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.