TriCenturion Company
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TriCenturion Employees
Employee
Years
Job
Industry
Monique Church Monique Church's TriCenturion Experience March 2007 - March 2009
Job Administrative Assistant at American Healthcare Systems, Inc.
Industry Hospital & Health Care
Experience
American Healthcare Systems, Inc. June 2014 - Present
Hall's Motors May 2013 - June 2014
Thomas J. Henry Injury Attorneys July 2011 - September 2012
DLESI March 2006 - July 2011
Tricenturion March 2007 - March 2009
James B. Carroll, III, P.C. October 2005 - December 2006
US Army May 1989 - November 1992
Skills
Personal Injury..., Insurance Law, Product Liability, Workers Compensation, Medical Malpractice, Jury Trials, Legal Research, Legal Writing, Depositions, Paralegals, Legal Assistance, Plaintiff, Defense, Investigation, Automobile Accidents, Medical Records, Security, Legal Discovery, Complaints, Pleadings, Document Preparation, Trial Exhibits, Interviews, Manage Client..., Customer Service, Timeslips, Abacus, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Westlaw, Lexis, Outlook, Proofreading, Typing, Transcription, Ten Key, Administrative..., Trials, Hearings, Courts, Filing, Electronic Filing, Wordperfect, Litigation Support, Legal Documents, File Management, Dictaphone, Telephone Skills
Education
Remington College-Little Rock Campus 1994 — 1996
Associate's degree, Paralegal/Legal Assisting
American Healthcare Systems, Inc. June 2014 - Present
Hall's Motors May 2013 - June 2014
Thomas J. Henry Injury Attorneys July 2011 - September 2012
DLESI March 2006 - July 2011
Tricenturion March 2007 - March 2009
James B. Carroll, III, P.C. October 2005 - December 2006
US Army May 1989 - November 1992
Skills
Personal Injury..., Insurance Law, Product Liability, Workers Compensation, Medical Malpractice, Jury Trials, Legal Research, Legal Writing, Depositions, Paralegals, Legal Assistance, Plaintiff, Defense, Investigation, Automobile Accidents, Medical Records, Security, Legal Discovery, Complaints, Pleadings, Document Preparation, Trial Exhibits, Interviews, Manage Client..., Customer Service, Timeslips, Abacus, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Westlaw, Lexis, Outlook, Proofreading, Typing, Transcription, Ten Key, Administrative..., Trials, Hearings, Courts, Filing, Electronic Filing, Wordperfect, Litigation Support, Legal Documents, File Management, Dictaphone, Telephone Skills
Education
Remington College-Little Rock Campus 1994 — 1996
Associate's degree, Paralegal/Legal Assisting
Curtis Lord's TriCenturion Experience January 2000 - Present
Job President at Curtis Lord and Associates, LLC
Industry Government Administration
Experience
KEPRO October 2014 - Present
Curtis Lord and Associates, LLC December 2011 - Present
Tricenturion January 2000 - Present
First Coast Service Options, Inc. January 2008 - December 2011
C2C Solutions May 2008 - March 2011
Diversified Service Options 1998 - 2011
First Coast Service Options August 1998 - January 2008
Incepture 2001 - 2007
Blue Cross Blue Shield of Florida 1995 - 1998
Blue Cross Blue Shield of Florida 1983 - 1995
Skills
Strategic Planning, Health Care Fraud, Government Contracting, Government Procurement, Business Development, Medicare/Medicaid..., Medicare, Provider Relations, Executive Management, Board Governance, Board Relations, Data Analysis, Management Consulting, Contract Negotiation, Policy, Private Investigations, Healthcare Industry, Investigation, Managed Care, Fraud, Program Management, Leadership, Health Policy, Strategy, Analysis, Claim, Healthcare Consulting, Team Building, Healthcare Management
Education
Florida State University 1970 — 1974
BS, Mathematics
Harvard Business School 2003 — 2003
AMP 164, Advance Management Program
KEPRO October 2014 - Present
Curtis Lord and Associates, LLC December 2011 - Present
Tricenturion January 2000 - Present
First Coast Service Options, Inc. January 2008 - December 2011
C2C Solutions May 2008 - March 2011
Diversified Service Options 1998 - 2011
First Coast Service Options August 1998 - January 2008
Incepture 2001 - 2007
Blue Cross Blue Shield of Florida 1995 - 1998
Blue Cross Blue Shield of Florida 1983 - 1995
Skills
Strategic Planning, Health Care Fraud, Government Contracting, Government Procurement, Business Development, Medicare/Medicaid..., Medicare, Provider Relations, Executive Management, Board Governance, Board Relations, Data Analysis, Management Consulting, Contract Negotiation, Policy, Private Investigations, Healthcare Industry, Investigation, Managed Care, Fraud, Program Management, Leadership, Health Policy, Strategy, Analysis, Claim, Healthcare Consulting, Team Building, Healthcare Management
Education
Florida State University 1970 — 1974
BS, Mathematics
Harvard Business School 2003 — 2003
AMP 164, Advance Management Program
Shawn Mewborn Shawn Mewborn's TriCenturion Experience August 2002 - May 2009
Job Owner, Balloonopolis
Industry Entertainment
Experience
Balloonopolis January 2005 - Present
TriCenturion August 2002 - May 2009
Celeris October 2000 - December 2001
PMSC April 1997 - October 2000
Small Business Development Center March 1993 - April 1997
Sharpe's Formal Wear August 1986 - December 1992
Skills
Strategic Planning, Claim, Analysis, Data Analysis, Process Improvement, Team Leadership, Medicare, Leadership, Team Building, Project Management, Time Management, HIPAA, Entertainment, Customer Service, Microsoft Office, Event Planning, Start-ups, Microsoft Excel, Disaster Recovery, Healthcare Information..., Retail, Social Media, Management, Event Management, Parties, Social Media Marketing
Education
University of South Carolina - Darla Moore School of Business 1985 — 1993
Thomas Dale High School 1981 — 1985
Balloonopolis January 2005 - Present
TriCenturion August 2002 - May 2009
Celeris October 2000 - December 2001
PMSC April 1997 - October 2000
Small Business Development Center March 1993 - April 1997
Sharpe's Formal Wear August 1986 - December 1992
Skills
Strategic Planning, Claim, Analysis, Data Analysis, Process Improvement, Team Leadership, Medicare, Leadership, Team Building, Project Management, Time Management, HIPAA, Entertainment, Customer Service, Microsoft Office, Event Planning, Start-ups, Microsoft Excel, Disaster Recovery, Healthcare Information..., Retail, Social Media, Management, Event Management, Parties, Social Media Marketing
Education
University of South Carolina - Darla Moore School of Business 1985 — 1993
Thomas Dale High School 1981 — 1985
Angela Vernamonti-Steffens Angela Vernamonti-Steffens's TriCenturion Experience December 2003 - February 2005
Job Volunteer/ Advocacy
Industry Consumer Services
Experience
IntegriGuard January 2010 - January 2014
Tricenturion December 2003 - February 2005
Skills
HIPAA, Medicaid, EMR, Software Documentation, Nursing, Hospitals, Inpatient, Medical Billing, Medicare, Medical Records, Healthcare, Managed Care, Medical Coding
Education
National-Louis University 1999 — 2001
Masters Science, Managerial leadership
Gloucester County College
Associates Applied Science Nursing, Registered Nursing/Registered Nurse
IntegriGuard January 2010 - January 2014
Tricenturion December 2003 - February 2005
Skills
HIPAA, Medicaid, EMR, Software Documentation, Nursing, Hospitals, Inpatient, Medical Billing, Medicare, Medical Records, Healthcare, Managed Care, Medical Coding
Education
National-Louis University 1999 — 2001
Masters Science, Managerial leadership
Gloucester County College
Associates Applied Science Nursing, Registered Nursing/Registered Nurse
Sharmane Walker Sharmane Walker's TriCenturion Experience June 2006 - January 2008
Job Investigator, HHSCOIG
Industry Law Enforcement
Experience
HHSC, OIG Claims Investigator March 2015 - Present
The University of Texas at San Antonio January 2008 - March 2015
Tricenturion June 2006 - January 2008
Missouri Department of Labor and Industrial Relations 2005 - 2006
Missouri Attorney Generals Office September 1999 - August 2005
Skills
Research, Higher Education, Health Care Fraud, Nonprofits, Fraud, Criminal Justice, Policy, Investigation, Evidence, Background Checks, Surveillance, Criminal Investigations, Criminal Law
Education
Academy of Legal Investigations 2000 — 2000
Investigations, 4.0
Lincoln University (MO) 1998 — 2000
Master of Arts (MA), Sociology and Criminal Justice, 3.3
Columbia College 1994 — 1998
Bachelor of Arts (BA), Psychology and Criminal Justice Administration
HHSC, OIG Claims Investigator March 2015 - Present
The University of Texas at San Antonio January 2008 - March 2015
Tricenturion June 2006 - January 2008
Missouri Department of Labor and Industrial Relations 2005 - 2006
Missouri Attorney Generals Office September 1999 - August 2005
Skills
Research, Higher Education, Health Care Fraud, Nonprofits, Fraud, Criminal Justice, Policy, Investigation, Evidence, Background Checks, Surveillance, Criminal Investigations, Criminal Law
Education
Academy of Legal Investigations 2000 — 2000
Investigations, 4.0
Lincoln University (MO) 1998 — 2000
Master of Arts (MA), Sociology and Criminal Justice, 3.3
Columbia College 1994 — 1998
Bachelor of Arts (BA), Psychology and Criminal Justice Administration
Jonathan Lego's TriCenturion Experience October 2004 - February 2006
Job MBA Graduate Student at Strayer University
Industry Hospital & Health Care
Experience
Strayer University October 2013 - Present
Perry Hall Networking Club August 2011 - Present
State of Maryland November 2010 - August 2011
Rapid Response June 2010 - November 2010
Woodstock Job Corps February 2010 - June 2010
Chimes May 2009 - February 2010
IKEA May 2006 - May 2009
TriCenturion October 2004 - February 2006
The Arc of Baltimore February 2002 - May 2004
Department of Justice Drug Enforcement Administration August 1997 - January 2000
Skills
Interpersonal Skill, Verbal De-escalation, Computer Proficiency, Work Independently with..., Special Investigations, Team Building, Team Leadership, Analytical Skills, Time Management, Compliance, Phone Skills, Coaching, Instructor-led Training, Document Management, Positive Work..., Resolutions, Office Administration, Clerical Skills, Customer Service, Leadership, Budgets, Social Networking, Policy, Sales, Training, Telephone Skills, Public Speaking, Government, Management, Security
Education
Strayer University-Maryland 2013 — 2015
Master's degree, MBA Management
University of Baltimore 1991 — 1993
Bachelor of Science (BS), Criminal Justice
Perry Hall High School 1984 — 1988
High School Diploma, General Studies
Strayer University October 2013 - Present
Perry Hall Networking Club August 2011 - Present
State of Maryland November 2010 - August 2011
Rapid Response June 2010 - November 2010
Woodstock Job Corps February 2010 - June 2010
Chimes May 2009 - February 2010
IKEA May 2006 - May 2009
TriCenturion October 2004 - February 2006
The Arc of Baltimore February 2002 - May 2004
Department of Justice Drug Enforcement Administration August 1997 - January 2000
Skills
Interpersonal Skill, Verbal De-escalation, Computer Proficiency, Work Independently with..., Special Investigations, Team Building, Team Leadership, Analytical Skills, Time Management, Compliance, Phone Skills, Coaching, Instructor-led Training, Document Management, Positive Work..., Resolutions, Office Administration, Clerical Skills, Customer Service, Leadership, Budgets, Social Networking, Policy, Sales, Training, Telephone Skills, Public Speaking, Government, Management, Security
Education
Strayer University-Maryland 2013 — 2015
Master's degree, MBA Management
University of Baltimore 1991 — 1993
Bachelor of Science (BS), Criminal Justice
Perry Hall High School 1984 — 1988
High School Diploma, General Studies
Carie Larsen's TriCenturion Experience January 2004 - November 2005
Job Fleet Logistics Manager at Enterprise Holdings Inc.
