I have the privilege of working at the State of Florida Office of the Attorney General, under the direction of General Ashley Moody, which I am currently in the role of Audit Evaluation and Review Analyst. My goal is to continue my career in a supervisory role with a team of professionals to resolve and investigate provider fraud, exploitation of the elderly, and other financial crimes within the Medicaid Fraud Control Unit.
Overview
10
10
years of professional experience
Work History
Audit Evaluation and Review Analyst
State of Florida Office of the Attorney General
07.2018 - Current
Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs
Works with an investigative team to plan the financial and audit strategy for criminal and civil fraud investigations
Prepares analyses identifying the amounts and types of fraud; Prepares written reports that summarize the conclusions reached during an investigation
Reviews financial bank statements, financial data and summarizes findings using audit procedures and financial matters related to the case
Collects, evaluates, and analyzes evidence obtained via subpoena during an investigation and forms conclusions based on the analyses; Prepares the necessary case notes, documents the results of the analyses and the conclusions formed
Prepares exhibits such as analyses, graphs, reports, etc
If needed serves as a summary witness during the prosecution of alleged Medicaid fraud cases, as well as in depositions, motion hearings, and/or sentencing hearings
Assists in conducting search warrants and handling evidence in accordance with Unit policy
Participates in meetings throughout an investigation to discuss various aspects of the case.
Business Manager II
Florida Department of Veterans Affairs
06.2014 - 07.2018
Ensured all business office functions are performed in a timely and accurate manner
Auditing functions including refunds, credit balances, staff production, and compliance issues
Managed and reviewed resident billing, resident trust fund, bank reconciliation, and other financial documents
Oversaw and approved purchases, disbursements and accounting of supplies and materials
Assisted in the preparation of purchase requisitions for medical supplies, equipment, medical providers, Capital Improvement projects, licenses, and any other purchases required
Reviewed the purchase requisitions for cost-effectiveness, accuracy, and compliance with Florida Statues and Department Policy and Procedures Responsible for an inventory management system, including monthly, quarterly, and annual audits to assure control and accountability
Responsible to approving payroll, annual leave, sick leave, and annual performance reviews
Responsible for accurate census reporting, invoicing monthly the Health Care Agency, VA, and other government agencies as required
Managed the deposits of payments received, transmitted the revenue in the appropriate software system, and accurate posting to residents’ accounts
Additional day-to-day operations of 120-bed nursing home, including processing financial paperwork for Medicaid and new resident applications; insurance verifications, resident trust fund, accounts payable, meetings, conference calls, assisting resident family members and other department managers, or any other duties as required
Reviewed schedule of allotment reports and budget reports, making necessary changes to cover increase purchase requisition or items over encumbered
Assisted in the fiscal year annual closings, cash closings, and certified forward transactions.
Education
Bachelor of Arts - Business (Accounting)
Saint Leo University
01.2013
Skills
Supervisory experience
Strong Organizational Skills
Professional Experience in Multiple Industries
Strong Analytical Skills
Proficiency in Microsoft Office Applications/HCL Notes/ People First Time management/Performance Manager/Medicaid DSS/On Base
Verbal and written communication
Accomplishments
Regularly gained unsolicited praise from coworkers, colleagues, and department managers within the unit for my helpfulness, product knowledge, and demonstrating knowledge of policy and procedures, including Florida Statues and Regulations under the prevue of the Medicaid Fraud Control Unit.
Audited more than 15 cases that were prosecuted with plea agreed guilty convictions
Exceeded expectations in all competencies for all performance evaluations.
Sr. Assistant Statewide Prosecutor at Office of the Attorney General of FloridaSr. Assistant Statewide Prosecutor at Office of the Attorney General of Florida