Health Integrity, LLC
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Health Integrity, LLC Employees
Health Integrity, LLC June 2014 - Present
Aetna December 2011 - June 2014
Coventry Health Care February 2008 - December 2011
AchieveGlobal January 2005 - February 2006
American Administrative Group June 2002 - February 2006
Humana May 1998 - April 2000
Humana 1999 - 2000
Skills
Training, Leadership Development, Organizational..., Instructional Design, Instructor-led Training, Workshop Facilitation, Program Management, Call Centers, Employee Training, Human Resources, Management, Staff Development, Quality Assurance, Employee Relations, Process Improvement, Strategic Planning, Fraud Detection, Medicare Part D, Medicare Part C, Managed Care, Insurance
Education
University of the Incarnate Word 2010 — 2013
Bachelor of Arts (B.A.), Organizational Development and Human Resources, Cum Laude
San Antonio College 2009 — 2010
Certification, Training and Development
Texas State Technical College 1994 — 1995
Automotive Technology
Anthem, Inc. May 2015 - Present
Haute Realty 2014 - Present
Connolly, LLC July 2012 - December 2013
Health Integrity, LLC July 2010 - July 2012
Blue Cross Blue Shield of Texas July 2007 - July 2010
Criticare Systems November 2002 - November 2007
Texas Endoscopy June 2004 - May 2007
UT Southwestern Medical Center at Dallas 2002 - 2004
Concorde Career Institute 2002 - 2003
Skills
Medicare, Nursing, Nursing Education, Utilization Management, Health Care Fraud, Auditing, Endoscopy, Gastroenterology, Health Insurance, Managed Care, Healthcare Management, Medicaid, EHR, HIPAA, Claim, Clinical Research, Home Care, Insurance, Healthcare, Medical Records
Education
Texas Tech University Health Sciences Center 1997 — 1998
BSN, Nursing
Covenant Hospital School of Nursing 1992 — 1994
RN, Diploma, nursing
Regions Financial Corporation February 2015 - Present
Kathryn Lumley & Associates September 2014 - January 2015
Health Integrity, LLC June 2013 - May 2014
Federal Bureau of Investigation March 1991 - May 2013
NCNB, National Bank 1986 - 1991
Tampa Police Department 1979 - 1984
Skills
Forensic Analysis, Law Enforcement..., Physical Security, Criminal Law, Federal Law, Corporate Security, Forensic Accounting, Crime Prevention, Security Operations, Intelligence Analysis, Intelligence, Investigative Reporting, Protection, Testimony, National Security, Crisis Management, Financial Crimes..., Federal Law Enforcement, Private Investigations, Mortgage Fraud, Counterintelligence, Security Management, Patrol, Criminal Investigations, Fraud, Evidence, Investigation, Surveillance, Background Checks, Police
Education
Saint Leo University
B.A., Accounting
Xerox Heritage, LLC October 2014 - Present
Cognosante 2011 - 2013
Health Integrity, LLC 2008 - 2011
Federal Bureau of Investigation 1986 - 2008
Skills
Private Investigations, Security, Fraud, Investigation, Security Management, Business Intelligence, Policy, Government
Education
South Texas College of Law 1981 — 1984
Doctor of Law (J.D.), Law
Emory University 1976 — 1980
Bachelor's Degree
Health Integrity, LLC November 2010 - Present
Health Integrity, LLC November 2009 - November 2010
TNL Enterprises July 2006 - February 2009
Skills
CompTIA A+ Certification, CompTIA Network+..., Data Analysis, Healthcare Information..., SAS, Windows Server, Access, Servers, Software Installation, Hardware, Windows XP
Education
TESST College of Technology-Beltsville 2003 — 2004
Associates Degree, Netwrok Inforamtion Systems
Kent Island High Scool 2000 — 2003
Reliant Dallas Rehab Hospital September 2011 - March 2015
Epoch Behavioral Healthcare June 2011 - September 2011
Methodist Hospital for Surgery August 2010 - April 2011
Health Integrity, LLC January 2009 - June 2010
Genesis Physicians Group September 2004 - August 2008
Florida Hospital 2002 - 2004
Florida 1st Service Administrators 1999 - 2002
Kaiser Permanente of Dallas 1996 - 1998
PCA Texas Health Plans 1993 - 1995
Strasberger & Price 1986 - 1988
Skills
Hospitals, Accreditation, Infection Control, Risk Management, Healthcare Management, Healthcare, Nursing, Quality Improvement, Managed Care, Medicare, Credentialing, HEDIS, HIPAA, Healthcare Information...
Education
The University of Texas at Arlington 1985 — 1985
BSN, Nursing Practice
Anderson High
Health Integrity, LLC May 2013 - Present
Baylor Health Care System July 2012 - June 2013
Dallas County July 2011 - June 2012
Mississippi State Department of Health August 2010 - June 2011
Skills
SAS, SPSS, Epidemiology, Biostatistics, Data Management, Data Analysis, Project Management, Microsoft Office, Presentations, Databases, ArcGIS, Time Management, Regression Analysis, Statistics, Public Health
Education
University of Southern Mississippi 2009 — 2010
Master of Public Health (MPH), Epidemiology and Biostatistics
University of Southern Mississippi 2004 — 2007
Bachelor of Science (BS), Biological Sciences
Health Integrity, LLC August 2014 - Present
Illinois Department of Healthcare and Family Services August 2013 - May 2014
Accenture June 2010 - June 2012
Skills
HTML, Windows, Microsoft Office, Programming, English, Microsoft Excel, Microsoft SQL Server, Oracle BPEL, Oracle Applications, Microsoft Word, Outlook, GIS, PowerPoint, Customer Service, Unix, Integration
Education
University of Illinois Springfield 2012 — 2014
Master's degree, Management Information Systems, General
Amrita vishwa vidyapeetham 2006 — 2010
Bachelor of Technology (B.Tech.), Electronics and Communications Engineering
Smart Tuition February 2013 - Present
Health Integrity, LLC May 2010 - February 2013
Align December 2006 - April 2010
21st Century Learning July 2004 - November 2006
Diocese of Cleveland July 1995 - June 2004
St. Margaret Mary School August 1989 - June 1995
Skills
Staff Development, Educational Technology, Curriculum Design, Leadership, Curriculum Development, Training, Leadership Development, Team Building, Educational Leadership, Management, Strategic Planning, Instructional Design, Employee Training, Teaching, Nonprofits, Fundraising
Education
Cleveland State University 1997 — 1999
M.Ed., Curricum & Instruction
John Carroll University 1984 — 1988
B.A., Elementary Education
Health Integrity, LLC February 2014 - Present
KDJ Consultants Inc April 2013 - February 2014
Garretson Resolution Group April 2013 - January 2014
University of Texas Medical Branch, Galveston, Texas September 2012 - June 2013
Rapid Record Retrieval February 2012 - June 2012
MDL-926 November 1996 - February 2012
UTMB June 1992 - October 1996
Skills
