Health Care Industry Consultant, SAS
Jason DiNovi has been part of the insurance industry for 15 years, with over a decade dedicated to medical fraud analytics. Creating analytics innovation with the implementation of previously unused pattern recognition and heuristic methodologies for detecting fraud, waste and abuse, Jason worked within and alongside commercial SIUs to build foundational queries and reports. He assisted in establishing standard operating procedures for implementing FWA business rules.
Over several years designing analytics solutions for commercial health payers, Jason developed extensive expertise in billing, adjudication and outside data sources to identify anomalous behaviors.
Jason holds a master’s degree in predictive analytics with a concentration in health care and a bachelor’s degree in philosophy. He is also a Certified Professional Medical Auditor accredited by the American Academy of Professional Coders.