Management Administrative

Tracey Johnson

White Plains, Maryland *****

Contact: 202-***-**** (mobile) Email: ******************@*****.***

PROFESSIONAL SUMMARY

Accomplished investigator committed to cost-effective management of resources & quality performance. Ethics oriented, known for exercising discretion & maintaining confidentiality. I am reliable and capable of taking initiative with extensive experience in investigations. I have the ability to effectively interact and have earned the trust & respect from in/external law enforcement agencies, colleagues & executive administration. I have excellent written/oral communication skills and I have the ability to work under pressure, prioritize, multi-task in competing demands, and I have meticulous attention to detail.

CLEARANCE

Public Trust

EDUCATION

Criminal Justice, B.S. (2013) – Univ. of Maryland University College, (UMUC)

CORE COMPENTENCIES

Investigations/Analysis/Data Research

Analytical skills; problem solving skills

Personnel/Project Management

Procedural/policy Development

Process/Efficiency Improvement

Multi-disciplinary Collaboration

Writing/Editing/Proofreading

Documentation/Reporting

Administrative/Business Operations

Customer Relationship Management

Knowledgeable in diversity practices

Demonstrated ability to plan & organize

CERTIFICATIONS / TRAINING

IG Criminal Investigator Academy

Reid’s Interviewing Techniques

Fraud Skills & Schemes, I/II

Forensic Accounting & Fraud Examination

Best Investigative Practices

LGBT Discrimination in the Federal Gov’t.

Advanced Best Investigative Practices

Data Analytics & Technology

Project Management, I/II

Advanced Interviewing Techniques

Utilizing Statement Analysis

PROFESSIONAL EXPERIENCE

The Department of Commerce / U.S. Census Bureau, Suitland, M.D. 11/2014 – present

Sr. Personnel Investigator, Employee Relations Branch - 40 hours per week - $ 107,000.00

Plan, lead & conduct investigations according to the DAO 202-955 Allegations of Harassment Prohibited by Federal Law, discrimination & EEO in accordance to Titles 5, 13, & 26.

Establish and maintain effective Labor Relations relationships to include the use of a collaborative approach with Labor Unions that represent Federal employees. Negotiate agreements and provide guidance and consultation.

Monitor aspects of employee’s performance, such as investigating and coordinating disciplinary actions claims of discrimination, harassment, and labor disputes.

Engage in formal administrative investigations related to leadership accountability.

Interview witnesses, subjects & victims applying Federal laws, theories, rules and regulations.

Provide guidance and advice on EEO laws, executive orders, directives and decisions.

Examine/analyze volumes of data & various forms of evidence related to allegations of discrimination.

Recommend and provide advice to executive leadership on matters under investigation & develop proposed disciplinary and adverse actions. Maintain knowledge of trends in complaint adjudication.

Research, analyze and interpret EEO laws, regulations and policies.

Conduct research/analysis and provide guidance to management.

Recommend appropriate disciplinary actions & provide formal ROI to legal and upper management.

Communicate in written & verbal form concerning grievance responses, policy and labor agreements.

Perform a variety of diverse case analysis & research of problems to solve diverse disciplinary issues.

Apply knowledge of EEOC laws (i.e. Civil Rights Act of 1964, Equal Pay Act, Age Discrimination in Employment, Americans with Disabilities Act (ADA).

Evaluate reasonable accommodations request; make recommendations. Develop analysis to prepare final investigative reports. Prepare sworn Declarations for accusers, subjects and witnesses.

Represent HRD & the Bureau in an investigative setting.

Maintain & protect sensitive/confidential documents according to the Privacy Act.

Assist IT in the development of HATS (Harassment Assistance Tracking System).

Strategically participate and plan with the Div. Chief to address and resolve EEO complaints.

Analyze investigative requirements to evaluate the effectiveness of HR program, goals and objectives.

D.C., Office of the Inspector General, Washington, D.C. 10/2013 – 10/2014

Investigator, Medicaid Fraud Control Unit (MFCU) - 40 hours per week - $92,000.00

Applied investigative research/analysis & principles to identify violations within D.C. Medicaid.

Conducted formal and informal administrative interviews to make informed outcomes.

Responded to employee inquiries and provided assistance as required.

Substantiated alleged violations by fact-finding actions of specific criminal acts.

Managed investigations of fraud, waste & abuse involving elder abuse, sexual assaults & neglect.