Legal Consulting, Nursing, Toxic Tort, Healthcare, Acute Care, Hospitals, Product Liability, BLS, Inpatient, Medical Records, Cpr Certified, Case Management, Medical/Surgical, Home Care, Patient Safety, Utilization Management, Patient Advocacy, Oncology, Patient Education, Epic Systems, EMR, Quality Improvement, Medication..., Healthcare Management, Disease Management, Ambulatory, Healthcare Consulting, Health Education, Direct Patient Care, Legal Nurse Consulting, Litigation, Medicare, Registered Nurses, Emergency Room, Critical Care, ICU, Nursing Education, PALS
Education
Owens Community College 1989 — 1992
Associate degree of Science
Maumee High School
High School diploma
Health Integrity, LLC September 2014 - Present
CGS Administrators, LLC January 2013 - September 2014
TrailBlazer Inc 2010 - 2012
MedAssurant January 2007 - October 2010
Medical Center Plano 2004 - 2007
North Texas Heart Center, 1994 - 1996
Presbyterian Hospital of Dallas, 1992 - 1994
KCI, Inc 1990 - 1992
Rapid City Regional Hospital 1989 - 1991
Humana Hospital 1989 - 1989
Skills
Medicare, Healthcare, Inpatient, Critical Care, Healthcare Information..., HIPAA, Leadership, Hospitals, Managed Care, Healthcare Management, Medicine, Process Improvement
Education
University of Nebraska at Kearney
Bachelor of Science, Nursing
StrategicHealthSolutions March 2011 - Present
Howard Kasson, CFE, CPA 2008 - 2011
Health Integrity, LLC 2007 - 2008
Tricenturion, Inc. 2003 - 2007
Tricenturion, Inc 2002 - 2003
Skills
Health Care Compliance, Medicare, Medicaid, Managed Care, Medicare Part D, Health Care Fraud, Certified Fraud Examiner, Medical Compliance, Medicare/Medicaid..., Auditing, Fraud, Corporate Fraud..., Medicaid Managed Care, Health Insurance..., HIPAA, Healthcare, Health Policy, Insurance, Health Insurance, Provider Relations, Claim, Healthcare Management, Cost Reporting, Healthcare Reimbursement, CPA, Legal Compliance, Health Care Regulation, Healthcare Analytics, Fraud Detection, Healthcare Industry, Data Analysis, Quality Improvement, Healthcare Consulting, Government, Analysis, PPO, Policy, Revenue Cycle, Physicians, HMO
Education
Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Arts (B.A.), Economics
Monmouth University
Master of Business Administration (MBA)
Universal American April 2015 - Present
Health Integrity, LLC January 2013 - April 2015
Texas Department of State Health Services March 2009 - January 2013
Legacy Emergency Medical Services March 2008 - March 2009
Skills
Medicare, Medicaid, Health Insurance, Healthcare, Claim, Insurance, Managed Care, HIPAA, Data Analysis, Health Policy, Emergency Medical..., Fraud Detection, Investigation, Policy, Emergency Medical, Public Health, Customer Service, Analysis, Training
Education
Sam Houston State University 2005 — 2007
Political Science and Government
Lone Star College System 2002 — 2005
Emergency Medical Technician Certificate, General Studies
HealthStream September 2014 - Present
Health Integrity, LLC April 2013 - September 2014
HealthStream October 2006 - April 2013
Education
Villa Julie College 2003 — 2005
Bachelor of Science (BS), Business Communications
University of Delaware 2001 — 2003
Booz Allen Hamilton April 2015 - Present
Health Integrity, LLC May 2014 - April 2015
VERISIGN May 2013 - August 2013
Videology Group May 2012 - August 2012
Skills
Machine Learning, Data Mining, Data Analysis, Matlab, R, Apache Pig, Hadoop, Hive, Perl, Python, Databases, HTML, MySQL, Programming, XML, Access, PL/SQL, Java, C, CSS, C++, Windows, Linux
Education
University of Maryland Baltimore County
Doctor of Philosophy (Ph.D.), Information Systems
University of Maryland Baltimore County
MS, Information system
University of Maine at Augusta
BA, Liberal Studies
Health Integrity, LLC Senior EDI AnalystARINCFebruary 2001 - November 2001
Sea Watch International, Ltd. September 1998 - April 2000
Sea Watch International, Ltd. August 1982 - August 1998
WPTF-TV 1980 - 1982
Skills
EDI, HEDIS, Healthcare Information..., Managed Care, Microsoft Excel, Microsoft Office, Public Health, Statistical Modeling, Statistics
Education
University of Maryland College Park 1971 — 1976
Bachelor of Science (B.S.), HPER
Cigna Healthcare June 2013 - Present
Allscripts October 2012 - May 2013
Health Integrity, LLC October 2011 - April 2013
Hewlett-Packard October 2008 - September 2011
Hewlett-Packard June 2007 - September 2008
Skills
SAS, Data Analysis, Microsoft Excel, Data Mining, Business Objects, SQL, Analytics, Access, Statistics, Windows, SPSS, Microsoft Office, Databases, SAS E-Miner, Predictive Modeling, Analysis, Statistical Modeling, Predictive Analytics, SAS programming, Business Analytics
Education
North Carolina State University 2012 — 2013
Master of Science (M.S.), Analytics
The Pennsylvania State University 2005 — 2007
BS, Mathematics, Statistics
Health Integrity, LLC May 2013 - Present
Health Integrity, LLC July 2012 - May 2013
HP Enterprise Services January 2010 - July 2012
AvMed Health Plans 2008 - 2010
HP Enterprise Services July 2005 - August 2008
Commonwealth of Pennsylvania 2004 - 2005
Commonwealth of Pennsylvania 2004 - 2005
Commonwealth of Pennsylvania 2004 - 2005
Skills
Business Objects, Cognos, SAS, Data Analysis, SAS programming, Analytics, Business Intelligence, Data Mining, Data Modeling, Business Analysis, Analysis, Statistics, Business Intelligence..., SQL, Data Warehousing, Databases, Access
Education
Saint Joseph's University 2014 — 2015
Master of Science (MS), Business Intelligence and Analytics
St. Francis University 1999 — 2003
BS, Mathematics
Health Integrity, LLC September 2013 - Present
Peninsula Regional Medical Center February 2012 - May 2012
Owens & Minor Distribution, Inc. September 1989 - October 2011
Curtin Matheson Scientific October 1987 - August 1989
H.R. Simon & Co. September 1985 - October 1987
Skills
Customer Service, Inventory Management, Pricing, Forecasting, Research, Problem Solving, Microsoft Office, Contract Management, Materials Management, Multitasker, Software Documentation, Sales, Contract Negotiation, Microsoft Excel, Operations Management, Sales Operations, Supply Chain Management, Process Improvement, Supply Chain, Purchasing, Microsoft Word, Sales Management, Team Leadership, Management, Inventory Control, Team Building, Healthcare, Project Management, Account Management, Outlook, Logistics, Strategic Planning, Leadership, Time Management, Selling
Education
Chesapeake College 2010 — 2015
Communications
Chespeake College 2013 — 2013
Medical Coding Professional, 97/A
Health Integrity, LLC 2015 - Present
Health Integrity, LLC August 2009 - February 2015
BlueCross BlueShield of TX April 2007 - August 2009
BlueCross BlueShield of TX April 2006 - April 2007
TriCenturion July 2005 - April 2006
TriCenturion November 2002 - July 2005
Trace America July 1994 - February 2002
Skills
Fraud, Private Investigations, Internal Investigations, Claim, Enforcement, Medicare, Program Management, Medicaid, Healthcare, Policy, Leadership, Government, Background Checks, Interviews, Criminal Investigations, Investigation, Risk Assessment, Surveillance, Criminal Justice, Physical Security, Evidence, Health Policy, Emergency Management, Interrogation, Fraud Detection, Security Management, Police, Risk Management, HIPAA