Industry Automotive
Experience
Enterprise Holdings Inc. September 2011 - Present
Enterprise Rent-A-Car February 2005 - September 2011
TriCenturion January 2004 - November 2005
Education
Marshall University 1998 — 2002
Bachelor of Business Administration (BBA), Marketing
Enterprise Holdings Inc. September 2011 - Present
Enterprise Rent-A-Car February 2005 - September 2011
TriCenturion January 2004 - November 2005
Education
Marshall University 1998 — 2002
Bachelor of Business Administration (BBA), Marketing
Julie Holladay Julie Holladay's TriCenturion Experience February 2006 - Present
Job Investigator at TriCenturion
Industry Insurance
Experience
TriCenturion February 2006 - Present
TriCenturion February 2001 - Present
TriCenturion February 2001 - January 2006
State of South Carolina July 2000 - January 2001
State of South Carolina August 1999 - June 2000
Skills
fraud detection, data analysis, Certfied Fraud Examiner, Testimony, Criminal Justice, Investigative Research, Interviews, Investigation, Evidence, Health Care Fraud, Data Analysis, Private Investigations, Enforcement, Policy, Law Enforcement
Education
University of South Carolina-Columbia 1998 — 1999
Master's, Criminal Justice
University of South Carolina 1994 — 1999
B.S, Criminal Justice
TriCenturion February 2006 - Present
TriCenturion February 2001 - Present
TriCenturion February 2001 - January 2006
State of South Carolina July 2000 - January 2001
State of South Carolina August 1999 - June 2000
Skills
fraud detection, data analysis, Certfied Fraud Examiner, Testimony, Criminal Justice, Investigative Research, Interviews, Investigation, Evidence, Health Care Fraud, Data Analysis, Private Investigations, Enforcement, Policy, Law Enforcement
Education
University of South Carolina-Columbia 1998 — 1999
Master's, Criminal Justice
University of South Carolina 1994 — 1999
B.S, Criminal Justice
Christina Baker CIA, CRMA Christina Baker CIA, CRMA's TriCenturion Experience August 2005 - May 2009
Job Independent Consultant
Industry Accounting
Experience
Independent Consultant September 2014 - Present
Grant Thornton LLP October 2009 - August 2014
The Institute of Internal Auditors- Washington, D.C. Chapter January 2009 - November 2013
TriCenturion August 2005 - May 2009
Palmetto GBA August 2000 - August 2005
Skills
Auditing, Internal Controls, Internal Audit, Enterprise Risk..., Risk Assessment, Documentation, Compliance Audits, COSO, Process Improvement, Financial Control, Government, Financial Statements, Sarbanes-Oxley Act, Risk Management, Quality Auditing, External Audit, Financial Reporting, Finance
Education
University of South Carolina Upstate 1996 — 2000
BS, Accounting
Independent Consultant September 2014 - Present
Grant Thornton LLP October 2009 - August 2014
The Institute of Internal Auditors- Washington, D.C. Chapter January 2009 - November 2013
TriCenturion August 2005 - May 2009
Palmetto GBA August 2000 - August 2005
Skills
Auditing, Internal Controls, Internal Audit, Enterprise Risk..., Risk Assessment, Documentation, Compliance Audits, COSO, Process Improvement, Financial Control, Government, Financial Statements, Sarbanes-Oxley Act, Risk Management, Quality Auditing, External Audit, Financial Reporting, Finance
Education
University of South Carolina Upstate 1996 — 2000
BS, Accounting
Bob Mays bob-mays@comcast.net Bob Mays bob-mays@comcast.net's TriCenturion Experience February 2001 - January 2009
Job Staff Vice President, Special Investigations Unit at Anthem
Industry Security and Investigations
Experience
Anthem December 2014 - Present
Rainmakers Strategic Solutions, LLC January 2014 - December 2014
OptumInsight February 2012 - October 2013
Thomson Reuters February 2009 - February 2012
TriCenturion February 2001 - January 2009
Dover PD 1981 - 2001
Skills
Medicaid, Medicare, Fraud, Healthcare, Government, HIPAA, Program Management, Policy, Process Improvement, Data Analysis, Healthcare Information..., Strategic Planning, Project Management, Health Insurance, Private Investigations, Managed Care, Risk Assessment, Risk Management, Proposal Writing, Analysis, Management Consulting, Enforcement, Government Contracting, Background Checks, Investigation, Training, Police, Management, Leadership, Security, Executive Management, Governance, Healthcare Consulting, Change Management, Healthcare Industry, Law Enforcement
Education
Wilmington University 1993 — 1995
MS, Management
FBI National Academy 1993 — 1993
Executive Police Leadership, Executive Police Leadership
Delaware State University
BA, Sociology
Anthem December 2014 - Present
Rainmakers Strategic Solutions, LLC January 2014 - December 2014
OptumInsight February 2012 - October 2013
Thomson Reuters February 2009 - February 2012
TriCenturion February 2001 - January 2009
Dover PD 1981 - 2001
Skills
Medicaid, Medicare, Fraud, Healthcare, Government, HIPAA, Program Management, Policy, Process Improvement, Data Analysis, Healthcare Information..., Strategic Planning, Project Management, Health Insurance, Private Investigations, Managed Care, Risk Assessment, Risk Management, Proposal Writing, Analysis, Management Consulting, Enforcement, Government Contracting, Background Checks, Investigation, Training, Police, Management, Leadership, Security, Executive Management, Governance, Healthcare Consulting, Change Management, Healthcare Industry, Law Enforcement
Education
Wilmington University 1993 — 1995
MS, Management
FBI National Academy 1993 — 1993
Executive Police Leadership, Executive Police Leadership
Delaware State University
BA, Sociology
Jeff Diehr Jeff Diehr's TriCenturion Experience September 2004 - May 2006
Job Accounting / Financial Analysis / Reimbursement Professional
Industry Accounting
Experience
Starus Medical Group (SNI Finanacial Contract Consultant) June 2014 - August 2014
Tampa General Hospital (KForce Contract Consultant) November 2013 - January 2014
Center Pharmacy/Stanley Lab May 2012 - July 2013
CCS Medical May 2006 - March 2012
TriCenturion September 2004 - May 2006
Southwest Florida Home Care July 2002 - December 2003
Reingruber & Company, CPAs October 1996 - July 2002
Skills
Auditing, Account Reconciliation, Financial Reporting, Variance Analysis, Analytics, Compliance, 10 Key, Microsoft Office, Microsoft Excel, Organization, QuickBooks, Oracle General Ledger, Navision, Budgets, General Ledger..., Forecasting, Financial Modeling, Process Improvement, Fixed Assets, Healthcare Reimbursement, Inventory, Cash Management, Accounts Receivable, General Ledger, Financial Statements
Education
Charleston Southern University
Bachelor of Science (BS), Accounting
Starus Medical Group (SNI Finanacial Contract Consultant) June 2014 - August 2014
Tampa General Hospital (KForce Contract Consultant) November 2013 - January 2014
Center Pharmacy/Stanley Lab May 2012 - July 2013
CCS Medical May 2006 - March 2012
TriCenturion September 2004 - May 2006
Southwest Florida Home Care July 2002 - December 2003
Reingruber & Company, CPAs October 1996 - July 2002
Skills
Auditing, Account Reconciliation, Financial Reporting, Variance Analysis, Analytics, Compliance, 10 Key, Microsoft Office, Microsoft Excel, Organization, QuickBooks, Oracle General Ledger, Navision, Budgets, General Ledger..., Forecasting, Financial Modeling, Process Improvement, Fixed Assets, Healthcare Reimbursement, Inventory, Cash Management, Accounts Receivable, General Ledger, Financial Statements
Education
Charleston Southern University
Bachelor of Science (BS), Accounting
Carrie Ward, CFE, AHFI Carrie Ward, CFE, AHFI's TriCenturion Experience July 2005 - April 2006
Job Vice President of Operations at Health Integrity LLC
Industry Government Relations
Experience
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
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
Charles Schaming's TriCenturion Experience March 2012 - Present
Job Manager of Investigations at TriCenturion
Industry Insurance
Experience
TriCenturion March 2012 - Present
TriCenturion Manager of Investigations/PICPalmetto GBA1995 - 2006
Skills
