Universal American
Industry: Company
DescriptionUniversal American is a Fortune 1000 company with offices throughout the United States, and headquarters in Rye Brook, New York. The company offers health insurance, and also deals in Medicare managed care plans, and Medicare prescription drug benefits. Subsidiaries include Heritage Health Systems, Inc.. Headquarters: White Plains, New York, United States Founded: 1981 Subsidiaries: American Progressive Life & & Health Insurance Co of New York, Parent organizations: WellCare, CBS Corporation, WellCare Management Group Inc, Resource Management
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Universal American Employees
United HealthGroup - Optum November 2011 - Present
Universal American October 2009 - November 2011
Dupont Hospital 2007 - 2008
Skills
Medicare, Leadership, Management, Healthcare, HIPAA, Health Insurance, Claim, Provider Relations, Managed Care, Medicaid, Employee Benefits, Health Policy, Healthcare Information..., Strategic Planning, Sales, Healthcare Management
Education
M.B.A - Keller School of Management, DeVry University 2008 — 2009
Master's, Business Adminstration
Capella University 2003 — 2007
Bachelor of Science, Business Administration - Management
NYC Tax Master June 2015 - Present
Surecomp - your trade finance partner November 2014 - Present
Universal American January 2014 - June 2015
Robert Half Finance & Accounting February 2013 - January 2014
Tough Mudder LLC 2013 - 2013
PROTAX SOLUTIONS, CPA May 2008 - September 2012
Prospect Park Tennis Center January 2008 - May 2008
Skills
QuickBooks, MS Excel Pivot Tables, Lookups, UltraTax, Income Statement, Balance Sheet, Cash Flow, General Ledger, Sales Tax, 1120S, Corporate Tax, Account Reconciliation, Payroll, Tax Research, Cash Flow Forecasting
Education
Becker CPA 2014 — 2015
Brooklyn College 2008 — 2012
Bachelor of Science (B.S.), Accounting
Bashkir State University
Convey Health Solutions January 2015 - Present
Convey Health Solutions March 2014 - Present
UnitedHealth Group November 2011 - December 2013
Aegis PeopleSupport Inc. June 2011 - November 2011
Universal American November 2008 - March 2011
TeleTech June 2004 - October 2008
Skills
Training & Development, Instructional Design, International Project..., Vendor Management, Call Center, BPO, Quality Assurance, Healthcare, Medicare, Medicare Advantage, Training Delivery, Communication Training, Health Insurance, Healthcare Management, Clinical Instruction, Utilization Management, Call Centers, Process Improvement, Software Documentation, Program Management, Coaching, Employee Training, Human Resources, Training, Performance Management, Management
Education
Adventist University of the Philippines 2000 — 2004
BS, Nursing
International School, Riyadh
Mack Professional Services August 2012 - Present
Randstad December 2011 - March 2014
Universal American July 2008 - August 2010
Pappadeaux Seafood July 2006 - February 2010
US Interactive July 2004 - May 2005
Skills
Invoicing
Education
University of Phoenix 2013 — 2014
AAHSM, Human Services Management
Northwest Educational Center 2006 — 2007
Medical/Clinical Assistant
Universal American September 2013 - December 2014
Christine Groenier Consulting LLC March 2011 - December 2014
APS Healthcare August 2012 - September 2013
Aetna July 2010 - March 2011
APS Healthcare June 2009 - July 2010
APS Healthcare November 2006 - 2009
Correct Care Solutions August 2004 - November 2006
Wisconsin Vein Center and Medi Spa 2005 - 2006
Skills
Product Development, Business Workflows, Clinical Development, Project Management, Case Managment, Medicare, Medicaid Managed Care, Utilization Management, Management, HMO, Clinical Research, SDLC, Data Analysis, Call Centers, Training, Healthcare Industry, Public Health, Policy, Clinical Operations, Insurance, Home Care, Case Management, Healthcare, Healthcare Information..., Managed Care, Healthcare Management
Education
Strayer University 2012 — 2014
Bachelor of Business Administration (B.B.A.), Health Services Administration
Clarkson College 2011 — 2012
Family Practice Nurse/Nursing
Excelsior College 2007 — 2008
Certification, Project Management
Waukesha County Technical College 2001 — 2004
Associates, Nursing
Lakeshore Technical College 1991 — 1993
Associates, Equine Management/Applied Science
OptumInsight March 2012 - Present
Universal American September 2007 - April 2012
Progressive Insurance March 1996 - November 2007
Education
Bowling Green State University 1990 — 1994
Universal American January 2011 - Present
Schlumberger November 2007 - October 2010
Martin Preferred Foods July 2006 - October 2007
Skills
Business Analysis, Medicare, Health Insurance, Insurance, Requirements Gathering, SDLC, Process Improvement, HIPAA, Medicaid, Business Requirements, Managed Care, Software Documentation, Requirements Analysis, Data Analysis, SharePoint, Healthcare, Access, User Acceptance Testing, Business Process..., Analysis, Vendor Management, Visio
Education
Baylor University 1990 — 1992
Far Eastern University 1976 — 1978
notMYkid June 2014 - Present
Crockett Elementary June 2012 - December 2014
Universal American July 2007 - June 2012
Parkway Children's School of Excellence October 2005 - April 2007
California Educational Centers September 2000 - September 2003
Skills
Microsoft Word, Microsoft Office, Customer Service, Microsoft Excel, Health Insurance, Administrative..., Data Entry, Event Planning, PowerPoint, Administration, Public Speaking, Recruiting, Research, Employee Relations, Microsoft Publisher, Team Building, Human Resources, Leadership, Management, Administrative...
Education
Ashford University 2008 — 2009
BA, Social Science with Education Concentration
Gahr High School 1996 — 2000
CSI Healthcare IT/ Methodist Hospital April 2015 - Present
Universal American November 2013 - June 2014
Rediclinic October 2012 - February 2014
HCA PHYSICIANS July 2011 - January 2014
Children Memorial Hermann June 2006 - June 2009
Skills
Hospitals, EMR, Healthcare, Medicare, Meditech, EHR, Medical Records, eClinical Works, Athena, NexGen, SharePoint, Medical Terminology, Phlebotomy, HIPAA
Education
Professional Careers Institute 2009 — 2010
Certified Clinical Medical Assistant, Phlebotomist, and EKG Technician, Medical/Clinical Assistant
Houston Community College 2005 — 2008
AAS, HIM
DentaQuest March 2015 - Present
Universal American June 2012 - Present
Universal American January 2010 - Present
BlueShield of NENY January 2000 - January 2010
The Endocrine Group, LLP March 1999 - January 2000
Skills
Provider Relations, Skills - Incentive..., Medicare, Claim, Network Development, Managed Care, Medicare Part D, PPO, Credentialing, Medicaid, HMO, Healthcare Industry, Health Insurance
Education
Olean Business Institute 1983 — 1985
Associates Degree, Managerial Acoounting
Olean Business Institute
Managerial Accounting
Universal American June 2012 - Present
Universal American January 2010 - Present
BlueShield of NENY February 2001 - January 2010
Skills
Mircosoft Word, Excel,...
Education
Olean Business Institute 1983 — 1985
Associate's degree, Managerial Accounting
Pensacola State College August 2009 - Present
Pensacola State College August 2006 - August 2009
Universal American 2005 - 2009
Citi 2001 - 2005
Skills
CCNA CCAI, Information Security, Information Technology, Networking, Systems Administration, Helpdesk Support, Security, Program Management, Troubleshooting, Network Security, Help Desk Support, Information Assurance, System Administration, Technical Support, Computer Hardware, Operating Systems, Disaster Recovery, Wireless Networking, Computer Security, Network Administration, Active Directory, Windows Server, Windows, Courses, TCP/IP, Security Clearance, Distance Learning, University Teaching, SharePoint, Vulnerability Assessment, Technical Writing, Cisco IOS, Curriculum Design, E-Learning, IT Management, Software Documentation, Higher Education, Training, Security+, Grant Writing, Instructional Design, Curriculum Development, Leadership, DoD, Analysis, Classroom, VPN, Military, Supervisory Skills, CompTIA Security+
Education
Capella University 2010 — 2013
Masters of Science, Information Technology/Information Assurance, 4.0 Graduated with Distinction
University of West Florida 2001 — 2003
Bachelors of Science, Computer Informations Systems
Pensacola State College 1995 — 1998
Bankers Life and Casualty October 2010 - Present
Universal American March 2008 - October 2010
Bankers Life and Casualty March 2007 - March 2008
Skills
Sales, Management, Leadership, Team Building, Recruiting, Medicare, Long-term Care, Medicare Advantage, Medicare Part D, Life Insurance, Fixed Annuities, Indexed Annuities, Term Life Insurance, Sales Management, Disability Insurance, Health Insurance
Education
Arkansas State University 2004 — 2006
Bachelor, Business Management
Dyersburg State Community College 2002 — 2004
Blytheville high School
Amazon Fulfillment Services October 2014 - Present
Nestlé S.A. July 2012 - Present
Nestlé S.A. June 2012 - December 2012
Victory Capital Management January 2012 - July 2012
KeyBank May 2011 - December 2011
KeyBank May 2011 - December 2011
Universal American November 2010 - March 2011
Universal American November 2010 - March 2011
Defence Finance and Accounting Service June 2007 - June 2010
Defense Finance and Accounting Service January 2007 - January 2010
Skills
Accounts Payable, Account Reconciliation, Accounting, Invoicing, Accounts Receivable, General Ledger, Finance, Analysis, Auditing, Financial Statements, Financial Reporting, Financial Analysis, Budgets, Microsoft Office, Microsoft Excel, Management, Leadership
Education
Cleveland State University 2005 — 2007
Bachelor of Business Administration (BBA), Accounting
Cleveland State University 2005 — 2007
Bachelors of Business Administration, Accounting
Aetna December 2014 - Present
Aetna September 2013 - Present
Coventry Health Care January 2013 - Present
Universal Health Care November 2010 - January 2013
HealthMarkets June 2009 - July 2010
HealthMarkets October 2008 - June 2009
HealthMarkets December 2006 - October 2008
Universal American 2004 - 2006
Universal American 2002 - 2004
Assurant 1991 - 2001
Skills
Health Insurance, Provider Relations, Medicare, Insurance, Managed Care, Claim, Medicaid, Underwriting, Process Improvement, Healthcare, Business Process..., Long-term Care, Employee Benefits, Leadership, Program Management, HIPAA, Change Management, Operations Management, Management, Medicare Part D, Strategy, New Business Development, Team Building, Outsourcing, Vendor Management, HMO, Team Leadership, Project Management, Policy, CRM, Healthcare Consulting, Risk Management, Call Centers, Business Process, Healthcare Industry, Executive Management, Health Policy, Budgets, Utilization Management, Disease Management, Network Development, PMO, Project Planning, Claims Management, Mergers & Acquisitions
Education
Barry University 1997 — 1999
MBA, MIS (Management Information Systems)
Barry University 1992 — 1995
BS, Business Administration
Universal American September 2012 - Present
Medco Health Solutions April 2011 - August 2012
Medco Health Solutions December 2007 - April 2011
CVS Caremark Corporation February 2007 - December 2007
WellPoint August 2005 - January 2007
Aetna May 2004 - August 2005
Skills
Account Management, Business Process..., Program Implementation, Customer Support, Manage Client..., Marketing, Employee Training, Corporate Communications, Project Management, CRM, Analysis, Management, Access
Education
University of Phoenix 2005 — 2007
Master of Business Administration (MBA)
Abilene Christian University 1997 — 2001
Bachelor of Science (BS), Journalism and Mass Communication
Deloitte August 2015 - Present
Deloitte March 2014 - August 2015
Smart Insurance Company August 2012 - November 2013
CVS Caremark Corporation April 2011 - August 2012
Universal American October 2010 - April 2011
Universal American November 2009 - October 2010
Protiviti January 2006 - November 2009
Skills
Internal Audit, Sarbanes-Oxley, Risk Management, Workshop Facilitation, Public Speaking, Redevelopment, Process Creation, Accounting, Quality Auditing, Sarbanes-Oxley Act, Auditing, Business Process..., Medicare Part D, Medicare, Compliance, Policy, Regulatory Requirements, Regulatory Submissions, Regulatory Analysis, Regulatory Policy, Health, Healthcare, Health Insurance, Operations Audit, Financial Risk, Start-ups, CMS, Internal Controls, Business Process, Enterprise Risk...