Education
American Public University System 2010 — 2012
Master of Public Administration, Healthcare Policy, 3.975
Frostburg State University 1991 — 1994
Bachelor of science, Geography
General Dynamics Information Technology February 2011 - Present
Health Integrity, LLC March 2010 - February 2011
RK&K June 2009 - August 2009
Education
Frostburg State University 2006 — 2010
BA, Communication Studies
Computer Evidence Specialists 2013 - Present
Health Integrity, LLC March 2012 - November 2013
Creighton University March 2011 - March 2012
Continuum Worldwide November 2007 - July 2010
Mutual of Omaha January 1992 - July 2010
Mutual of Omaha January 1995 - January 1998
Mutual of Omaha January 1992 - January 1995
Children's Memorial Hospital January 1991 - January 1992
Iowa Western Community College January 1990 - January 1992
Mercy Hospital January 1979 - January 1992
Skills
Research, Compliance, Healthcare, Documentation, Word, Microsoft Office, Policy, Excel, Nursing, Outlook, Windows, Insurance, Customer Service, Project Management, HIPAA, Microsoft Excel, Hospitals, Microsoft Word, Software Documentation, Strategic Planning, Management, Analysis, Medicare
Education
Midland University 1987 — 1991
BSN, Nursing, Business Administraton
Iowa Western Community College
Business Administration
Jennie Edmundson Memorial Hospital School of Nursing
Health Integrity, LLC September 2010 - Present
Health Integrity, LLC November 2009 - August 2010
Louisiana Tech University January 2009 - October 2009
Louisiana Tech University September 2006 - September 2008
Dotcom Infoway Ltd. March 2006 - June 2006
Skills
Customer Relations, Business Process..., Business Objects, Business Analysis, Predictive Analytics, Analytical Abilities, Analytical Techniques, Analytical Approach, Data Analysis, Data Mining, Strategic Consulting, New Business Development, Content Management, Technical Presentations, Medicare, Medicaid, Fraud Analysis, Fraud Prevention, Oracle SQL, SAS, SAS/SQL, Matlab, Web Content Management, Analytical Skills, Fraud, Management, Predictive Modeling, Project Management, SAS Base, SAS Programming, SAS programming
Education
Stanford University 2010 — 2011
Data Mining Graduate Certificate, Modern Applied Statistics: Learning, Modern Applied Statistics: Data Mining
Louisiana Tech University 2006 — 2008
M.S. Computer Science, Data Mining with Bioinformatics, Research, Advanced Analysis of Algorithms and Complexity
Anna University 2001 — 2005
B.E, Computer Science & Engineering
The Indian High School, Dubai 1999 — 2001
Computer Science
Health Integrity, LLC 2015 - Present
ICabrera@ Associates, LLC September 2010 - Present
Fauquier Free Clinic Inc January 2006 - February 2007
Blue Cross Blue Shield of Florida August 1997 - July 2003
Skills
Healthcare, Public Speaking, Research, Health Care Fraud, peer utilization reviews, Risk Based Audits, compliance audits, health care policy, Management, Leadership, Internal Audit, Auditing, Project Management, Medicaid, Medicare, Training, Consulting, Policy, Analysis, Budgets, Team Leadership, Team Building, Process Improvement, Strategic Planning
Education
Nova Southeastern University 2007 — 2010
Master's Degree, Health Law
Florida International University
Bachelor's degree, Criminal Justice/Psychology
Health Integrity, LLC January 2008 - Present
Restorative healthcare Home Health December 2007 - December 2008
Nix Health Care System June 2003 - December 2007
Uvalde Memorial Hospital October 2001 - June 2003
Skills
Medicare, Claim, Management, Medicaid, Health Insurance, Insurance, HIPAA, Managed Care, Healthcare, Utilization Management, Healthcare Management, Risk Management, EHR, Health Policy, Healthcare Information..., Medicare Part D, Performance Improvement, EMR
Education
University of Massachusetts, Amherst 1984 — 1986
Bachelor's Degree, Health education - UWW, 3.5 GPA
Holyoke Community College 1979 — 1982
Associate's Degree, Registered Nursing/Registered Nurse, 4.0
Integrity Management Services, LLC April 2015 - Present
AME-RUS SAS DEVELOPERS 2014 - Present
StrategicHealthSolutions May 2014 - April 2015
Health Integrity, LLC 2010 - 2014
Johns Hopkins Hospital December 2008 - February 2010
Harvard University June 2006 - August 2006
Skills
Healthcare Analytics, SAS programming, SQL, Healthcare Policy..., SAS, SAS Programming, Analysis, Data Analysis, Data Mining, Business Analysis, Databases
Education
Johns Hopkins Bloomberg School of Public Health
NA, Public Health
Washington College 2006 — 2008
Bachelor of Science (BSc), Behavioral Neuroscience
Health Integrity, LLC March 2014 - Present
Mommsen Capital September 2013 - February 2014
Skills
Python, R, Monte Carlo Simulation, Statistical Modeling, SAS, C++, Data Mining, Medicare, Healthcare, Hedge Funds
Education
Johns Hopkins Engineering for Professionals 2015 — 2018
Master's degree, Computer Science
Columbia Engineering 2012 — 2013
Master of Science (M.S.), Chemical Engineering, 3.3/4.0
China Pharmaceutical University 2008 — 2012
Bachelor's degree, Pharmaceutical Sciences, 88/100
Health Integrity, LLC September 2009 - Present
Health Integrity, LLC February 2009 - August 2009
Office of Investigations, Office of Inspector General, US Department of Health and Human Services May 2006 - February 2009
Office of Investigations, Office of Inspector General, HHS, New York Field Office May 1999 - May 2006
Office of Investigations, Office of Inspector General, HHS, New York Field Office January 1989 - May 1999
Centers for Medicare & Medicaid Services November 1986 - January 1989
Social Security Administration November 1979 - November 1986
Skills
Strategic Leadership, Program Management, Communication - written..., Fraud Investigations, Internal Investigations, Auditing, Process Development, Process Improvement, Process Management, Group Presentations, Training & Development, Healthcare Anti-fraud, Active Listening, Process Architecture, Medicare, Medicaid, Investigation, Healthcare, Fraud, Team Leadership, Employee Training, Anti-fraud, Training, Strategic Planning, Policy, Criminal Justice, Private Investigations, Criminal Law, Enforcement, Interrogation, Executive Protection, Criminal Investigations, Management, Process Simulation, Surveillance, Interviews, Public Speaking, Government, Fraud Detection, Leadership, Background Checks, Certified Fraud Examiner, Security Management, Risk Assessment, Emergency Management, Homeland Security, Analysis, Law Enforcement..., Corporate Security, Counterintelligence
Education
Staten Island Academy
Staten Island Academy
Northcentral University 2014 — 2016
Master of Business Administration (M.B.A.)
