Patricia Peláez

she/her/hers
Principal

Patricia works on high profile matters focusing on applying forensic analysis, governance, risk and compliance, as well as general business and financial expertise across various functions and industries with a focus on conducting complex investigations and assisting clients reaffirm their commitment to integrity by independently responding to allegations of fraud, abuse, misconduct, and non-compliance.

She has served as the project manager on compliance assessments engagements, led Compliance Monitoring Program projects pursuant to the regulator’s expectations, and investigated possible fraud and non-compliance related matters. She also helps lead the Forensic Services Blockchain and Cryptocurrency solution.

She has extensive experience performing readiness assessments for providers and pharmaceutical companies executing Corporate Integrity Agreements (CIA) with the Office of Inspector General (OIG) and Provider self-disclosure matters. She has also worked on large and mid-tier financial institution clients, focusing on compliance matters, including look backs and performing compliance assessments of financial investigations units’ processes and procedures.

Patricia is a member of the American Institute of Certified Public Accountants (AICPA), the Association of Certified Fraud Examiners (ACFE), and the Illinois Association of Healthcare Attorneys (IAHA). She is a Certified Public Accountant (CPA) in the state of Illinois, Certified in Financial Forensics (CFF), a Certified Fraud Examiner (CFE), a Certified Professional Coder (CPC – A), and a Certified Anti-Money Laundering Specialist (CAMS). She has also obtained the Chainalysis Cryptocurrency Fundamentals Certification (CCFC).

Selected engagements

  • 01
    Complex multi-million-dollar billing dispute for large insurance plan provider
    CRA was retained by counsel representing a large insurance plan provider to help resolve a complex multi-million-dollar billing dispute, between their client...
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  • 02
    Investigation of $10 million embezzlement and diversion by company’s former CMO
    CRA’s Forensic Services Practice was retained by Cooley LLP’s White Collar Defense & Investigations Practice, on behalf of the board of a national insurance...
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  • 03
    Corrective action plan for HIPAA violations at non-profit hospital system
    One of the nation’s largest non-profit hospital systems entered into a multi-million-dollar settlement and Corrective Action Plan (CAP) with the US Department...
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Recent achievement

Who's Who Legal
Global Leader in Forensic Accounting Investigations, 2022

Credentials

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