SUMMARY

Seasoned professional with over 15 years of experience in investigative analysis in the Healthcare and Security industry. Highly productive achiever who works well with little supervision. Exceptional written and communications skills. Ability to establish rapport with management, associates and clientele. Has reputation as an assertive leader who easily identifies and responds to business needs.

Demonstrated skills in:

• Broad range of experience covering business and functional requirements gathering/analysis, project management, business/process/data/system modeling, testing, business/data architecture, data-warehousing, system development life cycle, retail, and training.
• Excellent organizing, planning, presentation, consensus building and interpersonal skills.
• Proven skills toward personnel management, training employees, teamwork, team building, problem solving in a technical oriented work atmosphere.
• Articulate functional guidelines to a production support team in a complex healthcare institution.
• A very decisive, quality-focused team leader with the ability to communicate and establish relationships with colleagues, customers, and all levels of an organization.

RESPONSIBILITIES AND ACCOMPLISHMENTS

Confidneital

Business Project Analyst

• Defined analysis for transition from one vendor to another vendor.
• Developed a process to move data captured by SAS to Microsoft Access database.
• Supported business operations for internal and external customers.
• Assisted with researching analyzing policies/processes/procedures to standardize and develop best practices for organization.

Confidneital

Investigator

• Provided professional, expedient, and legal investigative services as requested by clients.
• Performed case reviews to determine case objectives.
• Conducted surveillance of both stationary and mobile subjects in a covert manner.
• Obtained professional, quality video and photographs which meet the requirements of clients and guidelines of court evidence.
• Typed concise and accurate reports depicting all aspects of the progression of an investigation.
• Maintained daily contact with management regarding case activity.
• Maintained professional attitude and appearance when representing the company to clients, court personnel, and others during work related interaction.
• Scheduled appointments and conducts recorded interviews with claimants, insureds, witnesses and third parties.

Confidneital

Manager

• Rent-A-Center provides merchandise to rent to lower income families who are unable to make a full payment for normal items used in everyday life.
• Growing retail company accumulating profits in excess of 4B
• Developed and maintained company standards to promote growth and stability with company assets
• Achieved a 10 profit gain while maintaining sales targets
• Managed the development of two persons to effectively manage company assets and promote increase profits for the company
• Provided quality products for the customers
• Protected assets while increasing profits for the company
• Strengthened the communication process needed to collect and increase profits for the store
• Increased the stores value within a short timeframe not performed in over 2 years

Confidneital

Security Supervisor Officer

• Murphy Security provides safety and security to companies and corporations to ensure the protection of their personnel, buildings and assets.
• Monitored security officers to enforce security/safety programs that enable the company's assets to function according to the guidelines, quality standards, and operating objectives of the company and to ensure security provider is providing adequate supervision of security officers.
• Implemented security/safety improvements that benefit the company's assets, visitors, tenants and employees as directed by Director of Security.
• Developed and maintain positive relations with officers, tenants, contractors, local law enforcement, community and groups or associations that benefit the company.
• Monitored entrances and exits communicated open and honest to all situations to prevent unapproved or unlawful entry control entrances, the movement of people, vehicles, and parking.
• Instructional and supervisory ability.
• Assigned patrol site, on foot or in a vehicle, checking for unsafe conditions.
• Protected scene of incident during accidents, emergencies, for security investigations with appropriate personnel and according to client and local law enforcement guidelines.
• Inspected security officer logs/reports as required by the client and Director or Security.
• Reported incidents of suspicious activity by officers to client representatives, company management, life/safety personnel or public safety authorities.
• Responded to incidents of fire, medical emergency, water discharge, elevator emergency, hazardous materials, inclement weather, and other incidents or conditions.

Confidneital

Senior Investigator/Business Analyst

• Ingenix provided investigative tools to prevent, recover and prosecute individuals, groups and corporations who illegally obtained monies which decreases a companies' profits from shareholders
• Obtained, manipulated and maintained Microsoft Access database on providers/members information for all investigations.
• Used SAS coding on data received from different data platforms downloading into Excel or Access database.
• Built canned SAS Macro's and SAS programming queries for investigative reporting on IBM Intelligent Decision Server.
• Trained employees on investigative duties including new software/hardware packages.
• Played a key role in the planning, User Acceptance Testing UAT , and implementation of system enhancement and conversions.
• Monitored project schedules, mitigated risks, and managed customer expectations.
• Troubleshot, diagnosed and resolved minor computer software/hardware problems.
• Evaluated investigated referrals, tips from various internal/external sources to determine whether, and to what extent, abusive/fraudulent practices have occurred.
• Worked with legal counsel, Health Plans, claim office staff, information systems personnel, and medical staff to execute investigations and implement resolution plans.
• Assisted State/Local authorities by data retrieval, investigative assessment and documentation as requested.
• Provided expert testimony for law enforcement authorities in over 20 cases.
• Recovered restitution in over 500 cases.
• Reconciled P L to the general ledger, GUI built in Excel, on a daily/monthly basis.
• Created process work flows, functional specifications, responsible for preparing software requirement specifications SRS , functional specification document FSD and final design document.
• Met with client groups to determine their requirements and goals.
• Utilized Rational Unified Process RUP to configure and develop standards, and business requirement documents.
• Assisted the Project Manager in creating a detailed Project Plan for case tracking software.
• Maintained unit's time sheets for scheduling and tracking the project timelines.
• Extensively used Microsoft Office for financial models and valuation techniques probability and statistics, basic sales and marketing.
• Performed balance sheet usage analysis and reserves calculations.
• Worked with Developers and Test Engineers to finish RUP work products.
• Creating activity use case diagrams, sequence diagrams to capture the behavior of the use cases using Rational Rose and ClearCase.
• Prepared business process models including modeling and technique for building the models.
• Worked with all members of a project team including following the project through the systems development life cycle.
• Maintain SOX compliance on documentation of data requirements, data management plan, scope of the project, and functional requirements document.
• Environment: MS Office MS Word, Excel, Powerpoint, Viso, Sharepoint, Outlook , Lotus notes, Cognos, MS Project, Windows, Acrobat Adobe, Clear Quest, UML, Rational Rose, SQL, Windows, NT, MS Office Suite, XML, JDBC, HTML