AdvanceMed Corporation
Industry: Company
DescriptionFounded: 1997 Parent organizations: Computer Sciences Corporation, NCI, Inc.
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AdvanceMed Corporation Employees
AdvanceMed Corporation March 2015 - Present
AdvanceMed Corporation October 2010 - March 2015
PSI Probation October 2006 - October 2010
Skills
Microsoft Office, Customer Service, Surveillance, CCTV, Private Investigations, Microsoft Excel, Microsoft Word, Strategic Planning, Team Building, Risk Assessment, Project Management, Government, Fraud, Fraud Detection, Medicare, Training, Investigation, Data Analysis
Education
Middle Tennessee State University 1999 — 2005
Bachelor of Applied Science (B.A.Sc.), Criminal Justice/Law Enforcement Administration
UnitedHealth Group June 2015 - Present
UnitedHealth Group/ Optum January 2014 - Present
US Attorney's Office / Forfeiture Support Associates December 2011 - January 2014
AdvanceMed Corporation December 2007 - December 2011
CVS / Caremark January 2006 - December 2007
Pugh’s Pharmacy October 1999 - December 2005
Tennessee Breast Cancer Coalition Tournament January 2005 - August 2005
Titan’s Radio April 2004 - August 2004
Skills
Data Analysis, Customer Service, Leadership, Interviews, Management, Analysis, Software Documentation, Project Planning, Coaching, Sales, Marketing, Research, Training, Fraud, Policy, Investigation, Microsoft Excel, Government
Education
Austin Peay State University
Master of Arts, Communication Arts
Austin Peay State University
Bachelor of Science, Corporate Communications
US Attorney's Office April 2014 - Present
AdvanceMed Corporation August 2011 - April 2014
Murfreeboro District Attorney's Office March 2011 - August 2011
Skills
Criminal Justice, Interviews, Fraud, PowerPoint, Private Investigations, Investigation, Investigative Research, Certified Fraud Examiner, Criminal Investigations, Medicare, Healthcare, Data Analysis
Education
Middle Tennessee State University 2010 — 2011
Master of Science in Criminal Justice, Criminal Justice/Law Enforcement Administration
Middle Tennessee State University 2009 — 2010
Bachelor's degree, Criminal Justice/Law Enforcement Administration
The University of Tennessee at Chattanooga 2006 — 2009
AdvanceMed Corporation August 2012 - Present
Self-Employed 2009 - Present
Volunteer Community College November 2011 - November 2013
Tennessee District Council January 2010 - July 2012
Kaplan Career Institute June 2005 - August 2009
Tennessee Association of Independent Colleges and Schools (TAICS) 2005 - 2009
Draughons Junior College August 1994 - May 2005
Ganly, Ramer, Finger and Strom June 1985 - June 1993
Skills
Adult Education, Distance Learning, Piano, Teaching, Higher Education, Time Management, Management, Community Outreach, Public Speaking, Student Affairs, Admissions, Social Media, Staff Development, Event Planning, Leadership, Fundraising, Leadership Development, Instructional Design, Career Counseling, E-Learning
Education
Western Carolina University 1992 — 1993
MBA, Management
University of North Carolina at Asheville 1985 — 1991
BA, Music
AdvanceMed Corporation January 2015 - Present
AdvanceMed Corporation June 2012 - December 2014
Powder System Solutions February 2012 - May 2012
NHC Healthcare August 2011 - February 2012
Barge Waggoner Sumner & Cannon, Inc. March 2011 - May 2011
Lipscomb University Office of Admissions September 2009 - May 2011
Skills
Spanish, Data Analysis, Microsoft Office, PowerPoint, Microsoft Excel, Customer Service, Microsoft Word, Analysis, Project Management, Outlook, Data Entry, Sales, Coaching, Press Releases, Sustainability, Event Planning, Public Speaking, Nonprofits, Leadership, Community Outreach, Research, Social Media, Time Management, Facebook, Public Relations, Social Networking, Higher Education, Leadership Development, Marketing
Education
Lipscomb University 2015 — 2016
Master of Business Administration (M.B.A.)
