Windsor Health Plan
Industry: Company
DescriptionFounded: 1993 Parent organization: WellCare
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141 Windsor Health Plan employees in database. Find out everything there's to know about Windsor Health Plan 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.
Windsor Health Plan Employees
Employee
Years
Job
Industry
Lee Elfstrom Lee Elfstrom's Windsor Health Plan Experience September 2006 - September 2009
Job Retirement doesn't have to be complicated...just ask me how!
Industry Insurance
Experience
Self employed October 2010 - Present
Windsor Health Plan September 2006 - September 2009
Skills
Customer Service, Strategic Planning, Team Building, Insurance, Health Insurance, Marketing, Leadership, Retirement Savings, Medicare Advantage, Medicare Supplements, Long Term Care Insurance, Sales, Long-term Care, Medicare, Retirement Planning
Education
University of Arkansas 1977 — 1978
Economics
Self employed October 2010 - Present
Windsor Health Plan September 2006 - September 2009
Skills
Customer Service, Strategic Planning, Team Building, Insurance, Health Insurance, Marketing, Leadership, Retirement Savings, Medicare Advantage, Medicare Supplements, Long Term Care Insurance, Sales, Long-term Care, Medicare, Retirement Planning
Education
University of Arkansas 1977 — 1978
Economics
Ned Benson, Jr Ned Benson, Jr's Windsor Health Plan Experience January 2011 - October 2011
Job Senior Clinical Pharmacy Manager National Accounts
Industry Insurance
Experience
Cigna September 2014 - Present
HealthSpring June 2012 - Present
Pharmacist on Demand November 2011 - June 2012
Windsor Health Plan January 2011 - October 2011
Eli Lilly and Company 1988 - 2011
Skills
Pharmacists, Pharmacy, Disease Management, Pharmacy Automation, Clinical Research, Clinical Pharmacology, Pharmacy Practice, Medicare, Healthcare Industry, Immunization, Pharmacoeconomics, Medication Therapy..., Community Pharmacy, Pharmacueticals, Pharmaceutical Sales, HIPAA, Psychiatry, Pharmaceutical Industry
Education
University of Mississippi 1979 — 1982
BS, Pharmacy
Cigna September 2014 - Present
HealthSpring June 2012 - Present
Pharmacist on Demand November 2011 - June 2012
Windsor Health Plan January 2011 - October 2011
Eli Lilly and Company 1988 - 2011
Skills
Pharmacists, Pharmacy, Disease Management, Pharmacy Automation, Clinical Research, Clinical Pharmacology, Pharmacy Practice, Medicare, Healthcare Industry, Immunization, Pharmacoeconomics, Medication Therapy..., Community Pharmacy, Pharmacueticals, Pharmaceutical Sales, HIPAA, Psychiatry, Pharmaceutical Industry
Education
University of Mississippi 1979 — 1982
BS, Pharmacy
Robert Gagen Robert Gagen's Windsor Health Plan Experience January 2012 - September 2012
Job Looking for a new career!
Industry Hospital & Health Care
Experience
Cigna-HealthSpring February 2013 - July 2015
Windsor Health Plan January 2012 - September 2012
National College of Business & Technology May 2010 - November 2011
Walgreens May 1999 - May 2007
Skills
Microsoft Office, Pharmaceuticals, Medical, Medicaid, Medicare Part D, Sales Management, Medicine, Pharmacology, Pharmaceutical Industry, Prescription, Medication Therapy..., Clinical Pharmacology, Utilization Management, HIPAA, Healthcare Management, Pharmacy Practice, Patient Counseling, Medical Terminology, Regulatory Affairs, Pharmacists
Education
Purdue University 1994 — 1999
Bachelor of Science, Pharmacy
Cigna-HealthSpring February 2013 - July 2015
Windsor Health Plan January 2012 - September 2012
National College of Business & Technology May 2010 - November 2011
Walgreens May 1999 - May 2007
Skills
Microsoft Office, Pharmaceuticals, Medical, Medicaid, Medicare Part D, Sales Management, Medicine, Pharmacology, Pharmaceutical Industry, Prescription, Medication Therapy..., Clinical Pharmacology, Utilization Management, HIPAA, Healthcare Management, Pharmacy Practice, Patient Counseling, Medical Terminology, Regulatory Affairs, Pharmacists
Education
Purdue University 1994 — 1999
Bachelor of Science, Pharmacy
Cory McCormick Cory McCormick's Windsor Health Plan Experience 1996 - 2014
Job Prior Experience Manager of Medicare Advantage Medical Management and Appeals Departments
Industry Insurance
Experience
Windsor Health Plan 1996 - 2014
Education
Mount Mercy University
BSN Nursing
Windsor Health Plan 1996 - 2014
Education
Mount Mercy University
BSN Nursing
Natikia Robinson, MPH Natikia Robinson, MPH's Windsor Health Plan Experience October 2006 - November 2007
Job Experienced Product Manager actively seeking new opportunities
Industry Information Technology and Services
Experience
NANTHEALTH February 2014 - July 2014
TeleVox Software December 2008 - January 2013
HealthSpring of Alabama November 2007 - November 2008
Windsor Health Plan October 2006 - November 2007
Mississippi State Department of Health June 2006 - October 2006
Blue Cross & Blue Shield of MS July 2003 - July 2005
Skills
Healthcare, Managed Care, Strategic Planning, Contract Negotiation, Problem Solving, Microsoft Office, Health Insurance, Product Management, Medicare, Business Relationship..., Event Management, Root Cause Analysis, Needs Analysis, Strategic Analysis, Customer Satisfaction, Product Launch, Product Life Cycle..., Cross-functional Team..., Software Documentation, Training, Process Improvement, Product Lifecycle..., Analysis, Healthcare Information..., Leadership, New Business Development, HIPAA, Marketing, Sales Presentations, Strategy, Business Analysis, Management, Healthcare Industry, Data Analysis, Business Development, CRM, Sales Operations, Customer Service, Sales Process, Competitive Analysis, Team Leadership, Quality Assurance, Vendor Management, Medical Devices, SharePoint, Marketing Strategy, Team Building, Product Marketing
Education
East Tennessee State University 2004 — 2006
Masters, Public Health
Jackson State University 1998 — 2003
Bachelor of Science (BS), Healthcare Administration
NANTHEALTH February 2014 - July 2014
TeleVox Software December 2008 - January 2013
HealthSpring of Alabama November 2007 - November 2008
Windsor Health Plan October 2006 - November 2007
Mississippi State Department of Health June 2006 - October 2006
Blue Cross & Blue Shield of MS July 2003 - July 2005
Skills
Healthcare, Managed Care, Strategic Planning, Contract Negotiation, Problem Solving, Microsoft Office, Health Insurance, Product Management, Medicare, Business Relationship..., Event Management, Root Cause Analysis, Needs Analysis, Strategic Analysis, Customer Satisfaction, Product Launch, Product Life Cycle..., Cross-functional Team..., Software Documentation, Training, Process Improvement, Product Lifecycle..., Analysis, Healthcare Information..., Leadership, New Business Development, HIPAA, Marketing, Sales Presentations, Strategy, Business Analysis, Management, Healthcare Industry, Data Analysis, Business Development, CRM, Sales Operations, Customer Service, Sales Process, Competitive Analysis, Team Leadership, Quality Assurance, Vendor Management, Medical Devices, SharePoint, Marketing Strategy, Team Building, Product Marketing
Education
East Tennessee State University 2004 — 2006
Masters, Public Health
Jackson State University 1998 — 2003
Bachelor of Science (BS), Healthcare Administration
Jewel Griffin's Windsor Health Plan Experience January 2010 - December 2010
Job TPL COB Billing COB Coordinator
Industry Information Technology and Services
Experience
Emdeon December 2011 - Present
Windsor Health Plan January 2010 - December 2010
Cigna May 2007 - August 2009
Skills
Business Analysis, Access, Process Improvement, COB, HIPAA, Software Documentation, Business Intelligence, Project Management, SharePoint, Healthcare Information..., Business Process..., Analysis, Oracle, Medicare, Microsoft Excel, Customer Service, Healthcare
Education
McKendree University 2002 — 2004
Pharmacy
Emdeon December 2011 - Present
Windsor Health Plan January 2010 - December 2010
Cigna May 2007 - August 2009
Skills
Business Analysis, Access, Process Improvement, COB, HIPAA, Software Documentation, Business Intelligence, Project Management, SharePoint, Healthcare Information..., Business Process..., Analysis, Oracle, Medicare, Microsoft Excel, Customer Service, Healthcare
Education
McKendree University 2002 — 2004
Pharmacy
Anna Floyd Anna Floyd's Windsor Health Plan Experience September 2008 - April 2009
Job Painter
Industry Arts and Crafts
Experience
Self Employed August 2012 - Present
The Jaeckle Centre October 2009 - July 2012
Windsor Health Plan September 2008 - April 2009
Windsor Health Plan May 2007 - September 2008
Windsor Health Plan July 2006 - May 2007
Skills
Program Management, Microsoft Excel, Event Management, Marketing, Analysis, Healthcare, Software Documentation, Policy, Auditing, Medicare, Compliance, Insurance, Outlook, Leadership, Access
Education
University of Mississippi 2002 — 2006
BA, History, English
Battle Ground Academy 1998 — 2002
Self Employed August 2012 - Present
The Jaeckle Centre October 2009 - July 2012
Windsor Health Plan September 2008 - April 2009
Windsor Health Plan May 2007 - September 2008
Windsor Health Plan July 2006 - May 2007
Skills
Program Management, Microsoft Excel, Event Management, Marketing, Analysis, Healthcare, Software Documentation, Policy, Auditing, Medicare, Compliance, Insurance, Outlook, Leadership, Access
Education
University of Mississippi 2002 — 2006
BA, History, English
Battle Ground Academy 1998 — 2002
Debbie Vogt Debbie Vogt's Windsor Health Plan Experience January 2007 - June 2013
Job Network Service Representative at Windsor Health Plan
Industry Insurance
Experience
United Healthcare Dental - Gov''t. Programs January 2014 - Present
Windsor Health Plan January 2007 - June 2013
Skills
Contract Negotiation, Consulting, Cold Calling, Customer Retention, Classroom, New Business Development, Hospitals, Microsoft Word, Networking, Office Management, Office Administration, Management, Invoicing, Medicare, Healthcare, Health Insurance, Medical Billing, Strategic Planning, HMO, PPO, Credentialing, Utilization Management, Insurance, Network Development, Provider Relations, Managed Care, Medicare Part D, Physicians, Health Policy, Claim, Healthcare Industry, Training, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Healthcare Management, Employee Benefits, Medical Coding, Practice Management, Analysis, Durable Medical..., Disease Management, Physician Relations, Home Care, Long-term Care, Call Centers, Provider Network..., Process Improvement
Education
Delta State University 1970 — 1972
Art/Art Studies, General
United Healthcare Dental - Gov''t. Programs January 2014 - Present
Windsor Health Plan January 2007 - June 2013
Skills
Contract Negotiation, Consulting, Cold Calling, Customer Retention, Classroom, New Business Development, Hospitals, Microsoft Word, Networking, Office Management, Office Administration, Management, Invoicing, Medicare, Healthcare, Health Insurance, Medical Billing, Strategic Planning, HMO, PPO, Credentialing, Utilization Management, Insurance, Network Development, Provider Relations, Managed Care, Medicare Part D, Physicians, Health Policy, Claim, Healthcare Industry, Training, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Healthcare Management, Employee Benefits, Medical Coding, Practice Management, Analysis, Durable Medical..., Disease Management, Physician Relations, Home Care, Long-term Care, Call Centers, Provider Network..., Process Improvement
Education
Delta State University 1970 — 1972
Art/Art Studies, General
Aaron Rodriguez's Windsor Health Plan Experience July 2009 - March 2011
Job Solutions Architect Data Center & MITaaS
Industry Information Technology and Services
Experience
United Data Technologies September 2014 - Present
United Data Technologies March 2013 - September 2014
Presidio March 2011 - March 2013
Windsor Health Plan July 2009 - March 2011
Windsor Health Plan September 2008 - July 2009
Pomeroy IT Solutions May 2007 - August 2008
Asurion November 2007 - May 2008
CommTech Industries October 2001 - November 2006
Tek Systems December 1995 - May 2001
United States Air Force January 1990 - January 1998
Skills
EMC Storage, VMware, Cisco UCS, NetApp, SAN, Windows Server, Active Directory, Microsoft Exchange, Disaster Recovery, Security, Cisco Technologies, Networking, Wireless, Remote Access, Cisco IOS, Servers, VMware ESX, Storage, Cloud Computing, HP, vSphere, Network Security, Virtualization, Microsoft Technologies, Brocade, Infrastructure, Enterprise Storage, Enterprise Software, Storage Area Networks, Data Center, Managed Services, Information Technology, VDI, Business Continuity, Pre-sales, Storage Virtualization
Education
Louisiana State University
EE / Business
Louisiana State University
Electrical and Electronics Engineering
United Data Technologies September 2014 - Present
United Data Technologies March 2013 - September 2014
Presidio March 2011 - March 2013
Windsor Health Plan July 2009 - March 2011
Windsor Health Plan September 2008 - July 2009
Pomeroy IT Solutions May 2007 - August 2008
Asurion November 2007 - May 2008
CommTech Industries October 2001 - November 2006
Tek Systems December 1995 - May 2001
United States Air Force January 1990 - January 1998
Skills
EMC Storage, VMware, Cisco UCS, NetApp, SAN, Windows Server, Active Directory, Microsoft Exchange, Disaster Recovery, Security, Cisco Technologies, Networking, Wireless, Remote Access, Cisco IOS, Servers, VMware ESX, Storage, Cloud Computing, HP, vSphere, Network Security, Virtualization, Microsoft Technologies, Brocade, Infrastructure, Enterprise Storage, Enterprise Software, Storage Area Networks, Data Center, Managed Services, Information Technology, VDI, Business Continuity, Pre-sales, Storage Virtualization
Education
Louisiana State University
EE / Business
Louisiana State University
Electrical and Electronics Engineering
E DeJuan Hendricks (7500 connects to start 2015) E DeJuan Hendricks (7500 connects to start 2015)'s Windsor Health Plan Experience August 2005 - May 2007
Job The MidSouth's Business Development Professional
Industry Marketing and Advertising
Experience
iHeartMedia February 2015 - Present
MidSouth Marketing Partners January 2005 - Present
LifeLinc Anesthesia December 2013 - January 2015
Nextdoor.com September 2013 - December 2013
North Delta Health Systems March 2013 - August 2013
Healogics, Inc. September 2012 - March 2013
Cigna-HealthSpring July 2007 - July 2011
Windsor Health Plan August 2005 - May 2007
Memphis Xplorers Arena 2 Football February 2004 - February 2005
Media Sales June 2002 - February 2004
Skills
Leadership, Marketing, Social Media Marketing, Social Networking, Management, Strategic Planning, Business Development, Marketing Strategy, Marketing Communications, Advertising, Small Business, Sales, Customer Service, New Business Development, Entrepreneurship, Insurance, CRM, Healthcare, Non-profits, Account Management, Management Consulting, Team Building, Program Management, Nonprofits, Fundraising, Sales Operations, Public Speaking, Sales Management, Coaching, Event Planning, Recruiting, Community Outreach, Business Planning, Sales Presentations, Social Entrepreneurship, Small Business Marketing, Entrepreneurship..., Online Marketing, Sales Process, Creative..., Youth Entrepreneurship, Small Business..., Entrepreneurial..., Small Business Online..., Direct Sales, Entrepreneurship...
Education
Leadership Memphis 2010 — 2010
United States Sports Academy 2009 — 2010
Certificate in Sports Management
Tuskegee University 1992 — 1996
Murrah High/APAC Jackson MS 1989 — 1992
Diploma
iHeartMedia February 2015 - Present
MidSouth Marketing Partners January 2005 - Present
LifeLinc Anesthesia December 2013 - January 2015
Nextdoor.com September 2013 - December 2013
North Delta Health Systems March 2013 - August 2013
Healogics, Inc. September 2012 - March 2013
Cigna-HealthSpring July 2007 - July 2011
Windsor Health Plan August 2005 - May 2007
Memphis Xplorers Arena 2 Football February 2004 - February 2005
Media Sales June 2002 - February 2004
Skills
Leadership, Marketing, Social Media Marketing, Social Networking, Management, Strategic Planning, Business Development, Marketing Strategy, Marketing Communications, Advertising, Small Business, Sales, Customer Service, New Business Development, Entrepreneurship, Insurance, CRM, Healthcare, Non-profits, Account Management, Management Consulting, Team Building, Program Management, Nonprofits, Fundraising, Sales Operations, Public Speaking, Sales Management, Coaching, Event Planning, Recruiting, Community Outreach, Business Planning, Sales Presentations, Social Entrepreneurship, Small Business Marketing, Entrepreneurship..., Online Marketing, Sales Process, Creative..., Youth Entrepreneurship, Small Business..., Entrepreneurial..., Small Business Online..., Direct Sales, Entrepreneurship...