Cornell University 2013 — 2013
Graduate Certificate - Business Strategy: Achieving Competitive Advantage
Thomas Edison State College
Bachelor of Science Human Services / Administration of Justice
US Office of Personnel Management
Federal Law Enforcement Training Center
MITRE August 2014 - Present
Integrity Management Services, LLC June 2013 - August 2014
Integrity Management Services, LLC July 2010 - June 2013
IMS Health, Government Solutions March 2009 - July 2010
Magellan Health Services, Inc August 2008 - February 2009
Tidewater Camera Club 2007 - 2009
Health Integrity, LLC March 2005 - July 2008
Health Policy Institute of Ohio March 2004 - March 2005
Delmarva Foundation for Medical Care July 1999 - March 2004
The Lewin Group February 1999 - June 1999
Skills
Business Development, Data Mining, SAS, Statistics, Program Evaluation, Proposal Writing, Government, Research, Analytics, SPSS, Predictive Analytics, Predictive Modeling, SQL, Policy, Health Policy, Medicaid, Epidemiology, Public Health, Audit Planning, Cost Recovery, Strategic Planning, Public Policy, Nonprofits, Healthcare, Training, Policy Analysis, Leadership, Statistical Modeling, Medicare, Analysis, Data Analysis, Access, Auditing, Strategy, Managed Care, Informatics, Hospitals, Research Design, Quantitative Research, Data Management, Qualitative Research, Survey Research, SAS programming, Health Economics, Grants, R, Data Collection, Logistic Regression, Quantitative Analytics, Quality Assurance
Education
University of North Carolina at Chapel Hill 1983 — 1984
Postdoc, Psychometrics and Biostatistics
The University of Chicago 1979 — 1983
Ph.D, Methodology of Behavioral Research
The Ohio State University 1974 — 1978
M.A, Quantitative Psychology
University of Utah 1970 — 1974
B.S, Psychology
Yellow Springs High School
Health Integrity, LLC August 2015 - Present
The GW Medical Faculty Associates January 2015 - May 2015
Skills
Statistics, Statistical Consulting, Data Analysis, Data Management, Predictive Modeling, SAS, R
Education
The George Washington University 2013 — 2015
Master of Science (M.S.), Biostatistics, 3.92
Health Integrity, LLC 2014 - Present
University of Dallas 2012 - 2014
Humana 2012 - 2012
BlueCross BlueShield of South Carolina 2009 - 2012
AIM Healthcare 2006 - 2008
University of Louisville March 2001 - June 2003
Skills
Access, Data Analysis, Data Mining, Analysis, SQL, Business Intelligence, Statistics, Business Analysis, SAS programming, Healthcare, Databases, Microsoft Excel, Microsoft SQL Server, Microsoft Office, SAS Programming
Education
University of Louisville
Master's Degree
Allscripts June 2011 - Present
Health Integrity, LLC January 2009 - June 2011
Cahaba Safeguard Administators May 2005 - December 2008
Division of Facility Services May 2004 - May 2005
Duke University Medical Center October 1989 - October 1996
Skills
Management, Business Analysis, Customer Service, Microsoft Office, Leadership, Project Management, Microsoft Excel, Strategic Planning
Education
Charlotte School of Law 2014 — 2017
Juris Doctor (J.D.), Healthcare Law
University of North Carolina at Greensboro 1989 — 2007
Bachelor’s Degree, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Indiana University—Purdue University Fort Wayne 1983 — 1986
Associate’s Degree, Registered Nursing/Registered Nurse
Health Integrity, LLC July 2015 - Present
Maximus Federal Services, Inc. 2013 - 2015
Skills
Computer Proficiency, Medical-Surgical, Charge Nurse, Staff Supervision, Medical Chart Reviews, Medicare Appeals, Type 50 WPM
Education
University of Rochester 2008 — 2011
Master's degree, Family Practice Nurse/Nursing
St. John Fisher College 2006 — 2008
Bachelor’s Degree, Registered Nursing/Registered Nurse
Health Integrity, LLC March 2015 - Present
Health Integrity, LLC June 2013 - March 2015
Solano Spine & Sport Chiropractic August 2012 - June 2013
K2M, Inc. September 2011 - August 2012
McArthur October 2008 - September 2011
Skills
Spine, Surgical Instruments, Operating Room, Disposables, Surgeons, Medical Devices, Orthopedic, Surgery, Capital Equipment, Marketing Strategy, Biomedical Engineering, Marketing, Product Development, FDA, Sales, Marketing Communications, Strategic Planning, Healthcare, Policy, Health Insurance, Healthcare Information..., Healthcare Management, Product Marketing, PowerPoint, Research, Training, Product Launch, Management
Education
University of Maryland University College 2011 — 2013
Masters of Science in Management, Health Care Administration
Towson University 2003 — 2006
Bachelor of Science, Mass Communications, Journalism
Health Integrity, LLC March 2014 - Present
Loyola University Chicago August 2013 - May 2014
National Institutes of Health June 2013 - August 2013
Skills
R, SAS, Statistics, SPSS, Minitab, Logistic Regression, Data Analysis, Data Mining, Biostatistics, Time Series Analysis, Experimental Design, Regression Analysis, Survival Analysis, Survey Design, ANOVA, Python, Matlab, Access, Excels, Tableau, Multivariate Statistics, Stata, Prezi, Hadoop, MongoDB
Education
The Johns Hopkins University 2015 — 2017
Master's degree, Computer Science
Loyola University Chicago 2012 — 2014
Master’s Degree, Applied Statistics
Murray State University 2011 — 2012
Exchange student in my senior year, Applied Mathematics
Gannan Normal University 2008 — 2012
Bachelor’s Degree, Mathematics
Health Integrity, LLC May 2015 - Present
St. Michaels Harbour Inn, Marina, and Spa April 2014 - May 2015
Health Integrity, LLC June 2013 - May 2015
UNC Pembroke August 2011 - May 2013
Leadership North Carolina May 2009 - August 2009
Zaxby's Franchising, Inc. January 2008 - August 2008
Skills
Public Speaking, Social Media, Research, Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Customer Service, Editing, Event Planning, Teamwork, English, Team Building, Management, Government, Training, Leadership Development
Education
University of Baltimore 2015 — 2017
Master of Public Administration (M.P.A.)
