office of Inspector General
    ... read more

    Joshua Preuss

    Special Agent at U.S. Department of Health & Human Services
    Office of Inspector General

  • Author:

    Angela Zigler

    Special Agent
    Food and Drug Administration Office of Criminal Investigation
    ... read more

    Angela Zigler

    Special Agent
    Food and Drug Administration Office of Criminal Investigation