First Health Services
Industry: Company
DescriptionFounded: 2015 Parent organization: Magellan Health Subsidiaries: 4D Pharmacy Management Systems, Inc.,
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First Health Services Employees
Hippos Home Entertainment Center June 2015 - Present
MVP Health Care 2012 - 2014
Value Options July 2012 - September 2012
GTECH Instant Gaming April 2012 - May 2012
The Preferred Group May 2011 - January 2012
The Preferred Group May 2011 - January 2012
Value Options 2012 - 2012
Warner Cable June 2010 - August 2010
First Health Services September 2009 - December 2009
ACS April 2009 - May 2009
Skills
Multiple computer..., Data Entry, Multi line telephones, Appointment Scheduling, Claims Handling, Microsoft Word, Microsoft Excel, Microsoft Office, 50+ WPM, HIPAA, Access, Call Centers, Health Insurance, Customer Service, Documentation, Employee Benefits, Fax, Insurance, Office Management, Claim
Education
Schenectady County Community College 2011 — 2012
General Business Certificate, Business
Magellan Health Services October 2013 - Present
HCA Chippenham Hospital Tuckers Pavillion November 2008 - October 2013
Hanover Community Services October 2004 - October 2013
First Health Services May 2002 - October 2004
Private Practice August 1997 - May 2002
Charter Westbrook Hospital March 1997 - March 1998
Rockwood Counseling Associates February 1992 - July 1997
Associates in Psychiatry and Psychotherapy Ltd. January 1987 - January 1991
Chesterfield Community Services Board 1986 - 1987
District 19 Community Service Board 1984 - 1986
Skills
Clinical Supervision..., International Board of..., International Board of..., EMDR Certified, Administrative..., Program Development, Mental Health, Behavioral Health, Case Management, Adolescents, Psychotherapy, Family Therapy
Education
Virginia Commonwealth University 1983 — 1984
Master’s Degree, Master of Social Work, 4.0
Eastern Mennonite University 1980 — 1982
Bachelor’s Degree, Social Work
Xerox State Healthcare, LLC March 2012 - Present
Xerox State Healthcare, LLC November 2011 - March 2012
Affiliated Computer Services November 2010 - March 2011
Molina Medicaid Solutions February 2007 - September 2010
PRG Schultz International April 2007 - April 2008
First Health Services August 2004 - March 2007
WellCare Health Plans December 2003 - August 2004
Sierra Military Health Services May 2003 - October 2003
UniCare September 2000 - January 2003
Concentra 1998 - 2000
Skills
Executive Management, Account Management, Operations Management, Business Process..., Process Improvement, Project Management, Program Management, Team Leadership, Team Building, Change Management, Mentoring, Strategic Planning, Project Planning, P&L Management, Budgets, Proposal Writing, Healthcare, Medicaid, Managed Care, Vendor Management, Customer Relations, Health Insurance, Contract Negotiation, Contract Management, Policy, HIPAA, Customer Service, Call Centers, Start-ups, Provider Relations, Negotiation, Analysis, Training, Supervisory Skills, Microsoft Excel, Microsoft Office, Excel, Outlook, Visio, Administration, PowerPoint, Word, Management, Claims, Leadership, Customer Satisfaction, Quality Assurance, Microsoft Word
Education
Ithaca College 1975 — 1978
Bachelor of Science (B.S.), Allied Health Care Management
KOVA Corporation February 2015 - Present
Barrister Global Services Network, Inc February 2010 - Present
eyemaxdigital January 2005 - Present
EyeMax Digital Media January 2005 - Present
Trans World Entertainment November 2011 - January 2015
Davis Vision July 2008 - March 2010
First Health Services January 2006 - July 2007
Safeco FIS January 1999 - December 2004
PRWT August 1997 - January 1999
Trans World Entertainment March 1994 - August 1997
Skills
Computer Hardware, Computer Repair, Computer Graphics, Troubleshooting, Disaster Recovery, Networking, Firewalls, Linux, Microsoft Exchange, Switches, Routers, Technical Support, System Administration, Hardware, Security, DNS, Laptops, ITIL
Education
Stephens College 1986 — 1988
St. Stephen's College
of
Computer Vision
PGMBHS KERALA INDIA
Sutter Health - Sutter Care at Home July 2012 - Present
Alaska Native Tribal Health Consortium May 2005 - March 2012
Southcentral Foundation September 2001 - May 2005
First Health Services October 2000 - August 2001
Home Health Care Companies August 1994 - August 1999
Allstate Claims 1990 - 1994
Skills
Medical Compliance, Medicaid, Medicare, Hospitals, Revenue Cycle, Privacy Law, Healthcare Consulting, Health Policy, EHR, Healthcare Management, Healthcare Industry, Physicians, Ethics, Healthcare Information..., Leadership, Managed Care, Insurance, Internal Audit, Medical Billing, Health Information..., Physician Relations, Process Improvement, Healthcare, Quality Improvement, Legal Compliance, Health Law, Home Care, Strategic Planning, Medical Coding, Program Development, Business Ethics, Patient Safety, Performance Improvement, Health Insurance, Nursing, Health Care Compliance, EMR, Public Health, Accreditation, Medical Records, Clinical Research, Informatics, Medicine, ICD-9, Behavioral Health, Medical Terminology, Regulations, CPT, Epic Systems, Practice Management
Education
Alaska Pacific University
Front Range Community College
Blue Cross Blue Shield of Alabama July 2013 - Present
Pretty Impressive Stuff June 2006 - Present
DirectBuy of Greater Birmingham January 2013 - July 2013
Weight Watchers January 2010 - January 2013
University of Mississippi Medical Center March 1998 - May 2006
AmeriCan Medical Plans 1995 - 1998
EDS Group 1994 - 1995
First Health Services 1993 - 1994
Skills
