CalOptima Company
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CalOptima Employees
Employee
Years
Job
Industry
Rahul V. Shirale Rahul V. Shirale's CalOptima Experience April 2014 - Present
Job System Engineer at Reliance Steel & Aluminum Co.
Industry Higher Education
Experience
Reliance Steel & Aluminum Co. March 2015 - Present
CalOptima April 2014 - Present
California State University, Northridge February 2012 - April 2014
Amgen July 2009 - October 2011
Safeco Insurance July 2008 - January 2009
California State University, Long Beach January 2006 - November 2007
Godrej Infotech Ltd. January 2005 - June 2005
Skills
Windows Server 2008, Netscaler, Xen Desktop, Xen App, Windows Server 2003, Edgesight, Virtualization, System Administration, Deployment, Citrix Metaframe, Windows Server, Servers, VDI, Active Directory, vSphere, Technical Support, Citrix, Group Policy, Troubleshooting, Hardware, Software Documentation, Windows, Testing, VMware ESX, Software Installation, Operating Systems, Windows 7, 2008 R2, Information Technology, Cloud Computing, IIS, VMware, System Deployment, VMware Infrastructure
Education
California State University-Long Beach 2005 — 2007
MSEE, Electrical Engineering
D J Sanghvi College of Engineering 1999 — 2004
Bachelors, Electronics
Reliance Steel & Aluminum Co. March 2015 - Present
CalOptima April 2014 - Present
California State University, Northridge February 2012 - April 2014
Amgen July 2009 - October 2011
Safeco Insurance July 2008 - January 2009
California State University, Long Beach January 2006 - November 2007
Godrej Infotech Ltd. January 2005 - June 2005
Skills
Windows Server 2008, Netscaler, Xen Desktop, Xen App, Windows Server 2003, Edgesight, Virtualization, System Administration, Deployment, Citrix Metaframe, Windows Server, Servers, VDI, Active Directory, vSphere, Technical Support, Citrix, Group Policy, Troubleshooting, Hardware, Software Documentation, Windows, Testing, VMware ESX, Software Installation, Operating Systems, Windows 7, 2008 R2, Information Technology, Cloud Computing, IIS, VMware, System Deployment, VMware Infrastructure
Education
California State University-Long Beach 2005 — 2007
MSEE, Electrical Engineering
D J Sanghvi College of Engineering 1999 — 2004
Bachelors, Electronics
Lisa Laird, CFA Lisa Laird, CFA's CalOptima Experience June 2013 - Present
Job VP Investments and Cash Management at St. Joseph Health System
Industry Financial Services
Experience
St. Joseph Health System May 2011 - Present
SEVA Foundation February 2010 - Present
CalOptima June 2013 - Present
Towers Watson Investment Services 2005 - May 2011
Wilshire Associates 2002 - 2005
Wilshire Associates 2001 - 2002
Agilent Technologies 1999 - 2001
IBM 1999 - 1999
IBM 1997 - 1999
Skills
Asset Allocation, Asset Managment, Valuation, Investment Strategies, Financial Modeling, Asset Management, Hedge Funds, Corporate Finance, Management Consulting, Alternative Investments, Securities, Equity Research, Pensions, Strategic Financial..., Derivatives, Business Strategy, Investor Relations, Finance, Investment Advisory, Wealth Management, Bonds, Quantitative Analytics, Emerging Markets, Retirement, Economics, Due Diligence, Financial Services, Mutual Funds, Financial Risk, Financial Analysis, Investment Management, Venture Capital, Mergers & Acquisitions, Private Equity, Investments, Portfolio Management, 401k, Equities, Investment Banking, Risk Management, Fixed Income, Financial Markets, Capital Markets, Relationship Management, Employee Benefits, Defined Benefit, Strategy, Executive Management
Education
Duke University - The Fuqua School of Business 1995 — 1997
MBA
California State Polytechnic University-Pomona 1987 — 1992
BS, Operations Management
St. Joseph Health System May 2011 - Present
SEVA Foundation February 2010 - Present
CalOptima June 2013 - Present
Towers Watson Investment Services 2005 - May 2011
Wilshire Associates 2002 - 2005
Wilshire Associates 2001 - 2002
Agilent Technologies 1999 - 2001
IBM 1999 - 1999
IBM 1997 - 1999
Skills
Asset Allocation, Asset Managment, Valuation, Investment Strategies, Financial Modeling, Asset Management, Hedge Funds, Corporate Finance, Management Consulting, Alternative Investments, Securities, Equity Research, Pensions, Strategic Financial..., Derivatives, Business Strategy, Investor Relations, Finance, Investment Advisory, Wealth Management, Bonds, Quantitative Analytics, Emerging Markets, Retirement, Economics, Due Diligence, Financial Services, Mutual Funds, Financial Risk, Financial Analysis, Investment Management, Venture Capital, Mergers & Acquisitions, Private Equity, Investments, Portfolio Management, 401k, Equities, Investment Banking, Risk Management, Fixed Income, Financial Markets, Capital Markets, Relationship Management, Employee Benefits, Defined Benefit, Strategy, Executive Management
Education
Duke University - The Fuqua School of Business 1995 — 1997
MBA
California State Polytechnic University-Pomona 1987 — 1992
BS, Operations Management
Felicia Howard Spalding Felicia Howard Spalding's CalOptima Experience October 2014 - June 2015
Job Director MediCal NSS Operations at St Joseph Heritage Healthcare
Industry Government Administration
Experience
St Joseph Heritage Healthcare June 2015 - Present
CalOptima October 2014 - June 2015
Molina Healthcare August 2014 - October 2014
QTC June 2012 - April 2014
Coast Healthcare Management January 2011 - June 2012
L. A. Care Health Plan 2001 - 2010
Skills
Claims Management, Healthcare Compliance, Insurance Management, Claims, Managed Care, Compliance, Healthcare, Process Improvement, Healthcare Management, Team Building, Quality Improvement, HMO, ICD-9, Medical Terminology, Business Process..., Health Insurance, Medicare, Insurance, Medical Compliance, Provider Relations, HIPAA, Claim, Healthcare Consulting, Healthcare Information..., Training
Education
DePaul University 1987 — 1989
Masters of Science, Management of Public Services
Barat College of DePaul University 1974 — 1978
Bachelor of Arts (BA), Educational Psychology
St Joseph Heritage Healthcare June 2015 - Present
CalOptima October 2014 - June 2015
Molina Healthcare August 2014 - October 2014
QTC June 2012 - April 2014
Coast Healthcare Management January 2011 - June 2012
L. A. Care Health Plan 2001 - 2010
Skills
Claims Management, Healthcare Compliance, Insurance Management, Claims, Managed Care, Compliance, Healthcare, Process Improvement, Healthcare Management, Team Building, Quality Improvement, HMO, ICD-9, Medical Terminology, Business Process..., Health Insurance, Medicare, Insurance, Medical Compliance, Provider Relations, HIPAA, Claim, Healthcare Consulting, Healthcare Information..., Training
Education
DePaul University 1987 — 1989
Masters of Science, Management of Public Services
Barat College of DePaul University 1974 — 1978
Bachelor of Arts (BA), Educational Psychology
Michelle Finerty Michelle Finerty's CalOptima Experience April 1996 - April 2003
Job Government Billing & FollowUp Specialist at UHS
Industry Hospital & Health Care
Experience
UHS January 2013 - Present
Novamex May 2004 - March 2011
CalOptima April 1996 - April 2003
CHOC Children’s Hospital of Orange County March 1995 - April 1996
PacifiCare September 1990 - March 1995
Skills
Medical Billing, Auditing, Account Reconciliation, Following Up, Program Management, Office Administration, Microsoft Office, Sales & Marketing...
Education
California State University-Fullerton
BA
UHS January 2013 - Present
Novamex May 2004 - March 2011
CalOptima April 1996 - April 2003
CHOC Children’s Hospital of Orange County March 1995 - April 1996
PacifiCare September 1990 - March 1995
Skills
Medical Billing, Auditing, Account Reconciliation, Following Up, Program Management, Office Administration, Microsoft Office, Sales & Marketing...
Education
California State University-Fullerton
BA
Deborah Miller Deborah Miller's CalOptima Experience October 2011 - May 2012
Job Vice President Healthcare Services at Molina Healthcare California
Industry Hospital & Health Care
Experience
Molina Healthcare California November 2012 - Present
Molina Healthcare May 2012 - December 2012
CalOptima October 2011 - May 2012
SCAN Health Plan May 1999 - October 2011
Vitas Healthcare January 1992 - May 1999
Skills
Medicaid, Utilization Management, Healthcare, Medicare, Healthcare Management, Managed Care, Elder Care, Hospitals, Program Development, Clinical Research, Healthcare Information..., Public Health, Nursing, Disease Management
Education
California State University-Long Beach
Bachelor's Degree, Social Work
UCLA,
Master of Social Work (MSW), Social Work
Molina Healthcare California November 2012 - Present
Molina Healthcare May 2012 - December 2012
CalOptima October 2011 - May 2012
SCAN Health Plan May 1999 - October 2011
Vitas Healthcare January 1992 - May 1999
Skills
Medicaid, Utilization Management, Healthcare, Medicare, Healthcare Management, Managed Care, Elder Care, Hospitals, Program Development, Clinical Research, Healthcare Information..., Public Health, Nursing, Disease Management
Education
California State University-Long Beach
Bachelor's Degree, Social Work
UCLA,
Master of Social Work (MSW), Social Work
William (Bill) Fabian, RN, BS, CNLC's CalOptima Experience January 2015 - Present
Job PACE Interim Center Manager
Industry Hospital & Health Care
Experience
CalOptima January 2015 - Present
CalOptima September 2013 - January 2015
WellCare July 2013 - August 2013
SCAN Health Plan December 2012 - July 2013
Ability Groups January 2006 - December 2012
QMark, Inc 2005 - 2006
1 on 1 with Doug Polen January 2004 - September 2005
INService, Inc. June 1998 - February 2005
Health Net November 1999 - May 2004
Skills
Healthcare, Healthcare Management, Hospitals, Process Improvement, Leadership, Quality Control, Analysis, Medicare, Managed Care, Medicaid, HIPAA, Healthcare Consulting, Health Policy, Healthcare Information..., Health Insurance, Healthcare Industry, Quality Improvement, Revenue Cycle, EHR, EMR, Clinical Research, HEDIS, Disease Management
Education
Calvary Bible College and Theological Seminary 1996 — 1998
Bachelor of Applied Science (B.A.Sc.), Organizational Leadership
Los Angeles County College of Nursing and Allied Health 1989 — 1991
RN, Health Services/Allied Health/Health Sciences, General
Los Angeles City College 1988 — 2000
Associate's degree, Health Science, Registered Nurse
U.S. Army 1976 — 1981
Awarded MOS, Military Police
CalOptima January 2015 - Present
CalOptima September 2013 - January 2015
WellCare July 2013 - August 2013
SCAN Health Plan December 2012 - July 2013
Ability Groups January 2006 - December 2012
QMark, Inc 2005 - 2006
1 on 1 with Doug Polen January 2004 - September 2005
INService, Inc. June 1998 - February 2005
Health Net November 1999 - May 2004
Skills
Healthcare, Healthcare Management, Hospitals, Process Improvement, Leadership, Quality Control, Analysis, Medicare, Managed Care, Medicaid, HIPAA, Healthcare Consulting, Health Policy, Healthcare Information..., Health Insurance, Healthcare Industry, Quality Improvement, Revenue Cycle, EHR, EMR, Clinical Research, HEDIS, Disease Management
Education
Calvary Bible College and Theological Seminary 1996 — 1998
Bachelor of Applied Science (B.A.Sc.), Organizational Leadership
Los Angeles County College of Nursing and Allied Health 1989 — 1991
RN, Health Services/Allied Health/Health Sciences, General
Los Angeles City College 1988 — 2000
Associate's degree, Health Science, Registered Nurse
U.S. Army 1976 — 1981
Awarded MOS, Military Police
Margaret Tatar Margaret Tatar's CalOptima Experience March 2003 - January 2012
Job Managing Principal, Health Management Associates
Industry Government Administration
Experience
Health Management Associates October 2014 - Present
Health Management Associates October 2014 - Present
California Department of Health Care Services January 2012 - September 2014
CalOptima March 2003 - January 2012
County of Orange, Office on Aging March 2001 - March 2003
Skills
Strategic Communications, Healthcare, Public Policy, Community Outreach, Crisis Communications, Policy, Strategic Planning, Government, Health Policy, Managed Care, Medicare, Program Management, Medicaid, Program Development, Public Health, Legislative Relations
Education
Villanova University School of Law 1982 — 1985
JD
Bryn Mawr College 1976 — 1980
B.A., Latin Language and Literature
Health Management Associates October 2014 - Present
Health Management Associates October 2014 - Present
California Department of Health Care Services January 2012 - September 2014
CalOptima March 2003 - January 2012
County of Orange, Office on Aging March 2001 - March 2003
Skills
Strategic Communications, Healthcare, Public Policy, Community Outreach, Crisis Communications, Policy, Strategic Planning, Government, Health Policy, Managed Care, Medicare, Program Management, Medicaid, Program Development, Public Health, Legislative Relations
Education
Villanova University School of Law 1982 — 1985
JD
Bryn Mawr College 1976 — 1980
B.A., Latin Language and Literature
Eileen Moscaritolo's CalOptima Experience February 2008 - January 2013
Job VP of Enterprise Services at AltaMed
Industry Information Technology and Services
Experience
AltaMed January 2013 - Present
Orange County Regional Health Information Organization (OCPRHIO) August 2008 - Present
California State University, Fullerton September 2012 - Present
CalOptima February 2008 - January 2013
Healthnet/MHN October 2004 - February 2008
Consultant 2001 - 2007
Medpartners 1997 - 2001
Tufts Health Plan 1985 - 1997
Skills
EHR, Project Management, Health Information..., Healthcare Information..., Healthcare, HIPAA, Managed Care, Healthcare Management, Medicaid, Process Improvement, EMR, SDLC, Business Intelligence, Program Management, Integration, Strategic Planning, Medicare, Data Warehousing, EDI, Change Management, Leadership, Strategy, Management, IT Strategy, Team Building, Quality Improvement, Health Insurance, IT Operations, PMO, Access, Business Analysis, Data Analysis, Disaster Recovery, Enterprise Software, Health Policy, Healthcare Consulting, Hospitals, Information Technology, Performance Improvement, Policy, Privacy Regulations, Revenue Cycle, Security, SharePoint, Software Documentation, Vendor Management, Visio, Consulting, Informatics
Education
Boston University 1981 — 1985
BS
AltaMed January 2013 - Present
Orange County Regional Health Information Organization (OCPRHIO) August 2008 - Present
California State University, Fullerton September 2012 - Present
CalOptima February 2008 - January 2013
Healthnet/MHN October 2004 - February 2008
Consultant 2001 - 2007
Medpartners 1997 - 2001
Tufts Health Plan 1985 - 1997
Skills
EHR, Project Management, Health Information..., Healthcare Information..., Healthcare, HIPAA, Managed Care, Healthcare Management, Medicaid, Process Improvement, EMR, SDLC, Business Intelligence, Program Management, Integration, Strategic Planning, Medicare, Data Warehousing, EDI, Change Management, Leadership, Strategy, Management, IT Strategy, Team Building, Quality Improvement, Health Insurance, IT Operations, PMO, Access, Business Analysis, Data Analysis, Disaster Recovery, Enterprise Software, Health Policy, Healthcare Consulting, Hospitals, Information Technology, Performance Improvement, Policy, Privacy Regulations, Revenue Cycle, Security, SharePoint, Software Documentation, Vendor Management, Visio, Consulting, Informatics
Education
Boston University 1981 — 1985
BS
Lisa Robertson Lisa Robertson's CalOptima Experience 1998 - 2000
Job Freelance Writer and Marketing & PR Strategist Specializing in Healthcare, Education, Entertainment and Travel
Industry Marketing and Advertising
Experience
Lisa M. Robertson Communications 2010 - Present
Babes In Disneyland blog 2007 - Present
"Babes In Disneyland: The ultimate Disneyland Resort guide for families with young children." 2010 - Present
Burbank Unified School District 2008 - 2010
Monrovia Unified School District 2005 - 2007
Monrovia Unified School District 2003 - 2005
Health Net of California 2001 - 2003
City of Hope and Beckman Research Institute 2000 - 2001
CalOPTIMA 1998 - 2000
Disneyland Resort 1993 - 1998
Skills
Blogging, Public Relations, Press Releases, Social Media, Facebook, Social Media Marketing, Strategic Communications, Editing, Copywriting, Event Management, Media Relations, Disney, Interviews, Marketing Strategy, WordPress, Video Editing, Video, Entertainment, Marketing, Social Networking, Video Production, Television, Newsletters, Online Advertising, Event Planning, Magazines, Advertising, Web Content, Marketing Communications, Copy Editing, Creative Writing, Feature Articles, Public Speaking, Publications, Publicity, Radio, Journalism, Content Strategy, Nonprofits, New Media, Content Development, Storytelling, Education, Healthcare, Travel, Writing, Freelance Writing, Twitter, Digital Media
Education
California State University-Long Beach 1993 — 1997
B.A., Communication Studies
California State University-Los Angeles
Credential, Multiple Subject Elementary BCLAD Credential
Pacifica High School
Lisa M. Robertson Communications 2010 - Present
Babes In Disneyland blog 2007 - Present
"Babes In Disneyland: The ultimate Disneyland Resort guide for families with young children." 2010 - Present
Burbank Unified School District 2008 - 2010
Monrovia Unified School District 2005 - 2007
Monrovia Unified School District 2003 - 2005
Health Net of California 2001 - 2003
City of Hope and Beckman Research Institute 2000 - 2001
CalOPTIMA 1998 - 2000
Disneyland Resort 1993 - 1998
Skills
Blogging, Public Relations, Press Releases, Social Media, Facebook, Social Media Marketing, Strategic Communications, Editing, Copywriting, Event Management, Media Relations, Disney, Interviews, Marketing Strategy, WordPress, Video Editing, Video, Entertainment, Marketing, Social Networking, Video Production, Television, Newsletters, Online Advertising, Event Planning, Magazines, Advertising, Web Content, Marketing Communications, Copy Editing, Creative Writing, Feature Articles, Public Speaking, Publications, Publicity, Radio, Journalism, Content Strategy, Nonprofits, New Media, Content Development, Storytelling, Education, Healthcare, Travel, Writing, Freelance Writing, Twitter, Digital Media
Education
California State University-Long Beach 1993 — 1997
B.A., Communication Studies
California State University-Los Angeles
Credential, Multiple Subject Elementary BCLAD Credential
Pacifica High School
Emily (Verrill) Lorrimer's CalOptima Experience February 2008 - March 2010
Job Health Care Product Strategy
Industry Hospital & Health Care
Experience
Blue Shield of California November 2014 - Present
Health Net March 2010 - November 2014
CalOptima February 2008 - March 2010
Skills
Healthcare, Healthcare Information..., HIPAA, Managed Care, Medicaid, Medicare, Healthcare Management, Process Improvement, Policy, Data Analysis, Project Management, Program Management, Health Insurance, Strategic Planning, Insurance, Health Policy
Education
California State University-Fullerton
B.A., Spanish
Indiana University Bloomington
Linguistics
Universidad de Granada
Blue Shield of California November 2014 - Present
Health Net March 2010 - November 2014
CalOptima February 2008 - March 2010
Skills
Healthcare, Healthcare Information..., HIPAA, Managed Care, Medicaid, Medicare, Healthcare Management, Process Improvement, Policy, Data Analysis, Project Management, Program Management, Health Insurance, Strategic Planning, Insurance, Health Policy
Education
California State University-Fullerton
B.A., Spanish
Indiana University Bloomington
Linguistics
Universidad de Granada
Pam Brashear Stuart's CalOptima Experience January 1999 - March 2003
Job Internal Communications Manager at UC Irvine Health
Industry Hospital & Health Care
Experience
UC Irvine Health July 2013 - Present
Churm Media January 2011 - August 2013
Children's Hospital of Orange County September 2005 - June 2013
The Orange County Register June 2011 - December 2011
Ignite Health April 2005 - November 2005
Rent Information Technology October 2003 - March 2005
California Hospital Association April 2003 - October 2003
CalOptima January 1999 - March 2003
Disneyland Resort June 1997 - September 1998
Skills
Social Media, Media Relations, Press Releases, Public Relations, Editing, Marketing Communications, Blogging, Social Media Marketing, Newsletters, Public Speaking, Healthcare, Marketing, Research, Copywriting, Corporate Communications, Non-profits, Facebook, Copy Editing, Nonprofits, Advertising, Internal Communications, Web Content, SEO, Community Outreach, Marketing Strategy, New Media, Magazines, Editorial, Publications, Leadership, Writing, Management, Social Networking
Education
California State University-Long Beach 1997 — 2002
BA, Journalism, with a minor in Art
UC Irvine Health July 2013 - Present
Churm Media January 2011 - August 2013
Children's Hospital of Orange County September 2005 - June 2013
The Orange County Register June 2011 - December 2011
Ignite Health April 2005 - November 2005
Rent Information Technology October 2003 - March 2005
California Hospital Association April 2003 - October 2003
CalOptima January 1999 - March 2003
Disneyland Resort June 1997 - September 1998
Skills
Social Media, Media Relations, Press Releases, Public Relations, Editing, Marketing Communications, Blogging, Social Media Marketing, Newsletters, Public Speaking, Healthcare, Marketing, Research, Copywriting, Corporate Communications, Non-profits, Facebook, Copy Editing, Nonprofits, Advertising, Internal Communications, Web Content, SEO, Community Outreach, Marketing Strategy, New Media, Magazines, Editorial, Publications, Leadership, Writing, Management, Social Networking
Education
California State University-Long Beach 1997 — 2002
BA, Journalism, with a minor in Art
Danyelle Magee Danyelle Magee's CalOptima Experience July 2014 - August 2014
Job Financial Analyst at Cambria Solutions, Inc
Industry Accounting
Experience
Cambria Solutions November 2014 - May 2015
CalOptima July 2014 - August 2014
nuCourse Distribution January 2014 - February 2014
eHealth Inc December 2000 - July 2013
Nationwide Insurance June 1998 - May 2000
Skills
Forecasting, Accounting, Account Reconciliation, Accounts Receivable, Microsoft Excel, Microsoft Word, Microsoft Office, Analysis, Billing Process, Health Insurance, Coordination, Communication, NetSuite, Revenue Analysis, Revenue Recognition, Team Leadership, Data Analysis, Insurance, Training, Leadership, Customer Service
Education
American InterContinental University 2004 — 2010
Master of Business Administration (MBA), Accounting and Finance, 3.5
American InterContinental University 2004 — 2006
Bachelor of Science (BS), Criminal Justice, 4.0
American InterContinental University 2004 — 2005
Associate of Arts (A.A.), Business Administration and Management, General, 3.5
Cambria Solutions November 2014 - May 2015
CalOptima July 2014 - August 2014
nuCourse Distribution January 2014 - February 2014
eHealth Inc December 2000 - July 2013
Nationwide Insurance June 1998 - May 2000
Skills
Forecasting, Accounting, Account Reconciliation, Accounts Receivable, Microsoft Excel, Microsoft Word, Microsoft Office, Analysis, Billing Process, Health Insurance, Coordination, Communication, NetSuite, Revenue Analysis, Revenue Recognition, Team Leadership, Data Analysis, Insurance, Training, Leadership, Customer Service
Education
American InterContinental University 2004 — 2010
Master of Business Administration (MBA), Accounting and Finance, 3.5
American InterContinental University 2004 — 2006
Bachelor of Science (BS), Criminal Justice, 4.0
American InterContinental University 2004 — 2005
Associate of Arts (A.A.), Business Administration and Management, General, 3.5
Brenda Lee-Wood Brenda Lee-Wood's CalOptima Experience 2011 - 2013
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
caloptima 2011 - 2013
Boys Town 2007 - 2008
Guadalupe Homes 1980 - 1983
Skills
HIPAA, Healthcare, Medicare, Healthcare Management, Hospitals, Managed Care, EMR, Medicaid, EHR, Healthcare Information..., Fundraising, Policy, Leadership
Education
California State University-Long Beach 1974 — 1977
Bachelor's Degree, Psychology
caloptima 2011 - 2013
Boys Town 2007 - 2008
Guadalupe Homes 1980 - 1983
Skills
HIPAA, Healthcare, Medicare, Healthcare Management, Hospitals, Managed Care, EMR, Medicaid, EHR, Healthcare Information..., Fundraising, Policy, Leadership
Education
California State University-Long Beach 1974 — 1977
Bachelor's Degree, Psychology
Armando A. Millan's CalOptima Experience February 2010 - September 2010
Job Compliance Manger at Anthem
Industry Hospital & Health Care
Experience
Anthem July 2015 - Present
Anthem February 2014 - July 2015
