Melissa Taormina Guske
Deputy Chief of Medicaid Operations @Illinois Attorney General\'s Office
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WORK HISTORY
Deputy Chief of Medicaid Operations @Illinois Attorney General\'s Office
Chicago, IL, US
Criminal Enforcement DivisionMedicaid Fraud Control Unit (MFCU)-Directly supervise administrative staff within the Medicaid Fraud Control Unit-Responsible for all the tracking and reporting relating to the MFCU federal grant, including ensuring the case management systems are up-to-date and case reviews are correctly reflected in the case files-Perform periodic evaluations to ensure the unit is in compliance with federally-mandated performance standards and report findings to the Director, Deputy Director, and Chief of Investigations-Handle civil and criminal cases as needed (see description below)Professional highlights include the attached media files (press releases).
EDUCATION
Resurrection College Prep High School
High School Diploma
University of Illinois Chicago School of Law
J.D., Law
Loyola University Chicago
Bachelor of Science, Biology
Loyola University Chicago School of Law
Master of Laws (LLM), Health Law
ABOUT MELISSA TAORMINA GUSKE
I am an attorney with over 14 years of health care fraud, waste, and abuse experience. I have an LL.M.(graduate degree in Law) in Health Law, and am licensed in Illinois. I handle-Investigations: I investigate complex Medicaid fraud cases; participate in an investigative team on a case-by-case basis; and complete key investigative tasks as part of an investigative plan-Prosecutions: I prosecute criminal cases and litigate civil cases (involving false claims, kickbacks, and violations of the physician self-referral law) in both State and Federal courts. I actively participate on cases with the U.S. Attorney’s Office (Northern District of Illinois); and if declining a case, I may refer the case to another agency with prosecutorial authority.I attend training programs conducted by the National Association of Medicaid Fraud Control Units (NAMFCU), whose mission includes combatting Medicaid provider fraud.Health care is a highly regulated and continually changing industry that engages many law and policy disciplines. I am always happy to talk about my perspective with fellow professionals. Please contact me at m••••••••@gmail.com.Bar Admissions:Illinois (2011); the U.S. District Court for the Northern District of Illinois (2011); the U.S. Court of Appeals for the Seventh Circuit (2013); the U.S. District Court for the Northern District of Illinois Trial Bar (2017)Note-The Illinois Supreme Court does not recognize certifications of specialties in the practice of law and no certification is needed to practice law in Illinois. I concentrate my practice in health law-The postings on this page are my own and do not necessarily represent the positions, strategies, or opinions of my employer or others.
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