James Guy, MHA, CFE, AHFI, is a dynamic leader in healthcare payment integrity, consulting, and investigations. With extensive experience in both public and private sectors, James has served as Director of Payment Integrity at Optum from 2017 to 2024, where they were recognized as a speaker at various national conferences and received an award for investigation excellence. Previously, James held significant roles at Baylor Health Care System Police Department and Blue Cross and Blue Shield, focusing on fraud detection and prevention. Committed to mentorship and collaboration, James fosters high-performing teams that align with organizational goals. Currently, James is the Vice President of Carrier Engagement at SmartLight Analytics.
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