EPISODE · Jun 17, 2025 · 16 MIN
Chasing Program Integrity: Inside Healthcare Audits with Advize Health’s CEO Jeanmarie Loria
from The Peel · host thepeel
In this episode of The Peel, Shelley McGuire welcomes Jeanmarie Loria, CEO of Advize Health LLC, a trailblazer in healthcare audit and compliance. With over a decade of leadership and a background at KPMG, Jeanmarie has built a powerhouse firm that just landed its first prime contract with CMS—a major milestone in the commercial healthcare space. Jeanmarie dives into the biggest challenges facing program integrity, from fragmented vendor oversight to the growing influence of AI in fraud detection, and the need for human expertise to keep systems in check. She also unpacks the complex relationships between plans and providers, debunks common myths about healthcare fraud, and shares how her team brings federal-level audit standards to the commercial sector. Listen in and take a look behind the curtain of healthcare audits. To connect with Jeanmarie, follow her on LinkedIn here. Learn more about Advize Health by visiting their website here. If you liked listening to this episode, click here to view more in this series. To view all of our podcast series, visit our podcast page.
What this episode covers
In this episode of The Peel, Shelley McGuire welcomes Jeanmarie Loria, CEO of Advize Health LLC, a trailblazer in healthcare audit and compliance. With over a decade of leadership and a background at KPMG, Jeanmarie has built a powerhouse firm that just landed its first prime contract with CMS—a major milestone in the commercial healthcare space. Jeanmarie dives into the biggest challenges facing program integrity, from fragmented vendor oversight to the growing influence of AI in fraud detection, and the need for human expertise to keep systems in check. She also unpacks the complex relationships between plans and providers, debunks common myths about healthcare fraud, and shares how her team brings federal-level audit standards to the commercial sector. Listen in and take a look behind the curtain of healthcare audits. To connect with Jeanmarie, follow her on LinkedIn here. Learn more about Advize Health by visiting their website here. If you liked listening to this episode, click here to view more in this series. To view all of our podcast series, visit our podcast page.
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Chasing Program Integrity: Inside Healthcare Audits with Advize Health’s CEO Jeanmarie Loria
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