Summary
Overview
Work History
Education
Skills
Certification
References
Accomplishments Awards
Accomplishments
References
Timeline
Generic

Cindy Sisti

New Freedom,USA

Summary

With a robust background at Centers for Medicare & Medicaid Services, I excel in operations management and human resources, driving innovation and mentoring cross-functional teams. My leadership significantly enhanced program integrity, overseeing $1 billion in contracts and fostering a culture of excellence and ethical standards.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Deputy Group Director

Centers for Medicare & Medicaid Services
Baltimore, Maryland
02.2019 - Current
  • Provides leadership direction to the group's divisions and integrates their efforts to support the goals of the Group, the Center, and CMS;
  • Directs the acquisition strategy, budget formulation and execution, procurement planning and execution, contract administration, and contractor performance evaluation across the portfolio of CMS Program-Integrity (PI) contracts, which represents over $1 billion in PI-associated obligations across multiple funding streams each fiscal year;
  • Provides oversight of PI contractors supporting program integrity initiatives;
  • Oversees major day-to-day operational activities accomplished by subordinate leaders regarding the execution of the strategic direction of PI contract management functions.
  • Utilizes subordinate supervisors, informal project leads, and technical advisory staff to direct, coordinate, and oversee the work of the group;
  • Serves as a technical expert and advisor to the Center/Group Director, other CPI Group leadership, and executives of various CMS components in the preparation of short-, intermediate-, and long-range plans for the improvement to the CMS programs, particularly as they relate to PI-associated contract management;
  • Leads a subordinate staff responsible for program integrity activities;
  • Supports the Group Director in hearing and resolving group grievances or serious employee complaints;
  • Oversees schedule, cost, and/or deliverables across project teams, functional activity groups, and business partners within and outside of the Agency with regard to sensitive and controversial program and project issues;
  • Provides overall national direction to PI contractors and ensures that contractor technical, budget and performance requirements comply with statute and reflect CMS and programmatic priorities affecting Medicare and Medicaid;
  • Ensures compliance with federal regulations and assists in identifying and correcting vulnerabilities in related programs;
  • Exercises significant responsibility in dealing with officials of other units or organizations, which includes advising management officials within CPI, Office of the Administrator (OA), and the Department on Group-related issues;
  • Develops guidance for subordinate staff and PI contractors related to program integrity activities;
  • Directly manages contractor issues of substantial policy and programmatic sensitivity, such as major performance and integrity problems or business developments involving significant policy or programmatic issues;
  • Advises subordinate supervisors, team leaders, and similar staff on potential work problems;
  • Assists the Group Director in evaluation of subordinate supervisors and the Group’s front office staff by serving as the reviewing official on evaluations, as needed;
  • Partners with the Group Director to ensure reasonable equity among divisions regarding performance standards and rating techniques utilized by division directors in order to assess subordinate non-supervisory employees;
  • Assists the Group Director in making selections for non-supervisory positions, as well as recommending selections for subordinate supervisors;
  • Ensures the workplace is free from unlawful discrimination and harassment, and fosters a work environment that fully utilizes the capabilities of every employee at all organizational levels
  • Applies concepts of diversity to all management practices and decisions including recruitment, hiring, merit promotion, transfers, reassignments, training, career development, etc.;
  • Promotes the full realization of equal opportunity through continuing affirmative employment and facilitation of a fair and level playing field for employees to achieve their fullest potential;
  • Works concurrently on related and interrelated priorities, maintaining focus and attention to the Group's and the PI programs' goals;
  • Keeps management apprised of the status of managed work through frequent verbal and/or written reports;
  • Recognizes the impact and implications of decisions and developments and places them in context for leadership to make politically informed decisions;
  • Provides direction to and ensures continuity in PI operations for the transition from the Unified Program Integrity Contractors (UPICs); and other PI-related contracts;
  • Establishes priorities among multiple projects with tight deadlines and demonstrating appropriate judgment when involving management and consultation with others;
  • Reports on significant contractor accomplishments and issues involving Medicare and Medicaid fraud, waste, and abuse to Center and CMS leadership;
  • Serves as authoritative technical advisor and liaison with high-level program managers within relevant CMS and Department of Health and Human Services (HHS) components such as OA, Office of Communications, Office of Acquisitions and Grants Management (OAGM), Office of Legislation, Office of the Inspector General (OIG), Office of General Counsel (OGC) and other appropriate components, as needed;
  • Ensures that internal and external liaison work reflects the priorities and positions of the organization;
  • Identifies and evaluates program problems and researches pertinent regulations, operating procedures, established policy, interviews and input from staff in order to generate solutions or recommendations informed by the best available data and analysis;
  • Leads, formulates, plans and implements strategies to address priority projects to shape health care programs;
  • Leads staff in a proactive, customer-responsive manner that is consistent with Agency vision and values, effectively communicating health insurance project issues to external audiences;
  • Exhibits high integrity and adheres to the highest ethical standards of public service
  • Uses effective business practices including balanced measures of results, values, and invests in each team member emphasizing empowerment and two-way communication;
  • Promotes collaboration and teamwork across boundaries within the Agency and the Department, and demonstrates a commitment to Departmental initiatives;
  • Timely notifies Agency officials of all significant actions and developments, including but not limited to those related to regulatory matters, legislative matters, budget matters, reports, initiatives and events;
  • Plans, organizes, directs, coordinates, and controls the resources required to assure the timely, accurate, and cost-effective accomplishment of the Group's functional responsibilities;
  • Ensures the principles of quality management are assimilated into the Group's work by analyzing and identifying work barriers and developing ways to reduce them, promoting team building, and improving work processes
  • Delegates work assignments and required authority to subordinate staff and allows them to operate with independence;
  • Responsible for planning, organizing, directing, coordinating, and controlling the resources required to assure the timely, accurate, and cost-effective accomplishment of the Group's functional responsibilities;
  • Assumes full responsibility for the direction of CMG during the absence of the Director;
  • Represents the Director in contacts and negotiates with key officials of CMS, the Office of the Secretary, Congress, and other Federal and State agencies on matters of major importance, as appropriate;
  • Demonstrates customer service competency by meeting the needs of customers while supporting CMG's mission;
  • Consistently communicates and treats customers (internal and external stakeholders) in a courteous, tactful, and respectful manner; and
  • Demonstrates privacy protection competency by maintaining full compliance with the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, CMS and CPI statues and policies in the use of printed and electronic files containing sensitive data.

