Mercy Care Plan
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Mercy Care Plan Employees
Mercy Care Plan January 2011 - Present
Your Practice Solutions January 2009 - January 2011
AZDHS, Childrens Rehabilitation Services January 2008 - March 2009
Pinal Gila Long Term Care 2009 - 2009
Health Choice AZ 2005 - 2008
AHCCCS 2004 - 2005
Care 1st Health Plan 2003 - 2004
CIGNA Healthcare 1997 - 2002
CIGNA Healthcare 1997 - 2002
United Healthcare January 2001 - November 2001
Skills
Analysis, CPT, Community Outreach, Credentialing, EMR, Event Planning, HIPAA, Health Insurance, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, ICD-9, Managed Care, Management, Medicaid, Medical Coding, Medicare, Provider Relations, Public Speaking, Healthcare Industry, Health Policy, Healthcare Consulting, Network Development, Utilization Management, Physician Relations, Physicians, Revenue Cycle, Practice Management, Home Care, HMO, Informatics, Quality Improvement, Medical Terminology, Insurance, PPO, Medicaid Managed Care, Public Health, Behavioral Health, Healthcare Reimbursement, Process Improvement, Employee Benefits, Policy, Medicare/Medicaid..., Leadership, Training, Medical Compliance, Executive Management, Disease Management, EHR
Education
Arizona State University 1985 — 1991
BS, Sociology
Care1st Arizona February 2014 - Present
IASIS Healthcare October 2009 - February 2014
Mercy Care Plan October 2008 - October 2009
Old Pueblo Practice Management 2002 - 2008
Health Net May 2000 - August 2002
MatureWell Inc. and Premier Healthcare of Arizona June 1998 - May 2000
David Martin MD December 1997 - May 1998
CCA- Eloy Detention Center April 1997 - December 1997
Skills
Provider Relations, Credentialing, Managed Care, Medicare, HIPAA, Healthcare, Healthcare Management, Medicaid, Hospitals, Healthcare Information..., Healthcare Industry, Healthcare Consulting, Revenue Cycle, Physician Relations, EMR, EHR, Medical Terminology, Medical Billing, Health Insurance, Physicians, Network Development, Practice Management, Medical Coding, HMO, Claim, Medicare/Medicaid..., Employee Benefits, PPO, Utilization Management, Medicaid Managed Care, Disease Management, Health Policy, ICD-9, Nursing, Accreditation, Medical Compliance, Revenue Cycle Management, CPT, Home Care, Quality Improvement, Clinical Research, Patient Safety, Medicare Part D, Provider Network..., Healthcare Reimbursement, Meditech, Health Information..., Epic Systems, Data Entry, Informatics
Education
Pima Medical Institute-Tucson 1991 — 1991
Certified Nursing Assistant, Certified Nurse Assistant
The Paralegal Institute
Paralegal, Legal Research, Trial & Litigation, Business Organizations
Self Employed 2009 - 2012
SCAN Health Plan 2009 - 2012
AETNA Mercy CarePlan August 2003 - October 2008
Mercy Care Plan 2003 - 2008
Skills
Children, Behavior..., ADHD Coaching, Parenting Workshops, Motivation, Published Author, Behavioral Health, Mental Illness, Training, Personal Development, Leadership Development, Meditation, Relaxation, Mindfulness, Magazine Articles, Family Services, Healthcare, Social Media, Entrepreneurship, Improvisational Comedy, Landlord/Tenant Matters, Case Management, Mental Health
Education
Arizona State University 1999 — 2003
Bachelors Social Work, Social Work
PSI
PSI WLS
Mercy Care Plan July 2011 - Present
Banner Health April 2007 - July 2011
Mayo Clinic April 2005 - April 2006
Skills
Nursing, Quality Management, OB/GYN, Medicaid, Disease Management, Medical/Surgical, Health Insurance, Managed Care, Process Improvement, Risk Management, Legal, Nursing Care, Neonatal Nursing, Medical Malpractice, Medicare, Clinical Research, Healthcare, Medical-Surgical, Patient Advocacy, Patient Safety, Registered Nurses
Education
Arizona State University West 2004 — 2005
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Glendale Community College 2002 — 2004
Maricopa Integrated Health System November 2010 - Present
Maricopa County April 2004 - March 2010
Maricopa County 2004 - March 2010
MERCY CARE PLAN June 2003 - April 2004
SUN HEALTH CORPORATION October 2000 - May 2003
NEXUS HEALTHCARE, INC May 1999 - October 2000
Catholic Healthcare West March 1998 - May 1999
CHW -American Centers for Health and Medicine December 1996 - March 1998
Healthcare Delivery Systems, Inc November 1994 - December 1996
Pharmaceutical Card Systems, Inc March 1993 - November 1994
