Aetna Company
Industry: Managed care company
DescriptionAetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance plans and related services, such as medical, pharmaceutical, dental, behavioral ... Headquarters: Hartford, Connecticut, United States CEO: Mark Bertolini (Nov 29, 2010–) Parent organization: CVS Health Revenue: 60.54 billion USD (2017) Number of employees: 49,828 (2017) Subsidiaries: Coventry Health Care, Aetna International Inc.,
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Aetna Employees
Aetna June 2013 - Present
Skills
Public Speaking, Strategic Planning, Team Building, Utilization Management, Nonprofits, Medicare, Managed Care, Leadership, Healthcare, Disease Management, Management, Customer Service, Event Planning
Education
Capella University
DPN, Psychology
Excelsior College
Bachelor of Science (BS), Nursing/Psychology
Hope After Betrayal Ministries 2013 - Present
USA Self Employed 2003 - Present
Kregel Publishing 2007 - 2010
Calvary Baptist Church/North Point 1990 - 1998
Aetna 1987 - 1994
Skills
Public Speaking, Writing, Books, Conferences, Publications, Publishing, Non-fiction, Fiction, Fundraising, Freelance Writing, Proofreading, Fiction Writing, Novels, Copy Editing, Poetry, Short Stories, Creative Writing, Ghostwriting, Feature Articles, Magazine Articles, Blogging, Ebooks, Web Content, Editing, Press Releases, Copywriting, Journalism
Education
California State University-San Bernardino 1979 — 1983
Bachelor of Arts, Business Administration
Woodbridge High School 1976 — 1979
New Hanover County Schools December 2014 - Present
Research Consultants Group March 2013 - December 2014
Kangaroo Express, an operating trade name of The Pantry, Inc. May 2006 - February 2013
MJM Security, Consulting and Investigations, LLC February 2005 - February 2006
Bristol West Insurance Group April 2000 - July 2004
Federated Insurance May 1998 - April 2000
HMI and Associates November 1995 - May 1998
George Hills Company 1994 - 1995
Aetna 1990 - 1994
Maryland Casualty 1989 - 1990
Skills
Background Checks, Claim Investigation, Civil Litigation, Claims Resolution, Claims Handling, Negotiation, Customer Service, Property & Casualty..., Private Investigations, Recorded Statements, Locating People, Asset Investigations, Financial Crimes..., Insurance Adjusting, Large Loss, Investigation, Claims Management, Workers Compensation, Liability, Risk Management, Claims Investigations, Litigation Management, Internal Investigations, Accident, Litigation, Workers' Compensation..., Skip Tracing, Legal Liability, Fraud Detection, Asset Protection, Subrogation, Interrogation, Casualty, Fraud, Claim, Casualty Insurance
Education
University of North Carolina at Pembroke 2015 — 2017
Cape Fear Community College 2014 — 2015
Associate's Degree, Criminal Justice and Corrections
RideConnect, Family Services of Westchester January 2015 - Present
Ronald McDonald House of the Greater Hudson Valley November 2014 - Present
HEALTHEC February 2014 - September 2014
Advantage Health Solutions December 2010 - 2014
Trinity Free Health Clinic January 2012 - August 2012
Aetna 2008 - 2010
UnitedHealthcare/AmeriChoice 2006 - 2008
Skills
Health Education, Healthcare, Disease Management, Managed Care, Medicaid, Healthcare Management, Wellness, Patient Education, Nursing, Case Managment, Health Policy, Quality Improvement, Health Promotion, Medicare, Home Care, Public Health, Utilization Management, Case Management
Education
California State University-Sacramento 1992 — 1994
MS, Marriage, Family, Child Counseling
State University of New York College at Brockport
BS, Community Health Education
Lawton Community Health Center February 2013 - July 2014
Pathology Corporation of America October 2010 - February 2013
Great Plains Technology Center January 2011 - November 2012
Terra Health Inc. August 2010 - October 2010
Aetna July 2007 - December 2007
Blocker's Furniture December 2005 - June 2006
Blue Cross and Blue Shield Association April 2004 - December 2005
Skills
Nursing Care, Healthcare, Hospitals, Oncology Nursing, Nursing Management, Geriatric Nursing, Hospice & Palliative..., Palliative Care, Endocrinology, Microsoft Office, Pediatric Nursing, Gynecology, Nursing Documentation, Thyroid Disorders, Cytopathology, Customer Service, Public Relations, Social Media, Marketing, Strategic Planning, Budgets, Event Planning, Public Speaking, Social Media Marketing, Project Management, Marketing Management, New Business Development, Advertising, Business Strategy, Marketing Strategy, Marketing Communications, Event Management, Software Documentation, Nursing, Clinical Research
Education
Cameron University 2012 — 2015
Bachelor of Business Administration (BBA)
Great Plains Technology Center 2011 — 2012
Practical Nursing Licensure
Pikes Peak Community College 2008 — 2009
Florida Community College at Jacksonville 2003 — 2004
Aetna March 2013 - Present
WeeWebWork September 2008 - June 2014
Nevada County Digital Media April 2012 - October 2012
Dawn Publications November 2009 - November 2011
Grass Valley Police Department April 2003 - September 2009
ImagiWorks October 1998 - April 2003
Knowledge Revolution January 1997 - January 1999
Skills
CS5, Advanced CSS, XHTML, JavaScript, WordPress, QuickBooks, Web Development, Research, Public Speaking, Writing, Web Design, HTML5, E-learning, E-Learning, Project Management, Wordpress, Adobe Creative Suite, Team Building, Presentation Coaching, Training, Online Marketing, Digital Marketing, HTML 5, Social Media Marketing, Motivational Speaking, Social Networking, Leadership, Marketing, SEO, HTML, Access, Leadership Development, Fundraising, Advertising, Small Business, Entrepreneurship, Blogging
Education
Capella University 2012 — 2015
Master of Business Administration (M.B.A.), Marketing & Health Care Policy
Notre Dame de Namur University 1993 — 1997
Bachelors, Music
Wawa, Inc. October 2013 - Present
Quest Diagnostics April 2012 - October 2013
Aetna January 2012 - April 2012
US Navy May 2010 - September 2011
United States Navy Reserve 2003 - May 2010
ING DIRECT August 2007 - January 2010
Users Incorporated 2003 - 2007
RCG Global Services April 1999 - July 2002
The Judge Group 1996 - April 1999
Arsenault Associates 1989 - 1995
Skills
Software Development, Design Patterns, SharePoint, Integration, Databases, Requirements Analysis, .NET, Visual Basic, Unix, Access, Project Management, Security, Program Management, Leadership, MUMPS, Cache Object Script, Web Services, SMTP, Windows Scripting, Ipswitch, FTP, Secure FTP, HTML, DHTML, Object Oriented Design, Object Oriented Modeling, Object Oriented Software, C#, Microsoft SQL Server, SQL, Visio, SaaS, Google Earth, Google Maps, Google API, FileNet, Crystal Reports
Education
Joint Deployment Training Center, Fort Eustis, VA 2014 — 2014
GCCS-J Basic COP Operator, Military Intelligence, Command Control and Information Operations, 95%
Capella University
Information Technology, 4.0
Rutgers, The State University of New Jersey-New Brunswick 1994 — 1997
BACS, Computer Science, Mathematics
Camden County College 1984 — 1986
AAS, Computer Aided Design/Computer Aided Manufacturing (Robotics)
Camden Catholic High School 1979 — 1982
High School Diploma, Mathematics and Computer Science
Aetna May 2013 - Present
Jewish Community Center of Greater Pittsburgh January 2013 - Present
Boys and Girls Club June 2011 - August 2013
Homestead Athletic Club October 2012 - May 2013
Baierl Ymca August 2010 - October 2012
YMCA August 2011 - June 2012
Skills
Fitness, Personal Training, Strength Training, Exercise Physiology, Fitness Training, Kinesiology, Strength & Conditioning, Operant Conditioning, Wellness, Sports Nutrition, Athletics, Health Education, Wellness Coaching, Health Promotion, Public Speaking, Nutrition
Education
California University of Pennsylvania 2014 — 2015
Master's Degree, Exercise Science and Health Promotion-Wellness Coaching
Penn State University 2005 — 2009
Bachelor of Science (B.S.), Kinesiology and Exercise Science
The Pennsylvania State University, University 2005 — 2009
B.S, Kinesiology
Pasadena High School January 2013 - Present
Pasadena High School October 2012 - Present
Pasadena High School September 2010 - Present
Cathedral High School September 2009 - Present
Dr. Kevin Mercado,D.C July 2007 - Present
Various Non Profit organizations January 2001 - Present
Launch Sports Inc August 2006 - December 2012
Restored Life Fellowship September 2010 - September 2011
Aetna January 2000 - July 2003
Apple Inc. December 1998 - December 1999
Skills
Chiropractic, Wellness, Pain, Nutrition, Rehabilitation, Sports Injuries, Athletes, Musculoskeletal, Kinesiology, Sports Medicine, Pain Management, Strength, Conditioning, Orthotics, Myofascial Release, Exercise Physiology, Sciatica, Lifestyle, Anatomy, Healing, Athletics, Fitness, Injury, Low Back Pain, Strength Training, Operant Conditioning, Personal Training, Athletic Training, Healthcare, Sports, Teaching, Strength, Prevention, Treatment, Health Promotion
Education
University of San Diego 2013 — 2015
Teaching Credential, Health Sciences and Medical Technology
Southern California University of Health Sciences 2003 — 2006
Doctor of Chiropractic, Chiropractic
California State University-Sacramento 1994 — 1999
Bachelors of Science, Kinesiology (Dual Emphasis Pre-Physical Therapy/Athletic Training & Exercise Science)
North Carolina State Ethics Commission September 2015 - Present
Brock & Scott, PLLC 2013 - September 2015
Financial Protection Law Center January 2013 - May 2013
American Express March 2010 - July 2011
Aetna April 2007 - October 2009
Vidant Medical Center January 2007 - July 2007
UnitedHealth Group April 2005 - August 2006
Bank of America (NationsBank) August 1990 - June 1993
Skills
Excellent Written and..., Clear and Concise Writer, Legal Ethics, High Level Of..., Legal Research and..., Bankruptcy, Real Estate Law, Criminal Law, Family Law, Litigation, Wills, Estates, and..., Administrative Law, LexisNexis, Westlaw, SoftPro, Microsoft Office Suite, Microsoft Excel, Microsoft Word, Access Database, PowerPoint, Outlook, Mail Merge, Group Discussion Leader, Always Punctual, Open Minded, Respectful of Diversity, Confident Public Speaker, Dependable Team Player, Dependable Independent..., Filing Insurance Claims, Applying Insurance..., Explanation of Benefits, Appointment Scheduling, Receptionist Duties, Telephone Skills, Cash Handling Experience, Staff Scheduling..., Medicare Part D, Insurance, Nonprofits, Research
Education
Cape Fear Community College
May, 2013 - Associate of Applied Science, Paralegal Technology, Honors Graduate
UNCW 1985 — 1987
Political Science and Government, Psychology
Broward County, Florida, Continuing Education
Certificate, Medical Billing and Coding
Aetna 2014 - Present
Skills
Interpersonal..., Highly detail oriented, Organizational..., Social Services, Conflict Resolution, Medical Social Work, Case Management, Crisis Intervention, Program Development, Group Therapy, HIV prevention, Psychology, Oral & Written..., Mental Health Counseling, Mental Health, Organization &..., Social Skills, Adolescents, Critical Thinking, Dependable Team Player, Workshop Facilitation, Career Development, Filing
Education
Roosevelt University
Paralegal
Capella University
Master of Science (MS), Human Services, General
University of Benin
Bachelor of Arts (B.A.)
