Scott Kline, CFE, SME

Experience

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  Circle B Construction Systems

  Mar 1995 - May 2000

  Controller

  Controller /CPA, Circle B Construction, Inc.• Member of executive management team for a 15-million-dollar annual sales construction firm• Worked with executives to create corporate vision and mission statements• Supervised 8-person accounting team in high-volume accounting and administration environment

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  U.S. Secret Service

  May 2000 - Sept 2008

  Collaboratively developed and implemented industry leading personal and facility-based security plans for America’s leaders. Served in all facets of physical protection from Site Assessments, Lead Advance Agent to Protective Detail Agent.• Technical Security Agent that supervised ordnance disposal teams for 50+ missions. • Executed over 30 site vulnerability assessments with recommendations for security improvement that reduced personnel requirements by 20%• Installed, maintained and provided training on a sophisticated perimeter security system to security personnel that provided protection to a sitting American President• Developed detailed schedules to effectively and efficiently meet arduous timelines• Lead Advance Agent for former American President. 20+ locations that required the management of personnel and physical assets to develop a protective operational plan to maintain safe environments.• Site Agent for foreign heads of state at 30+ specific locations to prevent external threats from organized entities and bad actors.• Background Investigator for new Special Agent applicants. Full scope that included document search, NCIC/CCH, applicant and reference interviews. Show less Certified Public Account (former) with expertise in complex transnational criminal organizational money laundering schemes. Responsibilities included project management organization, execution and operational effectiveness.• Utilized financial auditing techniques to identity 10+ illicit cash flow schemes.• Team Leader for 30+ mission operations that lead to 40+ arrest and convictions• Project Manager for a multi-defendant financial fraud conspiracy that produced the punitive sentence of 17 years for the ring leader, convictions of 12 defendants, identified 300 victims and financial losses that exceed $1 million.• Collaborated with financial institution investigators to identify suspicious activity. Show less

  • Special Agent | Physical Protection Project Manager

    May 2000 - Sept 2008

  • Special Agent | Financial Fraud Project Manager

    May 2000 - Sept 2008
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  U.S. Department of Homeland Security

  Sept 2008 - Sept 2021

  Program Manager, Undercover Operations Homeland Security Investigations, Dallas, TexasProgram Manager for a national undercover operation that required forward thinking methodologies, finance expertise and proven customer service skills. Areas of Expertise: Program, Personnel Management and Budget Management.Management Leader• Management of multimillion-dollar program that comprised of 5+ funding sources.• Performed annual performance assessments. Provided guidance regarding institutional metrics and actionable methods for improvement.• Direct oversight of 10 undercover operators and 4 undercover business platforms.Program Management• Customer driven approach that reduced expenditure approvals from days to hours.• Developed an investigative case tracking system to ensure all expenditures and allocated assets were documented and maintained. Show less Homeland Security Investigations, Dallas, TexasCase Project Manager to drive operational advancement to protect America’s technology and financial systems from internal and external adversaries. Focus on leveraging project management skills, communicating initiatives, building industry relationships. Areas of expertise: Team LeaderManagement Leader•Acting Group Supervisor for 12 direct reports that included goal setting, institutional metrics, and annual evaluations.•Government regulatory expertise: AML, BSA, CTF, OFAC, ITAR, EAR, and FinCEN.• Field Training Officer to New Special Agents: onboarding, policy guidance, field operations, report writing and performance evaluations.Project Manager / Team Leader•Project Manager for investigation that identified 6 tier supply chain and money laundering scheme. Generated $180,000 in seizure proceeds. Extensive use of SARs/ FinCEN as foundation of investigation•Entrepreneur of two undercover business platforms that required licensing, physical and web-based store fronts. Slashed asset purchase cost by 30%.•Team Leader for credit card and ACH Fraud, AML, BSA, CTF, OFAC, investigations on a global financial scale. •Team Leader in the development of forward-thinking methodologies that identified threats, executed innovative operational plans that required 200+ personnel and successfully brought 100+ subjects to justice.Criminal Investigator- Subject Matter Expert (SME)•Case Investigator for 30+ projects that investigated identity (real and manufactured) identity fraud.•Traced telephone records and financial transactions (SARs/ FinCEN) to identify conspirators and assets.•Expedited project integration between specialized units, to include finance, IT, and physical assets to execute 30+ public safety initiatives.•Investigated a Transnational Criminal Organization (TCO) that stopped $150 million of contraband from entering the U.S. economy. Show less Homeland Security Investigations, Dallas, TexasSensitive Technology Specialist that directed strategic deployment of advanced electronic evidence collection systems. Cross-collaboration with Project Managers, IT and Finance.• Slashed loss of sensitive technologies by 10%.• High Voltage Environment team member for installation of aerial surveillance platforms.• Team Leader for installation of 100+ proprietary electronic surveillance systems.• Developed an inventory system for electronic assets with Microsoft Excel to ensure compliance with agency’s directives. Show less Homeland Security Investigations, Dallas, TexasGuided strategic deployment of an identity theft initiative. Developed partnership with entities who shared missional goals. Increase threat awareness caused by identity falsehoods both to the American public and industry.• Team Leader in the development of forward-thinking methodologies that identified threats, executed innovative operational plans that required 200+ personnel and successfully brought 100+ subjects to justice.• Team Leader for multi-national projects that identified and mitigated threats. Implemented operational processes that produced $200,000 in asset forfeiture and conviction of 50 bad actors.• Expedite project integration between specialized units, to include, finance, IT, and physical assets to execute 30+ public safety initiatives. Show less

