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First Name

Dustin
Last Name

Jimenez
Nickname

jimenezd1aetna-com
NAMPI Region

Region 8 – CO, UT, WY, MT, ND, SD
Years in Program Integrity

6-10
Focus Area

FWA – General Program Integrity (broad fraud, waste, abuse oversight), Provider Fraud & Abuse, Pharmacy & Prescription Fraud, Data Analytics & Surveillance, Legal / Investigation / Prosecution Support, Other
Programs Worked With (Medicaid, Medicare, CHIP, MCO, etc.)

Medicaid Fee-for-Service (FFS), Medicaid Managed Care Organizations (MCOs)
Focus Area

Fraud, Waste & Abuse (FWA), Member Fraud & Eligibility Oversight, Data Analytics & Surveillance, Audits & Compliance Monitoring, Other
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