Deputy Director

Centers for Medicare and Medicaid Services
09.2011 - Current
  • Center for Program Integrity (CPI

Director

12.2015 - 01.2019
  • (GS-15), Division of Provider Investigations and Audits, Investigations and Audits Group, Center for Program Integrity (CPI, Oversees major day-to-day operational activities accomplished by subordinate leaders regarding the execution of the strategic direction of PI contract management functions
  • Provides oversight of PI contractors supporting program integrity initiatives;
  • Directs the acquisition strategy, procurement planning and execution, contract administration, and contractor performance evaluation across the portfolio of CMS Program-Integrity (PI) contracts, which represents over $1 billion in PI-associated obligations across multiple funding streams each fiscal year;
  • Serve as a technical expert and advisor to the Center/Group Director, other CPI Group leadership, and executives of various CMS components in the preparation of short, intermediate, and long-range plans;
  • Develops guidance for subordinate staff and PI contractors related to program integrity activities;
  • Assists Group Management in the preparation of the budget and provides recommendations on resource allocations;
  • Serve as the technical expert to IAG leadership in providing advice and guidance regarding annual procurement and acquisition planning;
  • Oversee schedule, cost, and/or deliverables across project teams, functional activity groups, and business partners within and outside of the Agency;
  • Serves as the primary CMS point of contact for procurement, functional administration, and oversight of the Medicare & Medicaid program integrity contractors; Unified Program Integrity Contractors (UPICs) and Investigations Medicare Drug Integrity Contractor (I-MEDIC);
  • Serve as the primary CMS focal point regarding detection and deterrence of all Medicare and Medicaid fraud and abuse activities for all regions as well as Federal and State law enforcement, congressional staff, beneficiary advocacy groups, and the industry;
  • Leads a subordinate staff responsible for program integrity activities;
  • Provides oversight of the CMS program integrity contractors (Unified Program Integrity Contractors/UPICs, Investigations Medicare Drug Integrity Contractor/I-MEDIC, and Supplemental Medical Review Contractor/ SMRC), who evaluate leads of potential fraud, waste, and abuse and coordinate with our law enforcement counterparts;
  • Ensure compliance with federal regulations and assist in identifying and correcting vulnerabilities in related programs:
  • Ensure proper oversight of the UPICs’ processing, analyzing, and preparing of complaints throughout the investigative process; searching and gathering a broad range of investigative data from a wide variety sources; verifying case related information through the use of electronic criminal investigative systems and preparing statistical investigative reports for senior level managers;
  • Manages contractor issues of substantial policy and programmatic sensitivity, such as major performance and integrity problems or business developments involving significant policy or programmatic issues;
  • Prepare briefing documents, issue papers, and reports for use by senior management in making decisions and to inform the Administrator, the Secretary, and/or Congress on current and new Center initiatives;
  • Serve as an expert resource for IAG to improve the efficiency and effectiveness of budget and acquisition programs and policies for the Center;
  • Work with other CMS components and CPI programs to assist in the development of an integrated and coordinated national framework for program integrity policy and procedures across Medicare and Medicaid Programs;
  • Collaborate with other CMS components and CPI groups to provide technical advice in the development of regulations and procedures surrounding investigative strategies that can involve such activities like overpayments, payment suspensions, revocations, and law enforcement related issues within the Medicare and Medicaid Programs;
  • Work with other CMS components and CPI programs to assist in the development of an integrated and coordinated national framework for program integrity policy and procedures across Medicare and Medicaid Programs;
  • Work across CMS to identify and monitor Medicare and Medicaid program vulnerabilities and promote changes in policy, when needed;
  • Supervise investigative specialists and contractors’ investigative operations, which includes oversight of referrals from the OIG Hotline phone operation and the complaint entry program;
  • Ensure that enforcement procedures related to potential Medicare recoupments (i.e., Civil Monetary Penalties) and violations of Anti-Kickback Statutes are carried out by the contractors;
  • Participates in State, local, and national conferences as CMS or Center representative;
  • Prepare recurring and ad hoc reports of mission-critical work for CPI leadership, which is typically shared with multiple internal and external stakeholders, including OIG and DOJ;
