I am seeking to use the knowledge and experienced gained to establish a long term and mutually beneficial relationship with a professional and well-established organization. I exhibit exceptional interpersonal and communication skills (network, collaborate, negotiate) to build positive business relationships with people from diverse cultures and at all professional levels with the ability to multitask and make decisions.
Overview
17
17
years of professional experience
Work History
Program Integrity Analyst II
CoventBridge Group
11.2021 - Current
Conduct independent audits using data analysis techniques to detect fraud, waste or abuse in Medicaid claims data
Review compiled data contained in standard claims processing system to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in Medicaid policies
Conduct rigorous quality checks, generate external correspondence and reports, including overpayment letters, fraud case referrals, rebuttal, and final finding reports
Committed to enhancing company efficiency, collaborates with supervisors, team members, and other departments to facilitate document reviews, and workload management.
Skilled at working independently and collaboratively in a team environment.
Investigator
Florida Department of Transportation – Office of Inspector General (OIG)
10.2019 - 11.2021
Part of a four-person team who created the Operating Guidelines Manual for the Office of Inspector General Investigations Unit and trained new investigators
Accepted and documented allegations and complaints of contact fraud or misconduct by citizens, Department employees, contractors, vendors, or suppliers
Independently planned, managed, and conducted contract investigations to identify violations of statutes, administrative codes, policies, procedures, or contracts, and reported investigative findings to Department management
Conducted investigations and coordinated investigative activity with federal, state, local law enforcement authorities when violations of federal, state, or local laws have been identified
Presented and provided briefings to law enforcement partners and testified to provide investigative findings in criminal or civil court as well as in administrative or personnel hearings
Provided training to Department employees and industry partners to heighten awareness regarding acts of fraud and misconduct and encouraged cooperation between the Department and Inspector General personnel.
Investigator
Florida Department of Education
10.2015 - 10.2019
Aided in onboarding training for new supervisory director and new employees as well as, part of a four-person team who designed and implemented a new reporting and docketing system making the reporting process paperless
Conducted and completed investigations for the Department's Office of Professional Practices Services regarding allegations of misconduct by Florida certified educators
Planned and conducted travel in an efficient and effective manner; interviewed victims and witnesses; collected evidence; communicated with the administrative officials; and ensured all benchmarks are met within the designated timeline
Completed 100+ cases annually producing well-written and comprehensive technical reports, ensuring confidentiality and investigative integrity
Coordinated and collaborated with other agencies and legal counsel
Presented findings of the investigation to the Commissioner of Education
Provided technical assistance to the schools and districts; conduct training sessions related to the statutes and rules; and respond to citizen inquiries.
Internship/Student
District Fourteen Medical Examiner's Office
08.2014 - 12.2014
Assisted in autopsies and evidence collection (fingerprints and ballistics collection).
Entered data for all employees daily as needed
Maintained Personally Identifiable Information (PII) for deceased prior to releasing records.
Initiated Missing in America Project (MIAP) data collection and investigation for Bay County, Florida, and surrounding areas of unidentified cremains, ongoing collection, and investigation in tandem with local crematoriums, funeral homes, and Medical Examiner’s office.
Correctional Officer
Corrections Corporation of America
08.2010 - 02.2014
Maintained care, custody, and control over the institution’s inmate population and ensured safety and security was followed to the highest level possible
Search inmate living quarters for contraband, settle disputes between inmates, and enforce discipline
Supervised 100+ inmates during meals, visits, recreation, and telephone calls
Transported inmates out of the facility to appointments and transfers
Maintain records of man hours, materials and equipment used, as well as daily logs and shift activity
Coordinated and cleared facility head count for 900+ inmates five times each shift
Volunteered for training and maintained appropriate certifications by training in the use of firearms, chemical agents, and defensive tactics.
Addictions Treatment Counselor
Corrections Corporation of America
08.2009 - 08.2010
Maintained case load consisting of 15+ clients in a therapeutic and rehabilitative residential program
Developed treatment plans and weekly progress notes for each client assigned to case load
Coached clients through identifying weaknesses and reaching their full potential to better prepare them to return as productive members in society
Served as a member of the treatment staffing team to develop a rehabilitative program for juveniles, including G.E.D
Programs and correspondence courses through University of Florida.
Training Administration
Corrections Corporation of America
10.2007 - 08.2009
Assisted in writing a local workforce grant to aid in the cost of new hire certifications, saving the department approximately $18,000 in tuition costs
Analyzed department training needs and developed new training, testing, and evaluation procedures
Scrutinized training costs and operated within the budget
Managed the facility training calendar, adjusting as needed to ensure 120+ certifications were maintained and current
Reviewed 120+ employee training and FDLE files to ensured audit was up to date with Florida statute and policy regulations
Coordinated the American Correctional Association (ACA) audit for training certifications, with 100% pass rate
Maintained employee training database, allowing Corporate to monitor facility training progress.
Education
Master’s Degree - Public Safety and Security – Law Enforcement Intelligence
Florida State University
Panama City, FL
Skills
Analytical Thinking
Incident Reporting
Task Prioritization
Quantitative Skills
Team Collaboration and Leadership
Documentation And Reporting
Risk Analysis
Compliance Analysis
Affiliations
ProfessioNOLE Mentors Program, 2021, Present, Mentor for current or recent FSU graduate students to aiding in professional career development.
Guardian ad Litem, 2016, 2020, Volunteer - Child Advocate
United Way, 2007, 2010, Board member for CCA actively involved in community events to build positive relationships between the prison and the community we served.
Jobrelatedtraining
Microsoft Office Suite
Business Objects
Adobe
TLO
AIM
LMS
ICMS
DAVID
CCIS
FSFN
Citrix
GIS
Council on Licensure, Enforcement and Regulation: National Certified Investigator & Inspector (12/2018)
Certified Inspector General Investigator (3/2020)
Reid Technique of Interview and Positive Persuasion (01/2021)
Timeline
Program Integrity Analyst II
CoventBridge Group
11.2021 - Current
Investigator
Florida Department of Transportation – Office of Inspector General (OIG)
10.2019 - 11.2021
Investigator
Florida Department of Education
10.2015 - 10.2019
Internship/Student
District Fourteen Medical Examiner's Office
08.2014 - 12.2014
Correctional Officer
Corrections Corporation of America
08.2010 - 02.2014
Addictions Treatment Counselor
Corrections Corporation of America
08.2009 - 08.2010
Training Administration
Corrections Corporation of America
10.2007 - 08.2009
Master’s Degree - Public Safety and Security – Law Enforcement Intelligence
Florida State University
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