Guardian Protection Services August 2013 - Present
Guardian Protection Services July 2013 - August 2013
Marketing Support Network April 2013 - June 2013
Aetna October 2010 - February 2013
Aetna June 2009 - October 2010
Aetna August 2006 - June 2009
EchoStar Corporation August 2005 - July 2006
EchoStar Corporation September 2003 - July 2005
Call Tech December 2001 - May 2003
Skills
Microsoft Office, Mac OS, Windows, Unix, Adobe Creative Suite, QuarkXPress, Pagemaker, Wireless Networking, Network Design, Macromedia, Dreamweaver, Flash Animation, Customer Service, Investigation, Sales, Technical Support, Troubleshooting
Education
California University of Pennsylvania 2001 — 2003
Bachelor of Science (BS), Information Technology
California University of Pennsylvania 2001 — 2002
Graduate Certificate, Multimedia
California University of Pennsylvania 1997 — 2000
Bachelor of Science (BS), Graphic Communications
California University of Pennsylvania September 2012 - May 2015
Aetna May 2014 - August 2014
Aetna May 2013 - August 2013
Tween Brands November 2011 - August 2012
Skills
Adobe Creative Suite, QuarkXPress, Microsoft Word, PowerPoint, Outlook Express, Google Docs, Graphic Design, Mac, Customer Service, InDesign, Photoshop, Illustrator, Photography, OS X, Brand Development, Public Speaking, Social Media, Social Networking, Microsoft Office
Education
California University of Pennsylvania 2011 — 2015
Bachelor of Science (B.S.), Graphic Design
Pottsgrove Senior High School 2007 — 2011
TrialCard April 2011 - Present
Aetna November 2009 - March 2011
Skills
Office Administration, Customer Service, Accounts Payable, Accounts Receivable, Microsoft Office, Adobe Creative Suite, Filing, Bookkeeping
Education
Cape Fear Community College 1992 — 1993
Early Childhood Education and Teaching
Hewlett-Packard April 2015 - Present
Hewlett-Packard July 2013 - Present
Vanderbilt Owen Graduate School of Management August 2011 - May 2013
Microsoft May 2012 - August 2012
Cogent HMG January 2012 - May 2012
Aetna July 2007 - July 2011
Skills
Critical Thinking, Financial Services, Business Planning, Training, Sales Management, Negotiation, Conflict Management, Coaching, Strategy, Diversity Management, Cross-functional Team..., Management, Financial Analysis, Healthcare, Insurance, Employee Benefits, Analysis, Human Resources, Organizational..., Personnel Management, Time Management, Workforce Planning, Process Improvement, Leadership, Onboarding, Program Management, Consulting, Team Building, Microsoft Excel, Leadership Development, Public Speaking, Sales, Data Analysis
Education
Vanderbilt University - Owen Graduate School of Management 2011 — 2013
MBA, Concentrations: Human and Organizational Performance, Strategy, & Operations
Canisius College
B.A Magna Cum Laude, Spanish / Interpersonal Communication
City Honors
HS Diploma, College Prep
Southern Methodist University
Masters, Dispute Resolution and Conflict Management, 3.817
Aetna July 2012 - Present
Delta Air Lines June 2012 - Present
Aetna July 2007 - July 2012
Aetna August 2001 - July 2007
Skills
Strong problem-solving..., Able to manage pressure..., Excellent written and..., Work productively with..., Ability to multi-task &..., Microsoft Excel,..., Leadership, Employee Benefits, Accounts Payable, Human Resources, Customer Service, Time Management, Teamwork, Microsoft Office, Business Intelligence, Management, Quality Assurance, Process Improvement, Banking, Call Centers, Access, Insurance
Education
Charter Oak State College 2009 — 2011
Bachelor of Applied Science (B.A.Sc.), Phycology
Capital Community College 2005 — 2009
Associate's degree, Business Administration, Management and Operations
Pendergast Elementary School District 92 October 2014 - Present
Pendergast School District July 2014 - Present
Talbots October 2012 - February 2014
Lane Bryant March 2014 - 2014
STRS Ohio 2012 - 2014
Aetna July 2010 - June 2012
State of Ohio Department of Public Safety 2005 - 2010
Victoria's Secret October 1998 - February 2002
Skills
Customer Service, Sales, Outlook, Training, Microsoft Office, PowerPoint, Team Building, Team Leadership, Access, Microsoft Excel, Microsoft Word, Call Center, Teamwork, Insurance, Software Documentation, Process Improvement, System Administration, Event Planning, Inventory Management, Editing, Data Entry, Fashion, Administrative..., Leadership Development, Educational Leadership, Elementary Education, Leadership, Management
Education
Capital University 1998 — 2000
Bachelor of Arts (B.A.), History
Wittenberg University 1996 — 1998
French Studies
AT&T April 2014 - Present
AT&T August 2013 - April 2014
AT&T March 2013 - August 2013
NCR Corporation July 2012 - February 2013
IBM June 2011 - August 2011
Aetna April 2009 - August 2010
Aetna May 2007 - April 2009
General Motors January 2006 - May 2006
Skills
Marketing, Negotiation, Strategic Planning, Sales, Competitive Analysis, Marketing Strategy, Customer Service, Recruiting, Social Media, Advertising, Account Management, Management, Project Management, Sales Operations, Leadership, Team Leadership, Forecasting, Analysis
Education
Clark Atlanta University 2010 — 2012
MBA, Marketing
Capital Normal University
MBA International Business Study Abroad Program
Georgia State University
BBA, Marketing, Finance
Aetna, INC. October 2009 - Present
Aetna,Inc. October 2009 - Present
Motorist Mutual Insurance June 2009 - June 2009
Motorist Mutual June 2009 - June 2009
Liberty Mutual Insurance February 2008 - May 2009
Utica National Insurance Group June 2003 - February 2008
OHIC Insurance Company 2002 - 2003
Aetna 2001 - 2002
CNA 1978 - 2001
C N A June 1978 - February 2000
Education
Capital University 1975 — 1978
BA, History and Political Science
Ohio Dominican University 1974 — 1975
History
CareerSource Tampa Bay December 2009 - Present
WorkNet Pinellas April 2009 - June 2009
Florida Department of Children and Families June 2007 - April 2009
Bright House Networks March 2005 - May 2007
Aetna January 2003 - March 2005
Verizon August 1997 - October 2002
Skills
Workforce Development, Community Outreach, Employee Benefits, Resume Writing, Career Counseling, Training, Leadership Development, Interviews, Recruiting, Career Development, Job Search Strategies, Team Building, Onboarding, Nonprofits, Job Coaching, Conflict Resolution, Public Speaking, Customer Service, Organizational..., Coaching, Leadership, Microsoft Office
Education
Springfield College-School of Human Services 2013 — 2016
Bachelor of Human Services, Human Services, General
Hillsborough Community College 1997 — 1999
Associate of Science (A.S.), Secondary Education and Teaching
Cal State San Bernardino
aetna February 2000 - Present
Skills
Business Analysis, Customer Service, Insurance, Health Insurance, Claim, Microsoft Office, Employee Benefits, Team Building, Process Improvement, Management, Training, Outlook, Healthcare, Leadership, Benefits Administration, Access, HIPAA, Medicare, Public Speaking, Research
Education
University of Phoenix 2008 — 2010
Psychology
Cameron University 1989 — 1990
Elementary Education and Teaching
RED RIVER AREA VOTECH 1988 — 1989
RECEIVE CERTIFICATE, Administrative Assistant and Secretarial Science, General
duncan senior High 1980 — 1989
HIGH SCHOOL DIPLOMA, DUNCAN SENIOR HIGH
Mutual of Omaha May 2014 - Present
Independent Insurance Agent October 2013 - Present
Cleveland Grant Madison LLC January 2013 - Present
American National Insurance May 2010 - Present
Aetna January 2009 - Present
Connextions July 2012 - January 2013
GNC Jurisdiction 2011 - 2012
Lincoln Heritage Life Insurance Co June 2010 - October 2011
Colonial Life June 2009 - March 2011
Carolinas Wealth Management Group June 2010 - February 2011
Skills
Account Management, Sales Management, Team Management, Corporate Communications, Public Speaking, Pastoral Care, Teacher Training, Employee Benefits, Management, Insurance, Health Insurance, Retirement Planning, Sales, Leadership, Marketing, Life Insurance, Medicare, Strategic Planning, Team Building
Education
Capella University 2011 — 2013
Master's degree, Health/Health Care Administration/Management
Marshall University 2006 — 2010
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
The Vasquez Group September 1995 - Present
Pinnacle Financial Group January 2010 - January 2013
PremiumShare May 2008 - December 2011
Thomas Brady & Associates December 2005 - May 2008
Aetna 1989 - 1995
Education
Louisiana State University 1987 — 1989
Business
Cañada College 1985 — 1986
College of San Mateo 1984 — 1986
Business
New Horizons Village July 2015 - Present
New Horizons Village April 2014 - Present
ProHealth Physicians April 2012 - June 2013
Aetna July 2007 - October 2011
The Hartford November 2004 - July 2007
The Hartford June 2001 - November 2004
The Hartford April 1997 - June 2001
Aetna 1991 - May 1996
Aetna 1989 - 1991
Skills
Problem Solving, Master Scheduling, Budget Management, Project Coordination, Event Planning, Microsoft Office, Recruiting, Management, Vendor Management, Training, Project Planning, Contract Negotiation, Risk Management, Public Speaking, Data Analysis, Financial Analysis, Budgets, Social Networking, Microsoft Word, Office Administration, Insurance, Leadership, Customer Service, Program Management, PowerPoint
Education
Capital Community College 1973 — 1974
Legal Secretarial Certificate
Capital Coommunity College, Hartford, CT
VF Corporation May 2014 - Present
Krystal Smith, Accounting August 2010 - Present
Aetna July 2008 - May 2014
Time Warner Cable June 2003 - May 2008
Skills
Accounting, Bookkeeping, Tax, QuickBooks, Small Business, Financial Reporting, Payroll, Auditing, Accounts Payable, Financial Accounting, Accounts Receivable, Budgets, Cash Flow, General Ledger, Internal Controls, Access, Event Planning, Event Management, Corporate Events, Corporate Finance, Business Planning, Strategic Financial..., Management, SAP, Invoicing, Customer Service, Account Reconciliation, GAAP, Employee Benefits, Financial Analysis
Education
Capella University 2014 — 2016
Master of Business Administration (MBA), Accounting, 3.6
University of Phoenix 2009 — 2013
Bachelor of Science (BS), Accounting, 3.4
Liberty Mutual Insurance 2012 - Present
Liberty Mutual Insurance 1999 - 2012
Aetna 1994 - 1999
Skills
Human Resources, Personnel Management, Applicant Tracking..., College Recruiting, Insurance, Talent Acquisition, Onboarding, Talent Management, Recruiting, Employee Relations, Property & Casualty..., Performance Management, Taleo
Education
California State University-San Bernardino
MBA
University of Southern California
Bachelor of Science (B.S.), Biology
Owen-Dunn Insurance Services 2001 - Present
McGee & Thielen Insurance Brokers, Inc. September 1991 - September 2001
Aetna 1988 - 1990
Skills
Commercial Insurance, Employment Practices..., Risk Management, Workers Compensation, Underwriting, Insurance, Professional Liability, Construction, Liability, Brokers, Legal Liability, Umbrella Insurance, Casualty, Reinsurance, Property & Casualty...