Education
Leadership Memphis 2010 — 2010
United States Sports Academy 2009 — 2010
Certificate in Sports Management
Tuskegee University 1992 — 1996
Murrah High/APAC Jackson MS 1989 — 1992
Diploma
Matt Hensley Matt Hensley's Windsor Health Plan Experience October 2009 - February 2013
Job Sr. Systems Engineer at HCA
Industry Information Technology and Services
Experience
HCA November 2013 - Present
HCA February 2013 - November 2013
Windsor Health Plan October 2009 - February 2013
Skills
Active Directory, Cisco Technologies, Computer Hardware, Software Installation, Microsoft Exchange, Windows 7, Desktop Computers, VMware, NAS, Microsoft Technologies, Microsoft Office, Windows Server, Blackberry Enterprise..., vSphere, Systems Engineering, Group Policy, Windows XP Pro, Terminal Server, Avaya IP Telephony, SAN, Hardware Diagnostics, Information Retrieval, McAfee, Xerox Printers, Siemens HiPath, Oracle SQL, Viper, BMC Patrol, Splunk, Application Monitoring, Windows XP, System Deployment, Security, Hardware, Laptops
Education
Nashville State Community College
Computer Science
HCA November 2013 - Present
HCA February 2013 - November 2013
Windsor Health Plan October 2009 - February 2013
Skills
Active Directory, Cisco Technologies, Computer Hardware, Software Installation, Microsoft Exchange, Windows 7, Desktop Computers, VMware, NAS, Microsoft Technologies, Microsoft Office, Windows Server, Blackberry Enterprise..., vSphere, Systems Engineering, Group Policy, Windows XP Pro, Terminal Server, Avaya IP Telephony, SAN, Hardware Diagnostics, Information Retrieval, McAfee, Xerox Printers, Siemens HiPath, Oracle SQL, Viper, BMC Patrol, Splunk, Application Monitoring, Windows XP, System Deployment, Security, Hardware, Laptops
Education
Nashville State Community College
Computer Science
Melissa Kyle, PAHM Melissa Kyle, PAHM's Windsor Health Plan Experience March 2014 - Present
Job Provider Relations Representative at Windsor Health Plan, A WellCare Company
Industry Insurance
Experience
Windsor Health Plan March 2014 - Present
Windsor Health Plan March 2010 - June 2013
EMG Clinics of West Tennessee May 1997 - March 2010
Skills
Health Insurance, Insurance, Provider Relations, Network Development, HMO, Medicare, Managed Care, Claim, Medicare Part D, PPO, Medicaid, Health Policy, Registered Nerve..., Medical Transcription, Medical Office Assistant
Education
Union University 2003 — 2005
Bachelor of Science Organizational Leadership, Health/Health Care Administration/Management
Jackson State Community College 1990 — 1993
Associates of Applied Sciene, Office Administration
Milan High School 1986 — 1990
Windsor Health Plan March 2014 - Present
Windsor Health Plan March 2010 - June 2013
EMG Clinics of West Tennessee May 1997 - March 2010
Skills
Health Insurance, Insurance, Provider Relations, Network Development, HMO, Medicare, Managed Care, Claim, Medicare Part D, PPO, Medicaid, Health Policy, Registered Nerve..., Medical Transcription, Medical Office Assistant
Education
Union University 2003 — 2005
Bachelor of Science Organizational Leadership, Health/Health Care Administration/Management
Jackson State Community College 1990 — 1993
Associates of Applied Sciene, Office Administration
Milan High School 1986 — 1990
suzanne weltzien suzanne weltzien's Windsor Health Plan Experience February 2011 - August 2012
Job Sr. Provider Relations Rep at MCNA DENTAL
Industry Insurance
Experience
MCNA Dental: Managed Care of North America, Inc. August 2012 - Present
Windsor Health Plan February 2011 - August 2012
Universal American, Pyramid Insurance 2006 - 2010
Skills
Medicare, Provider Relations, Provider Network..., Medicaid Managed Care, Contract Negotiation, Medicare/Medicaid..., Branch Operation, Hospice, Staffing Services, Home Health Agencies, Employee Management, Managed Care, Healthcare, Medicaid, Provider Education, HMO, Network Development, PPO, Healthcare Industry, Medicare Part D, Utilization Management, Health Policy, Physicians, HIPAA, Physician Relations, Health Insurance, Pharmacy Benefit..., Disease Management, Credentialing, Healthcare Management, Revenue Cycle, Healthcare Information..., Medical Billing, Healthcare Consulting, NCQA, EHR, Health Plan Operations, JCAHO, HEDIS, EMR, Durable Medical..., Hospitals, Healthcare Reimbursement, ICD-9, Provider Networks, Claim, Utilization Review, Claims Resolution, CPT, Nursing
Education
Kaplan University-Davenport Campus 2003 — 2006
Health/Health Care Administration/Management, 3.7
Bossier Parish Community College 1984 — 1986
Registered Nursing/Registered Nurse, 3.5
MCNA Dental: Managed Care of North America, Inc. August 2012 - Present
Windsor Health Plan February 2011 - August 2012
Universal American, Pyramid Insurance 2006 - 2010
Skills
Medicare, Provider Relations, Provider Network..., Medicaid Managed Care, Contract Negotiation, Medicare/Medicaid..., Branch Operation, Hospice, Staffing Services, Home Health Agencies, Employee Management, Managed Care, Healthcare, Medicaid, Provider Education, HMO, Network Development, PPO, Healthcare Industry, Medicare Part D, Utilization Management, Health Policy, Physicians, HIPAA, Physician Relations, Health Insurance, Pharmacy Benefit..., Disease Management, Credentialing, Healthcare Management, Revenue Cycle, Healthcare Information..., Medical Billing, Healthcare Consulting, NCQA, EHR, Health Plan Operations, JCAHO, HEDIS, EMR, Durable Medical..., Hospitals, Healthcare Reimbursement, ICD-9, Provider Networks, Claim, Utilization Review, Claims Resolution, CPT, Nursing
Education
Kaplan University-Davenport Campus 2003 — 2006
Health/Health Care Administration/Management, 3.7
Bossier Parish Community College 1984 — 1986
Registered Nursing/Registered Nurse, 3.5
Jennifer Dickens Jennifer Dickens's Windsor Health Plan Experience April 2013 - March 2014
Job Medicare Regulatory Affairs at Well Care Health
Industry Hospital & Health Care
Experience
WellCare Health Plans March 2014 - Present
Windsor Health Plan April 2013 - March 2014
Windsor Health Plan September 2011 - April 2013
Windsor Health Plan September 2009 - September 2011
Windsor Health Plan July 2008 - September 2009
Windsor Health Plan September 2005 - July 2008
Skills
Medicare, Medicare Part D, Medicare Advantage, Customer Service, Grievances, Pharmacy, Microsoft Office, Microsoft Excel, Microsoft Word, Quality Assurance, Customer Service..., Customer Service..., Claims Management, Provider Relations, HMO, Employee Benefits, Call Centers, Pharmacy Benefit..., Insurance, Training, Medicaid
Education
Motlow State Community College
WellCare Health Plans March 2014 - Present
Windsor Health Plan April 2013 - March 2014
Windsor Health Plan September 2011 - April 2013
Windsor Health Plan September 2009 - September 2011
Windsor Health Plan July 2008 - September 2009
Windsor Health Plan September 2005 - July 2008
Skills
Medicare, Medicare Part D, Medicare Advantage, Customer Service, Grievances, Pharmacy, Microsoft Office, Microsoft Excel, Microsoft Word, Quality Assurance, Customer Service..., Customer Service..., Claims Management, Provider Relations, HMO, Employee Benefits, Call Centers, Pharmacy Benefit..., Insurance, Training, Medicaid
Education
Motlow State Community College
JAYCE CHRISTIAN JAYCE CHRISTIAN's Windsor Health Plan Experience April 2011 - Present
Job Lead Customer Rep at Windsor Health Plan
Industry Hospital & Health Care
Experience
Windsor Health Plan April 2011 - Present
CIRCLE BEATZ April 2012 - August 2013
Windsor Medical Billing 2012 - 2013
Skills
Call Centers, Customer Service, Retail Sales, 10 Key, Typesetting, Health, Food & Beverage, Data Entry, Dance, Entertainment, Singer-songwriter, Cashiering, Apparel, Acting, Microsoft Office, Office Administration, Web Design
Education
Columbia College Chicago 2006 — 2011
Bachelor of Education (BEd), Education
JOHN HOPE COLLEGE PREP 2000 — 2004
Windsor Health Plan April 2011 - Present
CIRCLE BEATZ April 2012 - August 2013
Windsor Medical Billing 2012 - 2013
Skills
Call Centers, Customer Service, Retail Sales, 10 Key, Typesetting, Health, Food & Beverage, Data Entry, Dance, Entertainment, Singer-songwriter, Cashiering, Apparel, Acting, Microsoft Office, Office Administration, Web Design
Education
Columbia College Chicago 2006 — 2011
Bachelor of Education (BEd), Education
JOHN HOPE COLLEGE PREP 2000 — 2004
Lindsey Nelson Lindsey Nelson's Windsor Health Plan Experience February 2012 - April 2013
Job Controller at Verus Healthcare
Industry Hospital & Health Care
Experience
Verus Healthcare June 2014 - Present
Verus Healthcare April 2013 - June 2014
Windsor Health Plan February 2012 - April 2013
Windsor Health Plan May 2010 - February 2012
Avalon Healthcare July 2009 - May 2010
Avalon Healthcare July 2006 - July 2009
Skills
Health Insurance, Healthcare, Medicare, Medicaid, Managed Care, HIPAA, Process Improvement, Access, Microsoft Excel, Outlook, HMO, Commercial Insurance, Sage, FRx Report Writer, Peachtree, QuickBooks, SAP, Intacct, Sungard GMI, Eagle
Education
University of South Florida 2002 — 2006
Bachelor of Arts (B.A.), Finance, General
Verus Healthcare June 2014 - Present
Verus Healthcare April 2013 - June 2014
Windsor Health Plan February 2012 - April 2013
Windsor Health Plan May 2010 - February 2012
Avalon Healthcare July 2009 - May 2010
Avalon Healthcare July 2006 - July 2009
Skills
Health Insurance, Healthcare, Medicare, Medicaid, Managed Care, HIPAA, Process Improvement, Access, Microsoft Excel, Outlook, HMO, Commercial Insurance, Sage, FRx Report Writer, Peachtree, QuickBooks, SAP, Intacct, Sungard GMI, Eagle
Education
University of South Florida 2002 — 2006
Bachelor of Arts (B.A.), Finance, General
Denise M. Russell Denise M. Russell's Windsor Health Plan Experience 2011 - 2013
Job Sr. Auditor in Compliance at WellCare Health Plans
Industry Insurance
Experience
WellCare January 2014 - Present
Windsor Health Plan 2011 - 2013
CNA Insurance 2005 - 2010
TrustCore Financial 2004 - 2005
CNA Insurance 1996 - 2004
First Investors Corporation 1995 - 1996
Skills
Insurance, Financial Services, Process Improvement, CRM, Claim, Life Insurance, Customer Service, Long Term Care Insurance, Reinsurance, Analysis, Microsoft Excel, Operations Management, Health Insurance, Quality Assurance, Software Documentation, Training, Auditing, SDLC, Long-term Care, Technical Writing, Medicare, Risk Management
Education
Florida Southern College
B.S., Business Administration - Financial Management
The American College 2003 — 2005
CLU, ChFC, Insurance, Consultant
Nicholls State University
Mass Communications, General Studies
WellCare January 2014 - Present
Windsor Health Plan 2011 - 2013
CNA Insurance 2005 - 2010
TrustCore Financial 2004 - 2005
CNA Insurance 1996 - 2004
First Investors Corporation 1995 - 1996
Skills
Insurance, Financial Services, Process Improvement, CRM, Claim, Life Insurance, Customer Service, Long Term Care Insurance, Reinsurance, Analysis, Microsoft Excel, Operations Management, Health Insurance, Quality Assurance, Software Documentation, Training, Auditing, SDLC, Long-term Care, Technical Writing, Medicare, Risk Management
Education
Florida Southern College
B.S., Business Administration - Financial Management
The American College 2003 — 2005
CLU, ChFC, Insurance, Consultant
Nicholls State University
Mass Communications, General Studies
Cindy Hedges Cindy Hedges's Windsor Health Plan Experience 1998 - 2009
Job Experienced Managed Care Executive and Consultant
Industry Insurance
Experience
ATTAC Consulting Group (ACG) 2010 - Present
WellCare Health Plans 2009 - 2010
Windsor Health Plan 1998 - 2009
Tennessee Department of Commerce and Insurance-TennCare Oversight Division 2003 - 2005
Lamsteel Corporation of America 1983 - 1995
Skills
Policy, Managed Care, Medicare, Provider Relations, Medicaid, Delegation Oversight..., Sales and Marketing..., Compliance Officer..., Compliance Program..., CMS Audit Preparation..., Health Policy, Medicare Part D, Healthcare Industry, Healthcare, Healthcare Consulting, Training, Program Management, Process Improvement, Leadership, Healthcare Management, Health Care Reform, Credentialing, HIPAA, Disease Management, Revenue Cycle, Health Insurance, Physicians, Utilization Management, Healthcare Reimbursement, Pharmacy Benefit..., Medical Compliance
Education
Sarah Lawrence College
Tufts University
ATTAC Consulting Group (ACG) 2010 - Present
WellCare Health Plans 2009 - 2010
Windsor Health Plan 1998 - 2009
Tennessee Department of Commerce and Insurance-TennCare Oversight Division 2003 - 2005
Lamsteel Corporation of America 1983 - 1995
Skills
Policy, Managed Care, Medicare, Provider Relations, Medicaid, Delegation Oversight..., Sales and Marketing..., Compliance Officer..., Compliance Program..., CMS Audit Preparation..., Health Policy, Medicare Part D, Healthcare Industry, Healthcare, Healthcare Consulting, Training, Program Management, Process Improvement, Leadership, Healthcare Management, Health Care Reform, Credentialing, HIPAA, Disease Management, Revenue Cycle, Health Insurance, Physicians, Utilization Management, Healthcare Reimbursement, Pharmacy Benefit..., Medical Compliance
Education
Sarah Lawrence College
Tufts University
Rebecca Vandenberg Rebecca Vandenberg's Windsor Health Plan Experience February 2008 - September 2009
Job Small Business Owner with It Works! Global
Industry Health, Wellness and Fitness
Experience
It Works Global March 2014 - Present
Flexible Learning Solutions - FLS August 2014 - November 2014
Brookdale Senior Living June 2014 - August 2014
Parallon Business Solutions April 2013 - May 2014
Healthcare Management Systems December 2012 - April 2013
Cassidian Communications, Inc. an EADS North America Company August 2009 - December 2012
Windsor Health Plan February 2008 - September 2009
Bath & Body Works August 2007 - December 2007
Pier 1 Imports May 2004 - August 2007
Skills
Customer Service, Event Planning, Retail Sales, Database Admin, Managerial, Merchandise Planning, Management, Team Leadership, Sales, Team Building, Strategic Planning, Salesforce.com, Leadership, Software Documentation, Contract Negotiation, Microsoft Office, Marketing, Product Marketing, Training, Program Management, Outlook, Human Resources, Networking, Visio, Microsoft Excel, Forecasting, Proposal Writing, PowerPoint, Process Improvement, Project Management, Databases, Analysis, Technical Writing, Business Analysis, CRM, Instructional Design, Healthcare, Captivate, Call Centers, Project Planning, Cross-functional Team..., Account Management, Vendor Management, Business Development, Troubleshooting, ADDIE, Storyboarding, Scripting, Script Editing, Script-writing
Education
Bethel College (TN) 2010 — 2012
Masters of Business Administration, Business Administration and Management, General
Middle Tennessee State University 2003 — 2007
Bachelor of Business Administration, Entrepreneurship
It Works Global March 2014 - Present
Flexible Learning Solutions - FLS August 2014 - November 2014
Brookdale Senior Living June 2014 - August 2014
Parallon Business Solutions April 2013 - May 2014
Healthcare Management Systems December 2012 - April 2013
Cassidian Communications, Inc. an EADS North America Company August 2009 - December 2012
Windsor Health Plan February 2008 - September 2009
Bath & Body Works August 2007 - December 2007
Pier 1 Imports May 2004 - August 2007
Skills
Customer Service, Event Planning, Retail Sales, Database Admin, Managerial, Merchandise Planning, Management, Team Leadership, Sales, Team Building, Strategic Planning, Salesforce.com, Leadership, Software Documentation, Contract Negotiation, Microsoft Office, Marketing, Product Marketing, Training, Program Management, Outlook, Human Resources, Networking, Visio, Microsoft Excel, Forecasting, Proposal Writing, PowerPoint, Process Improvement, Project Management, Databases, Analysis, Technical Writing, Business Analysis, CRM, Instructional Design, Healthcare, Captivate, Call Centers, Project Planning, Cross-functional Team..., Account Management, Vendor Management, Business Development, Troubleshooting, ADDIE, Storyboarding, Scripting, Script Editing, Script-writing
Education
Bethel College (TN) 2010 — 2012
Masters of Business Administration, Business Administration and Management, General
Middle Tennessee State University 2003 — 2007
Bachelor of Business Administration, Entrepreneurship
William (Matt) Frasier William (Matt) Frasier's Windsor Health Plan Experience December 2011 - November 2012
Job Apple At Home Senior Advisor at Apple
Industry Computer Hardware
Experience
Apple March 2014 - Present
Apple May 2013 - March 2014
Tennessee State Guard August 2012 - December 2013
Corizon Health November 2012 - February 2013
Windsor Health Plan December 2011 - November 2012
Bell Techlogix November 2011 - December 2011
Kelly IT Services September 2011 - November 2011
Kelly IT Services June 2011 - August 2011
Unisys Technical Services November 2010 - June 2011
PCS of Sparta September 2006 - January 2011
Skills
Troubleshooting, Technical Support, Computer Hardware, Hardware, Help Desk Support, System Deployment, Laptops, Windows 7, Leadership, Networking, XP, Management, Operating Systems, Microsoft Office, Software Documentation, Microsoft Certified..., Software Installation, Windows, VPN, Process Improvement, A+ Certified, Dell Computers, Microsoft Exchange, Testing, Call Center, Disaster Recovery, Microsoft Excel, Printers, Windows Vista, SharePoint, Sales, Outlook, Wireless Networking, Visio, Network Security, DHCP, Coaching, Lotus Notes, Technical Writing, Customer Satisfaction, Remote Desktop, Routers, Computer Repair, Desktop Computers, Problem Solving, BMC Remedy, OS X, Business Analysis, Excel, Apple CPU Support
Education
North Tennessee Bible Institute and Seminary
Bachelor of Arts (B.A.), Business Management (Concentration In Computer Sciences), 3.9
Nashville State Technical Institute 1991 — 1994
Electronics Engineering Technology
Tennessee Technological University 1988 — 1990
IET, Industrial Engineering
White County High School 1983 — 1987
High School Diploma, General
Apple March 2014 - Present
Apple May 2013 - March 2014
Tennessee State Guard August 2012 - December 2013
Corizon Health November 2012 - February 2013
Windsor Health Plan December 2011 - November 2012
Bell Techlogix November 2011 - December 2011
Kelly IT Services September 2011 - November 2011
Kelly IT Services June 2011 - August 2011
Unisys Technical Services November 2010 - June 2011
PCS of Sparta September 2006 - January 2011
Skills
Troubleshooting, Technical Support, Computer Hardware, Hardware, Help Desk Support, System Deployment, Laptops, Windows 7, Leadership, Networking, XP, Management, Operating Systems, Microsoft Office, Software Documentation, Microsoft Certified..., Software Installation, Windows, VPN, Process Improvement, A+ Certified, Dell Computers, Microsoft Exchange, Testing, Call Center, Disaster Recovery, Microsoft Excel, Printers, Windows Vista, SharePoint, Sales, Outlook, Wireless Networking, Visio, Network Security, DHCP, Coaching, Lotus Notes, Technical Writing, Customer Satisfaction, Remote Desktop, Routers, Computer Repair, Desktop Computers, Problem Solving, BMC Remedy, OS X, Business Analysis, Excel, Apple CPU Support
Education
North Tennessee Bible Institute and Seminary
Bachelor of Arts (B.A.), Business Management (Concentration In Computer Sciences), 3.9
Nashville State Technical Institute 1991 — 1994
Electronics Engineering Technology
Tennessee Technological University 1988 — 1990
IET, Industrial Engineering
White County High School 1983 — 1987
High School Diploma, General
Shelby Garner's Windsor Health Plan Experience August 2011 - May 2014
Job Associate Graphic Designer at Healthways
Industry Insurance
Experience
Healthways June 2014 - Present
Windsor Health Plan August 2011 - May 2014
London Life November 2007 - May 2009
Kwik Kopy Design & Print Center January 2007 - November 2007
ForeFront Golf (Datrek Miller International) May 2004 - November 2006
Skills
InDesign, Photoshop, Illustrator, Flash, Microsoft Office, QuarkXPress, Pagemaker, Social Media Marketing, Adobe Creative Suite, Graphics, Mac, Dreamweaver, Adobe Acrobat, Web Design
Education
Fanshawe College 2000 — 2003
Graphic Design
Healthways June 2014 - Present
Windsor Health Plan August 2011 - May 2014
London Life November 2007 - May 2009
Kwik Kopy Design & Print Center January 2007 - November 2007
ForeFront Golf (Datrek Miller International) May 2004 - November 2006
Skills
InDesign, Photoshop, Illustrator, Flash, Microsoft Office, QuarkXPress, Pagemaker, Social Media Marketing, Adobe Creative Suite, Graphics, Mac, Dreamweaver, Adobe Acrobat, Web Design
Education
Fanshawe College 2000 — 2003
Graphic Design
Alexandria McClendon Alexandria McClendon's Windsor Health Plan Experience February 2012 - August 2012
Job Provider Data Services Analyst at Aetna
Industry Health, Wellness and Fitness
Experience
Aetna April 2013 - Present
Gap Inc./Old Navy August 2013 - Present
Windsor Health Plan February 2012 - August 2012
Mental Health Cooperative November 2010 - August 2011
Verizon Wireless February 2008 - November 2010
Skills
Microsoft Office, 10 Key, ACSS, Avaya Communication..., CACS, CPD, CNG, HIPAA, CRM, Microsoft Excel, Microsoft Word, Outlook
Education
Argosy University Chicago 2013 — 2014
Master of Arts (MA), Forensic Psychology
Tennessee State University 2005 — 2007
Bachelor of Science (BS), Clinical Psychology
Motlow State Community College 2003 — 2005
Associate of Science (AS), Psychology, Honors Graduate
Aetna April 2013 - Present
Gap Inc./Old Navy August 2013 - Present
Windsor Health Plan February 2012 - August 2012
Mental Health Cooperative November 2010 - August 2011
Verizon Wireless February 2008 - November 2010
Skills
Microsoft Office, 10 Key, ACSS, Avaya Communication..., CACS, CPD, CNG, HIPAA, CRM, Microsoft Excel, Microsoft Word, Outlook
Education
Argosy University Chicago 2013 — 2014
Master of Arts (MA), Forensic Psychology
Tennessee State University 2005 — 2007
Bachelor of Science (BS), Clinical Psychology
Motlow State Community College 2003 — 2005
Associate of Science (AS), Psychology, Honors Graduate
Lorenta Hogue Lorenta Hogue's Windsor Health Plan Experience August 2009 - August 2012
Job Care Coordinator at naviHealth, Inc.
Industry Hospital & Health Care
Experience
naviHealth, Inc. March 2013 - January 2014
Windsor Health Plan August 2009 - August 2012
Skills
MicroStrategy Reporting, Citrix, Microsoft Excel, PowerPoint, Visio, Microsoft Word, MedHok, EMR, Aspect, Siemens, CMO, InterQual, CMS, OASIS, NCD, LCD, Outlook
Education
Excelsior College 2012 — 2014
AAS Nursing, Registered Nursing/Registered Nurse
Tennessee Technology Center at Nashville 2004 — 2005
Practical Nursing Diploma, Pratical Nursing
Western Kentucky University 1990 — 1997
Bachelor of Science (BS), Biology/Biological Sciences, General
naviHealth, Inc. March 2013 - January 2014
Windsor Health Plan August 2009 - August 2012
Skills
MicroStrategy Reporting, Citrix, Microsoft Excel, PowerPoint, Visio, Microsoft Word, MedHok, EMR, Aspect, Siemens, CMO, InterQual, CMS, OASIS, NCD, LCD, Outlook
Education
Excelsior College 2012 — 2014
AAS Nursing, Registered Nursing/Registered Nurse
Tennessee Technology Center at Nashville 2004 — 2005
Practical Nursing Diploma, Pratical Nursing
Western Kentucky University 1990 — 1997
Bachelor of Science (BS), Biology/Biological Sciences, General
Chuck Bidwell Chuck Bidwell's Windsor Health Plan Experience 1996 - 2014
Job Claims Team Lead at Wellcare Health Plans
Industry Insurance
Experience
Wellcare Health Plans 2014 - Present
Windsor Health Plan 1996 - 2014
Skills
Medicare, Health Insurance, Insurance, Claim, HIPAA, Medicaid, Process Improvement, Underwriting, Customer Service, HMO, Property, Medicare Part D, Team Building
Education
Austin Peay State University
Wellcare Health Plans 2014 - Present
Windsor Health Plan 1996 - 2014
Skills
Medicare, Health Insurance, Insurance, Claim, HIPAA, Medicaid, Process Improvement, Underwriting, Customer Service, HMO, Property, Medicare Part D, Team Building
Education
Austin Peay State University
Lisa Ogle Lisa Ogle's Windsor Health Plan Experience February 2012 - March 2013
Job Technical Business Analyst at CignaHealthSpring, Consultant,
Industry Health, Wellness and Fitness
Experience
TekNetex, Consultant, June 2013 - Present
Consultant March 2011 - June 2013
Windsor Health Plan February 2012 - March 2013
Meharry Medical College 2007 - 2009
Nortel 1996 - 2001
Skills
SharePoint, Visio, SDLC, Access, Customer Service, Training, Project Management, Business Analysis, Microsoft Excel, SQL, Microsoft Office, Healthcare, Microsoft SQL Server, HIPAA, Program Management, System Administration, Databases, Data Analysis, Security, Networking
Education
University of Phoenix 2006 — 2007
MBA Tech Management, Technical Business
TekNetex, Consultant, June 2013 - Present
Consultant March 2011 - June 2013
Windsor Health Plan February 2012 - March 2013
Meharry Medical College 2007 - 2009
Nortel 1996 - 2001
Skills
SharePoint, Visio, SDLC, Access, Customer Service, Training, Project Management, Business Analysis, Microsoft Excel, SQL, Microsoft Office, Healthcare, Microsoft SQL Server, HIPAA, Program Management, System Administration, Databases, Data Analysis, Security, Networking
Education
University of Phoenix 2006 — 2007
MBA Tech Management, Technical Business
Pat Sheridan's Windsor Health Plan Experience October 2006 - October 2011
Job Senior Consultant at The Viability Company
Industry Hospital & Health Care
Experience
PharmMD Senior ConsultantThe Viability CompanyMay 2015 - Present
PatientFocus January 2013 - June 2014
InStream August 2011 - January 2013
Windsor Health Plan October 2006 - October 2011
Healthways 2005 - 2006
MedSolutions 1998 - 2002
Prudential Healthcare 1995 - 1999
The Travelers 1994 - 1995
CIGNA 1991 - 1993
Equicor 1987 - 1990
Skills
New Business Development, Account Management, Healthplan Operations, Document Management, Relationship Management, Healthcare Management, Managed Care, Healthcare, Process Improvement, Medicare, Program Management, Business Development, Business Process..., Insurance, Leadership
Education
Bellarmine University 1981 — 1985
BA, Business Administration
St. Margaret Mary
st.xavier high school
PharmMD Senior ConsultantThe Viability CompanyMay 2015 - Present
PatientFocus January 2013 - June 2014
InStream August 2011 - January 2013
Windsor Health Plan October 2006 - October 2011
Healthways 2005 - 2006
MedSolutions 1998 - 2002
Prudential Healthcare 1995 - 1999
The Travelers 1994 - 1995
CIGNA 1991 - 1993
Equicor 1987 - 1990
Skills
New Business Development, Account Management, Healthplan Operations, Document Management, Relationship Management, Healthcare Management, Managed Care, Healthcare, Process Improvement, Medicare, Program Management, Business Development, Business Process..., Insurance, Leadership
Education
Bellarmine University 1981 — 1985
BA, Business Administration
St. Margaret Mary
st.xavier high school
Hunter Simpson Hunter Simpson's Windsor Health Plan Experience September 2010 - June 2013
Job Managing Partner at Mackie Financial Group
Industry Insurance
Experience
Mackie Financial Group June 2014 - Present
AssureSource, LLC July 2013 - May 2014
Windsor Health Plan September 2010 - June 2013
Windsor Health Plan April 2010 - September 2010
Skills
Insurance, Health Insurance, Medicare Advantage, Medicare, Managed Care, Sales & Marketing..., Customer Service, Lead Development, Sales, Strategic Planning, Healthcare, Leadership, HMO, Provider Relations, Recruiting, Training, Underwriting, Commercial Insurance, Long-term Care, PPO, Property & Casualty..., Claim, Term Life Insurance, Disability Insurance, Marketing, Employee Benefits, Medicare Part D, Fixed Annuities, Life Insurance, Network Development, Medicaid, Customer Retention, Brokers, Legal Liability, Health Policy, Whole Life, Health Savings Accounts, Retirement, Casualty, Workers Compensation, Universal Life, Umbrella Insurance, Long Term Care Insurance, Healthcare Industry
Education
University of Mississippi 1998 — 2002
Bachelor of Business Administration (B.B.A.), Marketing
Mackie Financial Group June 2014 - Present
AssureSource, LLC July 2013 - May 2014
Windsor Health Plan September 2010 - June 2013
Windsor Health Plan April 2010 - September 2010
Skills
Insurance, Health Insurance, Medicare Advantage, Medicare, Managed Care, Sales & Marketing..., Customer Service, Lead Development, Sales, Strategic Planning, Healthcare, Leadership, HMO, Provider Relations, Recruiting, Training, Underwriting, Commercial Insurance, Long-term Care, PPO, Property & Casualty..., Claim, Term Life Insurance, Disability Insurance, Marketing, Employee Benefits, Medicare Part D, Fixed Annuities, Life Insurance, Network Development, Medicaid, Customer Retention, Brokers, Legal Liability, Health Policy, Whole Life, Health Savings Accounts, Retirement, Casualty, Workers Compensation, Universal Life, Umbrella Insurance, Long Term Care Insurance, Healthcare Industry
Education
University of Mississippi 1998 — 2002
Bachelor of Business Administration (B.B.A.), Marketing
Mabinty Koroma's Windsor Health Plan Experience 2013 - 2014
Job Insurance Professional
Industry Insurance
Experience
Windsor Health Plan 2013 - 2014
Education
Lipscomb University 2006 — 2010
Bachelor of Science (BS), Psychology
Windsor Health Plan 2013 - 2014
Education
Lipscomb University 2006 — 2010
Bachelor of Science (BS), Psychology
Clark Zina Clark Zina's Windsor Health Plan Experience January 2013 - September 2013
Job RN Nurse Educator/ Coordinator at University of Arkansas for Medical Sciences
Industry Hospital & Health Care
Experience
University of Arkansas for Medical Sciences September 2013 - Present
Windsor Health Plan January 2013 - September 2013
PIVOT Program August 2011 - March 2013
Maxima Healthcare April 2002 - December 2011
Tunica County School System January 2004 - September 2010
WCLC August 2003 - January 2005
Skills
Behavior Change, Health Promotion, Health Education, Behavior Modification, Exercise Prescription, Community Health, Exercise Physiology, Prevention, Recreation, LibGuides, Public Health, Student Conduct, Healthcare, Case Managment, Nursing, Clinical Research
Education
The University of Memphis 2006 — 2008
Master of Sciences in Nursing, Nursing Education, 3.8
Central Michigan University 1999 — 2001
Masters in Administration, Healthcare Administration, 3.8
Union University 1993 — 1995
Bachelor of Sciences in Nursing, Nursing Science, 3.0
Shelby State Community College 1988 — 1990
Associate of Science (A.S.), Nursing, 3.0
University of Arkansas for Medical Sciences September 2013 - Present
Windsor Health Plan January 2013 - September 2013
PIVOT Program August 2011 - March 2013
Maxima Healthcare April 2002 - December 2011
Tunica County School System January 2004 - September 2010
WCLC August 2003 - January 2005
Skills
Behavior Change, Health Promotion, Health Education, Behavior Modification, Exercise Prescription, Community Health, Exercise Physiology, Prevention, Recreation, LibGuides, Public Health, Student Conduct, Healthcare, Case Managment, Nursing, Clinical Research
Education
The University of Memphis 2006 — 2008
Master of Sciences in Nursing, Nursing Education, 3.8
Central Michigan University 1999 — 2001
Masters in Administration, Healthcare Administration, 3.8
Union University 1993 — 1995
Bachelor of Sciences in Nursing, Nursing Science, 3.0
Shelby State Community College 1988 — 1990
Associate of Science (A.S.), Nursing, 3.0
Angie Furst Angie Furst's Windsor Health Plan Experience June 2010 - May 2013
Job Marketing Coordinator at CignaHealthSpring
Industry Insurance
Experience
Cigna-HealthSpring May 2013 - Present
Windsor Health Plan June 2010 - May 2013
JA Integrated Thinking February 2007 - June 2010
Skills
Insurance, Medicare, Direct Marketing, Managed Care, Medicare Part D, Lead Generation, Marketing Strategy, Social Media Marketing, Online Advertising, Medicaid, Media Buying, Media Planning, Marketing, Television, Brand Awareness, Market Planning
Education
University of Nebraska-Lincoln 2004 — 2006
Bachelor of Journalism and Mass Communications, Advertising
Cigna-HealthSpring May 2013 - Present
Windsor Health Plan June 2010 - May 2013
JA Integrated Thinking February 2007 - June 2010
Skills
Insurance, Medicare, Direct Marketing, Managed Care, Medicare Part D, Lead Generation, Marketing Strategy, Social Media Marketing, Online Advertising, Medicaid, Media Buying, Media Planning, Marketing, Television, Brand Awareness, Market Planning
Education
University of Nebraska-Lincoln 2004 — 2006
Bachelor of Journalism and Mass Communications, Advertising
Denise Foote Denise Foote's Windsor Health Plan Experience April 2010 - March 2012
Job Senior Director of BPCI Analytics and Revenue Recovery at naviHealth, Inc.
