WellCare Health Plans
Industry: Health care company
DescriptionWellCare Health Plans, Inc. began operations in 1985 and is based in Tampa, Florida. WellCare provides managed care health plans primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for more than 4.4 million members across the country. Headquarters: Tampa, Florida, United States Number of employees: ~8,900 (December 2017) CEO: Kenneth A. Burdick (1 Jan 2015–) Subsidiaries: WellCare Health Insurance of Illinois Inc,
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WellCare Health Plans Employees
WellCare Health Plans March 2015 - Present
Health Insurance Operations Leaders in the Tampa Bay Area 2015 - Present
OmniClaim, Inc. April 2014 - March 2015
WellCare May 2012 - April 2014
Albany Medical Center June 2011 - May 2012
Connecticare, Inc. 2002 - September 2011
Empire BCBS April 1999 - June 2002
Empire BCBS 1995 - 1999
Skills
Insurance, Managed Care, Process Improvement, Medicare, Health Insurance, Healthcare, Management, Claim, Medicaid, Leadership, HMO, HIPAA, Employee Benefits, Strategy, Analysis, Account Management, Provider Relations, Health Policy, Hospitals, Healthcare Industry, Healthcare Information..., Vendor Management, Data Analysis, Program Management, Risk Management, Medical Billing, Healthcare Management, Operations Management, Team Building, Fraud, Waste & Abuse..., Claims Analytics &..., Center for Creative..., Provider Capitation &..., Medical Coding, Policy, Healthcare Consulting, Revenue Cycle, CPT, Strategic Planning, Individual Health..., Health Insurance..., Operational Excellence, Operational Strategy, Operational Streamlining
Education
Elmira College 1978 — 1980
BS, Sociology & Information Systems
Elmira College
Bachelor's of Science, Criminal Justice & Technology
WellCare Health Plans July 2011 - Present
Sonya Coates Consulting January 2000 - Present
Byrd Alzheimer's Institute at USF / East Central Florida Memory Disorder Clinic December 2006 - November 2008
East Central Florida Memory Disorder Clinic December 2006 - November 2008
The Health Councils, Inc. July 2002 - January 2003
The Health Councils, Inc. March 1999 - October 2000
Skills
Public Health, Grant Writing, RFP preparation, Healthcare, Health Services, Human Services, Social Sciences, Alzheimer's disease, Dementia, Caregiving, Grief, Bereavement, Gap Analysis, Program Evaluation, Community Health, Epidemiology, Aging, Health Disparities, Health Research, Disease Prevention, Health Promotion, Health Communication, Health Equity, Social Services, Clinical Research, Grants, Data Analysis, Training, Prevention, Health Policy, Healthcare Management
Education
Capella University 2004 — 2005
M.S., Human Services
University of South Florida 1998 — 2001
B.A., Social Sciences
WellCare Health Plans January 2013 - Present
California State University, Long Beach April 2015 - April 2015
University of Southern California February 2015 - February 2015
Easy Choice Health Plan May 2009 - December 2012
Universal Care October 1998 - May 2009
Skills
Healthcare Management, HIPAA, Medicaid, Healthcare Information..., Healthcare, Medicare, EHR, Managed Care, Leadership, Access, HMO, EMR, Informatics, Healthcare Consulting, Health Information..., Visio, Insurance, Revenue Cycle, Healthcare Industry, Health Insurance, Strategy, Health Information..., Hospitals, ICD-9, Process Improvement, Management, Health Policy, Quality Improvement, Network Development, Revenue Cycle Management, Quality Management, Provider Relations, Physician Relations, HL7, PACS, Medicare Part D, Software Documentation, EDI, Employee Benefits, PPO, Practice Management, Physicians, Ambulatory, Data Analysis, Credentialing, Medical Billing, Medical Coding, ICD-10, CPOE, Epic Systems
Education
California State University-Long Beach 2015 — 2015
Certification, Explore a career in Medical Coding
Orange Coast College 2012 — 2012
Certification, Health Information/Medical Records Technology/Technician
California State University-Long Beach 2009 — 2009
Certificate, PMP Certification Prep
California State University-Long Beach 2009 — 2009
Certification, Six Sigma: Total Quality Application
California State University-Long Beach - College of Business Administration 1996 — 1998
MBA, MIS
King Mongkut's Institute of Technology Ladkrabang 1991 — 1995
BE, Telecommunication Engineering
Uthaiwittayakom
WellCare Health Plans May 2014 - Present
Lifepath Hospice January 2013 - October 2013
Skills
Healthcare, Vital Signs, Medication..., Inpatient, Nursing, EMR, Wound Care, Medical/Surgical, Home Care, BLS, Hospitals, Cpr Certified, IV, Acute Care, Phlebotomy, ACLS, Nursing Education, EKG, Patient Safety, Critical Care, Patient Advocacy, Patient Education, Medical-Surgical
Education
D G Erwin Technical Center 2009 — 2010
LPN, Practical Nursing, Vocational Nursing
Synergy Pharmaceutical November 2014 - Present
Southeastern institute 2012 - September 2014
Keiser Career College 2011 - 2011
WellCare Health Plans 2009 - 2011
Corinthian Colleges, Inc. 2005 - 2009
Jacksonville Job Corp- DESI & ATSI 2003 - 2007
Sharp HealthCare 2002 - 2003
Tri-City Medical Center 2002 - 2003
Presbyterian Healthcare Services 1999 - 2001
Medical Univeristy of South Carolina MUSC 1997 - 1999
Skills
Healthcare, Public Speaking, HIPAA, Accreditation, Mock Interviews, Pharmacy, Research, Hospitals, Career Counseling, Curriculum Development, Staff Development, Pharmacy Automation, Teaching, Teamwork, Customer Service, Adult Education, Cpr Certified, CampusVue, Pharmacology, Resume Writing, Time Management, Clinical Research, Patient Safety, CPR Certified, Oncology, Pharmaceutical Industry, Medical Terminology, Managed Care, Healthcare Management
Education
Trident Technical College 1994 — 1996
Associate of Science (A.S.)
Burke High School 1989 — 1993
Columbia College (SC)
Kepro July 2014 - Present
Amerigroup January 2010 - June 2012
University Community Hospital September 2008 - April 2009
WellCare Health Plans January 2007 - June 2008
Kessler Institute for Rehabilitation December 2005 - December 2006
Skills
Healthcare, Social Services, Nursing, Inpatient, Management, Case Management, Medicaid, Medicare, Home Care, Healthcare Management, Managed Care, Hospitals, Patient Advocacy, HIPAA, Health Education
Education
County College of Morris
Associate of Arts and Sciences (A.A.S.), Registered Nursing program
WellCare Health Plans August 2015 - Present
WellCare December 2013 - August 2015
Digital-Hits, LLC June 2013 - April 2015
WellCare June 2013 - December 2013
Cerebro Consulting LLC January 2008 - March 2013
Skills
Finance, SharePoint, Data Analysis, Microsoft Excel, Analysis, Foreign Languages, Microsoft Office, Microsoft Word, Auditing, Medicare, New Store Openings, Medicaid Managed Care, Health Insurance, SAS, MS Project, Project Management, Business Analysis, Access, Vendor Management, Provider Relations, Visio, Process Improvement
Education
College of Central Florida
Associate's degree, Business Administration and Economics
University of South Florida
Bachelor’s Degree, Finance
KEPRO October 2014 - Present
Innovative Medical Risk Management January 2012 - September 2014
WellCare Health Plans April 2009 - 2011
Concentra 2006 - 2008
Skills
Healthcare, EMR, HIPAA, Hospitals, Inpatient, Managed Care, Medicaid, Medicare, Nursing, Utilization Management, Utilization Review
Education
Galen School of Nursing-Tampa Bay
Bachelor of Science (BS), Registered Nursing/Registered Nurse
D G Erwin Technical Center
WellCare Health Plans 2014 - Present
Towers Watson April 2013 - December 2013
CIGNA Healthcare 2010 - April 2013
WellCare 2007 - 2009
Pfizer 1996 - 2007
Prudential 1995 - 1997
FoxMeyer/Harris Wholesale (pharmaceuticals) 1984 - 1994
Skills
Medicaid, Medicare Part D, Medicare, Managed Care, Healthcare, Pharmacy, Pharmacists, Clinical Research, Disease Management, Pharmacy Benefit..., Key Account Management, Managed Markets, Health Policy, Pharmaceutical Industry, Oncology, Clinical Trials, Leadership, Medication Therapy..., Pharmaceutical Sales, Strategy, HIPAA, Account Management, Utilization Management, Diabetes, Healthcare Industry, Pharmacy Automation, Healthcare Management, Informatics, Hospitals
Education
Cleveland State University
MBA,
The Ohio State University
BS Pharmacy
University of Cincinnati
PharmD
WellCare Health Plans August 2013 - Present
Know Error/Diagnostic ID, LLC 2011 - 2013
Carolina Medical Homes, LLC 2010 - 2011
Palmetto Medical Homes 2006 - 2010
LabCorp/DIANON 2002 - 2006
Skills
Medicaid, Network Development, Business Development, Healthcare, Product Management, Process Improvement, Managed Care, Customer Service, Biotechnology, Project Management, Budgets, Analysis, Start-ups, New Business Development, Oncology, Cross-functional Team..., Strategic Planning, Hospitals, Leadership, Market Development, Product Launch, Urology, Healthcare Management, Sales
Education
College of Charleston
Bachelor's degree
Mary Washington College
Bachelor of Arts (BA)
WellCare Health Plans January 2013 - Present
City Pro Group, Inc February 2012 - January 2013
Richmond University Medical Center January 2012 - January 2013
N/A - Independent Contractor September 2011 - January 2013
Joe Torre Safe At Home Foundation December 2010 - June 2011
Personal Touch Home Care July 2008 - July 2009
SCO Family of Services July 2001 - July 2008
Skills
Social Services, Crisis Intervention, Case Managment, Community Outreach, Group Therapy, Psychotherapy, Adolescents, Mental Health Counseling, Youth Development, Nonprofits, Mental Health, Case Management, Program Development, Treatment, Family Therapy
Education
City University of New York-Hunter College 2007 — 2009
MSW, Social Work
State University of New York at Stony Brook 1996 — 2007
B.A., Social Sciences
WellCare Health Plans April 2014 - Present
Skills
Recruiting, Talent Acquisition, Management, Leadership, Training, Employee Benefits, Vendor Management, SDLC, Customer Service, Onboarding, Business Development, Microsoft Excel, Process Improvement, Strategic Planning, Insurance, Health Insurance, Healthcare, Managed Care
Education
Chicago State University
Accelerated Master's Degree, Occupational Therapy/Therapist, 4.0/4.0
Roosevelt University
Bachelor of Applied Science (B.A.Sc.), Psychology
WellCare Health Plans September 2014 - Present
Amedisys Home Health & Hospice May 2013 - Present
Cartersville medical center October 2012 - May 2013
Floyd Medical Center March 2008 - August 2011
CorrectHealth October 2007 - August 2008
Skills
BLS, Nursing, Medical/Surgical, ACLS, Acute Care, Inpatient, Medication..., Patient Safety, Wound Care, PALS, Nursing Care, Home Care, Patient Education, EMR, Registered Nurses, Nursing Process, Hospitals, Cerner, Nursing Education, Direct Patient Care, Vital Signs, IV, Medical Terminology, Patient Advocacy, HIPAA, Health Education, Public Health, Utilization Management, Nursing Documentation, BCLS, Phlebotomy, Epic Systems, Disease Management, EKG, Quality Patient Care, Long Term Acute Care, Therapeutic..., Cpr Certified, EHR, Medical Records, Home Health Agencies, PICC lines, Utilization Review, Elder Care, Orthopedic, Ostomy Care, JCAHO, Healthcare, Healthcare Management, CPR Certified
Education
Georgia Highlands College 2011 — 2012
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Chattahoochee Technical College 2006 — 2007
Diploma, Licensed Practical/Vocational Nurse Training
North Metro Technical College
Hillsborough Community College August 2013 - Present
CareCentrix February 2013 - October 2013
WellCare Health Plans August 2012 - November 2012
United Health Care October 2011 - May 2012
Macys November 2009 - August 2011
United States Air Force October 2007 - October 2009
Skills
Time Management, Human Resources, Customer Service, Sales, Healthcare, Telephone Skills, Data Entry, Databases, Merchandising, Onboarding, Manage Client...