  • Evaluate and determine decisions in the process of pre-payment denials, reconsiderations, and appeals
  • Recommends corrective action plans accordingly to the Contract Management Group regarding the UPICs;
  • Plan and provide assignments to subordinates, set and revise short term priorities, and conduct formal performance appraisals through the agency performance management program;
  • Ensure staff satisfactorily and timely complete all annual and ad-hoc training requirements related to the Privacy Act, Information Systems Security Awareness and similar annual federal training requirements;
  • Consistently recruits, retains, and develops talent needed to achieve high quality, diverse workforce that reflects high quality assessment of national fraud, waste, and abuse initiatives by maintaining performance objectives in line with workforce diversity, workplace inclusion, and equal opportunity policies and programs;
  • Proactively identify and resolve conflicts in a positive and constructive manner while consistently developing cooperative working relationships with staff and colleagues;
  • Establish employee performance plans, complete timely performance reviews, and assess employees’ developmental needs to provide appropriate support to CMS initiatives; and
  • Consistently goes above and beyond to develop and implement actions in response to employee viewpoint survey results by using the employee input to create more effective working relationships.

Deputy Director

09.2014 - 12.2015
  • (GS-14), Division of Provider Investigations and Audits, Investigations and Audits Group, Center for Program Integrity (CPI), Oversees major day-to-day operational activities accomplished by subordinate leaders regarding the execution of the strategic direction of PI contract management functions
  • Provides oversight of PI contractors supporting program integrity initiatives;
  • Serve as a technical expert and advisor to the Center/Group Director, other CPI Group leadership, and executives of various CMS components in the preparation of short, intermediate, and long-range plans;
  • Develops guidance for subordinate staff and PI contractors related to program integrity activities;
  • Leads a subordinate staff responsible for program integrity activities;
  • Provides oversight of the CMS program integrity contractors (Unified Program Integrity Contractors/UPICs, Investigations Medicare Drug Integrity Contractor/I-MEDIC, and Supplemental Medical Review Contractor/ SMRC), who evaluate leads of potential fraud, waste, and abuse and coordinate with our law enforcement counterparts;
  • Prepare briefing documents, issue papers, and reports for use by senior management in making decisions and to inform the Administrator, the Secretary, and/or Congress on current and new Center initiatives;
  • Work with other CMS components and CPI programs to assist in the development of an integrated and coordinated national framework for program integrity policy and procedures across Medicare and Medicaid Programs;
  • Collaborate with other CMS components and CPI groups to provide technical advice in the development of regulations and procedures surrounding investigative strategies that can involve such activities like overpayments, payment suspensions, revocations, and law enforcement related issues within the Medicare and Medicaid Programs;
  • Supervise investigative specialists and contractors’ investigative operations, which includes oversight of referrals from the OIG Hotline phone operation and the complaint entry program;
  • Ensure that enforcement procedures related to potential Medicare recoupments (i.e., Civil Monetary Penalties) and violations of Anti-Kickback Statutes are carried out by the contractors;
  • Plan and provide assignments to subordinates, set and revise short term priorities, and conduct formal performance appraisals through the agency performance management program;
  • Ensure staff satisfactorily and timely complete all annual and ad-hoc training requirements related to the Privacy Act, Information Systems Security Awareness and similar annual federal training requirements;
  • Consistently recruits, retains, and develops talent needed to achieve high quality, diverse workforce that reflects high quality assessment of national fraud, waste, and abuse initiatives by maintaining performance objectives in line with workforce diversity, workplace inclusion, and equal opportunity policies and programs;
  • Proactively identify and resolve conflicts in a positive and constructive manner while consistently developing cooperative working relationships with staff and colleagues;
  • Establish employee performance plans, complete timely performance reviews, and assess employees’ developmental needs to provide appropriate support to CMS initiatives; and
  • Consistently goes above and beyond to develop and implement actions in response to employee viewpoint survey results by using the employee input to create more effective working relationships.

