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 Client SpecialistSimply Healthcare PlansNovember 2013 - April 2014
Centene Corporation 2013 - 2013
Universal Health Care December 2010 - December 2012
Universal Health Care June 2009 - December 2010
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Microsoft Office, Microsoft Outlook
Education
University of South Florida 2013 — 2015
St. Petersburg College 2007 — 2009
Associate of Arts (A.A.), Social Sciences
WellCare Health Plans September 2015 - Present
Transamerica Financial Advisors, Inc. June 2014 - June 2015
Teradyne June 2013 - May 2014
Daley and Associates September 2012 - June 2013
The Schwartz Center for Compassionate Healthcare June 2012 - September 2012
Crittenton Women’s Union January 2012 - June 2012
Skills
Analysis, Analytical Skills, Teamwork, Enrolled Actuary, Leadership, Finance, Data Analysis, Microsoft Excel, Advanced Excel, Data..., Dependent, stat, Financial Modeling, Auditing
Education
Suffolk University 2012 — 2014
Bachelor's degree, Finance and Minor in Economics, 3.98
WellCare Health Plans July 2012 - Present
Monumental Life Insurance August 2009 - June 2012
Skills
Term Life Insurance, Disability Insurance, Fixed Annuities, Universal Life, Life Insurance, Health Insurance, Insurance, Accident Insurance, Long-term Care, Critical Illness, Accident, Individual Health..., Commercial Insurance, Medicare, Employee Benefits, Health Savings Accounts, Medicare Part D, Life, Licensed Life, Open Enrollment, Key Person Insurance, Permanent Life Insurance, Health Care Reform, Group Insurance, Umbrella Insurance, General Insurance, Claim, Brokers, Medicaid, HMO, Reinsurance, HIPAA
Education
Spencerian College
Associate's degree, Business Administration and Management, General
WellCare Health Plans 2015 - Present
WellCare Health Plans January 2014 - September 2015
Florida Hospital July 2013 - January 2014
Education
St. Petersburg College 2009 — 2013
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Universidad de San Buenaventura
WellCare Health Plans August 2014 - Present
WellCare Health Plans June 2007 - Present
WellCare 2007 - 2008
Palmetto GBA 1996 - 2006
Palmetto GBA 1996 - 2006
Skills
Training, Health Insurance, Managed Care, Strategic Planning, Sales, Employee Relations, Health Policy, Long-term Care, Medicare, Leadership, Team Building, Coaching, Process Improvement, Selling, Analysis, Healthcare, Insurance, Employee Benefits, Account Management
Education
PHCC 1992 — 1994
AS Degree in Human Services
St. Petersburg College
BAS Health Services Administration, Health Law
WellCare Health Plans October 2013 - Present
Akraya Inc April 2013 - October 2013
Source Infotech Inc. 2011 - 2012
Skills
Informatica, Informatica B2B, SQL, Autosys, MS Studio, Databases, ETL, UltraEdit, EDI, EDI ANSI X12, XML, XML Spy, Oracle SQL Developer, Data Migration, Microsoft SQL Server, SOA, SOAP, Web Applications, Testing, Web Services, UML, Oracle, PL/SQL
Education
Stevens Institute of Technology 2008 — 2010
Master of Engineering (M.Eng.)
NorthGujarat University, India 2002 — 2006
Bachelor's degree, Engineering
WellCare Health Plans April 2013 - Present
Universal Health Care March 2011 - March 2013
Citrus Health Care, Inc August 2008 - December 2010
Greenacre Properties, Inc. November 2007 - July 2008
Skills
Healthcare, HMO, CMS, CPT, ICD-9, Medicare Advantage, Medicare, Collections, Insurance, Customer Service, Call Center, HIPAA, Health Insurance, Managed Care, Software Documentation, Call Centers, Leadership, PPO
Education
St. Petersburg College 2011 — 2014
Hillsborough Community College 2006 — 2010
Gaither High School 2002 — 2006
High School Diploma
WellCare Health Plans April 2013 - Present
Universal Health Care March 2012 - January 2013
Universal Health Care October 2011 - March 2012
Universal Health Care August 2010 - October 2011
Publix Super Markets October 2007 - September 2010
Lowe's Home Improvement June 2006 - October 2007
Skills
Customer Satisfaction, Time-efficient, Leadership, Communication, Always Punctual, Productivity, Quality Management, Training, Performance Management, Customer Service, Data Entry, Health Insurance, Team Building, Medicare, Employee Training, HIPAA, Coaching, Managed Care, Interviews, Process Improvement, Healthcare, Claims Resolution, Call Centers, Medicare Part D, Time Management, Management
Education
Tallahassee Community College 2006 — 2008
Associate's degree, General Studies
University of South Florida
Seeking Bachelors Degree, Criminology
WellCare Health Plans September 2015 - Present
Walmart September 2013 - September 2015
Universal Health Care Group April 2011 - May 2013
Universal Health Care October 2009 - May 2011
Skills
HIPAA, Medicare, Medicaid, Health Insurance, Provider Relations, Medicare Part D, Managed Care, Process Improvement, Insurance, Software Documentation, Call Centers, Training, Healthcare, HMO, Claim, Business Analysis, Visio, Team Building, Healthcare Management, Quality Assurance, Healthcare Consulting, Access, Healthcare Information..., PPO, Medical Billing, Long-term Care, Leadership, Outlook, SharePoint, Customer Service, Strategic Planning, Management, Project+, Project Management, Vendor Management, Analysis, Microsoft Excel, Sales, Business Process..., Hospitals, Data Analysis, Team Leadership, Account Management, Health Policy, PowerPoint, EHR, Employee Benefits, Healthcare Industry, Network Development
Education
St. Petersburg College
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
St. Petersburg College
Health Services Administartion, Health/Health Care Administration/Management
WellCare Health Plans August 2015 - Present
Campus Apartments 2011 - September 2015
Alliance Bank 2010 - 2011
TD 2010 - 2010
TD 2005 - 2010
Skills
Treasury, Variance Analysis, Yardi, Budgets, Property Management, Lease Administration, Real Estate Development, Accounts Receivable, Apartments, Asset Management, Fair Housing, Rentals, Leases, Accounts Payable, Accounting, Real Estate, Treasury Management, Financial Analysis, Budget Analysis, Financial Reporting, Strategic Planning, General Ledger, Cost Accounting, Financial Accounting, Financial Audits, Account Reconciliation, Banking, Process Improvement, Staff Development, Ad Hoc Reporting
Education
Temple University 2005 — 2009
B.S. Finance, Finance, General
Temple University 2005 — 2009
Bachelor of Science (B.S.), Finance
Genuine Parts Company November 2014 - Present
IBM September 2014 - November 2014
WellCare Health Plans October 2010 - August 2014
Norwegian Cruise Line April 2009 - October 2010
FedEx August 2004 - April 2009
IKON Office Solutions April 2002 - June 2004
Verizon August 2001 - April 2002
Danka Office Imaging June 1997 - August 2001
Skills
IBM AIX, AIX, Ganglia, Performance Tuning, Enterprise Architecture, Virtualization, Capacity Planning, Disaster Recovery, Storage Area Networks, SAN, Networking, Windows, Data Center, Shell Scripting, Perl, PHP, Hardware, High Availability..., Server Consolidation, IBM Certified, IBM Power, PowerHA, NIM, VIO, HMC, GPFS, TSM, Oracle, Oracle ASM, EMC Storage, IBM XIV, DNS, C++
Education
University of South Florida 2006 — 2009
Finance, General
St. Petersburg College 1996 — 2006
Associate of Arts (AA), Business/Commerce, General
WellCare Health Plans February 2013 - Present
Brighthouse Networks 2005 - February 2013
Equifax June 1999 - May 2005
Skills
Networking, System..., programming, linux, Red Hat Linux, Linux System..., cisco, network security, hacking, Network Security, TCP/IP, Cisco Technologies, Linux, Programming, Servers, DHCP, VMware, WAN, Networking, Software Installation, Cisco ASA, Disaster Recovery, Unix, Microsoft SQL Server, IT Management, Network Administration
Education
St. Petersburg College 1999 — 2002
Associate of Arts (AA), Computer Science
Energize Everett June 2015 - Present
Energize Everett September 2014 - Present
WellCare Health Plans June 2014 - August 2014
Sweet Lucy's Bakery May 2014 - August 2014
Icahn School of Medicine at Mount Sinai June 2013 - August 2013
Tufts University August 2012 - May 2013
Tufts University January 2013 - April 2013
Morristown Agway June 2010 - January 2012
Skills
Research, SPSS, HIPAA, Cultural Competency..., Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Teamwork, Photoshop, Social Media, Public Speaking, English, Spanish, Cultural Awareness, Handle Confidential...
Education
Tufts University 2011 — 2015
Bachelor of Science (B.S.), Biopsychology, Community Health
Universidad Autónoma de Madrid 2013 — 2013
Psychology
WellCare Health Plans September 2015 - Present
Publix Super Markets August 2014 - August 2015
Express Scripts June 2001 - June 2014
Walgreens March 2008 - October 2010
CVS Pharmacy March 2004 - August 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, Healthcare, Pharmacy, Managed Care, Pharmacy Automation, Pharmacists, Medication Therapy..., Community Pharmacy, Clinical Pharmacy, Pharmaceutical Industry, Pharmacy Benefit...