Education
Hillsborough Community College 2013 — 2015
Associate of Science (A.S.), Allied Health and Medical Assisting Services
Defense Language Institute 2008 — 2009
Diploma, Korean Language and Culture Studies
Spanaway Lake High School 2004 — 2007
Diploma, General Education
WellCare Health Plans August 2014 - Present
The Nielsen Company September 2013 - August 2014
The Nielsen Company April 2013 - September 2013
The Nielsen Company February 2012 - April 2013
The Nielsen Company October 2011 - February 2012
Coeur d'Alene Casino Resort June 2008 - July 2011
Associated Students of Eastern Washington University February 2008 - June 2008
Skills
Editing, Customer Service, Market Research, Research, Outlook, Social Media, Microsoft Office, Marketing, Social Networking, Data Analysis, Event Planning, Leadership, Analysis, Budgets, Marketing Strategy, Human Resources, Photoshop, Project Management, Time Management, Data Entry, Teamwork, Access, Process Improvement, Training, PowerPoint, Microsoft Word, Microsoft Excel, Event Management, Employee Training, Social Media Marketing, Analytics, Team Building, Competitive Analysis, Customer Insight, Strategic Planning, Public Speaking, Marketing Research
Education
Eastern Washington University 2005 — 2008
Spokane Community College 2000 — 2002
Certificate, Medical Transcription/Transcriptionist
WellCare Health Plans November 2014 - Present
Petroleum Landowners Corporation July 2002 - Present
Landowners Royalty Company July 2002 - Present
Kaiser Permanente June 2014 - November 2014
Red Bull May 2006 - December 2013
CEF Design June 2004 - May 2006
Accountemps January 2002 - June 2004
Critical Path/ISOCOR March 1996 - July 2001
Skills
Forecasting, Accounting, Budgets, Financial Reporting, General Ledger, Microsoft Excel, Financial Analysis, Analysis, Strategic Financial..., Business Planning, Strategic Planning, Business Analysis, Process Improvement, Data Analysis, Customer Service, Financial Accounting, Pricing, Inventory Management, Access, Management, SAP, PowerPoint, Leadership, Retail, Employee Benefits, Account Management, Team Leadership, Negotiation, Microsoft Word, Time Management, Sales, Outlook, Marketing, Training, Market Research, Marketing Strategy, Sales Operations, Sales Management, Microsoft Office, Project Planning, Operations Management
Education
California State University-Los Angeles
BS, Business Administration - Accounting
Los Angeles City College
AS, Mathematics
WellCare Health Plans September 2013 - Present
Chung Ying Physical Therapy PC. November 2012 - November 2012
Hospital for Special Surgery March 2012 - May 2012
Union Settlement Home Care February 2012 - March 2012
NYU Langone Medical Center February 2011 - November 2011
NYP Allen September 2011 - October 2011
Visiting Nurse Service of New York May 2011 - August 2011
NYP Cornell November 2010 - December 2010
Terrance Cardinal Cooke September 2010 - October 2010
Fook Kin. Inc January 2008 - December 2009
Skills
BLS, AFA Qualified Dementia..., Culturally Competent..., End of Life Nursing Care, Registered Nurses, Microsoft Word, Microsoft Excel, Nursing
Education
City University of New York-Hunter College 2008 — 2012
Bachelor of Science (BS), Registered Nursing/Registered Nurse
WellCare Health Plans March 2008 - Present
Direct Student Service December 2005 - May 2007
Delta Medical Care November 2003 - October 2005
Complete Propery Services 1998 - 2001
Complete Propery Services 1998 - 2001
Skills
Accounting, Accounts Payable, Auditing, Cash Management, General Ledger, Microsoft Excel
Education
California University of Pennsylvania 1991 — 1995
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
WellCare Health Plans July 2014 - Present
WellCare October 2011 - July 2014
RxCrossroads October 2004 - September 2011
Skills
Medicare, Team Leadership, Claims Resolution, Healthcare Management, Revenue Cycle Management, PeopleSoft, ICD-9, Visio, Insurance, Medical Billing, Pharmacy, Invoicing, Medical Coding, Medicare/Medicaid..., Gastroenterology, CPT, Coaching, PPO, HMO, Call Centers, Claim, ICD-10, Health Plan Operations, Healthcare, Provider Relations, EHR, Hospitals, Software Documentation, Management, Leadership
Education
Columbia Southern University 2010 — 2012
MBA, Health Care Management
Columbia Southern University 2008 — 2009
Bachelors, Business Administration/Project Management
WellCare Health Plans February 2015 - Present
WellCare Health Plans February 2014 - February 2015
Medical Mutual July 2011 - December 2013
Medical Mutual March 2008 - July 2011
1st Medical Network, LLc May 2001 - March 2008
Skills
Contract Negotiation, Managed Care, Provider Relations, PPO, Credentialing, Medicaid, Hospitals, Provider Education, Medicare, Health Insurance, Network Development, Health Policy, Healthcare Industry, HIPAA, Claims Resolution
Education
Emory University 1992 — 1996
Bachelor of Arts (B.A.), English Language and Literature, General
Northeast High
Northeast High
Candour September 2007 - Present
Phil Wilson Design July 2006 - September 2007
Wellcare Health Plans October 2005 - July 2006
Schelde Enterprises February 2003 - July 2005
Skills
Company Branding, Identity Development, Graphic Design, Advertising, Brochures, Creative Development, Logos, Graphics, InDesign, Web Design, Brand Development, Copywriting, Logo Design, Illustrator, Direct Mail, Photoshop, Promotions, Adobe Creative Suite, Corporate Identity, Newsletters, Marketing Communications, Art Direction, Layout, Creative Direction, Mac, Typography, Posters, Print Production, Email Marketing, Illustration, Packaging, Flash, Corporate Branding, Adobe Acrobat, Retouching, Marketing, Creative Strategy, Catalogs, Branding & Identity, Stationery, Visual Communication, Banners, Business Cards, Collateral, Invitations, Interactive Advertising, Magazine Design, Concept Development, Book Design, Vector Illustration
Education
The Polishing Center 2004 — 2004
Design and Advertising
Central Michigan University 1998 — 2002
BAA, Graphic Design and Advertising
WellCare Health Plans April 2015 - Present
Hudson September 2012 - April 2015
SCFoster June 2012 - September 2012
Computer Fix Lady December 2003 - September 2012
Kelly Services January 2009 - May 2012
Ajax February 1998 - June 2008
Skills
Applicant Tracking..., Recruiting, Interviews, Temporary Placement, Internet Recruiting, Vendor Management, Training, Contract Recruitment, Staffing Services, Networking, Technical Recruiting, Management, Talent Acquisition, Hiring, IT Recruitment, Screening Resumes, Human Resources, Executive Search, Consulting, Benefits Negotiation, Permanent Placement, Business Networking, College Recruiting, Personnel Management, Sourcing, Screening, Information Technology, Temporary Staffing, Talent Management, Onboarding, Staff Augmentation, Employee Relations, Search, Resource Management, Employee Benefits, Outsourcing, HRIS, Resume Writing, New Hire Orientations, Cold Calling, HR Consulting, LinkedIn, Recruitment Advertising, Workforce Planning
Education
New Horizons 1999 — 2007
Certifications
Covenant College 1988 — 1991
Psychology
Hillsborough High School 1985 — 1988
Diploma
WellCare Health Plans October 2013 - Present
Eckerd (Eckerd Youth Alternatives, Inc) October 2013 - Present
United States Air Force October 1999 - Present
Rover.com May 2012 - January 2015
Maxim Government Services May 2013 - October 2013
BrightStar Care May 2013 - October 2013
Capri Home Care December 2012 - March 2013
Baycare Family Practice May 2012 - November 2012
Luke and Associates November 2010 - April 2012
Skills
Microsoft Office, EMT, PHTLS, Cpr Certified, Hazmat training, Venipuncture, IV, Foley Insertion, Continuous Glucose..., Wound Care, data entry, immunizations, hearing tests, Eye Exams, Vital Signs, Chart, Medical Records, NG Insertion, triage, Lab Procedures, infection control, office coordinator, Quality Patient Care, PTSD Training, Military Experience, LPN, Trauma, ER Tech, Float Tech, Infection Control, Healthcare, Customer Service, Training, EKG, Medication..., Nursing, Home Care, Healthcare Management, BLS, First Aid, Hospitals, Treatment, Team Building, Time Management, Microsoft Excel, Leadership, Management, Medicine, Public Speaking, Clinical Research
Education
Community College of the Air Force 2001 — 2015
Health Sciences Degree, Educational Leadership and Administration, General and Medical
AEPS 2014 — 2014
Aerovac evacuation staging
NCOA Leadership school 2014 — 2014
Certificate, Military and Strategic Leadership
Infection Control
Train the Trainer 2013 — 2013
LPN 2000 — 2001
Certificate, Licensed Practical/Vocational Nurse Training
Medical Services (4N0x1) 1999 — 2000
Certificate, EMT/LPN/Medical Services
Airman Leadership School
Leadership
John Glenn 1989 — 1995
Diploma, Medical
WellCare Health Plans April 2015 - May 2015
Mary Kay Inc. July 2013 - December 2014
Lawton City Limits May 2014 - August 2014
Comanche County Memorial Hospital February 2014 - June 2014
Trace, Inc. July 2012 - May 2014
Student Veterans of America Cameron University August 2012 - April 2014
Cameron University Department of Education April 2013 - December 2013
Cameron University Office of Veteran Affairs May 2012 - November 2012
Cameron University Department of Criminal Justice and Sociology August 2011 - May 2012
Education
Cameron University 2009 — 2014
Bachelor of Business Administration (B.B.A.), Management & Information Technology, 3.0
WellCare Health Plans October 2014 - Present
Education
Columbia College 2013 — 2015
Human Services, Human Services, General
WellCare Health Plans September 2014 - Present
US Army July 1997 - Present
WellPoint September 2013 - September 2014
West Atlanta Internal Medicine December 2000 - September 2013
Emory University School of Medicine 1997 - 2000
Skills
Extensive international..., Subject Matter Expert..., Medical practice..., Military Medicine, Healthcare Management, EMR, American Board of..., Internal Medicine, Leadership, Mentoring, Humanitarian Assistance, Policy, Training, Program Development, Management, Public Health, Emergency Medicine, Hospitals, Physicians, Medicine, Healthcare Information..., Medical Education, EHR, Patient Safety, Managed Care, Surgery, Critical Care, Clinical Research, Diabetes, ACLS, Infectious Diseases, Pediatrics, Inpatient, Clinical Trials, Cardiology, Family Medicine, BLS, Epidemiology, Utilization Management, Case Managment, Orthopedic, Healthcare Consulting, Board Certified, Treatment, Health Education, Nursing, Radiology, Case Management
Education
Goizueta Business School, Emory University 2012 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
Emory University School of Medicine 1997 — 2000
Board Certified ABIM, Internal Medicine Residency Program
University of Medicine and Dentistry of New Jersey 1994 — 1997
Doctor of Medicine (MD)
WellCare Health Plans February 2015 - Present
Magellan Health Services July 2010 - January 2014
Magellan Health Services October 2006 - July 2010
WellStar Health System 2007 - 2010
Magellan Health Services June 2004 - October 2006
Mission Health Systems, Inc 2001 - 2004
Skills
Insurance, Case Managment, Mental Health, Health Insurance, Medicare, Psychotherapy, Medicaid, Healthcare Information..., Provider Relations, HIPAA, Account Management, Healthcare, Psychology, Managed Care, Healthcare Management, Behavioral Health, Treatment, Program Development, Utilization Management, PPO, Health Policy, HMO, Healthcare Industry, Hospitals, Network Development, Claim, Disease Management, Clinical Research, Crisis Intervention, Leadership, Case Management
Education
Florida State University
Bachelor of Science, Psychology
Colorado State University
Master of Social Work (MSW), Social Work - Masters program
WellCare Health Plans May 2014 - Present
The CSI Companies March 2014 - May 2014
Bluegrass Eye Center January 2013 - November 2013
Taustine Eye Center January 2009 - May 2009
Dr. Julie S. Lee, PLLC September 2007 - January 2009
Skills
Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java, Microsoft Excel, PowerPoint, Customer Service, Microsoft Office, Microsoft Word, English, Refractive Surgery, Team Building, Social Media, Coaching, Training, Account Management, Healthcare, Community Outreach, Clinical Research, Event Planning, Marketing, Leadership, Management
Education
Columbia Southern University 2013 — 2016
University of Louisville
The Republican, MassLive.com and El Pueblo Latino 2011 - Present
El Pueblo Latino 2011 - 2013
WellCare Health Plans March 2008 - March 2011
Hudson Health Plan September 2005 - September 2008
Skills
Customer Relations, Account Management, Team Building, Microsoft Office, Medicare, A+ Certified, Management Development, certified in..., Customer Service, Leadership, Facebook, Online Advertising, Advertising, Social Media, Program Management, Community Outreach, Marketing Communications, Social Networking, Public Relations, Social Media Marketing, Event Planning, Email Marketing, Public Speaking, Marketing, Event Management
