Coventry Health Care, Inc.
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
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Coventry Health Care, Inc. Employees
Aetna September 2012 - Present
Coventry Health Care Inc. February 2012 - August 2012
The JAG Group (Health Care Staffing) December 2007 - August 2011
Skills
Recruiting, Hospitals, Provider Relations, Credentialing, Healthcare, HIPAA, Training, Long-term Care, Talent Acquisition, Medicare, Account Management, Microsoft Excel, Microsoft Office, Health Policy, Health Insurance, Insurance, Process Improvement, Customer Service, Leadership, Team Building, Public Speaking
Education
Univertisy of Notre Dame Mendoza College of Business 2013 — 2014
Executive Certificates in Negotiation
Dowling College 2004 — 2004
Business Administration, Business Administration and Management, General
Suffolk County Community College 1995 — 1998
Computer Information Systems, Software Specialist Curriculum
Aetna July 2013 - Present
Coventry Health Care Inc May 2008 - Present
Coventry Health Care Inc October 2007 - May 2008
Macy's Credit Customer Service April 2007 - October 2007
Skills
Analysis, Business Analysis, Business Intelligence, Business Process, Business Requirements, Data Analysis, Data Migration, Databases, Microsoft Excel, Networking, Project Management, Project Planning, SDLC, SQL, SharePoint, Software Documentation, Strategy, Visio, User Acceptance Testing, Testing, Management, Data Warehousing
Education
University of Phoenix 2008 — 2009
B.S., Business Management
University of Phoenix
Bachelors of Science (B.S, Business/Management
AIG Benefit Solutions June 2011 - Present
BenefitMall November 2009 - March 2011
Coventry Health Care, Inc. April 2009 - December 2009
Several Contract Insurance Carriers November 2008 - April 2009
VCS Solutions March 2008 - October 2008
Health Net March 2007 - March 2008
United Concordia 2006 - 2007
PacifiCare 2003 - 2006
Reliance Standard Life Insurance Corp. 2001 - 2002
Ameritas 1998 - 2001
Skills
Health Insurance, Insurance, Employee Benefits, Dental, Long Term Care, Voluntary Employee..., Strategy, Leadership, Benefits Administration, Brokers, Disability Insurance, Life Insurance, Long-term Care, Managed Care, Management, Marketing, Medicare, Recruiting, Retirement, Sales, Sales Management, Sales Operations, Start-ups, Term Life Insurance, Training, Underwriting, Dentistry
Education
The University of Texas at Austin 1983 — 1988
B.A.
Lake Highlands High School 1980 — 1983
Siemens Healthcare USA April 2007 - Present
Camden County College September 2010 - January 2013
Starpoint Solutions September 2006 - April 2007
Coventry Health Care, Inc July 2004 - September 2006
UPMC Montefiore, General Internal Medicine March 2003 - March 2004
Skills
Healthcare Information..., EHR, HIPAA, Integration, Project Management, Clinical Research, Medical Coding, Testing, EMR, Healthcare, Team Building, Informatics, Process Improvement, Healthcare Management, Hospitals, Ambulatory, Healthcare Consulting, Revenue Cycle, Training, Software Documentation, Health Information..., CPOE, HL7, Physicians
Education
Duquesne University 2005 — 2006
Master of Science, Health Management Systems
University of Pittsburgh 2000 — 2004
Bachelor of Science, Health Information Management
Coventry Health Care, Inc. September 2013 - Present
Aetna October 2000 - October 2012
Prudential Healthcare 1998 - 2000
Prudential Healthcare 1997 - 1997
Prudential Healthcare 1994 - 1996
Prudential Healthcare 1991 - 1994
Prudential Healthcare 1988 - 1991
Skills
Leadership, Team Building, High Performance Teams, Conflict Resolution, Work Ethic, Collaborative Problem..., Interviewing Skills, Health Insurance, Performance Management, Talent Acquisition, Employee Engagement, Cross-functional Team..., Quality Management, Team Leadership, Claim, Management, Insurance, Employee Benefits, Strategic Planning, Vendor Management, Process Improvement, Training, Business Process..., Business Analysis, Customer Service, Risk Management, Claims Management, Analysis
Education
Ocean County College
Computer Science
Erickson Living June 2015 - Present
Aetna January 2014 - June 2015
Coventry Health Care August 2008 - December 2013
Coventry Health Care, Inc. January 2005 - July 2008
Skills
PeopleSoft, PeopleTools, Oracle SQL, Quest Stat, Unix Operating Systems, SQR, Weblogic, Oracle, Requirements Analysis, Requirements Gathering, SQL, Business Process, IT Strategy, Business Intelligence, Application Architecture, Integration, Databases, System Administration, Unix, Software Project..., Software Documentation, Solution Architecture, Software Development, Business Process..., IT Management, Active Directory, ERP, Information Technology
Education
Towson University 1990 — 1992
Bachelor of Science (B.S.), Computer Science
Hagerstown Community College 1988 — 1990
Associate of Arts (A.A.), Computer Science
3M Health Care August 2013 - Present
Good Cents April 2013 - July 2013
Lexmark September 2011 - April 2013
CSM Bakery Supplies North America December 2010 - September 2011
HCA Healthcare June 2007 - June 2009
COVENTRY HEALTH CARE, INC October 2002 - June 2007
Scientific Atlanta May 2001 - March 2002
LHS Communications July 1999 - February 2001
J.D. Edwards 1995 - 1998
Skills
Business Objects, SQL, Monarch, Access, VBA, Microsoft Excel, Visio, Business Intelligence, Data Analysis, SAP, Databases, Analysis, Oracle
Education
Keller Graduate School of Management of DeVry University 2009 — 2011
MISM, Information Systems Management
Keller Graduate School of Management of DeVry University 2000 — 2004
MBA, General
Georgia State University 1984 — 1993
BBA, Finance
Coventry Health Care Inc. 2011 - 2013
Coventry Health Care 2011 - 2013
Coventry Healthcare 2004 - 2009
Education
Baker College of Allen Park
Health Information Technology
Northern Natural Gas May 2015 - Present
First Data Corporation January 2009 - May 2015
FIRST DATA RESOURCE January 2009 - May 2015
COVENTRY HEALTH CARE, INC August 2007 - December 2008
ConAgra Foods Inc May 2005 - March 2007
CONAGRA FOODS, INC August 1997 - March 2007
ConAgra Foods Inc October 1999 - May 2005
ConAgra Foods Inc March 1999 - October 1999
Accountemps August 1997 - August 1997
WESTERN STAFFING SERVICE June 1996 - July 1997
Skills
Accounting, Financial Analysis, Financial Reporting, Accounts Payable, Account Reconciliation, Variance Analysis, Finance, Accounts Receivable, Invoicing, Access, Journal Entries, Analysis, Bank Reconciliation, Auditing, Forecasting, Sarbanes-Oxley Act
Education
Bellevue University
MBA, Accounting and Business/Management
Bellevue University
B.S, Accounting
Omaha North High 1984 — 1987
diploma, Business, Math, Science
Houghton Mifflin Harcourt October 2013 - Present
Choice Solutions, Inc. December 2010 - October 2013
Choice Solutions, Inc. June 2009 - December 2010
ESP Solutions March 2007 - April 2009
Coventry Health Care, Inc. May 2005 - March 2007
Kaiser Permanente June 2001 - August 2004
Harvard Pilgrim Health Care December 1998 - April 2001
Maximus/Foundation Health 1992 - 1998
Skills
Project Management, Data Analysis, Business Development, Requirements Analysis, Access, Business Analysis, Software Project..., Training, Business Intelligence, Program Management, Team Leadership, Vendor Management, Product Management, Process Improvement, Integration, Business Process..., Strategic Planning, Change Management, Requirements Gathering, PMP, Stakeholder Engagement, Management, Databases, SaaS, Team Building, Software Development, Metadata, Customer Service, Data Warehousing, Project Planning, Data Governance, Business Strategy, Manage Client..., Client Relations Skills, Client Education, Client Liaison, Leadership, CRM
