David Duhaime

Accomplished executive with 30+ years of experience in healthcare program integrity, fraud prevention, compliance, risk assessment, auditing, and investigations. Former Program Director for a Zone Program Integrity Contractor (ZPIC) and Vice President of Operations for a Unified Program Integrity Contractor (UPIC), with a proven record of identifying and recovering more than $1 billion for the Medicare and Medicaid programs. Former law enforcement professional with the New York State Attorney General’s Medicaid Fraud Control Unit (MFCU), with extensive experience supporting successful prosecutions through testimony in multiple federal cases for the U.S. Department of Justice and state cases for various Attorneys General. Court-qualified expert in fraud, waste, and abuse, and recipient of the FBI Director’s Excellence Award. Collaborated directly with the Centers for Medicare & Medicaid Services (CMS) and contributed to the development of policies and guidance to strengthen program performance. Provides expert opinions, litigation support, compliance reviews, and compliance program development and oversight, helping clients address issues proactively, reduce risk, and maintain the requirements necessary to participate successfully in government and commercial programs.