Education
Universidad Autónoma del Caribe
WellCare Health Plans April 2014 - Present
Hygiea Home Care April 2013 - Present
Aetna April 2013 - March 2014
Fusion Health Care March 2010 - March 2013
Almost Family, Inc. April 2008 - March 2010
Sun Coast Hospital August 1992 - March 2008
Skills
Nursing, Case Management, Home Care, Healthcare, Medical Case Management, Case Management Services, HIPAA, Microsoft Word, Microsoft Excel, Health, Microsoft Office, Swedish, Compliance, Customer Service, Fitness, ICD-9, Multi Tasking, Mentoring, Nutrition, Nutrition Education, Nursing Education, Networking, Oncology, Orthopedic, Geriatric Nursing, Disease Management, Cardiovascular Disease, Case Managment, Infusion Centers, Infusion Pumps, Home Infusion, Medicare, Medication..., Clinical Research, Medical-Surgical, Healthcare Management
Education
St. Petersburg College 1990 — 1993
Associates Degree in Nursing, RN
WellCare Health Plans March 2015 - Present
ResCare September 2013 - March 2015
Omnicare Specialty Care Group August 2012 - September 2013
inVentiv Health March 2011 - August 2012
United States Marine Corps April 2003 - April 2011
sanofi-aventis December 2010 - March 2011
sanofi-aventis November 2007 - December 2010
sanofi-aventis January 2006 - November 2007
United States Marine Corps May 2006 - May 2007
Aventis April 2003 - January 2006
Skills
Managed Care, Change Management, Marketing Operations, Pharmaceutical Sales, Sales Skills Training, Sourcing & Procurement, Team Leadership, Organizational..., Selling Skills, Diabetes, Oncology, Pharmaceutical Industry, Sales Operations, Cross-functional Team..., Strategy, Account Management, Biotechnology, Healthcare, Urology, Business Development, Management, Product Launch, Training, Contract Negotiation, Hospitals, Sales
Education
University of Phoenix 2009 — 2012
M.B.A., Global Management
Washington and Lee University 1995 — 1999
BA, Economics
Tunghai University 1996 — 1997
BA, Full Emersion Mandarin Chinese
WellCare Health Plans July 2015 - Present
Raymond James Financial Inc. June 2004 - July 2015
Skills
Information Security, Antivirus, VPN, Networking, Firewalls, Disaster Recovery, Active Directory, Network Security, CISSP
Education
St. Petersburg College 2000 — 2002
Associate of Science (AS), Information Security
Willow Oak Counseling May 2013 - Present
WellCare Health Plans April 2015 - Present
Seven Counties Services July 2013 - April 2015
Jewish Family and Career Services May 2012 - May 2013
University of Louisville 2011 - 2013
Childplace August 2011 - May 2012
Skills
Individual Therapy, Couple's Therapy, Anxiety Management, Treating Depression, Running Groups and..., Adolescents, Therapists, Family Therapy, Group Therapy, Wellness, Self-esteem, Google Groups, Mental Health Counseling, CBT, Post Traumatic Stress, Motivational..., Behavioral Health, Mindfulness, Counseling Psychology, Psychotherapy
Education
University of Louisville 2011 — 2013
Master's degree, Social Work and Marriage and Family Therapy
Truman State University 2007 — 2011
Bachelor of Science (BS), Psychology
WellCare Health Plans March 2014 - Present
Humana April 2012 - December 2012
Arcadian Health Plan October 2009 - March 2012
Sage 1996 - 2009
Rentronics Rent To Own 1991 - 1996
Skills
Public Speaking, Customer Service, Research, Management, Budgets, Communication, Negotiation, Employee Management, Employee Training, Team Building, Conflict Resolution, Leadership, Business Unit Start-up, Business Development, Sales Management, Healthcare Information..., Computers, Adaptability, Managed Care, Microsoft Excel, PowerPoint, Microsoft Word, Microsoft Office, Business Analysis, Strategic Planning, Process Improvement
Education
The University of Texas at Austin
Economics
Monsignor Kelly High School
WellCare Health Plans November 2014 - Present
WellCare Health Plans January 2014 - November 2014
WellCare Health Plans July 2013 - December 2013
Humana April 2011 - July 2013
Humana July 2008 - April 2011
US Army June 2003 - September 2008
Skills
Security Clearance, Military, Operational Planning, Management, DoD, Military Operations, Command, Program Management, Process Improvement, Cross-functional Team..., Leadership, Army, Organizational..., Operations Management, National Security, Leadership Development, Team Building, Team Leadership, Project Management, Government, Defense, Military Experience, Intelligence, Analysis, Strategy, Information Assurance, Government Contracting, Risk Management, Intelligence Analysis, Policy, Systems Engineering, Training, Six Sigma, Project Planning, Business Intelligence, Innovation
Education
United States Military Academy at West Point 1999 — 2003
BS, Systems Engineering
Brookhaven High School
WellCare Health Plans August 2015 - Present
WellCare Health Plans March 2015 - August 2015
WellCare September 2013 - March 2015
WellCare January 2013 - September 2013
WellCare July 2011 - January 2013
UHS-Pruitt Corporation October 2010 - July 2011
UHS-Pruitt Corporation June 2010 - October 2010
WellCare July 2009 - June 2010
WellCare of Georgia March 2008 - July 2009
WellCare of Georgia June 2007 - March 2008
Skills
Compliance, Quality Management, Public Speaking, Medicaid, Medicare, Provider Relations, Managed Care, Network Development, Technical Writing, Government Relations, Call Center, Profit & Loss Management, Medical Economics, Credentialing, Medicaid Managed Care, NCQA, Training, Health Economics, Healthcare, Call Centers, Healthcare Management, Long-term Care, Contract Negotiation, Health Policy, HMO, Healthcare Information..., P&L Management, HIPAA, Start-ups, EHR, Program Management, Healthcare Industry, Leadership, Healthcare Consulting, Management, Utilization Management, PPO, Quality Improvement, Health Insurance, Disease Management, Strategic Planning, Strategy, Physicians, Policy, Health Care Reform, Revenue Cycle, Revenue Cycle Management, Medicare Part D, Pharmacy Benefit..., Physician Relations
Education
University of Tennessee-Knoxville 1981 — 1985
Tusculum College 2002 — 2003
B.S.
WellCare Health Plans September 2012 - Present
Team1Medical/ExecuTeam Staffing May 2011 - September 2012
Bravo Health February 2009 - April 2011
WellMed Medical Management October 2006 - January 2009
WellMed Medical Management September 2005 - October 2006
Skills
Healthcare, Marketing, Insurance, Employee Relations, Strategic Planning, Health Insurance, Employee Benefits, Microsoft Excel, Recruiting, Outlook, Sales, Human Resources, Management, Training, Sales Management, New Business Development, Benefits Administration, Customer Service, Team Building, Leadership, Medicare, HIPAA, Marketing Strategy, Budgets, Managed Care, Account Management, B2B, Coaching, Sourcing, Performance Management
Education
The University of Texas at San Antonio 2002 — 2004
Business Administration, Business
WellCare Health Plans February 2014 - Present
WellCare Health Plans, Inc. February 2001 - February 2014
Skills
Health Insurance, Healthcare Management, NCQA, Medicare, HEDIS, HIPAA, Microsoft Excel, HMO, SAS, Process Improvement, Provider Relations, Managed Care, Healthcare Information..., Healthcare Industry, Medicaid, Healthcare, Healthcare Consulting, Data Analysis, Visio
Education
Southwestern College 1986 — 1987
BBA, Business Administration
St. Johns College, Kansas 1982 — 1986
A.A., Business, Accounting
WellCare Health Plans September 2014 - Present
Arcadia Home Care & Staffing April 2009 - February 2014
Palms of Pasadena August 2011 - May 2013
HCA West Florida 2007 - 2008
St Anthonys Hospital June 2002 - November 2007
Maxim Healthcare August 1991 - May 2005
Pinellas County Sheriff's Office May 1998 - April 2000
Skills
Hospitals, Healthcare, TNCC, Cardiac Care, ENPC, Perioperative Nursing, Nursing Documentation, Medical/Surgical, NRP, Emergency Nursing, PALS, Psych, Post Anesthesia Care, Telemetry, Wound Care, Acute Care, ICU, BLS, Critical Care, Nursing, Patient Education, EKG, CPR Certified, Patient Advocacy, Medical-Surgical
Education
SPJC 1995 — 1999
ASN, Registered Nursing/Registered Nurse
St. Petersburg College 1995 — 1999
Associate's Degree, Registered Nursing/Registered Nurse, 3.85
PTEC - St Pete 1993 — 1994
LPN, Nursing Practice, all A's and B's
st pete high 1987 — 1991
high school diploma, High School/Secondary Diplomas and Certificates
WellCare Health Plans April 2015 - Present
Kemp and Ruge Law Group December 2013 - March 2015
Education
Stetson University College of Law 2002 — 2004
Juris Doctor, Law
University of South Florida 1999 — 2002
Bachelor of Science, Psychology
University of Florida
Berkeley Prep
WellCare Health Plans June 2014 - Present
Knowledge Transfer Group, Inc. May 2012 - June 2014
Hillsborough Kids, Inc. June 2011 - April 2012
Florida Department of Transportation May 2008 - June 2011
Florida Department of Children and Families October 2003 - May 2008
Skills
Contract Management, Government
Education
EduTech Centers 2002 — 2003
Certificate, Paralegal Studies
SUNY New Paltz 1997 — 2001
Bachelor of Arts, Communications, Sociology
WellCare Health Plans September 2014 - Present
Temple University September 2008 - December 2013
Rutgers University June 2012 - December 2012
White Expositions February 2011 - May 2012
Skills
Cell Culture, Protein Purification, Data Entry and..., Microsoft Office, Wet Chemistry, SDS-PAGE, Affinity Chromatography, ELISA, Enzyme Kinetics, DNA Extraction, Titration, Bioassay, GC, Assay Development
Education
Temple University 2008 — 2013
Bachelor's Degree, BIOCHEMISTRY
University of Nigeria
WellCare Health Plans December 2013 - Present
Jewish Renaissance Medical Center August 2008 - November 2013
Newark Public Schools January 2008 - July 2008
Skills
Public Speaking, Community Outreach, Event Planning, Nonprofits, Volunteer Management, Fundraising
Education
Troy University 2013 — 2016
Bachelor of Business Administration (B.B.A.), Marketing
University of Puerto Rico-Mayaguez 2004 — 2005
Bachelor of Science (B.S.), Psychology
WellCare Health Plans December 2014 - Present
US AutoLogistics, LLC - a Friedkin Company September 2012 - May 2014
Friedkin Companies, Inc. May 2012 - September 2012
Wood Group Mustang January 2011 - May 2012
The Home Depot April 2008 - April 2010
The Home Depot November 2007 - April 2008
Mattress Firm December 2005 - September 2007
The Paradies Shops August 2004 - December 2005
University of Phoenix 2003 - 2004
Skills
Organizational..., Grievances, Employee Relations, Human Resources, Leadership, Talent Acquisition, Training, Onboarding, Performance Management, HR Policies, Succession Planning, Management Development, Employee Benefits, Employment Law, HRIS, Workforce Planning, Personnel Management, Industrial Relations, Deferred Compensation, Employee Engagement, Organizational..., Employee Training, Sourcing, Change Management, Strategy, Management Consulting, College Recruiting, Applicant Tracking..., Recruiting, FMLA, Technical Recruiting, New Hire Orientations, Hiring, Temporary Placement, Talent Management, Management, Interviews, Benefits Administration, HR Consulting
Education
Stephen F. Austin State University
BBA
Unversity of Phoenix
MBA
Humana June 2013 - Present
WellCare Health Plans May 2012 - 2013
Marriott International July 2008 - May 2012
Delta Air Lines 2007 - 2008
Skills
Research, Customer Relations, Foreign Languages, Conflict Resolution, Customer Service, Public Speaking, Customer Satisfaction, Social Media, Time Management, Teamwork, Strategic Planning, Customer Experience, Microsoft Office, Sales, Marketing, Management, Training, Leadership, Microsoft Excel
Education
Florida Atlantic University 2014 — 2016
Masters of Health Administration, 3.7
University at Albany 2006 — 2011
Bachelor of Arts (B.A.)
WellCare Health Plans April 2014 - Present
Self employed consultant June 2013 - March 2014
Coventry Health Care 2012 - 2013
CoventryCares Kentucky 2011 - 2012
Coventry Health Care of NE 2007 - 2011
Group Health Plan 1999 - 2007
Skills
Managed Care, Medicaid, Medicare, Health Insurance, Insurance, Strategic Planning, Process Improvement, Health Policy, Healthcare Industry, Healthcare, Healthcare Management, Healthcare Consulting, HMO, Claim, HIPAA, Medicare Part D, Mergers & Acquisitions, Disease Management, Credentialing, Revenue Cycle, Pharmacy Benefit..., Integration, Physician Relations, Start-ups, Contract Negotiation, Claims, Compliance, Medicaid Managed Care, Utilization Management, Quality Improvement, Change Management, Correctional Healthcare, Contractual Agreements, Finance, Proposal Leadership, Proposal Generation, Proposal Management, Cost Savings, Operational Efficiency, Process Efficiency, Government Relations, Employee Benefits, Leadership
Education
Webster University 1992 — 1995
Master of Business Administration (MBA), Personnel Management
Truman State University 1979 — 1983
Bachelor of Science (B.S.), Accounting
TMG Health July 2012 - Present
WellCare Health Plans August 2005 - May 2012
Eckerd Corporation January 2002 - January 2005
Eckerd 2005 - 2005
Eckerd Corporation January 2001 - January 2002
Eckerd Corporation January 1997 - January 2001
Eckerd Corporation January 1995 - January 2001
Eckerd Corporation January 1991 - January 1995
Skills
Medicare Part D, Medicare Prescription..., Medicare Advantage, Pharmacy Technicians, Root Cause Analysis, HIPAA, Healthcare Industry, SharePoint, PDP, Data Analysis, Medicare, Pharmacy Benefit..., Pharmacy, Managed Care, Health Insurance, Leadership, Process Improvement, Visio, Quality Assurance, User Acceptance Testing, Health Policy, Provider Relations, Healthcare Information...
