CRAIG L. UMSTEAD
Garner, N.C. 27529
**********@*****.***
SUMMARY OF QUALIFICATIONS
Practiced consultant, auditor, supervisor and financial/operational manager
with broad experience in all phases of operations; financial and regulatory
compliance including state and federal guidelines, generally accepted
accounting principles, as well as operational best practices... ...Career
record includes numerous contributions to procedural integrity and
operational improvements. Detail oriented and tactful in situations
requiring the best means to implement new organizational and administrative
direction. I have special strengths in public speaking, analyzing and
training sound management practices. I am also skilled in employee
training, public affairs/relations, grant writing, fraud detection,
interviewing techniques, as well as utilizing strong and clear oral and
written forms of communications.
EMPLOYMENT HISTORY
Management Consultant
January 2002 to Present
Management Advisory Consulting Services
Management Advisory Consulting (MAC) Services is a regional management and
leadership development consulting and training company located in
Pinehurst, North Carolina. MAC Services provides business and management
strategies to businesses to increase productivity, efficiency, profit,
reduce expenses, and to insure compliance with federal and state
regulations.
MAC Services provides services to clients including the implementation of
efficiency improvement programs, including conducting various advisory
processes including: the Management Review, Operational Analysis, and the
Administrative Controls Review. The Management Review is designed to
determine the effectiveness of diagnostic processes in support of the way
the organization operates and address the client's specific state of
operational and fiscal affairs, by developing and broad framework to
improve management efficiency. The Operational Analyses includes
determining the extent to which the strategic plan, budget and mission are
supported by the tasks conducted by the efficient use of resources (both
human and capital) as well as maximizing revenues in order to achieve the
organization's mission objectives though its operations. The
Administrative Controls Review include the use of a risk assessment to
determine the extent to which the business environment has proper controls
in place to be compliant with state and federal laws, reduce or identify
the occurrence of fraud, waste, abuse, and theft.
Corporate Compliance Internal Auditor December 2007 to
November 2009
FirstHealth of the Carolinas
FirstHealth of the Carolinas is a health care network comprising of three
hospitals located in Moore, Montgomery, and Richmond counties. The flagship
hospital, located in Moore County also manages more than 65 clinics and EMS
operations servicing a 100 mile area stretching onto counties located into
South Carolina.
CRAIG L. UMSTEAD Page Two
Duties include directing a comprehensive audit function as a component of
the Corporate Compliance Program. Audit programs are prepared to insure
compliance with state and federal guidelines, as well as the analysis and
control of assets, construction projects, and the accuracy of financial
statements, budget and operational management as well as compliance with
federal and private policies and guidelines. Duties also include working
with various auditors in coordinating external audits. These audits and
reviews involve communications with physicians, nurses, research
provisions, and other clinical staff related to the accuracy of
documentation in support of rendered services. Operational audits also
include the management and review of assets and resources, and the
monitoring of reconciled funds.
Medicaid Audit Specialist/DMA Auditor April 2003 to
December 2007
N.C. Department of Health and Human Resources
Office of the Internal Auditor
The Department of Health and Human Resources (DHHS) is divided into 30
divisions and offices. DHHS divisions and offices fall under four broad
service areas - health, human services, administrative, and support
functions. DHHS also oversees 18 facilities: mental retardation centers,
psychiatric hospitals, alcohol and drug abuse treatment centers, schools,
early intervention programs, and one special care center.
The mission of the Office of the Internal Auditor is to provide support for
the Department of Health and Human Services as it provides efficient
services that enhance the quality of life of North Carolina individuals and
families while administrating the Medicaid Program.
As the DHHS Medicaid Audit Specialist and DMA Auditor I was responsible for
administrating an internal audit activity program which includes assisting
in conducting State Auditor Single Audits, State DHHS contracts, reviewing
the accuracy of Medicaid Cost Reports, reviewing MMIS Fiscal Agent
transactions, Medicare and Medicaid policy revisions, the annual state
budget, operational written policies and procedures, public bidding,
procurement practices, and departmental resources. Responsibilities also
included defending the NC-DHHS against any and all HHS - OIG, Federal
Investigative Agencies and the Office of the State Auditor findings.