Fraud Detection, Background Checks, Private Investigations, Auditing, Criminal Investigations, Health Care Fraud, Criminal Justice, Fraud, Litigation Support, Risk Management, Risk Assessment, Internal Audit, Internal Investigations, Surveillance, Insurance, Enforcement, Compliance, Government, Medicare, Evidence, HIPAA, Investigation, Process Improvement, Analysis, Certified Fraud Examiner, Healthcare, Government Contracting, Corporate Security, Security Management, Policy, Quality Auditing, Investigative Reporting, Strategic Planning, Police, Software Documentation, Health Insurance, Cybercrime, Management, Counterterrorism, Physical Security, Crime Prevention, Investigative Research, Forensic Analysis, Workplace Violence, Intelligence Analysis, Executive Protection, Criminal Law, Counter Surveillance, Claim, Firearms
Education
Florida State University 1969 — 1971
BA, International Affairs
TriCenturion March 2012 - Present
TriCenturion Manager of Investigations/PICPalmetto GBA1995 - 2006
Skills
Fraud Detection, Background Checks, Private Investigations, Auditing, Criminal Investigations, Health Care Fraud, Criminal Justice, Fraud, Litigation Support, Risk Management, Risk Assessment, Internal Audit, Internal Investigations, Surveillance, Insurance, Enforcement, Compliance, Government, Medicare, Evidence, HIPAA, Investigation, Process Improvement, Analysis, Certified Fraud Examiner, Healthcare, Government Contracting, Corporate Security, Security Management, Policy, Quality Auditing, Investigative Reporting, Strategic Planning, Police, Software Documentation, Health Insurance, Cybercrime, Management, Counterterrorism, Physical Security, Crime Prevention, Investigative Research, Forensic Analysis, Workplace Violence, Intelligence Analysis, Executive Protection, Criminal Law, Counter Surveillance, Claim, Firearms
Education
Florida State University 1969 — 1971
BA, International Affairs
Pamela Thomas Pamela Thomas's TriCenturion Experience October 2002 - May 2006
Job RN, BSN, Certified Professional Coder
Industry Hospital & Health Care
Experience
Self-employed July 2008 - Present
Tenet Healthcare January 2008 - July 2008
United Healthcare November 2007 - January 2008
TrailBlazer Health Enterprises June 2006 - February 2007
Tricenturion October 2002 - May 2006
TrailBlazer Health Enterprises July 2000 - October 2002
Skills
Healthcare, Compliance, Research, Health, Clinical, Clinical Research, Healthcare Management, Medicare, HIPAA, Medicaid, Managed Care, Software Documentation, Healthcare Information..., Health Insurance, Hospitals, Leadership, Policy, Insurance, Medicine
Education
Stephen F. Austin State University
BSN, Nursing
Self-employed July 2008 - Present
Tenet Healthcare January 2008 - July 2008
United Healthcare November 2007 - January 2008
TrailBlazer Health Enterprises June 2006 - February 2007
Tricenturion October 2002 - May 2006
TrailBlazer Health Enterprises July 2000 - October 2002
Skills
Healthcare, Compliance, Research, Health, Clinical, Clinical Research, Healthcare Management, Medicare, HIPAA, Medicaid, Managed Care, Software Documentation, Healthcare Information..., Health Insurance, Hospitals, Leadership, Policy, Insurance, Medicine
Education
Stephen F. Austin State University
BSN, Nursing
Don Schmadel's TriCenturion Experience October 2002 - Present
Job Healthcare Fraud Investigations Program Director at TriCenturion
Industry Insurance
Experience
TriCenturion October 2002 - Present
Palmetto GBA May 1993 - October 2002
USAF Office of Special Investigations 1989 - 1999
Skills
project management, Criminal Investigations, Fraud Investigations, Certified Fraud Examiner, Corporate Compliance, Fraud Prevention, Corporate Management, Law Enforcement, Strategic, Team and..., Healthcare Analytics, Security Management, Enforcement, Management, Claim, Statistics, Healthcare Management, Auditing, Background Checks, Medicare, Change Management, Criminal Justice, Insurance, Policy, Analysis, Quality Assurance, Medicaid, Strategic Planning, Proposal Writing, Organizational..., Fraud, Government Contracting, Operations Management, Investigation, Private Investigations, Managed Care, HIPAA, Data Analysis, Law Enforcement..., Health Insurance, Government, Process Improvement, Access, Training, Criminal Law, Police, Security Operations, Team Management, Leadership, Risk Assessment, Evidence
Education
Indiana University of Pennsylvania 1976 — 1980
BA, Criminology
Bishop McCort HS 1972 — 1976
TriCenturion October 2002 - Present
Palmetto GBA May 1993 - October 2002
USAF Office of Special Investigations 1989 - 1999
Skills
project management, Criminal Investigations, Fraud Investigations, Certified Fraud Examiner, Corporate Compliance, Fraud Prevention, Corporate Management, Law Enforcement, Strategic, Team and..., Healthcare Analytics, Security Management, Enforcement, Management, Claim, Statistics, Healthcare Management, Auditing, Background Checks, Medicare, Change Management, Criminal Justice, Insurance, Policy, Analysis, Quality Assurance, Medicaid, Strategic Planning, Proposal Writing, Organizational..., Fraud, Government Contracting, Operations Management, Investigation, Private Investigations, Managed Care, HIPAA, Data Analysis, Law Enforcement..., Health Insurance, Government, Process Improvement, Access, Training, Criminal Law, Police, Security Operations, Team Management, Leadership, Risk Assessment, Evidence
Education
Indiana University of Pennsylvania 1976 — 1980
BA, Criminology
Bishop McCort HS 1972 — 1976
Cindy Cooper, JD's TriCenturion Experience 2009 - Present
Job VP, Celerian Group Compliance at BlueCross BlueShield of SC
Industry Insurance
Experience
Ovarian Cancer Coalition of the Midlands January 2014 - Present
Cultural Council of Richland & Lexington Counties June 2010 - Present
Tricenturion 2009 - Present
BlueCross BlueShield of SC 2000 - Present
Leadership SC May 2011 - June 2014
BlueCross BlueShield of SC June 1994 - March 2000
Richardson, Plowden Grier & Howser July 1992 - June 1994
Skills
Government Programs, Ethics, Compliance, Oversight, Investigations, Access, Analysis, Benefits Administration, Business Process..., CISA, Change Management, Claim, Claims Management, Computer Forensics, Employee Training, Employment Law, Financial Risk, Governance, Government Procurement, Risk Management, Private Investigations, Policy Analysis, Process Improvement, Management, Medicare, Workers Compensation, Legal Compliance, Health Policy, Government Contracting, Managed Care, IT Audit, Interviews, Quality Auditing, Information Security, Vendor Management, Training, Mergers & Acquisitions, Strategic Planning, Sarbanes-Oxley Act, Privacy Law, Mediation, Software Documentation, Insurance, Leadership, Employee Relations, Internal Investigations, Legislation, Healthcare Industry, Information Security..., Healthcare Information...
Education
Leadership SC 2010 — 2011
University of South Carolina School of Law 1987 — 1990
Doctor of Law (J.D.)
University of South Carolina 1983 — 1987
Juris DoctorateSchool, Law
University of South Carolina 1983 — 1987
Bachelor of Arts, Psychology
Ovarian Cancer Coalition of the Midlands January 2014 - Present
Cultural Council of Richland & Lexington Counties June 2010 - Present
Tricenturion 2009 - Present
BlueCross BlueShield of SC 2000 - Present
Leadership SC May 2011 - June 2014
BlueCross BlueShield of SC June 1994 - March 2000
Richardson, Plowden Grier & Howser July 1992 - June 1994
Skills
Government Programs, Ethics, Compliance, Oversight, Investigations, Access, Analysis, Benefits Administration, Business Process..., CISA, Change Management, Claim, Claims Management, Computer Forensics, Employee Training, Employment Law, Financial Risk, Governance, Government Procurement, Risk Management, Private Investigations, Policy Analysis, Process Improvement, Management, Medicare, Workers Compensation, Legal Compliance, Health Policy, Government Contracting, Managed Care, IT Audit, Interviews, Quality Auditing, Information Security, Vendor Management, Training, Mergers & Acquisitions, Strategic Planning, Sarbanes-Oxley Act, Privacy Law, Mediation, Software Documentation, Insurance, Leadership, Employee Relations, Internal Investigations, Legislation, Healthcare Industry, Information Security..., Healthcare Information...
Education
Leadership SC 2010 — 2011
University of South Carolina School of Law 1987 — 1990
Doctor of Law (J.D.)