Skills
Budgeting, Accounting, Healthcare, Forecasting, Excel, Financial Analysis, Process Improvement, Word, Outlook, Supervisory Skills, Compliance, PowerPoint, Problem Solving, Microsoft Office, Strategic Planning, Customer Service, Auditing, Analysis, Team Building, Financial Accounting, Financial Management, Healthcare Management, Administration, PeopleSoft, Accounts Receivable, Internal Audit, Budgets, Business Planning, Finance, Insurance, Leadership, Management, Managerial Finance, Medicaid, Microsoft Excel, Microsoft Word, Policy, Project Planning, System Administration, Training
Education
University of Phoenix 1990 — 1992
BSBA, Business Administration
LogistiCare March 2014 - Present
LogistiCare March 2011 - March 2014
LogistiCare June 2010 - March 2011
Caring Senior Service March 2009 - March 2010
Peoria Good Shepherd May 2008 - February 2009
Mercy Care Plan April 2001 - May 2008
Arizona Health Care May 2006 - April 2007
Express Scripts May 2006 - April 2007
Skills
Microsoft Office, Office Equipment, ICD-9, Multi Tasking, Team Leadership, Office Administration, Claims Management, Data Entry, Customer Service, Creative Problem Solving, Organization, Business Intelligence
Education
University of Phoenix 2014 — 2016
Bachelor of Business Administration (BBA), Accounting and Business/Management, 3.8
Phoenix College 2004 — 2006
General Studies, 3.5
Tempe High School 1997 — 2001
High School Diploma, General Studies
Mary Kay Cosmetics March 2015 - Present
Banner Health October 2006 - Present
Mercy Care Plan September 2005 - October 2006
St. Mary Medical Center January 2003 - September 2005
Select Personnel November 1999 - January 2003
Amar Medical Associates April 1993 - November 1999
Daily Press Newspaper June 1984 - April 1993
Skills
Applicant Tracking..., Human Resources, Talent Acquisition, Personnel Management, Program Management, New Hire Orientations, Onboarding, Customer Service, Leadership, Interviews, Hiring, Training, Recruiting, Benefits Negotiation, Management, Employee Benefits
Education
Santa Barbara City College 2002 — 2002
Certified Personnel Supervisor, Certification
Apple Valley High School High School
Diploma, 3.8 GPA
Mercy Care Plan June 2015 - Present
Mercy Maricopa Integrated Care March 2014 - July 2015
Empowerment Systems Inc. May 2013 - March 2014
San Tan Behavioral Health Services April 2012 - April 2013
Anathem Education Group September 2011 - April 2012
Anthem Education Group January 2007 - September 2011
Skills
Accreditation, Admissions, Student Affairs, Enrollment Management, Higher Education, Adult Education, CampusVue, Academic Administration, Community Outreach, Student Engagement, Staff Development, Campus, Training, Teaching, Grant Writing, Career Counseling, Higher Education..., Faculty Development, Academic Advising, Leadership, Distance Learning, Retaining Customers, Fundraising, Student Recruiting, Student Financial Aid, Student Development, Resume Writing, Academia
Education
Northern Arizona University 1998 — 1999
M.Ed., Education counseling with an emphasis in Human Relations
Arizona State University 1990 — 1995
Justice Studies
UnitedHealth Group November 2013 - Present
United Healthcare Military & Veterans August 2012 - Present
Strategic HealthCare Solutions August 2011 - August 2012
Kindred Healthcare February 2009 - November 2010
United Healthcare 2007 - 2009
Schaller Anderson 2003 - 2005
Mercy Care Plan 2003 - 2005
TriWest Healthcare Alliance 2001 - 2005
Dell Computer 1996 - 2000
Skills
Managed Care, Medicare, Provider Relations, Network Development, Hospitals, Healthcare, Health Insurance, Healthcare Management, Contract Negotiation, Contract Negotiations, HIPAA, Strategic Planning, Insurance, Negotiation, Compliance, New Business Development, Physician Relations, Team Building, Process Improvement, Medical Billing, Healthcare Consulting, Utilization Management, Credentialing, Healthcare Industry, Home Care, Provider Network..., Healthcare Reimbursement, Medicaid Managed Care, Medical Terminology, Medicare/Medicaid..., PPO, Medicaid, Physicians, HMO, Healthcare Information..., Health Policy, Revenue Cycle Management, Quality Improvement, Practice Management, Medicare Part D, EHR, EMR, Health Information..., Medical Coding, CPT, Health Information..., ICD-9, Disease Management, Epic Systems, Pharmacy Benefit...