Education
CUNY Bronx Community College 1992 — 1994
Army Academy of Health Sciences 1991 — 1992
National Certification, Clinical/Medical Laboratory Technician
Emory University Goizueta Business School June 2015 - Present
Emory University August 2012 - Present
Newell Rubbermaid May 2015 - August 2015
Emory University Goizueta Business School August 2014 - December 2014
WellCare Health Plans June 2014 - August 2014
Campus Bubble LLC August 2013 - May 2014
Golf to Life May 2013 - August 2013
Tutor May 2013 - August 2013
Skills
Statistics, Public Speaking, PowerPoint, Qualitative Research, Social Media, Event Planning, Microsoft Excel, Teamwork, Marketing
Education
Emory University 2012 — 2016
Bachelor's Degree, Psychology and Business
University of Economics, Prague 2015 — 2015
Bachelor’s Degree, Business Administration and Management, General
The Blake School 2008 — 2012
WellCare Health Plans August 2014 - Present
TruGreen LandCare December 2013 - August 2014
Verizon August 2010 - August 2013
Verizon Business October 2009 - August 2010
Verizon Business September 2002 - March 2010
Danka Office Imaging June 1998 - September 2002
Leslie Supply Company 1988 - 1998
Leslie Supply Company 1984 - 1987
Skills
ITIL Certified, Vendor Management, Managed Services, ITIL, Process Improvement, Call Center, Outsourcing, Management, Program Management, Software Documentation, Training, Call Centers, Analysis, Team Building, Troubleshooting, Leadership, Customer Service, Performance Management, Networking, Quality Assurance, New Business Development, Sales, Coaching, Human Resources, Service Delivery, Forecasting, Sales Operations, Business Development, Project Management, Business Process..., CRM, Telecommunications, Team Leadership, Business Analysis
Education
Omnikron University 2009 — 2013
ITIL Expert Certification, ITIL, Passed
Dowling College 1977 — 1978
Music Therapy/ Psychology
Advantage Home Care October 2014 - Present
The Mount Sinai Hospital August 2009 - August 2013
WakeMed November 2007 - March 2009
WellCare Health Plans September 2006 - September 2007
Affinity Health Plan June 2001 - March 2005
Skills
Customer Service, Process Scheduler, Human Resources, Insurance, Medical Records, Policy, Outlook, Microsoft Word, PowerPoint, Microsoft Excel, Administrative..., Research, Public Speaking, Cpr Certified, Event Planning, Nonprofits, HIPAA, Nursing, Clinical Research, CPR Certified
Education
City University of New York-John Jay College of Criminal Justice 2000 — 2006
Bachelor of Applied Science (B.A.Sc.), Legal Studies, General
WellCare Health Plans September 2014 - Present
Georgia Southern University August 2012 - May 2014
Dollar General August 2011 - August 2012
Claflin University October 2011 - April 2012
Skills
Analysis, Customer Satisfaction, Research, Sales, Statistics, Data Analysis, SPSS, PowerPoint
Education
Georgia Southern University 2012 — 2014
Master of Public Health (MPH), Epidemiology
Claflin University 2007 — 2011
Bachelor of Science (BS), Biology/Biological Sciences, General
WellCare Health Plans November 2014 - Present
Alpha Care of New York December 2014 - April 2015
Hebrew Hospital Home Continuum of Care August 2011 - September 2013
Skills
Customer Service, Public Speaking, Management, Sales, Account Management
Education
Bx Comm. College
CUNY Bronx Community College
WellCare Health Plans October 2014 - Present
WellCare August 2011 - October 2014
WellCare October 2005 - August 2011
MP Total Care Pharmacy May 2005 - October 2005
Team Health Radiology July 2003 - April 2005
Amerigroup /Physicians HealthCare Plans 2000 - June 2003
Skills
Insurance, Health Insurance, Medicare, Process Improvement, Managed Care, Claim, Medicaid, HIPAA, Vendor Management, Employee Benefits, Business Analysis, Customer Service, Healthcare, Risk Management, Team Building, Call Centers, Business Process..., Strategic Planning
Education
Concorde Career Institute-Tampa 1995 — 1996
Medical/Clinical Assistant
El Pollo Loco August 2015 - Present
WellCare Health Plans February 2014 - June 2015
Ingram Micro June 2012 - February 2014
Ross Stores February 2011 - May 2012
Yum! Brands - Taco Bell and KFC January 2007 - February 2011
Blockbuster February 2000 - January 2007
ARCO am/pm February 1995 - February 2000
Continental Airlines April 1985 - February 1995
Skills
Organizational Change, Organizational..., Employee Relations, Succession Planning, Strategic Partnerships, People Management, Leadership Development, Training & Development, Talent Acquisition, Conflict Resolution, Legal Compliance, Change Management, Management, Performance Management, Employee Training, Acquisition Integration, Employee Engagement, Advisory Boards, Business Partner..., Cross-functional Team..., Leadership, Recruiting, Human Resources, Training, Personnel Management, Team Building, Talent Management, Hiring, Coaching, Strategy, Interviews
Education
California State University-Long Beach
Bachelors, Sociology
California State University-Long Beach
WellCare March 2012 - Present
WellCare March 2012 - Present
WellCare Health Plans March 2012 - Present
Skills
Managed Care, Case Management, Health Insurance, Medicare, Medicaid, Healthcare, HIPAA, Long-term Care, Provider Relations
Education
Clark Atlanta University 2003 — 2005
Master of Social Work (MSW), Social Work
Morris Brown College 1998 — 2003
Religion/Religious Studies
Heartland Payment Systems June 2015 - Present
WellCare Health Plans March 2015 - Present
Brady Corporation June 2014 - Present
ADP May 2010 - February 2014
ADP May 2010 - February 2014
MEDA April 2006 - January 2010
Eli Lilly October 2001 - June 2005
US Army August 1995 - May 2003
Skills
Neurology, Sales Operations, OB/GYN, Orthopedic, Account Management, Pain Management, Pharmaceutical Industry, Sales, Internal Medicine, B2B, ENT, Marketing, Market Research, Psychiatry, Strategic Planning, Cold Calling, Selling Skills, Training, Pharmaceutical Sales, Leadership, Sales Force Development, Sales Presentations, Management
Education
Medaille College 1998 — 2001
Bachelor's Degree, Business Administration and Management, General
Erie Community College 1995 — 1997
Associate's Degree, Banking, Corporate, Finance, and Securities Law, 3.3
Benito Cerezo 1993 — 1995
Hostos Academy of Science 1993 — 1994
11th
AT&T June 2013 - Present
WellCare Health Plans April 2012 - May 2013
FIS May 2010 - February 2012
CenturyLink August 2008 - May 2010
Cisco June 2007 - July 2008
Education
Doctor Babasaheb Ambedkar Marathwada University
Bachelor's Degree, computer science
WellCare Health Plans May 2015 - Present
WellCare Health Plans October 2014 - Present
Kindred Healthcare September 2012 - October 2014
University of Southern California 2012 - 2012
Dignity Health 2003 - 2012
Ernst & Young 2003 - 2003
Tenet Healthcare 2001 - 2003
Universal Care 2000 - 2001
Skills
Healthcare Management, Managed Care, Healthcare, Network Development, Hospitals, Clinical Research, Physician Relations, Medicare, EMR, Disease Management, Revenue Cycle, HIPAA, Medicaid, Healthcare Information..., Healthcare Consulting, Physicians, Practice Management, Health Insurance, EHR, Healthcare Industry, Provider Relations, Informatics, Utilization Management, HMO
Education
California State University-Long Beach 1999 — 2001
MHA, HealthCare Management
California State University-Long Beach 1994 — 1999
Bachelor of Science, Microbiology and Chemistry
WellCare Health Plans December 2013 - Present
Hofstra University January 2010 - November 2013
Ubernica Corporation June 2009 - November 2011
Skills
Microsoft Excel, Oracle, Crystal Reports, Visio, Microsoft Office, Microsoft SQL Server, Access, SQL, Data Analysis, Data Management, Database Design, Software Documentation, Tableau, Microsoft Word, PowerPoint, Document Management, Image Capture, Microsoft Visual Studio..., QlikView, Databases, MS Excel Pivot Tables
Education
DeVry University 2011 — 2015
Bachelor's degree, Computer and Information Sciences and Support Services, 3.02
Elderplan / MJHS October 2012 - Present
Health Plus March 2009 - October 2012
WellCare Health Plans June 2008 - February 2009
Fidelis Care July 2007 - March 2008
Skills
Employee Benefits, Onboarding, Positive Employee..., Medicaid, Community Outreach, Healthcare, Medicare, Management, Marketing, Sales, Health Policy, Health Insurance, Managed Care, Small Business, Insurance, Long-term Care, Healthcare Industry, HIPAA, COBRA, Healthcare Consulting
Education
Wellcare Health Plan 2008 — 2008
Accident and Health - Licensed, licensed
City University of New York-Herbert H. Lehman College
Associate's Degree, Art/Art Studies, General
PruittHealth July 2015 - Present
Sava Senior Care February 2015 - May 2015
Wellcare Health Plans December 2012 - March 2015
Wellcare Health Plans August 2011 - December 2012
Ultimate Medical Academy - Tampa March 2010 - May 2011
Moffitt Cancer Center July 2006 - November 2009
URS, formerly Washington Group Intl. August 1990 - September 2002
Lockheed Martin March 1998 - September 2000
Mason Chamberlain Inc. January 1987 - June 1990
Skills
Healthcare, Nursing, Managed Care, Training, Quality Assurance, Clinical Research, Team Building, Case Managment, Human Resources, Medicine, Healthcare Management, Utilization Management, Medicare, Hospitals, Inspection, HIPAA, Patient Safety, Medical Terminology, Healthcare Consulting, Healthcare Information..., Supervisory Skills, Patient Advocacy, Software Documentation, Nursing Education, Quality Improvement, Patient Education, Leadership, Medical Case Management, Oncology, Microsoft Office, Medicaid, PowerPoint, Quality Control, BLS, Case Management, Microsoft Excel, EMR, Inpatient
Education
Hillsborough Community College 2005 — 2007
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Delgado Community College 2003 — 2005
Pre-requisites for Nursing program, Registered Nursing/Registered Nurse
naviHealth, Inc. August 2014 - Present
Wellcare Health plans September 2008 - July 2014
Healthspring June 2006 - October 2007
Skills
Management/supervisor..., Worked in ICU at Maury..., Home health experience, Home Health Nursing..., Healthcare, HIPAA, Medicare, Managed Care, Nursing, Healthcare Management
Education
Columbia State Community College 1998 — 2000
Associate of Science (A.S.), Registered Nursing/Registered Nurse
WellCare Health Plans October 2014 - Present
Bankers Life and Casualty Company July 2013 - March 2014
JPMorgan Chase 2011 - June 2013
JPMorgan Chase March 2010 - August 2011
JPMorgan Chase December 2009 - March 2010
WCBD-TV 2 2009 - 2009
Skills
Proficient in loan..., Expertise in using..., Microsoft Office..., Adobe Photoshop, and..., Advance knowledge about..., Mortgage Underwriting, Insurance, Loss Mitigation, Mortgage Banking, Project Planning, Coaching, Training, Quality Assurance, Mortgage Lending, Team Building, Management, Time Management, Loans, Mortgage Servicing, Call Centers, Banking
Education
Charleston Southern University 2005 — 2009
Bachelor Degree, Communications
WellCare Health Plans April 2014 - Present
WellCare Health Plans, Inc. May 2013 - April 2014
Best Buy May 2007 - April 2013
Best Buy November 2005 - May 2007
Coventry Health Care August 2004 - November 2005
Best Buy June 2002 - November 2005
Skills
Human Resources, Retail, Time Management, Customer Service, Leadership, Administrative..., Store Management, Payroll, Merchandising, Expense Management, Inventory Management, Office Management, PowerPoint, Planograms, WebEx, Microsoft Office, Visual Merchandising, Meeting Planning, Office Administration, Hiring, Travel Arrangements, Bilingual-English/Spanis..., Income Statement, P&L, Customer Experience, MS Excel Pivot Tables, Event Management, Taleo, Event Planning, Driving Results, Outlook, SharePoint, InfoPath, Administrative..., Loss Prevention, Customer Satisfaction, Team Building, Employee Training, Microsoft Excel
Education
DeVry University 2013 — 2015
Bachelor's Degree, Bachelors of Science in Management specializing in Business Information Systems
Hillsborough Community College 2005 — 2010
AA, Business Administration
WellCare Health Plans November 2010 - Present
Nissan North America November 2007 - November 2010
Allergan Pharmaceuticals May 2006 - November 2007
ACC Capital Holdings, Inc. April 2003 - April 2006
City of West Hollywood February 2000 - January 2003
Willdan, Inc. June 1998 - July 2000
Skills
Contract Negotiations, Strategic Sourcing, Organizational Design, Category Analysis, Efficiency Analysis, Purchasing, Contract Management, Leadership, Business Process Design..., Team Development, Process Improvement, Strategy, Procurement, Integration, Contract Negotiation, Training, Vendor Management, Program Management, Outsourcing, Analysis, Budgets, Cross-functional Team..., SDLC, Management, Business Analysis, Forecasting, Supply Chain, ERP, Sourcing, Team Management, Business Process...