University of South Carolina 1983 — 1987
Juris DoctorateSchool, Law
University of South Carolina 1983 — 1987
Bachelor of Arts, Psychology
Daniel Monk Daniel Monk's TriCenturion Experience May 2006 - March 2007
Job Sr Specialist, Financial Analysis
Industry Utilities
Experience
TXU Energy August 2007 - Present
TriCenturion May 2006 - March 2007
Education
Southern Methodist University 2002 — 2006
BS, Economics, Mathematics
TXU Energy August 2007 - Present
TriCenturion May 2006 - March 2007
Education
Southern Methodist University 2002 — 2006
BS, Economics, Mathematics
John Hucks John Hucks's TriCenturion Experience March 2006 - August 2007
Job Compliance Testing Manager/VP at TD Bank
Industry Banking
Experience
TD Bank November 2014 - Present
TD Bank January 2014 - November 2014
Palmetto Chapter IIA June 2013 - June 2014
TD Bank April 2012 - January 2014
First Citizens Bank & Trust of South Carolina August 2007 - April 2012
Tricenturion March 2006 - August 2007
Skills
Internal Audit, Credit Risk, Auditing, Risk Management
Education
Webster University 2003 — 2004
MBA, Business Administration and Management, General
University of South Carolina-Aiken 1998 — 2002
Bachelor of Science (BS), Accounting
TD Bank November 2014 - Present
TD Bank January 2014 - November 2014
Palmetto Chapter IIA June 2013 - June 2014
TD Bank April 2012 - January 2014
First Citizens Bank & Trust of South Carolina August 2007 - April 2012
Tricenturion March 2006 - August 2007
Skills
Internal Audit, Credit Risk, Auditing, Risk Management
Education
Webster University 2003 — 2004
MBA, Business Administration and Management, General
University of South Carolina-Aiken 1998 — 2002
Bachelor of Science (BS), Accounting
Scot Wingo Scot Wingo's TriCenturion Experience January 2004 - June 2006
Job Senior Portfolio Analyst at Caliber Home Loans
Industry Hospital & Health Care
Experience
Caliber Home Loans June 2015 - Present
GE Capital January 2015 - Present
Hewlett-Packard March 2013 - October 2013
Targetbase August 2012 - December 2012
BenefitMall January 2009 - June 2009
LifeSynch/Humana January 2009 - February 2009
Nurtur Health, Inc. January 2007 - November 2008
Fannie Mae Foundation 2006 - 2007
Tricenturion January 2004 - June 2006
Aetna Health Plans August 1999 - January 2003
Skills
Data Warehousing, PL/SQL, Analysis, SQL, Data Analysis, Healthcare, SAS, Project Management, Unix, Database Design, Microsoft Excel, Microsoft SQL Server, Medicaid, Medicare, Statistics, Business Intelligence, Business Analysis, Access
Education
Texas A&M University 1990 — 1994
The University of Texas at Arlington 1982 — 1985
Bachelor of Science (B.S.), Economics
Caliber Home Loans June 2015 - Present
GE Capital January 2015 - Present
Hewlett-Packard March 2013 - October 2013
Targetbase August 2012 - December 2012
BenefitMall January 2009 - June 2009
LifeSynch/Humana January 2009 - February 2009
Nurtur Health, Inc. January 2007 - November 2008
Fannie Mae Foundation 2006 - 2007
Tricenturion January 2004 - June 2006
Aetna Health Plans August 1999 - January 2003
Skills
Data Warehousing, PL/SQL, Analysis, SQL, Data Analysis, Healthcare, SAS, Project Management, Unix, Database Design, Microsoft Excel, Microsoft SQL Server, Medicaid, Medicare, Statistics, Business Intelligence, Business Analysis, Access
Education
Texas A&M University 1990 — 1994
The University of Texas at Arlington 1982 — 1985
Bachelor of Science (B.S.), Economics
Ronald Gatlin Ronald Gatlin's TriCenturion Experience April 2003 - April 2005
Job Sr. Data Analyst at Clarity Services
Industry Financial Services
Experience
Clarity Services, Inc. August 2015 - Present
Citi May 2005 - July 2015
Tricenturion April 2003 - April 2005
Household Credit Services August 1999 - April 2003
HSBC 2003 - 2003
Skills
Analytics, Credit Cards, SAS, Financial Risk, Credit Risk, Portfolio Management, Credit, Banking, Risk Management, Financial Services, Data Analysis, Financial Analysis, Business Analysis, Financial Modeling, Relationship Management
Education
Tulane University 1996 — 1999
Mathematics
University of North Carolina at Wilmington 1994 — 1996
MS, Mathematics
University of North Carolina at Chapel Hill 1987 — 1991
AB, Education
Clarity Services, Inc. August 2015 - Present
Citi May 2005 - July 2015
Tricenturion April 2003 - April 2005
Household Credit Services August 1999 - April 2003
HSBC 2003 - 2003
Skills
Analytics, Credit Cards, SAS, Financial Risk, Credit Risk, Portfolio Management, Credit, Banking, Risk Management, Financial Services, Data Analysis, Financial Analysis, Business Analysis, Financial Modeling, Relationship Management
Education
Tulane University 1996 — 1999
Mathematics
University of North Carolina at Wilmington 1994 — 1996
MS, Mathematics
University of North Carolina at Chapel Hill 1987 — 1991
AB, Education
Manish Keemtee Manish Keemtee's TriCenturion Experience 1990 - 2005
Job Expert in providing & managing outsourcing services in BPO & KPO
Industry Internet
Experience
G2CPartners September 2009 - Present
LeapfrogOnline June 2009 - August 2012
Performics September 2007 - June 2009
TriCenturion 1990 - 2005
Skills
Analytics, Web Analytics, Mobile Marketing, Digital Marketing, Online Advertising, SEM, Management, Online Marketing, Digital Strategy, PPC
Education
Rensselaer Polytechnic Institute 1995 — 1998
bs, computer & Systems Engineering
Rensselaer Polytechnic Institute 1994 — 1998
Bachelor's degree, computer & Systems Engineering
G2CPartners September 2009 - Present
LeapfrogOnline June 2009 - August 2012
Performics September 2007 - June 2009
TriCenturion 1990 - 2005
Skills
Analytics, Web Analytics, Mobile Marketing, Digital Marketing, Online Advertising, SEM, Management, Online Marketing, Digital Strategy, PPC
Education
Rensselaer Polytechnic Institute 1995 — 1998
bs, computer & Systems Engineering
Rensselaer Polytechnic Institute 1994 — 1998
Bachelor's degree, computer & Systems Engineering
Samuel Croker's TriCenturion Experience 2003 - 2005
Job Solutions Architect Health & Life Science at SAS
Industry Computer Software
Experience
SAS September 2015 - Present
Actian Corporation December 2013 - September 2015
McKesson September 2011 - November 2013
Statistical Consultant 2005 - 2011
Tricenturion 2003 - 2005
SC Education Oversight Committee 2002 - 2003
SC Department of Health and Environmental Control 1999 - 2001
Skills
Data Mining, SAS, Analytics, Predictive Modeling, Data Analysis, R, Databases, Statistical Modeling, SAS programming, Data Warehousing, Predictive Analytics, Time Series Analysis, Logistic Regression, Data Modeling, DB2, Statistics, Machine Learning, Hadoop, Python, Unix, SAS Programming
Education
University of South Carolina-Columbia 2001 — 2006
MS, Statistics
University of South Carolina-Columbia 1996 — 1999
BS, Mathematics
SAS September 2015 - Present
Actian Corporation December 2013 - September 2015
McKesson September 2011 - November 2013
Statistical Consultant 2005 - 2011
Tricenturion 2003 - 2005
SC Education Oversight Committee 2002 - 2003
SC Department of Health and Environmental Control 1999 - 2001
Skills
Data Mining, SAS, Analytics, Predictive Modeling, Data Analysis, R, Databases, Statistical Modeling, SAS programming, Data Warehousing, Predictive Analytics, Time Series Analysis, Logistic Regression, Data Modeling, DB2, Statistics, Machine Learning, Hadoop, Python, Unix, SAS Programming
Education
University of South Carolina-Columbia 2001 — 2006
MS, Statistics
University of South Carolina-Columbia 1996 — 1999
BS, Mathematics
Jennifer Moore Jennifer Moore's TriCenturion Experience October 2002 - October 2007
Job Senior Manager, SABR Operational Excellence and Compliance at Biogen
Industry Pharmaceuticals
Experience
Biogen February 2015 - Present
Reckitt Benckiser Pharmaceuticals June 2014 - January 2015
Reckitt Benckiser Pharmaceuticals, Inc. April 2012 - May 2014
Reckitt Benckiser Pharmaceuticals February 2011 - March 2012
Reckitt Benckiser Pharmaceuticals 2007 - 2012
Reckitt Benckiser Pharmaceuticals, Inc. May 2009 - January 2011
Reckitt Benckiser Pharmaceuticals, Inc. November 2007 - April 2009
TriCenturion October 2002 - October 2007
Bon Secours St. Mary's Hospital October 1995 - January 2004
Trigon Blue Cross and Blue Shield September 2000 - September 2002
Skills
Registered Nurse, Clinical Auditing, Compliance, Quality Assurance, Standards Development, Staff Training, CAPA Management, FDA Audit, MHRA Audit, Certified Fraud Examiner, CRN-C (inactive), SDEA, SOP development, CAPA, Clinical Outcomes, Clinical Trials, FDA, Clinical Research, Cross-functional Team..., Healthcare, Management, Neurology, Oncology, Pharmaceutical Industry, Pharmacovigilance, Regulatory Affairs, Regulatory Requirements, Regulatory Submissions, SOP, Sop, Training
Education
John Tyler Community College 1993 — 1995
Associate of Science (AS), Registered Nursing/Registered Nurse
Richard Bland College of the College of William and Mary 1986 — 1989
Biogen February 2015 - Present
Reckitt Benckiser Pharmaceuticals June 2014 - January 2015
Reckitt Benckiser Pharmaceuticals, Inc. April 2012 - May 2014
Reckitt Benckiser Pharmaceuticals February 2011 - March 2012
Reckitt Benckiser Pharmaceuticals 2007 - 2012
Reckitt Benckiser Pharmaceuticals, Inc. May 2009 - January 2011
Reckitt Benckiser Pharmaceuticals, Inc. November 2007 - April 2009
TriCenturion October 2002 - October 2007
Bon Secours St. Mary's Hospital October 1995 - January 2004
Trigon Blue Cross and Blue Shield September 2000 - September 2002
Skills
Registered Nurse, Clinical Auditing, Compliance, Quality Assurance, Standards Development, Staff Training, CAPA Management, FDA Audit, MHRA Audit, Certified Fraud Examiner, CRN-C (inactive), SDEA, SOP development, CAPA, Clinical Outcomes, Clinical Trials, FDA, Clinical Research, Cross-functional Team..., Healthcare, Management, Neurology, Oncology, Pharmaceutical Industry, Pharmacovigilance, Regulatory Affairs, Regulatory Requirements, Regulatory Submissions, SOP, Sop, Training
Education
John Tyler Community College 1993 — 1995
Associate of Science (AS), Registered Nursing/Registered Nurse
Richard Bland College of the College of William and Mary 1986 — 1989
Jane Naig, RN, CFE, AHFI Jane Naig, RN, CFE, AHFI's TriCenturion Experience February 2001 - September 2008
Job Sr. Analytic Consultant at Truven Health Analytics
Industry Information Technology and Services
Experience
Truven Health Analytics September 2008 - Present
TriCenturion February 2001 - September 2008
Palmetto GBA September 1995 - February 2001
Inpatient/Outpatient Settings July 1981 - September 1995
Skills