Education
Cleveland State University 2004 — 2005
MBA
John Carroll University 1999 — 2003
Bachelor of Science in Business Administration, Accountancy
Euclid High School 1995 — 1999
Motivational Press May 2015 - Present
Novelist, Blogger July 2013 - Present
Jones Day March 2012 - Present
Weltman, Weinberg & Reis February 2011 - March 2012
Universal American April 2010 - February 2011
SIRVA, Inc. February 2005 - March 2010
SIRVA Relocation February 2005 - March 2010
SIRVA Relocation June 2000 - February 2005
SIRVA Relocation March 1998 - June 2000
Bryant & Stratton College July 1997 - March 1998
Skills
Data Analysis, Microsoft SQL Server, Business Objects, SSIS, Business Intelligence, Integration, SQL, Software Development, Business Process..., ETL, Visual Studio, Project Management, PMP, Six Sigma, Analysis, SharePoint, Leadership, SDLC, Visio
Education
Bryant & Stratton College 1997 — 1999
Devry University 1996 — 1997
Information Systems
Trisept Solutions July 2015 - Present
Universal American July 2001 - June 2015
Keane Inc March 1999 - June 2001
Coleman and Williams Inc September 1997 - February 1999
Skills
Microsoft SQL Server..., Database Administration, Disaster Recovery, SQL Replication, SQL Maintenance &..., Backup Solutions, Database Security, Relational Databases, ETL Tools, Microsoft SQL Server, SQL, Maintenance & Repair, SQL Tuning, Informatica, High Availability, Performance Tuning, IIS, Business Analysis, Servers, VB.NET, Visual Basic, Crystal Reports, Enterprise Architecture, Active Directory, VMware, Integration, Visio, Stored Procedures, Software Development, Business Intelligence, Databases, .NET, VBScript, T-SQL, ITIL, Requirements Gathering, Erwin, Business Objects, Database Design, Troubleshooting, Leadership, Unix, Software Documentation, Data Integration, DTS, Analysis, Access, Requirements Analysis, SSRS, SharePoint
Education
Cardinal Stritch University 2012 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
University of Benin
BS, Computer Science
American Insurance Strategies - Dayton, Ohio January 2010 - Present
Exchanje Business Solutions - Harbortouch June 2007 - Present
Universal American June 2005 - August 2009
Pennsylvania Life 1986 - 2008
Skills
Sales Management, Marketing, Team Building, Commercial Insurance, Strategy, Long Term Care Insurance, Insurance, Small Business, Brokers, Strategic Planning, Customer Service, Account Management, Long-term Care, Motivation, Entrepreneurship, Life Insurance, Executive Management, Fixed Annuities, Term Life Insurance, Property & Casualty..., Lead Generation, Disability Insurance, Agent Development, Recruiting, Business Planning, Leadership, Business Development, Team Management, Project Management, Problem Resolution, Sales Growth, Training Development, Direct Sales, Incentive Programs, Multimedia Design &..., Selling, Sales, Training, Management
Education
University of Wisconsin-Milwaukee 1983 — 1986
B.A., Marketing & Broadcast Productions
College of Lake County 1981 — 1983
- Business Management
Magellan Health Services March 2012 - Present
Integrated Primary Care Systems October 2011 - Present
Universal American November 2005 - September 2011
UnitedHealthcare February 2008 - January 2009
Skills
Network Development, Provider Relations, Medicaid, Medicare, Managed Care, PPO, Healthcare Management, Credentialing, Provider Contracting, HMO, Contract Negotiation, Insurance, Healthcare
Education
Grand Canyon University
MPH/Phd, Public Health
Arizona State University
Business Economics
Optum March 2013 - Present
Universal American June 2011 - February 2013
iGATE Global Solutions January 2011 - February 2013
Universal American April 2008 - May 2011
Patni Computer Systems February 1998 - December 2010
John Hancock 2007 - 2008
Milliman 2005 - 2007
Genworth Financial 2001 - 2004
ChannelPoint 2000 - 2001
Axon Computers Pvt Ltd 1997 - 1998
Skills
Consulting, Program Management, Insurance, Management, SDLC, Requirements Analysis, Healthcare, Business Analysis, Medicare, CRM, Software Documentation, Healthcare Information..., Process Improvement, Project Management, Leadership, Outsourcing, Analysis, Change Management, Solution Architecture, Testing, Software Development, Business Process, Cross-functional Team..., Databases, Data Analysis, Enterprise Architecture
Education
Bharathiar University
Engineering, Electronics and Communication
Universal American July 2015 - Present
Ace Mart Restaurant Supply April 2012 - July 2015
Universal American 2011 - 2012
Sterling Life Insurance Company 2007 - November 2010
Combined Insurance 2006 - 2007
Combined Insurance 2002 - 2006
Combined Insurance 2000 - 2002
Combined Insurance 1998 - 2000
Combined Insurance 1997 - 1998
Texas Bank & Trust Company 1990 - 1997
Skills
Oral Communications, Writing, Team Building, Customer Relations, Customer Service, Mentoring, Team Leadership, Employee Relations, Organizational..., Teaching, Insurance, Microsoft Office, Documentation, Sales, Public Speaking, Life Insurance, Training, Leadership, Software Documentation, Medicare, Health Insurance, Event Planning, Recruiting, Coaching, Entrepreneurship, Human Resources, Process Improvement, Teamwork, Management, Strategic Planning, Outlook, Call Centers, Leadership Development, Employee Benefits, Account Management, Sales Management, Marketing, Inventory Management, Time Management, Budgets, Supervisory Skills, Performance Management, Cold Calling, Sales Operations, Employee Training, Interviews, Microsoft Excel, Microsoft Word, Project Management, Operations Management
Education
Ashford University 2009 — 2012
BA, Organizational Management
Universal American 2009 - 2014
APS Healthcare, a subsidiary of Universal American 2004 - 2009
APS Healthcare, a subsidiary of Universal American 2000 - 2004
APS Healthcare, a subsidiary of Universal American 1998 - 2000
APS Healthcare, a subsidiary of Universal American 1994 - 1998
APS Healthcare, a subsidiary of Universal American 1994 - 1995
United HealthCare 1986 - 1994
Skills
Healthcare Management, Data Analysis, Policy Writing, Collaborative Problem..., Performance Improvement, Quality Improvement, Process Evaluation, Process Implementation
Education
Ashford University 2009 — 2011
Master of Arts (MA), Health Care Administration
Muhlenberg College 1982 — 1986
Bachelor of Arts (BA), Psychology
Universal American June 2013 - Present
CareFirst BlueCross BlueShield June 2011 - June 2013
Healthways June 2011 - June 2012
First Rehabilitation Resources, Inc. 2007 - 2012
MedStar Southern Maryland Hospital Center 2004 - 2007
Skills
Certified Case Manager, Registered Nurses, Healthcare, Patient Education, Wellness, Case Managment, Health Promotion, Health Education, Wellness Coaching, Nutrition, Motivation, Workers Compensation, Prevention, Wellbeing, Critical Care, Patient Advocacy, Quality Improvement, Clinical Research, Inpatient, BLS, Patient Safety, EMR
Education
Arizona Western College
College of Southern Maryland
Associates RN, Registered Nursing/Registered Nurse
University of North Alabama
Bachelor's Degree, Nursing
Penn State Hershey Rehabilitation Hospital April 2014 - Present
Universal American April 2012 - November 2013
Carlisle Regional Medical Center September 2007 - April 2012
Golden Living October 2001 - September 2007
Twin Oaks Nursing Center May 1999 - October 2001
Skills
Medical Social Work, Medicare, Medicaid, Case Management, Long-term Care, Medicaid Managed Care, Hospital Social Work, Telephonic Social Work, Long Term Care..., Discharge Planning, Community Outreach, Elder Care, Mentoring, Social Services, Healthcare, Mental Health, Managed Care, Nursing, Hospitals, Psychotherapy, Public Speaking, Therapists
Education
Bloomsburg University of Pennsylvania
Bachelor of Arts (BA), Psychology
Marywood University
Master of Social Work (MSW)
Cambia Health Solutions August 2014 - Present
Cambia Health Solutions October 2012 - August 2014
Universal American 2007 - 2012
CIGNA 2005 - 2007
Marsh 2003 - 2005
Aon 2000 - 2002
Marsh 1997 - 2000
Wal-Mart 1994 - 1996
Skills
Customer Service, Account Management, Call Center, Employee Benefits, Process Improvement, Vendor Relations, Team Leadership, Customer Relations, Knowledge Management, Customer Experience, Customer Retention, Member Relations, Member Services, Focus Groups, HEDIS, Vendor Management, Health Insurance, Writing, Technical Writing, Training & Development, Medicare, P&L Responsibility, Department Budgeting, Call Centers, Medicare Part D, Healthcare, Healthcare Industry, Employee Training, Insurance, Leadership, Management, Performance Management, HIPAA, Managed Care, Operations Management, Human Resources, Quality Assurance, Analysis, Project Management, Competitive Analysis, Forecasting, Program Management, HMO, Business Planning, Cross-functional Team..., Strategic Planning, Strategy, Sales
Education
University of Pennsylvania - The Wharton School 1997 — 1998
Certified Employee Benefit Specialist (CEBS), Employee Benefits
University of Arkansas 1993 — 1994
MBA, Business Administration
Arkansas State University 1989 — 1993
B.S., Management
J. Connor Consulting, Inc. June 2015 - Present
Universal American February 2014 - October 2014
CHRISTUS Health August 2013 - December 2013
Abatix Corp December 2005 - July 2013
Skills
Health Information..., Windows SharePoint, Administrative..., Outlook, HIPAA, Spreadsheets, Customer Service, Telephone Skills, Microsoft Office, Microsoft Word 2010, Microsoft Excel 2010, Microsoft PowerPoint, RightFax, CCMS, ICD-9-CM, CPT, Application Management..., Medical Terminology, Office Equipment, Multi-line Phone, Horizon, Facets
Education
DeVry University-Texas 2011 — 2013
Associate of Applied Science, Health Information Technology
Northwest Educational Center
Word Processing 2001
Camera Corner/Connecting Point July 2013 - Present
Laack Cold Storage November 2010 - July 2013
Universal American March 2010 - June 2011
Skills
Team Building, Customer Service, Leadership, Strategic Planning, Logistics, Inventory Management, Process Improvement, Sales, Cross-functional Team..., Pricing, Customer Satisfaction, Training, Purchasing, Forecasting, Retail
Education
Carroll University 1994 — 1999
BA, Business w/ emphasis in General Management
Coe College
Insurance and Health Care August 2012 - Present
The Goodyear Tire & Rubber Company June 2011 - August 2012
Universal American January 2010 - June 2011
Dresser-Rand August 2006 - January 2010
Consulting May 2003 - August 2006
GE May 1998 - May 2003
Skills
Procurement, Sourcing, Cross-functional Team..., Supply Chain Management, Six Sigma, Supplier Development, Lean Manufacturing, Supplier Negotiation, Spend Analysis, Strategic Sourcing, Purchasing, Global Sourcing, Supplier Evaluation, Project Management, Manufacturing, Materials Management, Recruiting, ERP, Contract Negotiation, Team Building, Purchasing Processes, Indirect Purchasing, Indirect Spend, Supplier Rationalization, Contract Management, Change Management, Team Management, Situational Leadership, Spend Management, Supplier Quality, Supplier Diversity, Supplier Quality..., Supplier Risk Management, Logistics, 3PL, Warehousing, Team Leadership, Labor Contract...
