Nashville, Tennessee, United States
Diligent, analytical finance and audit professional with 20 years of experience in auditing, fraud investigations, regulatory compliance and professional services. Results-oriented leader who values truth, transparency and authenticity, while thriving in the most challenging work environments. Areas of expertise include: • Internal Audit/SOX Compliance • Operational Assurance & Advisory Services • Fraud Investigations/Forensic Accounting • Enterprise Risk Management • Data Analytics • Expense Compliance
• Performed risk-based operational audits on critical care center functions, focusing on improving operational efficiency, maintaining regulatory compliance and identifying best practices to share with other care centers. • Spearheaded the creation of an operational risk-based analytics dashboard that was presented to senior leadership quarterly and was used to monitor care center performance and identify risk indicators. • Assisted with performing SOX testing across multiple internal controls to ensure SOX compliance, alignment with enterprise wide ICFR and workpaper compliance with IIA standards. • Contributed to and supported special projects including audit software implementation, hotline investigations and various external regulatory requests and reviews.
• Perform work as a contractor, in the capacity of a Subject Matter Expert on Healthcare Fraud Analytics and Investigations; responsible for piloting a new proprietary fraud analytics software to determine the effectiveness and reliability of the software as an end user. • Develop possible scenarios and impacts from trends and patterns noted and perform further research. • Analyze the software output and the internal BCBS claims data to identify inconsistencies, anomalies, abnormal billing patterns and other indicators of suspected fraud, waste and abuse • Provide feedback to the developers regarding the End User Experience and collaborate closely with that team throughout the process of updating the software functionality and AI logic.
Performed in-depth audits and forensic investigations of Deloitte’s travel and entertainment expense system to ensure compliance with firm policies. Reviewed, investigated and resolved over 75 individual cases of suspected expense fraud while saving the firm over $300,000 in expenses that were submitted in error. Duties included interacting with all levels of management including Human Resources, In-House Legal Counsel, Business Advisors and Project Controllers. Day to day duties include: • Data mining and analysis of expense data • Predictive analytics to help spot irregularities and inconsistencies • Document review and examination to verify the validity of travel expenses • Performed phone interviews to gain additional information, clarify inconsistencies, and seek admissions of non-compliance where applicable • Presented summaries of audit findings and recommendations to management regarding expense fraud investigations
Provided all financial, operational, and compliance audit services for an 8 branch credit union in Arizona with total assets of $450 million. Assisted with the development and creation of audit plans for all divisions of the credit union including Mortgages, Lending, Collections, Security, Branch Operations and Bank Secrecy Act Compliance.