Health Net January 2012 - February 2014
Health Net September 2010 - January 2012
CalOptima February 2010 - September 2010
CalOptima June 2009 - February 2010
CalOptima October 2006 - May 2009
Service 1st Electric January 2005 - July 2006
Knott's Berry Farm July 2003 - October 2004
Skills
Access, SQL, Data Analysis, Visual Basic, Business Objects, Health Insurance, Business Analysis, Complaince, Risk Management, Healthcare, Managed Care, Medicaid, Visual Basic for..., VB.NET, Compliance 360, Global Compliance, Systems Analysis and..., Executive Reporting, Business Intelligence, Facets, Requirements Gathering, HIPAA, HMO, Analysis, Healthcare Management
Education
California State University-Fullerton - College of Business and Economics 2009 — 2010
BA
Fullerton College 2005 — 2008
AA
Fullerton College 2005 — 2008
AA
Anthem July 2015 - Present
Anthem February 2014 - July 2015
Health Net January 2012 - February 2014
Health Net September 2010 - January 2012
CalOptima February 2010 - September 2010
CalOptima June 2009 - February 2010
CalOptima October 2006 - May 2009
Service 1st Electric January 2005 - July 2006
Knott's Berry Farm July 2003 - October 2004
Skills
Access, SQL, Data Analysis, Visual Basic, Business Objects, Health Insurance, Business Analysis, Complaince, Risk Management, Healthcare, Managed Care, Medicaid, Visual Basic for..., VB.NET, Compliance 360, Global Compliance, Systems Analysis and..., Executive Reporting, Business Intelligence, Facets, Requirements Gathering, HIPAA, HMO, Analysis, Healthcare Management
Education
California State University-Fullerton - College of Business and Economics 2009 — 2010
BA
Fullerton College 2005 — 2008
AA
Fullerton College 2005 — 2008
AA
Tim Cary, PMP Tim Cary, PMP's CalOptima Experience October 2011 - Present
Job Sr. IS Project Manager at CalOptima
Industry Information Technology and Services
Experience
CalOptima October 2011 - Present
Pomona Valley Hospital Medical Center December 2008 - October 2011
Evarus June 2007 - July 2008
Ameriquest Mortgage 2005 - 2007
ISD Corporation 2002 - 2005
Disneyland Resorts, Inc. 2001 - 2002
Skills
Requirements Analysis, Documentation, Quality Assurance, SharePoint, Project Planning, Software Documentation, PMP, Business Analysis, Systems Analysis, Data Warehousing, SQL, Process Improvement, Healthcare Information..., Project Management, Change Management, System Administration, HL7, Healthcare, Data Analysis, HIPAA, Healthcare Management, Business Process..., Access, Visio, EMR, Training, Program Management, SDLC, Information Technology, Integration, EHR, Disaster Recovery, Software Project..., Business Intelligence, Software Implementation, Vendor Management, IT Strategy
Education
California State Polytechnic University-Pomona 1982 — 1986
Bachelor of Science, Computer Information Systems
El Dorado High School 1979 — 1982
CalOptima October 2011 - Present
Pomona Valley Hospital Medical Center December 2008 - October 2011
Evarus June 2007 - July 2008
Ameriquest Mortgage 2005 - 2007
ISD Corporation 2002 - 2005
Disneyland Resorts, Inc. 2001 - 2002
Skills
Requirements Analysis, Documentation, Quality Assurance, SharePoint, Project Planning, Software Documentation, PMP, Business Analysis, Systems Analysis, Data Warehousing, SQL, Process Improvement, Healthcare Information..., Project Management, Change Management, System Administration, HL7, Healthcare, Data Analysis, HIPAA, Healthcare Management, Business Process..., Access, Visio, EMR, Training, Program Management, SDLC, Information Technology, Integration, EHR, Disaster Recovery, Software Project..., Business Intelligence, Software Implementation, Vendor Management, IT Strategy
Education
California State Polytechnic University-Pomona 1982 — 1986
Bachelor of Science, Computer Information Systems
El Dorado High School 1979 — 1982
Laura Blank Laura Blank's CalOptima Experience April 2003 - April 2004
Job Associate Clinical Professor at Northern Arizona University
Industry Higher Education
Experience
Northern Arizona University 2012 - Present
Northern Arizona University August 2006 - Present
CalOptima April 2003 - April 2004
CA Department of Health Services 2001 - 2003
CalOptima 1998 - 2001
CalOptima 1995 - 1998
Kaiser Permanente, Southern California 1991 - 1995
Kaiser Permanente, Southern California 1989 - 1991
Skills
Nursing Education, Healthcare Management, Public Health, Higher Education, Program Evaluation, Program Development, Health Education, Healthcare, Palliative Care, Cancer, Quality Management, Nursing, Pediatrics, Acute Care, Patient Education, Home Care, BLS, Managed Care, Curriculum Development, Grant Writing, Auditing, Prevention, Critical Care, Informatics, Case Management, Medical/Surgical, Hospitals, Cpr Certified, Curriculum Design, Geriatrics, Public Policy, Clinical Research, Teaching, Patient Safety, Research, HIPAA, Healthcare Information...
Education
Arizona State University 2010 — 2016
PhD, Registered Nursing/Registered Nurse
Azusa Pacific University 1991 — 1995
Masters, Registered Nursing/Registered Nurse
Northern Arizona University 2012 - Present
Northern Arizona University August 2006 - Present
CalOptima April 2003 - April 2004
CA Department of Health Services 2001 - 2003
CalOptima 1998 - 2001
CalOptima 1995 - 1998
Kaiser Permanente, Southern California 1991 - 1995
Kaiser Permanente, Southern California 1989 - 1991
Skills
Nursing Education, Healthcare Management, Public Health, Higher Education, Program Evaluation, Program Development, Health Education, Healthcare, Palliative Care, Cancer, Quality Management, Nursing, Pediatrics, Acute Care, Patient Education, Home Care, BLS, Managed Care, Curriculum Development, Grant Writing, Auditing, Prevention, Critical Care, Informatics, Case Management, Medical/Surgical, Hospitals, Cpr Certified, Curriculum Design, Geriatrics, Public Policy, Clinical Research, Teaching, Patient Safety, Research, HIPAA, Healthcare Information...
Education
Arizona State University 2010 — 2016
PhD, Registered Nursing/Registered Nurse
Azusa Pacific University 1991 — 1995
Masters, Registered Nursing/Registered Nurse
Thanh Mai Dinh Thanh Mai Dinh's CalOptima Experience September 2013 - Present
Job
Industry Hospital & Health Care
Experience
CalOptima September 2013 - Present
CalOptima June 2010 - October 2013
Vietnamese Community of Orange County, Inc. January 2010 - June 2010
Dorchester House Multi Service Center October 2008 - October 2009
Boston University School of Public Health October 2006 - October 2009
Skills
Fundraising, Program Evaluation, Grant Writing, Program Development, Community Health, Health Education, Curriculum Design, Health Promotion, Community Outreach, Public Health, Community Development, Research, Grants, Healthcare, Global Health, Reproductive Health, Epidemiology, Literature Reviews, International Health, Health Policy, HIV prevention, Clinical Research, Policy Analysis, Healthcare Management, Health Communication, Prevention, Program Management
Education
Boston University 2006 — 2008
MPH, Maternal and Child Health
University of California, Irvine 2000 — 2005
BA, Psychology & Social Behavior
CalOptima September 2013 - Present
CalOptima June 2010 - October 2013
Vietnamese Community of Orange County, Inc. January 2010 - June 2010
Dorchester House Multi Service Center October 2008 - October 2009
Boston University School of Public Health October 2006 - October 2009
Skills
Fundraising, Program Evaluation, Grant Writing, Program Development, Community Health, Health Education, Curriculum Design, Health Promotion, Community Outreach, Public Health, Community Development, Research, Grants, Healthcare, Global Health, Reproductive Health, Epidemiology, Literature Reviews, International Health, Health Policy, HIV prevention, Clinical Research, Policy Analysis, Healthcare Management, Health Communication, Prevention, Program Management
Education
Boston University 2006 — 2008
MPH, Maternal and Child Health
University of California, Irvine 2000 — 2005
BA, Psychology & Social Behavior
Imelda Aguilera Imelda Aguilera's CalOptima Experience March 2014 - Present
Job RN (PACE) Clinic Nurse at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2014 - Present
Senior Life Management, Inc November 2013 - Present
AcentCare Home Health December 2010 - November 2012
LAC/USC Medical Ceter Women's Hospital June 1988 - October 1998
County of San Bernardino January 1986 - December 1988
County of San Bernardino September 1975 - April 1981
Skills
Case Managment, Nursing, Hospitals, Patient Advocacy, Acute Care, Certified Case Manager, ACLS, Bilingual, Computer Proficiency, VA, Case Management, Public Health, Medical Records, Home Care, Pain Management
Education
Azusa Pacific University 2010 — 2010
Refresher Course, Registered Nursing/Registered Nurse
East Los Angeles College 1972 — 1975
Associate of Arts (AA), Registered Nursing/Registered Nurse
LAC/USC School of Nursing 1972 — 1975
Diploma, Registered Nursing/Registered Nurse
CalOptima March 2014 - Present
Senior Life Management, Inc November 2013 - Present
AcentCare Home Health December 2010 - November 2012
LAC/USC Medical Ceter Women's Hospital June 1988 - October 1998
County of San Bernardino January 1986 - December 1988
County of San Bernardino September 1975 - April 1981
Skills
Case Managment, Nursing, Hospitals, Patient Advocacy, Acute Care, Certified Case Manager, ACLS, Bilingual, Computer Proficiency, VA, Case Management, Public Health, Medical Records, Home Care, Pain Management
Education
Azusa Pacific University 2010 — 2010
Refresher Course, Registered Nursing/Registered Nurse
East Los Angeles College 1972 — 1975
Associate of Arts (AA), Registered Nursing/Registered Nurse
LAC/USC School of Nursing 1972 — 1975
Diploma, Registered Nursing/Registered Nurse
Theresa Stanley Theresa Stanley's CalOptima Experience January 2014 - Present
Job Executive Director Medical Affairs at CalOptima
Industry Government Administration
Experience
CalOptima January 2014 - Present
LA Care Health Plan 2013 - 2014
Partners in Care Foundation April 2012 - December 2013
Ventura County Health Care Agency April 2009 - April 2012
Partnership Healthplan of California September 1998 - March 2009
PacifiCare of California August 1994 - May 1998
Skills
Policy, Healthcare, Managed Care, Health, HIPAA, Strategic Planning, Compliance, Healthcare Management, Government, Public Speaking, Program Development, Team Building, Customer Service, Process Improvement, Contract Negotiation, Contract Management, Analysis, Organizational..., Change Management, Program Management, Problem Solving, Coaching, Planning, Policy Analysis, Hospitals, Executive Management, Insurance, Mentoring, Medicaid, Medicare, Training, Data Analysis
Education
Golden Gate University 1994 — 1997
MPA, Public Policy and Health Care Administration
Arizona State University 1973 — 1977
Bachelors of Science
CalOptima January 2014 - Present
LA Care Health Plan 2013 - 2014
Partners in Care Foundation April 2012 - December 2013
Ventura County Health Care Agency April 2009 - April 2012
Partnership Healthplan of California September 1998 - March 2009
PacifiCare of California August 1994 - May 1998
Skills
Policy, Healthcare, Managed Care, Health, HIPAA, Strategic Planning, Compliance, Healthcare Management, Government, Public Speaking, Program Development, Team Building, Customer Service, Process Improvement, Contract Negotiation, Contract Management, Analysis, Organizational..., Change Management, Program Management, Problem Solving, Coaching, Planning, Policy Analysis, Hospitals, Executive Management, Insurance, Mentoring, Medicaid, Medicare, Training, Data Analysis
Education
Golden Gate University 1994 — 1997
MPA, Public Policy and Health Care Administration
Arizona State University 1973 — 1977
Bachelors of Science
Becky Bowholtz Becky Bowholtz's CalOptima Experience September 2014 - January 2015
Job Administrative Assistant
Industry Consumer Services
Experience
IEHP February 2015 - April 2015
CalOptima September 2014 - January 2015
CalOptima January 2013 - May 2013
Northeast Independent School District August 2011 - August 2012
North East Independent School District January 2009 - January 2011
Hidden Forest Homeowners Association January 2003 - January 2009
The Pampered Chef January 1994 - January 2003
County of Los Angeles - High Desert Hospital January 1989 - December 1991
County of Los Angeles, Department of Public Social Services January 1987 - December 1989
Skills
Adults, Leadership, Life Skills, Technology Needs..., Teaching Adults, Social Networking, Budgets, Data Entry, Management, Microsoft Excel, Human Resources, Event Planning, Accounts Payable, Sales, Customer Service, Nonprofits, Process Scheduler, PowerPoint, Fundraising, Training, Public Speaking, Microsoft Word, Microsoft Office, Event Management
Education
Antelope Valley College 1982 — 1986
Associate of Arts (AA), Administrative Assistant and Secretarial Science, General
Antelope Valley High School
IEHP February 2015 - April 2015
CalOptima September 2014 - January 2015
CalOptima January 2013 - May 2013
Northeast Independent School District August 2011 - August 2012
North East Independent School District January 2009 - January 2011
Hidden Forest Homeowners Association January 2003 - January 2009
The Pampered Chef January 1994 - January 2003
County of Los Angeles - High Desert Hospital January 1989 - December 1991
County of Los Angeles, Department of Public Social Services January 1987 - December 1989
Skills
Adults, Leadership, Life Skills, Technology Needs..., Teaching Adults, Social Networking, Budgets, Data Entry, Management, Microsoft Excel, Human Resources, Event Planning, Accounts Payable, Sales, Customer Service, Nonprofits, Process Scheduler, PowerPoint, Fundraising, Training, Public Speaking, Microsoft Word, Microsoft Office, Event Management
Education
Antelope Valley College 1982 — 1986
Associate of Arts (AA), Administrative Assistant and Secretarial Science, General
Antelope Valley High School
Natalie Vigil Natalie Vigil's CalOptima Experience March 2011 - August 2013
Job EDI Analyst
Industry Information Technology and Services
Experience
L.A. Care Health Plan April 2015 - Present
WellCare August 2013 - March 2015
CalOptima March 2011 - August 2013
A.D.A.M., Inc. April 2010 - March 2011
ADP August 2007 - April 2010
ADP April 2006 - August 2007
United Health Group September 1998 - April 2006
United Health Group January 2001 - January 2005
Skills
Analysis, HIPAA, XML, Testing, SDLC, HR Software, ADP Payroll, EDI, Business Process, Healthcare, Troubleshooting, Access, Business Analysis, Healthcare Information..., Human Resources, Integration, Process Improvement, Requirements Analysis, SQL, SharePoint, Software Documentation, User Acceptance Testing, Vendor Management, Visio
Education
Rio Grande High School 1985 — 1989
Brooks College
Interior Design
The University of New Mexico
L.A. Care Health Plan April 2015 - Present
WellCare August 2013 - March 2015
CalOptima March 2011 - August 2013
A.D.A.M., Inc. April 2010 - March 2011
ADP August 2007 - April 2010
ADP April 2006 - August 2007
United Health Group September 1998 - April 2006
United Health Group January 2001 - January 2005
Skills
Analysis, HIPAA, XML, Testing, SDLC, HR Software, ADP Payroll, EDI, Business Process, Healthcare, Troubleshooting, Access, Business Analysis, Healthcare Information..., Human Resources, Integration, Process Improvement, Requirements Analysis, SQL, SharePoint, Software Documentation, User Acceptance Testing, Vendor Management, Visio
Education
Rio Grande High School 1985 — 1989
Brooks College
Interior Design
The University of New Mexico
Connie Diaz Connie Diaz's CalOptima Experience 1995 - 2000
Job Health Educator
Industry Health, Wellness and Fitness
Experience
The University of Arizona, School of Public Health (ASHLine) 2008 - Present
National Jewish Medical and Research Center 2002 - 2005
CalOptima 1995 - 2000
Skills
Health Education, Public Health Education, Public Health, Health Promotion, Leadership, Diabetes, Bilingual, Smoking Cessation, Cpr Certified, Community Outreach, Case Managment, Medical Terminology, Data Entry, Microsoft Office, PowerPoint, Critical Thinking, Microsoft Word, Customer Service, Outlook, Time Management, Interpersonal..., Employee Training, Television & Radio..., Public Speaking, CPR Certified, Disease Management, Healthcare, Event Planning, Prevention, Community Health
Education
Phoenix College 2014 — 2016
Associate’s Degree, Registered Nursing/Registered Nurse
California State University-Long Beach 1992 — 1994
Master's Public Health, Community Health Education
California State University-Fresno 1988 — 1991
Bachelors of Science, Health Science
The University of Arizona, School of Public Health (ASHLine) 2008 - Present
National Jewish Medical and Research Center 2002 - 2005
CalOptima 1995 - 2000
Skills
Health Education, Public Health Education, Public Health, Health Promotion, Leadership, Diabetes, Bilingual, Smoking Cessation, Cpr Certified, Community Outreach, Case Managment, Medical Terminology, Data Entry, Microsoft Office, PowerPoint, Critical Thinking, Microsoft Word, Customer Service, Outlook, Time Management, Interpersonal..., Employee Training, Television & Radio..., Public Speaking, CPR Certified, Disease Management, Healthcare, Event Planning, Prevention, Community Health
Education
Phoenix College 2014 — 2016
Associate’s Degree, Registered Nursing/Registered Nurse
California State University-Long Beach 1992 — 1994
Master's Public Health, Community Health Education
California State University-Fresno 1988 — 1991
Bachelors of Science, Health Science
Rena Smith's CalOptima Experience May 2015 - Present
Job Director, PACE CalOptima
Industry Hospital & Health Care
Experience
CalOptima May 2015 - Present
Skills
Budgets, Marketing, Leadership, Market Planning, Public Relations, Sales, Newsletters, Insurance, Profit, Policy Analysis, Community Development, Programming, Outside Sales, Quality Improvement, Strategic Planning, Home Care, Healthcare, Public Speaking, Customer Service, New Business Development, Nonprofits, Supervisory Skills, Program Development, Medicaid, Start-ups, Long-term Care, Case Managment, Medicare, Training, Healthcare Consulting, Elder Care, Healthcare Industry, Hospitals, Business Development, Revenue Cycle, Physician Relations, Team Building, Management, Utilization Management, Physicians, Community Outreach, Disease Management, Healthcare Management, Fundraising, Patient Advocacy, Nursing, HIPAA, Social Services, Contract Management, Managed Care
Education
California State University-Dominguez Hills 1994 — 1995
MA, Public Administration
University of Southern California 1990 — 1992
BS Gerontology, Gerontology; Organizational Behavior
CalOptima May 2015 - Present
Skills
Budgets, Marketing, Leadership, Market Planning, Public Relations, Sales, Newsletters, Insurance, Profit, Policy Analysis, Community Development, Programming, Outside Sales, Quality Improvement, Strategic Planning, Home Care, Healthcare, Public Speaking, Customer Service, New Business Development, Nonprofits, Supervisory Skills, Program Development, Medicaid, Start-ups, Long-term Care, Case Managment, Medicare, Training, Healthcare Consulting, Elder Care, Healthcare Industry, Hospitals, Business Development, Revenue Cycle, Physician Relations, Team Building, Management, Utilization Management, Physicians, Community Outreach, Disease Management, Healthcare Management, Fundraising, Patient Advocacy, Nursing, HIPAA, Social Services, Contract Management, Managed Care
Education
California State University-Dominguez Hills 1994 — 1995
MA, Public Administration
University of Southern California 1990 — 1992
BS Gerontology, Gerontology; Organizational Behavior
Cara Chastain's CalOptima Experience December 2005 - May 2008
Job Senior Product Manager at Allergan
Industry Pharmaceuticals
Experience
Allergan February 2014 - Present
Allergan Medical October 2011 - Present
Allergan Medical May 2010 - October 2011
Allergan May 2008 - May 2010
CalOptima December 2005 - May 2008
Children's Hospital of Orange County August 2002 - December 2005
Skills
Strategic Planning, Business Strategy, Business Planning, Healthcare, Managed Care, Medical Devices, Marketing Strategy, Pharmaceutical Industry, Cross-functional Team..., Project Management, Marketing, Marketing Communications, Process Improvement, Medical Education, Management, Strategy, Leadership, Sales Operations, Product Launch, Budgets
Education
California State University-Long Beach - College of Business Administration 2004 — 2006
Master of Business Administration (MBA)
Chapman University 2000 — 2002
Communications, Public Relations
Allergan February 2014 - Present
Allergan Medical October 2011 - Present
Allergan Medical May 2010 - October 2011
Allergan May 2008 - May 2010
CalOptima December 2005 - May 2008
Children's Hospital of Orange County August 2002 - December 2005
Skills
Strategic Planning, Business Strategy, Business Planning, Healthcare, Managed Care, Medical Devices, Marketing Strategy, Pharmaceutical Industry, Cross-functional Team..., Project Management, Marketing, Marketing Communications, Process Improvement, Medical Education, Management, Strategy, Leadership, Sales Operations, Product Launch, Budgets
Education
California State University-Long Beach - College of Business Administration 2004 — 2006
Master of Business Administration (MBA)
Chapman University 2000 — 2002
Communications, Public Relations
Teresa Stevenson, MBA PMP's CalOptima Experience October 2009 - February 2011
Job Health IT Consultant
Industry Hospital & Health Care
Experience
PaxHealth Consulting, Inc. August 2012 - Present
California State University, Fullerton February 2012 - Present
L.A. Care Health Plan February 2011 - August 2012
CalOptima October 2009 - February 2011
CalOptima July 2005 - November 2009
CalOptima March 2001 - July 2005
Drake Institute of Behavioral Medicine April 1999 - February 2001
Skills
Privacy Law, Healthcare Information..., EHR, Medicaid, Healthcare, HIPAA, Healthcare Management, Managed Care, Health Information..., EMR, Medicare, Hospitals, Process Improvement, Program Management, HL7, Program Development, Health Policy, Informatics, Strategy, Leadership, Project Planning, SDLC, Budgets, Management, Strategic Planning, Public Health, Project Management, Training, Quality Improvement, Analysis, Data Analysis, Policy, Healthcare Consulting, Business Development, Clinical Research
Education
University of Phoenix 2003 — 2005
MBA, Business Administration and Management, General
California State Polytechnic University-Pomona 1995 — 1999
BA, Psychology
St Lucy's Priory High School 1992 — 1995
PaxHealth Consulting, Inc. August 2012 - Present
California State University, Fullerton February 2012 - Present
L.A. Care Health Plan February 2011 - August 2012
CalOptima October 2009 - February 2011
CalOptima July 2005 - November 2009
CalOptima March 2001 - July 2005
Drake Institute of Behavioral Medicine April 1999 - February 2001
Skills
Privacy Law, Healthcare Information..., EHR, Medicaid, Healthcare, HIPAA, Healthcare Management, Managed Care, Health Information..., EMR, Medicare, Hospitals, Process Improvement, Program Management, HL7, Program Development, Health Policy, Informatics, Strategy, Leadership, Project Planning, SDLC, Budgets, Management, Strategic Planning, Public Health, Project Management, Training, Quality Improvement, Analysis, Data Analysis, Policy, Healthcare Consulting, Business Development, Clinical Research
Education
University of Phoenix 2003 — 2005
MBA, Business Administration and Management, General
California State Polytechnic University-Pomona 1995 — 1999
BA, Psychology
St Lucy's Priory High School 1992 — 1995
Beatriz Saavedra, PMP Beatriz Saavedra, PMP's CalOptima Experience January 2010 - April 2010
Job Project Management Consultant for Molina Healthcare
Industry Information Technology and Services
Experience
Vincent Benjamin January 2015 - Present
Randstad Technologies US August 2011 - February 2014
Ardevaas November 2010 - November 2012
Arcadian Health 2012 - 2012
Quest Diagnostics 2011 - 2011
CalOptima January 2010 - April 2010
DIRECTV April 2007 - December 2009
United Healthcare July 2007 - November 2007
Kaiser Permanente December 2004 - June 2007
PacifiCare Health Systems August 1997 - January 2007
Skills
Program Management, Integration, Strategic Partnerships, PMP, Project Management, Management, Account Management, Business Process, CRM, Leadership, IT Strategy, E-commerce, SDLC, Software Project..., Management Consulting, Consulting, SAP, Requirements Analysis, Human Resources, Vendor Management, Process Improvement, Strategy, Product Development
Education
The George Washington University 2007 — 2007
Project Management