Teaching, Museums, Art, History, Research, Public Speaking, Customer Service, Public Relations, Training, Microsoft Office, Citrix Metaframe, Windows Server, Website Development, Provider Networks, Software Implementation, Publications, Solution Implementation, Information Technology, Marketing, Editing, I-9 Compliance, Supervisory Experience, Highly motivated..., Can Do Approach, Hiring Employees, Call Center..., Network Administration, Motivational Speaking, Five9, Event Planning, Social Media, Curating, Nonprofits, Painting, Fine Art, Photography, Telecommunications, Weight Loss Coaching, Access, Blogging, Management
Education
The University of Georgia
BA, History
Westminster
LOFT Advertising January 2007 - Present
Open Door Clinic of Greater Elgin 2013 - 2014
Open Door Clinic of Greater Elgin 2013 - 2013
Serve You Custom Rx Management November 2005 - January 2007
ACS Healthcare Solutions January 2004 - February 2005
First Health Services January 1999 - January 2005
Skills
Medicare, Strategic Planning, Marketing Strategy, Advertising, Program Management, Public Relations, Account Management, Healthcare, Contract Negotiation, Cross-functional Team..., Marketing Communications, Healthcare Management, New Business Development, Project Management, Healthcare Information..., Managed Care, Healthcare Consulting, Product Development, Healthcare Industry, Clinical Research, Direct Marketing, Social Media Marketing, Vendor Management, Employee Benefits, Process Improvement, Marketing, Integrated Marketing, Team Building, Leadership, Strategy, Business Development, Sales
Education
Northern Illinois University
BA, English, Journalism
University of South Florida
Business Management
COORDINATED CARE NETWORK October 2012 - Present
J&J St Michaels Pharmacy December 2003 - October 2012
Target July 2000 - November 2003
First Health Services 2000 - 2003
CVS Caremark Corporation 2000 - 2001
Eckerd 1996 - 2000
Princeton Meadows Pharmacy 1994 - 1996
SuperX 1991 - 1994
Skills
Notary Public, Cpr Certified, HIV, Healthcare Information..., Certified Immunizer, Community Pharmacy, Pharmacy, Pharmacists, Medication Therapy..., Patient Counseling, Pharmacy Automation, Pharmacy Benefit..., Medicine, Healthcare, Rheumatology, Clinical Pharmacology, Infectious Diseases, Compounding, Pharmacy Practice, Managed Care, Hospital Pharmacy, Clinical Pharmacy, Diabetes, Prescription, Pharmacoeconomics, Disease Management, Ambulatory Care, Pharmacology, Patient Safety, Clinical Research, Immunization, CPR Certified
Education
Rutgers, The State University of New Jersey-New Brunswick
BS, Pharmacy
barriner high school
barringer high school
Self Employed Licensed Professional Counselor (LPC) October 2012 - Present
St. Joseph's Villa October 2010 - September 2012
Larkin Communications 2009 - 2010
Poplar Springs Hospital / Universal Health Systems 2008 - 2009
First Health Services / Coventry HealthCare 2005 - 2008
First Health Services 2003 - 2005
First Health Services 2002 - 2003
Oxbridge Counseling Services 1999 - 2002
The Choice Group 1993 - 2000
Charter Westbrook Hospital 1997 - 1999
Skills
Family Therapy, Group Therapy, Program Development, Clinical Supervision, Case Managment, Motivational..., Public Speaking, Program Management, Project Management, Individual Counselling, Leadership, Quality Assurance, Utilization Management, Managed Care, Hospitals, Management of direct..., Program Director, Clinical Leadership, Business Development, Risk Management, Healthcare Management, Account Management, Business Leadership, Government Contract..., Behavioral Health..., Cognitive Behavioral..., Family Systems, Crisis Stabilization, Treatment planning, Discharge and After..., Rehabilitation..., Mental Health Best..., Eligibility Assessments, Psychosocial Assessments, Health Insurance, Clinical review for..., Auditing for compliance..., CMS Expertise, Healthcare Information..., Policy and Procedures..., Microsoft Office, Staff and Provider..., Marketing for Referrals, RFP response and..., Web system..., Business Analyst skills, High level reporting..., Business Process..., Business Presentations, Management Consulting
Education
Virginia Commonwealth University Medical Campus (MCV) - School of Allied Health 1992 — 1994
Master of Science (M.S.), Rehabilitation Counseling, CRC, LPC, 4.0 Summa Cum Laude
Christopher Newport University 1986 — 1991
Bachelor of Science (B.S.), Governmental Administration, minor Psychology, 3.2
Harrisburg Area Community College August 2006 - Present
Highmark Medicare Services November 2008 - February 2011
First Health Services November 2004 - October 2008
Skills
Microsoft Word, Microsoft Excel, 10 Key, Data Entry, Medical Terminology, Customer Service, Problem Solving, Data Analysis, Social Media, Teamwork, Team Leadership, Healthcare Management, PowerPoint, Time Management, Healthcare, Outlook, HIPAA, Healthcare Information..., Hospitals
Education
Harrisburg Area Community College 2006 — 2015
Business Administration and Management, General
Millersville University of Pennsylvania 1996 — 1998
Business Administration and Management, General
Allscripts February 2013 - Present
Abacus Technology May 2007 - February 2013
Volusia County School Board June 2003 - May 2007
GoCo-Op July 2000 - January 2003
Phoenix International December 1999 - June 2000
AARP January 1999 - November 1999
First Health Services April 1998 - December 1998
Crestar Bank April 1997 - April 1998
Virginia Housing Development Authority February 1995 - April 1997
Virginia Dept. of Professional and Occupational Regulation January 1993 - February 1995
Skills
Databases, Unix, Microsoft Cluster, Requirements Analysis, Database Administration, Database Design, Data Modeling, Microsoft SQL Server, SQL Tuning, Project Planning, TDE, Database mirroring, Data Analysis, Database Engine Tuning...
