Healthcare Fraud Investigations: Challenges and Solutions thankyou

Jo-Ellen Abou Nader and Anne Mack

Jo-Ellen Abou Nader
As AVP of Prime Therapeutics, Jo-Ellen Abou Nader is responsible for the network audit and fraud programs. She provides leadership in determining future strategy of prescription auditing and fighting fraud at Prime. Before joining Prime, she led fraud and multiple audit teams at Express Scripts for 17 years.
Jo-Ellen is a Certified Internal Auditor and a Certified Fraud Examiner. In addition, she hold a Certification in Risk Management Assurance from the Institute of Internal Auditors.

Anne Mack
Anne Mack, Senior Director, Pharmacy Audit & FWA, oversees Prime Therapeutics’ network audit and fraud operations. She executes strategic initiatives to combat fraud, waste and abuse involving pharmacies, prescribers and members. In addition to her 11 years at Prime, Mack served 18 years in various health plan leadership and operations roles. Her health plan experiences includes product administration, case management, analytics, compliance and internal audit.