Education
University of Massachusetts, Amherst 1987 — 1991
Groton/Dunstable Regional Secondary School 1983 — 1987
HS Diploma
Blue Cross and Blue Shield of Kansas City January 2012 - Present
Power Group Companies May 2009 - May 2011
Coventry Health Care in Arizona December 2008 - April 2009
Coventry Health Care of Kansas, Inc February 2006 - December 2008
Coventry Health Care, Inc February 2003 - January 2006
Coventry health Care, Inc. January 2001 - February 2003
Skills
Employee Benefits, Health Insurance, Managed Care, Insurance, Medicare, Claim, HMO, Healthcare, Health Savings Accounts, Life Insurance, Brokers, Health Care Reform, Healthcare Information..., Healthcare Management, Account Management, Product Development, Benefits Administration, Medicaid, Leadership, Pharmacy Benefit..., Start-ups, Customer Service, Training, Policy, Healthcare Consulting, Strategic Planning, Software Documentation, Management, HIPAA, Process Improvement, Provider Relations, Underwriting, Disability Insurance, Health Policy, Healthcare Industry, Workers Compensation, Business Analysis, Team Building
Education
Delta College
Coventry Health Care, an Aetna Company March 2009 - Present
Coventry Health Care, Inc May 2005 - March 2009
McKesson Health Solutions January 2004 - May 2005
AdvancePCS January 2000 - January 2004
AdvancePCS 2001 - 2003
AdvancePCS 2000 - 2001
US Navy January 1981 - January 1985
Skills
Health Insurance, Medicare, Managed Care, Insurance, HIPAA, Process Improvement, Call Center, Workforce Management, Operations Management, Provider Relations, Customer Service, Visio, Team Building, Healthcare Management, HMO, Change Management, Project Management, Quality Assurance, Call Centers, Leadership, Training, Cross-functional Team..., Employee Benefits, Analysis, Data Analysis, Healthcare, Management, Customer Satisfaction, Claim, Troubleshooting, Data Entry, Software Documentation, Coaching, Access, Testing, Policy, Supervisory Skills, Business Process..., Program Management, Business Analysis, Team Leadership, Medicare Part D, Customer Experience, Administration, Utilization Management, Customer Retention, Medicaid, Employee Training, Disease Management, Performance Management
Education
Glendale Community College 1980 — 1980
Nassau Community College 1979 — 1980
Liberal Arts and Sciences/Liberal Studies
East Meadow High School 1975 — 1978
High School
Coventry Health Care, an Aetna Company May 2013 - Present
Coventry Health Care April 2012 - Present
Coventry Health Care, Inc January 2008 - Present
PacifiCare Behavioral Health January 2004 - January 2007
Skills
Ability to meet..., Team Leadership, Project Management, Project Planning, Flexibility, Time Management, Analytics, Customer Service, Creative Strategy, Task Driven, Problem Solving, Strategic Planning, Provider Relations, Recruiting, Credentialing, Hospitals, NCQA, Physicians, Employee Benefits
Education
University of North Texas
Bachelor of Business Administration, Strategic Management and Entrepreneurship
General Dynamics Information Technology July 2012 - Present
HP Enterprise Services - (SafeGuard Services, LLC) June 2010 - June 2012
Coventry Health Care, Inc June 2007 - May 2010
Crump Insurance Services May 2004 - June 2007
Crump Insurance Services November 2003 - May 2004
Crump Insurance Services January 2003 - October 2003
Crump Insurance Services August 2002 - January 2003
Penn State University/Dickinson School of Law July 2001 - August 2002
Knezic/Pavone Advertising January 2001 - May 2001
Dickinson College Library September 1998 - May 2001
Skills
Training Delivery, Training Development, Curriculum Design, Outlook, PowerPoint, Customer Service, Word, Customer Relations, Recruiting, E-Learning, Instructional Design, Training, Leadership, Team Leadership, Staff Development, Insurance, Instructor-led Training, Microsoft Word, Coaching, Team Building, Public Speaking, Process Improvement, Employee Training, Program Management, Change Management, Employee Relations, Software Documentation, Leadership Development, Performance Management, Business Process, Onboarding, Organizational..., Interviews
Education
Duquesne University 2005 — 2010
MSLBE, Leadership and Business Ethics
Dickinson College 1997 — 2001
Bachelor of Arts, English
Beaver High School October 2014 - Present
Q-Cast, Inc. August 2011 - Present
Beaver Area Swim Club March 2008 - November 2011
Coventry Health Care, Inc November 2008 - August 2011
Beaver High School October 2008 - March 2011
The Advisory Board Company June 2008 - October 2008
Slomski Consulting January 2008 - June 2008
Beaver Academic Charter School January 2008 - June 2008
College Career Services September 2006 - November 2007
Beaver Municipal Pool May 2007 - August 2007
Skills
Market Research, Marketing, Microsoft Excel, Microsoft Word, PowerPoint, Customer Satisfaction, Event Planning, Social Networking
Education
University College Cork 2007 — 2007
Study Abroad, Irish Studies
Mercyhurst University 2004 — 2007
BA, Marketing, Advertising and Public Relations
Community College of Beaver County High School Enrichment
Aetna March 2013 - Present
Christiana Care Health System January 2010 - August 2012
JEM Marketing and Communications Consulting July 2008 - December 2009
Coventry Health Care, Inc. August 1999 - December 2007
Independence Blue Cross January 1988 - March 1999
Blue Cross & Blue Shield of Michigan June 1982 - October 1987
Skills
Media Relations, Managed Care, Healthcare, Corporate Communications, Strategic Communications, Marketing Strategy, Marketing Communications, Leadership, Health Insurance, Marketing, Public Relations, Employee Benefits, Strategy, Management, Insurance, Product Development, Newsletters, Internal Communications, Blogging, Account Management, Email Marketing, Strategic Planning, Fundraising, Social Networking, Start-ups, Press Releases, Advertising, Social Media, Community Development, Event Management, Health Policy, Copywriting, Event Planning, Social Media Marketing, Leadership Development, Public Speaking, Cross-functional Team..., Hospitals, Medicare, Nonprofits, Direct Marketing, Direct Mail, Integrated Marketing, Thought Leadership, Marketing Management, Budgets, B2B, New Business Development, Crisis Communications
Education
Michigan State University 1978 — 1982
Bachelor of Arts (B.A.), Communications
Broadcast Music, Inc. 2008 - Present
Coventry Health Care, Inc. November 2006 - April 2008
Point.360 June 2004 - November 2006
Digital Generation, Inc. June 2002 - June 2004
Digital Generation, Inc. February 1998 - June 2002
Digital Generation, Inc. October 1996 - February 1998
Digital Generation, Inc. June 1993 - October 1996
Skills
Product Development, Media & Entertainment, Healthcare, Product Management, Marketing Strategy, Product Marketing, New Business Development, Competitive Analysis, Business Strategy, Negotiation, Program Management, P&L Management, Cross-functional Team..., Start-ups, Team Building, Product Launch, Business Planning, International Business, E-commerce, Broadcast, Strategic Partnerships, Strategic Planning, Digital Media, Market Research, Account Management, Sales Management, Team Leadership, Contract Negotiation, Mergers, Forecasting, Advertising, B2B, Market Analysis, Social Media, Content Management, Operations Management, Business Analysis, Analytics, SaaS, Executive Management, Web Analytics, Budgets, Management, Marketing, Strategy, Product Lifecycle..., CRM, Customer Service, Leadership, Healthcare Information...
