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,
WellCare Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at WellCare Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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1,176 WellCare Health Plans employees in database. Find out everything there's to know about WellCare Health Plans employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
WellCare Health Plans Employees
WellCare Health Plans July 2015 - Present
Prime Healthcare Services February 2015 - May 2015
CVS Caremark Corporation April 2012 - April 2015
PharMedQuest - Specialty Pharmacy Services January 2015 - February 2015
PharMedQuest - Authorization Request Coordination November 2014 - December 2014
IEHP September 2014 - November 2014
Desert Oasis Healthcare August 2014 - September 2014
Desert Oasis Healthcare April 2014 - May 2014
Prime Healthcare Services September 2012 - December 2012
Safeway January 2012 - June 2012
Skills
Immunization, Patient Counseling, Microsoft Office, Pharmacueticals, Research, Community Pharmacy..., Drug Information, Drug Literature..., RxConnect System, Research experience, Biostatistics, Pharmaceutical Industry, Pharmacy Practice, Patient Education, Diabetes, Clinical Research, Pharmacy Benefit...
Education
Loma Linda University 2011 — 2015
School of Pharmacy
University of Florida 2006 — 2010
Bachelor's of Science in Nutritional Sciences
Greater Miami Adventist Academy 2002 — 2006
High School Diploma
IT consultant Sr. Business AnalystWellCare Health PlansMay 2013 - April 2014
Commonwealth of Massachusetts January 2012 - May 2013
WellCare Health Plans June 2011 - December 2011
UnitedHealth Group December 2010 - June 2011
HealthNow New York Inc. August 2009 - December 2010
Universal American/Heritage Health Systems June 2008 - August 2009
Health Net May 2007 - June 2008
Presbyterian Health Care February 2006 - May 2007
Skills
Business Analysis, Requirements Analysis, SDLC, Business Intelligence, Requirements Gathering, Software Project..., SQL, SharePoint, Visio, Microsoft SQL Server, Oracle, Software Documentation, User Acceptance Testing, Analysis, Access, Databases, Business Requirements
Education
John F. Kennedy University 2008 — 2010
Master's degree, MBA
Passport Health Plan January 2014 - Present
WellCare Health Plans September 2011 - January 2014
Northwestern Mutual January 2007 - August 2011
Skills
Provider Relations, Healthcare, Insurance, Claims Resolution, Life Insurance, Microsoft Office, Public Speaking, Retirement Planning, Customer Service, Disability Insurance, Marketing, Sales, Financial Analysis, Employee Benefits, Service Providers, Health Insurance, Managed Care, Employee Training, Training, Staff Development, Medicaid Managed Care, HIPAA, Credentialing, Medicaid, Healthcare Industry, Claim, Policy, Network Development, Long-term Care, HMO, PPO, Health Policy, Healthcare Management, Healthcare Consulting, Data Analysis, Health Savings Accounts, Revenue Cycle, Medical Terminology
Education
Indiana Wesleyan University
WellCare Health Plans June 2014 - Present
WellCare Health Plans 2014 - 2014
Memorial Hospital Home Health August 2006 - May 2011
Skills
Nursing, Home Care, Healthcare Management, Hospitals, Acute Care, BLS, ACLS, Patient Safety, Nursing Education, Inpatient, Medication..., Patient Education, Pediatrics, Emergency Room, JCAHO, Medical/Surgical, Customer Service, Healthcare, Medical-Surgical, Meditech, NRP, Strategic Planning, Emergency Nursing, Microsoft Excel, Patient Advocacy
Education
Kaplan University-Davenport Campus 2015 — 2017
University of Phoenix 2008 — 2010
Master of Science (M.S.), Nursing Education
dowwnstate university 2000 — 2002
Master of Education (MEd), Registered Nursing/Registered Nurse
Magellan Complete Care 2014 - 2015
Magellan Complete Care 2014 - 2015
Community Health Solutions December 2012 - August 2014
Physicians Health Plan November 2010 - October 2012
WellCare Health Plans October 2008 - August 2010
OptumHealth July 2003 - April 2008
EnvisionCare Alliance January 1990 - July 2003
Rush Presbyterian St. Lukes Medical Center May 1980 - November 1991
Health Data Institute June 1988 - December 1990
Skills
Strategic Planning, Critical Thinking, Entrepreneurship, Customer Experience, Managed Care, Nursing, Disease Management, Program Management, Utilization Management, Healthcare, Healthcare Management, Hospitals, Medicare, Medicaid Managed Care, Accreditation, Quality Management, Home Care, Clinical Research, Healthcare Consulting, HIPAA, Case Managment, Long-term Care, Process Improvement, Health Insurance, Healthcare Information..., Health Policy, EHR, Team Building, Insurance, Change Management, Management, HMO, Healthcare Industry, Revenue Cycle, EMR, Physicians, Leadership, Medicaid, Physician Relations, Network Development, Quality Improvement, Medicare Part D, Informatics, Provider Relations, Oncology, Behavioral Health, Pharmacy Benefit..., Practice Management, Revenue Cycle Management, Pediatrics
Education
Rush University 1978 — 1980
BSN, Nursing
Luther College 1973 — 1977
BA, Biology, Chemistry
Publix Super Markets August 2015 - Present
WellCare Health Plans March 2014 - August 2015
WellCare Health Plans July 2013 - March 2014
The Auto Club Group November 2009 - July 2013
HSBC Mortgage Services November 2008 - November 2009
AAA Auto Club South July 2005 - November 2008
Lee Hecht Harrison 2001 - 2005
Wyse Advertising 1998 - 2001
ESA Direct Marketing Inc. 1998 - 1998
County Line Ltd / CPR Prompt, LLC 1997 - 1998
Skills
Project Management, Team Building, Positivity, Talent Developer, Direct Marketing, Integrated Marketing..., Marketing Strategy, Membership Growth, Brand Management, Retail Marketing, Customer Retention, Media Planning, Product Development, Customer Segmentation..., Database Marketing, Direct Mail, Creative Direction, Marketing, Integrated Marketing, Creative Strategy, B2B Marketing, Leadership, Management, Marketing Communications, Email Marketing, Marketing Management, Lead Generation, Advertising, Digital Marketing, Product Marketing, Budgets, Analytics, Online Marketing, Segmentation, Social Media Marketing, Market Planning, Market Research, SEM, Web Analytics, Online Advertising, Google Analytics
Education
Louisiana State University 1992 — 1994
Master's
The Ohio State University 1988 — 1992
Bachelors
IBM 1999 - 2014
WellCare Health Plans 1993 - 1999
Skills
Problem Solving, Debugging, Follow Through, Program Development, SAS programming, Cognos, Crystal Reports, Microsoft Office, SQL DB2, Mainframe
Education
Marist College
Bachelor's degree, Computer Science
WellCare Health Plans April 2015 - Present
Hope Hospice May 2013 - September 2014
Cape Coral Hospital December 2009 - May 2013
North Woods Health Systems at Hilltop July 2008 - September 2009
Ellis Hosptial March 2006 - July 2007
Skills
Nursing, Medication..., Healthcare, ICU, Telemetry, Clinical Research, Treatment, Pain Management, Healthcare Management, Registered Nurses, Therapists, Case Management, Customer Service, Physicians
Education
Maria College of Albany 1993 — 1996
Associate's Degree, Registered Nursing/Registered Nurse
Kersey Insurance Agency August 2011 - Present
WellCare Health Plans July 2013 - February 2014
Liberty National Life Insurance Company April 2011 - August 2011
Skills
Insurance, Health Insurance, Property & Casualty..., Life Insurance, Term Life Insurance, Disability Insurance, Commercial Insurance, Fixed Annuities, Casualty, General Insurance, Long-term Care, Umbrella Insurance, Underwriting, Liability, Whole Life
Education
Jefferson Community College 2007 — 2010
Associate of Arts (A.A.), Sociology
Watertown High School
Regents Diploma
Molina HealthCare January 2014 - Present
Humana April 2013 - December 2013
Health Care Consulting July 2012 - July 2013
WellCare Health Plans September 2011 - July 2012
WellCare Health Plans June 2010 - September 2011
Universal Health Care June 2009 - November 2009
United Health Group/OptumHeatlh Care 2004 - 2009
HeatlhNet of Arizona December 2002 - June 2004
Maricopa Integrated Health System November 2001 - January 2002
Scottsdale PHO 2001 - 2001
Skills
Managed Care, Disease Management, Utilization Management, Medicare, Medicaid, HEDIS, Healthcare Management, Network Development, Provider Relations, HMO, Healthcare, NCQA, Medicine, Internal Medicine
Education
Marshall University Joan C. Edwards School of Medicine 1988 — 1992
MD, Medicine
The University of Charleston 1985 — 1988
Bachelor of Science, Biology
WellCare Health Plans December 2014 - Present
Deloitte Consulting LLP January 2014 - December 2014
Lovelace Health Plan October 2012 - December 2013
MVP Health Care 2011 - October 2012
MVP Health Care September 2007 - August 2011
MVP Health Care May 2005 - August 2007
Keane 1996 - 2005
Kemper Insurance 2000 - 2001
General Electric 1986 - 1993
Skills
Business Process..., Management, Business Analysis, Healthcare, Health Insurance, Project Management, Vendor Management, Insurance, Business Requirements, Process Improvement, SDLC, Medicare, Requirements Gathering, Requirements Analysis, Program Management, Project Planning, Training, Visio, Change Management, PMP, Provider Relations, PMO, Analysis, Business Process, HIPAA, Software Documentation, Data Analysis, Business Development, Integration, Quality Assurance, Cross-functional Team..., Healthcare Industry, Human Resources, Technical Writing, Risk Management, Business Intelligence, Healthcare Information..., Managed Care, Leadership, Project Portfolio..., Resource Management, Testing
Education
State University of New York College of Environmental Sciences and Forestry 1993 — 1995
MS, Environmental Science/Information Systems
University of San Francisco 2009 — 2010
Master Certificate, Internet Marketing
Le Moyne College
BS, Management of Information Systems
WellCare Health Plans March 2014 - Present
Windsor Health Plan April 2013 - March 2014
Windsor Health Plan September 2011 - April 2013
Windsor Health Plan September 2009 - September 2011
Windsor Health Plan July 2008 - September 2009
Windsor Health Plan September 2005 - July 2008
Skills
Medicare, Medicare Part D, Medicare Advantage, Customer Service, Grievances, Pharmacy, Microsoft Office, Microsoft Excel, Microsoft Word, Quality Assurance, Customer Service..., Customer Service..., Claims Management, Provider Relations, HMO, Employee Benefits, Call Centers, Pharmacy Benefit..., Insurance, Training, Medicaid
Education
Motlow State Community College
WellCare Health Plans September 2014 - Present
WellCare April 2012 - September 2014
Target September 2010 - September 2011
TechBridge June 2011 - August 2011
Beazer Homes August 2009 - March 2010
Merritt Mortgage Services September 2007 - September 2008
Hilton Christiana Hotel April 2006 - April 2007
Infinity Broadcasting November 2001 - December 2002
Best Western March 1998 - March 1999
City of Atlanta March 1996 - March 1998
Skills
Creative Development, Administration, Event Planning, Promotions, Event Marketing Strategy, Community Outreach, Community Health, Management, Recruiting, Creative Direction, Public Speaking, Human Resources, Customer Service, Nonprofits, Public Relations, Team Building, System Administration, Program Management, Interviews, Leadership, Project Planning, Event Management
Education
Atlanta Broadcast Institute 2001 — 2002
Certificate, Radio/Broadcasting
Morris Brown College 2000 — 2002
BA, Communications
WellCare Health Plans February 2015 - Present
WellCare Health Plans August 2013 - Present
WellCare Health Plans 2013 - 2014
WellCare November 2012 - August 2013
WellCare June 2011 - November 2012
WellCare October 2008 - June 2011
Healthfirst April 2008 - October 2008
University Health Plans September 2006 - April 2008
Skills
Bilingual-English/Spanis..., Life & Health Insurance..., Community Development, Community Outreach, Marketing Communications, Community Management, Medicare, Medicaid, Marketing Strategy, Development &..., Strategy, Event Planning, Program Management, Lead Generation, Healthcare, Insurance, Health Insurance, Managed Care, Management, Strategic Planning, Team Building, Leadership
Education
Monmouth University 2001 — 2006
Bachelor of Arts (BA), Public Relations/ Journalism
Rutgers University-New Brunswick
Rutgers University-New Brunswick
Ciber April 2015 - Present
Ciber June 2013 - Present
WellCare Health Plans June 2012 - May 2013
Edifecs April 2010 - May 2012
Skills
SDLC, X12, Requirements Analysis, EDIFACT, SOA, EAI, Enterprise Architecture, Visio, Agile Methodologies, Solution Architecture, Software Project...
