AvMed Health Plans
Industry: Company
DescriptionFounded: 1969 Headquarters: Gainesville, Florida, United States Parent organization: SantaFe HealthCare, Inc.
AvMed Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at AvMed Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
AvMed Health Plans Salaries. You can even request information on how much does AvMed Health Plans pay if you want to. Learn about salaries, pros and cons of working for AvMed Health Plans directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
397 AvMed Health Plans employees in database. Find out everything there's to know about AvMed Health Plans employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
AvMed Health Plans Employees
Blue Shield of California July 2015 - Present
Cambria Solutions September 2014 - April 2015
Infiniti Consulting Group May 2011 - September 2014
Life & Specialty Ventures, LLC August 2007 - May 2011
AvMed Health Plans March 2002 - August 2007
Kemper Insurance July 2000 - September 2001
Vista Healthplan August 1997 - July 2000
Humana April 1993 - August 1997
United States Marine Corps February 1988 - November 1991
Skills
Business Intelligence, SharePoint, Visio, Business Analysis, SDLC, Vendor Management, Requirements Gathering, Microsoft SQL Server, Integration, Process Improvement, Software Project..., Training, IT Management, Data Analysis, PMP, Program Management
Education
Barry University 1993 — 1998
B.S., Management
ChenMed May 2014 - Present
Beacon Health Strategies/Psychcare August 2011 - May 2014
A&S Financial Servces March 1995 - April 2011
AvMed Health Plans October 1979 - March 1995
Skills
Managed Care, Network Development, Provider Relations, Contract Negotiation, Strategic Planning, Team Building, Analysis, Leadership, Research, Product Development, Healthcare Management, Healthcare, Medicaid, Credentialing, Health Insurance, Management, HMO, Medicare, Healthcare Industry, Health Policy, HIPAA, Quality Improvement, Revenue Cycle, Healthcare Consulting, Hospitals, Healthcare Information..., Physician Relations, Practice Management, PPO, Physicians, Informatics, Disease Management, EHR, EMR
Education
Florida Atlantic University
BHSA, Business Administration - Health Services Administration
Broward College
AAS, Health Care Administration
GLEN COVE HIGH SCHOOL
AvMed Health Plans May 2000 - Present
AvMed Health Plans September 1998 - May 2000
AvMed Health Plans January 1995 - September 1998
WLRN July 1994 - January 1995
Skills
Advertising, Marketing Communications, Social Media Marketing, Social Media, Marketing, Strategic Communications, Integrated Marketing, Public Relations, Strategic Planning, Digital Marketing, Leadership, Marketing Strategy, Media Relations, Analytics, Microsoft Office, Social Networking, Microsoft Excel, Customer Service
Education
Edinboro University of Pennsylvania
Public Relations, Advertising, and Applied Communication
Mar Azul Marine July 2014 - Present
IslamoradaBoats.com August 2012 - Present
JWR Marketing January 2008 - Present
On Second Thought Consignment Emporium February 2012 - May 2013
Islamorada Boat Center May 2011 - April 2012
IBS-Interbev April 2010 - April 2011
Kold-Draft April 2009 - June 2010
"Ladies, Let's Go Fishing!" June 2007 - November 2008
Hoshizaki 2004 - 2007
AvMed Health Plans 2004 - 2006
Skills
Sales, Account Management, Sales Management, New Business Development, Marketing, Marketing Strategy, Team Building, Product Development, Contract Negotiation, B2B, Negotiation, Customer Service, Strategic Planning, Budgets, Forecasting, Operations Management
Education
Key West High School 1993 — 1994
Denbigh High
Florida Keys Community College
Broward Health April 2012 - Present
AvMed Health Plans 2002 - 2012
Magellan Speciaty Health 1996 - 2002
Skills
Medicare, Insurance, Healthcare, Compliance, Case Management, Auditing, Administration, Documentation, Physicians, Health Policy, HIPAA, Clinical Research, Policy, Software Documentation, Medical Billing, Medical Coding, EMR, Home Care, Healthcare Consulting, Healthcare Management, Health Insurance
Education
Florida International University
MBA, Management
Florida International University
B.H.S.A., Health Administration
Health Sciences Center
Registered Nurse
Cigna February 2015 - Present
Cigna September 2013 - Present
Cigna July 2010 - September 2013
AvMed Health Plans September 2009 - July 2010
AvMed June 2008 - October 2009
HealthSun Health Plans, Inc July 2005 - June 2008
CarePlus Health Plan February 2004 - July 2005
CarePlus Health Plan January 2003 - February 2004
CarePlus Health Plan December 2001 - January 2003
Beacon Health Plans/HIP December 2000 - December 2001
Skills
Provider Relations, Provider Contracting, Utilization Management, Service Provider..., Physician Network..., Business Planning, PPO, Hospitals, Contract Negotiation, Contract Recruitment, Medicare, Network Development, Credentialing, Policy, Health Insurance, Medical Terminology, Medicaid Managed Care, Disease Management, ICD-9, Medical Billing, Medicare/Medicaid..., Healthcare Industry, NCQA, Pharmacy Benefit..., HMO, Medicaid, Medical Coding, Physician Relations, Claim, HIPAA, EMR, Healthcare Management, Budgets, Medicare Part D, Analysis, Managed Care, Revenue Cycle, Pay for Performance, Health Policy, Healthcare, Healthcare Information..., Healthcare Reimbursement, CPT, HCPCS, Quality Improvement, Physicians, Healthcare Consulting, EHR, Accountable Care
Education
Florida International University
Bachelor's degree, Health Services Administration
Miami Dade College
Associate of Arts
AvMed June 2014 - Present
AvMed Health Plans July 2012 - Present
AvMed February 2011 - July 2012
AvMed February 2009 - February 2011
AvMed December 2007 - February 2009
AvMed August 2007 - December 2007
Ezstitching.com, Inc. (Sister Company to Graphink) December 2005 - February 2007
Graphink, Printing, and Promotions, Inc. January 2003 - February 2007
Skills
XP, Software Documentation, Requirements Analysis, Access, Visio, MS Project, Business Process..., SQL, Process Improvement, Microsoft SQL Server, SDLC, Integration, CRM, Testing, Management, Databases, Analysis, Leadership, Business Analysis, Vendor Management, Requirements Gathering, SharePoint, Training, PMP, Project Management, Team Leadership, Systems Analysis
Education
Florida International University - College of Business 2002 — 2007
Bachelor of Business Administration, Management of Information Systems
Santa Fe College January 2011 - Present
Ceridian May 2012 - January 2014
AvMed Health Plans June 1999 - December 2010
Skills
Healthcare, Regulatory Compliance, HIPAA, Employee Benefits, EHR, Healthcare Compliance, Health Law, Healthcare Information..., Staff Development, Distance Learning, Student Affairs, Accreditation, College Teaching, Management, Public Speaking, Managed Care, Microsoft Office, Customer Service, Adult Education, Program Management, Strategic Planning, Medicare, Leadership, Research, Process Improvement
Education
University of Florida - Fredric G. Levin College of Law 1993 — 1995
JD
Eastern Kentucky University 1984 — 1989
Bachelor of Science (BS), Medical Record Administration
ADP September 2013 - Present
Booz & Co. March 2010 - September 2013
Booz & Co. March 2010 - March 2012
Deloitte Consulting January 2006 - March 2010
AvMed Health Plans January 2003 - December 2005
AvMed Health Plans January 2001 - January 2003
AvMed Health Plans January 2000 - January 2001
AvMed Health Plans January 1999 - January 2000
AvMed Health Plans January 1998 - January 1999
Skills
Product Development, Competitive Analysis, Strategic Planning, Strategy Development, Consumer Insights, Segmentation, Strategy, Management Consulting, CRM, Program Management, Customer Insight, Business Strategy, Strategic Partnerships, Leadership, Cross-functional Team..., Business Development, Market Research, Project Management, P&L Management, Change Management, Business Planning, Management, Forecasting, Marketing Strategy, Go-to-market Strategy, Financial Modeling, Executive Management, Product Launch, Analytics, Training
Education
Emory University 2004 — 2005
MBA, Strategy and Global Business
Davidson College 1994 — 1998
BS, Biology, Economics
Spirit Airlines July 2015 - Present
AvMed Health Plans January 2013 - Present
. July 2012 - January 2013
Burger King Corporation January 2007 - June 2012
Burger King Corporation January 2007 - December 2010
Compuquip Technologies March 2002 - December 2006
e-Solutions Corporation October 1999 - November 2001
Lotus Development Corp. (IBM) October 1996 - October 1999
Delta Airlines 1988 - 1996
Skills
VMware ESX, Lotus Notes, Citrix, Nitro, Disaster Recovery, Bluecoat, SAP EPP, IIS, Hyperion Enterprise, Contingency Planning, Microsoft Exchange, Office 365, Cloud Computing, Kofax, SIEM, PCI Standards, Informatica..., MS Project, Visio, Lotus Domino..., Wireless Networking, Checkpoint Security, Palo Alto, Active Directory, Business Process..., SAP, VMware, Application Architecture, IT Security Policies, IT Security Best..., Lotus Domino, Incident Management, Databases, IT Management, Enterprise Architecture, Service Delivery, IT Operations, Windows Server, VPN, Technical Support, Networking, SharePoint, Information Technology, Hardware, Software Documentation, Infrastructure, Microsoft SQL Server, WAN, Security, Firewalls
Education
Florida International University 1989 — 1995
BA International Relations
ADP July 2015 - September 2015
Humana January 2014 - September 2014
Open English May 2013 - September 2013
Open English November 2012 - May 2013
AvMed Health Plans December 2010 - January 2012
AvMed Health Plans November 2008 - December 2010
AvMed June 2008 - November 2008
ADP October 2007 - June 2008
Steiner Management Services January 2003 - October 2007
Skills
Health Insurance, Human Resources, Legal Administration, Office Administration, Marketing, Leadership, Employee Benefits, Software Documentation, Access, Call Centers, Administrative..., Data Entry, Office Management, Benefits Administration, Outlook, Superior Client Service, Microsoft Office, Event Planning, Employee Relations, Insurance, Recruiting, Team Leadership, Project Management, Budgets, Research, Invoicing, Account Reconciliation, Payroll, Training, Accounts Payable, Team Building, Time Management, Administrative...