Education
St. Petersburg College
Communications Contractor and Consultant January 2015 - Present
WellCare Health Plans April 2011 - January 2015
WellCare Health Plans March 2007 - April 2011
WellCare Health Plans July 2006 - March 2007
Brainstorm Ad Club 2000 - 2005
Eric Mower and Associates February 2001 - November 2004
Crowley Webb & Associates February 1994 - February 2001
Skills
Strategic Planning, Management, Advertising, Marketing, Leadership, Healthcare, Marketing Communications, Process Improvement, Marketing Strategy, Program Management, Project Management
Education
State University of New York College at Fredonia 1984 — 1988
BS, Communications
State University of New York College at Fredonia 1984 — 1988
BS, Communications
WellCare Health Plans July 2014 - Present
APS Healthcare April 2013 - July 2014
Glory Hospice & Palliative Care 2012 - 2013
Skills
BLS, Clinical Research, Critical Care, Disease Management, EMR, Healthcare Management, Healthcare, Hospitals, Nursing, Nursing Education, Case Management, HIPAA, Inpatient, Managed Care, Medicare, Patient Safety
Education
Thomas University 2010 — 2012
Bachelor's degree, Nursing Science
WellCare Health Plans September 2014 - Present
Artsying Magazine April 2014 - Present
Nylms World July 2012 - Present
Joey Vadder Photography 2014 - Present
Nylms World December 2013 - Present
Artist 2005 - Present
Not for profit February 2010 - January 2013
Skills
Coordinating Events, Event Planning, Canvas, Sales, Small Business, Time Management, Oil Painting, Art Exhibitions, Volunteer Management, Photography, Leadership, Customer Service, Social Media Marketing, Art, Paint, Galleries, Nonprofits, Curating, Events Coordination, Project Management, Social Networking, Marketing Strategy, Painting, Volunteering
Education
Westwood College 2008 — 2010
Interior Design
St. Petersburg College 1999 — 2001
Early Childhood Education and Teaching
WellCare Health Plans March 2014 - Present
Independent IT Contractor July 2013 - March 2014
Rita Technology Services April 2013 - June 2013
Verizon May 2011 - February 2013
Verizon January 1996 - February 2013
Verizon January 2006 - May 2011
Verizon January 1996 - December 2006
Ergonomics Group February 1993 - January 1995
Skills
Hardware, Software Deployment, Servers, Windows Server, Technical Support, Operating Systems, Troubleshooting, System Deployment, Software Installation, Security, Computer Hardware, SCCM, Microsoft SQL Server, HP, Cluster, Antivirus, Windows, Printers, Information Technology, Workstations, VMware, Disaster Recovery, Firewalls, Networking, Software Documentation, Visio, Network Administration, Telecommunications, Routers, System Administration, VPN, LAN-WAN, IP, Data Center, WAN
Education
Suburban Technical School 1990 — 1990
Technical Diploma, Advanced Electronics, 3.7
William Floyd High School 1982 — 1986
High School Diploma, Business/Commerce, General
WellCare July 2010 - July 2012
Jocarni Culinary Creations May 2004 - July 2012
Coventry Health Care April 2007 - January 2010
WellCare Health Plans December 2004 - April 2007
WellCare Health Plans December 2003 - December 2004
Humana 1999 - 2003
Pebbles Restaurant 1992 - 1996
Skills
Community Outreach, Insurance, Sales Management, Medicare, Medicare Supplements, Chef, Catering, Marketing Management, Training, Managed Care, Medicaid, Healthcare, Long-term Care, Employee Benefits, Customer Service, Management, Sales, Medicare Part D, Health Insurance, Customer Retention, Leadership, Marketing, HIPAA, Disability Insurance, HMO, Network Development, Provider Relations, Healthcare Industry, Team Building
Education
Culinary Institute of America 1983 — 1985
Associates Degree, Occupational studies
The Culinary Institute of America 1983 — 1985
Associates Degree, Culinary Arts
Queensbury High School 1979 — 1982
Regents Diploma, General Studies
WellCare Health Plans January 2014 - Present
Windsor Health Group, Inc. 2007 - Present
Region 8 Community Mental Health Center November 2002 - December 2006
Saint Francis Hospital August 1996 - December 1998
St. Joseph Hospital June 1995 - August 1996
Skills
Mental Health, Fundraising, Hospitals, Medicare, Medicaid, Behavioral Health, Public Relations, Marketing, Event Planning, Matrix Management, Medicare Advantage, Healthcare Management, Health Insurance, HMO, Market Analysis, Marketing Strategy, Operations Management, Brand Development, Team Leadership, Team Management, Team Building, Lead Generation, Strategic Leadership, Community Outreach, Compliance, Customer Retention, Sales Presentations, Networking, Network Contracting, Provider Network..., Provider Relations, Sales, Physician Relations, Goal-driven leader, Employee Training, Healthcare, Health Policy, Credentialing, Utilization Management, PPO, Home Care, Medicare Part D, Healthcare Industry, HIPAA, Disease Management, Healthcare Consulting, JCAHO, Physicians, Revenue Cycle, Case Management
Education
University of Mississippi 1985 — 1987
M.Ed., Counseling Psychology
The University of Southern Mississippi 1980 — 1983
B.S., English/Public Relations
WellCare Health Plans June 2014 - Present
HealthPoint Medical Group September 2011 - Present
HealthPoint Medical Group August 2010 - September 2011
Moffitt Cancer Center April 2010 - August 2010
University Community Hospital August 2009 - December 2009
James and Jennifer Harrell Center for Domestic Violence May 2007 - December 2009
Asian Heart Institute 2005 - 2006
Medical Solution India Private Limited, Mumbai (India) April 2004 - June 2004
Skills
Healthcare Management, Healthcare, Public Health, Epidemiology, Certified Content..., Data Analysis, Project Planning, Management, Leadership, EMR, Healthcare Information..., Program Management, Hospitals, Clinical Research, Healthcare Consulting, EHR
Education
University of South Florida 2007 — 2009
MHA, Healthcare
Tata Institute of Social Sciences 2003 — 2005
MHA, Hospital administration
SIES College of Science, Arts and Commerce
BCom
WellCare Health Plans April 2015 - Present
WellCare October 2014 - Present
Raymond James Financial Inc. November 2013 - October 2014
Raymond James Financial Inc. September 2012 - November 2013
Raymond James Financial Inc. June 2010 - September 2012
Raymond James Financial Inc. June 2008 - June 2010
Skills
Firewalls, Microsoft Office, VPN, Networking, IT Security Policies, Network Security, Customer Service, Palo Alto Networks, Qualys, Vulnerability Scanning, Help Desk Support, Service Desk, Wireshark, Active Directory, Security Operations, TCP/IP, Computer Hardware, Software, Mobile Devices, Disaster Recovery, Troubleshooting, Information Security, Windows Server, Software Documentation, Security, System Administration, Technical Support, Servers, Windows 7, DNS, Business Analysis, Information Technology, Requirements Analysis, Process Improvement
Education
St. Petersburg College 2008 — 2014
Associate of Science (A.S.), Information Technology
Northeast high school 2004 — 2008
High school diploma, Finance, General
JSA Healthcare Corporation 2015 - Present
WellCare Health Plans June 2014 - August 2015
Regional Medical Center Bayonet Point June 2013 - June 2014
Family 1979 - 2014
Family 1979 - 2014
Bayfront Medical Center January 2013 - June 2013
Edward White Hospital June 2012 - January 2013
Edward White Hospital November 2010 - June 2012
St. John Urgent Care and Occupational Health February 2008 - November 2010
St. John Medical Center - Sapulpa Dialysis July 2007 - February 2008
Skills
BLS, ACLS, PALS, Nursing, Cpr Certified, EMR, Hospitals, Emergency Medicine, Telemetry, Healthcare, Medical Terminology, Emergency Room, Inpatient, Emergency Nursing, ICU, Trach Care, Home Care, Tracheostomy, CPOE, Patient Safety, Medication..., Medical/Surgical, Patient Advocacy, Patient Education, IV, Registered Nurses
Education
St. Petersburg College 2013 — 2015
Bachelor of Science (BS), Registered Nursing/Registered Nurse, 3.41
St. Petersburg College 2012 — 2013
Associate of Arts (AA), Registered Nursing/Registered Nurse
St. Petersburg College 2010 — 2012
Associate of Science (A.S.), Registered Nursing/Registered Nurse
St. Petersburg Catholic High School 1996 — 1998
High School Diploma
Cascia Hall Preparatory School 1992 — 1995
High School Diploma
WellCare Health Plans January 2015 - Present
WellCare Health Plans July 2014 - January 2015
WellCare Health Plans January 2014 - January 2015
WellCare October 2012 - January 2014
WellCare October 2011 - October 2012
Skills
Health Insurance, Insurance, Customer Service, Sales, Medicare, Marketing, Microsoft Excel, Managed Care, Microsoft Office, Outlook, Sales Management, Educational Leadership, Education, Process Improvement, Sales Operations, Office Administration, Event Management, Team Leadership, Salesforce.com, Training, Data Entry
Education
St. Petersburg College 2012 — 2014
Bachelor's Degree, Educational Studies
St. Petersburg College 2010 — 2012
Associate of Arts (AA), General Studies
Optima Health March 2012 - Present
Aetna July 2011 - April 2012
Independent Insurance Agent August 2010 - August 2011
The Insurance Exchange May 2009 - August 2010
WellCare Health Plans 2006 - 2009
UnitedHealthcare/PacifiCare/Pacific Life (Acquisitions) August 1996 - July 2006
Skills
Brokers, Underwriting, Employee Benefits, Medicare, Insurance, Account Management, Health Insurance, Managed Care
Education
The University of Texas at Austin
Communications
University of Phoenix
BS, Business Management
WellCare Health Plans March 2014 - Present
WellCare September 2011 - March 2014
WellCare January 2011 - September 2011
Genentech, Inc. August 2010 - January 2011
Genentech February 2006 - August 2010
WellCare July 2003 - January 2006
Holland & Knight LLP January 1998 - July 2003
Summit Strategies May 2002 - January 2003
The Victory Group 1999 - 2000
Trinity College - Hartford 1984 - 1988
Skills
Public Policy, Medicaid, Public Affairs, Legislative Relations, Health Policy, Managed Care, Legislation, Healthcare Industry, Strategy, Policy Analysis, Policy, State Government, Medicare, Health Law, Medicare/Medicaid..., Health Care Reform, Coalitions, Medical Compliance, Government, Healthcare
Education
University of North Carolina at Chapel Hill 2013 — 2016
Dr.PH, Health Leadership
University of Maryland Baltimore 1991 — 1994
Master of Social Work (M.S.W.), Community Organizing and Social Administration
University of Maryland Baltimore 1990 — 1994
JD, Health Law
Trinity College-Hartford 1984 — 1988
BA, Religion and Political Science
Friends School Balitmore 1974 — 1984
WellCare Health Plans August 2014 - Present
MJHS March 2012 - Present
T-Zone vibrations 2013 - 2013
4U ENTERPRISES, LLC. POSH BOUTIQUE & 4U FASHION BOUTIQUE November 2009 - June 2012
Citibank July 2007 - November 2009
WellCare Health Plans March 2006 - July 2007
Health First February 2004 - February 2006
LAFE FOODS June 2003 - May 2004
Antenna Star (DirecTV) January 2001 - June 2003
Helados San Francisco January 1986 - March 2001
Skills
International Sales &..., International Sales, Branch Management, District Management, Regional Managers, Sales Management, Advertising Sales, International Business, General Business..., Business Optimization, Business Management, New Business Development, Small Business..., Property Owners, Business Strategy, Business Development, Management, Administrative Work, Business Process..., Sales Operations, Health Insurance
Education
· New York State Insurance Department 2006 — 2009
Bachelor's degree, Business Administration and Management, General
Pontificia Bolivariana University 1990 — 1996
Bachelor Degrees: · BA, Business Administration
Universidad Pontificia Bolivariana 1990 — 1996
B A, BUSSINESS ADMINISTRATION
Universidad de Antoquia 1987 — 1990
· BA, EDUCATION ENGLISH SPANISH
zData Inc. March 2015 - Present
WellCare Health Plans April 2014 - February 2015
Independent Contractor March 2013 - February 2014
Financial Industry August 2012 - March 2013
Advertising Industry October 2010 - August 2012
Online Advertising Industry July 2009 - January 2011
Allegro Development May 2008 - January 2009
DEMDACO April 2007 - April 2008
K2b October 2006 - April 2007
SunGard March 2006 - July 2006
Skills
Business Intelligence, Database Design, Windows Server, SQL, Data Warehousing, Databases, Data Quality, Oracle, Microsoft SQL Server, Greenplum, Enterprise Architecture, Security, Quality Assurance, MySQL, Unix
Education
University of Kansas 1991 — 1996
Bachelor of Science (B.S.), Business Administration and Management, General
WellCare Health Plans June 2015 - Present
Skills
Newspaper, Social Media, Advertising, Digital Media, Advertising Sales, Workshop Facilitation, Public Relations, Social Networking, Public Speaking, Fundraising, Community Outreach, Customer Service, Mental Health Counseling, Case Management Services, Group Therapy, Individual Assessment, Individual Counselling, Training, Sales Rep Training, Corporate Training, Motivational..., Editing, Substance Use Disorders, Media Relations, Program Development, Dual Diagnosis, Facebook, Online Advertising, Blogging, Family Therapy, Social Services, Case Managment, Conflict Resolution, Behavioral Health, Psychology, DBT, Copywriting, Clinical Research, Psychotherapy, Community Mental Health, Crisis Intervention, Interviews, Counseling Psychology, Mental Health, Event Planning, Sales, Copy Editing, CBT, Press Releases, Therapists
Education
University of South Florida 2009 — 2012
Masters, Rehabilitation and Mental Health Counseling, 4.0
University of Tampa 2002 — 2006
Bachelor of Arts, Social Sciences
St.Louis Broadcast Center 1998 — 1999
Certificate of Broadcasting, Broadcast Journalism
Southeast Missouri State University 1992 — 1997
Psychology, Psychology
Gateway Health 2015 - Present
Command Performance Group, LLC 2014 - 2015
Florida Blue 2012 - 2014
Aflac 2010 - 2012
Command Performance Group, LLC 2009 - 2010
Coventry Health Care 2008 - 2009
WellCare Health Plans 2005 - 2007
American Medical Security 2000 - 2005
Skills
Health Insurance, Insurance, Sales Management, Medicare, Employee Benefits, Organizational..., Strategic Planning, Healthcare, Sales Operations, Cross-functional Team..., Executive Management, Direct Marketing, Medicare Advantage, CRM, Sales, Product Marketing, Leadership, Team Building, Process Improvement, Strategic Partnerships, Strategy, E-commerce, Forecasting, Marketing, Training, Team Leadership, Project Management, Management, Marketing Strategy, Strategic Communications, Account Management, New Business Development, Analysis, B2B, Product Development, Social Networking, Contract Negotiation, Brand Development, Lead Generation, P&L Management, Mergers & Acquisitions, Human Resources, Small Business, Market Analysis, Leadership Development, Managed Care, Vendor Management, Retail, Business Planning, Consulting
Education
University of Wisconsin-Green Bay
Bachelor of Arts, Communication
St. Norbert College
U.S. Army Reserve Officers Training Corps (ROTC)
WellCare Health Plans April 2014 - Present
Marc Ecko Enterprises April 2011 - January 2014
Guess? August 2005 - April 2009
Skills
Merchandising, Retail, Visual Merchandising, Training, Sales Management, Retail Sales, Store Operations
Education
Tallahassee Community College
WellCare Health Plans September 2014 - Present
Douglas C. Zahm, P.A. March 2014 - August 2014
ALAW - Albertelli Law November 2013 - March 2014
Stetson University College of Law 2010 - 2013
Superior Uniform Group / Fashion Seal Healthcare 2012 - 2012
Tech Data 2009 - 2010
Olivieri Inspections (for Universal Property & Casualty Insurance Co.) 2006 - 2007
Hepburns Law Offices 2003 - 2003
Skills
Corporate Law, Corporate Governance, Process Improvement, Legal Writing, Legal Research, Westlaw, Lexis, Motions, Legal Compliance, Legal Issues, Dispute Resolution, Intellectual Property, Mediation
Education
Stetson University College of Law 2010 — 2013
Doctor of Law (J.D.), Law
Stetson University 2010 — 2013
Master of Business Administration (M.B.A.)