  • Program Manager, Undercover Operations (Retired)

    Aug 2020 - Sept 2021

  • Special Agent, Counter-Proliferation Project Manager

    May 2015 - Jan 2021

  • Special Agent | Designated Technical Agent

    Sept 2008 - Jan 2021

  • Special Agent, Identity Fraud Project Manager

    Sept 2008 - May 2015
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  Qlarant

  Sept 2021 - Feb 2023

  Healthcare Fraud Investigator

  Healthcare Fraud Investigator for the Department of Health and Human Services, Center for Medicare and Medicaid Services contractor. Areas of expertise: Analytical Thinking, Data Analytics, Trend Analysis and OSINT.Investigations Leader.• Managed multiple Medicaid and Medicare FWA investigations. Prosecution accepted by Office of Inspector General.• Investigated FWA for Texas, Louisiana, Kansas and Arkansas Medicaid Programs. • Instituted provider revocations and CAF payment suspensions.• Data analytics, statical sampling, provider and patient interviews.• Overpayment recovery exceeding 1 million dollars.• Consulted on fraud trends and modeling to detect anomalies. Development of OSINT training module.• Conducted research on medical policies and practices, and provider characteristics. • Supported legal proceedings, court testimony. • Collaborated with U.S. Health and Human Service, Office of Inspector General on civil or criminal actions. • Identified opportunities and made recommendations for reduction of exposure to fraud, waste and abuse.• Performed compliance testing of providers regarding contractual obligations. Show less

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  Aetna, a CVS Health Company

  Jan 2023 - now

  Associate Manager with Direct Oversight of SIU functions; investigators, internal and external compliance reporting, and case management. Areas of expertise: Staff development, Mentoring, Governmental Health Insurance Programs.Servant Leader• Aetna Better Health of Texas: Developed FWA Investigators on investigative methodologies and report writing.• Overpayment recoveries exceeded $3 million dollars.• Aetna Better Health of Michigan: Identified active case challenges and provided contract compliant action plan for.• Consulted and developed training initiatives on anti-fraud policies and procedures.• Aetna Better Health of Kansas: FWA investigation assignments to SIU Investigators.• Direct contact with C-Suite health plan executives regarding recoveries and provider challenges. • Mentor to CVS Health Colleagues.Compliance Consultant• Aetna Better Health of Texas Compliance Team Member that insured accurate reporting to Texas HHSC-OIG regarding recoveries.• Advised C-Suite executives regarding contractual language and plan responsibilities.• National Compliance Team Member for audits of subcontractors.• Provided real-world improvements for case tracking system.• Collaborated with Texas HHSC-OIG Investigators regarding FWA provider investigations. Show less

  • Manager, Special Investigations Unit

    Jun 2024 - now

  • Associate Manager, Special Investigation Unit

    Jan 2023 - Jun 2024