Mike Kromer

Mike Kromer Email and Phone Number

Sr. Analytic Consultant @ IBM
Thompsons Station, TN
Mike Kromer's Location
Thompsons Station, Tennessee, United States, United States
Mike Kromer's Contact Details

Mike Kromer personal email

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About Mike Kromer

Mike Kromer is a Sr. Analytic Consultant at IBM. He possess expertise in certified fraud examiner, accredited health care fraud investigator, data analysis, program integrity, medicare and 11 more skills.

Mike Kromer's Current Company Details
IBM

Ibm

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Sr. Analytic Consultant
Thompsons Station, TN
Website:
ibm.com
Employees:
332208
Mike Kromer Work Experience Details
  • Ibm
    Sr. Analytic Consultant
    Ibm
    Thompsons Station, Tn
    View
  • Ibm Watson Health / Ibm Consulting
    Sr. Analytic Consultant
    Ibm Watson Health / Ibm Consulting Jan 2017 - Present
    Member of client account team supporting analytic initiatives of a state Medicaid client. Responsibilities include leading the analytics team in analytics oversight, ad-hoc data analysis, and client user support.
  • Truven Health Analytics
    Sr. Analytic Consultant
    Truven Health Analytics May 2005 - Dec 2016
    Duties over the course of this time included the following:-Senior Consultant providing analytic support for multiple Medicaid state government customers. Duties have included Encounter Data Validation, providing data extracts and analytic supportfor one state Medicaid customer’s All Payer Claims Database (APCD), and continued support and promotion of multiple customers’ program integrity efforts.-Senior Consultant providing analytic support to Medicare Advantage Plan customer, including the development and updating of new and existing fraud and abuse detection algorithms to assist in their program integrity efforts.-Acting Quality Assurance Lead for MIC (Medicaid Integrity Contract) project team. -On-site Senior Consultant responsible for developing, maintaining, and running algorithms to be used in the identification of potential occurrences of fraud and abuse within state’s Medicaid system. Worked closely with the state’s Medicaid Office of Inspector General (OIG) in building and generating specialty and routine/scheduled reports, investigating areas of program weaknesses and possible cost savings for the state, and performing ad-hoc analyses upon request.
  • Cigna Healthcare Medicare Administration
    Statistician
    Cigna Healthcare Medicare Administration May 2001 - May 2005
    Responsible for reviewing statistical overpayment calculations for accuracy, research and analysis of DME (Durable Medical Equipment) suppliers’ billing patterns for irregularities, proactive data analysis, identification of program weaknesses, law enforcement support, and technical support for Anti-Fraud Unit. Professionally represented CIGNA Medicare and the Anti-Fraud Unit to both internal and external customers, including Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), Federal Bureau of Investigation (FBI), and other Medicare contractors.

Mike Kromer Skills

Certified Fraud Examiner Accredited Health Care Fraud Investigator Data Analysis Program Integrity Medicare Medicaid Healthcare Information Technology Hipaa Healthcare Consulting Healthcare Analytics Data Mining Process Improvement Analysis Statistics Business Intelligence

Mike Kromer Education Details

Frequently Asked Questions about Mike Kromer

What company does Mike Kromer work for?

Mike Kromer works for Ibm

What is Mike Kromer's role at the current company?

Mike Kromer's current role is Sr. Analytic Consultant.

What is Mike Kromer's email address?

Mike Kromer's email address is mi****@****lth.com

What schools did Mike Kromer attend?

Mike Kromer attended East Tennessee State University, East Tennessee State University.

What skills is Mike Kromer known for?

Mike Kromer has skills like Certified Fraud Examiner, Accredited Health Care Fraud Investigator, Data Analysis, Program Integrity, Medicare, Medicaid, Healthcare Information Technology, Hipaa, Healthcare Consulting, Healthcare, Analytics, Data Mining.

Who are Mike Kromer's colleagues?

Mike Kromer's colleagues are Seshadri Guruginjakunta, Kevin O'brien, Spandana Rachamalla, Ronaldo Mendes, Hadel Magdy, Mike Piccirillo, Jasper Kunchey.

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