Technical Advisor

Medicaid Integrity Group, CPI
06.2014 - 09.2014
  • Collaborate with CPI groups to gather business requirements necessary for CPI to implement into the Unified Case Management System;
  • Perform special reviews and follow-up activities related to inquiries received from CPI or CMS leadership related to ZPIC or MIC related activities;
  • Begin development of Medicare-Medicaid Data Match Program (Medi-Medi) strategy related to the collection of Medicaid data to present to CPI leadership; and
  • Review and track outcomes from the ZPICs and PSCs related to the 2012 Physician Transparency data review and provide outcomes to MIG leadership.

Technical Advisor

02.2014 - 06.2014
  • Data Analytics & Control Group, CPI, Work with relevant stakeholders to assess One PI’s capability to be the sole source of data for the Zone Program Integrity Contractors;
  • Collaborate with CPI groups to gather business requirements necessary to implement into the Unified Case Management System; and
  • Consult with DACG leadership regarding the use of Medicaid Management Information System (MMIS) data versus Transformed Medicaid Statistical Information System (T-MSIS) data for Program Integrity purposes
  • Medi-Medi Lead (GS-14), Medicare Program Integrity Group (MPIG), CPI

Health Insurance Specialist

06.2013 - 02.2014
  • Work with ZPICs and PSCs to provide technical direction and guidance for program integrity activities for the Medi-Medi program;
  • Evaluate proposed or existing legislation and policies to assess the impact on the Medi-Medi program and the Medicare fee-for-service (FFS) program;
  • Develop, coordinate, and implement policies or program operations related to the Medi-Medi and/or Medicare FFS program;
  • Write reports, options and briefing papers regarding the Medi-Medi and Medicare FFS programs; and
  • Research background information, origin of laws and policies or their intended impact to make policy recommendations
  • (GS-13)

Contracting Officer, Representative

10.2012 - 06.2013
  • Oversee Zone 2 and Zone 3 ZPICs as the, (COR) to ensure the contract administration for the Medi-Medi task order;
  • Collaborate and provide input with the various CPI divisions, Law Enforcement partners, and Contractors regarding the Medi-Medi and FFS task order;
  • Inform management of Medi-Medi initiatives and provide updates for current and future Medi-Medi states;
  • Prepare revisions for Medi-Medi Award Fee Plans and SOWs to ensure consistency among the contractors;
  • Provide input regarding the program’s efforts to coordinate contractor work by leading the Medi-Medi workload discussions for the Integration Pilot;
  • Draft Request for Contracts for contract modifications or contract renewals and coordinate information with the Office of Acquisitions and Grants Management (OAGM);
  • Review policies and regulations to ensure SOWs and Internal Policies and Procedures meet the requirements and provide recommendations;
  • Monitor contractor’s performance to ensure all work and deliverables are in accordance with the contract and statement of work (SOW);
  • Assess contractor’s work via a site visit or desk review and prepare evaluation findings for each period of performance of the contract; and
  • Draft Performance Evaluation Panel (PEP) reports based on evaluation results to determine applicable award fees for contractors.

