MHA Candidate: Yasir Shakoor

What Yasir says:

My essential job function as a Fraud Investigator II on Anthem’s Program Integrity Special Investigations Unit is to stop fraud, waste, and abuse (FWA) that may be committed by providers in Anthem’s network. One of my tasks is to investigate allegations of fraud and mitigating risks that may be victimizing New Jersey Medicaid beneficiaries. During the current COVID-19 pandemic, we are challenged with keeping abreast of fast policy changes to the healthcare system and we must be able to quickly adapt to said changes.

During the current COVID-19 pandemic, we are challenged with keeping abreast of fast policy changes to the healthcare system and we must be able to quickly adapt to said changes.

The U.S. government has allocated a significant amount of federal dollars to states so businesses and healthcare providers can stay afloat. Given these circumstances, we are seeing changes in billing practices. While it may be a slow time for healthcare utilization, for specialties outside of treatment for COVID-19, it’s safe to say that as an investigator, we have job security as we are continuously data mining and investigating emerging FWA trends related to COVID-19.

If you think compliance is expensive, try non-compliance.

My reason for enrolling in the Master of Health Administration program:

My two girls—3 and 5 years old—are my inspiration.

Career aspirations:

To become a leader in battling fraud, waste, and abuse. I would someday like to start a podcast and teach healthcare professionals about the subject.