Education
California State University-Sacramento 1985 — 1988
MBA, Business
California State University-Sacramento 1978 — 1982
BS, Marketing
Bret Harte Union High School 1974 — 1978
Aetna June 2011 - Present
Distinguished Solutions, LLC March 1999 - June 2011
Pride August 2009 - June 2010
Alisara Corporation March 2003 - October 2005
Wachovia/1st Union/The Money Store 1996 - 1999
Skills
Workers Compensation, Insurance, Business Analysis, Managed Care, Risk Management, Analysis, Process Improvement, Management Consulting, Business Process..., Change Management, Project Management, Team Building, Vendor Management, Strategic Planning, Policy, Visio, Software Documentation, Data Analysis, Healthcare, Claim, Program Management, Account Management, Consulting, Executive Management, IT Management, Management
Education
California State University-Sacramento 1998 — 2002
MBA
University of Illinois at Urbana-Champaign 1985 — 1989
BA
KMF Consulting January 2012 - Present
Monarch Healthcare Inc. October 2006 - December 2011
NCQA April 2005 - September 2006
Kaiser Permanente 2002 - 2005
Aetna August 1992 - October 2002
Skills
Medicare, Healthcare Information..., Quality Improvement, Hospitals, Clinical Research, Program Management, Data Analysis, Leadership, NCQA, Patient Safety, HEDIS, Health Policy, Credentialing, Performance Improvement, Strategic Planning, Healthcare, Managed Care, Medicaid, HIPAA, Disease Management, Utilization Management
Education
California State University-Sacramento 1989 — 1992
Bachelor of Science (B.S.), Psychology
Glenridge HealthCare Solutions 2015 - Present
AnewCare Collaborative May 2012 - June 2015
Integrated Solutions Health Networks, LLC 2010 - 2015
CrestPoint Health 2010 - 2015
BlueCross BlueShield of Tennessee 2008 - July 2010
UnitedHealth Group 2007 - 2008
Health Care Information Management / OAO Healthcare Solutions 2003 - 2007
Aetna 2002 - 2003
WellPoint 1999 - 2002
Skills
Medicare, Medicaid, Health Insurance, Healthcare, Physician Relations, Hospital Operations, Team Leadership, Cross-functional Team..., Change Management, Project Management, Client Development, Sales Management, Population Health, Strategic Planning, Marketing Strategy, Product Development, Network Development, Customer Experience, Board Governance, Board of Director..., Board Development, Lean Management, Call Centers, Disease Management, Healthcare Management, Board of Directors, Healthcare Consulting, Health Policy, HIPAA, Insurance, Provider Relations, Healthcare Information..., Management, EHR, Hospitals, Strategy, Vendor Management, Policy, Managed Care, Executive Management, Leadership, Program Management, Physicians, Utilization Management, Healthcare Industry, Quality Improvement
Education
Pepperdine University, The George L. Graziadio School of Business and Management
MBA, Business Administration
California State University-Northridge
Bachelor of Science, Business Administration, Organizational Systems
Oxnard College
Associate of Arts, Liberal Arts
TRHS
Independent Broker with Beta Benefits September 2007 - Present
Dynamic Financial Solutions January 2006 - Present
Medical Spa Society January 2005 - Present
Aetna 2006 - 2010
Skills
Spa, Hospitals, Team Building, Customer Service, Insurance, Medicare, Employee Benefits, Long-term Care, Life Insurance, Sales Management, Fixed Annuities, Health Insurance, Healthcare, Sales, Brokers, Leadership, Marketing, Strategic Planning, Training, Small Business, Real Estate, Dentistry
Education
Cambridge College 1991 — 1992
Aetna May 2015 - Present
BlueCross BlueShield of Arizona November 2013 - April 2015
Schaller Anderson, an Aetna Company June 2011 - November 2013
Schaller Anderson, an Aetna Company December 2008 - June 2011
Web Designs by JC May 2003 - June 2011
Schaller Anderson July 2004 - December 2004
Mercer HR Consulting 2000 - 2003
US Army 1982 - 1993
Skills
Healthcare IT, Healthcare, Documentation, Access, Healthcare Management, MS Office Suite, SQL Server, Project Implementation, Software Project..., Online Research, Qualitative Research, Project Management, Healthcare Information..., Software Documentation, Microsoft SQL Server, Microsoft Office, Quality Assurance, Business Intelligence, HIPAA, Change Management, Process Improvement, Visio, SDLC, Business Analysis, Vendor Management, SharePoint, Systems Analysis, Data Analysis, Requirements Analysis, Business Process..., Requirements Gathering, IT Management, PMP, Analysis, Management, Business Requirements, MS Project, Databases, Software Implementation, SQL, Disaster Recovery, Integration, Medicaid, IT Strategy, Data Warehousing, Testing, Project Portfolio...