University of North Carolina at Pembroke 2009 — 2013
Bachelor of Arts (B.A.), History
University of Mount Olive 2008 — 2009
History
General Dynamics Information Technology October 2012 - Present
General Dynamics Information Technology March 2011 - January 2013
Health Integrity, LLC February 2010 - February 2011
Skills
Microsoft Office, System Administration, Microsoft Excel, Customer Service, Outlook, Microsoft Word, Access, Government, SharePoint, Windows, PowerPoint, Research
Education
Frostburg State University 2005 — 2009
BS, Communications
United States Department of Defense February 2015 - Present
Agora Publishing July 2014 - February 2015
UnitedHealth Group (Legacy XLHealth) June 2011 - July 2014
Health Integrity, LLC October 2009 - June 2011
WSCL/WSDL Public Radio Delmarva (NPR) October 2007 - April 2008
Perdue Farms May 2007 - November 2007
Education
University of Maryland University College 2011 — 2013
Master of Science (MS)
Salisbury University, Franklin P. Perdue School of Business 2005 — 2010
Bachelor of Science (BS)
Wicomico High School 2001 — 2005
General Studies Diploma
MiraCosta College January 2014 - Present
Health Integrity, LLC August 2013 - Present
AKT LLP, CPAs and Business Consultants October 2011 - May 2013
Cobb, Stees & Company, LLP December 2009 - November 2011
Murrill Eakes & Co January 2006 - December 2009
Independent Contractor September 2003 - 2008
H and R Block January 2006 - April 2006
Gary Zweig an Accountancy Corp November 2005 - April 2006
Integrated Microwave / Air Trak.com February 2004 - August 2005
Skills
SQL, Business Objects, Data Analysis, SAS, Databases, SAS programming, Access, Accounting, QuickBooks, Tax Returns, Corporate Tax, Financial Reporting, General Ledger, Fixed Assets, Financial Analysis, Tax, GAAP, HTML, PHP
Education
Bellevue University 2015 — 2017
Master of Science (M.S.), Management Information Systems, Business Analytics
San Diego State University-California State University 2005 — 2006
N/A, Graduate Accounting and Tax Courses
St. Francis University 1999 — 2003
B.S., Management Information Systems
Health Integrity, LLC July 2013 - Present
Health Integrity, LLC July 2010 - July 2013
Skills
Customer Service, Team Building, Management, Healthcare, Microsoft Office, Project Management, Strategic Planning, New Business Development, Research, Public Speaking, Social Media
Education
Pace University-Pleasantville/Briarcliff Campus 1977 — 1979
BBA, Business
Dauphin County (Harrisburg, PA) January 2015 - Present
Commonwealth of Pennsylvania October 2014 - Present
Contractor November 2013 - May 2014
Health Integrity LLC October 2009 - July 2013
Booz Allen Hamilton August 2008 - May 2009
CSC September 2007 - August 2008
UPMC Health Plan January 2005 - September 2007
PA Office of Attorney General August 1994 - January 2005
PA Office of Inspector General October 1990 - August 1994
Dauphin County December 1986 - December 1990
Skills
Medicaid, Fraud, Medicare, Risk Management, Microsoft Excel, Insurance, Data Analysis, Analysis, ISO Q9001-2008, Quality Management, Business Analysis, Healthcare, Policy, Health Insurance, Government
Education
Harrisburg University of Science and Technology
Master’s Degree, Project Management
University of Pittsburgh
Bachelor of Arts, Sociology/History
Penn State University
Bachelor of Arts (B.A.), Psychology
Harrisburg Area Community College
Associate of Arts, Para Legal
Health Integrity, LLC May 2014 - Present
HMS July 2013 - March 2014
HMS September 2012 - July 2013
Methodist Richardson Medical Center June 2010 - September 2012
Skills
HIPAA, Healthcare, Healthcare Information..., Process Improvement, Hospitals, Medicare, Data Analysis, Medicaid, Cpr Certified, Managed Care, Patient Safety, Meditech, Medical Terminology, EHR, Project Management, Management, Public Speaking, Strategic Planning, Microsoft Excel
Education
Middle Tennessee State University
Health Integrity, LLC December 2013 - Present
Organogenesis Inc. January 2011 - 2013
KINETIC CONCEPTS –KCI January 2008 - January 2011
AstraZeneca September 2004 - January 2011
Abbott July 2001 - September 2004
Arundel Ambulatory Surgery Center August 2000 - August 2001
University of Maryland Medical Center/ shore health system August 1998 - November 2000
Anne Arundel Medical Center March 2000 - October 2000
Skills
Medical Devices, Hospitals, Biotechnology, Healthcare, Operating Room, Capital Equipment, Wound Care, Strategic Planning, Key Account Management, Lifesciences, Pharmaceutical Sales, Customer Service, Cardiology, Life Sciences, Managed Care, Brand Management, Compliance, Consulting, Health, Key Account Development, Nonprofits, Strategic Partnerships, Coaching, Medical Coding, Contract Negotiation, Teamwork, Sales Presentations, Technical Presentations, Clinical Data Management, Evidence-based Medicine, Clinical Education, Clinical Research
Education
University of Maryland Baltimore County 1988 — 1992
Bachelor of Science (BS), Biology/Biological Sciences, General
Delaware State University
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Rockwater Energy Solutions November 2013 - Present
Oilfield Service Company September 2012 - October 2013
Baker Hughes November 2011 - October 2012
Sugarek Marketing Group April 2011 - November 2011
F.L. Malik, Inc. dba Ivy Jane March 2011 - October 2011
Health Integrity, LLC October 2009 - January 2011
Skills
Customer Service, Marketing, Petroleum, Business Development, CRM, Sales, Drilling, Teamwork, Energy Industry, Microsoft Office, Microsoft Excel, Microsoft Word, Data Analysis, Leadership, Research, Analysis, Contract Negotiation, Management, Oil, Supervisory Skills
Education
Texas Tech University 2006 — 2009
Bachelor of Arts, Public Relations/ Business
Health Integrity, LLC / QHS April 2014 - Present
Health Integrity, LLC July 2013 - April 2014
Health Integrity, LLC May 2012 - July 2013
Health Integrity, LLC January 2011 - May 2012
Independent Documentary October 2009 - December 2010
Tinyleaps Production November 2009 - 2010
Tinyleaps Production June 2009 - December 2009
Skills
After Effects, Motion Graphics, Final Cut Pro, Animation, Maya, Flash, Visual Effects, Computer Animation, Short Films, Graphics, Illustrator, Dreamweaver, Post Production, Web Design, Film, 3D Studio Max, Documentaries, Photography, Avid, Mental Ray, C#, JavaScript, jQuery, ASP.NET MVC, HTML, CSS, Photoshop, User Experience Design, User Interface Design
Education
American University 2005 — 2009
Bachelor of Arts, Visual Media & Graphic Design
Colorado Technical University-Online 2012 — 2016
Bachelor of Science (BS), Software Application Programming Specialization
Health Integrity, LLC November 2010 - Present
University of Maryland University College 2010 - Present
Ottawa University 2010 - 2011
Ottawa University 2010 - 2011
