Brittany Gallegos
New Braunfels,TX
Summary
Results- oriented Manager with expert team leadership, planning, analytical and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Manager of Beneficiary Intelligence and Intake
Health and Human Services- Office of Inspector General
09.2021 - Current
- Performed senior level supervisory investigative work, over two remote units of 14 staff members in differing geographical locations
- Developed, maintained and monitored daily, monthly, weekly reports that impacted the Office of Inspector General
- Conducted comprehensive studies on assigned agency programs and work assignments
- Monitored and measured program progress toward reaching objectives and made recommendations of program improvements and executed recommendations to improve agency mission for the State of Texas
- Established, revised and reviewed policies, procedures, mission objectives for staff to eliminate work problems or barriers to agency mission
- Responsible for writing, editing and approving new policies based on federal regulations
- Promoted team building and implemented quality improvements in response to concerns with regulatory compliance and agency requirements
- Planned work assignments, set and adjusted short-term priorities and prepared schedules based on consideration of difficulty of requirements and assignments
- Provided staff with direction and advice regarding policies, procedures, and guidelines
- Programs and policies included Medicaid; the Children's Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children's (WIC) program
- Selected candidates for subordinate nonsupervisory positions while taking into consideration skills and qualifications and agency requirements
- Explained performance expectations to employees directly and provided regular feedback on strengths and areas of improvement
- Participated in special projects and initiatives and performed special assignments
- Provided user support and training in using available hardware, software, applications, and utilities to employees
- Provided advice and guidance for improvements on policies and making recommendations
- Experience planning pilot tests for new software products in a controlled environment for a new statewide complaint website
- Researched and interpreted program related laws, regulations, guidelines, and procedures
- Analyzed management information requirements to operate program or administrative reporting systems
- Oversaw the development of plans and executed the ongoing analysis of both quantitative and qualitative data information
- Created and prepared reports, documentation related to testing efforts, study findings, recommendations, and instructions to share with internal and external teams
- Created and maintained dashboards, reports, and interactive visualizations to effectively communicate data insights to stakeholders
- Ensured that reports and visualizations translated complex data into understandable, actionable information and met business requirements
- Performed statistical analyses to identify trends, patterns, and correlations within data sets
- Developed and applied predictive models and algorithms to forecast future trends and outcomes
- Utilized advanced analytics techniques to generate actionable insights that supported strategic decision-making
- Developed training and curriculum for instructional training for agency new hires
- Continuously updated training curriculum and materials to fit government and federal requirements
- Provided group and one on one trainings to new hires and tenured staff using multimedia materials
- Conducted trainings through Microsoft TEAMS and in person class sessions
- Coordinated activities of staff engaged in the preliminary investigations and violations of the investigation of violations of department policies and procedures, fraud, employee misconduct, federal court orders, and criminal law for beneficiary fraud
- Collected, interpreted and utilized data to improve performance and goals for the Office of Inspector General
- Reviewed and analyzed records and reports from multiple agency, state, and federal databases
- Collaborated with both internal and external stakeholders to ensure that regulations were being met
- Oversaw the completion of 90,000 preliminary investigations for FY24
- Over 6 years' experience analyzing and interpreting program policies and procedures for the Health and Human Services welfare and healthcare programs
Field Investigator V
Health and Human Services- Office of Inspector General
11.2019 - 09.2021
- Performed complex investigative enforcement work
- Coordinated and conducted investigations of criminal violations; administrative investigations of allegations of employee misconduct; and investigations of waste, fraud, and abuse
- Programs investigated included Medicaid; the Children's Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children's (WIC) program
- Examined, investigated, and analyzed activities to ensure compliance with statutory standards and regulations
- Reviewed and researched the legal aspects of investigations and recommended actions as appropriate
- Interpreted complex data and generated actionable insights
- Performed financial analysis of employment records, bank accounts, tax returns, investment accounts and financial records
- Conducted investigative interviews to determine validity of evidence
- Provided information for subpoena drafting and serving
- Prepared cases for presentation at hearing or in court
- Testified and presented evidence in formal hearings and court proceedings
- Recouped over 4 million in beneficiary fraud recoupments for the State of Texas between 2019 and 2021
- Ensured data integrity and security by implementing best practices for data handling and protection
- Collaborated with federal agencies on investigations.
- Monitored data access and maintained compliance with data protection regulations
- Conducted interviews with witnesses and clients.