Education
Louisiana State University
Bachelor of Science (BS), Computer Science
Tennessee State University August 2012 - Present
University of Phoenix June 2005 - Present
Saint Leo University 2009 - 2014
Goucher College March 2012 - March 2013
Kaplan Higher Education February 2006 - February 2013
Volunteer State Community College October 2010 - October 2011
MERROL HYDE MAGNET SCHOOL2004 - 2005 July 2004 - July 2005
MOUNT JULIET HIGH SCHOOL2003 - 2004 July 2003 - July 2004
HEALTH SPRING2003 February 2003 - July 2003
FIRST HEALTH SERVICES January 1998 - January 2002
Skills
Higher Education, Distance Learning, E-Learning, Staff Development, Curriculum Development, Instructional Design, Leadership, Training, Coaching, Educational Technology, Community Outreach, Student Affairs, Fundraising, Public Speaking, Research, Classroom, Adult Education, Teaching, Instructional Technology, Faculty Development, Curriculum Design, Microsoft Office
Education
Trevecca Nazarene University
EdD
Regis University
MBA
Tennessee State University
MEd
Tennessee State University
BBA
Magellan Health Services May 2011 - Present
ACS, A Xerox Company (Government Health Solutions) March 2008 - May 2011
First Health Services May 2007 - March 2008
Department of Public Social Services May 2005 - May 2007
Anthem July 2003 - March 2005
Education
Springfield College 1995 — 1997
Herkimer County Community College
Associates, Health Services Administration
Temple University School of Pharmacy 2000 - Present
First Health SErvices 1993 - 1997
Education
Purdue University
PhD
Mississippi Methodist Conference of the United Methodist Church March 2013 - Present
MS Methodist Conference November 1996 - Present
Electronic Data Systems April 1994 - November 1996
First Health Services December 1991 - April 1994
Electronic Data Systems March 1983 - January 1987
Skills
Financial Reporting, Financial Statements, Leadership, Cash Flow Forecasting, Financial Analysis, Internal Controls, Financial Modeling, Hospitals, Cash Management, Budgets, Management, Accounting, Financial Accounting, Risk Management, Managerial Finance, Auditing, Cash Flow, Project Planning, Project Management, Finance, Microsoft Excel, Analysis, Strategic Planning, Internal Audit, Account Reconciliation, Program Management
Education
Mississippi Valley State University 1974 — 1978
BS, Business Administration/Accounting
OptumRx June 2015 - Present
BlueCross BlueShield of Tennessee March 2011 - May 2015
CVS Caremark Corporation 2008 - 2010
CVS Caremark 2004 - 2008
CVS Caremark 1999 - 2004
SEVON ASSOCIATES March 1996 - July 1999
Keystone Mercy Health Plan January 1995 - March 1996
FIRST HEALTH SERVICES January 1992 - January 1995
CVS January 1988 - January 1992
WAL-MART PHARMACY January 1986 - January 1988
Skills
Pharmacy, Pharmacy Benefit..., Sales, Medicare, New Business Development, Pharmacists, Managed Care, Leadership, Utilization Management, Pharmaceutical Industry, Clinical Research, Medicare Part D, Employee Benefits, Healthcare, Policy, Health Policy, Medicaid, Healthcare Industry, Process Improvement, Medicine, Analytics, HIPAA, Marketing Strategy, Training, Product Management, Pharmacueticals, Healthcare Management, Clinical Trials, Insurance, Program Management, Analysis, Physicians, Health Insurance, Disease Management, Negotiation, Proposal Writing, Management, Strategic Planning, Hospitals, Mergers & Acquisitions, Pharmacy Automation, CRM, Medicaid Managed Care, Diabetes, Cross-functional Team..., Outcomes Research
Education
University of Missouri-Kansas City 1979 — 1982
BS Pharmacy, Pharmacy
Estes Express Lines June 2015 - Present
Atlantic Resource Group, Inc December 2014 - June 2015
Health Diagnostic Laboratory, Inc. November 2013 - November 2014
United Network for Organ Sharing February 2010 - October 2013
First Health Services August 2001 - August 2008
Anteon Corporation September 2000 - July 2001
Insmed April 1999 - September 2000
Crestar Bank September 1992 - April 1999
PRA International 1990 - 1992
A. H. Robins March 1989 - July 1990
Skills
SAS, Data Management, Data Analysis, Databases, Analysis, Statistics, SAS programming, Clinical Research, Programming, SQL, Business Analysis, Data Mining, SAS Base, Macro, Business Intelligence, SAS Programming, Requirements Analysis, Process Improvement
Education
Virginia Commonwealth University 1981 — 1984
B.S. & Certificate, Mathematics and Computer Science
Longwood University 1979 — 1981
Mathematics
RDS - Services LTD October 2011 - Present
Chrysalis Consulting Group October 2011 - March 2014
Chrysalis Consulting Group December 1994 - September 2011
Chrysalis Consulting Group May 1995 - June 2004
Pioneer Park Associates October 1997 - July 2001
Chrysalis Consulting Group December 1994 - June 1995
First Health Services May 1994 - November 1994
Chicago Association of Retarded Citizens December 1990 - May 1993
Chicago Association of Retarded Citizens March 1990 - December 1990
Skills
Public Speaking, Training, Nonprofits, Adolescents