Industry Health, Wellness and Fitness
Experience
naviHealth, Inc. May 2015 - Present
naviHealth, Inc. June 2014 - April 2015
Optum April 2012 - June 2014
Windsor Health Plan April 2010 - March 2012
Windsor Health Plan 2008 - April 2010
Windsor Health Plan March 2006 - 2008
HCA Physician Services February 2003 - March 2006
Signature Health Alliance 1998 - 2003
Skills
Medicare, Managed Care, Healthcare, Medicaid, Data Analysis, Business Analysis, Healthcare Information..., Healthcare Management, Medicare Part D, HIPAA, Analysis, Health Insurance, Insurance, Software Documentation, Access, Microsoft Excel, Leadership, Healthcare Industry, Healthcare Consulting, Data Mining, SQL, HMO, Program Management, Health Policy, Medicare/Medicaid..., Revenue Cycle, Excel, Health Plan Operations, Pharmacy Benefit..., Disease Management, Revenue Cycle Management
Education
State University of New York College at Oswego 1991 — 1995
BS, Business, Human Resources
naviHealth, Inc. May 2015 - Present
naviHealth, Inc. June 2014 - April 2015
Optum April 2012 - June 2014
Windsor Health Plan April 2010 - March 2012
Windsor Health Plan 2008 - April 2010
Windsor Health Plan March 2006 - 2008
HCA Physician Services February 2003 - March 2006
Signature Health Alliance 1998 - 2003
Skills
Medicare, Managed Care, Healthcare, Medicaid, Data Analysis, Business Analysis, Healthcare Information..., Healthcare Management, Medicare Part D, HIPAA, Analysis, Health Insurance, Insurance, Software Documentation, Access, Microsoft Excel, Leadership, Healthcare Industry, Healthcare Consulting, Data Mining, SQL, HMO, Program Management, Health Policy, Medicare/Medicaid..., Revenue Cycle, Excel, Health Plan Operations, Pharmacy Benefit..., Disease Management, Revenue Cycle Management
Education
State University of New York College at Oswego 1991 — 1995
BS, Business, Human Resources
Vickie Welch, CPCS Vickie Welch, CPCS's Windsor Health Plan Experience January 2008 - June 2011
Job Credentialing Manager at Amerigroup
Industry Hospital & Health Care
Experience
Amerigroup Director of CredentialingWindsor Health PlanJune 2011 - January 2013
Windsor Health Plan January 2008 - June 2011
Windsor Health Plan July 2007 - January 2008
Windsor Health Plan July 2006 - July 2007
Windsor HomeCare Network September 2004 - July 2006
Tennessee Orthopaedic Alliance 1996 - 1999
Skills
Credentialing, Process Improvement, Accreditation, Quality Assurance, JCAHO, Hospitals, NCQA, Managed Care
Education
Trevecca Nazarene University 1994 — 1995
Bachelor, Science Management and Human Relations
Amerigroup Director of CredentialingWindsor Health PlanJune 2011 - January 2013
Windsor Health Plan January 2008 - June 2011
Windsor Health Plan July 2007 - January 2008
Windsor Health Plan July 2006 - July 2007
Windsor HomeCare Network September 2004 - July 2006
Tennessee Orthopaedic Alliance 1996 - 1999
Skills
Credentialing, Process Improvement, Accreditation, Quality Assurance, JCAHO, Hospitals, NCQA, Managed Care
Education
Trevecca Nazarene University 1994 — 1995
Bachelor, Science Management and Human Relations
Harmon Stockdale Harmon Stockdale's Windsor Health Plan Experience 2007 - 2013
Job Partner at Tennessee Minority Investment Group
Industry Insurance
Experience
BlueCross BlueShield of Tennessee January 2014 - Present
Music Ministry Group March 2013 - Present
Tennessee Minority Investment Group 2013 - Present
Kayne Ave Baptist Church 2011 - Present
Windsor Health Plan 2007 - 2013
Corinthian Baptist Church August 2006 - October 2011
Skills
Insurance, Health Insurance, Long Term Care Insurance, Sales Management, Team Building, Team Leadership, Customer Service, Customer Retention, Music, Music Production, Musicians, Church Music, Event Management, Leadership, Social Networking, Public Speaking, Network Development, Social Media Marketing, HMO, PPO, Sales, Marketing, Event Planning, Management, Strategic Planning, Coaching, Provider Relations, Songwriting, Customer Satisfaction, Microsoft Excel, Training, Nonprofits, Social Media, Healthcare, Contract Negotiation, Medicare, Marketing Strategy, Entrepreneurship, PowerPoint, Keyboards, Outlook, Access, Data Entry, Medicare Part D, Online Marketing, Vocalist, Fundraising, Employee Benefits, Leadership Development, Managed Care
Education
American Baptist College 2014 — 2016
Bible and Theology
Florida A&M University 2000 — 2004
Business Administration and Management, General
BlueCross BlueShield of Tennessee January 2014 - Present
Music Ministry Group March 2013 - Present
Tennessee Minority Investment Group 2013 - Present
Kayne Ave Baptist Church 2011 - Present
Windsor Health Plan 2007 - 2013
Corinthian Baptist Church August 2006 - October 2011
Skills
Insurance, Health Insurance, Long Term Care Insurance, Sales Management, Team Building, Team Leadership, Customer Service, Customer Retention, Music, Music Production, Musicians, Church Music, Event Management, Leadership, Social Networking, Public Speaking, Network Development, Social Media Marketing, HMO, PPO, Sales, Marketing, Event Planning, Management, Strategic Planning, Coaching, Provider Relations, Songwriting, Customer Satisfaction, Microsoft Excel, Training, Nonprofits, Social Media, Healthcare, Contract Negotiation, Medicare, Marketing Strategy, Entrepreneurship, PowerPoint, Keyboards, Outlook, Access, Data Entry, Medicare Part D, Online Marketing, Vocalist, Fundraising, Employee Benefits, Leadership Development, Managed Care
Education
American Baptist College 2014 — 2016
Bible and Theology
Florida A&M University 2000 — 2004
Business Administration and Management, General
Kathy Moye's Windsor Health Plan Experience October 2007 - June 2012
Job Marketing Coordinator at Anthem, Inc.
Industry Insurance
Experience
Anthem, Inc. May 2015 - Present
Union Bankshares Corp. January 2015 - May 2015
Anthem, Inc. July 2014 - December 2014
Affinity Consulting Group LLC April 2014 - July 2014
Catalina Marketing October 2013 - March 2014
Windsor Health Plan October 2007 - June 2012
Fogelman Management Group June 1995 - March 2007
Skills
Training, Office Management, Recruiting, Healthcare, Event Planning, Management, Sales, Medicare, Insurance, Health Insurance, Employee Benefits, Managed Care, Customer Service, Medicaid, HIPAA, Leadership, Healthcare Industry, Human Resources, Strategic Planning, SharePoint, Marketing, HMO, Travel Arrangements, Budgets, Policy, Provider Relations, Outlook, Executive Calendar..., Negotiation, Project Management, Data Entry, Healthcare Management, Microsoft Office, Process Improvement, Time Management, Healthcare Information..., Project Planning, Administrative..., Healthcare Consulting, Employee Relations, Administrative..., Adobe X Pro, Advertising
Education
Southwest Virginia Community College
Associate of Arts and Sciences (AAS)
Anthem, Inc. May 2015 - Present
Union Bankshares Corp. January 2015 - May 2015
Anthem, Inc. July 2014 - December 2014
Affinity Consulting Group LLC April 2014 - July 2014
Catalina Marketing October 2013 - March 2014
Windsor Health Plan October 2007 - June 2012
Fogelman Management Group June 1995 - March 2007
Skills
Training, Office Management, Recruiting, Healthcare, Event Planning, Management, Sales, Medicare, Insurance, Health Insurance, Employee Benefits, Managed Care, Customer Service, Medicaid, HIPAA, Leadership, Healthcare Industry, Human Resources, Strategic Planning, SharePoint, Marketing, HMO, Travel Arrangements, Budgets, Policy, Provider Relations, Outlook, Executive Calendar..., Negotiation, Project Management, Data Entry, Healthcare Management, Microsoft Office, Process Improvement, Time Management, Healthcare Information..., Project Planning, Administrative..., Healthcare Consulting, Employee Relations, Administrative..., Adobe X Pro, Advertising
Education
Southwest Virginia Community College
Associate of Arts and Sciences (AAS)
Melissa DePriest Cross Melissa DePriest Cross's Windsor Health Plan Experience September 2013 - April 2014
Job Medicare Part D Consultant at Blue Peak Advisors
Industry Insurance
Experience
Blue Peak Advisors October 2014 - Present
Blue Peak Advisors October 2014 - Present
Gorman Health Group April 2014 - October 2014
Windsor Health Plan September 2013 - April 2014
Windsor Health Plan June 2012 - September 2013
Walgreens March 2003 - July 2013
Windsor Health Plan February 2012 - June 2012
Skills
Training, Regulations, Pharmacy, Prescription, CMS, Medicare Part D, Utilization Review, Pharmacy Technicians, Customer Service, Project Planning, Medication Therapy..., Pharmacy Automation, Pharmacy Benefit..., Medicaid, Pharmacists, Health Insurance, Medicare, Healthcare, HIPAA
Education
Austin Peay State University 1998 — 2003
Bachelor of Science (BS), Social Work
McGavock High School
Blue Peak Advisors October 2014 - Present
Blue Peak Advisors October 2014 - Present
Gorman Health Group April 2014 - October 2014
Windsor Health Plan September 2013 - April 2014
Windsor Health Plan June 2012 - September 2013
Walgreens March 2003 - July 2013
Windsor Health Plan February 2012 - June 2012
Skills
Training, Regulations, Pharmacy, Prescription, CMS, Medicare Part D, Utilization Review, Pharmacy Technicians, Customer Service, Project Planning, Medication Therapy..., Pharmacy Automation, Pharmacy Benefit..., Medicaid, Pharmacists, Health Insurance, Medicare, Healthcare, HIPAA
Education
Austin Peay State University 1998 — 2003
Bachelor of Science (BS), Social Work
McGavock High School
Jennifer Rafn Jennifer Rafn's Windsor Health Plan Experience August 2007 - May 2009
Job MAS Operations Manager at CignaHealthSpring
Industry Hospital & Health Care
Experience
Cigna-HealthSpring May 2009 - Present
Windsor Health Plan August 2007 - May 2009
Skills
Healthcare Management, Healthcare Information..., Healthcare, HIPAA, Managed Care, Medicare, Hospitals, EMR, Clinical Research, Nursing, Patient Safety, EHR, Process Improvement, Medicaid, Customer Service, Customer Experience, Escalations Management, Customer Escalation..., Escalation Resolution, Data Quality Control, Medicare Prescription...
Education
Trevecca Nazarene University 2015 — 2017
Bachelor’s Degree, HealthCare Administration
Cigna-HealthSpring May 2009 - Present
Windsor Health Plan August 2007 - May 2009
Skills
Healthcare Management, Healthcare Information..., Healthcare, HIPAA, Managed Care, Medicare, Hospitals, EMR, Clinical Research, Nursing, Patient Safety, EHR, Process Improvement, Medicaid, Customer Service, Customer Experience, Escalations Management, Customer Escalation..., Escalation Resolution, Data Quality Control, Medicare Prescription...
Education
Trevecca Nazarene University 2015 — 2017
Bachelor’s Degree, HealthCare Administration
Shareef Abdul-Aliy Shareef Abdul-Aliy's Windsor Health Plan Experience March 2013 - November 2013
Job Scheduling Manager at The Family Empowerment Center, Inc.
Industry Mental Health Care
Experience
The Family Empowerment Center, Inc. February 2014 - Present
Windsor Health Plan March 2013 - November 2013
Symmetry Surgical December 2012 - March 2013
Hemophilia Health Services October 2010 - November 2012
Caremark Specialty Pharmacy September 2009 - October 2010
Skills
Call Center, Customer Service, Quality Assurance, Customer Experience, Call Centers, Training, Appointment Scheduling, Leadership, Management, Customer Satisfaction, Process Improvement, Stress Management, Healthcare, Time Management, Data Entry, HIPAA, Team Building
Education
Southern New Hampshire University 2014 — 2018
Bachelor's Degree, Psychology
Hudson Valley Counseling 2015 — 2016
Certification, Substance Abuse/Addiction Counseling
Spencer Institute 2014 — 2015
Certified Stress Managenent, Stress Management and Coping Skills
Healing Today 2014 — 2014
Level 1&2, Reiki
International Barber & Style College 2012 — 2013
Master Barber, Barbering/Barber
North Florida Cosmetology Institute Inc 2005 — 2006
Barber Stylist, Barbering/Barber
The Family Empowerment Center, Inc. February 2014 - Present
Windsor Health Plan March 2013 - November 2013
Symmetry Surgical December 2012 - March 2013
Hemophilia Health Services October 2010 - November 2012
Caremark Specialty Pharmacy September 2009 - October 2010
Skills
Call Center, Customer Service, Quality Assurance, Customer Experience, Call Centers, Training, Appointment Scheduling, Leadership, Management, Customer Satisfaction, Process Improvement, Stress Management, Healthcare, Time Management, Data Entry, HIPAA, Team Building
Education
Southern New Hampshire University 2014 — 2018
Bachelor's Degree, Psychology
Hudson Valley Counseling 2015 — 2016
Certification, Substance Abuse/Addiction Counseling
Spencer Institute 2014 — 2015
Certified Stress Managenent, Stress Management and Coping Skills
Healing Today 2014 — 2014
Level 1&2, Reiki
International Barber & Style College 2012 — 2013
Master Barber, Barbering/Barber
North Florida Cosmetology Institute Inc 2005 — 2006
Barber Stylist, Barbering/Barber
Amanda Olavessen Amanda Olavessen's Windsor Health Plan Experience July 2012 - March 2014
Job Certified Pharmacy Tech at CignaHealthspring MTM Program
Industry Insurance
Experience
Cigna-HealthSpring March 2014 - Present
Windsor Health Plan July 2012 - March 2014
Walgreens November 2007 - July 2012
Skills
Pharmacy, Medicare Part D, Pharmacy Benefit..., Pharmacy Automation, HIPAA, Medication Therapy..., Clinical Pharmacy, Medicare, Data Entry, Health Insurance, Pharmacy Technicians, Healthcare Management, Healthcare Industry, Compounding, Prescription, Prior Authorization, Microsoft Excel, Microsoft Office, Microsoft Word
Education
Western Governors University 2014 — 2018
Business management
Southwest Tennessee Community College 2010 — 2012
Biology, General
Tennessee State University 2005 — 2006
Biology, General
Cigna-HealthSpring March 2014 - Present
Windsor Health Plan July 2012 - March 2014
Walgreens November 2007 - July 2012
Skills
Pharmacy, Medicare Part D, Pharmacy Benefit..., Pharmacy Automation, HIPAA, Medication Therapy..., Clinical Pharmacy, Medicare, Data Entry, Health Insurance, Pharmacy Technicians, Healthcare Management, Healthcare Industry, Compounding, Prescription, Prior Authorization, Microsoft Excel, Microsoft Office, Microsoft Word
Education
Western Governors University 2014 — 2018
Business management
Southwest Tennessee Community College 2010 — 2012
Biology, General
Tennessee State University 2005 — 2006
Biology, General
Annette Christensen's Windsor Health Plan Experience November 2012 - April 2014
Job Director of Sales Oversight at Continental Health Alliance
Industry Marketing and Advertising
Experience
Continental Health Alliance April 2014 - Present
Windsor Health Plan November 2012 - April 2014
ACS Advertising October 2011 - November 2012
Jet's Pizza August 2008 - October 2011
Aflac April 2008 - December 2009
Trace Adkins June 2007 - April 2008
P&M Marketing Communications August 2005 - June 2007
Skills
Microsoft Office, Communications Writing, Attention To Detail, Attendance, Traffic Management, Team Oriented, Team Leadership, Self Driven, Media Buying, Marketing, Advertising, Sales, Strategic Planning, Copywriting, Customer Service, Account Management, Marketing Strategy, Marketing Communications, Media Planning, Online Advertising, Lead Generation, B2B, Direct Marketing, Brand Awareness, Email Marketing, Mobile Marketing, Social Media Marketing
Education
Saginaw Valley State University 2002 — 2006
BBA
Garber High School 1999 — 2002
Continental Health Alliance April 2014 - Present
Windsor Health Plan November 2012 - April 2014
ACS Advertising October 2011 - November 2012
Jet's Pizza August 2008 - October 2011
Aflac April 2008 - December 2009
Trace Adkins June 2007 - April 2008
P&M Marketing Communications August 2005 - June 2007
Skills
Microsoft Office, Communications Writing, Attention To Detail, Attendance, Traffic Management, Team Oriented, Team Leadership, Self Driven, Media Buying, Marketing, Advertising, Sales, Strategic Planning, Copywriting, Customer Service, Account Management, Marketing Strategy, Marketing Communications, Media Planning, Online Advertising, Lead Generation, B2B, Direct Marketing, Brand Awareness, Email Marketing, Mobile Marketing, Social Media Marketing
Education
Saginaw Valley State University 2002 — 2006
BBA
Garber High School 1999 — 2002
Jeffrey Billings's Windsor Health Plan Experience March 2013 - January 2014
Job Director Information Technology at Humana
Industry Hospital & Health Care
Experience
Humana March 2014 - Present
Windsor Health Plan March 2013 - January 2014
Windsor Health Plan June 2012 - February 2013
HealthSpring October 2007 - June 2012
HealthSpring May 2006 - October 2007
Davita April 2005 - April 2006
Gambro Healthcare August 2002 - April 2005
Kemper National Services July 2000 - August 2002
Kemper National Services January 1998 - July 2000
Kemper National Services August 1995 - January 1998
Skills
Team Building, Project Management, Mergers, Leadership Development, Healthcare, Process Improvement, Business Analysis, Healthcare Information..., Vendor Management, Strategic Planning, Business Intelligence, Program Management, HIPAA, IT Strategy, Change Management, Technical Leadership, Management, Integration, Team Leadership, Mergers & Acquisitions, Disaster Recovery, Leadership, Software Documentation, PMO, Business Process, PMP, Data Warehousing, SDLC, IT Management, Enterprise Architecture, Enterprise Software, Strategy, Quality Assurance, Software Development, Risk Management, Business Process..., SQL, SharePoint, Testing, Information Technology, Visio, Networking, Oracle, IT Operations, Cross-functional Team..., Medicare, Consulting, Budgets, Databases, Project Portfolio...