California State University-Fullerton 2000 — 2001
Program, Project Management
Fashion Institute of Design & Merchandising 1900 — 1900
Merchandise Marketing, Fashion Merchandising
East Nicolaus High
Vincent Benjamin January 2015 - Present
Randstad Technologies US August 2011 - February 2014
Ardevaas November 2010 - November 2012
Arcadian Health 2012 - 2012
Quest Diagnostics 2011 - 2011
CalOptima January 2010 - April 2010
DIRECTV April 2007 - December 2009
United Healthcare July 2007 - November 2007
Kaiser Permanente December 2004 - June 2007
PacifiCare Health Systems August 1997 - January 2007
Skills
Program Management, Integration, Strategic Partnerships, PMP, Project Management, Management, Account Management, Business Process, CRM, Leadership, IT Strategy, E-commerce, SDLC, Software Project..., Management Consulting, Consulting, SAP, Requirements Analysis, Human Resources, Vendor Management, Process Improvement, Strategy, Product Development
Education
The George Washington University 2007 — 2007
Project Management
California State University-Fullerton 2000 — 2001
Program, Project Management
Fashion Institute of Design & Merchandising 1900 — 1900
Merchandise Marketing, Fashion Merchandising
East Nicolaus High
Jim McAleer's CalOptima Experience March 2010 - May 2012
Job CEO Alzheimer's Association
Industry Nonprofit Organization Management
Experience
Alzheimer's Association, Orange County Chapter 2004 - Present
CalOptima March 2010 - May 2012
McAleer & Associates January 1998 - October 2004
Minuteman Arc for Human Services January 1998 - February 2002
Skills
conversational French, Fundraising, Non-profits, Strategic Planning, Program Development, Community Outreach, Event Management, Entrepreneurship, Leadership, Program Management, French, Nonprofits, Social Media, Customer Service, Team Building, Public Speaking, Management, Coaching, Healthcare, Budgets, Home Care, Training, Start-ups, Volunteer Management, Policy, Social Media Marketing, Leadership Development, Time Management, Community Development, Marketing, Editing, Grant Writing, Marketing Communications, Research, Elder Care, Teaching, Philanthropy, Alzheimer's disease, Seniors, Event Planning, Case Managment, Social Services, Administrative Work, Marketing Strategy, Healthcare Management, Grants, Annual Giving, Public Relations, Strategic Communications, Media Relations
Education
Northeastern University 1989 — 1991
Master of Public Administration (M.P.A.), Public Administration
Armstrong Atlantic State University 1984 — 1989
BA, English
Alzheimer's Association, Orange County Chapter 2004 - Present
CalOptima March 2010 - May 2012
McAleer & Associates January 1998 - October 2004
Minuteman Arc for Human Services January 1998 - February 2002
Skills
conversational French, Fundraising, Non-profits, Strategic Planning, Program Development, Community Outreach, Event Management, Entrepreneurship, Leadership, Program Management, French, Nonprofits, Social Media, Customer Service, Team Building, Public Speaking, Management, Coaching, Healthcare, Budgets, Home Care, Training, Start-ups, Volunteer Management, Policy, Social Media Marketing, Leadership Development, Time Management, Community Development, Marketing, Editing, Grant Writing, Marketing Communications, Research, Elder Care, Teaching, Philanthropy, Alzheimer's disease, Seniors, Event Planning, Case Managment, Social Services, Administrative Work, Marketing Strategy, Healthcare Management, Grants, Annual Giving, Public Relations, Strategic Communications, Media Relations
Education
Northeastern University 1989 — 1991
Master of Public Administration (M.P.A.), Public Administration
Armstrong Atlantic State University 1984 — 1989
BA, English
LaShanna Daniels LaShanna Daniels's CalOptima Experience January 2014 - August 2014
Job Utilization Management Technician at North American Medical Management
Industry Hospital & Health Care
Experience
North American Medical Management August 2014 - Present
CalOptima January 2014 - August 2014
Scripps Mercy Physician Partners May 2013 - January 2014
IEHP April 2011 - May 2013
OrthoXpress a Team Post Op Company February 2005 - April 2011
Aetna March 2003 - June 2005
North American Medical Management 1997 - 2003
Skills
Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Medicare, HIPAA, Medicaid, EMR, Medical Terminology, PowerPoint, Health Insurance, Microsoft Office, Utilization Management, Software Documentation, ICD-9, CPT, HMO, Clinical Research, Provider Relations, Managed Care, Public Health, Revenue Cycle
Education
Ashford University 2011 — 2014
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
North American Medical Management August 2014 - Present
CalOptima January 2014 - August 2014
Scripps Mercy Physician Partners May 2013 - January 2014
IEHP April 2011 - May 2013
OrthoXpress a Team Post Op Company February 2005 - April 2011
Aetna March 2003 - June 2005
North American Medical Management 1997 - 2003
Skills
Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Medicare, HIPAA, Medicaid, EMR, Medical Terminology, PowerPoint, Health Insurance, Microsoft Office, Utilization Management, Software Documentation, ICD-9, CPT, HMO, Clinical Research, Provider Relations, Managed Care, Public Health, Revenue Cycle
Education
Ashford University 2011 — 2014
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Arely Servin Arely Servin's CalOptima Experience June 2012 - Present
Job Provider Relations Rep at CalOptima
Industry Nonprofit Organization Management
Experience
CalOptima June 2012 - Present
Friends of Family Health Center November 2007 - June 2012
Institute for Healthcare Advancement May 2010 - July 2011
Institute for Healthcare Advancement February 2010 - May 2010
Bergman Medical Group January 2007 - November 2007
Skills
Training, Spanish, Research, Analysis, Nonprofits, Healthcare, Medicaid, Public Health, Managed Care, Community Outreach, HIPAA, Healthcare Management
Education
California State University-Long Beach 2004 — 2010
B.S, Health Science; Community Health Education
CalOptima June 2012 - Present
Friends of Family Health Center November 2007 - June 2012
Institute for Healthcare Advancement May 2010 - July 2011
Institute for Healthcare Advancement February 2010 - May 2010
Bergman Medical Group January 2007 - November 2007
Skills
Training, Spanish, Research, Analysis, Nonprofits, Healthcare, Medicaid, Public Health, Managed Care, Community Outreach, HIPAA, Healthcare Management
Education
California State University-Long Beach 2004 — 2010
B.S, Health Science; Community Health Education
Dan Fielden, PMP Dan Fielden, PMP's CalOptima Experience 2000 - 2002
Job Program Manager at Leidos
Industry Information Technology and Services
Experience
Leidos (formerly SAIC) September 2002 - Present
CalOptima 2000 - 2002
CCN Managed Care 1999 - 2000
SAIC 1994 - 1999
Central Massachusetts Health Care 1989 - 1994
Bay State Healthcare 1988 - 1989
PacifiCare Health Systems 1986 - 1988
Northrop Grumman Corporation 1985 - 1986
Hughes Aircraft Company 1980 - 1985
Skills
Healthcare IT, Certified Project..., Security Clearance, ITIL, CMMI, Help Desk Management, Program Management, SDLC, IT Operations, Help Desk Support, Healthcare Information..., Software Development, Cross-functional Team..., Requirements Analysis, PMP, Outsourcing, IT Service Management, Information Assurance, MS Project, Analysis, Process Improvement, Integration, Vendor Management, Testing, Requirements Gathering, Enterprise Software, Project Management, Resource Management, Management, Information Technology, Project Planning, Systems Engineering, PMO, System Deployment, Leadership, Project Portfolio..., DoD, Enterprise Architecture, SharePoint, IT Management, IT Strategy, Software Documentation, Visio, Software Project..., Business Process..., Business Process, Agile Project Management
Education
Carnegie Mellon University
Professional Education Series, CMMI, Continuous Representation, v1.1
California State University-Fullerton
Business
Leidos (formerly SAIC) September 2002 - Present
CalOptima 2000 - 2002
CCN Managed Care 1999 - 2000
SAIC 1994 - 1999
Central Massachusetts Health Care 1989 - 1994
Bay State Healthcare 1988 - 1989
PacifiCare Health Systems 1986 - 1988
Northrop Grumman Corporation 1985 - 1986
Hughes Aircraft Company 1980 - 1985
Skills
Healthcare IT, Certified Project..., Security Clearance, ITIL, CMMI, Help Desk Management, Program Management, SDLC, IT Operations, Help Desk Support, Healthcare Information..., Software Development, Cross-functional Team..., Requirements Analysis, PMP, Outsourcing, IT Service Management, Information Assurance, MS Project, Analysis, Process Improvement, Integration, Vendor Management, Testing, Requirements Gathering, Enterprise Software, Project Management, Resource Management, Management, Information Technology, Project Planning, Systems Engineering, PMO, System Deployment, Leadership, Project Portfolio..., DoD, Enterprise Architecture, SharePoint, IT Management, IT Strategy, Software Documentation, Visio, Software Project..., Business Process..., Business Process, Agile Project Management
Education
Carnegie Mellon University
Professional Education Series, CMMI, Continuous Representation, v1.1
California State University-Fullerton
Business
Dee Dee Odhams, PMP Dee Dee Odhams, PMP's CalOptima Experience 1995 - 1997
Job Program Management Office, Kaiser Foundation Health Plan
Industry Marketing and Advertising
Experience
Kaiser Foundation Health Plan June 2011 - Present
International SOS June 2010 - June 2011
Word & Brown, HealthCompare February 2010 - March 2011
WellPoint October 2008 - December 2009
United Healthcare 2005 - August 2008
PacifiCare Health Systems 2003 - 2005
PacifiCare 2000 - 2003
PacifiCare 1997 - 2000
CalOptima 1995 - 1997
SmithKline Beecham 1993 - 1995
Skills
Process Improvement, Cross-functional Team..., Budgets, Program Management, Business Process..., HIPAA, Project Management, Training, Business Process, Management, Marketing, Governance, Strategic Planning, Healthcare, Product Management, Contract Negotiation, Team Leadership, Six Sigma, Leadership, PMO, Customer Service, PMP, Business Strategy, Marketing Strategy, Change Management, Business Analysis
Education
California State University-Long Beach 1984 — 1989
BA, Journalism
Kaiser Foundation Health Plan June 2011 - Present
International SOS June 2010 - June 2011
Word & Brown, HealthCompare February 2010 - March 2011
WellPoint October 2008 - December 2009
United Healthcare 2005 - August 2008
PacifiCare Health Systems 2003 - 2005
PacifiCare 2000 - 2003
PacifiCare 1997 - 2000
CalOptima 1995 - 1997
SmithKline Beecham 1993 - 1995
Skills
Process Improvement, Cross-functional Team..., Budgets, Program Management, Business Process..., HIPAA, Project Management, Training, Business Process, Management, Marketing, Governance, Strategic Planning, Healthcare, Product Management, Contract Negotiation, Team Leadership, Six Sigma, Leadership, PMO, Customer Service, PMP, Business Strategy, Marketing Strategy, Change Management, Business Analysis
Education
California State University-Long Beach 1984 — 1989
BA, Journalism
Darlene Foutz, PHR Darlene Foutz, PHR's CalOptima Experience 1995 - 1997
Job Implementation Manager, HCM SaaS
Industry Human Resources
Experience
ADP November 2014 - Present
ADP October 2010 - Present
Automatic Data Processing Inc August 2002 - February 2012
ADP September 2000 - July 2002
ADP January 1997 - August 2000
CalOptima 1995 - 1997
UPS 1993 - 1995
UPS 1993 - 1994
Skills
Product Development, Contract Negotiations, Client Service, Financial Forecasting, Strategic Planning, Employee Relations, Strategic Partnerships, Sales Presentations, Strategy, Forecasting, ADP Payroll, Personnel Management, Management, Customer Service, Team Building, Performance Management, Process Improvement, Business Development, Customer Retention, Business Process..., Human Resources, Customer Relations, Client Services, Contract Negotiation, Employee Benefits, Recruiting, Leadership, Change Management
Education
California State University-San Bernardino - College of Business and Public Administration 1990 — 1992
BA, Business Administration - Marketing Concentration
California State University-Fullerton - College of Business and Economics 1987 — 1990
Organizational Leadership
ADP November 2014 - Present
ADP October 2010 - Present
Automatic Data Processing Inc August 2002 - February 2012
ADP September 2000 - July 2002
ADP January 1997 - August 2000
CalOptima 1995 - 1997
UPS 1993 - 1995
UPS 1993 - 1994
Skills
Product Development, Contract Negotiations, Client Service, Financial Forecasting, Strategic Planning, Employee Relations, Strategic Partnerships, Sales Presentations, Strategy, Forecasting, ADP Payroll, Personnel Management, Management, Customer Service, Team Building, Performance Management, Process Improvement, Business Development, Customer Retention, Business Process..., Human Resources, Customer Relations, Client Services, Contract Negotiation, Employee Benefits, Recruiting, Leadership, Change Management
Education
California State University-San Bernardino - College of Business and Public Administration 1990 — 1992
BA, Business Administration - Marketing Concentration
California State University-Fullerton - College of Business and Economics 1987 — 1990
Organizational Leadership
Johnny Tran's CalOptima Experience April 2006 - August 2006
Job Lead Software Architect
Industry Computer Software
Experience
Velosys August 2012 - Present
PIMCO August 2012 - Present
Simlogico September 2012 - January 2015
Teletrac August 2010 - July 2012
Artistic Vision January 2001 - January 2012
Nationpoint Marketing May 2008 - January 2010
CodeFire Studio / Reality Gap March 2008 - May 2008
Simlogico September 2006 - March 2008
CalOptima April 2006 - August 2006
L2J Server April 2005 - May 2006
Skills
.NET, WCF, Agile Methodologies, ASP.NET, ASP.NET MVC, C#, Silverlight, Web Services, Microsoft SQL Server, XML, TFS, Windows Services, SQL, Software Development, Design Patterns, Windows Store App, Windows Phone, HTML, JavaScript, jQuery, Entity Framework, Bing Maps, AJAX, JSON, T4, ASP.NET Web API, MVVM, ASP.NET AJAX, Mobile Applications, Agile Project Management, REST, Windows Azure, Windows Azure Mobile..., Windows Azure SQL..., Windows Azure Cloud..., Xamarin
Education
California State University-Fullerton
Velosys August 2012 - Present
PIMCO August 2012 - Present
Simlogico September 2012 - January 2015
Teletrac August 2010 - July 2012
Artistic Vision January 2001 - January 2012
Nationpoint Marketing May 2008 - January 2010
CodeFire Studio / Reality Gap March 2008 - May 2008
Simlogico September 2006 - March 2008
CalOptima April 2006 - August 2006
L2J Server April 2005 - May 2006
Skills
.NET, WCF, Agile Methodologies, ASP.NET, ASP.NET MVC, C#, Silverlight, Web Services, Microsoft SQL Server, XML, TFS, Windows Services, SQL, Software Development, Design Patterns, Windows Store App, Windows Phone, HTML, JavaScript, jQuery, Entity Framework, Bing Maps, AJAX, JSON, T4, ASP.NET Web API, MVVM, ASP.NET AJAX, Mobile Applications, Agile Project Management, REST, Windows Azure, Windows Azure Mobile..., Windows Azure SQL..., Windows Azure Cloud..., Xamarin
Education
California State University-Fullerton
Lisa Bupp Lisa Bupp's CalOptima Experience July 2010 - April 2011
Job Director, Grievances and Appeals at Molina Medicare
Industry Hospital & Health Care
Experience
Molina Medicare February 2012 - Present
Arcadian Health Plan April 2011 - May 2012
CalOptima July 2010 - April 2011
United Health Care May 1997 - December 2009
PacifiCare Dental & Vision 1996 - 1999
PacifiCare Health Systems May 1993 - August 1996
FHP, Inc May 1985 - May 1993
FHP Healthcare January 1985 - January 1993
Skills
Microsoft Office, HMO, Process Improvement, Medicare, Health Insurance, Training, Medicaid, Healthcare Information..., Managed Care, Health Policy, Call Centers, Healthcare, Utilization Management, Compliance, Medicare Part D, HIPAA, Insurance, Healthcare Industry, Network Development, PPO, Provider Relations
Education
California State University-Long Beach 1990 — 1993
Master's, Health Care Administration
CSULB 1986 — 1993
Bachelor of Arts; CSULBMasters of Science, Liberal Studies/Bilingual Education; Health Care Administration
Molina Medicare February 2012 - Present
Arcadian Health Plan April 2011 - May 2012
CalOptima July 2010 - April 2011
United Health Care May 1997 - December 2009
PacifiCare Dental & Vision 1996 - 1999
PacifiCare Health Systems May 1993 - August 1996
FHP, Inc May 1985 - May 1993
FHP Healthcare January 1985 - January 1993
Skills
Microsoft Office, HMO, Process Improvement, Medicare, Health Insurance, Training, Medicaid, Healthcare Information..., Managed Care, Health Policy, Call Centers, Healthcare, Utilization Management, Compliance, Medicare Part D, HIPAA, Insurance, Healthcare Industry, Network Development, PPO, Provider Relations
Education
California State University-Long Beach 1990 — 1993
Master's, Health Care Administration
CSULB 1986 — 1993
Bachelor of Arts; CSULBMasters of Science, Liberal Studies/Bilingual Education; Health Care Administration
Imran Quidwai Imran Quidwai's CalOptima Experience September 2008 - December 2008
Job Senior Marketing Coordinator at HealthCare Partners
Industry Hospital & Health Care
Experience
DaVita HealthCare Partners August 2013 - Present
Anthem July 2009 - August 2013
CalOptima September 2008 - December 2008
Anthem January 2005 - August 2005
Skills
Excel, Healthcare, Research, Outlook, PowerPoint, Microsoft Office, Project Coordination, Communication
Education
University of California, Santa Barbara 2015 — 2016
Certificate, Project Management
California State University-Long Beach 2007 — 2008
Bachelor Of Science, Health Care Administration
DaVita HealthCare Partners August 2013 - Present
Anthem July 2009 - August 2013
CalOptima September 2008 - December 2008
Anthem January 2005 - August 2005
Skills
Excel, Healthcare, Research, Outlook, PowerPoint, Microsoft Office, Project Coordination, Communication
Education
University of California, Santa Barbara 2015 — 2016
Certificate, Project Management
California State University-Long Beach 2007 — 2008
Bachelor Of Science, Health Care Administration
Adam Momand Adam Momand's CalOptima Experience August 2014 - May 2015
Job Program Manager of Network Management at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare May 2015 - Present
CalOptima August 2014 - May 2015
YP March 2014 - August 2014
DIRECTV August 2013 - November 2013
Molina Healthcare December 2012 - August 2013
Molina Healthcare September 2011 - December 2012
Molina Healthcare June 2011 - September 2011
HealthCare Partners 2010 - 2011
UMMA Community Clinic 2009 - 2010
Skills
PowerPoint, Access, Microsoft Word, Visio, PeopleSoft, SPSS, Kronos, Projects, Adobe Acrobat, EDI, Citrix, Sage, SQL programming, UI design inputs, Microsoft Excel, Strategy Creation, Nonprofits, Healthcare, Microsoft Office, Outlook, HIPAA, Project Management, Databases, Policy, Data Analysis, Business Process, Requirements Analysis, Healthcare Information..., Medicaid, Software Documentation, EHR, Healthcare Consulting, MS Project, Health Policy, Healthcare Industry, Testing, EMR, Program Management, SQL, Microsoft Project
Education
The George Washington University & ESI 2012 — 2013
Certified Associate in Project Management (CAPM), Project Management
California State University-Dominguez Hills 2007 — 2009
Bachelors of Science in Healthcare Management with honors in the major, minor in PA, Healthcare Management
El Camino College 2005 — 2007
Palos Verdes High School 2003 — 2005
Palos Verdes Peninsula High School 2001 — 2003
Molina Healthcare May 2015 - Present
CalOptima August 2014 - May 2015
YP March 2014 - August 2014
DIRECTV August 2013 - November 2013
Molina Healthcare December 2012 - August 2013
Molina Healthcare September 2011 - December 2012
Molina Healthcare June 2011 - September 2011
HealthCare Partners 2010 - 2011
UMMA Community Clinic 2009 - 2010
Skills
PowerPoint, Access, Microsoft Word, Visio, PeopleSoft, SPSS, Kronos, Projects, Adobe Acrobat, EDI, Citrix, Sage, SQL programming, UI design inputs, Microsoft Excel, Strategy Creation, Nonprofits, Healthcare, Microsoft Office, Outlook, HIPAA, Project Management, Databases, Policy, Data Analysis, Business Process, Requirements Analysis, Healthcare Information..., Medicaid, Software Documentation, EHR, Healthcare Consulting, MS Project, Health Policy, Healthcare Industry, Testing, EMR, Program Management, SQL, Microsoft Project
Education
The George Washington University & ESI 2012 — 2013
Certified Associate in Project Management (CAPM), Project Management
California State University-Dominguez Hills 2007 — 2009
Bachelors of Science in Healthcare Management with honors in the major, minor in PA, Healthcare Management
El Camino College 2005 — 2007
Palos Verdes High School 2003 — 2005
Palos Verdes Peninsula High School 2001 — 2003
Valerie Guillen's CalOptima Experience 2008 - 2014
Job HR Generalist at FHCCGLA
Industry Human Resources
Experience
Family Health Care Centers of Greater Los Angeles 2015 - Present
AMPAM Parks Mechanical 2014 - 2015
CalOptima 2008 - 2014
Skills
Customer Service, Outlook, Human Resources, Healthcare, Microsoft Word, Training, Data Entry, Employee Benefits, Administrative..., PowerPoint, Payroll, Team Building, Telephone Skills, Teamwork, Office Administration, Talent Acquisition, Administration, Policy, Employee Relations, HR Policies
Education
Fullerton College 2014 — 2017
Associate's degree
California State University-Dominguez Hills 2015 — 2015
Human Resource Management Certification, Human Resources
Family Health Care Centers of Greater Los Angeles 2015 - Present
AMPAM Parks Mechanical 2014 - 2015
CalOptima 2008 - 2014
Skills
Customer Service, Outlook, Human Resources, Healthcare, Microsoft Word, Training, Data Entry, Employee Benefits, Administrative..., PowerPoint, Payroll, Team Building, Telephone Skills, Teamwork, Office Administration, Talent Acquisition, Administration, Policy, Employee Relations, HR Policies
Education
Fullerton College 2014 — 2017
Associate's degree
California State University-Dominguez Hills 2015 — 2015
Human Resource Management Certification, Human Resources
Armando Nambo Armando Nambo's CalOptima Experience June 2005 - February 2006
Job Managed Care Consulting Services
Industry Management Consulting
Experience
Mix Solutions Inc. February 2015 - Present
Citizen's Choice Healthplan HMO August 2006 - December 2014
SCAN Health Plan January 2006 - August 2006
CalOptima June 2005 - February 2006
Care1st Health Plan - Yes, its all about you. September 2002 - May 2005
Tower Health 1996 - 2000
Skills
Network Development, Medicare, Provider Relations, Managed Care, PPO, Medicaid, Healthcare Industry, HIPAA, Credentialing, Health Insurance, Health Policy, Healthcare Consulting, Revenue Cycle, HMO, Healthcare Management
Education
California State University-Long Beach 1997 — 2002
Business Administration and Management, General
st. john bosco
Mix Solutions Inc. February 2015 - Present
Citizen's Choice Healthplan HMO August 2006 - December 2014
SCAN Health Plan January 2006 - August 2006
CalOptima June 2005 - February 2006
Care1st Health Plan - Yes, its all about you. September 2002 - May 2005
Tower Health 1996 - 2000
Skills
Network Development, Medicare, Provider Relations, Managed Care, PPO, Medicaid, Healthcare Industry, HIPAA, Credentialing, Health Insurance, Health Policy, Healthcare Consulting, Revenue Cycle, HMO, Healthcare Management
Education
California State University-Long Beach 1997 — 2002
Business Administration and Management, General
st. john bosco
Tiffany Navia Tiffany Navia's CalOptima Experience March 2011 - Present
Job Medical Case Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2011 - Present
Skills
Healthcare Management, Managed Care, Utilization Management
Education
American Career College-Anaheim 2008 — 2009
CalOptima March 2011 - Present
Skills
Healthcare Management, Managed Care, Utilization Management
Education
American Career College-Anaheim 2008 — 2009
Pedro A. Mendoza, Jr. Pedro A. Mendoza, Jr.'s CalOptima Experience December 2010 - March 2013
Job Senior Global Compensation Analyst at AECOM
Industry Human Resources
Experience
AECOM July 2015 - Present
PIH Health March 2013 - June 2015
CalOptima December 2010 - March 2013
CHOC Children’s July 2007 - November 2010
Skills
Decision Support, Microsoft Excel, Microsoft Access, Microsoft Word, SQL, Cognos, Microsoft PowerPoint, Facets, Variance Analysis, Revenue Cycle, Process Improvement, Healthcare, PowerPoint, Financial Analysis, Budgets, Analysis, Training, Access, Management, Healthcare Management, Data Analysis, Hospitals, Healthcare Information...