Education
California State University-Long Beach 1998 — 2000
MPA, Public Administration, 3.0
California State University-Long Beach 1992 — 1994
BA, Political Science, 3.0
Orange Coast College 1990 — 1992
Diploma, AA, 3.0
WellCare Health Plans June 2015 - Present
Aflac November 2012 - May 2015
Cigna July 2014 - November 2014
United Healthcare March 2007 - February 2012
UnitedHealth Group May 2005 - March 2007
UnitedHealth Group September 2003 - 2005
Alexandria Surgery 2001 - 2003
Louisiana Regional PHO August 1999 - December 2000
Lawrence P Menache MD ( Radiation Oncologist ) 1991 - 1999
Skills
Health Insurance, Insurance, Medicare, Disability Insurance, Employee Benefits, HMO, Health Savings Accounts, Provider Relations, Network Development, Medicare Part D, Long-term Care, Life Insurance, Health Policy, Healthcare, Healthcare Management, Accident, Term Life Insurance, PPO, Medical Billing, Managed Care, Medicaid, HIPAA, Benefits Administration, Workers Compensation, Healthcare Consulting, Healthcare Industry, Hospitals, Health Care Reform, Healthcare Reimbursement, Supplemental Insurance, Customer Service, Management, Account Management
Education
Central Michigan University 1998 — 2000
Master of Science (M.S.), Health/Health Care Administration/Management
Northwestern State University 1997 — 1999
Bachelor of Arts (BA), Liberal Arts and Sciences/Liberal Studies
Holy Savior Menard
High School Diploma, General Studies
J&L Healthcare Consulting Group LLC January 2015 - Present
Florida Healthcare Plus, Inc July 2012 - Present
WellCare Health Plans February 2007 - September 2010
CarePlus Health Plan April 2001 - January 2005
Skills
Management, Health Insurance, Customer Service, Microsoft Office, Claim, Strategic Planning, Leadership, Employee Benefits, Healthcare, Healthcare Industry, Healthcare Information..., Insurance, HIPAA, Medicare, Medicaid, Managed Care, Process Improvement
Education
Concorde Career Institute-Tampa 2010 — 2011
Certified Coder, Health/Health Care Administration
Canandaigua City School District March 2011 - Present
self-employed June 2013 - Present
Canandaigua City School District September 2009 - February 2011
Marcus Whitman Central School District 2007 - 2009
Canandaigua Montessori School 2006 - 2007
Kindermusik by ChildsPlay 2003 - 2007
Independent Health 1996 - 1999
WellCare Health Plans 1996 - 1996
Health Care Planner 1994 - 1996
Gleneden Dressage 1992 - 1993
Skills
Teaching, Education, Public Health, Writing, Common Core Curriculum, NYS Math and ELA modules, Differentiated..., Special Education, Early Childhood..., Preschool, Montessori, Kindermusik, Teaching Writing, Child Development, Experience Working with..., Inquiry-based Learning, Cooperative Learning, Technology Integration, Grant Writing, Report Writing, News Writing, Program Development, Policy Analysis, Data Analysis, Health Insurance, Health Education, Wellness, Healthcare Management, Horse Training, Horse Care, Horses, Work Well Independently, Proactive self-starter, Creative Problem Solving, High level of initiative, Positive Can-do Attitude, Multitasking Skills, Tutoring, Curriculum Development, Curriculum Design, Classroom, Elementary Education
Education
Cornell University 1986 — 1990
BS in Biology and Society
Yale University 1993 — 1996
Master's of Public Health, Public Health Administration
SUNY Colleges 2008 — 2010
NYS Teaching Certification, Early Childhood and Childhood General Education and Students with Disabilities, 3.8
Cognizant Technology Solutions August 2014 - Present
Shinewell Technologies Inc. April 2013 - August 2014
WellCare Health Plans April 2013 - May 2014
IT Consulting Company June 2012 - March 2013
Capstone Business Simulation January 2012 - May 2012
Metrology Supplier Company September 2011 - December 2011
Research Project for IBM January 2011 - May 2011
Multinational Brands September 2010 - December 2010
Case Study for Google Inc. June 2010 - August 2010
Tech Mahindra (formerly Mahindra Satyam) May 2006 - May 2008
Skills
Business Analysis, Project Management, MS Project, Visio, MIS, Microsoft Excel, Microsoft Word, Microsoft Office..., ENOVIA PLM, Microsoft Team..., Quality Center, ALM, Outlook, Informatica, Oracle PL/SQL..., PL/SQL, Cognos, SDLC, Requirements Gathering, Requirements Analysis, Software Documentation, User Acceptance Testing, Business Process, Business Requirements, Systems Analysis, Agile Methodologies, Integration, SQL, Testing, Data Modeling, Quality Assurance, TFS, Management
Education
Northern Illinois University 2010 — 2012
Master of Business Administration (M.B.A.), Management Information Systems
California State University-Sacramento 2010 — 2010
Pre-MBA, Finance, Economics, Statistics
West Bengal University of Technology 2001 — 2005
Bachelor of Technology (B.Tech.), Information Technology
PODS Enterprises January 2015 - Present
AAA Auto Club South April 2014 - January 2015
Catalina Marketing July 2012 - December 2012
Ocean Optics, Inc. June 2011 - June 2012
Crisis Center of Tampa Bay June 2010 - June 2011
Tampa Bay Workforce Alliance August 2009 - April 2010
Numara Software April 2008 - August 2008
WellCare Health Plans November 2006 - June 2007
H. Lee Moffitt Cancer and Research Center April 2006 - November 2006
Nielsen Media Research July 2005 - February 2006
Skills
Employee Relations, Recruiting, Deferred Compensation, Performance Management, PowerPoint, Employee Benefits, Applicant Tracking..., Talent Acquisition, Private Investigations, Training, Onboarding, Coaching, Job Fairs, Workforce Planning, Sourcing, Personnel Management, Benefits Negotiation, Temporary Placement, HRIS, Internet Recruiting, Executive Search, Human Resources, Management, New Hire Orientations, Staffing Services, Technical Recruiting, Screening, College Recruiting, Talent Management, Budgets
Education
DePauw University
Psychology/French
Georgia State University
BA, Psychology, French
Institut Americain a Aix-en-Provence
French, Psychology
Miami University
Psychology, French
WellCare Health Plans September 2014 - Present
Resource Employment Solutions January 2013 - September 2014
Sunrise Growers/Frozsun Foods February 2009 - November 2013
Skills
Employee Relations, Customer Service, Microsoft Office, Outlook, Microsoft Word, Microsoft Excel, Building Relationships, New Hire Orientations, Office Administration, Time Management
Education
DeVry University 2004 — 2008
Bachelor's degree, Business Administration and Management, General
Molina Healthcare May 2013 - Present
Universal Healthcare 2011 - 2013
WellCare Health Plans 2009 - 2011
WellCare Health Plans 2007 - 2009
WellCare Health Plans 2006 - 2007
WellCare Health Plans 2003 - 2005
Skills
Medicare, Leadership, Medicaid, Healthcare, Process Improvement, Case Management, Disease Management, Training
Education
Nova Southeastern University 2005 — 2007
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Eckerd College 2003 — 2005
Bachelor's degree, Business/Managerial Economics
Union County College 1995 — 1998
Nursing
WellCare Health Plans August 2015 - Present
SSM Health November 2011 - Present
Enterprise Holdings August 2014 - August 2015
Easter Seals Midwest June 2007 - August 2014
Skills
Employee Training, Customer Satisfaction, Customer Support, Nonprofits, Technical Support, Employee Management, Team Leadership, Quality Improvement, Program Development, Program Coordination, Case Management, Fundraising, Creative Writing, Social Services, Workforce Management, Process Improvement, Employee Relations
Education
Southern Illinois University, Edwardsville 2006 — 2008
Master's Degree, Public Administration
Eastern Illinois University 2002 — 2006
Bachelor of Arts (B.A.), English Language and Literature/Letters
WellCare Health Plans February 2013 - Present
Anveta, Inc January 2011 - February 2013
Thomson Reuters April 2007 - April 2008
GE Capital March 2006 - March 2007
Education
Concordia University-Wisconsin 2008 — 2010
Master of Business Administration (M.B.A.), Management Information Systems
The University of Vermont Medical Center February 2015 - Present
Alphabettercare September 2014 - December 2014
WellCare Inc. May 2014 - September 2014
WellCare Health Plans February 2014 - May 2014
CVPH Medical Center August 2009 - December 2013
CVPH Medical Center July 2007 - August 2009
Rite Aid March 2002 - January 2009
Skills
HIPAA, Medical Terminology, Data Entry, Hospitals, Patient Safety, Clerical Skills, CPR Certified, Microsoft Word, EMR, Mental Health, ACLS, Microsoft Excel, Customer Service, Filing, Siemens Soarian, Soarian Clinicals, Typing, Critical Thinking, Customer Satisfaction, Telephone Skills, Spreadsheets, Vital Signs, Mental Health Care, Blood Pressure, Direct Patient Care, Quality Patient Care, eClinical Works, Behavioral Health, Psychology, Social Psychology, Documentation, Appointment Scheduling, Healthcare, Public Speaking, Time Management, Microsoft Office, BLS, Outlook, Inpatient, EKG
Education
State University of New York College at Plattsburgh 2011 — 2015
Bachelor's degree, Psychology
Clinton Community College 2004 — 2010
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Plattsburgh High School 2000 — 2004
High School Diploma, General Studies
HHC August 2014 - Present
WellCare Health Plans March 2014 - August 2014
Preferred Health Partners May 2011 - November 2012
Winston Staffing 2009 - 2011
Long Island College Hospital 2009 - 2010
Skills
IV, Medical/Surgical, Patient Education, Pediatrics, Acute Care, Medication..., Cpr Certified, Phlebotomy, Vital Signs, BLS, Nursing, Patient Safety, Wound Care, ACLS, EKG, Patient Advocacy, CPR Certified, Medical-Surgical, Clinical Research
Education
Chamberlain College of Nursing 2015 — 2016
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Helene Fuld College of Nursing 2012 — 2014
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
WellCare Health Plans December 2014 - Present
The Coca-Cola Company October 2013 - November 2014
UnitedHealth Group October 2011 - April 2013
QTC April 2011 - March 2012
AIG March 2010 - March 2011
Coalition America April 2004 - October 2009
InHealth Record Systems April 2008 - March 2009
New Healthcare Management February 2003 - September 2003
Avaya Communication January 2000 - January 2002
Prudential Insurance March 1997 - March 2000
Skills
Managed Care, Health Insurance, Customer Service, Provider Relations, Microsoft Office, Call Center, Sales, Citrix, Telecommunications, DOS, Healthcare, Claim, Leadership, Training, Medicare, Insurance, Medical Billing, Call Centers, HIPAA, Medicaid
Education
Darton College 2012 — 2015
Health Information Technology
Darton College 2012 — 2015
Health Information Technology, Health Information Technology
Atlanta Technical College 2008 — 2009
n/a, Health Information Technology
md collins 1988 — 1989
WellCare Health Plans November 2011 - Present
Ridenour and Associates, LLC July 2009 - October 2011
Kentucky Chamber of Commerce October 2005 - June 2009
Columbia Gas of Kentucky August 2003 - September 2005
Lexington Chamber of Commerce August 2000 - July 2003
Kentucky Chamber of Commerce January 1993 - July 2000
Skills
Government Relations, Politics, Public Relations, Public Speaking, Community Relations
Education
Eastern Kentucky University 1991 — 1993
MPA, Public Adminstration
Eastern Kentucky University 1985 — 1989
BA, Political Science
Russell High School 1981 — 1985
HGH Investments October 2014 - Present
WellCare Health Plans November 2014 - September 2015
WellCare Health Plans February 2014 - November 2014
WellCare Health Plans February 2012 - February 2014
NYC OCME Department of Forensic Biology November 2007 - November 2011
AHRC September 2007 - November 2007
AHRC May 2005 - August 2007
86th street association 2007 - 2007
AHRC October 2002 - April 2005
Skills
Access, PowerPoint, Policy, Data Analysis, Program Management, Management, Quality Assurance, Customer Service, SPSS, Non-profits, Microsoft Word, Microsoft Excel, Leadership, Analysis, Employee Relations, Budgets, Process Improvement, Software Documentation
Education
City University of New York-Hunter College
Master of Science, Urban Affairs
STATE UNIVERSITY OF NEW YORK, BINGHAMTON UNIVERSITY
Bachelor of Arts, Sociology
WellCare Health Plans April 2012 - April 2015
GA Department of Behavioral Health & Developmental Disabilities November 2007 - April 2012
Cenpatico May 2006 - July 2007
Enrichment Services Inc. August 2002 - September 2005
Boys and Girls Club of Columubus and Phenix City April 1997 - May 2002
Skills
Program Management, Grants, Mental Health, Grant Writing, Community Outreach, Non-profits, Fundraising, Public Speaking, Teaching, Program Development, Research, Training, Event Planning, Adolescents, Program Evaluation, Strategic Planning, Psychology, Team Building, Nonprofits, Leadership, Social Services, Public Relations
Education
Troy University 2011 — 2014
M.S., Community Counseling
Columbus State University 1996 — 2001
B.S., Psychology
WellCare Health Plans December 2014 - Present
FirstCare Health Plans September 2013 - December 2014
Florida Healthcare Plus September 2012 - September 2013
WellCare June 2006 - September 2012
UnitedHealthcare 2001 - 2003
Skills
Medicare, Medicaid, HIPAA, Health Policy, Managed Care, Provider Relations, HMO, Healthcare, Healthcare Industry, Credentialing, Medical Compliance, Physicians, Utilization Management, Medicare Part D, Medicaid Managed Care, Disease Management, Health Insurance, Healthcare Management, PPO, Network Development, HEDIS, Health Law, NCQA, Medical Staff..., AAAHC, EMTALA, Anti-Kickback Statute, OIG, Health Care Regulation, Contract Management, Regulatory Affairs, Regulatory Guidelines, Legal Compliance, Medicare Prescription..., Claim, Claims Resolution, Health Care Reform, Healthcare Information..., JCAHO, Medical Billing, Medical Coding, Medicare/Medicaid..., Pharmacy Benefit..., Physician Relations, Policy, Stark, Medicare Advantage, Risk Assessment, Privacy Law, Privacy Regulations
Education
Northwestern California University NWCU
Juris Doctor, Law
Carlow University
Master's Degree, Financial Forensics and Fraud Investigation
Hodges University
Bachelors Science, Business Management
Pasco-Hernando State College
Associate's Degree
Seton Hall University School of Law
Advanced Graduate Certificate Health and Hospital Law, Healthcare Law
The George Washington University
Graduate Certificate, Corporate Healthcare Compliance
Self January 2014 - Present
WellCare Health Plans July 2011 - Present
Sonya Coates Consulting January 2000 - Present
Skills