Lipscomb University 2007 — 2011
Sustainable Practice, Environmental Science
Lipscomb University 2007 — 2011
Spanish Language
UnitedHealth Group February 2015 - Present
UnitedHealth Group October 2013 - February 2015
AdvanceMed Corporation June 2007 - October 2013
AdvanceMed Corporation May 2005 - June 2007
Skills
Government, Policy, Research, PowerPoint, Supervisory Skills, Outlook, Private Investigations, Access, Investigation, Software Documentation, Training
Education
Indiana State University 2008 — 2011
Master's degree, Criminology and Criminal Justice
Middle Tennessee State University 2002 — 2005
Bachelor's degree, Criminal Justice/Law Enforcement Administration
Western Illinois University 1998 — 2001
Pursuit of Bachelor's degree, Law Enforcement Justice Administration
AdvanceMed Corporation November 2013 - Present
Select Specialty Hospitals of Ohio January 2000 - January 2005
Select Specialty Hospitals of Ohio January 1998 - January 2005
Select Specialty Hospital January 1999 - January 2000
Riverside Select Specialty Hospital January 1998 - January 1999
Able Care Home Health January 1986 - January 1997
Southwest Regional Medical Center January 1983 - January 1986
Elizabeth General Hospital January 1979 - January 1982
Skills
Contract Negotiation, New Business Development, Training & Development, Public Speaking, Public Relations, Program Management, PowerPoint, Sales Management, Medicare, Employee Training, Hospitals, HIPAA, Training, Nursing, Home Care, Healthcare, Process Improvement, Healthcare Management, Medicaid, Managed Care, Management
Education
Franklin University 2006 — 2011
BS, Health Care Management
Elizabeth General Hospital and Dispensary School of Nursing 1975 — 1979
Diploma, Nursing (RN)
Union College 1975 — 1979
Associate of Science, Nursing Science
Sutter Health January 2013 - Present
NCI Information Systems, Inc. October 2011 - January 2013
AdvanceMed Corporation April 2010 - October 2011
Oklahoma State University January 2008 - December 2009
Oklahoma State University September 2008 - May 2009
Oklahoma State University August 2008 - May 2009
Skills
SAS, Data Analysis, Data Mining, Statistics, Predictive Modeling, Quality Assurance, Business Intelligence, Visio, Access, Analysis, Six Sigma, Business Analysis, Statistical Modeling, Databases, Predictive Analytics, SQL, SAS programming, Logistic Regression, Analytics, Data Management, SAS Programming
Education
Oklahoma State University 2007 — 2009
MS, Industrial Engineering and Management
Osmania University 2003 — 2007
B.E, Industrial Production Engineering
AdvanceMed Corporation March 2013 - Present
AdvanceMed Corporation September 2001 - February 2013
WPS Health Insurance January 1984 - September 2001
Skills
Healthcare Information..., Visio, Access, Healthcare, Process Improvement, Analysis, Business Analysis, Project Management, Milestones Professional, Government, SQL, SDLC, Requirements Analysis, System Administration, Microsoft SQL Server, Software Documentation, Policy, Program Management, Data Analysis, Technical Writing, Quality Assurance, Project Planning, Training, Leadership, Change Management, Team Building, HIPAA
Education
University of Phoenix 2007 — 2009
MBA
Southern Illinois University, Carbondale 1981 — 1986
Bachelor of Science, Medical Office Administration
Advancemed Corporation October 1996 - Present
Education
Norfolk General Hospital School of Professional Nursing
Diploma, Nursing
Old Dominion University
Bachelor's degree, Registered Nursing/Registered Nurse
OptumInsight February 2012 - Present
AdvanceMed Corporation December 2009 - February 2013
Education
Eastern Kentucky University
MA, Loss Prevention and Safety
Murray State University
BA
Humana July 2015 - Present
Central Virginia Health Network January 2013 - July 2015
Allianz Global Assistance (formally Mondial USA) July 2010 - January 2013
Heaven’s Touch Home Health May 2009 - July 2011
AdvanceMed Corporation August 2009 - August 2010
Skills
5 years medical case..., 5 years health..., 1 year dialysis..., • 2 years nursing..., 3 years nursing manager..., 4 years combined..., Healthcare, Customer Service, Medicare, Case Management, Case Managment, Management, Medical Records, Medicine, Nursing, Team Building, Inpatient, Home Care, Healthcare Information..., ICU
Education
University of Phoenix 2006 — 2008
BS, Registered Nursing/Registered Nurse
Southside Regional Medical Center Professional Schools 2004 — 2006
Diploma, Registered Nursing/Registered Nurse
