2015 Annual Training Conference & Anti-Fraud Expo

James McCall, AHFI
Director, Fraud Analytics
Change Healthcare


Jim McCall is currently the Director, Fraud Analytics for Change Healthcare. In this role, he serves as the subject matter expert for healthcare fraud analytics and related product offerings. In addition, he is the Solution Owner of two payment Integrity products, ProLead, the multi-payer data analytics product, as well as all Pre Payment services, which includes code edits and investigative edits. Finally, he is responsible for the development of anti-fraud market facing strategy. He has served as an instructor/speaker for NHCAA for many years, most recently, during the NHCAA February Webinar on I&I, AHFI Prep Course and the Investigator’s Boot Camp. In addition, he has been an instructor for multiple other organizations to include the FBI, CHCAA, NJ OIFP, and others.

Sessions :