Education
California State University-Fullerton - College of Business and Economics
Bachelor of Arts (B.A.), Finance
University of California, Irvine
Certificate in Project Management, Project Management
AECOM July 2015 - Present
PIH Health March 2013 - June 2015
CalOptima December 2010 - March 2013
CHOC Children’s July 2007 - November 2010
Skills
Decision Support, Microsoft Excel, Microsoft Access, Microsoft Word, SQL, Cognos, Microsoft PowerPoint, Facets, Variance Analysis, Revenue Cycle, Process Improvement, Healthcare, PowerPoint, Financial Analysis, Budgets, Analysis, Training, Access, Management, Healthcare Management, Data Analysis, Hospitals, Healthcare Information...
Education
California State University-Fullerton - College of Business and Economics
Bachelor of Arts (B.A.), Finance
University of California, Irvine
Certificate in Project Management, Project Management
Nicole Lehman (Demedenko) Nicole Lehman (Demedenko)'s CalOptima Experience February 2013 - February 2014
Job Director of Behavioral Health Operations at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan February 2014 - Present
CalOptima February 2013 - February 2014
Pacific Clinics July 2012 - February 2013
Orange County Health Care Agency February 2012 - July 2012
Recovery Innovations of California September 2010 - February 2012
Youth In Mind September 2007 - February 2011
College Community Services September 2009 - September 2010
California Youth Connection September 2008 - May 2009
YOUTH Training Project December 2005 - September 2006
Youth Training Project February 2004 - August 2006
Skills
Youth Development, At-risk Populations, Program Management, Program Development, Public Speaking, Mental Health First Aid, Start-ups, Nonprofits, Mental Health, Advocacy, Teaching, Educational Leadership, Community Outreach, Training, Organizational..., Grants, Employee Training, Curriculum Design, Behavioral Health, Leadership Development, Public Health, Public Policy, Process Improvement, Grant Writing, Program Evaluation, Policy, Healthcare, Event Planning, Management
Education
University of Southern California 2005 — 2009
Master's degree, Social Work
California State University-Fullerton 2003 — 2005
Bachelor's degree, Psychology
L.A. Care Health Plan February 2014 - Present
CalOptima February 2013 - February 2014
Pacific Clinics July 2012 - February 2013
Orange County Health Care Agency February 2012 - July 2012
Recovery Innovations of California September 2010 - February 2012
Youth In Mind September 2007 - February 2011
College Community Services September 2009 - September 2010
California Youth Connection September 2008 - May 2009
YOUTH Training Project December 2005 - September 2006
Youth Training Project February 2004 - August 2006
Skills
Youth Development, At-risk Populations, Program Management, Program Development, Public Speaking, Mental Health First Aid, Start-ups, Nonprofits, Mental Health, Advocacy, Teaching, Educational Leadership, Community Outreach, Training, Organizational..., Grants, Employee Training, Curriculum Design, Behavioral Health, Leadership Development, Public Health, Public Policy, Process Improvement, Grant Writing, Program Evaluation, Policy, Healthcare, Event Planning, Management
Education
University of Southern California 2005 — 2009
Master's degree, Social Work
California State University-Fullerton 2003 — 2005
Bachelor's degree, Psychology
Tabatha Curry-Story's CalOptima Experience September 2013 - Present
Job Compliance Program Specialist
Industry Government Administration
Experience
CalOptima September 2013 - Present
Orion Tech January 2013 - January 2014
Stategic Entertainment Group May 2011 - July 2012
Mental Health Systems September 2010 - May 2011
Pilgrim Lutheran Church, School and Childcare August 2009 - June 2010
Comprehensive Autism Services and Education January 2007 - August 2009
Oceanside Unified School District September 2002 - June 2007
Skills
Nonprofits, Microsoft Office, Microsoft Word, Program Development, PowerPoint, Special Education, Management, Government, Community Outreach, Microsoft Excel, Social Networking, Staff Development, Editing, Program Management, Access, Mental Health, Administration
Education
American Public University System
Sociology
MiraCosta College
Early Childhood Education and Teaching
CalOptima September 2013 - Present
Orion Tech January 2013 - January 2014
Stategic Entertainment Group May 2011 - July 2012
Mental Health Systems September 2010 - May 2011
Pilgrim Lutheran Church, School and Childcare August 2009 - June 2010
Comprehensive Autism Services and Education January 2007 - August 2009
Oceanside Unified School District September 2002 - June 2007
Skills
Nonprofits, Microsoft Office, Microsoft Word, Program Development, PowerPoint, Special Education, Management, Government, Community Outreach, Microsoft Excel, Social Networking, Staff Development, Editing, Program Management, Access, Mental Health, Administration
Education
American Public University System
Sociology
MiraCosta College
Early Childhood Education and Teaching
Julia Dell Julia Dell's CalOptima Experience September 2013 - February 2015
Job Marketing Communications Specialist
Industry Public Relations and Communications
Experience
YMCA of The Golden Crescent March 2015 - September 2015
CalOptima September 2013 - February 2015
UnitedHealthcare 2010 - September 2013
Amway 2006 - 2009
Tarbell Realtors 2003 - 2006
Hyundai Motor America 2000 - 2002
Skills
Corporate Communications, Public Relations, Copywriting, Art Direction, Internal Communications, Marketing Communications, Press Releases, Social Media, Strategic Communications, Newsletters, Event Planning, Graphic Design, Marketing, Video Production, Public Speaking, Community Development, Brand Management, Editing, Creative Direction, Corporate Branding, Website Development
Education
California State University-Fullerton 1998 — 2002
Bachelor of Arts, Communications - Public Relations
YMCA of The Golden Crescent March 2015 - September 2015
CalOptima September 2013 - February 2015
UnitedHealthcare 2010 - September 2013
Amway 2006 - 2009
Tarbell Realtors 2003 - 2006
Hyundai Motor America 2000 - 2002
Skills
Corporate Communications, Public Relations, Copywriting, Art Direction, Internal Communications, Marketing Communications, Press Releases, Social Media, Strategic Communications, Newsletters, Event Planning, Graphic Design, Marketing, Video Production, Public Speaking, Community Development, Brand Management, Editing, Creative Direction, Corporate Branding, Website Development
Education
California State University-Fullerton 1998 — 2002
Bachelor of Arts, Communications - Public Relations
Chet Uma Chet Uma's CalOptima Experience June 2014 - Present
Job Chief Financial Officer at CalOptima
Industry Insurance
Experience
CalOptima June 2014 - Present
Inland Empire Health Plan October 2005 - June 2014
La Sierra University September 2013 - December 2013
Health Plan of San Joaquin May 1995 - October 2005
Skills
Managed Care, Strategic Planning, Healthcare, Process Improvement, Medicare, Healthcare Information..., Medicaid, Leadership, Healthcare Industry, HIPAA, Healthcare Management
Education
Golden Gate University 2002 — 2004
MBA, Business
California State University Stanislaus 1984 — 1987
BS, Business
CalOptima June 2014 - Present
Inland Empire Health Plan October 2005 - June 2014
La Sierra University September 2013 - December 2013
Health Plan of San Joaquin May 1995 - October 2005
Skills
Managed Care, Strategic Planning, Healthcare, Process Improvement, Medicare, Healthcare Information..., Medicaid, Leadership, Healthcare Industry, HIPAA, Healthcare Management
Education
Golden Gate University 2002 — 2004
MBA, Business
California State University Stanislaus 1984 — 1987
BS, Business
George Jeries George Jeries's CalOptima Experience August 2012 - Present
Job Senior Change Management Analyst at CalOptima
Industry Management Consulting
Experience
CalOptima August 2012 - Present
Deloitte February 2007 - August 2012
Skills
Change Management, Business Analysis, Business Intelligence, SDLC, Process Improvement, Program Management, Business Process..., Data Analysis, Visio, Requirements Analysis, Project Management, Management Consulting, IT Strategy, Data Warehousing
Education
Bowling Green State University 2005 — 2006
Masters, Computer Science
Claflin University 2001 — 2005
Bachelors, Computer Science
CalOptima August 2012 - Present
Deloitte February 2007 - August 2012
Skills
Change Management, Business Analysis, Business Intelligence, SDLC, Process Improvement, Program Management, Business Process..., Data Analysis, Visio, Requirements Analysis, Project Management, Management Consulting, IT Strategy, Data Warehousing
Education
Bowling Green State University 2005 — 2006
Masters, Computer Science
Claflin University 2001 — 2005
Bachelors, Computer Science
Camille Guimond Camille Guimond's CalOptima Experience August 2015 - Present
Job Analyst, Intermediate at CalOptima
Industry Hospital & Health Care
Experience
CalOptima August 2015 - Present
CalOptima January 2014 - Present
Thales November 2011 - September 2013
Costco Wholesale June 2006 - April 2012
Skills
Project Management, Process Improvement, Customer Service, Project Coordination, Microsoft Office, Time Management, CAPM
Education
California State University-Fullerton 2010 — 2012
Bachelor of Arts (B.A.), Business Administration
CalOptima August 2015 - Present
CalOptima January 2014 - Present
Thales November 2011 - September 2013
Costco Wholesale June 2006 - April 2012
Skills
Project Management, Process Improvement, Customer Service, Project Coordination, Microsoft Office, Time Management, CAPM
Education
California State University-Fullerton 2010 — 2012
Bachelor of Arts (B.A.), Business Administration
Victor Nguyen's CalOptima Experience 2012 - 2012
Job Sr. Programmer/Analyst at UnitedHealthcare
Industry Insurance
Experience
UnitedHealthcare February 2008 - Present
CalOptima 2012 - 2012
Skills
Web Design, Web Development, Web 2.0, Web Services, Website Development, Web Applications, Web Analytics, DB2, COBOL, Visio, Fileaid, SDLC, Database Design, Databases
Education
Brandman University, Part of the Chapman University System
Master of Business Administration (M.B.A.), Computer and Information Systems Security/Information Assurance
UNLV
Bachelor's degree, Mathematics
UnitedHealthcare February 2008 - Present
CalOptima 2012 - 2012
Skills
Web Design, Web Development, Web 2.0, Web Services, Website Development, Web Applications, Web Analytics, DB2, COBOL, Visio, Fileaid, SDLC, Database Design, Databases
Education
Brandman University, Part of the Chapman University System
Master of Business Administration (M.B.A.), Computer and Information Systems Security/Information Assurance
UNLV
Bachelor's degree, Mathematics
Neeve Taylor Neeve Taylor's CalOptima Experience October 1994 - September 1996
Job Inside Sales Rep at Shiffler Equipment Sales, Inc.