Education
Apollo Medical College 1988 — 1990
RRT, Respiratory
Glendale Community College 1971 — 1981
Bachelor of Business Administration (B.B.A.), Business
AVANTI HOSPITALS, LLC January 2012 - January 2013
Dignity Health January 2010 - October 2011
Dignity Health January 2010 - October 2011
Iscopia Software (formerly Inscape and HR Alloy) May 2008 - January 2009
Iscopia Software May 2008 - January 2009
Right Management March 2000 - May 2008
Right Management March 2000 - May 2008
Various Healthcare and Technology Organizations January 1985 - March 2000
MERCY CARE PLAN January 1998 - January 2000
Mayo Clinic January 1997 - January 1998
Skills
Healthcare Information..., EHR, EMR, Change Management, Healthcare, Strategy, Strategic Planning, Hospitals, Leadership, Business Development, Project Management, Business Strategy, Talent Management, Health Information..., Management, Performance Improvement, Contract Negotiation, Training, Executive Management, SharePoint, Team Leadership, Consulting, Team Management, Human Resources, Marketing, CPOE, Cross-functional Team...
Education
The George Washington University - College of Professional Studies 2015 — 2015
Professional certification in Healthcare Corporate Compliance, Healthcare compliance
Arizona State University, W. P. Carey School of Business 1998 — 2000
MBA
Unversity of Arizona 1981 — 1983
BS Public Administration, Health Services Administration
Mercy Care Plan August 2013 - Present
Professional Heath Care and Business Consultant February 2013 - Present
Phoenix Children's Hospital June 2011 - December 2012
Arizona Hospital and Healthcare Association January 2008 - January 2011
Cenpatico Behavioral Health of Arizona March 2005 - January 2008
UnitedHealth Group March 1998 - March 2005
TriWest Healthcare Alliance February 1997 - March 1998
Skills
Contract Negotiation, Medicaid, Healthcare Information..., Employee Relations, Recruiting, Team Building, Health Insurance, Employee Benefits, Applicant Tracking..., Strategic Planning, Temporary Placement, Process Improvement, Benefits Administration
Education
University of Phoenix 1989 — 1991
BS
American Institute 1987 — 1988
U.S. Army 1974 — 1976
Mercy Care Plan October 2011 - Present
Fallon Community Health Plan July 2002 - May 2011
ValueOptions 1996 - 2002
Skills
Employee Benefits, Leadership, Medicare, Health Insurance, HIPAA, Healthcare Information..., EDI, Healthcare, Process Improvement, Healthcare Management, Vendor Management, Program Management, Customer Service, Medicaid, Insurance, Managed Care
Education
Siena College 1985 — 1988
Bachelor of Science (B.S.), Economics
Benchoff Real Estate December 2014 - Present
Centennial Realty March 2013 - December 2014
Naffziger Real Estate April 2007 - March 2013
Managed Care Consulting January 1989 - August 2004
Mercy Care Plan January 1983 - June 1988
Skills
REO, Short Sales, Residential Homes, Sellers, Property, Negotiation, Real Estate, Foreclosures, Buyers, Investors, Single Family Homes, Buyer Representation, HUD, Book Reviews, First Time Home Buyers
Education
University of Phoenix 1982 — 1994
Business, Business administration and health care management
University of Phoenix
Mercy Care Plan September 2013 - Present
Area Agency on Aging Region 1 July 2012 - September 2013
Duet: Partners In Health & Aging January 2012 - July 2012
Senior Care Consultants, LLC May 2010 - August 2010
Maricopa Country Corrections January 2009 - May 2009
Skills
Conflict Resolution, Compassion, Community Outreach, Case Managment, Workshop Facilitation, Non-profits, Coaching, Social Services, Case Management, Healthcare Management, Managed Care, Nonprofits
Education
Arizona State University 2008 — 2012
Bachelor's degree, Social Work
Health Net October 2012 - Present
Couture Candy Co 2008 - Present
Mercy Care Plan July 2008 - July 2012
Maricopa County May 2007 - July 2008