Education
Cornell University 2013 — 2015
Master Certificate, Human Resources
Nova Southeastern University 2002 — 2004
Bachelor's degree, Business Administration, Management and Operations
ProAct Health Solutions July 2014 - Present
ProAct Health Solutions January 2014 - July 2014
Coventry Health Care 2009 - 2012
AvMed Health Plans 1997 - 2006
AvMed Health Plans 1997 - 2006
Skills
HIPAA, Claim, Health Insurance, Medicaid, Medicare, Process Improvement, PPO, Provider Relations, Visio, HMO, Network Development, Credentialing, Insurance, Managed Care, Healthcare, Healthcare Industry, Healthcare Management, Healthcare Consulting
Education
Auburn University
AvMed Health Plans December 2012 - Present
Baptist Health South Florida located in Miami, Florida February 2005 - Present
Mercy Hospital November 2002 - February 2005
Skills
Realty, Excel, Health Insurance, Utilization Management, Insurance Verification, Healthcare Industry, Event Planning, Corporate Events, Corporate Social..., Revenue Cycle, Real Property, Healthcare, Insurance, Physician Relations, Medical Billing, Managed Care, Microsoft Excel, Healthcare Management, Medicare, Medicaid, HIPAA, CPT, Healthcare Consulting, Hospitals, ICD-9, Medical Coding
Education
Florida International University 2005 — 2007
BA, Health Services Administration
Royal Caribbean Cruises, Ltd. February 2015 - Present
Complete Conference Management May 2013 - February 2015
Carnival Cruise Lines July 2011 - March 2013
AvMed Health Plans September 2010 - March 2011
Spanish Broadcasting System January 2010 - March 2010
Advantage Sales & Marketing February 2004 - March 2007
Skills
Advertising, Marketing, Marketing Strategy, Marketing Communications, Marketing Management, Brand Development, Brand Management, Brand Awareness, Public Relations, Product Marketing, Project Management, Social Media Marketing, Corporate Branding, Branding & Identity, Brand Loyalty, Creative Briefs, Creative Strategy, Creativity, Creative Writing, Creative Direction, Budgets, Sales, Logo Design, Digital Marketing, Email Marketing, Email Marketing Software, Website Updating, Web Marketing, Direct Marketing, Online Marketing, Graphic Design, Online Advertising, Market Planning, Google Analytics, Press Releases, Lead Generation, SEM, CRM, SEO, ExactTarget, Joomla, Mobile Marketing, Direct Mail, Social Networking, Market Research, Social Media, Digital Media, Content Management, Strategy, PPC
Education
Nova Southeastern University 2009 — 2010
MBA, Business Administration
Florida International University 2007 — 2008
BBA, Business Management
AvMed Health Plans September 2013 - Present
Milliman June 2012 - August 2013
AvMed Health Plans September 2010 - June 2012
State of Florida February 2009 - August 2010
Towers Perrin May 2009 - August 2009
Skills
Proficiency with..., Business Objects, Actuarial Science, Access, Data Analysis, Analysis, Employee Benefits, Insurance, Microsoft Excel
Education
Florida State University 2006 — 2010
Bachelor of Science, Actuarial Science, Applied Mathematics
AvMed Health Plans September 2001 - Present
Skills
Business Analysis, Strategic Planning, HIPAA, Process Improvement, Term Life Insurance, General Insurance
Education
Miami Senior High 1977 — 1980
Florida Career College-Miami
Associate's degree, Business Administration and Management, General
WellCare Health Plans July 2015 - Present
WellCare Health Plans 2014 - Present
Benicomp Insurance Company October 2013 - December 2014
Tampa General Hospital March 2010 - March 2012
Jackson Memorial Hospital February 2002 - September 2010
AvMed Health Plans March 1996 - January 2002
Skills
ER, Medical Surgical,..., Utilization Management, Case Managment, Patient Education, Medical Coding, Medical/Surgical, Legal Nurse Consulting, Case Management, Health Education, Nursing, Healthcare Management, Physicians
Education
Saint Thomas University 2003 — 2005
MSM, Science Managment
Barry University 1999 — 2002
BSN, Registered Nursing/Registered Nurse
Arise Virtual Solutions Inc. December 2013 - Present
PricewaterhouseCoopers (PwC) April 2012 - December 2013
Assurant Solutions January 2012 - April 2012
AvMed Health Plans June 2011 - January 2012
Independent Purchasing Cooperative October 2010 - June 2011
Burger King Corporation January 2008 - October 2010
AutoNation November 2004 - January 2008
Planet / Potamkin Automotive Group December 1999 - November 2004
AutoNation January 1996 - November 1999
Cambridge Technology Partners January 1991 - January 1996
Skills
Business Intelligence, IT Strategy, ITIL, Integration, Cloud Computing, Disaster Recovery, Databases, ERP, SaaS, Data Warehousing, Enterprise Software, Data Center, Vendor Management, Business Analysis, IT Service Management, Project Management, Management, CRM, Software Development, Security, Process Improvement, Information Technology, Agile Methodologies, Microsoft SQL Server, Program Management, IT Management, Project Planning, SQL, Leadership, IT Leadership
Education
Florida State University 1985 — 1989
BS, Psychology/Neuro Psychology
Florida Health Solution HMO Company March 2015 - Present
AvMed Health Plans 2013 - February 2015
JIPA Network, LLC. 2011 - 2013
Kaplan College April 2010 - May 2012
Florida Health Care Plus, Inc. 2010 - 2011
SUNSHINE STATE HEALTH PLAN, INC 2008 - 2009
MRM Medical Credentialing Services, Inc., Doral, FL. 2006 - 2008
HUMANA, INC 2003 - 2006
Skills
Medicare, Healthcare, Managed Care, Healthcare Management, Medicaid, Healthcare Information..., Physicians, Hospitals, Healthcare Industry, Leadership, Healthcare Consulting, Provider Relations, Practice Management, Health Policy, Credentialing, Revenue Cycle, Process Improvement, HIPAA, Strategic Planning, EMR, Team Building, EHR, CPT, Home Care, Health Insurance, Medical Coding, Management, Teaching, Operations Management, Training, Accountable Care, Strategy, Insurance, Consulting, Business Development, Compliance, Physician Relations, Medical Billing, Quality Improvement, Informatics, Analysis, Policy, Customer Service, Revenue Cycle Management, Utilization Management, Contract Negotiation, Budgets, Human Resources, Marketing, Risk Management
Education
Keller Graduate School of Management 2007 — 2009
MPA, Healthcare Services Management
Florida International University 2000 — 2002
Bachelors, Business Administration; Management
Sovereign Health Group Addiction, Dual Diagnosis & Mental Health September 2015 - Present
21st Century Television 2013 - 2014
AvMed Health Plans September 2012 - December 2013
Jacobson Sinai Academy August 2008 - May 2012
The Alison Group 2006 - 2008
Watch Buyers Inc 2004 - 2006
Krispy Kreme 2001 - 2004
Viacom 1999 - January 2001
Tony Roma's Franchising 1994 - 1999
Matrix 2 Advertising 1992 - 1994
Skills
Account Management, Advertising, Brand Management, Brand Development, Broadcast Television, Entertainment, Marketing, Marketing Communications, Marketing Strategy, New Business Development, Market Research, Marketing Management, Product Marketing, Television, Health Insurance, Healthcare Industry, Managed Care, Medicare, Healthcare Management, Integrated Marketing, Digital Marketing, Digital Media, Event Planning, Digital Strategy, Media Planning, Video Production, Online Advertising, Creative Strategy, Social Media, Strategic Communications, Brand Awareness, Online Marketing
Education
Emerson College
Bachelor of Arts (B.A.), Mass Communication/Media Studies
MHS
State University of New York College at Purchase
Bachelor of Arts (BA), Cultural Anthropology
CVS Health August 2015 - Present
University of Miami, Miller School of Medicine- UHealth December 2013 - Present
AvMed Health Plans December 2012 - November 2013
Memorial Health Care System November 2011 - December 2012
Memorial Healthcare System January 2010 - November 2011
Memorial Healthcare System September 2007 - January 2010
Skills
Healthcare Management, Epic Systems, Hospitals, Healthcare, Inpatient, Healthcare Information..., EHR, Managed Care, HIPAA, Training, Clinical Research, Process Improvement, Public Health, Coaching, Employee Benefits, Call Centers, Data Analysis, Healthcare Consulting, Management, Policy, Leadership, Team Building, Cisco Call Manager, Amisys, Pivotal, Siebel, Medicare, Healthcare Industry, Medicaid, Customer Service, Public Speaking, EMR, Microsoft Excel, Outlook
Education
Florida International University
Bachelor of Arts (B.A.)
Baptist Health South Florida located in Miami, Florida December 2012 - Present
AvMed Health Plans March 2001 - July 2005
Humana 1996 - 2001
Burger King Corporation 1992 - 1994
Skills
Accounting, Quality Auditing, Internal Audit, Accounts Receivable, Account Reconciliation, Accounts Payable, Billing Systems, Health Insurance, Supervisory Experience, Auditing, Software Documentation
Education
Florida International University 1987 — 1993
Bachelor of Science (BS), Hospitality Administration/Management
Miami Sunset Senior High School 1985 — 1987
Diploma, Music Performance, General
AvMed Health Plans September 2011 - December 2011
AvMed Health Plans January 2011 - April 2011
AvMed Health Plans September 2010 - December 2010
Georgia Southern University Testing Office September 2007 - July 2009
Skills
•Possess strong..., •Enthusiastic..., •Cooperative team..., •Computer Skills:...
Education
Barry University 2009 — 2012
Master's degree, Health/Health Care Administration/Management
Georgia Southern University - College of Business Administration 2006 — 2009
Bachelor's degree, Business Administration and Management, General
Aon August 2014 - Present
Burger King Corporation January 2012 - July 2014
Hays Companies 2008 - 2012
ADP TotalSource April 2006 - September 2007
Frank Crystal & Company February 2004 - April 2006
Aon October 2001 - February 2004
AvMed Health Plans March 1994 - September 2001
Skills
Employee Benefits, Benefits Administration, Health Insurance, Human Resources, Performance Management, Insurance, Deferred Compensation, COBRA, Strategic Planning, HR Policies, FMLA, Account Management, Life Insurance, Organizational..., Process Improvement, 401k, Employee Engagement, Training, Brokers, Open Enrollment, Mergers, Onboarding, Disability Insurance, Employee Relations, New Hire Orientations, HRIS, Workforce Planning, Employee Training, Executive Pay, Employee Wellness..., Health Savings Accounts, Term Life Insurance, Coaching, Employee Handbooks, Vendor Management, Compensation, Employee Wellness, Management, Customer Retention, Strategy, Health Care Reform, Legal Compliance, Healthcare, HIPAA, Claim, Workers Compensation
Education
CEBS
In Progress
Barry University 1994 — 1999
Bachelor's degree, Business Administration and Management, General
TracFone Wireless July 2012 - Present
AvMed Health Plans May 2008 - July 2012
2008 Discovery Channel Communications Inc May 2007 - April 2008
Flamingo International Inc January 2001 - January 2007
Skills
Computer Skills, Analytical Skills, Oral & Written..., Works well in a team, Independent Thinking
Education
Florida International University 2002 — 2006
Associate of Arts (A.A.)