Medicaid, Medicare, HIPAA, Microsoft Excel, Analytics, Data Mining, Data Warehousing, Fraud, Healthcare, Strategic Planning, Healthcare Information..., Claim, Access, Data Analysis, Software Documentation, SQL, Policy, Managed Care, SAS, Process Improvement, Quality Assurance, Statistics, Analysis, Project Management, Insurance, Research, Healthcare Management, Clinical Research, Database Administration, Compliance, Fraud Detection, Healthcare Analytics, Health Insurance, Databases, Business Analysis, Health Care Fraud, Medical Coding, CPT, Risk Management, Data Management, Pharmacy Benefit..., Healthcare Industry, Health Policy, Predictive Analytics, Statistical Modeling, Business Intelligence, Visio, Data Modeling, Certified Fraud Examiner
Education
Graceland University
Bachelor's Degree, Health Care Administration
Iowa Lakes Community College
Associate Degree in Nursing, Registered Nurse
Truven Health Analytics September 2008 - Present
TriCenturion February 2001 - September 2008
Palmetto GBA September 1995 - February 2001
Inpatient/Outpatient Settings July 1981 - September 1995
Skills
Medicaid, Medicare, HIPAA, Microsoft Excel, Analytics, Data Mining, Data Warehousing, Fraud, Healthcare, Strategic Planning, Healthcare Information..., Claim, Access, Data Analysis, Software Documentation, SQL, Policy, Managed Care, SAS, Process Improvement, Quality Assurance, Statistics, Analysis, Project Management, Insurance, Research, Healthcare Management, Clinical Research, Database Administration, Compliance, Fraud Detection, Healthcare Analytics, Health Insurance, Databases, Business Analysis, Health Care Fraud, Medical Coding, CPT, Risk Management, Data Management, Pharmacy Benefit..., Healthcare Industry, Health Policy, Predictive Analytics, Statistical Modeling, Business Intelligence, Visio, Data Modeling, Certified Fraud Examiner
Education
Graceland University
Bachelor's Degree, Health Care Administration
Iowa Lakes Community College
Associate Degree in Nursing, Registered Nurse
Tanya Maddox, CFE's TriCenturion Experience September 2002 - February 2004
Job Certified Fraud Examiner
Industry Security and Investigations
Experience
VIVA Health August 2015 - Present
CSA December 2014 - February 2015
Cahaba Safeguard Administrators October 2013 - December 2014
TRICENTURION, LLC February 2004 - September 2004
Tricenturion September 2002 - February 2004
AGENCY FOR HEALTH CARE ADMINISTRATION October 1997 - July 2000
DEPARTMENT OF REVENUE September 1995 - September 1997
Skills
Fraud, Private Investigations, Certified Fraud Examiner, Enforcement, Investigation, Background Checks, Internal Investigations, Medicare, Courts, Health Care Fraud, Interviews, Fraud Detection, Data Analysis, Risk Management, Medicaid, Evidence, Project Management, Team Leadership, Staff Supervision, Federal Government..., Management, Market Research
Education
Auburn University 1991 — 1995
Bachelor of Arts (B.A.), Criminal Justice/Law Enforcement Administration
VIVA Health August 2015 - Present
CSA December 2014 - February 2015
Cahaba Safeguard Administrators October 2013 - December 2014
TRICENTURION, LLC February 2004 - September 2004
Tricenturion September 2002 - February 2004
AGENCY FOR HEALTH CARE ADMINISTRATION October 1997 - July 2000
DEPARTMENT OF REVENUE September 1995 - September 1997
Skills
Fraud, Private Investigations, Certified Fraud Examiner, Enforcement, Investigation, Background Checks, Internal Investigations, Medicare, Courts, Health Care Fraud, Interviews, Fraud Detection, Data Analysis, Risk Management, Medicaid, Evidence, Project Management, Team Leadership, Staff Supervision, Federal Government..., Management, Market Research
Education
Auburn University 1991 — 1995
Bachelor of Arts (B.A.), Criminal Justice/Law Enforcement Administration
David Corrington's TriCenturion Experience 2005 - 2007
Job Security ManagerMountain RegionComcast
Industry Security and Investigations
Experience
Comcast July 2008 - Present
First Horizon National Corporation January 2007 - June 2008
Tricenturion 2005 - 2007
US Department of Homeland Security August 2000 - March 2005
Skills
Fluent Spanish, Fluent Portuguese, Criminal Justice, Internal Investigations, Criminal Investigations, Corporate Security, Private Investigations, Physical Security, Security Management, Background Checks, Emergency Management, Enforcement, CCTV, Security, Risk Assessment, Investigation, Executive Protection, Surveillance, Security Awareness, Security Operations, Fraud, Access Control, Loss Prevention, Crisis Management, Computer Forensics, Security Audits
Education
University of North Texas 2006 — 2010
Masters, Criminal Justice
Arizona State University 1993 — 1996
Bachelor of Science, Criminal Justice
Comcast July 2008 - Present
First Horizon National Corporation January 2007 - June 2008
Tricenturion 2005 - 2007
US Department of Homeland Security August 2000 - March 2005
Skills
Fluent Spanish, Fluent Portuguese, Criminal Justice, Internal Investigations, Criminal Investigations, Corporate Security, Private Investigations, Physical Security, Security Management, Background Checks, Emergency Management, Enforcement, CCTV, Security, Risk Assessment, Investigation, Executive Protection, Surveillance, Security Awareness, Security Operations, Fraud, Access Control, Loss Prevention, Crisis Management, Computer Forensics, Security Audits
Education
University of North Texas 2006 — 2010
Masters, Criminal Justice
Arizona State University 1993 — 1996
Bachelor of Science, Criminal Justice
Karen Brown, CFE's TriCenturion Experience January 2007 - May 2011
Job at Titan Investigative Alliance, LLC
Industry Security and Investigations
Experience
Titan Investigative Alliance, LLC July 2009 - Present
TriCenturion January 2007 - May 2011
Facticon, Inc. January 1993 - January 2007
Skills
Private Investigations, Surveillance, Background Checks, Investigation, Fraud
Education
La Salle University 1988 — 1992
Titan Investigative Alliance, LLC July 2009 - Present
TriCenturion January 2007 - May 2011
Facticon, Inc. January 1993 - January 2007
Skills
Private Investigations, Surveillance, Background Checks, Investigation, Fraud
Education
La Salle University 1988 — 1992
Nichols Fletcher's TriCenturion Experience 2008 - Present
Job RN Medical Review Program Integrity
Industry Security and Investigations
Experience
Tricenturion 2008 - Present
TriCenturion July 2001 - February 2008
PalmettoGBA 1998 - 2001
Skills
Durable Medical..., Medicare, Fraud Investigations, Insurance Fraud, Supervisory Skills, Organizational..., Medical Review, Medical Affairs, Fraud, Insurance, Policy, Enforcement, Health Care Fraud, Background Checks, Healthcare Information..., Investigation, Health Insurance, Private Investigations, Managed Care
Education
Midlands Technical College 1990 — 1993
ADN, RN
Tricenturion 2008 - Present
TriCenturion July 2001 - February 2008
PalmettoGBA 1998 - 2001
Skills
Durable Medical..., Medicare, Fraud Investigations, Insurance Fraud, Supervisory Skills, Organizational..., Medical Review, Medical Affairs, Fraud, Insurance, Policy, Enforcement, Health Care Fraud, Background Checks, Healthcare Information..., Investigation, Health Insurance, Private Investigations, Managed Care
Education
Midlands Technical College 1990 — 1993
ADN, RN
Jeannine Pierce's TriCenturion Experience February 2006 - Present
Job Accountant
Industry Accounting
Experience
TriCenturion February 2006 - Present
Skills
Internal Audit, Fraud, Financial Reporting
Education
University of South Carolina - Darla Moore School of Business 1996 — 1999
Bachelor of Science, Accounting
TriCenturion February 2006 - Present
Skills
Internal Audit, Fraud, Financial Reporting
Education
University of South Carolina - Darla Moore School of Business 1996 — 1999
Bachelor of Science, Accounting
Lauren Gillooly Robbins's TriCenturion Experience June 2005 - January 2008
Job Provider Outreach & Education Manager at Palmetto GBA
Industry Government Administration
Experience
Palmetto GBA April 2012 - Present
Self-Employed; Writing & Design March 2009 - April 2012
TriCenturion June 2005 - January 2008
Skills
Policy, Proposal Writing, Research, Project Management, Quality Assurance, Government contracting, Instructional Writing, Management, Medicare, Community Outreach, Government Contracting, Training, Public Speaking, Strategic Planning, Process Improvement, Staff Development, Data Analysis, Leadership, Editing, Nonprofits
Education
MMC Program, University of SC 2002 — 2005
Master of Mass Communication
Columbia College (SC) 1994 — 1998
Bachelor of Arts (B.A.), English, Communication Arts Emphasis
Palmetto GBA April 2012 - Present
Self-Employed; Writing & Design March 2009 - April 2012
TriCenturion June 2005 - January 2008
Skills
Policy, Proposal Writing, Research, Project Management, Quality Assurance, Government contracting, Instructional Writing, Management, Medicare, Community Outreach, Government Contracting, Training, Public Speaking, Strategic Planning, Process Improvement, Staff Development, Data Analysis, Leadership, Editing, Nonprofits
Education
MMC Program, University of SC 2002 — 2005
Master of Mass Communication
Columbia College (SC) 1994 — 1998
Bachelor of Arts (B.A.), English, Communication Arts Emphasis
David Duhaime's TriCenturion Experience InvestigatorNew York State Attorney General1999 - 2003
Job Manager at TriCenturion
Industry Insurance
Experience
TriCenturion InvestigatorNew York State Attorney General1999 - 2003
Education
Norwich University 1986 — 1990
BA, Crimonal Justice
TriCenturion InvestigatorNew York State Attorney General1999 - 2003
Education
Norwich University 1986 — 1990
BA, Crimonal Justice
Mary Beach's TriCenturion Experience January 2003 - December 2005
Job AVP, Corporate Investigations at Amerigroup Corporation
Industry Insurance
Experience
Amerigroup Corporation January 2007 - Present
Disatronic Medical Systems December 2005 - January 2007
TriCenturion January 2003 - December 2005
Skills
Medicare, Medicaid, Revenue Cycle, Fraud, Healthcare Management, Healthcare, Medical Compliance, Provider Relations, HIPAA, Process Improvement, Managed Care, Claim, Healthcare Information..., Health Insurance, Healthcare Industry, Health Policy
Education
Indiana University Kokomo 1982 — 1984
BS, Accounting
Amerigroup Corporation January 2007 - Present
Disatronic Medical Systems December 2005 - January 2007
TriCenturion January 2003 - December 2005
Skills
Medicare, Medicaid, Revenue Cycle, Fraud, Healthcare Management, Healthcare, Medical Compliance, Provider Relations, HIPAA, Process Improvement, Managed Care, Claim, Healthcare Information..., Health Insurance, Healthcare Industry, Health Policy