University of South Florida 2005 — 2009
Bachelor of Arts (B.A.), Economics
University of South Florida 2005 — 2009
Bachelor of Arts (B.A.), Political Science
WellCare Health Plans 2013 - 2014
Caribbean Financial Group May 2009 - August 2013
Dream Tech Inc. August 2002 - April 2009
Bluecross BlueShield January 2000 - July 2002
Skills
Business Process..., Business Intelligence..., Microsoft SQL Server, MS Reporting Services, Reporting Systems, Visual Studio, Oracle PL/SQL..., Microsoft Excel, Customer Service, Business Analysis, Visio, Software Documentation, Banking, Business Intelligence..., Windows Server, IT Audit, MS Integration Services, Analysis Services, Software System Analysis, System Testing, Databases, Software Project..., Requirements Gathering, Gap Analysis, SDLC, Risk Management, Management, Business Requirements, Business Intelligence, Data Warehousing, IT Strategy
Education
Universidad de Puerto Rico 2001 — 2006
Doctor of Law (JD), LAW, 3.1/4
Universidad de Puerto Rico 1995 — 1999
BBA, ACCOUNTING, 3.7/4
BlueCross BlueShield of Tennessee August 2015 - Present
WellCare Health Plans February 2014 - July 2015
Windsor Health Plan June 2013 - February 2014
Passport Health Communications 2003 - January 2013
UnitedHealthcare 1997 - 2002
Metro Medical Homecare Pharmacy, Inc. 1993 - 1997
Skills
Revenue Cycle, HIPAA, Healthcare Information..., Healthcare, Process Improvement, Hospitals, Medicare, Medicaid, Health Information..., Revenue Cycle Management, Health Insurance, Insurance, Managed Care, EHR, Informatics, Healthcare Industry, Healthcare Consulting, Physicians, HL7, Practice Management
Education
University of Wisconsin-Madison 1980 — 1984
Bachelor of Arts, Social Welfare
Triton College 1985 — 1987
Associate in Applied Science, Respiratory Care
JPMorgan Chase March 2014 - Present
HSNi July 2008 - February 2014
Wellcare Health Plans 2007 - 2008
PricewaterhouseCoopers 2004 - 2007
Skills
Sarbanes-Oxley Act, Internal Audit, Auditing, Internal Controls, Sarbanes-Oxley, Financial Reporting, Risk Assessment, Process Improvement, Risk Management, Financial Analysis, Accounting, Financial Modeling, Audit Command Language, Forecasting, General Ledger
Education
University of Massachusetts Lowell 1999 — 2000
MBA, Finance
St. Lawrence University 1993 — 1997
B.S., Biology
St. Lawrence University 1993 — 1997
B.S., Biology
WellCare Health Plans May 2014 - Present
Children's Healthcare of Atlanta September 2011 - Present
Regions Bank August 2008 - August 2010
Skills
Healthcare, Banking, Accounts Payable, Customer Service, Compliance, Software Documentation, Insurance, Epic Systems, Data Entry, Process Improvement, Microsoft Office 2010, ADT, HDX, Operations Management, Office 2010, Training, Program Management, Leadership, Supervisory Skills, Outlook, Human Resources, PowerPoint, Analysis, Access, Data Analysis, Microsoft Word, Team Building, Microsoft Office, Administration, Time Management, Process Scheduler, Employee Relations, PeopleSoft, Microsoft Excel, Healthcare Management, Invoicing, Positive Personality, Budgets, Strategic Thinking, Strategic Planning
Education
Argosy University Atlanta 2011 — 2013
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 4.0
Tennessee State University 2007 — 2011
Bachelor of Science (B.S.), Business Administration and Management, General
WellCare Health Plans May 2015 - Present
WellCare March 2014 - Present
WellCare May 2012 - March 2014
WellCare November 2010 - April 2012
WellCare February 2008 - November 2010
WellCare August 2006 - February 2008
WellCare February 2006 - August 2006
Skills
Medicare, Analysis, Medical Terminology, Medical Billing, Project Management, Medical Coding, Medicare/Medicaid..., Microsoft Excel, Access, Claim, Access Database, PowerPoint, Medicaid Managed Care, Microsoft Office, Microsoft Word, Bookkeeping, Accounting, Basic Accounting, Contractual Agreements, Supervisory Skills, Staff Supervision, Staff Training, System Configuration, Reporting & Analysis, Configuration Management, ICD-10, Job Coaching
Education
St. Petersburg College 2012 — 2015
Business Administration and Management, General
Beacon Hogh School 2003 — 2006
NY State Regents Diploma
Dell Services August 2015 - Present
WellCare Health Plans December 2014 - July 2015
Amerisure Insurance January 2007 - June 2014
Menorah Manor October 2002 - November 2006
Source Staffing, Inc. May 2002 - August 2002
Suwannee Medical Personnel June 2001 - April 2002
Americanway Insurance Company November 1998 - January 2002
North Florida Retirement Village, Inc November 1998 - January 2000
Skills
Property, Insurance, Customer Service, Liability, Long-term Care, Workers Compensation, General Insurance, Claim, Data Entry, Health Insurance, Life Insurance, Disability Insurance, Commercial Insurance, Property & Casualty..., Term Life Insurance, Outlook, HIPAA, Professional Liability, Umbrella Insurance
Education
AICPCU 2012 — 2014
Associate In Claims (AIC)
St. Petersburg College
WellCare Health Plans May 2015 - Present
Florida Healthcare Plus, Inc June 2013 - December 2014
Humana March 2013 - May 2013
Neuro Network Partners July 2012 - November 2012
Skills
QNXT Production..., Athena..., Medisoft Billing, Cernerworks Powerchart, EMR/ EHR systems, MS (Word, Excel, Power..., eClinicalWorks, Practice Fusion, Medgen EHR, Care360, MediConnect Global, Provade, AmazingCharts, MD Office 2000, Data Entry (75 WPM), SharePoint, Customer Service, Front to Back Office, Follow-through Skills, Prioritize Workload, Health Insurance, Detail-oriented, Team player, At Multitasking, Organization Skills, Accuracy in examining..., Great interpersonal and..., Critical thinking..., Work independently,..., Patients and Practice’s..., Tenacious Work Ethic, Professionalism, Medical Records, Appointment Scheduling, Vital Signs, Therapists, Healthcare, Communication, Nursing, Wellness, Inpatient, Healthcare Management, Managed Care, Training, HIPAA, Healthcare Information..., Hospitals, Leadership
Education
Universidad del Turabo 2013 — 2016
Bachelor in Sciences of Nursing, Registered Nursing/Registered Nurse
Florida College of Natural Health 2012 — 2012
Skin Care Specialist / Facial Specialist, Aesthetician/Esthetician and Skin Care Specialist
Laboratoire Suisse 2012 — 2012
Cavitation Training Methode Physiodermie
M’lis Body Contour Certification Program 2012 — 2012
Certified Body Contour Specialist, Aesthetician/Esthetician and Skin Care Specialist
SlimSpa Institute 2012 — 2012
Cavitation & Radiofrequency Specialist, Massage Therapy/Therapeutic Massage
International Academy of NeuroMuscular Therapies 2011 — 2011
Certified NeuroMuscular Therapist, Massage Therapy/Therapeutic Massage
The Manual Lymph Drainage Institute 2011 — 2011
Certified Holistic Manual Lymph Drainage Therapist, Massage Therapy/Therapeutic Massage
The Praxis Institute 2010 — 2011
Advanced Therapeutic, Sports and Clinical Massage Program; Sport Massage; Deep Tissue, Massage Therapy/Therapeutic Massage, National Certification Board for Therapeutic Massage and Bodywork
Public Notary Association 2009 — 2009
Commissioned Public Notary
International Training Careers 2006 — 2007
Certified Nursing Assistant/HHA/ Phlebotomy Technician / Certified Electrocardiograph Aide, Pre-Nursing Studies, Patient Care Technician
WellCare Health Plans April 2015 - Present
Cenpatico June 2014 - March 2015
Suncoast Center, Inc. 2006 - May 2014
Green Fields Mental Health Services February 2010 - September 2012
Creative Technology Solutions, Inc. 2002 - 2006
St. Jerome Early Childhood Education Center 1999 - 2002
Skills
CBT, Adolescents, Therapists, Parenthood, Anger Management, Group Therapy, Psychotherapy, Crisis Intervention, Adults, Counseling Psychology, Treatment, Co-occurring Disorders
Education
Argosy University Sarasota 2005 — 2009
Masters of Arts, Mental Health Counseling
State University of New York at Stony Brook
Bachelor of Arts, Psychology
WellCare Health Plans May 2015 - Present
Florida Blue January 2005 - April 2014
Florida Blue January 2003 - April 2014
Blue Cross and Blue Shield of Florida December 1988 - April 2014
Florida Blue January 2003 - January 2005
Skills
Health Insurance, Provider Relations, HMO, PPO, Managed Care, Healthcare, Medicare, HIPAA, Claim, Vendor Management, SDLC, Health Policy, Leadership, Strategy, Process Improvement, Strategic Planning
Education
Southern University 1984 — 1987
Business, Management, Marketing, and Related Support Services
Southern University at New Orleans 1984 — 1986
Marketing
WellCare Health Plans June 2014 - Present
Boyd Unique Investments March 2011 - Present
WellCare January 2010 - June 2014
Take Care Health Systems May 2007 - December 2009
CNC/Access February 2004 - May 2007
Edgecombe Nash Metal Health Center July 1998 - February 2004
Skills
Administrative..., Access, Medical Terminology, Customer Service, Microsoft Excel, PowerPoint, Microsoft Word, Microsoft Office, Event Management, Social Networking, Social Media, Team Building, Public Speaking, Coaching, Human Resources, Budgets, Administrative...