Researched violations according to the D.C. Medicaid Program based on established regulations.

Planned & conducted criminal/administrative investigations of extreme sensitive and critical nature regarding alleged violations of Title 18 of the United States Code and other violations of Federal statutes and regulations.

Served as principal advisor for the MFCU Unusual Incident Reports (UIR) complaint hotline.

Managed administrative tasks associated with hotline complaints received by external agencies, and entered complaints in the Case Management Tracking System.

Implemented & maintained the OIG MFCU Hotline Program policy and procedures manual.

Advocated & represented clients in criminal cases with intellectual disabilities; Collaborated with community resources for clients.

Advised department officials on critical analysis of fraud, waste and abuse matters. Advised junior investigative staff on whistleblower and hotline issues.

Conducted & managed analyzed crime statistics; Evaluated and assigned customer complaints to staff.

Interviewed witnesses, targets, and informants; analyzed testimonial evidence.

Prepared & submitted Reports of Recommendations & Reports of Investigations.

Served as a witness for the D. C. and U.S. Government in criminal & administrative proceedings.

Liaised with administrative, State, Federal and other local law enforcement agencies during the conduct of inquiries and investigations to acquire information and leverage resources.

Managed all Incident Management Enforcement Unit (IMEU) data entries ensuring quality assurance for all investigative, court and prosecutorial proceedings.

Facilitated and conducted recorded interviews, reviewed and analyzed existing conditions within facilities, activities, areas and programs for the purpose of detecting crime.

Represented as an experienced affiant on arrest and search warrants, participated in raids, searches & seizes utilizing advance & specialized investigative techniques; such as, physical surveillance, audio & video photography.

Maintained legal compliance by monitoring and implemented applicable federal/state requirements & maintained employee records.

Gathered & analyzed time sensitive, evidentiary & confidential claims data for case development.

Managed documentary and electronic evidence to ensure proper recording & systematic organization.

Prepared comprehensive investigative reports and other written communications for upper management, attorneys, prosecutors, and internal/external law enforcement agencies.

Researched suspect/witness background information utilizing online LE databases (NCIC, NLED, IMS, NLETS, CDLIS, RMS, CLEAR, WALES, etc.).

Testified at criminal & administrative hearings that involved alleged criminal violations.

Participated in special initiatives/projects and undertake other ad hoc assignments.

Accomplishments: Quickly assimilated into the organizational culture to drive immediate & impactful results; proven outstanding record of accomplishment in communication, customer service, ethics, compliance & personal performance. Repeatedly selected to take on additional duties & assumed increased levels of responsibility; acknowledged & relied upon. Implemented new procedures to ensure organizational efficiency & consistently increased productivity.

Blue Cross Blue Shield Association, Washington, D.C. 03/2009 – 10/2013

Investigator, Special Investigations Unit (SIU) - 40 hours per week - $ 85,000.00

Applied the principles of investigative research and analysis to identify possible violations to the Federal Employee Program (FEP).

Conducted informal & informal interviews to determine facts on administrative inquiries.

Responded to employee inquiries and provide assistance as required.

Assist w/ on-boarding processes for incoming employees; assist w/ external employment agencies

Developed written and oral reports that included recommendations for investigative action.

Investigated crimes involving financial recovery, debarment, suspension, or employment termination.

Planned, lead & conducted civil and administrative investigations involving fraud, waste and abuse.

Demonstrated experience reviewing & triaging federal employee complaints & allegations; interviewed subjects & witnesses for investigative purposes. Obtained subject/witness testimonial/documentary evidence.

Disbursed Plan reimbursements for restitution payments utilizing PeopleSoft.

Established SIU procedures, practices & methods for effective communication with SIU Plans, conduct presentations on controversial Program related issues; served as an advisor to OPM OIG and special projects. Maintained contractual employees; processed T&E.

Analyzed financial documents & presented information using Excel & other analytical tools.

Provided expert advice & leadership to junior investigative staff on whistleblower and hotline issues.

Handled administrative inquiries associated with hotline complaints received by OPM OIG, including entering complaints in the Case Management Tracking System.

Coordinated & executed hotline referrals/complaints for administrative actions.

Provided consultative advice on critical analysis/fraud, waste & abuse to internal & OPM OIG officials.

Developed, managed & referred case notifications to OPM OIG, & other external LE agencies.

Executed settlements utilizing a SPI system for offender restitution payments.