Education
University of Bridgeport 2007 — 2009
Master's Degree, Computer/Information Technology Administration and Management
Jawaharlal Nehru Technological University 2003 — 2007
Bachelor's Degree, computer science engineering
St Pauls High School 1992 — 2001
People's Preparatory Charter School August 2014 - Present
WellCare Health Plans May 2014 - Present
Rutgers Newark - School of Public Affairs and Administration January 2014 - Present
Skills
Healthcare Information..., Healthcare Management, Healthcare Reimbursement, Healthcare Analytics, Project Management, Business Process..., Medicaid Managed Care, HIPAA, Medicare Advantage, Non-profit Volunteering, Board Governance, HEDIS, SAS Programming, Oracle CRM
Education
Rutgers, The State University of New Jersey-Newark 2011 — 2012
Master of Public Administration (MPA), Public Administration
Jacksonville State University 2003 — 2007
B.A., Political Science and Government
WellCare Health Plans September 2014 - Present
WellCare 2011 - September 2014
Kentucky Department of Insurance May 2009 - August 2011
Kentucky Deptartment for Public Health September 2007 - May 2009
AMR Management Services 2005 - 2007
Cabinet for Health and Family Services 2002 - 2005
Skills
Non-profits, Government, Public Speaking, Policy, Healthcare, Program Management, Grant Writing, Medicaid, Policy Analysis, Public Policy, Medicaid Managed Care, Public Health, Team Building, Health Policy, Network Development, Health Insurance, Health Care Reform, Medicare/Medicaid..., Provider Relations, Event Planning, Medicare, Research, HMO, Managed Care, Strategic Planning, Medical Compliance, Healthcare Industry, Insurance, Claim, Healthcare Reimbursement, State Government
Education
Kentucky State University 2004 — 2008
Master, Public Administration
University of Kentucky 1995 — 2000
Bachelor of Arts, Psychology
WellCare Health Plans March 2014 - Present
WellCare Health Plans March 2011 - February 2014
Centene Corporation December 2010 - March 2011
Centene Corporation November 2007 - November 2010
A.G. Edwards & Sons, Inc. December 2006 - November 2007
Skills
Microsoft Office, Forecasting, Analysis, Financial Analysis, Financial Modeling, Process Improvement, Microsoft Excel, Insurance, Health Insurance, Risk Management, Provider Relations, Public Speaking
Education
Webster University 2008 — 2010
Masters, Business Administration
Southern Illinois University, Edwardsville 2005 — 2006
Bachelors, Business Administration and Finance
Missouri State University 2003 — 2005
Finance
WellCare Health Plans August 2014 - Present
WellCare June 2013 - August 2014
David's World Cycle November 2011 - June 2013
David's World Cycle July 2012 - April 2013
Lakeland Regional Medical Center June 2009 - July 2012
Walgreens April 1996 - June 2009
Skills
Year-end Close, Monthly Close, General Ledger, Cost Accounting, Microsoft Office, Customer Service, Account Reconciliation, Accounts Receivable, Microsoft Excel, QS1, Bookkeeping, Third Party Billing, Third Party Collections, Inventory Management, Inventory Control, Physical Inventory, Data Entry, Staff Development, Medical Terminology, Drug Purchasing, PowerPoint, Medicare Prescription..., Spreadsheets, Train Staff, Accounts Payable, Hospital Pharmacy, Pharmacy Technicians, Community Pharmacy, Schedules, Invoicing, Payroll, Pharmacy, Hospitals, Management, Medication Therapy...
Education
International Academy of Design and Technology-Tampa 2003 — 2007
Interior Architecture
Xerox State Healthcare, LLC March 2012 - Present
Xerox State Healthcare, LLC November 2011 - March 2012
Affiliated Computer Services November 2010 - March 2011
Molina Medicaid Solutions February 2007 - September 2010
PRG Schultz International April 2007 - April 2008
First Health Services August 2004 - March 2007
WellCare Health Plans December 2003 - August 2004
Sierra Military Health Services May 2003 - October 2003
UniCare September 2000 - January 2003
Concentra 1998 - 2000
Skills
Executive Management, Account Management, Operations Management, Business Process..., Process Improvement, Project Management, Program Management, Team Leadership, Team Building, Change Management, Mentoring, Strategic Planning, Project Planning, P&L Management, Budgets, Proposal Writing, Healthcare, Medicaid, Managed Care, Vendor Management, Customer Relations, Health Insurance, Contract Negotiation, Contract Management, Policy, HIPAA, Customer Service, Call Centers, Start-ups, Provider Relations, Negotiation, Analysis, Training, Supervisory Skills, Microsoft Excel, Microsoft Office, Excel, Outlook, Visio, Administration, PowerPoint, Word, Management, Claims, Leadership, Customer Satisfaction, Quality Assurance, Microsoft Word
Education
Ithaca College 1975 — 1978
Bachelor of Science (B.S.), Allied Health Care Management
WellCare Health Plans 2013 - 2014
Education
Lamar State College-Orange
EmblemHealth February 2014 - Present
WellCare Health Plans March 2013 - February 2014
Brown Brothers Harriman June 2011 - February 2013
Benefits Administrators & Consultants March 2011 - May 2011
Skills
Management, Quality Assurance, Strategic Planning, Customer Service, Business Analysis, Financial Analysis, Financial Modeling, Risk Management, Process Improvement, Analysis, SDLC, Access, Business Requirements, Requirements Gathering, Visio
Education
Metropolitan State University of Denver 2010 — 2012
Bachelor of Science (B.S.), Finance, General
Lindenwood University 2008 — 2010
WellCare Health Plans October 2014 - Present
PSA Healthcare May 2014 - Present
San Angelo I.S.D. August 2010 - 2013
Kinder Hearts April 2010 - August 2010
Skills
Staff Development, Nursing Education, Special Education, Nursing, BLS, Cpr Certified, Skilled nursing, Ventilator experience, Enteral Feeding, Assessment, CPR Certified, Patient Advocacy
Education
James Sprunt Community College 2006 — 2007
Nursing, Applied Science
Costal Carolina Community College 2004 — 2005
Nursing, Practical Nursing, Vocational Nursing
Dehncke Planning July 2007 - Present
MNsure January 2014 - October 2014
APAC Customer Services July 2013 - January 2014
American Diabetes Alliance Group 2011 - June 2012
Funeral Directors Life Insurance Company May 2010 - April 2011
WellCare Health Plans August 2008 - May 2009
Arkansas Community Care (Arcadian) December 2006 - July 2007
Humana MarketPoint August 2004 - November 2006
Bradshaw Funeral Homes 2004 - 2005
Fortis Family 2000 - 2004
Skills
Medicare, Medicare Part D, Sales Management, Direct Sales, training, Sales Process, Training &..., Training Skills, Staff Training, Teacher Training, Medicaid, Health Plans, Managed Care, Healthcare, Insurance, Team Building, Strategic Planning, Mentoring, Compliance, Customer Service, Coaching, Leadership Development, Health, Medicare Supplements, New Business Development, Health Insurance, Policy, Marketing Strategy, Budgeting, Consultative Selling, Cross Selling, Selling, Value-based Selling, Sales Skills Training, Sales Trainings, Sales Presentations, Group Presentations, Customer Presentations, Presentation Coaching, CMS, Funerals, Casino, Training, Sales, Program Management, HMO, Direct Marketing, Start-ups, Budgets, Provider Relations
Education
Mankato State University 1992 — 1993
Bachelor of Science, Sociology
Minnesota State University, Mankato 1992 — 1993
BS, Sociology
Willmar Community College 1988 — 1991
AA; BS, Sociology
Willmar Community College 1988 — 1990
Assoc. of Arts, Business
Redwood Falls High School 1985 — 1988
Diploma, General
Morton Public School 1977 — 1985
WellCare Health Plans April 2012 - Present
Skills
Credentialing, Customer Service, HIPAA, HMO, Health Insurance, Healthcare, Healthcare Industry, Human Resources, ICD-9, Insurance, Managed Care, Management, Medicaid, Medical Billing, Medical Coding, Medicare, Network Development, PPO, Physicians, Policy, Project Management, Provider Relations, Recruiting, Strategic Planning, Training, Healthcare Consulting, Claim
Education
University of Bridgeport 2008 — 2010
Bachelor of Science (BS), Business Administration and Management, General
King's College 1994 — 1996
Medical Software Company June 2013 - Present
WellCare Health Plans 2012 - 2013
Life Management Consulting 2005 - 2013
Target May 2004 - August 2012
US Wellness 2002 - 2004
LifeLine Crisis Center 1999 - 2002
Highland Hospital 1994 - 1999
West Virginia Medicaid - Pharmacy 1994 - 1995
Skills
Pharmacy
Education
Marshall University
MA, Counseling, Consulting
University of Mississippi
University of Mississippi Medical Center
BPharm, Pharmacy
WellCare Health Plans April 2014 - Present
Windsor Health Group August 2010 - April 2014
Skills
Health Insurance, Customer Service, HMO, Insurance, Medicare, Salesforce.com, Sales Operations, Open Enrollment, Microsoft Excel, Microsoft Word, Medicare Advantage
Education
Middle Tennessee State University 2005 — 2005
Results Coach January 2014 - Present
National Park Service May 2012 - Present
Bloomberg L.P. 2001 - 2009
McAlinden Associates 1998 - 2001
CPA Network 1996 - 1998
WellCare Health Plans 1994 - 1996
SuperStar Marketing 1992 - 1994
Cross & Brown 1985 - 1991
Skills
Leadership, Sales, Customer Service, Public Speaking, Microsoft Office, Microsoft Excel, Bloomberg, Hedge Funds, Management, Budgets, Social Media, New Business Development, Outlook, Strategic Planning, Coaching, Microsoft Word, Marketing, Risk Management, Project Management, Cheerleading, Training, Team Building, Fundraising, Program Management
Education
Villanova University 1980 — 1984
Bachelor Degree, Accounting
Coach University 2013 — 2015
Landmark Education 1994 — 2014
St. Marys' High School 1976 — 1980
WellCare Health Plans 2014 - Present
Medical Organization 2012 - 2014
