Jeff Baxter
Consultant – Medicaid Fraud, Insurance Fraud, Neglect Investigations
About
Experienced healthcare fraud prosecutor with a demonstrated history of working in the law enforcement industry. Skilled in Fraud Investigations, Negotiation, Criminal Law, Government, Law Enforcement and trial work. Former Member and Co-chair of the National Association of Medicaid Fraud Control Units Training Committee.
United States
McCormick
Law Enforcement
Healthcare Compliance, Regulatory Compliance, Research Skills, LexisNexis, Legal Issues, Criminal Law, Trial Advocacy, Trial Preparation, Negotiation, Trials, Legal Research, Fraud, Litigation, Courts, Appeals, Westlaw, Trial Practice, Legal Writing, Policy, Mediation
Experience

Consultant – Medicaid Fraud, Insurance Fraud, Neglect Investigations
United States
With 30+ years as a Senior Deputy Attorney General, I specialize in the investigation, prosecution, and now consulting and defense strategy for: ✔ Medicaid fraud ✔ Insurance fraud ✔ Neglect of care-dependent persons I’ve directed complex investigations across the healthcare and insurance sectors, led multi-agency task forces, and prosecuted high-impact fraud and abuse cases. I was the lead prosecutor and oversaw the investigation of Heather Pressdee, RN, who was charged with killing 17 patients and attempting to kill 5 others at the numerous skilled nursing facilities. I know how these cases are built—and how they are best defended. I previously served as Co-Chair of the Training Committee for the National Association of Medicaid Fraud Control Units, where I developed and delivered advanced training for investigators, prosecutors, and analysts across the country. I have trained both law enforcement and private sector professionals in building, evaluating, and defending against complex fraud cases. I help: 🔹 Develop Training programs for SIUs and legal teams 🔹 Law firms develop or challenge fraud investigations 🔹 Healthcare providers and insurers strengthen compliance 🔹 Defense teams prepare strategy and expert insight 🔹 Organizations navigate audits, subpoenas, and enforcement Whether you need strategic case development, investigative review, internal controls assessment, or courtroom insight—I bring a prosecutor’s perspective with a defense mindset. Areas of Expertise • Medicaid & Insurance Fraud Investigations • Care-Dependent Person Abuse & Neglect Cases • Government Enforcement Strategy • Criminal & Civil Healthcare Litigation • Investigative Case Development • SIU & Internal Investigations Consulting • Multi-Agency Task Force Coordination • Trial Strategy & Witness Preparation • Fraud Prevention Training & Education 📩 Let’s connect if you’re working on a case, building a compliance program, or facing regulatory risk.

Senior Deputy Attorney General
Western Pennsylvania
• Oversaw Medicaid Fraud investigations, ensuring compliance with Commonwealth statutes. • Prosecute criminal violations related to Medicaid and other statutes, enhancing legal integrity. • Chaired in-house training initiatives, fostering professional development within the office. • Collaborated as Co-Chair of NAMFCU Training Committee, promoting best practices nationwide.

In-house Trial Counsel
• Negotiated settlements for Nationwide insureds, ensuring favorable outcomes in complex motor vehicle policy cases. • Represented clients in court when settlements were not viable, demonstrating strong litigation skills. • Achieved a high settlement success rate, reducing trial costs and enhancing client satisfaction.

Senior Assistant District Attorney
Cumberland County District Attorney’s Office
United States
• Served as a Senior Assistant District Attorney, managing all levels of prosecution for misdemeanor and felony cases. • Successfully prosecuted a high-profile death penalty trial, demonstrating expertise in complex legal matters. • Tried multiple cases to verdict before juries, achieving favorable outcomes that upheld justice in the community.
Education
Jeff Baxter's Contact Information
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