Writing, Creative Writing, Fiction, Non-fiction
Education
Capella University 2003 — 2005
Master of Science (M.S.), Human Services
University of South Florida 1998 — 2001
Bachelor of Arts (B.A.), Interdisciplinary Social Sciences
WellCare Health Plans June 2014 - October 2014
The Robesonian February 2013 - December 2013
University of Florida Foundation June 2012 - December 2012
Various Companies August 2010 - December 2012
Sunshine State News April 2011 - July 2011
Skills
Reporting, Researching, Great Networking Skills, Fact Checking, PowerPoint, Microsoft Excel, Microsoft Word, Facebook, Ap Style, Photoshop, Social Media, Tumblr, Wordpress, Research, WordPress, AP Style, Journalism, Blogging, News Writing, Copy Editing, Newspapers, Feature Articles
Education
University of Florida 2010 — 2012
BS in progress, Journalism
Santa Fe College 2009 — 2010
Associate of Arts (AA), Journalism
Edward Waters College 2008 — 2009
Communications
Armwood High School 2004 — 2008
WellCare Health Plans August 2015 - Present
Bergen County Human Services November 2013 - July 2015
Veteran dministration Hospital September 2014 - June 2015
Crown Industries January 2011 - January 2013
Verizon Wireless 2001 - 2011
AT&T January 1990 - December 2000
Skills
Medical Social Work, Case Management, Group Therapy, Crisis Intervention, Patient Advocacy, Family Therapy, Individual Counselling, Dynamic Trainer, Human Resource..., Project Management, Treatment Planning, Microsoft Office, Motivational..., CBT Treatment, Measurement System..., Trend Forecasting
Education
Rutgers University-New Brunswick 2013 — 2015
Master’s Degree, Master Social Work (MSW)
New Jersey City University 2011 — 2012
Bachelor of Arts (B.A.), Sociology/Business
Essex County College 2010 — 2011
Associate of Science (A.S.), Social Sciences
Tampa General Hospital June 2015 - Present
WellCare Health Plans October 2014 - June 2015
Apex Systems/AAA Group/ Service Repair Maintenance March 2014 - October 2014
D G Erwin Technical Center September 2012 - March 2014
AAA Auto Club South 2014 - 2014
Apex Systems 2014 - 2014
Philippine National Bank February 2012 - October 2012
Al Qasba August 2005 - June 2008
Globe Telecom August 2004 - August 2005
Skills
Remote Desktop, Software Configuration..., Hardware Diagnostics, Remote Troubleshooting, Data Backup Solutions, Data Recovery, Remote Data Capture, Microsoft Office, Hardware, System Administration, Technical Support, Leadership, Management, Windows 7, Network Administration, Process Improvement, Software Documentation, Troubleshooting, Windows, Customer Service, Active Directory, Project Management
Education
D G Erwin Technical Center 2012 — 2014
Technical School, Computer Repair Networking, 4.0
St. Scholastica's College Manila 1996 — 2000
Bachelor of Science (BS), Management Information Systems, 3.0
Landmark Hospital August 2014 - Present
WellCare Health Plans May 2014 - July 2014
Elizabeth Arden June 2012 - July 2013
Westminster College (Fulton, Missouri) November 2008 - December 2011
Fulton State Hospital November 2008 - July 2011
LA Weight Loss February 2006 - January 2007
Social Security Aministration Office of Hearings and Appeals March 2003 - February 2006
Sears & Roebuck September 2001 - October 2003
Winchendon Courier February 1997 - December 1999
Ethiopian Family Center 1985 - 1988
Skills
Public Speaking, Research, Project Coordination, ESL, Non-profits, Social Media, Microsoft Office, Team Leadership, Customer Service, Outlook, Editing, Strategic Planning, Team Building, Social Media Marketing
Education
Stephens College 2013 — 2016
Master’s Degree, Business Strategic Leadership
Columbia College 2009 — 2011
BGS, General Studies Business/English
William Woods University 2007 — 2007
course work, Business Management
University of New Hampshire 1980 — 1983
Associate of Arts, Gen Ed/Writing/Theater
WellCare Health Plans February 2015 - Present
Doshi Diagnostic July 2010 - July 2012
New York-Presbyterian Hospital September 2009 - March 2010
Montefiore Information Technology June 2008 - July 2008
Skills
Certified Microsoft..., Accounting, Accounts Receivable, Management, Communication, Data Entry, Invoicing, Documentation, HIPAA, Financial Statements, Healthcare, Healthcare Information..., General Ledger, Hospitals, Outlook, Customer Service
Education
CUNY Bronx Community College 2005 — 2006
Computer Business Information System
Theodore Roosevelt High School 2000 — 2004
Liberal Arts and Sciences/Liberal Studies
WellCare Health Plans December 2013 - Present
Los Alamitos Medical Center 2011 - 2013
Long Beach Memorial Medical Center 2009 - 2011
Education
California State University-Long Beach 2007 — 2009
Bachelor of Science (B.S.), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing, Cum Laude
Quest Diagnostics September 2014 - Present
Bloomin' Brands, Inc. May 2013 - May 2014
McKinsey & Company August 2012 - May 2013
WellCare Health Plans November 2010 - May 2012
Wells Fargo Insurance Services September 1997 - September 2010
Skills
Employee Benefits, Claim, Payroll, Benefits Administration, Health Insurance, HRIS, Insurance, COBRA, Open Enrollment, Employee Relations, Workers Compensation, FMLA, Customer Service, HRIS Database Management, Human Resources, Claims Resolution, Disability Insurance, New Hire Orientations, ADP Payroll, Deferred Compensation, Onboarding, Applicant Tracking..., PeopleSoft, Training, Life Insurance, Team Building, Policy
Education
Pasco-Hernando State College 2014 — 2016
Concorde Career Institute-Tampa 1992 — 1994
Certification, Dental Assisting/Office Management
Leto High School 1989 — 1992
High School Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
WellCare Health Plans October 2008 - Present
MB Translations May 1999 - Present
American Red Cross October 2003 - August 2007
Community Health Network of CT 2000 - 2002
Meriden Health Department August 1999 - May 2000
MidState Medical Center November 1997 - May 1999
Prudential Financial May 1988 - May 1997
Skills
Bilingual-Spanish, Notary Public, Translation Services, Medicaid, Credentialing, Healthcare, Insurance, Hospitals, Data Analysis, Negotiation, Research, Customer Relations, Customer Service, Strategic Planning, HIPAA, Public Speaking, Medicare, Compliance, Contract Negotiation, Problem Solving, Microsoft Office, Health Insurance, Word, Excel, Healthcare Management, Fundraising, HEDIS, Physicians, Community Outreach, Claim, Physician Relations, Medicaid Managed Care, Network Development, Event Planning, Recruiting, Provider Relations, Training, Managed Care, Employee Benefits, HMO, Utilization Management, Healthcare Industry, Health Policy
Education
Springfield College
Bachelor of Science - Cum Laude, Human Services
Central Connecticut State University
Communication & Marketing
WellCare Health Plans April 2015 - Present
SevaMed Institute April 2014 - April 2015
Skills
PALS, ACLS, IV, EKG, First Aid, Medical Records, Appointment Scheduling, CPR Certified, Nursing, Treatment, Medicine, Healthcare, Hospitals, Healthcare Management, BLS, Public Speaking, Teamwork, Microsoft Office, Patient Safety, Microsoft Excel, Customer Service, Patient Education, Wellness, Pediatrics, Clinical Research, Inpatient, EMR, Nutrition, Medical Terminology, Medical-Surgical, Leadership, Wound Care
Education
D G Erwin Technical Center 2012 — 2013
LPN, Nursing
Nature Coast Technical High School 2006 — 2009
High school diploma, CNA license, Nursing Education
Health Integrated, Inc. October 2014 - Present
WellCare Health Plans 2014 - 2014
Inovalon 2013 - 2014
BayCare Health System 2013 - 2013
Maxim Healthcare Services 2009 - 2013
Brandon Regional Hospital 2009 - 2009
Kindred Healthcare 2008 - 2009
Skills
Case Management, Disease Management, Care Coordination, Call Centers, Nursing Care, Nursing Process, Home Health Agencies, Microsoft Word, Management, Leadership, PowerPoint, Research, Training, Microsoft Office, Microsoft Excel, Healthcare, Home Care, Nursing, Clinical Research
Education
University of South Florida 2013 — 2015
Bachelor of Science in Nursing, BSN, Nursing Science, 3.74
Hillsborough Community College 2011 — 2012
Associate of Science (A.S.), Nursing, RN, 3.72
D G Erwin Technical Center 2007 — 2008
Licensed Practical Nurse, LPN, Nursing Science, 3.75
WellCare Health Plans June 2015 - Present
Spatique Spa Lounge July 2013 - Present
Chicago Family Health Center November 2014 - June 2015
US Banccorp July 2007 - March 2012
Skills
Managed Care, Contract Management, Contract Negotiation, Healthcare Management, Medical Staff..., Health Insurance, Project Coordination, Customer Service, Customer Relations, Customer Retention, Loan Origination, Home Equity Loans, Credit Cards, Lines Of Credit, Revolving Lines of..., Retail Banking, Entrepreneurship, Social Media Marketing, Employee Training, Hiring, Anti Money Laundering, Sales Operations, Sales, Sales Order Processing, Identifying Sales..., New Business Development, Business Development, Business Planning, Small Business, Small Business Lending, Small Business Marketing, Small Business..., Small Business..., Escalation Resolution, Microsoft Excel, Microsoft Word, PowerPoint, CRM, Needs Analysis, Management, Project Management, Medicaid Managed Care, Medicaid, Medicare
Education
Saint Xavier University 2010 — 2012
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 3.35
Central State University 2003 — 2007
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services, 3.5
WellCare Health Plans April 2015 - Present
WellCare Health Plans May 2014 - Present
Aston Gardens, Tampa, FL April 2009 - Present
US Wellness 2013 - 2015
Moffitt Cancer Center January 2010 - May 2014
T3 Technologies 2007 - 2009
CA Technologies April 2003 - November 2006
Rue Education 2006 - 2006
Tailor's Touch and More, Inc. 2003 - 2006
HRMC - Human Resource Management Center, Inc. 1997 - 2003
Skills
Assisted Living, Supervisory Skills, Healthcare Coordination, Healthcare Management, Medical/Surgical, BLS, First Aid, Hospice, Alzheimer's Care, Critical Care, IV Starts, Patient Safety, Information Technology, Cold Calling, Direct Sales, Inside Sales, Outside Sales, Concept Sales, Channel Account..., Business Development, Sales Presentation..., Technical Sales..., Pipeline Development, Market Assessments, Trend Following, Medication..., Nursing
Education
Hillsborough Community College
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
Hillsborough Community College 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse
D G Erwin Technical Center 2009 — 2010
Practical Nursing Diploma, Licensed Practical/Vocational Nurse Training, 3.65
WellCare Health Plans December 2014 - Present
WellPoint August 2014 - November 2014
Metropolitan Jewish Health System/Elderplan Inc December 2007 - August 2014
United Way of New York City May 2001 - December 2007
Skills
Healthcare, Healthcare Management, Process Improvement, EHR, Program Management, MS Project, Healthcare Information..., EMR, Project Management, Training, Access, Management, Analysis, HIPAA, Managed Care, Medicare, Medicaid, Strategic Planning, Health Insurance, Healthcare Industry, Leadership, Team Building, Health Policy, Insurance, Home Care, Data Analysis, Software Documentation, Hospitals
Education
4PM 2011 — 2011
Certificate, Project Management
College of Staten Island 2003 — 2007
B.S., Business Management
Colorado State University
Pursuing MBA
Remedy Partners August 2015 - Present
WellCare Health Plans- Ohana HealthPlan February 2015 - June 2015
Helping Hands Hawaii December 2014 - February 2015
PACBLU HAWAII September 2014 - November 2014
WellCare Health Plans March 2014 - June 2014
Hope Incorporated January 2014 - March 2014
APS Healthcare November 2012 - October 2013
Hilo Medical Center December 2007 - November 2012
North Hawaii Community Hospital August 2000 - December 2007
Pohai Nani Care Center August 1999 - July 2000
Skills
Case Management Nursing, HEDIS, Critical Care Nursing, Renal Nursing, Healthcare, Rehabilitation, Transitional Care, Hyperbaric Medicine, Hemodialysis, Peritoneal Dialysis, Post Anesthesia Care, Cardiology, OB/GYN, Quality Improvement, Behavioral Health, Pediatric Nursing, Geriatric Nursing, ACLS, Nursing Education, Clinical Research, Hospitals, Nursing
Education
Chamberlain College of Nursing 2014 — 2016
Earning my Bachelor's Degree, Nursing Science
Western Wisconsin Technical Institute- LaCrosse Wisconsin 1983 — 1986
Associate of Science (AS), Registered Nursing/Registered Nurse
Southwest Senior High School Minneapolis, MN 1974 — 1977
High School Diploma, Senior High School subjects
VistaPay, LLC October 2013 - Present
Benchmark Payment Systems 2014 - 2015
Benchmark Payment Systems 2014 - 2015
IVP ANIMAL HEALTH December 2011 - January 2013
Vanguard Payment Systems August 2005 - November 2011
WELLCARE HEALTH PLANS February 2004 - August 2005
BIJOUX INC August 2000 - January 2004
RAYMOND JAMES & ASSOCIATES August 1998 - May 1999
Skills
New Business Development, Business Strategy, Mergers & Acquisitions, Entrepreneurship, Strategic Planning, Business Development, Sales Management, Strategy, Strategic Partnerships, Leadership, Executive Management, E-commerce, Management, Finance, Cross-functional Team..., Business Planning, Financial Modeling, Sales, Due Diligence, Budgets, Marketing
Education
Emory University - Goizueta Business School 1999 — 2000
MBA, General Management & Finance
Emory University 1994 — 1998
BBA, Finance
CCC
Wellcare Inc June 2014 - Present
WellCare Health Plans November 2012 - June 2014
Medco November 2011 - April 2012
Valley Medical Group November 2007 - September 2011
Pensacola Open MRI January 2005 - June 2006
Hillsborough County Library January 2001 - January 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Publisher, Typing, Appointment Scheduling, Copy Editing, Phone Skills, Customer Service, Pharmacy Technicians, Medicare Prescription..., Prescription Drugs, Multi Tasking, Telephone Skills, HIPAA, Healthcare, Hospitals, Training, Data Entry, Case Management, Managed Care, Management
Education
Chipola College 1998 — 1999
Chipley High School 1995 — 1999
Hillsborough Community College
WellCare Health Plans February 2015 - Present
WellCare July 2012 - February 2015
WellCare July 2011 - June 2012
Walgreens August 2007 - June 2011
Advanced Pharmacy Practice Rotations May 2010 - May 2011
Drake University August 2008 - May 2009
Skills
Organizational Learning, Thought Leadership, Innovative Thinking, Managed Care, Medication Therapy..., Healthcare, Public Speaking, PowerPoint, Clinical Research, Medicare, Pharmacy Benefit...