CareFirst BlueCross BlueShield 2011 - 2012
CareFirst BlueCross BlueShield 2010 - 2011
CareFirst BlueCross BlueShield 2007 - 2010
CareFirst BlueCross BlueShield 2004 - 2007
Delmarva Foundation 2000 - 2004
COMSORT, Inc. 1998 - 2000
University of Maryland Department of Epidemiology 1997 - 1999
Maryland Department of Health and Mental Hygiene 1988 - 1997
Skills
Quality Management, Performance Improvement, Quality Improvement, Leadership, Healthcare Management, Data Analytics, Strategic Planning, Provider Relations, Patient Safety, Team Building, Managed Care, Healthcare Consulting, Public Speaking, Healthcare Information..., Informatics, Healthcare, Early Adopter, Disease Management, Health Policy, Innovation, Empower, Advise, Hospitals, Coaching, EHR, EMR, Public Health, Utilization Management, Implementer, Organizational..., Assesses, Integrated Networks, Health Insurance, Medicine, Medical Home, Health Information..., Process Improvement, Data Analysis, Healthcare Analytics, Physicians, Medical Billing, Inpatient, Healthcare Industry, Physician Relations, Health Care Reform
Education
Loyola College in Maryland
Master of Business Administration (MBA)
University of Maryland School of Medicine
Doctor of Medicine (MD)
University of Maryland School of Medicine
Master of Science (MS), Epidemiology and Preventive Medicine
CareFree Insurance Services, Inc. 2013 - Present
Orange Benefits 2014 - 2015
Sunshine Insurance Services October 2013 - April 2014
Coventry Health Care, an Aetna Company March 2012 - April 2013
WellCare Health Plans August 2011 - March 2013
Skills
Microsoft Office, Negotiation, Sales Management, Customer Service, Outlook, Microsoft Excel, Microsoft Word, PowerPoint, English, Marketing Strategy, New Business Development, Management, Sales, Leadership, Research, Strategic Planning, Training, Healthcare, Medicare, fully bilingual..., Customer Relations, Customer Retention
Education
Miami Dade College
Piedmont Medical Center May 2015 - Present
Counseling and Mentoring Services January 2013 - Present
Carolinas Healthcare System July 2014 - May 2015
InterWire Group June 2010 - May 2013
WellCare Health Plans October 2007 - November 2008
GHI January 2005 - October 2007
Hudson Health Plan June 2004 - December 2004
Skills
Behavioral Health, CBT, Psychological Assessment, Play Therapy, Mental Health Counseling, Crisis Intervention, Treatment, Group Therapy, Family Therapy, Psychology, Adolescents, Psychotherapy, Mental Health, Research, Teaching, Coaching, Program Development, Clinical Research, Stress Management, Life Transitions, Self-esteem, Personal Development, Motivational..., Strategic Planning, Team Building, Training, Leadership Development, Mindfulness, Counseling Psychology, Microsoft Office, Public Speaking, Marketing Management, Sales, Executive Management, HR Policies, HR Consulting, Marketing, Interventions, Solution Focused, Healthcare, Wellness, Advertising, Group Work, Youth Mentoring, Presentation Development, Conflict Resolution, Workshop Facilitation, Crisis
Education
Capella University 2012 — 2014
Master's in Clinical Psychology, Clinical Psychology/Mental and Behavioral Health Counseling
University of Phoenix 2010 — 2012
Bachelor's of Science in Psychology, Psychology
State University of New York at New Paltz 2003 — 2004
Business Administration and Management, General
Nassau Community College 2000 — 2002
Associate's degree, Liberal Arts and Sciences/Liberal Studies
WellCare Health Plans August 2014 - Present
Wise Owl Therapy 2014 - Present
Bergen Regional Medical Center June 2011 - August 2014
Advance Housing, Inc. May 2010 - June 2011
Advance Housing, Inc. September 2005 - May 2010
Skills
Substance Use Disorders, Psychology, Psychiatric Social Work, Motivational..., Cognitive Behavioral..., Harm Reduction, Group Therapy, Adults, Older Adults, Chronically Mentally Ill, inpatient setting, community setting, Individual psychotherapy, Case Managment
Education
New York University 2008 — 2011
Master of Social Work (MSW), Social Work
Montclair State University 2002 — 2005
Bachelor of Arts (B.A.), Psychology
First Step Staffing May 2014 - Present
Macy's September 2009 - November 2012
Robert Half Finance & Accounting 2008 - 2009
Chicago Tribune Media Group 2006 - 2009
WellCare Health Plans 2004 - 2008
Kforce August 2007 - August 2007
Home-Start Hastings & Rother 2007 - 2007
Kelly Svcs/Christ Advocate 2007 - 2007
Spherion Staffing 1975 - 2005
Skills
Customer Service, Data Entry, Healthcare, Outlook, Administrative Support, Spreadsheets, Office Management, Typing, Excel, PowerPoint, Word, Scheduling, Access, Invoicing, Microsoft Office, Accounts Payable, Lotus Notes, Telephone Skills, Fax, Billing, Accounts Receivable, Supervisory Skills, Calendars, Coordination, Inventory Management, Office Administration, Fundraising, Documentation, Purchasing, Confidentiality, Administrative..., Social Networking, Sales, Process Scheduler, Microsoft Excel, Policy, Software Documentation, Microsoft Word, Hiring, Payroll, Training, Administrative...
Education
Le Cordon Bleu College of Culinary Arts-Atlanta 2014 — 2016
Associate's Degree, Culinary Arts/Chef Training
Miami Dade College 2013 — 2014
Certificate, Basic Culinary Skills
WellCare University/SkillSoft 2008 — 2008
Certificate, Associate Project Management
3700 Technical Training Wing 1981 — 1981
Certificate, Civil Engineer Resources Management
Mannheim American Sr. High 1969 — 1970
Diploma, Business Administration
WellCare Health Plans July 2012 - Present
The Active Network 2006 - 2012
Emdeon 1996 - 2006
Service Merchandise 1989 - 1996
Skills
Data Center, Cisco Technologies, Troubleshooting, Integration, Active Directory, Security, Testing, Windows, Apache, Windows 7, Telecommunications, XP, Hardware, DHCP, Visual Basic, Software Development, Network Security, Linux, Disaster Recovery
Education
Nashville State Community College 1986 — 1989
Associates in Engineering Technology, Electrical and Electronics Engineering
myNEXUS June 2015 - Present
BlueCross BlueShield of Tennessee May 2010 - May 2015
WellCare Health Plans September 2007 - May 2010
Capital District Physicians Health Plan February 2007 - September 2007
Priority Health February 2005 - February 2007
Skills
Medicare, Healthcare Management, Medicaid, Disease Management, Provider Relations, Medicine, Network Development, Managed Care, Process Improvement, Healthcare Industry, Commercial Insurance, HIPAA, Health Policy, Health Care Fraud, Healthcare Consulting
Education
Western Michigan University 1998 — 2003
MBA, Business Administration
Michigan State University 1989 — 1993
Doctor of Medicine (M.D.)
Michigan State University 1985 — 1989
BS, Physiology
WellCare Health Plans March 2015 - Present
New D.O.O.R.S. (a Limu Company) May 2013 - Present
WellCare February 2012 - Present
WellCare of GA February 2010 - March 2012
WellCare of GA July 2007 - February 2010
WellCare October 2005 - July 2007
Skills
Provider Relations, Claims Resolution, Great People Skills, Contract Management, Integrity, Optimistic, Partnership Development, Reporting & Analysis, Health Policy, Software Documentation, Credentialing, Managed Care, Salesforce.com, HIPAA, Physician Relations, PPO, Hospitals, Revenue Cycle Management, Partnerships, Employee Benefits, Healthcare Industry, Medicaid, Revenue Cycle, Network Development, Access, Executive Management, Healthcare Consulting, Medicare Part D, Leadership, Vendor Management, Healthcare Management, Claim, Analytics, Health Insurance, Six Sigma, EHR, HMO, Healthcare Information..., Pharmacy Benefit..., Process Improvement, Medicare, Healthcare, Insurance, Medical Billing, Physicians, Medical Coding, Medical Compliance, Workers Compensation, Medicaid Managed Care, Disease Management
Education
Mississippi State University 2003 — 2004
B.B.A, Real Estate
Mississippi State University - College of Business and Industry 2003 — 2004
BA, Business Administration
Mississippi State University 2001 — 2003
B.S, Accounting
Mississippi State University - College of Business and Industry 2001 — 2003
BS, Accounting
Northeast Community College 1998 — 2000
AA, Accounting
Northeast Community College 1998 — 2000
A.A, Accounting
WellCare Health Plans February 2014 - May 2014
Medical Employment Directory February 2005 - February 2013
Healthways January 2007 - December 2008
MERCY March 1997 - May 2006
Skills
Patient Education, Home Care, Diabetes, Physicians, OB/GYN, Nursing, Pain Management, Asthma, Strategic Planning, OB-GYN,PEDIATRICS, HOME..., Hospitals, ACLS, BLS, Disease Management, Pediatrics, Registered Nurses, Case Management, Telephone Triage, School Nursing
Education
St. Louis Community College 1994 — 1996
Associates, Nursing
Murray State University 1980 — 1982
Biology, General
WellCare Health Plans 2014 - Present
Appalachian Regional Healthcare (ARH) 2006 - 2013
Appalachian Regional Healthcare (ARH) 2003 - 2006
Appalachian Regional Healthcare (ARH) 2002 - 2003
Skills
Healthcare Information..., Healthcare Management, Healthcare, EHR, Revenue Cycle, Process Improvement, HIPAA, Hospitals, Managed Care, Strategic Planning, Leadership, Customer Service, Patient Safety, Nursing, Budgets, Microsoft Office, Team Building, Medicaid, Physician Relations, Healthcare Industry, EMR, Software Documentation, Medicare, Medical Billing, Informatics, CPT, Medical Records, Medical Coding, Health Information..., ICD-9, Utilization Management, Cerner, Credentialing, Acute Care, Home Care, Inpatient, Provider Relations
Education
Liberty University
Master of Arts (M.A.), Management
Midway College
Bachelor of Arts (B.A.), Organizational Management
Hazard Community College
Associate of Arts and Sciences (A.A.S.)
