Alex Kondratenko
Experienced Healthcare Fraud & Compliance Leader | Risk Management | Data Analytics
- Role
- Manager, Special Investigations Unit at IEHP
- Location
- Ontario, CA, US
- LinkedIn followers
- 500 followers
About Alex Kondratenko
Over a decade of experience in healthcare fraud prevention, compliance, and risk management.Throughout my career, I have built a reputation as a results-driven leader who blends technical expertise with strategic thinking to safeguard healthcare resources, drive operational excellence, and ensure regulatory compliance. My journey has spanned critical areas of healthcare operations, including fraud prevention, prepayment review, data analytics, and program development – particularly within government-sponsored programs like Medicare and Medi-Cal.Key Highlights of My Experience:Program Development & Innovation – Built and expanded prepayment review programs that generated millions in savings annually by leveraging targeted analytics and process enhancements.Data-Driven Fraud Prevention – Proficient in advanced tools like SQL, SAS, Tableau, and PowerBI to uncover fraud patterns, visualize data, and drive strategic initiatives.Cross-Functional Leadership – Partnered with Cost of Healthcare, Legal, Compliance, and Operations to align fraud detection with broader organizational objectives.Regulatory Expertise – Extensive knowledge of compliance and audit requirements, having navigated CMS, DHCS, and other regulatory frameworks across Medicare and Medi-Cal.Industry Thought Leader – frequent speaker at national conferences (e.g, NHCAA) on emerging healthcare fraud trends and best practices.I am passionate about fostering innovation, enhancing fraud prevention strategies, and building collaborative environments that prioritize integrity, transparency, and better outcomes for members.Folks of the same mindset and mission- Let’s connect and collaborate!
Experience
Manager, Special Investigations Unit
Dec 2024 — Present · Rancho Cucamonga, CA, US
Education
Charles A. Jones Career and Education Center
Certified Medical Assistant, Clinical
2009 — 2010
American River College
Health Science; Registered Nurse
2008 — 2011
MTI College
Medical Billing and Coding Specialist
2011 — 2012
The University of Arizona Global Campus
Bachelor of Science - BS, Business Administration and Management, General
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.