Seasoned federal investigator and operations professional with 20+ years of law enforcement and healthcare fraud experience. Demonstrated success in program coordination, investigative oversight, and strategic project management across multi-jurisdictional environments. Adept at aligning case management systems, ensuring compliance, and driving operational excellence to advance the mission of the Office of Inspector General (OIG) and Office of Investigations (OI).
Overview
35
35
years of professional experience
1
1
Certification
Work History
Special Agent (1811)
United States Department of Health and Human Services, Office of Inspector General, Office of Investigations (HHS-OIG-OI)
05.2005 - Current
Acting ASAC for Squad in the Miami Regional Office (Jan-May 2023)
Acting ASAC for the Kansas City Regional Office
Supervised Squad of 8 agents in the MRO.
Supervised complex undercover operations.
Coordinated activity with CMS as an Acting ASAC
Conducted File Reviews, Performance Appraisals, PMAP as Acting ASAC
Supervised timely submissions of timesheets, high visibility reports, investigation memorandums, and statistical accomplishments.
Supervised and approved ongoing case file submissions and review of search warrants.
Conducted meetings as Acting ASAC with CMS, FBI, DOJ, and AUSA’s.
Conducted interviews of prospective Special Agents to hire for the Miami Regional Office and submitted input on candidate selections.
Participated in search warrants and approval of Operations Plan as Acting ASAC.
Conducted several complex, high-profile criminal and civil investigations.
Experienced in Investigating Medicare, Medicaid, and other private insurance related healthcare investigations.
Conducted Grant Fraud Investigations
Conducted Child Support Enforcement Investigations.
Conducted Complex Financial Crime Investigations.
Conducted Opioid and Drug Diversion Investigations.
Developed training material for new agent training.
Wrote subpoenas, affidavits, and court orders, executed search and arrest warrants.
Regional Radio Coordinator Backup
Regional Emergency Equipment Coordinator Backup
Evidence Custodian Backup
Experienced in public speaking on agency goals and priorities.
Conducted liaison work and developed relationships with the United States Attorney’s Offices, and other state, local and federal agencies.
Volunteered for national HHS/OIG arrest and search warrants.
Member of the ESF-13 Emergency Response Team
FLETC Certified as a Digital Evidence Acquisition Specialist
Senior Level Technical Surveillance Support
Certified Technical Investigator (CTI)
Knowledgeable with the DIB tools such as FTK Imager, EnCase, Axiom, Nuix, TD2, Relativity, and other platforms used in digital forensics.
Cellebrite Certified and taken courses from Magnet Forensic and passed Axiom 100-320 courses along with various NW3C courses.
Familiar on DIB processes and procedures.
Grade: GS-13 Step 9
Fraud Examination Instructor
University of Nebraska at Omaha
06.2003 - 05.2005
Taught Fraud Examination Class in which college students learned how and why occupational fraud is committed, how fraudulent conduct can be deterred, and how allegations of fraud should be investigated and resolved.
Developed a Basic Fraud Examination Course for the University, which featured lectures on the book material using Power Point. The lecturers were followed up by a real-life experience such as guest lecturer and/or hands on experience.
Developed a course for Advanced Fraud Examination for the University, which focused on Interviewing and Interrogation, Discourse Analysis, Advanced Financial Investigation Techniques, Ethics, and Laws effecting the Fraud Examiner.
Financial Investigator/Auditor
IntergriGard, LLC (CMS Program Safeguard Contractor)
05.2003 - 05.2005
Recovered over $338 million dollars for the Medicare Program through the course of my investigations at the Program Safeguard Contractors.
Subject matter expert on Medicare Part A and Cost Report Investigations.
Investigated complex fraud and abuse schemes such as Tenet Outlier Case.
Trained new team members on Medicare Fraud Principals and Referrals.
Trained FBI, OIG, and Assistant United States Attorney’s Offices in regard to Medicare Fraud.
Investigated allegations of Fraud and Abuse in regard to the Medicare program.