WellCare Health Plans December 2014 - Present
Raymond James Financial Inc. May 2014 - December 2014
Threat track security May 2010 - May 2014
Think Direct Marketing May 2010 - September 2011
Skills
Windows, VMware, Antivirus, Troubleshooting, SQL, Microsoft Exchange, Microsoft Access, malware removal, Active Directory, Malware Analysis, Windows 7, Laptops, TCP/IP, Windows XP, Software Installation, Windows Server, Help Desk Support, Computer Hardware, Access, Technical Support, Networking, Microsoft Office, Servers, Customer Service, Network Administration, Network Security
Education
ITT Technical Institute 2008 — 2010
AS, Computer Network Systems
ITT Technical Institute-Tampa 2008 — 2010
Associate of Science (AS), Computer Network Systems
University of phoenix online
BS, Information Technology
WellCare Health Plans June 2014 - Present
WellCare Health Plans, Inc July 2006 - January 2014
Skills
Sales Operations, Process Improvement, Medicare Part D, Program Management, Analytics, Health Policy, Managed Care, Performance Management, Health Insurance, Medicare, Management, Training
Education
Miami University
BS, Systems Analysis
WellCare Health Plans March 2014 - Present
ERA September 2002 - Present
Skills
Network Development, HMO, Provider Relations, Medicaid, Medicare, HIPAA, Health Insurance, Credentialing, Managed Care, Healthcare, EMR, Contract Negotiation, Claim, Healthcare Industry, Healthcare Management, PPO, Hospitals, Insurance, Medical Billing, Healthcare Information..., EHR, Practice Management, Physicians, Analysis, Management, Software Documentation, Revenue Cycle, Medicare Part D, Informatics, Physician Relations, Healthcare Consulting, Process Improvement, Health Policy, CPT, Quality Improvement, Utilization Management, Medical Coding, ICD-9, Sales Operations, Medical Records, Training, Medicine, Home Care, Health Information..., Performance Improvement, Policy, Executive Management, Pharmacy Benefit..., Disease Management, Revenue Cycle Management
Education
Miami Dade College 1980 — 1981
Courses, Business Administration and Management, General
Wellcare Health Plans August 2015 - Present
CarePlus Health Plan January 2007 - Present
Skills
Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English, Process Improvement, Outlook, Windows, Recruiting, Microsoft Office, Interviews, Healthcare, Health Insurance, Managed Care, Customer Service, Team Building, Insurance, Medicare
Education
Nassau Community College 1998 — 2000
Liberals Arts, Hotel Management, Liberal Arts and Sciences, Hotel Administration Management
University of Maryland Medical Center November 2014 - Present
Tampa General Hospital April 2013 - May 2014
WellCare Health Plans September 2010 - November 2011
WellCare Health Plans February 2008 - August 2010
Geniva Carecentrix September 2006 - January 2008
Skills
Healthcare Management, Authorization, Quality Auditing, Referrals, HEDIS, Healthcare, Health Insurance, NCQA, Appeals, Medicare/Medicaid..., Wedding Planning, Appointment Scheduling, Public Speaking, Microsoft Excel, Medical Coding, Management, Process Improvement, Events Coordination, Medical Records, Event Planning, Epic Systems, Job Fairs
Education
Keiser College 2012 — 2014
medical assistant, Medical/Clinical Assistant
Keiser College 2012 — 2013
Medical/Clinical Assistant
WellCare Health Plans 2008 - Present
Keller Willams Realty 2003 - Present
Skills
Sales, Negotiation, Investment Properties, Sellers, First Time Home Buyers, Residential Homes, Marketing, Short Sales, Buyer Representation, Real Estate Transactions, Process Improvement, Contract Management, Internal Audit
Education
Kentucky State University
Master’s Degree, Public Administration
Southern University and Agricultural and Mechanical College at Baton Rouge
Bachelor’s Degree, Communication, Journalism, and Related Programs
WellCare Health Plans February 2015 - Present
Jewish Renaissance Medical Center April 2014 - February 2015
Jewish Renaissance Medical Center November 2013 - February 2015
Northeastern F. & A. Specialists 2008 - 2012
Skills
Research, Public Health, Healthcare, Public Speaking, Microsoft Office, Customer Service, Microsoft Word, Nonprofits, Clinical Research, Community Outreach, Event Planning, Program Development, Spanish
Education
Montclair State University 2014 — 2016
Master of Public Health (MPH), Community Health Services/Liaison/Counseling
Montclair State University 2010 — 2013
Bachelor of Arts (B.A.), Anthropology
Prestige Corporate Living April 2015 - Present
Firstsource Solutions USA, LLC 2007 - Present
WellCare Health Plans 2005 - 2007
Skills
BPO, Vendor Management, Management, Process Improvement, Strategic Planning, Leadership, CRM, Call Centers, Business Process..., Program Management, Business Analysis, Business Development, Real Estate, Real Estate Transactions, Rental Management, Corporate Housing, Outsourcing, Service Delivery, Team Building, Sla, Operations Management, Change Management, Offshoring, Performance Management, Customer Experience, Team Management
Education
University of Saint Mary 2004 — 2006
Business Administrations
Madison Area Technical College 1982 — 1983
Fashion
Freedom Health April 2012 - Present
UnitedHealthcare January 2011 - April 2012
Wellcare Health Plans January 2003 - December 2010
Fidelis Care New York, New York October 2001 - January 2003
Skills
Contract Negotiations, Quality Improvement, Process Improvement, Analytical, Client Retention, Cost Reduction Planning, Relationship Building, Project Management, Government & Industry..., Effective Communication, Contract Negotiation, Medicare, Analytical Skills, Training, Policy, Management, Healthcare, Healthcare Industry, Leadership, Provider Relations, Healthcare Consulting, Healthcare Information..., Medicaid, HIPAA, EHR, Hospitals
Education
Palm Beach State College
BSN, Registered Nursing/Registered Nurse
Monroe College
Bachelor of Science (BS), Computer Science
WellCare Health Plans September 2015 - Present
Marshall University & Ohio University August 2013 - Present
The Wyngate at RiversEdge/Chancellor Senior Living March 2014 - September 2015
St. Mary's Medical Center November 2013 - March 2014
Cabell Huntington Hospital February 2013 - November 2013
Hospice of Huntington, Inc. August 2009 - February 2013
Cabell Huntington Hospital June 2007 - August 2009
Huntington Mall August 2004 - December 2007
Skills
Public Speaking, Microsoft Office, Event Planning, Social Media, Team Building, Community Outreach, Strategic Planning, Coaching, Healthcare, Physician Relations, Public Relations, Hospitals, Event Management, Sales, Team Leadership, Fundraising, Leadership Development, Social Networking, Nonprofits, Customer Service, Leadership, Microsoft Word, JCAHO, Management, Policy, Marketing, Recruiting, Data Analysis
Education
Marshall University 2008 — 2009
M.S., Health Care Administration
Marshall University 2004 — 2008
B.A., Public Relations
WellCare Health Plans January 2015 - June 2015
CGS Administrators, LLC September 2013 - January 2015
CVS Caremark Corporation July 2012 - September 2013
T-Mobile 2006 - 2012
T-Mobile 2004 - 2006
Skills
Call Centers, Customer Service..., Cellular Communications, Microsoft Office, Microsoft Excel, Outlook, Time Management, Customer Retention, Troubleshooting, Account Management, VoIP, Medicare Prescription..., Open Enrollment, Customer Support, Avaya IP Telephony
Education
Nashville State Community College 2009 — 2013
Associate of Arts and Sciences (A.A.S.), Culinary Arts/Chef Training
Cognizant Technology Solutions August 2014 - Present
Cognizant Technology Solutions April 2012 - Present
WellCare Health Plans 2009 - 2014
Cognizant Technology Solutions April 2010 - March 2012
Skills
PL/SQL, BigData - EMC -..., Oracle, Requirements Analysis, Informatica, ColdFusion, SDLC, Business Analysis, Agile Methodologies, Data Management, Data Warehousing, Data Modeling, Unix Shell Scripting, Process Improvement, Database Design, Shell Scripting
Education
Madurai Kamaraj University 2002 — 2004
MSc, Computer Science
WellCare Health Plans October 2014 - Present
Enterprise Rent-A-Car April 2013 - October 2014
Skills
Advertising, Microsoft Office, PowerPoint, Marketing Strategy, Event Planning, Leadership, Marketing, Customer Service, Sales, Social Media, Event Management, Microsoft Excel, Training, Public Relations, Team Building, Strategic Planning, Microsoft Word, Social Networking, Marketing Communications, Sales Management
Education
Murray State University 2004 — 2007
Bachelor's degree, Marketing
Evergreen Health Co-op April 2015 - Present
WellCare Health Plans 2008 - June 2015
Skills
Customer Service, Insurance, Leadership, Managed Care, Process Improvement, Healthcare Information..., Healthcare Industry, Healthcare Management, Medicare, Healthcare, Healthcare Consulting
Education
Hillsborough Community College 2003 — 2005
Associate's Degree, Registered Nursing/Registered Nurse
Nova Southeastern University 1992 — 1994
Master of Business Administration (M.B.A.), Business Administration and Management, General
Louisiana Tech University 1980 — 1986
Bachelor's Degree, Business Administration and Management, General
WellCare Health Plans March 2014 - Present
WellCare Health Plans February 2014 - Present
WellCare February 2013 - Present
HCA 2012 - Present
Florida Career College October 2011 - Present
HCA Saint Petersburg General Hospital October 2011 - Present
Florida Career College August 2011 - Present
Hip Expressions Belly Dance Studio 2011 - 2012
HCA Largo Medical Center December 2008 - September 2011
Suncoast Hospital November 2007 - December 2008
Skills
BLS, ACLS, Supervising, Nursing, Healthcare, Clinical Research, Cpr Certified, Healthcare Management, Hospitals, Critical Care, Critical Thinking, Pediatrics, Teaching, Phlebotomy, Surgery, Adults, EMR, Home Care, Medication..., Nursing Education, Medical/Surgical, Palliative Care, Inpatient, Leadership, Vital Signs, EKG, Patient Education, Adult Education, Health Education, ICU, Patient Safety, Wellness, Medical Education, IV, Patient Advocacy, Mental Health, Medicine, Registered Nurses, Telemetry, Acute Care, Venipuncture, Treatment, PALS, Pain Management
Education
Dr. Sears Health Coach 2013 — 2014
Foods, Nutrition, and Wellness Studies, General
St. Petersburg College 2011 — 2013
Bachelor's degree, Registered Nursing/Registered Nurse, 3.3
St. Petersburg College 2004 — 2010
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Keiser College 2007 — 2008
Practical nursing, Nursing
Saint Petersburg College
Baccalaureate, Science
Saint Petersburg College Pinellas
Associate; Associate, Science; Applied Arts; Nursing
WellCare Health Plans August 2011 - Present
Skills
Healthcare, Healthcare Management, ICD-9, ICD-10, CPT, Health Information..., Workers' Compensation..., Commercial Insurance, Japanese, Computer Proficiency, Coaching, Training, Troubleshooting, Microsoft Office, new york, Medicare/Medicaid..., Medical Facilities, Customer Service, Health Insurance
Education
Kansai Gaidai University 1999 — 2000
Certificate, Japanese, Japanese Studies, A
University of South Florida 1996 — 2000
Bachelor’s Degree, English Language and Literature, General, B+
WellCare Health Plans June 2014 - Present
Carolina support Services June 2012 - Present
WellCare Health Plans June 2014 - Present
Psychiatric Nurse March 2012 - September 2014
community care of the lower cape fear September 2013 - May 2014
Carteret Clinic for Adolescents and Children June 2005 - June 2010
Skills
Registered Nurse,..., Mental Health, Family Therapy, Crisis Intervention, Psychotherapy, Adolescents, Hospitals, Healthcare, Clinical Research, Clinical Supervision, Nursing, Training, Home Care, Behavioral Health, Case Management, Treatment
Education
Marshall University 1999 — 2001
Master's degree, Mental Health Counseling/Counselor
WellCare Health Plans April 2015 - Present
Scytl Secure Electronic Voting September 2014 - April 2015
Health Integrated August 2009 - July 2014
Citigroup January 2009 - March 2009
SCI Distribution LLC October 2008 - January 2009
Dell June 2008 - October 2008
Fargo Public School District April 2006 - April 2008
Skills
Project Management, Visio, Leadership, Strategic Planning, Team Leadership, Cross-functional Team..., Team Building, Product Management, Requirements Analysis, Process Improvement, Business Process, Technical Support, Networking, Analysis, Project Coordination, Data Mining, Pragmatic Marketing..., Business Analysis, Vendor Management, Six Sigma, Call Centers, SharePoint, NCQA, Databases, Software Documentation, Special Needs..., Model of Care, Customer Satisfaction, CRM, Lean Sigma, Business Intelligence, Management, Data Analysis, Healthcare, Healthcare Information..., HIPAA, Access, Program Management, SDLC, System Architecture, System Design, Training, Agile Methodologies, Strategy
Education
Minnesota State University, Moorhead 2003 — 2007
Bachelor's Degree, Operations Management
Minnesota State Community and Technical College 2003 — 2005
A.A.S, Computer and Network Technology
Minnesota State Community and Technical College 2005 — 2007
A.A., Liberal Arts
naviHealth, Inc. April 2015 - Present
WellCare Health Plans February 2015 - Present
SEARCH Group Partners November 2014 - January 2015
Insight Global October 2014 - October 2014
UnitedHealth Group/OptumInsight September 2013 - July 2014
Lattimore Black Morgan & Cain, LLC January 2013 - June 2013
Heritage Medical Associates, P.C. January 2000 - November 2012
Heritage Medical Associates, P.C. March 2003 - August 2005
Heritage Medical Associates, P.C. February 2002 - March 2003
Heritage Medical Associates, P.C. January 2001 - February 2002
Skills
HIPAA, EMR, CPT, ICD-9-CM, ICD-10, EHR, Medical Coding, Medicare, E/M coding, Physician Coding, Medical Specialties (14), Healthcare Information..., Medical Records, Hospitals, Medical Billing, Healthcare, HCPCS, Medical Terminology, Managed Care, Medical Coding..., OIG, Recovery Audit, Procedural Documentation, Medicare/Medicaid..., Revenue Cycle, Accounts Receivable, People-oriented, Medicaid, Auditing, Human Anatomy, Human Physiology, Pharmacology, Microsoft Office, Written & Oral..., Software Documentation
Education
Nashville State Community College 2009 — 2010
Non-degreed, Medical Coding Program, 4.0 GPA
WellCare Health Plans April 2014 - Present
Broadspire March 2006 - October 2013
Gates McDonald June 2000 - August 2006
Skills
Claims Management, Claim, Workers Compensation, Underwriting, Managed Care, Training, Health Insurance, Coaching, Insurance, Operations Management, Liability, Leadership Development, Employee Benefits, Medicare
Education
Marian University 1981 — 1986
Bachelor’s Degree, Registered Nursing/Registered Nurse
WellCare Health Plans June 2015 - Present
Ramon Delmonte MD, PC September 2013 - June 2015
Associated Medical Group March 2009 - August 2012
Ramon Moquete, MD January 2007 - November 2008
Skills
Healthcare, Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Data Entry, Outlook, Management, HIPAA, Healthcare Management, Healthcare Information..., Medical Billing, EMR, EHR, Medical Records, Medical Terminology, Human Resources, Public Speaking, Quality Improvement, HEDIS, eClinical Works, Typing, Leadership, Medical Coding, ICD-9, ICD-10
Education
Monroe College 2004 — 2008
Bachelor's of Business Administration, Business Administration, Management and Operations, GPA 3.5
George Washington High School 1998 — 2001
High School Diploma, General High School Education
WellCare Health Plans October 2015 - Present
HPS April 2015 - Present
WellCare Health Plans September 2013 - March 2015
Emblem Health July 2011 - September 2013
amsclabs October 2010 - July 2011
Accenture July 2010 - October 2010
DST Systems March 2008 - May 2010
Wipro Technologies February 2005 - February 2008
Skills
Black Box Testing, Bug Tracking, Defect Tracking, Manual Testing, Regression Testing, EDI, Quality Center
Education
Jawaharlal Nehru University 1999 — 2003
WellCare Health Plans July 2015 - Present
CSC October 2014 - Present
Mirage Technical Services January 2008 - Present
HCL @ Ann Inc September 2013 - November 2013
Flaget Memorial Hospital A Division Of Catholic Health Initiatives February 2013 - June 2013
Artech For IBM At AT&T November 2009 - November 2012
UPS Supply Chain Solutions December 2006 - December 2007
Spherion Staffing @ Jabil Global May 2006 - December 2006
Diamond Detective Agency January 2006 - May 2006
Storm Security June 2002 - December 2005
Skills
International Business..., Travel Photography, Active Directory, Computer Hardware, Troubleshooting, Windows 7, Servers, Windows XP, Disaster Recovery, Network Administration, Technical Support, Hardware, Firewalls, Adobe Acrobat, HTML, Workstations, Technical Writing, Expression Web, Microsoft Exchange, VMware, Software Installation, XP, Window 8, Office 2000 - 2013, Paperport 14, Wndows XP, Windows 7 RS Admin Tools, Workstation Design, Digital Recording, Bitlocker Encryption, Windows 10, Virtualbox, Social Media, DNS
Education
University of Louisville 2007 — 2008
Bachelor's Degree, Workforce Leadership
Jefferson Community College 2004 — 2007
Associates In Applied Science, Information Technology + Web Design & Administration
Broward Guardian LLC November 2014 - August 2015
WellCare Health Plans March 2012 - November 2014
WellCare Health Plans March 2011 - March 2012
UnitedHealth Group October 2005 - March 2011
Neighborhood Health Partnership January 2005 - October 2005
Accu-care Pharmacy Services January 2003 - January 2005
Skills
Medicaid, Medicare, Provider Relations, Healthcare, Managed Care, Health Insurance, Credentialing, Network Development, Healthcare Industry, HMO, Physician Relations, Healthcare Management, Employee Engagement, PPO, Newsletters, Revenue Cycle, HIPAA, HEDIS, Hospitals, EHR, EMR, Healthcare Information..., Insurance, Accountable Care, Affordable Care Act, CMS, Disease Management, Care Coordination, Quality Assurance, Risk Management, Provider Network..., Provider Education, Government Contracting, Customer Service, Utilization Management, Medicare Shared Savings...