- Collaborated with various departments to understand their data needs, provided analytical support, and offered training on data tools and techniques
- Identified opportunities for process improvement and implemented data-driven solutions to enhance business operations
- Utilized formulas and manipulated large databases in Excel, Access, or other spreadsheet software
- Designed and developed data models and reporting functions
- Worked with cross-departmental teams and diverse groups, communicating and collaborating to achieve common goals
- Experience in data management and analysis tools such as SQL, Excel, and data visualization software
- Conducted thorough face-to-face interviews with employers, families, neighbors, friends, and suspects, and documented investigative findings.
- Collected information pertaining to criminal proceedings and performed investigations to resolve cases.
- Negotiated overpayment settlement agreements to resolve disputes.
- Analyzed information gathered by investigation and reported findings and recommendations.
Lead Intake Investigator IV
Health and Human Services- Office of Inspector General
08.2018 - 11.2019
- Served as Lead Investigator for a unit of 12 staff members
- Created investigations and examinations of alleged violations of agency policies, laws, rules, and regulations for beneficiary fraud
- Performed financial analysis of employment records, bank accounts, tax returns, investment accounts and financial records
- Conducted investigative interviews to determine validity of evidence
- Assessed agency's needs, reviewed data and analyzed information to determine trends and areas of improvement
- Monitored and implemented process improvements that increased efficiency and effectiveness of investigative activities and documentation
- Created reports to identify investigative trends and statistics
- Prepared and delivered training to multiple units of staff
- Assisted with policy, procedure and job aid development
- Provided input and assisted in testing automated system enhancements or fixes
- Coordinated, planned, developed, and monitored research projects to include gathering data, compiling data, analyzing and querying data
- Interacted with users, subject matter experts, executive management, and/or outside entities in defining problems, understanding the agency's programs, and gathering information for reporting
- Conducted both long- and short-term studies
- Wrote code macros in Excel for reports utilized by executive management
- Generated statistical reports and resolved date discrepancies
- Utilized historical data and trend forecasting to develop caseload and related projections to aid executive management in determining staffing, space and related needs and developing appropriation requests
- Monitored progress toward meeting projections and provided updates to executive management on an ongoing basis
- Carefully documented statements, observations, and evidentiary materials.
- Documented findings and prepared detailed reports.
- Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.
- Supervised and motivated field investigators and collaborated with personnel to identify strengths and areas of weakness.
- Collected information pertaining to criminal proceedings and performed investigations to resolve cases.
- Conducted multi-scope research into suspects to determine criminal activities and suspect operating environments.
Intake Investigator III
Health and Human Services- Office of Inspector General
11.2017 - 08.2018
- Researched, collected evidence, and examined case discrepancies through multiple agency, state and federal data match processes to determine fraud and program compliance.
- Responsible for investigating referrals of fraud, waste, and abuse by Health and Human Service clients.
- Performed financial analysis of employment records, bank accounts, tax returns, investment accounts and financial records.
- Conducted investigative interviews to determine validity of evidence.
- Conducted thorough research and evidence gathering activities, to determine whether the information collected represented a violation of program laws, rules, or regulations according to applicable evidentiary standards for beneficiary fraud.
- Managed and completed a caseload of 250-300 investigative referrals per week.
- Such programs included Medicaid; the Children's Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children's (WIC) program
Program Area Lead
Health and Human Services-Access Eligibility Services
01.2016 - 11.2017
- Program area lead for six regional offices consisting of 114 diverse staff members
- Performed advanced (senior-level) eligibility determinations for social services programs
- Programs included Medicaid; the Children's Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children's (WIC) program
- Performed audits to ensure regional offices were in compliance with federal regulations
- Created trainings and implemented quality assurance CAPPS
- Supervised various locations, enforcing high-quality standards of operation.
- Educated staff on organizational mission and goals to help employees achieve success.
- Conducted regular reviews of operations and identified areas for improvement.
- Maintained database systems to track and analyze operational data.
- Helped meet changing demands by recommending improvements to business systems or procedures.
Texas Works Advisor
Health and Human Services-Access Eligibility Services
03.2013 - 01.2016
- Performed eligibility determinations for social services programs.
- Medicaid; the Children's Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF).
- Reviewed eligibility files, interviewed clients, documented client information, determined benefits, verified case data, and explained program benefits and requirements.
- Evaluated data from various electronic and other sources to enter information into a computer-based eligibility system.
- Computed and authorized benefits based on eligibility determination.