Education
Ultimate Medical Academy 2013 — 2014
Associate's Degree
Northwest Halifax High School 1987 — 1991
Diploma
WellCare Health Plans April 2014 - Present
WellCare Health Plans May 2012 - April 2014
Skills
Pharmacy, Medication Therapy..., Healthcare, HIPAA, Hospitals, Healthcare Management, Customer Service, Medicare, Managed Care, Management, Medical Terminology, Patient Safety, Healthcare Industry
Education
South University 2015 — 2016
Master of Business Administration (M.B.A.), Health Care Administration
University of South Florida 2010 — 2012
Bachelor of Science (B.S.), Public Health
WellCare Health Plans October 2006 - Present
Kennerson and Associates June 2001 - September 2006
Gulf South Health Plans March 1995 - April 2001
SUN Microsystems, Inc. March 1991 - March 1995
Sprint March 1982 - September 1991
Skills
Sales, Sales Management, Strategic Planning, Team Building, Training, New Business Development, Healthcare, Public Speaking, Recruiting, Marketing, Team Leadership, Insurance, Community Outreach, Project Management, Customer Service
Education
Southern University and Agricultural and Mechanical College at Baton Rouge 1977 — 1981
Bachelor of Science (B.S.), Business, Management, Marketing, and Related Support Services
WellCare Health Plans September 2014 - Present
The Shelter Inc. August 2010 - May 2015
The University of Kansas January 2010 - December 2012
Skills
Management, Training, Strategic Planning, Customer Service, Business Strategy, Analysis, New Business Development, Public Speaking, Budgets, Business Planning
Education
The University of Kansas 2009 — 2012
Bachelor's Degree, Human Services, General
The University of Kansas 2009 — 2012
Bachelor's degree, Psychology
WellCare Health Plans October 2015 - Present
Skills
SQL, Access, MS Project, Excel, Data Analysis, HIPAA, Healthcare Information..., Microsoft Excel, Medicaid, Visio, Medicare, Managed Care, Business Analysis, Provider Relations, Process Improvement, Meditech, Analysis, Software Documentation, Healthcare Consulting, Hospitals, NCQA, Project Management, Health Insurance, Healthcare Industry, Informatics, SharePoint, Healthcare, Healthcare Management, Health Policy, Customer Service, Policy, Program Management, Strategic Planning, Leadership, HEDIS
Education
Sullivan University 2005 — 2005
Bachelor, Management and Computer Science
Spencerian College 2002 — 2005
Diploma, Office Professional
WellCare Health Plans December 2014 - Present
MedSolutions September 2014 - December 2014
Amerigroup Corporation June 2011 - August 2014
Holy Redeemer Health System October 2009 - June 2011
Skills
Home Care, Nursing, Case Managment, Healthcare Management, Healthcare, Managed Care, Medicaid, Medicare
Education
Thomas Edison State College 1997 — 2006
Bachelor's of Science in Nursing, Nursing
WellCare Health Plans March 2015 - Present
WellCare Health Plans May 2013 - March 2015
WellCare Health Plans August 2012 - May 2013
ServiceLink September 2011 - August 2012
Skills
Access, Microsoft Excel, AT&T Route It, MS Excel Pivot Tables, IEX Total View, AT&T Business Direct, Avaya, Java, JGrasp, Microsoft Word, Forecasting, PowerPoint, R, Customer Service, Oracle SQL Developer, Statistical Data..., SDLC, Vendor Management, Data Analysis, Leadership
Education
University of South Florida 2013 — 2015
Master of Science (MS), Management Information Systems
Slippery Rock University of Pennsylvania 2008 — 2011
Bachelor of Science (BS), Psychology, 3.7
Slippery Rock University of Pennsylvania 2008 — 2011
Bachelor of Arts (BA), English Literature, 3.7
Washington & Jefferson College 2007 — 2008
Aliquippa High School 2003 — 2007
3.9 GPA
Jeunesse Global April 2015 - Present
WellCare Health Plans March 2015 - Present
Baptist Health (KY) August 2010 - February 2015
Chamberlin Edmonds April 2008 - September 2010
Commonwealth of Kentucky/Dept of Community Based Services March 2005 - April 2007
Jefferson Co Master Comm September 2002 - March 2005
American Printing House for the Blind August 1995 - September 2002
Skills
Medicaid, HIPAA, Training, Hospitals, Customer Service, Data Entry, Medicare, Healthcare, Event Planning, Legal Translation, Team Leadership, Health Insurance, Field Work, Eligibility, Affordable Care Act, Long-term Customer..., State Government, Healthcare Management, Managed Care, Leadership, Process Improvement, Team Building
Education
Sullivan University 1991 — 1994
Associate of Science (A.S.), Business Administration, Management and Operations
Sullivan University 1991 — 1993
Associates Degree, Business Management/Administration
Henry County High School 1988 — 1991
High School Diploma, General Studies
Henry County High School 1988 — 1991
General Studies
WellCare Health Plans April 2015 - Present
Aria Medical Equipment June 2012 - October 2014
UnitedHealthcare / Secure Horizons 1997 - 2003
Universal Hospital Services October 1984 - April 1994
Schlumberger 1980 - 1985
Skills
Sales of high tech..., Sales Management, Account Management, New Business Development, Healthcare, Capital Equipment, Customer Service, Negotiation, Marketing Strategy, Medical Devices, Strategic Planning, Disposables, Surgeons, Medical Sales, Sales, Sales Operations, Capital Equipment Sales, Microsoft Excel, Medical Imaging, B2B, Medical Equipment, Hospitals, Interventional Radiology, Surgical Instruments, Market Development, Operating Room, Healthcare Industry, Product Launch, Sales Presentations, Sales Force Development, Cold Calling, Cardiology, Orthopedic, Durable Medical..., Selling, Managed Care, Sales Process, Management, Team Building, Cross-functional Team..., Contract Negotiation, Leadership, Direct Sales
Education
The University of Texas at San Antonio 1979 — 1983
Bachelor of Science (B.S.), Geology/Earth Science, General
The University of Texas at San Antonio
WellCare Health Plans May 2015 - Present
WellCare Health Plans January 2015 - May 2015
WellCare Health Plans April 2014 - January 2015
WellCare April 2013 - April 2014
Price Chopper Supermarkets May 2009 - April 2013
Price Chopper Supermarkets February 2006 - April 2013
Siena College September 2011 - December 2011
Skills
Time Management, Team Leadership, Strategic Planning, Team Building, Microsoft Word, Process Change, Analytical Skills, Project Coordination, Team Oriented, Customer Service, Merchandising, Microsoft Excel, Social Media, Training, SQL, PowerPoint, PL/SQL, SharePoint, Requirements Analysis
Education
Siena College 2010 — 2012
Bachelor of Science (B.S.), Management
WellCare Health Plans June 2008 - Present
Tutor to Go May 1995 - August 2011
Nooksack River Casino September 2007 - November 2007
Sierra Construction Company, Inc. December 1999 - July 2001
Swinomish Smoke Shop October 1997 - August 1999
Skills
Health Insurance, Insurance, Medicare, Process Improvement, HIPAA, Business Analysis, Health Policy, Healthcare, Medicaid, Analysis, Life Insurance, Software Documentation, Microsoft Office, Project Management, Strategic Planning, Data Analysis, Managed Care, Employee Benefits, Customer Service, SDLC, Visio
Education
Skagit Valley College 1993 — 1996
ATA
WellCare Health Plans May 2015 - Present
Highmark May 2014 - May 2015
Slippery Rock University August 2013 - May 2014
Highmark May 2013 - August 2013
Slippery Rock University August 2011 - May 2013
West Ridge Family Dentistry May 2012 - August 2012
Complete Foot and Ankle Care May 2010 - August 2012
Skills
Leadership, Databases, Healthcare, Public Health, Healthcare Information..., Insurance, Medical Records, Program Development, Public Speaking, Quality Assurance, Access, Management
Education
Slippery Rock University of Pennsylvania 2010 — 2014
Bachelor of Science (BS), Health Services Administration, Senior
WellCare Health Plans September 2014 - Present
Division of Specialized Care for Children October 2006 - September 2014
Life Skills Foundation December 2001 - October 2006
Skills
Grant Writing, Motivational..., Career Counseling, Program Facilitation, Microsoft Office, Benefits Management, Client Intake, Case Managment, Program Evaluation, Problem Solving, Client Counseling, Financial Evaluations, Program Development, Curriculum Development, Time Reporting, Employee Handbook..., Youth Development, Organizational..., Curriculum Design, PowerPoint, Customer Service
Education
Southern Illinois University, Carbondale 2013 — 2015
Master of Education (MEd), Adult Education
Southern Illinois University, Carbondale 2012 — 2013
Bachelor of Science (BS), Education - Workforce Development and Training
Southwestern Illinois College 1999 — 2001
Associate of Applied Sciences (AAS), Human Services, General, 3.75
Southern Illinois University, Carbondale
Bachelor's degree, Human Services, General, 3.85
Neighborly Care Network April 2009 - Present
WellCare Health Plans December 2007 - February 2009
Lighthouse Credit Foundation July 2001 - December 2007
Adecco Staffing November 1996 - April 1999
Skills
Applicant Tracking..., Onboarding, Personnel Management, Benefits Administration, Organizational..., Talent Acquisition, Recruiting, Employee Training, Talent Management, Human Resources, Deferred Compensation, FMLA, Employee Benefits, College Recruiting, Team Building, Employee Relations, Training, Technical Recruiting, Leadership Development, HR Policies, Career Counseling, Workforce Planning, HRIS, Sourcing, Temporary Placement, Succession Planning, New Hire Orientations, Internet Recruiting, Resume Writing, HR Consulting, Interviews, Performance Management, Leadership, Hiring
Education
St. Petersburg College
Stewart Law Firm, LLP July 2015 - Present
WellCare Health Plans October 2014 - July 2015
Lerner Health and Wellness September 2010 - August 2014
The Eleanor Roosevelt Papers Project February 2011 - May 2014
National Gay & Lesbian Chamber of Commerce (NGLCC) May 2013 - August 2013
Marlowe and Company, LLC February 2013 - May 2013
Cherry Hill Photo March 2009 - April 2009
Skills
Social Media, Research, International Relations, Marketing, PowerPoint, Microsoft Office, Public Speaking, Microsoft Excel, Microsoft Word, Fundraising, Editing, SPSS, Community Outreach, Facebook
Education
The George Washington University 2010 — 2014
Bachelor of Arts (B.A.), International Affairs & Economics
The American University of Paris 2012 — 2012
Summer Study Abroad, European Union Law and Operations Management
Valley Stream Central High School 2007 — 2010
Advanced Regents Diploma
WellCare Health Plans June 2015 - Present
Highmark Health May 2012 - July 2015
Highmark Blue Cross Blue Shield January 2006 - May 2012
Highmark Blue Cross Blue Shield January 1998 - January 2006
AMP Incorporated January 1986 - January 1998
Christ Community Church of Camp Hill January 1996 - January 1997
Pennsylvania Higher Education Assistance Agency January 1984 - January 1986
Skills
Business Intelligence, Analytics, SAS, Data Management, Teradata, Unix, Leadership, SQL, Databases, Data Warehouse..., Data Warehousing, ETL, SDLC, Analysis, Business Analysis, OLAP, Software Development, SAS programming, Enterprise Software, Data Modeling, Enterprise Architecture, DB2, Requirements Gathering, Data Quality, Business Analytics, Architecture, Database Design, Dimensional Modeling, Visual Basic, Programming, Management, VBA, Access, Oracle, Data Integration, Business Intelligence..., Big Data, Requirements Analysis, Data Mining, Predictive Analytics, Systems Analysis, Data Visualization, Tableau, Agile Methodologies
Education
Duquesne University 2007 — 2014
MS, Leadership, 4.0
Thomas Edison State College
Bachelor, Computer Science
WellCare Health Plans November 2014 - Present
VNAHG April 2012 - October 2014
VNA Health Group November 2008 - April 2012
The Elms of Cranbury January 2003 - October 2008
Princeton January 1999 - August 2003
Skills