Industry Wholesale
Experience
Shiffler Equipment Sales, Inc. February 1999 - Present
CalOptima October 1994 - September 1996
Skills
Pricing, Sales Management, Project Planning, Account Management, Sales Process, Sales, Microsoft Office
Education
California State University-Fullerton 1987 — 1989
Psychology
Victor Valley College 1985 — 1987
Transfered to Cal State Fullerton, Associate of Arts
Shiffler Equipment Sales, Inc. February 1999 - Present
CalOptima October 1994 - September 1996
Skills
Pricing, Sales Management, Project Planning, Account Management, Sales Process, Sales, Microsoft Office
Education
California State University-Fullerton 1987 — 1989
Psychology
Victor Valley College 1985 — 1987
Transfered to Cal State Fullerton, Associate of Arts
Ilia Rolon, MPH Ilia Rolon, MPH's CalOptima Experience May 2013 - August 2014
Job Principal at Rolon Consulting
Industry Hospital & Health Care
Experience
Rolon Consulting September 2014 - Present
CalOptima May 2013 - August 2014
CalOptima April 2012 - May 2013
CalOptima August 2011 - April 2012
CalOptima June 2009 - August 2011
Children and Families Commission of Orange County July 2001 - June 2009
Skills
Medicaid, Managed Care, Healthcare, Strategic Planning, Program Development, program planning, Program Implementation, Program Evaluation, Community Collaboration, Philanthropy, Large Group Facilitation, Contract Development, Proposal Writing, Grant Review, Grants Administration, Grant Research, Research Design, Grant Writing, Report Writing, Technical Assistance, MS Project, Public Health Policy, Interagency Coordination, Consensus Building, Public Speaking, Bilingual-Spanish, Health Policy, Grants, Program Management, Budgets, Workshop Facilitation, Contract Management, Policy, Management, Healthcare Management, Healthcare Consulting, Medicare
Education
San Diego State University-California State University 1997 — 1999
MPH, Health Behavior and Health Promotion
California State University-Long Beach 1990 — 1994
Bachelor of Science (B.S.), Community Health Promotion
Rolon Consulting September 2014 - Present
CalOptima May 2013 - August 2014
CalOptima April 2012 - May 2013
CalOptima August 2011 - April 2012
CalOptima June 2009 - August 2011
Children and Families Commission of Orange County July 2001 - June 2009
Skills
Medicaid, Managed Care, Healthcare, Strategic Planning, Program Development, program planning, Program Implementation, Program Evaluation, Community Collaboration, Philanthropy, Large Group Facilitation, Contract Development, Proposal Writing, Grant Review, Grants Administration, Grant Research, Research Design, Grant Writing, Report Writing, Technical Assistance, MS Project, Public Health Policy, Interagency Coordination, Consensus Building, Public Speaking, Bilingual-Spanish, Health Policy, Grants, Program Management, Budgets, Workshop Facilitation, Contract Management, Policy, Management, Healthcare Management, Healthcare Consulting, Medicare
Education
San Diego State University-California State University 1997 — 1999
MPH, Health Behavior and Health Promotion
California State University-Long Beach 1990 — 1994
Bachelor of Science (B.S.), Community Health Promotion
Katie Swenson Katie Swenson's CalOptima Experience July 2004 - August 2005
Job Director, Strategic Services at St. Joseph Health
Industry Hospital & Health Care
Experience
St. Joseph Health April 2015 - Present
St. Joseph Health System July 2010 - Present
St. Joseph Health System September 2005 - June 2010
CalOptima July 2004 - August 2005
Tenet Healthcare July 2002 - July 2004
Western Medical Center December 2000 - July 2002
Prospect Medical May 1996 - December 2000
Skills
Healthcare Management, Strategic Planning, Project Management, Healthcare, Hospitals, Healthcare Consulting, Healthcare Information..., Revenue Cycle, Management, Physician Relations, HIPAA, EHR, EMR, Process Improvement, Analysis, Managed Care, Revenue Cycle Management, Software Implementation, Healthcare Industry, Patient Safety, Business Development, Cerner, Practice Management, Team Building, Medicare, Program Management, Training, Inpatient, Leadership, Ambulatory, Utilization Management, Informatics, Acute Care, Public Health, Medicaid, Performance Improvement, Health Information..., Nursing, Physicians
Education
University of California, Irvine 2010 — 2012
Certificate, Project Management, 3.96
Cal Poly Pomona 1992 — 1995
BA, Behavioral Science
Fullerton College 1989 — 1992
AA, Liberal Arts
St. Joseph Health April 2015 - Present
St. Joseph Health System July 2010 - Present
St. Joseph Health System September 2005 - June 2010
CalOptima July 2004 - August 2005
Tenet Healthcare July 2002 - July 2004
Western Medical Center December 2000 - July 2002
Prospect Medical May 1996 - December 2000
Skills
Healthcare Management, Strategic Planning, Project Management, Healthcare, Hospitals, Healthcare Consulting, Healthcare Information..., Revenue Cycle, Management, Physician Relations, HIPAA, EHR, EMR, Process Improvement, Analysis, Managed Care, Revenue Cycle Management, Software Implementation, Healthcare Industry, Patient Safety, Business Development, Cerner, Practice Management, Team Building, Medicare, Program Management, Training, Inpatient, Leadership, Ambulatory, Utilization Management, Informatics, Acute Care, Public Health, Medicaid, Performance Improvement, Health Information..., Nursing, Physicians
Education
University of California, Irvine 2010 — 2012
Certificate, Project Management, 3.96
Cal Poly Pomona 1992 — 1995
BA, Behavioral Science
Fullerton College 1989 — 1992
AA, Liberal Arts
Mark McIntyre Mark McIntyre's CalOptima Experience January 2012 - June 2012
Job Dabase Architect / Microsoft SQL Server
Industry Information Technology and Services
Experience
Integrated Relational Systems January 2000 - Present
Lender Processing Services, Inc. (LPS) June 2012 - January 2014
CalOptima January 2012 - June 2012
Genoptix Medical Laboratory, a Novartis Company August 2011 - January 2012
CalOptima September 2010 - August 2011
FillpointSVG March 2007 - September 2010
Skills
SSRS, Microsoft SQL Server, Database Administration, ETL, Data Modeling, SQL
Education
California State University-Fullerton 1980 — 1984
Masters, Computer Science
Integrated Relational Systems January 2000 - Present
Lender Processing Services, Inc. (LPS) June 2012 - January 2014
CalOptima January 2012 - June 2012
Genoptix Medical Laboratory, a Novartis Company August 2011 - January 2012
CalOptima September 2010 - August 2011
FillpointSVG March 2007 - September 2010
Skills
SSRS, Microsoft SQL Server, Database Administration, ETL, Data Modeling, SQL
Education
California State University-Fullerton 1980 — 1984
Masters, Computer Science
Jeffrey Sward Jeffrey Sward's CalOptima Experience November 2009 - Present
Job Software Developer Architect
Industry Computer Software
Experience
CalOptima November 2009 - Present
Autobytel April 2002 - February 2009
Choicepoint July 1998 - April 2002
Automobile Club of Southern California September 1996 - July 1998
Cox Communications February 1989 - July 1996
TRW Information Services Division August 1981 - January 1989
Skills
C#, SQL, Visual Studio, Microsoft SQL Server, .NET, XML, SSIS, Web Services, Visual Basic, ASPX, Database Design, Eclipse, Enterprise Architecture, ER/Studio Data Architect, Erwin, Formal Analysis, Formal Design, J2EE Application..., Java, JSP, Oracle, Optimizing Performance, Process Modeling, Service Oriented..., SharePoint, Sitecore, Sparx Enterprise..., SDLC, UML, Unix
Education
California State University-Fullerton
MM, Music
California State University-Fullerton
BA, Mathematics
California State University-Fullerton
BM, Music
CalOptima November 2009 - Present
Autobytel April 2002 - February 2009
Choicepoint July 1998 - April 2002
Automobile Club of Southern California September 1996 - July 1998
Cox Communications February 1989 - July 1996
TRW Information Services Division August 1981 - January 1989
Skills
C#, SQL, Visual Studio, Microsoft SQL Server, .NET, XML, SSIS, Web Services, Visual Basic, ASPX, Database Design, Eclipse, Enterprise Architecture, ER/Studio Data Architect, Erwin, Formal Analysis, Formal Design, J2EE Application..., Java, JSP, Oracle, Optimizing Performance, Process Modeling, Service Oriented..., SharePoint, Sitecore, Sparx Enterprise..., SDLC, UML, Unix
Education
California State University-Fullerton
MM, Music
California State University-Fullerton
BA, Mathematics
California State University-Fullerton
BM, Music
Barbara Whiteman's CalOptima Experience September 2008 - Present
Job at CalOptima
Industry Financial Services
Experience
CalOptima September 2008 - Present
Financial Freedom Senior Funding Corporation August 2007 - September 2008
Financial Freedom Senior Funding Corporation July 2006 - December 2007
Financial Freedom March 2003 - June 2006
Skills
Executive Support, Event Planning, Administrative..., Handle Confidential..., Access, Project Management, Visio, Process Improvement, Customer Service, Outlook, Microsoft Excel, Healthcare, Healthcare Management, Employee Relations, Employee Benefits, Team Building, Coaching, Management, Onboarding, Program Management, Training, Leadership, Administration, Human Resources, Budgets, PowerPoint, Public Speaking
Education
California State University-Long Beach 1978 — 1992
Bachelor of Arts (BA), Theatre Arts, Performance
La Quinta High School 1974 — 1978
CalOptima September 2008 - Present
Financial Freedom Senior Funding Corporation August 2007 - September 2008
Financial Freedom Senior Funding Corporation July 2006 - December 2007
Financial Freedom March 2003 - June 2006
Skills
Executive Support, Event Planning, Administrative..., Handle Confidential..., Access, Project Management, Visio, Process Improvement, Customer Service, Outlook, Microsoft Excel, Healthcare, Healthcare Management, Employee Relations, Employee Benefits, Team Building, Coaching, Management, Onboarding, Program Management, Training, Leadership, Administration, Human Resources, Budgets, PowerPoint, Public Speaking
Education
California State University-Long Beach 1978 — 1992
Bachelor of Arts (BA), Theatre Arts, Performance
La Quinta High School 1974 — 1978
Helene Beilman-Werner Helene Beilman-Werner's CalOptima Experience 1995 - 1997
Job Chief Executive Officer
Industry Hospital & Health Care
Experience
ZYMEDA Provider Solutions, Inc. February 2012 - Present
Avanti Health System, LLC July 2010 - May 2011
Arcadian Management Services January 2009 - July 2010
Arcadian Management Services January 2009 - July 2010
Platinum Standard Consulting January 2008 - January 2009
Primary Provider Managment Co 1997 - 2007
CalOptima 1995 - 1997
Skills
Managed Care, Medicaid, Healthcare Information..., Healthcare, Medicare, Healthcare Industry, Physician Relations, HIPAA, Health Policy, Healthcare Management, Provider Relations, Hospitals, Business Strategy, Performance Improvement, Disease Management, Utilization Management, EHR, Healthcare Consulting, Physicians, Revenue Cycle, Credentialing, Revenue Cycle Management, Leadership, Strategic Planning, Practice Management
Education
California State University-Long Beach
Business Major
North High
ZYMEDA Provider Solutions, Inc. February 2012 - Present
Avanti Health System, LLC July 2010 - May 2011
Arcadian Management Services January 2009 - July 2010
Arcadian Management Services January 2009 - July 2010
Platinum Standard Consulting January 2008 - January 2009
Primary Provider Managment Co 1997 - 2007
CalOptima 1995 - 1997
Skills
Managed Care, Medicaid, Healthcare Information..., Healthcare, Medicare, Healthcare Industry, Physician Relations, HIPAA, Health Policy, Healthcare Management, Provider Relations, Hospitals, Business Strategy, Performance Improvement, Disease Management, Utilization Management, EHR, Healthcare Consulting, Physicians, Revenue Cycle, Credentialing, Revenue Cycle Management, Leadership, Strategic Planning, Practice Management
Education
California State University-Long Beach
Business Major
North High
Hector J. Ruiz Hector J. Ruiz's CalOptima Experience 2010 - 2010
Job Call Center Management / Exploring New Opportunities
Industry Environmental Services
Experience
Republic Services August 2011 - 2013
Carrington April 2004 - July 2010
CalOptima 2010 - 2010
New Century Mortgage April 2005 - July 2006
Option One Mortgage 2003 - 2005
Option One Mortgage November 1999 - March 2003
Skills
Call Centers, Training, Call Center, Management, Credit, Mortgage Servicing, Leadership, Interviews, Customer Satisfaction, Customer Service, Risk Management, Analysis, Loan Servicing, Loans, Loss Mitigation, Coaching, Recruiting, Team Management, Performance Management, Quality Assurance
Education
Santa Ana College 1993 — 1994
Vocational, Finance, Real Estate
California State University-Fullerton 1991 — 1993
Science/Sports Medicine
Villa Park High School 1989 — 1993
Republic Services August 2011 - 2013
Carrington April 2004 - July 2010
CalOptima 2010 - 2010
New Century Mortgage April 2005 - July 2006
Option One Mortgage 2003 - 2005
Option One Mortgage November 1999 - March 2003
Skills
Call Centers, Training, Call Center, Management, Credit, Mortgage Servicing, Leadership, Interviews, Customer Satisfaction, Customer Service, Risk Management, Analysis, Loan Servicing, Loans, Loss Mitigation, Coaching, Recruiting, Team Management, Performance Management, Quality Assurance
Education
Santa Ana College 1993 — 1994
Vocational, Finance, Real Estate
California State University-Fullerton 1991 — 1993
Science/Sports Medicine
Villa Park High School 1989 — 1993
Margaret Tatar Margaret Tatar's CalOptima Experience March 2003 - Present
Job Executive Director, Public Affairs at CalOptima
Industry Government Relations
Experience
CalOptima March 2003 - Present
County of Orange, Office on Aging March 2001 - March 2003
California Assemblywoman Lynn Daucher January 2000 - December 2000
Colorado General Assembly, Office of Legislative Legal Services March 1993 - March 1998
Education
Villanova University School of Law 1982 — 1985
JD
Bryn Mawr College 1976 — 1980
B.A.
CalOptima March 2003 - Present
County of Orange, Office on Aging March 2001 - March 2003
California Assemblywoman Lynn Daucher January 2000 - December 2000
Colorado General Assembly, Office of Legislative Legal Services March 1993 - March 1998
Education
Villanova University School of Law 1982 — 1985
JD
Bryn Mawr College 1976 — 1980
B.A.
Carrie Berg's CalOptima Experience August 2014 - Present
Job Marketing and Outreach Specialist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima August 2014 - Present
Christ Lutheran School June 2013 - Present
The Identity Group August 2001 - February 2014
McElroy May 1997 - April 2001
Newport Beach Marriott 1990 - 1996
Skills
Microsoft Office, QuarkXPress, Entourage, Mac OS X, Outlook, FedEx, Clients and Profits, Social Media, Photography, Client Representation, Social Media Marketing, Recruiting, Newsletters, Training, Communicaitons, Advertising, OS X, Marketing, Budgets, Direct Mail, Copywriting, Brand Development, Customer Service, Brochures, Sales Management, SEO, Social Networking, Media Buying, Press Releases, Marketing Communications, Facebook, Public Relations, Creative Direction, Email Marketing, Direct Marketing, Online Advertising, Digital Marketing
Education
California State University-Fullerton 1997 — 2000
BA, Communications-Public Relations
Saddleback College 1985 — 1987
Associate of Arts (AA), Communications
CalOptima August 2014 - Present
Christ Lutheran School June 2013 - Present
The Identity Group August 2001 - February 2014
McElroy May 1997 - April 2001
Newport Beach Marriott 1990 - 1996
Skills
Microsoft Office, QuarkXPress, Entourage, Mac OS X, Outlook, FedEx, Clients and Profits, Social Media, Photography, Client Representation, Social Media Marketing, Recruiting, Newsletters, Training, Communicaitons, Advertising, OS X, Marketing, Budgets, Direct Mail, Copywriting, Brand Development, Customer Service, Brochures, Sales Management, SEO, Social Networking, Media Buying, Press Releases, Marketing Communications, Facebook, Public Relations, Creative Direction, Email Marketing, Direct Marketing, Online Advertising, Digital Marketing
Education
California State University-Fullerton 1997 — 2000
BA, Communications-Public Relations
Saddleback College 1985 — 1987
Associate of Arts (AA), Communications
Elizabeth Mikhail's CalOptima Experience June 2015 - Present
Job Program Specialist Arabic Translation & Interpreter Services at CalOptima
Industry Hospital & Health Care
Experience
CalOptima June 2015 - Present
New American Funding May 2015 - June 2015
Banc Home Loans, a division of Banc of California, N.A. August 2014 - May 2015
loanDepot July 2013 - August 2014
Pacific Life March 2013 - June 2013
Skills
Finance, Training, Analysis, Microsoft Excel, Banking, Microsoft Office, Mortgage Lending, Management, Event Planning, Microsoft Word, MERS, Teamwork, PowerPoint, Research, Arabic, Risk Assessment, Life Insurance, Sales, Outlook, Budgets, Customer Service, Social Media, Public Speaking, Data Entry, Team Leadership, Administrative..., Social Networking, Strategic Planning, English, Insurance, Recruiting, Accounting, Facebook, QuickBooks, Event Management, Payroll, Public Relations, PeopleSoft, Accounts Receivable, Process Improvement, Editing, SharePoint, Inventory Management, Financial Analysis, Human Resources, Employee Benefits, Project Management, Loan Servicing, Post Closing, Mortgage Registrations
Education
Santa Ana College 2013 — 2015
Certificate, Human Resources Management/Personnel Administration, General
Santa Ana College 2012 — 2014
International Business / Human Resources / Paralegal Studies / Business Administration, International Business
Ain Shams University 2004 — 2009
Bachelor of Arts (B.A.), English Language and Literature, General
CalOptima June 2015 - Present
New American Funding May 2015 - June 2015
Banc Home Loans, a division of Banc of California, N.A. August 2014 - May 2015
loanDepot July 2013 - August 2014
Pacific Life March 2013 - June 2013
Skills
Finance, Training, Analysis, Microsoft Excel, Banking, Microsoft Office, Mortgage Lending, Management, Event Planning, Microsoft Word, MERS, Teamwork, PowerPoint, Research, Arabic, Risk Assessment, Life Insurance, Sales, Outlook, Budgets, Customer Service, Social Media, Public Speaking, Data Entry, Team Leadership, Administrative..., Social Networking, Strategic Planning, English, Insurance, Recruiting, Accounting, Facebook, QuickBooks, Event Management, Payroll, Public Relations, PeopleSoft, Accounts Receivable, Process Improvement, Editing, SharePoint, Inventory Management, Financial Analysis, Human Resources, Employee Benefits, Project Management, Loan Servicing, Post Closing, Mortgage Registrations
Education
Santa Ana College 2013 — 2015
Certificate, Human Resources Management/Personnel Administration, General
Santa Ana College 2012 — 2014
International Business / Human Resources / Paralegal Studies / Business Administration, International Business
Ain Shams University 2004 — 2009
Bachelor of Arts (B.A.), English Language and Literature, General
Eric Rustad's CalOptima Experience October 2014 - Present
Job Manager, Financial Analysis at CalOptima
Industry Hospital & Health Care
Experience
CalOptima October 2014 - Present
CalOptima November 2012 - October 2014
UnitedHealth Group July 2011 - November 2012
Kaiser Permanente August 2007 - July 2011
Rustech Resources October 2002 - June 2007
Gizmo Inc., Los Angeles CA March 2002 - October 2002
Lyons Johnston Associates, Los Angeles CA January 2000 - March 2002
Allegiance, Inc. (Cardinal Health, Inc.), Riverside CA June 1999 - January 2000
IntraMarket IT Asset Disposition, Monrovia CA July 1998 - June 1999
Skills
Analysis, Management, Software Documentation, Financial Analysis, Sales, Financial Modeling, Pricing, Healthcare, Project Management, Medicare
Education
California State Polytechnic University-Pomona 2004 — 2006
Bachelors, Psychology
Chaffey College 1998 — 2004
Associates, University Studies, General Education
CalOptima October 2014 - Present
CalOptima November 2012 - October 2014
UnitedHealth Group July 2011 - November 2012
Kaiser Permanente August 2007 - July 2011
Rustech Resources October 2002 - June 2007
Gizmo Inc., Los Angeles CA March 2002 - October 2002
Lyons Johnston Associates, Los Angeles CA January 2000 - March 2002
Allegiance, Inc. (Cardinal Health, Inc.), Riverside CA June 1999 - January 2000
IntraMarket IT Asset Disposition, Monrovia CA July 1998 - June 1999
Skills
Analysis, Management, Software Documentation, Financial Analysis, Sales, Financial Modeling, Pricing, Healthcare, Project Management, Medicare
Education
California State Polytechnic University-Pomona 2004 — 2006
Bachelors, Psychology
Chaffey College 1998 — 2004
Associates, University Studies, General Education
Toni White, MHA's CalOptima Experience December 2014 - Present
Job Experienced Professional in Healthcare Management
Industry Hospital & Health Care
Experience
CalOptima December 2014 - Present
CalOptima May 2014 - December 2014
CalOptima February 2014 - May 2014
Stay-at-Home Mother May 2012 - January 2014
UCLA Health System May 2011 - May 2012
Excelerate Consulting, LLC September 2010 - April 2011
Southern California Edison August 2009 - October 2010
McMaster-Carr Supply Co June 1999 - August 2009
PricewaterhouseCoopers August 1998 - June 1999
Skills
Process Improvement, Data Analysis, Operations Management, Strategic Planning, Cross-functional Team..., Leadership, Strategy, Leadership Development, Program Management, Customer Service, Healthcare Management, Organizational..., Healthcare improvement, Training Facilitation, Analysis, Management, Management Consulting, Change Management, Project Management
Education
California State University-Long Beach 2009 — 2011
Masters of Science, Health Care Administration
University of California, Los Angeles 2007 — 2008
Certificate, Health Care Leadership & Management
Claremont McKenna College 1994 — 1998
Bachelor of Arts (B.A.), Economics/Government
CalOptima December 2014 - Present
CalOptima May 2014 - December 2014
CalOptima February 2014 - May 2014
Stay-at-Home Mother May 2012 - January 2014
UCLA Health System May 2011 - May 2012
Excelerate Consulting, LLC September 2010 - April 2011
Southern California Edison August 2009 - October 2010
McMaster-Carr Supply Co June 1999 - August 2009
PricewaterhouseCoopers August 1998 - June 1999
Skills
Process Improvement, Data Analysis, Operations Management, Strategic Planning, Cross-functional Team..., Leadership, Strategy, Leadership Development, Program Management, Customer Service, Healthcare Management, Organizational..., Healthcare improvement, Training Facilitation, Analysis, Management, Management Consulting, Change Management, Project Management
Education
California State University-Long Beach 2009 — 2011
Masters of Science, Health Care Administration
University of California, Los Angeles 2007 — 2008
Certificate, Health Care Leadership & Management
Claremont McKenna College 1994 — 1998
Bachelor of Arts (B.A.), Economics/Government
Osvaldo Cruz's CalOptima Experience September 2010 - Present
Job Data Warehouse Architect at CalOptima
Industry Information Technology and Services
Experience
CalOptima September 2010 - Present
Union Bank October 2008 - September 2010
Intelli-Mine Inc. December 2003 - September 2008
Indymac August 2003 - December 2003
Coca-Cola Enterprises May 2003 - August 2003
Managed Information Systems, Inc. February 2001 - April 2003
UNITEC September 1991 - January 2001
Skills
Data Warehouse..., MicroStrategy, MS SQL Server Fast Track, SSIS, SSAS, SQL Scripting, Dimensional Modeling, Usability Layer Desing, Certified Scrum Master..., MDX, OLAP, Product Management
Education
Universidad Simón Bolívar 1997 — 2000
MS, Information Systems Analysis
Universidad Tecnológica del Centro 1986 — 1991
Bachelor of Science (BS), Information engineering
CalOptima September 2010 - Present
Union Bank October 2008 - September 2010
Intelli-Mine Inc. December 2003 - September 2008
Indymac August 2003 - December 2003
Coca-Cola Enterprises May 2003 - August 2003
Managed Information Systems, Inc. February 2001 - April 2003
UNITEC September 1991 - January 2001
Skills
Data Warehouse..., MicroStrategy, MS SQL Server Fast Track, SSIS, SSAS, SQL Scripting, Dimensional Modeling, Usability Layer Desing, Certified Scrum Master..., MDX, OLAP, Product Management
Education
Universidad Simón Bolívar 1997 — 2000
MS, Information Systems Analysis
Universidad Tecnológica del Centro 1986 — 1991
Bachelor of Science (BS), Information engineering
Terry Uda's CalOptima Experience February 2001 - July 2005
Job Institutional Research Analyst at The College of Idaho
Industry Information Technology and Services
Experience
The College of Idaho March 2014 - October 2014
Idaho Department of Health and Welfare September 2013 - March 2014
Freelance August 2012 - August 2013
Idaho State Police April 2010 - July 2012
Self July 2005 - July 2009
CalOptima February 2001 - July 2005
Keenan and Associates July 1999 - September 2000
LAPD November 1997 - July 1999
Keenan and Associates 1995 - 1997
Keenan and Associates February 1992 - November 1995
Skills
Exploratory Data..., Technical Data Analysis, Data Analysis, Research Design, Research Implementation, Computer Operations, Research Projects, Survey Design, Survey Software, Survey Research, Survey Methodology, SurveyMonkey, SPSS, Access Database, SQL, HTML, Dreamweaver, IMAP, ArcView, Excel Pivot, Excel models, Microsoft Excel, Fusion Charts, Unix Shell Scripting, Query Tuning, Query Tree, Query Builder, Query Tool, Query Analyzer, Table Design, Report Writing, Report Development, Report Production, Technical Support, Technical Training, Graphs, Troubleshooting, ODBC, FTP software, Procedure Creation, Procedure Development, Policy Definition, Google API, Macromedia, InDesign, Microsoft Publisher
Education
California State University-Fullerton 2004 — 2005
Crime Analysis / Data Analysis, 4.0
New Horizons 2004 — 2004
Organizational Leadership
Los Angeles Police Academy 1997 — 1998
University of Idaho 1984 — 1989
Bachelor of Science, Business Admin/Marketing
The College of Idaho March 2014 - October 2014
Idaho Department of Health and Welfare September 2013 - March 2014
Freelance August 2012 - August 2013
Idaho State Police April 2010 - July 2012
Self July 2005 - July 2009
CalOptima February 2001 - July 2005
Keenan and Associates July 1999 - September 2000
LAPD November 1997 - July 1999
Keenan and Associates 1995 - 1997
Keenan and Associates February 1992 - November 1995
Skills
Exploratory Data..., Technical Data Analysis, Data Analysis, Research Design, Research Implementation, Computer Operations, Research Projects, Survey Design, Survey Software, Survey Research, Survey Methodology, SurveyMonkey, SPSS, Access Database, SQL, HTML, Dreamweaver, IMAP, ArcView, Excel Pivot, Excel models, Microsoft Excel, Fusion Charts, Unix Shell Scripting, Query Tuning, Query Tree, Query Builder, Query Tool, Query Analyzer, Table Design, Report Writing, Report Development, Report Production, Technical Support, Technical Training, Graphs, Troubleshooting, ODBC, FTP software, Procedure Creation, Procedure Development, Policy Definition, Google API, Macromedia, InDesign, Microsoft Publisher
Education
California State University-Fullerton 2004 — 2005
Crime Analysis / Data Analysis, 4.0
New Horizons 2004 — 2004
Organizational Leadership
Los Angeles Police Academy 1997 — 1998
University of Idaho 1984 — 1989
Bachelor of Science, Business Admin/Marketing
Jennifer Ly's CalOptima Experience September 2012 - May 2013
Job
Industry Human Resources
Experience
MLK Community Hospital August 2014 - Present
Molina Healthcare May 2013 - July 2014
CalOptima September 2012 - May 2013
Volt Information Sciences July 2011 - August 2012
Kelly Financial Resources August 2008 - June 2011
Select Business Credit March 2007 - June 2008
Skills
Talent Acquisition, Technical Recruiting, Applicant Tracking..., Contract Recruitment, Onboarding, Sourcing, Internet Recruiting, Benefits Negotiation, Executive Search, College Recruiting, Permanent Placement, Salary Review, Accounting Recruitment, Employee Relations, Screening Resumes, Recruiting, Interviews, Leadership, Hiring, Management, Temporary Placement, Strategic Sourcing, Kenexa, Taleo, Beeline, IQNavigator, Human Resources, New Hire Orientations, Organizational...
Education
University of California, Irvine 1999 — 2004
Bachelors in Sociology, Minors in Business Management and Digital Arts
California State University-Long Beach
Human Resources Management Certification
MLK Community Hospital August 2014 - Present
Molina Healthcare May 2013 - July 2014
CalOptima September 2012 - May 2013
Volt Information Sciences July 2011 - August 2012
Kelly Financial Resources August 2008 - June 2011
Select Business Credit March 2007 - June 2008
Skills
Talent Acquisition, Technical Recruiting, Applicant Tracking..., Contract Recruitment, Onboarding, Sourcing, Internet Recruiting, Benefits Negotiation, Executive Search, College Recruiting, Permanent Placement, Salary Review, Accounting Recruitment, Employee Relations, Screening Resumes, Recruiting, Interviews, Leadership, Hiring, Management, Temporary Placement, Strategic Sourcing, Kenexa, Taleo, Beeline, IQNavigator, Human Resources, New Hire Orientations, Organizational...