Education
Indiana University Kokomo 1982 — 1984
BS, Accounting
Star Huynh, MS, CFE's TriCenturion Experience September 2006 - February 2009
Job Lead Investigator at Health Integrity, LLC
Industry Security and Investigations
Experience
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 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
Chris Hensley, CFE's TriCenturion Experience May 2006 - January 2009
Job Senior Investigator at OptumInsight
Industry Hospital & Health Care
Experience
OptumInsight October 2011 - Present
CES - Health Integrity January 2009 - January 2011
CES - Health Integrity, LLC January 2009 - January 2011
TriCenturion May 2006 - January 2009
Risk Enterprise Management July 2005 - March 2006
State Farm Insurance October 1998 - October 2004
Collin County April 1998 - October 1998
United States Navy September 1990 - March 1995
Skills
Investigation, Insurance, Medicare, Claim, Fraud, Private Investigations, Medicaid, Claim Investigation, Liability, Background Checks, Interviews, Data Mining, Certified Fraud Examiner, Data Analysis, HIPAA, Health Insurance, Risk Assessment, Health Care Fraud, Surveillance, Supervisory Skills, Claims Management, Strategic Planning, Regulations, Training, Policy, Enforcement, Fraud Detection, Process Improvement, Law Enforcement
Education
The University of Texas at Dallas 2000 — 2001
B.A., Interdisciplinary Studies
University of San Diego 1995 — 1997
N/A, Business Administration
Seward County Community College 1988 — 1990
N/A, Business
OptumInsight October 2011 - Present
CES - Health Integrity January 2009 - January 2011
CES - Health Integrity, LLC January 2009 - January 2011
TriCenturion May 2006 - January 2009
Risk Enterprise Management July 2005 - March 2006
State Farm Insurance October 1998 - October 2004
Collin County April 1998 - October 1998
United States Navy September 1990 - March 1995
Skills
Investigation, Insurance, Medicare, Claim, Fraud, Private Investigations, Medicaid, Claim Investigation, Liability, Background Checks, Interviews, Data Mining, Certified Fraud Examiner, Data Analysis, HIPAA, Health Insurance, Risk Assessment, Health Care Fraud, Surveillance, Supervisory Skills, Claims Management, Strategic Planning, Regulations, Training, Policy, Enforcement, Fraud Detection, Process Improvement, Law Enforcement
Education
The University of Texas at Dallas 2000 — 2001
B.A., Interdisciplinary Studies
University of San Diego 1995 — 1997
N/A, Business Administration
Seward County Community College 1988 — 1990
N/A, Business
Rachael Lozano-Plazas, CFE, AHFI's TriCenturion Experience January 2004 - September 2008
Job Senior Analytic Consultant at Truven Health Analytics formerly the Healthcare Business of Thomson Reuters
Industry Hospital & Health Care
Experience
Truven Health Analytics formerly the Healthcare Business of Thomson Reuters September 2008 - Present
TriCenturion January 2004 - September 2008
Trace America February 1993 - January 2004
Skills
Certified Fraud Examiner, Fraud, Investigation, Medicare, Medicaid, Accredited Health Care..., Data Analysis, Research, Auditing, Insurance, Interviews, Private Investigations, Quality Assurance
Education
Towson University 1989 — 1992
BS, Criminal Justice
Truven Health Analytics formerly the Healthcare Business of Thomson Reuters September 2008 - Present
TriCenturion January 2004 - September 2008
Trace America February 1993 - January 2004
Skills
Certified Fraud Examiner, Fraud, Investigation, Medicare, Medicaid, Accredited Health Care..., Data Analysis, Research, Auditing, Insurance, Interviews, Private Investigations, Quality Assurance
Education
Towson University 1989 — 1992
BS, Criminal Justice
Penny Borjas's TriCenturion Experience 2004 - 2005
Job Lead Data Analyst at General Motors
Industry Automotive
Experience
General Motors January 2011 - June 2012
CCE May 2007 - April 2010
Citi Group 2005 - 2007
ACL 2005 - 2006
TriCenturion 2004 - 2005
BayCare Health System 1999 - 2004
Education
University of South Florida 1986 — 1989
BS
General Motors January 2011 - June 2012
CCE May 2007 - April 2010
Citi Group 2005 - 2007
ACL 2005 - 2006
TriCenturion 2004 - 2005
BayCare Health System 1999 - 2004
Education
University of South Florida 1986 — 1989
BS
Lynn Lukins, M.S.'s TriCenturion Experience September 2003 - July 2004
Job Survey Research, Qualtrics Programming, Secondary Research, Data Analysis/Statistics, Data Mining, BI Consultant
Industry Information Technology and Services
Experience
Data Analytics and Research Solutions LLC August 2011 - Present
Harrison College October 2010 - May 2014
Ivy Tech Community College September 2006 - September 2010
Robert Half Management Resources May 2006 - July 2006
Bright House Networks Cable Company July 2004 - September 2005
TriCenturion September 2003 - July 2004
United Health Group May 2000 - September 2003
St. Vincent Hospitals and Health Services April 1999 - May 2000
Chatsworth Products October 1997 - April 1999
IUPUI Office of Information Management and Institutional Research June 1996 - October 1997
Skills
Data Analysis, SPSS, Statistics, SAS, Access, Research, Market Research, Survey Design, Analysis, Interviews, SQL, Higher Education, Microsoft Excel, Marketing Research, Primary Research, Qualtrics Survey..., Enrollment Management, Policy, PowerPoint, Research Design, Survey Development, Student Affairs, Program Management, Management, Microsoft Access, Excel, Database Design, Employee Opinion Surveys, Secondary Research, Spanish, Regression, ANOVA, Benefits Administration, Human Resources, Employee Selection, Qualtrics Programming, HTML, Performance Appraisal, Survey Monkey, Snap Survey Software, Medicare and Medicaid, Healthcare Industry, Non-traditional Students, Customer Satisfaction, Predictive Analytics, Predictive Modeling, Data Modeling, Recruiting
Education
Indiana University-Purdue University at Indianapolis 1995 — 1997
Master of Science, Industrial/Organizational Psychology, 4.0
Indiana State University 1992 — 1994
Bachelor of Science, Psychology, 3.83
The University of Georgia 2005 — 2006
Certificate, Principles of Marketing Research
University of California, Irvine 2013 — 2013
Courses Only, Predictive Analytics and Data Modeling
Ivy Tech Community College 2003 — 2012
Courses Only, Database and Business Courses
University of Indianapolis 2003 — 2003
Courses Only, SQL Programming, 4.0
Indiana University-Purdue University at Indianapolis 1999 — 1999
Advanced Certificate, Human Resources Management and Services, N/A, continuing education credit
Data Analytics and Research Solutions LLC August 2011 - Present
Harrison College October 2010 - May 2014
Ivy Tech Community College September 2006 - September 2010
Robert Half Management Resources May 2006 - July 2006
Bright House Networks Cable Company July 2004 - September 2005
TriCenturion September 2003 - July 2004
United Health Group May 2000 - September 2003
St. Vincent Hospitals and Health Services April 1999 - May 2000
Chatsworth Products October 1997 - April 1999
IUPUI Office of Information Management and Institutional Research June 1996 - October 1997
Skills
Data Analysis, SPSS, Statistics, SAS, Access, Research, Market Research, Survey Design, Analysis, Interviews, SQL, Higher Education, Microsoft Excel, Marketing Research, Primary Research, Qualtrics Survey..., Enrollment Management, Policy, PowerPoint, Research Design, Survey Development, Student Affairs, Program Management, Management, Microsoft Access, Excel, Database Design, Employee Opinion Surveys, Secondary Research, Spanish, Regression, ANOVA, Benefits Administration, Human Resources, Employee Selection, Qualtrics Programming, HTML, Performance Appraisal, Survey Monkey, Snap Survey Software, Medicare and Medicaid, Healthcare Industry, Non-traditional Students, Customer Satisfaction, Predictive Analytics, Predictive Modeling, Data Modeling, Recruiting
Education
Indiana University-Purdue University at Indianapolis 1995 — 1997
Master of Science, Industrial/Organizational Psychology, 4.0
Indiana State University 1992 — 1994
Bachelor of Science, Psychology, 3.83
The University of Georgia 2005 — 2006
Certificate, Principles of Marketing Research
University of California, Irvine 2013 — 2013
Courses Only, Predictive Analytics and Data Modeling
Ivy Tech Community College 2003 — 2012
Courses Only, Database and Business Courses
University of Indianapolis 2003 — 2003
Courses Only, SQL Programming, 4.0
Indiana University-Purdue University at Indianapolis 1999 — 1999
Advanced Certificate, Human Resources Management and Services, N/A, continuing education credit
Christopher Tuggy's TriCenturion Experience Research AnalystCranewareFebruary 2009 - October 2013
Job SAS Programmer
Industry Hospital & Health Care
Experience
Tricenturion Research AnalystCranewareFebruary 2009 - October 2013
Palmetto GBA October 2000 - February 2009
Skills
Healthcare, Data Analysis, Healthcare Information..., Access, HIPAA, Process Improvement, Analysis, Databases, Hospitals, Business Analysis, Healthcare Management, Software Documentation, Revenue Cycle, Medicare, Team Building
Education
Columbia International University 1996 — 1998
BS, General Studies
University of Arizona 1991 — 1994
Tricenturion Research AnalystCranewareFebruary 2009 - October 2013
Palmetto GBA October 2000 - February 2009
Skills
Healthcare, Data Analysis, Healthcare Information..., Access, HIPAA, Process Improvement, Analysis, Databases, Hospitals, Business Analysis, Healthcare Management, Software Documentation, Revenue Cycle, Medicare, Team Building
Education
Columbia International University 1996 — 1998
BS, General Studies
University of Arizona 1991 — 1994
Jennifer Mabe's TriCenturion Experience April 2007 - Present
Job Fraud Investigator
Industry Security and Investigations
Experience
TriCenturion April 2007 - Present
Florida Department of Law Enforcement June 2003 - April 2007
Florida Department of Law Enforcement November 1997 - August 2001
Skills
Fraud, Testimony, Evidence, Criminal Law, Criminal Justice, Criminal Investigations, Security, Policy, Government, Surveillance, Crime Prevention
Education
University of South Florida 1998 — 2003
MPA, Public Administration
University of South Florida 1993 — 1996
BA, Criminology and Sociology
TriCenturion April 2007 - Present
Florida Department of Law Enforcement June 2003 - April 2007
Florida Department of Law Enforcement November 1997 - August 2001
Skills
Fraud, Testimony, Evidence, Criminal Law, Criminal Justice, Criminal Investigations, Security, Policy, Government, Surveillance, Crime Prevention
Education