Health Insurance Specialist

CHIP Services
06.2012 - 10.2012
  • Center for Medicaid and, Coordinate the proposed rule among internal writers and management to ensure timely submission of the regulation;
  • Draft the Paperwork Reduction Act requirements in coordination with the collection of information requirements for the proposed rule;
  • Assist with Modified Adjusted Gross Income (MAGI) Solicitation responses by organizing and summarizing the responses for publication; and
  • Participate in the development of the Federally Facilitated Exchange and Data Services Hub regarding onboarding schedules with the States.

Health Insurance Specialist

09.2011 - 06.2012
  • (GS-13), Office of Clinical Quality and Standards, Assist in the development of the appeals process and procedures for the Electronic Health Record (EHR) Incentive Program;
  • Oversee Appeals contractor to ensure timely and accurate appeal information is collected;
  • Ensure timely validation and case reviews of all appeal filings within the EHR Incentive Program;
  • Communicate appeals information to various components in CMS as the audit liaison;
  • Provide appeal processing information during business process requirement, process modeling, and system change request meetings; and
  • Assist in developing the language used in the appeals guidance and the proposed rule for the Administrative Review of Certain Electronic Health Record Incentive Program Determinations (42 CFR Part 495 Subpart E).

Medi Lead

Medi
New York, New Jersey
04.2010 - 09.2011
  • Coordinate with Law Enforcement Partners (OIG/FBI/MFCU), State Medicaid offices (NY OMIG, NJ State Comptroller, PA DPW), and CMS;
  • Coordinate New York Strike Force initiatives with EA-BISC, federal law enforcement and CMS;
  • Facilitate or lead quarterly Medi-Medi Executive Steering Committee meetings with Law Enforcement, State, and CMS; quarterly Taskforce meetings with the State; and quarterly Case Coordination meetings with the State
  • The meetings include giving presentations, requesting agenda items, making sure minutes are taken and disseminated;
  • Complete and submit quality monthly deliverables to CMS;
  • Ensure timely actions are taken through the identification of potential leads, investigations, projects, administrative actions, overpayment recovery, pre-payment edits, payment suspensions, revocations, exclusions, CMPs, identification for a need for a fraud alert for publication, article for publication, program vulnerability or policy recommendation;
  • Ensure Case Reviews are performed monthly including verifying all quality and performance standards are met;
  • Maintain fraud case development quality standards by reviewing all Investigators correspondence prior to release to the customer;
  • Advise Investigators of potential course of action to pursue in each investigation;
  • Participate in departmental meetings to help enhance fraud detection processes and assist other areas with best practice procedures; and
  • Prepare and assist in various training sessions requested internally or externally via preparation and presenting of presentations.

SafeGuard Services, LLC
04.2007 - 09.2011

Senior Fraud Investigation Analyst

PENN-BISC
04.2007 - 04.2010
  • Conduct audits to review accuracy of cost reports and payment of claims
  • Examine claims and reports to ensure proper recording of transactions and compliance with client-company policy and/or state and federal regulations
  • Review inquiries from providers regarding cost report settlements
  • Analyze data obtained for evidence of fraud or lack of compliance with established policies or procedures
  • Ensure accurate and timely completion and submission of federally mandated financial and statistical reports
  • Refer questionable claim issues to the appropriate department
  • Conduct visits to provider locations for education and training procedures
  • Assist in preparation and analysis of cost and business proposals
  • Prepare reports of findings and makes recommendations to management.

Technical Assistant

Highmark, Inc
02.2007 - 04.2007
  • Unit
  • Review enrollment applications and phone calls for quality control purposes
  • Answer specialists questions from either applications or telephone calls received from beneficiaries
  • Complete daily processing reports of Central region’s statistics on an Excel spreadsheet
  • Complete reviews of beneficiaries’ inquiry located in the INSINQ telephone queues
  • Complete retro enrollments, terminations, and other updates to beneficiaries’ files and forwarded information to the appropriate department when applicable.

Credentialing Specialist and Technical Assistant

Highmark Medicare Services
02.2004 - 02.2007
  • Medicare Provider Enrollment
  • Analyze, verify and process group, IDTF, and provider applications for initial enrollment and maintenance updates
  • Key information into the Medicare National Provider Enrollment Chain and Ownership System (PECOS) and into the Medicare Shared Systems
  • Serve as Back-Up Technical Assistant
  • Tasks included answering employee questions, quality control review of the processed applications and updating the provider files from inquiry reports
  • Participate in multiple special projects including the R-Keying Project, the Do Not Forward Project, and the Pre-screening Project
  • Corresponded with the group or the individual provider to communicate information regarding updates made to their file(s)
  • Answer calls on the (800) Provider Enrollment line.