Education
University of Illinois at Chicago 1991 — 1994
Masters Degree, Social Work
Western Illinois University 1985 — 1989
Bachelor of Arts, Political Science
Magellan Health Services June 2011 - Present
Magellan Health Services August 2009 - June 2011
First Health Services Corp. (Coventry) February 2004 - August 2009
First Health Services June 2003 - February 2004
The Louis Berger Group July 2002 - June 2003
Cadmus Communications 2000 - 2002
Circuit City 1993 - 1994
Owens & Minor 1992 - 1993
Skills
SharePoint, Team Leadership, Vendor Management, Project Management, Process Improvement, Management, SDLC, Software Development, Microsoft SQL Server, Business Analysis, Business Process..., Healthcare Information..., Program Management, IT Strategy, Change Management, Leadership, Visio, Databases, Agile Methodologies, Requirements Analysis
Education
Randolph-Macon College 1987 — 1991
BA
Xerox State Healthcare, LLC March 2010 - Present
First Health 2003 - March 2010
First Health Services 2000 - 2009
First Health Services 2000 - 2009
Skills
PMP, Healthcare Information..., Project Management, PMO, Project Portfolio..., Business Analysis, Process Improvement, Integration, Visio, SDLC, Project Planning, Analysis, PMI, Program Management, Vendor Management, SharePoint, Training, Business Process, Leadership, Management, Budgets, Requirements Analysis, Software Project..., Change Management, Risk Management, Scrum, Requirements Gathering, Information Technology
Education
Old Dominion University 1978 — 1982
Bachelor of Science (BS), MIS
Floyd E. Kellam High School 1975 — 1978
BrownGreer PLC March 2014 - Present
Xerox April 2010 - February 2014
CSC May 2009 - March 2010
ACS Government Healthcare Solutions 2007 - April 2009
ACS Incorporated July 2006 - 2007
Unisys September 2001 - June 2006
First Health Services March 1998 - August 2001
Skills
Business Analysis, Analysis, Healthcare, PMP, Requirements Analysis, Requirements Gathering, SDLC, SharePoint, Software Documentation, Software Project..., Team Leadership, Testing, Vendor Management, Visio, Business Requirements
Education
University of Pretoria/Universiteit van Pretoria 1985 — 1987
Secunda Hoerskool 1980 — 1984
High School
FIRST HEALTH SERVICES Systems AnalystUnisysApril 2003 - April 2004
Education
University of Cape Town 1976 — 1979
Magellan Health Services May 2011 - Present
Magellan Health Services June 2007 - May 2011
First Health Services September 2000 - 2007
AIDS Council of NENY 1996 - 1998
AIDS Council of Northeastern New York 1996 - 1998
Hudson River Computing 1990 - 1991
Skills
Pharmacy Benefit..., Healthcare Industry, Medicaid, Strategic Planning, Financial Analysis, Medicare Part D, Managerial Finance, Accounting, Business Analysis, Cross-functional Team..., Data Analysis, Employee Benefits, Executive Management, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, Healthcare Information..., Healthcare Management, Finance, Analysis, Managed Care, Medicare, Process Improvement, Program Management, Provider Relations, Insurance
Education
Siena College 2004 — 2009
Accounting Certificate, Accounting
Rensselaer Polytechnic Institute 1996 — 1999
MBA, Finance
The Sage Colleges - Russell Sage College 1993 — 1996
BS, Marketing
Self Employed/sorta retired August 2015 - Present
Unemployed and looking for work August 2014 - August 2015
Waypoint December 2009 - September 2014
ACS Healthcare Solutions September 2004 - December 2009
McKessonHBOC 1996 - July 2003
GMIS 1996 - 2003
McKesson Information Solutions 1996 - 2003
Unisys 1994 - 1996
First Health Services 1992 - 1994
Electronic Data Systems 1976 - 1992
Education
Nursing 1969 — 1972
Auburn University at Montgomery
Psychology
Computer Sciences Corporation January 2011 - Present
Magellan Health Services August 2009 - January 2011
BDPA-Richmond January 2007 - 2010
First Health Services December 2002 - August 2009
Skills
EDI, Business Analysis, SharePoint, SQL, Integration, Process Improvement, Requirements Gathering, Enterprise Architecture, IT Strategy
Education
Strayer University (VA) 2010 — 2012
Master's degree, Health Services Administration
Strayer University (VA)
Bachelor's degree, Information Technology
TMG Health 2013 - Present
Revolv 2010 - 2013
Adherence Solutions 2009 - 2010
WellPoint 2000 - 2009
Coventry Healthcare Corporation 1996 - 2000
First Health Services 1994 - 1996
Education
James Madison University 1982 — 1986
Bachelors of Science, Accounting
Xerox State Healthcare, LLC August 2011 - January 2014
First Health Services August 2005 - September 2010
SunTrust Robinson Humphrey 1991 - 2005
Wheat First Butcher & Singer 1983 - 1991
Skills
Managed Care, Medicaid, Healthcare, Financial Analysis, Financial Modeling, HIPAA, Medicare, Process Improvement, Healthcare Information..., Strategic Planning, Executive Management, Healthcare Industry, Business Analysis, Analysis, Healthcare Management, Vendor Management, Health Insurance, Software Documentation, Team Building, Business Process...