University of South Florida 1998 — 2003
MPA, Public Administration
University of South Florida 1993 — 1996
BA, Criminology and Sociology
Katelyn Benham's TriCenturion Experience July 2009 - August 2010
Job Claim Representative at Travelers Insurance
Industry Insurance
Experience
Travelers Insurance August 2010 - Present
TriCenturion July 2009 - August 2010
Kaplan Test Prep and Admissions August 2008 - June 2009
Avon Cosmetics August 2007 - June 2009
Avon Cosmetics June 2008 - August 2008
Education
University of South Carolina - Darla Moore School of Business 2005 — 2009
Investment Finance, Human Resource Management
University of South Carolina-Columbia 2005 — 2009
Bachelor of Science, Investment Finance, Human Resource Management
Travelers Insurance August 2010 - Present
TriCenturion July 2009 - August 2010
Kaplan Test Prep and Admissions August 2008 - June 2009
Avon Cosmetics August 2007 - June 2009
Avon Cosmetics June 2008 - August 2008
Education
University of South Carolina - Darla Moore School of Business 2005 — 2009
Investment Finance, Human Resource Management
University of South Carolina-Columbia 2005 — 2009
Bachelor of Science, Investment Finance, Human Resource Management
rodney webber's TriCenturion Experience 2006 - 2008
Job Accountant IV at Palmetto GBA
Industry Accounting
Experience
Palmetto GBA Accountant IVTricenturion2006 - 2008
Tricenturion 2006 - 2008
Education
University of South Carolina - Darla Moore School of Business 1993 — 2001
Bachelor of Science in Business Administration, Accounting/Management Information Systems/Management
Palmetto GBA Accountant IVTricenturion2006 - 2008
Tricenturion 2006 - 2008
Education
University of South Carolina - Darla Moore School of Business 1993 — 2001
Bachelor of Science in Business Administration, Accounting/Management Information Systems/Management
MaryJo Roué's TriCenturion Experience June 2003 - April 2005
Job Bureau Chief at South Carolina Department of Health and Environmental Control
Industry Government Administration
Experience
South Carolina Department of Health and Environmental Control July 2014 - Present
South Carolina Department of Health and Environmental Control May 2005 - July 2014
TriCenturion June 2003 - April 2005
HealthNow New York Inc. July 2000 - April 2003
American Language Technologies September 1997 - April 2000
Automated Health System, Inc December 1994 - July 1996
Center for Innovative Technology and Education September 1993 - December 1994
ERGO Magazine 1990 - 1994
The ARC of Lackawanna County March 1989 - July 1993
Skills
Healthcare, Medicare, Training, Medicaid, Community Outreach, Hospitals, HIPAA, Policy, Editing, Management, Home Care, Program Management, Health Insurance, Nonprofits, Data Analysis, Public Speaking, Public Health, Customer Service, Healthcare Management, Healthcare Information..., Fundraising, HMO, Leadership Development, Strategic Planning, Access, Health Education, Provider Relations, Quality Assurance, Budgets, healthcare policy, Compliance Regulations, healthcare regulation, International Relations, Creative Writing, Freelance Writing, Community Organizing, Six Sigma, Leadership
Education
Marywood University 1984 — 1988
BA, Health Services Administration
South Carolina Department of Health and Environmental Control July 2014 - Present
South Carolina Department of Health and Environmental Control May 2005 - July 2014
TriCenturion June 2003 - April 2005
HealthNow New York Inc. July 2000 - April 2003
American Language Technologies September 1997 - April 2000
Automated Health System, Inc December 1994 - July 1996
Center for Innovative Technology and Education September 1993 - December 1994
ERGO Magazine 1990 - 1994
The ARC of Lackawanna County March 1989 - July 1993
Skills
Healthcare, Medicare, Training, Medicaid, Community Outreach, Hospitals, HIPAA, Policy, Editing, Management, Home Care, Program Management, Health Insurance, Nonprofits, Data Analysis, Public Speaking, Public Health, Customer Service, Healthcare Management, Healthcare Information..., Fundraising, HMO, Leadership Development, Strategic Planning, Access, Health Education, Provider Relations, Quality Assurance, Budgets, healthcare policy, Compliance Regulations, healthcare regulation, International Relations, Creative Writing, Freelance Writing, Community Organizing, Six Sigma, Leadership
Education
Marywood University 1984 — 1988
BA, Health Services Administration
Bob D'Zio's TriCenturion Experience July 2005 - April 2010
Job Statistician at SafeGuard Services
Industry Hospital & Health Care
Experience
SafeGuard Services July 2011 - Present
Ingenix April 2010 - July 2011
TriCenturion July 2005 - April 2010
Skills
Data Analysis, Statistical Modeling, SAS, Data Mining, Healthcare Information..., Analysis, R, Medicaid, Medicare, Predictive Analytics, Statistics, Access, SPSS, Business Intelligence, Fraud, Healthcare, Policy, Analytics, Insurance, Health Insurance, HIPAA, Data Management, SAS programming, Healthcare Analytics, Predictive Modeling, Logistic Regression
Education
University of South Carolina-Columbia 2002 — 2005
M.I.S., Statistics
Oglethorpe University 1986 — 1990
B.S., Mathematics
SafeGuard Services July 2011 - Present
Ingenix April 2010 - July 2011
TriCenturion July 2005 - April 2010
Skills
Data Analysis, Statistical Modeling, SAS, Data Mining, Healthcare Information..., Analysis, R, Medicaid, Medicare, Predictive Analytics, Statistics, Access, SPSS, Business Intelligence, Fraud, Healthcare, Policy, Analytics, Insurance, Health Insurance, HIPAA, Data Management, SAS programming, Healthcare Analytics, Predictive Modeling, Logistic Regression
Education
University of South Carolina-Columbia 2002 — 2005
M.I.S., Statistics
Oglethorpe University 1986 — 1990
B.S., Mathematics
Chris Mozley's TriCenturion Experience February 2004 - June 2009
Job Consultant
Industry Hospital & Health Care
Experience
Ingenix GPI March 2010 - May 2012
Companion Benefit Alternatives July 2009 - February 2010
TriCenturion February 2004 - June 2009
Skills
HIPAA, Healthcare, Microsoft Excel, Microsoft Office, Hospitals, Microsoft Word, Customer Service, Managed Care, Research, Process Improvement, Medicare, Policy, Health Insurance, Project Management, Training, Access, Insurance, Team Leadership, Software Documentation, Data Analysis, Healthcare Information..., Analysis
Education
Georgia State University 1969 — 1979
AS, Nursing / Early Education
Ingenix GPI March 2010 - May 2012
Companion Benefit Alternatives July 2009 - February 2010
TriCenturion February 2004 - June 2009
Skills
HIPAA, Healthcare, Microsoft Excel, Microsoft Office, Hospitals, Microsoft Word, Customer Service, Managed Care, Research, Process Improvement, Medicare, Policy, Health Insurance, Project Management, Training, Access, Insurance, Team Leadership, Software Documentation, Data Analysis, Healthcare Information..., Analysis
Education
Georgia State University 1969 — 1979
AS, Nursing / Early Education
Travis Goings's TriCenturion Experience October 2007 - April 2010
Job Manager, Medical Economics
Industry Hospital & Health Care
Experience
AmeriHealth Caritas September 2015 - Present
AmeriHealth Caritas October 2013 - September 2015
Optum February 2013 - October 2013
OptumInsight April 2010 - February 2013
TriCenturion October 2007 - April 2010
BlueCross BlueShield of SC July 2006 - October 2007
Skills
SAS, Data Analysis, Statistical Modeling, Statistics, Data Mining, SQL, Healthcare, Medicare, Medicaid, Business Intelligence, Tableau, Predictive Analytics, Analytics, Data Warehousing, Analysis, Business Analysis, Process Improvement, Microsoft Excel
Education
Clemson University 2001 — 2006
Mathematics, Statistics
AmeriHealth Caritas September 2015 - Present
AmeriHealth Caritas October 2013 - September 2015
Optum February 2013 - October 2013
OptumInsight April 2010 - February 2013
TriCenturion October 2007 - April 2010
BlueCross BlueShield of SC July 2006 - October 2007
Skills
SAS, Data Analysis, Statistical Modeling, Statistics, Data Mining, SQL, Healthcare, Medicare, Medicaid, Business Intelligence, Tableau, Predictive Analytics, Analytics, Data Warehousing, Analysis, Business Analysis, Process Improvement, Microsoft Excel
Education
Clemson University 2001 — 2006
Mathematics, Statistics
Joy Bahnemann's TriCenturion Experience 2005 - 2009
Job Executive Vice President, Operations at LIFECARE Management Partners
Industry Hospital & Health Care
Experience
LIFECARE Management Partners March 2012 - Present
SecurityCare April 2009 - April 2011
TriCenturion 2005 - 2009
Regence Group 2003 - 2005
McKesson 2000 - 2002
Medica Health Plan 1998 - 1999
Health Systems Integration, Inc. 1996 - 1998
United Healthcare Corporation 1993 - 1996
Blue Cross Blue Shield of Minnesota 1974 - 1993
Skills
Contract Negotiation, Health Policy, Managed Care, Executive Management, Employee Benefits, Strategy, Health Insurance, Policy, Insurance, Healthcare, Healthcare Management, Leadership, Medicare, Medicaid, Process Improvement, Government, Contract Management, Program Management, Organizational..., Business Development, Healthcare Information..., Organizational..., Claim, HIPAA, Business Planning, Health Care Fraud
Education
Luther College 1970 — 1974
Bachelor of Arts
LIFECARE Management Partners March 2012 - Present
SecurityCare April 2009 - April 2011
TriCenturion 2005 - 2009
Regence Group 2003 - 2005
McKesson 2000 - 2002
Medica Health Plan 1998 - 1999
Health Systems Integration, Inc. 1996 - 1998
United Healthcare Corporation 1993 - 1996
Blue Cross Blue Shield of Minnesota 1974 - 1993
Skills
Contract Negotiation, Health Policy, Managed Care, Executive Management, Employee Benefits, Strategy, Health Insurance, Policy, Insurance, Healthcare, Healthcare Management, Leadership, Medicare, Medicaid, Process Improvement, Government, Contract Management, Program Management, Organizational..., Business Development, Healthcare Information..., Organizational..., Claim, HIPAA, Business Planning, Health Care Fraud
Education
Luther College 1970 — 1974
Bachelor of Arts
Justyna Kulikowski's TriCenturion Experience December 2003 - January 2007
Job Accounting Professional
Industry Accounting
Experience
Hanson, Hetterich and Fenlon, P.A. January 2010 - March 2010
PDR CERTIFIED PUBLIC January 2007 - June 2009
TRICENTURION December 2003 - January 2007
TRICENTURION December 2003 - November 2006
CRESTRON ELECTRONICS, INC July 2002 - November 2003
Crestron Electronics September 2001 - November 2003
H & R Block December 2000 - November 2002
OMNI WASTE SERVICES, INC September 2000 - September 2001
Education
University of Phoenix 2004 — 2006
BSB, Accounting
