Michael Morgese Email & Phone Number

Campus Hill, Pa

Directed and coordinated day-to-day audit and investigative operations carried out by the team focusing on compliance and program integrity efforts within the Medicaid program.Leveraged specialized knowledge and skills, providing management with insight into areas of subject matter focus

New Jersey, United States

• Oversaw, directed and coordinated day-to-day auditing/investigative operations carried out by staff focusing on potential fraud, waste and abuse weaknesses within the New Jersey Medicaid program.• Managed the Division’s Annual Risk Assessment and Audit Plan. • Created and tracked budgets to review for inefficiencies that may arise during a project.• Ensured that findings are properly supported and that publicly issued audit reports are clear, concise, and effectively communicate… Show more • Oversaw, directed and coordinated day-to-day auditing/investigative operations carried out by staff focusing on potential fraud, waste and abuse weaknesses within the New Jersey Medicaid program.• Managed the Division’s Annual Risk Assessment and Audit Plan. • Created and tracked budgets to review for inefficiencies that may arise during a project.• Ensured that findings are properly supported and that publicly issued audit reports are clear, concise, and effectively communicate audit findings in a fair and unbiased manner. • Participated in conferences with auditees, attorneys and other related parties communicating audit methodologies, findings and discussing corrective action. Show less

New York City Metropolitan Area

 Directed two separate groups, one Audit and the other an Investigative group conducting internal and external compliance, financial-related audits, and investigative audits of New York City agencies, authorities, not-for-profit organizations, union-administered welfare benefit funds, hospitals, libraries, pension funds, private businesses (under concession, lease, and franchise agreements—revenue agreements), by ensuring compliance with State and Federal rules and regulation and Generally… Show more  Directed two separate groups, one Audit and the other an Investigative group conducting internal and external compliance, financial-related audits, and investigative audits of New York City agencies, authorities, not-for-profit organizations, union-administered welfare benefit funds, hospitals, libraries, pension funds, private businesses (under concession, lease, and franchise agreements—revenue agreements), by ensuring compliance with State and Federal rules and regulation and Generally Accepted Government Auditing Standards (Yellow Book). Developed the annual Risk Management program and annual Work Plan for the Audit Bureau. Leveraged specialized knowledge and skills, providing management with insight into areas of subject matter focus. Instruct, counsel and coached staff in developing the nature and scope of projects. Assessed relevance of audit findings, potential exposure, materiality and demonstrated awareness of big-picture-issues.  Led the execution of fraud prevention strategies and investigative operations. Led high exposure, high profile and sensitive work assignments and special investigations involving complex specialized fraud referrals. Formulated specialized fraud analysis and interacted with external Investigative entities regarding referrals.  Made appropriate and prompt decisions to identify fraud within defined guidelines. Prepared detailed and comprehensive reports summarizing the results of audits and investigations. Show less