Experienced Fraud Investigator representing government agencies with proven record of conducting ethical and thorough investigations of Medicaid Fraud, and Licensure. Strong organizational and analytical abilities applied to achieve goals and results.
Expertise in preserving confidentiality of participants and program information in accordance with privacy policies . Excellent experience in research, analysis and documentation of account activities.
Investigated potential outbreaks as assigned.
Report potential outbreaks to Maryland Department of
Provide technical assistance to facilities experiencing COVID- 19 outbreaks.
Identified facilities that needed site visits with outbreaks and provided recommendations.
Coordinate with other members of outbreak team as needed for outbreak support.
Cross Trained in all area's of Outbreak epidemic.
Researched, communicated and resolved COVID-19 Outbreak complaints received by email and follow
ups.
Worked well in all team setting, providing support and guidance.
Demonstrated strong organizational and time management skills while managing multiple projects
Collected, analyzed and interpreted information, documentation and physical evidence associated with
investigation
Conducted confidential investigations of suspect fraud, abuse and other critical information of Health Care Providers
Public Health Representative II and III
State of New Jersey, Department Of Health, Newark NJ