Experience

Forbes Road Career and Technology Center
• United States
• Higher Education
• 1 - 100 Employee
• Instructional Aide

  • Aug 2023 - Present

ARMADA Supply Chain Solutions
• United States
• Truck Transportation
• 300 - 400 Employee
• Deductions Analyst

  • Oct 2021 - Aug 2022


Optum

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Senior Healthcare Economics Consultant

  • Aug 2019 - Mar 2020

  Payment Integrity Research and Development - Ideation SME Payment Integrity Research and Development - Ideation SME



Highmark Wholecare

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Compliance Analyst

  • Apr 2018 - Aug 2019

• Fraud Coordinator

  • Mar 2016 - Apr 2018

  The main point of contact for all referrals and allegations reported to the SIU Payment Integrity Department. Identifies parties involved by reviewing inquiries and companies against providers, members, facilities, pharmacies, groups, and/or employees of Highmark Facilities. Interview providers, members or any other individualsl. Determines the scope of the allegation by assembling the necessary information, statistics, policies and procedures, and licensure information. Coordinates data extracts by assembling multiple databases both internally and eternally. Takes action to prevent further improper payments. Recover misappropriated funds. Conducts audits for investigative purposes to comply with internal audit and regulatory requirements. Show less


Freelance Accounting Auditor
• Consultant

  • Oct 2012 - Mar 2016


ISTcom, Inc

• Office Manager / Finance Manager

  • Jun 1998 - Dec 2013

  Management of Daily Operations. Project Development and Improvement. Financial Analysis. Day to Day Accounting; Payroll, Accounts Payable, Accounts Receivable, GL, Human Resources, Billing, Coding, Invoicing, Collections, P&L, and Budgets. Government Contracts. Business Contracts. Patent Documentation and Negotiation with Attorneys. Policies and Procedures. Employee Recruiting and Training. Scheduled All Off-Site Projects and all Administration Assignments. Management of Daily Operations. Project Development and Improvement. Financial Analysis. Day to Day Accounting; Payroll, Accounts Payable, Accounts Receivable, GL, Human Resources, Billing, Coding, Invoicing, Collections, P&L, and Budgets. Government Contracts. Business Contracts. Patent Documentation and Negotiation with Attorneys. Policies and Procedures. Employee Recruiting and Training. Scheduled All Off-Site Projects and all Administration Assignments.



Exxene Corporation

• United States
• Manufacturing
• 1 - 100 Employee

• Traffic Manager

  • Jun 1996 - Jun 1998

  Managed all Domestic and International Shipments. Credit Manager. Accounts Receivable. Customs Clearance. Wire Transfers. OSHA and Hazmat Certified. Managed all Domestic and International Shipments. Credit Manager. Accounts Receivable. Customs Clearance. Wire Transfers. OSHA and Hazmat Certified.