Additional responsibilities also included providing technical support
improving management operations, as well as for DHHS HIPAA implementation,
policy development, and DHHS Safety Policy development. I was the lead
audit staffer reporting to the DHHS Secretary's Office overseeing
compliance and proper management of all DHHS agencies and divisions.
Corporate Compliance Officer/Risk Manager May
2000 to February 2003
Carolina Eye Associates, P.A.
Carolina Eye Associates is a multi-center, multi-subspecialty eye center
with 12 offices located in North Carolina and South Carolina. The practice
is comprised of 24 doctors, including cataract and corneal specialists,
refractive specialists, glaucoma specialists, retina and other general
medical ophthalmologists, optometrists and a low vision specialist.
I was responsible for directing a corporate-wide compliance program,
conducting management reviews and internal audits to determine whether
documentation was appropriate to meet compliance with state and federal
guidelines. I was also responsible establishing best practices to insure
proper billing codes, the verification of physician credentialing,
detecting and reporting incidents of non-compliance, reviewing medical
records for conformity with rules and regulations set forth by third party
payers, as well as summarizing and reporting results of audits to
physicians and administration. Additional responsibilities
CRAIG L. UMSTEAD Page Three
included implementing compliance strategies including the development of
policies and procedures for HIPAA, and OSHA as well as auditing the
provisions for research contracts, and safety regulations. Other duties
included development and implementation of asset and resource management
and control policies
.
Director of Internal Audit
November 1986
to May 2000
New Hanover Regional Medical Center
New Hanover Regional Medical Center is a licensed Public 700-bed referral
and teaching hospital, which supports southeastern North Carolina and part
of South Carolina.
Responsible for administrating a broad internal audit activity program
including assisting with the annual physical inventory, supporting risk
management, security, the budget process, operational and management
control over assets, written policies and procedures, supporting quality
assurance Joint Commission standards, reviewing construction projects,
public bidding, monitoring cash collections, procurement policy,
shipping/receiving, and effectively utilizing departmental resources.
Responsibilities also included maintaining a corporate compliance program
and preparing performance reports.
Senior Auditor - Corporate Office September 1985 to November
1986
Ridgway's, Inc.
Ridgway's is the recognized leader in the reprographics industry. The firm
has operators in major cities across the country.
Joined Ridgway's during the decentralization effort of its branch
operations. Immediately became involved in organizing the tasks needed in
training audit staff and assisting with the implementation of an automated
control system. Assisted in installing DEC computers in branch operations,
while becoming familiar with the Corporate Offices' IBM/VHS system.
Reviewed compliance with appropriate policy and procedures, and prepared
written recommendations to correct deficiencies. Advised branch management
of procedural aspects of running a branch operation without central
direction.
Developed a unique inventory auditing method, which allowed for periodic
accuracy checks throughout the accounting cycle. All branch offices
adopted the method.
Internal Auditor II September 1982 to September
1985
The University of Texas Health Science Center of Houston
The University of Texas Health Science Center at Houston is the largest
health and teaching facility in the world consisting of nine schools of
higher learning and six teaching hospitals.
Key responsibilities included determining internal compliance with
University policies as well as Federal and State government regulations
concerning Also supervised and directed the audit activity of auditors
assigned to me on a rotating basis.
Served as In-charge Auditor for the institution's Contracts and Grants
Division based upon OMB Circular A-121 and A-110 requirements; and the
Account Receivable Division, specializing in the audit and analysis of all
patient billings and collections efforts as well as verification of
Medicare Cost Report accuracy.
CRAIG L. UMSTEAD Page Four
EARLIER EXPERIENCE
During 1982, worked for Main Herdman Accounting firm as operational
auditor.
