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James Guy Location
Texas, United States
James Guy Work
Director of Fraud and Abuse, Growth and Ideation @ (October 2025 - Present)
Vice President of Carrier Engagement @ (March 2024 - August 2025)
Senior Manager - Special Investigations Department (Texas) @ (January 2007 - January 2017)
Police Captain @ Baylor Health Care System Police Department (January 1990 - January 2007)
Deputy Sheriff @ (January 1987 - January 1990)
Director - Payment Integrity @ (January 2017 - January 2024)
James Guy Education
University of Phoenix 2005-2007
Southwestern Law Enforcement Institute 1992-1992
East Texas Police Academy 1986-1987
Tyler Junior College 1985-1987
James Guy Skills
Criminal Investigation
Internal Investigation
Healthcare Fraud, Waste & Abuse SME
Interview & Interrogation
Data Analytics Interpretation & Application
Settlement Negotiation
Mentoring & Training
Curriculum Development
Privacy & Ethics Investigations
Budget Planning & Management
Operations Management
Risk Management
Contract Review
SIU Management
Executive Protection
911 Call Center Management
Policy Development & Implementation
Hotline & Referral Triage
Law Enforcement Liaison
Physical Security & Access Control
Public Speaking
Vendor & Contract Management
Project Planning & Management
Identity Theft Investigation
Instruction
Training Coordination
Case Management
Case Management Software
Training Event Planning & Coordination
Compliance Investigations
Internal Affairs
Financial Crimes Investigations
Healthcare Consulting
Police
Law Enforcement
Investigation
Public Safety
Criminal Justice
Surveillance
Leadership
Emergency Management
Security
Criminal Investigations
Fraud Prevention
Consulting
Fraud Investigations
Cross-functional Team Leadership
Management
Certified Fraud Examiner
Fraud Detection
James Guy Summary
James Guy, based in Texas, United States, is currently a Director of Fraud and Abuse, Growth and Ideation at Optum. James Guy brings experience from previous roles at SmartLight Analytics, Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas, Baylor Health Care System Police Department and Smith County. James Guy holds a 2005 - 2007 University of Phoenix. With a robust skill set that includes Criminal Investigation, Internal Investigation, Healthcare Fraud, Waste & Abuse SME, Interview & Interrogation, Data Analytics Interpretation & Application and more. James Guy has 5 emails and 1 mobile phone numbers on RocketReach.
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