Michael Stahl
Chiropractor
Independent
Ketan Umare
CEO and Co-Founder
Union.AI
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
CEO and Co-Founder
Union.AI
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
CEO and Co-Founder
Union.AI
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
CEO and Co-Founder
Union.AI
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
Chiropractor
Independent
Matt Akromis
Vice President of Sales
AMPS - ClaimInsight
Clay Wilemon
Chief Executive Officer
4L Data Intelligence, Inc.
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
Senior Fraud Advisor
4L Data Intelligence, Inc.
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: 4ldata.com
4L Data Intelligence™ is leading the way in a new era of healthcare program and payment integrity using the patented power of Integr8 AI Risk Detection™ technology to find, fight and prevent FWA in near real-time. Integr8 AI™, coupled with our continuously credentialed provider database, creates a revolutionary provider-centric capability to dynamically detect FWA you cannot see with stacks of traditional claims data-centric editing and analytics solutions.
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, patented Integr8 AI technology dynamically and continuously detects provider behaviors, relationships and outliers 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 continuously delivered in four complementary modules. These are:
- Provider Integrity Edits
- Adaptive Claims Edits
- Billing Behaviors Analysis
- Provider Schemes Analysis.
For SIU teams, the new 4L SIU Hub™ packages the expanded range of Integr8 AI powered FWA detection behaviors and schemes into easy to use views with comprehensive investigation and lead management tools. This new capability increases FWA detection, reduces complexity and increases speed-to-decision on lead triage and investigation. All so you can Find, Fight and Prevent FWA Fast™.
Dave Cardelle
Chief Strategy Officer
AMS
Dave Cardelle, R.Ph., is on the executive team at AMS and serves as the Chief Strategy Officer. He leads a dedicated team of professionals focused on transforming the payment integrity (PI) industry. With a BS in Pharmacy from the Massachusetts College of Pharmacy in Boston, MA, Dave brings a unique blend of healthcare expertise and domain knowledge to his role.
As the CSO, Dave leverages years of experience in the PI industry, including working for both Payer and Provider organizations to help AMS grow through innovative product, sales, marketing, and client relationship strategies.
Throughout his career, Dave has consistently demonstrated a keen understanding of healthcare-related matters, a skill that proves invaluable in the context of payment integrity. His passion for advancing the industry and commitment to maintaining the highest standards of integrity have earned him a reputation as a true industry expert.
Helen Liu, Pharm.D.
Health Plan Leader
Independent
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: 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.
Find out more: https://pricetransparency.com/