Education
Capella University 2009 — 2013
Ph.D
California Coast University 2005 — 2008
MBA
DeVry University 1998 — 2003
CIS
Aetna March 2014 - Present
Carewise Health July 2001 - March 2014
Preferred Therapy Providers, Inc. April 1998 - July 2001
Skills
Administrative Support, Customer Service, Scheduling, Windows, Excel, Microsoft Office, Outlook, Word, Photoshop, Access, PowerPoint, Problem Solving, Documentation, Writing, Editing, Budgeting, Team Building, Teamwork, Team Leadership, Teaching, Coaching, Great Motivator, Fundraising, Event Planning, Social Media, Phone Coverage, Blue Pumpkin, Organizational Charts, Heavy Calendaring, New Hire Processes, Email distribution, Phone Skills, General Office Skills, Internet Savvy, Highly resourceful, Research, Highly responsible, High Organizational..., Outstanding time..., Highly detail oriented, Work Independently with..., Exceptionally Organized, Works well individually, Organized Multi-tasker, Learning Quickly, Enthusiasm to learn, Goal-driven leader, Cultural Sensitivity, Business Streamlining, Keen Planner
Education
Capella University 2011 — 2016
Masters, Mental Health Counseling, Mental Health Counseling/Counselor, 3.9
Metropolitan College 2001 — 2006
Bachelors, Court Reporting, Court Reporting/Court Reporter
Optimal eSolutions OwnerOptimal eSolutionsSeptember 2010 - Present
Aetna September 2010 - December 2014
American Institute of Baking October 2013 - August 2014
Amerigroup October 2012 - February 2013
ManTech International Corporation April 2011 - September 2011
DHL September 2006 - October 2009
Education
Capella University 2003 — 2005
Master's degree, Education
Capella University 2003 — 2005
Master's degree, Educational/Instructional Technology
Aetna December 2012 - Present
Parallon Workforce Management December 2011 - Present
Amedisys Home Health May 2010 - March 2011
North Hills Hospital February 2008 - June 2010
Baylor All Saints Medical Center January 2006 - January 2009
Courtyard Cafe September 1999 - February 2002
Skills
Critical Care, Diabetes, Disease Management, Healthcare, Home Care, ICU, Medical Records, Physicians, Healthcare Management, Patient Safety, Nursing, Customer Service, Microsoft Office, Healthcare Information..., Hospitals, Clinical Research, Acute Care, Inpatient, Team Building, Microsoft Word, Patient Education, Microsoft Excel, Post Anesthesia Care, Medical Terminology, HIPAA, Research, Public Speaking, Medical-Surgical
Education
The University of Texas at Arlington 2014 — 2016
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Capella University 2013 — 2014
RN-BSN
Tarrant County College of Nursing
Associate, Registered Nursing/Registered Nurse
Travelers June 2012 - Present
Travelers December 2006 - June 2012
Aetna September 2002 - December 2006
Skills
Claim, Property & Casualty..., General Insurance, Coaching, Training, Blended Learning, Needs Analysis, Health Insurance, Training Delivery, Instructor-led Training, Customer Service, Data Analysis, E-Learning, Adult Education
Education
Central Connecticut State University 2014 — 2016
Bachelor's degree, Criminology
Capital Community College 2007 — 2013
Associate's degree, Criminal Justice and Corrections
Aetna October 2011 - Present
EDMC June 2011 - September 2011
Whirl Publishing January 2011 - April 2011
Skills
Marketing Strategy, Market Research, Social Media Marketing, Advertising, Brand Management, Social Networking, Visual Merchandising, Operational Support, Customer Service, Strategic Planning, Data Entry, Marketing Communications, Data Analysis, Business Administration, Microsoft Word, Microsoft Excel, Inventory Control, Claims Handling, Accounts Receivable, Policies & Procedures..., Project Management, Resource Allocation, Retail Sales, Mentoring, Quality Assurance, Business Process..., Leadership, Marketing, PowerPoint, Public Speaking, Sales
Education
California University of Pennsylvania 2007 — 2011
Bachelor of Business Administration (BBA), Marketing
Aetna May 2015 - Present
Cleveland Clinic December 2014 - April 2015
Genesis HealthCare June 2014 - November 2014
CommuniCare Health Services April 2006 - May 2014
Kindred Healthcare December 2006 - June 2010
Saber Healthcare October 2003 - March 2006
Skills
Healthcare Management, Healthcare, Nursing, Case Management, EMR, Medicare, EHR, Medicaid, Rehabilitation, Mental Health, Long-term Care, Utilization Management, IV, HIPAA, Epic Systems, Healthcare Information..., Medication..., Patient Education, Patient Advocacy, Inpatient, Acute Care, Nursing Care, Managed Care, Hospitals
Education
Capella University 2015 — 2017
In process, In process
University of Phoenix 2012 — 2014
BSN
Huron School of Nursing 1985 — 1987
Diploma RN, Registered Nursing/Registered Nurse
Jane Addams School of Practical Nursing 1983 — 1984
LPN
Blue Shield of California April 2014 - Present
Blue Shield of California March 2009 - March 2014
Blue Shield of California September 2004 - March 2009
Aetna July 1998 - September 2004
Cap Management system September 1997 - July 1998
Skills
Network Development, Provider Relations, PPO, HMO, Medicare, Health Policy, HIPAA, Healthcare Consulting, Health Insurance, Healthcare Industry, Managed Care, Healthcare
Education
California State University-Northridge
Bachelor of Science (BS), Health/Health Care Administration/Management
AETNA May 1986 - Present
AETNA 1986 - Present
Skills
SDLC, Managed Care, SQL, Vendor Management, Enterprise Architecture, Oracle, Process Improvement, Business Analysis, Microsoft Office, HIPAA, Access, Excel, Toad, Crystal Reports, SAP Business Objects, Visio, Software Project..., Management, Requirements Gathering, Software Documentation, Project Management, Agile Methodologies, Business Intelligence, Customer Service, Requirements Analysis
Education
Calvary Bible College and Theological Seminary 1976 — 1981
Bachelor of Science (B.S.), Music Education, 3.7
Aetna June 2012 - Present
CHRISTUS Health October 2011 - June 2012
CHRISTUS Health January 2010 - May 2012
CHRISTUS Health August 2009 - October 2011
CHRISTUS Health February 2009 - August 2009
CHRISTUS Health November 2008 - February 2009
ARC Solutions September 2006 - June 2008
Royer Systems Integration, Inc. September 2005 - August 2006
Dell, Inc. October 2004 - September 2005
Dell May 2003 - October 2004
Skills
Dynamic Leader, Change Agent, Innovator, Business-Technology..., Challenge Solver, Program Management, ITIL, P&L Management, Emerging Technologies, Enterprise Services, Health Information..., Global Business, Web Services, Mobile Solutions, Political Savvy, Budgets, Strategy, Applications, Health Information..., Solutions Marketing, Project Management, Leadership, Business Alignment, Account Management, IT Architecture, Architecture, Disaster Recovery, Strategic Partnerships, Healthcare Information..., Solution Architecture, Enterprise Software, Cross-functional Team..., Data Center, Cloud Computing, Analysis, PMP, Enterprise Architecture, Team Building, Vendor Management, Process Improvement, Strategic Planning, Active Directory, Windows Server, Microsoft Exchange, Servers, Start-ups, Business Intelligence, Information Technology, Databases, Storage
Education
SOLIDExecutive 2006 — 2007
Executive Coaching
St. Edward's University 2003 — 2005
MBA, Management Information Systems
Stevens Institute of Technology 2002 — 2004
Master's Certificate, Project Management
Campbell University 1997 — 1999
Bachelor of Science, Business
San Antonio College 1994 — 1996
Associate of Applied Sciences, Management
OptumCare February 2014 - Present
NAMM/PrimeCare January 2011 - February 2014
PacifiCare/UnitedHealthcare/Optum October 1998 - December 2010
Aetna August 1991 - November 1997
Skills
Managed Care, Medicare, Healthcare, Health Insurance, Employee Benefits, Healthcare Industry, Physicians, Medicare Part D, HIPAA, Disability Insurance, Medicaid, Healthcare Management, Healthcare Consulting, Insurance, Strategic Planning, Pharmacy Benefit..., Provider Relations, HMO, Marketing Strategy, Account Management, Marketing, Management, Physician Relations, Hospitals, Healthcare Information..., EHR, Informatics, EMR, Sales, Pharmacy, Leadership, Disease Management, Long-term Care, Practice Management, Team Building, Training, Claim, Writing Skills, Group Presentations, Marketing Communications
Education
California State University-San Bernardino 1989 — 1991
Bachelor of Science (BS), Health Care Administration
Weber State University 1980 — 1984
Associate's degree, Biology
Roy High School
Task Consultant May 2015 - Present
Aetna June 2014 - Present
Education
Carlow University 2014 — 2015
Master's degree, Fraud and Forensics
California University of Pennsylvania 2010 — 2013
Bachelor's degree, Justice Studies
Aetna December 2012 - Present
Coventry Health Care, an Aetna Company April 2009 - December 2012
FDI Collateral Management June 2007 - April 2009
FDI Collateral Management July 2002 - May 2007
Skills
Project Management, Customer Service, Vendor Management, SharePoint, Visio, Access, Contract Management, Leadership, Medical Terminology, Microsoft Excel, Managed Care, Medicare, Analysis, Healthcare, HIPAA, Training, Management
Education
University of Phoenix 2010 — 2011
Master of Business Administration (MBA), Business Adminstration
California State University-Sacramento 2001 — 2007
Bachelor's Degree, Organizational Communication
Aetna August 2009 - Present
Coventry Health Care, an Aetna Company January 2008 - August 2009
Staff Masters Inc August 2007 - January 2008
Verizon Information Services September 2005 - January 2007
Club One Express December 2004 - September 2005
Pro-Adjuster Chiropractic Clinic February 2004 - December 2004
Health Club at Southpointe December 2002 - February 2004
Skills
Insurance, PPO, Network Development, HMO, Above-average Problem..., Extraordinary Oral &..., Account Management &..., Promotional Events &..., Media Relations &..., Staff & Client Training, Communication Skills, Healthcare, Management, Recruiting, Sales, Analysis, Training, Team Building, Strategic Planning, Public Speaking, Process Improvement, Marketing, Managed Care, Leadership, Health Insurance, Customer Service, Account Management
Education
California University of Pennsylvania
Bachelor of Science (B.S.), Sport Management
Heffernan Insurance Brokers March 1993 - Present
Aetna September 1987 - March 1993
Skills
Non-profits, Hospitality, Workers Compensation, Leadership, Marketing, Sales, Long-term Care, Medicare, Casualty, Underwriting, Legal Liability, Liability, Employment Practices..., Captives, Commercial Lines, Liability Analysis, Directors, Insurance Brokerage, Excess, Brokers, Umbrella Insurance, Inland Marine, Health Insurance, Claims Management, E, Strategic Planning, Commercial Insurance, D&O, Casualty Insurance, Insurance, Risk Management, Property, Healthcare, General Insurance, Professional Liability, Customer Service, Employee Benefits, Management
Education
California State University-Sacramento 1982 — 1986
BS, Financial Mgt.
