Julio Arias is a certified public accountant and possesses over 30 years of experience conducting and supporting criminal and civil investigations, including 20 years of healthcare fraud-related experience. He has conducted and supported criminal and civil investigations for the U.S. Department of Justice and worked jointly with Special Agents of the U.S. Department of Health and Human Services Office of Inspector General, the U.S. Federal Bureau of Investigation, the U.S. Department of Defense Office of Inspector General, U.S. Social Security Administration Office of Inspector General, Drug Enforcement Administration, U.S. Department of Veterans Affairs Office of Inspector General, U.S. Environmental Protection Agency Office of Inspector General, U.S. Federal Trade Commission, and State Attorney Generals' Offices.
Julio has served several Fortune ranked companies in prominent leadership roles, such as program director, project manager, and operations manager, under government contracts involving program integrity operations, where he provided technical expertise, oversaw data analytics, and developed audit protocols for evaluating the effectiveness of compliance programs. Over the past 10 years, he led the operations for several national and regional contracts under the Centers for Medicare & Medicaid Services. Julio has further led and conducted contract, compliance, financial, and performance audits involving federal government programs and designed mechanisms to recover overpayments due to errors or fraud, waste, and abuse.
Susan J. Waddell has over 30 years of experience with Federal and State health care programs, private insurance and regulatory agencies. She has consulted with national health plans on fraud and abuse issues, compliance and training. Most recently, she served as the Program Director on the Probable Fraud Measurement Pilot contract with the Centers for Medicare & Medicaid Services. Given her expertise in health care fraud and abuse, Susan has consulted with State agencies to develop and deliver training for law enforcement and State regulators related to the Prescription Monitoring Program and Drug Diversion Investigations.
Ms. Waddell is a former Special Agent in Charge (New England Region) for the U.S. Department of Health and Human Services, Office of Inspector General where her region conducted criminal and civil investigations and led the nation in recoveries related to Health Care Fraud. She spent a year in Washington, D.C. working on special projects related to administrative sanctions and exclusions; and collaborating with the Centers for Medicare and Medicaid on fraud solutions. Additionally, Susan served as a special agent for the Arizona Medicaid Fraud Control Unit and worked closely with Medicaid program developers to address vulnerabilities and investigate fraud.
Julio Arias, III
Susan J. Waddell
Aridell Associates, LLC