Education
Florida State University - College of Business 1985 — 1986
MBA, General Management
Florida State University 1981 — 1985
BS, Major: Management Information Systems, Minor: Computer Science
Humana March 2014 - Present
Windsor Health Plan March 2013 - January 2014
Windsor Health Plan June 2012 - February 2013
HealthSpring October 2007 - June 2012
HealthSpring May 2006 - October 2007
Davita April 2005 - April 2006
Gambro Healthcare August 2002 - April 2005
Kemper National Services July 2000 - August 2002
Kemper National Services January 1998 - July 2000
Kemper National Services August 1995 - January 1998
Skills
Team Building, Project Management, Mergers, Leadership Development, Healthcare, Process Improvement, Business Analysis, Healthcare Information..., Vendor Management, Strategic Planning, Business Intelligence, Program Management, HIPAA, IT Strategy, Change Management, Technical Leadership, Management, Integration, Team Leadership, Mergers & Acquisitions, Disaster Recovery, Leadership, Software Documentation, PMO, Business Process, PMP, Data Warehousing, SDLC, IT Management, Enterprise Architecture, Enterprise Software, Strategy, Quality Assurance, Software Development, Risk Management, Business Process..., SQL, SharePoint, Testing, Information Technology, Visio, Networking, Oracle, IT Operations, Cross-functional Team..., Medicare, Consulting, Budgets, Databases, Project Portfolio...
Education
Florida State University - College of Business 1985 — 1986
MBA, General Management
Florida State University 1981 — 1985
BS, Major: Management Information Systems, Minor: Computer Science
Echo Mae Echo Mae's Windsor Health Plan Experience 2011 - 2012
Job Data Analyst | Sales Operations Data and Reporting Analyst | Project Management | Business Analyst | Executive Reports
Industry Insurance
Experience
Sterling Insurance, A Windsor Health Group Company 2012 - Present
Windsor Health Plan 2011 - 2012
Windsor Health Plan 2009 - 2011
Sterling Insurance, A Windsor Health Group Company 2007 - 2009
Echo Mae Piano 2003 - 2007
Western Washington University 2000 - 2002
Olympic Park Institute 1997 - 2000
Skills
Data Analysis, Access, Training, Leadership, Analysis, Human Resources, Software Documentation, Process Improvement, Insurance, Recruiting, Microsoft Office, Management, Strategic Planning, Project Management, Teaching, Health Insurance, Public Speaking, Time Management, Microsoft Excel, Outlook, PowerPoint, Research, Interviews, Microsoft Word, Event Planning, Healthcare, Sales, HIPAA, Fundraising, Databases, Windows, Social Networking, SharePoint, Editing, Reporting & Analysis, Proposal Writing, SQL, Staff Development, Non-profits, Event Management, Troubleshooting, Executive Support, Report Writing, Team Management, Corporate Recruiting, Problem Analysis, Analytic Problem Solving, TESOL, Employee Training, Oracle SQL Developer
Education
Western Washington University
Wonkwang University
Certificate in Korean Language & Cultural Studies
Sterling Insurance, A Windsor Health Group Company 2012 - Present
Windsor Health Plan 2011 - 2012
Windsor Health Plan 2009 - 2011
Sterling Insurance, A Windsor Health Group Company 2007 - 2009
Echo Mae Piano 2003 - 2007
Western Washington University 2000 - 2002
Olympic Park Institute 1997 - 2000
Skills
Data Analysis, Access, Training, Leadership, Analysis, Human Resources, Software Documentation, Process Improvement, Insurance, Recruiting, Microsoft Office, Management, Strategic Planning, Project Management, Teaching, Health Insurance, Public Speaking, Time Management, Microsoft Excel, Outlook, PowerPoint, Research, Interviews, Microsoft Word, Event Planning, Healthcare, Sales, HIPAA, Fundraising, Databases, Windows, Social Networking, SharePoint, Editing, Reporting & Analysis, Proposal Writing, SQL, Staff Development, Non-profits, Event Management, Troubleshooting, Executive Support, Report Writing, Team Management, Corporate Recruiting, Problem Analysis, Analytic Problem Solving, TESOL, Employee Training, Oracle SQL Developer
Education
Western Washington University
Wonkwang University
Certificate in Korean Language & Cultural Studies
Ashley Galloway's Windsor Health Plan Experience June 2010 - July 2013
Job Provider Relations Representative at Molina Healthcare
Industry Insurance
Experience
Molina Healthcare December 2013 - Present
ATI June 2013 - Present
Ashley Galloway Pallets January 2009 - Present
Windsor Health Plan June 2010 - July 2013
Carolina Crescent Health Plan December 2007 - May 2010
Skills
Contract Negotiation, Network Development, Provider Relations, Provider Contracting, Reiki, PPO, Medicaid, HMO, Managed Care, Credentialing, Health Insurance, Medicare, Insurance, Health Policy, Durable Medical..., Healthcare, Utilization Management, Hospitals, Workers Compensation, CRM, Healthcare Industry, Management, HIPAA, Provider Network...
Education
Mars Hill College 1993 — 1997
BA, Psychology
Molina Healthcare December 2013 - Present
ATI June 2013 - Present
Ashley Galloway Pallets January 2009 - Present
Windsor Health Plan June 2010 - July 2013
Carolina Crescent Health Plan December 2007 - May 2010
Skills
Contract Negotiation, Network Development, Provider Relations, Provider Contracting, Reiki, PPO, Medicaid, HMO, Managed Care, Credentialing, Health Insurance, Medicare, Insurance, Health Policy, Durable Medical..., Healthcare, Utilization Management, Hospitals, Workers Compensation, CRM, Healthcare Industry, Management, HIPAA, Provider Network...
Education
Mars Hill College 1993 — 1997
BA, Psychology
Jeff Galmore Jeff Galmore's Windsor Health Plan Experience April 2008 - July 2013
Job Senior Product(s) Consultant, at Today's Burial Plan
Industry Insurance
Experience
Today's January 2000 - Present
Faith Music Incorporated November 1995 - Present
Windsor Health Plan April 2008 - July 2013
Skills
Songwriting, Music, Music Production, Music Industry, Recording, Composition, Studio Recording, Songs, Singing, Band, Piano, Guitar, Music Publishing, Music Theory, Audio Engineering, A&R, Vocal, Music Education, Record Labels, Entertainment
Education
Southwest Tennessee Community College 1987 — 1990
Whitehaven High School 1984 — 1986
Today's January 2000 - Present
Faith Music Incorporated November 1995 - Present
Windsor Health Plan April 2008 - July 2013
Skills
Songwriting, Music, Music Production, Music Industry, Recording, Composition, Studio Recording, Songs, Singing, Band, Piano, Guitar, Music Publishing, Music Theory, Audio Engineering, A&R, Vocal, Music Education, Record Labels, Entertainment
Education
Southwest Tennessee Community College 1987 — 1990
Whitehaven High School 1984 — 1986
Cheryl Vincik's Windsor Health Plan Experience July 2011 - Present
Job Executive Assistant at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan July 2011 - Present
EMI Christian Music Group 2006 - July 2011
Cumberland Advisors, LLC 2002 - 2006
Gaylord Entertainment Center 1998 - 2002
Skills
Event Planning, Microsoft Office, Social Networking, Email Marketing, Marketing, Administrative..., Music Industry, Event Management, Customer Service, Social Media Marketing, Management, Social Media, Outlook, Budgets, Digital Marketing, Marketing Strategy, Leadership, Public Relations, Marketing Communications, Advertising
Education
Southeastern Louisiana University 1990 — 1993
Woodlawn High School 1986 — 1990
Windsor Health Plan July 2011 - Present
EMI Christian Music Group 2006 - July 2011
Cumberland Advisors, LLC 2002 - 2006
Gaylord Entertainment Center 1998 - 2002
Skills
Event Planning, Microsoft Office, Social Networking, Email Marketing, Marketing, Administrative..., Music Industry, Event Management, Customer Service, Social Media Marketing, Management, Social Media, Outlook, Budgets, Digital Marketing, Marketing Strategy, Leadership, Public Relations, Marketing Communications, Advertising
Education
Southeastern Louisiana University 1990 — 1993
Woodlawn High School 1986 — 1990
Sherri (Metzgar) Marrapode's Windsor Health Plan Experience 2010 - 2012
Job Sr. Credentialing Specialist
Industry Insurance
Experience
Advicare formerly Palmetto Physician Connections November 2012 - Present
Windsor Health Plan 2010 - 2012
Guardian Healthcare October 2009 - October 2010
Midwesco Corporation September 1990 - May 1993
Skills
Credentialing, Managed Care, Medicare, Provider Relations, Medicaid, Healthcare, Health Insurance, Network Development, HIPAA, Healthcare Management, Insurance, Customer Service
Education
Bloomsburg University of Pennsylvania 1985 — 1989
Bachelor of Science in Business Administration, Marketing
Freedom High School 1981 — 1984
Advicare formerly Palmetto Physician Connections November 2012 - Present
Windsor Health Plan 2010 - 2012
Guardian Healthcare October 2009 - October 2010
Midwesco Corporation September 1990 - May 1993
Skills
Credentialing, Managed Care, Medicare, Provider Relations, Medicaid, Healthcare, Health Insurance, Network Development, HIPAA, Healthcare Management, Insurance, Customer Service
Education
Bloomsburg University of Pennsylvania 1985 — 1989
Bachelor of Science in Business Administration, Marketing
Freedom High School 1981 — 1984
Pepper Claybrook Pepper Claybrook's Windsor Health Plan Experience April 2013 - Present
Job Marketing / Operations Leader
Industry Hospital & Health Care
Experience
WellCare Health Plans May 2014 - Present
Windsor Health Plan April 2013 - Present
Windsor Health Plan August 2012 - April 2013
Windsor Health Plan September 2008 - August 2012
Direct Connect Solutions November 2007 - September 2008
Vaco November 2007 - March 2008
e+ healthcare March 2004 - July 2007
Gap, Inc. - Supply Chain/Logistics Division March 2003 - April 2004
Skills
Managed Care, Healthcare, Process Improvement, Medicare, HIPAA, Business Analysis, Health Insurance, Strategic Planning, Project Management, Leadership, Team Building, Healthcare Information..., Operations Management, HMO, Sales Management, CRM, Marketing Strategy, New Business Development, Medicare Part D, Insurance, Health Policy, Training, Analysis, Provider Relations, Marketing, Management, Healthcare Industry, Call Centers, Cross-functional Team..., Vendor Management, Account Management, Contract Negotiation, Data Analysis, Healthcare Management, Customer Retention, Lead Generation, Disease Management, Business Process..., Direct Marketing, Team Leadership, Budgets, Change Management, Coaching, Hospitals, Strategy, Forecasting, Performance Management, Marketing Communications, Analytics, Sales
Education
Brescia University 1999 — 2001
B.S., Business Administration
Rhodes College 1993 — 1995
N/A
OHS
WellCare Health Plans May 2014 - Present
Windsor Health Plan April 2013 - Present
Windsor Health Plan August 2012 - April 2013
Windsor Health Plan September 2008 - August 2012
Direct Connect Solutions November 2007 - September 2008
Vaco November 2007 - March 2008
e+ healthcare March 2004 - July 2007
Gap, Inc. - Supply Chain/Logistics Division March 2003 - April 2004
Skills
Managed Care, Healthcare, Process Improvement, Medicare, HIPAA, Business Analysis, Health Insurance, Strategic Planning, Project Management, Leadership, Team Building, Healthcare Information..., Operations Management, HMO, Sales Management, CRM, Marketing Strategy, New Business Development, Medicare Part D, Insurance, Health Policy, Training, Analysis, Provider Relations, Marketing, Management, Healthcare Industry, Call Centers, Cross-functional Team..., Vendor Management, Account Management, Contract Negotiation, Data Analysis, Healthcare Management, Customer Retention, Lead Generation, Disease Management, Business Process..., Direct Marketing, Team Leadership, Budgets, Change Management, Coaching, Hospitals, Strategy, Forecasting, Performance Management, Marketing Communications, Analytics, Sales
Education
Brescia University 1999 — 2001
B.S., Business Administration
Rhodes College 1993 — 1995
N/A
OHS
Van E. Davis, III Van E. Davis, III's Windsor Health Plan Experience November 2006 - July 2013
Job Vice President, AssureSource Medical Partners
Industry Hospital & Health Care
Experience
AssureSource Medical Partners August 2013 - Present
Windsor Health Plan November 2006 - July 2013
Skills
Sales Management, Leadership, Customer Service, Health Insurance, Medicare, Training, PPO, Insurance, Management, Strategic Planning, Healthcare, HMO, Sales, Managed Care, Team Building, Employee Benefits, Customer Retention, Cold Calling, Disability Insurance, Account Management, Call Centers, Sales Process, Medicare Part D, Provider Relations, Salesforce.com, Medicaid, Brokers, Healthcare Industry, Health Policy, Long-term Care, Claim, Life Insurance, HIPAA, Underwriting, Pharmacy Benefit..., Term Life Insurance, Disease Management, Legal Liability, Workers Compensation, Property & Casualty..., Relationship Management, Executive Management
Education
Tougaloo College
Bachelor's Degree, English Language and Literature/Letters- Pre-Law
AssureSource Medical Partners August 2013 - Present
Windsor Health Plan November 2006 - July 2013
Skills
Sales Management, Leadership, Customer Service, Health Insurance, Medicare, Training, PPO, Insurance, Management, Strategic Planning, Healthcare, HMO, Sales, Managed Care, Team Building, Employee Benefits, Customer Retention, Cold Calling, Disability Insurance, Account Management, Call Centers, Sales Process, Medicare Part D, Provider Relations, Salesforce.com, Medicaid, Brokers, Healthcare Industry, Health Policy, Long-term Care, Claim, Life Insurance, HIPAA, Underwriting, Pharmacy Benefit..., Term Life Insurance, Disease Management, Legal Liability, Workers Compensation, Property & Casualty..., Relationship Management, Executive Management
Education
Tougaloo College
Bachelor's Degree, English Language and Literature/Letters- Pre-Law
Cassandra Comer, MPA's Windsor Health Plan Experience June 2012 - July 2014
Job Clinical Trial Assistant
Industry Pharmaceuticals
Experience
ICON plc February 2015 - Present
Xtend Healthcare, LLC July 2014 - January 2015
Windsor Health Plan June 2012 - July 2014
Windsor Health Plan September 2010 - May 2012
Cigna-HealthSpring June 2008 - September 2010
CVS Health November 2005 - May 2008
CVS Health August 2005 - November 2005
Skills
Account Reconciliation, HIPAA, Healthcare, Managed Care, Medicare, Medicare Part D, Medicaid, Customer Service, Medical Billing, Credentialing, Employee Benefits, Pharmacy, Pharmacy Benefit..., Health Insurance
Education
Tennessee State University 2007 — 2007
Certificate, Health Administration and Planning
Tennessee State University 2003 — 2005
Masters of Public Administration, Health Administration and Planning
Tennessee State University 2000 — 2003
Bachelors of Science, Arts and Sciences; Biology and Psychology
ICON plc February 2015 - Present
Xtend Healthcare, LLC July 2014 - January 2015
Windsor Health Plan June 2012 - July 2014
Windsor Health Plan September 2010 - May 2012
Cigna-HealthSpring June 2008 - September 2010
CVS Health November 2005 - May 2008
CVS Health August 2005 - November 2005
Skills
Account Reconciliation, HIPAA, Healthcare, Managed Care, Medicare, Medicare Part D, Medicaid, Customer Service, Medical Billing, Credentialing, Employee Benefits, Pharmacy, Pharmacy Benefit..., Health Insurance
Education
Tennessee State University 2007 — 2007
Certificate, Health Administration and Planning
Tennessee State University 2003 — 2005
Masters of Public Administration, Health Administration and Planning
Tennessee State University 2000 — 2003
Bachelors of Science, Arts and Sciences; Biology and Psychology
Rebekah Crager's Windsor Health Plan Experience February 2012 - March 2014
Job Sr. Business Analyst at Amerigroup
Industry Hospital & Health Care
Experience
Amerigroup March 2014 - Present
Windsor Health Plan February 2012 - March 2014
Cumberland Pediatric IPA September 2009 - January 2010
Affinion Group July 2008 - February 2009
West Main Wine and Spirits April 2003 - December 2008
Skills
Access, Analysis, Training, Payroll, Management, Human Resources, Quality Assurance, Databases, Accounts Payable, Project Management, Operations Management, Troubleshooting, Inventory Management, Invoicing, Testing, Accounting, Customer Service, Networking, Sales, Purchasing, Requirements Analysis, Requirements Gathering, Solution Implementation, Software Project..., Client Liason, Documentations, Technical Translation, Project Planning, Implementation Planning, Credentialing, Benefit Cost Analysis, Contract Management
Education
Middle Tennessee State University 2005 — 2007
B.B.A., Information Systems
Wake Technical Community College 1992 — 1994
A.A.S, Accounting
Amerigroup March 2014 - Present
Windsor Health Plan February 2012 - March 2014
Cumberland Pediatric IPA September 2009 - January 2010
Affinion Group July 2008 - February 2009
West Main Wine and Spirits April 2003 - December 2008
Skills
Access, Analysis, Training, Payroll, Management, Human Resources, Quality Assurance, Databases, Accounts Payable, Project Management, Operations Management, Troubleshooting, Inventory Management, Invoicing, Testing, Accounting, Customer Service, Networking, Sales, Purchasing, Requirements Analysis, Requirements Gathering, Solution Implementation, Software Project..., Client Liason, Documentations, Technical Translation, Project Planning, Implementation Planning, Credentialing, Benefit Cost Analysis, Contract Management
Education
Middle Tennessee State University 2005 — 2007
B.B.A., Information Systems
Wake Technical Community College 1992 — 1994
A.A.S, Accounting
Allison McKelvey's Windsor Health Plan Experience August 2006 - July 2011
Job Medicare Billing Specialist at Premier Medical Group
Industry Insurance
Experience
Premier Medical Group March 2013 - Present
Sterling Insurance, A Windsor Health Group Company July 2011 - March 2013
Windsor Health Plan August 2006 - July 2011
Skills
Medical Billing, Medicare, Medicare Part D, Customer Service, Medicare/Medicaid..., Medicare Advantage, Call Centers, Claims Resolution, Claims Management, Claims Handling, Denials, Prior Authorization, Authorization, Multi-line Phone, NextGen, xcelys, Athena, CMS-1500, CMS, cahaba gba, Medicare Part C, Medicare Prescription..., Medicare Supplements, Medical Devices, DME, Medical Coding, Medical Compliance, Tenncare, Medicaid, Health Insurance, HIPAA, Insurance, Healthcare, Managed Care
Education
Austin Peay State University 2007 — 2010
Springfield High School 2000 — 2004
Premier Medical Group March 2013 - Present
Sterling Insurance, A Windsor Health Group Company July 2011 - March 2013
Windsor Health Plan August 2006 - July 2011
Skills
Medical Billing, Medicare, Medicare Part D, Customer Service, Medicare/Medicaid..., Medicare Advantage, Call Centers, Claims Resolution, Claims Management, Claims Handling, Denials, Prior Authorization, Authorization, Multi-line Phone, NextGen, xcelys, Athena, CMS-1500, CMS, cahaba gba, Medicare Part C, Medicare Prescription..., Medicare Supplements, Medical Devices, DME, Medical Coding, Medical Compliance, Tenncare, Medicaid, Health Insurance, HIPAA, Insurance, Healthcare, Managed Care
Education
Austin Peay State University 2007 — 2010
Springfield High School 2000 — 2004
Alan Archer's Windsor Health Plan Experience March 2013 - Present
Job Broker Relations Specialist at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan March 2013 - Present
Nsoro September 2012 - January 2013
Arch Academy January 2009 - 2013
Simplex Healthcare February 2011 - May 2011
New Paradigm Investments October 2010 - December 2010
Skills
Microsoft Office, Bloomberg Terminal, Oracle, Adobe Creative Suite, Management, Equity Valuation, Capital Budgeting, Auditing, Risk Management, Analysis, Strategy, Troubleshooting, Research, Project Management, Financial Accounting, Equity Capital Markets
Education
Middle Tennessee State University 2012 — 2014
Masters of Business Administration, Finance
Belmont University 2006 — 2009
Bachelor of Music, Music - Performance Emphasis
Windsor Health Plan March 2013 - Present
Nsoro September 2012 - January 2013
Arch Academy January 2009 - 2013
Simplex Healthcare February 2011 - May 2011
New Paradigm Investments October 2010 - December 2010
Skills
Microsoft Office, Bloomberg Terminal, Oracle, Adobe Creative Suite, Management, Equity Valuation, Capital Budgeting, Auditing, Risk Management, Analysis, Strategy, Troubleshooting, Research, Project Management, Financial Accounting, Equity Capital Markets
Education
Middle Tennessee State University 2012 — 2014
Masters of Business Administration, Finance
Belmont University 2006 — 2009
Bachelor of Music, Music - Performance Emphasis
Joanna Diamond, RRT, CRCR Joanna Diamond, RRT, CRCR's Windsor Health Plan Experience June 2013 - February 2014
Job Program Manager, CHOICES at BlueCross BlueShield of Tennessee
Industry Hospital & Health Care
Experience
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
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
Hassan Rifaat Hassan Rifaat's Windsor Health Plan Experience February 2012 - January 2014
Job Medicare Advantage
Industry Insurance
Experience
Vatica Health February 2014 - Present
Windsor Health Group August 2012 - January 2014
Windsor Health Plan February 2012 - January 2014
Outcomes Health Information Solutions July 2010 - February 2012
Coventry Health Care April 2007 - December 2009
Humana September 2003 - March 2007
Skills
Healthcare, Compliance, Insurance, Strategic Planning, Operations Management, Analysis, Budgets, Business Analysis, Change Management, Contract Negotiation, Employee Relations, Health Insurance, Healthcare Management, Process Improvement, Program Management, Recruiting, Risk Management, Strategy, Team Building, Training, HIPAA, Leadership, Managed Care, Management, Medicaid, Medicare, Mergers, Mergers
Education
University of Virginia School of Medicine 1984 — 1988
MD
Harvard University 1981 — 1984
BA, Biochemistry
Vatica Health February 2014 - Present
Windsor Health Group August 2012 - January 2014
Windsor Health Plan February 2012 - January 2014
Outcomes Health Information Solutions July 2010 - February 2012
Coventry Health Care April 2007 - December 2009
Humana September 2003 - March 2007
Skills
Healthcare, Compliance, Insurance, Strategic Planning, Operations Management, Analysis, Budgets, Business Analysis, Change Management, Contract Negotiation, Employee Relations, Health Insurance, Healthcare Management, Process Improvement, Program Management, Recruiting, Risk Management, Strategy, Team Building, Training, HIPAA, Leadership, Managed Care, Management, Medicaid, Medicare, Mergers, Mergers
Education
University of Virginia School of Medicine 1984 — 1988
MD
Harvard University 1981 — 1984
BA, Biochemistry
Kerri Sullins Kerri Sullins's Windsor Health Plan Experience September 2006 - March 2007
Job Office Representative at Practice Plus
Industry Hospital & Health Care
Experience
Practice Plus April 2007 - Present
Practice Plus April 2007 - Present
Windsor Health Plan September 2006 - March 2007
Bernard, Cassisa, Elliott & Davis 2003 - 2006
University of Texas January 2001 - May 2003
Bernard, Cassisa June 1998 - August 2000
Fidelity Homestead Association May 1996 - February 1998
Education
Educational Interpreting for the Deaf, Delgado Community College
Associate of Arts
The University of Texas at Arlington
Bachelor of Fine Arts, Theatre
Practice Plus April 2007 - Present
Practice Plus April 2007 - Present
Windsor Health Plan September 2006 - March 2007
Bernard, Cassisa, Elliott & Davis 2003 - 2006
University of Texas January 2001 - May 2003
Bernard, Cassisa June 1998 - August 2000
Fidelity Homestead Association May 1996 - February 1998
Education
Educational Interpreting for the Deaf, Delgado Community College
Associate of Arts
The University of Texas at Arlington
Bachelor of Fine Arts, Theatre
Douglas Eddy Douglas Eddy's Windsor Health Plan Experience September 2010 - February 2013
Job Director of Managed Care at NorthStar Anesthesia, P.A.