Del Campo
Cambia Health Solutions / Regence Blue Cross & Blue Shield November 2014 - Present
Cambia Health Solutions / Regence Blue Cross & Blue Shield January 2014 - October 2014
Aetna July 2012 - January 2014
Health Integrated January 2012 - July 2012
Polk County BoCC October 2009 - January 2012
Reed Elsevier / MEDai August 2005 - October 2009
Harris Connect April 2000 - April 2005
FMAS Corporation (Texas Health Quality Alliance) August 1998 - April 2000
FirstCare December 1996 - June 1998
Dell 1995 - 1996
Skills
Oracle SQL, SQL Server, Acess, Process Improvement, SQL, Team Building, Budgeting, Data Modeling, HEDIS, Microsoft SQL Server, Project Management, Budgets, Data Analysis, Analysis, Leadership, Healthcare, Business Intelligence, Strategic Planning, Product Management, Managed Care, Visio, Team Leadership, Access, HIPAA, Management, Oracle, Microsoft Excel, Organizational..., Healthcare Information..., Program Management, Software Documentation, Business Process..., Policy, Databases, SDLC, Business Process, Business Analysis, SharePoint, Risk Management, Data Mining, Vendor Management, Requirements Gathering, Training, Cross-functional Team..., Performance Improvement, Systems Analysis, Requirements Analysis, Change Management, Data Warehousing, Toad
Education
Capella University 2008 — 2011
MS, Industrial / Organizational Psychology
University of Phoenix 2003 — 2007
Bachlor of Science, I/O Psychology
Chicopeee High 1981 — 1985
Diploma, College Prep
MetLife March 2013 - Present
Cigna Investment Management June 2009 - March 2013
CareCentrix August 2007 - June 2009
Maxim Healthcare July 2004 - June 2009
Aetna May 2007 - August 2007
New England Home Care April 2004 - May 2006
Alzheimer’s Resource Ctr January 2004 - May 2004
Skills
Clinical Research, Medicine, Pediatrics, Medical Records, Insurance, Healthcare, Nursing, Hospitals, Healthcare Management, Case Managment, Healthcare Information..., Management, Home Care, EMR, Analysis, Child Development, Pregnancy, Disease Management, Motivational..., Wellness Coaching, Managed Care, Cpr Certified, Health Insurance, Medical Terminology, Wellness, Utilization Management, HIPAA, Medicare, Patient Advocacy, Long-term Care, ICD-9, Employee Benefits, Medicaid, Patient Safety, Patient Education, Health Education, Inpatient, Nursing Education, Case Management, CPR Certified
Education
Capital Community College 2013 — 2016
Associates degree, RN
EC Goodwin Technical School 2002 — 2004
LPN, Nursing, 3.9
Bristol Central High School 1994 — 1998
High School Diploma
Aetna June 2010 - Present
Aetna April 2007 - June 2010
University of Massachusetts Amherst November 2004 - April 2007
University of Massachusetts Amherst January 2003 - October 2004
Skills
Insurance, User Acceptance Testing, Non-profits..., Event Management, Social Networking, Data Analysis, Call Centers, Project Management, Vendor Management, Outlook, Quality Assurance, Copy Editing, Process Improvement, Customer Service, Editing, Public Speaking, Creative Writing, Employee Benefits, OS X, Health Insurance, Microsoft Excel, Troubleshooting, Access, Microsoft Office, Microsoft Word, PowerPoint, Management, Newsletters, Analysis, Software Documentation, Technical Writing, Customer Satisfaction, Event Planning
Education
Cambridge College 2000 — 2003
Masters, Education Integrated Studies
University of Massachusetts, Amherst 1991 — 1998
BA, History
Andreini & Company August 2014 - Present
HealthNow Administrative Services December 2013 - July 2014
Barney & Barney August 2011 - November 2013
PrimePay January 2011 - July 2011
ArlenGroup March 2006 - February 2011
Aetna October 2002 - May 2006
Aetna February 2001 - October 2002
Aetna July 2000 - February 2001
Skills
Health Insurance, Employee Benefits, Insurance, Disability Insurance, Benefits Administration, Brokers, Underwriting, Health Savings Accounts, Account Management, Customer Service, Employee Relations, Strategic Planning, Negotiation, Microsoft Office, Healthcare, Human Resources, Microsoft Excel, Sales, Life Insurance, Claim, New Business Development, COBRA
Education
California State University-San Bernardino 1995 — 1997
Simone Consulting 1994 - Present
Simone Consulting 1994 - 2011
Health Net 2004 - 2010
Postal Innovations 1999 - 2003
AETNA 1983 - 1994
Skills
Captivate, SnagIt, Call Center, Software Documentation, Articulate Studio, Training, Performance Improvement, E-Learning, ADDIE, Coaching, Performance Management, Call Centers, Learning Management..., Process Improvement, Instructional Design, Access, Employee Training, Visio, Leadership, Learning Management, Talent Management, Change Management, Training Delivery, Analysis, Needs Analysis, Business Process..., Adult Education, Blended Learning, Human Resources, Instructor-led Training, Interviews, Management, Staff Development
Education
Cambridge College
M.ED., Management Education
Teikyo Post University
B.S., Magna Cum Laude, GENERAL STUDIES, MINOR COUNSELING
ARAG North America October 2013 - Present
UnitedHealth Group January 2013 - December 2013
Aetna January 2011 - September 2012
Aetna September 2010 - September 2012
Aetna January 2004 - December 2010
Aetna Student Health (a subsidiary of Aetna) January 2002 - January 2004
Delta Dental Plan* Dental Insurance October 1995 - February 1997
Skills
Dental, Sports, Consultative Selling, Account Management, Strategic Planning, Cross Selling, Vision, Medical, SAP/EAP, AD&D, Pharmacy, Dentistry, Medicine, Selling, Employee Benefits, Sales, Strategy, Insurance, Health Insurance, Marketing, Marketing Strategy
Education
Cambridge College
Masters Science in Management
Plymouth State University
BS, Education
Optum360 / Dignity Health August 2013 - September 2014
Dignity Health December 2011 - July 2013
Kaiser Permanente February 2009 - November 2010
Aetna November 2000 - February 2009
Education
California State University-Northridge
B.S., Business Administration, Finance
Aetna September 2013 - Present
Coventry Health Care August 2013 - Present
Coventry Health Care February 2012 - August 2013
US Army November 2000 - August 2012
Dell, Inc June 2011 - February 2012
Snow Creek Pottery January 2006 - January 2010
Skills
Windows 7, Windows Server, Microsoft Office 2007, Symantec, BMC Remedy, Norton Ghost, Novell Servers, Novell Netware, Active Directory, Windows XP Professional, IP Networking, Citrix, Mobile Devices, iPhone, iPad, Android, Blackberry, XP, Troubleshooting, Hardware, Microsoft Exchange, Enterprise Vault, iOS, Operating Systems, Software Installation, ITIL, System Deployment, Software Documentation, Printers, IP, Microsoft Office, Windows XP, Novell
Education
Cape Fear Community College
Associate, Arts; Computer Engineering Network
University of North Carolina at Wilmington
Aetna 2008 - Present
Aetna 2003 - 2008
Aetna June 1994 - 2003
Commerce Security Bank 1988 - 1994
Skills
Leadership, Process Improvement, Health Insurance, Healthcare, Employee Benefits, Underwriting, Health Care Reform, Medical Underwriting, Reinsurance, Health Savings Accounts, Insurance, Brokers, Claim, Disability Insurance, Life Insurance, Risk Management, Managed Care
Education
California State University-Sacramento 1988 — 1992
Bachelor's degree, International business
MassMutual Financial Group November 2013 - July 2014
Aetna April 2011 - August 2013
Braintree Multimedia Design May 2007 - April 2011
Business Partner of Springfield July 2006 - May 2007
Skills
Web Design, Adobe Creative Suite, Graphic Design, Creative Direction, Photography, Advertising, Troubleshooting, Management, Image Manipulation, Banners, Technical Support, Windows, Creative Writing, Hardware, Customer Service, Help Desk Support, New Media, Dreamweaver, Adobe Acrobat, OS X
Education
Pearson VUE A+ certification
A+ certification, Information Technology, PC support, certification
New York Institute of Photography 2009 — 2011
NA, Photography, A+
Capella University 2003 — 2004
certification, Graphics Design and Web Design, A+
Westminster College (PA) 1990 — 1991
NA, Music
Knoch High School 1984 — 1990
Diploma, General
Aetna June 2015 - Present
DST Output August 2011 - June 2015
DST Output July 2003 - August 2011
E*TRADE Financial 1998 - 2003
Essex National Securities, LLC 1993 - 1998
Toys R Us 1981 - 1991
Skills
SDLC, PCI DSS, PMP, Security, Vendor Management, IT Management, Information Security, Project Management, Software Project..., Agile Methodologies, Disaster Recovery, Vulnerability Assessment, CISSP, Information Security..., Enterprise Risk..., Training Delivery, Policy Writing, Technical Documentation, Business Continuity, Information Technology, Software Documentation, Program Management, Visio, Vulnerability Management, Risk Assessment, Enterprise Architecture
Education
California State University-Sacramento 1979 — 1983
BS, Human Resource Management
Aetna November 2010 - Present
Worlds Of Intrigue 2005 - Present
United States Census Bureau January 2010 - August 2010
TDK LLC (at CalPERS) June 2008 - May 2009
Abso March 2004 - May 2008
EDFUND October 2002 - March 2004
Franchise Tax Board February 2002 - August 2002
VitalChek/Office of Vital Records (CalStaff) June 2001 - January 2002
Skills
Data Analysis, Training, Background Checks, Customer Service, Microsoft Office
Education
California State University-Sacramento 1999 — 2001
Bachelor of Arts, Government (International Relations)
CIGNA Healthcare September 2010 - Present
CIGNA November 2009 - September 2010
CIGNA January 2009 - November 2009
CIGNA Pharmacy Management August 2007 - January 2009
Aetna June 2003 - February 2007
Aetna Pharmacy Management 2003 - 2007
CIGNA March 2000 - May 2003
Rite Aid December 1983 - February 2000
Skills
Strategy, Project Management, Software Development, Information Technology, SDLC, Vendor Management, Pharmacy, Process Improvement, Business Analysis, IT Strategy, Program Management, Enterprise Architecture, Project Portfolio..., Business Intelligence, Visio, Change Management, Healthcare, Integration, Healthcare Information..., Leadership
Education
California University of Pennsylvania 1978 — 1982
Bachelor of Science (B.S.), Managment and Computer Science
Aetna July 2011 - Present
Sogeti August 2008 - March 2011
Sogeti USA LLC, August 2008 - March 2011
BlueCross BlueShield AZ 2009 - 2010
Blue Cross Blue Shield of Arizona January 2008 - October 2009
us airways August 2008 - January 2009
Accenture August 2007 - April 2008
EDMC 2008 - 2008
Epitome Systems Inc January 2007 - August 2007
Petsmart May 2006 - December 2006
Skills
