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North Carolina Lead Auditor

Location:
Knightdale, NC
Posted:
April 18, 2024

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Resume:

Page * *

Douglas Everett Crawley, Jr.

Financial Assurance Professional

ad434i@r.postjobfree.com • 910-***-****

LinkedIn URL • Knightdale NC 27545

Detail-oriented and analytical professional with extensive experience in managing and supervising teams to conduct thorough analyses and investigations into complex criminal and civil financial frauds. Proficient in leveraging advanced analytical tools and methodologies to streamline processes and optimize financial performance. Experienced in compiling and documenting investigative findings for legal proceedings and providing expert testimony in various criminal cases. Adept at communicating complex financial information effectively to stakeholders and providing strategic recommendations for improvement. Committed to upholding highest standards of integrity, confidentiality, and professionalism in all endeavors. Areas of Expertise

Financial Investigation

Fraud Detection

Law Enforcement

Forensic Accounting

Team Building & Leadership

Legal Documentation

Audit Procedures

Program Integrity

Regulatory Compliance

Risk Assessment

Stakeholder Communication

Process Optimization

Professional Experience

N.C. Department of Justice – Medicaid Investigation Division, Raleigh, NC 2011 – Present Medicaid Financial Investigator Supervisor (Full-Time) (40Hrs/wk) Spearhead team of financial investigators in comprehensive analysis and investigation of intricate criminal and civil financial frauds within diverse Medicaid provider frameworks, ensuring adherence to various payment plans. Conducted investigations into Medicaid violations as part of North Carolina Bureau of Investigations, managing routine and complex cases involving provider fraud. Ensure strict enforcement of State Legislation governing North Carolina Medicaid Programs, promoting program integrity and compliance. Play pivotal role in mentoring new investigators, fostering professional development and knowledge transfer within team.

● Led investigations into Medicaid program administration fraud, patient fund misappropriation in Medicaid-funded facilities, and instances of patient abuse while authorized to probe fraud in Medicare and other federal healthcare programs linked to Medicaid fraud.

● Investigated infractions and suspicious activities related to Managed Care and Elderly Care within Medicaid Program.

● Collaborated within federal task force targeting misuse of North Carolina Medicaid and Medicare funds, contributing expertise in Medicaid-related investigations.

● Compiled and documented investigative findings for presentation to North Carolina State Attorney’s Office, supporting Grand Jury Testimony and prosecution considerations.

● Provided expert testimony in Civil Qui Tam cases and criminal proceedings concerning elderly mistreatment, Medicaid Fraud, Nursing home fatalities, and related criminal cases.

● Facilitated exchange of Medicaid data and evidence between Managed Care Organizations and North Carolina Medicaid Investigations Division, supporting investigations into violations concerning funds allocated to Medicaid mental health recipients. Additional Experience

Quartermaster Officer (Full-Time) (60+Hrs/wk)

United States Army, Fort Bragg, NC

Account Receivable Clerk/Night Auditor (Full-Time) (40 Hrs/wk) Powhatan Plantation Resort, Williamsburg, VA

Education

Masters Of Science Degree in Accounting – Concentration in Forensic Accounting Southern New Hampshire University, Manchester, NH 2018 Bachelor of Science in Accounting

Methodist University, Fayetteville, NC 2010

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Professional Development

Officer Candidate School, Fort Benning, GA

Basic Office Leadership Course II, Fort Benning, GA Quartermaster Officer Basic Course, Fort Lee, VA

Nuclear/Biological/Chemical Defense Course, Fort Bragg, NC North Carolina Department of Justice Financial Academy Graduate 40 Hours of Interview and Interrogation Training, North Carolina Bureau of Investigation 16 Hours of Arresting Communication Training sponsored by North Carolina Department of Justice License & Certifications

Current Department of Defense Secret Security Clearance Field Ordering Officer Training (Purchasing Agent

Basic Law Enforcement Course (Military)

Field Sanitation Team Training

Defense Hazardous Materials Handling Course

Combat Lifesaver Course

Ammunition Handler Certified

Range Safety Officer Qualified

Honors & Awards

Meritorious Service Medal

Joint Service Commendation Medal

Army Commendation Medal

Army Achievement

Joint Meritorious Unit Award

Army Good Conduct Medal

National Defense Service Medal

Armed Forces Expeditionary Medal

Iraq Campaign Medal with Campaign Star

Global War on Terror Expeditionary Medal

Global War on Terror Service Medal

Humanitarian Service Medal

Army Service Ribbon

Wheeled Vehicle Driver Badge

Contracting Officer Representative

Undercarriage Vehicle Inspection Trolley (UVIT) Trained Operator 40 Hour North Carolina Justice Academy Certification in Interview & Interrogation U.S. Attorney Offices – Eastern District of North Carolina Certification for Discovery of Law Enforcement Agents Seminar Technical Proficiencies

Microsoft Office Suite Peachtree Software Property Book Unit Supply Enhance (PBUSE) Military Supply Tracking System Selected Acquisition Report (SARs) Military Ordering System



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