University of Phoenix
BSB, Accounting
Bergen Community College 1998 — 2000
AAS, Accounting
Saint Leo University
Hanson, Hetterich and Fenlon, P.A. January 2010 - March 2010
PDR CERTIFIED PUBLIC January 2007 - June 2009
TRICENTURION December 2003 - January 2007
TRICENTURION December 2003 - November 2006
CRESTRON ELECTRONICS, INC July 2002 - November 2003
Crestron Electronics September 2001 - November 2003
H & R Block December 2000 - November 2002
OMNI WASTE SERVICES, INC September 2000 - September 2001
Education
University of Phoenix 2004 — 2006
BSB, Accounting
University of Phoenix
BSB, Accounting
Bergen Community College 1998 — 2000
AAS, Accounting
Saint Leo University
Mary K. Bowen-Reynolds's TriCenturion Experience 2003 - 2005
Job RN Clinical Documentation Specialist at HCA
Industry Hospital & Health Care
Experience
HCA May 2011 - Present
Lincoln Memorial University September 2007 - February 2011
Dana A Reynolds, CRNA, PA June 2005 - December 2007
TriCenturion 2003 - 2005
Education
California Coast University
Bachelor of Science (BS), Business Administration and Management, General
HCA May 2011 - Present
Lincoln Memorial University September 2007 - February 2011
Dana A Reynolds, CRNA, PA June 2005 - December 2007
TriCenturion 2003 - 2005
Education
California Coast University
Bachelor of Science (BS), Business Administration and Management, General
Alan Moskowitz's TriCenturion Experience March 2003 - April 2005
Job Senior SAS Programmer at AdvanceMed Corporation
Industry Insurance
Experience
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
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
Kimberly Miller, CFE, AHFI's TriCenturion Experience February 2001 - Present
Job Fraud Investigator at TriCenturion
Industry Insurance
Experience
TriCenturion February 2001 - Present
TriCenturion February 2001 - Present
Skills
Fraud, Certified Fraud Examiner, Health Care Fraud, Background Checks, Criminal Investigations, Enforcement, Litigation Support, Identity Theft, Security Management, Physical Security, Interrogation, Criminal Law, Claim Investigation, Risk Assessment
Education
University of South Carolina-Columbia 1996 — 2000
Bachelors, Criminal Justice
TriCenturion February 2001 - Present
TriCenturion February 2001 - Present
Skills
Fraud, Certified Fraud Examiner, Health Care Fraud, Background Checks, Criminal Investigations, Enforcement, Litigation Support, Identity Theft, Security Management, Physical Security, Interrogation, Criminal Law, Claim Investigation, Risk Assessment
Education
University of South Carolina-Columbia 1996 — 2000
Bachelors, Criminal Justice
Debra Teeter's TriCenturion Experience February 2000 - March 2012
Job V.P. Manager AML Group at TD Bank
Industry Banking
Experience
TD March 2012 - Present
TriCenturion February 2000 - March 2012
Palmetto GBA 1995 - 1999
Skills
Fraud, Certified Fraud Examiner, Private Investigations, Health Care Fraud, Enforcement, Claim, Risk Assessment, Criminal Investigations, Policy, Criminal Justice, Security Management, Background Checks, Investigation, Insurance, Risk Management, AML
Education
Kentucky Wesleyan College 1985 — 1987
Bachelor of Arts (B.A.), Criminal Justice
University of Kentucky 1983 — 1984
TD March 2012 - Present
TriCenturion February 2000 - March 2012
Palmetto GBA 1995 - 1999
Skills
Fraud, Certified Fraud Examiner, Private Investigations, Health Care Fraud, Enforcement, Claim, Risk Assessment, Criminal Investigations, Policy, Criminal Justice, Security Management, Background Checks, Investigation, Insurance, Risk Management, AML
Education
Kentucky Wesleyan College 1985 — 1987
Bachelor of Arts (B.A.), Criminal Justice
University of Kentucky 1983 — 1984
Victoria Quinonez's TriCenturion Experience 2005 - Present
Job MAC Liaison at Tricenturion
Industry Security and Investigations
Experience
Tricenturion 2005 - Present
Skills
Fraud, Risk Management, Analysis, Private Investigations, HIPAA, Strategic Planning, Healthcare, Internal Audit, Medicare, Auditing, Health Care Fraud, Insurance, Data Analysis, Process Improvement, Government, Health Insurance, Project Management, Medicaid, Claim, Policy, Internal Investigations, Certified Fraud Examiner, Quality Assurance, Risk Assessment, Proposal Writing, Government Contracting, Contract Negotiation, Enforcement
Education
Troy State University 1994 — 1995
Master of Science (MS), Human Resources Management/Personnel Administration, General
University of South Carolina-Columbia 1988 — 1991
Bachelor of Science (B.S.), Psychology
Tricenturion 2005 - Present
Skills
Fraud, Risk Management, Analysis, Private Investigations, HIPAA, Strategic Planning, Healthcare, Internal Audit, Medicare, Auditing, Health Care Fraud, Insurance, Data Analysis, Process Improvement, Government, Health Insurance, Project Management, Medicaid, Claim, Policy, Internal Investigations, Certified Fraud Examiner, Quality Assurance, Risk Assessment, Proposal Writing, Government Contracting, Contract Negotiation, Enforcement
Education
Troy State University 1994 — 1995
Master of Science (MS), Human Resources Management/Personnel Administration, General
University of South Carolina-Columbia 1988 — 1991
Bachelor of Science (B.S.), Psychology
Summer Tuten's TriCenturion Experience March 2003 - January 2009
Job
Industry Information Technology and Services
Experience
Truven Health Analytics May 2012 - Present
Thomson Reuters April 2009 - May 2012
TriCenturion March 2003 - January 2009
Education
Clemson University 1997 — 2000
BS
Truven Health Analytics May 2012 - Present
Thomson Reuters April 2009 - May 2012
TriCenturion March 2003 - January 2009
Education
Clemson University 1997 — 2000
BS
Talvin Herbert's TriCenturion Experience January 2003 - October 2009
Job VP; Compliance & Regulatory Affairs at Absolute Total Care
Industry Insurance
Experience
Absolute Total Care - Centene Corporation July 2012 - Present
SC Lt. Governor's Office on Aging September 2011 - June 2012
Ingenix November 2009 - October 2010
TriCenturion January 2003 - October 2009
Skills
Healthcare, Fraud, Private Investigations, Medicare, Policy, Enforcement, Insurance, Leadership, Managed Care, Management, Program Management, Proposal Writing, Quality Assurance, Strategic Planning, Training
Education
The Citadel 1982 — 1987
BS, Business Administration
Middelton High School
Absolute Total Care - Centene Corporation July 2012 - Present
SC Lt. Governor's Office on Aging September 2011 - June 2012
Ingenix November 2009 - October 2010
TriCenturion January 2003 - October 2009
Skills
Healthcare, Fraud, Private Investigations, Medicare, Policy, Enforcement, Insurance, Leadership, Managed Care, Management, Program Management, Proposal Writing, Quality Assurance, Strategic Planning, Training
Education
The Citadel 1982 — 1987
BS, Business Administration
Middelton High School
Phyllis Bridges's TriCenturion Experience 2009 - Present
Job
Industry
Experience
Retired November 2013 - Present
Tricenturion 2009 - Present
Skills
HIPAA, Private Investigations, Medicare
Education
University of South Carolina-Columbia
Bachelor of Science (BS)
Retired November 2013 - Present
Tricenturion 2009 - Present
Skills
HIPAA, Private Investigations, Medicare
Education
University of South Carolina-Columbia
Bachelor of Science (BS)
Kim Dufour's TriCenturion Experience March 2004 - July 2005
Job Sr. Analytic Consultant at Thomson Reuters
Industry Information Technology and Services
Experience
Truven Health Analytics November 2008 - Present
Truven Health Analytics October 2005 - November 2008
Palmetto GBA July 2005 - October 2005
TriCenturion March 2004 - July 2005
TriCenturion September 2002 - March 2004
Carolina Care Plan October 2000 - September 2002
Carolina Care Plan October 1998 - October 2000
Carolina Care Plan March 1994 - October 1998
Governors Office of South Carolina October 1993 - March 1994
Governor's Office of South Carolina September 1991 - October 1993
Skills
Business Intelligence, Healthcare Information..., SQL, Data Analysis, Microsoft Excel, Insurance, Data Mining, Analysis, Analytics, Healthcare, Leadership, Databases, Data Management, SAS, Research, Data Warehousing, Process Improvement, Business Analysis, Product Development, Statistics
Education
University of South Carolina-Columbia 1988 — 1990
MA, Ecnoomics
Ripon College 1984 — 1988
BABu, Business Managment, Economics
Truven Health Analytics November 2008 - Present
Truven Health Analytics October 2005 - November 2008
Palmetto GBA July 2005 - October 2005
TriCenturion March 2004 - July 2005
TriCenturion September 2002 - March 2004
Carolina Care Plan October 2000 - September 2002
Carolina Care Plan October 1998 - October 2000
Carolina Care Plan March 1994 - October 1998
Governors Office of South Carolina October 1993 - March 1994
Governor's Office of South Carolina September 1991 - October 1993
Skills
Business Intelligence, Healthcare Information..., SQL, Data Analysis, Microsoft Excel, Insurance, Data Mining, Analysis, Analytics, Healthcare, Leadership, Databases, Data Management, SAS, Research, Data Warehousing, Process Improvement, Business Analysis, Product Development, Statistics
Education
University of South Carolina-Columbia 1988 — 1990
MA, Ecnoomics
Ripon College 1984 — 1988
BABu, Business Managment, Economics
Michael Putnal's TriCenturion Experience October 2007 - January 2009
Job Chief of Police at Alvin ISD Police Department
Industry Public Safety
Experience
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
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
Anna Whittemore, CAP's TriCenturion Experience October 2006 - March 2012
Job Accounting Clerk III at Palmetto GBA
Industry Government Administration
Experience
Palmetto GBA March 2012 - Present
TriCenturion October 2006 - March 2012
LRADAC October 2005 - October 2006
Skills
Deltek, Accounts Payable, Accounts Receivable, Accounting, Account Reconciliation, Access, General Ledger, Spreadsheets, Payroll, Certified..., Notary Public, Microsoft Office, Cliqbook, SABRE, Open Skies, SAAS
Education
University of Phoenix 2008 — 2009
Midlands Technical College 1998 — 2001
Associate of Arts (A.A.), Office Systems Technology
Palmetto GBA March 2012 - Present
TriCenturion October 2006 - March 2012
LRADAC October 2005 - October 2006
Skills
Deltek, Accounts Payable, Accounts Receivable, Accounting, Account Reconciliation, Access, General Ledger, Spreadsheets, Payroll, Certified..., Notary Public, Microsoft Office, Cliqbook, SABRE, Open Skies, SAAS
Education
University of Phoenix 2008 — 2009
Midlands Technical College 1998 — 2001
Associate of Arts (A.A.), Office Systems Technology