2006 Florida International University, Florida
Associates Degree, Arts
BMHCC July 2002 - Present
AvMed Health Plans November 1994 - July 2002
Education
Florida Atlantic University
LegalShield July 2009 - Present
Big OE Enterprise, LLC May 2008 - February 2013
AvMed Health Plans September 2000 - March 2008
Miami Heart Institute March 2000 - September 2000
United Airlines October 1998 - March 2000
Mercy Hospital March 1988 - October 1998
M Jeffery Designs May 1986 - June 1987
Skills
Leadership, Employee Benefits, Small Business, Entrepreneurship, Team Building, Human Resources, Training, Employee Relations, Insurance, Recruiting, Coaching, Leadership Development, Customer Service, Risk Management, Strategic Planning, Management, Organizational..., Public Speaking, Contract Negotiation, Budgets, Negotiation, Access, Social Networking, Marketing, Policy, Event Planning, Team Leadership, Event Management, Process Improvement, Performance Management, Time Management, Outlook, Program Management, Nonprofits, Corporate Law, Business Planning, Healthcare, Business Development, Management Consulting, System Administration, Operations Management, Mergers & Acquisitions, Benefits Administration, Executive Management, Vendor Management, Analysis, Government, Change Management, Hiring, Strategy
Education
Cours De Qualite Institute 2008 — 2009
Certification, International Wedding Planning Professional
Miami Dade College 2004 — 2005
Certification, Professional Certified Secretary
Florida International University - College of Business 1996 — 1997
Certificate, Human Resource Management
Florida International University - College of Business 1994 — 1995
Certificate, Healthcare Management
Homestead Senior High 1980 — 1984
High School
LegalShield
Certification, Group VoluntaryBenefit Specilist, A
LegalShield & GoSmallBiz
Certification, Small Business Specialist, A
Florida Healthcare 2014 - October 2014
UHC-Medica Health Plans 2013 - 2014
AvMed Health Plans 2010 - May 2013
Blue Cross Blue Shield of Florida 2007 - 2009
Skills
Insurance, Claim, Medicare, Customer Service, Claims Management, Health Insurance, Managed Care, HMO, Networking, Reports, Reporting & Analysis, Executive Reporting, Configuration Management, Contract Management, Medicaid Managed Care, MCSE, AA+, Microsoft Office, HIPAA, Medicaid, Process Improvement, Healthcare Information..., Management, Healthcare Consulting, Healthcare Industry, Strategic Planning, Leadership, Provider Relations, EHR, Healthcare, Team Building, Hospitals, Employee Benefits, Health Policy, Medical Billing, Healthcare Management
Education
Florida International University
CMBA
University of Central Florida
Bachelor, Business Administration and Health Care Services
Seminole State College of Florida
Veterans Trading co 2014 - 2015
Veterans Trading co 2014 - 2015
Thomas and Betts February 2013 - August 2013
Crimson Fire June 2011 - September 2011
Rasmussen College April 2009 - July 2009
Sparton Electronics October 2007 - February 2009
AvMed Health Plans February 2005 - October 2007
Village Center Community Developement District June 2005 - February 2006
Skills
Accounting, Forecasting, Auditing, Budgets, Internal Audit, Sarbanes-Oxley Act, Accounts Payable, Financial Analysis
Education
Ferris State University
MBA, Accounting
ADP December 2011 - August 2014
AvMed Health Plans September 2010 - November 2011
AvMed Health Plans March 2010 - September 2010
Skills
Policy, Insurance, Sales, Account Reconciliation, Medicare, Claim, Administrative..., Health Insurance, Long-term Care, Data Entry, Cold Calling, Employee Benefits, Salesforce.com, Account Management, Sales Presentations
Education
Florida International University
Bachelor's degree, Public Relations, Advertising, and Applied Communication
Miami Dade College
AvMed Health Plans July 2008 - Present
Skills
Microsoft Office, Microsoft Excel, Customer Service, Data Analysis, Microsoft Word, Teaching, Community Outreach, Nonprofits, Social Networking, Event Planning, Account Management, Health Insurance, Coaching
Education
Florida State University
Bachelor's degree, Child Development & Family Services
Carnival Corporation October 2013 - Present
World Fuel Services September 2013 - September 2013
AvMed Health Plans October 2010 - September 2013
Assurant Solutions 1994 - 2010
Assurant Solutions January 2000 - January 2009
Assurant Solutions January 1994 - January 2000
DATA ACCESS CORP January 1990 - January 1994
Education
Florida International University
BS
Nova Southeastern University
Masters of Business Administration (MBA)
Bob Jones University May 2013 - Present
Aldersgate United Methodist Retirement Community August 2010 - May 2013
AvMed Health Plans August 1987 - July 2010
Arthur Andersen & Co. April 1982 - August 1987
Education
University of Florida 1994 — 1996
MBA, FINANCE
Bob Jones University 1978 — 1982
BS, Accounting
AvMed Health Plans December 2010 - Present
Miami Dade County Health Department May 2009 - November 2010
University of Miami, Miller School of Medicine WalkSafe Program 2007 - 2009
Skills
Health Insurance, Public Health, Healthcare, Wellness, Community Outreach, Healthcare Management, Case Managment, Case Management, Data Analysis, Grants, Health Education, Research, Clinical Research, Nonprofits, Healthcare Information..., HIPAA, Health Promotion, Hospitals, Public Speaking, Managed Care, Leadership
Education
Florida International University 2008 — 2010
Master of Public Health (MPH), Health Promotion & Disease Prevention
Florida International University 2004 — 2007
BS, Health Sciences
Independent Contractor January 2013 - Present
POMPANO BEACH INTERNAL MEDICINE November 2012 - Present
Primerica February 2012 - Present
TAKE OVER PRODUCTIONS DBA BEBE BELLA PHOTOGRAPHY November 2011 - Present
AvMed Health Plans August 2011 - December 2011
The Continental Group December 2007 - December 2011
Skills
Customer Service, Real Estate, Strategic Planning, Marketing Strategy, Training, PowerPoint, Microsoft Word, Employee Benefits, Employee Relations, Marketing Communications, Human Resources, Property Management, Social Networking, Social Media Marketing, Social Media
Education
Kaplan University 2013 — 2015
BA, Management
Broward College 2004 — 2007
Parks Medical Electronics, Inc. September 2013 - September 2015
TZ Medical, Inc. August 2013 - August 2013
Brigham Young University August 2011 - July 2012
University of Florida Survey Research Center August 2009 - October 2009
AvMed Health Plans December 2008 - January 2009
Santa Fe College May 2007 - August 2008
TCG, Inc. December 2007 - June 2008
Skills
English, Research, Writing, Reflective Listening, Crisis Intervention, Customer Service, Microsoft Word, PowerPoint, Public Speaking, Mental Health, Psychology, Gender Studies, Adolescents, Childcare, Editing, Community Outreach, Creative Writing, Microsoft Office 2003, Microsoft Office
Education
Portland State University 2015 — 2018
Master's Degree, Clinical Mental Health Counseling
Brigham Young University 2011 — 2013
Bachelor's Degree, Psychology and Women's Studies
Santa Fe College 2006 — 2008
Associate's Degree, Psychology; Medical Coding certificate
Magellan Health Services April 2013 - Present
Simply Health Care Plans August 2011 - April 2013
Prestige Health Choice June 2010 - August 2011
AvMed Health Plans August 1994 - June 2010
Skills
Managed Care, Medicare, Utilization Management, Medicaid, Credentialing, Disease Management, HIPAA, Employee Benefits, HMO, Access, Physician Relations, Provider Relations, Recruiting, Management, Insurance, Strategy
Education
Florida International University
AvMed July 2015 - Present
AvMed January 2014 - Present
AvMed Health Plans September 2013 - Present
AvMed Health Plans March 2013 - September 2013
Private Consulting July 2012 - June 2013
TUUCI December 2011 - August 2012
ValleyCrest Companies June 2008 - August 2010
Compuquip Technologies April 2006 - November 2007
completel miami 2005 - 2005
Skills
IT Management, Information Technology, Project Management, Infrastructure, IT Operations, Leadership, Management, Active Directory, VMware, Windows Server, Microsoft Exchange, Servers, Virtualization, Software Installation, Networking, Troubleshooting, VPN, Security, DNS, WAN, Customer Service, Network Administration, Citrix, System Deployment, Group Policy, VoIP, Disaster Recovery, Switches, Technical Support, Software Documentation, DHCP, Hardware, Network Security, System Administration, Help Desk Support, Cisco Technologies, Windows XP, Computer Hardware, Windows, Blackberry Enterprise..., Network Design, Data Center, Microsoft, Cisco, Firewalls, SAN, Windows 7, Team Building, Vendor Management, Enterprise Software
Education
Florida International University 1997 — 2011
Management Information Systems, General
The Academy of South Florida 2011 — 2011
MCITP - SERVER 2008 ENT ADMIN / CCNA, MICROSOFT AND CISCO
Miami Palmetto Senior High 1994 — 1997
High School Diploma, General Studies
AvMed Health Plans January 2006 - Present
Skills
Data Warehousing, SQL, Business Intelligence, Microsoft SQL Server, Business Analysis, PL/SQL, Unix, Requirements Analysis, Business Objects, ETL, IT Management, Visio, Software Documentation, Disaster Recovery, Project Management, SDLC, Oracle, Requirements Gathering, SharePoint, Crystal Reports
Education
Florida International University 2003 — 2005
Computer Science
AvMed Health Plans August 1989 - Present
Skills
Health Insurance, Medicare, HMO, Managed Care, Provider Relations, PPO, Insurance, Employee Benefits, Medicaid, Health Savings Accounts, HIPAA, Network Development, COBRA, Healthcare, Healthcare Industry, Utilization Management, Healthcare Consulting, Claim, Benefits Administration, Healthcare Information..., Healthcare Management, Long-term Care, Term Life Insurance, Life Insurance, Health Care Reform, Medicare Part D, Disease Management, Claims Resolution, Workers Compensation, Brokers, Underwriting, Call Centers, Pharmacy Benefit..., Customer Service, Health Policy, Hospitals, Strategic Planning, Customer Retention, Customer Satisfaction, Customer Relations, Member Relations, Intuitiveness, Team Leadership, Health Education, Medicare Supplements, Cooking, Healthy Lifestyle, Healthy Eating, Catalyst, Amisys
Education
Barry University 2003 — 2006
Bachelor of Science, Health Service Administration
Miami Dade College 1996 — 1999
Associate of Arts and Sciences (AAS), Business Administration and Management, General
Self Employed November 2008 - Present
AvMed Health Plans July 1993 - November 2008
Eastern Federal Corporation June 1990 - January 1993
General Cinema Corporation December 1986 - August 1989
PBM Office Products April 1985 - July 1986
Skills
Accounts Payable, Health Insurance, HIPAA, Insurance, Medicare, Healthcare, Process Improvement, Training, Strategic Planning, Leadership, Analysis
Education
Santa Fe Community College 1994 — 1995
None, Accounting
Cuyahoga Community College 1985 — 1986
None, Accounting
Miami University 1978 — 1982
BA, English
University of Miami, Miller School of Medicine July 2015 - Present
AvMed Health Plans 2012 - 2015
AvMed Health Plans 2004 - 2012
Brand Institute 2002 - 2004
Brand Institute 1999 - 2002
Skills
Competitive Analysis, Highly Detailed, Business Intelligence, Executive Reporting, Analytics, Market Research, Marketing, Marketing Research, Strategy, Health Insurance, Marketing Strategy, Analysis
Education
