Details

First Name

Jay

Last Name

Peck

Nickname

jpeckpcgus-com

Years in Program Integrity

10-20

Focus Area

FWA – General Program Integrity (broad fraud, waste, abuse oversight), Provider Fraud & Abuse, Claims & Billing Integrity, Pharmacy & Prescription Fraud, Data Analytics & Surveillance

Certifications (CFE, PMP, etc.)

MBA

Programs Worked With (Medicaid, Medicare, CHIP, MCO, etc.)

Medicaid Fee-for-Service (FFS), Medicaid Managed Care Organizations (MCOs), Children’s Health Insurance Program (CHIP), Medicaid Waivers (1115, 1915(c), 1915(b)), Long-Term Services & Supports (LTSS) / HCBS, Behavioral Health Integration, Dual Eligible & Medicare Coordination

Focus Area

Fraud, Waste & Abuse (FWA), Provider Enrollment & Screening, Member Fraud & Eligibility Oversight, Data Analytics & Surveillance, Audits & Compliance Monitoring, Policy Development & Guidance

LinkedIn Profile
Favorite Conference Memory

Every year is like the first conference. We work in such an ever changing landscape, there are always such new and interesting conversations to have. Always new problems to solve.

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