Education
The College of William and Mary 1971 — 1975
BBA, Accounting
The College of William and Mary - The Mason School of Business 1971 — 1975
BBA, Accountimg
Georgia State University
MHA, Health Administration
Good Neighbor Community Services July 2013 - Present
Georgia Psychiatric Physicians Association 2009 - 2013
State of Georgia Department of Behavioral Health and Developmental Disabilities May 2009 - August 2012
Coventry Health Care 2002 - 2008
First Health Services 2002 - 2008
First Health Services 2002 - 2008
Skills
Medicaid, Healthcare, Managed Care, Disease Management, Healthcare Management, Hospitals, Case Managment, Healthcare Information..., Behavioral Health, HIPAA, Mental Health, Medicare, Clinical Research, Healthcare Consulting, Public Health, Social Services, Leadership, Psychiatry, Treatment, Policy, EHR, Program Development, Physician Relations, Adolescents, Health Policy, Family Therapy, Inpatient, Prevention, Provider Relations, Health Education, Quality Improvement, Healthcare Industry, EMR, Physicians, Utilization Management, Patient Safety, Psychotherapy, Crisis Intervention, Mental Health Counseling, Developmental..., Nursing, Revenue Cycle, Group Therapy, Elder Care, Case Management, Psychology, Therapists, Program Evaluation, CBT, Clinical Supervision
Education
University of North Carolina at Chapel Hill 2004 — 2006
MPH, Healthcare Policy and Andministration
Duke University 1984 — 1988
Psychiatry, Geriatrics
Virginia Commonwealth University School of Medicine 1980 — 1984
M.D.
Molina Healthcare September 2015 - Present
Health Diagnostic Laboratory, Inc. June 2012 - September 2015
Molina Healthcare September 2011 - June 2012
ACS 2008 - March 2012
First Health Services March 1999 - February 2008
Health Communication Services 1995 - 1999
Skills
SDLC, Data Warehousing, ETL, Databases, Requirements Analysis, Visio, Business Analysis, Requirements Gathering, Agile Methodologies, Data Modeling, Microsoft SQL Server, SQL, Process Improvement, Database Design, Integration, Enterprise Architecture, Oracle, Data Analysis, Vendor Management, HL7, Analysis, HIPAA, Healthcare Information..., Software Documentation, Access, SSIS, Testing, Systems Analysis, Business Process, Crystal Reports, SOA, T-SQL, Business Intelligence, Disaster Recovery, MS Project, Quality Assurance, Software Project..., Software Development, QlikView, QlikView Development, SSRS, Team Management
Education
Strayer University (VA) 2003 — 2006
Bachelor of Science (BS), Computer Information Systems
Xerox January 2013 - July 2015
Virginia Farm Bureau July 2010 - March 2012
Magellan Health Services March 2005 - July 2010
SunTrust Bank 2002 - 2005
Pelican Technology 2001 - 2002
Modis 1995 - 2001
Anthem 1993 - 1995
First Health Services 1991 - 1993
Wheat First Securities 1989 - 1991
The Computer Company 1983 - 1989
Skills
JCL, DB2, VSAM, Production Support, COBOL, Systems Analysis, TSO, SDLC, Troubleshooting, Oracle, SharePoint, CICS, Analysis, Testing, SQL, Fileaid
Education
University of Richmond 1990 — 1998
Bachelor of Arts (B.A.), Human Resources Management and Services, 3.6
J. Sargeant Reynolds Community College 1986 — 1990
Associate of Arts and Sciences (A.A.S.), Information Technology, 4.0
Henrico High
Molina Healthcare August 2012 - Present
Molina Healthcare September 2011 - August 2012
ACS, a Xerox Company January 2011 - September 2011
Affiliated Computer Services May 2009 - January 2011
ACS February 2008 - May 2009
ACS Healthcare Solutions August 2005 - February 2008
First Health Services (FHS) 1991 - 2005
First Health 1991 - 2005
First Health Services 1991 - 2004
Skills
Medicaid, Customer Relations, Physician Relations, Process Improvement, Business Analysis, Program Management, Vendor Management, Healthcare Information..., Management, Healthcare, Business Process..., Software Documentation, Requirements Analysis
Education
Mississippi State University 1971 — 1973
BA, Computer Science, Zoology
First Health Services October 2004 - Present
ACS/Heritage Information Systems May 1999 - October 2004
Skills
Quality Assurance, Cross-functional Team..., HIPAA, Data Warehousing, Healthcare, Requirements Gathering, Healthcare Information..., PMP, Requirements Analysis, Business Analysis, Medicaid, Managed Care, Change Management, Hospitals, EHR, Leadership, Training, Data Analysis, Healthcare Consulting, SDLC, Visio, Analysis, Integration, Project Management, Enterprise Architecture, Vendor Management, Program Management, Pharmacy Benefit..., SQL, Medicare, EMR, Disease Management, Healthcare Industry, Business Intelligence, SharePoint, Process Improvement, HL7, Strategic Planning, Informatics, Software Documentation, Team Building, Clinical Research, Health Insurance, Healthcare Management, Health Policy
Education
Longwood University 1994 — 1998
VMware/Pivotal/EMC May 2009 - Present
Unisys 2008 - 2009
Sun Microsystems, Inc. 2002 - 2005
The Allied Group 1998 - 2001
Software Synergy 1996 - 1997
First Health Services 1986 - 1996
Skills