Industry Hospital & Health Care
Experience
NorthStar Anesthesia, P.A. May 2013 - Present
Windsor Health Plan September 2010 - February 2013
Tenet Healthcare September 2006 - March 2010
Blue Cross Blue Shield of Texas April 1993 - September 2006
COLLECTION EXPRESS SERVICES, Houston, TX July 1992 - April 1993
HCA Lewisville Memorial Hospital January 1990 - July 1992
Westpark Medical Center, McKinney, TX August 1988 - January 1990
Midway Park Medical Center, Lancaster, TX August 1986 - July 1988
Grant Buie Hospital, Hillsboro, TX March 1985 - July 1986
Skills
Health Insurance, Healthcare, Insurance, Managed Care, Contract Negotiation, Medicare, Hospitals, Healthcare Reimbursement, Strategic Planning, Leadership, Provider Relations, Network Development, Revenue Cycle, HMO, Physician Relations, Healthcare Industry, PPO, Healthcare Consulting, HIPAA, Medicaid, Team Building, Physicians, Process Improvement, New Business Development, Training, Employee Benefits, Executive Management, Healthcare Management, Healthcare Information..., Health Policy, Medicare Part D, Credentialing, Revenue Cycle Management, Pharmacy Benefit..., Claim, Home Care, Utilization Management, Medical Billing, Practice Management, Provider Network..., EHR, EMR, Quality Improvement, Medicaid Managed Care, Disease Management, Accountable Care, Medical Coding, JCAHO, CPT, Medical Compliance
Education
Baylor University - Hankamer School of Business 1979 — 1983
BBA, Accounting/Computer Information Systems
Baylor University - Hankamer School of Business
NorthStar Anesthesia, P.A. May 2013 - Present
Windsor Health Plan September 2010 - February 2013
Tenet Healthcare September 2006 - March 2010
Blue Cross Blue Shield of Texas April 1993 - September 2006
COLLECTION EXPRESS SERVICES, Houston, TX July 1992 - April 1993
HCA Lewisville Memorial Hospital January 1990 - July 1992
Westpark Medical Center, McKinney, TX August 1988 - January 1990
Midway Park Medical Center, Lancaster, TX August 1986 - July 1988
Grant Buie Hospital, Hillsboro, TX March 1985 - July 1986
Skills
Health Insurance, Healthcare, Insurance, Managed Care, Contract Negotiation, Medicare, Hospitals, Healthcare Reimbursement, Strategic Planning, Leadership, Provider Relations, Network Development, Revenue Cycle, HMO, Physician Relations, Healthcare Industry, PPO, Healthcare Consulting, HIPAA, Medicaid, Team Building, Physicians, Process Improvement, New Business Development, Training, Employee Benefits, Executive Management, Healthcare Management, Healthcare Information..., Health Policy, Medicare Part D, Credentialing, Revenue Cycle Management, Pharmacy Benefit..., Claim, Home Care, Utilization Management, Medical Billing, Practice Management, Provider Network..., EHR, EMR, Quality Improvement, Medicaid Managed Care, Disease Management, Accountable Care, Medical Coding, JCAHO, CPT, Medical Compliance
Education
Baylor University - Hankamer School of Business 1979 — 1983
BBA, Accounting/Computer Information Systems
Baylor University - Hankamer School of Business
Joey Voelker Joey Voelker's Windsor Health Plan Experience September 2007 - November 2008
Job Insurance Specialist
Industry Insurance
Experience
Riverside Health, Inc July 2015 - Present
Cigna Healthspring February 2009 - Present
Windsor Health Plan September 2007 - November 2008
Education
University of South Carolina-Columbia
Bachelor, MIS
Riverside Health, Inc July 2015 - Present
Cigna Healthspring February 2009 - Present
Windsor Health Plan September 2007 - November 2008
Education
University of South Carolina-Columbia
Bachelor, MIS
Lisa Scifres-Farmer's Windsor Health Plan Experience February 2012 - April 2013
Job Pediatric Epilepsy monitoring RN
Industry Hospital & Health Care
Experience
Children's Memorial Hermann May 2014 - Present
Amedisys Home Health & Hospice April 2013 - September 2013
Windsor Health Plan February 2012 - April 2013
Maxim Healthcare Services March 2010 - February 2012
Vanderbilt Children's Hospital January 2003 - November 2009
Skills
Access, Hospitals, Nursing, Home Care, Medicine, Medical Records, Healthcare Consulting, Quality Improvement, Acute Care, Case Management, Patient Education, Time Management, Wound Care, BLS, Cpr Certified, Adolescents, Health Education
Education
Otterbein College 1997 — 2002
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Children's Memorial Hermann May 2014 - Present
Amedisys Home Health & Hospice April 2013 - September 2013
Windsor Health Plan February 2012 - April 2013
Maxim Healthcare Services March 2010 - February 2012
Vanderbilt Children's Hospital January 2003 - November 2009
Skills
Access, Hospitals, Nursing, Home Care, Medicine, Medical Records, Healthcare Consulting, Quality Improvement, Acute Care, Case Management, Patient Education, Time Management, Wound Care, BLS, Cpr Certified, Adolescents, Health Education
Education
Otterbein College 1997 — 2002
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Rachel Stamper's Windsor Health Plan Experience September 2011 - October 2012
Job National Payer Relations Account Executive at Bako Pathology
Industry Hospital & Health Care
Experience
Bako Integrated Physician Solutions April 2015 - Present
Atherotech Diagnostics Laboratory November 2012 - April 2015
Windsor Health Plan September 2011 - October 2012
American Behavioral October 2005 - September 2011
UnitedHealthcare June 1999 - August 2005
Skills
Healthcare, Managed Care, Contract Negotiations, Medicaid, Account Management, Strategic Planning, Customer Service, Team Building, Customer Relations, Hospitals, Mental Health, Insurance, Excel, Health, Microsoft Office, Contract Negotiation, Negotiation, Public Speaking, New Business Development, Problem Solving, PowerPoint, Sales Management, Provider Relations, Health Insurance, Network Development, Healthcare Management, Claims, Provider Contracting, Word, HMO, Contract Management, Medicare, Medicare Advantage, Medicare/Medicaid..., Utilization Management, PPO, Health Policy, HIPAA, Credentialing, Payer Relations, Clinical Laboratory..., Healthcare Consulting, NCQA, Provider Education, Policy, Provider Network..., Microsoft Excel, Physician Relations, Quality Improvement, Medical Billing
Education
Villanova University 2003 — 2005
Master of Business Administration (M.B.A.)
Arcadia University 1999 — 2003
Bachelor of Science (BS), Healthcare Administration
Bako Integrated Physician Solutions April 2015 - Present
Atherotech Diagnostics Laboratory November 2012 - April 2015
Windsor Health Plan September 2011 - October 2012
American Behavioral October 2005 - September 2011
UnitedHealthcare June 1999 - August 2005
Skills
Healthcare, Managed Care, Contract Negotiations, Medicaid, Account Management, Strategic Planning, Customer Service, Team Building, Customer Relations, Hospitals, Mental Health, Insurance, Excel, Health, Microsoft Office, Contract Negotiation, Negotiation, Public Speaking, New Business Development, Problem Solving, PowerPoint, Sales Management, Provider Relations, Health Insurance, Network Development, Healthcare Management, Claims, Provider Contracting, Word, HMO, Contract Management, Medicare, Medicare Advantage, Medicare/Medicaid..., Utilization Management, PPO, Health Policy, HIPAA, Credentialing, Payer Relations, Clinical Laboratory..., Healthcare Consulting, NCQA, Provider Education, Policy, Provider Network..., Microsoft Excel, Physician Relations, Quality Improvement, Medical Billing
Education
Villanova University 2003 — 2005
Master of Business Administration (M.B.A.)
Arcadia University 1999 — 2003
Bachelor of Science (BS), Healthcare Administration
April Disney April Disney's Windsor Health Plan Experience September 2013 - October 2013
Job Certified Pharmacy Technician at Windsor Health Plan
Industry Pharmaceuticals
Experience
M2G Med-Management Group October 2013 - Present
Windsor Health Plan September 2013 - October 2013
CVS Caremark Corporation May 2010 - September 2013
Advantage xPO January 2010 - May 2010
U.S. Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy - CMOP September 2007 - January 2010
Pharmaceutical Credit Corp August 2006 - September 2007
Eckerd's Pharmacy September 2005 - February 2006
Skills
Microsoft Office, Data Entry, Health Insurance, Working With Children, Time Management, Teamwork, Planning, Organizing, Integrity, Reliability, Responsibility, Energy, Attitude, Attendance, speciality medication, Prior Authorization, mail order pharmacy, Medicare, HIPAA, Mac OS X, Compounding, Inventory Control, work with drug reps, Medication Therapy..., Mail Order Pharmacy, Healthcare, Customer Service
Education
Middle Tennessee State University 2015 — 2015
Bachelor of Science (B.S.), Education, Management
Trevecca Nazarene University 2012 — 2014
Business Management and Human Relations
National College of Business and Technology 2004 — 2006
Associates, Pharmacy Technician Major, A
M2G Med-Management Group October 2013 - Present
Windsor Health Plan September 2013 - October 2013
CVS Caremark Corporation May 2010 - September 2013
Advantage xPO January 2010 - May 2010
U.S. Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy - CMOP September 2007 - January 2010
Pharmaceutical Credit Corp August 2006 - September 2007
Eckerd's Pharmacy September 2005 - February 2006
Skills
Microsoft Office, Data Entry, Health Insurance, Working With Children, Time Management, Teamwork, Planning, Organizing, Integrity, Reliability, Responsibility, Energy, Attitude, Attendance, speciality medication, Prior Authorization, mail order pharmacy, Medicare, HIPAA, Mac OS X, Compounding, Inventory Control, work with drug reps, Medication Therapy..., Mail Order Pharmacy, Healthcare, Customer Service
Education
Middle Tennessee State University 2015 — 2015
Bachelor of Science (B.S.), Education, Management
Trevecca Nazarene University 2012 — 2014
Business Management and Human Relations
National College of Business and Technology 2004 — 2006
Associates, Pharmacy Technician Major, A
Alisha McBride Alisha McBride's Windsor Health Plan Experience April 2011 - September 2013
Job Provider Relations Representative with Managed Care Organization
Industry Insurance
Experience
Aetna September 2013 - Present
Windsor Health Plan April 2011 - September 2013
Arch Ford Education Service Cooperative November 2008 - April 2011
Transamerica April 2005 - October 2008
Rector Phillips Morse August 2003 - April 2004
Cardinal Health January 2002 - August 2002
Skills
Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Networking, Insurance Training, Insurance, Sales&Marketing, Sales Growth, Healthcare, HMO, Health Insurance, Medicare, Healthcare Industry, Healthcare Management, Managed Care, Contract Negotiation, Account Management, Network Development, Relationship Management, Healthcare Information..., Medicaid, Credentialing, Leadership, Medicare Part D, Building Relationships, Customer Retention, Management, Physicians, Medical Billing, Event Planning
Education
Arkansas State University 2000 — 2003
Bachelor of Science (B.S.), Management Information Systems, 3.0
East Arkansas Community College 1998 — 2000
Associate of Arts (A.A.), General Studies, 3.5
Aetna September 2013 - Present
Windsor Health Plan April 2011 - September 2013
Arch Ford Education Service Cooperative November 2008 - April 2011
Transamerica April 2005 - October 2008
Rector Phillips Morse August 2003 - April 2004
Cardinal Health January 2002 - August 2002
Skills
Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Networking, Insurance Training, Insurance, Sales&Marketing, Sales Growth, Healthcare, HMO, Health Insurance, Medicare, Healthcare Industry, Healthcare Management, Managed Care, Contract Negotiation, Account Management, Network Development, Relationship Management, Healthcare Information..., Medicaid, Credentialing, Leadership, Medicare Part D, Building Relationships, Customer Retention, Management, Physicians, Medical Billing, Event Planning
Education
Arkansas State University 2000 — 2003
Bachelor of Science (B.S.), Management Information Systems, 3.0
East Arkansas Community College 1998 — 2000
Associate of Arts (A.A.), General Studies, 3.5
Emily Platt Emily Platt's Windsor Health Plan Experience January 2012 - October 2013
Job Government Programs Advisor
Industry Insurance
Experience
OptumRx February 2015 - Present
Community Health Alliance and Consumer's Choice Health Plan February 2014 - February 2015
Community Health Alliance July 2013 - February 2014
Windsor Health Plan January 2012 - October 2013
Windsor Health Plan October 2012 - July 2013
Community Health Alliance 2013 - 2013
Walgreens January 2010 - January 2012
Skills
Pharmacy Benefit..., Medicaid, Medicare Part D, Managed Care, Medicare, Microsoft Excel, QuickBooks, Microsoft Word, Outlook, PowerPoint, Healthcare, Health Insurance, Pharmacy, HIPAA, Clinical Pharmacy, Disease Management, HMO, Pharmacists, Healthcare Information..., Pharmacueticals, Utilization Management, Health Policy, Healthcare Management, Insurance, Hospitals, Data Entry, SharePoint, Microsoft Dynamics CRM, WordPress, Medication Therapy..., Access, Healthcare Industry
Education
Tennessee Technological University 2003 — 2008
Interdisciplinary Studies, Music and Communication
OptumRx February 2015 - Present
Community Health Alliance and Consumer's Choice Health Plan February 2014 - February 2015
Community Health Alliance July 2013 - February 2014
Windsor Health Plan January 2012 - October 2013
Windsor Health Plan October 2012 - July 2013
Community Health Alliance 2013 - 2013
Walgreens January 2010 - January 2012
Skills
Pharmacy Benefit..., Medicaid, Medicare Part D, Managed Care, Medicare, Microsoft Excel, QuickBooks, Microsoft Word, Outlook, PowerPoint, Healthcare, Health Insurance, Pharmacy, HIPAA, Clinical Pharmacy, Disease Management, HMO, Pharmacists, Healthcare Information..., Pharmacueticals, Utilization Management, Health Policy, Healthcare Management, Insurance, Hospitals, Data Entry, SharePoint, Microsoft Dynamics CRM, WordPress, Medication Therapy..., Access, Healthcare Industry
Education
Tennessee Technological University 2003 — 2008
Interdisciplinary Studies, Music and Communication
Tanya Brooks's Windsor Health Plan Experience February 2011 - June 2013
Job at
Industry Insurance
Experience
Novitas Solutions, Inc. November 2013 - Present
Windsor Health Plan February 2011 - June 2013
Physicians Health Care August 2009 - November 2010
WellCare 2008 - 2009
Arkansas Blue Cross Blue Shield 2003 - 2008
Skills
Managed Care, Insurance, Health Insurance, Customer Service, Call Center, Network Development, Medicare, HMO, PPO, Process Improvement, Business Analysis, Call Centers, Team Leadership, Healthcare, Training, Employee Benefits
Education
University of Central Arkansas
Business Administration and Management, General
Wabbaseka High School
Novitas Solutions, Inc. November 2013 - Present
Windsor Health Plan February 2011 - June 2013
Physicians Health Care August 2009 - November 2010
WellCare 2008 - 2009
Arkansas Blue Cross Blue Shield 2003 - 2008
Skills
Managed Care, Insurance, Health Insurance, Customer Service, Call Center, Network Development, Medicare, HMO, PPO, Process Improvement, Business Analysis, Call Centers, Team Leadership, Healthcare, Training, Employee Benefits
Education
University of Central Arkansas
Business Administration and Management, General
Wabbaseka High School
Nathan Coiner Nathan Coiner's Windsor Health Plan Experience December 2011 - June 2013
Job Director of Operations LTSS
Industry Insurance
Experience
Amerigroup Tennessee, Inc. April 2015 - Present
Amerigroup Tennessee, Inc. June 2014 - March 2015
UnitedHealth Group July 2013 - June 2014
Windsor Health Plan December 2011 - June 2013
Skills
Insurance, Medicare, Medicaid, Claim, Health Insurance, Provider Relations, Managed Care, HIPAA, HMO, Health Policy, Medicare Part D, Network Development, Risk Management, Commercial Insurance, Claim Investigation, Process Improvement, Contract Negotiation, Healthcare Industry, PPO, Medical Billing, Revenue Cycle, Medical Compliance, Medicaid Managed Care, Claims Resolution, Claims Management, Healthcare, Medicare/Medicaid..., Call Centers, Policy, NCQA, Healthcare Management, Credentialing, JCAHO, Pharmacy Benefit..., Utilization Management, Healthcare Information..., Healthcare Reimbursement, Physician Relations, Claims Handling
Education
Belmont University 2009 — 2012
Bachelor of Science (B.S.), Business Administration and Management, General
Columbia State Community College 2007 — 2009
Associate of Science (A.S.)
Amerigroup Tennessee, Inc. April 2015 - Present
Amerigroup Tennessee, Inc. June 2014 - March 2015
UnitedHealth Group July 2013 - June 2014
Windsor Health Plan December 2011 - June 2013
Skills
Insurance, Medicare, Medicaid, Claim, Health Insurance, Provider Relations, Managed Care, HIPAA, HMO, Health Policy, Medicare Part D, Network Development, Risk Management, Commercial Insurance, Claim Investigation, Process Improvement, Contract Negotiation, Healthcare Industry, PPO, Medical Billing, Revenue Cycle, Medical Compliance, Medicaid Managed Care, Claims Resolution, Claims Management, Healthcare, Medicare/Medicaid..., Call Centers, Policy, NCQA, Healthcare Management, Credentialing, JCAHO, Pharmacy Benefit..., Utilization Management, Healthcare Information..., Healthcare Reimbursement, Physician Relations, Claims Handling
Education
Belmont University 2009 — 2012
Bachelor of Science (B.S.), Business Administration and Management, General
Columbia State Community College 2007 — 2009
Associate of Science (A.S.)
Jennifer Sisco Jennifer Sisco's Windsor Health Plan Experience April 2009 - May 2010
Job Program Manager at AdvanceMed Corporation
Industry Insurance
Experience
AdvanceMed Corporation, an NCI company June 2013 - Present
AdvanceMed Corporation, an NCI Company August 2012 - June 2013
AdvanceMed Corporation, an NCI Company September 2010 - August 2012
AdvanceMed Corporation May 2010 - September 2010
Windsor Health Plan April 2009 - May 2010
Windsor Health Plan July 2008 - April 2009
Windsor Health Plan January 2006 - July 2008
Tennessee Department of Human Services June 2005 - December 2005
Skills
Medicare, Healthcare, HIPAA, Managed Care, Health Insurance, Strategic Planning, Employee Benefits, Insurance, Leadership, Customer Service, Microsoft Excel, Microsoft Office, Outlook, Contract Negotiation, Staff Supervision, PowerPoint, HMO, Medicare Part D, Provider Relations, SharePoint, Process Improvement, Program Management
Education
University of Mississippi 2002 — 2004
Master of Social Science, Sociology and Anthropology
University of Mississippi 1998 — 2002
Bachelor of Arts (B.A.), Sociology and Anthropology
AdvanceMed Corporation, an NCI company June 2013 - Present
AdvanceMed Corporation, an NCI Company August 2012 - June 2013
AdvanceMed Corporation, an NCI Company September 2010 - August 2012
AdvanceMed Corporation May 2010 - September 2010
Windsor Health Plan April 2009 - May 2010
Windsor Health Plan July 2008 - April 2009
Windsor Health Plan January 2006 - July 2008
Tennessee Department of Human Services June 2005 - December 2005
Skills
Medicare, Healthcare, HIPAA, Managed Care, Health Insurance, Strategic Planning, Employee Benefits, Insurance, Leadership, Customer Service, Microsoft Excel, Microsoft Office, Outlook, Contract Negotiation, Staff Supervision, PowerPoint, HMO, Medicare Part D, Provider Relations, SharePoint, Process Improvement, Program Management
Education
University of Mississippi 2002 — 2004
Master of Social Science, Sociology and Anthropology
University of Mississippi 1998 — 2002
Bachelor of Arts (B.A.), Sociology and Anthropology
Wilbur Darrell Castleberry Wilbur Darrell Castleberry's Windsor Health Plan Experience September 2011 - December 2011
Job Road Service Tech (self employed) at Flash Road Service
Industry Financial Services
Experience
Flash Road Service March 2012 - Present
Jackson Hewitt/ Kelly Service January 2012 - March 2012
Windsor Health Plan September 2011 - December 2011
New Vision Academy of Nashville, TN August 2010 - May 2011
Joelton Middle School August 2008 - May 2009
Williamson County Parks and Recreations April 2006 - December 2007
Nashville State Community College August 2003 - May 2005
Flooring America in Nashville TN April 2001 - June 2003
Skills
Critical Thinking, Planning, Inventory Management, Staff Development, Supervisory Skills, Teaching, Customer Service, PowerPoint
Education
Middle Tennessee State University 2005 — 2007
B.S., Middle School Education
Nashville State Community College 2003 — 2005
A.S., Math Education
Flash Road Service March 2012 - Present
Jackson Hewitt/ Kelly Service January 2012 - March 2012
Windsor Health Plan September 2011 - December 2011
New Vision Academy of Nashville, TN August 2010 - May 2011
Joelton Middle School August 2008 - May 2009
Williamson County Parks and Recreations April 2006 - December 2007
Nashville State Community College August 2003 - May 2005
Flooring America in Nashville TN April 2001 - June 2003
Skills
Critical Thinking, Planning, Inventory Management, Staff Development, Supervisory Skills, Teaching, Customer Service, PowerPoint
Education
Middle Tennessee State University 2005 — 2007
B.S., Middle School Education
Nashville State Community College 2003 — 2005
A.S., Math Education
Mandy Roman Mandy Roman's Windsor Health Plan Experience April 2013 - November 2013
Job Sr. Operations Manager at Legal Intake Professionals
Industry Telecommunications
Experience
Legal Intake Professionals November 2013 - Present
Windsor Health Plan April 2013 - November 2013
Windsor Health Plan September 2011 - April 2013
GE Capital 2008 - 2008
GE Capital 2004 - 2008
GE Capital 2000 - 2004
Skills
Health Insurance, Provider Relations, Medicare, HMO, HIPAA, Operations Management, Credit Cards, Call Centers, Call Center Development, Resource Management, Project Management, Workforce Management, Workforce Planning, Communication Skills, Internal Communications, Exceptional People..., Organizational..., Team Management, Cross-functional Team..., Customer Experience..., Coaching, Outsourcing Management, Customer Experience, Business Process..., Leadership, Process Improvement, Customer Satisfaction, Contact Centers, BPO, CRM, Net Promoter Score, Performance Management, Sales, Management, Customer Service, Team Building, Team Leadership, Vendor Management
Education
University of Phoenix Online 2001 — 2005
Business Administration, Management and Operations
Kansas City Kansas Community College 1995 — 1998
Legal Intake Professionals November 2013 - Present
Windsor Health Plan April 2013 - November 2013
Windsor Health Plan September 2011 - April 2013
GE Capital 2008 - 2008
GE Capital 2004 - 2008
GE Capital 2000 - 2004
Skills
Health Insurance, Provider Relations, Medicare, HMO, HIPAA, Operations Management, Credit Cards, Call Centers, Call Center Development, Resource Management, Project Management, Workforce Management, Workforce Planning, Communication Skills, Internal Communications, Exceptional People..., Organizational..., Team Management, Cross-functional Team..., Customer Experience..., Coaching, Outsourcing Management, Customer Experience, Business Process..., Leadership, Process Improvement, Customer Satisfaction, Contact Centers, BPO, CRM, Net Promoter Score, Performance Management, Sales, Management, Customer Service, Team Building, Team Leadership, Vendor Management
Education
University of Phoenix Online 2001 — 2005
Business Administration, Management and Operations
Kansas City Kansas Community College 1995 — 1998
Peggy Clifton's Windsor Health Plan Experience February 2013 - November 2013
Job Senior Paralegal at Hospice Compassus
Industry Legal Services
Experience
Hospice Compassus November 2013 - Present
Self-employed January 2008 - Present
Contract- Self employed January 1994 - Present
Windsor Health Plan February 2013 - November 2013
Corizon Health April 2006 - August 2008
Vanderbilt University October 2005 - April 2006
HCA January 1995 - 2005
Skills
Event Management, Event Planning, Microsoft Office, Social Media, Public Relations, Customer Service, Corporate Events, Marketing Communications, Microsoft Excel, Marketing Strategy, Marketing, Microsoft Word, Social Media Marketing, Paralegal, Wedding Design, Wedding Planning, Intellectual Property..., Contract Negotiation, Contract Management, Contractual Agreements, Contractual, Corporate Law, Political Action..., Corporate Formation, Healthcare Law, Supply Chain Operations, Fundraising, Social Networking, Newsletters, Public Speaking, Outlook, Senior Paralegal, Operational Due..., Mergers & Acquisitions, Divestitures, Legal Research, Legal Writing, Legislation, Legal Compliance, Legal Documents, Trade Shows, Nonprofits, Budgets, Litigation, Research, Editing, Intellectual Property, Training, PowerPoint, Weddings
Education
Murray State University
BIS, Business/Legal Studies/Criminal Justice
Hospice Compassus November 2013 - Present
Self-employed January 2008 - Present
Contract- Self employed January 1994 - Present
Windsor Health Plan February 2013 - November 2013
Corizon Health April 2006 - August 2008
Vanderbilt University October 2005 - April 2006
HCA January 1995 - 2005
Skills
Event Management, Event Planning, Microsoft Office, Social Media, Public Relations, Customer Service, Corporate Events, Marketing Communications, Microsoft Excel, Marketing Strategy, Marketing, Microsoft Word, Social Media Marketing, Paralegal, Wedding Design, Wedding Planning, Intellectual Property..., Contract Negotiation, Contract Management, Contractual Agreements, Contractual, Corporate Law, Political Action..., Corporate Formation, Healthcare Law, Supply Chain Operations, Fundraising, Social Networking, Newsletters, Public Speaking, Outlook, Senior Paralegal, Operational Due..., Mergers & Acquisitions, Divestitures, Legal Research, Legal Writing, Legislation, Legal Compliance, Legal Documents, Trade Shows, Nonprofits, Budgets, Litigation, Research, Editing, Intellectual Property, Training, PowerPoint, Weddings
Education
Murray State University
BIS, Business/Legal Studies/Criminal Justice
Laura Lovely Laura Lovely's Windsor Health Plan Experience September 2008 - Present
Job Network Services Representative at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan September 2008 - Present
Windsor Health Plan September 2008 - Present
Summit View Health Management, Inc. November 2006 - September 2008
University Physicians Association October 1999 - June 2006
Skills
Public Relations, Customer Service, Management, Management Consulting, Business Networking, Marketing Management, Communication, Provider Relations, HMO, PPO, Contract Management, Managed Care, Medicare, Medicaid, HIPAA, Credentialing, Health Insurance, Durable Medical..., Utilization Management, Health Policy, Healthcare, Hospitals, Physician Management, Fundraising, Network Development, Claim, Leadership, Healthcare Industry, Claim Investigation, Medicare Part D, Employee Benefits, Physicians, Property & Casualty..., Healthcare Consulting, Medical Billing, Underwriting, Pharmacy Benefit...