Skills
Event Planning, Event Management
Education
Arizona State University 2000 — 2004
Bachelor of Applied Science (B.A.Sc.), Criminal Justice and Corrections
Mercy Care Plan October 2011 - Present
Aetna December 2010 - October 2011
AZ Game & Fish Department December 2005 - December 2010
AZ Game & Fish Department August 2005 - December 2010
Arizona Republic April 2004 - April 2005
The Arizona Republic September 1999 - May 2004
Skills
Languages, Spanish, Process Scheduler, Customer Service, Proofreading, Mac, Project Planning, Social Networking, Access, Team Leadership, Research, Time Management, Management, Administrative..., Budgets, Data Analysis, Community Outreach, Public Relations, Project Management, Nonprofits, Policy, Strategic Planning, Payroll, Healthcare, Accounts Payable, Accounts Receivable, Outlook, Analysis, Process Improvement, Data Entry, Administration, Windows, Government, Program Management, Leadership, Microsoft Excel, Microsoft Word, Editing, Event Management, Event Planning, Microsoft Office, PowerPoint, Public Speaking, Training, Human Resources
Education
Phoenix College 2004 — 2009
Business, Global Business
Mercy Care Plan May 2013 - Present
Mercy Care Plan April 2009 - May 2013
Healthcare Technology Management Services, Inc. December 2008 - April 2009
Acclivity Healthcare September 2007 - December 2008
InSight Health Corp September 2005 - August 2007
Sonora Quest Laboratories April 2000 - September 2005
Intergroup of Arizona July 1991 - April 2000
Skills
Medicare, Healthcare, Healthcare Management, Medicaid, HIPAA, Managed Care, Healthcare Information..., Healthcare Consulting, Hospitals, Process Improvement, Strategic Planning, Team Building, Healthcare Industry, Management, Physician Relations, Health Insurance, Leadership, Revenue Cycle
Education
Pima Community College 1989 — 1990
General Studies
Rincon High School 1985 — 1989
Diploma, General Studies
St. Luke's Medical Center January 2014 - Present
Kindred Hospital Phoenix 2011 - Present
HealthChoice 2010 - Present
Mercy Care Plan 2010 - Present
St. Luke's Medical Center 2006 - Present
Arizona Pulmonary Specialists June 2002 - Present
IASIS Healthcare January 2009 - June 2014
St Lukes Medical Center 2009 - 2013
Promise Specialty Hospital 2004 - 2011
Maricopa Medical Center, Phoenix Az October 1998 - June 2002
Skills
Critical Care, Medicine, Healthcare Management, ICU, Hospitals, Healthcare, Healthcare Consulting, Medical Education, EMR, EHR, Healthcare Information..., Physician Relations, Patient Safety, Revenue Cycle, Internal Medicine, Practice Management, Emergency Medicine, Clinical Research, Pulmonology, Percutaneous..., Difficult Airway
Education
Aga Khan University
Medicine
St. Paul's high school
University of Illinois College of Medicine at Peoria
Internal Medicine Residency Program
University of Rochester School of Medicine and Dentistry
Pulmonary / Critical Care Fellowship
American Express 2004 - Present
American Express 1996 - Present
Mercy Care Plan 1994 - 1996
GTE Health Systems 1992 - 1994
Arizona Affiliated Lung Physicians 1988 - 1992
Skills
CISA, CISM, Enterprise Risk..., CISSP, Information Security, Security, Risk Assessment, Incident Management, Business Continuity, Security Audits, Vulnerability Assessment, PCI DSS, Network Security, Disaster Recovery, Risk Management, Process Improvement, IT Management
Education
Arizona State University 1979 — 1983
Bachelor of Science (BS), Business Administration and Management, General
Mercy Care Plan March 2014 - Present
Scottsdale/PV YMCA September 2009 - March 2014
YMCA of the Sierra May 2007 - September 2009
Sparks Family YMCA October 2005 - May 2007
Reno Family YMCA May 2005 - October 2005
Littleton Family YMCA January 2004 - February 2005
Mt. Diablo Region Association April 2000 - May 2002
Bally Total Fitness November 1999 - April 2000
Skills