Education
Drake University 2005 — 2011
PharmD, Pharmacy
Drake University 2005 — 2011
Masters of Business Administration, Business
WellCare Health Plans May 2014 - Present
Concentra September 2006 - April 2014
NCQA 1996 - 2013
WellCare July 2007 - April 2010
Humana Military Healthcare Services 2002 - 2004
WellPoint 1996 - 2002
Aetna Health Plans 1993 - 1996
CIGNA Healthcare 1990 - 1993
Skills
Managed Care, Medical Management, Medicare, Healthcare Management, Utilization Management, Disease Management, Healthcare, Health, Clinical, Case Management, Health Insurance, Care Management, EMR, Quality Management, Public Health, Strategic Planning, Credentialing, Prevention, Wellness, Team Building, Process Improvement, Case Managment, Clinical Research, Management, Medicaid, Healthcare Industry, Medicine, Practice Management, EHR, Employee Benefits, Quality Improvement, Healthcare Information..., Health Policy, Family Medicine, NCQA, Physicians, HIPAA, Provider Relations, Physician Relations, Accreditation
Education
Universidad Autónoma de Nuevo León 1967 — 1973
M.D., Medicine (Physician)
Duke University School of Medicine
Family Med Residency, Residency in Family Medicine
University of San Francisco - School of Management
M.P.A., Health Services Administration
Harvard Medical School
Fellowship, Fellowship in Clinical Epidemiology
Harvard T.H. Chan School of Public Health
M.P.H., Epidemiology
The University of Texas at Austin
B.A., Microbiology
CEO, The Colbert Group, LLC May 2012 - Present
CIGNA 2015 - 2015
The Colbert Group, LLC 2008 - 2015
The Colbert Group, LLC 2008 - 2015
UnitedHealth Group 2013 - 2013
UnitedHealth Group 2013 - 2013
Wellcare Health Plans August 2011 - April 2012
Great American Senior Benefits 2009 - 2010
Combined Insurance Company 2009 - 2009
Accenture August 2002 - November 2008
Skills
Health, Accident, Mortgage Protection, Insurance, Health Insurance, Medicare, Medicare Supplements, Medicare Part D, Bird Dog, Mortgage Marketing, Residential Homes, Commercial Real Estate, Start-ups, Bridge Loans, Strategic Financial..., Real Estate, Underwriting, Life Insurance, Investments, Employee Benefits, Healthcare, Loans, Funding, Project Finance, Venture Capital, Financial Analysis, Small Business, Business Strategy, Due Diligence, Finance, Selling, Business, Mortgage Lending, Strategic Planning, Risk Management, Financial Services, Mergers, Valuation, Executive Management, Asset Managment, Portfolio Management, Management Consulting, Mergers & Acquisitions, Entrepreneurship, Corporate Finance, Financial Modeling, Investment Properties, Banking, Asset Management, Strategic Consulting
Education
Charter Oak State College
Computer Info Systems / Management
WellCare Health Plans April 2012 - Present
Skills
Accounting, Risk Management, Analysis, Financial Analysis, Microsoft Word, Microsoft Excel, Portfolio Management, SAS, Word, Excel, PowerPoint, Outlook
Education
California State University-East Bay 2009 — 2011
MBA, Finance, 3.8
Beijing University of Aeronautics and Astronautics (BUAA) 2001 — 2005
Bachelor of Science; School, Industrial Engineering; Economy and Management
Beijing University of Aeronautics and Astronautics (BUAA) 2001 — 2005
Bachelor 2nd degree, Law
WellCare Health Plans November 2014 - Present
WellCare Health Plans September 2011 - November 2014
WellCare Health Plans December 2004 - July 2010
Moffitt Cancer Center 2010 - 2010
Skills
Managed Care, Medicaid, Medicare, HIPAA, Health Policy, Medicare Part D, Healthcare Management, Quality Assurance, Policy, Process Improvement, Analysis, Visio, Medicaid Managed Care, Outlook, Healthcare, Healthcare Industry, Leadership, Medical Compliance, Health Insurance, Insurance, Management
Education
Drexel University 2014 — 2016
Masters, Legal Professions and Studies
University of South Florida 2004 — 2006
Bacholer's of Science, Gerentology
Daytona Beach Community College 2001 — 2003
Associate's of Applied Science, Physical Therapy Assistant
WellCare December 2009 - Present
WellCare Health Plans 2006 - 2015
WellCare May 2006 - December 2009
Florida Agency for Health Care Administration January 2005 - May 2006
Florida Agency for Health Care Administration August 2003 - January 2005
Skills
Health Insurance, Managed Care, Health Policy, Medicaid, Regulatory Affairs, Healthcare, Medicare, HIPAA, Healthcare Management, Contract Negotiation, Medical Compliance, HMO, Healthcare Industry, Medicare Part D, Healthcare Consulting, Provider Relations, Leadership, Insurance, Process Improvement
Education
Emory University 1989 — 1993
Bachelor of Arts, Political Science
The Canterbury School of Florida
General
WellCare Health Plans August 2014 - Present
WellCare October 2009 - August 2014
WellCare July 2005 - September 2009
BearingPoint Inc December 2003 - July 2005
Cap Gemini July 2001 - November 2003
IDX Systems 1998 - 2001
Skills
Hospitals, Quality Assurance, Healthcare Information..., Medicaid, Healthcare Management, Healthcare, Managed Care, Medicare, HIPAA, EMR, Process Improvement, EHR, Data Analysis, Consulting, Program Management
Education
Clark University 1997 — 1998
MBA
The Pennsylvania State University 1991 — 1995
BS
Davita Healthcare Partners September 2014 - Present
Meridian Health Plan August 2012 - September 2014
Private Organization April 2011 - July 2012
Wellcare Health Plans May 2009 - April 2011
Vertisy, Inc. July 2008 - May 2009
WellCare Health Plans March 2004 - June 2008
WellCare Health Plans October 2002 - February 2004
BearingPoint/Arthur Andersen Business Consulting February 2001 - September 2002
md2patient March 2000 - January 2001
Arthur Andersen Business Consulting August 1999 - March 2000
Skills
Managed Care, Medicaid, Medicare, HMO, Medicare Part D, Healthcare, Provider Relations, Health Insurance, Network Development, Health Plans, Disease Management, Provider Contracting, NCQA, HEDIS, Medical Management, Care Management, Healthcare Management, Healthcare Compliance, Government Programs, Healthcare IT, Healthcare Consulting, Business Strategy, New Business Development, Health, Healthcare Industry, HIPAA, Hospitals, PBM, Claims, Physician Relations, Healthcare Information..., Insurance, Performance Improvement, EHR, Contract Negotiations, EMR, Executive Management, Process Improvement, Healthcare Strategy, Strategic Planning, Data Analysis, Contract Negotiation, Team Building, Business Process..., Operations Management, Benefits Administration, Government, Mergers, Acquisition Analysis, Cross-functional Team...
Education
Northwestern University - Kellogg School of Management 2006 — 2008
MBA, General Management
Emory University - Goizueta Business School 1995 — 1999
BBA, Finance & Healthcare Management
Roswell High School
Optum November 2014 - Present
WellCare Health Plans June 2014 - November 2014
Concordance Consulting Group May 2013 - August 2014
Select Account (Blue Cross Blue Shield) June 2013 - June 2014
Prime Therapeutics August 2012 - June 2013
The Lacek Group April 2012 - August 2012
UnitedHealthcare November 2009 - April 2012
General Mills October 2007 - June 2009
General Mills April 2006 - October 2007
General Mills January 2005 - April 2006
Skills
Process Improvement, Cross-functional Team..., Analysis, Strategy, New Business Development, Sales, Strategic Planning, Data Analysis, Marketing, SharePoint, SAS, Coaching, SAS programming, Finance, Management, Analytics, Business Intelligence, Forecasting, ETL, Oracle, Access, Vendor Management, Business Process..., Six Sigma, Training, Business Analysis, Pricing, CRM, Leadership, Visio, SDLC, Data Warehousing, Requirements Gathering, Data Modeling, Business Process, Testing, Program Management, SAS Programming
Education
Concordia University-St. Paul 2006 — 2008
MBA, Management
St. John's University 1997 — 2001
Bachelor of Science, Economics
University of St. Thomas
Premier Beverage Company December 2013 - Present
WellCare Health Plans May 2003 - October 2011
Skills
Strategic Sourcing, Vendor Management, Process Improvement, Purchasing, Contract Management, Contract Negotiation, Sourcing, Procurement, Inventory Management, Global Sourcing, RFP, Negotiation, Movex, Forecasting, Materials Management, Customer Service, Team Building, Outlook, Cross-functional Team..., Strategic Planning
Education
Elmhurst College 1988 — 1990
WellCare Health Plans March 2015 - Present
WellCare June 2013 - March 2015
WellCare July 2008 - June 2013
General Electric, Xerox Capital Services June 2000 - October 2007
GE Commercial Finance (XCS) June 2000 - October 2007
GE Commercial Finance (Xerox Capital Services) 2000 - 2007
Skills
Business Strategy, Business Process..., Change Management, Six Sigma, Performance Management, Management, Business Analysis, Cross-functional Team..., Process Improvement, Financial Analysis, Team Building, Budgets, Continuous Improvement, Customer Service, Data Analysis, Analysis, Operations Management, Strategic Planning, Project Management, Finance, Team Leadership, Insurance, Leadership, Executive Management, Risk Management, Program Management, New Business Development, Forecasting, Vendor Management, Sales, CRM, Management Consulting, Strategy
Education
University of Phoenix 2001 — 2003
Master of Business Administration (MBA)
Eckerd College 1996 — 2000
Bachelor of Science, International Business
WellCare Health Plans November 2014 - Present
WellCare Health Plans January 2014 - November 2014
WellCare March 2007 - November 2013
WellCare June 2005 - March 2007
Eckerd January 2003 - June 2005
Eckerd July 1995 - December 2002
Eckerd January 1991 - June 1995
Eckerd July 1989 - December 1990
Eckerd January 1988 - June 1989
Revco DS Inc October 1982 - December 1987
Skills
CPA - OH, Pharmacy, Forecasting, Leadership, Managed Care, Pharmacy Benefit..., Healthcare, Process Improvement, Medicare, Pharmacy Automation, Healthcare Management, Team Building, HIPAA, Strategic Planning, Budgets
Education
Cleveland State University 1978 — 1982
Bachelor of Business Administration (BBA), Accounting
Cleveland State University 1978 — 1982
Bachelor's degree, Accounting
WellCare Health Plans July 2014 - Present
WellCare 2013 - Present
WellCare October 2009 - Present
WellCare of Georgia 2009 - 2012
State of Georgia May 2005 - November 2009
Skills
Community Outreach, Social Services, Case Managment, Healthcare, Grant Writing, Volunteer Management, Conflict Resolution, Mental Health, Psychotherapy, Medicaid, Medicare, Managed Care, Program Development, Healthcare Management, Health Education
Education
Clark Atlanta University 1993 — 1997
BA, Finance
University of Michigan
Master of Social Work (MSW), Interpersonal Practice Children Youth &Families
WellCare Health Plans March 2015 - Present
Deloitte June 2012 - March 2015
Fidelity National Information Services March 2012 - June 2012
Ceridian 1995 - February 2012
Decision Group Consultants April 1995 - November 1995
Arthur Rutenberg Homes 1988 - 1995
Skills
Vendor Management, Process Improvement, Business Analysis, Software Project..., Requirements Analysis, Requirements Gathering, SDLC, Business Process..., Project Management
Education
Eckerd College
BA, Business Management
Scrum Alliance
WellCare Health Plans August 2015 - Present
Fannie Mae November 2014 - June 2015
Independent Consultant - Fannie Mae June 2014 - October 2014
The North Highland Company January 2013 - July 2014
Freddie Mac April 2010 - February 2013
Bank of America January 2009 - November 2009
Bank of America April 2008 - January 2009
TIAA-CREF 2001 - 2004
KPMG Consulting (now BearingPoint) 1999 - 2001
Freddie Mac 1993 - 1999
Skills
Strategic Planning, Process Engineering, Creative Problem Solving, Credit, Loans, Mortgage Banking, Financial Services, Collaborative Problem..., Business Analysis, Business Process..., Business Development, Product Management, Program Management, Banking, Strategy, Risk Management
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1984 — 1985
MBA, Business Finance
Clarion University of Pennsylvania 1972 — 1977
BS, Education
Synergy Systems, LLC February 2015 - Present
WellCare Health Plans September 2013 - February 2015
TestAmerica November 2007 - February 2013
UnitedHealth Group August 2005 - November 2007
Pacific Life January 2002 - August 2005
Skills
Microsoft SQL Server, Visual Basic, Crystal Reports, VB.NET, SQL, Database Design, Databases, Business Analysis, Programming, Analysis, Visio, SDLC, Software Project..., System Administration, Software Development
Education
California State University-Long Beach - College of Business Administration 2005 — 2007
Bachelor of Science, Management Information Systems, General
WellCare Health Plans June 2005 - October 2015
WellCare Health Plans June 2005 - November 2006
Division of Family & Children January 1992 - January 2005
Skills
Medicare, Managed Care, Medicaid, Healthcare, Healthcare Management, Government Programs, Medicaid Managed Care, Health Insurance, Provider Relations, HMO, HIPAA, Process Improvement, Leadership, Training, Hospitals, Healthcare Industry, Policy, Healthcare Consulting, Management, Utilization Management, Medicare Part D, Medical Compliance, Health Policy, Credentialing, Pharmacy Benefit..., Disease Management, Revenue Cycle
Education
Strayer University 2005 — 2007
Masters of Health Services Administration, Health/Health Care Administration/Management, Graduated with Honors
Eastern Illinois University 1985 — 1989
Bachelor of Science, Family and Community Services
Travel Trade School, Inc
Travel Consultant, Travel
Bloomin' Brands, Inc. March 2013 - Present
WellCare Health Plans January 2013 - March 2013
PwC April 2012 - January 2013
Advantec/Oasis Outsourcing May 2006 - January 2012
K-FORCE Professional Staffing January 2005 - April 2006
K-FORCE Professional Staffing January 2001 - January 2005
Message On Hold Network June 2000 - September 2000
Icon Promotional Marketing June 1999 - December 1999
KM Freelance Copywriting September 1994 - June 1999
Provident Advertising & Marketing February 1993 - September 1994
Skills
PeopleSoft, Employee Benefits, Access, Auditing, Microsoft Office, PowerPoint, PEO, Excel, Word, Benefits Reconciliation, Reconciliation, Cost vs. Revenue..., Creative Writing, Copywriting, Advertising Copy, Roxio Creator, Ultipro Query Studio
Education
Carnegie Mellon University 1977 — 1985
Bachelor of Science, Industrial Management
WellCare Health Plans August 2015 - Present
JPMorgan Chase December 2011 - Present
JPMorgan Chase September 2007 - December 2011
Wells Fargo Bank June 2001 - August 2007
Wells Fargo 2000 - 2001
Protective Industrial Products 1996 - 1999
Skills
Banking, Risk Management, Financial Risk, Financial Services, Business Analysis, SAS, Analytics, Operational Risk, Retail Banking, Business Intelligence, Risk Analytics, Fraud, Call Center, Business Requirements, Data Analysis, Debit Cards, Forecasting, Tableau
Education
State University of New York College at Plattsburgh 1986 — 2003
Bachelor's, Economics w/ Business Admin.