- Processed work in accordance with state and federal regulations and established procedures, guidelines, and timeframes.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Communicated with people from various cultures and backgrounds on application process.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Processed and certified documents for accuracy and compliance with government regulations.
- Established databases to track, analyze and automate eligibility application processes.
- Managed and completed a caseload of 300 applications per week.
- Provided support to social service clients in navigating available resources.
Education
Master of Science - Counseling Psychology
Angelo State University
San Angelo, TX05-2012
Bachelor of Arts - Psychology
Angelo State University
San Angelo,Texas08-2010
Skills
- Analyzed a wide range of strategic information and prepared reports, proposals and advocated for agency and staff needs
- Vast experience developing, planning, coordinating, organizing, and managing a broad range of programs and services for Health and Human Services
- Ability to apply policies, procedures and legislation requirements to develop program goals, objectives, and performance measures
- Knowledge of statistics, running queries, report writing, and presenting findings; and record keeping, including security procedures for handling, protecting, and distributing confidential data
- Experience collecting and analyzing data using standard statistical tools, applications, methods, and techniques
- Served as primary contact for functional and technical leadership in principles, practices, and management
- Experience with research, analysis, and planning for program management Knowledge of investigative principles and techniques
- Ability to examine violations of laws, regulations and community rules Able to complete legal research, analysis, and gathering evidence for overpayment determinations
- Experience using various databases to gather verifying information and to turn those findings into investigations
- Experience with monitoring and implementing quality assurance CAPPS and audits Managed and provided guidance to multiple units of employees remotely
- Ability to compile, evaluate and present information to small and large groups
- Ability to work with all office equipment, such as printers/fax/computers/multi lined phone systems
- Able to efficiently operate Microsoft Excel/ Microsoft Access/ PowerPoint/OneNote/ SharePoint/ Adobe Acrobat/Word/ Outlook/ Payroll Applications/ Contracting and Budgeting Authorization Applications/ Hiring Authorization and Personnel Hiring Applications
- Proficient written and oral communication skills Able to effectively manage a case load and take on extra assignments while working under time constraints
- Led a work group focused on implementation of an organization-wide strategic initiative
- Identified risks or barriers to successful achievement for a strategic initiative
- Experience managing multiple units of employees while being able to work independently
- Over 8 years of experience with PeopleSoft in Base HR, Benefits, Payroll, Position Management, and Time & Labor Peoplesoft/CAPPS Payroll Module
Certification
- Change Management Practitioner- Health and Human Services, 2023
- Investigative Case Analysis and Presentation- Alamo Area Regional Law Enforcement Academy, 2019
- Eyewitness Evidence- Alamo Area Regional Law Enforcement Academy, 2019
- Sexual Exploitation of Children in Cyberspace- Alamo Area Regional Law Enforcement Academy, 2019
- Basics of Interview and Interrogation- Alamo Area Regional Law Enforcement Academy, 2018
- Identity Theft Crimes- Alamo Area Regional Law Enforcement Academy, 2018
- Eligibility Operations Leadership Academy, Health and Human Services, 2016
Languages
English
Full Professional
Spanish
Limited Working
Timeline
Manager of Beneficiary Intelligence and Intake
Health and Human Services- Office of Inspector General
09.2021 - Current
Field Investigator V
Health and Human Services- Office of Inspector General
11.2019 - 09.2021
Lead Intake Investigator IV
Health and Human Services- Office of Inspector General
08.2018 - 11.2019
Intake Investigator III
Health and Human Services- Office of Inspector General
11.2017 - 08.2018
Program Area Lead
Health and Human Services-Access Eligibility Services
01.2016 - 11.2017
Texas Works Advisor
Health and Human Services-Access Eligibility Services
03.2013 - 01.2016
- Change Management Practitioner- Health and Human Services, 2023
- Investigative Case Analysis and Presentation- Alamo Area Regional Law Enforcement Academy, 2019
- Eyewitness Evidence- Alamo Area Regional Law Enforcement Academy, 2019
- Sexual Exploitation of Children in Cyberspace- Alamo Area Regional Law Enforcement Academy, 2019
- Basics of Interview and Interrogation- Alamo Area Regional Law Enforcement Academy, 2018
- Identity Theft Crimes- Alamo Area Regional Law Enforcement Academy, 2018
- Eligibility Operations Leadership Academy, Health and Human Services, 2016
Master of Science - Counseling Psychology
Angelo State University
Bachelor of Arts - Psychology
Angelo State University
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