Education
Miami Dade College 2005 — 2009
Associate of Science (A.S.), Business Administration and Management, General
South Dade Senior High 1991 — 1994
High School Diploma
US Navy April 2011 - Present
PharMerica January 2009 - March 2011
WellCare Health Plans September 2006 - October 2008
CVS Pharmacy January 2004 - September 2006
Skills
Military, Security Clearance
Education
Kaplan University 2015 — 2016
Associate of healh science
University of South Florida 2003 — 2005
BITBURG AMERICAN HIGH SCHOOL 1999 — 2003
HS DIPLOMA
Saint Leo University
WellCare Health Plans September 2014 - Present
ResCare Workforce Services June 2013 - July 2014
United Migrant Opportunity Services June 2011 - April 2013
Social Development Commission May 2010 - June 2011
United Migrant Opportunity Services January 2006 - February 2010
United Migrant Opportunity Services March 2001 - December 2009
Solutions INC September 1999 - October 2001
Oakwood Correctional Facility October 1996 - December 1998
Franklin County Probation and Parole January 1993 - May 1993
Skills
Interviews, Case Management, Case Managment, Program Management, Psychotherapy, Public Speaking, Social Services, Research, Community Outreach, Management, Conflict Resolution, Analysis, Nonprofits, Administration, Problem Solving, Non-profits, Training, Employee Relations, Supervisory Skills, Data Entry, Negotiation, Software Documentation, Customer Service, Customer Relations, Documentation, Interviewing, Counseling, Policy, Team Building, Microsoft Office, Program Development, Leadership Development, Strategic Planning
Education
Kentucky State University 1986 — 1994
Bachelor of Arts, Criminal Justice
Access: Supports for Living January 2013 - Present
The Core Story by Empire Research Group January 2003 - May 2013
WellCare Health Plans September 1999 - August 2000
Fishkill Health Related Center 1998 - 1999
Elder Services of the Merrimack Valley, Inc. 1989 - 1997
Skills
Microsoft Office, Microsoft Word, Customer Service, Market Research, Human Resources, Nonprofits, Training, Research, Coaching, Organizational..., Recruiting, Employee Relations, Leadership Development, Staff Development, Interviews, Employee Benefits, Strategic Planning
Education
Rivier College
Master of Science (M.S.), Human Resources Management/Personnel Administration, General
Ithaca College
Bachelor of Arts (B.A.), Psychology
WellCare Health Plans March 2015 - Present
TVA August 2011 - February 2015
Konecranes February 2011 - May 2011
University of Dayton January 2009 - December 2010
Skills
SharePoint, SharePoint Designer, InfoPath, C#, jQuery, JavaScript, Microsoft SQL Server, XML, VSS, .NET, ASP.NET, IIS, Web Services, Web Development, TFS, Visual Studio, SSRS, Databases, SQL
Education
University of Dayton 2009 — 2011
Master of Science (M.S.), Electrical & Computer Engineering
Jawaharlal Nehru Technological University 2003 — 2007
Electrical and Computer Engineering, Information Technology, A
Vikas Junior College 2001 — 2003
Board of Intermediate Education, MPC, A+
Mancherial High School 1989 — 2001
Secondary School Certificate, SSC, A
The Bella Persone Agency January 2015 - Present
WellCare Health Plans 2014 - Present
Free Lance / Self Employed 2012 - Present
Bella Donna Shic Boutique March 2012 - December 2014
Skills
Retail, Sales, Social Media, Marketing, Merchandising, Fashion, Marketing Strategy, Social Networking, Event Planning, Social Media Marketing, Advertising, Customer Service, Online Marketing, Creative Writing, Facebook, Blogging, Creative Direction, Online Advertising, Event Management, Copywriting, Inventory Management, E-commerce, Data Entry, Marketing Communications, Visual Merchandising, Apparel, Time Management, Writing, Storytelling, Motivational Speaking, Video Production, Entertainment, Television, Editing, Video, Digital Media, Film, Photography, New Media, Broadcast, Video Editing, Film Production, Content Strategy
Education
Midlands Technical College
Associate of Arts (A.A.)
Carvers Bay High Shool
FirstGroup America September 2015 - Present
FEMAC June 2014 - Present
Storm Intercept Association April 2009 - Present
WellCare Health Plans October 2014 - March 2015
Great American Insurance December 2013 - September 2014
Great American Insurance December 2013 - September 2014
Skills
Active Directory, Windows 7, Information Technology, Windows Server, CompTIA A+ Certification, CompTIA Network+, Comptia Security+, Threat & Vulnerability..., Kali Linux, Nessus, Metasploit, Nmap, Burpsuite, Hydra, Netcat, Arpspoof, John the Ripper, OpenSSL, SQLMap, Wireshark, Social Engineering, Information Gathering, Post Exploitation, Exploitation, Help Desk Support, Customer Service, Team Building, Windows, Training, Public Speaking, Java, Group Policy, Team Leadership, Severe Weather, Access, Microsoft Publisher, Microsoft Excel, Microsoft Powerpoint, Microsoft Word
Education
eLearnSecurity 2015 — 2015
eJPT (Junior Penetration Tester), Penetration Testing Student, A
Lincoln College of Technology 2012 — 2013
Diploma, Computer Networking and Security, 4.0
Kemper June 2014 - Present
Transamerica Agency Network, Inc. September 2011 - June 2014
United Healthcare Medicare Solutions May 2009 - September 2011
WellCare Health Plans September 2007 - May 2009
Kemper April 2001 - September 2007
Skills
Customer Service, Health Insurance, Insurance, Life Insurance, Management, Property
Education
Murray State University
Bachelor's degree, Political Science and Government
WellCare Health Plans September 2014 - Present
Kindred Hospital September 2010 - August 2014
Innovative Senior Care Home Health June 2009 - August 2010
Beckman-Coulter May 2007 - May 2009
Caretenders Home Health March 2005 - April 2007
Professional Detailing Inc March 2003 - March 2005
Nurses Registry Home Health January 2001 - March 2003
Skills
Sales, Clinical Monitoring, Account Management, clinical liaison, Medical Diagnostics, Laboratory Medicine, Pharmaceutical Sales, Medical Education, Medical Devices, Registered Nurses, Product Launch, Consultant Liaison, Hospital Sales, Nursing Homes, Client Liaison, Hospitals, Healthcare, Managed Care
Education
University of Alabama in Huntsville 1993 — 1997
Bachelor's Degree, Nursing
John C Calhoun State Community College
MetLife November 2014 - September 2015
Horizon Blue Cross Blue Shield of New Jersey March 2014 - October 2014
Express Scripts August 2012 - February 2014
WellCare Health Plans June 2011 - August 2012
CSC - Computer Sciences Corporation December 2009 - May 2011
Skills
SDLC, Visio, Business Analysis, Microsoft SQL Server, Access, C++, Agile & Waterfall..., Microsoft Excel, Microsoft Word, Microsoft Project, Toad 9.0, Business Systems..., PowerPoint, Outlook, Lotus Notes, Mainframe, Data Analysis, Data Warehousing, Experienced Business..., Agile Methodologies, Scrum, EDI, 837I, 837P, Medicare/Medicaid..., Medicare Part D, MMIS, Claims Management, Business Requirements, User Acceptance Testing, Vendor Management, Testing, Project Management, Business Process, Program Management, Business Process..., Software Development, Systems Analysis, JIRA, SharePoint, SQL, Integration, Software Documentation, Business Intelligence, IT Project & Program..., Scrum Master, CareCompass, Cactus
Education
Lindenwood University 2008 — 2009
Master of Business Administration (M.B.A.), International Business
WellCare Health Plans 2015 - Present
Synergy Health Systems PLLC August 2012 - 2015
University Physicians Association November 2008 - June 2012
Yandell Eyecare Center February 2006 - February 2008
Skills
Accounts Payable, Accounts Receivable, Budgets, Payroll, Invoicing, Accounting, Software Documentation, Hyperion Enterprise, Spreadsheets, Human Resources, QuickBooks, Interpersonal..., Customer Satisfaction, Microsoft Office, Microsoft Excel, Outlook, PowerPoint, Photoshop, Windows 7, Windows XP Pro, Office Administration, Medisoft, Management, Supervising, Personnel Management, Highly detail oriented, Goal Oriented, Adaptability, Medical Coding, Medical Records, Medical Billing, ADP Payroll, ADP ezLaborManager, Conflict Resolution, Motivated self-starter, Customer Interaction, Customer Service, Time Management, Leadership, Administration
Education
King University 2011 — 2012
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General, 3.51
Tusculum College 2009 — 2010
Bachelor of Business Administration (BBA), Business Administration and Management, General
Walters State Community College 2003 — 2004
Technical Certificate, Medical Insurance Specialist
WellCare Health Plans May 2015 - Present
WellCare Health Plans April 2012 - May 2015
Speedpro Imaging October 2011 - April 2012
IMPMSolutions January 2011 - September 2011
DiversityInc July 2008 - June 2010
DiversityInc July 2008 - June 2010
DiversityInc July 2008 - June 2010
DiversityInc July 2008 - June 2010
Skills
Marketing Strategy, Marketing, Business Development, Management, Sales, Customer Service, Public Speaking
Education
Monmouth University 2004 — 2008
Bachelor of Science in Business Administration, Marketing and Communications
WellCare Health Plans April 2015 - Present
Polaris Sales September 2013 - December 2014
Pinch A Penny, Inc. 2009 - 2013
Vology January 2011 - May 2012
Cabineture May 1999 - January 2009
Skills
Customer Satisfaction, Project Management, Time Management, Painting, Creative Problem Solving, Customer Service, Warehousing, Inventory Control, Inventory Management, Direct Sales, Account Management, Sales Management, Team Leadership, Sales, Problem Solving
Education
Kaplan University 2014 — 2014
life,health & annuity license, insurance sales
MTEC 2001 — 2004
Marine Service Technology
Gulf High School 1999 — 2003
high school diploma
WellCare Health Plans February 2015 - Present
WellCare Health Plans July 2013 - February 2015
Indiana University School of Medicine - Fort Wayne May 2012 - June 2013
St. Jude Children's Research Hospital October 2004 - December 2011
Skills
SAS, SAS Programming, Data Mining, Statistical Modeling
Education
Shanghai Institutes for Biological Sciences 1999 — 2004
Doctor of Philosophy (Ph.D.), Biochemistry and Molecular Biology
Nanjing University 1995 — 1999
Bachelor of Science (B.S.), Biochemistry
WellCare Health Plans June 2015 - Present
Univera Healthcare April 2012 - June 2015
Univera Community Health April 2011 - March 2012
Fernwood Capital & Leasing November 2004 - April 2011
Medco Supply Company (Landmark Direct) August 1989 - November 1999
EPIC Marketing Buffalo NY August 1987 - April 1989
Skills
Program Management, Sales, Marketing, Event Planning
Education
Medaille College 1984 — 1988
Bachelor of Science, Media Communications
Mt Mercy Academy, Buffalo NY 1980 — 1984
Orlando Health Institute for Learning August 2012 - Present
Sanford-Burnham Medical Research Institute December 2008 - October 2009
WellCare Health Plans October 2006 - July 2008
Diller Brown & Associates, Inc. December 2003 - July 2006
Skills
Administrative..., Conference Coordination, Human Resources, Grants, Drug Discovery, Grant Writing, Data Entry, Research, PeopleSoft, Data Analysis, Outlook, Office Management
Education
Manhattan College
AA BUSINESS ADMINISTRATION, Business Administration
WellCare Health Plans July 2015 - Present