Requirements Analysis, Visio, SharePoint, SDLC, Business Analysis, Process Improvement, Business Requirements, Test Cases, Oracle, .NET, Test Planning, Software Project..., Databases, Microsoft SQL Server, Requirements Gathering, SQL, Unix, Systems Analysis, User Acceptance Testing, Regression Testing, Quality Assurance, Business Intelligence, Testing, Business Process, Software Development, Data Warehousing, Academic Research, Total Quality Management, TFS, Enterprise Architecture, PMP, Web Applications, Program Management, IT Strategy, SOA, Scrum, Software Quality..., Research, Access, Software Documentation, Agile Methodologies, Test Strategy, Data Modeling, ITIL, Quality Center, Solution Architecture, Database Design, ETL, Waterfall, Test Management
Education
Grand Canyon University 2012 — 2016
Doctoral Student, Business Administration and Management, General, 3.83
University of Phoenix 1996 — 1998
Masters, MBA
California State University-Sacramento 1990 — 1995
Bachelor of Science (B.S.), Business/Management Information Science
Aetna August 1997 - Present
Education
California State University-Northridge 1987 — 1989
Ethicare 2011 - Present
McGladrey February 2010 - September 2011
Ethicare November 2007 - February 2010
Ernst & Young June 2005 - August 2007
Catholic Healthcare Audit Network August 2001 - June 2005
Aetna 1998 - 2001
PacifiCare Health Systems 1997 - 1998
Boeing Satellite Systems June 1989 - February 1997
Equicor Health Plan 1986 - 1989
WellPoint 1985 - 1986
Education
Pepperdine University 1990 — 1992
MBA
California State University-Northridge 1980 — 1984
BS, Business Administration
El Camino Real
Aetna July 2014 - Present
ValueOptions, Inc.® November 2013 - July 2014
ValueOptions October 2009 - November 2013
mPower Services January 2006 - May 2013
CIGNA October 2006 - April 2009
Hickory Trail Hospital 2006 - 2007
ValueOptions September 2004 - October 2006
ValueOptions 2005 - 2006
H & R Block December 2003 - April 2005
Oklahoma State Department of Rehabilitation January 2001 - June 2003
Skills
Counseling, Mental Health, Wellness, Treatment, Public Speaking, Couples, Social Services, Family Therapy, Counselling, Psychology, Psychotherapy, Stress Management, Coaching, Conflict Resolution, Clinical, Groups, Personal Development, Adolescents, Clinical Research, Therapists, Healthcare, Behavioral Health, Training, Stress, Addiction Recovery, Grief Counseling, Leadership Development, Teaching, CBT, Group Therapy, Psychological Assessment, Mindfulness, Clinical Supervision, Counseling Psychology, Anger Management, Mental Health Counseling, Program Development, Post Traumatic Stress, Workshop Facilitation, Crisis Intervention, Life Transitions, Career Development, Motivational..., Prevention, Child Development, Interventions, Case Management, Self-esteem
Education
Walden University 2003 — 2006
Organizational Psychology
Walden University 2001 — 2003
Clinical Psychology
Cameron University 1991 — 1998
Masters of Science, Behavioral Sciences
MediQuire January 2015 - Present
Clinical Informaticist November 2014 - Present
The Coddington Group, LLC October 2013 - July 2014
Clinical Informatics Consultant June 2013 - October 2013
Aetna March 2012 - March 2013
Oracle December 2010 - April 2012
Oracle December 2006 - June 2011
Illumisys November 2005 - December 2006
Lumetra June 2004 - November 2005
AMIA NIWG Leadership 2001 - 2005
Skills
Healthcare Information..., Healthcare Quality, Clinical Informatics, Healthcare, Strategic Leadership, Informatics, Management Consulting, Staff Development, EHR, EMR, Agile Project Management, Hospitals, Cross-functional Team..., Leadership, Software Documentation, Clinical Research, Data Analysis, SDLC, Training, Change Management, Healthcare Management, Product Management, Project Management, Management, Team Building
Education
University of California, San Francisco 1999 — 2006
Master of Science (MS), Nursing Informatics
California State University-Sacramento 1992 — 1994
BSN, Nursing
Pacifc Coast Benefits Insurance Services, LLC August 2013 - Present
Integra Insurance Services January 2001 - July 2013
ABD Insurance and Financial Services 1999 - 2000
Aetna 1998 - 1999
Vision Service Plan 1993 - 1999
Skills
Sales Management, Account Management, Business Strategy, Strategc Planning, Customer Relations, Insurance Brokerage, Health Insurance, Insurance Consulting, Customer Satisfaction, Customer Service, Project Planning, Management, Employee Benefits, Team Building, Disability Insurance, Health Savings Accounts, Insurance, Leadership, Brokers, Sales, Employment Practices..., Human Resources, Health Care Reform, Business Development, COBRA, Underwriting
Education
California State University-Sacramento
International Business & Spanish
Golden Gate University
Business Management
John F.Kennedy High School
University of Madrid
Spanish
Enki Health & Research June 2004 - Present
Enki Health & Research June 2001 - June 2004
Aetna 1999 - 2001
Education
California State University-Northridge 1982 — 1988
BS, Finance
High Point Regional March 2008 - Present
Aetna June 2000 - June 2007
Skills
Customer Service, Employee Benefits, Data Entry, Microsoft Office, Process Improvement, Outlook, Microsoft Excel, Microsoft Word, Business Analysis, Project Management, Training, Management
Education
Capella University 2010 — 2013
Master of Arts (M.A.), Mental Health Counseling/Counselor
Voorhees College 1995 — 1999
Bachelor of Arts (B.A.), English/Language Arts Teacher Education
Blue Shield of California Senior Account ManagerBlue Shield of CA2004 - Present
Blue Shield of California Foundation 2004 - 2010
Aetna 1997 - 2001
Education
California State University-Northridge 1990 — 1992
Aetna September 2014 - Present
Verizon August 2012 - May 2014
JPMorgan Chase May 2011 - August 2012
Netsmart Technologies February 2010 - May 2011
Verizon Business January 2003 - December 2009
Tellabs 1999 - 2003
Skills
Instructor-led Training, Captivate, Learning Management, Needs Analysis, Instructional Design
Education
Eastern Illinois University 1990 — 1993
Capella University
Master of Arts (M.A.), Curriculum and Instruction
Aetna January 2009 - Present
Aetna October 2006 - December 2008
AIG Global Benefits Network 2000 - 2004
Prudential Insurance 1975 - 1999
Education
Capella University 2001 — 2004
MBA, Finance Specialization
Hamline University 1971 — 1975
IBM June 2015 - Present
Aetna May 2013 - June 2015
Coventry Health Care October 2010 - May 2013
EDMC June 2010 - October 2010
Teradata February 2008 - June 2010
Del Monte Foods February 2002 - February 2008
HJ Heinz February 2002 - November 2002
Mellon Bank August 1996 - August 2002
Ketchum Directory Advertising October 1999 - August 2001
Coventry Health Care 2001 - 2001
Skills
Teradata, Netezza, Informatica, Data Warehouse..., Data Warehouse..., Oracle, Unix, Tidal Enterprise..., IBM Tivoli, Erwin, SAS, Technical Architecture, ETL Tools, Enterprise Architecture, ETL, Database Administration, Performance Tuning, Data Warehousing, Data Migration, SQL Tuning, Microsoft SQL Server, Data Integration, Data Modeling, OLAP, Cognos
Education
Canisius College 1979 — 1984
BA, Computer Science
Suffern High School
Anthem July 2013 - Present
The Heart Town Witch and Other Stories May 2011 - Present
The Tales of BunniHoTep 2010 - Present
Mary Beth Robb February 2008 - Present
Rose International March 2012 - May 2013
Robert Half International Office Team 2008 - 2011
MHN April 2005 - February 2008
Aetna January 1997 - September 2002
State Compensation Insurance Fund March 1991 - 1992
State compensation insurance 1988 - 1991
Skills
Newsletters, Healthcare, Editing, Creative Writing, Books, Public Speaking, Process Improvement, Microsoft Excel, Storytelling, Project Management, Coaching, Employee Benefits, Blogging, Customer Service, Social Media, Microsoft Word, Copywriting, Published Author, Sales, Public Relations, Copy Editing, Social Networking, Nonprofits, Publishing, Publications, Event Planning, Leadership, Training, Research, Proofreading, Freelance Writing, HIPAA, HMO, medicare
Education
California State University-Northridge
B.S, Recreation Adminstration/ Outdoor Resource Management
Glendale Community College
Photography and Biology
Hogwarts
Los Angeles Pierce College
Horticulture, Botany
Aetna August 2007 - Present
Education
Hillsborough Community College 1993 — 1997
Camden County College 1985 — 1990
National General Insurance December 1991 - Present
Allstate 1980 - 1991
Aetna 1973 - 1979
Skills
Claims Management, Property & Casualty..., Casualty, Claim, Liability, General Insurance, Claim Investigation, Litigation Management, Claims Resolution, Property Damage, Liability Analysis, Workers Compensation, Commercial Insurance, Insurance, Legal Liability, Casualty Insurance, Claims Investigations, Litigation, Process Improvement, Claims Handling
Education
Cal State San Bernardino 1970 — 1972
Valley College
Aetna July 2012 - Present
Aetna August 2010 - August 2012
Aetna January 2006 - August 2010
Aetna May 2005 - August 2008
Skills
Health Insurance, Insurance, Business Process..., Internal Communications, Communications Strategy, Requirements Gathering, Leadership, Strategic Communications, Business Analysis, Program Management, Process Improvement, Project Portfolio..., Visio, Cross-functional Team..., SDLC, Strategic Planning, Project Management
Education
Universite de la Sorbonne-Paris France 2000 — 2000
Semester Abroad, French Language and Literature
Canisius College 1987 — 1991
BA, French Language and literature; minor in Spanish
Aetna April 2004 - February 2011
Mercer Human Resource Consulting November 2000 - April 2004
Memorial Hermann Healthcare Systems 1995 - 2000
Skills
Change Management, Employee Benefits, Managed Care, Staff Development, Leadership, Benefits Administration, Health Insurance, Deferred Compensation, Healthcare, Human Resources, Insurance, HRIS, Process Improvement, Strategic Planning, Employee Relations, Mergers & Acquisitions, Training, Recruiting, Strategy, Leadership Development, Management, Vendor Management, Performance Management, CRM, Personnel Management, Coaching, Outsourcing, Policy, Consulting, Business Development, Start-ups, Project Management, Health Care Reform, Budgets
Education
Capella University 2007 — 2015
Doctor of Philosophy (PhD), Organization & Management
Texas Woman's University 1989 — 1991
MHA - Masters Healthcare Administration, Healthcare Administration
Texas A&M University 1980 — 1984
B.S., Biomedical Science
Health Net October 2005 - February 2013
Aetna April 2000 - October 2005
AT&T April 1971 - December 1996
Skills
Health Insurance, Medicare, Lotus Notes, Visio, Spreadsheets, Managed Care, HIPAA, Outlook, Administrative..., Healthcare, Microsoft Excel, Data Entry, System Administration, Calendars, Training, Process Improvement, Office Management, Management, Access, Software Documentation, Insurance, PeopleSoft, Executive Support, Employee Benefits, Calendaring, Invoicing, Sales, Administration, Call Centers, Human Resources, Executive..., Office Administration, Process Scheduler, Administrative...
