Rodger Smith

Rodger Smith has over 16 years of operational and industry experience in healthcare, handling matters involving provider contracting, claims operations, provider and member disputes, industry regulation, provider and claim analytics, fraud, waste and abuse investigation, and Payment Integrity. After receiving a Juris Doctorate from New York University School of Law, he was in private practice as a commercial litigator for 8 years. At that point, he joined the legal team of a large regional health plan, Oxford Health, where he eventually led the Special Investigations Unit as well as a group tasked with addressing systemic overpayments, which together increased results by over 300%, saving the company over $50 million. After its acquisition by United Health Group, Rodger was responsible for fraud, waste & abuse in United's Northeast region.  Rodger left United after 6 years to found WayMark Associates, which focused on select areas of Payment Integrity requiring specialized knowledge. Since the acquisition of WayMark by SCIO Health Analytics®, Rodger has served in a number of key roles, including running payment integrity operations, developing SCIO's analytic capabilities in the Payment Integrity and Network & Provider areas, solutioning for clients and prospects of the Payment Integrity Service area, and as a strategic account manager for several of SCIO's largest clients.