Raymond Wedgeworth is the director of the Data Analytics and Systems Group in the Center for Program Integrity at the Centers for Medicare & Medicaid Services. He has more than 20 years of experience in both the private and public sectors in health care research, finance, and health information systems. As a result, he has had the opportunity to lead many ambitious efforts to advance the performance of health care programs and systems.
Throughout the course of his career, Mr. Wedgeworth has developed several comprehensive research techniques, tracking systems, and databases to ensure the integrity of health care systems. In recent years, he has overseen the continued development and implementation of systems and predictive analytics techniques related to the detection and prevention of fraud, waste, and abuse. His group serves as the focal point for analytics and systems associated with combating fraud, waste, and abuse. In January 2017, Mr. Wedgeworth was appointed as a Senior Executive Service member.