Education
University of California, Irvine 1999 — 2004
Bachelors in Sociology, Minors in Business Management and Digital Arts
California State University-Long Beach
Human Resources Management Certification
Budi Sudibjo's CalOptima Experience December 2011 - Present
Job
Industry Information Technology and Services
Experience
CalOptima December 2011 - Present
Urban Science 1997 - August 2011
Urban Science 1992 - 1997
Skills
Data Center, SQL Server, Virtualization, Citrix, Citrix Metaframe, Storage Area Networks, Server Consolidation, IIS, VMware, Windows Server, VMware ESX, Active Directory, vSphere, Storage, Disaster Recovery, Windows Server 2003, Windows Server 2008, VMware Infrastructure, NetApp, SAN, Terminal Services, Networking, Servers, IT Service Management, Group Policy, Microsoft SQL Server, Access
Education
California State University-Fullerton
MS, Computer Science
California State University-Fullerton
BS, Computer Science
CalOptima December 2011 - Present
Urban Science 1997 - August 2011
Urban Science 1992 - 1997
Skills
Data Center, SQL Server, Virtualization, Citrix, Citrix Metaframe, Storage Area Networks, Server Consolidation, IIS, VMware, Windows Server, VMware ESX, Active Directory, vSphere, Storage, Disaster Recovery, Windows Server 2003, Windows Server 2008, VMware Infrastructure, NetApp, SAN, Terminal Services, Networking, Servers, IT Service Management, Group Policy, Microsoft SQL Server, Access
Education
California State University-Fullerton
MS, Computer Science
California State University-Fullerton
BS, Computer Science
Marc Borg's CalOptima Experience April 2009 - May 2013
Job Network Infrastructure Team Lead at Epson America Inc.
Industry Information Technology and Services
Experience
Epson America Inc. May 2013 - Present
CalOptima April 2009 - May 2013
Downey Savings and Loan 1999 - March 2009
Skills
Disaster Recovery, SDLC, Visio, Vendor Management, Software Documentation, Process Improvement, SharePoint, IT Operations, VMware ESX, Project Management, Windows Server, VMware Infrastructure, Servers, Active Directory, VMware, SQL, Microsoft SQL Server, Unix, Requirements Analysis, Integration, High Availability, ITIL, Enterprise Architecture, Data Center
Education
California State University-Fullerton 2005 — 2008
M.B.A., Business, Management
California State University-Chico 1995 — 1999
BS, Business Management
Epson America Inc. May 2013 - Present
CalOptima April 2009 - May 2013
Downey Savings and Loan 1999 - March 2009
Skills
Disaster Recovery, SDLC, Visio, Vendor Management, Software Documentation, Process Improvement, SharePoint, IT Operations, VMware ESX, Project Management, Windows Server, VMware Infrastructure, Servers, Active Directory, VMware, SQL, Microsoft SQL Server, Unix, Requirements Analysis, Integration, High Availability, ITIL, Enterprise Architecture, Data Center
Education
California State University-Fullerton 2005 — 2008
M.B.A., Business, Management
California State University-Chico 1995 — 1999
BS, Business Management
Tracy Weske's CalOptima Experience June 2014 - Present
Job Program Analyst Regulatory Affairs at CalOptima
Industry Hospital & Health Care
Experience
CalOptima June 2014 - Present
CalOptima July 2013 - June 2014
Volt Workforce Solutions October 2011 - June 2013
Branding Personality January 2010 - January 2011
Data Impressions and Triumph Business Systems May 2009 - January 2010
North Orange County School Districts September 2005 - June 2008
Ingram Micro 1996 - 2004
Skills
Microsoft Office, Management, Program Management, Budgets, CRM, Marketing, Visio, Sales Management, Sales, Forecasting, Advertising, Outlook, Troubleshooting, Customer Service, Marketing Communications, Content Strategy, Editing, Teaching, Training, Blogging, Email Marketing, Writing
Education
California State University-Fullerton
Bachelor of Arts, Sociology
University of Phoenix
Teaching Credential, Education
CalOptima June 2014 - Present
CalOptima July 2013 - June 2014
Volt Workforce Solutions October 2011 - June 2013
Branding Personality January 2010 - January 2011
Data Impressions and Triumph Business Systems May 2009 - January 2010
North Orange County School Districts September 2005 - June 2008
Ingram Micro 1996 - 2004
Skills
Microsoft Office, Management, Program Management, Budgets, CRM, Marketing, Visio, Sales Management, Sales, Forecasting, Advertising, Outlook, Troubleshooting, Customer Service, Marketing Communications, Content Strategy, Editing, Teaching, Training, Blogging, Email Marketing, Writing
Education
California State University-Fullerton
Bachelor of Arts, Sociology
University of Phoenix
Teaching Credential, Education
Alfredo Reynoso, MHA, PMP, CPHQ's CalOptima Experience October 2009 - August 2011
Job Director of Clinical Operations at CareMore Health Plan
Industry Hospital & Health Care
Experience
CareMore Health Plan March 2015 - Present
AltaMed Health Services June 2012 - February 2015
HealthCare Partners August 2011 - June 2012
CalOptima October 2009 - August 2011
CalOptima June 2008 - October 2009
Skills
Managed Care, Healthcare, Program Management, Quality Management, Training, Project Management, Healthcare Management, Strategic Planning, Healthcare Consulting, Kaizen
Education
California State University-Long Beach
Diploma, Clinical Medical Assistant
California State University-Long Beach
Certificate, Human Resources Management
California State University-Long Beach
Master of Science (MS), Healthcare Administration
California State University-Fullerton
Bachelor of Arts (BA), Public Administration
CareMore Health Plan March 2015 - Present
AltaMed Health Services June 2012 - February 2015
HealthCare Partners August 2011 - June 2012
CalOptima October 2009 - August 2011
CalOptima June 2008 - October 2009
Skills
Managed Care, Healthcare, Program Management, Quality Management, Training, Project Management, Healthcare Management, Strategic Planning, Healthcare Consulting, Kaizen
Education
California State University-Long Beach
Diploma, Clinical Medical Assistant
California State University-Long Beach
Certificate, Human Resources Management
California State University-Long Beach
Master of Science (MS), Healthcare Administration
California State University-Fullerton
Bachelor of Arts (BA), Public Administration
Kathy Fruge-Browder's CalOptima Experience November 1994 - August 1996
Job Director, Clinic Operations at Southern California College of Optometry
Industry Real Estate
Experience
Southern California College of Optometry July 2010 - Present
The Real Estate Group June 2003 - Present
The E8ht Group February 2005 - July 2010
L.A. Care Health Plan August 1996 - January 2005
CalOptima November 1994 - August 1996
UHP Healthcare March 1989 - November 1994
Watts Health Center December 1985 - March 1989
Council Shared Services August 1984 - October 1985
Cedars-Sinai Medical Center January 1982 - August 1984
Cedars-Sinai Medical Center January 1980 - January 1982
Skills
Real Estate, Nonprofits, Strategic Planning, Short Sales, Program Development, Budgets, Investment Properties, Program Management, Sellers, Healthcare, Public Speaking, Team Building, Hospitals, Fundraising, Customer Service, Microsoft Office, First Time Home Buyers, REO, Non-profits, Training, Policy, Leadership
Education
Pepperdine University 1979 — 1981
MPA, Public Administration
California State University-Long Beach 1973 — 1977
Bachelor of Science, Health Science/Community Health Education
Southern California College of Optometry July 2010 - Present
The Real Estate Group June 2003 - Present
The E8ht Group February 2005 - July 2010
L.A. Care Health Plan August 1996 - January 2005
CalOptima November 1994 - August 1996
UHP Healthcare March 1989 - November 1994
Watts Health Center December 1985 - March 1989
Council Shared Services August 1984 - October 1985
Cedars-Sinai Medical Center January 1982 - August 1984
Cedars-Sinai Medical Center January 1980 - January 1982
Skills
Real Estate, Nonprofits, Strategic Planning, Short Sales, Program Development, Budgets, Investment Properties, Program Management, Sellers, Healthcare, Public Speaking, Team Building, Hospitals, Fundraising, Customer Service, Microsoft Office, First Time Home Buyers, REO, Non-profits, Training, Policy, Leadership
Education
Pepperdine University 1979 — 1981
MPA, Public Administration
California State University-Long Beach 1973 — 1977
Bachelor of Science, Health Science/Community Health Education
Ngoc Thao Le's CalOptima Experience July 2012 - February 2015
Job Lead Call Center Representative at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan February 2015 - Present
CalOptima July 2012 - February 2015
CalOptima November 2011 - July 2012
CalOptima 2010 - 2012
Orange County Health Care Agency February 2008 - April 2008
SVL Holding Corporation January 2008 - April 2008
Skills
Health Plan Operations, Healthcare Management, Provider Relations, Call Centers, Customer Service, Escalation Resolution, People Management, Medi-Cal, Medicare, Affordable Care Act, HIPAA, Public Health, Case Management, Healthcare
Education
California State University-Long Beach 2008 — 2009
Master's degree, Public Administration
California State University-Long Beach 2003 — 2008
BS, Health Science: Community Health
L.A. Care Health Plan February 2015 - Present
CalOptima July 2012 - February 2015
CalOptima November 2011 - July 2012
CalOptima 2010 - 2012
Orange County Health Care Agency February 2008 - April 2008
SVL Holding Corporation January 2008 - April 2008
Skills
Health Plan Operations, Healthcare Management, Provider Relations, Call Centers, Customer Service, Escalation Resolution, People Management, Medi-Cal, Medicare, Affordable Care Act, HIPAA, Public Health, Case Management, Healthcare
Education
California State University-Long Beach 2008 — 2009
Master's degree, Public Administration
California State University-Long Beach 2003 — 2008
BS, Health Science: Community Health
Shawne Marsh's CalOptima Experience August 2005 - May 2012
Job Principal at Health Management Associates (HMA)
Industry Hospital & Health Care
Experience
Health Management Associates (HMA) May 2012 - Present
CalOptima August 2005 - May 2012
Samaritan Health Services 1996 - 2005
Education
Oregon State University 1994 — 1996
California State University-Chico 1990 — 1992
School Health
Health Management Associates (HMA) May 2012 - Present
CalOptima August 2005 - May 2012
Samaritan Health Services 1996 - 2005
Education
Oregon State University 1994 — 1996
California State University-Chico 1990 — 1992
School Health
Sandra Kirkland's CalOptima Experience 1998 - 2008
Job Lead Information Analyst
Industry Hospital & Health Care
Experience
Monarch HealthCare February 2009 - Present
CalOptima 1998 - 2008
Skills
Healthcare Information..., Software Documentation, SQL, EHR, Data Warehousing
Education
California State University-Fullerton, Mihaylo College of Business and Economics 2001 — 2005
MBA, Data Warehousing
California State Polytechnic University-Pomona 1993 — 1997
Bachelor of Science (BS), Finance, General
Monarch HealthCare February 2009 - Present
CalOptima 1998 - 2008
Skills
Healthcare Information..., Software Documentation, SQL, EHR, Data Warehousing
Education
California State University-Fullerton, Mihaylo College of Business and Economics 2001 — 2005
MBA, Data Warehousing
California State Polytechnic University-Pomona 1993 — 1997
Bachelor of Science (BS), Finance, General
Shelly Myers's CalOptima Experience 2005 - 2007
Job Director, Network Management at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare November 2014 - Present
Independent Managed Care Consultant August 2013 - November 2014
Kissinger Group January 2014 - May 2014
Avanti Hospitals April 2013 - August 2013
CIGNA HealthCare September 2007 - April 2013
CalOptima 2005 - 2007
Parkstone Medical Information Systems 2000 - 2001
PacifiCare Health Systems 1998 - 1999
MedPartners/Mullikin Medical Centers 1993 - 1998
MedPartners, Inc. 1993 - 1997
Skills
Medicaid, Medicare, Healthcare Management, HIPAA, Managed Care, Credentialing, Revenue Cycle, Health Insurance, Healthcare Industry, Health Policy, HMO, PPO, Network Development, Healthcare, Utilization Management, Disease Management, Medicare Part D, Provider Relations, Claim, Insurance, Healthcare Information..., Healthcare Consulting, Employee Benefits, Claims Resolution, Physician Relations, Pharmacy Benefit..., Physicians
Education
University of California, Los Angeles
B.A., History
California State University-Long Beach
MPA, Public Administration
UnitedHealthcare November 2014 - Present
Independent Managed Care Consultant August 2013 - November 2014
Kissinger Group January 2014 - May 2014
Avanti Hospitals April 2013 - August 2013
CIGNA HealthCare September 2007 - April 2013
CalOptima 2005 - 2007
Parkstone Medical Information Systems 2000 - 2001
PacifiCare Health Systems 1998 - 1999
MedPartners/Mullikin Medical Centers 1993 - 1998
MedPartners, Inc. 1993 - 1997
Skills
Medicaid, Medicare, Healthcare Management, HIPAA, Managed Care, Credentialing, Revenue Cycle, Health Insurance, Healthcare Industry, Health Policy, HMO, PPO, Network Development, Healthcare, Utilization Management, Disease Management, Medicare Part D, Provider Relations, Claim, Insurance, Healthcare Information..., Healthcare Consulting, Employee Benefits, Claims Resolution, Physician Relations, Pharmacy Benefit..., Physicians
Education
University of California, Los Angeles
B.A., History
California State University-Long Beach
MPA, Public Administration
Ivan G Ramirez's CalOptima Experience January 2014 - Present
Job Applications Analyst at CalOptima
Industry Hospital & Health Care
Experience
CalOptima January 2014 - Present
Molina Healthcare May 2013 - January 2014
Molina Healthcare January 2012 - April 2013
Molina Healthcare January 2011 - January 2012
Molina Healthcare September 2008 - December 2010
Skills
Medicaid, HIPAA, Data Analysis, Healthcare, Healthcare Management, Visio, Access, Software Documentation, Medicare, Microsoft Word, Microsoft Office, Call Center, Process Improvement, Training, Analysis, SharePoint, HMO, Project Management, Team Building, Kronos, PowerPoint, Microsoft Excel, Outlook, Vendor Management, EDI, Databases, Medical Terminology, Microsoft SQL Server
Education
California State University-Fullerton
CalOptima January 2014 - Present
Molina Healthcare May 2013 - January 2014
Molina Healthcare January 2012 - April 2013
Molina Healthcare January 2011 - January 2012
Molina Healthcare September 2008 - December 2010
Skills
Medicaid, HIPAA, Data Analysis, Healthcare, Healthcare Management, Visio, Access, Software Documentation, Medicare, Microsoft Word, Microsoft Office, Call Center, Process Improvement, Training, Analysis, SharePoint, HMO, Project Management, Team Building, Kronos, PowerPoint, Microsoft Excel, Outlook, Vendor Management, EDI, Databases, Medical Terminology, Microsoft SQL Server
Education
California State University-Fullerton
Cunningham, Kim's CalOptima Experience May 2002 - August 2011
Job Human Resource Executive
Industry Human Resources
Experience
Pacific Life Insurance Company August 2011 - Present
CalOptima May 2002 - August 2011
Maxxim Medical August 2000 - November 2001
Parker Hannifin Corporation September 1989 - July 1999
Skills
Human Resources, Leadership Development, Employee Relations, Organizational..., Deferred Compensation, Personnel Management, Talent Management, Benefits Administration, Recruiting, Strategy, Succession Planning, Executive Coaching, Performance Management, Onboarding, Career Development, Labor Relations, Talent Acquisition, New Hire Orientations, Interviews, Workforce Planning, HR Policies, Organizational..., Policy, Training, Organizational Design, Conflict Resolution, Change Management, HRIS, Employee Engagement, Employee Benefits, Applicant Tracking..., Hiring, Temporary Placement, College Recruiting, Employee Training, Job Descriptions, Sourcing, Technical Recruiting
Education
Adrian College 1977 — 1981
BA, Education
Pacific Life Insurance Company August 2011 - Present
CalOptima May 2002 - August 2011
Maxxim Medical August 2000 - November 2001
Parker Hannifin Corporation September 1989 - July 1999
Skills
Human Resources, Leadership Development, Employee Relations, Organizational..., Deferred Compensation, Personnel Management, Talent Management, Benefits Administration, Recruiting, Strategy, Succession Planning, Executive Coaching, Performance Management, Onboarding, Career Development, Labor Relations, Talent Acquisition, New Hire Orientations, Interviews, Workforce Planning, HR Policies, Organizational..., Policy, Training, Organizational Design, Conflict Resolution, Change Management, HRIS, Employee Engagement, Employee Benefits, Applicant Tracking..., Hiring, Temporary Placement, College Recruiting, Employee Training, Job Descriptions, Sourcing, Technical Recruiting
Education
Adrian College 1977 — 1981
BA, Education
Ako Tokuhiro's CalOptima Experience 2004 - 2007
Job Manager | Business Strategist | Systems Manager | Human Resources | NonProfit Community Development
Industry Insurance
Experience
SullivanCurtisMonroe January 2011 - Present
Millennium Corporate Solutions 2007 - 2011
CalOptima 2004 - 2007
YMCA of Orange County 2000 - 2005
Skills
Management, Leadership, Strategic Planning, Employee Relations, Customer Service, Employee Benefits, Health Insurance, Insurance, Benefits Administration, Disability Insurance, Health Savings Accounts, Brokers, COBRA, Claim, Open Enrollment, Life Insurance, Healthcare, Term Life Insurance, Non-profit Volunteering, Medicare, Business Strategy
Education
California State University-Fullerton
SullivanCurtisMonroe January 2011 - Present
Millennium Corporate Solutions 2007 - 2011
CalOptima 2004 - 2007
YMCA of Orange County 2000 - 2005
Skills
Management, Leadership, Strategic Planning, Employee Relations, Customer Service, Employee Benefits, Health Insurance, Insurance, Benefits Administration, Disability Insurance, Health Savings Accounts, Brokers, COBRA, Claim, Open Enrollment, Life Insurance, Healthcare, Term Life Insurance, Non-profit Volunteering, Medicare, Business Strategy
Education
California State University-Fullerton
Edwin J. Ramos, MHA's CalOptima Experience 2010 - November 2012
Job Regional PM, Revenue CyclePerformance Improvement at St. Joseph Health System
Industry Hospital & Health Care
Experience
St. Joseph Health System October 2012 - Present
CalOptima 2010 - November 2012
OptumInsight 2009 - 2010
United Health Group 2007 - 2008
UnitedHealth Group 2006 - 2007
PacifiCare Health Systems 2004 - 2006
Keane 2002 - 2003
PacifiCare Health Systems 1995 - 2001
PacifiCare Health Systems 1998 - 2000
PacifiCare Health Systems 1995 - 1998
Skills
Medicare, Managed Care, Medicaid, Healthcare, HIPAA, Healthcare Information..., Health Insurance, Process Improvement, Vendor Management, Project Management, Strategic Planning, Healthcare Management, Program Management, Health Policy, SDLC, Insurance, Cross-functional Team..., Business Analysis, Data Analysis, Team Building, EMR, Healthcare Consulting, Organizational..., Management, Leadership, Training, Hospitals
Education
California State University-Long Beach 2011 — 2013
Master of Science in Health Care Administration, Health Care Info Systems Mgmt, Quantitative Methods for Health Admin, Financial Mgmt in Healt Care
St. Joseph Health System October 2012 - Present
CalOptima 2010 - November 2012
OptumInsight 2009 - 2010
United Health Group 2007 - 2008
UnitedHealth Group 2006 - 2007
PacifiCare Health Systems 2004 - 2006
Keane 2002 - 2003
PacifiCare Health Systems 1995 - 2001
PacifiCare Health Systems 1998 - 2000
PacifiCare Health Systems 1995 - 1998
Skills
Medicare, Managed Care, Medicaid, Healthcare, HIPAA, Healthcare Information..., Health Insurance, Process Improvement, Vendor Management, Project Management, Strategic Planning, Healthcare Management, Program Management, Health Policy, SDLC, Insurance, Cross-functional Team..., Business Analysis, Data Analysis, Team Building, EMR, Healthcare Consulting, Organizational..., Management, Leadership, Training, Hospitals
Education
California State University-Long Beach 2011 — 2013
Master of Science in Health Care Administration, Health Care Info Systems Mgmt, Quantitative Methods for Health Admin, Financial Mgmt in Healt Care
Elena Romero's CalOptima Experience 2006 - 2007
Job Director of Marketing at Citizens Choice Healthplan
Industry Health, Wellness and Fitness
Experience
Citizens Choice Healthplan January 2013 - Present
Citizens Choice Healthplan January 2007 - December 2012
Citizens Choice Healthplan January 2007 - January 2008
CalOptima 2006 - 2007
Skills
Medicare, Medicaid, Healthcare, Managed Care, Utilization Management, Health Insurance, Healthcare Industry, Physician Relations, Physicians, Healthcare Consulting, Long-term Care, Health Policy, Provider Relations, HIPAA, Network Development, Customer Service
Education
California State University-Dominguez Hills 1996 — 2002
Bachelors of Arts, Public Relations, Advertising, Marketing
California State University-Dominguez Hills 1996 — 2002
Bachelor of Arts (BA), Public Relations, Advertising, and Applied Communication
Citizens Choice Healthplan January 2013 - Present
Citizens Choice Healthplan January 2007 - December 2012
Citizens Choice Healthplan January 2007 - January 2008
CalOptima 2006 - 2007
Skills
Medicare, Medicaid, Healthcare, Managed Care, Utilization Management, Health Insurance, Healthcare Industry, Physician Relations, Physicians, Healthcare Consulting, Long-term Care, Health Policy, Provider Relations, HIPAA, Network Development, Customer Service
Education
California State University-Dominguez Hills 1996 — 2002
Bachelors of Arts, Public Relations, Advertising, Marketing
California State University-Dominguez Hills 1996 — 2002
Bachelor of Arts (BA), Public Relations, Advertising, and Applied Communication
Candice Gomez's CalOptima Experience July 2013 - Present
Job Executive Director, Program Implementation at CalOptima
Industry Hospital & Health Care
Experience
CalOptima July 2013 - Present
CareMore Health Plan March 2013 - July 2013
CalOptima May 2012 - March 2013
CalOptima February 2007 - December 2012
Skills
Healthcare Management, Healthcare Information..., Healthcare, Medicaid, Managed Care, HIPAA, EHR, Medicare, Quality Improvement
Education
California State University-Long Beach 2004 — 2006
Master of Science (MS), Health/Health Care Administration/Management
CalOptima July 2013 - Present
CareMore Health Plan March 2013 - July 2013
CalOptima May 2012 - March 2013
CalOptima February 2007 - December 2012
Skills
Healthcare Management, Healthcare Information..., Healthcare, Medicaid, Managed Care, HIPAA, EHR, Medicare, Quality Improvement
Education
California State University-Long Beach 2004 — 2006
Master of Science (MS), Health/Health Care Administration/Management
Ryan Prest, MBA, CPPB, CPSM's CalOptima Experience November 2007 - Present
Job Senior Buyer at CalOptima
Industry Health, Wellness and Fitness
Experience
CalOptima November 2007 - Present
Azusa Pacific University 2003 - 2007
Skills
Change Management, Microsoft Office, Healthcare, Program Management, Contract Negotiation, Process Improvement, Procurement, Strategic Planning, Management, Policy, Project Management, Customer Service, Healthcare Management, Leadership, Contract Management, Team Building, Sales, Budgets, Strategy, Six Sigma, Strategic Sourcing, Sourcing, Vendor Management, Cross-functional Team..., Microsoft Excel, Training
Education
Azusa Pacific University 2005 — 2007
MBA, Business Aministration
Azusa Pacific University 2001 — 2005
BS, Organizational Psychology
CalOptima November 2007 - Present
Azusa Pacific University 2003 - 2007
Skills
Change Management, Microsoft Office, Healthcare, Program Management, Contract Negotiation, Process Improvement, Procurement, Strategic Planning, Management, Policy, Project Management, Customer Service, Healthcare Management, Leadership, Contract Management, Team Building, Sales, Budgets, Strategy, Six Sigma, Strategic Sourcing, Sourcing, Vendor Management, Cross-functional Team..., Microsoft Excel, Training
Education
Azusa Pacific University 2005 — 2007
MBA, Business Aministration
Azusa Pacific University 2001 — 2005
BS, Organizational Psychology
Debra Gonzalez's CalOptima Experience April 2011 - Present
Job Manager, Provider Enrollment at CalOptima
Industry Hospital & Health Care
Experience
CalOptima April 2011 - Present
CalOptima November 2004 - April 2011
Education
California State University-Long Beach
CalOptima April 2011 - Present
CalOptima November 2004 - April 2011
Education
California State University-Long Beach
Joy Cubbin's CalOptima Experience May 2004 - Present
Job Accounting Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima May 2004 - Present
PacifiCare 1999 - 2004
Skills
Healthcare, Financial Analysis, Supervisory Skills, Report Writing, Accounting
Education
California State University-Fullerton, Mihaylo College of Business and Economics
BA, Accounting
California State University-Fullerton, Mihaylo College of Business and Economics
Bachelor of Arts, Accounting
CalOptima May 2004 - Present
PacifiCare 1999 - 2004
Skills
Healthcare, Financial Analysis, Supervisory Skills, Report Writing, Accounting
Education
California State University-Fullerton, Mihaylo College of Business and Economics
BA, Accounting
California State University-Fullerton, Mihaylo College of Business and Economics
Bachelor of Arts, Accounting
Don Preston's CalOptima Experience March 2014 - Present
Job Senior Technical Analyst at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2014 - Present
Molina Healthcare March 2012 - March 2014
Dynamic Healthcare Systems November 2009 - March 2012
Skills
Quality Assurance, Healthcare Information..., SDLC, HIPAA, Visio, Business Analysis, Microsoft SQL Server, SQL, SharePoint, Software Documentation, Business Process, Vendor Management, Data Analysis, Project Management, Healthcare, Business Process...