Kforce Inc August 2014 - May 2015
Cott Beverages September 2012 - September 2014
Coca-Cola Refreshments, of the Coca-Cola Company. April 2012 - August 2012
Coca-Cola Refreshments, at the Coca-Cola Company April 2011 - April 2012
Coca-Cola Refreshments, of the Coca-Cola Company November 2010 - April 2011
Coca-Cola Refreshments (formerly Coca Cola Enterprises) April 2009 - November 2010
Coca-Cola Enterprises September 2008 - April 2009
Tampa Bay Times - Times Publishing Co October 2007 - September 2008
New Century Mortgage 2006 - 2007
Skills
Succession Planning, Employee Relations, Workforce Planning, Organizational..., Process Improvement, Six Sigma, Conflict Resolution, Personnel Management, Union Avoidance, Workshop Facilitation, Metrics, Business Strategy, Talent Management, Change Management, Continuous Improvement, Human Resources, Leadership, Lean Manufacturing, Management, Onboarding, Performance Management, Project Planning, Strategy, Talent Acquisition, Training
Education
Six Sigma/CAP Certifications 2011 — 2011
Villanova University, Master Black Belt/Masters Certificate in Executive Leadership
Montclair State University 1995 — 2001
MA, ADR/Conflict Management
Seton Hall University 1990 — 1994
BS, Political Science/Business
WellCare Health Plans July 2014 - Present
Alere March 2012 - November 2013
Skills
Customer Service, Healthcare, Healthcare Information..., Hospitals, Nursing, Patient Safety, EMR, Healthcare Management
Education
Loma Linda University 1978 — 1984
Nursing, Nursing
WellCare Health Plans April 2015 - Present
Veredus, a Hays Company December 2013 - April 2015
Veredus, a Hays Company February 2013 - December 2013
Kforce Inc. January 2010 - February 2013
Trailer Solutions Financial February 2008 - September 2009
Skills
Recruiting, Sourcing, Cold Calling, Customer Service, Sales, Marketing, Team Building, Training, Employee Relations, Human Resources, Management, Outlook, Interviews, Employee Training, Social Networking, Coaching, Technical Recruiting, Talent Acquisition, Onboarding, Performance Management, Vendor Management, Temporary Placement, Staffing Services, Leadership, Applicant Tracking..., Account Management, Resume Writing, Contract Recruitment, Permanent Placement, Internet Recruiting, Benefits Negotiation, Staff Augmentation, Screening Resumes, College Recruiting, Building Relationships, Temporary Staffing, Executive Search, IT Recruitment, Hiring, Taleo, Screening, Recruitment Advertising, Candidate Generation, Talent Management, Corporate Recruiting, Boolean Searching, Job Fairs, Search, Resume
Education
University of South Florida 2007 — 2009
Bachelors, in Communication
St. Petersburg College 2005 — 2007
Associates, in Communication
Mesa Community College 2004 — 2005
Communication
University of Advancing Technology 2002 — 2004
Associates, in Software Engineering
WellCare Health Plans February 2015 - April 2015
Kforce February 2014 - April 2014
The Fountain Group November 2012 - December 2013
Capgemini January 2010 - April 2012
Capgemini June 2006 - December 2009
Avesta Computers June 2005 - June 2006
Prescient Infotech July 2003 - June 2004
Skills
Screening, Talent Acquisition, Benefits Negotiation, Technical Recruiting, Internet Recruiting, IT Recruitment, Recruiting, Contract Recruitment, Sourcing, Staff Augmentation, Screening Resumes, Executive Search, Applicant Tracking..., Employee Relations, Talent Management, Vendor Management, CRM, SDLC, Human Resources, Hiring, Staffing Services, Interviews, Resource Management, Temporary Placement, College Recruiting, Recruitments, Onboarding, HR Consulting
Education
University of Pune 1995 — 2000
Masters in Social Work, Personnel Management and Labour Welfare
Kendriya Vidyalaya 1989 — 1992
Kendriya Vidyalaya 1989 — 1992
Federal Reserve Bank of New York August 2015 - Present
Fannie Mae January 2014 - Present
Federal Reserve Bank of New York October 2009 - December 2013
Federal Reserve Bank of New York October 2009 - December 2013
Federal Reserve Bank of New York October 2009 - December 2013
Federal Reserve Bank of New York October 2009 - December 2013
Citi October 2007 - May 2009
American Express September 2006 - October 2007
WellCare Health Plans June 2005 - September 2006
GEICO May 2002 - June 2005
Skills
Strategic Leadership, Strategic Planning, Relationship Management, Change Management, Finance Transformation, Process Improvement, Corporate Finance, Team Leadership, Team Management, Cross-functional Team..., Coaching, Financial Planning, Financial Reporting, Leadership, PowerPoint, Public Speaking, Social Media, Event Planning, Financial Modeling, Analysis, Project Management, Microsoft Excel
Education
New York University 2003 — 2005
Certification, Finance, General, 3.67
LIU Post 1998 — 2002
Bachelor’s Degree, Business Administration and Management, General
WellCare Health Plans March 2015 - Present
Anthem, Inc. April 2013 - December 2014
UnitedHealthcare July 2012 - January 2013
Amerigroup Corporation November 2011 - January 2013
Ascension Health September 2010 - May 2011
Cardinal Health December 2008 - August 2010
Pilgrim Software December 2005 - August 2010
dpiX December 2009 - July 2010
ORwell December 2009 - June 2010
VitalAire Canada Inc. January 2008 - May 2010
Skills
SDLC, Scrum, PMP, Integration, Business Process, Project Management, Business Analysis, Program Management, Agile Project Management, Software Project..., Vendor Management, Cross-functional Team..., Requirements Analysis, Management, SaaS, Process Improvement, IT Management, Databases, Business Process..., PMO, Project Portfolio..., Strategy, Consulting, Analysis, MS Project, ERP, Access, Requirements Gathering, Enterprise Software, Risk Management, Change Management, Visio, Project Planning, Quality Assurance, SharePoint, Software Documentation, Business Intelligence, IT Strategy, Resource Management, Agile Methodologies, Data Conversion, Team Building, Relationship Building
Education
University of Wyoming 2002 — 2003
MS, eBusiness
Midwestern State University 1998 — 2000
B.B.A, Business Computer Information Systems
Affinity Health Plan June 2014 - Present
WellCare Health Plans July 2012 - March 2014
Access Medicare May 2011 - May 2012
Healthfirst May 2007 - May 2011
Teva Pharmaceuticals December 2003 - March 2007
Skills
Leadership Development, Resource Management, Profit Improvement, Sales Management, Customer Retention, Sales, Management, Leadership, Training, Team Building, Medicare, Business Planning, Strategic Planning, Profit Maximization, Managed Care, Business Strategy, Pharmaceutical Sales, Long-term Care, New Business Development, Business Development, Human Resources, Insurance, Cross-functional Team..., Direct Sales, Process Improvement, Sales Presentations, Account Management, Selling, Provider Relations, Medicare Part D, Health Insurance, Medicaid, Network Development, Sales Process, Employee Benefits, Recruiting, Healthcare, Sales Operations, Healthcare Industry, Coaching, Cold Calling, HMO, HIPAA, Utilization Management, Disability Insurance, Disease Management, Hospitals, Contract Negotiation, Healthcare Management, Healthcare Consulting
Education
Manhattan College
Bachelor of Science Business Administration, Marketing and Financial Management
Pace University - Lubin School of Business
MBA, Finance
WellCare Health Plans June 2015 - Present
WellCare Health Plans April 2014 - June 2015
Mental Health Care, Inc. May 2010 - April 2014
Skills
Adolescents, Program Development, Grant Writing, Community Outreach, Psychology, Crisis Intervention, Mental Health Counseling, Mental Health, Public Speaking, Social Services, Nonprofits, Behavioral Health, Strategic Planning, Team Building, Leadership, Family Therapy, Case Management, Healthcare, Leadership Development, Training, Psychotherapy, Counseling Psychology, CBT, Treatment, Research, Case Managment, Fundraising, Clinical Supervision, Program Management, Clinical Research, Conflict Resolution, Customer Service, Group Therapy, Volunteer Management, Event Planning
Education
Loyola University of Chicago 2003 — 2005
MSW, Clinical/Medical Social Work
University of South Florida 1992 — 1997
BA, Psychology, Sociology, Religious Studies
WellCare Health Plans 2010 - 2015
Ranbaxy Pharmaceuticals,Inc. / Inventiv Health Inc. 2007 - 2009
AstraZeneca Pharmaceuticals,Inc. 2002 - 2007
Skills
Primary Care, Gastroenterology, Dermatology, Microsoft Office, Strategic Planning, New Business Development, Business Relationship, Account Management, Quality Client Service, Pharmaceutical sales, Good organization and..., Presentation skills
Education
Louisiana State University
Bachelor’s Degree, Journalism Advertising
Louisiana State University
WellCare Health Plans March 2014 - Present
WellCare Health Plans February 2009 - March 2014
WellCare Health Plans October 2006 - February 2009
AEGON Americas October 2002 - October 2006
AEGON Americas November 1998 - October 2002
Skills
Enterprise Risk..., Sarbanes-Oxley Act, Auditing, Medicaid, Medicare, HIPAA, Privacy Law, Data Privacy, Privacy Policies, Privacy Compliance, Privacy Act, Compliance, CPA, Sarbanes-Oxley, Internal Controls, SAS70, IT Audit, COSO, Fraud, Risk Assessment, Financial Risk, Medical Compliance, Operational Risk..., Corporate Governance, Insurance, Process Improvement, Management
Education
LIU Post
Accounting
WellCare Health Plans November 2014 - Present
The Nielsen Company September 2008 - November 2014
Nielsen Media Research October 2007 - August 2008
Chicago Board Options Exchange March 2007 - September 2007
Chicago Board Options Exchange April 2005 - March 2007
Skills
Process Improvement, Analysis, Cross-functional Team..., Project Management, Program Management, Management, Six Sigma, Change Management, Vendor Management, Operations Management, Forecasting, Strategic Planning, Team Building, Microsoft Excel, Project Planning, Customer Service
Education
DeVry University in Chicago 1998 — 2007
Ivane Javahišvilis Sakhelobis Tbilisis Sakhelmtsipo Universiteti 1992 — 1996
Bachelor's, Economics
WellCare Health Plans December 2014 - Present
Medical Mutual November 2012 - December 2014
WellCare Health Plans October 2006 - November 2012
KPMG August 2005 - October 2006
QualChoice 1996 - 2005
Mt. Sinai Medical Center December 1992 - January 1996
KPMG Audit July 1987 - December 1992
Skills
Auditing, Accounting, Finance, CPA, Insurance, Medicare, Health Insurance, Medicaid, Managed Care, Process Improvement, Sarbanes-Oxley Act, Financial Analysis, Internal Controls, Financial Reporting, Employee Benefits, HIPAA, Risk Management, Mergers & Acquisitions, Business Process..., Healthcare
Education
Kent State University 1983 — 1987
Bachelor, Accounting
Solomon Business Consulting Solutions 2010 - Present
Community Health Center of Niagara February 2010 - January 2012
United States Senator Kirsten E. Gillibrand, D-NY 2009 - February 2010
WellCare Health Plans 2008 - 2009
BlueCross BlueShield of WNY 1998 - 2008
Skills
Public Speaking, Healthcare, Non-profits, Strategic Planning, Fundraising, Customer Service, Program Development, Event Planning, Team Building, Leadership Development, Microsoft Office, PowerPoint, Nonprofits, Policy
Education
Medaille College
MBA- Finance
Niagara University
B.A.