Education
Clarkson University
Bachelor's degree, e-Business, Supply Chain Management
Clarkson University
Master of Business Administration (M.B.A.), Logistics, Materials, and Supply Chain Management
Lionbridge October 2009 - Present
Universal American January 2013 - August 2015
Houston Texas Fire Fighters Federal Credit Union February 2012 - January 2013
Transtar Federal Credit Union June 2011 - January 2012
Universal American Corp February 2010 - February 2011
Sovereign Bank March 1997 - June 2009
Sovereign Bank March 1997 - January 2004
Sunshine & Laughter October 1996 - July 2001
Sovereign Bank January 1997 - January 2000
Skills
Banking, Office Management, Credit, Recoveries, Retail, Loans, New Business Development, Call Centers, Customer Service, Management, Insurance, Sales, Interviews, Customer Retention, Time Management, Financial Services, Training, Risk Management
Education
Net Tech Computer Training 2009 — 2009
Certificate, Advanced Word, Excel, Powerpoint and Basic Access
Blakes School of Computer programming
Diploma, RPG, Cobol and Basic
Bryant University
Certificate, Business Skills
University of Calcutta
Bachelor Of Arts, English Language and Literature, Psychology
Vocational
Diploma, Travel, Tourism and Transport
Syntel September 2014 - Present
Bridge Technical Talent 2015 - 2015
Bridge Technical Talent 2015 - 2015
Kaiser Permanente, Rancho Cucamonga, CA, March 2014 - August 2014
Amerigroup/WellPoint October 2013 - March 2014
Excellus BlueCross BlueShield April 2013 - October 2013
Bluecross Blueshield California September 2012 - April 2013
UnitedHealth Group January 2012 - September 2012
Universal American January 2011 - January 2012
Hartford Hospital July 2010 - June 2011
Skills
SQL, Microsoft Office, Java, HTML, Testing, Quality Assurance, Microsoft Excel, C++, XML, JavaScript, Windows, Linux, MySQL, Project Management, Microsoft SQL Server, C, Requirements Analysis, Agile Methodologies, Team Leadership, C#, Oracle, Management, Visio, Networking, Access, Databases, SharePoint
Education
Ashford University 2009 — 2012
Health Informatic, Bachelor of Arts in Health Informatics
Universal American September 2009 - Present
Cardiology Associates of Green Bay October 2008 - August 2009
Prevea Health Network October 2005 - April 2008
Koss Cake Creations January 1997 - March 2006
American Medical Security September 1993 - January 1997
Employers Health Insurance January 1989 - September 1993
Skills
Managed Care, Management, Medicare, Health Insurance, Healthcare, HIPAA, Healthcare Industry, HMO, Employee Benefits, PPO, Team Building, Credentialing, Insurance, Training, Process Improvement, Practice Management, Medicare Part D, Revenue Cycle, Policy, Disease Management, Strategic Planning
Education
Baker College Center for Graduate Studies 2006 — 2008
Masters, Health Care Management, honors
Silver Lake College 1994 — 1996
Bachelor, Business Management, honors
Northeast Wisconsin Technical College
Associate, Medical Office Management, honors
PNC October 2011 - Present
CVS Caremark Corporation (fka Universal American) November 2010 - October 2011
Universal American March 2010 - November 2010
MemberHealth October 2007 - March 2010
MemberHealth, LLC (Universal American Corp.) October 2007 - March 2010
MemberHealth, LLC (a Universal American Company) October 2007 - March 2010
Jewish Family Services Association September 2006 - September 2007
AmTrust Bank (Ohio Savings Bank) September 2004 - September 2006
AmTrust Bank (Ohio Savings Bank) July 1999 - September 2004
Philips Medical Systems (f.k.a. Picker International) 1998 - 1999
Skills
Project management, Team Leadership, Data Analysis, Root Cause Analysis, Profit & Loss Analysis, System Administration, User Acceptance Testing, Requirements Gathering, Business Analysis, Data Mining, Databases, Collaboration Solutions, Vendor Management, Access, Analysis, Banking, Business Process, Business Process..., Business Requirements, CRM, Change Management, Cross-functional Team..., Crystal Reports, Data Warehousing
Education
Cleveland State University 1995 — 1999
Bachelor's in Business Administration, Operations Management and Business Statistics (OMS)
Universal American April 2015 - Present
TTI of USA July 2014 - March 2015
TTI of USA May 2013 - June 2014
Museum of Mathematics November 2012 - April 2013
New Amsterdam Fencing Academy March 2011 - September 2012
Young Scholars Academy of the Bronx September 2010 - December 2010
Ronald Edmonds Learning Center January 2010 - June 2010
Gramercy Arts High School September 2009 - December 2009
CCB Manhattan July 2007 - September 2007
Sydenham Health Center August 2004 - September 2004
Skills
Teaching, Data Analysis, Higher Education, Economics, PowerPoint, Microsoft Office, Microsoft Excel, Curriculum Development, Microsoft Word, ANOVA, Statistics, Curriculum Design, Regression Analysis, Statistical Sampling, SAS, Mathematics
Education
Baruch College 2012 — 2014
Master of Science (MS), Statistics
New York University 2009 — 2010
M.A., Math Education
Brandeis University 2006 — 2009
B.A., Mathematics/History
TMF April 2012 - Present
CSX Transportation June 2011 - March 2012
Acosta Sales & Marketing November 2010 - 2011
Experian/TCS January 2010 - November 2010
Universal American January 2008 - 2010
exential 2008 - 2010
ING 2007 - 2007
Zurich 2006 - 2007
ACG April 1999 - December 2006
Zurich/CSC 2006 - 2006
Skills
Oracle Fusion Middleware, Kofax, Document Management, UCM, Oracle, XML, C#, ASP.NET, Business Process..., Digital Imaging, Document Capture, HTML, Enterprise Content..., Business Analysis, Microsoft SQL Server, SQL, Integration, SOA, SDLC, SharePoint, Solution Architecture
Education
Doctor Harisingh Gour Vishwavidyalaya 1992 — 1994
Master, Science
TEKsystems Desktop Support SpecialistFluorSeptember 2013 - Present
CompuCom December 2009 - November 2010
TEKsystems 2001 - 2009
Universal American May 2006 - September 2008
Rhapsody Solutions August 2006 - February 2007
Intelligent Network Solutions,Inc July 2003 - July 2004
Trade-Ranger March 2002 - July 2003
Dynegy 2001 - 2002
Enron 1996 - 2001
Tenneco 1993 - 1995
Skills
Cisco Technologies, Troubleshooting, Blackberry, Software Documentation, XP, BMC Remedy, Lotus Notes, Windows 7, Microsoft Exchange, Laptops, Hardware, Windows XP, Networking, Security, Citrix, Help Desk Support, Technical Support
Education
City University of New York-Brooklyn College 1970 — 1973
BA, Engineering
Universal American August 2012 - Present
Skills
Case Managment, Cpr Certified, Microsoft Office, Microsoft Excel, Nurse epidemiologist
Education
Armstrong Atlantic State University
RN degree in 1993
Universal American July 2014 - Present
Select Specialty Hospital August 2013 - July 2014
Q-Centrix March 2012 - August 2013
Memorial University Medical Center November 2010 - October 2012
Memorial University Medical Center April 2006 - October 2010
Memorial University Medical Center 2004 - 2006
Memorial University Medical Center 1999 - 2004
Therapy Management Services 1996 - 1998
Memorial University Medical Center 1994 - 1996
Memorial University Medical Center 1992 - 1994
Skills
Healthcare, Nursing, Healthcare Management, Hospitals, Managed Care, EHR, Team Building, Performance Improvement, Leadership, Revenue Cycle, BLS, EMR, Pediatrics, Inpatient, Healthcare Information..., Critical Care, Healthcare Consulting, Informatics, HIPAA, Medicine, Physician Relations, Acute Care, Quality Improvement, Medicare, Physicians, Cerner, Case Management, Epic Systems
Education
South University 2008 — 2011
MBA, Healthcare Administration
Armstrong Atlantic State University 1986 — 1990
BSN, Nursing
United Healthcare January 2014 - Present
Board of Directors April 2010 - Present
BIGGS SOUND & ENTERTAINMENT August 1995 - Present
Universal American 2012 - 2013
SIHI Pumps, Inc. March 2012 - October 2012
Alden Presbyterian Church October 2008 - March 2012
Univera Healthcare January 2006 - February 2012
Univera Healthcare January 2006 - February 2012
Univera Healthcare January 2006 - 2012
Univera Healthcare January 2006 - August 2008
Skills
Health Insurance, Customer Service, Sales, Program Management, Customer Retention
Education
Appalachian State University 1990 — 1994
BS, Criminal Justice
Appalachian State University 1990 — 1994
B.S, Criminal Justice
Universal American May 2012 - Present
APS Healthcare September 2008 - May 2012
Lancesoft June 2008 - September 2008
Skills
Project Management, Quality Center, SDLC, Quality Assurance, LoadRunner, QTP, Informatica, Visio, SQL, Testing, Software Quality..., Test Automation, ETL, Business Intelligence, Microsoft SQL Server, Integration, Agile Methodologies, Test Planning, User Acceptance Testing, Oracle, Databases, PL/SQL, Data Warehousing, Software Documentation, Requirements Gathering, SharePoint, VBScript, System Testing, Scrum
Education
Carroll University 2015 — 2017
Master of Business Administration (MBA)
DAVV University, Indore 1995 — 1999
B. E., Computer Science
Waukesha County Technical College 2009 — 2010
IT Project Management
Fort Bend Recycling and Metals September 2013 - Present
Universal American August 2011 - September 2013
MD Anderson Cancer Center May 2000 - December 2010
Skills
MS Project, PMP, Project Management, Visio, PMO, Project Portfolio..., Process Improvement, Program Management, Project Planning, Project Delivery, Business Analysis, Project Coordination, Vendor Management, Risk Management, Business Process..., SDLC, Contract Management, Change Management, SharePoint, Software Project..., Microsoft Project
Education
University of Alabama at Birmingham 1999 — 2001
MS in Health Informatics, Healthcare Implementation
Medical College of Georgia at Georgia Regents University 1996 — 1998
Health Information Management, Health/Health Care Administration/Management
Augusta State University 1992 — 1996
Universal American 2013 - Present
CareSouth Homecare Professionals September 2012 - August 2015
Skills
Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, HTML, Team Building, Public Speaking, Healthcare, Event Planning, Marketing, Nonprofits, Leadership Development, Community Outreach, Leadership
Education
Armstrong Atlantic State University 1990 — 1993
BSN, Registered Nursing/Registered Nurse, 3.2
Lincoln Technical Institute October 2013 - July 2015
Schumaker Optimal Health Coaching January 2013 - December 2014
Adoption Network Cleveland August 2012 - May 2013
Universal American November 2010 - June 2011
AMC Theatres January 2008 - June 2010
Bert's Electric & Plumbing September 2006 - March 2007
Delta Fire, Inc May 2005 - May 2006
Skills
Community Outreach, Public Speaking, Customer Service, Event Planning, Nonprofits, Data Entry, Office Management, Interviews, Social Services, Fundraising, Volunteer Management, Telephone Skills, Social Networking, Project Planning, Social Media, Leadership, Retail, Research, Healthcare, Case Managment, Time Management
Education
Cleveland State University 2011 — 2013
Bachelor's degree, Social Work
Iona College 2008 — 2010
Social Work
University of Connecticut
Social Work
Integrated Business Software July 2014 - Present
Universal American May 2011 - July 2014
Careershop Inc April 2008 - May 2011
Connextions February 2006 - June 2007
Telespectrum April 1999 - June 2005
CFS Commercial Financial Services March 1998 - November 1998
Skills
Applicant Tracking..., AJAX, LINQ, Customer Relations, ASP, IIS, .NET, ASP.NET, SQL Server, VB.NET, ADO.NET, C#, Web Services, Server Architecture, XML, Databases, Windows, JavaScript, Linux, Visual Studio, Microsoft SQL Server, Teamwork, Crystal Reports, Oracle, Software Project..., Scrum, Business Intelligence, TFS, HTML 5, SDLC, CRM, Integration, T-SQL, HTML, Visual Basic, SharePoint, Software Development, Agile Methodologies, SOA, Database Design, PL/SQL, Web Development, SQL, CSS, ASP.NET MVC, SSRS, Requirements Analysis, Unix, VBScript, jQuery
Education
Acharya Nagarjuna University 1992 — 1995
MCA (Masters in Computer Applications), Computer Science
Mahatma Gandhi University 1989 — 1992
BCom (Bachelor of Commerce), Commerce and Accounting
Central Texas Medical Center September 2015 - Present
Actively Seeking New Opportunities July 2015 - Present
Universal American March 2014 - Present
Skills
Health Insurance, Hospitals, Healthcare, Managed Care, Medicaid, Medicare, Nursing, Workers Compensation, Insurance, Case Management, Long-term Care, Disease Management, HIPAA, Utilization Management, Home Care, EMR, Inpatient, Patient Safety, Patient Advocacy, Healthcare Information...