Education
California State University Dominguez Hills 1998 — 2000
MBA, Business Administration
University of Louisville 1979 — 1983
BLS, Liberal Studies/Communications
US Script August 2013 - Present
Weight Watchers 2011 - 2013
LDI Integrated Pharmacy Services, Inc June 2009 - March 2011
Coventry Health Care, Inc June 2006 - May 2009
Eckerd Health Services / Pharmacare January 2000 - January 2006
University of Pittsburgh Medical Center Health System January 1993 - January 2000
European Medical Division January 1996 - January 1997
UPMC January 1993 - January 1996
Skills
Healthcare, Hospitals, Pharmacy, Pharmacy Benefit..., Process Improvement, Operations Management, Managed Care, Cross-functional Team..., Strategic Planning, Budgets, Clinical Research, Medicare Part D, Management, Pharmacists, Leadership, Team Building, Medicare, Program Management, HIPAA, Healthcare Management, Healthcare Industry, Healthcare Information..., Medicine, Health Policy, Provider Relations, Informatics, Nursing, Medicaid, Health Insurance, Disease Management, Healthcare Consulting
Education
Joseph M. Katz Graduate School of Business - University of Pittsburgh
M.B.A, Strategic Business Alliances
St. Francis academy
University of Pittsburgh
B.A, Italian
University of Pittsburgh
M.A, Italian Language and Literature
HuliHealth September 2011 - September 2012
Ware Jackson Lee Chambers July 2010 - August 2010
Chamberlain Hrdlicka White Williams & Martin May 2010 - June 2010
Texas Court of Criminal Appeals May 2009 - July 2009
Coventry Health Care, Inc May 2006 - July 2008
First Industrial Realty Trust, Inc April 2005 - March 2006
Skills
Contract Negotiation, Research, Litigation, Analysis, Financial Reporting, Legal Issues
Education
The University of Texas School of Law 2008 — 2011
JD, Law
Northwestern University 2001 — 2005
B.A, Economics
FreeYourSpace, LLC July 2015 - Present
Aetna January 2014 - April 2015
Coventry Health Care, Inc July 2000 - December 2013
Sierra-Cedar (The Hunter Group) July 1997 - June 2000
Deloitte & Touche June 1996 - August 1996
Skills
Employee Benefits, Change Management, Performance Management, Talent Management, Process Improvement, Talent Acquisition, Human Resources, Onboarding, Recruiting, Strategic Planning, Management, Team Building, Training, Business Analysis, SDLC, Benefits Administration, Taleo, Business Process, Enterprise Software, Management Consulting, Applicant Tracking..., Program Management, Leadership, Oracle, Software Documentation, Business Process..., Mergers & Acquisitions
Education
University at Albany, SUNY 1995 — 1997
MBA, HR Information Systems
State University of New York at Albany 1992 — 1995
Master of Science, Molecular Biology/Genetics
WPC Healthcare February 2014 - Present
Hospital Corporation of America September 2011 - February 2014
Coventry Health Care, Inc November 2008 - September 2011
Morgan Stanley Investment Management May 2007 - March 2008
Fresh Start HomeVantage, LLC November 2004 - December 2007
Skills
Data Analysis, Strategic Planning, Executive Management, Data Mining, Financial Analysis, Managed Care, Financial Reporting, Program Management, SAP, Financial Modeling, SQL, Crystal Reports, Healthcare Industry, Predictive Analytics, MS Project, Statistics, R, Financial Accounting, Statistical Modeling, Strategic Leadership, Python, SAS programming, Financial Regulation, Relational Databases, Multivariate Statistics, Decision Modeling, Statistical Reporting, Teradata, Weka, Profitability Tracking, Bayesian networks, Hidden Markov Models, Healthcare Compliance, Database Management, Database Mining, Operation Management, Machine Learning, Algorithms, Management
Education
Texas A&M University 2009 — 2010
MBA
Harvard University 2006 — 2006
Accounting / Economics
Stanford University 2005 — 2005
Certificate, Project Management
Asbury University 1994 — 1998
BS, Communication
Asbury University 1994 — 1998
BS, Philosophy
DaVita HealthCare Partners, Inc. July 2015 - Present
Bryan Cave LLP November 2014 - July 2015
Brownstein Hyatt Farber Schreck February 2011 - October 2014
Health Net October 2007 - February 2011
Coventry Health Care, Inc. August 2005 - September 2007
Jennings, Strouss & Salmon August 2002 - August 2005
Skills
Licensing, Administrative Law, Legal Research, Health Care Compliance, Health Care Reform, Healthcare Industry, Health Care Regulation, Health Insurance, Health Insurance..., Health Law, Privacy Law, Trials, Insurance
Education
Arizona State University College of Law 1999 — 2002
JD, Law
Arizona State University 1996 — 1999
BS, Justice Studies
Evolent Health February 2015 - Present
Coventry Health Care, Inc. February 2012 - May 2013
Latham & Watkins June 2011 - February 2012
Crowell & Moring LLP August 2008 - June 2011
Skills
Litigation, Health Law, Managed Care, Medicaid Managed Care, Health Care Compliance, Health Care Fraud, Privacy Law, Health Care Reform
Education
Duke University School of Law 2005 — 2008
JD, Law
University of Central Florida 2000 — 2004
Bachelor of Arts (BA), Psychology
Medtronic June 2010 - Present
Coventry Health Care, Inc January 2005 - January 2011
First Health Group Corp November 2003 - January 2005
Health Insurance Association of America (HIAA) January 2001 - November 2003
HIAA June 1999 - February 2001
Michaels Wisher & Bonner, PC January 1998 - August 1998
The Honorable Geoffrey Alprin, DC Superior Court July 1997 - September 1997
United States Senate Judiciary Committee January 1997 - 1997
Skills
Strategic Planning, Insurance, Policy, Public Policy, Government, Policy Analysis, Healthcare, Legislation, Leadership, Legislative Relations, Management, Legal Research, Managed Care, Public Speaking, Health Policy, Medicaid, Healthcare Industry, Medicare, Analysis, Strategy, Politics, Coalitions, Corporate Communications
Education
American University, Washington College of Law 1997 — 1999
Juris Doctor
James Madison University 1991 — 1995
B.S
The Romanian American University
Honorary Diploma
USDA - Risk Management Agency February 2008 - Present
KES Systems, Inc May 2005 - November 2007
