Stuart Carlisle Email & Phone Number

Southfield, Michigan

United Healthcare is the largest single health carrier in the United States. I primarily do background investigations on pharmacies who have requested entry into our provider network. This entails doing a complete work up on the pharmacy, its owners and employees. I search LexisNexis, Accurint, SIRIS, numerous federal, state and health insurance databases for any information that reflects negatively or positively on a pharmacy’s ability to provide honest, cost effective service to our… Show more United Healthcare is the largest single health carrier in the United States. I primarily do background investigations on pharmacies who have requested entry into our provider network. This entails doing a complete work up on the pharmacy, its owners and employees. I search LexisNexis, Accurint, SIRIS, numerous federal, state and health insurance databases for any information that reflects negatively or positively on a pharmacy’s ability to provide honest, cost effective service to our members. I review the pharmacy’s records regarding their dispensing of prescription pharmaceuticals to ensure that drugs are not stolen, misappropriated or diverted for street use. The background culminates in an onsite visit in which all aspects of the pharmacy’s operation, premises and inventory are examined to ensure that it meets industry and law enforcement guidelines. I also conduct general healthcare fraud investigations that are assigned as necessary. Show less

AdvanceMed is a private government contractor that is tasked with rooting out fraud and abuse within the Medicare and Medicaid programs in six mid-western states. I investigate healthcare fraud committed against the Medicare and Medicaid programs. I review cases referred by law enforcement and those developed by data analysis for fraud committed against those programs. I investigate those cases to determine if fraud has been committed by Medicare and Medicaid providers and beneficiaries. I… Show more AdvanceMed is a private government contractor that is tasked with rooting out fraud and abuse within the Medicare and Medicaid programs in six mid-western states. I investigate healthcare fraud committed against the Medicare and Medicaid programs. I review cases referred by law enforcement and those developed by data analysis for fraud committed against those programs. I investigate those cases to determine if fraud has been committed by Medicare and Medicaid providers and beneficiaries. I maintain liaison with law enforcement agencies that investigate Medicare fraud and respond to their requests for records and data research. Show less

Livonia, Michigan

CSA is a private government contractor that is tasked with rooting out fraud and abuse within the Medicare and Medicaid programs in six mid-western states. I investigate healthcare fraud committed against the Medicare and Medicaid programs. I review cases referred by law enforcement and those developed by data analysis for fraud committed against those programs. I investigate those cases to determine if fraud has been committed by Medicare and Medicaid providers.

I investigated mortgage fraud committed against Flagstar Bank (FSB). I reviewed cases referred by law enforcement, quality control and auditing to determine if fraud has been committed against FSB or the downstream purchasers of their mortgages. This was accomplished by researching various bank, internet and commercial databases, evaluating the information and downloading appropriate data. I determined if fraud or misrepresentation has occurred and recommend appropriate action against those… Show more I investigated mortgage fraud committed against Flagstar Bank (FSB). I reviewed cases referred by law enforcement, quality control and auditing to determine if fraud has been committed against FSB or the downstream purchasers of their mortgages. This was accomplished by researching various bank, internet and commercial databases, evaluating the information and downloading appropriate data. I determined if fraud or misrepresentation has occurred and recommend appropriate action against those involved. This position required me to maintain up to date proficiency with all fraud data bases and internal bank case management software. Show less