Non-profits, Staff Development, Staff Management, Board Development, Fiscally Responsible, Fundraising, Profitable Growth, Program Growth, Community Leadership, Special Event, Public Speaking, Public Relations, Creative Writer, Leadership, Leadership Development, Strategic Planning, Philanthropy, Volunteer Management, Team Building, Management, Nonprofits, Community Outreach, Fitness, Human Resources, Budgets, Program Development, Event Planning, Community Development, Sports
Education
Colorado State University 1993 — 1997
Bachelor's Degree, Sports Medicine
Mercy Care Plan 2006 - 2012
Sky mall March 1997 - December 1999
Skills
Bi Lingual Spanish
Education
University of Phoenix
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Scottsdale Healthcare Osborn February 2006 - Present
Maricopa County Hospital September 2001 - September 2006
Mercy Care Plan June 1991 - September 2002
Skills
Artist
Education
University of Phoenix 1984 — 1986
BSN, Nursing
Rockford Memorial School of Nursing 1971 — 1974
Diploma, Nursing
Mercy Care Plan 2013 - Present
Hospice of the Valley 2012 - 2013
Hospice of the Valley 2011 - 2012
Hospice of the Valley 2010 - 2011
Harrison Medical Center 2008 - 2010
Harrison Medical Center 2006 - 2008
Skills
Oncology Certified Nurse, Certified Hospice and..., Nursing, Healthcare, Hospitals, Medical/Surgical, Patient Advocacy, Palliative Care, Software Documentation, Telemetry, BLS, Policy, Treatment, Patient Safety, EMR, ACLS, Inpatient, Critical Care, Acute Care, Human Resources, Staff Development, Medicine, Oncology Nursing, Clinical Research, Hospice, Healthcare Management, Research, Registered Nurses, Educational Leadership, Home Care, Direct Patient Care, Quality Improvement
Education
Arizona State University - W. P. Carey School of Business 2009 — 2012
MBA, Leadership & Health Sector Management
Pacific Lutheran University 2006 — 2008
BSN, Nursing
Olympic College 2003 — 2005
AAS, Health Sciences
Bridgeway Health Solutions a Centene Corp. Company February 2012 - Present
Centene Corporation December 2009 - January 2012
Care 1st Health Plan Arizona May 2007 - December 2009
Mercy Care Plan July 2000 - May 2007
Priority Staffing June 1998 - June 2000
Skills
Medicare, Medicaid, Compliance, HIPAA, Policy, Staff Development, Insurance, Process Improvement, Healthcare Consulting, Software Documentation, HMO, Team Building, Vendor Management, Benefits Administration, Nonprofits, Healthcare Industry, Analysis, Strategy, Program Management, Training
Education
Arizona Department of Insurance
Health and Life Producer
Arizona State University
BA, Communication
University of Phoenix
MA, Management
Stellar Metrics January 2014 - Present
Mayo Clinic Arizona August 1997 - December 2013
Mercy Care Plan May 1995 - August 1997
Lockheed Martin December 1993 - March 1995
Skills
Healthcare, Healthcare Information..., Healthcare Management, HIPAA, Process Improvement, Hospitals, Revenue Cycle, Managed Care, Microsoft Excel, Medicare, Strategic Planning, EMR
Education
Arizona State University 1997 — 1999
MBA
Shippensburg University of Pennsylvania 1990 — 1993
BSBA, Finance
Evolent Health April 2014 - Present
The Joffit Group, Inc May 2003 - Present
Aetna August 2011 - March 2014
Mercy Care Plan June 2011 - August 2012
St. Elizabeth's Health Center February 2009 - June 2011
Arizona Health Care Cost Containment System (AHCCCS) January 2007 - January 2009
Swedish Medical Center October 1996 - May 2003
Skills
Registered Nurse, Healthcare Information..., EHR, Hospitals, Clinical Research, EMR, HIPAA, Healthcare Management, Healthcare, Health Policy, Nursing, Health Education, Home Care, Healthcare Consulting, Medicare, Strategic Planning, Leadership, Managed Care, Healthcare Industry, Management, Strategy, Medicaid, Physicians, Health Insurance, Physician Relations, Program Management, Team Leadership, Program Development, Medicine, Social Services