Dutchess Community College 1984 — 1986
FDR HS
WellCare Health Plans December 2014 - Present
HIMSS (Healthcare Information and Management Systems Society) October 2011 - December 2014
National Governors Association December 2009 - September 2011
National Association of State Chief Information Officers (NASCIO) August 2006 - December 2009
Stateside Associates January 2004 - August 2005
Skills
Government, Policy Analysis, Public Policy, State Government, Policy, Legislative Relations, Health Policy, Community Outreach, Federal Government, Program Management, Public Speaking, Non-profits, Strategic Planning, Research, EHR Adoption, Federal Regulations, Analysis, Strategic Communications, Legislation, Grants, Nonprofits, Regulations, Healthcare Information..., Strategy, EHR, Healthcare, Government Relations
Education
Eastern Kentucky University 2005 — 2007
Masters, Public Administration
Georgetown College 1999 — 2003
Bachelor of Arts (B.A.), Sociology
WellCare Health Plans March 2014 - Present
Lovelace Health Plan March 2012 - March 2014
WellCare May 2005 - March 2012
Benesch Friedlander Coplan & Aronoff January 1999 - April 2005
Ohio Department of Insurance September 1997 - January 1999
Skills
Healthcare Compliance, Medicaid, Litigation, Corporate Governance, Medicare
Education
Capital University Law School 1994 — 1998
Juris Doctor, Law, Magna Cum Laude
The Ohio State University 1987 — 1991
Bachelor of Arts, Political Science
WellCare Health Plans September 2015 - Present
PharMerica February 2010 - September 2015
PharMerica 2010 - 2012
PharMerica September 2006 - March 2011
Bugs, Bytes & Bits May 2002 - September 2007
Moffitt Cancer Center May 2002 - September 2006
Miami University December 2001 - May 2002
Fort Hamilton Hospital May 2001 - May 2002
US Navy July 1998 - July 1999
United States Navy July 1997 - July 1998
Skills
Security Clearance: ..., ITIL v3 Foundations..., Project Management, Training, Compliance, Risk Management, Crisis Management, Global Communications, Scheduling Management, Event Planning, Cultural Awareness, Knowledge Base, Healthcare, Nursing, Presentations, Vendor Relationships, Process Improvement, Information Systems, Information Security, Networking, Application Development..., Change Management, Customer Support, Microsoft Office, Microsoft Excel, Microsoft Product Studio, Visual Studio, Visio, ASP.NET, C#, Windows Server, Technical Support, Information Technology, Computer Hardware, System Administration, Hardware, XP, Access, Integration, HIPAA, Software Documentation, IT Service Management, Databases, Security, IT Management, SharePoint, SDLC, Vendor Management, Troubleshooting, ITIL
Education
University of South Florida 2003 — 2009
BS, Computer Information Systems
Miami University 1999 — 2002
Nursing Science
Navy Education and Training Center, Newport, RI 1998 — 1999
Broadened Opportunity for Officer Selection and Training (BOOST)
Central Texas College 1995 — 1995
College study while afloat on the USS O’Brien in the Arabian Gulf.
Naval Air Station, Meridian, MS. 1994 — 1994
Aviation Maintenance Administrationman Class “A” School
WellCare Health Plans September 2008 - Present
Physicians United Plan December 2006 - September 2008
United Health Group / Evercare October 2005 - November 2006
Greystone Healthcare Management, Inc. April 2002 - October 2005
Employer and Occupational Services (EOS) Healthnet January 2000 - November 2001
Concentra Managed Care, Inc. November 1998 - November 1999
Independent HealtCare Consultant April 1997 - October 1998
Aetna Health Plans September 1987 - April 1997
Av-Med Health Plan December 1985 - September 1987
Medical One, Inc. July 1983 - December 1985
Education
Eckerd College
Organizational Studies
WellCare Health Plans December 2014 - Present
Florida Blue April 1995 - December 2014
United States Army National Guard October 1992 - January 2006
Florida Blue May 1999 - March 2001
Florida Blue December 1997 - May 1999
Florida Blue April 1995 - December 1997
Lebhar Friedman, Inc November 1993 - April 1995
US Army September 1978 - September 1992
Town of Islip January 1977 - September 1978
Skills
Talent Acquisition, Applicant Tracking..., Onboarding, Employee Relations, Employee Benefits, PeopleSoft, Recruiting, Talent Management, Technical Recruiting, Benefits Administration, Workforce Planning, Taleo, Interviews, Human Resources, Performance Management, HRIS, Temporary Staffing, Customer Service, Insurance, Organizational..., Hiring, College Recruiting, Training, Employee Engagement, Temporary Placement, Staffing Services, Health Insurance, Resume Writing, Healthcare, FMLA, Contract Recruitment, HIPAA, Process Improvement, Personnel Management, HR Policies, Team Building, Internet Recruiting, New Hire Orientations, Sourcing, Coaching, Payroll, Organizational...
Education
Central Texas College
University of Maryland
Associate Degree, Applied Business Management
Matthew Rivera LLC July 2012 - Present
Health Integrated, Inc. June 2015 - Present
WellCare Health Plans March 2014 - October 2014
Aetna September 2012 - March 2014
Florida State College at Jacksonville September 2006 - May 2013
APS Healthcare, a subsidiary of Universal American February 2012 - August 2012
Oracle, Health Sciences Global Business Unit January 2010 - January 2012
Emory Healthcare August 2007 - February 2010
Quality First Healthcare Consulting, Inc. October 2005 - April 2007
United States Navy December 2003 - April 2007
Skills
Software Lifecycle, Software Deployment, Software Documentation, Software Project..., Product Development, Product Demonstration, Product Management, Product Marketing, Performance Management, Performance Improvement, Quality Management, Adult Education, Educational Technology, Population Health, Medical Case Management, Clinical Operations, Chronic Care Management, Managed Care, Healthcare Information..., Healthcare Management, Healthcare Consulting, Accountable Care, JCAHO, NCQA, HEDIS, HL7, URAC, HIPAA, CMS, Medicaid, Epic Systems, Oracle BIEE, Microsoft Technologies, Allscripts, Team Building, Program Management, Healthcare, Project Management, Nursing, Case Managment, Requirements Analysis, Critical Care, Clinical Research, Utilization Review, Leadership, Cross-functional Team..., Change Management, Informatics, EHR, Disease Management
Education
Central Michigan University 1999 — 2001
MSA, Health Services
The University of New Mexico 1992 — 1995
BSN, Nursing
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
WellCare Health Plans May 2010 - Present
MetLife August 2006 - January 2009
Skills
Employee Relations, Performance Management, Employee Engagement, HR Policies, HR Consulting, Organizational..., FMLA, Organizational..., Leadership Development, Change Management, Talent Management, Human Resources, Leadership, Succession Planning, Workforce Planning, Employment Law, HR Transformation, Legal Compliance, Management, Strategic Planning, Team Building, Process Improvement
Education
DeVry University 2013 — 2014
Master of Business Administration (MBA)
Carroll College
Bachelor of Arts (B.A.)