From 1979 to 1982, functioned as an Operations Manager for Roadway Express,
Inc. Responsibilities included the supervision of ten (10) to twenty-four
(24) men in loading, unloading, and dispatching trucks. Also conducted
sales calls to potential customers.
Received earliest management training from 1976 to 1979 as Payroll
Assistant for the IBM Computer Distribution Center and Assistant Manager of
the Ranch Clothing Store.
EDUCATION / TRAINING
Currently enrolled as MBA Degree candidate - 2010
Certified Financial Services
Auditor (CFSA), 1997
Certified Fraud Examiner (CFE), 1989
Bachelor of Arts Degree in Business Administration, 1980
Senior Class Vice-President
Winston-Salem State University, Winston-Salem, NC
VOLUNTEER ACTIVITIES
Third Vice - President/Newsletter Editor
July 2004 to
Present
Lion's Clubs International
Lions Clubs International is the world's largest community
service organization with clubs around the world. Lions are recognized
worldwide for their service to the blind and visually impaired. Lions are
also involved in a variety of other activities to improve their communities
and help people in need, such as assisting the hearing impaired, providing
diabetes awareness and education materials, working on environmental
projects and developing youth programs.
North Carolina State Public Affairs Chairman January
2000 to Present
March of Dimes Birth Defects Foundation, Inc.
The March of Dimes Public Affairs agenda focuses on public policies,
priorities, and programs that relate to the Foundation's mission. to
improve the health of babies and mothers by preventing birth defects and
infant mortality. The March of Dimes accomplishes its mission through
advocacy by promoting (1) access to health care for pregnant women,
infants, and children, (2) research to prevent birth defects and infant
mortality, (3) prevention and treatment programs to improve maternal,
infant, and child health, and (4) institutional concerns for nonprofit
organizations.
Reporting to the State Executive Director, major duties include developing
relationships with state and local community political representatives,
assisting in volunteer development within the public and private sectors,
coordinating grant proposals, as well as advocacy and letter writing
campaigns for political action initiatives and directing the advocacy
efforts of public affairs volunteers from across the State. Duties also
include planning and implementing an annual Political Lobby Day at the
State Capital to meet and discuss issues with legislators and
representatives. Duties also include attending a National Lobby Day event
in Washington, DC.
CRAIG L. UMSTEAD Page Five
Workforce Development Board Chairman January 2000
to 2005
Cape Fear Council of Governments, Inc.
The Cape Fear Council of Governments is the grant recipient and
administrative entity for the local area responsible for providing
employment, education, and training services under a single delivery system
to its citizens. The board accomplishes this by planning workforce
development programs and activities; negotiates contracts with service
providers; receives funding, monitor's program progress, and distributes
reports. Duties also include assisting the Governor with the development
of the statewide employment statistics system and coordinating workforce
investment activities with economic development employer linkages.
Duties also include developing a budget subject to the approval of County
Commissioners; appointing a youth council to advice on the contracting of
youth service providers, provide board training and development of
volunteer and political action committees. Duties also include conflict
resolution support between staff, contractors, with other volunteers, and
assisting in the process of the restructuring and developing networking
opportunities within the community.
Board Member January
1997 to 2007
Southeastern Center for Mental Health, Developmental Disabilities and
Substance Abuse
The mission of the Center is to continually improve the quality of the
services offered to the residents of Brunswick, New Hanover, and Pender
Counties.
Duties include participation on the client's rights, operations and
finance, building and facilities, and performance committees.
National Chairman for Clubs and Organizations January
1998 to 2004
March of Dimes Birth Defects Foundation, Inc.
The mission of the March of Dimes is to improve the health of babies by
preventing birth defects and infant mortality. The March of Dimes
accomplishes its mission through research grants, community service grants,
education and advocacy.
