Adam Swallows is an experienced professional in program integrity and fraud investigation within the healthcare sector. Currently serving as a Program Integrity Investigator and FWA Lead Generator at CareSource since June 2022, Adam has previously held significant roles at Optum as a Senior Business Analyst and Team Lead where responsibilities included creating algorithms to detect fraudulent claims. Prior experience includes work as a Medicare Part D Fraud Investigator at HealthSpring Inc. / CIGNA, where Adam conducted investigations related to Medicare fraud, and as a Medicare Part B Fraud Investigator at AdvanceMed / Zone Program Integrity Contractor, focusing on abuses impacting the Medicare Trust Fund. Early in Adam's career, roles as a Certified Police Officer with the City of Brentwood, TN involved training new recruits and providing testimony in court. Educational achievements include a Bachelor of Science in Health and Wellness Promotion from Austin Peay State University and specialized certifications in law enforcement and interrogation techniques.
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