Education
Pellissippi State Community College 1992 — 1996
Associate's degree, Business Administration and Management, General
Windsor Health Plan September 2008 - Present
Windsor Health Plan September 2008 - Present
Summit View Health Management, Inc. November 2006 - September 2008
University Physicians Association October 1999 - June 2006
Skills
Public Relations, Customer Service, Management, Management Consulting, Business Networking, Marketing Management, Communication, Provider Relations, HMO, PPO, Contract Management, Managed Care, Medicare, Medicaid, HIPAA, Credentialing, Health Insurance, Durable Medical..., Utilization Management, Health Policy, Healthcare, Hospitals, Physician Management, Fundraising, Network Development, Claim, Leadership, Healthcare Industry, Claim Investigation, Medicare Part D, Employee Benefits, Physicians, Property & Casualty..., Healthcare Consulting, Medical Billing, Underwriting, Pharmacy Benefit...
Education
Pellissippi State Community College 1992 — 1996
Associate's degree, Business Administration and Management, General
Barbara Henke-Koski, CPhT Barbara Henke-Koski, CPhT's Windsor Health Plan Experience December 2011 - July 2012
Job at
Industry Pharmaceuticals
Experience
Cigna-HealthSpring January 2014 - Present
Aerotek Scientific September 2013 - January 2014
PCC November 2012 - September 2013
CTel September 2012 - November 2012
Windsor Health Plan December 2011 - July 2012
Randstad Pharma May 2011 - November 2011
Kelly Services August 2010 - May 2011
Abbott Laboratories July 2010 - August 2010
Vision.Marketing April 2010 - May 2010
Hawthorn Suites December 2008 - April 2010
Skills
Firefox, Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Lotus Notes, Data Entry, Type 67 WPM, Customer Service, Communication, Outlook, Time Management, Training
Education
Penn Foster College 2012 — 2014
bachelors degree, Criminal Justice/Law Enforcement Administration
Penn Foster 2011 — 2011
Certification, Pharmacy Technician
Bradley University 2004 — 2008
History and Sociology
Cigna-HealthSpring January 2014 - Present
Aerotek Scientific September 2013 - January 2014
PCC November 2012 - September 2013
CTel September 2012 - November 2012
Windsor Health Plan December 2011 - July 2012
Randstad Pharma May 2011 - November 2011
Kelly Services August 2010 - May 2011
Abbott Laboratories July 2010 - August 2010
Vision.Marketing April 2010 - May 2010
Hawthorn Suites December 2008 - April 2010
Skills
Firefox, Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Lotus Notes, Data Entry, Type 67 WPM, Customer Service, Communication, Outlook, Time Management, Training
Education
Penn Foster College 2012 — 2014
bachelors degree, Criminal Justice/Law Enforcement Administration
Penn Foster 2011 — 2011
Certification, Pharmacy Technician
Bradley University 2004 — 2008
History and Sociology
Norita Wilson Norita Wilson's Windsor Health Plan Experience September 2008 - July 2009
Job Medical Management Advisor at AXAAssistance
Industry Medical Practice
Experience
AXA Assistance January 2007 - Present
ZeOmega May 2011 - April 2013
Care360 Consulting 2005 - March 2011
CMI February 2008 - 2011
Windsor Health Plan September 2008 - July 2009
Windsor Medicare 2008 - 2009
HealthSpring 2006 - 2009
McKesson Health Solutions 1997 - 2004
Skills
Disease Management, Healthcare Management, Medicaid, Hospitals, Utilization Management, Nursing, Medicare, Healthcare, Managed Care, Healthcare Information..., Health Policy, Clinical Research, Case Managment, EMR, HIPAA, Revenue Cycle, Healthcare Consulting, Informatics, Healthcare Industry, EHR, Quality Improvement, Physicians, Medicine, Medicare Part D, Inpatient, Home Care, Health Information..., Health Insurance, NCQA, Provider Relations, HL7, Quality Management, Accountable Care, Epic Systems, Certified Case Manager, Software Implementation, Behavioral Health, Practice Management, Physician Relations, Case Management, Process Improvement, Management, Strategic Planning, Program Management, Leadership, Software Documentation
Education
Drury University 1990 — 1993
BSN, Nursing
AXA Assistance January 2007 - Present
ZeOmega May 2011 - April 2013
Care360 Consulting 2005 - March 2011
CMI February 2008 - 2011
Windsor Health Plan September 2008 - July 2009
Windsor Medicare 2008 - 2009
HealthSpring 2006 - 2009
McKesson Health Solutions 1997 - 2004
Skills
Disease Management, Healthcare Management, Medicaid, Hospitals, Utilization Management, Nursing, Medicare, Healthcare, Managed Care, Healthcare Information..., Health Policy, Clinical Research, Case Managment, EMR, HIPAA, Revenue Cycle, Healthcare Consulting, Informatics, Healthcare Industry, EHR, Quality Improvement, Physicians, Medicine, Medicare Part D, Inpatient, Home Care, Health Information..., Health Insurance, NCQA, Provider Relations, HL7, Quality Management, Accountable Care, Epic Systems, Certified Case Manager, Software Implementation, Behavioral Health, Practice Management, Physician Relations, Case Management, Process Improvement, Management, Strategic Planning, Program Management, Leadership, Software Documentation
Education
Drury University 1990 — 1993
BSN, Nursing
Darren J Houck's Windsor Health Plan Experience January 2000 - August 2006
Job Director of Accounting at Creative Trust Ventures, LLC.
Industry Entertainment
Experience
Creative Trust Ventures, LLC May 2010 - Present
Passport Health Communications August 2006 - May 2010
Windsor Health Plan January 2000 - August 2006
Access Health Systems 1999 - 2000
Physician Network Management 1997 - 1999
CNA Insurance 1995 - 1997
Skills
1099 Preparation, Accounting, AP, AR, Banking, Bank Reconciliation, Budgets, Chart of Accounts, Client Relations, Data Analysis, Digital Media Industry, Epicor, Finance, Financial Reporting, Financial Analysis, Financial Statements, Fixed Assets, General Ledger..., General Ledger..., Insurance, Internal Controls, Microsoft Excel, Microsoft Access, Music Industry, Monthly Close Process, Payroll, Physical Inventory, Process Improvement, QuickBooks
Education
Middle Tennessee State University 2001 — 2003
MS Accounting and Information
Haslam College of Business at the University of Tennessee 1991 — 1995
BS, Finance
Creative Trust Ventures, LLC May 2010 - Present
Passport Health Communications August 2006 - May 2010
Windsor Health Plan January 2000 - August 2006
Access Health Systems 1999 - 2000
Physician Network Management 1997 - 1999
CNA Insurance 1995 - 1997
Skills
1099 Preparation, Accounting, AP, AR, Banking, Bank Reconciliation, Budgets, Chart of Accounts, Client Relations, Data Analysis, Digital Media Industry, Epicor, Finance, Financial Reporting, Financial Analysis, Financial Statements, Fixed Assets, General Ledger..., General Ledger..., Insurance, Internal Controls, Microsoft Excel, Microsoft Access, Music Industry, Monthly Close Process, Payroll, Physical Inventory, Process Improvement, QuickBooks
Education
Middle Tennessee State University 2001 — 2003
MS Accounting and Information
Haslam College of Business at the University of Tennessee 1991 — 1995
BS, Finance
Katie Austin's Windsor Health Plan Experience November 2011 - March 2014
Job Human Resources Specialist
Industry Human Resources
Experience
Windsor Health Plan November 2011 - March 2014
Tennessee Bun Company 2008 - 2011
Arkansas Game and Fish Commission May 2007 - August 2007
Skills
Talent Acquisition, Human Resources, Temporary Placement, Employee Relations, Succession Planning, Internet Recruiting, Outlook, Training, Interviews, Leadership, Technical Recruiting, Building Relationships, Staffing Services, Screening Resumes, Hiring
Education
University of Central Arkansas 2004 — 2008
Bachelor of Science (BS), Speech Communication
University of Central Arkansas 2004 — 2008
Bachelor of Science (BS), Public Relations
Windsor Health Plan November 2011 - March 2014
Tennessee Bun Company 2008 - 2011
Arkansas Game and Fish Commission May 2007 - August 2007
Skills
Talent Acquisition, Human Resources, Temporary Placement, Employee Relations, Succession Planning, Internet Recruiting, Outlook, Training, Interviews, Leadership, Technical Recruiting, Building Relationships, Staffing Services, Screening Resumes, Hiring
Education
University of Central Arkansas 2004 — 2008
Bachelor of Science (BS), Speech Communication
University of Central Arkansas 2004 — 2008
Bachelor of Science (BS), Public Relations
Mark Dewbre's Windsor Health Plan Experience October 2013 - May 2014
Job Administrative Pastor at Park Hill Baptist Church
Industry Insurance
Experience
Park Hill Baptist Church May 2015 - Present
WellCare Health Plans May 2014 - May 2015
Windsor Health Plan October 2013 - May 2014
Windsor Health Plan October 2010 - October 2013
Yet I Will Praise Him October 2008 - April 2010
New Hope Baptist Church February 2009 - March 2010
LifeWay Christian Resources April 2001 - August 2008
Skills
Cross-functional Team..., Non-profits, Sales, Sales Management, Budgets, Missions, CRM, Church Events, Team Building, Event Planning, Microsoft Excel, Social Media, Customer Service, Leadership, Public Speaking, Strategic Planning, Management, Process Improvement, PowerPoint, Microsoft Office, Team Leadership, Fundraising, Marketing, Nonprofits, Leadership Development, Staff Development, Social Networking, Coaching
Education
Ouachita Baptist University
BA, Accounting
Southwestern Baptist Theological Seminary
MARE
Southwestern Baptist Theological Seminary
MDiv
Park Hill Baptist Church May 2015 - Present
WellCare Health Plans May 2014 - May 2015
Windsor Health Plan October 2013 - May 2014
Windsor Health Plan October 2010 - October 2013
Yet I Will Praise Him October 2008 - April 2010
New Hope Baptist Church February 2009 - March 2010
LifeWay Christian Resources April 2001 - August 2008
Skills
Cross-functional Team..., Non-profits, Sales, Sales Management, Budgets, Missions, CRM, Church Events, Team Building, Event Planning, Microsoft Excel, Social Media, Customer Service, Leadership, Public Speaking, Strategic Planning, Management, Process Improvement, PowerPoint, Microsoft Office, Team Leadership, Fundraising, Marketing, Nonprofits, Leadership Development, Staff Development, Social Networking, Coaching
Education
Ouachita Baptist University
BA, Accounting
Southwestern Baptist Theological Seminary
MARE
Southwestern Baptist Theological Seminary
MDiv
Jason Scales's Windsor Health Plan Experience July 2009 - September 2010
Job Financial Analyst at CIGNA Healthcare
Industry Insurance
Experience
CIGNA Healthcare October 2010 - Present
Windsor Health Plan July 2009 - September 2010
CIGNA May 2008 - July 2009
CIGNA September 2006 - May 2008
Skills
Financial Analysis, Insurance, Health Insurance, Financial Modeling, Medicare, Underwriting, Financial Reporting, Variance Analysis, Process Improvement, Forecasting, Provider Relations, Access
Education
The University of Tennessee at Chattanooga 1998 — 2000
MBA
CIGNA Healthcare October 2010 - Present
Windsor Health Plan July 2009 - September 2010
CIGNA May 2008 - July 2009
CIGNA September 2006 - May 2008
Skills
Financial Analysis, Insurance, Health Insurance, Financial Modeling, Medicare, Underwriting, Financial Reporting, Variance Analysis, Process Improvement, Forecasting, Provider Relations, Access
Education
The University of Tennessee at Chattanooga 1998 — 2000
MBA
Stephen Braun's Windsor Health Plan Experience July 2010 - April 2012
Job Corporate Director, Provider Network Management at The AmeriHealth Caritas Family of Companies
Industry Hospital & Health Care
Experience
The AmeriHealth Caritas Family of Companies February 2013 - Present
Windsor Health Plan July 2010 - April 2012
Kaiser Permanente January 2009 - March 2010
KPS Health Plans January 2006 - December 2008
Premera Blue Cross July 2004 - January 2006
WellPoint-Blue Cross of California June 1996 - June 2004
Skills
Provider Contracting, Provider Relations, Contract Negotiation, Managed Care, Medicare, Medicaid, Network Development, Health Insurance, Healthcare Management, HMO, PPO, Strategic Planning, Management, Operations Management, Healthcare Information..., Health Policy, Process Improvement, Data Analysis, Team Building, Team Leadership, Teamwork, Provider Education, Provider Enrollment, Provider Networks, Collaborative Leadership, P4P, Policy, HIPAA, Healthcare, Insurance, Utilization Management, Hospitals, Training, Physicians, Credentialing, Leadership, Healthcare Consulting, Revenue Cycle, Physician Relations, Pharmacy Benefit..., Medicare Part D, Claim, Quality Improvement, Medical Billing, Strategy, Medicaid Managed Care, Analysis, Revenue Cycle Management, Disease Management, EMR
Education
University of Phoenix 1995 — 2000
MBA, Business Administration
California State University-Northridge 1977 — 1983
Bachelors, Business Administration
The AmeriHealth Caritas Family of Companies February 2013 - Present
Windsor Health Plan July 2010 - April 2012
Kaiser Permanente January 2009 - March 2010
KPS Health Plans January 2006 - December 2008
Premera Blue Cross July 2004 - January 2006
WellPoint-Blue Cross of California June 1996 - June 2004
Skills
Provider Contracting, Provider Relations, Contract Negotiation, Managed Care, Medicare, Medicaid, Network Development, Health Insurance, Healthcare Management, HMO, PPO, Strategic Planning, Management, Operations Management, Healthcare Information..., Health Policy, Process Improvement, Data Analysis, Team Building, Team Leadership, Teamwork, Provider Education, Provider Enrollment, Provider Networks, Collaborative Leadership, P4P, Policy, HIPAA, Healthcare, Insurance, Utilization Management, Hospitals, Training, Physicians, Credentialing, Leadership, Healthcare Consulting, Revenue Cycle, Physician Relations, Pharmacy Benefit..., Medicare Part D, Claim, Quality Improvement, Medical Billing, Strategy, Medicaid Managed Care, Analysis, Revenue Cycle Management, Disease Management, EMR
Education
University of Phoenix 1995 — 2000
MBA, Business Administration
California State University-Northridge 1977 — 1983
Bachelors, Business Administration
Beth Jett, CPCS's Windsor Health Plan Experience September 2012 - May 2014
Job Credentialing Specialist Lead
Industry Hospital & Health Care
Experience
Amerigroup July 2014 - Present
Windsor Health Plan September 2012 - May 2014
Windsor Health Plan February 2011 - September 2012
Windsor Health Plan June 2010 - February 2011
HEOPS, Inc October 2008 - May 2010
Coventry Health Care February 2006 - September 2008
Skills
Credentialing, Medicaid, NCQA, Medicare, Managed Care, Healthcare, HMO, Healthcare Management, HIPAA, PPO, Utilization Review, Health Policy, JCAHO, Appointment Scheduling, Health Insurance, Physician Liason, Physicians, Provider Relations, Team Building, Utilization Management, Data Entry
Education
University of Alabama 2001 — 2004
BS, Healthcare Management
Amerigroup July 2014 - Present
Windsor Health Plan September 2012 - May 2014
Windsor Health Plan February 2011 - September 2012
Windsor Health Plan June 2010 - February 2011
HEOPS, Inc October 2008 - May 2010
Coventry Health Care February 2006 - September 2008
Skills
Credentialing, Medicaid, NCQA, Medicare, Managed Care, Healthcare, HMO, Healthcare Management, HIPAA, PPO, Utilization Review, Health Policy, JCAHO, Appointment Scheduling, Health Insurance, Physician Liason, Physicians, Provider Relations, Team Building, Utilization Management, Data Entry
Education
University of Alabama 2001 — 2004
BS, Healthcare Management
Vanessa Owens's Windsor Health Plan Experience 2011 - 2012
Job Director, Network Management at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care January 2006 - Present
Windsor Health Plan 2011 - 2012
Cigna 2000 - 2002
McLeod Health 1999 - 2000
New York City Department of Health and Mental Hygiene 1998 - 1999
Skills
PPO, Network Administration, Provider Relations, Medicare, HMO, Network Development, Health Insurance, Managed Care, Medicaid, Credentialing, Insurance, Healthcare Consulting, CPT, Medical Terminology, Workers Compensation, Medicare Part D, Physicians, Revenue Cycle, Utilization Management, HIPAA, Healthcare, Process Improvement, Healthcare Management, Provider Networks, Provider Network..., Healthcare Industry, Claim, Health Policy, Healthcare Information..., Provider Education, Medical Billing, Pharmacy Benefit..., Physician Relations, Practice Management, Medicaid Managed Care, ICD-9, Quality Improvement, Hospitals, Healthcare Analytics, Revenue Cycle Management, Medical Coding, EMR
Education
Hofstra University 1994 — 1995
MA, Health Administration
South Carolina State University 1989 — 1991
BS, Business Management
Holy Trinity High School
Coventry Health Care January 2006 - Present
Windsor Health Plan 2011 - 2012
Cigna 2000 - 2002
McLeod Health 1999 - 2000
New York City Department of Health and Mental Hygiene 1998 - 1999
Skills
PPO, Network Administration, Provider Relations, Medicare, HMO, Network Development, Health Insurance, Managed Care, Medicaid, Credentialing, Insurance, Healthcare Consulting, CPT, Medical Terminology, Workers Compensation, Medicare Part D, Physicians, Revenue Cycle, Utilization Management, HIPAA, Healthcare, Process Improvement, Healthcare Management, Provider Networks, Provider Network..., Healthcare Industry, Claim, Health Policy, Healthcare Information..., Provider Education, Medical Billing, Pharmacy Benefit..., Physician Relations, Practice Management, Medicaid Managed Care, ICD-9, Quality Improvement, Hospitals, Healthcare Analytics, Revenue Cycle Management, Medical Coding, EMR
Education
Hofstra University 1994 — 1995
MA, Health Administration
South Carolina State University 1989 — 1991
BS, Business Management
Holy Trinity High School
Brandon B. Bess's Windsor Health Plan Experience 2007 - 2010
Job Consultant at Capco
Industry Management Consulting
Experience
Capco January 2015 - Present
Council of Urban Professionals August 2013 - Present
First Empire Securities, Inc January 2013 - February 2014
First Empire Securities, Inc May 2011 - February 2014
Windsor Health Plan 2007 - 2010
Skills
Series 7, Public Speaking, Equities, Microsoft Excel, Coaching, Social Media, Team Building, Fixed Income, Alternative Investments, Strategic Planning, Sales, Customer Service, Financial Analysis, Bloomberg, Hedge Funds, Financial Modeling, Microsoft Office, Series 63, Event Planning, Leadership Development, Securities, Trading, Portfolio Management, Risk Management, Investments, Strategy, Valuation, Financial Risk, Equity Trading, Options, Capital Markets, Finance, Bonds, Insurance, Electronic Trading, Financial Markets, Credit Analysis, Data Analysis, Trading Systems, Bloomberg Terminal, Institutional..., Trading Strategies, FINRA, Social Media Marketing, Financial Services, Asset Management, Investment Strategies
Education
The University of Tennessee at Chattanooga 2004 — 2009
Bachelor's Degree, Finance
The University of Tennessee at Chattanooga
Bachelors, Finance
Capco January 2015 - Present
Council of Urban Professionals August 2013 - Present
First Empire Securities, Inc January 2013 - February 2014
First Empire Securities, Inc May 2011 - February 2014
Windsor Health Plan 2007 - 2010
Skills
Series 7, Public Speaking, Equities, Microsoft Excel, Coaching, Social Media, Team Building, Fixed Income, Alternative Investments, Strategic Planning, Sales, Customer Service, Financial Analysis, Bloomberg, Hedge Funds, Financial Modeling, Microsoft Office, Series 63, Event Planning, Leadership Development, Securities, Trading, Portfolio Management, Risk Management, Investments, Strategy, Valuation, Financial Risk, Equity Trading, Options, Capital Markets, Finance, Bonds, Insurance, Electronic Trading, Financial Markets, Credit Analysis, Data Analysis, Trading Systems, Bloomberg Terminal, Institutional..., Trading Strategies, FINRA, Social Media Marketing, Financial Services, Asset Management, Investment Strategies
Education
The University of Tennessee at Chattanooga 2004 — 2009
Bachelor's Degree, Finance
The University of Tennessee at Chattanooga
Bachelors, Finance
Beth Todd's Windsor Health Plan Experience October 2010 - October 2012
Job Senior Advisor, Government Programs
Industry Insurance
Experience
Catamaran June 2015 - Present
Catamaran July 2013 - June 2015
Sterling Insurance, A Windsor Health Group Company October 2012 - May 2013
Windsor Health Plan October 2010 - October 2012
Windsor Health Plan September 2006 - November 2010
HealthSpring June 2005 - September 2006
HealthSpring April 2003 - June 2005
HealthSpring February 2003 - April 2003
Skills
Managed Care, Medicare, Health Insurance, Healthcare, HIPAA, Medicare Part D, Insurance, Healthcare Management, Team Building, Microsoft Office, Pharmacy Benefit..., Account Management, Microsoft Excel, Outlook, Process Improvement, Pharmacy Automation, Employee Benefits, Pharmacy, HMO, Provider Relations, Healthcare Industry, Medicare Advantage, Utilization Management
Education
University of Mississippi 1999 — 2002
BA, Psychology
Catamaran June 2015 - Present
Catamaran July 2013 - June 2015
Sterling Insurance, A Windsor Health Group Company October 2012 - May 2013
Windsor Health Plan October 2010 - October 2012
Windsor Health Plan September 2006 - November 2010
HealthSpring June 2005 - September 2006
HealthSpring April 2003 - June 2005
HealthSpring February 2003 - April 2003
Skills
Managed Care, Medicare, Health Insurance, Healthcare, HIPAA, Medicare Part D, Insurance, Healthcare Management, Team Building, Microsoft Office, Pharmacy Benefit..., Account Management, Microsoft Excel, Outlook, Process Improvement, Pharmacy Automation, Employee Benefits, Pharmacy, HMO, Provider Relations, Healthcare Industry, Medicare Advantage, Utilization Management
Education
University of Mississippi 1999 — 2002
BA, Psychology
Rebecca Spicer's Windsor Health Plan Experience October 2011 - April 2012
Job Independent Health Care Quality Consultant
Industry Government Administration
Experience
Independant Health Care Consultant October 2011 - Present
Gorman Health Group April 2014 - April 2014
Elderplan February 2014 - February 2014
WellCare October 2013 - January 2014
Trillium Community Health Plan August 2013 - November 2013
AvMed Health Plans March 2013 - November 2013
Paramount Health Care April 2013 - June 2013
naviHealth, Inc. August 2012 - December 2012
Windsor Health Plan October 2011 - April 2012
WellCare August 2010 - May 2011
Skills
Medicaid, Provider Relations, Managed Care, Healthcare, Medicare, Health Policy, NCQA, HIPAA, Process Improvement, Performance Improvement, Accreditation, Quality Improvement, HEDIS, HMO, Case Managment, Leadership, Health Insurance, Utilization Management, Nursing, Healthcare Management, Healthcare Consulting, Healthcare Industry, Case Management, Disease Management, Revenue Cycle, Healthcare Information...