Education
Canadian Valley Technology Center 2002 — 2004
Lvn, Nursing
ICON Hospital February 2015 - Present
Memorial Hermann Health System- Orthopedic and Spine Hospital February 2014 - Present
Universal American April 2012 - February 2014
Memorial Hermann Healthcare System April 2011 - April 2012
Memorial Hermann Healthcare System June 2003 - April 2011
Tilton Healthcare INC June 2005 - April 2009
Covenant Medical Center August 1999 - June 2003
Skills
Medical Terminology, Hospitals, HIPAA, Medicare, Home Care, Healthcare, Nursing, Healthcare Management, Patient Safety, Inpatient, Utilization Management, Managed Care, Direct Patient Care, Quality Patient Care, Medical/Surgical, Critical Care, Patient Advocacy, Medical Billing, Vital Signs, HEDIS, InterQual Criteria, Midas, ACLS, Clinical Research
Education
Capella University 2014 — 2016
Master's Degree, Health/Health Care Administration/Management, 4.0
Angelo State University 2010 — 2011
Bachelor's Interdisciplinary Studies, Psychology, Sociology, and English
South Plains College 1998 — 1999
Vocational Nursing
Texas Tech University 1995 — 1998
Consumers Mutual Insurance of Michigan May 2015 - Present
Universal American May 2009 - April 2015
Universal American September 2008 - May 2009
Universal American January 2006 - August 2008
Lovelace Health Plan August 2003 - December 2005
TeraHealth July 1999 - August 2003
Fallon Community Health Plan April 1998 - July 1999
Fallon Community Health Plan July 1995 - March 1998
Fallon Community Health Plan 1986 - July 1995
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Public Speaking, Budgets, Strategic Planning, Analysis, Forecasting, Finance, Auditing, Financial Reporting, Accounting, Financial Analysis, Sarbanes-Oxley Act, Internal Audit
Education
Clark University 1990 — 1993
Master of Business Administration (M.B.A.), Accounting
College of the Holy Cross 1983 — 1987
Bachelor of Arts (B.A.), Economics
SouthWest Health Network April 2014 - February 2015
Universal American January 2012 - April 2014
Epic Health Services, Inc. May 2013 - March 2014
Skills
Microsoft Word, Customer Service, Quality Assurance, Catering, Hospitality, Customer Satisfaction
Education
Everest Institute-Hobby 2012 — 2013
Medical Assistant, Billing and Coding, Phlebotomy, front and back office, Audit Specialist, Health Issurance Expert
Everest Institute-Hobby 2012 — 2013
Medical Assistant , Medical/Clinical Assistant
Natural Stone Motif, Inc September 2014 - Present
Natural Stone Motif, Inc. September 2014 - Present
Universal American September 2014 - August 2015
Universal American August 2010 - September 2014
Natural Stone Motif, Inc. January 2010 - September 2014
Neighborhood Alliance Church April 2011 - May 2011
Altamonte Christian School January 2010 - August 2010
Universal American June 2008 - December 2009
National Association of Drug Free Workplaces March 2006 - August 2006
Skills
Research, Windows, Software Documentation, Troubleshooting, Project Management, IT Audit, XP, Microsoft Office, Customer Service, Change Management, Social Media, Web Development, Digital Media, SOX Compliancy, Graphic Design, Video Production, Photoshop, Digital Photography, Apple, Macintosh Applications, HIPAA, Analysis, Technical Support, HTML, Social Media Marketing, System Administration, Process Improvement, OS X, Business Analysis, Team Building, Hardware, Program Management, Help Desk Support, Access, Sarbanes-Oxley Act, Windows 7, CMS, Cisco Technologies, Call Centers, Team Leadership, Training, SharePoint, Information Technology, Data Analysis, Business Process, Security, VMware, Networking
Education
Belhaven University 2004 — 2008
Bachelor's degree
Belhaven University 2003 — 2008
BA, Social Services
Universal American January 2013 - Present
Aetna January 2007 - August 2012
Aetna January 2003 - January 2007
Aetna January 2000 - January 2003
Aetna July 1998 - January 2000
Skills
Research, Sales, Training, Microsoft Office, Management, Microsoft Excel, Microsoft Word, PowerPoint, Leadership, English, Process Improvement, Windows, Outlook, Marketing Communications, Recruiting, Job Coaching, Strategic Visionary, Motivational Speaking, Team Building, Insurance, Medicare, Call Centers, Analysis, Health Insurance, Claim, Medicaid, Managed Care, Healthcare, HIPAA, Access, Invoicing
Education
Baylor University 2007 — 2011
Master's Degree, Theology/Theological Studies
Paul Quinn College 2005 — 2007
Bachelor's Degree, Business
El Camino College-Compton Center 2000 — 2001
Associate's Degree, Communications
Universal American January 2014 - March 2014
H&R Block December 2009 - April 2012
United Airlines February 1995 - January 2004
Education
Argosy University Honolulu 2012 — 2015
Bachelor’s Degree, Business Administration and Management, General
Remington College-Honolulu Campus 2010 — 2012
Associate of Science (AS), Medical/Clinical Assistant
CST Connections February 2015 - Present
Universal American February 2013 - February 2015
US Army October 1983 - April 1986
Skills
Sales Management, Operations Management, Executive Management, Talent Management, Human Resources, Organizational..., Recruiting, Interviews, Sourcing, Business Development, Training, Leadership, Temporary Placement, Applicant Tracking..., Change Management, Marketing, Employee Relations, Leadership Development, Management, Personnel Management, Workforce Planning, Hiring, Start-ups, Employee Benefits, Consulting, Job Descriptions, Benefits Negotiation, Cross-functional Team..., Onboarding, Policy, Talent Acquisition, Performance Management, Technical Recruiting, Negotiation
Education
Liberty University 2002 — 2005
Business Management/Finance and Accounting
Recruiter Managment and Training Course 1998 — 1998
Certificate 1059, Recruiter Management and Training Development
Vincennes University 1989 — 1991
Corporate Communications
Central Texas College 1985 — 1987
Medicine
McKesson Specialty Health October 2014 - January 2015
Universal American 2012 - 2013
Bridgeway Group of Companies August 2010 - August 2011
Care 1st of Arizona April 2008 - March 2010
Skills
Medical Terminology, Medical Coding, CPT, ICD-9, Medical Records, Research, HCPCS, Medisoft, ICD-9-CM, Healthcare Information..., Data Entry, Provider Relations, Credentialing, HIPAA, Hospitals, ICD-10, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Teamwork, Health Information..., Healthcare, Medicare, Managed Care, Health Insurance, Process Improvement, Medicaid, Healthcare Management, Insurance, Access, Data Analysis, Healthcare Industry, Software Documentation
Education
Allen School-Brooklyn 2011 — 2012
Associate of Arts and Sciences (A.A.S.), Health Information Techology
Baltimore City Community College 1985 — 1987
Associate of Arts and Sciences (A.A.S.), Health Information/Medical Records Technology/Technician
Alliant Health Solutions, Inc. / GMCF March 2015 - Present
Universal American September 2013 - February 2015
HealthSouth Walton Rehabilitation Hospital June 2011 - August 2013
Odyssey Healthcare August 2012 - October 2012
Heritage Healthcare of Wilkes October 2010 - April 2011
CareSouth Homecare Professionals April 2010 - October 2010
Athens Regional Medical Center August 2008 - April 2010
Skills
Computers, Filing, Vital Signs, Medication..., Immunization, ICU, Home Care, Nursing Homes, Nursing Management, Supervisory Experience, Pediatrics, Medical Office, Medical Records, Medicine, Patient Safety
Education
Athens Technical College 2004 — 2008
Associate's degree, Registered Nursing/Registered Nurse
Athens Technical College 1986 — 1987
Diploma, Medical Office Assistant/Specialist
Murray Securus October 2009 - Present
Universal American January 2006 - October 2009
Gateway Funding January 2006 - October 2009
Wells Fargo Home Mortgage January 2005 - December 2005
Abacus Diversified Mortgage September 1999 - December 2005
Lancaster Dodge 1994 - 1999
First Union Home Mortgage 1997 - 1998
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Property & Casualty..., Life Insurance, Term Life Insurance, Underwriting, Long-term Care, Customer Service, Disability Insurance, Sales Management, Brokers, Strategic Planning, Team Building, Commercial Insurance, Sales
Education
American University 1982 — 1985
Cecil Community College 1981 — 1982
Biology
Lancaster Country Day School 1969 — 1981
Diploma, 1-12
McKesson Health Solutions-Med3000 December 2010 - Present
Universal American February 1998 - October 2010
Skills
Billing, Healthcare, Customer Service, Insurance, Excel, Microsoft Office, Problem Solving, Software Documentation, Invoicing, Medicare, HIPAA, Hospitals, EMR, Microsoft Excel, Team Building, Health Insurance, Analysis, Medicaid, Healthcare Information..., Medical Billing, Training
Education
Southeastern Business College 1989 — 1990
Computerized Office Systems
Bowling Green State University 1988 — 1989
Premier Companies, INC. December 2012 - Present
Manhattan Life Insurance Company and its affiliated entities July 2012 - December 2012
N and T Consulting, LLC May 2009 - July 2012
Universal American June 2006 - May 2009
PacifiCare Health Systems June 2005 - April 2006
Mutual of Omaha March 1998 - May 2005
Financial Brokerage December 1994 - February 1998
Farm Bureau Financial Services March 1993 - December 1994
Skills
Long Term Care, Brokers, Medicare, Medicare Supplements, Health Insurance, Insurance, Fixed Annuities, Disability Insurance, Term Life Insurance, Medicare Part D, Managed Care, Life Insurance, Medicaid, Health Policy, Critical Illness, Healthcare, Long-term Care, Recruiting, Team Leadership, Management, Whole Life, Marketing, Small Business, Claim, Training, Long Term Care Insurance, Leadership, Universal Life, Sales, Retirement, Accident