Education
University of Colorado at Denver 2003 — 2005
Master's of Public Administration, Non-profit leadership
University of Colorado Boulder 1998 — 2001
Master of Business Administration (M.B.A.), Health Care Administration
Derby Senior High
University
Bachelor's of Nursing, Nursing
BCBSAZ Advantage February 2014 - Present
Lovelace Health Plan August 2011 - February 2014
Aetna /Medicaid June 2009 - June 2011
Aetna / Medicaid January 2008 - June 2009
Schaller Anderson December 2006 - January 2008
Mercy Care Plan July 2005 - December 2006
Skills
Medicare, Compliance, Healthcare, Policy, Auditing, Managed Care, Hospitals, Healthcare Management, Health Policy, Leadership, Training, Health Insurance, Healthcare Information..., HIPAA, Process Improvement, Insurance, Healthcare Industry, Provider Relations, Healthcare Consulting, Medicaid, HMO, Physicians, Utilization Management
Education
University of Phoenix 2003 — 2005
BS, Health Care Services
Yavapai College - Prescott Arizona 1978 — 1980
Associate of Arts, 1980
Mercy Care Plan December 2008 - Present
Banner Health July 1988 - November 2007
Skills
Healthcare, Medicine, Practice Management, Medical Billing, Hospitals, Nursing, BLS, Healthcare Management, Patient Safety
Education
Mesa Community College 1979 — 1983
University Health April 2014 - Present
Carondelet Health Network January 2011 - April 2013
Mercy Care Plan January 2011 - October 2012
University of Louisville Hospital January 2009 - January 2011
Kindred Healthcare, Inc. February 2005 - January 2009
University of Louisville Hospital July 2001 - February 2005
Skills
Hospitals, Research, Leadership, Healthcare Management, Privacy Law, Medicare, Healthcare, Healthcare Information..., Medicaid, Clinical Research, Policy, Managed Care, EMR, EHR, Process Improvement, Insurance, Medical Compliance, Healthcare Consulting, Performance Improvement, Strategic Planning, Patient Safety, Compliance Program..., Physician Relations, Revenue Cycle Management, Team Building, Revenue Cycle, Health Policy, Regulatory Affairs, Healthcare Industry, Accreditation, Quality Improvement, Physicians, Informatics, Nursing, Practice Management, Health Insurance, Medical Coding, Medical Billing, HIPAA, Management
Education
Indiana Wesleyan University 2003 — 2005
MBA, Business Administration
Regents College 1998 — 2000
BS, Radiologic Sciences - Psychology
Southern Illinois University, Carbondale 1985 — 1987
AAS, Radiologic Sciences
Mercy Care Plan 2009 - Present
Ticketmaster, Inc. 2005 - 2008
Multi-Systems, Inc. 1997 - 2005
Best Western International, Inc. 1978 - 1994
Education
Arizona State University 1978 — 1983
Bachelor of Science, Computer Science
Arizona State University 1978 — 1983
Bachelor of Science, Electrical Engineering
Scottsdale Community College 1978 — 1980
Associate of Science, Computer Science
Scottsdale Community College 1978 — 1980
Associate of General Studies, Data Processing
Mercy Care Plan 2011 - Present
Ministry Leadership Center 2010 - Present
Dignity Health formerly Catholic Healthcare West 2008 - 2011
Western Health Advantage 1997 - 2011
CHW Medical Foundation 2000 - 2010
Dignity Health formerly Catholic Healthcare West 2001 - 2008
Mercy Healthcare Sacramento (Catholic Healthcare West) 1999 - 2001
Woodland Healthcare (Catholic Healthcare West) 1996 - 1999
Catalina Behavioral Health January 1995 - December 1996
Thomas-Davis Medical Centers 1994 - 1996
Skills
Healthcare, Healthcare Management, Healthcare Information..., Physician Relations, Managed Care, Leadership, Strategic Leadership, physician practice..., Hospital..., Healthcare system..., Leadership Development..., Hospitals, Patient Safety, Healthcare Consulting, Revenue Cycle, Physicians, Performance Improvement, EHR, Quality Improvement, Medicare, HIPAA, Medicaid, Clinical Research, Healthcare Industry, Health Policy, Practice Management, Informatics, EMR, Inpatient, Acute Care, Home Care, Nursing, Disease Management, Critical Care, Medicine, Health Insurance
