Experience
As an experienced corporate professional skilled in the fields of Investigations, Data Analytics and Project Management, I have successfully completed various projects throughout my career. Here are a few examples:
Government Programs Alerts Management
Sr. Investigative Analyst
Manage alerts received from government based organization and review for potential fraud, waste, or abuse. As alerts are received for outlier prescribers and high risk medical providers, I query company data and analyze the results in order to determine the risks and mitigate potential loss. Results are reported to various corporate stakeholders.
Analytic Investigations Development
Sr.Investigative Data Analyst
Used SAS Fraud Framework to identify aberrant claims behavior for medical and prescription providers. During this project I managed leads found in the fraud analytical tool by obtaining relevant data, writing an investigative analysis to refer to a team of Healthcare Fraud Investigators for full investigation.
Software Product Testing and Consulting
Analyst
Joined a team of Investigative Specialists varying from analysts, investigators, coders, and directors to implement a new data analytics tool. During this testing period, I repeatedly tested the systems outputs to identify potential errors and determine the systems value. As a result of testing, a new investigative software tool was implemented in the Special Investigative Unit.