Education
Chadron State College 1987 — 1992
BA, History
ePM Management Consulting February 2014 - April 2014
Questas Consulting January 2013 - April 2013
Sedgwick CMS July 2012 - November 2012
MedAssets February 2012 - May 2012
Universal American July 2011 - November 2011
Kaiser Permanente September 2008 - July 2011
Questas Consulting January 2000 - January 2008
BROOKS GROUP January 1995 - January 2000
Parkview Community Hospital Medical Center March 1993 - April 1995
Skills
PMP, Process Improvement, MS Project, Six Sigma, PMBOK, Project Planning, Program Management, Business Process..., Visio, PMO, Change Management, Process Engineering, Business Analysis, Team Building, PMI, Cross-functional Team..., Requirements Analysis, Business Process, Management Consulting, Scope Management, Requirements Gathering, Project Delivery, Documentation, Operational Excellence, Process Development, Resource Management, Team Leadership, Mentoring, Lean Initiatives, Lean Healthcare, Staff Planning, Cost Reduction, Training, Vendor Management, Healthcare, Project Portfolio..., IT Strategy, Lean Manufacturing, Business Transformation, Business Process Mapping, Business Process..., Agile Project Management
Education
City University of New York-Brooklyn College
BA, Education / Business
H.J. Harrington International Institute for Quality
Black Belt Lean Six Sigma
PMI
PMP, Project Management
Sarbanes-Oxley Institute
CSOX
Optum, Inc. April 2012 - Present
Universal American February 2006 - January 2012
CNA Insurance April 1990 - December 2005
Skills
Medicare, Insurance, HIPAA, Process Improvement, Software Documentation, Visio, Call Centers, Accounts Receivable, Health Insurance, Outlook, Managed Care, Medicaid, Microsoft Office, Employee Benefits, Invoicing, Customer Service, Analysis, Management, Strategic Planning
Education
Ashford University 2010 — 2013
Masters, Business
Georgian Court University 1991 — 1999
Bachelors, Accounting
Honda Cars of Katy May 2010 - August 2011
Universal American September 2006 - April 2010
Gillman Companies July 2001 - September 2006
Skills
PBX, Microsoft Office, Excel, Organizing, American Sign Language, Customer Service, Microsoft Excel, Non-profits, Team Building, Microsoft Word, PowerPoint, Training, Sales, Budget, Budgets, Healthcare, Inventory Management, Leadership, Management, Nonprofits, Operations Management, Public Speaking, Social Networking, Time Management
Education
California State University, Northridge 1994 — 1996
Education/Deaf Studies
Antelope Valley College 1993 — 1995
Education/Deaf Studies
Douglas High School 1992 — 1992
Diploma, Basic Education
Universal American August 2010 - Present
EmblemHealth October 2009 - August 2010
Archcare June 2008 - September 2009
EmblemHealth October 2006 - June 2008
Fidelis Care NY February 2005 - October 2006
St. Barnabas Hospital July 2001 - February 2005
Skills
Business Operations, Healthcare Information..., Managed Care, Project Management, Cross-functional Team..., Strategic Planning, Data Analysis, Analysis, Strategy, Business Planning, Healthcare, Healthcare Management, Process Improvement, Medicare, Hospitals, Medicaid
Education
New York University 2000 — 2002
Masters of Public Administration
Binghamton University 1994 — 1998
BA
AvMed Health Plans July 2009 - Present
Universal American May 2008 - June 2009
Blue Care Network December 2000 - May 2008
Care Choices/Trinity Health Plans March 1990 - December 2000
Price Waterhouse 1987 - 1990
Laventhol & Horwath 1983 - 1987
Skills
Health Insurance, Process Improvement, Healthcare, Managed Care, Healthcare Management, Insurance, Employee Benefits, Medicare, HIPAA, Medicaid, Revenue Cycle, Accounting, Budgets, Financial Analysis, Auditing, Forecasting, Financial Reporting, Analysis, Finance, Peer Mentoring, HMO, Strategic Financial...
Education
Walsh College 1998 — 2001
MS, Management
The University of Kansas 1981 — 1983
BS, Accounting
Alma College 1979 — 1980
Business & Accounting
Alma College 1979 — 1980
Community Health Choice 2015 - Present
PricewaterhouseCoopers LLP 2013 - 2015
UnitedHealth Group 2010 - 2012
Universal American 2006 - 2010
LIT Group, Inc. 2005 - 2006
MHMRA of Harris County 2002 - 2004
Amerigroup Corporation 2000 - 2001
Skills
Healthcare Management, Managed Care, Medicare, Medicaid, HIPAA, Compliance Auditing and..., Project Management, Human Resources, Diversity & Inclusion, Leadership, Strategic Planning, Process Improvement, Program Management, Policy, Program Development, Organizational..., Insurance, Contract Management, Quality Improvement, Training and Education
Education
Rice University
Certificate, Professional Human Resource Development
Center for Advanced Legal Studies
Certificate, Paralegal Studies
University of Houston
Master of Education, Health Education
The University of Texas Medical Branch at Galveston
Bachelor of Science, Healthcare Administration
Empyrean Benefit Solutions, Inc. September 2015 - Present
Empyrean Benefit Solutions January 2012 - Present
Universal American October 2011 - January 2012
BMC Software February 2011 - August 2011
Consolidated Graphics March 2010 - January 2011
Humana June 2008 - March 2010
Samtec Inc October 2006 - May 2008
GE Appliances May 2005 - September 2006
Skills
Organizing, Software Project..., Software Development, Communications Strategy, Team Management, Agile Methodolgy, MS Project, Agile Methodologies, Microsoft SQL Server, Quality Assurance, CRM, Scrum, Project Planning, Testing, Project Management, Management, Change Management, Strategic Communications, PMO, Microsoft Project, SDLC
Education
Auburn University
M. S, Consumer Affairs, Minor in MIS, GPA: 3.64
East China University of Science and Technology
B. S, Industrial Automation
University of Southern Indiana
Post Baccalaureate, Computer Information System (CIS) Certificate, GPA:3.81
WellPoint June 2014 - Present
Universal American August 2013 - April 2014
Geisinger Health Plan May 2013 - August 2013
Elsevier June 2012 - May 2013
Blue Cross Blue Shield of Michigan June 2010 - June 2012
Igate Mastech November 2006 - June 2012
Highmark November 2006 - June 2010
Wipro Technologies October 2003 - November 2006
Oracle May 1998 - October 2003
Skills
Data Warehousing, Data Warehouse..., Teradata, PMP, Informatica, ETL, Data Modeling, Business Intelligence, Master Data Management, Data Integration, Requirements Analysis, Healthcare Information..., HL7, Oracle 9i, Cognos, Amazon Cloud, Talend, Data Quality, Dimensional Modeling, Integration, Business Objects
Education
Bangalore University
BE, Mechanical
Penn State University 2011 - Present
Universal American 2010 - 2015
Space Telescope Science Institute 2002 - September 2006
Space Telescope Science Institute 1999 - 2002
Space Telescope Science Institute 1996 - 1999
Space Telescope Science Institute July 1988 - 1996
National Radio Astronomy Observatory 1982 - June 1988
Skills
Enterprise Architecture, Analysis, Programming, Legacy Modernization, Python, Zope, JavaScript, AngularJS, SQLAlchemy, Project Management, Management, Change Management, Configuration Management, Unix
Education
Penn State University 2007 — 2008
Project Management
Virginia Polytechnic Institute and State University 1980 — 1982
Post-Doc, Astronomy
Cornell University 1976 — 1980
Ph.D., Astronomy
Cornell University 1973 — 1976
M.S., Physics
Brown University 1969 — 1973
B.S. w Honors in Physics, Physics, History
Mercersburg Academy 1966 — 1969
The Camden Group January 2015 - Present
Health Directions October 2014 - Present
Universal American February 2014 - August 2014
Universal American May 2012 - February 2014
Blue Shield of California October 2010 - May 2012
Hoffmann-La Roche 2009 - 2009
Michigan Public Health Institute 2006 - 2006
Aventis Pharmaceuticals 2004 - 2005
MyDocOnline September 2001 - January 2004
Sparrow Health System May 1999 - September 2001
Skills
Process Improvement, Healthcare, Cultural Awareness, Analysis, Health, Budgeting, Customer Relations, Policy, PowerPoint, Excel, Word, Change Management, Microsoft Office, Marketing Strategy, Windows, Healthcare IT, Qualitative Research, Staff Development, Public Speaking, Microsoft Word, Budgets, Microsoft Excel, Customer Service, Healthcare Information..., Project Planning, Strategic Planning, Program Management, Data Analysis, Leadership, Project Management, Insurance, Strategy, Business Process...
Education
Seton Hall University 2007 — 2009
MA
Central Michigan University 1991 — 1995
BSBA
Universal American November 2012 - Present
The Rothwell Group February 2012 - August 2012
Texas Medical Center March 2010 - November 2011
Sogeti November 2006 - January 2009
Bridgeway Software May 2000 - December 2003
Skills
Testing, Business Process, Databases, Cloud Computing, Project Management, SSRS, Requirements Gathering, PL/SQL, Change Management, Regression Testing, Software Documentation, Security, Oracle, XML, Management, Performance Tuning, Citrix, Solution Architecture, Business Process..., SOA, T-SQL, Software Development, Business Analysis, IT Management, Software Quality..., Virtualization, ERP, PMP, Java, Process Improvement, SDLC, Business Intelligence, SharePoint, Training, SQL, Microsoft SQL Server, Integration, Program Management, Requirements Analysis, Agile Methodologies, Web Services, Enterprise Architecture, Software Project...