Lewis & Ellis Actuaries and Consultants September 2004 - April 2005
Agrilogic, Inc March 2004 - August 2004
Coventry Health Care, Inc May 2001 - February 2004
USDA- GIPSA November 1999 - April 2001
Skills
Access, Statistics, Leadership, Analysis, Econometrics, SAS, Data Analysis, Risk Management, Financial Modeling, Program Management, Economics, Budgets, Statistical Modeling, PowerPoint, SQL, Business Modeling, Data Modeling, Economic Modeling, Business Intelligence, Operations Management, Stata, Microsoft Excel, Policy Analysis, Insurance, Project Planning, SAS programming, Government, Research, Policy, Financial Risk, SAS/SQL, Excel, Yellow Belt
Education
Kansas State University 1997 — 1998
MS, Agricultural Economics
University of Kansas 1994 — 1997
BS, Economics
Infor-Lawson April 2011 - Present
InfoMentis June 2004 - April 2011
Coventry Health Care, Inc 1994 - 2004
Kaiser Foundation Health Plan May 1992 - May 1994
Pacific Asset Managment Corp. 1986 - 1992
Skills
SaaS, Enterprise Software, Solution Selling, Management, Sales, Sales Process, Management Consulting, Training, Sales Management, Direct Sales, Leadership, Channel, B2B, CRM, Sales Operations, Business Development, New Business Development, Consulting, Business Intelligence, Professional Services, Strategy, Cloud Computing, Program Management, Strategic Partnerships, Strategic Planning
Education
Northwestern University - Kellogg School of Management 1999 — 2000
Executive Management Program
Embry Riddle Aeronautical University-Worldwide
University of Central Florida - College of Business Administration
BA
Excellus BCBS March 2009 - Present
Coventry Health Care, Inc. March 2003 - March 2009
United Healthcare, Inc. November 2001 - February 2003
Blue Cross Blue Shield of Massachusetts April 1996 - June 2001
Massachusetts Division of Health Care Finance & Policy May 1991 - April 1996
Skills
Disease Management, Health Insurance, Health Policy, Healthcare, Healthcare Management, Hospitals, Insurance, Managed Care, Medicare, Network Development, PPO, Physicians, Process Improvement, Provider Relations, Utilization Management
Education
Harvard University 1990 — 1992
MS
Tufts University 1983 — 1987
BA
Aetna May 2013 - Present
Coventry Health Care, Inc. February 2008 - May 2013
Coventry Health Care, Inc October 1999 - February 2008
Nextel Communications September 1996 - October 1999
Skills
Procurement, Strategy, Strategic Planning, Healthcare, Change Management, Process Improvement, Program Management, Software Documentation, Team Building, Leadership, Business Analysis
Education
University of Maryland College Park 1989 — 1993
Masters, Human Development and BA Art Education
The George Washington University
Art Therapy/Therapist
Westinghouse Electric Company June 2015 - Present
Westinghouse Electric Company April 2014 - June 2015
Westinghouse Electric Company January 2011 - April 2014
Coventry Health Care, Inc. January 2005 - January 2011
FedEx Services May 2004 - August 2004
State Farm Insurance June 2003 - August 2003
Skills
Visio, SharePoint, SDLC, Process Improvement, IT Management, Requirements Analysis, Management, Business Analysis, Security, Integration, Requirements Gathering, Software Project..., Project Portfolio..., Project Management, Vendor Management
Education
Indiana University of Pennsylvania 2000 — 2004
Coventry Health Care, Inc. January 2007 - Present
Anthem 1997 - 2007
CareFirst BlueCross BlueShield 1991 - 1997
Skills
Health Insurance, Underwriting, Dental, Reinsurance, Insurance, Employee Benefits, Brokers, Dentistry, Health Savings Accounts, Disability Insurance, Claim, Term Life Insurance, Actuarial Science, Managed Care, Medicare, Process Improvement, Analysis, General Insurance, Data Analysis, Life Insurance, Benefits Administration, Claims Management, HIPAA, Commercial Insurance, Risk Management, COBRA, Group Insurance
Education
Penn State University 1984 — 1987
BS, Mathematics
Anthem,Inc. July 2014 - Present
Virginia Premier Health Plan, Inc. August 2013 - July 2014
Coventry Health Care, Inc. June 2012 - August 2013
Coventry Health Care, Inc. October 2010 - June 2012
Amerigroup March 2007 - October 2010
Aveta Health Plan August 2006 - December 2006
PwC January 2005 - August 2006
UnitedHealthcare December 2000 - January 2005
Medica 1998 - 1999
Harris Methodist Health Plan 1994 - 1997
Skills
Compliance, Medicare, Medicare Part D, Medicaid, Managed Care, Health Policy, HIPAA, Provider Relations, Healthcare Industry, Medical Compliance, Healthcare Consulting, Process Improvement, Utilization Management, Healthcare Management, Revenue Cycle, Health Insurance, Healthcare Information..., Network Development, Cross-functional Team..., Healthcare, Credentialing, Physicians, Pharmacy Benefit..., Physician Relations, EHR, HMO, Medical Coding, Claim, Practice Management, Health Information..., Hospitals, PPO
Education
Austin Community College
Associates Degree, Technical Writing
Somerville High School
Southwest Texas State University
Masters Degree, Public Administration
Coventry Health Care, Inc January 2011 - Present
Coventry Healthcare January 2011 - Present
Skills
SDLC, Requirements Gathering, Visio
Education
Carlow University
Bachelor of Science, Management Information Systems
Advance Health June 2015 - Present
Aetna June 2013 - June 2015
Coventry Health Care, Inc. July 2010 - May 2013
Coventry Health Care, Inc. September 2002 - June 2010
Crowell & Moring September 2000 - September 2002
Michaels & Bonner May 1998 - August 2000
Blue Cross Blue Shield of the National Capital Area August 1995 - April 1998
Skills
Insurance, Health Insurance, Medicare, Employee Benefits, Managed Care, Claim, Workers Compensation, HIPAA, Medicaid, Healthcare, Contract Negotiation, Underwriting
Education
American University, Washington College of Law 1991 — 1995
Juris Doctorate
Indiana University of Pennsylvania 1985 — 1988
BS, Human Resource Management
Greater Latrobe High School 1983 — 1985
Blue Shield of California January 2013 - Present
Coventry Health Care, Inc January 2012 - January 2013
