James Rough

Associate Director

Phoenix, AZ +1.602.528.8001

Areas of Expertise

“In the middle of difficulty lies opportunity.” Albert Einstein

James Rough is an Associate Director within the Disputes and Investigations practice. For more than fifteen years, U.S. and international clients have trusted James to perform internal investigations and compliance assessments, consult on complex contract disputes, perform data analytics, and advise white-collar defense counsel in criminal, civil and class action proceedings. James regularly advises clients on multiple topics including the False Claims Act, Affordable Care Act, Medical Loss Ratios (MLR), Foreign Corrupt Practices Act, Usual and Customary Rates, and technical accounting for revenue recognition.

James’ healthcare clients include some of the nation’s largest insurers, hospitals, global medical device/implant manufacturers and utilization managers. James’ unique combination of formal financial, fraud and forensic training is coupled with significant experience in various healthcare industry segments and familiarity with associated large transactional, financial, and regulatory data sets. This knowledge base provides clients a multi-faceted expert when they are facing internal and external investigation, litigation, and compliance challenges.

James is a regular lecturer for the Health Care Compliance Association (HCCA) on best practices for communicating with government regulators and enforcement personnel and serves as Chair of both the HCCA and SCCE’s Annual Arizona Regional Conferences.

Education
B.S., with honors, Economics, Arizona State University
Certifications
Certified Healthcare Compliance
Membership and Activity Information
Treasurer, Board of Directors: Arizona Chapter of Association of Certified Fraud Examiners (2013-2015)
Vice-Chair, Board of Directors: Valley Youth Theatre (2013-2015)
Member, Fundraising Committee: Children's Museum of Phoenix (2013-2014)
Member, Advisory Council: Association of Certified Fraud Examiners (2013)
Society of Corporate Compliance and Ethics (2012)
Arizona Ethics and Compliance Council, Founding Member (2011)
Association of Certified Fraud Examiners (2009)
Arizona Chapter of Certified Fraud Examiners (2009)

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James Rough

Associate Director

+1.602.528.8001

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