Amy Dias

Experience

• 

  Health New England

  Dec 2007 - Oct 2012

  • Payment Integrity Analyst

    May 2011 - Oct 2012

  • Health Service Coordinator

    Dec 2007 - May 2011
• 

  ACA

  Oct 2012 - Mar 2015

  Responsible for oversight of FWA department. Stay abreast of CMS updates, rules and regulations. Data mining and analysis of healthcare claims, provider and other data to identify fraud waste and abuse (FWA) leads. Provide company wide trainings in FWA for compliance regulations. Perform company wide compliance risk assessments and auditing.

  • ACO Operations Manager

    Nov 2014 - Mar 2015

  • Fraud, Waste & Abuse Manager

    Oct 2012 - Nov 2014
• 

  MedLink Advantage, LLC

  Nov 2015 - now

  ACO Director & Compliance Officer

  Responsible for providing leadership, direction and support in the development and management of the ACO’s daily operations. Expected to demonstrate leadership traits which support MedLink's Mission Statement and Core Values. Establishes and implements an effective compliance program to prevent illegal, unethical or improper conduct. Acts as staff to the CEO and Governing Board by monitoring and reporting results of the compliance and ethics efforts of the company and in providing guidance for the Board and senior management team on matters relating to reporting and compliance. Show less