HEWLETT PACKARD December 2009 - January 2012
SureWest Communications October 2001 - December 2009
Skills
Unix, Business Intelligence, Database Design, SQL, SQL Server, Oracle, Data Warehousing, Data Warehouse..., Microsoft SQL Server, Cycling, Swimming, Running, Triathlon, HP-UX, Databases, Oracle RAC, PL/SQL, Solaris, Servers, Enterprise Architecture, Disaster Recovery, Integration, Requirements Analysis, Red Hat Linux, Linux, Data Modeling, SOA, Cluster, Weblogic, Oracle Applications, Security, RMAN
Education
University of California, Riverside 1997 — 2001
Bachelor's degree, Business Administration and Management, General
GP Strategies Corporation March 2014 - Present
Coventry Health Care, Inc. August 2008 - January 2014
Coventry Health Care, Inc. November 2006 - August 2008
Constellation Energy May 2006 - November 2006
Ernst & Young 1990 - 2006
Skills
SEC filings, Tax Accounting, Tax, Accounting, Sarbanes-Oxley Act, Financial Reporting, Internal Controls, Auditing, Corporate Tax, CPA, Financial Analysis, Tax Research
Education
Jacksonville State University 1985 — 1988
BS, Accounting
Aetna February 2014 - Present
Coventry Health Care, Inc. March 2012 - August 2013
UnitedHealthcare April 2010 - March 2012
UnitedHealthcare October 2002 - April 2010
CIGNA July 1999 - October 2002
CIGNA October 1998 - July 1999
Prudential 1996 - 1998
Skills
Health Savings Accounts, Disability Insurance, Account Management, Health Insurance, Employee Benefits, Sales Management, Sales, Medicare, Healthcare, Insurance, Brokers, Life Insurance, Managed Care, Small Business, Term Life Insurance, Leadership, Management, Health Care Reform, Competitive Analysis, HMO, Sales Operations, Strategic Partnerships, Underwriting
Education
University of Maryland College Park 1981 — 1986
Bachelor of Arts, Economics
Aetna July 2014 - Present
Aetna September 2013 - July 2014
Coventry Health Care, Inc. November 2009 - September 2013
Coventry Health Care, Inc. December 2007 - November 2009
Coventry Health Care, Inc. September 2006 - December 2007
Coventry Health Care, Inc. October 2004 - September 2006
Skills
Employee Benefits, HRIS, Benefits Administration, Employee Relations, Onboarding, Talent Acquisition, Workers Compensation, FMLA, New Hire Orientations, Recruiting, Human Resources, PeopleSoft, Personnel Management, Interviews, Deferred Compensation
Education
Indiana University of Pennsylvania 1999 — 2004
Bachelor of Business Administration (BBA), Human Resource Management
University of Hawaii at Manoa 2000 — 2002
Bachelor of Business Administration (BBA), Human Resources Management
Coventry Health Care, Inc. 1999 - Present
Integrated Health Services 1993 - 1999
Skills
SEC reporting, General Ledger, Financial Reporting, Accounting, Insurance, Mergers, GAAP, Internal Controls, SOX, Financial Management, Revenue Recognition, Financial Accounting, Accounts Payable, Sarbanes-Oxley Act, Managerial Finance, SEC filings, Financial Analysis, US GAAP
Education
James Madison University 1987 — 1991
BS, Accounting
Coventry Health Care, Inc. 2001 - Present
Aetna 2001 - 2015
Aetna 2001 - 2015
Buck Consultants 1997 - 1999
Airgas 1997 - 1999
Skills
Healthcare, Performance Management, Employee Relations, Talent Management, Recruiting and Selection, Compliance, Chief Learning Officer..., Executive and Employee..., Executive Coaching, Board of Directors, Entrepreneurial..., Strategic Consulting, Total Rewards, Exeuctive Development, Customer Service, Information Technology, Incentive Systems, HRIS, Social Media, Intranet Strategy, Innovative Problem..., Change Management, Deferred Compensation, Employee Benefits, Onboarding, Employee Engagement, Recruiting, Integration, Personnel Management, Benefits Administration, Talent Acquisition, Applicant Tracking..., Leadership Development, Management Consulting, Cross-functional Team...
Education
Pennsylvania State University-Great Valley Graduate Center 1997 — 1999
Master of Business Administration (MBA), Health/Health Care Administration/Management
Rosemont College
Bachelor of Science (B.S.), Management
University of Illinois at Urbana-Champaign January 2013 - Present
University of Illinois at Urbana-Champaign March 2008 - January 2013
PersonalCare, A Coventry Health Care Plan December 2000 - March 2008
Coventry Health Care, Inc. 2003 - 2008
PersonalCare, A Coventry Health Care Plan December 2000 - February 2003
Computer Sciences Corporation 1991 - 2000
Skills
Business Analysis, Student Affairs, Cross-functional Team..., Data Analysis, Program Management, Recruiting, Public Speaking, Strategic Planning, Higher Education, Time Management, Leadership, Analysis, Admissions, Management Consulting, Process Improvement, Integrated Marketing, Microsoft Office, Leadership Development, Healthcare, Fundraising, Business Strategy, Research, Strategy, Event Planning, Project Management
Education
University of Illinois at Urbana-Champaign - College of Business 1998 — 2000
MBA
Northern Illinois University 1987 — 1991
B.S., Corporate Communications
Element Care, Inc. January 2014 - Present
Coventry Health Care, Inc. March 1999 - May 2011
Momkus McCluskey LLC October 1995 - March 1999
Education
Chicago-Kent College of Law, Illinois Institute of Technology 1992 — 1995
J.D., Law
North Central College 1986 — 1990
Bachelor or Arts, International Business and German
Catamaran (formerly CatalystRx) June 2011 - Present
Coventry Health Care, Inc. January 1992 - July 2011
Principal Health Care, Inc. January 1992 - 1998
Skills
Vendor Management, Integration, IT Management, SharePoint, Business Analysis, Requirements Gathering, Strategic Planning, Process Improvement, Systems Analysis, Leadership, Software Documentation, SDLC, Training, Human Resources, Requirements Analysis, Management, Business Process..., IT Strategy, Business Intelligence, Budgets, PMO, Recruiting, HRIS, Visio, Cross-functional Team..., Change Management, Program Management, Project Portfolio...
Education
University of Maryland College Park 1981 — 1985
BS, Finance
Northwood High School 1978 — 1981
Coventry Health Care, Inc.