Created statistical analysis for case preparation utilizing Accurint, McSource, & StarSentinal.

Recommended changes to the FEP SIU Disaster Recovery & Medical Policy manuals.

Performed complex data analyses to determine Program’s financial losses.

Directed all FEP Debarment related issues and consulted upon as the SME & liaison.

Demonstrated ability to communicate verbally & in written form.

Established & maintained working relationships with all levels of management.

Participated in special initiatives/projects and undertake other ad hoc assignments.

Accomplishments: Successful record to drive alignment & improved outcomes for federal employees & healthcare providers. Led ex/internal departmental meetings to enhance law enforcement collaboration. Established & implemented proper investigative procedures, best practices, standards & protocols. Identified tasks, resources & established timelines consistently meeting deadlines.

Blue Cross Blue Shield Association, Washington, D.C. 02/2007 – 03/2009

Investigative Analyst, Special Investigations Unit (SIU) - 40 hours per week - $ 80,000.00

Conducted a wide range of diverse analysis and research; produced comprehensive reports to detect crime trends, identified modus operandi, predicted potential criminal activity and targets, & provided statistical data to identify fraud, waste & abuse.

Conducted informal and formal interviews to determine facts on administrative inquiries.

Maintained the BCBSA’s crime Hotline; implemented the crime Hotline Program policy & procedures and ensured the FEP Program’s effectiveness, efficiency and consistency with the FEP federal policies & procedures; developed, assessed, and recommended hotline goals and objectives.

Provided technical and professional advice to ensure the BCBSA crime Hotline met legal, regulatory, and procedural requirements. Planned, developed, and administered various BCBSA SIU programs.

Established SIU procedures, practices & methods for effective communication with SIU Plans, conduct presentations on controversial Program related issues; served as an advisor to OPM OIG and special projects. Maintained contractual employees; processed T&E.

Concluded investigative outcomes in written form utilizing online investigative resources, such as, Accurint, McSource, & StarSentinal. Provided complex computer based analysis of criminal and administrative cases. Compiled information on targeted fraud cases to suspicious activities.

Performed statistical analysis and trends for OPM OIG & BCBSA cases that included fraud, waste, and abuse utilizing statistical methods to project future probability.

Maintained pertinent statistical and management data on external BCBS Plan investigations.

Researched & interpreted information from investigative databases; analyzed researched records; conducted preliminary inquiries based on specific requests maintaining accuracy and authenticity.

Determined necessary principal and supplemental leads for research and analysis from cases assigned.

Monitored cases to identify connections and patterns to waste, fraud, or abuse.

Conducted detailed background research on federal employees and medical personnel.

Implemented and managed the Term Death Project utilizing extensive research methods.

Conducted audits for compliance within BCBSA SIU Plans; prepared audit reports in written form according to OPM policies & procedures.

Liaised with internal customers on compliance, manual standards, & OPM regulatory requirements.

Handled all administrative inquiries associated with hotline complaints received by OPM OIG, including entering complaints in the Case Management Tracking System.

Blue Cross Blue Shield Association, Washington, D.C. 10/2003 – 02/2007

Project Manager/Coordinator - 40 hours per week - $ 70,000.00

Managed Program goals, objectives, & measurement for Medical projects.

Identified & analyzed problems; developed solutions & measurements for Program productivity & effectiveness. Presented written briefings to Executives, OPM officials & Plan contacts.

Advised BCBS Plan Linker, Case Management (CM) Reporting System (CMRS), Medical Policy Benefit Assistant Tracking System (BATS) constituents on Programs goals. Monitored project activities & resources to mitigate risk; managed data from electronic sources.

Implemented & maintained quality control assurance processes, recommended changes.

Planned & managed quantitative improvement of processes, projects, & procedures for effectiveness.

MEMBERSHIPS & AFFILIATIONS

COMMUNITY INVOLVEMENT

Criminal Justice Public Admin. Club

Nat’l Healthcare Anti-Fraud Assoc (NHCAA)

HOA Board Memb., Greenhaven Run, 2016

Capital Area Food Bank, 2010

TECHNICAL ACUMEN

Advanced skills in Microsoft Office and Database Applications Including Outlook Office 365, MS Word, Excel, PowerPoint, NCIC, WALES, CLEAR, LexusNexus, SharePoint, QuickBooks, & iNotes

Contact this candidate