Business Analysis, Team Leadership, Consulting, SDLC, Professional Services, Project Management, Program Management, Java, Software Engineering, Software Development, Unix, Linux, Business Development, Account Management, Enterprise Software, Enterprise Architecture, Management, Integration, SaaS, Cloud Computing
Education
University of Richmond 1986 — 1996
Washoe Affordable Housing Corporation November 2009 - Present
Crayhon Research Inc May 2005 - August 2009
First Health Services December 2003 - December 2004
Anthem Blue Cross Blue Shield March 1998 - October 2003
Skills
Accounting, Analysis, Auditing, Finance, Management, Internal Controls, Financial Statements, Fixed Assets, Accounts Receivable, Accounts Payable, Payroll, Compliance, Warehousing, Microsoft Office, Journal Entries, Account Reconciliation, Microsoft Word, Sage Business Works, Forecasting, Budgets, HUD Audits, Beginning/Intermediate..., Power User in Microsoft..., Manufacturing Operations, Forklift Operation
Education
Morrison University 2009 — 2011
Master of Business Administration (MBA), Business Administration and Management, 3.95
University of Nevada-Reno 1994 — 1997
Bachelor of Science, Major Finance, Minor Accounting & Economics
Xerox June 2012 - Present
ACS August 2010 - June 2012
Affiliated Computer Services July 2009 - July 2010
Affiliated Computer Services November 2007 - July 2009
First Health Services 2004 - 2007
Skills
SDLC, Requirements Gathering, Systems Analysis, Visio, SharePoint, Requirements Analysis, Business Analysis, EDI, Business Requirements, JCL, HIPAA, COBOL, Business Intelligence, SAS, Data Analysis, Test Cases, Analysis, Test Planning, User Acceptance Testing
Education
University of Cape Town
Bachelor's degree
Anthem, Inc. September 2014 - Present
General Dynamics Information Technology July 2013 - September 2014
General Dynamics September 2011 - September 2014
Vangent, Inc. September 2008 - August 2011
First Health Services March 2008 - September 2008
Anthem Blue Cross and Blue Shield of Virginia October 2003 - February 2008
Anthem Blue Cross and Blue Shield of Virginia October 2001 - October 2003
Circuit City August 1999 - January 2001
Skills
Workforce Management, Call Center, Leadership, Customer Experience, Management, Contact Centers, Performance Management, Team Leadership, Team Building, Operations Management, Avaya, Recruiting, Business Analysis, Workforce Planning, Software Documentation, Training, Call Centers, Budgets, Project Planning, Process Improvement, Change Management, Analysis, Customer Satisfaction, Quality Assurance, Coaching, Employee Benefits, Access, Customer Service, Cross-functional Team..., Program Management, Employee Training, Staff Development, Vendor Management
Education
University of Phoenix 2006 — 2008
Bachelor of Science, Business Management
Boston Ballet June 2013 - Present
Democrats for Education Reform April 2013 - April 2013
Integral Resources Inc. August 2012 - December 2012
Integral Resources Inc. June 2011 - July 2012
First Health Services June 2007 - February 2009
Skills
Microsoft Word, Fundraising, Social Media, Data Entry, Call Centers, Editing, Cold Calling, Nonprofits, Microsoft Office, Outlook, Time Management, Facebook, PowerPoint, Customer Service, Telephone Skills
Education
Ithaca College 2004 — 2007
BA, Art History
Catskill Senior High School
Alliant ASO August 2012 - Present
First Health Services 2007 - 2012
Skills
Quality Management, Healthcare Management, Quality Assurance, Quality Auditing, Operations Management, Medicaid, Behavioral Health, Supervising, Program Implementation, Policy Writing, RFP, Medicare, Managed Care, Case Managment, Project Planning, Community Outreach, Healthcare Consulting, HIPAA, Disease Management, Provider Relations, Health Insurance, Case Management, Healthcare Information..., Healthcare Industry, Healthcare, Utilization Management
Education
University of South Carolina-Columbia 1983 — 1987
MSW, political science. social work
University of New Mexico December 2014 - Present
University of New Mexico November 1994 - Present
First Health Services May 1993 - November 1994
M&I Data Services May 1988 - May 1993
MGIC May 1987 - May 1988
EDS Group May 1981 - May 1987
Skills
Databases, Technical Writing, Data Analysis, Higher Education, Research, Project Management, System Administration, E-Learning, Leadership, Instructional Design
Education
The University of Georgia 1979 — 1981
M.A., Political Science
Carroll University 1975 — 1979
BA, Political Science
Molina Healthcare 2010 - Present
Unisys June 2009 - May 2010
First Health Services May 2002 - March 2008
Viasoft March 1996 - April 2002
CDI November 1993 - March 1996
Syntel 1988 - 1993
Skills
Medicaid, Strategic Planning, Executive Management, Managed Care, Project Management, Pharmacy Benefit..., Healthcare Management, Healthcare, Healthcare Information..., Medicare, Team Building, Healthcare Industry, Health Insurance, Integration, Enterprise Software, Business Development, Program Management, Leadership, Business Process...