Skills
Financial Reporting, Strategy, Leadership, Mergers & Acquisitions, Financial Analysis, Medicare, Health Insurance, Financial Modeling, Process Improvement, Sarbanes-Oxley Act
Education
James Madison University
BBA
University of Maryland College Park
MBA
WellCare of Georgia and WellCare of South Carolina August 2009 - Present
Coventry Health Care of Kansas April 2007 - March 2011
Coventry Health Care of Kansas September 2006 - April 2007
Coventry Health Care, Inc. February 2002 - September 2006
Skills
Analysis, Healthcare, Managed Care, Customer Service, Medicare, Leadership, Insurance, Data Analysis, Medicaid, Provider Relations, Management, Health Insurance, Healthcare Management
Education
University of Kansas 1991 — 1995
BA, Speech, Language and Hearing (SPLH)
America's Health Insurance Plans (AHIP) January 2015 - Present
Avalere Health August 2013 - November 2014
Coventry Health Care, Inc. December 2009 - June 2013
Wyeth September 2008 - December 2009
Wyeth Pharmaceuticals June 2007 - September 2008
Wyeth Pharmaceuticals April 2006 - June 2007
Wyeth Pharmaceuticals January 2005 - April 2006
Wyeth Pharmaceuticals July 2001 - December 2004
Eli Lilly January 1999 - May 2001
Congressional Budget Office June 1994 - December 1998
Skills
Media Relations, Public Policy, Government Affairs, Public Relations, Research, Health Insurance, Biopharmaceuticals, Government Relations, Crisis Communications, Corporate Communications, Press Releases, Internal Communications, Strategic Communications, Issues Management, Legislative, Reputation Management, Health Policy, Government, Regulatory Affairs, Strategy, Pharmaceutical Industry, Strategic Planning, Legislative Relations, Leadership, Project Planning, Legislation, Public Affairs, Medicaid, Health Care Reform, Healthcare, Analysis, Medicare, Thought Leadership, Executive Management, Healthcare Industry, Managed Care, Integrated Marketing, Communication Training, Federal Government, Speech Writing, Disease Management, Crisis Management, Pharmacy Benefit..., Network Development, Oncology, Healthcare Consulting, Health Economics, Governmental Affairs, Long-term Care, Policy Analysis
Education
University of Rochester 1992 — 1994
M.S., Public Policy
The George Washington University 1986 — 1990
B.A., History, Political Science
The Pingry School
Gateway Health January 2014 - Present
Coventry Health Care, Inc. January 1995 - October 2013
Skills
Health Insurance, Employee Benefits, Insurance, Medicaid, Litigation, Claim, Managed Care, Legal Research, Privacy Law, Mediation, Health Law, Appeals, Corporate Law, Medicare, HIPAA, Legal Writing, Public Speaking, Health Policy, Arbitration, Legal Compliance, Commercial Litigation
Education
University of Pittsburgh School of Law 1988 — 1991
JD, Law
California State University-Northridge 1981 — 1986
BA, Speech Communications
Catamaran November 2010 - Present
Eagle Gate College May 2008 - June 2013
Coventry Health Care, Inc January 2007 - October 2010
Coventry Healthcare December 2005 - January 2007
RxAmerica April 2004 - September 2005
Skills
Access, Excel, Medicare Part D, UltraEdit, PBM, SAS, SQL, Word, PowerPoint, Outlook, Windows, Microsoft Office, Auditing, Analysis, Hospitals, Retail, Data Analysis, Healthcare, Problem Solving, Process Improvement, Call Center, Medicare, Inventory Management, Pharmacy Benefit..., Visio, Microsoft Excel, Team Leadership, Program Management, Quality Assurance, Microsoft Word, Pharmacy Automation, Call Centers, Management, Leadership, Software Documentation, Strategic Planning, Managed Care, Business Analysis, Team Building, HIPAA, Training, Customer Service, Healthcare Industry, Disease Management, Healthcare Management, Healthcare Information..., Pharmacy, Insurance, Health Insurance
Education
Columbia College 2003 — 2005
BS, Business Administration
Marriott International February 2014 - December 2014
Various positions April 2013 - February 2014
Coventry Health Care, Inc. July 2009 - April 2013
HMSHost February 2007 - July 2009
Arent Fox July 2006 - October 2006
Sodexo, Inc. May 1998 - July 2006
Skills
Legal Research, Corporate Law, Legal Assistance, Due Diligence, Legal Writing, Mergers & Acquisitions, Document Review, Legal Compliance, Mergers, Outlook, Insurance, File Management, Corporate Compliance, Contract Negotiation, Management
Education
The University of New Mexico 1977 — 1981
BFA, Theater Arts
City College of San Francisco 1991 — 1992
Non-degree program, Paralegal Studies
DMI (Digital Management, Inc.) January 2015 - Present
InfoZen June 2013 - January 2015
SAIC November 2012 - June 2013
SAIC Frederick September 2012 - November 2012
SAIC Frederick September 1998 - September 2012
Frederick Community College January 2007 - May 2012
Coventry Health Care, Inc May 1995 - September 1998
Ontrak Assignment Service September 1990 - November 1994
Microlog Corporation June 1985 - September 1987
Skills
Amazon Web Services..., Amazon EC2, Amazon RDS, Amazon S3, Amazon EBS, Linux, Apache, MySQL, Java, Oracle, Software Development, Web Applications, Tomcat, Unix, JavaScript, Web Services, JSP, SQL, Java Enterprise Edition, Web Development, JSF, JSON, JSTL, XML, AJAX, Linux System..., Red Hat Linux, jQuery, Dojo, HTML, HTML 5, Spring, MVC, JIRA, Confluence, Unix Shell Scripting
Education
Hood College 1999 — 2001
Masters of Science, Computer Science
University of Maryland Baltimore County
B.S, Computer Science
Catoctin High School
Aetna October 2013 - Present
Coventry Health Care, Inc. April 2013 - October 2013
Coventry Health Care, Inc. September 2010 - April 2013
Coventry Health Care, Inc. September 2008 - September 2010
Coventry Health Care August 2006 - September 2008
Skills
Business Process, Health Insurance, Software Documentation, Insurance, Analysis, Healthcare Information..., Enterprise Architecture, Team Building, Program Management, Business Requirements, Project Management, Claim, Integration, Solution Architecture, Leadership, Process Improvement
Education
University of Phoenix 2012 — 2014
Currently attending, Database Development
ISSG (Contract with Magellan Healthcare, Inc.) May 2015 - June 2015
Serco March 2015 - May 2015
Coventry Health Care, an Aetna Company May 2009 - August 2014
Coventry Health Care, Inc. September 2003 - May 2009
General American Life & Health April 1999 - September 2003
General American Life & Health June 1995 - April 1999
Skills
Insurance, Underwriting, Health Insurance, Claim, Leadership, Long-term Care, Medicare, Healthcare, Employee Benefits, Professional Liability, Life Insurance, Disability Insurance, Commercial Insurance, Managed Care, Workers Compensation, Health Savings Accounts, Brokers, Benefits Administration, Management, Process Improvement, Customer Service, Team Building, Training, Strategic Planning, Business Analysis, Account Management, Analysis
Education
Westminster College 1987 — 1989
Masters in Business Administration, Management Information Systems, General, GPA 3.91
Missouri State University 1977 — 1981
BS, Economics, GPA 3.40
Jefferson Cty High School 1973 — 1977
WellCare Health Plans June 2014 - Present
WellCare Health Plans January 2014 - Present
Preferred Homecare November 2009 - February 2014
Blue Cross and Blue Shield of Minnesota 2012 - 2012
Coventry Health Care, Inc. 2010 - 2012
Connextions, Inc 2010 - August 2011
Greater Twin Cities and Greater Phoenix United Way 2002 - 2010
UnitedHealth Group 1993 - 2009
UnitedHealthcare 2006 - 2008
CIGNA 1980 - 1993
Skills
