Nicholas J. Messuri

Assistant Vice President for Fraud Prevention and Recovery @DentaQuest

Boston, MA, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Jun 2015 — Present

Assistant Vice President for Fraud Prevention and Recovery @DentaQuest

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Charlestown, MA, US

Leads a national anti-fraud and abuse program for a Medicaid, Commercial, and Medicare Advantage dental insurance business that has more than 30 million members in 32 states.• Built effective 23-person investigations unit to improve fraud detection, reduce losses, and cut operational costs.• Dramatically improved information sharing and collaboration on FWA, and significantly enhanced relations with managed care and state agency clients.• Drove 300% increase in savings from FWA prevention and detection, and substantially increased return on investment.• Won recognition for expertise in multi-agency collaboration and building investigations resulting in effective enforcement actions; drove creation of NHCAA national committee to develop best public/private partnership model.• Led successful fraud prosecutions in Illinois, NY, and TN in collaboration with DentaQuest investigations team.• Supported new business growth and contracts won in Michigan, New York, and Louisiana and 2.3M new members, by developing national benchmark FWA program.

EDUCATION

N/A

Northeastern University

Bachelor of Science, Highest Honors,

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New England Law | Boston

Juris Doctorate

N/A

Harvard Business School

Leadership Program

ABOUT NICHOLAS J. MESSURI

As Assistant Vice President for Fraud Prevention & Recovery, responsibilities include the…

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