Education
Saint Joseph's College 2007 — 2009
MBA, Quality, Leadership, Economics
Otterbein University 1992 — 1994
Bachelor's Degree, Nursing Science
West Virginia University at Parkersburg 1977 — 1979
Associate's Degree, Nursing Science
Independant Health Care Consultant October 2011 - Present
Gorman Health Group April 2014 - April 2014
Elderplan February 2014 - February 2014
WellCare October 2013 - January 2014
Trillium Community Health Plan August 2013 - November 2013
AvMed Health Plans March 2013 - November 2013
Paramount Health Care April 2013 - June 2013
naviHealth, Inc. August 2012 - December 2012
Windsor Health Plan October 2011 - April 2012
WellCare August 2010 - May 2011
Skills
Medicaid, Provider Relations, Managed Care, Healthcare, Medicare, Health Policy, NCQA, HIPAA, Process Improvement, Performance Improvement, Accreditation, Quality Improvement, HEDIS, HMO, Case Managment, Leadership, Health Insurance, Utilization Management, Nursing, Healthcare Management, Healthcare Consulting, Healthcare Industry, Case Management, Disease Management, Revenue Cycle, Healthcare Information...
Education
Saint Joseph's College 2007 — 2009
MBA, Quality, Leadership, Economics
Otterbein University 1992 — 1994
Bachelor's Degree, Nursing Science
West Virginia University at Parkersburg 1977 — 1979
Associate's Degree, Nursing Science
Butch Benson's Windsor Health Plan Experience January 2011 - Present
Job Managed Care Pharmacy Management
Industry Hospital & Health Care
Experience
Windsor Health Plan January 2011 - Present
Eli Lilly January 1996 - February 2007
Education
University of Mississippi 1980 — 1982
Pharmacy
Windsor Health Plan January 2011 - Present
Eli Lilly January 1996 - February 2007
Education
University of Mississippi 1980 — 1982
Pharmacy
Renee Stump's Windsor Health Plan Experience October 2012 - January 2014
Job Quality Improvement Specialist at TN Hospital Association
Industry Hospital & Health Care
Experience
Amedisys Home Health & Hospice April 2015 - Present
Parallon February 2014 - August 2015
TN Hospital Association February 2014 - January 2015
Windsor Health Plan October 2012 - January 2014
StoneCrest Medical Center August 2005 - September 2012
Skills
Occupational Therapy, Neurology, Utilization Management, Healthcare, Healthcare Management, Hospitals, Clinical Research, Case Management, Health Promotion, Health Policy, Acute Care, HIPAA, EMR, Rehabilitation, Treatment, Patient Safety, Patient Education, Wound Care, Meditech, JCAHO, Epic Systems, Public Health, Physician Relations, Home Health Agencies, CPR Certified, Patient Advocacy, BLS, Prevention, Elder Care, Health Insurance, Healthcare Consulting, Managed Care, Home Care, Quality Improvement, Medicare, Medicaid, Inpatient, Healthcare Industry, Leadership, Process Improvement, Team Building
Education
Tennessee State University
BS, Occupational Therapy
Trevecca Nazarene University
MA, Psychology
Amedisys Home Health & Hospice April 2015 - Present
Parallon February 2014 - August 2015
TN Hospital Association February 2014 - January 2015
Windsor Health Plan October 2012 - January 2014
StoneCrest Medical Center August 2005 - September 2012
Skills
Occupational Therapy, Neurology, Utilization Management, Healthcare, Healthcare Management, Hospitals, Clinical Research, Case Management, Health Promotion, Health Policy, Acute Care, HIPAA, EMR, Rehabilitation, Treatment, Patient Safety, Patient Education, Wound Care, Meditech, JCAHO, Epic Systems, Public Health, Physician Relations, Home Health Agencies, CPR Certified, Patient Advocacy, BLS, Prevention, Elder Care, Health Insurance, Healthcare Consulting, Managed Care, Home Care, Quality Improvement, Medicare, Medicaid, Inpatient, Healthcare Industry, Leadership, Process Improvement, Team Building
Education
Tennessee State University
BS, Occupational Therapy
Trevecca Nazarene University
MA, Psychology
Jason Hailey's Windsor Health Plan Experience July 2012 - June 2013
Job Clinical Consultant at Catamaran/OptumRx
Industry Pharmaceuticals
Experience
Catamaran/OptumRx June 2013 - Present
Windsor Health Plan July 2012 - June 2013
HCA July 2011 - July 2012
Publix June 2011 - February 2012
Skills
Managed Care, Healthcare Management, Pharmacy Benefit..., Medicare Part D, Clinical Pharmacy, Medicaid, Utilization Management, Healthcare Industry, Healthcare Consulting
Education
University of Tennessee-Health Science Center 2007 — 2011
Doctor of Pharmacy (Pharm.D.), Pharmacy
Middle Tennessee State University 2005 — 2007
Bachelor of Science (B.S.), Biology, General
Catamaran/OptumRx June 2013 - Present
Windsor Health Plan July 2012 - June 2013
HCA July 2011 - July 2012
Publix June 2011 - February 2012
Skills
Managed Care, Healthcare Management, Pharmacy Benefit..., Medicare Part D, Clinical Pharmacy, Medicaid, Utilization Management, Healthcare Industry, Healthcare Consulting
Education
University of Tennessee-Health Science Center 2007 — 2011
Doctor of Pharmacy (Pharm.D.), Pharmacy
Middle Tennessee State University 2005 — 2007
Bachelor of Science (B.S.), Biology, General
David Deke Ellwanger's Windsor Health Plan Experience August 2012 - September 2013
Job Chief Operating Officer at Windsor Health Plan
Industry Hospital & Health Care
Experience
Windsor Health Plan August 2012 - September 2013
Healthcare Development Resources, Tatum, Independent Consultant July 2008 - August 2012
Surface Medical Clinics June 2006 - June 2008
Cigna-HealthSpring January 2002 - May 2006
Baptist Hospital December 1998 - December 2001
BMJ Medical Management August 1997 - November 1998
InPhyNet Medical Management April 1994 - July 1997
Aetna August 1985 - March 1994
ANR Freight Systems January 1984 - July 1985
Bendix Commercial Vehicle Systems LLC October 1982 - December 1983
Skills
Healthcare, Hospitals, Medicaid, Healthcare Management, Strategic Planning, Medicare, New Business Development, Insurance, Health Policy, HIPAA, Team Building, Customer Service, Managed Care, Healthcare Industry, Utilization Management, Leadership, Credentialing, Practice Management, Contract Negotiation, Healthcare Information..., Healthcare Consulting, Disease Management, Network Development, Process Improvement, Revenue Cycle, Health Insurance, EMR, Account Management, Case Managment, Medicare Part D, Program Management, Project Management, HMO, Provider Relations, Physician Relations, Case Management, Physicians, Strategy
Education
The University of Georgia 1974 — 1978
BBA-Finance, Finance and Financial Management Services, 3.4
Windsor Health Plan August 2012 - September 2013
Healthcare Development Resources, Tatum, Independent Consultant July 2008 - August 2012
Surface Medical Clinics June 2006 - June 2008
Cigna-HealthSpring January 2002 - May 2006
Baptist Hospital December 1998 - December 2001
BMJ Medical Management August 1997 - November 1998
InPhyNet Medical Management April 1994 - July 1997
Aetna August 1985 - March 1994
ANR Freight Systems January 1984 - July 1985
Bendix Commercial Vehicle Systems LLC October 1982 - December 1983
Skills
Healthcare, Hospitals, Medicaid, Healthcare Management, Strategic Planning, Medicare, New Business Development, Insurance, Health Policy, HIPAA, Team Building, Customer Service, Managed Care, Healthcare Industry, Utilization Management, Leadership, Credentialing, Practice Management, Contract Negotiation, Healthcare Information..., Healthcare Consulting, Disease Management, Network Development, Process Improvement, Revenue Cycle, Health Insurance, EMR, Account Management, Case Managment, Medicare Part D, Program Management, Project Management, HMO, Provider Relations, Physician Relations, Case Management, Physicians, Strategy
Education
The University of Georgia 1974 — 1978
BBA-Finance, Finance and Financial Management Services, 3.4
Carolyn Beaty's Windsor Health Plan Experience December 2005 - March 2012
Job FMO WellCare Health Plan
Industry Insurance
Experience
Affordable Care 2013 - Present
WellCare Health Plans December 2005 - Present
Windsor Health Plan December 2005 - March 2012
Skills
Microsoft Office, Excel, Customer Service, Word, Customer Relations, Contract Recruitment, educating and..., medicare specialist, Employee Benefits, Microsoft Excel, Insurance, Health Insurance, Healthcare, Universal Life, Microsoft Word, Long-term Care, Health Policy, Managed Care, Medicare, Training, Team Building, Leadership, Management, Strategic Planning, Life Insurance, HIPAA, Term Life Insurance, Recruiting, Medicaid, Disability Insurance
Education
Union University 2006 — 2008
Master's degree currently working on, Bible/Biblical Studies
Grambling State University 1980 — 1984
Bachelor's degree, Industrial Technology/Technician
Fairley High 1977 — 1980
Business Administration and Management, General
Affordable Care 2013 - Present
WellCare Health Plans December 2005 - Present
Windsor Health Plan December 2005 - March 2012
Skills
Microsoft Office, Excel, Customer Service, Word, Customer Relations, Contract Recruitment, educating and..., medicare specialist, Employee Benefits, Microsoft Excel, Insurance, Health Insurance, Healthcare, Universal Life, Microsoft Word, Long-term Care, Health Policy, Managed Care, Medicare, Training, Team Building, Leadership, Management, Strategic Planning, Life Insurance, HIPAA, Term Life Insurance, Recruiting, Medicaid, Disability Insurance
Education
Union University 2006 — 2008
Master's degree currently working on, Bible/Biblical Studies
Grambling State University 1980 — 1984
Bachelor's degree, Industrial Technology/Technician
Fairley High 1977 — 1980
Business Administration and Management, General
Jeanne Hynson's Windsor Health Plan Experience April 2011 - February 2014
Job RN. patient advocate, UR, CM, D/C Planner, eager to assist you
Industry Hospital & Health Care
Experience
Windsor Health Plan April 2011 - February 2014
Arkansas Blue Cross Blue Shield May 2009 - February 2010
NovaSys Health January 2008 - March 2009
QualChoice January 1999 - December 2007
. October 1974 - December 1998
Skills
Healthcare, Medical Billing, Disease Management, Clinical Research, CPT, ICD-9, Claim, Insurance, Health Education, Health Policy, HCPCS, Management, Case Management, Case Managment, Utilization Review, Health Insurance, HIPAA, Managed Care, Medicare, Hospitals, Medicaid
Education
University of Arkansas at Little Rock 1976 — 1979
Associate Degree, Nursing
McClellan
Windsor Health Plan April 2011 - February 2014
Arkansas Blue Cross Blue Shield May 2009 - February 2010
NovaSys Health January 2008 - March 2009
QualChoice January 1999 - December 2007
. October 1974 - December 1998
Skills
Healthcare, Medical Billing, Disease Management, Clinical Research, CPT, ICD-9, Claim, Insurance, Health Education, Health Policy, HCPCS, Management, Case Management, Case Managment, Utilization Review, Health Insurance, HIPAA, Managed Care, Medicare, Hospitals, Medicaid
Education
University of Arkansas at Little Rock 1976 — 1979
Associate Degree, Nursing
McClellan
Toie Alston's Windsor Health Plan Experience January 2013 - June 2014
Job Pharmacy Program Manager
Industry Hospital & Health Care
Experience
Amerigroup September 2014 - Present
Windsor Health Plan January 2013 - June 2014
Catamaran October 2008 - January 2013
Accredo Health September 2007 - October 2008
HealthSpring January 2006 - August 2007
Skills
Medicare Part D, Pharmacy, Pharmacy Benefit..., Pharmacists, Managed Care, Medicaid, Formulary, Clinical Pharmacology, Data Analysis, Pharmacy Automation, Disease Management, Utilization Management, Formulary Management, Problem Solving, Medication Therapy..., Vendor Management, Manage Client..., Clinical Pharmacy
Education
University of Tennessee-Health Science Center
Pharm.D, Pharmacy
Austin Peay State University
BS, Biology
Amerigroup September 2014 - Present
Windsor Health Plan January 2013 - June 2014
Catamaran October 2008 - January 2013
Accredo Health September 2007 - October 2008
HealthSpring January 2006 - August 2007
Skills
Medicare Part D, Pharmacy, Pharmacy Benefit..., Pharmacists, Managed Care, Medicaid, Formulary, Clinical Pharmacology, Data Analysis, Pharmacy Automation, Disease Management, Utilization Management, Formulary Management, Problem Solving, Medication Therapy..., Vendor Management, Manage Client..., Clinical Pharmacy
Education
University of Tennessee-Health Science Center
Pharm.D, Pharmacy
Austin Peay State University
BS, Biology
Kelliann Kimber's Windsor Health Plan Experience August 2011 - October 2013
Job Independent Insurance Agent
Industry Insurance
Experience
Berwick Insurance Group L.L.C. October 2013 - Present
Northewest Billing and Consulting 2006 - Present
BroadPath Healthcare Solutions September 2014 - February 2015
Windsor Health Plan August 2011 - October 2013
WestCare Clinic August 2008 - March 2011
Northwest Center for Natural Medicine September 2003 - October 2006
Group Health Cooperative 2001 - 2002
Provider Services 2000 - 2001
Provider Services 1999 - 2000
Provider Services 1998 - 1999
Skills
Medicare, Medicare Supplements, Medicare Advantage, Medicare Prescription..., Managed Care, HIPAA, Healthcare, Health Policy, Whole Life, Term Life Insurance, Final Expense Insurance, Long Term Care Insurance, Medical Billing, Medical Coding, Insurance Law, Medicare/Medicaid..., Disability Insurance, Appeals, Claims Resolution, Claims Management, Employee Benefits, Provider Relations, Insurance Brokerage, Medicare Part D, Credentialing, EDI
Education
South Puget Sound Community College
Berwick Insurance Group L.L.C. October 2013 - Present
Northewest Billing and Consulting 2006 - Present
BroadPath Healthcare Solutions September 2014 - February 2015
Windsor Health Plan August 2011 - October 2013
WestCare Clinic August 2008 - March 2011
Northwest Center for Natural Medicine September 2003 - October 2006
Group Health Cooperative 2001 - 2002
Provider Services 2000 - 2001
Provider Services 1999 - 2000
Provider Services 1998 - 1999
Skills
Medicare, Medicare Supplements, Medicare Advantage, Medicare Prescription..., Managed Care, HIPAA, Healthcare, Health Policy, Whole Life, Term Life Insurance, Final Expense Insurance, Long Term Care Insurance, Medical Billing, Medical Coding, Insurance Law, Medicare/Medicaid..., Disability Insurance, Appeals, Claims Resolution, Claims Management, Employee Benefits, Provider Relations, Insurance Brokerage, Medicare Part D, Credentialing, EDI
Education
South Puget Sound Community College
Deb Prosser, RN, CPHQ's Windsor Health Plan Experience January 2012 - September 2012
Job Health Services QI Project Manager
Industry Insurance
Experience
Coventry Health Care, an Aetna Company October 2012 - Present
Windsor Health Plan January 2012 - September 2012
WellCare of Georgia 2005 - 2012
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Teaching, Public Speaking, Microsoft Office, Managed Care, Medicare, Healthcare, Quality Improvement, Health Policy
Education
Columbia International University 1986 — 1987
Bible/Biblical Studies
Saint Vincent Health Center School of Nursing 1979 — 1981
Diploma, Registered Nursing/Registered Nurse
Coventry Health Care, an Aetna Company October 2012 - Present
Windsor Health Plan January 2012 - September 2012
WellCare of Georgia 2005 - 2012
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Teaching, Public Speaking, Microsoft Office, Managed Care, Medicare, Healthcare, Quality Improvement, Health Policy
Education
Columbia International University 1986 — 1987
Bible/Biblical Studies
Saint Vincent Health Center School of Nursing 1979 — 1981
Diploma, Registered Nursing/Registered Nurse
Jeff Stockard's Windsor Health Plan Experience July 2007 - July 2008
Job Clinical Pharmacist 10 years experience in Managed Care (Medicaid & Medicare Part D)
Industry Pharmaceuticals
Experience
Walgreens October 2011 - Present
Coram Specialty Infusion Services (an Apria Healthcare Company) July 2008 - October 2011
Windsor Health Plan July 2007 - July 2008
TennCare March 1998 - July 2007
Home Technology Healthcare January 1994 - March 1998
Skills
Managed Care, Project Implementation, Team Management, Medicaid, Pharmacy Benefit..., Medicare Part D, Pharmacy, Pharmaceutical Industry, Pharmaceutical Sales, Diabetes, Medication Therapy..., Cardiology, Hospitals, Clinical Pharmacy, Pharmacy Practice, Utilization Management, Management, Pharmacy Automation, Neurology, Healthcare, Pharmacists, Home Infusion, Clinical Research, Disease Management, Medicare, Healthcare Industry, Oncology, Urology
Education
The University of Tennessee Health Science Center 1979 — 1982
B.S, Pharmacy
Volunteer State Community College - Gallatin, TN 1976 — 1979
A.S., Pre-Pharmacy
Walgreens October 2011 - Present
Coram Specialty Infusion Services (an Apria Healthcare Company) July 2008 - October 2011
Windsor Health Plan July 2007 - July 2008
TennCare March 1998 - July 2007
Home Technology Healthcare January 1994 - March 1998
Skills
Managed Care, Project Implementation, Team Management, Medicaid, Pharmacy Benefit..., Medicare Part D, Pharmacy, Pharmaceutical Industry, Pharmaceutical Sales, Diabetes, Medication Therapy..., Cardiology, Hospitals, Clinical Pharmacy, Pharmacy Practice, Utilization Management, Management, Pharmacy Automation, Neurology, Healthcare, Pharmacists, Home Infusion, Clinical Research, Disease Management, Medicare, Healthcare Industry, Oncology, Urology
Education
The University of Tennessee Health Science Center 1979 — 1982
B.S, Pharmacy
Volunteer State Community College - Gallatin, TN 1976 — 1979
A.S., Pre-Pharmacy
Lydia Harden's Windsor Health Plan Experience February 2012 - Present
Job Compliance Specialist at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan February 2012 - Present
Accredo Health Group, Inc. August 1998 - March 2011
Dan Goodman Management June 1996 - August 1998
Music City News March 1981 - June 1996
Skills
Newsletters, Managed Care, Marketing Communications, Employee Benefits, Strategic Planning, Training, Editing, Marketing Strategy, Customer Service, Video Production, Social Media Marketing, Time Management, Medicare Part D, Invoicing, Team Building, Medicaid, Advertising, Public Speaking, Leadership, Human Resources, Utilization Management, Process Improvement, Program Management, Illustrator, Web Content, Healthcare Information..., Budgets, Sales, Health Insurance, Dreamweaver, Software Documentation, Research, Cross-functional Team..., Healthcare Management, Contract Negotiation, Public Relations, Social Media, Marketing, Account Management, Insurance
Education
Tennessee Technological University 1977 — 1981
English/Journalism
Windsor Health Plan February 2012 - Present
Accredo Health Group, Inc. August 1998 - March 2011
Dan Goodman Management June 1996 - August 1998
Music City News March 1981 - June 1996
Skills
Newsletters, Managed Care, Marketing Communications, Employee Benefits, Strategic Planning, Training, Editing, Marketing Strategy, Customer Service, Video Production, Social Media Marketing, Time Management, Medicare Part D, Invoicing, Team Building, Medicaid, Advertising, Public Speaking, Leadership, Human Resources, Utilization Management, Process Improvement, Program Management, Illustrator, Web Content, Healthcare Information..., Budgets, Sales, Health Insurance, Dreamweaver, Software Documentation, Research, Cross-functional Team..., Healthcare Management, Contract Negotiation, Public Relations, Social Media, Marketing, Account Management, Insurance
Education
Tennessee Technological University 1977 — 1981
English/Journalism
Melissa Harlan's Windsor Health Plan Experience September 2011 - October 2014
Job Director Human Resources Business Partner at Healthways
Industry Insurance
Experience
Healthways May 2015 - Present
Accredo - An Express Scripts Company - Contract December 2014 - April 2015
Windsor Health Plan September 2011 - October 2014
Jack in the Box November 2005 - September 2011
Concentra June 1999 - November 2005
Skills
Employee Relations, Succession Planning, Talent Management, Talent Acquisition, Performance Management, Onboarding, Employee Benefits, Workforce Planning, Human Resources, Employment Law
Education
Jacksonville State University
Bachelor of Science (B.S.), Marketing/Management
Middle Tennessee State University
Master of Business Administration (M.B.A.)