Education
Purdue University 1977 — 1982
BS, management
John McCabe & Associates, Ltd. ConsultantGEO Care2011 - 2013
Illinois Probation and Court Services Association 1993 - 2013
First Health Services 1986 - 1992
Regional Transportation Authority 1986 - 1992
Illinois House of Representatives 1976 - 1980
Skills
Public Policy, Politics, Policy, Public Relations, Legislative Relations, Policy Analysis, Political Campaigns, Nonprofits, Legislation, Fundraising, Government, Leadership, Legal Research, Mediation, Community Outreach, Public Affairs, Public Speaking, Speech Writing, Grassroots Organizing, Strategic Communications, Coalitions
Education
St. Ignatius High School 1966 — 1970
University of Illinois at Urbana-Champaign
Bachelor of Science (BS), Journalism
Faneuil Inc July 2011 - December 2013
State of Florida - OPS July 2009 - June 2011
First Health Services Corp. July 2000 - September 2008
First Health Services January 2000 - June 2000
Kelly Services May 1997 - December 1999
Skills
SDLC, Software Development, Software Project..., Requirements Analysis, COBOL, CICS, DB2, TSO, ISPF, Fileaid, Xpediter, FTP, Abend-Aid, HTML, Requirements Gathering, Systems Analysis, Visio, Data Warehousing
Education
Auburn University at Montgomery 1982 — 1984
BS, Management Information Systems
Department of Medical Assistance Services May 2013 - Present
CSC April 2009 - May 2013
Coventry Health Care April 2007 - March 2009
first health services May 2006 - March 2007
First Health Services Corp August 2003 - April 2006
First Health Service Corp October 2002 - July 2003
BCC ... November 1998 - September 2002
Viasoft 1998 - 2000
Skills
Requirements Analysis, SDLC, Enterprise Architecture, Software Project..., Business Analysis, Project Management, IT Strategy, Program Management, PMP, Vendor Management, Change Management, Cloud Computing, Business Process..., Software Development, Requirements Gathering, Management, Process Improvement, Cross-functional Team..., SharePoint, Business Process, Leadership, Integration, Business Intelligence, PMO, Project Portfolio..., IT Management, Testing, ITIL, Visio, Solution Architecture, Data Warehousing, Project Delivery, Agile Methodologies, Outsourcing, IT Service Management, Disaster Recovery, Systems Analysis, Resource Management, Agile Project Management, SOA, Information Technology, Global Delivery, Software Documentation, IT Operations, Service Delivery, Business Requirements, Pre-sales, Data Center
Education
Bharathiar University 1993 — 1997
B.E (Mech)
Bharathi Vidya Bhavan Matriculation Higher Secondary School 1991 — 1993
danish mission higher secondary school 1987 — 1990
Retired and enjoying time to pursue personal interests and family October 2014 - Present
The Income Tax School January 2014 - September 2014
The Income Tax School April 2006 - December 2013
Peoples Tax January 2004 - April 2006
First Health Services August 2002 - June 2003
First Health Systems March 2000 - December 2001
Pic 'N' Pay Shoes September 1999 - February 2000
Lexis Law Publishing October 1998 - May 1999
Newport News Shipbuilding, A Division of Huntington Ingalls Industries May 1997 - October 1998
Southern States Cooperative April 1995 - April 1997
Skills
Instructor-led Training, Curriculum Development, E-Learning, Moodle, Technical Training, Hands-on Training, Instructional Design, ADDIE, Learning Management, Learning Management..., Curriculum Design, Technical Writing, Blended Learning, Captivate, Needs Analysis
Education
University of Louisville 1987 — 1989
Eastern High School 1966 — 1970
Magellan Health Services April 1984 - Present
First Health Services 1984 - 2009
Education
Clarion University of Pennsylvania 1965 — 1969
BS, english
Alaska Gasline Development Corporatio July 2013 - Present
Chugach Alaska Corporation September 2003 - Present
First Health Services June 2000 - September 2003
Carrs Quality Foods September 1998 - October 1999
Alaska Children's Services January 1994 - September 1998
United States Air Force October 1986 - December 1993
Skills
System Administration, Leadership, Active Directory, Security, Databases, Enterprise Software, Networking, Management, Help Desk Support, Network Administration, Troubleshooting, IT Management, IT Service Management, ITIL, Information Technology, Program Management
Education
University of Phoenix 2007 — 2010
MBA, IT Management
University of Alaska Anchorage 1994 — 1997
BS, Information Technology, Medicine, Biology
Air Force Community College 1988 — 1993
AS, Health Care Management, Emergency Medicine
Life is good November 2009 - Present
Martins Supermarkets February 2007 - November 2009
UKROP’S SUPERMARKETS February 2007 - November 2009
First Health Services November 1994 - August 2005
First Health Services November 1994 - August 2005
FIRST HEALTH SERVICES CORPORATION November 1994 - August 2005
FIDELITY BANKERS LIFE INSURANCE COMPANY April 1988 - December 1994
FIRST DOMINION MUTUAL LIFE INSURANCE COMPANY January 1981 - January 1994
Fidelity Bankers Life Insurance May 1985 - March 1988
Mail and Supply Operations August 1981 - May 1985
Skills
PowerPoint, Outlook, Photoshop, Teaching, HTML, Budgets, Public Speaking, C++, C, Editing, Strategic Planning, Negotiation, Java
Education
J Sargeant Reynolds Community College 1980 — 1982
Associate's degree, Computer Science
J Sargeant Reynolds Community College
Computer Science
Warwick Christian High 1976 — 1980
J Sargeant Reynolds, Computer Science
Warwick Christian High School
General Academic Studies
Family and Children's Association July 2006 - Present
First Health Services June 2005 - June 2006
New York Institute of Technology 2001 - 2003
Skills
Community Outreach, Nonprofits, Training, Presenter, Training & Development, Budget Analysis, Higher Education, Cashiering
Education
Adelphi University 2002 — 2004
MA, Community Health
Adelphi University
BS, Management and Communications
Magellan Health Services March 2007 - Present
First Health Services 2007 - 2011
Omnicare January 2000 - March 2007
PharmaCare 1997 - January 2000
Skills
Managed Care, Medicaid, PBM, Clinical, Utilization Management, Healthcare, Pharmacists, Pharmacy Benefit..., Pharmacy, Disease Management, Clinical Pharmacology, Clinical Research, Medicare, Oncology, Patient Safety, Diabetes, Pharmacy Automation, Medicare Part D, Medication Therapy..., Healthcare Information..., HIPAA, Healthcare Industry, Healthcare Consulting, Hospitals, Healthcare Management, Pharmaceutical Industry
Education
New England College of Business and Finance 2013 — 2014
Masters Healthcare Management
Northeastern University 1988 — 1994
BS in Pharmacy, Pharmacy
Healthy Howard, Inc. 2014 - Present
Frederick County (Health Department) June 2013 - 2014
Financial Health Strategies, Inc. 2012 - 2013
Vangent, Inc. 2005 - 2010
First Health Services 2002 - 2003
AMF Reece INC. 2000 - 2001
AMF Reece INC. 1999 - 2000
First North American National Bank 1998 - 1999
Skills
Microsoft Word, Customer Service, Microsoft Excel, Sales Management, Microsoft Office, Team Building, Strategic Planning, Sales
Education
Virginia Commonwealth University 1999 — 2005
Master of Business Administration (M.B.A.), Business Administration and Management, General
Universidad del Rosario
Accounting and Business/Management
Universidad de La Salle
Bachelor's Degree, Bachelor of Science
Molina Healthcare January 2013 - Present
Molina Healthcare January 2001 - Present
Molina Healthcare January 2001 - Present
FIRST HEALTH SERVICES March 1998 - January 2001
Innsbrook Technical Consulting (owner) January 1998 - January 2001
INNSBROOK TECHNICAL CONSULTING January 1997 - January 2001
VIRGINIA POWER (CONSULTANT) February 1996 - March 1998
FIRST HEALTH SERVICES, INC January 1995 - February 1996
FEDERAL RESERVE BANK January 1994 - January 1995
RICHFOOD INC March 1989 - January 1994
Skills
PMP, Requirements Analysis, Business Process, Quality Assurance, MS Project, Program Management, Project Management, Software Development, Testing, Systems Analysis, Analysis
Education
Capella University
BS, Information Technology
J. Sergeant Reynolds Community College
Associate Applied Science and Certificates., Computer Information Systems (IT), Business Administration, and Microcomputer Programming.