Cambridge Health Alliance March 2014 - Present
Aceso Healthcare November 2010 - Present
WellCare Health Plans 2015 - 2015
WellCare Health Plans 2015 - 2015
JSA Healthcare April 2012 - December 2013
Recovery Specialist Inc December 2010 - August 2011
U.S. House of Representatives August 2009 - March 2011
North Shore Surgi-Center 2010 - 2011
Skills
Political Campaigns, Political Consulting, Coalitions, Public Policy, Politics, Public Affairs, Policy Analysis, Fundraising, Economic Development, Government, Community Outreach, Speech Writing, Community Organizing, Public Speaking, Policy, Strategic Planning, Healthcare Management, Managed Care, HIPAA, EHR, EMR, Leadership Development, Strategy, Practice Management
Education
Canisius College
MBA
Hawaii Pacific University
BSBA, Entrepreneurial Studies
The George Washington University School of Medicine and Health Sciences
AS, Medical Laboratory Science
WellCare Health Plans May 2015 - Present
Modern Health August 2014 - May 2015
WellCare August 2013 - August 2014
Humana April 2010 - August 2013
Northrop Grumman September 2007 - April 2010
Skills
SSIS, SSRS, SQL Server, T-SQL, ETL, Analysis Services, DTS, SQL, Access, SSAS, Data Warehousing, Business Intelligence, Data Modeling, Databases, Business Intelligence..., .NET, OLAP, Visual Studio, Database Administration, SharePoint, Database Design, VB.NET, SQL Tuning, Visio, XML, PL/SQL, Windows, Data Analysis, WCF, SOA, C#, SDLC, Disaster Recovery, Requirements Analysis, IIS, Quality Assurance, Systems Analysis, ASP.NET, TFS, Microsoft SQL Server, Integration, Software Project..., Enterprise Architecture, Business Analysis, Analysis, Management, Process Improvement, Software Documentation, Vendor Management, Program Management
Education
California State University-Dominguez Hills 2002 — 2007
BS, Information Systems
Cerritos College 1992 — 1998
AA, Business
Simply Healthcare June 2012 - Present
WellCare Health Plans January 2009 - June 2012
CareSource Management Group September 2005 - December 2008
Skills
Medicaid, Medicare, Managed Care, Provider Contracting, Provider Relations, HMO, Healthcare, Network Development, Physicians, Healthcare Consulting, HIPAA, Contract Negotiation, EHR, Healthcare Industry, Healthcare Management, Revenue Cycle, Health Policy, Credentialing, Account Management, Insurance, Management, Employee Benefits, EMR, Revenue Cycle Management, PPO, Healthcare Information..., Hospitals, Disease Management, Physician Relations, Informatics, Health Insurance, Medicare Part D, Medicaid Managed Care, HEDIS, CPT, ICD-9, Utilization Management, Home Care, NCQA, Claim, Medical Coding, Data Analysis, Quality Improvement, Practice Management, Pharmacy Benefit..., Medical Billing, Healthcare Reimbursement, Healthcare Analytics, Medicare/Medicaid..., Utilization Review
Education
Capital University
BA, Psychology
WellCare Health Plans March 2012 - Present
Barclays June 2011 - March 2012
MHN November 2009 - March 2011
YOR Health October 2006 - September 2010
R.V.G. Auto Parts June 2002 - September 2010
Skills
Budgets, Office Management, Human Resources, HIPAA, Customer Service, Management, Marketing, Microsoft Office, Microsoft Word, PowerPoint, Training, Healthcare, Public Speaking, Microsoft Excel, Social Media
Education
CUNY New York City College of Technology 2004 — 2006
Computer Programming
Community Health Network of Connecticut July 2014 - Present
Community Health Network July 2014 - Present
Wellcare Health Plans March 2014 - May 2014
Total Care Home Health September 2013 - December 2013
Hospital of Saint Raphael May 2006 - September 2013
Masonicare December 2009 - May 2010
AT&T Global Services December 1978 - April 2005
Skills
Hospitals, Healthcare, Acute Care, Nursing, Critical Care, BLS, Microsoft Word, Patient Safety, Team Building
Education
Charter Oak State College 1976 — 1978
BA, Sociology
Kona Community Hospital March 2014 - Present
WellCare Health Plans February 2014 - May 2014
Life Care Center of Kona April 2013 - December 2013
Johns Hopkins University, Center for Talented Youth June 2012 - August 2012
College of the Canyons February 2012 - June 2012
College of the Canyons September 2007 - May 2011
Skills
BLS, Community Outreach, Healthcare, Nursing, Public Speaking, Teaching, Program Development, Healthcare Management, Mental Health, Hospitals, ACLS, Public Health, EMR, Critical Thinking
Education
College of the Canyons 2009 — 2011
Western Governors University
Bachelor of Science (BS) Nursing
Managed Care Professional (Medicare Medicaid) / Affordable Care Advisor (ACA) July 2014 - Present
WellCare Health Plans August 2010 - Present
WellCare October 2010 - July 2014
Healthspring July 2004 - January 2009
Humana March 1995 - October 2002
Med Care HMO March 1985 - February 1992
Skills
Medicare, Health Insurance, Healthcare Industry, Healthcare, Insurance, Sales, Project Management, Employee Benefits, Healthcare Management
Education
DePaul University 1987 — 1992
Bachelor's degree, Business, Management, Marketing, and Related Support Services, 4.0
DePaul University
Business, Management, Marketing, and Related Support Services
WellCare Health Plans November 2013 - Present
Florida Realty January 2006 - Present
Florida Healthcare Plus September 2011 - November 2013
HealthPlan Services September 2009 - September 2011
MD Medicare Choice March 2007 - September 2008
Independent Broker January 2000 - March 2007
Prudential Financial September 1997 - January 2000
Independent Broker June 1995 - October 1996
Humana April 1992 - June 1995
Skills
Medicare, Medicaid, HMO, Provider Relations, Health Policy, Medicare Part D, PPO, Credentialing, Health Insurance, Managed Care, Insurance, HIPAA, Healthcare, Marketing, Healthcare Industry, Sales, Customer Service, Training, Organizational..., Medical Coding, Disability Insurance, Human Resources, Professional Ethics, Thought Leadership, Seniors, Medical Billing, Contract Negotiation, Brokers, CPT, Strategic Vision, Health Care Reform, Healthcare Information..., Hospitals, Leadership Development, Home Care, Physicians, Selling, Workers Compensation, Sales Management, Physician Relations, Vision Creation, Marketing Strategy, Utilization Management, Technical Leadership, Claim, Strategic Leadership, Medicine, Medical Ethics, Customer Retention, Sales Operations
Education
Faith Theological Seminary & Christian College 2012 — 2014
Bachelor of Theology, Christian Theology
Bob Hogue School of Real Estate 2006 — 2006
Licensed Real Estate Agent - Florida, Real Estate
Central Insurance School 1992 — 1992
Licensed Life, Health and Variable Annuities Agent
Hillsborough Community College
Mangement / Marketing
Community College of the US Air Force 1975 — 1976
Aircraft Maintance Technician, Galaxy C-5A, Honnor Graduate
Brandon Sr High 1973 — 1975
Graduate, General Studies
WellCare Health Plans February 2014 - Present
WellCare Health Plans August 2013 - February 2014
WellCare Health Plans March 2012 - August 2013
WellCare Health Plans February 2011 - March 2012
WellCare Health Plans February 2010 - February 2011
Skills
SAS, Excel, Data Analysis, Access, Problem Solving, Mathematical Analysis, Medicaid, Medicare, Healthcare Analytics, Hospital Contract...
Education
University of South Florida 2008 — 2009
M.A, Mathematics
Cameron University 2005 — 2006
B.A, Mathematics
Sir Arthur Lewis Community College 1996 — 1998
Mathematics, Economics, Management of Business
WellCare Health Plans March 2012 - March 2014
WellCare Health Plans, Inc. November 2011 - March 2012
Insco Insurance Services, Inc. March 2008 - February 2011
Lincoln General Insurance Company August 2007 - March 2008
Lincoln General Insurance Company August 2006 - August 2007
Marsh June 2004 - July 2006
Skills
Microsoft Excel, Commercial Insurance, Business Analysis, Access, Financial Analysis, Finance, Underwriting, SAS, Management, SAS Enterprise Guide, MS Excel, MS Access, MS Word, MS Outlook, MS PowerPoint, Medicaid Managed Care, Medicare Advantage, Healthcare
Education
University of South Florida 2007 — 2009
Masters in Business Administration, Finance
Duquesne University 2000 — 2004
Bachelor of Science in Business Administration, Finance & Investment Management
WellCare Health Plans February 2014 - Present
Amerigroup Corporation January 2011 - February 2014
Skills
Medicaid, Hospitals, Managed Care, Medicare, Healthcare Management, HIPAA, Health Policy, Healthcare Information..., Healthcare Industry, Healthcare, Credentialing, Health Insurance, Utilization Management, Disease Management, Case Managment, EHR, Healthcare Consulting, Inpatient, Medical Coding, Medical Compliance, Medicare Part D, Clinical Research, Informatics, Medical Terminology, Nursing, Patient Safety, Physician Relations, Physicians, Practice Management, Public Health, Quality Improvement, Revenue Cycle
Education
University of Maryland College Park 1981 — 1984
Bachelor of Science (BS), Psychology
Catonsville Community College 1989 — 1993
Associate of Arts (A.A.), Registered Nursing/Registered Nurse
WellCare Health Plans July 2014 - Present
Hartford March 2010 - September 2012
Skills
Nursing, Hospitals, Medicare, Healthcare, HIPAA, Medical Terminology, EMR, BLS, Medical Records, Healthcare Information..., Managed Care, Health Insurance, Case Management, Medical Coding, Orthopedic, Cardiology, ICD-9, Utilization Management, Medical Devices, Phlebotomy, Cerner, Meditech, Inpatient, Cpr Certified, Insurance, CPR Certified
Education
Daytona State College
Associate's degree, Nursing Education
WellCare Health Plans August 2011 - Present
Health First Network September 2008 - August 2011
University of Missouri August 2005 - May 2008
Skills
Medical Terminology, Medical Billing, Customer Service, HIPAA, Compliance, Risk Management, Medicare, Claims Management, Data Analysis, Educational Leadership, Microsoft Office, Medical Coding, Data Collection, Highly detail oriented, Self Management, HCC Coding, Insurance, HMO
Education
Columbia College 2006 — 2008
Master of Arts in Teaching, Elementary Education and Teaching
Columbia College 2006 — 2008
Bachelor of Business Administration (BBA), Business Administration and Management, General
WellCare Health Plans March 2014 - Present
BayCare Medical Group March 2013 - March 2014
Perioperative Services, LLC May 2012 - February 2013
Family Healthcare of Elkton October 2007 - May 2012
Bernstein and Robinson Dermatology May 2007 - October 2007
Skills
Medical Billing
Education
Harrison College-Indianapolis 2012 — 2015
Bachelor's Degree, Healthcare Management, 3.5/4.0
Harrison College 2010 — 2012
Associate of Applied Science, Medical Reimbursement Technology, 3.9/4.0
Delaware Technical and Community College-Stanton-Wilmington
WellCare Health Plans June 2015 - Present
Ministry Health Care June 2013 - June 2015
Ministry Health Care July 2012 - June 2013
Ministry Health Care June 2011 - June 2013
Ministry Health Care July 2011 - June 2012
Skills
Pharmacy, Pharmacy Practice, Clinical Research, Pharmacists, Healthcare Management, Healthcare, Immunization, Certified Immunizer, Medication Therapy..., Patient Counseling, PowerPoint
Education
Drake University 2005 — 2011
Doctor of Pharmacy (PharmD)
Drake University 2005 — 2011
Master of Business Administration (MBA)
WellCare Health Plans June 2014 - Present
Best Buy July 2008 - October 2014
LENDALY LUNAPage December 2007 - July 2008
Best Buy August 2007 - December 2007
Best Buy November 2006 - August 2007
Skills
Human Resources, Training, Payroll, Recruiting, Leadership, Management, Customer Service, Process Scheduler, Administrative..., Budgets, Sales, Retail, Customer Insight, Customer Retention, Customer Satisfaction, Job Scheduling, Sales Operations, Employee Training, Inventory Management, Hiring
Education
Concorde Career Institute-Tampa 2003 — 2004
Medical/Clinical Assistant
LocalShops1 2014 - 2015
LocalShops1 2014 - 2015
Florida Hospital Zephyrhills February 2014 - August 2014
WellCare Health Plans October 2013 - January 2014
South Georgia Medical Center 2012 - 2013
Wells Fargo Insurance Services February 2011 - August 2011
BankEast August 2009 - June 2010
SunTrust Bank May 2007 - June 2008
Bristol Surgery Center January 2008 - May 2008
East Tennessee State University August 2006 - May 2007
Skills
Windows & Mac operating..., Medical Terminology, Medical Coding, Medical Billing, EMR, 5S, Kaizen, Pharmacology, Pathophysiology, Nursing Education, Human Anatomy, Human Physiology, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Publisher, WordPress, Event Planning, Physician Relations, Medical Staff..., Robert's Rules of Order
Education
East Tennessee State University 2006 — 2009
Master of Public Health (MPH), Health Services Administration
East Tennessee State University 1999 — 2005
Bachelor of Science (B.S.), Nursing Education & Public Health
Kohler High School 1995 — 1999
High School
WellCare Health Plans September 2014 - Present
WellCare Health Plans, Inc. June 2013 - September 2014
WellCare July 2012 - June 2013
CompWest Insurance February 2009 - October 2010
Workers' Compensation Insurance Rating Bureau February 1999 - February 2009
Skills
Health Insurance, Insurance, Medicare, Managed Care, Claim, Medicaid, HIPAA, Process Improvement, Employee Benefits, Provider Relations, Customer Service, Business Analysis, Vendor Management, Workers' Compensation, Supervisory Experience, Team Leadership, Microsoft Excel, Microsoft Word, Account Management, Public Speaking, Training, Risk Management
Education
California State University-East Bay
Master of Public Administration (MPA), Health Services Administration
University of California, Davis
Bachelor of Arts (BA), Sociology
WellCare Health Plans April 2012 - Present
NYC Department of Education September 1995 - June 2011
Skills
Medicare, Managed Care, HIPAA, HMO, Health Insurance, Utilization Management, Healthcare Management, Healthcare, Health Policy, Medicare Part D, PPO, Healthcare Information..., EHR, Provider Relations, Medical Billing, Hospitals, Medicaid
Education
College of Mount Saint Vincent 2001 — 2003
Master of Science (MS), urban and multicultural education
City University of New York-College of Staten Island 1988 — 1993
Physics and Engineering Science
WellCare Health Plans
Skills
Process Improvement, Medicare, Healthcare, Health Insurance, HIPAA, Managed Care
Education
DeVry University
Computer Technology/Computer Systems Technology
Florida Blue August 2011 - Present
WellCare Health Plans June 2006 - June 2011
Accenture June 2005 - June 2006
Kaiser Permanente May 2004 - May 2005
Skills
Strategic Planning, Marketing, Sales, Provider Network..., Healthcare Consulting, Product Development, Product Launch, Medical Underwriting, Marketing Strategy, Marketing Management, Distribution Strategies
Education
University of California, Berkeley 2003 — 2005
Master of Public Health (MPH), Health/Health Care Administration/Management
Clemson University 1995 — 1999
Bachelor of Science (B.S.), Biological and Biomedical Sciences
University of South Florida September 2006 - Present
Anesthesia Billing March 2003 - August 2005
WellCare Health Plans March 2000 - August 2003
Skills
Microsoft Excel, Public Speaking, PowerPoint, Teaching, Microsoft Word, Healthcare, Clinical Research, Leadership, Higher Education
Education
D G Erwin Technical Center 2001 — 2002
Billing /Coding
Brandon High School 1976 — 1978
Kansas Department of Health and Environment [KEES Project] June 2015 - Present
WellCare Health Plans January 2012 - January 2015
I Scope Technology Inc. July 2010 - December 2011
NEW BREED LOGISTICS INC August 2009 - June 2010
Walmart Distribution Center, DGTC February 2008 - June 2009
Education
Eastern Illinois University 2006 — 2007
Master’s Degree
SchEMS, Pokhara University 2002 — 2004
Master’s Degree
SchEMS, Pokhara University 1999 — 2002
Bachelor’s Degree