Education
University of Houston 2004 — 2006
Bachelor of Business Administration, Information Systems and Accounting
Baylor University 1994 — 2000
Bachelor of Science (BS), Geology
Universal American 2007 - Present
Heritage Health Systems 2007 - Present
Convention Services Corp June 2000 - 2008
ExxonMobil 1990 - 2000
Skills
SDLC, Visio, Software Development, Requirements Gathering, SharePoint, Business Analysis, SSRS, Requirements Analysis, Microsoft SQL Server, Enterprise Architecture, Vendor Management, Business Intelligence, Software Documentation, Project Management, Software Project..., Business Requirements, Management, Database Design, Business Process, Agile Methodologies, SQL, IT Strategy, SSIS, Databases, PMP, T-SQL, Disaster Recovery, Project Portfolio..., Crystal Reports, PMO, Solution Architecture, Systems Analysis, Performance Management, TFS, IT Management, Certified Scrum Master..., MS Project, .NET, Scrum, User Acceptance Testing, Capacity Planning, Web Applications, SAS programming, C#, Application Lifecycle..., Entity Framework, Web Services, DCF, MBA, TQM
Education
Amberton University
Master of Business Administration (M.B.A.), Management and Finance
Thomas Edison State College
BSBA, Information Systems
Universal American June 2009 - Present
PepsiCo, Inc. February 2004 - December 2008
Pepsio, Inc. January 2003 - May 2004
PepsiCo January 2002 - January 2003
PepsiCo January 2000 - January 2002
PepsiCo January 1998 - March 2000
PepsiCo January 1996 - January 1998
PepsiCo January 1995 - January 1996
PepsiCo January 1993 - January 1995
PepsiCo January 1989 - January 1993
Skills
Process Improvement, Training, Sarbanes-Oxley Act, Cross-functional Team..., Project Management, IT Audit, Internal Controls, Risk Management, Process Engineering, Change Management, Sarbanes-Oxley, Vendor Management, Management, MS Project, PMO, Outsourcing, Business Process, Software Development
Education
The University of Dallas 1982 — 1986
M.B.A., Information Systems
Brigham Young University 1978 — 1979
Bachelor of Music, Summa Cum Laude
Richland Community College 1977 — 1978
AA, Music, Business
J.J. Pearce High School 1970 — 1974
Diploma, General
CVS Caremark Corporation October 2007 - Present
Universal American 2009 - 2012
Associated Software Consultants March 2000 - August 2007
Skills
HIPAA, SSIS, Visio, SSRS, Microsoft SQL Server, Systems Analysis, T-SQL, System Administration, Disaster Recovery, Database Design, Database Administration, Data Analysis, ETL, Business Requirements, Software Project..., Databases, Performance Tuning, OLAP, Business Intelligence, Data Modeling, Integration, Requirements Gathering, Business Analysis, SQL, Windows Server, VSS, SDLC, Software Documentation, Stored Procedures, Software Development
Education
Cleveland State University 1995 — 1999
Bachelor of Science in Computer Information Science, Computers, Finance
Midwest Technology Inc (Subsidiary of EnvisionRx) May 2013 - Present
CVS Caremark Corporation June 2011 - Present
Universal American July 2009 - June 2011
MemberHealth October 2007 - July 2009
MemberHealth June 2006 - October 2007
Medquist 2000 - 2006
Cleveland Clinic 1998 - 2000
Netforce Development Inc. 1998 - 1999
Education
Cleveland State University 1991 — 1996
chemical engineering
Aetna April 2015 - Present
Mehlman Castagnetti Rosen Bingel & Thomas Inc August 2013 - April 2015
Office of Senator Mike Crapo February 2011 - August 2013
Universal American September 2007 - February 2011
Congressman Tim Murphy January 2003 - August 2004
Skills
Legislative Research, Legislation, Coalitions, Legislative Relations, Policy Analysis, Political Campaigns, Grassroots Organizing, Political Consulting, Legislative Affairs, Public Policy
Education
Penn State University 2000 — 2002
Bachelor of Arts (BA), Speech Communication and Rhetoric
Boston University 1998 — 2000
Oxford University (Summer School)
Citi May 2011 - Present
American Express April 2010 - May 2011
Universal American September 2009 - April 2010
American Express 2004 - July 2009
LeadDog Marketing Group 2003 - 2003
National Cable Communications 1999 - 2002
Skills
Direct Marketing, Product Management, Advertising, Customer Acquisition, Customer Experience, Email Marketing, Telemarketing, New Product Ideation, Launch Of New Products, Customer Loyalty, Cross Selling, Marketing Strategy, Product Development, Brand Loyalty, Marketing, Leadership, Strategy, Cross-functional Team..., Segmentation, Analytics, Sales, Project Management, Analysis
Education
City University of New York-Baruch College
Masters of Business Administration, Marketing
Paylocity April 2012 - Present
Universal American December 2011 - April 2012
Veredus January 2010 - December 2011
Stromberg October 2005 - October 2010
Sears, Roebuck and Co. August 2002 - October 2005
AirNet Communications October 1999 - August 2001
OAO Corporation October 1998 - October 1999
Rational Software June 1986 - June 1998
Skills
ASP.NET
Education
Seminole State College of Florida 2002 — 2005
A.S., Internet Services Technology
Ball State University
B.S., Earth Science, Biology
Foothill College
Computer Science, Art
Richmond High School
Conroe Coffee, LLC June 2013 - Present
ONEOK May 2014 - February 2015
Enterprise Products January 2013 - May 2014
Situs June 2012 - January 2013
Intertek Caleb Brett April 2010 - August 2011
Symantec October 2010 - December 2010
Universal American September 2009 - October 2009
NetIQ December 2007 - January 2009
Open Solutions is now part of Fiserv. Please follow Fiserv at LinkedIn.com/company/Fiserv January 2004 - September 2007
Canyon Capital Funding March 2003 - December 2003
Skills
Microsoft SQL Server, Databases, Crystal Reports, SQL, Requirements Analysis, SSRS, SQL Server, VBScript, Business Intelligence, Data Migration, Business Analysis, Software Development, Integration, SCADA, uCOS
Education
California State University-Northridge 1990 — 1999
Computer Science
Ferguson Enterprises - Waterworks Division September 2014 - Present
Express-Scripts June 2013 - September 2014
CVS Caremark Corporation January 2012 - June 2013
Universal American January 2010 - December 2011
Universal American January 2008 - December 2009
Member Health October 2007 - October 2008
sanofi-aventis 2002 - 2007
Skills
Medicare Part D, PBM, Account Management, Managed Care, Medicare, CRM, Informatics, Pharmaceutics, Pharmacy Benefit..., Health Insurance, Pharmaceutical Industry, Leadership, Disease Management, Insurance, Oncology, Business Strategy, Management, Endocrinology, Pricing, Medicaid, Customer Retention, Strategy, Pharmacy, Gastroenterology, Project Management, Healthcare, Contract Negotiation, Sales, Diabetes, Employee Benefits, Cross-functional Team..., Pharmaceutical Sales, Pharmacy Automation, Call Centers, Long-term Care, Negotiation, Rheumatology, Healthcare Industry, Process Improvement, Hospitals, HIPAA, Healthcare Information...
Education
Bowling Green State University 1985 — 1989
Bachelor of Arts (BA), Business
Universal American May 2013 - Present
Universal American April 2010 - May 2013
Universal American January 2005 - March 2010
Universal American December 2001 - December 2004
Illustra Practice Management, Inc. March 1997 - December 2001
Healthcare Practice Management November 1995 - March 1997
Excelsior Springs Pediatric Clinic May 1995 - November 1995
Broadbent Accounting 1989 - 1991
Skills
Process Improvement, Insurance, Financial Reporting, Medicare, Analysis, Employee Benefits, Healthcare, Managed Care, General Ledger, Management, Finance, Sarbanes-Oxley Act, Accounting, Cash Flow, Medicaid, Payroll, Health Insurance, Financial Analysis, Internal Controls, Policy, Leadership, Business Analysis, Access, Strategic Planning, Business Process..., Accounts Receivable, Risk Management, Healthcare Industry, Auditing, HMO, Compliance, Human Resources, Cross Functional Team..., Change Management, Medical Billing, Mergers & Acquisitions, Medicare Part D, Business Planning, Data Analysis, Internal Audit, Accounts Payable, Capital Budgeting, Team Building, Revenue Cycle, Financial Risk, Six Sigma, Account Reconciliation, SOX, Mentoring
Education
University of Houston-Clear Lake 2001 — 2004
MBA, Accounting and Business/Management
Missouri State University 1993 — 1995
Bachelor of Science, Management, Cum Laude
College of the Ozarks 1991 — 1993
Business Administration and Management, General
Universal American July 2014 - Present
Univera Community Health January 2006 - Present
Excellus, BlueCross BlueShield 2004 - Present
Excellus BCBS February 2013 - July 2014
Excellus, Blue Cross Blue Shield July 2004 - January 2013
Ronald McDonald House of Charities, CNY 2010 - 2011
CNY Internists P.C. April 2003 - July 2004
Skills
Medicaid, Managed Care, Healthcare, Health Insurance, Disease Management, Medicare, Leadership, Strategy, Strategic Planning, Network Development, Provider Relations, Health Policy, HIPAA, Team Building, Healthcare Management, Healthcare Information..., Medicare Part D, Contract Negotiation, Management, Process Improvement, Analysis, Pharmacy Benefit..., HMO, Program Management
Education
Binghamton University - School of Management 1999 — 2001
MBA, Healthcare Administration
State University of New York Upstate Medical University 1998 — 2000
BSN, Nursing
Acuative March 2012 - Present
Acuative March 2012 - Present
CVS Caremark Corporation May 2010 - March 2012
Universal American October 2007 - May 2011
MemberHealth, LLC (Universal American Corp.) October 2007 - June 2008
Foresight Technology 2001 - 2002
Skills
VMware ESX, Citrix Metaframe, Active Directory, Windows Server, Servers, Documentation, Outlook, Microsoft Office, HIPAA, Customer Relations, Security, Windows, Administration, Excel, Disaster Recovery, Windows Server 2003, Word, Customer Service, Integration, Analysis, Linux, Microsoft SQL Server, Storage Area Networks, Red Hat Linux, Software Documentation, Cisco Technologies, Microsoft Exchange, Technical Support, Microsoft Word, SharePoint, Visio, System Administration, Microsoft Excel, Business Analysis, Testing, Enterprise Architecture, Windows 7, Management, SAN, Data Center, Access, Troubleshooting, Symantec Endpoint..., VMware, Server Administration, Vendor Management, Hardware, Cisco Nexus, Call Centers, Routers
Education
Cleveland State University 2002 — 2002
John Carroll University 2001 — 2002
Business
Wellcare of Georgia Healthplans April 2010 - November 2011
Universal American 2009 - 2010
Coventry Health Care December 2008 - May 2009
Coventry Healthcare of Georgia, Inc December 2008 - May 2009
1st Medical Network April 2002 - August 2008
st Medical Network, LLC April 2001 - August 2008
1st Medical Network, LLC April 2001 - June 2007
Kaiser Permanente 1989 - 1998
Skills
Claims Resolution, Provider Relations, Network Development, Medicare, Provider Contracting, Claims, Medicaid, Insurance, HMO, Contract Negotiation, Credentialing, Claim, PPO, Healthcare Management, Managed Care, HEDIS, Provider Network..., Disease Management, NCQA, Health Policy, Physicians, Healthcare Industry, Utilization Management, Health Insurance, Provider Education, Healthcare, Medicare Part D, Medicaid Managed Care, HIPAA, Physician Relations, Hospitals, Employee Benefits, Revenue Cycle, Healthcare Consulting, Medical Billing, ICD-9, CPT, Health Plan Operations, Quality Improvement, Pharmacy Benefit..., Healthcare Information..., Medical Coding, Health Information..., Medicare/Medicaid..., EHR, Medical Records, Medical Terminology
Education
Ashford University 2010 — 2013
BA, Healthcare Administration with minor in Human Resources
Ashford University 2010 — 2013
Bachelor of Arts (BA), Health/Health Care Administration/Management with Minor in Human Resources
Dekalb Technical College 1992 — 1992
Medical Coding
Infocrossing June 2010 - Present
Universal American December 2008 - June 2010
Citizens Choice Healthplan January 2008 - December 2008
Health Net March 2006 - January 2008
Blue Shield of California July 1997 - March 2006
Skills
Medicare Advantage, Health Insurance, HIPAA, Managed Care, Insurance, Medicare, Call Centers, Medicaid, Medicare Part D, HMO, Process Improvement, Sales, Team Building, PowerPoint, Health Policy, Business Development, Training, Provider Relations, Healthcare Industry, Administration, Strategic Planning, Healthcare Consulting, Business Analysis, System Administration
Education
College of the Canyons 1981 — 1984
Business
Midwest Technology Inc. (subsidiary of EnvisionRx) May 2013 - Present
Independent Consultant April 2009 - April 2013
Universal American October 2007 - April 2009
MemberHealth, LLC (a Universal American Company) October 2007 - April 2009
MemberHealth LLC June 2006 - April 2009
SXC 2005 - 2006
Aetna 2003 - 2005
Bloodhound, Inc. 2001 - 2003
Prospective Health, Inc. 1997 - 2001
Systemed Pharmacy, Inc. 1990 - 1997
Skills