Management, Customer Service, Nursing Management, Nursing, Medicare, Long-term Care, Insurance, Hospitals, Cpr Certified, Acute Care, Medical/Surgical, Nursing Education, BLS, Inpatient, Patient Safety, ACLS, Healthcare, Medical-Surgical
Education
Thomas Edison State College 2012 — 2012
Still attending, Registered Nursing/Registered Nurse
Helene Fuld School of Nursing 1972 — 1975
Associate's degree, Registered Nursing/Registered Nurse
WellCare Health Plans March 2014 - Present
Coca Cola Refreshments February 2009 - January 2014
Coca Cola Enterprises January 2008 - February 2009
The Home Depot 2003 - 2008
Intermedia Communications 2000 - 2002
Oxford Health Plans October 1997 - November 1999
Citicorp 1995 - 1997
Skills
Employee Relations, HR Consulting, Compensation, Talent Management, Succession Planning, Organizational..., HR Strategy, Organizational..., Talent Acquisition, Performance Management, HR Policies, Employee Engagement, HRIS, Deferred Compensation, Training, Human Resources, Workforce Planning, Recruiting, Labor Relations, Benefits Administration, Onboarding
Education
St. John Fisher College 1986 — 1992
MBA, Business Administration
University of Cincinnati 1980 — 1983
Bachelors Business Administration
U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services November 2016 — Present
Wellcare Health Plans June 2015 — October 2016
Hewlett-Packard 2014 — 2015
Johns Hopkins University (Center for a Livable Future and School of Medicine) 2013 — 2014
Education
The Johns Hopkins University 2012 — 2014
Master's, Public Policy
University of Maryland College Park 2007 — 2011
Bachelor of Arts (BA), Linguistics, Psychology
WellCare Health Plans July 2015 - Present
naviHealth, Inc. August 2014 - May 2015
Molina Healthcare February 2013 - August 2014
Illinois Primary Health Care Association December 2010 - January 2013
Illinois Office of the Comptroller December 2006 - December 2010
Illinois Tenth Judicial Circuit June 2010 - July 2010
Illinois Department of Public Health August 2005 - December 2006
Illinois Department of Corrections October 2001 - August 2005
Skills
Government, Leadership, Legislation, Legislative Relations, Nonprofits, Policy Analysis, Political Campaigns, Community Outreach, Courts, Healthcare, Policy, Public Health, Public Policy, Health Policy, Budgets, Coalitions, Event Planning, Hearings, Politics, Program Development, Program Evaluation, Project Planning, Public Relations, Public Speaking, Strategic Communications, Strategic Planning, Team Building, Trials
Education
Thomas M. Cooley Law School 2015 — 2016
Juris Doctor (J.D.), Business Transactions
University of Illinois 1997 — 1999
MPH, Public Health
Eureka College 1994 — 1997
B.S, Biology
Buckeye Community Health Plan May 2014 - Present
Buckeye Community Health Plan February 2011 - Present
Buckeye Community Health Plan October 2009 - February 2011
Green River Community College June 2008 - June 2010
WellCare Health Plans May 2008 - May 2009
ProMedica Health System 2004 - March 2008
CorVel Corporation July 2001 - June 2003
Aetna 1995 - 2001
St. Vincents Medical Center 1985 - 1993
Skills
Healthcare, Contract Negotiation, Customer Service, Managed Care, Medicaid, Process Improvement, Medicare, Health Insurance, Policy, Employee Benefits, Provider Relations, Healthcare Management, Team Leadership, Utilization Management, Management, HMO
Education
University of Toledo 2006 — 2007
MBA, Business
The University of Findlay 1999 — 2001
BSBM, Business Management
WellCare Health Plans, Inc. August 2014 - Present
WellCare Health Plans January 2013 - August 2014
WellCare Health Plans February 2012 - January 2013
WellCare Health Plans July 2007 - February 2012
CCS Medical July 2006 - June 2007
Rumberger, Kirk & Caldwell, P.A. August 2003 - June 2006
Education
Stetson University
M.B.A., Business Administration
Stetson University College of Law
J.D., Law
University of Tampa
Bachelor of Science (B.S.)
WellCare Health Plans September 2014 - Present
EMC April 2013 - September 2014
EMC July 2011 - April 2013
Tata Consultancy Services November 2010 - August 2011
PricewaterhouseCoopers June 2009 - November 2010
PricewaterhouseCoopers September 2008 - May 2009
PricewaterhouseCoopers May 2007 - August 2008
PricewaterhouseCoopers May 2006 - August 2006
Skills
Clariion, EMC Storage, Netbackup, Disaster Recovery, ITIL, Data Center, Storage Area Networks, Storage, VMware, Virtualization, Solaris, Enterprise Storage, NAS, Cloud Computing, VMware Infrastructure, SAN, VMware ESX, vSphere, Windows Server, High Availability, Enterprise Architecture, HP, Storage Virtualization, IT Operations, NetApp, Solution Architecture, Brocade, Infrastructure, Business Continuity, Servers, Operating Systems, Storage Architecture, Storage Solutions, System Deployment, Cisco Technologies, Unix
Education
University of South Florida 2004 — 2009
Bachelor of Science in Computer Information Systems, Engineering
St. Petersburg College 2002 — 2004
Associate of Arts, General Studies
Simply Health Care Plans July 2013 - Present
Simply Health Care Plans February 2012 - June 2013
WellCare October 2010 - February 2012
WellCare March 2009 - October 2010
WellCare Health Plans June 2007 - March 2009
WellCare May 2006 - July 2007
WellCare November 2005 - May 2006
Skills
Provider Relations, Network Development, HMO, PPO, Health Insurance, Claim, Provider Network..., Medicare, HIPAA, Healthcare Management, Medicaid Managed Care, Physician Relations, Credentialing, Customer Service, EHR, Healthcare, Healthcare Industry, Managed Care, Management, Medicaid, Insurance, Strategic Planning, Team Building, Healthcare Consulting, Healthcare Information..., Hospitals
Education
Troy University
Business Administration and Management, General
Wellcare Health Plans March 2010 - October 2013
The Nielsen Company, National IT April 2004 - May 2008
The Nielsen Company December 1988 - April 2004
Skills
Software Development, SQL, SDLC, Information Technology, Software Project..., Project Management, Requirements Analysis, Data Warehousing, Management, XML, Business Intelligence, Agile Methodologies, Data Analysis, Application Architecture, Business Analysis, Requirements Gathering
Education
University of South Florida 1986 — 1988
Bachelor, Software Engineering
St. Petersburg College 1984 — 1986
AA, Computer Science
WellCare Health Plans September 2014 - Present
WellCare Health Plan March 2010 - September 2014
WellCare Health Plan August 2008 - February 2010
WellCare Health Plan July 2005 - August 2008
Keystone Mercy/AmeriHealth Mercy Health Plan July 2002 - July 2005
Integra Behavioral Health January 2002 - March 2002
Community Behavioral Health December 1996 - September 2001
Health Partners of Philadelphia August 1994 - December 1996
Education
University of Phoenix 2001 — 2003
MBA
Temple University 1987 — 1990
BA, Psychology
WellCare Health Plans June 2015 - Present
UnitedHealth Group May 2001 - November 2013
Skills
Provider Relations, Managed Care, Medicare, Medicaid, Network Development, Health Insurance, PPO, HMO, HIPAA, Utilization Management, Health Policy, Healthcare Management, Credentialing, Healthcare, Disease Management, Healthcare Industry, Healthcare Consulting, Hospitals, Insurance, Medicaid Managed Care, NCQA, HEDIS, Provider Network..., Medicare Part D, Medicare/Medicaid..., Physician Relations, Quality Improvement, Healthcare Reimbursement, Physicians, Accountable Care, Medical Billing, Revenue Cycle, Claims Resolution, Revenue Cycle Management, Medicare/Medicaid...
Education
Texas Southern University
WellCare Health Plans June 2015 - Present
Digital Hands September 2014 - June 2015
Moffitt Cancer Center September 2013 - September 2014
Adventist Health System 2010 - September 2013
Florida Hospital Tampa 2008 - 2010
Raymond James Financial 2006 - 2008
Juvenile Welfare Board 2004 - 2006
Winn Dixie Stores, Inc. 2003 - 2003
United States Marine Corps 1995 - 1999
Education
St. Petersburg College
IT Security
WellCare Sr. Technical Project ManagerComprehensive Health Management2007 - Present
WellCare Health Plans 2006 - Present
Healthcare Industry 2006 - Present
Education
St. Petersburg College 1968 — 1969
Magellan Health September 2014 - Present
Blue Cross and Blue Shield August 2010 - September 2014
Wellcare Health Plans 2008 - 2010
Family Physicians Group January 2007 - January 2009
LifeMasters Supported SelfCare 2005 - 2007
Skills
Managed Care, Healthcare, Excel, Healthcare Management, PowerPoint, Health, Disease Management, Health Education, Health Insurance, Strategic Planning, Clinical, Medicare, Program Development, Medicaid, Medical Management, Wellness, Nursing, Microsoft Office, Clinical Research, Management, Health Policy, Healthcare Information..., Hospitals, Leadership, Microsoft Excel, Training, Healthcare Industry, Healthcare Consulting, Utilization Management, HIPAA, EHR, EMR, Process Improvement, Team Building
Education
University of Illinois at Chicago 2012 — 2017
Doctor of Philosophy (Ph.D.), Health Care Informatics
University of Phoenix 2006 — 2008
Master of Business Administration (MBA), Health/Medical Physics
Tennessee State University 1990 — 1994
Bachelor of Science, Biology
WellCare Health Plans January 2015 - Present
Kaiser Permanente December 2009 - December 2014
Deloitte & Touche June 2006 - November 2009
Skills
Internal Controls, Sarbanes-Oxley Act, GAAP, SEC filings, Sarbanes-Oxley, Internal Audit, Healthcare, External Audit, Enterprise Risk..., SAS70, Financial Accounting, General Ledger, IT Audit, Financial Reporting, Auditing, US GAAP, CPA, Financial Analysis, Certified Fraud Examiner, Risk Assessment, Accounting, SOX 404, Variance Analysis, SEC Filings
Education
Slippery Rock University of Pennsylvania 2003 — 2006
WellCare Health Plans 2010 - Present
Amerigroup Corporation April 2006 - 2008
Beth Abraham Family of Health Services 2005 - 2006
Skills
HIPAA, Healthcare, Healthcare Management, Healthcare Information..., Medicaid, Medicare, Hospitals, Managed Care, Medical Terminology, EMR, Nursing, Home Care, Healthcare Industry, Utilization Management, Disease Management, Provider Relations, Health Policy, Long-term Care, Health Insurance, HEDIS, ICD-9, Medicaid Managed Care, NCQA, Case Management, Quality Improvement, Health Education
Education
Troy State University 1990 — 1992
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
WellCare Health Plans 2014 - Present
Virtusa 2008 - Present
Education
The George Washington University 2011 — 2011
Managing IT Projects
University of Wisconsin 2003 — 2005
MBA, Project Management
University of Wisconsin
BS, Information Systems
Trinity College Kandy
GCE A/L, Physical Science
WellCare Health Plans August 2014 - Present
Transitions Optical, Inc. July 1996 - April 2014
Essilor of America December 1993 - January 1996
Essilor January 1991 - October 1995
Essilor June 1990 - May 1994
Sun Coast IOL December 1992 - December 1993
Val-Pak July 1991 - November 1992
Essilor of America December 1990 - June 1991
Skills
Account Management, Retail, Marketing, Forecasting, Selling, Direct Sales, Competitive Analysis, Key Account Management, Cold Calling, Market Planning, Market Analysis, Sales Presentations, Strategic Planning, Team Leadership, Coaching, B2B Marketing, Online Marketing, E-commerce, Direct Marketing, P, Market Research, Product Management, Product Launch, Sales Operations, Salesforce.com, Business Planning, Sales Force Development, Online Advertising, Customer Service, Digital Marketing, Business Strategy, Email Marketing, Merchandising, Brand Management, Marketing Communications, Medical Devices, Product Development, Marketing Strategy, B2B, Sales Management, CRM, Strategy, Training, Cross-functional Team..., Sales Process, Marketing Management, Market Development, Integrated Marketing, Social Media Marketing, Onboarding
Education
St. Petersburg College 2014 — 2015
Bachelor's Degree, Business - Management and Organizational Leadership.