WellCare Health Plans 2013 - Present
Comverse February 2012 - June 2013
Palestina Scrivo Properties, Inc. August 2010 - January 2012
Newmark Knight Frank Global Managment Services, LLC September 2009 - September 2011
Newmark Knight Frank Global Managment Services, LLC June 2007 - August 2009
WellCare July 2005 - May 2007
Dearborn Risk Managment, Inc 1999 - 2005
Gerling Global Reinsurance Corporation of America 1998 - 1999
Homestead Insuance Company 1995 - 1998
Capital Credit Corporation 1993 - 1994
Skills
Webfiling, Oracle Applications, Oracle Discoverer, Consolidated Financial..., System Implementations, ADP Payroll, ADP ReportSmith, General Ledger, Insurance, Statutory Accounting, Microsoft Excel, Corporate Tax, XBRL, CPA - Pending
Education
Inter-American University of Puerto Rico-Metropolitan Campus 1984 — 1989
Bachelor's degree, Business Administration and Management, General
New Jersey CPA
WellCare Health Plans April 2014 - Present
BleuPrint Consulting 2014 - Present
Squealers Barbecue September 2004 - Present
FairPoint Communications November 2011 - October 2013
Verizon Data Services December 1992 - May 2011
Verizon 2002 - 2007
Skills
SDLC, PMO, Integration, PMP, Vendor Management, Project Management, Program Management, Software Project..., Business Analysis, Requirements Analysis, IT Strategy, Telecommunications, IT Governance, IT Project & Program..., Business Process..., Increase Productivity, Cost Saving Initiatives, Enterprise IT Strategy, Call Centers, IT Management, Change Management, Cross-functional Team..., Governance
Education
Indiana Wesleyan University 2007 — 2009
Masters Management, Leadership and Management
Indiana University-Purdue University at Fort Wayne 1985 — 1992
Bachelor of Arts (B.A.), English Language and Literature, General
Tata Consultancy Services-Nielsen Office November 2012 - Present
Cognizant Technology June 2009 - November 2012
WellCare Health Plans 2011 - 2012
Wipro Technologies November 2003 - June 2009
Khoday Contact Center August 2001 - November 2003
Khodays Contact Center August 2001 - November 2003
Khodays Contact Center August 2001 - November 2003
MicroLand India April 2000 - August 2001
MicroLand India April 2000 - August 2001
Karthik Solutions February 1997 - April 2000
Skills
SAN-Brocade DS SAN..., SAN-Brocade Interpid..., SAN-Brocade DCX..., SAN-Design and..., SAN-CISCO MDS Director..., Storage-EMC VMax..., Storage-EMC DMX..., Storge-EMC Clariion CX,..., Storage-NAS NS80G, 960..., Replication-EMC SRDF, Replication-EMC..., Replication-EMC..., Data Archive-EMC..., Backup-Symantec Backup..., Operating System..., SAN Management..., SAN Management..., SAN Management..., SAN Management..., SAN Management..., SAN Management..., IBM XIV, NetApp Filers, EMC Prosphere 1.5, VMware, Linux, Storage, SAN, Brocade, VMware Infrastructure, Storage Area Networks, Data Center, Servers, Windows Server, Clariion, Symmetrix, NAS, Replication, Netbackup, Solution Architecture, Troubleshooting, SRDF, Toggle, AIX, System Administration, Infrastructure, SharePoint, Security, Microsoft Exchange, Oracle
Education
Karnatak University 1992 — 1996
Mechanical engineering, Mechanical
Karnataka University 1992 — 1996
Bachelor, Engineering
Sri Rajeshwari Vidyaniketan Hulkoti 1984 — 1990
SSLC
WellCare Health Plans May 2015 - Present
WellCare Health Plans, Inc. May 2013 - May 2015
WellCare Health Plans May 2008 - January 2012
Office Team December 2006 - February 2007
Coastal Risk Underwriters August 2006 - September 2006
Hillsborough County September 2004 - August 2005
Health Net February 2002 - July 2004
Diamond Reporting & Legal Video August 2001 - December 2001
Esquire Deposition Services April 2000 - September 2001
Skills
Stenography, Courts, Litigation, Small Claims, Civil Litigation, Pleadings, Commercial Litigation, Corporate Law, Depositions, Intellectual Property, Family Law, Mediation, Legal Issues, Hearings, Alternative Dispute..., Arbitration, Administrative Law, Legal Research, Data Analysis, Insurance, Health Law, Policy, Health Insurance, Healthcare, HIPAA
Education
Midwood High School 1995 — 1999
Iona College 1999 — 2000
New York Career Institute 2000 — 2002
Court Reporting
Brown College of Court Reporting 2004 — 2008
Multiplan March 2010 - Present
Beechstreet January 2008 - March 2010
Amerigroup Corporation January 2004 - January 2008
WellCare Health Plans June 2005 - December 2007
Blue Cross Blue Shield of Florida 1995 - 2001
Skills
Medicare, HMO, HIPAA, Healthcare Management, Healthcare, Credentialing, Health Insurance, Hospitals, Contract Management, Benefits Administration, Insurance, Software Documentation, PowerPoint, Microsoft Office, Access, Microsoft Excel, Coaching, Healthcare Industry, Call Center, Team Building
Education
Keller Graduate School of Management of DeVry University 2012 — 2015
Master's degree, Public Administration w/Health Care Mgmnt
University of Phoenix 2005 — 2009
Bachelors, Business Management
Consulting August 2015 - Present
Wellcare Health Plans June 2012 - June 2015
Wellcare Health Plans January 2007 - June 2012
WellCare 2007 - February 2012
Skills
Proven Healthcare Leader, HIPAA, Managed Care, Process Improvement, Provider Relations, Medicare, Health Insurance, Medical Coding, Personnel Management, Leadership, Medicaid, Medical Records, Healthcare, Inpatient, Healthcare Consulting, Insurance, Training, EMR, Business Analysis, Healthcare Management, Utilization Management, EHR
Education
National-Louis University 1994 — 1996
MSM, Masters Management
Medical College of Georgia at Augusta University 1985 — 1987
BS, health Information
WellCare Health Plans February 2014 - Present
WellCare November 2009 - Present
Amerigroup Corporation March 2005 - September 2009
J.P. Morgan Chase & Co. September 2002 - March 2005
Williams - Sonoma 1999 - 2002
Skills
Process Improvement, Microsoft Word, Project Planning, Management, Time Management, Access, Leadership, Software Documentation, Troubleshooting, Coaching, Budgets, Team Building, Team Leadership, Customer Service, Outlook, Microsoft Excel, PowerPoint, Customer Satisfaction, SharePoint, Sales, Quality Assurance, Training, Analysis, Cross-functional Team..., Call Centers, Medicare, Customer Experience, Visio, Medicaid
Education
International Academy of Design 1993 — 1999
BFA, Interior Design
WellCare Health Plans May 2015 - Present
Aon Consulting September 2007 - April 2015
Coventry Health Care August 2002 - September 2007
Coventry Health Care December 1995 - August 2002
Carelink Health Plans 1995 - 1999
Skills
Process Improvement, Insurance, Financial Reporting, Health Insurance, Medicare, Risk Management, Managed Care
Education
Marshall University 1995 — 1999
MS, Information Systems
West Virginia University Institute of Technology 1987 — 1991
WellCare Health Plans July 2014 - Present
Providence Hospitals October 2012 - July 2014
Palmetto Health April 2009 - September 2012
AllCaregivers June 2007 - February 2010
Palmetto Health October 2008 - April 2009
ZLB Plasma January 2005 - June 2007
Interim HealthCare June 2002 - February 2004
Palmetto Health Richland 2002 - 2004
Sterling Sharpe Pediatrics August 2001 - July 2002
Guilford College Family Practice January 2000 - May 2000
Skills
Hospitals, Acute Care, Medical/Surgical, Pediatrics, Clinical Research, Healthcare, Microsoft Office, Physicians, EMR, Physician Relations, Healthcare Management, Nursing, EHR, HIPAA, Patient Safety, Healthcare Information..., Revenue Cycle, Healthcare Consulting, Informatics, Medical Terminology, Meditech, Patient Education, Quality Improvement, Managed Care, Ambulatory, Management, Medicare, Training, Inpatient, BLS, Medicaid, Registered Nurses, Leadership, Home Care, Nursing Care, Healthcare Industry, Patient Advocacy, Process Improvement
Education
University of North Carolina at Chapel Hill 2011 — 2013
Master of Science Nursing, Health Care Systems-Administration
Midlands Technical College
Associate Degree, Nursing, CumLaude Honors
Midlands Technical College
Diploma, Practical Nursing, Cum Laude Honors
Wilkes Community College
Diploma, Medical Assisting
PointRight Inc. April 2014 - Present
Kili Chivers October 2013 - April 2014
Family Health Network January 2013 - October 2013
WellCare Health Plans March 2009 - December 2012
WellCare March 2008 - March 2009
Legacy Consulting Services- Contractor with WellCare Health Plans Inc. (PFFS) May 2007 - February 2008
Skills
Network Contracting, Contract Negotiation, Contract Management, Provider Relations, Long-term Care, Medicaid Managed Care, Medicare/Medicaid..., Medicare Advantage, Claims Resolution, Management, Proposal Writing, Network Development, Business Process..., Hospital Contracting, Written & Oral..., TANF, Hiring Employees, Training, Business Expansion, Team Management, Data Analysis, Program Implementation, Credentialing, Healthcare, Managed Care, Medicare, Process Improvement, Insurance
Education
University of Hawaii at Manoa 2001 — 2005
BA, Sociology
Konan University 2002 — 2003
Japanese
WellCare Health Plans 2013 - Present
Deloitte Consulting September 2011 - July 2013
BMCHP February 2010 - April 2011
CLS Consulting 1983 - 2009
WellPoint 1990 - 1993
Skills
Hospitals, Healthcare, Management, Healthcare Consulting, Managed Care, Program Management, Leadership, Healthcare Information..., Healthcare Management, Medicare, Clinical Research, Disease Management, Nursing, Strategy, HIPAA, Business Planning, Medicaid, Healthcare Industry, Health Insurance
Education
Peter Bent brigham Hospital School of Nursing 1977 — 1980
Registered Nurse, Nursing
Boston University School of Public Health
Masters Public Health, Maternal/Child Health and Leadership
Lesley University
Management, Management
Georgia Mentor October 2014 - Present
WellCare Health Plans March 2014 - December 2014
Executive Health Resources June 2012 - April 2014
Georgia Mentor 2014 - 2014
Georgia Mentor 2014 - 2014
Tact Medical Staffing 2013 - 2014
Wm Page & Associates, Inc., d/b/a/ The Lifeline Program November 2011 - May 2012
Lifeline Program 2011 - 2012
Wm Page & Associates 2011 - 2012
staff relief agency May 2008 - June 2011
Skills
Acute Care, Emergency Room, CCU, Patient Monitoring, Clinical Diagnostics, Consumer Healthcare, Health Literacy, ICU, PACU, Telemetry, Community Health, Nursing, Post Anesthesia Care, Hospitals, Medical Monitoring, Clinical Research, Patient Education, Healthcare, Medicine, Case Managment, Case Management, Quality Improvement, Disease Management, Medical Diagnostics, Critical Care, Healthcare Management, Home Care
Education
Greenwood University 2009 — 2011
Bachelors, Healthcare Administration
Nassau Community College 1990 — 1992
Associate Degree, Applied Science
WellCare Health Plans July 2015 - Present
WellCare Health Plans March 2015 - July 2015