Education
California State University-Northridge 2004 — 2008
BA, Psychology
Aetna September 1991 - Present
Education
California State University-San Bernardino 1987 — 1992
Blue Shield of California July 2015 - Present
Cigna July 2013 - June 2015
USI Insurance Services August 2012 - May 2013
Aetna November 2004 - February 2012
Aetna Health Plans August 2002 - November 2004
Watson Wyatt Worldwide June 2001 - July 2002
PacifiCare Health Systems June 2000 - June 2001
Prudential Healthcare July 1994 - June 2000
Prudential Insurance 1987 - 2000
Prudential Healthcare November 1987 - June 1994
Skills
Employee Benefits, Brokers, Insurance, Underwriting, Disability Insurance, Managed Care, Medicare, Strategic Planning, Health Savings Accounts, Account Management, Health Policy, Healthcare, Team Building, New Business Development, Customer Retention, Accident, Workers Compensation, Life Insurance, Sales, Benefits Administration, Human Resources, Management, Vendor Management, Self-funded, Health Care Reform, COBRA, Term Life Insurance, Claim, Group Insurance
Education
California State University-Northridge 1984 — 1985
BA, Urban Planning
UCLA 1977 — 1979
Environmental Science
Centenary College June 2014 - Present
Centenary College August 2013 - Present
Centenary College July 2011 - July 2013
Aetna 2009 - 2011
Aetna 2007 - 2009
Aetna 2005 - 2006
Aetna 2004 - 2005
American International Group 2002 - 2004
American International Group 2000 - 2002
Prudential Healthcare 1995 - 2000
Skills
Strategic Planning, Product Development, Employee Benefits, Underwriting, Risk Management, Course Development and..., Student Engagement and...
Education
Capella University 2002 — 2004
MBA, Finance
Hamline University 1971 — 1975
BA, English
Northfield Mount Hermon School
High School Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Dept. of Homeland Security December 2004 - July 2010
Aetna January 2004 - December 2004
Skills
Homeland Security, Government, Federal Government, Security Clearance, Emergency Management, DoD, Private Investigations, Military, Physical Security, Intelligence, FLSA, FMLA, Counterterrorism, Customer Service, Intelligence Analysis, Microsoft Excel, Policy, Public Speaking
Education
Capella University 2009 — 2015
Master of Science (MS), Human Behavior
Temple University 1998 — 2001
Bachelor of Arts (BA), Criminal Justice, Graduate
Kaiser Permanente Senior Independent Beauty Consultant,Mary Kay, Inc.October 2007 - Present
Aetna April 1998 - March 2003
Skills
Team Building, Customer Service, Healthcare, Strategic Planning, Event Planning, Training, Public Speaking, Microsoft Office, Leadership Development, Budgets
Education
Charter Oak State College 2003 — 2009
AA, Healthcare Administration
California State University-Northridge 1982 — 1985
Computer Science
Crenshaw High 1981 — 1982
Health/Health Care Administration/Management
Seaton & Bowman, Inc. August 1989 - Present
Aetna 1986 - 1989
Skills
Customer Service, Strategic Planning, Marketing, Team Building, Leadership, Sales, Management, Insurance, Public Speaking, Commercial Insurance
Education
California University of Pennsylvania 1984 — 1985
Business
West Virginia University 1981 — 1984
JPMorgan Chase 2010 - Present
OfficeMax August 2009 - October 2012
Aetna November 2008 - August 2009
Merrill Lynch June 2004 - April 2008
Skills
diligent, customer service focused
Education
Canisius College 1997 — 2001
B/A, Communications, Phychology
Nassau Community College 1997 — 2001
Communications
IEHP November 1998 - Present
IEHP November 1998 - September 2012
Aetna January 1989 - November 1997
Skills
Databases, T-SQL, Microsoft SQL Server, ASP.NET, Visio, Healthcare, Access, Crystal Reports, HTML, Management, Healthcare Information..., VB.NET, Business Intelligence, XML, HIPAA, SEO, Web Services, IIS, Visual Studio, Oracle, Medicare, Advanced CSS, JavaScript, ASP, Visual Interdev, Adobe Creative Suite, Product Lifecycle..., SSRS, .NET, Web Design, Web Development, jQuery, Basic, Product Life Cycle..., Agile, Supervisory Skills, Database Design, SDLC, Software Documentation, Integration, Business Strategy, Business Analysis, Business Process..., Team Building, HEDIS, Process Improvement, Information Technology, Data Analysis, SQL, Project Management
Education
UC Riverside 1997 — 1998
Microsoft Certified Solutions Developer
California State University-San Bernardino - College of Business and Public Administration 1985 — 1991
Music Teacher Education
Cutler Group August 2014 - Present
NB Connell Insurance Services, Inc. March 2002 - July 2014
Aetna May 1997 - March 2002
Skills
Marketing, Sales Management, Property, Sales, Employee Benefits, Account Management, Insurance, Management, Negotiation
Education
California State University-San Bernardino 1989 — 1994
BA, Communication Studies
FICO June 2015 - Present
Bank of America May 2013 - May 2015
Bank of America October 2007 - May 2013
Bank of America May 2003 - October 2007
Bank of America March 2001 - May 2003
Aetna April 1999 - March 2001
Trilogy Consulting Group, Inc. October 1998 - April 1999
Alliance Data 1992 - October 1998
Skills
Portfolio Management, Credit, Banking, Loans, Credit Analysis, Credit Risk, Consumer Lending, Risk Management, Credit Cards, Financial Risk, Commercial Lending, Retail Banking, Financial Services, Process Improvement, Analytics
Education
Capital University 1991 — 1994
Bachelor’s Degree
Aetna November 2012 - October 2013
Aetna August 2010 - November 2012
Coventry Health Care January 2009 - December 2009
Coventry Health Care November 2005 - January 2009
Coventry Health Care October 2005 - November 2005
Robert Morris University August 1999 - September 2003
California University of Pennsylvania August 1988 - August 1999
Skills
Customer Relations, Accounts Receivable, Microsoft Office, Customer Service, Employee Engagement, Change Management, Reconciliation, Leadership, Training, Program Management, Management, Data Analysis, Human Resources, Recruiting, Policy, Budgets, Insurance, Healthcare, Project Management, Leading Development..., Project Planning, Microsoft Excel, Higher Education, Account Reconciliation
Education
California University of Pennsylvania 1990 — 1997
Masters of Science; 1997, Community Agency Counseling
Slippery Rock University of Pennsylvania 1983 — 1987
Bachelor of Science, 1987, Health and Physical Education; Sports Management
Aetna April 2013 - Present
Coventry Health Care April 2007 - April 2013
Skills
Health Insurance, Insurance, Requirements Gathering, Business Analysis, Managed Care, Data Analysis, Medicare, Claim, Workers Compensation, Process Improvement, HIPAA, Vendor Management, Analysis, Risk Management
Education
California State University-San Bernardino - College of Business and Public Administration
BS-MIS, Information Technology
Aetna September 2011 - Present
Duke's Station Inc. May 2003 - January 2012
NEW YORK LIFE January 2008 - October 2009
Washington Mutual Bank October 2005 - October 2007
Skills
Finance, Insurance, Management, Banking, Credit, Sales, Loans, Investments, Recruiting, CRM, Financial Services, Analysis, Customer Service, Software Documentation, Equities, Securities, Small Business, Funding, Retirement, Contract Management
Education
California University of Pennsylvania
Bachelor's Degree, Park and Recreation Management
California University of Pennsylvania
Business/Geography Certificate
Aetna September 1983 - Present
Hartford Hospital May 1973 - September 1983
Education
Cambridge College 1985 — 1988
Masters of Education, Education
Aetna February 2009 - May 2009
Aetna 2006 - 2007
Per-Se Technologies 2005 - 2006
CareCentrix December 2001 - August 2005
Homecare Management Strategies Inc 1997 - 2001
Skills
Hospitals, Healthcare Management, Healthcare, Customer Service, Managed Care, Medicare, HIPAA, Medical Coding, Leadership, Home Care, Team Building
Education
Cambridge College
NVCC
Aetna April 2008 - Present
Bank of America October 2006 - March 2008
Advest, Inc./Acquired by Merrill Lynch December 2002 - August 2006
The Hartford May 1997 - August 2002
Education
Cambridge College
Business Administration
Ellison Construction and Contracting, LLC August 2001 - Present
Ana Ellison Properties July 2013 - Present
Staub Leadership May 1998 - October 2002
Aetna August 1976 - May 1998
Skills
Real Estate, Negotiation, Contract Negotiation, Customer Service, Real Estate Negotiation, Project Management, Administration, Construction Accounting, Conflict Resolution, Employee Relations, Organizational..., Organizational Design, Strategic Planning, Strategy Development, Management Consulting, Executive Coaching, System Administration, Construction, Strategy, Real Estate Transactions, Relocation, Human Resources
Education
Cambridge College 1989 — 1990
M.ED, Human Resources Management
Cambridge College 1987 — 1989
Bachelor's degree, GSPP / Adult Ed
Travelers 1996 - 2008
Aetna 1967 - 1996
Skills
Insurance, Claims Management, Liability, Property & Casualty..., Litigation Management, Product Liability, Strategic Planning, Insurance Law, Commercial Insurance, Claim
Education
West Virginia University 1964 — 1970
Master's Degree, Secondary Education and Teaching
California University of Pennsylvania 1960 — 1964
Bachelor's Degree, Social Studies Teacher Education
Kaiser Permanente March 2015 - Present
Natomas Optometry February 2013 - March 2015
Aetna October 2011 - February 2013
Roger A. Hayashi, O.D. June 2008 - October 2011
Natomas Optometry September 2006 - March 2008
Lenscrafters 2003 - 2006
Skills
Healthcare, Data Entry, Process Scheduler, Customer Service, 10 Key, Inventory Management, Inventory Control, Treatment, Outlook, Microsoft Word, Filing, PowerPoint, Appointment Scheduling, Provider Relations, Microsoft Office, Teamwork
Education
University of Phoenix 2010 — 2012
Master of Science, Health Care Administration
University of Phoenix 2008 — 2010
Bachelor of Science (BS), Health Care Administration
CSU Sacramento 2001 — 2007
N/A, Health Services/Allied Health/Health Sciences, General
The Home Depot September 2009 - Present
The Home Depot January 2000 - September 2009