Florida International University
MIB, Master of International Business, Business
Florida International University
Bachelor of Business Administration, Marketing; International Business
Tulane University
MBA Certificate (Distance Learning)
Health Family Insurance July 2015 - Present
The Insurance Doctor Inc. October 2014 - June 2015
AvMed Health Plans July 2008 - October 2014
Blue Cross Blue Shield of Florida April 2006 - July 2008
L.A. Care Health Plan 2001 - 2005
Skills
Health Insurance, Healthcare, HMO, Insurance, Sales, Medicare, Managed Care, Medicaid, Product Development
Education
University of Miami - School of Business 2011 — 2012
Masters Business Administration, Executive Health Care MBA
University of Miami - School of Business 2011 — 2012
Certified Six Sigma Champion
California State University-Northridge 1993 — 1998
B.S., Business Administration - Marketing
TruGreen LawnCare April 2007 - Present
TruGreen LawnCare April 2007 - 2012
AvMed Health Plans January 1992 - January 1997
Jostens Scholastic Div January 1987 - January 1992
Citicorp Information Resourses January 1982 - January 1987
Skills
Customer Service, Microsoft Word, Microsoft Office, Microsoft Excel, Customer Retention, Telemarketing, Sales d2d, Computer Hardware, Computer Network..., Supervisory Skills, PowerPoint, Call Centers, Telephone Skills, Customer Satisfaction, Data Entry, Networking, Training, Team Building, Account Management
Education
National College of Business and Arts 1983 — 1985
Asssociate, Business Administration and Management, General
ECPI Computer Programming Institute 1980 — 1981
Programming Certificate, Programming RPG Assembler Cobol Basi
AvMed Health Plans April 1996 - Present
SantaFe HealthCare September 1991 - March 1996
Alachua General Hospital March 1986 - September 1991
Skills
Medicare, Insurance, Healthcare, Training, Health Insurance, Healthcare Industry, Hospitals, HIPAA, Managed Care, Physicians, Healthcare Management, PPO
Education
Santa Fe Community College 1981 — 1983
Daytona Beach Community College 1978 — 1980
Associate of Arts (AA)
Aetna Contract NegotiatorCoventry Health Care, an Aetna CompanyJune 2015 - Present
Coventry Health Care January 2012 - Present
Coventry Healthcare an AETNA Company January 2012 - Present
AvMed Health Plans April 2008 - February 2010
Berlin & Denys Blue Cross Blue Shield of Florida January 1998 - April 2001
Skills
Provider Relations, PPO, Medicare, Managed Care, Medicaid, Health Insurance, HIPAA, Claim, Healthcare Management, Healthcare, Insurance, Healthcare Information..., Medical Billing, Revenue Cycle, Medical Coding, Hospitals, CPT, HMO, Medical Terminology, Call Centers, EHR, Utilization Management, Health Policy, Healthcare Consulting, ICD-9, Healthcare Industry, Physician Relations, Physicians, Quality Improvement, Practice Management, Credentialing, Revenue Cycle Management, EMR, Informatics, Disease Management, Pharmacy Benefit..., JCAHO, Medicare Part D, Health Information..., Network Development, Team Building, Leadership, Management, Customer Service, Strategic Planning, Process Improvement, Training
Education
American InterContinental University
Bachelor's Degree, Healthcare Administration, 3
Sunset senior high
Attest Health Care Advisors 2012 - Present
Prestige Health Choice February 2012 - September 2012
AvMed Health Plans June 2006 - March 2012
AvMed Health Plans August 2006 - January 2009
AvMed Health Plans February 2005 - June 2006
Skills
HEDIS, NCQA, Healthcare Consulting, Process Improvement, Project Management, Data Analysis, Health Policy, Healthcare Management, Informatics, Medicaid, Medicare, HIPAA, Healthcare Industry, Managed Care, Healthcare, Healthcare Information..., Practice Management, Utilization Management, Health Insurance, Pharmacy Benefit..., Medicare Part D, Software Documentation, Provider Relations, EMR, Hospitals, Physicians, Medical Records, EHR, Nursing, HMO, Disease Management, Case Managment, Credentialing, Revenue Cycle
Education
Elmhurst College 1975 — 1977
College of St. Teresa 1973 — 1975
HealthSun Health Plans, Inc March 2015 - Present
AvMed Health Plans August 2012 - September 2014
Ryder Truck Rental, Inc. July 2011 - June 2012
Ryder Truck Rental, Inc. September 2007 - June 2011
Ryder Truck Rental, Inc. December 2004 - September 2007
TEKsystems February 2001 - December 2004
Whitman Education Group November 1999 - March 2000
Entex Information Services March 1998 - November 1999
Various (Miami International Airport) November 1993 - May 1998
Carnival Cruise Line October 1990 - November 1993
Skills
PMP, Vendor Management, Disaster Recovery, CISSP, CRISC, Information Technology, Computer Network..., Life Coaching, Mentoring, Leadership, Information Security, Culture Change, IT Strategy, IT Service Management, Staff Development, IT GRC, Cost Management, Visionary, Telecommunications, Public Speaking, Cisco Technologies, Networking, Process Improvement, Security, Call Centers, Integration, Management, Business Continuity, IT Management, Data Center, ITIL, Servers, Cloud Computing, Operations Management, Virtualization, Network Security, Outsourcing
Education
University of Phoenix 1997 — 1999
MBA, Technology Management
Florida International University 1987 — 1996
BS, Computer Science
Coral Gables Senior High 1982 — 1985
Dale Carnegie
Pauline Simmons Willams June 2011 - March 2012
Wal-Staf Personnel Services March 2011 - June 2011
Wal-Staf Personnel Services October 2010 - December 2010
AvMed Health Plans July 1999 - April 2010
Nationwide Insurance August 1998 - June 1999
Carlson Communications November 1997 - August 1998
University of Florida October 1996 - November 1997
Department of Labor December 1991 - July 1995
Writers & Readers Publishing Inc. September 1990 - July 1991
Skills
Public Speaking, Interviewing, Insurance, Customer Service, Copywriting, Editing, Healthcare, Problem Solving, Research, Writing, Analysis, Documentation, Excel, Team Leadership, Microsoft Office, Mentoring, PowerPoint, Retail, Windows, Administration, Team Building, Coaching, Contract Negotiation, Government Liaison, Hiring, Social Networking, Organizing, Public Relations, Strategic Planning, Media Relations, Market Research, Teaching, HR Consulting, HR Policies, Business Strategy, Business Planning, Customer Relations, Employee Relations, Social Media, Troubleshooting, Team Management, Teamwork, Word, Recruiting, Software Documentation, Program Management, Management, Benefits Administration, Interviews
Education
Duquesne University School of Law 1995 — 1996
Law
Howard University Book Publishing Institute 1990 — 1990
Certificate, Book Publishing
College of the Holy Cross 1986 — 1990
BA, English
Analytics Partners, Inc. August 2007 - Present
AvMed Health Plans 2012 - 2013
AvMed Health Plans 2012 - 2013
Blue Cross and Blue Shield of Florida March 1999 - August 2007
Blue Cross and Blue Shield March 1997 - March 1999
Blue Cross and Blue Shield March 1991 - March 1997
Skills
Requirements Analysis, Documentation, Testing, Data Warehousing, Business Analysis, SDLC, Visio, SharePoint, Business Objects, SQL, SQL Server, MS Project, Process Improvement, Requirements Gathering, Systems Analysis, Analytics, Software Documentation, Business Intelligence, Project Management, Integration, ETL, Vendor Management, Data Modeling, Enterprise Architecture, PMP, Microsoft SQL Server, Business Process, Databases, SSIS, Oracle, Access, Data Integration, DB2, Data Analysis, IT Strategy
Education
Florida State College at Jacksonville 1990 — 1993
Business
The Trevor Project September 2014 - Present
Microsoft November 2013 - Present
Sime Realty Corporation May 2012 - August 2013
AvMed Health Plans 2010 - 2010
Skills
Microsoft Office, Social Media, Public Speaking, Event Planning, PowerPoint, Social Networking, Microsoft Excel, Facebook, Event Management, Editing
Education
Florida State University 2009 — 2012
BA, English - Editing, Writing & Media
Florida State University 2009 — 2012
Bachelor of Arts (B.A.), English (Editing, Writing & Media)
AvMed Health Plans October 2012 - Present
Basys Inc November 2007 - July 2010
basys November 2006 - July 2010
Administrative Services Inc January 1988 - January 2007
ASI Miami Fl November 1988 - November 2006
ASI Miami FL January 1996 - January 2003
ASI Miami FL January 1993 - January 1996
Education
MICO Teachers College 1977 — 1980
Certificate in Early Childhood Education, EARLY CHILDHOOD EDU
Barry University
BS, Information Technology
License State of Florida Nurses Assistant
Bachelors, Science Information Technology
Life Management Institute (LOMA)
Mico Teachers College
Certificate, Education
AvMed Health Plans May 2013 - Present
HealthNow New York Inc. February 2011 - May 2013
Crowe Horwath LLP March 2004 - February 2011
Audit, Risk Management and Project Management June 2000 - February 2004
Ernst & Young June 1996 - June 2000
Skills
Auditing, Internal Audit, Internal Controls, Sarbanes-Oxley Act, IT Audit, Financial Reporting, Accounting, Insurance, SOX, Audit, Financial Planning, Financial Analysis, Not for Profit, Culture Change, Team Leadership, Leadership Development, Cross-functional Team..., CPA, Enterprise Risk..., Finance, Financial Accounting, GAAP, Leadership, Risk Management, Risk Assessment, Process Improvement, Management, SEC filings, Sarbanes-Oxley, US GAAP, Strategy
Education
Cleveland State University 1992 — 1996
BBA, Accounting
Cleveland State University 1992 — 1996
BS, Business Administration, Accounting Major
Chen Medical September 2012 - Present
University of Florida College of Pharmacy February 2004 - Present
Jackson Memorial Hospital 2009 - 2012
AvMed Health Plans 2004 - 2005
Nova Southeastern University College of Pharmacy 1998 - 2004
Nova Southeastern University College of Pharmacy 1997 - 1998
Education
University of Miami Leonard M. Miller School of Medicine 2005 — 2009
M.D., Medicine
Nova Southeastern University College of Pharmacy 1993 — 1997
Pharm.D., Pharmacy
Florida International University 1991 — 1993
Pre-Professional coursework
AvMed Health Plans February 2013 - Present
AvMed Health Plans July 2008 - February 2013
OxThera September 2007 - May 2008
Immediate Care Center January 2006 - January 2007
CHC Labs, Inc March 2004 - February 2005
Skills
Medical Billing, Insurance, Customer Service, Documentation, Healthcare, Outlook, Access, Word, Excel, Microsoft Office, Call Center, Customer Relations, Supervisory Skills, Windows, Customer Satisfaction, Social Media, Microsoft Excel, Software Documentation, Claim, Training, Management, HIPAA, Quality Assurance, Microsoft Word
Education
Santa Fe College 2010 — 2015
Associate of Arts (AA), Psychology
Florida Gateway College 2001 — 2005
Medical Coding
Columbia High School 1997 — 2001
General Education
Greek Peak Mountain Resort & Hope Lake Lodge September 2014 - Present
Kidmastermind June 2012 - September 2014
Big Brothers Big Sisters of N Star Borough Alaska & Chenango County NY July 2005 - April 2009
AvMed Health Plans July 2003 - July 2004
Skills
Employee Relations, Recruiting, Human Resources, Public Speaking, Program Management, Employee Benefits, Marketing, Policy, New Hire Orientations, Payroll, Strategic Planning, Management, Leadership, Benefits Administration, Organizational..., Training, Strategy, Public Relations, Microsoft Office, College Recruiting, Customer Service, Social Media Marketing, Marketing Communications, Event Planning, Employee Engagement, New Business Development, Online Marketing, Conflict Resolution, Resume Writing, Leadership Development, Coaching
