“Katherine led multiple workgroups and committees with the pharmacy department and was pivotal in leading the cause to combat Medicare Parts C and D Fraud, Waste, and Abuse across the organization. She is highly organized, extremely motivated for the cause to protect vulnerable seniors and older adults, and is skilled in bringing people together. Katherine stands out for her passion and desire to do what's right for our Medicare members. Her attention to detail makes her a great investigator and her experience with data and analytics has protected and saved the organization and Medicare millions of dollars of potential FWA. Katherine is great leader and contributor to any workgroup, project, or organization she is a part of.”
Katherine Yue
Lancaster, California, United States
1K followers
500+ connections
Experience
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Education
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Thunderbird School of Global Management
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Licenses & Certifications
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Certified Internal Auditor
Institute of Internal Audit
Issued -
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Volunteer Experience
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Research Assistant -- Bankers Without Borders
Grameen Foundation
- 1 year
Economic Empowerment
Project 1: Survey of health and other sectors Microfranchise Models (barriers and successes).
Project 2: Survey project for the Human Capital Center. -
Founding Team
Refugee Concern Indonesia
- 1 year 10 months
Social Services
Providing financial assistance for medical, housing, and educational needs for refugees in the Greater Jakarta Area.
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Founding Team
Laundry Love Santa Ana
- Present 15 years 2 months
Economic Empowerment
Providing free laundry to the homeless and working poor through fun community building events. Serving 30 families per month.
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Consultant - Indonesia
The Institute for Innovation, Integration & Impact
- Present 15 years 4 months
Economic Empowerment
Part of evaluation team collecting data on 50 of 70 social impact consulting clients.
Created a monitoring and storytelling framework for a 100-employee PC distribution company.
Publications
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Presenter, "Analyses That Got Us Going"
NHCAA Schemes for Health Care Fraud Investigators & Analysts Conference
See publicationThere are a handful of analyses that got SCAN’s small SIU team going with fruitful results. Review a variety of tools and ways to present the investigative analyses for maximum impact and understanding. Examples will be comprised of tools and manual review used to validate the data which generated a steady flow of cases to investigate. Some of the issues being addressed include opioid prescribing, pharmacy monitoring, rejected claims outliers, Health Plan Management System Memo sizing, and…
There are a handful of analyses that got SCAN’s small SIU team going with fruitful results. Review a variety of tools and ways to present the investigative analyses for maximum impact and understanding. Examples will be comprised of tools and manual review used to validate the data which generated a steady flow of cases to investigate. Some of the issues being addressed include opioid prescribing, pharmacy monitoring, rejected claims outliers, Health Plan Management System Memo sizing, and network analysis.
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