Tracey C.

Background

About Tracey C.

With over 16 years of experience in the medical claims sector, I am a Senior FWA Diagnostic Analyst at Oscar Health, a leading health insurance company. I have a Master's degree in Business Administration with a focus on Project Management, and I am certified in Digital Marketing. I have a proven track record of delivering results in risk management, fraud detection, regulatory compliance, program implementation, and process improvement. In my current role, I coordinate all activities between internal and external parties to reduce the incidence and impact of fraud, waste, and abuse. I analyze data, evaluate claims, initiate recovery efforts, and prepare reports to ensure accurate tracking. I also oversee and execute responses to inquiries, subpoenas, and regulator requests involving the Special Investigations Unit. I have achieved significant savings and recoveries for the organization, as well as increased efficiency by 40%. I am passionate about providing high-quality service and solutions to our customers and stakeholders, and I am always looking for new opportunities to learn and grow.