Case Management Certification
AdvanceMed Corporation, an NCI company June 2013 - Present
AdvanceMed Corporation, an NCI Company August 2012 - June 2013
AdvanceMed Corporation, an NCI Company September 2010 - August 2012
AdvanceMed Corporation May 2010 - September 2010
Windsor Health Plan April 2009 - May 2010
Windsor Health Plan July 2008 - April 2009
Windsor Health Plan January 2006 - July 2008
Tennessee Department of Human Services June 2005 - December 2005
Skills
Medicare, Healthcare, HIPAA, Managed Care, Health Insurance, Strategic Planning, Employee Benefits, Insurance, Leadership, Customer Service, Microsoft Excel, Microsoft Office, Outlook, Contract Negotiation, Staff Supervision, PowerPoint, HMO, Medicare Part D, Provider Relations, SharePoint, Process Improvement, Program Management
Education
University of Mississippi 2002 — 2004
Master of Social Science, Sociology and Anthropology
University of Mississippi 1998 — 2002
Bachelor of Arts (B.A.), Sociology and Anthropology
UnitedHealth Group, Optum March 2015 - Present
AdvanceMed Corporation July 2014 - February 2015
AdvanceMed Corporation March 2010 - February 2015
Metropolitan Nashville Police Department November 1996 - March 2010
Skills
Investigation, Interrogation, Fraud Detection, Interviews, Case Managment, Data Analysis, Surveillance, Fraud, Medicare, Medicaid, Criminal Justice, Crime Prevention, Criminal Investigations, Evidence, Private Investigations, Healthcare, Internal Investigations, Law Enforcement, Microsoft Excel
Education
Middle Tennessee State University
Bachelor of Science (BS), Criminal Justice/Police Science
ITT Educational Services, Inc. June 2014 - Present
CTB/McGraw-Hill (Kelly Services, Inc.) April 2014 - May 2014
National Government Services July 2013 - April 2014
Center Grove Community School Corp December 2012 - May 2013
AdvanceMed Corporation July 2011 - November 2012
Catapult Consultants, LLC June 2010 - July 2011
Health Care Excel July 2008 - December 2009
Anthem May 2003 - June 2008
AdminaStar Federal July 2000 - May 2003
Palmetto GBA May 1995 - June 2000
Skills
Medicare, Healthcare, Medicaid, Certified Fraud Examiner, Accredited Healthcare..., Managed Healthcare..., Performance Auditing, Fraud, Investigation, Fraud Detection, Government, Healthcare Management, Insurance, Leadership, Managed Care, Medical Coding, Process Improvement, Sarbanes-Oxley Act, Analysis, Auditing, Claim, HIPAA, Health Insurance, Policy, Interviews, Business Process..., Data Analysis, Internal Audit, Program Management
Education
Purdue University 1979 — 1983
Bachelor of Arts, Criminology/Criminal Justice
Western Boone Jr Sr High School
Newmarket International August 2011 - May 2014
BlueCross BlueShield Massachusetts February 2004 - September 2006
Approach Group Inc July 2003 - December 2003
AdvanceMed Corporation November 1997 - May 2002
Skills
Business Analysis, Requirements Analysis, Project Management, SaaS, Account Management, Process Improvement, Enterprise Software, Business Development
Education
University of New Hampshire 1989 — 1993
Forfeiture Support Associates, LLC. October 2012 - Present
AdvanceMed Corporation October 2010 - April 2012
Govenor's Office of Consumer Affairs January 2008 - October 2010
Governor's Office of Consumer Affairs April 2006 - January 2008
Skills
Budgets, Project Planning, Private Investigations, Criminal Investigations, Criminal Law, Surveillance, Background Checks, Research, Public Speaking, Security Management, Microsoft Office, Customer Service
Education
Marymount University 2003 — 2005
Masters of Arts, Forensic Psychology
Florida State University 2000 — 2003
Bachelors of Science, Criminology
Edaptive Systems, Inc December 2012 - Present
AdvanceMed Corporation October 2010 - December 2012
CSC October 2008 - September 2010
CSC August 2007 - September 2008
CSC 2003 - 2005
CSC 2003 - 2005
SETA Corporation 1997 - 2000
Skills
Business Development, Management, Strategic Planning, Healthcare, Program Management, Business Intelligence, CMS, SDLC, IT Strategy, Process Improvement, Proposal Writing
Education
The George Washington University 1995 — 1997
MS, Information Systems
Carroll College 1988 — 1992
BA, International Relations, French
Université de Caen Normandie
Certificate, French Language
Comdata 2012 - Present
AdvanceMed Corporation 2011 - 2011
Davidson County Sheriff's Office 2010 - 2011
Kroll 2008 - 2010
TEKsystems - Nissan North America 2007 - 2007
InterCall 2006 - 2006