Gallup University Strengths Finder Principals 2007 — 2014
Strengths and Engagement
St. Petersburg College 2002 — 2005
AA, Business Administration
WellCare Health Plans March 2015 - Present
WellCare December 2011 - March 2015
WellCare February 2010 - December 2011
WellCare June 2006 - February 2010
WellCare October 2003 - June 2006
Skills
HIPAA, SQL, Quality Center, User Acceptance Testing, Visio, Software Documentation, Customer Service, Requirements Gathering, SharePoint, Unix, System Administration, Vendor Management, Access, Quality Assurance, Business Analysis
Education
Springfield College 2011 — 2013
Master's of Science, Organizational Management And Leadership
Springfield College 2009 — 2011
B.S., Human Services
WellCare Health Plans February 2006 - Present
Walgreens 2001 - 2005
Education
St. Petersburg College 2002 — 2008
WellCare Health Plans June 2014 - Present
WellCare March 2012 - Present
WellCare January 2011 - March 2012
WellCare March 2009 - March 2011
ConnectiCare September 1995 - March 2009
HealthChoice of CT 1993 - 1996
HealthChoice of CT 1993 - 1995
Skills
Managed Care, Medicaid, Health Insurance, Medicare, HIPAA, Health Policy, Healthcare, Insurance, Healthcare Industry, Healthcare Management, Health Economics, Healthcare Information..., Disability Insurance, Employee Benefits, Network Development, PPO, Provider Relations, Process Improvement, Informatics, Medicare Part D, Healthcare Consulting, HMO, Disease Management, Utilization Management, Pharmacy Benefit..., Claim, Revenue Cycle, Quality Improvement, Physicians, Physician Relations, Health Information..., Practice Management, EHR, EMR, Credentialing, Hospitals, Medical Billing, Health Care Reform, Revenue Cycle Management
Education
The University of Connecticut 1989 — 1993
Bachelor of Science (BS), Health/Health Care Administration/Management
The University of Connecticut School of Business 1989 — 1993
BS, Health Systems Management
Lewis S. Mills High School 1985 — 1989
PwC August 2015 - Present
WellCare Health Plans February 2015 - August 2015
Coca-Cola Refreshments March 2013 - February 2015
Coca-Cola Refreshments February 2012 - March 2013
Coca-Cola Refreshments August 2010 - February 2012
Coca-Cola Enterprises July 2009 - August 2010
UNM Medical Group, Inc. April 2008 - July 2009
University of New Mexico September 2006 - April 2008
Procter & Gamble December 2005 - June 2006
SchoolOne July 2004 - December 2005
Skills
Business Analysis, Data Analysis, Process Improvement, SharePoint, Visio, Business Intelligence, Forecasting, Microsoft Office, Access, Project Management, Strategic Planning, SQL, Change Management, Microsoft SQL Server, Business Process..., Management, Microsoft Excel, Team Leadership, Financial Analysis, SSIS
Education
The University of New Mexico - Robert O. Anderson School of Management 2007 — 2009
Master's, Business Adminstration - Operations Management Concentration
Xavier University 1998 — 2002
Bachelor's, English
WellCare Health Plans March 2014 - Present
WellCare Health Plans, Inc March 2012 - July 2013
Pratt Brown & Associates April 2008 - January 2010
WellCare Health Plans, Inc September 2005 - January 2008
Kelly IT Resources April 1998 - April 2004
Syracuse China Company January 1997 - April 1998
C&S Engineers, Inc December 1989 - January 1997
Skills
HRIS, Employee Relations, Benefits, Resume Writing, Policy, Applicant Tracking..., Technical Recruiting, Recruitment/Retention, Employee Benefits, Recruiting, Leadership, Organizational..., Executive Search, Interviews, Human Resources, Temporary Placement, Benefits Administration, Program Management, Management
Education
Syracuse University 1992 — 1996
Bachelor of Science, Human Resource Management
Syracuse University - Martin J. Whitman School of Management 1992 — 1996
B.S., Human Resources Management
WellCare Health Plans January 2015 - Present
WellCare August 2013 - Present
WellCare September 2012 - Present
WellCare August 2010 - December 2012
WellCare September 2006 - August 2010
Hometown Health June 1999 - January 2004
Education
Syracuse University
BS, Clinical Dietetics
WellCare Health Plans September 2014 - Present
WellCare Health Plans May 2013 - September 2014
WellCare March 2012 - May 2013
Directions for Mental Health, Inc February 2009 - March 2012
Directions for Mental Health February 2007 - April 2009
Columbus Literacy Council January 1996 - January 1997
Shands Hospital January 1993 - January 1995
Skills
Leadership, Analysis, Healthcare, Quality Improvement, Program Management, Nonprofits, Strategic Planning, Mental Health, Process Improvement, Vendor Relationship..., Project Management, Medicaid Managed Care, PDCA, CQI, Community Outreach, Microsoft Word, Microsoft Excel, Risk Management, Staff Development, Technical Writing, Microsoft Publisher, Training, FMEA, Customer Service, Policy Analysis
Education
University of South Florida 2008 — 2010
MPA, Public Administration
University of South Florida 2008 — 2010
Graduate Certificate, Nonprofit Management
The Ohio State University 1996 — 1997
BA, Womens Studies
University of Florida 1993 — 1995
AA
WellCare Health Plans January 2015 - Present
Vanderbilt University Medical Center July 2013 - December 2014
Cigna-HealthSpring January 2009 - June 2013
Quertermous & Quertermous Inc January 2004 - December 2008
Killshot Magazine January 1991 - December 2003
Skills
Hospitals, Customer Service, Management, Managed Care, Healthcare, Public Speaking, Medicare, Healthcare Industry, Healthcare Management, Health Insurance, HIPAA, Physician Relations, Healthcare Information..., Provider Relations, Medicaid
Education
Trevecca Nazarene University
BA, Management
WellCare March 2011 - Present
WellCare Health Plans March 2008 - February 2011
WellCare Health Plans November 2006 - March 2008
Skills
Cisco Technologies, NEC PBX, Voice Mail, Video Conferencing, Visio, Call Centers, Troubleshooting, Vendor Management, Software Documentation, Disaster Recovery, Data Center, Security, VMware, Active Directory, Business Analysis, SDLC, Process Improvement, Avaya
Education
University of South Florida 1996 — 1998
Bachelor of Science (B.S.), Political Science and Government
St. Petersburg College 1994 — 1996
Redstone Technologies LLC January 2013 - Present
Global Technical Systems May 2010 - January 2014
Suncoast Hospice November 2008 - July 2010
WellCare Health Plans June 2007 - May 2008
Fidelity National Information Services December 2004 - June 2007
Associated Computer Systems, Inc. November 2003 - December 2004
AT&T Global Network Services May 1999 - September 2003
IBM Global Services December 1993 - April 1999
IBM Federal Systems May 1970 - December 1993
Skills
Program Management, Project Management, Process Improvement, Team Building, Leadership, Management, Strategic Planning, Requirements Analysis, Strategy, Manufacturing, Project Delivery, PMP, Integration, IT Management, Project Planning, SDLC, Vendor Management, SQL, Operations Management, Software Documentation, Business Analysis, Quality Improvement, Software Development, Databases, Telecommunications, Cross-functional Team..., Change Management, Project Portfolio..., MS Project, Analysis, Visio, Product Development, Enterprise Architecture, Proposal Writing, Testing, IT Operations, Active Directory, Call Centers, IT Strategy, SharePoint, Business Process, Human Resources, Business Development, Software Project..., Service Delivery, PMO, Governance, Business Process..., Customer Service, Military
Education
University of Illinois High School
University of Illinois High School
University of Illinois High School
University of Illinois High School
University of Michigan 1966 — 1970
BS, Mathematics
St. Petersburg College 2009 — 2013
Certificates, Cisco Certified Network Associate, Information Technology (IT) Security
WellCare Health Plans October 2013 - Present
Colonial Life June 2009 - December 2009
Education
Universidad de Lima 1971 — 1972
WellCare Health Plans March 2013 - Present
J.R. Construction January 2007 - Present
Broadway National Bankshares June 2007 - August 2008
Skills
Banking, Sales, Leadership, Marketing, Retail Banking
Education
The University of Texas at San Antonio 2008 — 2010
Bachelors, Finance/ Management
Bard College September 1997 - Present
WellCare Health Plans January 1992 - May 1997
Education
Ulster County Community College 1992 — 1995
Associate's Degree, Computer Information Systems
Onteora 1988 — 1992
High School
WellCare Health Plans September 2014 - Present
WellCare Health Plans January 2014 - August 2014
WellCare Health Plans March 2011 - December 2013
WellCare Health Plans May 2007 - February 2011
Humana August 2005 - April 2007
Humana June 2004 - July 2005
Humana August 2003 - May 2004
The Leapfrog Group August 2002 - June 2003
BlueCross BlueShield of South Carolina April 1996 - July 2000
Skills
Access, Product Development, Competitive Analysis, Medicare Advantage, Medicare Part D, Product Management, Public Speaking, Research, Technical Writing, Training Delivery, Cross-functional Team..., Management, Software Documentation, Strategy, Leadership
Education
The George Washington University 2000 — 2002
Master of Business Administration (MBA), Strategic Management for the Healthcare Enterprise, 3.6 GPA
Trinity College-Hartford 1989 — 1993
Bachelor of Arts (BA), English, Literary Writing, 3.6 GPA
Dreher High School 1985 — 1989
Diploma, Advanced Academic Program
Evolent Health September 2014 - Present
WellCare Health Plans March 2011 - June 2014
WellCare Health Plans 2010 - August 2011
WellCare of Georgia, Inc. 2008 - 2010
Coventry Health Care of Georgia, Inc 2004 - 2008
Shands Jacksonville/University of Florida Jacksonville Health Care 1997 - 2003
Skills
Medicaid, Medicare, Managed Care, Utilization Management, Healthcare Management, Healthcare, Quality Improvement, Case Managment, Provider Relations, Disease Management, HMO, Health Policy, Health Insurance, Healthcare Consulting, HIPAA, Medicare Part D, Healthcare Industry, Hospitals, Case Management, Clinical Research, Medicine
Education
Tulane University
Bachelor of Science (BS), Biology, General
Tulane University School of Medicine
MD
University of South Florida - College of Business Administration
MBA
WellCare Health Plans August 2014 - Present
Consulting by Bev/Precision Financial Services January 2011 - Present
PMSI January 2013 - August 2014
PMSI July 2011 - January 2013
Liberty Tax Service January 2012 - April 2012
Walgreens October 2008 - July 2011
University of Tampa August 2008 - December 2010
Walgreens May 2006 - September 2008
Stetson University 2004 - 2008
Stetson University August 2005 - May 2007
Skills
Customer Service, Financial Analysis, Leadership, Management, Team Building, Project Management, Sales, Microsoft Excel, Microsoft Office, PowerPoint, Access, Data Analysis, Public Speaking, Microsoft Word, Outlook, Research, Event Planning
Education
University of Tampa 2008 — 2010
MBA, finance
Stetson University 2004 — 2008
Bachelor's of Business Administration, Finance
Saint Petersburg High School
WellCare Health Plans May 2015 - Present
WellCare December 2011 - April 2015
WellCare Health Plans, Inc August 2008 - December 2011
Information Technology Data Warehouse August 2007 - September 2008
ICoordinated Benefits Plans, Inc November 2006 - July 2007
WellCare Health Plans, Inc October 2005 - October 2006
KePRO South February 2002 - October 2005
Blue Cross Blue Shield of Florida, CGBU July 1998 - January 2002
Aegon\Bankers United Life February 1997 - July 1998
Aetna Life & Casualty January 1993 - October 1996
Skills
Business Analysis, Software Documentation, SQL, SDLC, Data Analysis, Integration, Process Improvement, Data Warehousing, Oracle, Microsoft SQL Server, Software Development, Analysis, Database Design, Program Management, Testing