Education
California State University-Fullerton - College of Business and Economics
Bachelor's degree, Management Information Systems
CalOptima March 2014 - Present
Molina Healthcare March 2012 - March 2014
Dynamic Healthcare Systems November 2009 - March 2012
Skills
Quality Assurance, Healthcare Information..., SDLC, HIPAA, Visio, Business Analysis, Microsoft SQL Server, SQL, SharePoint, Software Documentation, Business Process, Vendor Management, Data Analysis, Project Management, Healthcare, Business Process...
Education
California State University-Fullerton - College of Business and Economics
Bachelor's degree, Management Information Systems
Patti McFarland's CalOptima Experience June 2013 - June 2014
Job Chief Financial Officer at Partnership HealthPlan of California
Industry Hospital & Health Care
Experience
Partnership HealthPlan of California April 2014 - Present
CalOptima June 2013 - June 2014
Central Coast Alliance for Health October 1995 - July 2013
Central California Alliance for Health October 1995 - July 2013
Skills
Healthcare, Healthcare Management, Budgets, Non-profits, Mergers, Hospitals, Nonprofits, Managed Care, Medicaid, Revenue Cycle, Medicare, Healthcare Consulting, Project Management, HIPAA, Medical Billing, Healthcare Information..., Public Health
Education
Arizona State University
BS in Accounting
Partnership HealthPlan of California April 2014 - Present
CalOptima June 2013 - June 2014
Central Coast Alliance for Health October 1995 - July 2013
Central California Alliance for Health October 1995 - July 2013
Skills
Healthcare, Healthcare Management, Budgets, Non-profits, Mergers, Hospitals, Nonprofits, Managed Care, Medicaid, Revenue Cycle, Medicare, Healthcare Consulting, Project Management, HIPAA, Medical Billing, Healthcare Information..., Public Health
Education
Arizona State University
BS in Accounting
Debra Kegel, MSG's CalOptima Experience January 2010 - Present
Job Manager, LongTerm Care Integration at CalOptima
Industry Health, Wellness and Fitness
Experience
CalOptima January 2010 - Present
CalOptima 2010 - 2012
CCGG 2009 - 2011
Washington Mutual February 1991 - January 2009
American Savings Bank February 1991 - December 1996
Skills
Gerontology, Grant Administration, Elder Care, Case Managment, Healthcare, Program Development, Community Outreach, Non-profits, Medicaid, Grant Writing, Public Speaking, Medicare, Strategic Planning, Grants, Healthcare Management, Fundraising, Health Education, Leadership, Managed Care, Marketing, Nonprofits, Policy, Program Evaluation, Program Management, Public Health, Social Services, Training
Education
California State University, Fullerton 2009 — 2011
M.S.G.
University of California, Los Angeles - School of Law 1979 — 1982
JD
California State University-Fullerton 1975 — 1979
BA
CalOptima January 2010 - Present
CalOptima 2010 - 2012
CCGG 2009 - 2011
Washington Mutual February 1991 - January 2009
American Savings Bank February 1991 - December 1996
Skills
Gerontology, Grant Administration, Elder Care, Case Managment, Healthcare, Program Development, Community Outreach, Non-profits, Medicaid, Grant Writing, Public Speaking, Medicare, Strategic Planning, Grants, Healthcare Management, Fundraising, Health Education, Leadership, Managed Care, Marketing, Nonprofits, Policy, Program Evaluation, Program Management, Public Health, Social Services, Training
Education
California State University, Fullerton 2009 — 2011
M.S.G.
University of California, Los Angeles - School of Law 1979 — 1982
JD
California State University-Fullerton 1975 — 1979
BA
Joy Cubbin's CalOptima Experience May 2004 - April 2013
Job Director of Accounting at Central California Alliance for Health
Industry Hospital & Health Care
Experience
Central California Alliance for Health May 2014 - Present
Elements Behavioral Health April 2013 - May 2014
CalOptima May 2004 - April 2013
PacifiCare June 1999 - May 2004
Lantronix 1998 - 1999
Gambro Healthcare Renal Care 1996 - 1998
Skills
Accounting, Healthcare, Mergers & Acquisitions, Cost Accounting, Financial Analysis, Finance, Accounts Payable, Analysis, Sarbanes-Oxley Act, Financial Reporting, Auditing, Process Improvement, Accounts Receivable, Start ups, Acquisitions, Banking, Credit Cards, Statutory Accounting, Internal Controls, Managerial Finance, General Ledger, GAAP, Consolidation, Start-ups, Variance Analysis
Education
California State University-Fullerton, Mihaylo College of Business and Economics 1988 — 1990
BA, Accounting
Central California Alliance for Health May 2014 - Present
Elements Behavioral Health April 2013 - May 2014
CalOptima May 2004 - April 2013
PacifiCare June 1999 - May 2004
Lantronix 1998 - 1999
Gambro Healthcare Renal Care 1996 - 1998
Skills
Accounting, Healthcare, Mergers & Acquisitions, Cost Accounting, Financial Analysis, Finance, Accounts Payable, Analysis, Sarbanes-Oxley Act, Financial Reporting, Auditing, Process Improvement, Accounts Receivable, Start ups, Acquisitions, Banking, Credit Cards, Statutory Accounting, Internal Controls, Managerial Finance, General Ledger, GAAP, Consolidation, Start-ups, Variance Analysis
Education
California State University-Fullerton, Mihaylo College of Business and Economics 1988 — 1990
BA, Accounting
Michele Hoban's CalOptima Experience February 2013 - Present
Job Accounting Professional
Industry Accounting
Experience
CalOptima February 2013 - Present
Education
California State University-Fullerton
CalOptima February 2013 - Present
Education
California State University-Fullerton
Jeannette Scheppler's CalOptima Experience October 2005 - January 2007
Job Contract Management Expert at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group January 2007 - Present
CalOptima October 2005 - January 2007
Skills
Healthcare, Event Planning, Hospitals, Microsoft Word, Medicare, Outlook, Healthcare Management, Health Insurance, Public Health, Program Management, Leadership, Managed Care, Management, Strategic Planning, HIPAA, Healthcare Information..., Medicaid, Health Policy, Process Improvement
Education
Chapman University 2007 — 2008
MHA, Master in Health Administration
California State University-Fullerton 2001 — 2005
B.S., Health Science
UnitedHealth Group January 2007 - Present
CalOptima October 2005 - January 2007
Skills
Healthcare, Event Planning, Hospitals, Microsoft Word, Medicare, Outlook, Healthcare Management, Health Insurance, Public Health, Program Management, Leadership, Managed Care, Management, Strategic Planning, HIPAA, Healthcare Information..., Medicaid, Health Policy, Process Improvement
Education
Chapman University 2007 — 2008
MHA, Master in Health Administration
California State University-Fullerton 2001 — 2005
B.S., Health Science
Jeanne Reinhardt's CalOptima Experience 1996 - 1998
Job Principal at Smith Public Affairs
Industry Government Relations
Experience
Smith Public Affairs 1997 - Present
CalOptima 1996 - 1998
Orange County Clerk Recorder 1994 - 1996
County of Orange, OC Waste & Recycling 1993 - 1994
County of Orange 1986 - 1993
County of Orange January 1981 - 1986
California State Assembly January 1978 - 1981
Skills
Public Policy, Strategic Planning, Lobbying, Strategic Communications, Public Speaking, Community Outreach, Media Relations, Coalitions, Crisis Communications, Legislative Relations, Local Government, Politics, Leadership, Press Releases
Education
Cal State Fullerton
Bachelor's degree, History
Smith Public Affairs 1997 - Present
CalOptima 1996 - 1998
Orange County Clerk Recorder 1994 - 1996
County of Orange, OC Waste & Recycling 1993 - 1994
County of Orange 1986 - 1993
County of Orange January 1981 - 1986
California State Assembly January 1978 - 1981
Skills
Public Policy, Strategic Planning, Lobbying, Strategic Communications, Public Speaking, Community Outreach, Media Relations, Coalitions, Crisis Communications, Legislative Relations, Local Government, Politics, Leadership, Press Releases
Education
Cal State Fullerton
Bachelor's degree, History
Sarah Saia's CalOptima Experience October 2010 - Present
Job Program Specialist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima October 2010 - Present
Boys&Girls Clubs of Garden Grove June 2009 - February 2010
Boston University - The Health and Disability Working Group September 2008 - December 2008
County of Orange Health Care Agency May 2008 - August 2008
CampFire USA Orange County Council January 2007 - August 2007
Community Care Health Centers (now AltaMed) October 2005 - October 2006
Education
Boston University 2007 — 2008
Masters, Public Health
University of California, Irvine 2000 — 2004
B.S., Biology
CalOptima October 2010 - Present
Boys&Girls Clubs of Garden Grove June 2009 - February 2010
Boston University - The Health and Disability Working Group September 2008 - December 2008
County of Orange Health Care Agency May 2008 - August 2008
CampFire USA Orange County Council January 2007 - August 2007
Community Care Health Centers (now AltaMed) October 2005 - October 2006
Education
Boston University 2007 — 2008
Masters, Public Health
University of California, Irvine 2000 — 2004
B.S., Biology
Cydney Weber's CalOptima Experience April 2011 - Present
Job Social Work Case Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima April 2011 - Present
CalOptima May 2001 - April 2011
CalOptima March 1997 - May 2001
CalOptima February 1995 - March 1997
Skills
Managed Care, Program Management, Utilization Management, Social Services, Policy, Medicaid, Health Insurance, Case Managment, Medicare, Healthcare Management, Disease Management, Hospitals, Elder Care, Healthcare, Case Management
Education
California State University-Long Beach
Master of Social Work (MSW), Social Work
California State University-Northridge
Bachelor's degree, Sociology
CalOptima April 2011 - Present
CalOptima May 2001 - April 2011
CalOptima March 1997 - May 2001
CalOptima February 1995 - March 1997
Skills
Managed Care, Program Management, Utilization Management, Social Services, Policy, Medicaid, Health Insurance, Case Managment, Medicare, Healthcare Management, Disease Management, Hospitals, Elder Care, Healthcare, Case Management
Education
California State University-Long Beach
Master of Social Work (MSW), Social Work
California State University-Northridge
Bachelor's degree, Sociology
Jason Newmark's CalOptima Experience 2002 - 2005
Job Awardwinning marketing strategist | Developer of creative and successful tactics | Healthcare specialist
Industry Marketing and Advertising
Experience
Dignity Health 2014 - Present
New Insight Marketing 2010 - Present
Pomona Valley Hospital Medical Center 2005 - 2010
CalOptima 2002 - 2005
California State University, Long Beach 2004 - 2004
Hoag Hospital 1999 - 2002
Creative Teaching Press 1998 - 1999
CSP Communications 1998 - 1998
Skills
Marketing Strategy, Corporate Communications, Public Relations, Marketing Communications, Strategic Communications, Strategic Planning, Internal Communications, Social Media Marketing, Graphic Design, New Business Development, Advertising, Media Relations, Brand Management, Message Development, Brand Development, Strategy, Creative Direction, Social Media, Marketing, Integrated Marketing, Leadership, Management
Education
California State University-Long Beach 1996 — 1998
BA, Journalism: Public Relations, Minor: Marketing Communications
Mt. San Antonio College
AA, Communications, Speech Communications
Dignity Health 2014 - Present
New Insight Marketing 2010 - Present
Pomona Valley Hospital Medical Center 2005 - 2010
CalOptima 2002 - 2005
California State University, Long Beach 2004 - 2004
Hoag Hospital 1999 - 2002
Creative Teaching Press 1998 - 1999
CSP Communications 1998 - 1998
Skills
Marketing Strategy, Corporate Communications, Public Relations, Marketing Communications, Strategic Communications, Strategic Planning, Internal Communications, Social Media Marketing, Graphic Design, New Business Development, Advertising, Media Relations, Brand Management, Message Development, Brand Development, Strategy, Creative Direction, Social Media, Marketing, Integrated Marketing, Leadership, Management
Education
California State University-Long Beach 1996 — 1998
BA, Journalism: Public Relations, Minor: Marketing Communications
Mt. San Antonio College
AA, Communications, Speech Communications
Henry Do's CalOptima Experience January 2000 - Present
Job Senior Programmer at CalOptima
Industry Hospital & Health Care
Experience
CalOptima January 2000 - Present
Skills
HIPAA, Healthcare Information..., Healthcare, SSIS, Microsoft SQL Server, Process Improvement, Databases, SQL
Education
California State Polytechnic University-Pomona 1994 — 1998
Bachelor's Degree, Computer Science
CalOptima January 2000 - Present
Skills
HIPAA, Healthcare Information..., Healthcare, SSIS, Microsoft SQL Server, Process Improvement, Databases, SQL
Education
California State Polytechnic University-Pomona 1994 — 1998
Bachelor's Degree, Computer Science
Amy Altomare's CalOptima Experience September 2014 - September 2015
Job SERVICE INDUSTRY PROCESS IMPROVEMENT SPECIALIST – Certified Six Sigma Black Belt Training and Development – CSSBB
Industry Government Administration
Experience
CalOptima September 2014 - September 2015
FCi Federal September 2012 - September 2014
Code Blue Global Advisors December 2011 - August 2012
City of La Verne November 2006 - August 2012
The IBI Group May 2006 - September 2006
Skills
Land Use Planning, Comprehensive Planning, Zoning, Land Use, Neighborhood Planning, Lean Sigma, Six Sigma, Long Range Planning, Project Planning, Project Coordination, Visio, Presentation Development, Community Outreach, LEED AP, CGBP, AICP, Project Management, Transportation Planning, Leadership, Management, Process Improvement, Strategic Planning, Training
Education
University of Southern California 2004 — 2006
Masters, Planning
University of California, Irvine 2001 — 2004
Bachelor of Arts, Social Ecology
California Polytechnic State University - Pomona 2011 — 2011
Certificate, Lean Six Sigma Green Belt Certificate - December 2011
California Polytechnic State University - Pomona 2011 — 2011
Certificate, Lean Six Sigma Green Belt Certificate - August 2012
California State Polytechnic University-Pomona 2012 — 2012
Certificate, Project Management
California Polytechnic State University 2011 — 2011
Certificate, Introduction to Six Sigma for Managers
California Polytechnic State University - Pomona 2009 — 2009
Certificate, Southern California Local Government Leadership Academy
CalOptima September 2014 - September 2015
FCi Federal September 2012 - September 2014
Code Blue Global Advisors December 2011 - August 2012
City of La Verne November 2006 - August 2012
The IBI Group May 2006 - September 2006
Skills
Land Use Planning, Comprehensive Planning, Zoning, Land Use, Neighborhood Planning, Lean Sigma, Six Sigma, Long Range Planning, Project Planning, Project Coordination, Visio, Presentation Development, Community Outreach, LEED AP, CGBP, AICP, Project Management, Transportation Planning, Leadership, Management, Process Improvement, Strategic Planning, Training
Education
University of Southern California 2004 — 2006
Masters, Planning
University of California, Irvine 2001 — 2004
Bachelor of Arts, Social Ecology
California Polytechnic State University - Pomona 2011 — 2011
Certificate, Lean Six Sigma Green Belt Certificate - December 2011
California Polytechnic State University - Pomona 2011 — 2011
Certificate, Lean Six Sigma Green Belt Certificate - August 2012
California State Polytechnic University-Pomona 2012 — 2012
Certificate, Project Management
California Polytechnic State University 2011 — 2011
Certificate, Introduction to Six Sigma for Managers
California Polytechnic State University - Pomona 2009 — 2009
Certificate, Southern California Local Government Leadership Academy
Aaron Vaughn's CalOptima Experience October 2003 - November 2005
Job Senior Accountant at Irvine Pacific
Industry Real Estate
Experience
Irvine Pacific July 2014 - Present
Irvine Pacific May 2012 - July 2014
Irvine Company February 2012 - April 2012
Irvine Company August 2010 - April 2011
Irvine Company February 2006 - August 2010
Irvine Company November 2005 - February 2006
CalOptima October 2003 - November 2005
CalOptima November 2002 - October 2003
Skills
Accounting, Accounts Receivable, Accruals, Cash Flow Forecasting, Fixed Assets, Financial Statements, Variance Analysis, General Ledger, GAAP, Financial Accounting, Finance, Financial Reporting, Accounts Payable, QuickBooks, Financial Analysis, Account Reconciliation, Cash Flow, Financial Modeling, Real Estate, Auditing, Due Diligence, Budgets, Internal Controls
Education
California State University-Long Beach - College of Business Administration 2003 — 2005
BS, Accountancy
Irvine Pacific July 2014 - Present
Irvine Pacific May 2012 - July 2014
Irvine Company February 2012 - April 2012
Irvine Company August 2010 - April 2011
Irvine Company February 2006 - August 2010
Irvine Company November 2005 - February 2006
CalOptima October 2003 - November 2005
CalOptima November 2002 - October 2003
Skills
Accounting, Accounts Receivable, Accruals, Cash Flow Forecasting, Fixed Assets, Financial Statements, Variance Analysis, General Ledger, GAAP, Financial Accounting, Finance, Financial Reporting, Accounts Payable, QuickBooks, Financial Analysis, Account Reconciliation, Cash Flow, Financial Modeling, Real Estate, Auditing, Due Diligence, Budgets, Internal Controls
Education
California State University-Long Beach - College of Business Administration 2003 — 2005
BS, Accountancy
Peter Crosson's CalOptima Experience February 2012 - Present
Job Software Quality Management
Industry Computer Software
Experience
CalOptima February 2012 - Present
Opensoft Technologies July 2008 - June 2010
Kelley Blue Book September 2007 - June 2008
Toyota Financial Services November 2006 - July 2007
Appriss May 1998 - September 2006
Captive Plastics February 1992 - May 1998
Skills
Software Quality..., Software Test Automation, Quality Management..., Project Management, Software Testing, Application Lifecycle..., Corporate Communications, Resource Management, Software Procurement, Certified Scrum Master..., Agile Project Management, Agile Testing, Lean Software..., Team Building, Distributed Team..., Microsoft Office, Quality Assurance, Test Automation, Testing, Software Quality, Software Quality..., Test Planning, Test Strategy, Quality Management, Process Improvement, Program Management, Six Sigma
Education
California State University-Dominguez Hills
Bachelor of Science (B.S.), Quality Assurance, Honors
National University
Master's Degree, Computer Science - Software Engineering
CalOptima February 2012 - Present
Opensoft Technologies July 2008 - June 2010
Kelley Blue Book September 2007 - June 2008
Toyota Financial Services November 2006 - July 2007
Appriss May 1998 - September 2006
Captive Plastics February 1992 - May 1998
Skills
Software Quality..., Software Test Automation, Quality Management..., Project Management, Software Testing, Application Lifecycle..., Corporate Communications, Resource Management, Software Procurement, Certified Scrum Master..., Agile Project Management, Agile Testing, Lean Software..., Team Building, Distributed Team..., Microsoft Office, Quality Assurance, Test Automation, Testing, Software Quality, Software Quality..., Test Planning, Test Strategy, Quality Management, Process Improvement, Program Management, Six Sigma
Education
California State University-Dominguez Hills
Bachelor of Science (B.S.), Quality Assurance, Honors
National University
Master's Degree, Computer Science - Software Engineering
Sanaya Lim, MHA's CalOptima Experience January 2015 - Present
Job Regulatory Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima January 2015 - Present
CalOptima August 2013 - Present
CalOptima October 2011 - August 2013
Easy Choice Health Plan February 2009 - October 2011
Easy Choice Health Plan February 2008 - February 2009
UnitedHealth Group October 2007 - February 2008
Skills
Medicare, Medicaid, Managed Care, Healthcare, Health Insurance, HIPAA, Process Improvement, Policy, Medical Terminology, Provider Relations, Medicare Part D, Healthcare Management, Healthcare Industry, HMO, Hospitals, Healthcare Consulting, Health Policy, NCQA, Medicaid Managed Care, Quality Improvement, Health Care Compliance
Education
California State University-Long Beach 2008 — 2010
MHA, Health Care Administration
CalOptima January 2015 - Present
CalOptima August 2013 - Present
CalOptima October 2011 - August 2013
Easy Choice Health Plan February 2009 - October 2011
Easy Choice Health Plan February 2008 - February 2009
UnitedHealth Group October 2007 - February 2008
Skills
Medicare, Medicaid, Managed Care, Healthcare, Health Insurance, HIPAA, Process Improvement, Policy, Medical Terminology, Provider Relations, Medicare Part D, Healthcare Management, Healthcare Industry, HMO, Hospitals, Healthcare Consulting, Health Policy, NCQA, Medicaid Managed Care, Quality Improvement, Health Care Compliance
Education
California State University-Long Beach 2008 — 2010
MHA, Health Care Administration
Janine Kodama, CPC's CalOptima Experience August 2015 - Present
Job Director of Grievance and Appeals at CalOptima
Industry Hospital & Health Care
Experience
CalOptima August 2015 - Present
CalOptima September 2010 - August 2015
CalOptima March 1999 - September 2010
Transamerica 1995 - 1998
Transamerica 1990 - 1995
Skills
Medicaid, Medicare, HIPAA, Healthcare, Managed Care, Healthcare Management, Process Improvement, Health Insurance, Data Analysis, Team Building, Project Management, Medical Coding, Change Management, Revenue Cycle, Healthcare Consulting, Healthcare Information...
