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Donald Sears
Business Analyst at Perspecta
Donald Sears is a highly experienced professional with a robust background in Medicare services, fraud investigation, quality assurance, and outreach coordination.
With a Bachelor of Arts in History from the State University of New York College at Oswego and an Associate of Arts in Liberal Arts from Cayuga County Community College, Donald combines academic knowledge with practical expertise.
During his tenure at Empire Medicare Services (EMS), a division of Empire Blue Cross and Blue Shield, Donald held various roles including Medicare Fraud Information Specialist, Congressional Liaison, and Professional Relations Trainer, demonstrating a deep understanding of the Medicare program and its complexities.
At SafeGuard Services (SGS), a division of Hewlett Packard (HP), Donald served as a Fraud Investigator, Outreach Coordinator for the Medicare Drug Integrity Contractor (MEDIC), and later progressed to become a Quality Assurance Analyst, where he conducted internal and external audits and provided training on Medicare and benefit integrity.
In addition to his work within the healthcare sector, Donald has also worked in roles such as Business Analyst at Perspecta, Pension Census Auditor at CPS Recruitment, Inc., and various other positions showcasing his versatility and adaptability.
Donald's extensive experience includes handling complaints and concerns from Medicare beneficiaries and medical providers, educating different stakeholder groups on fraud, waste, and abuse in Medicare, and ensuring the coordination of fraud investigations across multiple states.
Through approximately 70 outreach presentations, Donald exceeded expectations and received accolades for his training sessions from various organizations, highlighting his strong communication and presentation skills.
His role as a Quality Assurance Analyst involved becoming a certified auditor, conducting various audits, and providing internal training on Medicare, benefit integrity, and claims systems.
Donald's background also includes roles such as Research Assistant at SUNY Oswego, Security Guard at Burns Group International, LLC, Museum Assistant at Old Brutus Historical Society, and Groundskeeper at Village Manor Apartments, showcasing his diverse skill set and work experience.