Education
Houston Baptist University - College of Business and Economics 1986 — 1989
MSM, Management
Hahnemann University (now Drexel University) 1974 — 1979
BSHS, Health Science-Physician Assistant
Mercy care plan March 2012 - Present
Traders Accounting December 2010 - February 2012
SunAmerica, LLC September 2009 - April 2010
Xpress Accounting December 2007 - March 2009
Flagstaff Brewing Company December 2005 - June 2007
Skills
Quickbooks, Microsoft Office, ATX, Ultratax, Account Reconciliation, Accounting, Journal Entries, Financial Statements, Tax, Tax Returns, Financial Reporting, Bookkeeping, Tax Preparation
Education
Northern Arizona University-The W. A. Franke College of Business 2003 — 2008
Bachelor's, Accounting
Mercy Maricopa Integrated Care an Aetna company August 2013 - Present
Aetna June 2006 - Present
Mercy care Plan 2006 - 2007
Skills
Health Insurance, Insurance, Healthcare, Healthcare Management, Healthcare Information..., Vendor Management, Team Building, Customer Service, Strategic Planning, Project Management, Microsoft Office, Sales, Recruiting, Benefits Administration, Medicaid, Business Development, Medicare, Process Improvement, Managed Care, HIPAA, Health Policy, Employee Benefits, Provider Relations, Medicare Part D, Healthcare Industry, Healthcare Consulting
Education
East Carolina University
BS, Health information management
Mercy Care Plan May 2005 - Present
Mercy Care Plan August 2008 - April 2009
Education
Arizona State University 1996 — 1998
BS, Biology
University of Southern Maine 1991 — 1994
Business Management
Westbrook High School
Cancer Treatment Centers of America® Legal Nurse ConsultantCampbell Yost Clare & Norell2005 - December 2009
Saint Joseph's Hospital 1983 - 2005
Phoenix College August 2001 - May 2002
Mercy Care Plan February 1996 - May 1998
Education
University of Phoenix
BSN, Nursing
Phoenix College
ADN, Nursing
Mercy Care Plan February 2014 - Present
UnitedHealth Group October 2012 - September 2013
Health Choice Arizona May 2009 - July 2012
Health Choice Arizona January 2007 - May 2009
Health Choice Arizona March 2006 - December 2006
Maricopa Integrated Health System October 2005 - March 2006
Maricopa Managed Care System January 2005 - September 2005
Maricopa Managed Care System March 2004 - January 2005
Maricopa Managed Care System April 1999 - March 2004
Skills
Contract Negotiation, Managed Care, Healthcare, Customer Service, Provider Relations, Credentialing, Claims Resolution, Network Development, Provider Contracting, HIPAA, Medicaid, Medicare, Provider Network..., Health Policy, Provider Education, Process Improvement, TRICARE, Healthcare Reimbursement, Physician Network..., PPO, Hospitals, Access, Visio, Insurance, Data Analysis, Healthcare Industry, Medical Billing, Healthcare Information..., Physicians, Health Insurance, Healthcare Consulting, HMO, Healthcare Management, EHR, Revenue Cycle, Medical Coding, Physician Relations, EMR, CPT, Practice Management, ICD-9, Quality Improvement, Revenue Cycle Management, Home Care, Medical Terminology, Medical Compliance, Utilization Management, Disease Management, Informatics, Nursing
Education
University of Phoenix 2006 — 2009
BSBM
The University of Arizona Health Plans November 2013 - Present
The University of Arizona Health Plans July 2011 - November 2013
The University of Arizona Health Plans July 2007 - July 2011
Planned Parenthood of Arizona September 2001 - June 2007
Mercy Care Plan September 2000 - September 2001
Health Choice Arizona April 1997 - September 2000
Skills
