FraudScope is led by a seasoned management team and supported by thought leaders in the healthcare fraud, waste and abuse detection industry.
Dr. Ahmed is the CEO, CTO, and Founder of FraudScope. FraudScope’s patented technology was developed as a part of his PhD dissertation at Georgia Institute of Technology.
A report by the JASON advisory group, the prestigious scientific advisory panel to the US government, reinforced that his doctoral research tackled some of the biggest challenges within the emerging health data infrastructure in the United States. Dr. Ahmed has been interviewed by several media outlets such as NBC/11Alive, WSB-TV, CBS46, Business RadioX and Georgia Health News for his work in healthcare fraud detection.
Dr. Ahamad is the Chief Scientist and Co-Founder of FraudScope. He is also Co-Founder and Chief Scientist at Pindrop Security and a professor of computer science at the Georgia Institute of Technology. Pindrop Security is a leader in phone fraud prevention with a total financing of $122 million from top-tier investors, such as Andreessen Horowitz, Citi Ventures, Felicis Ventures, Redpoint Ventures, and Webb Investment Network. Dr. Ahamad has held multiple leadership roles within academia over the years and is currently the Associate Director of Education and Outreach at the Georgia Tech Institute for Information Security & Privacy.
David is the Chief Revenue Officer for FraudScope - responsible for all sales and revenue generating functions. His entire career has been targeted towards improving various aspects of the healthcare industry. His experiences range from launching health plan focused startups to running sales organizations focused on delivering healthcare analytics. When he’s not working with the FraudScope team, he enjoys spending time with his family in the mountains of North Georgia.
Patrick Stamm joined UnitedHealthcare in 2005 and was responsible for leading the shared service operations supporting government and commercial businesses. He established and built the Advanced Research and Analytics team, a highly capable team of advanced analytics, ML and AI experts who accelerated adoption and value creation from information and data. Through rigorous process management, real-time proactive interventions and leading Big Data and analytics capabilities, Patrick created the industry leading Payment Integrity team focused on getting claims paid correctly and accurately. These advanced PI capabilities are used to identify instances of fraud, waste, abuse and error and positively impact medical costs by more than $10B per year. He concluded his UnitedHealthcare career as COO, Shared Service Operations in 2017.
Chris Schmaltz has held executive roles with UnitedHealth Group, AIG and Safeco Insurance. He built the industry’s largest Payment Integrity program including - member eligibility, third-party liability, automation, claims editing, manual claim review, medical record audit, and provider fraud. Chris led a 350% increase in Payment Integrity savings over a period of two and a half years with an ROI increasing from 6.5:1 to 14:1. When he is not working, he enjoys time with family, supporting several philanthropic organizations, and spending time on the Washington coast.
Bill Maloney is the Director of Corporate Affairs for Symetria Health. Symetria Health is an innovative behavioral health company focused on improving substance abuse treatment outcomes. Bill has diversified experience in private and public anti-fraud investigations, DEA Regulatory Compliance, SAMHSA Medication-Assisted Treatment (MAT) programs. As a former Director of Healthcare Fraud investigations, Bill was responsible for initiating and overseeing investigations for Medical and Pharmacy Fraud. He was also was responsible for identifying and developing large healthcare criminal and civil fraud cases. Bill spent 23 years as a Special Agent for the DEA. His law enforcement career included innovated complex investigations at the highest level. Bill lives with his wife Eileen and enjoys traveling.
Mark Isbitts has over 25 years’ experience working in the healthcare industry, including product management, strategic planning and consulting, marketing and business development. He has specific expertise in payment integrity, healthcare fraud, and advanced analytics within a payer organization.
He has launched several new payment integrity solutions with both Commercial and Government-sponsored organizations that combined multiple data types with advanced analytics and artificial intelligence.