The Home Depot August 1998 - January 2000
Software Service Corporation February 1998 - July 1998
Aetna March 1995 - December 1997
Aetna March 1991 - March 1995
Aetna July 1989 - March 1991
Aetna April 1988 - June 1989
Skills
PeopleSoft, Process Improvement, Production Support, Business Analysis, Visio, Management, Project Management, Leadership, Access, Training, Business Process, Performance Management
Education
California University of Pennsylvania 1985 — 1987
Business Management Computer Science
Department of Developmental Services of California July 2015 - Present
CalPERS September 2014 - July 2015
Aetna August 2013 - September 2014
Wells Fargo December 2010 - October 2012
Wells Fargo October 2008 - December 2010
Starbucks November 2005 - November 2008
Skills
Investments, Retirement Planning, Retirement Income..., Investment Banking, Retirement Plan..., Banking, Credit, Loans, Consumer Lending, Retail Banking, Credit Analysis, Commercial Banking, Sales, Business Banking, Small Business Lending, Financial Services, Mortgage Lending, Financial Analysis, Healthcare, Management, Analysis, Data Analysis, Data Entry, Customer Service, Cross Selling, Finance, Loan Origination, Relationship Management, Deposits, Insurance, Portfolio Management, Credit Cards, Lines Of Credit, Branch Banking, Financial Advisory, Credit Risk, Wealth Management, Branch Management
Education
University of Phoenix 2010 — 2013
Bachelor of Business Administration (B.B.A.), Marketing/Marketing Management, General
California State University-Sacramento 2009 — 2011
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Aetna May 2012 - Present
Capital One Bank January 2011 - February 2012
SitelWork at Home2011 November 2010 - March 2011
Prostaff- Direct Energy 2010 - 2010
T-Mobile 2008 - 2010
Verizon Telecom 2005 - 2008
Verizon 2005 - 2008
Skills
Keyboard Skills, 10 Key, Sales, Customer Service, Microsoft Word, Microsoft Excel, Lotus 123, Outlook Express, PowerPoint
Education
Capella University
Desert Highlands October 2013 - Present
Aetna July 2008 - September 2013
ProAdvantage Training February 2006 - November 2008
Lifetime Fitness October 2004 - July 2008
Bally Total Fitness February 2002 - October 2004
Hantz Group October 1997 - January 2002
Skills
Exercise Prescription, Exercise Physiology, Kinesiology, Endurance, Injury Prevention, Group Exercise, Conditioning, Fitness Training, Fitness, Operant Conditioning, Wellness, Nutrition, Health Education, Employee Wellness, Wellness Coaching, Athletic Training, Sports Nutrition, Personal Training, Strength Training, Weight Training, Lifestyle Coaching, Athletics, Nutritional Counseling, Lifestyle, Corporations, Supplements, Prevention, Rehabilitation, Weight, Health Promotion, Disease Management, Corrective Exercise, Physical Therapy, Public Health, Health Insurance, Wellbeing, Stretching, Sports Medicine, Group Training, Cpr Certified, Employee Wellness..., Nutrition Education, Cardio, Pilates, Functional Training, Weight Management, Therapeutic Massage, Healthcare, Pain Management, Sports
Education
California University of Pennsylvania 2006 — 2007
MS, Exercise Science and Health Promotion
Eastern Michigan University 1994 — 1996
BS, Finance
Howell High School
Emerson Reid May 2014 - Present
Wells Fargo Insurance Services June 2010 - May 2014
Aetna February 2007 - February 2010
Aetna June 1988 - January 2006
Skills
Insurance, Retirement Planning, Employee Benefits, Banking, 401k, Management, Life Insurance, Pensions, Retirement, Customer Service, Underwriting, Finance, Financial Services, Wealth Management, Claim, Mutual Funds, Account Management, Project Management, Brokers, Health Insurance
Education
California State University-Northridge 1972 — 1975
Internation Relations - Political Science
Aetna October 2011 - Present
Skills
Claim, Customer Service, Microsoft Office, PowerPoint, Workers Compensation, Employee Benefits
Education
California State University-Northridge 1996 — 1999
Bachelor of Arts, Sociology
Aetna September 2003 - Present
Aetna January 2001 - September 2003
Skills
AutoCAD, Revit, Microsoft Office, PowerPoint, Microsoft Word, Outlook, Architecture, Windows, Microsoft Excel, Hand Drafting, Hand-rendering
Education
University of Hartford 2008 — 2012
B.S, Architectural Engineering Technology
Capital Community College 2004 — 2007
A.S, Architectural Engineering Technology
Aetna November 2012 - Present
Select Specialty Hospital November 2010 - November 2012
Alternate Solutions HomeCare December 2008 - October 2010
Grant Medical Center July 2005 - December 2008
Skills
Inpatient, Healthcare, Utilization Management, Customer Service, Acute Care, Nursing, Case Managment, Rehabilitation, Team Leadership, Wellness, Community Health, Mentoring, Insurance, Hospitals, Patient Safety, BLS, HIPAA, Home Care, Disease Management, Medicaid, Utilization Review, Medical/Surgical, Cpr Certified, IV, Certified Case Manager, Pediatrics, Quality Improvement, Home Health Agencies
Education
Capital University 2008 — 2010
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Columbus State 2003 — 2005
Associate of Science (A.S.), Registered Nursing/Registered Nurse
The Ohio State University 1997 — 2000
Bachelor of Science (BS), Human Development, Family Studies, and Related Services
Aetna June 2013 - Present
Coventry Health Care December 2011 - July 2013
Coventry Health Care February 2008 - March 2011
Coventry Health Care January 2007 - February 2008
Coventry Health Care December 2005 - January 2007
Education
CSU Sacramento 2009 — 2011
Bachelor's degree
Consumnes River College 2005 — 2009
Associate's degree
Florida A & M University 2003 — 2005
Aetna March 2012 - Present
Aetna March 2005 - March 2012
Aetna March 2001 - March 2005
Aetna March 1999 - March 2001
Aetna November 1997 - March 1999
Aetna November 1995 - November 1997
Aetna September 1994 - November 1995
United States Air Force October 1989 - March 1995
Behavioral Health Resources, LLC August 1992 - September 1994
Skills
Crystal Reports, Visual Basic, Risk Management, Yellow Belt, Webi, Crystal Xcelsius 2008, Project Management, Analytics, Business Intelligence, Healthcare, Access, Project Planning, HIPAA, Software Project..., Crystal Xcelsius, Data Analysis, Quality Assurance, Analysis, SAS, SharePoint, Insurance, SDLC, Requirements Gathering, Data Modeling, Requirements Analysis, User Acceptance Testing, Policy, Databases, Business Requirements, Business Analysis
Education
Saint Joseph's University 2015 — 2017
Master of Science in Business Intelligence & Analytics
Villanova University 2012 — 2012
Data Modeling/Warehousing and Database Administration
Charter Oak State College 2004 — 2007
Bachelor of Science (BS), Health/Health Care Administration/Management
California State University-San Bernardino 1992 — 1995
Bachelor's of Science, Health/Health Care Administration/Management
State University of New York at Delhi 1984 — 1986
Associate's degree, Architecture
BNY Mellon July 2008 - Present
Merrill Lynch June 2007 - June 2008
Aetna August 1999 - January 2005
Washington Financial December 1991 - July 1999
Skills
Team Leadership
Education
California University of Pennsylvania 2000 — 2005
BS, Criminal Justice
Washington High School 1984 — 1988
Aetna August 2011 - Present
Skills
Health Insurance, Insurance, Call Centers, Employee Benefits, Claim, Medicare, Underwriting, Process Improvement, Customer Service, Disability Insurance, HIPAA, Managed Care, Customer Satisfaction, Access, Outlook
Education
Calvin College 1981 — 1987
Bachelor of Arts (B.A.), Science Group
Aetna May 2015 - Present
Accountable Care Associates 2008 - 2015
Health New England 1999 - 2008
Holyoke Community College / Springfield Technical Community College / Salter College 1991 - 2008
Unum 1998 - 1999
Ander-Care Home Care 1997 - 1998
Aetna 1992 - 1997
Homecare 1991 - 1996
Skills
Medicare, Utilization Management, Disease Management, Healthcare, Healthcare Information..., Healthcare Management, Managed Care, EMR, Health Insurance, Healthcare Consulting, Nursing, HIPAA, Coding Standards, Microsoft Office, Risk Assessment, Leadership, Process Improvement, Healthcare Industry, Clinical Research
Education
Cambridge College
Masters in Education (M.Ed.), Training and Development
University of Massachusetts, Amherst
Bachelor of Science (B.S.), Nursing and Health Science
Springfield Technical Community College
Associate of Science (A.S.), Registered Nurse
..
Certified Professional Medical Coder (C.P.C.)
..
Certified Asthma Educator (AE-C), Adult and Pediatric Asthma Care
**
Certified Master Trainer, Stanford University Chronic Disease Self-Management Program (CDSMP)
Aetna July 2012 - Present
Bristol Hospital January 1981 - March 2012
Skills
Nursing, Critical Care, Acute Care, Case Management, Medicare, Case Managment, Hospitals, Healthcare, Healthcare Management
Education
Chamberlain College of Nursing-Addison Campus
M.S.N., Registered Nursing/Registered Nurse
Capital Community College 1993 — 1995
Associates of Science, Registered Nursing/Registered Nurse
Tunxis Community College 1982 — 1984
Aetna October 2010 - Present
Coventry Health Care May 2009 - October 2010
CVS Caremark Corporation February 2003 - May 2008
Skills
Healthcare Management, Pharmaceutical Industry, Healthcare, Managed Care
Education
CSU Sacramento 2008 — 2012
BA, Sociology
Aetna September 2014 - Present
Schiano's October 2013 - May 2014
Capital Blue Cross January 2014 - April 2014
PHEAA December 2012 - June 2013
Bonefish Grill August 2012 - November 2012
Rockbass Grill May 2011 - August 2012
Skills
Customer Service, Data Entry, Typing, Waitressing, Time Management
Education
Harrisburg Area Community College 2009 — 2011
California University of Pennsylvania 2008 — 2009
Aetna July 2012 - Present
Beginnings, Inc., CASA February 2011 - June 2012
Highmark Blue Cross Blue Shield February 1997 - March 2010
Education
University of Pittsburgh-Johnstown 1988 — 1992
Bachelor's Degree, Communications and Journalism
Cambria-Rowe Business College-Johnstown 1968 — 1969
Associate's Degree, executive assistant
Greater Johnstown High School 1966 — 1968
High School