Managed Care, Healthcare, Medicare, Health Insurance, Strategic Planning, Insurance, Health Policy, Medicaid, Employee Benefits, Team Building, Public Speaking, Mergers, Executive Management, Change Management, Non-profits, Program Management, Leadership, Leadership Development, Community Outreach, Policy, Marketing, Mergers & Acquisitions, Healthcare Industry
Education
The University of Connecticut School of Law 1981 — 1985
JD, Law
Amherst College 1976 — 1980
BA, American Studies
Amherst College 1976 — 1980
Bachelor's degree
Amherst College 1976 — 1980
Bachelor's degree, American/United States Studies/Civilization
Coventry Workers' Comp Services June 2015 - Present
Coventry Workers' Comp Services February 2012 - May 2015
Coventry Health Care, Inc January 2007 - January 2012
Coventry Health Care, Inc February 2004 - January 2007
Coventry Health Care, Inc February 2003 - February 2004
Hartford Insurance Group May 2002 - February 2003
Hartford Insurance Group May 2000 - May 2002
Skills
Health Insurance, Insurance, Managed Care, Account Management, Workers Compensation, Strategic Planning, Team Building, Sales, Customer Service, Budgets, Microsoft Office, Financial Analysis, Healthcare, Process Improvement, Healthcare Management, SharePoint, Medicare
Education
University of California, Davis 1996 — 1998
BA, History
SSM Health June 2014 - Present
Sole Practitioner October 2013 - Present
Balint Brown & Basri LLC March 2014 - April 2014
Coventry Health Care, Inc. May 2013 - November 2013
Health Capital Consultants April 2012 - December 2012
Mothers Against Drunk Driving May 2011 - September 2011
Saint Louis University School of Law October 2009 - May 2011
St. Mary's Health Center May 2005 - August 2010
Catholic Immigration Law Project May 2009 - August 2009
JurisTemps, Inc. July 2007 - August 2007
Skills
Health Law, Immigration Law, Public Health Law, Public Health, Health Policy, Legislation, Pharmaceutical Industry, Healthcare, Policy Analysis, Research, Public Policy, Non-profits, Policy, Medicare, Legal Research, Legal Writing, Clinical Research, Medicaid, Healthcare Consulting, Health Education, Managed Care, Westlaw, Literature Reviews, Pharmacy, EHR, Politics, Spanish, Lexis, Healthcare Management, Hospitals, Leadership, Nonprofits, Program Evaluation, HIPAA, Analysis, Government, Data Analysis, Community Outreach, Patient Safety, Program Development, Qualitative Research, Legislative Research, Healthcare Industry, Editing, Legal Issues, Community Health, Epidemiology
Education
Saint Louis University School of Public Health 2008 — 2013
M.P.H.-H.P., Health Management and Policy
Saint Louis University School of Law 2007 — 2011
Juris Doctor, Health Law, International Law
Saint Louis University 2003 — 2005
B.S., Chemistry (cum laude), Pre-Med (Chemistry, Biochemistry, Molecular Biology)
Illinois State University 2000 — 2003
(transferred), Pre-Med (Biochemistry, Molecular Biology)
Cadence Health July 2013 - Present
Komatsu America Corp. November 2012 - June 2013
Coventry Health Care, Inc. September 2009 - November 2012
Rehabilitation Institute of Chicago June 2008 - July 2009
Skills
Legal Assistance, Corporate Law, Courts, Westlaw, Insurance, Document Review, Legal Writing
Education
Northern Illinois University 2000 — 2003
Bachelor of Arts (B.A.), Art History
Driscoll Health Plan November 2010 - Present
AFFILIATED COMPUTER SYSTEMS, (ACS) a XEROX COMPANY February 2010 - October 2010
XL HEALTH Inc. Baltimore, Maryland August 2009 - November 2009
COVENTRY HEALTH CARE Inc December 2007 - August 2009
UNIVERSITY HEALTH SYSTEMS/COMMUNITY FIRST HEALTH PLANS Inc May 2007 - December 2007
CAREMARK Inc. May 2001 - December 2006
HUMANA HEALTH PLANS Inc. January 1998 - May 2001
United States Air Force June 1973 - January 1998
Skills
Medicaid, Healthplan Operations, Claims Processing, Call Center Operations, Director of Operations..., Provider Contracting, Provider Network..., Medicaid Managed Care, PPO, Call Centers, Process Improvement, Insurance, Medicare, Employee Benefits, Managed Care, Network Administration, Leadership, Healthcare, HIPAA, Health Insurance, Strategic Planning, Healthcare Information..., Management, Training, Healthcare Management
Education
Webster University 1984 — 1986
Master's, Management
University of Maryland University College 1980 — 1982
Bachelor of Science (B.S.), Business and Management
Newmark Grubb Knight Frank November 2013 - Present
Coventry Health Care January 2012 - Present
Coventry Health Care Inc January 2012 - Present
Magellan Health Services August 2009 - December 2011
Coventry Health Care August 2009 - December 2011
Coventry Health Care Inc October 2003 - August 2009
Coventry Health Care March 2005 - July 2009
First Health 2003 - 2005
VIRGINIA BUSINESS INTERIORS September 2001 - January 2003
Skills
Microsoft Office, Outlook, Vendor Management
Education
J Sargeant Reynolds Community College
Chamberlayne Jr
MA
Hartford State Technical College
Nestlé USA November 2010 - Present
Coventry Health Care, Inc. June 2005 - December 2009
UCLA Healthcare November 2000 - April 2005
Skills
Training, HRIS, Benefits Administration, Recruiting, Human Resources, Organizational..., Change Management, Process Improvement, Performance Management, Team Building, Strategic Planning, Customer Service, Data Analysis, Workers Compensation, Talent Management, Employee Relations, FMLA, Employee Benefits
Education
University of Phoenix 2008 — 2010
Master of Business Administration, Human Resources
Biola University 2005 — 2007
Bachelor of Science (BS), Organizational Leadership
BlueCross BlueShield Association December 2008 - Present
Coventry Health Care, Inc June 2006 - December 2008
V.A. Medical Center December 2003 - June 2006
SONY Technology Center November 2000 - November 2003
Kasenna Inc May 2000 - September 2000
SONY Technology Center March 1998 - April 2000
California Software Co. Ltd February 1996 - February 1998
Skills
SOA, Spring, Java Enterprise Edition, Databases, Hadoop, Mobile Applications, Objective-C, SAML 2.0, Java, Servlets, J2EE, System Architecture, Web Services, SOAP, RESTful WebServices, XML, Weblogic, Struts, JavaScript, Hibernate, Oracle, Microsoft SQL Server, Eclipse
Education
Government Engineering College, Thrissur, Kerala 1991 — 1995
Bachelor of Technology, Computer Science
University of Calicut
B Tech, Computer Science and Engineering
A R Associates Services, LLC 2009 - Present
Coventry Health Care, inc. 2007 - 2009
HealthAmerica/Coventry Health Care 2004 - 2007
United Health Group 2002 - 2004
Morrison Informatics, Inc.; A R Associates 2002 - 2004
The MetroHealth System 1991 - 2001
CIGNA Corporation 1986 - 1991
Kaiser Foundation Health Plan 1978 - 1986
Skills
Managed Care, Medicare Advantage, Medicare Prescription..., Healthcare Information..., clinical reengineering, Lead Generation, Health Policy, Management, EHR, Insurance, Program Management, Pharmacy Benefit..., Strategic Planning, Informatics, EMR, Strategy, Disability Insurance, Healthcare Consulting, Healthcare Management, Medicare, Healthcare, Health Care Reform, Medicare Part D, Start-ups, Utilization Management, Claim, Clinical Research, Employee Benefits, Hospitals, HIPAA, Provider Relations, Disease Management, Network Development, HMO, Medicaid, Nursing, Data Analysis, Policy, Revenue Cycle, Workers Compensation, Health Insurance, Long-term Care, Leadership, Case Managment, Healthcare Industry, PPO, Software Documentation
Education
Cornell University
Bachelor's degree, English, History
Case Western Reserve University
Ph.D.