Clinical Insights May 1996 - June 2010
Education
University of Maryland Baltimore County 1987 — 1997
PhD, Applied Developmental Psychology
Health Integrity, LLC January 2014 - Present
Education
University of Maryland University College 2015 — 2017
Master's degree, Data Anlytics
Grand Valley State University 2009 — 2013
Bachelor of Science (B.S.), Mathematics and Statistics
Quicken Loans May 2014 - Present
Quicken Loans January 2013 - April 2014
OptumInsight July 2011 - November 2012
Medco Health Solutions September 2010 - February 2011
Numeric LLC 2010 - 2011
Quest Diagnostics December 2008 - August 2010
Health Integrity LLC September 2007 - December 2008
Caterpillar September 2006 - April 2007
Virtual Computer Solutions August 2003 - August 2006
Skills
Neural Networks, Predictive Analytics, SAS, Data Mining, Predictive Modeling, SAS programming, Bayesian networks, Data Analysis, Statistics, Logistic Regression, Statistical Modeling, R, Analytics, SQL, Business Intelligence, SPSS, Business Analytics, Segmentation, Operations Research, VBA, Analysis, Teradata, Time Series Analysis
Education
Colorado State University 2003 — 2006
MS, Statistics
Iowa State University 2000 — 2002
BS, Computer Science
WellMed Medical Management 2014 - Present
Health Integrity, LLC October 2009 - Present
Health Integrity, LLC October 2009 - October 2013
Centene Corporation August 2007 - October 2009
Humana Military Healthcare Services November 2005 - August 2007
SouthernCare Hospice May 2005 - October 2005
Park Place Medical Center April 2003 - April 2004
Magnoia Manor Long Term Care Facility June 2002 - January 2003
UTMB June 1996 - January 2000
Skills
Nursing, Clinical Research, Health Insurance, Medicaid, Healthcare, Home Care, Hospitals, Medical Records, Medicare, Managed Care, Wound Care, Inpatient, HIPAA, Healthcare Information..., Medicine, Physicians
Education
Lamar University 1983 — 1986
Associate's degree, Medical Office Management/Administration
Health Integrity, LLC July 2014 - Present
Constellation Energy November 2006 - June 2014
Baltimore Gas & Electric 1988 - 2006
Compustaff 1986 - 1988
Skills
Requirements Gathering, EDI, SharePoint, Visio, Requirements Analysis, DB2, PL/SQL, Oracle SQL, Quality Assurance, Process Improvement, Software Project..., Salesforce.com
Education
The Johns Hopkins University 1986 — 1988
MAS, Management
DeVry 1983 — 1986
BA, Computer Information Systems
Federal Contractor, U.S. Marshals Services (USMS) August 2015 - Present
Federal Contractor, U.S. General Services Administration (GSA) January 2015 - August 2015
Dell August 2013 - December 2014
Health Integrity, LLC September 2010 - September 2012
PADV (Partners Against Domestic Violence) June 2010 - August 2010
Sandy Springs Police Department March 2010 - August 2010
PaymentsMD, INC April 2009 - January 2010
UHS Pruitt Corporation December 2007 - May 2008
AIG Claim Services June 2004 - November 2007
Skills
Microsoft Office, Auditing, Fraud Detection, Fraud Claims, Federal Healthcare, Health Care Fraud, Claim, Medicaid, Insurance, Medical Billing, Private Investigations, Analysis, Criminal Investigations, Interviews, Investigation, Fraud, Internal Investigations, Interrogation, Law Enforcement, Physical Security, Security Management, Surveillance
Education
Everest University-South Orlando 2008 — 2013
Bachelor of Science (B.S.), Criminal Justice, 4.0
Everest College Phoenix Online 2008 — 2010
Associate in Applied Science, Criminal Investigations, 3.75
Health Integrity, LLC July 2012 - Present
Health Integrity, LLC February 2009 - December 2012
TriCenturion September 2006 - February 2009
Countrywide Home Loans February 2006 - September 2006
Baseball Face Training Facility July 2005 - June 2006
Richardson Police Department August 2003 - January 2006
Skills
Certified Fraud Examiner, Fluent in Cantonese, Microsoft Office, Interviewing, Creative Problem Solving, Interviews, Fraud, Medicare, Leadership, Investigation, Private Investigations, Team Building, Surveillance
Education
University of Phoenix 2007 — 2009
Masters of Science, Psychology
Stephen F. Austin State University 1999 — 2003
Bachelors of Science, Kinesiology / Speech Communications
Health Integrity, LLC November 2014 - Present
EagleOne Case Management May 2014 - November 2014
Health Integrity, LLC November 2011 - January 2014
Nebraska Dept. Health and Human Services February 2011 - May 2011
StrategicHealthSolutions LLC April 2010 - November 2010
PTI-NPS January 2006 - April 2010
Mutual of Omaha 1999 - 2003
KMTV 1982 - 1990
Skills
Healthcare, Medicaid, Microsoft Excel, Microsoft Office, Insurance, Leadership, medicare, Employee Training, Data Analysis, Medical Records, Medicare, Hospitals, Healthcare Information..., Analysis, Healthcare Management, HIPAA
Education
UNMC 1994 — 1999
Master of Science, Children's Health
University of Nebraska at Omaha 1976 — 1981
BS, Broadcasting, Political Science
University of Nebraska at Omaha 1976 — 1981
Bachelor of Science (BS), Broadcasting and Political Science
University of Nebraska at Omaha
Bachelor's degree, Broadcasting
Health Integrity, LLC March 2010 - Present
Suffolk University February 2008 - September 2009
Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services September 2008 - December 2008
Skills
Microsoft Office, Investigations, Excel, Investigation, Criminal Justice, Fraud, Private Investigations, Non-profits, Enforcement, Criminal Law, Government, Student Development, Community Outreach, Microsoft Excel, Highly detail oriented, Nonprofits, People-oriented, Self-starter, Law Enforcement, Certified Fraud Examiner
Education
Suffolk University 2007 — 2008
Master's, Criminal Justice
University of Delaware 2003 — 2007
Bachelor's, Criminal Justice
Health Integrity, LLC December 2009 - November 2011
R&L Foods, Inc. May 2008 - December 2009
GEICO November 2006 - May 2008
State of Texas October 2002 - November 2006
Skills
Conducting Interviews, Report Writing, Managing Employees
Education
Texas State University-San Marcos 1990 — 1992
Bachelors, Criminal Justice
San Antonio College 1987 — 1990
Associates, Criminal Justice
Health Integrity, LLC January 2015 - Present
Altegra Health February 2012 - December 2014
Huron Valley Sinai Hospital June 2006 - February 2012
Pontiac General Hospital 1988 - 1992
Skills
Nursing, Medicare, Medical Coding, Healthcare, Utilization Management, Healthcare Management, Utilization Review, Team Leadership, Microsoft Office, Project Management, Registered Nurses, Quality Assurance, Medical Necessity, Operating Room, Nursing Management, Nurse reviewer, Nurse Auditor, iflow, Edit Management System, InterQual, RACF, Citrix, CPC-A, Claim determination, Appeals, Consultation, Medical Defense, Electronic Medical..., Chart Review, Medical Record Review, 3M Chart Live, Inpatient Acute Care, Computerized Audit...
