William O’Malley is a founding member of Engage Health and serves as its Chief Operating Officer. In this capacity, William oversees governance, strategic initiatives, and operational execution for Engage Health’s diverse portfolio of national healthcare clients. He is also dedicated to fostering a high-performance, multidisciplinary team within an innovative and entrepreneurial corporate culture.
With over 18 years of senior leadership experience in healthcare, William has been instrumental in driving various national, regional, and local initiatives. Prior to his tenure at Engage Health, he served as Vice President of Healthcare Product Innovation at Performant Corp., where he directed the audit division supporting the CMS Recovery Audit Contracts for Region 1 and the National Region 5 DME contract. He also played a critical role in program integrity efforts for leading national and regional insurers, overseeing strategic activities across the division and implementing CMS’ Unified Program Integrity Contractor (UPIC) data mining solution.
Earlier in his career, William was a founding member and Vice President of Operations at Veritas Medical Review Solutions. He led the implementation and operations of the inaugural CMS RAC program for Region A, encompassing Part A, Part B, and DME programs, and acted as a subcontractor for the CMS Level II reconsideration appeals contract. Additionally, he was pivotal in designing and executing strategies to assist wound care providers in navigating challenges such as high-frequency audits and medical necessity determinations in the absence of clear policy guidance.
William’s extensive experience positions him as a trusted leader and innovator in the healthcare compliance and audit landscape.