Education
California State Polytechnic University-Pomona
BS, Civil Engineering
CalOptima August 2015 - Present
CalOptima September 2010 - August 2015
CalOptima March 1999 - September 2010
Transamerica 1995 - 1998
Transamerica 1990 - 1995
Skills
Medicaid, Medicare, HIPAA, Healthcare, Managed Care, Healthcare Management, Process Improvement, Health Insurance, Data Analysis, Team Building, Project Management, Medical Coding, Change Management, Revenue Cycle, Healthcare Consulting, Healthcare Information...
Education
California State Polytechnic University-Pomona
BS, Civil Engineering
Linda Trinh, MPH, MSN, CCM, FNP, DNP's CalOptima Experience January 2011 - October 2013
Job Doctor of Nursing Practice, Family Nurse Practitioner at Transtreme LLC
Industry Hospital & Health Care
Experience
Transtreme LLC November 2014 - Present
The Vietnamese American Community Health Foundation 2014 - Present
DaVita October 2013 - Present
CalOptima January 2011 - October 2013
Companion Home Health Care November 2010 - September 2011
OnSite Wellness, LLC January 2010 - August 2011
Birth Choice Health Clinic January 2009 - December 2010
SCIRE at Veterans Affairs Long Beach Healthcare System January 2008 - December 2008
Garden Grove Unified School District September 2005 - June 2008
Premiere Eye Institute January 2006 - December 2006
Skills
Healthcare, Nursing, Utilization Management, Care Management, Case Management, Healthcare Management, Public Health, Case Managment, HIPAA, Hospitals, Certified Case Manager, Disease Management, Medicine, Patient Education, Managed Care, Training, Health Education, Clinical Research
Education
Chatham University 2013 — 2014
Doctor of Nursing Practice (DNP), Operations Management and Supervision
University of California, Irvine 2011 — 2013
Master's of Nursing Science, Family Nurse Practitioner
California State University-Fullerton 2008 — 2010
Bachelor's Science Nursing, Registered Nurse
California State University-Fullerton 2007 — 2009
Master's Public Health, Health Promotion and Disease Prevention
University of California, Irvine 2002 — 2006
Bachelor's Science, Biological Sciences
Transtreme LLC November 2014 - Present
The Vietnamese American Community Health Foundation 2014 - Present
DaVita October 2013 - Present
CalOptima January 2011 - October 2013
Companion Home Health Care November 2010 - September 2011
OnSite Wellness, LLC January 2010 - August 2011
Birth Choice Health Clinic January 2009 - December 2010
SCIRE at Veterans Affairs Long Beach Healthcare System January 2008 - December 2008
Garden Grove Unified School District September 2005 - June 2008
Premiere Eye Institute January 2006 - December 2006
Skills
Healthcare, Nursing, Utilization Management, Care Management, Case Management, Healthcare Management, Public Health, Case Managment, HIPAA, Hospitals, Certified Case Manager, Disease Management, Medicine, Patient Education, Managed Care, Training, Health Education, Clinical Research
Education
Chatham University 2013 — 2014
Doctor of Nursing Practice (DNP), Operations Management and Supervision
University of California, Irvine 2011 — 2013
Master's of Nursing Science, Family Nurse Practitioner
California State University-Fullerton 2008 — 2010
Bachelor's Science Nursing, Registered Nurse
California State University-Fullerton 2007 — 2009
Master's Public Health, Health Promotion and Disease Prevention
University of California, Irvine 2002 — 2006
Bachelor's Science, Biological Sciences
Megan Hiltner's CalOptima Experience August 2005 - January 2006
Job Public Health Consultant
Industry Nonprofit Organization Management
Experience
JSI Research and Training Institute March 2008 - Present
MH Consulting September 2012 - September 2013
Cicatelli Associates Inc. March 2006 - March 2008
CalOptima August 2005 - January 2006
John Snow, Inc. (JSI) October 2001 - July 2005
Skills
Hands-on Training, Project Management, Project Planning, Public Health, Technical Assistance, Women's Health, Adolescent Health, Reproductive Health, Program Evaluation, Grant Writing, Team Building, HIV prevention, Capacity Building, Global Health, Health Communication
Education
Boston University 2003 — 2005
Master, Public Health
Colorado State University 1996 — 1999
BA, Liberal Arts
JSI Research and Training Institute March 2008 - Present
MH Consulting September 2012 - September 2013
Cicatelli Associates Inc. March 2006 - March 2008
CalOptima August 2005 - January 2006
John Snow, Inc. (JSI) October 2001 - July 2005
Skills
Hands-on Training, Project Management, Project Planning, Public Health, Technical Assistance, Women's Health, Adolescent Health, Reproductive Health, Program Evaluation, Grant Writing, Team Building, HIV prevention, Capacity Building, Global Health, Health Communication
Education
Boston University 2003 — 2005
Master, Public Health
Colorado State University 1996 — 1999
BA, Liberal Arts
Martha Prescott's CalOptima Experience April 2013 - Present
Job Credentialing Coordinator at CalOptima
Industry Hospital & Health Care
Experience
CalOptima April 2013 - Present
Volt Workforce Solutions/ UnitedHealthCare September 2011 - May 2012
Viant September 2001 - August 2009
Viant March 2000 - August 2001
Beech Street Corp September 1999 - February 2001
Skills
Health Insurance, PPO, HIPAA, Medicare, Credentialing, Healthcare Industry, Provider Relations, Managed Care, Healthcare Information...
Education
Orange Coast College 1989 — 1993
AA, Administrative Services
Institución Universitaria Colombo-Americana 1979 — 1981
AA, Bilingual Office Administration
CalOptima April 2013 - Present
Volt Workforce Solutions/ UnitedHealthCare September 2011 - May 2012
Viant September 2001 - August 2009
Viant March 2000 - August 2001
Beech Street Corp September 1999 - February 2001
Skills
Health Insurance, PPO, HIPAA, Medicare, Credentialing, Healthcare Industry, Provider Relations, Managed Care, Healthcare Information...
Education
Orange Coast College 1989 — 1993
AA, Administrative Services
Institución Universitaria Colombo-Americana 1979 — 1981
AA, Bilingual Office Administration
Sarah Kima's CalOptima Experience 2006 - 2010
Job Program Manager with Cultural Competency, Program Development & Implementation, Public Policy Analysis & Reporting,
Industry Hospital & Health Care
Experience
Montgomery County Government June 2013 - Present
MedStar Health July 2010 - June 2013
CalOptima 2006 - 2010
Charles R. Drew University of Medicine and Science 2003 - 2010
Skills
Policy Analysis, Program Management, Program Development, Healthcare Information..., Grant Writing, Quality Improvement, Nonprofits, Training, Content Development, Program Implementation, International..., Grant Administration, Microsoft Applications, Personnel Management, Healthcare improvement, Corporate Social..., Social Perceptiveness, Progress Monitoring, Active Learning, Critical Thinking, Oral Communication, Cross-functional..., Reading Comprehension, Proposal Writing, Writing, Judgment and Decision..., Customer Service, Deductive Reasoning, Inductive Reasoning, Problem Sensitivity, Analitical, Policy, Community Outreach, Healthcare, Program Evaluation
Education
Walden University 2011 — 2017
Doctor of Philosophy (Ph.D.), Health Services/Allied Health/Health Sciences, General
Brandeis University 2002 — 2004
Sustainable International Development, Health/Health Care Administration/Management
Emerson College 1990 — 1994
BS, Mass Communication
Montgomery County Government June 2013 - Present
MedStar Health July 2010 - June 2013
CalOptima 2006 - 2010
Charles R. Drew University of Medicine and Science 2003 - 2010
Skills
Policy Analysis, Program Management, Program Development, Healthcare Information..., Grant Writing, Quality Improvement, Nonprofits, Training, Content Development, Program Implementation, International..., Grant Administration, Microsoft Applications, Personnel Management, Healthcare improvement, Corporate Social..., Social Perceptiveness, Progress Monitoring, Active Learning, Critical Thinking, Oral Communication, Cross-functional..., Reading Comprehension, Proposal Writing, Writing, Judgment and Decision..., Customer Service, Deductive Reasoning, Inductive Reasoning, Problem Sensitivity, Analitical, Policy, Community Outreach, Healthcare, Program Evaluation
Education
Walden University 2011 — 2017
Doctor of Philosophy (Ph.D.), Health Services/Allied Health/Health Sciences, General
Brandeis University 2002 — 2004
Sustainable International Development, Health/Health Care Administration/Management
Emerson College 1990 — 1994
BS, Mass Communication
Alex Sylla's CalOptima Experience August 2014 - September 2015
Job Sr. Compensation Analyst
Industry Human Resources
Experience
CalOptima August 2014 - September 2015
Long Beach Memorial Medical Center January 2012 - August 2014
Keck Medical Center of USC April 2011 - January 2012
Anaheim Regional Medical Center May 2010 - September 2010
Valley Prebyterian Hospital June 2008 - May 2010
CHW 2003 - 2008
Skills
Human Resources, Onboarding, Deferred Compensation, HRIS, Benefits Administration, Employee Benefits, Personnel Management, Employee Relations, Applicant Tracking..., HR Policies, Recruiting
Education
California State University-Long Beach
Bachelor of Science (BS), Health/Health Care Administration/Management
University of Phoenix
MBA, Health/Health Care Administration/Management
CalOptima August 2014 - September 2015
Long Beach Memorial Medical Center January 2012 - August 2014
Keck Medical Center of USC April 2011 - January 2012
Anaheim Regional Medical Center May 2010 - September 2010
Valley Prebyterian Hospital June 2008 - May 2010
CHW 2003 - 2008
Skills
Human Resources, Onboarding, Deferred Compensation, HRIS, Benefits Administration, Employee Benefits, Personnel Management, Employee Relations, Applicant Tracking..., HR Policies, Recruiting
Education
California State University-Long Beach
Bachelor of Science (BS), Health/Health Care Administration/Management
University of Phoenix
MBA, Health/Health Care Administration/Management
Virginia Cormed's CalOptima Experience August 2005 - August 2008
Job Medical Assistant/Workers Compensation at Medical Group
Industry Hospital & Health Care
Experience
Medical Group 2008 - 2014
CalOptima August 2005 - August 2008
Skills
Epic 2010 IU 7, Medical Coding, FileMaker, Human Resources, Customer Service, Process Scheduler, Appointment Scheduling, Hospitals, Managed Care
Education
Rio Hondo College 2000 — 2002
coding, Health Information - Coding
Associated Technical College-Los Angeles 1984 — 1986
Medical Group 2008 - 2014
CalOptima August 2005 - August 2008
Skills
Epic 2010 IU 7, Medical Coding, FileMaker, Human Resources, Customer Service, Process Scheduler, Appointment Scheduling, Hospitals, Managed Care
Education
Rio Hondo College 2000 — 2002
coding, Health Information - Coding
Associated Technical College-Los Angeles 1984 — 1986
Eddie Soberanes's CalOptima Experience March 2008 - June 2013
Job CTEC Certified Tax Preparer at Orange County Tax Help, IRS Problems Resolution, Back Taxes & Debt Settlement
Industry Accounting
Experience
Orange County Tax Help, IRS Problems Resolution, Back Taxes & Debt Settlement June 2013 - Present
CalOptima March 2008 - June 2013
Skills
Quality Improvement, Spreadsheets, Research, Process Scheduler, PowerPoint, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel
Education
California State University-Fullerton 2004 — 2010
Bachelors, Business Administration
Santa Ana College 2000 — 2003
Associate's degree, Business Administration and Management, General
Orange County Tax Help, IRS Problems Resolution, Back Taxes & Debt Settlement June 2013 - Present
CalOptima March 2008 - June 2013
Skills
Quality Improvement, Spreadsheets, Research, Process Scheduler, PowerPoint, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel
Education
California State University-Fullerton 2004 — 2010
Bachelors, Business Administration
Santa Ana College 2000 — 2003
Associate's degree, Business Administration and Management, General
Laura Guest's CalOptima Experience April 2015 - Present
Job QI Nurse Specialist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima April 2015 - Present
OptumHealth May 2009 - April 2015
University of California, Irvine June 1994 - May 2009
Daniel Freeman Hospitals, Inc. 1988 - 1992
Skills
Healthcare Management, Healthcare, Hospitals, Process Improvement, Utilization Management, Physician Relations, Practice Management, Managed Care, Health Insurance, Physicians, Healthcare Information..., Inpatient, HIPAA, Provider Relations, Disease Management, Medicare, Medicaid, Healthcare Consulting, Credentialing, EMR, Healthcare Industry, EHR, Quality Improvement, Medicine, Nursing, Ambulatory
Education
California State University-Long Beach 1985 — 1987
Nurse Practitioner, Nurse Practitioner
California State University-Fullerton 1982 — 1985
Bachelors, Nursing
Long Beach City College 1979 — 1982
Associate Degree, Nursing
CalOptima April 2015 - Present
OptumHealth May 2009 - April 2015
University of California, Irvine June 1994 - May 2009
Daniel Freeman Hospitals, Inc. 1988 - 1992
Skills
Healthcare Management, Healthcare, Hospitals, Process Improvement, Utilization Management, Physician Relations, Practice Management, Managed Care, Health Insurance, Physicians, Healthcare Information..., Inpatient, HIPAA, Provider Relations, Disease Management, Medicare, Medicaid, Healthcare Consulting, Credentialing, EMR, Healthcare Industry, EHR, Quality Improvement, Medicine, Nursing, Ambulatory
Education
California State University-Long Beach 1985 — 1987
Nurse Practitioner, Nurse Practitioner
California State University-Fullerton 1982 — 1985
Bachelors, Nursing
Long Beach City College 1979 — 1982
Associate Degree, Nursing
Sharon & Les Holstein's CalOptima Experience June 1994 - September 2002
Job
Industry Human Resources
Experience
CalOptima June 1994 - September 2002
Education
Azusa Pacific University 1959 — 1963
BA, Sociology
Whittier High School 1954 — 1959
CalOptima June 1994 - September 2002
Education
Azusa Pacific University 1959 — 1963
BA, Sociology
Whittier High School 1954 — 1959
Sam Carbajal's CalOptima Experience November 2012 - Present
Job Senior Analyst at CalOptima
Industry Hospital & Health Care
Experience
CalOptima November 2012 - Present
SCAN Health Plan January 2012 - November 2012
CalOptima December 2007 - January 2012
UnitedHealth Group October 2005 - December 2007
Skills
Documentation, Scheduling, Customer Service, Microsoft Office, PowerPoint, Data Analysis, SQL, Software Documentation, Access, Healthcare, Process Scheduler, Quality Assurance, Analysis, Program Management, Process Improvement
Education
California State University-Long Beach 1999 — 2004
Business Management
CalOptima November 2012 - Present
SCAN Health Plan January 2012 - November 2012
CalOptima December 2007 - January 2012
UnitedHealth Group October 2005 - December 2007
Skills
Documentation, Scheduling, Customer Service, Microsoft Office, PowerPoint, Data Analysis, SQL, Software Documentation, Access, Healthcare, Process Scheduler, Quality Assurance, Analysis, Program Management, Process Improvement
Education
California State University-Long Beach 1999 — 2004
Business Management
Rachel Notarte's CalOptima Experience August 1995 - April 1998
Job Manager, Provider Relations & Contracting at Health Net of California, Inc.
Industry Hospital & Health Care
Experience
Health Net of California, Inc. April 1998 - Present
CalOptima August 1995 - April 1998
Children's Hospital of Orange County August 1992 - July 1995
University of California, Irvine Medical Center June 1987 - July 1992
Skills
Managed Care, Program Management, Provider Relations, Training, Medicaid, Credentialing, Network Development, Strategic Planning, Health Policy, Project Management, HMO, PPO, Medicare..., HMO, Healthcare, PPO, Healthcare Management, Healthcare Consulting, HIPAA
Education
California State University-Long Beach
Masters in Public Health
Health Net of California, Inc. April 1998 - Present
CalOptima August 1995 - April 1998
Children's Hospital of Orange County August 1992 - July 1995
University of California, Irvine Medical Center June 1987 - July 1992
Skills
Managed Care, Program Management, Provider Relations, Training, Medicaid, Credentialing, Network Development, Strategic Planning, Health Policy, Project Management, HMO, PPO, Medicare..., HMO, Healthcare, PPO, Healthcare Management, Healthcare Consulting, HIPAA
Education
California State University-Long Beach
Masters in Public Health
Victor Chacon's CalOptima Experience March 2014 - Present
Job Senior Programmer at CalOptima
Industry Information Services
Experience
CalOptima March 2014 - Present
CCH, a Wolters Kluwer business April 2006 - March 2014
Johnson Controls September 2001 - April 2006
CCC Information Services February 1997 - August 2000
Skills
SDLC, Scrum, C#, Agile Methodologies, XML, Microsoft SQL Server, SQL
Education
Bassett High School
California State Polytechnic University-Pomona
Bachelor of Science (B.S.), Computer Science
CalOptima March 2014 - Present
CCH, a Wolters Kluwer business April 2006 - March 2014
Johnson Controls September 2001 - April 2006
CCC Information Services February 1997 - August 2000
Skills
SDLC, Scrum, C#, Agile Methodologies, XML, Microsoft SQL Server, SQL
Education
Bassett High School
California State Polytechnic University-Pomona
Bachelor of Science (B.S.), Computer Science
Calvin Makornkran's CalOptima Experience March 2013 - July 2013
Job MPG/Consumer Analyst at Kia Motors America
Industry Automotive
Experience
Kia Motors America August 2013 - Present
CalOptima March 2013 - July 2013
Pacific Life January 2013 - March 2013
C&D Zodiac July 2012 - December 2012
Skills
Lean Manufacturing, Process Improvement, Analysis, Data Analysis, Project Management
Education
California State University-Fullerton 2009 — 2012
Criminal Justice
Kia Motors America August 2013 - Present
CalOptima March 2013 - July 2013
Pacific Life January 2013 - March 2013
C&D Zodiac July 2012 - December 2012
Skills
Lean Manufacturing, Process Improvement, Analysis, Data Analysis, Project Management
Education
California State University-Fullerton 2009 — 2012
Criminal Justice
Melissa Wanyo's CalOptima Experience June 2014 - May 2015
Job Strategic Development Manager
Industry Nonprofit Organization Management
Experience
Freelance Consultant May 2015 - Present
CalOptima June 2014 - May 2015
Honda Center 1994 - 2015
Honda Center 1994 - 2015
MedImpact Healthcare Systems, Inc. July 2013 - June 2014
UnitedHealth Group December 1999 - July 2013
Skills
Business Process..., PMO, Six Sigma, Business Process, Process Improvement, Visio, Healthcare, Healthcare Management, Program Management, Project Portfolio..., Project Management, Pharmacy Benefit..., HIPAA, PMP, Business Analysis, Cross-functional Team..., Healthcare Information..., Managed Care, SDLC, Vendor Management, Requirements Gathering, Requirements Analysis, Policies & Procedures..., Policies & Procedures, Public Policy, New Business Development, Software Documentation, E2E, Leadership, Training, Yellow Belt
Education
Patten University 2014 — 2015
Bachelor's Degree, Business Management - Leadership
California State University-Fullerton
Bachelor's Degree, Sociology
Freelance Consultant May 2015 - Present
CalOptima June 2014 - May 2015
Honda Center 1994 - 2015
Honda Center 1994 - 2015
MedImpact Healthcare Systems, Inc. July 2013 - June 2014
UnitedHealth Group December 1999 - July 2013
Skills
Business Process..., PMO, Six Sigma, Business Process, Process Improvement, Visio, Healthcare, Healthcare Management, Program Management, Project Portfolio..., Project Management, Pharmacy Benefit..., HIPAA, PMP, Business Analysis, Cross-functional Team..., Healthcare Information..., Managed Care, SDLC, Vendor Management, Requirements Gathering, Requirements Analysis, Policies & Procedures..., Policies & Procedures, Public Policy, New Business Development, Software Documentation, E2E, Leadership, Training, Yellow Belt
Education
Patten University 2014 — 2015
Bachelor's Degree, Business Management - Leadership
California State University-Fullerton
Bachelor's Degree, Sociology
Annie Pruitt's CalOptima Experience October 2014 - Present
Job Provider Operations
Industry Hospital & Health Care
Experience
CalOptima October 2014 - Present
CalOptima January 2014 - October 2014
CalOptima November 2005 - October 2014
CalOptima August 2005 - October 2005
CalOptima June 2001 - August 2005
Target Corporation September 1995 - June 2001
Skills
Medicaid, Hospitals, Medicare, Healthcare, Customer Service, Bilingual-English/Vietna..., Nonprofits, Community Outreach
Education
California State University-Fullerton 1989 — 1993
Early Childhood Education and Teaching
Orange Coast College 1987 — 1989
Business Administration and Management, General
CalOptima October 2014 - Present
CalOptima January 2014 - October 2014
CalOptima November 2005 - October 2014
CalOptima August 2005 - October 2005
CalOptima June 2001 - August 2005
Target Corporation September 1995 - June 2001
Skills
Medicaid, Hospitals, Medicare, Healthcare, Customer Service, Bilingual-English/Vietna..., Nonprofits, Community Outreach
Education
California State University-Fullerton 1989 — 1993
Early Childhood Education and Teaching
Orange Coast College 1987 — 1989
Business Administration and Management, General