SharePoint, Healthcare, Managed Care, Vendor Management, Change Management, Healthcare Information..., Management, HIPAA, Data Analysis, Business Analysis, Program Management, Cross-functional Team..., Project Management, Software Documentation, Visio, Integration, SDLC, Customer Service, Team Leadership, Medicare, Pharmacy Benefit..., Call Centers, Team Building, Strategic Planning, Process Improvement, CRM, Access, Analysis, Requirements Gathering, Medicare Part D, Quality Assurance, Business Intelligence, Leadership, Pharmacy, Project Portfolio..., PMO, Medicaid, Agile Methodologies, Databases, IT Strategy, Informatics, Insurance, Health Policy, Systems Analysis, Business Process..., Disaster Recovery, Microsoft SQL Server, Healthcare Industry, Software Project..., Requirements Analysis
Education
Cleveland State University 1993 — 1996
MBA
Cleveland State University 1981 — 1986
BS, Computer Information Sciences
Partners Health Plan February 2015 - Present
Universal American August 2014 - February 2015
YAI July 2011 - August 2014
New York Foundling March 2010 - December 2011
Extended Home Care September 2010 - March 2011
Saint Vincent Catholic Medical Centers November 2009 - February 2010
AHRC September 2008 - November 2009
Maxim Healthcare Services September 2008 - May 2009
Education
New York University 2009 — 2013
MSN, Nursing Education
LIU Brooklyn 2004 — 2008
BSN, Nursing
City University of New York-Brooklyn College 2003 — 2006
City University of New York-Brooklyn College 2003 — 2004
N/A, Mathematics and Pre-Nursing
Aetna March 2012 - Present
Universal American February 2010 - January 2012
UnitedHealth Group 2005 - 2009
CareGuide 2004 - 2005
Ceridian 2002 - 2004
Senior Care Review 1996 - 2000
Managed Health Network 1995 - 1996
Human Affairs International (presently Magellan Health Services) 1994 - 1994
Preferred Health Care (presently ValueOptions) 1988 - 1993
CIGNA 1986 - 1988
Skills
Healthcare, Medicare, Medicaid, Strategy, Leadership, Program Management, Healthcare Management, Case Management, Utilization Management, Clinical Research, Health Policy, CRM, Management, Business Development, Strategic Planning
Education
Alliant International University-San Diego Scripps Ranch
Ph.D., Psychology
Collaborative Health Systems November 2011 - Present
Universal American Corp (NYSE: UAM) May 2003 - Present
Universal American May 2003 - April 2006
HealthHelp July 2001 - November 2002
Skills
Medicare Advantage, Medicare, Medicare Part D, Mergers, Acquisitions, accountable care..., Risk Management, Managed Care, Medicaid, Accountable Care, Provider Relations, Health Insurance, HMO, Network Development, Mergers & Acquisitions, Health Policy, PPO, Healthcare Industry, Healthcare Consulting, Insurance, Healthcare, Process Improvement, HIPAA
Education
Chicago-Kent College of Law, Illinois Institute of Technology 1997 — 2000
JD, Law
University of Houston, C.T. Bauer College of Business 1993 — 1997
BBA, Marketing
US Script April 2014 - Present
Convey Health Solutions June 2013 - January 2014
Collaborative Health Systems April 2012 - June 2013
Universal American November 2005 - November 2012
USA Mobility January 1999 - September 2005
Levin, Papantonio, Thomas, Mitchell, Rafferty, & Proctor, P.A. August 1996 - December 1998
Skills
Data Warehousing, SDLC, HIPAA, Analytics, Business Intelligence, Business Analysis, Databases, Data Analysis, SQL, SSIS, SSRS, Teradata SQL, Cognos, Healthcare Information..., Requirements Gathering, Process Improvement, SharePoint, Software Documentation, Crystal Reports, Access, Data Modeling, Vendor Management, Healthcare, Project Management, Medicare, Business Objects, Cross-functional Team..., Medicaid, Systems Analysis, Requirements Analysis, Business Process, Managed Care, Enterprise Data Modeling, Healthcare Management, Data Architecture, Medicare Advantage, Visio, Analysis, Leadership, Management, Microsoft SQL Server, ETL
Education
University of Central Florida 2012 — 2014
Master's degree, Health Care Informatics
American University 1986 — 1991
BA, International Studies
Universal American June 2014 - Present
Dana-Farber Cancer Institute June 2013 - August 2013
Boston Medical Center January 2013 - May 2013
Belltower Foods, Inc. November 2012 - January 2013
Boston Medical Center November 2011 - March 2012
Skills
Lean Six Sigma, Process Improvement, Strategy, Science, Research, Public Health, Statistics, Data Analysis, Public Speaking, Access, Operations Management, Clinical Research, Policy, Management, Healthcare
Education
Boston University School of Public Health 2011 — 2013
MPH, Health Policy & Management
City University of New York-College of Staten Island 2005 — 2010
B.S., Biology, Honors
Stuyvesant High School 2000 — 2004
Humana July 2012 - Present
Humana October 2011 - Present
Universal American November 2010 - September 2011
Universal American December 2008 - November 2010
Coventry Health Care of Georgia October 2007 - September 2008
Alliance Health Card April 1999 - September 2007
Family Plus Health Plans April 1997 - April 1999
Healthsource Tennessee 1994 - 1997
Anthem Health Plans of Texas 1992 - 1994
Skills
Network Development, Provider Relations, Managed Care, Medicare, HMO, PPO, Health Insurance, Healthcare Consulting, Credentialing, Healthcare Management
Education
Baylor University - Hankamer School of Business 1989 — 1990
MBA, Management
Baylor University 1985 — 1989
B.S., Biology
Universal American October 2009 - Present
WellCare Health Plans January 2009 - May 2009
EKF Management October 2007 - January 2009
Education
California Western School of Law 1984 — 1987
JD, Law
University of Arizona 1980 — 1984
BA, Liberal Arts, English, Political Science
The University of Texas Health Science Center at Houston (UTHealth) August 2013 - Present
Universal American March 2010 - June 2013
Accountable Healthcare IPA November 2008 - September 2009
Coast Healthcare Management, LLC. March 2003 - November 2008
Cap Management Systems August 1998 - December 2002
Pacific Communities MSO April 1996 - August 1998
Torrance Hospital IPA Management Consultants May 1995 - April 1996
Bay Harbor Hospital November 1990 - April 1995
Skills
SSIS, SQL, Databases, Crystal Reports, Access, Windows Server, Visual Basic, Technical Support, Visio, Microsoft SQL Server, Networking, SDLC, Operating Systems, Program Management
Education
California State University-Long Beach 1989 — 1993
Bachelor of Science (BS), Information Technology
Sherwin-Williams December 2012 - Present
OEConnection February 2011 - December 2012
Universal American April 2010 - May 2011
URS Corporation, Washington Division August 1997 - March 2009
URS Corporation 1997 - 2009
Playhouse Square 1984 - 1995
Skills
Software Quality..., Testing, Microsoft SQL Server, SDLC, Software Documentation, Test Planning, Visio, Agile Methodologies, Databases, Quality Center, Requirements Gathering, SharePoint, Quality Assurance, SQL
Education
Baldwin Wallace University 1980 — 1984
BME, Music, Theater
Universal American June 2015 - Present
Gray-Robinson February 2015 - June 2015
Starwood Hotels & Resorts July 2007 - February 2015
Connextions, Inc. 2005 - 2007
UAFC January 2002 - May 2005
Skills
Databases, Performance Tuning, Database Administration, Oracle RAC, Disaster Recovery, System Administration, Revenue Analysis, Windows Server, Data Warehousing, Microsoft SQL Server, SQL, Crystal Reports, Hotels, Hospitality, Active Directory, Database Design, ETL, SharePoint, Visio
Education
Broome Community College 1994 — 1997
Alfa Insurance January 2014 - Present
AL DOI June 2013 - January 2014
Milliman, Tampa March 2010 - June 2013
Towers Watson October 2006 - January 2010
Liberty National Life Insurance Company July 2002 - September 2006
Universal American 1999 - 2002
Skills
Actuarial Science, Solvency II, ALM, Actuarial Consulting, Economic Capital, Reinsurance
Education
The Ohio State University 1995 — 1997
MS, Statistics
Bowling Green State University 1993 — 1995
MA, Mathematics/Statistics
Universal American February 2009 - Present
Universal American June 2006 - Present
Consolidated Brokers Insurance Services, Inc January 1981 - June 2006
Education
Ball State University 1967 — 1971
Bachelor Of Science, Education, Physical Ed, Natural Resources Industrial Ed.
Universal American October 2013 - Present
Microsoft Corporation January 2010 - February 2013
Satyam Computer services January 2006 - December 2006
Alliance consulting services June 2004 - December 2005
Education
Andhra University 2001 — 2003
MTech, Information Technology
SRKR engg college 1998 — 2001
BE, Electronics & Communication
Universal American January 2011 - Present
Universal American August 2009 - February 2011
Skills
Outlook, Access, Excel, PowerPoint, EAS, Business Objects, SharePoint, SQL, MS Project, Data Analysis, Dashboards, KPI, Metrics, Performance Metrics, Metrics Analysis, Metrics Definition, Documentation, Business Requirements, BRD
Education
Bryn Mawr College 2005 — 2009
B.A., Mathematics and Classical/Near Eastern Archaeology
The Haven House January 2011 - December 2011
Universal American October 2007 - February 2011
Safeguard Properties September 2005 - September 2007
Skills
Microsoft office..., typing 40 wpm, Third party billing, Mainframe, Lotus Notes, Windows..., 10-Key experience, Strong Customer Service...
Education
Bryant & Stratton College-Cleveland 2012 — 2013
Associates, Paralegal Studies
University of Phoenix 2009 — 2011
Associates, Healthcare & Business Administration
Bank of America Merchant Services January 2015 - Present
Bank of America Merchant Services June 2011 - Present
Universal American October 2010 - May 2011
Thomson Reuters April 2007 - June 2010
Edgar H. Boles, Esq. October 2006 - April 2007
Esther S. Weissman Co., L.P.A. December 1998 - October 2005
Skills
Legal Writing, Analysis, Editing, Research, Negotiation, Contract Management, Legal Research, Policy, Contract Negotiation
Education
Cleveland State University - Cleveland-Marshall College of Law 2002 — 2006
Juris Doctor
Cleveland State University 1994 — 1998
Bachelor of Arts, Social Work
CVS Caremark Corporation January 2013 - Present
CVS Caremark Corporation December 2011 - January 2013
Universal American November 2008 - December 2011
National City Bank 2005 - 2008
Skills
Sarbanes-Oxley Act, Medicare Part D, Access, Financial Analysis, Financial Reporting, Process Improvement, Data Analysis, Microsoft Excel, Analysis, Accounting, Account Reconciliation, SQL, SAP
Education
Cleveland State University 2008 — 2008
Master of Business Administration (MBA)
Kent State University 2001 — 2005
Bachelor's degree, Accounting
Dental Health and Wellness (DHW) May 2014 - Present
Community Care Inc. February 2013 - May 2014
Express Scripts October 2012 - February 2013
Universal American October 2006 - January 2012
Managed Health Services April 2003 - October 2006
UnitedHealth Group April 2002 - April 2003
CNR Health 1992 - 2002
Skills
Managed Care, Employee Benefits, Provider Relations, Healthcare, Health Insurance, Case Managment, Contract Negotiation, Provider Education, Commercial Insurance, Claims Resolution, Claim, Case Management, Management, Medicaid Managed Care, Eye for Details, Customer Service, Hospitals, HIPAA, Medicaid, Medical claims..., Medicare, Insurance, Team Building, Leadership, Training
Education
University of Wisconsin-Milwaukee
Social Work
Cardinal Stritch University
Bachelor of Arts (B.A.), Social Work
Case Western Reserve University February 2015 - Present
Case Western Reserve University April 2014 - Present
Apple Connections June 2013 - April 2014
CareWorksUSA October 2012 - May 2013
Bio Scrip June 2012 - October 2012
Indiana Wesleyan University October 2010 - June 2012
ePharm Pro 2012 - 2012
Boehringer Ingelheim December 2010 - December 2011
Universal American May 2008 - May 2010
GREEN LEAF CABINETRY 2010 - 2010
Skills
Healthcare, Pharmacy, Clinical Research, Training, Analysis, Management, Customer Service, Human Resources, Program Management, Microsoft Excel, Research, Managed Care, Project Management, Healthcare Information..., Hospitals, Business Analysis, Medicare, Teamwork, Pharmacueticals, Coaching, Insurance, PowerPoint, Microsoft Word, Employee Relations, Healthcare Management, Data Analysis, Team Building, Access, Employee Benefits, Pharmacy Benefit..., Process Improvement, Software Documentation, Outlook, Leadership Development, Performance Management, Public Speaking, Microsoft Office, Time Management, Nonprofits, Staff Development
Education
Cleveland State University 2003 — 2007
Science, Health Science
Cleveland State University 2003 — 2007
Baccalaureate of Science; a certificate, Health Science; Bioethics
Cleveland Heights University 2001 — 2003
Health Science
Indiana Wesleyan as of 2
Pursing Master's of Business Administration, Health Care Administration
Humana November 2011 - Present
Universal American November 2010 - November 2011
WellCare April 2008 - October 2010
Miller Medicine School, University of Miami January 2008 - April 2008
Education
Indiana University - Kelley School of Business 2012 — 2014
Master of Business Administration (M.B.A.)
