Trevor White
Ramona,CA
Summary
Driven and detail-oriented Special Investigations Unit (SIU) Supervisor with extensive experience in the Non-Emergency Medical Transportation (NEMT) industry. Passionate about safeguarding integrity, promoting compliance, and mitigating risks in a dynamic and critical sector. Strong background in fraud prevention, data analysis, and case management, leading a team of skilled investigators to identify, address, and prevent fraudulent activities. Expertise includes developing and implementing proactive strategies, conducting thorough investigations, and collaborating with health plans to ensure operational efficiency and regulatory compliance. Known for navigating complex challenges, dedicated to fostering a culture of accountability and continuous improvement. Leveraging technology, industry insights, and a commitment to ethical practices to enhance trust and transparency within the NEMT ecosystem.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Special Investigations Unit, Supervisor
Access2Care
06.2024 - Current
- Supervise Investigations: Lead and manage a team of investigators to examine allegations of fraud, abuse, or regulatory non-compliance in NEMT operations
- Develop Policies and Procedures: Create and enforce policies to detect and prevent fraud and misconduct within the organization
- Training and Awareness: Educate staff on fraud prevention measures, compliance protocols, and ethical practices to maintain service integrity
- Data Analysis: Utilize analytics to identify patterns of misuse or anomalies in billing and service records, which may indicate fraudulent activities
- Collaboration: Work closely with legal teams, regulatory bodies, health plans, and law enforcement agencies to report findings and take appropriate actions
- Reporting: Prepare detailed reports summarizing investigation outcomes, including recommendations for corrective actions and process improvements
Innovative Solutions Manager (Account Executive)
Access2Care
01.2022 - 06.2024
- Expanding access to healthcare services by providing non-emergency medical transportation by managing Molina Healthcare and Parkland Community Health Plan’s Medicaid members
- Manage and oversee transportation services for 80,000 Medicaid members in Texas
- Thorough investigation into data and statistics to understand trends and outlying factors that affect our clients and members daily
- Develop new and innovation solutions to the everchanging healthcare industry to better serve our clients
Health Pro Consultant
Alight Solutions
06.2021 - 01.2022
- 6 month (completed in 4) of extensive health care training, ranging from basic health care terminology to advanced medical procedure cost analysis
- Serve as a patient advocate daily by representing the patient from all angles of the healthcare industry, including provider research, high-quality care recommendations, cost comparisons, and medical bill processing analysis
- Utilize exceptional communication and problem-solving skills to understand and solve complex client needs, resulting in a better experience for the employee’s entire healthcare journey
Hospital Transparency and Patient Advocate Intern
Amaze Health
01.2021 - 05.2021
- Developed patient education videos and/or researching up-to-date guidance on federal, state, county, and local company levels
- Gained knowledge over the complexities of the American healthcare system, while advocating for patient empowerment and combating disparities in patient advocacy
Processing Assistant
Baylor Student Financial Aid
10.2018 - 01.2021
- Documented financial adjustments by utilizing Microsoft Access
- Increased customer satisfaction by clarifying information with critical thinking and communication skills in an always changing environment
Brand Ambassador
Glasses USA
09.2019 - 05.2021
- Strategized and prepared new social marketing to company executives
- Increased sales by 5% by promoting specials via social media
- Broadened customer market by promoting to college students
Education
Master of Business Administration -
Louisiana State University Shreveport
10.2024
Bachelor of Science - Public Health
Baylor University
05.2021
Skills
- Team management
- Policy development
- Adaptability and flexibility
- Industry expertise
- Documentation review
- Report preparation
- Regulatory compliance
- Documentation and recordkeeping
- Quality assurance
Certification
- MS Office Specialist: Excel Associate
- Health Care Anti-Fraud Associate Certification
- AWS Academy Graduate – AWS Academy Cloud Foundations
Timeline
Special Investigations Unit, Supervisor
Access2Care
06.2024 - Current
Innovative Solutions Manager (Account Executive)
Access2Care
01.2022 - 06.2024
Health Pro Consultant
Alight Solutions
06.2021 - 01.2022
Hospital Transparency and Patient Advocate Intern
Amaze Health
01.2021 - 05.2021
Brand Ambassador
Glasses USA
09.2019 - 05.2021
Processing Assistant
Baylor Student Financial Aid
10.2018 - 01.2021
- MS Office Specialist: Excel Associate
- Health Care Anti-Fraud Associate Certification
- AWS Academy Graduate – AWS Academy Cloud Foundations
Master of Business Administration -
Louisiana State University Shreveport
Bachelor of Science - Public Health
Baylor University
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