Education
Colorado Technical University 2007 — 2008
Master of Business Administration (MBA), Human Resource & Change Management
SUNY Oswego 1998 — 2002
BS, English
Kindred Healthcare April 2015 - Present
Kindred Healthcare October 2013 - April 2015
AvMed Health Plans August 2013 - October 2013
Agency for Healthcare Admininstration August 2012 - August 2013
Agency for Healthcare Admininstration January 2012 - August 2012
CVS Caremark Corporation November 2007 - August 2012
CVS Caremark Corporation November 2006 - August 2008
Skills
Data-driven Decision..., Problem Solving, Project Management, Medical Billing, Staff Development, Train Staff, Customer-focused Service, Policy Writing, Procedure Manuals, Inventory Management, Report Writing, Document Drafting, Workshop Facilitation, Provider Education, Presentations, Communication, Medicaid, Data Analysis, Healthcare Management, Training, Hospitals, Policy, Analysis, Management, Public Health, Managed Care, Program Management, Healthcare, Medical Terminology, Health Policy, Quality Improvement, Patient Safety, Medicare, Inpatient, Utilization Management, Healthcare Analytics, Policy Analysis, Meditech, Medical Compliance, Healthcare Reimbursement, Health Economics, Healthcare Industry, HIPAA
Education
Florida A&M University
Master's degree, Health/Health Care Administration/Management, 3.9 GPA
Florida A&M University
Bachelor's degree, Molecular Biology
Florida State University
Bachelor's degree, Pre-Medicine/Pre-Medical Studies
Chipotle Mexican Grill May 2015 - Present
Chipotle Mexican Grill February 2013 - Present
ManpowerGroup Solutions March 2011 - February 2013
The Miami Herald May 2011 - January 2012
The Miami Herald August 2010 - February 2011
Royal Caribbean International January 2010 - June 2010
FPL March 2008 - October 2009
Mastec May 2007 - March 2008
AvMed Health Plans October 2006 - April 2007
Skills
Employee Relations, Recruiting, Talent Acquisition, Human Resources, Benefits Administration, Applicant Tracking..., Onboarding, Employee Engagement, Performance Management, Organizational..., Employee Benefits, Taleo, College Recruiting, Talent Management, PeopleSoft, Leadership, Temporary Placement, Interviews, Screening, Employer Branding, New Hire Orientations, Executive Search, Job Descriptions, Personnel Management, Hiring
Education
Cornell University
Human Resources Studies, School of Industrial and Labor Relations
Bureau of Economic and Business Research, University of Florida August 2014 - Present
Bureau of Economic and Business Research, University of Florida August 2014 - Present
AvMed Health Plans January 2013 - August 2014
Abele Associates, Inc January 2002 - August 2014
AdventureClub.Info, Inc. December 2001 - August 2007
Jones & Associates Business Brokers, Gainesville, Florida May 2004 - May 2007
Skills
Java, JavaScript, SQL, Microsoft SQL Server, OOP, Object Oriented Design, Test Driven Development, Software Development, Team Leadership, XML, Linux, Microsoft Office, REST, Design Patterns, Git
Education
Augusta State University 1987 — 1989
Bachelor of Science (BS), Computer Science
Pape PR February 2013 - Present
Pai CPA, PLLC June 2013 - Present
The Garden Growers July 2010 - Present
chynablu design January 2009 - Present
PapeSummers Communications March 2012 - February 2013
VIP Special Services LLC January 2006 - May 2011
Development-Management, Inc. April 2002 - February 2005
AvMed Health Plans January 2000 - March 2002
AvMed Health Plans December 1998 - December 2000
Skills
Quickbooks, Quicken, Microsoft Office, Accounts Receivable, Payroll, Account Reconciliation, Process Improvement, Event Planning, Financial Statements, Administrative..., Bookkeeping, Microsoft Excel, Microsoft Word, Management, Employee Benefits, Time Management, QuickBooks, Training, Sales
Education
University of Florida 1993 — 1995
Bachelor of Science (BS), Telecommunications
Florida International University 1991 — 1993
Associate of Arts (AA)
AvMed Health Plans October 2007 - Present
Optima Health June 1997 - September 2007
Skills
Underwriting, Health Insurance, Insurance, Employee Benefits, Claim, HMO, HIPAA, Life Insurance, Disability Insurance, Business Analysis
Education
Saint Leo University 2011 — 2014
Bachelor of Business Administration (BBA), Business Administration and Management, General
Christopher Newport University 2005 — 2007
Finance, General
Open English July 2015 - Present
Aeropost Network March 2014 - July 2015
University of Miami May 2013 - December 2014
Freelance October 2010 - June 2014
Karisma Hotels May 2013 - March 2014
AvMed Health Plans January 2012 - May 2013
AvMed Health Plans April 2008 - December 2011
AvMed Health Plans July 2006 - April 2008
Sony August 2005 - March 2006
Carnival Corporation July 2004 - April 2005
Skills
Marketing, Online Marketing, Social Media, Social Media Marketing, SEO, Google Analytics, Digital Marketing, Creative Direction, CRM, SEM, Blogging, WordPress, E-commerce, Web Analytics, Advertising, Email Marketing, Marketing Communications, Interactive Marketing, Strategy, Adobe Creative Suite, Account Management, Web Marketing, Web Design, User Experience, Digital Media
Education
Florida International University 2000 — 2004
Bachelor of Business Administration
AvMed Health Plans March 2014 - Present
AvMed Health Plans May 2012 - March 2014
CSS TECH January 2011 - May 2012
CSS TECH January 2004 - December 2010
Self Employed September 1998 - June 2004
Skills
ETL, Data Warehousing, Data Modeling, SQL, Data Integration, Business Intelligence, Oracle, Business Objects, TOGAF, Enterprise Architecture, SOA, PL/SQL, Project Management, Program Management, Business Objects Data..., OBIEE, Microsoft SQL Server, Unix Shell Scripting, QlikView Development, User Acceptance Testing, Web Development, Integration, Requirements Gathering, ITIL Certified, CBIP, JavaScript, CSS, XHTML, HTML 5, CMS, WordPress, HTML, MySQL, PHP, Appworx, Windows Server, VMware, Data Management, Data Mining, VBScript, VB.NET, C++, DOS, VoIP, IP CCTV, Microsoft Exchange, SharePoint, SDLC, Requirements Analysis
Education
Florida International University 2001 — 2004
Bachelor's degree, Computer Science
New Orleans Baptist Theological Seminary 2010 — 2012
Master of Divinity (MDiv), MDiv
AvMed Health Plans December 2011 - Present
AvMed Health Plans December 2005 - December 2011
Skills
Leadership, Information Technology, Data Center, System Center, SharePoint, Infrastructure, System Administration, Desktop Administration, Compliance, MCT, Active Directory, eDirectory, Microsoft Exchange, Lync Server 2010, Server Administration, Virtualization, Application Architecture, VMware ESX, VMware, Disaster Recovery, Software Documentation
Education
Florida International University
Bachelor's degree, Advertising
AvMed Health Plans March 2009 - Present
Newland Communities June 2007 - July 2008
Starwood Hotels & Resorts Worldwide, Inc. May 2006 - January 2007
Related Companies April 2004 - May 2006
LVMH February 1999 - March 2004
Skills
Team Building, Health Insurance, Leadership, Healthcare, Insurance, Medicare, Physician Network..., Underwriting, Marketing Strategy, Managed Care, Healthcare Industry, Provider Relations
Education
Columbia University - Graduate School of Architecture, Planning and Preservation 2005 — 2006
M.S., Real Estate Development
University of Pennsylvania 1994 — 1997
B.A., Communication
Ransom Everglades 1988 — 1994
AvMed Health Plans July 2010 - Present
The Alison Group 2003 - 2004
The Alison Group 2001 - 2003
TV Food Network January 1993 - May 1999
VH-1 1992 - 1993
ABC Television January 1991 - January 1992
Broadway Video January 1989 - January 1991
CBS News January 1987 - March 1988
Skills
Documentaries, Television, Entertainment, Music, Public Relations, Marketing Communications, Media Relations, Marketing, Digital Marketing, Start-ups, Program Management, Press Releases, Spanish, Sales, Proofreading, Event Planning, Advertising, Social Media Marketing, French, Social Networking, Editing, Social Media, Marketing Strategy
Education
Emerson College 1983 — 1987
BFA, Communications/ Theatre Arts
Emerson College
Bachelor of Fine Arts (BFA), Drama and Dramatics/Theatre Arts, General
Emerson College
Bachelor of Fine Arts (BFA), Drama and Dramatics/Theatre Arts, General
Life Care Center of Altamonte Springs August 2014 - December 2014
Florida Speech August 2013 - December 2013
Orange County Public Schools January 2013 - July 2013
AvMed Health Plans May 2010 - October 2012
Avalon Healthcare June 2008 - January 2010
VF Imagewear May 2007 - February 2008
Fremont Investment & Loan September 2005 - March 2007
Skills
Excel, Word, Employee Benefits, Sales, Health Insurance, Marketing, Customer Service, Microsoft Excel, Marketing Strategy, Microsoft Word, Microsoft Office
Education
Florida State University 2012 — 2015
Master's Degree, Speech Language Pathology, Communications Disorders
University of Kansas 1999 — 2003
Bachelor of Science, Business Administration
Prestige Health Choice June 2013 - Present
Prestige Health Choice June 2014 - Present
Prestige Health Choice July 2010 - Present
Prestige Health Choice October 2012 - Present
Prestige Health Choice July 2010 - September 2012
Qualicare Home Health Agency December 2008 - July 2010
AvMed Health Plans February 1994 - March 2008
Skills
Medicaid, Healthcare Management, Medicare, Managed Care, HEDIS, NCQA, AAAHC, Case Management, Disease Management, Management Consulting, Case Managment, Utilization Management, Healthcare Industry, Credentialing, Health Policy, Nursing, Provider Relations, HIPAA, Quality Improvement, Healthcare Consulting, Health Promotion, Healthcare Information..., Physician Relations
Education
Barry University
BSHSA, Health Administration
Barry University
BSHSA, Health/Health Care Administration/Management
The Retail Outsource July 2013 - Present
Kakes by K November 2011 - Present
Valls Group February 2013 - July 2013
Mastec January 2007 - August 2011
Mastec April 2005 - August 2011
The Palace February 2001 - April 2005
AvMed Health Plans May 1998 - February 2001
Goodrich Landing Gear April 1993 - May 1998
Skills
HRIS, Employee Relations, Benefits Administration, Onboarding, Human Resources, Disciplinary Action, Employee Benefits, Deferred Compensation, Performance Management, FMLA, HR Policies, New Hire Orientations, Personnel Management, Recruiting, Talent Acquisition, Workforce Planning, Succession Planning, College Recruiting, Applicant Tracking..., Talent Management, Hiring, Employee Engagement, Temporary Placement, Technical Recruiting
Education
University of Miami 1995 — 1996
Human Resources
Florida International University 1991 — 1996
St. Brendan High School 1987 — 1991
AvMed Health Plans July 2009 - Present
Universal American May 2008 - June 2009
Blue Care Network December 2000 - May 2008
Care Choices/Trinity Health Plans March 1990 - December 2000
Price Waterhouse 1987 - 1990
Laventhol & Horwath 1983 - 1987
Skills
Health Insurance, Process Improvement, Healthcare, Managed Care, Healthcare Management, Insurance, Employee Benefits, Medicare, HIPAA, Medicaid, Revenue Cycle, Accounting, Budgets, Financial Analysis, Auditing, Forecasting, Financial Reporting, Analysis, Finance, Peer Mentoring, HMO, Strategic Financial...