Medicaid, Medicare, HIPAA, Managed Care, Healthcare, Healthcare Management, Credentialing, Provider Relations, Process Improvement, Strategic Planning, Medical Compliance, Physician Relations, Performance Improvement, Leadership, Accreditation, Healthcare Information..., Healthcare Industry, Hospitals, Health Insurance, Utilization Management, JCAHO, Physicians, Insurance, EHR, Quality Improvement, EMR, Health Policy, Revenue Cycle, Disease Management, Healthcare Consulting, Informatics, Medical Billing, Medical Coding, Practice Management, Ambulatory, Claim, Policy, Revenue Cycle Management, Network Development, Process Management, Management, Operations Management, Team Building, Program Management
Education
University of Phoenix 2002 — 2004
Masters, Organizational Management
University of Phoenix 2000 — 2002
Bachelors, Health Care Administration
Blue Cross Blue Shield of Arizona August 2014 - Present
Blue Cross Blue Shield of Arizona July 2013 - August 2014
OfficeTeam Healthcare Group January 2013 - July 2013
Blue Cross Blue Shield of Arizona March 2003 - April 2012
Blue Cross Blue Shield of AZ March 2003 - April 2012
Mercy Care Plan March 2002 - July 2002
Bank of America August 1999 - March 2002
Maricopa County Hospital May 1995 - August 1995
Skills
Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Data Entry, Problem Solving, Workflow, Close Attention to..., Small Project Management, Team-oriented, Quality Auditing, Software Documentation, Team Building, Quality Assurance, Databases, Insurance, Healthcare, Policy, Health Insurance
Education
The Institute, Glendale Community College
For Business, Industry, and Technology
Glendale High School 1996 — 1999
Gateway Community College
SOAR Program
Mercy Care Plan February 2013 - Present
Priority Care Plus July 2012 - February 2013
Humana April 2011 - July 2012
Health Net of Arizona December 2000 - January 2011
Skills
Medicaid, Healthcare Management, Case Managment, NCQA, Utilization Review, Medical Records, Quality Management, Physicians, HIPAA, Healthcare Information..., Health Insurance, Healthcare Consulting, EMR, Healthcare Industry, EHR, Home Care, Clinical Research, Case Management
Education
Excelsior College
Associates, Science in Nursing
Forsyth County Aging Services Planning Committee 2006 - Present
Forsyth County June 2003 - Present
REM Arizona December 2000 - November 2001
Maricopa Integrated Health System February 2000 - December 2000
Arizona Physicians IPA July 1996 - December 1999
Mercy Care Plan August 1993 - June 1996
Arizona Health Care Cost Containment System (AHCCCS) 1988 - 1993
Institute of Gerontology 1988 - 1989
MARC Center 1985 - 1987
Skills
Community Outreach, Program Planning and..., Policy Writing, Policy Analysis, Managed Care, Grant Writing, Social Work..., Medicaid Managed Care, Policy, Grants, Community Development, Program Development, Program Management, Nonprofits, Program Evaluation, Public Speaking, Volunteer Management
Education
Arizona State University
MSW, Social Work/Planning, Administration and Community Planning
Arizona State University
MSW (macro)
Blue Cross Blue Shield of Arizona January 2015 - Present
Blue Cross Blue Shield of Arizona June 2006 - December 2014
Unisys April 2003 - June 2006
Mercy Care Plan March 1999 - April 2003
Skills
T-SQL, Data Warehousing, SSRS, Business Intelligence, Business Objects, SQL, Business Analysis, Requirements Gathering, Crystal Reports, Requirements Analysis
Education
Arizona State University
BS, Finance
Mercy Care Plan January 2006 - Present
PacifiCare Health Systems July 2000 - December 2005
Nexus July 1995 - June 2000
Skills
HIPAA, Public Speaking, Process Improvement, Healthcare, Nonprofits, Change Management, Customer Service, Health Insurance, Claim, Medicare
Education
Glendale Community College
Mercy Care Plan 2010 - Present
Mercy Care Plan 2005 - 2010
Education
Northern Arizona University 1992 — 1994
Master of Education (M.Ed.), Counseling
ASU 1985 — 1987
Bachelor of Science, Social Work