Case Western Reserve University - Weatherhead School of Management
Coventry Health Care October 1998 - Present
Coventry Health Care October 1998 - Present
Coventry Health Care, Inc October 1998 - Present
Coventry Health Care, Inc January 1998 - Present
Neighborhood Health Partnership January 1996 - January 1998
neighborhood health plans 1995 - 1998
Blue Cross Blue Shield January 1994 - January 1996
Education
Broward College
Bachelors, Business Administration
National School of Technology
Associates, Science Technology
Synergy Seven Inc. February 2012 - February 2013
Coventry Health Care Inc. 2006 - 2011
Medical center January 2002 - August 2006
Intel Corporation January 1994 - January 2002
GE Aircraft Engine 1989 - 1994
polaroid corp. 1984 - 1989
Skills
OpenVms System Enginer, Extensive International..., Intel Corp., Automation Systems, Integration, Systems Engineering, Blade Server/chassis..., VMS, Finished VMware vSphere...
Education
Rhode Island College 1984 — 1992
Comp. Sci with Chem minor
New Bedford High School 1964 — 1967
graduated, College prep.
RISE Services Inc. March 2014 - Present
Coventry Health Care, Inc. September 2004 - January 2014
Caremark/PCS Health Systems August 1994 - August 2004
Skills
Benefits Administration, Employee Benefits, Employee Relations, Human Resources, Compensation & Benefit, Employment Law, Leave of Absence..., Recruiting, HRIS, Workers' Compensation..., Performance Management, Training, New Hire Orientations, Onboarding, FMLA, Personnel Management, Workers Compensation, Deferred Compensation, Applicant Tracking...
Education
Saint Paul College-A Community and Technical College
Aetna January 2014 - Present
Coventry Health Care September 2005 - Present
Coventry Health Care, Inc. September 2005 - Present
Skills
Medical Insurance, Special Projects, Settlement Agreements, Dispute Settlement, Dispute Resolution, Contract Negotiation, Contract Analysis, Rate and Contract..., Paralegal, Provider Relations, Analysis, Projects, Healthcare Management, Risk Management, Healthcare, Credentialing, Provider Network..., PPO, Pharmacy Benefit..., Supervisory Experience, Utilization Management, Negotiation, Healthcare Consulting, Macess, Provider Education, Healthcare Industry, Medical Terminology, Provider Networks, Medical Cost Containment, HMO, Amisys, Health Plan Operations, Medical Compliance, Claims Auditing, Medicaid Managed Care, Health Policy, QNXT, Contractual Risk..., HEDIS, Health Insurance..., Utilization Review, Ancillary Benefits, Certified Case Manager, Accountable Care, Government Programs, Health Care Fraud, NCQA, Medical Underwriting, Medicare Prescription..., Ratemaking
Education
California State University-Sacramento 2002 — 2004
American River College 1999 — 2001
Coventry Health Care, Inc April 2010 - Present
HCA February 2007 - April 2010
Education
Strayer University (VA) 2008 — 2010
Master of Business Administration (M.B.A.) concentration Healthcare Administration, Business Administration, Management and Operations Healthcare Adminstration
Norfolk State University 2001 — 2006
Bachelor of Science (BS) of, Helath Information Managment
Thermo Fisher Scientific April 2013 - Present
Coventry Health Care Inc. June 2008 - April 2013
Debiase & Levine Associates, Inc January 2007 - November 2007
UPMC Mercy Hospital January 2007 - May 2007
Skills
Proficient in the use..., Skilled in MS Word,..., Hands on supervisorial..., Customer Service, PowerPoint, Access, Microsoft Publisher, Microsoft Office, Data Entry, File Management, Research, Internet Explorer, Office Management, Wordperfect, Spreadsheets, Administrative..., Office Administration, Medical Records, Microsoft Works, Time Management, Teaching, Teamwork, Healthcare, Windows, Cpr Certified
Education
Duquesne University 2005 — 2007
Master of Arts (M.A.), Health Care Ethics
University of Pittsburgh 2003 — 2005
Bachelor of Arts (B.A.), Health Care Services
Coventry Health Care Inc February 2012 - Present
US HealthWorks January 2007 - September 2012
Aetna December 1999 - November 2009
Skills
Health Insurance, Insurance, Medicare, Claim, Employee Benefits, Managed Care, Process Improvement, Call Centers, Workers Compensation, Visio, SDLC, HIPAA, Underwriting, Customer Service, Business Analysis, Medicaid, Vendor Management, Provider Relations, Access, SharePoint, CPT
Education
Arellano University
Polythecnic University of the Philippines
Bachelor of Business Management, Business, Management, Marketing, and Related Support Services
Coventry Health Care, Inc January 2005 - Present
ArborCare, Inc January 2004 - January 2005
Coventry Health Care, Inc May 2000 - April 2004
Coventry Health Care, Inc. April 1997 - May 2000
David A. Reumont CPA, PC February 1995 - April 1997
Gilday Creative June 1991 - February 1994
Skills
PeopleSoft 9.0, AvantGard/SunGard..., QuickBooks, Microsoft Excel, Microsoft Word, Timberline Accounting, Deltek, Turbo Tax, UltraTax, Skyline
Education
University of Maryland University College
Bachelor of Science Degree, Accounting
Aetna December 2013 - Present
Coventry Health Care Inc. October 2004 - December 2013
OmniCare Healthplan January 1993 - October 2004
Education
Baker College of Allen Park 2012 — 2014
Currently Attending, Health Information Technology
Detroit Business Institute-Downriver 1991 — 1992
Certificate, Word Processing & Secretarial