Education
Walsh College 1998 — 2001
MS, Management
The University of Kansas 1981 — 1983
BS, Accounting
Alma College 1979 — 1980
Business & Accounting
Alma College 1979 — 1980
AvMed Health Plans 2011 - Present
AvMed Health Plans December 2009 - 2010
AvMed Health Plans January 2009 - December 2009
MetWest Commercial Lender 2008 - 2009
Silver Hill Financial 2005 - July 2008
University of Miami - Anne Bates Leach - Bascom Palmer Eye Hospital 2008 - 2008
Florida Power and Light 2004 - 2006
Skills
EHR, Healthcare Analytics, Chronic Care Management, Managed Care, Healthcare Consulting, Healthcare, Medicare, Medicaid, Health Insurance, Health Care Reform, Population Health, Disease Management, HMO, PPO, Process Improvement, Leadership, Cross-functional Team..., Strategic Planning, Strategy, CRM, Training, Management, Competitive Analysis, Business Development, Analysis, Team Building, Data Analysis, Budgets, Financial Analysis, New Business Development, Performance Management, Product Development, Business Analysis, Revenue Cycle, Business Process..., Insurance, Product Management, Customer Service, Employee Benefits, Provider Relations, Business Strategy, Six Sigma, HIPAA, Health Policy, Marketing Strategy, Market Research, Healthcare Information..., Relationship Management, Analytics, Network Development
Education
College of Nursing & Health Sciences at Florida International University 2002 — 2008
Bachelor's Degree, Health Services Administration
HealthSpring June 2011 - Present
HealthSpring August 2006 - May 2011
AvMed Health Plans February 1997 - June 2006
Skills
Healthcare Management, HIPAA, Medicaid, Leadership, Policy, Medicare Part D, Managed Care, Healthcare, Performance Improvement, Medicare, Health Insurance, Account Management, Healthcare Industry, Budgets, Program Management, Pharmacy, Provider Relations, Pharmacy Automation, Utilization Management, Healthcare Information..., Medication Therapy..., Change Management, Healthcare Consulting, Disease Management
Education
Florida Southern College 1992 — 1995
Bachelor of Arts (B.A.), Psychology and Sociology
Florida Southern College 1992 — 1995
Bachelor's degree
Westminster Christian School 2002 - Present
Self-Employed September 1999 - June 2002
AvMed Health Plans April 1995 - September 1999
Humana March 1994 - April 1995
Skills
Fundraising, Non-profits, Public Speaking, Publication Development, Press Releases, Microsoft Office, Creative Writing, Event Planning, Nonprofits, Public Relations, Marketing, Advertising, Speech Writing, Social Media Marketing, Newsletters, Social Media
Education
Florida International University 1988 — 1992
BS, Communications/Public Relations
Westminster Christian School 1984 — 1987
High School Diploma
AvMed Health Plans January 2014 - Present
Blue Shield of California February 2009 - December 2013
Premera Blue Cross June 2005 - January 2009
Skills
SDLC, Requirements Analysis, SOA, Agile Methodologies, SQL, Microsoft SQL Server, PL/SQL, Software Project..., Oracle, Java, Data Warehousing, XML, Solution Architecture, Requirements Gathering, Business Analysis, Integration, JavaScript, Quality Assurance, ERP, ETL, Testing
Education
Indian Agricultural Research Institute 1997 — 2000
Master of Computer Applications (MCA), Computer Science
St Michaels High School Patna
St Michaels High School Patna
SRA International April 2014 - June 2014
AvMed Health Plans September 2013 - March 2014
American Institutes for Research September 2012 - July 2013
DMI October 2011 - April 2012
Advantage Technical Resourcing January 2011 - July 2011
AKQA September 2010 - January 2011
The Midtown Group October 2008 - September 2010
Hudson Highland Group August 2006 - October 2008
Robert Half Technology August 2004 - August 2006
Enterprise Rent-A-Car 1998 - 2000
Skills
Contract Recruitment, Technical Recruiting, Applicant Tracking..., Talent Acquisition, Recruiting, YUI
Education
Duquesne University 1987 — 1993
AvMed Health Plans 2006 - 2007
Skills
Data Warehousing, Business Analysis, Business Intelligence, Project Management
Education
Florida International University
The Graham Companies March 2014 - Present
Beckman Coulter, Inc. June 2010 - Present
AvMed Health Plans October 2013 - April 2014
Nationwide PharmAssist Corp. January 2013 - October 2013
Beckman Coulter August 2010 - December 2012
Beckman Coulter June 2008 - July 2010
Beckman Coulter July 1998 - June 2008
Skills
Quality Assurance, GAMP, Web Farm Architect, Business Analysis, IT Architect, Manufacturing..., Test Engineering, IT Management, Project Management, Data Analysis, Databases, FDA, Agile Methodologies, ISO 13485, Software Project..., Six Sigma, Cross-functional Team..., Validation, 21 CFR Part 11, Data Center, Design Control, Enterprise Software, Medical Devices, Process Improvement, SDLC, SCADA, LIS, PowerBuilder, C++, Visual C#, Entrust PKI, Product Development, HIPAA, Remote Monitoring, Management, Remote Diagnostics, Computer System..., Computer Science
Education
Florida International University
Bachelor of Science (BS), Computer Science
Lakeland Highschool
Lakeland Highschool
Lakeland Highschool
Partnership for Strong Families 2008 - Present
University of Florida 2008 - Present
SIMED 2007 - Present
Webber International University 2001 - Present
SantaFe Healthcare January 2000 - Present
AvMed Health Plans 2000 - Present
MMI 1990 - 1997
Alachua General Hospital 1978 - 1990
Skills
Innovation Management, Entrpreneurship Skills, Strategist, Strategy, Strategic Leadership, Public Speaking, Organizational..., Healthcare, Management Consulting, Data Analysis, Research, Strategic Planning, Team Building, Higher Education, Leadership, Teaching, Fundraising, Nonprofits, Leadership Development, Coaching, Entrepreneurship, Training, Public Relations, Student Development, Program Development, Policy, Event Planning, Grant Writing, Social Media, Community Development, Event Management, Program Evaluation, Program Management, Grants, Government, Policy Analysis, Administration, Volunteer Management, Budgets, Public Health, Health Policy, Analysis, Statistics, Informatics, Physician Relations, Healthcare Management, Healthcare Consulting, Quality Improvement, Performance Improvement, Clinical Research
Education
Harvard Business School 1990 — 1990
New Mexico State University 1966 — 1967
None, Higher Education/Higher Education Administration
University of Minnesota-Twin Cities 1962 — 1964
M.H.A., Public Health and Health Care Administration
Florida State University 1960 — 1962
Bachelor of Science (BS), Experimental Psychology
Florida Association of Health Plans October 2013 - Present
Florida Office of Insurance Regulation 2007 - 2013
AvMed Health Plans 2005 - 2007
Executive Office of Florida Governor Jeb Bush 2000 - 2003
Skills
Legislative Relations, Public Policy, Policy Analysis, Government, Policy, Legislation, Strategic Planning, Public Speaking, Insurance, Strategic Communications, Public Relations, Political Campaigns, Politics, Non-profits, Media Relations, Community Outreach
Education
Florida State University
B.S., Political Science, Communications
AvMed Health Plans September 2001 - Present
Blue Cross Blue Shield of Florida October 1988 - September 2001
Skills
Insurance, Marketing Strategy, Healthcare, Health Insurance, Managed Care, Strategic Planning, Employee Benefits, Strategy, Medicare, Provider Relations, New Business Development, Medicaid, Segmentation, Leadership, Team Building, Process Improvement, Management, HIPAA, Program Management, Healthcare Information..., Healthcare Industry, Health Policy, Healthcare Consulting
Education
Florida International University - College of Business Administration
BA, Marketing
Nova Southeastern University
MBA, Business
AvMed Health Plans August 2002 - Present
Education
Coral Gables High School 1991 — 1994
Florida International University
Quality Performance Advantage, LLC January 2014 - Present
Simply Health Care Plans October 2011 - January 2014
Magellan Health Services October 2010 - October 2011
AmeriChoice November 2004 - October 2010
UnitedHealth Group 2005 - 2007
United Behavioral Health 2004 - 2004
Blue Cross Blue Shield of Florida 1999 - 2003
Neighborhood Health Partnership 1998 - 1998
AvMed Health Plans 1996 - 1998
Skills
Managed Care, Medicaid, NCQA, Medicare, Healthcare Management, Utilization Management, Disease Management, Health Insurance, Healthcare, HIPAA, Credentialing, HMO, Healthcare Information..., HEDIS, Quality Improvement, Insurance, Process Improvement, Quality Management, Health Policy, Healthcare Consulting
Education
Florida International University - College of Business 2001 — 2003
M.B.A., Business
Florida State University 1988 — 1991
B.A., Psychology
AvMed Health Plans August 2007 - Present
SouthMiami Hospital October 2002 - August 2007
Skills
Software Development, Python, SOA, SOAP, REST, Web Development, UNIX, LINUX, Java, JavaScript, Oracle, SQL, PL/SQL, Microsoft SQL Server, T-SQL, X12, XML, HTML, Enterprise Application..., C++, C, Healthcare Information..., HIPAA, Healthcare, Enterprise Integration, Process Improvement, Business Analysis
Education
Florida International University 2005 — 2007
B.S., Information Sciences
MediNcrease Health Plans, LLC September 2013 - Present
National Bill Audit Services, LLC 2000 - Present
Integrated Health Plan, Inc. July 1997 - February 2012
Integrated Network Development, Inc. 1992 - 1997
Suncoast Hospital 1989 - 1992
AvMed Health Plans 1987 - 1989
CIGNA 1981 - 1987
Skills
Managed Care, Provider Relations, PPO, Healthcare, Network Development, Physicians, Health Insurance, Management, Workers Compensation, Healthcare Industry, Healthcare Consulting, Strategic Planning, Contract Negotiation, Health Policy, Team Building, Business Development, HMO, Medical Billing, Home Care, Process Improvement, Disease Management, Provider Network..., Utilization Management, Physician Relations
