Mary Bowen serves as the Chief Investigator and Data Analytics Manager for the Arkansas Office of Medicaid Inspector General (OMIG) in Little Rock, Arkansas. In this executive role, she directs all investigative and data analytics staff, overseeing comprehensive agency investigations into Medicaid fraud, waste, and abuse. Additionally, Ms. Bowen leads OMIG’s comprehensive data mining and data analytics operations while managing vital day-to-day operational duties for the agency. By collaborating strategically with state and federal partners, she safeguards the integrity of the Medicaid program and ensures strict accountability across the Medicaid healthcare system.
As part of her compliance mandate, Ms. Bowen directs OMIG’s oversight of the Provider-Led Arkansas Shared Savings Entity (PASSE) model. She conducts structured quarterly meetings with each of the state’s four contracted managed care organizations to evaluate compliance and address program vulnerabilities. Through this framework, she actively monitors each company’s execution of mandatory quarterly reporting, ensuring absolute accountability and strict contractual alignment under the PASSE oversight protocol.
Ms. Bowen has over fifteen (15) years of experience in investigating Medicaid related matters and program integrity. Prior to her current position, for nearly ten (10) years, she was the Lead Investigator with the Arkansas Medicaid Fraud Control Unit (MFCU) where she investigated complex cases involving healthcare providers and organized fraudulent schemes. She has also worked as an investigator in the Special Investigations Unit (SIU) for Anthem, Inc. / Elevance Health, where she investigated fraud and conducted data analysis related to the Arkansas Medicaid market.
Throughout her distinguished career, Ms. Bowen has led high impact joint investigations with elite federal agencies, including the U.S. Department of Health and Human Services Office of Inspector General (HHS/OIG), the Drug Enforcement Administration (DEA), the Internal Revenue Service (IRS), and the Federal Bureau of Investigation (FBI). Her investigative work has involved reviewing medical and financial records, conducting interviews, analyzing complex claims, financial and medical data. Her expertise has driven high profile prosecutions, recovered vital public funds, and heavily strengthened interagency cooperation at both state and federal levels. Fully versed in complex regulatory requirements, Ms. Bowen remains a benchmark leader in advanced healthcare fraud detection and enforcement.
Based on Ms. Bowen’s training and expertise in Medicaid program integrity, she is familiar with the Medicaid program state and federal requirements, investigative methodologies, and interagency coordination related to healthcare fraud investigations.