Completed referrals to HHS/OIG/OI, FBI, and DOJ.
Assisted OIG, FBI, and USAO during onsite investigations.
Developed standard case referral system for referring cases to law enforcement for investigation.
Developed strong CMS, law enforcement, and internal liaisons.
Maintained strong training Opportunities as the Chapter Secretary for the Association of Certified Fraud Examiners.
Taught computer skills to increase the efficiency of investigators in examination of data and evidence.
Licensed and Bonded Private Investigator
Stonybrook Investigations
10.1990 - 06.2004
Specialized in fraud prevention and internal control programs for clients.
Developed plans for deterring internal embezzlement and external fraud.
Worked with local and federal authorities to prosecute criminal actions for clients.
Wrote investigation reports of findings to be submitted to the courts and for clients’ review.
Provided armed preventive security patrol for neighborhood associations.
Certified in Law Enforcement Control Tactics
Senior Fraud Audit Specialist
Mutual of Omaha
03.1998 - 05.2003
Recognized by the OIG, FBI, and Department of Justice for recovering over $276 million dollars for the Medicare Program.
Trained new team members in regard to Medicare Fraud referrals and principles.
Trained FBI, OIG, and Assistant United States Attorney’s Offices in regard to Medicare Fraud.
Completed referrals to HHS/OIG/OI, FBI, and DOJ.
Assisted in development of a case tracking system to report case summary statistics as required by CMS.
Developed a standard case referral system for investigations.
Kept and maintained a strong relationship with law enforcement, CMS, and other state and local officials.
Chapter training director for the Association of Certified Fraud Examiners Heartland Chapter.
Earned National Associate Member of the Year honors from the Association of Certified Fraud Examiners.
Created and maintained the website for the Association of Certified Fraud Examiners Heartland Chapter.
Received the Department of Defense Criminal Investigative Services Presidential Council on Integrity and Efficiency Award for Investigative Excellence
Received the Department of Health and Human Services Inspector General’s Integrity Award
Medicare Auditor
Mutual of Omaha
10.1997 - 03.1998
Trained new team members in regard to Medicare cost reporting requirements.
Completed hospital desk reviews, audits, problem resolutions, wage-index reviews, routine cost report limit reviews, TEFRA reviews, tentative settlements, and final settlements.
Responsible for the Southern California routine cost limit exception/exemption tracking.
Education
Bachelor of Science - Accounting And Economics
University of Nebraska At Omaha
Omaha
12-1995
Skills
Federal statutes
Self-defense tactics
Advanced driving techniques
Physical fitness
Accomplishments
· Recovered over $715 million across career for Medicare and U.S. taxpayers.
· Led 68+ criminal, civil, and administrative actions.
· Recognized by DoD, HHS, and DOJ for investigative excellence.
Frequent presenter at NHCAA, CMS, NAMFCU, IAFCI, ACFE, and other national forums
Certification
Certified Technical Investigator (CTI)
Digital Evidence Acquisition Specialist (DEAS)
Timeline
Special Agent (1811)
United States Department of Health and Human Services, Office of Inspector General, Office of Investigations (HHS-OIG-OI)
05.2005 - Current
Fraud Examination Instructor
University of Nebraska at Omaha
06.2003 - 05.2005
Financial Investigator/Auditor
IntergriGard, LLC (CMS Program Safeguard Contractor)
Criminal Investigator (Special Agent) at United States Postal Service, Office of Inspector General (USPS OIG)Criminal Investigator (Special Agent) at United States Postal Service, Office of Inspector General (USPS OIG)
Senior Auditor at U.S. Department of Health and Human Services Office of Inspector GeneralSenior Auditor at U.S. Department of Health and Human Services Office of Inspector General
Criminal Investigator / Special Agent (Series: 1811) (GS-13) at U.S. Department of Labor, Office of Inspector General (DOL-OIG)Criminal Investigator / Special Agent (Series: 1811) (GS-13) at U.S. Department of Labor, Office of Inspector General (DOL-OIG)