Education
University of Massachusetts, Amherst 1994 — 1996
Business Administration and Management, General
Florida Metropolitan University 1984 — 1989
Business and Allied Health
Brooks DeBartolo Collegiate High School July 2015 - Present
Tampa Bay Raptors October 2009 - July 2015
King High School August 2010 - June 2015
AvMed Health Plans May 2000 - March 2010
AvMed Health Plan May 2000 - March 2010
OPBI 2008 - 2010
DiTech (formerly Nations Direct) 2003 - 2008
Aetna (formerly Prudential) January 1998 - January 1999
Prudential University 1997 - 1999
Prudential Insurance March 1997 - December 1998
Education
Florida State University 1988 — 1991
Bachelor of Arts, Art/Business
Florida State University - College of Business 1988 — 1991
BA, Art/Business
Tampa Preparatory High School 1983 — 1986
High School Diploma
University of South Florida
Post Graduate Studies, Public Health Administration
AvMed Health Plan 2008 - Present
AvMed Health Plans March 2008 - November 2008
Calvary Fellowship 2005 - 2008
National Opinion Reserach Services 1997 - 2005
Skills
Call Centers, Insurance, Process Improvement, HIPAA, Healthcare, Team Building, Health Insurance, Leadership, Customer Service, Business Analysis, Performance Management, Training, Data Analysis, Call Center, Access, Management, Employee Benefits, Healthcare Industry, Team Leadership, Microsoft Office, Managed Care, Analysis, Medicare, Six Sigma
Education
Barry University 2000 — 2002
MBA, Information Technology
Florida International University 1992 — 1996
BBA, Management/Marketing
The Mayweather Firm March 2011 - Present
Salvagio & Miller, Attorneys at Law December 2009 - April 2010
NAACP December 2009 - January 2010
9th Judicial Circuit Public Defender May 2009 - July 2009
AvMed Health Plans August 2006 - August 2007
Alachua County School Board November 2005 - June 2006
Woodlands Care Center April 2004 - August 2005
Shands Eye Clinic September 2003 - January 2004
Skills
Civil Litigation, Commercial Litigation, Corporate Law, Courts, Criminal Law, Family Law, Government, Hearings, Immigration Law, Legal Advice, Legal Research, Legal Writing, Litigation, Motions, Personal Injury, Policy, Research, Trials, Westlaw
Education
Florida Agricultural and Mechanical University, College of Law 2007 — 2010
Juris Doctorate
University of Florida
Bachelors of Arts Degree, Business Administration
Santa Fe Community College
Associates of Arts Degree, Business Administration
AvMed Health Plans December 2014 - Present
AvMed Health Plans October 2008 - November 2014
AvMed Health Plans January 2005 - October 2008
AvMed Health Plans January 1999 - December 2004
Andersen Consulting August 1993 - January 1999
Skills
PMP, Strategic Planning, Procurement, Organizational...
Education
Florida International University - College of Business Administration 1991 — 1993
MBA, MIS
Florida International University 1985 — 1989
BBA, Marketing & International Business
Ultimate Health Plans September 2012 - Present
Neighborly Care Network January 2011 - June 2011
Physicians United Plan September 2008 - March 2011
WellCare May 2004 - August 2008
AvMed Health Plans 1999 - 2003
Skills
Healthcare, Medicaid, Healthcare Management, Medicare, Change Management, HEDIS, Disease Management, Managed Care, Quality Management, Case Management, Process Improvement, Leadership, HIPAA, Clinical Research, Healthcare Industry, Nursing, Hospitals, Training, Utilization Management, Case Managment, EHR, Policy, Physicians, Health Insurance, NCQA, Quality Improvement, Physician Relations, Healthcare Consulting, Healthcare Information..., Medical Compliance, Performance Improvement, Provider Relations, Health Policy, Management, EMR, Credentialing, Accreditation, Network Development, HMO, Medicine, Revenue Cycle, Long-term Care, Medical Billing, Medical Coding
Education
Pasco-Hernando Community College 1977 — 1979
AS, Nursing
Eckerd College
HealthCare Administration
Florida Hospital October 2003 - Present
AvMed Health Plans January 2001 - October 2003
Florida Hospital Home Health 1998 - 2001
Skills
BLS, Direct Patient Care, Disease Management, Infection Control, Medicaid, Medical/Surgical, Medicine, Patient Safety, Physicians, Staff Development, Informatics, Medical-Surgical, Home Care, Nursing, Inpatient, Wound Care, Healthcare
Education
University of Phoenix-Central Florida Campus 2005 — 2007
Masters of Nursing & Education, Nursing Education
Emory University School of Medicine 2001 — 2001
Wound, Ostomy & Continence Nurse
Florida Southern College 1998 — 1999
Bachelor's Degree in Nursing, Nursing
Arthur J. Gallagher & Co. May 2005 - Present
Palmer & Cay September 2003 - May 2005
AvMed Health Plans May 1999 - September 2003
FHS Life & Health (Healthnet Life) May 1996 - May 1999
Skills
Health Savings Accounts, Health Insurance, Employee Benefits, Disability Insurance, Brokers, Insurance, Underwriting, Benefits Administration, Managed Care, Health Policy, Term Life Insurance, Healthcare, Health Care Reform, Brazilian Jiu-Jitsu, COBRA, Life Insurance
Education
University of North Florida 2000 — 2003
MBA, Business
Colorado State University-Pueblo 1992 — 1996
BA, Political Science
AutoZone June 2010 - Present
Coventry Health Care Georgia October 2009 - May 2010
Humana May 2006 - October 2009
AvMed Health Plans January 2005 - May 2006
IBA Health Plans/PHP of SW Michigan May 2001 - December 2004
Sinai Health System 1998 - 2000
Skills
Forecasting, Financial Analysis, Data Analysis, Access, Analysis, Budgets, Analytics, Project Management, Team Building, Microsoft Excel, Management, Healthcare, Process Improvement, Business Process, Strategic Planning
Education
Millsaps College 1996 — 1997
MBA, Finance Concentration
Florida Atlantic University 1992 — 1994
BBA, International Business
Florida Blue December 2011 - Present
AvMed Health Plans February 2011 - November 2011
AvMed Health Plans June 2009 - February 2011
AvMed Health Plans January 2009 - May 2009
AvMed Health Plans May 2008 - August 2008
University of Florida September 2007 - May 2008
Pediatric Clinic, LLC October 2006 - July 2007
Pediatric Clinic, LLC May 2006 - August 2006
Skills
Health Economics, Competitive Intelligence, Healthcare, Competitive Analysis, Insurance, Provider Relations, Leadership, Health Insurance
Education
University of Florida 2007 — 2009
MHA, Health Administration
Auburn University 2003 — 2007
BS, Health Administration
WellCare January 2012 - December 2012
AvMed Health Plans January 1996 - January 2012
AvMed Health Plans 1996 - 2010
Skills
Healthcare, Utilization Management, Disease Management, Strategic Planning, Medicare, Quality Management, Audit & Compliance, Training, Managed Care, Health Policy, Hospitals, Medicaid, Provider Relations
Education
University of Pennsylvania 1987 — 1990
MSN, Nursing Administration
Bloomsburg University of Pennsylvania 1981 — 1985
Bachelor of Applied Science (BASc), Registered Nursing/Registered Nurse
Maze Consulting Services June 2005 - Present
Panther creek golf 2005 - 2010
AvMed Health Plans September 1986 - June 2005
AvMed Health PlansDirector 1986 - 2005
Skills
Insurance, Employee Benefits, Managed Care, Medicare, Strategic Planning, Leadership, Strategy, Management Consulting, Healthcare, Sales, Organizational..., Public Speaking, New Business Development, Public Relations, Marketing, Coaching, Data Analysis, Fundraising, Leadership Development, Nonprofits, Marketing Strategy, Entrepreneurship, Training, Team Building, Program Management, Budgets, Health Policy, Small Business, Business Strategy, Business Development, Account Management, Management, Business Planning, Contract Negotiation, Online Marketing, Analysis, Social Networking, Event Planning, Event Management, Marketing Communications, Social Media, Strategic Partnerships, Social Media Marketing, Medicaid, Sales Management, Market Research, Healthcare Consulting, Email Marketing, Negotiation, Segmentation
Education
Boston College 1957 — 1961
BA, Psychology, Sociology
AvMed Health Plans
Skills
Medicare, Managed Care, Medicaid, Health Insurance, HIPAA, Employee Benefits, Insurance, HMO, Healthcare Industry, Health Policy, Medicare Part D, Provider Relations, Revenue Cycle, Healthcare Management, Healthcare Consulting
Education
Florida International University - College of Business 1989 — 1991
Masters, Accounting
College Bird
AvMed March 2015 - Present
AvMed January 2013 - March 2015
AvMed Health Plans April 2011 - January 2013
AvMed Health Plans October 2006 - April 2011
Florida Healthy Kids Organization December 2003 - August 2006
Skills
Employee Benefits, Health Insurance, Life Insurance, Insurance, Health Care Reform, Underwriting, Workers Compensation, Brokers, Health Savings Accounts, Sales, Disability Insurance, Term Life Insurance, Managed Care, Customer Service, Direct Sales, Group Insurance, Account Management, Accident, COBRA, Training, Medicare
Education
Florida State University 2000 — 2004
Christopher Columbus High School 1995 — 1999
AvMed Health Plans October 2012 - Present
Skills
Data Analysis, Business Objects, Managed Care, Health Insurance, Employee Benefits, Customer Service, Business Intelligence, Competitive Intelligence, Competitive Analysis, Management, Team Leadership, Pricing, Product Development, Data Warehousing, Dashboard, Segmentation, Microsoft Office, Microsoft Excel, CRM, Underwriting, Market Research, Market Analysis, Social Media
Education
University of Florida - Warrington College Of Business 2003 — 2004
MAIB
Ecole de Management de Lyon 2004 — 2004
国際大学 2004 — 2004