WellCare Health Plans August 2014 - March 2015
WellCare Health Plans May 2013 - August 2014
WellCare Health Plans February 2013 - May 2013
WellCare Health Plans January 2012 - February 2013
Florida Department of Health July 2010 - January 2012
Skills
Medicaid, Provider Relations, Healthcare, Medicare, Physicians, Press Releases, Public Speaking, Marketing, Physician Relations, Healthcare Management, Hospitals, Contract Negotiation, Utilization Management, HMO, Business Development, Medicaid Managed Care, Health Insurance, Medicare Part D, Pharmacy Benefit..., Long-term Care, Healthcare Consulting, HIPAA, Contract Management, Crisis Management, Cross-functional Team..., Credentialing, PPO, Career Management, HEDIS, Hospice, Presentations, Medicare Advantage, Medicare/Medicaid..., Emptoris, Citrix, Salesforce Training, Creativity, Dispute Resolution, Strategic Negotiations, APR-DRG, Affordable Care Act, Acute Care
Education
Michigan State University
Bachelor of Arts, Journalism/External Spanish Language Specialty
WellCare Health Plans February 2015 - Present
WellCare Health Plans February 2014 - February 2015
WellCare Health Plans September 2011 - February 2014
CVS Pharmacy October 2004 - October 2011
Skills
Customer Service, Leadership, Management, Teamwork, Time Management, Outlook, Employee Training, Healthcare, Social Media, Training
Education
Kutztown University of Pennsylvania 2000 — 2004
Bachelor's Degree, Psychology (Clinical/Counseling)
WellCare Health Plans January 2013 - Present
Arcadian Health Plan May 2010 - December 2012
Arcadian Health Plan February 2009 - May 2010
Arcadian Health Plan January 2008 - February 2009
Arcadian Health Plan August 2007 - January 2008
Arcadian Health Plan May 2005 - August 2007
UnitedHealth Group December 2002 - May 2005
UnitedHealth Group May 2000 - December 2002
St. Joseph's Hospital and Medical Center January 1998 - May 2000
Blue Cross Blue Shield of Arizona January 1997 - December 1997
Skills
Managed Care, Contract Negotiation, Medicare Advantage, Medicaid Managed Care, Strategic Planning, Budget, Healthcare, New Markets Development, Financial Analysis, Banking, Provider Relations, National Accounts
Education
University of Houston-Clear Lake 1993 — 1995
Master of Healthcare Administration
Lamar University 1982 — 1984
Master of Business Administration (M.B.A.), Finance, General
Lamar University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Marketing
WellCare Health Plans March 2015 - Present
Metropolitan Community Associates March 2012 - December 2014
Subway-Jackson State University June 2006 - April 2012
Mississippi Development Authority November 2009 - June 2011
Subway of Leland November 2002 - March 2010
Skills
Management, Grants, Human Resources, Leadership Development, Strategic Planning, Government, Public Speaking, Budgets, Project Management, Team Building, Microsoft Office, Negotiation, Customer Service, Nonprofits, Event Planning, Team Leadership, Research, Event Management, Microsoft Excel, Contract Negotiation, Program Management, Training, Policy, Organizational...
Education
Lindenwood University
Bachelor of Arts (B.A.), Human Resources Management/Personnel Administration, General
Southern New Hampshire University
Master of Science (MS), Community and Economic Development
WellCare Health Plans May 2011 - Present
CNA Insurance May 2010 - April 2011
Skills
Microsoft Office, Product Development, Microsoft Excel, Project Management, New Business Development, Strategic Planning, Chemistry, Negotiation, Sales Management, SAP, Customer Service, Business Strategy, Manufacturing, Process Improvement, Change Management
Education
Lamar University
RVR&JC college
WellCare Health Plans Program ManagerWellCareAugust 2011 - Present
BJC HealthCare February 2010 - August 2011
Thomson Reuters March 2008 - February 2010
Various Clients` December 1997 - March 2008
Skills
SDLC, Resource Management, Waterfall, Software Project..., IT Strategy, Integration, Requirements Analysis, Process Improvement, Visio, MS Project, Agile Methodologies, Business Analysis, SharePoint, Program Management, PMO, IT Management
Education
Mangalore University
BHM
University of Iowa
MBA
AmeriHealth Administrators January 2015 - Present
DaVita Healthcare Partners October 2013 - December 2014
Medi Assist India Pvt Ltd May 2013 - September 2013
DaVita Healthcare Partners July 2012 - March 2013
WellCare Health Plans November 2010 - June 2012
EmblemHealth July 2008 - October 2010
TriZetto May 2006 - June 2008
Skills
Healthcare Management, Hospital Revenue Cycle, HIPAA, EDI, 837I, PL/SQL, Microsoft SQL Server, UB04, 837P, CMS-1500, Microsoft Word, Microsoft Excel, Microsoft Access, Mercury QuickTest Pro, ePremis, Healthcare, UltraEdit, TextPad, Data Analysis, BMC Remedy, HP Quality Center, Visual Basic, PowerPoint, Toad 9.0, Quality Assurance, StarTeam, Public Speaking, Analysis, Business Analysis, User Acceptance Testing, EHR, SQL, Business Requirements, Testing, Strategic Planning, Healthcare Information..., Documentation, Software Documentation, Agile Methodologies, EMR, Medicare, Medicaid, Project Management
Education
Long Island University, C.W. Post Campus 2009 — 2011
MPA Health Care Administration, Health/Health Care Administration/Management
WellCare Health Plans June 2015 - Present
WellCare Health Plans October 2012 - June 2015
Suncoast Hospice October 2011 - March 2012
Irwin Medical Center March 2010 - February 2011
Mowery Clinic June 2008 - July 2009
Salina Regional Health Center May 2005 - April 2009
Skills
Managed Care, Neonatal Nursing, Registered Nurses, Nursing Education, Nursing Management, Sales Management, Nursing, Healthcare, Hospitals, Healthcare Management, Healthcare Information..., EMR
Education
Kansas Wesleyan University 2003 — 2005
Associate's Degree, Nursing
MedHOK Healthcare Solutions August 2011 - Present
MedHOK Healthcare Solutions January 2011 - August 2011
UnitedHealth Group August 2010 - January 2011
WellCare Health Plans November 2007 - July 2010
Skills
Hard Worker, Articulate
Education
University of Minnesota College of Pharmacy 1995 — 1997
Complete Coursework for Pharm D, Pharmacy
Inver Hills Community College 1992 — 1995
Associate of Arts, Chemistry
WellCare Health Plans March 2015 - Present
WellCare October 2011 - Present
Ceridian (Military One Source) January 2011 - October 2011
CIGNA Healthcare February 2005 - December 2010
CIGNA Healthcare April 2000 - January 2005
Blue Cross Blue Shield of Tennessee April 1996 - March 2000
Army National Guard February 1991 - February 2000
Skills
Call Center, Performance Management, Employee Relations, Forecasting, Hiring, Call Centers, Human Resources, Customer Service, Interviews, Training, Employee Benefits, Operations Management, Management, Leadership, Coaching, Project Planning, Customer Satisfaction, Analysis, Process Improvement
Education
Liberty University 2006 — 2008
MBA
West Virginia University 1991 — 1995
Bachelor of Arts
Conceited Canvas November 2014 - Present
WellCare Health Plans July 2012 - Present
Macys Corporate Services Ltd 2005 - 2009
Skills
Merchandising, Fashion, Retail, Customer Service, Microsoft Office, Microsoft Excel, Apparel, Visual Merchandising, Microsoft Word, PowerPoint, Styling, Product Development, Marketing Strategy, Sales, Textiles, Trend Analysis, Trend, Sewing
Education
International Academy of Design 2005 — 2010
fashion design and marketing
International Academy of Design and Technology-Tampa
Bachelor of fine arts, Fashion design and marketing
WellCare Health Plans June 2014 - Present
Skills
Higher Education, Healthcare, Event Planning, Facebook, Admissions, Student Affairs, Fundraising, Leadership, Social Networking, Customer Service, PowerPoint, Social Media, Microsoft Office, Enrollment Management, Microsoft Excel, Student Financial Aid, Event Management, Marketing
Education
Iona College 2009 — 2011
MBA, Finance
Iona College 2004 — 2008
BBA, Business Management
WellCare Health Plans March 2013 - Present
WellCare September 2011 - February 2013
WellCare Health Plans February 2010 - August 2011
NJVC October 2008 - January 2010
DAI October 2007 - September 2008
iHRMS LLC August 2005 - September 2007
Eckerd August 2001 - July 2005
Avaya August 2000 - July 2001
Lucent Technologies February 1999 - July 2000
Origin Technology in Business November 1995 - January 1999
Skills
SDLC, Data Warehousing, Microsoft SQL Server, SQL, Business Intelligence, Requirements Analysis, SharePoint, Business Analysis, Visio, PL/SQL, Oracle, Solaris, High Availability, Unix, Linux
Education
Lamar University 1991 — 1994
Master's degree, Computer Science
BlueCross BlueShield of Tennessee May 2015 - Present
WellCare Health Plans September 2014 - May 2015
RSS 278th ACR TRP C May 2012 - January 2015
TN Army National Guard May 2009 - October 2014
BlueCross BlueShield of Tennessee August 2000 - December 2006
Skills
Leadership, Management, Team Leadership, Program Management, Customer Service, Training, Strategic Planning, Public Speaking, Medicaid Managed Care, Medicare Advantage, Utilization Management, Project Management, Microsoft Office
Education
Jacksonville University
Jacksonville University
WellCare Health Plans October 2004 - September 2013
WellCare 2004 - 2013
Skills
Insurance, Sales, Health Insurance
Education
Michigan State University 1991 — 1994
Bachelor of Arts (BA), Sociology and Anthropology, 3.2
Kalamazoo Valley Community College 1986 — 1991
Associate of Arts (AA), Sociology, 3.1
WellCare Health Plans July 2014 - Present
WellCare Health Plans March 2013 - July 2014
WellCare Health Plans April 2010 - March 2013
Hudson Drugs January 2009 - April 2010
Walgreens January 2004 - December 2009
Care First Family Practice January 2002 - January 2004
Skills
Pharmacy, HIPAA, Medicare, Healthcare, Medicaid, Managed Care, Medicare Part D, Healthcare Information..., Hospitals, Clinical Research
Education
University of South Florida
Lake-Sumter Community College
WellCare Health Plans February 2006 - Present
Skills
Managed Care, Healthcare, Medicare, Leadership, Process Improvement, Medicaid, Strategic Planning, HIPAA, Management, Cross-functional Team...
Education
University of Georgia College of Pharmacy at Medical College of Georgia 1996 — 1997
Doctor of Pharmacy (Pharm.D.)
University of Georgia College of Pharmacy 1993 — 1996
Bachelor's of Science, Pharmacy, (R.Ph.)
University of North Georgia 1991 — 1993
Pre-Pharmacy
AmeriLife & Health Service, LLC June 2014 - Present
WellCare Health Plans 2004 - 2013
Skills
Sales, Customer Service, Insurance, Health Insurance, Marketing, Disability Insurance
Education
Michigan State University 1991 — 1994
Bachelor's degree, Sociology
Kalamazoo Valley Community College 1987 — 1991
Associate’s Degree, Sociology