Education
American Academy of Professional Coders 2011 — 2011
CPC-H, Coding
Madonna University - Graduate Studies 1989 — 1995
MSA, Business Administration
Madonna College-Nursing 1977 — 1981
BSN, Nursing
Health Integrity, LLC May 2013 - Present
NCI, Inc. December 2009 - April 2013
Cigna Government Services August 2008 - December 2009
Cigna Government Services September 2007 - August 2008
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, English, Customer Service, Outlook, Public Speaking, Windows, Data Analysis, Policy, Insurance
Education
Tennessee Technological University 2002 — 2007
Bachelor of Science (B.S.), Business Administration and Management, General
General Dynamics Information Technology April 2012 - Present
Balyasny Asset Management L.P. October 2011 - April 2012
Health Integrity, LLC January 2010 - October 2011
Health Net May 2008 - January 2010
Skills
Fraud, Claim, Analysis, Investigation, Medicaid, Data Analysis, Private Investigations, Insurance, Medicare, Background Checks, Government, Fraud Detection, Risk Assessment, Risk Management
Education
James Madison University 2002 — 2004
B.B.A. Finance, Finance
George Mason University 2000 — 2002
N/A, Marketing
Point Pleasant Beach High School 1996 — 2000
General Diploma
Health Integrity, LLC February 2013 - Present
TrailBlazer Health Enterprises March 2007 - November 2012
Trailblazer Health Enterprises October 1998 - March 2007
Blue Cross Blue Shield of Texas March 1992 - September 1998
Blue Cross Blue Shield of Texas May 1989 - February 1992
Skills
Computer Hardware, Windows, HIPAA, Claim, Visio, Customer Service, Troubleshooting, Insurance, Microsoft Office, Software Documentation
Education
Eastfield Community College
Associates Degree, Arts and Science
LeTourneau University
Bachelor of Science, Business Management
AdvanceMed Corporation January 2015 - Present
Peak Health Solutions (Formerly Health Data Essentials) June 2012 - October 2014
Health Integrity, LLC March 2009 - February 2012
Children's Hospital of The King's Daughters May 2005 - January 2009
TriCenturion March 2003 - April 2005
Delmarva Foundation March 1996 - March 2003
Skills
SAS, Statistics, SAS programming, Data Mining, Data Analysis, Predictive Modeling, Statistical Modeling, Healthcare, Predictive Analytics, Analysis, Healthcare Information..., Analytics, Databases, SQL, Health Policy, Business Intelligence, Linear Regression, Survival Analysis, Data Management, Logistic Regression, SPSS, Time Series Analysis, Multivariate Analysis, Medicaid, Epidemiology, Biostatistics, R, Research, Data Warehousing, SAS Programming
Education
University of Maryland Baltimore County 1991 — 1993
MS, Statistics
Case Western Reserve University 1987 — 1991
BS, Statistics
Health Integrity, LLC October 2013 - Present
AdvanceMed Corp January 2012 - September 2013
WellPoint December 2009 - January 2012
Virginia Department of Health September 2005 - December 2009
Drake University December 2003 - August 2005
North Liberty Family Health Centre August 1988 - July 2003
Skills
Healthcare, Hospitals, Clinical Research, Medicaid, Program Management, Public Health, Insurance Fraud, Utilization Management, Managed Care, Case Managment, Health Policy, Disease Management, Medicine, Healthcare Information..., Healthcare Management, Data Analysis, HIPAA, Case Management
Education
Virginia Commonwealth University - School of Business 2007 — 2009
Master of Business Administration (M.B.A.)
University of Minnesota-Twin Cities 2004 — 2005
Master of Public Health (M.P.H.)
University of Iowa Roy J. and Lucille A. Carver College of Medicine 1981 — 1985
Doctor of Medicine (M.D.)
Health Integrity, LLC February 2012 - Present
Fenwal, Inc. April 2007 - March 2008
Concise Research, Inc. July 1999 - February 2005
Omnicare September 1998 - July 1999
Skills
FDA, Medical Devices, Regulatory Submissions, Clinical Trials, Regulatory Affairs, Validation, Management, Protocol, Clinical Research, Healthcare, Training, Biotechnology, Clinical Monitoring, V, Pharmaceutical Industry
Education
Elmhurst College 1985 — 1989
BSN, Nursing
Health Integrity, LLC May 2013 - Present
AdvanceMed, NCI November 2012 - May 2013
AdvanceMed, NCI March 2011 - November 2012
AdvanceMed, CSC February 2010 - February 2011
AdvanceMed, CSC October 2009 - January 2010
Skills
Statistics, Quality Assurance, Data Analysis, Access, Excel, Microsoft Office, SQL, Healthcare, SQL Server, SAS, Word, Data Mining, R, Oracle SQL, SPSS, SAS/SQL, Visual Basic, PowerPoint, MS Project, Regression, Data Management, Outlook, Minitab, SAS programming, Business Intelligence, Databases, Microsoft SQL Server, Technical Writing, Statistical Modeling, Predictive Analytics, Logistic Regression, Predictive Modeling, VBA, SAS Programming, Analytics
Education
Cornell University 2008 — 2009
Master, Applied Statistics
Nankai University 1999 — 2006
Master, Management Science and Engineering
Connolly Healthcare October 2011 - Present
Health Integrity, LLC March 2010 - October 2011
Leprechaun, LLC 2006 - 2010
Intracorp/Cigna healthcare 1998 - 2006
Skills
Nursing, Utilization Management, EHR
Education
Brookhaven Community College 1993 — 1995
Associate's degree, Registered Nursing/Registered Nurse
England
Health Integrity, LLC November 2014 - Present
Health Integrity, LLC July 2013 - October 2014
Health Integrity, LLC June 2012 - June 2013
Department of Biostatistics and Bioinformatics, Emory University July 2011 - April 2012
School of Management at Fudan University March 2010 - May 2010
FUEDF, Fudan University September 2008 - July 2009
Skills
SAS, R, Matlab, SUDAAN, C
Education
Emory University 2010 — 2012
Master of Science, Computer Science, Biostatistics Concentration
Fudan University 2006 — 2010
Bachelor of Science, Statistics
Highmark August 2013 - Present
Highmark December 2012 - August 2013
Highmark March 2011 - December 2012
Health Integrity, LLC June 2009 - March 2011
Skills
sas/sql, statistic,..., SAS, Statistics, Data Mining, Data Analysis, Healthcare, Predictive Modeling, Statistical Modeling, Healthcare Information..., Managed Care, Health Insurance, Medicare Advantage, Medicare Prescription..., Predictive Analytics, Analytics, SAS programming, SAS Programming
Education
Duquesne University
master, computational math
Anthem,, Inc. July 2014 - Present
Health Integrity, LLC March 2008 - July 2014
Skills
RN, HCAFA, CPC, AHFI, Medical Review, UR,..., Insurance
Education
Liberty University
Bachelor of Science
Retired February 2014 - Present
Health Integrity, LLC July 2011 - February 2014
Retired March 2011 - February 2014
FBI June 1989 - July 2010
Federal Bureau of Investigation 1989 - 2010
Skills
Investigations, Internal Investigations, Fraud, Fraud Investigations, Investigation, Background Checks, Medicare, Interviewing, Criminal Investigations, Evidence, Law Enforcement, Testimony, Government..., Criminal Investigation, Surveillance, Government, Counterintelligence, Criminal Justice, Private Investigations, Counterterrorism, Federal Law Enforcement, Enforcement, Forensic Analysis, Interrogation, Interviews, Police, Criminal Law, Homeland Security, Physical Security, Investigative Reporting, Cybercrime, Law Enforcement..., Executive Protection, Public Safety, Security Operations, Certified Fraud Examiner, Risk Assessment, Litigation Support, Corporate Security, Intelligence Analysis, Intelligence, Firearms, Crime Prevention, Computer Forensics
Education
University of Northern Colorado 1986 — 1989
Bachelor of Science, Accounting
Health Integrity, LLC June 2011 - Present
U.S. Department of Health and Human Services 1974 - June 2011
Education
University of Baltimore 1976 — 1980
MBA, Finance
Mt. St. Joseph H.S.