University of Florida - Warrington College Of Business 2001 — 2003
BSBA
HMS August 2013 - Present
HMS December 2011 - August 2013
AvMed Health Plans July 2009 - July 2011
BlueCross BlueShield of SC September 1994 - July 2009
TCC of South Carolina October 2004 - July 2007
Planned Adminstrators, Inc. 2000 - 2004
Skills
Product Development, Marketing Strategy, Sales Management, Healthcare, Health, Claims, Managed Care, Health Insurance, Program Management, Health Policy, Marketing, Strategy, Insurance, Medicaid, Claim, Business Process..., Health Care Reform, Employee Benefits, HIPAA, Medicare, Strategic Planning, Disability Insurance, Budgets, Executive Management, Healthcare Industry, Customer Service, Benefits Administration, Training, Leadership, Life Insurance, Workers Compensation, HMO, Account Management, Medicare Part D, Sales, PPO, Process Improvement, Network Development, Provider Relations, Finance, Healthcare Consulting, Vendor Management, Brokers, Health Savings Accounts, Healthcare Management, Underwriting
Education
Webster University 1999 — 2001
MA, Business
University of Maryland Baltimore 1990 — 1994
BA, Management/Information Systems
Community College of the Air Force 1986 — 1988
AA, Criminal Justice
United States Air Force
United States Air Force
palmerton
Florida International University January 2011 - Present
Banyan Health Systems January 2015 - July 2015
JHM Health Plan October 2008 - December 2010
Sheridan Healthcorp 2004 - 2008
Steven M. Ziegler, Esq 2001 - 2004
UnitedHealthcare 1999 - 2001
HIP 1993 - 1999
AvMed Health Plans 1985 - 1993
Skills
Healthcare Management, Medicaid, HIPAA, Healthcare, Medicare, Hospitals, Healthcare Consulting, Healthcare Information..., Revenue Cycle, Managed Care, Credentialing, EMR, Process Improvement, Physicians, Provider Relations, Invoicing, Physician Relations, EHR, Health Insurance, Network Development, Public Health, Patient Safety, Practice Management, Pediatrics, Case Managment, Medical Terminology, Medical Billing, Medicine, Epic Systems, ICD-9, CPT, Disease Management, Utilization Management, Clinical Research, Healthcare Industry, Informatics, Health Education, Health Policy, Critical Care, Quality Improvement, Performance Improvement, Home Care, HMO, Accreditation, Nursing, PPO, Medical Records, Medical Coding, Health Information..., Inpatient
Education
Florida International University 2012 — 2015
Master of Social Work (MSW), 4.0
Florida International University 1986 — 1988
BS, Social Work
Bethany College 1978 — 1980
Social Work
AvMed Health Plans July 2010 - Present
Coventry Health Care September 2006 - June 2010
Education
Bloomsburg University of Pennsylvania 1975 — 1979
B.S., Business Administration-Management
Liberty High School 1972 — 1975
Novitas Solutions, Inc. September 2014 - March 2015
Select Specialty Hospital January 2014 - September 2014
Simply Better Health October 2012 - December 2013
AvMed Health Plans July 2011 - June 2012
North Florida Regional Medical Center April 2009 - October 2010
The Medical Center of Central Georgia 2008 - 2009
Skills
Medical/Surgical, Nursing, Nursing Care, Healthcare, Leadership, Medicine, Nursing Education, Training, Nursing Process, Healthcare Management, HIPAA, Health Education, Medicare, Managed Care, Disease Management, BLS, Hospitals, Inpatient
Education
Kaplan Graduate School of Nursing 2010 — 2014
Master of Science in Nursing, Adult-Gerontology Nurse Practitioner
Columbus State University 2006 — 2008
BSN, Nursing
Coastal Georgia Community College 1997 — 1998
LPN, Pratical Nursing
RedVision Systems, Inc. November 2011 - Present
FloridaWorks April 2010 - September 2010
AvMed Health Plans January 2008 - March 2010
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Public Libraries, Customer Service, Health Insurance, Property & Casualty..., Crisis Intervention
Education
Antioch College
University of Florida
Associate of Arts (AA), Applied Linguistics
AvMed Health Plans November 2014 - Present
Mercer January 2010 - November 2014
AON RISK, AON BENFIELD, AON CONSULTING, AON AFFINITY June 2003 - July 2004
Education
Ashford University 2005 — 2009
Bachelor's degree, Psychology, 3.8
University of Phoenix 2004 — 2005
Associate's degree, Business Administration and Management, General, 3.96
AvMed Health Plans September 2008 - Present
Alere/Matria HealthCare-Temp March 2007 - August 2008
Lens Express January 1998 - January 2006
Education
2008-2010 Keiser University
Associate of Arts Degree, Health Administration
Barry University
Bachelor of Arts Degree, Health Administration
Julie's Realty, LLC April 2013 - Present
Camillus House July 2009 - Present
Independent Life Insurance Agen June 1999 - Present
Independent Real Estate Professional November 1997 - Present
Jackson National Life January 1999 - 2009
AvMed Health Plans January 2004 - June 2008
Humana January 2001 - June 2008
AIG American General January 1999 - June 2008
Title Emporium June 2003 - June 2007
Shaheed Agency January 2002 - June 2007
Skills
Social Services, Nonprofits, Crisis Intervention, Supportive Housing, Community Outreach, Fundraising, Public Speaking, Event Planning, Case Managment, Public Relations, Insurance, Mental Health, Healthcare Information..., Health Insurance, Variable Annuities, Term Life Insurance, Medical Terminology, Medical Coding, Real Estate, Rental Management, Residential Mortgages, Title Insurance, Title Searches, Employee Benefits, Life Insurance, Real Estate Transactions, Workshop Facilitation
Education
Miami Dade College 2004 — 2004
Certification, Title Insurance
Gold Coast School of Insurance 1999 — 1999
License, Life, Health, & Variably Annuities
ATI College of Health 1983 — 1984
Certification, Respiratory Therapy Technician/Assistant
Miami Dade College
Health Information/Medical Records Technology/Technician
Alignment Healthcare August 2015 - Present
Global TPA March 2012 - June 2015
Comprehensive Management April 2006 - March 2012
Health First Health Plans Inc September 1999 - March 2006
AvMed Health Plans January 1990 - August 1999
Skills
Healthcare, Hospitals, Healthcare Management, HIPAA, EMR, Medical Terminology, Managed Care, Network Contracting, Customer Service, Provider Relations, Service Providers, Provider Network..., Provider, Provider Education, Provider Networks, Contract Negotiation, Contract Recruitment, Recruiting
Education
Florida International University 1977 — 1980
BA, Anthropology and Sociology
Florida International University 1977 — 1980
Bachelor's degree, Sociology and Anthropology
AV Care June 2011 - Present
AvMed Health Plans November 2010 - April 2011
Miami Billing services September 2007 - October 2010
Education
Medvance Institute-Stuart
Medical Billing and coding specialist
South Ridge High school
High school
University of Miami March 2015 - Present
Gastro Health, PL September 2011 - January 2014
AvMed Health Plans April 2009 - September 2011
Sunset Health C January 2001 - March 2009
Skills
Provider Relations, Healthcare Management, HIPAA, Managed Care, Healthcare, Medicare, EHR, Customer Service, EMR, Hospitals, Healthcare Industry, Physician Relations, Management, Patient Safety, Medical Terminology
Education
University of Miami
BSN, Nursing
Florida International University
Bachelor's degree, Public Administration
Chen Med LLC February 2014 - Present
BCA Financial Services March 2013 - February 2014
AvMed Health Plans September 2011 - March 2013
University of Miami, Miller School of Medicine February 2007 - September 2011
Baptist Health System April 1997 - February 2007
Skills
Hands-on leader, Critical Thinking, Data-driven Decision..., Cost Reduction..., Strategic Intelligence, Process Analysis, Reporting Metrics, Analytic Reporting, Communication, Organization Skills, Project Management..., Program Development, Records Management, Program Management
Education
Barry University 2008 — 2010
Master of Arts (MA) in Administration, Health/Health Care Administration/Management
Barry University 2006 — 2010
Master of Arts (MA), Administration
Broward Health January 2010 - Present
AvMed Health Plans November 2009 - March 2010
AvMed Health Plans May 2005 - May 2008
Skills
Intensive/critical..., sp: Behavioral health,...
Education
Florida International University 1981 — 1985
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Broward Community College
AvMed Health Plans November 2012 - Present
Education
Suffolk County Community College 2002 — 2004
Associate of Arts and Sciences (A.A.S.), Veterinary/Animal Health Technology/Technician and Veterinary Assistant
Boston University 1996 — 2000
Bachelor of Arts (B.A.), Psychology
AvMed Health Plans
Skills
Managed Care, Health Insurance, Process Improvement, HIPAA, Insurance, Healthcare, EMR, Healthcare Information...
Education
Florida International University
Bachelor's degree, Hospitality Administration/Management
University of Florida
BSN, Registered Nursing/Registered Nurse
AvMed June 2014 - Present
AvMed Health Plans October 2013 - May 2014
AvMed Health Plans January 2010 - September 2013
AvMed Health Plans April 2008 - December 2009
Burger King Corporation June 2003 - April 2007
Skills
Microsoft Project, Agile Methodolgy, TSQL, PL/SQL, .NET, VBScript, XML, SSRS, SSIS, SharePoint, TFS, Windows Azure, Visio, Windows, Microsoft Office, SDLC, Microsoft SQL Server, Business Analysis, Scrum, Agile Project Management, Requirements Gathering, Databases, Software Project..., Systems Analysis, Oracle, Business Intelligence, ETL, Data Modeling, Data Warehousing, Software Development, Integration, Requirements Analysis
Education
Florida International University 2003 — 2006
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
Miami Dade College 2002 — 2003
Associate of Science (A.S.)