Marc is an emeritus principal with over 30 years of senior healthcare financial management, reimbursement, internal audit/compliance and consulting experience.
Marc specializes in internal audit/compliance outsourcing including the development and utilization of regulatory risk assessment methodologies to strategically evaluate priorities to be incorporated into internal audit/compliance plans.
He also assists clients in evaluating and improving their organization’s general business internal controls and performing business process reviews. In addition, Marc’s experience includes medical claim analysis and evaluation of the performance of Third-Party Administrators (TPAs).
Marc’s prior experience included being the Chief Financial Officer for several managed care companies. Marc was responsible for overall financial operations including budgeting, forecasting, financial reporting, underwriting, provider contracting, internal audit and treasury.
He is active in and the Healthcare Financial Management Association (HFMA), Association of Healthcare Internal Auditors (AHIA), Health Care Compliance Association (HCCA) and the Insurance Council of New Jersey (ICNJ).
Learn more about my professional experience and how I spend my time outside the firm.
Education:
Share To provide quality health care benefits at a reasonable cost, many employers sponsor a self-insured health plan because they have determined that they are more cost effective than fully insured health products. As part of the administration for this type of plan, employers may hire a Third-Party Administrator (“TPA”) to process medical and pharmacy…
Changes in the healthcare industry have increased the scope and complexity of a healthcare organization’s compliance related risks. This is evident in Federally Qualified Health Centers (FQHCs) which are “safety-net” providers and are eligible for various federal programs. FQHCs need to protect themselves from regulatory violations by developing applicable processes and procedures to minimize risks….
Groundbreaking changes in the healthcare industry have increased the scope and complexity of a healthcare organization’s risks. Healthcare risk areas appear to be around every corner, from legislation and regulatory developments to operational and financial concerns. It is becoming more imperative that an organization go through a robust comprehensive enterprise-wide internal audit and risk assessment…