Education
St. Petersburg College 1998 — 2001
Associates, Science Computer Programming
St. Petersburg College
Bachelors, Technology Management
WellCare Health Plans August 2013 - Present
On Demand Prinitng February 2002 - July 2013
Modern Printing Services, Inc June 1989 - November 2001
Skills
Sales, Advertising, Customer Service, Account Management, Customer Satisfaction, Administrative Work, Accounts Receivable, Job Estimating, Marketing, Production Coordination, Team Building, Budgets, Cold Calling, Human Resources, Marketing Communications, Sales Management, Social Media, Time Management
Education
State University of New York College at Oswego 1979 — 1983
BA, Sociology
Half Hollow Hills High School East 1977 — 1979
WellCare Health Plans May 2013 - Present
JSA Healthcare Corporation April 2012 - July 2012
Beacom Health Solutions October 2010 - April 2012
Citrus Health Care August 2008 - June 2011
Amerigroup Corporation November 2006 - July 2007
Hillsborough County Health Department January 2004 - November 2006
Skills
Medicare, HIPAA, Health Insurance, Claim, Medicaid, Insurance, Quality Assurance, Healthcare, Claims Management, Employee Benefits, Invoicing, Access, Call Center, Microsoft Office, Microsoft Excel, PowerPoint, Visio, Ika, Facets, Health Trio, Care, Wages, Fiscally Responsible, Business Service..., Business Development, Commercial Insurance, Commercial Management, Auditing, Accounting, Qnext, Trizetto Healthcare..., Accounts Receivable, Accounts Payable, Claim Investigation, Claims Resolution, Corporate Fraud..., Claims Handling, Budget, Operations Management, Managed Care, Provider Relations, HMO, Training, Healthcare Industry, Credentialing, Medicare Part D, Medicaid Managed Care, Medical Coding, Policy, Network Development
Education
Universidad del Turabo 2010 — 2015
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Antilles Scholl of Technical Careers 1987 — 1989
Asociate, Pharmacy Technician
San Juan City College 1984 — 1987
Asociate, Electronic Engineering Technician
WellCare Health Plans May 2014 - Present
WellCare 2012 - Present
WellCare Health Plan October 2008 - Present
Department of Community Health November 2005 - October 2008
Education
South Carolina State University 1975 — 1979
Bachelor's degree, Business/Managerial Economics
Walterboro High School 1971 — 1975
GED
Walterboro High School 1971 — 1974
GED
WellCare Health Plans January 2015 - Present
HR Tampa January 2011 - Present
WCFHCRA October 2005 - Present
WellDyne, Inc. September 2014 - January 2015
Everest University January 2009 - December 2014
Chapters Health System June 2012 - August 2014
Barry University May 2012 - April 2014
Corinthian Colleges/Everest University Online Division November 2011 - June 2012
Tampa General Hospital October 2005 - October 2011
Southwest Florida College 2007 - 2009
Skills
Multi Tasking, Recruiting, Recruitment Training, Time Management, Goal Oriented, Customer Service, Knowledge Management, Work in A Fast Paced..., High Volume Staffing, Full-life Cycle..., Human Resource Planning, Talent Pipelining, Pipeline Management, Interpersonal Skill, Staffing Analysis, Employment Law, Applicant Tracking..., Employee Relations, Interviews, Training, New Hire Orientations, Temporary Placement, Business Development, Screening, Human Resources, Public Speaking, Internet Recruiting, Talent Acquisition, Organizational..., Personnel Management, Onboarding, Program Management, Resume Writing, Leadership Development, Performance Management, Process Improvement, Healthcare, Facebook, Employee Benefits, Benefits Administration, Sourcing, Management, Staff Development, Marketing, College Recruiting, System Administration, Job Fairs, HRIS, Social Media, Talent Management
Education
Troy University 2009 — 2012
Masters, Public Administration
Troy University 2005 — 2007
Masters, Management/Human Resources
University of South Florida 1990 — 1994
Bachelors, Speech Communications
WellCare Health Plans July 2015 - Present
Delta Dental of NJ November 2011 - June 2015
AXA Equitable September 2010 - November 2011
Chubb 2008 - 2010
Chubb 2003 - 2008
Skills
MS Project, SDLC, Vendor Management, Project Planning, Project Management, Insurance, Analysis, Business Process, Business Requirements, Leadership, Management, PMO, Process Improvement, Requirements Analysis, Requirements Gathering, Software Documentation, Testing, Visio
Education
Stevens Institute of Technology 2000 — 2002
Graduate Certification, Information Management
University of Tampa 1984 — 1986
BS, Business Management
UnitedHealth Group January 2014 - Present
Coventry Health Care February 2013 - December 2013
Health Integrated January 2010 - February 2013
WELLCARE HEALTH PLANS December 2005 - December 2009
Amerigroup November 2003 - December 2005
Mariner Health Care July 2002 - October 2003
SABAL PALMS March 2000 - June 2002
ST. ANTHONY'S HOSPITAL July 1997 - February 2000
Skills
Case Management, Medicare, Healthcare, Clinical, Medicaid, Managed Care, Healthcare Management, Utilization Management, Health, PowerPoint, Word, Documentation, Excel, Administration, Microsoft Office, Public Speaking, Team Building, Strategic Planning, Policy, Problem Solving, Compliance, Call Center, Insurance, Outlook, Nursing, Health Insurance, Supervisory Skills, Mentoring, Program Development, Nurses, Care Management, Disease Management, HIPAA, Long Term Care, HMO, Case Managment, EHR, Provider Relations, Network Development, Long-term Care, Software Documentation, Clinical Research, Call Centers, Healthcare Information..., Quality Improvement, Utilization Review, JCAHO, Home Care
Education
University of Phoenix 2008 — 2010
BSN/Masters Degree, Registered Nursing/Registered Nurse
University of Phoenix 2007 — 2008
MBA, Business
University of Phoenix 2005 — 2007
Bachelor's degree, Health/Health Care Administration/Management, 4.0
St. Petersburg College 1993 — 1997
RN, Nursing
Moffitt Cancer Center April 2013 - Present
Universal Health Care May 2011 - January 2013
WellCare Health Plans July 2006 - July 2010
Wellcare Health Plans November 2004 - July 2006
Oxford Health Plans October 1995 - November 2004
Oxford Health Plans March 1997 - November 1999
Skills
Call Center, Managed Care, Process Improvement, Medicare, Medicaid, Training, Management, Call Centers, Medicare Part D, Insurance, Health Insurance, Quality Assurance, Customer Satisfaction, Healthcare, HIPAA, Access, Healthcare Management, Claim, Software Documentation, Data Analysis, Utilization Management, Customer Service, Long-term Care, Provider Relations, Policy, HMO, PPO, Claims Resolution, Network Development, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Sales, Pharmacy Benefit..., Pharmacy, CPT, Medical Billing, Employee Benefits, Health Policy, ICD-9, Disease Management, Leadership, Workers Compensation, Hospitals, Vendor Management, Healthcare Reimbursement, Claims Management, Medical Compliance, Pharmacy Automation, Physician Relations
Education
State University of New York College at Oneonta 1990 — 1993
BS, Business Economics
WellCare Health Plans April 2014 - Present
CareCentrix January 2014 - Present
Argus Dental January 2013 - January 2014
Argus Dental January 2013 - January 2014
Universal Health Care November 2010 - December 2012
Amerigroup Corporation June 2009 - November 2010
Jack Rice Insurance January 2009 - June 2009
Skills
Medicaid, Medicare, Managed Care, Healthcare, Provider Relations, HIPAA, Healthcare Management, Health Insurance, HMO, Healthcare Information..., Healthcare Industry, Revenue Cycle, Insurance, Medical Billing, Claim, Employee Benefits, Claims Resolution, Call Centers, Access, Healthcare Consulting, Customer Service, EDI
Education
St. Petersburg College 1990 — 1993
Lakewood High School 1986 — 1989
WellCare Health Plans January 2012 - Present
Education
St. Petersburg College 2005 — 2012
WellCare Health Plans April 2015 - Present
UnitedHealth Group August 2013 - March 2015
Jabil 2005 - 2013
Skills
Operating Systems, System Administration, Windows Server, Ubuntu, Network Administration, Linux, Linux System..., Active Directory, Firewalls, Troubleshooting, HTML, PHP, Windows XP, CSS, Unix, Solaris, MySQL, Web Design, Hardware, Computer Hardware, JBoss EAP, WebSphere Application..., Weblogic, Tomcat 5, Red Hat Linux, Apache, IIS, DNS, Cluster, Bash, System Deployment, Process Improvement, Integration, Six Sigma, Disaster Recovery
Education
Universidad de Guadalajara 1999 — 2004
Bachelor's Degree, Computer Engineering
Healthcare Services Configuration ManagerMedHOK Healthcare SolutionsJune 2011 - June 2014
WellCare Health Plans September 2006 - August 2010
Skills
Visio, Software Documentation, HIPAA, SDLC, Disaster Recovery, SharePoint, MS Project, Systems Analysis, Access, Vendor Management, Process Improvement, Healthcare Information..., UAT Functional Testing, Medicare/Medicaid..., NCQA Certifications and...
Education
St. Petersburg College
WellCare Health Plans 2013 - Present
Simply Kingdom Ministries August 2011 - Present
St. Matthews Missionary Baptist Church 2004 - Present
Assisted Living of Clearwater 2012 - 2012
American Managed Care 2010 - 2012
Education
Andersonville Theological Seminary
Master's Degree, Ministry
Florida A & M University
Bachelor's Degree, Accounting and Business/Management
St. Petersburg College
Bachelor's Degree, Health Services Administration
WellMed Medical Management July 2014 - Present
WellCare Health Plans December 2006 - October 2013
American Medical Society January 1997 - December 2009
WellCare September 2007 - August 2009
WellCare December 2006 - August 2007
Fortis Insurance February 2002 - December 2006
JK Harris and Com April 1997 - December 2002
Self-Emplyed Business Owner October 1995 - December 1996
U.S. Air Force July 1974 - January 1996
Skills
Sales & Marketing..., Compliance Focused, Market Share Growth, Brand growth, Opertions Management, Instructor-led Training, Experienced Trainer, Self-Employed, Successful Business..., Model Office, Employee Benefits, Brand Management, Health Insurance, Insurance, Leadership, Managed Care, Management, Market Share, Medicare, Team Building, Training
Education
University of Oklahoma - Price College of Business 1984 — 1987
Master's degree, Business/Managerial Economics
Texas State University 1982 — 1984
Bachelor of Business Administration (BBA), Computer and Information Sciences and Support Services, 3.6
WellCare Health Plans 2011 - Present
Education
St. Petersburg College
Bachelor of Laws (LL.B.)
Synchrony Financial September 2014 - Present
RBS Citizens Bank June 2014 - September 2014
RBS Citizens Bank June 2013 - May 2014
RBS Citizens Bank April 2010 - May 2012
JPMorgan Chase & Co. May 2009 - March 2010
American Express August 2008 - April 2009
People's United Bank August 2007 - July 2008
WellCare Health Plans January 2006 - July 2007
Skills
Credit Risk, Risk Analytics, Portfolio Performance..., CCAR, SAS, SQL, Unix, Oracle, Microsoft SQL Server, Analysis, Banking, Portfolio Management
Education
Stevens Institute of Technology 2004 — 2005
Master of Science (MS)
The Maharaja Sayajirao University of Baroda 1999 — 2003
Bachelor of Engineering (B.E.)
WellCare Health Plans April 2014 - Present
WellCare Health Plans April 2014 - Present
Suncoast Center, Inc. December 2006 - April 2014
Pediatric Otolaryngology Associates May 1998 - December 2006
Skills
Computer Skills:..., Microsoft Word, Microsoft Excel, EMR, Communication, Nursing, Case Management, Healthcare
Education
Saint Petersburg Junior College 1991 — 1993
AS Nursing, Registered Nursing/Registered Nurse
State University of New York College at Cortland 1979 — 1981
BS Education, Emphasis in Therapeutic Recreation, Minor in Social Gerontology, College Dean's List