Kenneth C. Wasley
Director, Special Investigations Unit @Centene Corporation
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WORK HISTORY
Director, Special Investigations Unit @Centene Corporation
Director Kenneth Wasley, Special Investigations Unit (SIU), oversees a full range of fraud, waste, and abuse investigations, along with audits and medical code editing scenarios. Ensures audits are adhered to pursuant to state and federal Medicaid guidelines. Oversees activities of the SIU for accurate and timely operational final reviews. Monitors and analyzes audit results to assists health plan executives in the development of appropriate action plans to address identified risks. Develops and implements continuous auditing processes from analytic design to the final report stage for investigative metrics reporting. Responds to all legal inquiries including subpoenas and court appearances. Attends federal Centers for Medicare and Medicaid Services (CMS) and state fraud meetings for collaboration with state and federal employees, along with other managed care organizations.
EDUCATION
Hudson Valley Community College
Associate's degree
SUNY Empire State College
Bachelor of Science (B.Sc.
Marist College School of Management
Master of Public Administration (M.P.A.)
ABOUT KENNETH C. WASLEY
Dedicated security and investigations professional with approximately two decades of leadership experience from having served in the Drug Enforcement Administration, New York Division.
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