Florida International University 2004 — 2007
Master, Statistics
Chongqing University 1993 — 1997
The AmeriHealth Mercy Family of Companies 2012 - Present
Universal American 2008 - 2012
Universal American 2006 - 2008
Universal American 2003 - 2006
Universal American 2002 - 2003
Living Strategies, Inc 2000 - 2001
Genesis HealthCare 1997 - 2000
Genesis HealthCare 1995 - 1997
Pennsylvania Department of Aging 1994 - 1995
Pennsylvania Department of Aging 1992 - 1994
Skills
Project Management, Managerial Finance, Managed Care, Stakeholder Management, Medicare, Medicaid, Health Insurance, HIPAA, Network Development, Healthcare, Health Policy, Healthcare Management, HMO, Healthcare Consulting, Hospitals, Insurance, Leadership, Provider Relations
Education
Carnegie Mellon University 1983 — 1985
Masters of Public Management, Health Care Management concentration
Pennsylvania State University 1977 — 1981
Bachelor of Science (BS), Health Planning and Administration
Jarboe Marketing OwnerJarboe Marketing2009 - 2011
Universal American June 2007 - July 2009
Education
Ball State University 1967 — 1971
BS, Education
Universal American October 2013 - Present
Universal American October 2012 - October 2013
Universal American October 2012 - August 2013
Universal American August 2010 - November 2011
Universal American April 2007 - August 2010
Universal American May 2004 - June 2006
Skills
Project Management, Account Management, Expense Management, Documentations, Process Simulation, Marketing Strategy, Visio, Medicare, Cross-functional Team..., Strategic Planning, SDLC, HIPAA, Managed Care, Software Documentation, Call Center, Advertising, Sales, New Business Development, Leadership, Start-ups, Program Management, Team Building, Strategy, Vendor Management, Budgets, Management, Customer Service, Health Insurance, Insurance, Team Management, Product Development, Change Management, Process Improvement, Contract Negotiation, Team Leadership, Sales Management, Business Process..., Coaching, Business Analysis, Business Process, Call Centers, Time Management, Requirements Gathering, Healthcare, Executive Management, CRM, Human Resources, Marketing, Risk Management, Analysis
Education
Amarillo College 1980 — 1982
AA, English Language and Literature, General
Amarillo College
Associate of Arts (AA), English Language and Literature, General
Penn Global Marketing June 2013 - Present
Modern Woodmen of America June 2012 - Present
Universal American April 2005 - June 2012
Skills
Health Insurance, Medicare, Insurance, Fixed Annuities, Long-term Care, Term Life Insurance, Life Insurance, Disability Insurance, Employee Benefits, Strategic Planning, Sales Management, Sales, Customer Service, Team Building, Managed Care, Brokers
Education
Charleston Southern University 2002 — 2004
Bachelor of Technology, Business Management
Trident Technical College
Associate of Business, Hospitality and Tourism Management
Trident Technical College
Associate of Business, Culinary Arts Technology
Universal American February 2007 - Present
Universal American July 2004 - January 2007
AM Advisors, LLC October 2001 - June 2004
Healthcare Capital Resources October 1998 - September 2001
Time Warner Inc. June 1990 - September 1998
Skills
Corporate Finance, Capital Raising, Capital Markets, ALM, Investments, Mergers & Acquisitions, Treasury, Insurance, Risk Management, Strategic Financial..., Finance, Financial Modeling, Financial Reporting, Treasury Management, Cash Management, Financial Analysis, Mergers, Sarbanes-Oxley Act, Healthcare, Start-ups, Due Diligence, Banking, Financial Risk, Accounting
Education
New York University 1994 — 1998
MBA, Finance - Stern Scholar
Clarkson University 1989 — 1990
BS, Finance
State University of New York at Albany 1985 — 1988
Economics
Universal American January 1999 - Present
WorldNet Services Home Health Care Agency June 2012 - September 2014
WorldNet Services August 2009 - June 2012
Education
Adelphi University
BSN, Registered Nursing/Registered Nurse
Adelphi University
BSN, Registered Nursing/Registered Nurse
Jefferson Rehabilitation Center September 2014 - Present
Universal American February 2014 - August 2014
Choices Network of Arizona January 2013 - October 2013
Choices Network of Arizona March 2011 - December 2012
Skills
Behavioral Health, Mental Health, Psychology, Case Managment, CBT, Group Therapy, Crisis Intervention, Social Services, Anger Management, Mental Health Counseling, Case Management, Adolescents, Family Therapy, Developmental..., Therapeutic Crisis..., Co-occurring Disorders, Therapists, Clinical Supervision, DBT, Motivational..., Counseling Psychology, Psychological Assessment, Dual Diagnosis, Interventions, Grief Counseling, Treatment, Psychotherapy
Education
Argosy University Phoenix 2006 — 2010
Master of Arts (M.A.), Clinical Psychology
ACS of Georgia March 2013 - Present
Universal American August 2013 - March 2014
Parenting Across Communities February 2000 - 2013
Georgia Department of Community Health August 1993 - February 2006
Skills
Training Specialist, Medicare/Medicaid..., •Relationship..., Large Group Facilitation, Resource Engagement, Family Services, Case Management, Program Development /..., Public Speaking, Teaching, Community Outreach, Coaching, Nonprofits
Education
Albany State University
Bachelor's Degree, Psychology
Valdosta State University
Master's degree, Sociology and Anthropology
CVS Caremark June 2011 - Present
CVS Caremark March 2010 - June 2011
Akron Community Health Resources June 2008 - March 2010
Akron Community Health Resources Inc January 2008 - January 2010
Universal American January 2007 - January 2008
Skills
Managed Care, Medicare Part D, Microsoft Excel, Outlook, Microsoft Office, HIPAA, Process Improvement, Access, Microsoft Word, Quality Assurance, Team Building, Healthcare
Education
Northcoast Medical Training Academy 2007 — 2008
Northcoast Medical Training Academy
Diploma, Medical Assistant
Visions Federal Credit Union 2013 - Present
Universal American November 2010 - January 2011
Skills
Computers, Microsoft Office, Microsoft Excel, Microsoft Word, SPSS, Access, Marketing Communications, Commercials, Market Research, Digital Marketing, Market Analysis, Global Marketing, Labor Economics, Macroeconomics, Microeconomics
Education
SUNY Oswego 2009 — 2011
Bachelor of Science, Marketing
Broome Community College 2005 — 2008
Associate's degree, Marketing Management and Sales
AIG December 2013 - Present
Universal American April 2007 - December 2013
Nortel Networks July 2006 - March 2007
China Construction Bank July 1997 - May 2002
Skills
Valuation, Medicare Advantage, Medicare, Databases, Reserving, Data Analysis, Forecasting, Regression Analysis, Pricing, Reinsurance, Microsoft SQL Server, Financial Reporting, Financial Risk, Actuarial Science, HIPAA, Claim, IBM Mainframe, Web Applications, Insurance
Education
University of Ottawa 2002 — 2005
Master's degree
Xi'an Institute of Technology 1993 — 1997
Bachelor's degree
Universal American August 2010 - Present
United Behavioral Health January 2006 - August 2010
University of MS Medical Center June 2002 - September 2005
Education
Alcorn State University 1995 — 2000
Bachelor of Science, Health Science
Universal American 2012 - Present
BlueShield of Northeastern NY February 1998 - February 2012
CDPHP 2010 - 2012
Empire Blue Cross & Blue Shield February 1993 - February 1998
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Facets, ICD-9, CPT, HCPCS, Public Speaking, Training, Financial Accounting, Management, Human Resources, Fax, Email, keying 60 or more wpm
Education
Columbia Green Community College 1981 — 1982
Ichabod Crane Central School 1968 — 1981
Cheonggang Academy
RelayHealth April 2013 - Present
McKesson Provider Technologies February 2009 - April 2013
T. Roy Barnes October 2008 - February 2009
Universal American October 2005 - October 2008
Skills
Medical Billing, Microsoft Office, Medicare Part D, Medicare Advantage, EMR, Medicare/Medicaid..., Medicare Prescription..., Microsoft Excel, Microsoft Word, Access, Microsoft SQL Server, Microsoft Visual Studio..., Customer Service, Claim, EHR, Healthcare Information..., EDI, Accounts Receivable, Medical Records, Healthcare Reimbursement, Data Analysis, Spreadsheets, Healthcare Analytics, Medical Terminology, Managed Care, Healthcare, Medicare, Revenue Cycle, ICD-9, ICD-10, HIPAA, Insurance, Health Insurance, Analysis, Data Entry, CPT, Medicaid, Healthcare Industry, Health Information...
Education
University of Oklahoma 2011 — 2014
Management Information Systems and Services
Cleveland State University 2006 — 2008
Health Professions and Related Clinical Sciences, Other
RESTAT April 2013 - Present
Assisted Living Concepts January 2012 - March 2013
Universal American August 2009 - July 2011
Universal American April 2008 - January 2010
Palace Healthcare Group, Inc. August 2002 - December 2007
Skills
• Chapter DHS 83,..., • Wisconsin Compliance..., • Volunteer for a...
Education
Alverno College 2006 — 2008
Universal American May 2014 - Present
BlueCross BlueShield of South Carolina June 2013 - April 2014
Palmetto Health February 2013 - June 2013
Lexington Medical Center October 2012 - February 2013
Wilmington Health Associates December 2010 - March 2012
Skills
Registered Nurses, Telemetry, family practice nursing, EMR, Cpr Certified, Nursing Care, Nursing Process, Quality Patient Care, Medication..., Critical Thinking, Communication Skills, Assessment Skills, Cardiac Rhythm..., Patient Education, EKG, Delegation
Education
Bacone College 2007 — 2009
Associate of Science in Nursing, Registered Nursing/Registered Nurse
Consulate Health Care January 2012 - Present
Universal American June 2011 - December 2011
CompuTech City August 2010 - June 2011
Freelancer April 2010 - August 2010
NCR February 2007 - April 2010
NCR January 2006 - February 2007
Nile Egypt May 2005 - January 2006
Skills
PowerPoint, Microsoft Word, Customer Service, Microsoft Office, Microsoft Excel, VMware, vSphere, EMC Storage, SAN, Databases, Data Domain, Powershell, Windows Server, Microsoft Exchange, Network Backup, Enterprise Vault, Scripting, Consulting, Symantec Endpoint..., Symantec Security, Symantec Backup, Microsoft SQL Server, Microsoft Technologies, VMware ESX, EMC SAN Administration, Backup Exec, Tape Backup, Exchange 2010/2007/2003, Citrix, Microsoft Cluster, VBScript, Active Directory, Healthcare, Healthcare Information..., System Administration, DNS, Windows 7
Education
Sadat Academy for Management Sciences 2001 — 2005
Bachelor of Computer Science & Managment, Computer Science, "A" - Second Honor Degree
Mubarak Secondary School 1995 — 2001
High Schhol, General Science