Senior Manager Internal Audit
Current- Responsible for assisting senior management and providing thought leadership in establishing the short and long-term fraud strategy for VSP Global (US, Canada, UK and Australia).
- Subject Matter Expert for matters relating to Fraud Waste and Abuse (FWA) on various corporate committees and requests for information from various corporate departments.
- Responsible for facilitating the VSP Global Fraud Task force that involves all four lines of business. This Task force is charged to work together to combat FWA.
- Responsible for reviewing and analyzing utilization, billing patterns, and submissions for irregularities that warrant further investigation of potential fraud involving providers, employees, patients and vendors.
- Responsible for recovering assets and negotiating settlements for cases involving restitution and recovery. Since joining the SIU, responsible for helping increase the recoveries eightfold (8 to 1).
- Responsible for conducting critical and in-depth professional and clinical reviews on every case to be approved by the Senior Director of Internal Audit, Deputy General Counsel and Optometry Director.
Apr 2013 - Present
