Dynamic senior executive leader with a proven track record at the U.S. Department of Health and Human Services, achieving $15 billion in recoveries. Expert in regulatory compliance and risk assessment, fostering organizational efficiency while mentoring senior teams. Adept at complex problem-solving, driving impactful investigations, and enhancing ethical leadership across diverse environments.
Directed system-wide compliance activities centered on seven elements of effective corporate compliance.
Collaborated with Office of Counsel, Internal Audit, and Policy Division to embed compliance in corporate culture.
Oversaw and triaged third-party hotline for reporting compliance issues.
Reviewed termination appeals and mitigated conflicts of interest effectively.
Conducted internal investigations of executive personnel regarding compliance matters.
Drafted public service announcements to promote ethics and compliance awareness.
Engaged in executive risk management meetings to address compliance-related risks.
Established analytics to identify vulnerabilities within the compliance program.
Oversaw compliance for 254 Texas County Tax Assessor-Collector Offices, recommending best practices in vehicle and title registration.
Directed Special Investigations Section to address criminal activity impacting Texas Department of Motor Vehicles.
Ensured focus on public safety, integrity of TXDMV systems, and return on investment for citizens of Texas.
Implemented data analytic programs to combat waste, fraud, and abuse, achieving millions in cost avoidance and fines.
Oversaw program integrity functions for audits and investigations, reducing fraud and improper payments.
Directed operational activities of division to ensure compliance with budgets and performance metrics.
Established organizational structure and procedures to enhance productivity, financial, and quality standards.
Evaluated performance of senior leadership team to drive continuous improvement.
Hired and mentored senior leadership team members in program integrity division.
Directed 100 investigators, analysts, and medical review experts in program integrity for Texas Medicaid, a $36 billion program.
Overhauled investigative processes using Theory of Constraints to enhance efficiency and ROI.
Implemented IG action teams to triage vulnerabilities with an integrated approach across various departments.
Delivered advanced training from federal experts to elevate OIG personnel's investigative and analytic skills.
Established robust outreach initiatives with stakeholders, improving collaboration with Texas Medicaid Fraud Control Unit and federal agencies.
Facilitated creation of Special Assistant position in U.S. Attorneys' offices from Texas HHSC/OIG to support civil divisions.
Advised Deputy Secretary, senior officials, and Inspector General on healthcare fraud investigations and emergency operations.
Coordinated national healthcare fraud strike forces, resulting in 1,407 criminal convictions and 1,993 indictments.
Directed national projects assigned by Inspector General to enhance operational effectiveness.
Briefed Congressional staff on key issues and developments within healthcare fraud initiatives.
Managed media coverage, including interviews with national news networks and local stations.
Collaborated daily with DOJ attorneys and Assistant U.S. Attorneys nationwide on high-profile investigations.
Facilitated successful coordination of Strike operations, yielding $1.8 billion in monetary receivables.
Led nationwide health care fraud investigations for Department of Health and Human Services, overseeing nearly $1 trillion in programs.
Achieved 2,616 criminal convictions and recovered $15 billion in monetary receivables.
Increased criminal convictions by 50% and raised court-ordered settlements from $2 billion to over $4 billion annually.
Managed 554 personnel, including Assistant Inspectors General and Special Agents in Charge.
Collaborated with Congress on appropriations and provided oversight for high-level executive investigations.
Implemented advanced computer forensic techniques and established the Consolidated Data Analytics Center.
Created real-time access to CMS Data Warehouse and coordinated national emergency response operations.
Testified before House Judiciary Committee and briefed Congressional members on investigative progress.
Numerous Meritorious and Superior Award, Numerous Cash Awards, Exceptional Performance and Achievement Awards, Secretary's Award for Distinguished Service, Secretary's "On the Spot" Award for missions to Afghanistan, Office of Inspector General Employee of the year Award, Lifetime Achievement Award from the United States Council of Inspectors General for Integrity and Efficiency.
Compliance and Ethics Professional Certification
United States Senior Executive Service Certification
Federal Executive Institute Leadership for a Democratic Society Certification
Special Agent Certification
Criminal Investigator Certification