Bob is the partner-in-charge of our Baltimore office and is the co-partner-in-charge of the firm’s Managed Care engagement team. He also serves as the firm’s Chief Compliance Officer. For more than 30 years, he has provided health care-related audit and compliance services to state Medicaid agencies and the federal government.
Throughout Bob’s career, he has performed audits and desk reviews of health care providers throughout the country. Bob’s clients have included the states of Maryland, Montana, North Carolina, South Carolina, and Virginia. Bob also has experience overseeing audits of pharmacy benefit managers (PBMs) and third-party administrators (TPAs).
More recently, Bob has devoted his practice to assisting states and the Centers for Medicare & Medicaid Services (CMS) with oversight of managed care organizations. Since 2005, Bob has worked with CMS, overseeing various contracts with the Division of Capitated Plan Audits, Medicare Part C and D Oversight and Enforcement Group (MOEG), Office of the Actuary, and the Office of Research, Development, and Information. Bob’s work for the Division of Capitated Plan Audits has included examinations of financial information submitted by Medicare Advantage Organizations and Prescription Drug Plans (MAO/PDPs). This work included examination of base period data, prescription drug events (PDEs) and medical claims, direct and indirect remuneration data (rebates), non-benefit expenses, and solvency.
Bob is a Certified Public Accountant (CPA) and a Certified Fraud Examiner (CFE). He is a member of the Maryland Association of Certified Public Accountants, the American Institute of Certified Public Accountants, the Association of Certified Fraud Examiners, and the Health Care Compliance Association.