Alvin ISD Police Department September 2009 - Present
Health Integrity, LLC January 2009 - October 2009
TriCenturion October 2007 - January 2009
Galveston Police Department October 1981 - October 2007
Skills
Police Administration, Collaborative Leadership, School Based Law..., Public Safety, School Safety, Emergency Management, Department Budgeting, Patrol, Criminal Investigations, Homicide Investigations, Financial Crimes..., Health Care Fraud, Interrogation, NIMS, Enforcement, Private Investigations, Evidence, Internal Investigations, Crime Prevention, Police, Firearms, Law Enforcement..., Criminal Justice, Counterterrorism, Internal Affairs, Homeland Security, Community Policing, Field Training Officer, Crime Scene, Active Shooter, First Responder, Fraud, Criminology, Crime Scene..., Investigation, Criminal Intelligence
Education
The University of Texas at Austin 1979 — 1981
FBI National Academy
The University of Texas at Arlington
Bachelor of Criminology and Criminal Justice
Health Integrity, LLC April 2013 - Present
West Virginia University May 2011 - Present
West Virginia University April 2012 - August 2012
Skills
•Use SAS for data..., •Use R package for..., •Generate surveys..., Data programming using..., •Proficient with SAS,..., •Experiences of..., •Knowledge of..., Manipulated complex..., •Excellent..., Data Analysis, Biostatistics, SAS, Statistics, R
Education
West Virginia University 2010 — 2012
Master's degree, Statistics
Jiangsu University 1999 — 2003
Bachelor of Laws, International Economics Law
Jiangsu University 1999 — 2003
Bachelor's degree, International Economics Law
Health Integrity, LLC October 2011 - Present
Health Integrity, LLC October 2010 - October 2011
SafeGuard Services, LLC October 2009 - October 2010
SafeGuard Services, LLC December 2007 - September 2009
Science Applications International Corporation October 2006 - November 2007
U. S. Department of Veterans Affairs, Office of Inspector General, Los Angeles Audit Operations Divi October 2001 - October 2006
U. S. Department of Justice, U. S. Attorney’s Office, District of Arizona June 1997 - October 2001
Environmental Protection Agency (EPA), Office of Inspector General, Office of Audit January 1994 - June 1997
Defense Contract Audit Agency (DCAA), Annandale Branch Office January 1993 - January 1994
Skills
Leadership, Auditing, Management, Policy, Internal Audit, Medicare, Data Analysis, Health Insurance, Medicare Part D, Healthcare, Fraud, Medicaid, Managed Care
Education
San Diego State University-California State University 1983 — 1987
Bachelor of Science in Business Administration, Accounting
Simply Healthcare Plans September 2012 - October 2013
Palmetto GBA September 2011 - April 2012
Health Integrity, LLC February 2010 - September 2011
Palmetto GBA July 1998 - July 2007
Education
Florida International University
Bachelor of Applied Science (B.A.Sc.), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Health Integrity, LLC November 2013 - Present
CES, LLC August 2010 - June 2013
SafeGuard Services August 2009 - August 2010
Integriguard July 2008 - August 2009
Kansas Bureau of Investigation 1996 - 2008
U.S. Department of Immigration and Naturalization Service 1995 - 1996
United States Immigration and Naturalization Service - U.S. Border Patrol 1992 - 1995
Skills
Past State and Federal..., SWAT/Tactical squad..., Medical fraud and..., Gov't contract and..., Auditing experience, Fraud
Education
Kansas Law Enforcement Training Center 1996 — 1996
Federal Law Enforcement Training Center 1992 — 1992
Kansas Law Enforcement Training Center
Kansas State University 1984 — 1990
Bachelor of Arts (BA), Criminal Justice
Health Integrity, LLC November 2009 - Present
North Carolina Department of Justice 1983 - 2009
Skills
Policy, Strategic Planning, Insurance, Auditing, Government, Healthcare, Medicaid, Analysis, Leadership, Program Management, Fraud, Management, Microsoft Excel, Public Speaking, Managed Care, Risk Management, Project Management
Education
North Carolina State University
BA's in Economics and Business Administration, Major
North Carolina State University
BA Economics / BA Businessement Manag
Alegent Creighton Health January 2013 - Present
InfuScience, Inc. October 2011 - June 2013
Primary home healthcare June 2011 - October 2011
Health Integrity, LLC January 2011 - June 2011
Skills
Clinical Research
Education
College of Saint Mary 2005 — 2007
Associate of Science (AS), Registered Nursing/Registered Nurse
Health Integrity, LLC June 2015 - Present
Health Integrity, LLC January 2014 - June 2015
NVR, Inc. June 2013 - January 2014
US Department of Health and Human Services June 2011 - June 2013
US Department of Health and Human Services June 2010 - June 2011
Best Buy 2006 - 2009
Skills
Financial Analysis, Credit, Budgets, Contract Negotiation, Finance, Investigation, Healthcare, Fraud Detection, Healthcare improvement, Regulatory Affairs, Public Health, Due Diligence, Risk Management, Policy, Microsoft Word
Education
University of Maryland College Park 2007 — 2011
Bachelor's degree, Economics
Cenpatico June 2013 - June 2015
North Shore-LIJ Health System May 2011 - January 2013
Health Integrity, LLC November 2009 - May 2011
Saint Vincent Catholic Medical Centers June 2009 - November 2009
Skills
Medicaid, HIPAA, Healthcare, Healthcare Management, Physicians, Hospitals, Management, Managed Care
Education
Rowan University
BS, Law