Allstate 2003 - 2005
Protective Life 1997 - 2002
Skills
Risk Management, Regulatory Reporting, Medicare/Medicaid..., Medical Records, Fraud Detection, Fraud Investigations, Case Management, Requirements Analysis, Data Mining
Education
Lawson State Community College-Birmingham Campus
Associate of Applied Science - Nursing, Nursing
Trevecca Nazarene University
Bachelor of Science (B.S.), Criminal Justice
Middle Tennessee State University August 2005 - Present
AdvanceMed Corporation October 2010 - August 2012
Healthways April 2007 - April 2010
CIGNA Government Services 2005 - 2007
Skills
SAS, SPSS, Statistics, Data Analysis, Access, SQL, Excel, Research, Analytics, Statistical Modeling, Teaching, Analysis, Research Design, Predictive Modeling, Project Management, Quantitative Research, Ecology, Science Education, SAS programming, Qualitative Research
Education
Middle Tennessee State University 2001 — 2003
MA, Quantitative Psychology, Biology
Middle Tennessee State University 1995 — 2000
BS, Psychology, Biology
AdvanceMed Corporation January 2015 - Present
Peak Health Solutions (Formerly Health Data Essentials) June 2012 - October 2014
Health Integrity, LLC March 2009 - February 2012
Children's Hospital of The King's Daughters May 2005 - January 2009
TriCenturion March 2003 - April 2005
Delmarva Foundation March 1996 - March 2003
Skills
SAS, Statistics, SAS programming, Data Mining, Data Analysis, Predictive Modeling, Statistical Modeling, Healthcare, Predictive Analytics, Analysis, Healthcare Information..., Analytics, Databases, SQL, Health Policy, Business Intelligence, Linear Regression, Survival Analysis, Data Management, Logistic Regression, SPSS, Time Series Analysis, Multivariate Analysis, Medicaid, Epidemiology, Biostatistics, R, Research, Data Warehousing, SAS Programming
Education
University of Maryland Baltimore County 1991 — 1993
MS, Statistics
Case Western Reserve University 1987 — 1991
BS, Statistics
Inrix November 2012 - Present
NCI, Inc. October 2010 - November 2012
Advancemed Corporation August 2009 - September 2010
Skills
SAS, Data Mining, Data Analysis, SQL, Statistical Modeling, Statistics, SAS programming, Predictive Modeling, Databases, Analysis, Microsoft SQL Server, Stata, Quality Assurance, R, SAS Programming, Predictive Analytics, Visual Basic
Education
Georgia Institute of Technology 2007 — 2009
MS, Economics
Georgia Institute of Technology 2007 — 2009
MS, Statistics
University of International Business and Economics 2002 — 2006
BS, Finance
AdvanceMed Corporation January 2011 - Present
Tennessee Department of Health, Community Systems Division 2007 - Present
Tennessee Department of Health, Community Systems Division 2006 - 2007
Verizon Wireless 2005 - 2006
Tennessee Department of Labor and Workforce, Research and Statistics 2004 - 2005
Skills
Business Analysis, Access, Decision Support
Education
Middle Tennessee State University 2008 — 2010
Master of Business Administration, Business Administration
Tennessee State University 2000 — 2004
Bachelor of Science, Mathematics
Tennessee State University 2000 — 2004
BACHELOR OF SCIENCE DEGREE, COMPUTER SCIENCE
Integrity Management Services, LLC November 2013 - Present
HealthCore, Inc. (Subsidiary of Wellpoint, Inc) November 2012 - November 2013
AdvanceMed Corporation October 2009 - November 2012
Apex Technology Systems January 2009 - October 2009
Skills
SAS Certified Base..., SAS Advanced Certified..., SQL, Minitab, SPSS, SAS Enterprise Miner, Oracle Data Miner, XML, HTML, MySQL, SAS, Teradata, Microsoft SQL Server
Education
University at Buffalo 2008 — 2008
Master's degree, Statistics and Quality
National Institute of Technology Calicut 1999 — 2003
Bachelor of Science (BS)
Advancemed Corporation November 2013 - Present
AdvanceMed Corp April 2011 - November 2013
Skills
Public Speaking, Medicare, Healthcare, HIPAA, Research, Process Improvement, Quality Assurance, Microsoft Word, Analysis, Software Documentation, PowerPoint
Education
Chestnut Hill College 1999 — 2002
Bachelor of Science (BS), Criminalistics and Criminal Science
AdvanceMed Corporation October 2013 - Present
AdvanceMed Corporation June 2012 - September 2013
AdvanceMed Corporation December 2009 - May 2012
Target August 2007 - June 2009
Florida Department of Children and Families June 2003 - July 2006
Education
University of North Alabama
Bachelor of Science, Sociology and Criminal Justice
University of North Alabama
Master of Science, Criminal Justice