Reporting to the Chairman of the National Office of Volunteers (NOV),
volunteer functions include coordinating volunteer resources with and
between other volunteer clubs, organizations, and corporations to help
implement and support the March of Dimes Mission through contractual
agreements. Duties also included volunteer and revenue development,
assisting in the planning and development of volunteer training and
leadership conferences, partnership with Regional March of Dimes staff in
support the implementation of budgets and action plans. Duties also
include conflict resolution support with other volunteers, mentoring
volunteers, and assist in the process of the restructuring and developing
leadership.
Board Member/ Treasurer
January 1992 to
2001
Wilmington Health Access for Teens, Inc., (WHAT)
A private non-profit health care center providing affording affordable,
accessible physical and mental health services to teens in Southeastern
North Carolina. What works with both teens and families, while
coordinating care with other appropriate health care providers in the
region.
Prepared and received grant award from Robert Wood Johnson Foundation for
initial recurring funding to support operations. Duties also included
developing strategies and plans to consistently provide services to
community youth and initiating networking opportunities to reduce the
overhead and increase revenues
through the increase of volunteer and in-kind donations. Duties also
included the initiation of a
CRAIG L. UMSTEAD Page Six
Building/expansion fund marketed to the general community. Initiated grant
writing training to insure consistent financial resources were available.
North Carolina State Major Gifts Chairman January
1995 to 1999
March of Dimes Birth Defects Foundation, Inc.
The March of Dimes Major Gift's agenda focuses on public and private
donations from individuals and companies, which support Foundation's
mission to improve the health of babies by preventing birth defects and
infant mortality. The March of Dimes accomplishes its mission through
advocacy by promoting (1) access to health care for pregnant women,
infants, and children, (2) research to prevent birth defects and infant
mortality, (3) prevention and treatment programs to improve maternal,
infant, and child health, and (4) institutional concerns for nonprofit
organizations.
Reporting to the State Executive Director, major duties include developing
relationships and local
philanthropist, community financial planners, attorneys, CEO's, Presidents,
Human Resource Directors, political representatives and volunteer
organizations. Duties also include public speaking engagements to introduce
the March of Dimes Mission and to educate members of various groups and
organizations on the concept of giving to save babies.
Reporting to the State Executive Director, major duties include developing
relationships and local philanthropist, community financial planners,
attorneys, CEO's, Presidents, Human Resource Directors, political
representatives, and volunteer organizations. Duties also include public
speaking engagements to introduce the March of Dimes Mission and to educate
members of various groups and organizations on the concept of giving to
save babies.
VOLUNTEER SUMMARY
. NCAA First Team Mentor and Coach - 2003 until 2008
. Assistant High School Wrestling Coach - Pinecrest High School -
2001
. Elected 2000 Public Affairs Chairman for the North Carolina
State Chapter of the March of Dimes
. Elected 2000 - 2005 Workforce Development Board Chairman, Cape
Fear Council of Governments
. Governor's Award for Outstanding Volunteer Service, 1996
. Elected National Chairman for Clubs and Organizations, March of
Dimes, 1998
. Participant and Finalist in Congress of TOYA (Ten Outstanding
Young Americans)
Public Speakers Competition, 1998
. North Carolina Public Speak-up Campaign- advanced to TOYA
National Competition
. Appointed to County Crime Task Force by County Commissioners,
1997
. Nominated, New Hanover County Citizen of the Year, 1998
. Nominated, Distinguished Citizen for New Hanover County, 1998
. Treasurer, Wilmington Health Access for Teens, 1996 to 2001
. Governor's Award for Outstanding Volunteer Service, 1992
. Elected Chairman for March of Dimes, Eastern NC Chapter, 1994
to 1996
. Outstanding Young North Carolinian Award, May 1992
. New Hanover County Citizen of the Year Award, 1991
. Advisory Board Chairman for Southeastern Division of the March
of Dimes -
elected 1990-1991 and 1991-1992
. Assistant High School Wrestling Coach - Hoggard High School,
1994 to 1999
. Assistant High School Football Coach - Hoggard High School,
1990 to 1994
. Past Board Member for the Child Advocacy Commission
. Past Board Member Wilmington Jaycees
. Past Board Member, Wilmington YWCA