Magellan Health Services June 2013 - Present
Catamaran October 2008 - May 2013
First Health Services 2007 - 2008
Skills
PBM, Managed Care, Pharmacy Benefit..., Medicaid, Medication Therapy..., Pharmacy, Pharmacists, Community Pharmacy, Hospitals, Healthcare, Medicare Part D, Healthcare Management, Clinical Research, Pharmacy Automation, Utilization Management, Disease Management, HIPAA
Education
The University of Tennessee Health Science Center 1993 — 1997
Doctor of Pharmacy (Pharm.D.)
University of Tennessee at Martin 1989 — 1993
Bachelor of Science (B.S.)
DM Consulting 2000 - Present
U.S. Department of Veterans Affairs 2005 - 2014
Hudson Valley Community College 2001 - 2005
First Health Services 2001 - 2004
Santa Cruz Operation 1998 - 2000
Lockheed Martin 1986 - 1998
US Navy 1969 - 1982
Skills
Agile Leadership, Management Coaching, Project Manager..., Agile Project Management, Mentoring, Coaching, Lean Management, Teaching, Agile Methodologies, Lean Software..., Kanban, Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Strategic Planning, Budgets, Negotiation, HTML
Education
National University
Master's degree, Master's in Software Engineering, 3.75
San Jose State University
Certification, Program and Project Management
University of San Francisco
Bachelor of Science (BS), Management Information Systems, General, 3.7
City of Conroe October 2014 - Present
General Dynamics Information Technology October 2013 - May 2014
Aon Hewitt February 2013 - May 2014
Verizon Wireless September 2007 - August 2012
Macori, Inc July 2006 - August 2007
Coventry Healthcare October 2005 - May 2006
First Health Services January 2003 - September 2005
First Health Services February 2002 - January 2003
First Health Services June 2001 - February 2002
Verizon 2000 - 2000
Skills
Call Center, Training, Troubleshooting, Software Documentation, Technical Support, Customer Service, System Administration, Microsoft Office, Process Improvement, Leadership, Access, Outlook, Visio, Healthcare, Call Centers, Wireless, Security, Help Desk Support, Networking, Windows 7, Desktop Computers, Desktop Application..., Active Directory
Education
University of Virginia 2013 — 2015
Information Technology, 3.4
Lone Star College-Kingwood 2012 — 2012
Network and System Administration
Lone Star College-North Harris 2009 — 2010
Computer and Information Sciences and Support Services
Virginia Commonwealth University 2000 — 2003
Old Dominion University 1996 — 1997
Richmond Community High School
Advanced Studies Diploma
Medical Billing Solutions, LLC 2001 - Present
First Health Services 1983 - 2001
Education
University of Richmond 1974 — 1978
Mechanicsburg Area Senior High
UnitedHealth Group November 2012 - Present
Sams Club January 2012 - November 2012
First health services October 2004 - April 2009
CVS Pharmacy September 2003 - October 2004
Skills
Customer Service, PowerPoint, Microsoft Excel, Pharmacy, Windows, Leadership, Sales, Time Management, Microsoft Office, Teamwork, Retail, Microsoft Word, Customer Satisfaction, Outlook, Facebook, Data Entry, Cpr Certified, Access
Education
Colorado Technical University-Online 2011 — 2013
Dutchess Community College 1998 — 1999
Retired September 2012 - Present
Magellan Health Services November 2010 - September 2011
Morgan Healthcare Audits October 2004 - September 2011
First Health Services February 1997 - October 2004
Capital Blue Cross October 1994 - February 1997
Dauphin Deposit Bank April 1993 - October 1994
Skills
COBOL, COBOLII, Microfocus COBOL, CICS, TSO, MVS/ESA JCL, FileAid, Eztrieve, Quikjob, SQL, Excel, Word, Access, PowerPoint, MS Project, Visio, Viasoft, QuickBooks
Education
Harrisburg Area Community College 1988 — 1992
Associate's degree, Computer Applications/Mainframe
NC Office of Rural Health August 2003 - February 2010
NC Office of Rural Health 2003 - 2010
North Carolina Public Health Preparedness and Response 2004 - 2005
Advance PCS 1998 - 2003
First Health Services 1995 - 1997
Revco Drug Stores, Inc 1980 - 1995
Skills
Research, Strategic Planning, Teaching, Policy, Management, Managed Care, Clinical Research, Team Building, Strategy, Leadership, Customer Service, Pharmaceutical Industry
Education
The Ohio State University
Bachelor of Science (BS), Pharmacy
The Ohio State University College of Pharmacy
Bachelor of Science (BSc), Pharmacy