Claims Analyst

Highmark Blue Cross/Blue Shield
07.2001 - 02.2004
  • Process Image and Paper claims into OSCAR
  • Verify co-workers information is keyed correctly as a part of the quality control process.

Education

B.S. - Organizational Leadership

Pennsylvania State University
State College, PA
01.2014

A.A. - Liberal Arts/Social Sciences

Harrisburg Area Community College
Harrisburg, PA
01.2007

Skills

  • Innovation management
  • Human resources management
  • Operations management
  • Cross-functional team coordination
  • Coaching and mentoring
  • Project coordination

Certification

  • Certified Fraud Examiner (CFE), Association of Certified Fraud Examiners (ACFE), 06/01/11
  • Contracting Officer Representative (COR), Level II, 02/01/12
  • Contracting Officer Representative (COR), Level III, 03/01/13
  • Program & Project Management (P/PM), Mid-level Certification, 08/01/20

References

Available upon request

Accomplishments Awards

  • Center for Program Integrity Federal Employee Viewpoint Survey Champion, 2020 to 2023
  • Center for Program Integrity “Execution of a Major Project” Team Award, 12/01/19
  • Centers for Medicare & Medicaid Services “2019 Operational Excellence Award” for the Major Case Coordination Team, 09/01/19
  • Centers for Medicare & Medicaid Services “2017 Operational Excellence Award” for Protecting Individuals from Human Trafficking, Medicare Fraud and Abuse, 09/01/17
  • Center for Program Integrity “Employee of the Month” Team Award, 12/01/14
  • Center for Program Integrity “Excellence in Innovation” Team Award, 09/01/14
  • Center for Program Integrity “Employee of the Month” Team Award, 08/01/13
  • Office of Clinical Standards and Quality Office Director’s Citation, 11/01/11

Accomplishments

· Center for Program Integrity Federal Employee Viewpoint Survey Champion – 2020 to 2024

· Center for Program Integrity “Execution of a Major Project” Team Award – December 2019

· Centers for Medicare & Medicaid Services “2019 Operational Excellence Award” for the Major Case Coordination Team – September 2019

· Centers for Medicare & Medicaid Services “2017 Operational Excellence Award” for Protecting Individuals from Human Trafficking, Medicare Fraud and Abuse – September 2017

· Center for Program Integrity “Employee of the Month” Team Award – December 2014

· Center for Program Integrity “Excellence in Innovation” Team Award – September 2014

· Center for Program Integrity “Employee of the Month” Team Award – August 2013

· Office of Clinical Standards and Quality Office Director’s Citation – November 2011

References

References available upon request.

Timeline

Deputy Group Director

Centers for Medicare & Medicaid Services
02.2019 - Current

Director

12.2015 - 01.2019

Deputy Director

09.2014 - 12.2015

Technical Advisor

Medicaid Integrity Group, CPI
06.2014 - 09.2014

Technical Advisor

02.2014 - 06.2014

Health Insurance Specialist

06.2013 - 02.2014

Contracting Officer, Representative

10.2012 - 06.2013

Health Insurance Specialist

CHIP Services
06.2012 - 10.2012

Deputy Director

Centers for Medicare and Medicaid Services
09.2011 - Current

Health Insurance Specialist

09.2011 - 06.2012

Medi Lead

Medi
04.2010 - 09.2011

SafeGuard Services, LLC
04.2007 - 09.2011

Senior Fraud Investigation Analyst

PENN-BISC
04.2007 - 04.2010

Technical Assistant

Highmark, Inc
02.2007 - 04.2007

Credentialing Specialist and Technical Assistant

Highmark Medicare Services
02.2004 - 02.2007

Claims Analyst

Highmark Blue Cross/Blue Shield
07.2001 - 02.2004
  • Certified Fraud Examiner (CFE), Association of Certified Fraud Examiners (ACFE), 06/01/11
  • Contracting Officer Representative (COR), Level II, 02/01/12
  • Contracting Officer Representative (COR), Level III, 03/01/13
  • Program & Project Management (P/PM), Mid-level Certification, 08/01/20

B.S. - Organizational Leadership

Pennsylvania State University

A.A. - Liberal Arts/Social Sciences

Harrisburg Area Community College
Cindy Sisti