Greater Detroit Area

I investigated complex financial fraud committed against Fannie Mae, Freddie Mac and the Federal Home Loan Banks. This included developing cases by examining complaints of fraud and abuse against them and liaison with local and federal law enforcement agencies and prosecutors. Evidence was obtained by examining financial and mortgage records, conducting interviews of witnesses, subjects and victims and utilizing sophisticated investigative techniques such as undercover operations and electronic… Show more I investigated complex financial fraud committed against Fannie Mae, Freddie Mac and the Federal Home Loan Banks. This included developing cases by examining complaints of fraud and abuse against them and liaison with local and federal law enforcement agencies and prosecutors. Evidence was obtained by examining financial and mortgage records, conducting interviews of witnesses, subjects and victims and utilizing sophisticated investigative techniques such as undercover operations and electronic surveillance to build prosecutable cases. I have experience in dealing with FinCen and obtaining information through the Bank Secrecy Act. As part of my job duties I often provided oral and written reports regarding these cases to prosecutors and high level officials of several different agencies. I participated in several different mortgage fraud tasks forces and joint investigations involving a multitude of law enforcement agencies. I have been involved in the planning and execution of several complex mortgage fraud investigations which include the FBI, Secret Service, HUD and several local agencies and the presentation of those cases to the US Attorney's Office. I have conducted surveillances, executed search warrants and helped to devise an undercover project that targeted the subject of a major mortgage fraud investigation. Through these investigations and others that I have been involved in, I have developed a thorough knowledge of the technical aspects of money laundering, mortgage, bank and securities fraud. I have an active U.S Government Top Secret Security Clearance. Show less

Troy, Michigan

I supervised nine investigators and oversaw all bank investigations in the State of Michigan, including 265 branches and headquarters buildings. I opened and assigned all investigative cases regarding both internal and external fraud, theft and embezzlement from the bank. I was responsible for ensuring compliance with the Bank Secrecy Act and I reviewed and approved all Suspicious Activity Reports (SARs) filed by LaSalle Bank N.A. I maintained liaison with all local, state and federal agencies… Show more I supervised nine investigators and oversaw all bank investigations in the State of Michigan, including 265 branches and headquarters buildings. I opened and assigned all investigative cases regarding both internal and external fraud, theft and embezzlement from the bank. I was responsible for ensuring compliance with the Bank Secrecy Act and I reviewed and approved all Suspicious Activity Reports (SARs) filed by LaSalle Bank N.A. I maintained liaison with all local, state and federal agencies and other financial institutions. I supervised three investigations of multi-million dollar mortgage fraud committed against the bank and the attempts to recover those funds. I also helped initiate and expand the investigation of the theft of 34 complete mortgage files from the bank which were sold to identity thieves. I received LaSalle Bank’s internal money laundering training and identified several individuals laundering illicit funds through the bank and opened the appropriate investigations. Show less

I supervised the Detroit Division’s Special Operations Group. This included a 25 member surveillance group comprised of three eight person support surveillance teams and a support supervisor, two five person special agent surveillance teams and the Detroit Air Operations, including four special agent pilots. I supervised the day-to-day operations of the Detroit Division’s Organized Crime and Narcotics Squad which included nine special agents and one task force containing eight local police… Show more I supervised the Detroit Division’s Special Operations Group. This included a 25 member surveillance group comprised of three eight person support surveillance teams and a support supervisor, two five person special agent surveillance teams and the Detroit Air Operations, including four special agent pilots. I supervised the day-to-day operations of the Detroit Division’s Organized Crime and Narcotics Squad which included nine special agents and one task force containing eight local police officers and one special agent. During the time that I supervised the Drug Squad, we concentrated our efforts on the investigation, arrest and conviction of southeastern Michigan’s largest and most dangerous narcotics dealers. Through these efforts, we were able to dismantle several of this area’s largest narcotics organizations and seize their assets by tracing their laundered funds. Our efforts resulted in the largest heroin seizure ever made by the FBI and tracing the source of the drugs all the way to Columbia. I supervised an interdiction task force which seized and forfeited more than $2,000,000.00 from local and international drug dealers. I also reviewed and approved the documentation for the majority of the forfeitures for the Detroit Division. I attended two FBI money laundering in-services and supervised several complex investigations involving international money laundering. I supervised the Detroit Violent Crime Task Force. This task force included five FBI Agents, one agent each from ATF, DEA, IRS, and INS; 16 Detroit Police Officers, four Michigan State Police Detectives and one Wayne County Sheriff’s Deputy. During this time period the Violent Crime Task Force identified the largest marijuana trafficking enterprise in the Midwest and seized and forfeited more than $5,000,000.00. This case involved tracing the drugs and money from the Midwest to Arizona and California and then to Mexico. Show less

Bachelor Of Business Administration (B.B.A.), Accounting

Bachelor Of Business Administration (B.B.A.), Accounting