Healthways May 2015 - Present
Accredo - An Express Scripts Company - Contract December 2014 - April 2015
Windsor Health Plan September 2011 - October 2014
Jack in the Box November 2005 - September 2011
Concentra June 1999 - November 2005
Skills
Employee Relations, Succession Planning, Talent Management, Talent Acquisition, Performance Management, Onboarding, Employee Benefits, Workforce Planning, Human Resources, Employment Law
Education
Jacksonville State University
Bachelor of Science (B.S.), Marketing/Management
Middle Tennessee State University
Master of Business Administration (M.B.A.)
Jennifer Larmer's Windsor Health Plan Experience June 2005 - May 2014
Job Appeals & Grievances Supervisor at Sterling Life Insurance Company
Industry Insurance
Experience
Windsor Health Plan June 2005 - May 2014
Skills
Medicare, Health Insurance, Claim, Healthcare, Software Documentation, Policy, Healthcare Management, HIPAA, Health Policy, Data Entry, Healthcare Information..., Managed Care, Disability Insurance, Employee Benefits, Insurance, Network Development, Access, Process Improvement, Provider Relations, HMO, PPO
Education
Oregon State University
Bachelor of Science (BS), Health and Human Services
Windsor Health Plan June 2005 - May 2014
Skills
Medicare, Health Insurance, Claim, Healthcare, Software Documentation, Policy, Healthcare Management, HIPAA, Health Policy, Data Entry, Healthcare Information..., Managed Care, Disability Insurance, Employee Benefits, Insurance, Network Development, Access, Process Improvement, Provider Relations, HMO, PPO
Education
Oregon State University
Bachelor of Science (BS), Health and Human Services
Emily Chartier's Windsor Health Plan Experience September 2008 - April 2009
Job Assistant Business Relationship Manager at Continuum Performance Systems
Industry Information Technology and Services
Experience
Continuum Performance Systems April 2012 - Present
Windsor Health Group April 2009 - March 2012
Windsor Health Plan September 2008 - April 2009
Skills
Healthcare, Customer Service, Insurance, Employee Benefits, Process Improvement, Team Building, Strategic Planning, Sales, Microsoft Excel, Outlook, Microsoft Office, Training, Access, Sales Management, Medicare, Appeals, SQL, MarketProminence, SAP Crystal Reports, Oracle SQL Developer, Writing, Citrix, Managed Care, Invoicing, Program Management, Medicaid, Legal Writing, HIPAA
Education
Eastern Oregon University 2004 — 2008
Bachelor's degree, Art/Art Studies, General
Lane Community College 2002 — 2003
Pre-Nursing Studies
Continuum Performance Systems April 2012 - Present
Windsor Health Group April 2009 - March 2012
Windsor Health Plan September 2008 - April 2009
Skills
Healthcare, Customer Service, Insurance, Employee Benefits, Process Improvement, Team Building, Strategic Planning, Sales, Microsoft Excel, Outlook, Microsoft Office, Training, Access, Sales Management, Medicare, Appeals, SQL, MarketProminence, SAP Crystal Reports, Oracle SQL Developer, Writing, Citrix, Managed Care, Invoicing, Program Management, Medicaid, Legal Writing, HIPAA
Education
Eastern Oregon University 2004 — 2008
Bachelor's degree, Art/Art Studies, General
Lane Community College 2002 — 2003
Pre-Nursing Studies
Brenda Gattis's Windsor Health Plan Experience May 2010 - October 2011
Job Corporate Recruiter at Tractor Supply Company
Industry Retail
Experience
Tractor Supply Company February 2015 - Present
Tractor Supply Company January 2014 - February 2015
Tractor Supply Company October 2011 - January 2014
Windsor Health Plan May 2010 - October 2011
Cumberland Swan 2003 - 2008
Skills
Employee Benefits, Customer Service, Human Resources, Onboarding, Recruiting, Hiring, Applicant Tracking..., New Hire Orientations, Interviews, Talent Acquisition
Education
Middle Tennessee State University
Master of Business Administration (MBA), Marketing
Tractor Supply Company February 2015 - Present
Tractor Supply Company January 2014 - February 2015
Tractor Supply Company October 2011 - January 2014
Windsor Health Plan May 2010 - October 2011
Cumberland Swan 2003 - 2008
Skills
Employee Benefits, Customer Service, Human Resources, Onboarding, Recruiting, Hiring, Applicant Tracking..., New Hire Orientations, Interviews, Talent Acquisition
Education
Middle Tennessee State University
Master of Business Administration (MBA), Marketing
Letreana Byars-Lee's Windsor Health Plan Experience February 2011 - December 2013
Job Recovery/ReSols Rep Sr at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group December 2013 - Present
Windsor Health Plan February 2011 - December 2013
Skills
Process Improvement, Insurance, Health Insurance, Quality Assurance, Healthcare, HIPAA, Leadership, Management, Customer Service, Team Building, Outlook, Strategic Planning, Call Centers, Healthcare Management, Contract Negotiation, Training, Healthcare Information..., Microsoft Office, Recruiting
Education
Tennessee State University
Whites Creek High Comprehensive High School
UnitedHealth Group December 2013 - Present
Windsor Health Plan February 2011 - December 2013
Skills
Process Improvement, Insurance, Health Insurance, Quality Assurance, Healthcare, HIPAA, Leadership, Management, Customer Service, Team Building, Outlook, Strategic Planning, Call Centers, Healthcare Management, Contract Negotiation, Training, Healthcare Information..., Microsoft Office, Recruiting
Education
Tennessee State University
Whites Creek High Comprehensive High School
Chuck Bidwell's Windsor Health Plan Experience April 1996 - Present
Job Claims Team Lead at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan April 1996 - Present
Education
Austin Peay State University
Music
Windsor Health Plan April 1996 - Present
Education
Austin Peay State University
Music
Marsha Adams's Windsor Health Plan Experience October 2006 - September 2012
Job Independent Agent, specializing in Medicare Advantage and Supplemental Policies, Long Term Care and Final Expense.
Industry Insurance
Experience
Select Pointe September 2012 - Present
Windsor Health Plan October 2006 - September 2012
Skills
Medicaid, Sales, Insurance, Healthcare, Employee Benefits, Team Building, Health Insurance, Medicare, Training, HMO, Managed Care, Public Speaking, Strategic Planning, Long-term Care, Commercial Insurance, Marketing
Education
Tougaloo College 1994 — 1998
Bachelor of Arts (B.A.), Psychology
Piney Woods School 1988 — 1994
Diploma, 7-12
Select Pointe September 2012 - Present
Windsor Health Plan October 2006 - September 2012
Skills
Medicaid, Sales, Insurance, Healthcare, Employee Benefits, Team Building, Health Insurance, Medicare, Training, HMO, Managed Care, Public Speaking, Strategic Planning, Long-term Care, Commercial Insurance, Marketing
Education
Tougaloo College 1994 — 1998
Bachelor of Arts (B.A.), Psychology
Piney Woods School 1988 — 1994
Diploma, 7-12
Frank Easterwood's Windsor Health Plan Experience October 2006 - Present
Job
Industry Insurance
Experience
Windsor Health Plan October 2006 - Present
Education
Mississippi State University
Windsor Health Plan October 2006 - Present
Education
Mississippi State University
Charlotte Ladd's Windsor Health Plan Experience January 2007 - Present
Job Network Specialist, HIPAA Compliance privacy officer consultant, Credentialing
Industry Insurance
Experience
Windsor Health Plan January 2007 - Present
Windsor healthplan 2007 - Present
RehabCare October 1994 - February 2004
Skills
HIPAA, Insurance, HMO, Medical Billing, PPO, Network Development, Claim, Health Insurance, Provider Relations, Healthcare, Managed Care, Customer Service, Contract Negotiation, Credentialing, Medicare Part D, Medicare, Healthcare Industry, Medicaid, Health Policy, Revenue Cycle, Physicians, Healthcare Management, Pharmacy Benefit..., Hospitals, Healthcare Consulting, Employee Benefits, Healthcare Information..., Call Centers, Process Improvement, EMR, Utilization Management, Provider Education, Provider Network..., Provider Networks, Physician Relations, Home Care, Disease Management, Durable Medical..., Provider Enrollment, NCQA, Networking, Building Relationships, Team Building, Customer Retention, Leadership, Underwriting, Marketing, Claim Investigation, Salesforce.com, Training
Education
Arkansas State University 1989 — 1992
Bachelor's degree, Marketing/Marketing Management, General
Windsor Health Plan January 2007 - Present
Windsor healthplan 2007 - Present
RehabCare October 1994 - February 2004
Skills
HIPAA, Insurance, HMO, Medical Billing, PPO, Network Development, Claim, Health Insurance, Provider Relations, Healthcare, Managed Care, Customer Service, Contract Negotiation, Credentialing, Medicare Part D, Medicare, Healthcare Industry, Medicaid, Health Policy, Revenue Cycle, Physicians, Healthcare Management, Pharmacy Benefit..., Hospitals, Healthcare Consulting, Employee Benefits, Healthcare Information..., Call Centers, Process Improvement, EMR, Utilization Management, Provider Education, Provider Network..., Provider Networks, Physician Relations, Home Care, Disease Management, Durable Medical..., Provider Enrollment, NCQA, Networking, Building Relationships, Team Building, Customer Retention, Leadership, Underwriting, Marketing, Claim Investigation, Salesforce.com, Training
Education
Arkansas State University 1989 — 1992
Bachelor's degree, Marketing/Marketing Management, General
Patti Muccillo's Windsor Health Plan Experience January 2008 - February 2013
Job Provider Relations Manager at Community Health Alliance
Industry Insurance
Experience
Community Health Alliance February 2013 - Present
Windsor Health Plan January 2008 - February 2013
Windsor Health Plan January 2005 - January 2008
American Maritime Officers Medical Plan January 2003 - January 2005
West Marine Boat Services January 2002 - January 2003
Anchor Watch Marine Services, Inc January 1999 - January 2002
Medistat Pharmacy Services January 1997 - January 1998
Skills
Managed Care, Network Development, Contract Negotiation, Provider Relations, Medicare Advantage, HMO, PPO, Small Business, Business Development, Healthcare, Building Relationships, National Accounts, Home Health Agencies, Pharmacology, Oncology, Credentialing, Hospitals, Utilization Management, Call Centers, HIPAA, Leadership, Management, Claim, Physicians, Sales, Process Improvement, Insurance, Health Policy, Medical Billing, Provider Network..., Healthcare Industry, Contract Management, Employee Benefits, Disease Management, Home Care, Pharmacy Benefit..., Healthcare Consulting, Healthcare Management, Revenue Cycle, Training, Physician Relations, Policy, Long-term Care, Provider Education, Claim Investigation, Claims Resolution, Healthcare Information..., Quality Improvement, Pharmacy, Healthcare Reimbursement
Education
Barry University
Bachelor of Professional Studies, Business, 3.9
U.S. Army Academy of Health Sciences
Hematology-Oncology Technician Certificate
U.S. Army Academy of Health Sciences
Pharmacy Technician Certificate
Community Health Alliance February 2013 - Present
Windsor Health Plan January 2008 - February 2013
Windsor Health Plan January 2005 - January 2008
American Maritime Officers Medical Plan January 2003 - January 2005
West Marine Boat Services January 2002 - January 2003
Anchor Watch Marine Services, Inc January 1999 - January 2002
Medistat Pharmacy Services January 1997 - January 1998
Skills
Managed Care, Network Development, Contract Negotiation, Provider Relations, Medicare Advantage, HMO, PPO, Small Business, Business Development, Healthcare, Building Relationships, National Accounts, Home Health Agencies, Pharmacology, Oncology, Credentialing, Hospitals, Utilization Management, Call Centers, HIPAA, Leadership, Management, Claim, Physicians, Sales, Process Improvement, Insurance, Health Policy, Medical Billing, Provider Network..., Healthcare Industry, Contract Management, Employee Benefits, Disease Management, Home Care, Pharmacy Benefit..., Healthcare Consulting, Healthcare Management, Revenue Cycle, Training, Physician Relations, Policy, Long-term Care, Provider Education, Claim Investigation, Claims Resolution, Healthcare Information..., Quality Improvement, Pharmacy, Healthcare Reimbursement
Education
Barry University
Bachelor of Professional Studies, Business, 3.9
U.S. Army Academy of Health Sciences
Hematology-Oncology Technician Certificate
U.S. Army Academy of Health Sciences
Pharmacy Technician Certificate
Stephanie Key's Windsor Health Plan Experience October 2007 - July 2012
Job Senior CRA at PPD
Industry Research
Experience
PPD October 2014 - Present
Theorem Clinical Research July 2012 - October 2014
Windsor Health Plan October 2007 - July 2012
Skills
Healthcare, Managed Care, Hospitals, PPO, Clinical Trials, Customer Service, CTMS, Microsoft Office, Strategic Planning, PowerPoint, Microsoft Excel, Microsoft Word, Public Speaking, Outlook, Provider Relations, Insurance, Healthcare Industry, Medicare, Healthcare Management, HMO, Oncology, Teaching, Cardiology, Windows, Photoshop, HTML, English, Research, Endocrinology, Budgets, Clinical Research...
Education
Pfeiffer University 1995 — 1998
MHA, Health/Health Care Administration/Management
North Carolina Agricultural and Technical State University 1993 — 1997
Master of Science (MS), Education
PPD October 2014 - Present
Theorem Clinical Research July 2012 - October 2014
Windsor Health Plan October 2007 - July 2012
Skills
Healthcare, Managed Care, Hospitals, PPO, Clinical Trials, Customer Service, CTMS, Microsoft Office, Strategic Planning, PowerPoint, Microsoft Excel, Microsoft Word, Public Speaking, Outlook, Provider Relations, Insurance, Healthcare Industry, Medicare, Healthcare Management, HMO, Oncology, Teaching, Cardiology, Windows, Photoshop, HTML, English, Research, Endocrinology, Budgets, Clinical Research...
Education
Pfeiffer University 1995 — 1998
MHA, Health/Health Care Administration/Management
North Carolina Agricultural and Technical State University 1993 — 1997
Master of Science (MS), Education
Lakeisha Davis's Windsor Health Plan Experience January 2010 - Present
Job Network Services Representative at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan January 2010 - Present
Practice Plus July 2008 - January 2010
Walgreens May 2007 - June 2008
Skills
Insurance, Health Insurance, Managed Care, Medicare, Claim, Customer Service, Team Building, Sales, Sales & Marketing..., Healthcare, Medical Billing, Medical Records, Provider Relations, Contract Negotiation, Network Contracting, Management, HIPAA, HMO, PPO, Healthcare Industry, Network Development, Claim Investigation, ICD-9, CPT
Education
University of Arkansas at Little Rock 2010 — 2013
Master's degree, Learning Systems Technology Education
University of Arkansas at Monticello 2004 — 2008
Bachelor of Business Administration (BBA), Finance, General
Windsor Health Plan January 2010 - Present
Practice Plus July 2008 - January 2010
Walgreens May 2007 - June 2008
Skills
Insurance, Health Insurance, Managed Care, Medicare, Claim, Customer Service, Team Building, Sales, Sales & Marketing..., Healthcare, Medical Billing, Medical Records, Provider Relations, Contract Negotiation, Network Contracting, Management, HIPAA, HMO, PPO, Healthcare Industry, Network Development, Claim Investigation, ICD-9, CPT
Education
University of Arkansas at Little Rock 2010 — 2013
Master's degree, Learning Systems Technology Education
University of Arkansas at Monticello 2004 — 2008
Bachelor of Business Administration (BBA), Finance, General
Su Majewski's Windsor Health Plan Experience June 2013 - Present
Job Medical Language Specialist at Transcription, Technology & Support
Industry Hospital & Health Care
Experience
Transcription, Technology & Support April 2014 - Present
Windsor Health Plan June 2013 - Present
Optum/Inspiris October 2013 - April 2014
New England Medical Transcription July 2012 - April 2013
Physicians Transcription Service 2008 - 2012
Windrix Transcription 2002 - 2008
Skills
Medical Transcription, Medical Terminology, Close Attention to..., Medical Records, HIPAA, Data Entry, Prioritize Workload, Time Management, Positive Team Player, Meet Deadlines, Financial Calculations, General Office..., Independent Contractors
Education
Southwest Tennessee Community College 2002 — 2003
Liberal Arts and Sciences, General Studies and Humanities
Nassau Community College 1972 — 1973
Liberal Arts and Sciences, General Studies and Humanities
Transcription, Technology & Support April 2014 - Present
Windsor Health Plan June 2013 - Present
Optum/Inspiris October 2013 - April 2014
New England Medical Transcription July 2012 - April 2013
Physicians Transcription Service 2008 - 2012
Windrix Transcription 2002 - 2008
Skills
Medical Transcription, Medical Terminology, Close Attention to..., Medical Records, HIPAA, Data Entry, Prioritize Workload, Time Management, Positive Team Player, Meet Deadlines, Financial Calculations, General Office..., Independent Contractors
Education
Southwest Tennessee Community College 2002 — 2003
Liberal Arts and Sciences, General Studies and Humanities
Nassau Community College 1972 — 1973
Liberal Arts and Sciences, General Studies and Humanities
Marquitta McCray RN,RHIA,CCS-P's Windsor Health Plan Experience January 2006 - November 2008
Job Registerd Nurse, Registered Health Information Administrator, and Certified Coder
Industry Hospital & Health Care
Experience
ST Thomas Hospital July 2013 - Present
ST Thomas Hospital December 2008 - July 2013
Windsor Health Plan January 2006 - November 2008
Nashville General Hospital May 2005 - December 2005
Skills
Medical Coding, Medicare, Code Review, Provider Education, Reporting & Analysis, Compliance
Education
Cumberland University 2011 — 2013
Bachelor's degree, Registered Nursing/Registered Nurse
Tennessee State University 2001 — 2005
Bachelor's degree, Health Information/Medical Records Administration/Administrator
ST Thomas Hospital July 2013 - Present
ST Thomas Hospital December 2008 - July 2013
Windsor Health Plan January 2006 - November 2008
Nashville General Hospital May 2005 - December 2005
Skills
Medical Coding, Medicare, Code Review, Provider Education, Reporting & Analysis, Compliance
Education
Cumberland University 2011 — 2013
Bachelor's degree, Registered Nursing/Registered Nurse
Tennessee State University 2001 — 2005
Bachelor's degree, Health Information/Medical Records Administration/Administrator
Monica Keaton's Windsor Health Plan Experience November 2012 - June 2013
Job Individual & Family Services Professional
Industry Individual & Family Services
Experience
Windsor Health Plan November 2012 - June 2013
Family and Children Services-Intern 2012 - 2013
Education
Lipscomb University 2011 — 2013
Bachelor of Arts (BA), Social Work
Harding University 1993 — 1995
Windsor Health Plan November 2012 - June 2013
Family and Children Services-Intern 2012 - 2013
Education
Lipscomb University 2011 — 2013
Bachelor of Arts (BA), Social Work
Harding University 1993 — 1995
Jennifer Bouchard's Windsor Health Plan Experience August 2010 - Present
Job EDI Analyst, Lead at Windsor Health Group, A WellCare Company
Industry Insurance
Experience
Windsor Health Plan August 2010 - Present
Alcott Routon March 2006 - February 2007
EDS Technologies August 2002 - December 2004
Skills
Insurance, Managed Care, Claim, Medicaid, HIPAA, Outlook, Customer Service, Healthcare, Provider Relations, Microsoft Office, Shell Scripting, Data Warehousing, Access, Testing, Software Documentation, PL/SQL
Education
Georgia State University 1997 — 2002
Bachelor's degree, Computer Information Systems
Windsor Health Plan August 2010 - Present
Alcott Routon March 2006 - February 2007
EDS Technologies August 2002 - December 2004
Skills
Insurance, Managed Care, Claim, Medicaid, HIPAA, Outlook, Customer Service, Healthcare, Provider Relations, Microsoft Office, Shell Scripting, Data Warehousing, Access, Testing, Software Documentation, PL/SQL
Education
Georgia State University 1997 — 2002
Bachelor's degree, Computer Information Systems
Marlaina Hawks's Windsor Health Plan Experience July 2011 - Present
Job Customer Service Rep at Windsor Health Plan
Industry Insurance
Experience
Windsor Health Plan July 2011 - Present
Education
University of Evansville 1984 — 1987
Bachelor of Science (B.S.), Criminal Justice
Windsor Health Plan July 2011 - Present
Education
University of Evansville 1984 — 1987
Bachelor of Science (B.S.), Criminal Justice
Steven Pharr's Windsor Health Plan Experience November 2012 - Present
Job Senior Certified Pharmacy Technician at Windsor
Industry Insurance
Experience
Windsor Health Plan November 2012 - Present
Walgreens October 2001 - Present
Skills
I have been trained in..., Pharmacy, Pharmacy Benefit...
Education
ITT Technical Institute-Nashville 2005 — 2008
Bachelor of Applied Science (B.A.Sc.), Digital Entertainment and Game Design, 3.7
ITT Technical Institute-Indianapolis 1999 — 2001
Bachelor of Applied Science (B.A.Sc.), Computer Visual Technology, 3.8
ITT Technical Institute-Nashville 1997 — 1999
Associate's degree, Computer Aided Drafting, 3.4
Windsor Health Plan November 2012 - Present
Walgreens October 2001 - Present
Skills
I have been trained in..., Pharmacy, Pharmacy Benefit...
Education
ITT Technical Institute-Nashville 2005 — 2008
Bachelor of Applied Science (B.A.Sc.), Digital Entertainment and Game Design, 3.7
ITT Technical Institute-Indianapolis 1999 — 2001
Bachelor of Applied Science (B.A.Sc.), Computer Visual Technology, 3.8
ITT Technical Institute-Nashville 1997 — 1999
Associate's degree, Computer Aided Drafting, 3.4
Ruth Ann Drake's Windsor Health Plan Experience October 2006 - January 2014
Job Quality Specialist at WellCare
Industry Insurance
Experience
WellCare Health Plans January 2014 - Present
Windsor Health Plan October 2006 - January 2014
HMC October 2002 - October 2006
Skills
Medicare, Medicaid, Health Insurance, HMO, Managed Care, Health Policy, Disease Management, HEDIS, Healthcare Industry, Healthcare Management, Insurance, Healthcare Consulting, Provider Relations, HIPPA, Public Health, School Health, EPSDT
Education
Aquinas College
BSN, Nursing
Baptist Hospital School of Nursing
Diploma, Nursing, Top 5% of class
University of Tennessee
BS, Child Development, Graduated Cum Laude
WellCare Health Plans January 2014 - Present
Windsor Health Plan October 2006 - January 2014
HMC October 2002 - October 2006
Skills
Medicare, Medicaid, Health Insurance, HMO, Managed Care, Health Policy, Disease Management, HEDIS, Healthcare Industry, Healthcare Management, Insurance, Healthcare Consulting, Provider Relations, HIPPA, Public Health, School Health, EPSDT
Education
Aquinas College
BSN, Nursing
Baptist Hospital School of Nursing
Diploma, Nursing, Top 5% of class
University of Tennessee
BS, Child Development, Graduated Cum Laude
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY