CalOptima Company
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CalOptima Employees
Employee
Years
Job
Industry
Lynn Ha Lynn Ha's CalOptima Experience June 2013 - Present
Job Lead Customer Service at CalOptima
Industry Music
Experience
CalOptima June 2013 - Present
Self-employed July 2001 - January 2014
In Home Support Services June 2010 - August 2013
Skills
Highly personable, Public Speaking, Music, Teaching, Decisiveness, Highly detail oriented, Diligent, Prompt
Education
University of California, Irvine 2001 — 2005
Bachelor of Arts (B.A.), Social Ecology
CalOptima June 2013 - Present
Self-employed July 2001 - January 2014
In Home Support Services June 2010 - August 2013
Skills
Highly personable, Public Speaking, Music, Teaching, Decisiveness, Highly detail oriented, Diligent, Prompt
Education
University of California, Irvine 2001 — 2005
Bachelor of Arts (B.A.), Social Ecology
Jennifer Sanabria Jennifer Sanabria's CalOptima Experience October 2014 - Present
Job Program Assistant at CalOptima
Industry Hospital & Health Care
Experience
CalOptima October 2014 - Present
CalOptima August 2011 - October 2014
Mercury Insurance January 2010 - August 2011
Skills
Telephone Skills, Outlook, Medical Terminology, EHR, Data Entry, ICD-9, ICD-10, CPT, Microsoft Word, Microsoft Excel, Medical Billing, Medisoft, Bilingual-English/Spanis..., Teamwork, Administrative..., Adobe, Customer Service, Hospitality, Social Skills, Healthcare, Healthcare Management, HIPAA, Cpr Certified, Administrative...
Education
Career College of California 2013 — 2014
Certificate, Medical Front Office Billing and Coding
Katella High School 2005 — 2009
High School, Diploma
CalOptima October 2014 - Present
CalOptima August 2011 - October 2014
Mercury Insurance January 2010 - August 2011
Skills
Telephone Skills, Outlook, Medical Terminology, EHR, Data Entry, ICD-9, ICD-10, CPT, Microsoft Word, Microsoft Excel, Medical Billing, Medisoft, Bilingual-English/Spanis..., Teamwork, Administrative..., Adobe, Customer Service, Hospitality, Social Skills, Healthcare, Healthcare Management, HIPAA, Cpr Certified, Administrative...
Education
Career College of California 2013 — 2014
Certificate, Medical Front Office Billing and Coding
Katella High School 2005 — 2009
High School, Diploma
Shaun Moon Shaun Moon's CalOptima Experience June 2009 - November 2013
Job Corrections Officer
Industry Law Enforcement
Experience
Travis County Sheriff's department December 2013 - Present
CalOptima June 2009 - November 2013
Lilacs And Lace June 2006 - June 2009
Skills
Healthcare, Process Improvement, HIPAA, Vendor Management, Customer Service, Project Management, Hospitals, Software Documentation, Microsoft Office, Strategic Planning, PowerPoint, Access, Team Building, Security, Facilities Management, Troubleshooting, Program Management, Management, Creative Problem Solving, Critical Thinking, Employee Relations, Leadership, Outlook, Microsoft Word, Policy, Project Planning, Accurate Record Keeping, Facilities Operations, Emergency Procedures, Training, Change Management, Microsoft Excel, Time Management
Education
University of Phoenix 2013 — 2015
Bachelor of Science (B.S.), Advanced Networking, A
Irvine Valley College 2005 — 2009
Associate of Arts (AA), University Studies with an Emphasis on European History
Travis County Sheriff's department December 2013 - Present
CalOptima June 2009 - November 2013
Lilacs And Lace June 2006 - June 2009
Skills
Healthcare, Process Improvement, HIPAA, Vendor Management, Customer Service, Project Management, Hospitals, Software Documentation, Microsoft Office, Strategic Planning, PowerPoint, Access, Team Building, Security, Facilities Management, Troubleshooting, Program Management, Management, Creative Problem Solving, Critical Thinking, Employee Relations, Leadership, Outlook, Microsoft Word, Policy, Project Planning, Accurate Record Keeping, Facilities Operations, Emergency Procedures, Training, Change Management, Microsoft Excel, Time Management
Education
University of Phoenix 2013 — 2015
Bachelor of Science (B.S.), Advanced Networking, A
Irvine Valley College 2005 — 2009
Associate of Arts (AA), University Studies with an Emphasis on European History
Len Rosignoli Len Rosignoli's CalOptima Experience October 2013 - Present
Job Chief Information Officer at CalOptima
Industry Information Technology and Services
Experience
CalOptima October 2013 - Present
The University of Arizona Health Network September 2010 - October 2013
Coventry Health Care December 2007 - September 2010
The Franklen Source, Inc. 1998 - 2005
PacifiCare Health Systems August 1990 - August 1998
Transamerica Specialty Insurance 1987 - 1990
Eisenhower Medical Center 1985 - 1987
Skills
IT Management, Project Management, Managed Care, HIPAA, Healthcare, Process Improvement, SDLC, Vendor Management, Program Management, Strategic Planning, Team Building, Management Consulting, Healthcare Information..., Healthcare Management, Software Development, Information Technology, Leadership, Business Analysis, Software Documentation, Integration, Business Intelligence, IT Strategy, SharePoint, Business Process..., Disaster Recovery, PMP
Education
Indiana University of Pennsylvania
BS
CalOptima October 2013 - Present
The University of Arizona Health Network September 2010 - October 2013
Coventry Health Care December 2007 - September 2010
The Franklen Source, Inc. 1998 - 2005
PacifiCare Health Systems August 1990 - August 1998
Transamerica Specialty Insurance 1987 - 1990
Eisenhower Medical Center 1985 - 1987
Skills
IT Management, Project Management, Managed Care, HIPAA, Healthcare, Process Improvement, SDLC, Vendor Management, Program Management, Strategic Planning, Team Building, Management Consulting, Healthcare Information..., Healthcare Management, Software Development, Information Technology, Leadership, Business Analysis, Software Documentation, Integration, Business Intelligence, IT Strategy, SharePoint, Business Process..., Disaster Recovery, PMP
Education
Indiana University of Pennsylvania
BS
Mark Megginson, RN MS CCM CCP GCN's CalOptima Experience January 2000 - January 2005
Job Director of Case & Disease Management at Easy Choice Health Plan
Industry Hospital & Health Care
Experience
Easy Choice Health Plan April 2015 - Present
Easy Choice Health Plan December 2014 - March 2015
CareMore Health Plan February 2013 - November 2014
SCAN Health Plan January 2005 - February 2013
CalOptima January 2000 - January 2005
St. Joseph Heritage Medical Group January 1998 - January 2000
ASEAN January 1995 - January 1998
St. Jude Heritage Medical Group January 1990 - January 1995
Institute for Biological Research and Developement January 1983 - January 1985
University of New Orleans January 1973 - January 1974
Skills
Utilization Management, Medicaid, Research, Case Managment, Nursing, Healthcare, Disease Management, Healthcare Management, Elder Care, Compliance, HIPAA, Training, Case Management, Social Services, Clinical Research, Treatment, Medicine, Managed Care, Medicare
Education
TUI University 2006 — 2014
PhD ABD, International Health
TUI University 2003 — 2005
M.S., International Health
Excelsior College
A.S, Registered Nurse
The University of the State of New York
B.S, Liberal Studies
Health Sciences Institute
Chronic Care Professional (CCP)
Johns Hopkins School of Nursing
Guided Care Nurse Certification (GCN)
The Commission for Case Manager Certification
Certified Case Manager (CCM)
Easy Choice Health Plan April 2015 - Present
Easy Choice Health Plan December 2014 - March 2015
CareMore Health Plan February 2013 - November 2014
SCAN Health Plan January 2005 - February 2013
CalOptima January 2000 - January 2005
St. Joseph Heritage Medical Group January 1998 - January 2000
ASEAN January 1995 - January 1998
St. Jude Heritage Medical Group January 1990 - January 1995
Institute for Biological Research and Developement January 1983 - January 1985
University of New Orleans January 1973 - January 1974
Skills
Utilization Management, Medicaid, Research, Case Managment, Nursing, Healthcare, Disease Management, Healthcare Management, Elder Care, Compliance, HIPAA, Training, Case Management, Social Services, Clinical Research, Treatment, Medicine, Managed Care, Medicare
Education
TUI University 2006 — 2014
PhD ABD, International Health
TUI University 2003 — 2005
M.S., International Health
Excelsior College
A.S, Registered Nurse
The University of the State of New York
B.S, Liberal Studies
Health Sciences Institute
Chronic Care Professional (CCP)
Johns Hopkins School of Nursing
Guided Care Nurse Certification (GCN)
The Commission for Case Manager Certification
Certified Case Manager (CCM)
Fanni Acosta Fanni Acosta's CalOptima Experience August 2011 - August 2012
Job Sr. Human Resources Analyst at Town of Marana (Recruitment/Classification/Compensation)
Industry Human Resources
Experience
Town of Marana November 2012 - Present
CalOptima August 2011 - August 2012
City of Tucson January 2007 - August 2011
Pima Community College 2003 - January 2007
Four Points by Sheraton July 2002 - August 2003
Project PPEP 2000 - 2002
Skills
Bilingual-Spanish, WingSpan- Appraisal..., Talent Management, Organizational..., HRIS, Recruiting, Conflict Resolution, Benefits Administration, Policy, Process Improvement, Strategic Planning, Human Resources, Succession Planning, Microsoft Office, Customer Service, Leadership Development, Event Planning, Community Outreach, Onboarding, Deferred Compensation, Bilingual-English/Spanis..., FMLA, New Hire Orientations, Employee Relations, Performance Management, HR Consulting
Education
Northern Arizona University 2003 — 2007
Masters, Counseling
New Mexico State University 1998 — 2000
Management, Human Resources
Century High School 1990 — 1993
Town of Marana November 2012 - Present
CalOptima August 2011 - August 2012
City of Tucson January 2007 - August 2011
Pima Community College 2003 - January 2007
Four Points by Sheraton July 2002 - August 2003
Project PPEP 2000 - 2002
Skills
Bilingual-Spanish, WingSpan- Appraisal..., Talent Management, Organizational..., HRIS, Recruiting, Conflict Resolution, Benefits Administration, Policy, Process Improvement, Strategic Planning, Human Resources, Succession Planning, Microsoft Office, Customer Service, Leadership Development, Event Planning, Community Outreach, Onboarding, Deferred Compensation, Bilingual-English/Spanis..., FMLA, New Hire Orientations, Employee Relations, Performance Management, HR Consulting
Education
Northern Arizona University 2003 — 2007
Masters, Counseling
New Mexico State University 1998 — 2000
Management, Human Resources
Century High School 1990 — 1993
Ron McGinnis Ron McGinnis's CalOptima Experience January 1996 - January 1998
Job Director, Corporate Compliance & Regulatory Affairs
Industry Hospital & Health Care
Experience
WellCare April 2013 - Present
UnitedHealth Group May 2010 - April 2013
WellPoint November 2002 - July 2009
Blue Shield of California January 2000 - October 2002
PacifiCare Health Systems January 1999 - December 1999
CalOptima January 1996 - January 1998
PacifiCare (now UnitedHealthcare) January 1993 - December 1996
FHP Health Care January 1990 - December 1992
Skills
Health Insurance, Compliance, Health Plans, Customer Service, Medicare, Enrollment Management, Health Policy, Managed Care, HMO, Medicaid, Policy, Process Improvement, Provider Relations
Education
The University of Texas at Austin
Bachelor of Science (BS), Communication and Media Studies
University of Phoenix
MBA
WellCare April 2013 - Present
UnitedHealth Group May 2010 - April 2013
WellPoint November 2002 - July 2009
Blue Shield of California January 2000 - October 2002
PacifiCare Health Systems January 1999 - December 1999
CalOptima January 1996 - January 1998
PacifiCare (now UnitedHealthcare) January 1993 - December 1996
FHP Health Care January 1990 - December 1992
Skills
Health Insurance, Compliance, Health Plans, Customer Service, Medicare, Enrollment Management, Health Policy, Managed Care, HMO, Medicaid, Policy, Process Improvement, Provider Relations
Education
The University of Texas at Austin
Bachelor of Science (BS), Communication and Media Studies
University of Phoenix
MBA
Hedyeh Moallem's CalOptima Experience 2014 - 2015
Job Customer Operations Manager, Marketing and PR Director, Provider Relations Specialist
Industry Education Management
Experience
MemorialCare Health System 2015 - Present
Brax Jewelers October 2014 - Present
CalOptima 2014 - 2015
Orange Unified School District January 2012 - October 2014
Hallmark Cards September 2007 - January 2012
Protection Patrol Services Inc. October 2009 - August 2010
Ocean Dental March 2007 - January 2008
Skills
Provider Network..., Healthcare Management, Customer Service, Provider Relations, Healthcare, Healthcare Industry, Business Development, Event Management, Social Media Marketing, Public Relations, Business Strategy, Event Planning, Public Speaking, PowerPoint, Social Media, Management, Data Entry, Outlook, Microsoft Excel, Microsoft Office, InDesign, Administrative..., Training, Product Marketing, Special Education, Microsoft Word, Research, Editing, Leadership, Medicare, HIPAA, HMO, PPO, Data Analysis, Financial Analysis, Employee Training, Hospitals
Education
University of La Verne 2015 — 2017
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Santiago Canyon College 2008 — 2013
Associate of Arts (A.A.), Political Science and Government
Canyon High School 2003 — 2007
High School Diploma, General Education
MemorialCare Health System 2015 - Present
Brax Jewelers October 2014 - Present
CalOptima 2014 - 2015
Orange Unified School District January 2012 - October 2014
Hallmark Cards September 2007 - January 2012
Protection Patrol Services Inc. October 2009 - August 2010
Ocean Dental March 2007 - January 2008
Skills
Provider Network..., Healthcare Management, Customer Service, Provider Relations, Healthcare, Healthcare Industry, Business Development, Event Management, Social Media Marketing, Public Relations, Business Strategy, Event Planning, Public Speaking, PowerPoint, Social Media, Management, Data Entry, Outlook, Microsoft Excel, Microsoft Office, InDesign, Administrative..., Training, Product Marketing, Special Education, Microsoft Word, Research, Editing, Leadership, Medicare, HIPAA, HMO, PPO, Data Analysis, Financial Analysis, Employee Training, Hospitals
Education
University of La Verne 2015 — 2017
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Santiago Canyon College 2008 — 2013
Associate of Arts (A.A.), Political Science and Government
Canyon High School 2003 — 2007
High School Diploma, General Education
Julianne Holloway Julianne Holloway's CalOptima Experience January 2013 - April 2014
Job Regulatory Affairs and Compliance Liaison at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan June 2014 - Present
CalOptima January 2013 - April 2014
LIBERTY Dental Plan December 2010 - December 2012
Skills
Project Management, Project Planning, Microsoft Suites, Data Analysis, Formatting Documents, Organization Skills, Communication, Regulatory Affairs, Regulatory Compliance, Claims Handling, Legal Research, Research, Reading Comprehension, Healthcare, Health Insurance, Healthcare Management, Anthropology, Biological Anthropology, Forensic Anthropology, Applied Anthropology, Cultural Anthropology, Medical Anthropology, Fitness, CrossFit, Public Speaking, Policy, Insurance
Education
University of California, Irvine 2012 — 2014
Master's Degree, Criminology, Law and Society
University of California, Irvine 2010 — 2012
Bachelor's Degree, Anthrolopology
L.A. Care Health Plan June 2014 - Present
CalOptima January 2013 - April 2014
LIBERTY Dental Plan December 2010 - December 2012
Skills
Project Management, Project Planning, Microsoft Suites, Data Analysis, Formatting Documents, Organization Skills, Communication, Regulatory Affairs, Regulatory Compliance, Claims Handling, Legal Research, Research, Reading Comprehension, Healthcare, Health Insurance, Healthcare Management, Anthropology, Biological Anthropology, Forensic Anthropology, Applied Anthropology, Cultural Anthropology, Medical Anthropology, Fitness, CrossFit, Public Speaking, Policy, Insurance
Education
University of California, Irvine 2012 — 2014
Master's Degree, Criminology, Law and Society
University of California, Irvine 2010 — 2012
Bachelor's Degree, Anthrolopology
Shabnam Eragi, PharmD Shabnam Eragi, PharmD's CalOptima Experience August 2007 - Present
Job Clinical Pharmacist
Industry Pharmaceuticals
Experience
CalOptima August 2007 - Present
Group Health Cooperative July 2006 - June 2007
Skills
Hospitals, Managed Care, Pharmacists, Pharmacy, Clinical Pharmacy, Clinical Research, Medication Therapy..., Disease Management, Healthcare Management, Clinical Pharmacology, Public Health, Healthcare, Pharmacy Automation, Pharmacoeconomics, Pharmacy Benefit..., Ambulatory Care, Healthcare Information..., Patient Education, Patient Safety
Education
University of California, San Francisco 2002 — 2006
PharmD, Pharmacy
University of California, Los Angeles 1999 — 2001
B.S, Biochemistry
CalOptima August 2007 - Present
Group Health Cooperative July 2006 - June 2007
Skills
Hospitals, Managed Care, Pharmacists, Pharmacy, Clinical Pharmacy, Clinical Research, Medication Therapy..., Disease Management, Healthcare Management, Clinical Pharmacology, Public Health, Healthcare, Pharmacy Automation, Pharmacoeconomics, Pharmacy Benefit..., Ambulatory Care, Healthcare Information..., Patient Education, Patient Safety
Education
University of California, San Francisco 2002 — 2006
PharmD, Pharmacy
University of California, Los Angeles 1999 — 2001
B.S, Biochemistry
Erica Kanda's CalOptima Experience March 2008 - May 2008
Job Office Manager at Global IT Resources, Inc.
Industry Staffing and Recruiting
Experience
Global IT Resources Inc. May 2008 - Present
CalOptima March 2008 - May 2008
Northwestern Mutual Life June 2006 - January 2008
QTC August 2005 - June 2006
Bluebell August 2000 - October 2002
Skills
Scheduling, Accounts Payable, Payroll, HR Policies, Contract Management, Work Orders, Office Management, Inventory Control, Timeslips, Process Scheduler, Microsoft Office, Human Resources, Microsoft Excel, Management, QuickBooks, Invoicing, Outlook, Data Entry, Administrative..., Train Employees, Multi-state Payroll..., Employee Benefits, Budgets, Time Management, Marketing, Recruiting, Customer Service
Education
University of Nevada-Las Vegas 2002 — 2005
Bachelors of Science, Health Care Administration
Guam Community College 1991 — 1995
High School Diploma, Accounting
Global IT Resources Inc. May 2008 - Present
CalOptima March 2008 - May 2008
Northwestern Mutual Life June 2006 - January 2008
QTC August 2005 - June 2006
Bluebell August 2000 - October 2002
Skills
Scheduling, Accounts Payable, Payroll, HR Policies, Contract Management, Work Orders, Office Management, Inventory Control, Timeslips, Process Scheduler, Microsoft Office, Human Resources, Microsoft Excel, Management, QuickBooks, Invoicing, Outlook, Data Entry, Administrative..., Train Employees, Multi-state Payroll..., Employee Benefits, Budgets, Time Management, Marketing, Recruiting, Customer Service
Education
University of Nevada-Las Vegas 2002 — 2005
Bachelors of Science, Health Care Administration
Guam Community College 1991 — 1995
High School Diploma, Accounting
Sherry Mead's CalOptima Experience October 1998 - April 2003
Job Secretary at the City of Garden Grove
Industry Human Resources
Experience
City of Garden Grove January 2006 - Present
CalOptima October 1998 - April 2003
WesCorp April 1993 - September 1998
Bank of America January 1984 - December 1992
Skills
Notary Public, Administrative..., Management, Training, Customer Service, Microsoft Word, Outlook, Administrative..., Office Management, Microsoft Office
Education
Cerritos College
City of Garden Grove January 2006 - Present
CalOptima October 1998 - April 2003
WesCorp April 1993 - September 1998
Bank of America January 1984 - December 1992
Skills
Notary Public, Administrative..., Management, Training, Customer Service, Microsoft Word, Outlook, Administrative..., Office Management, Microsoft Office
Education
Cerritos College
Diane Coles Levine, MCR Diane Coles Levine, MCR's CalOptima Experience 1995 - June 2003
Job Principal at Workplace Management Solutions / IFMA Board of Directors / Past Chair, IFMA Foundation
Industry Facilities Services
Experience
Workplace Management Solutions July 2014 - Present
IFMA Foundation July 2014 - Present
Vienna University of Technology December 2012 - Present
MIT Professional Education August 2010 - Present
SCAN Health Plan June 2003 - June 2014
CalOptima 1995 - June 2003
Orange County Transportation Authority 1989 - 1995
Orange County Transportation Authority 1988 - 1995
Skills
Facilities Management, Change Management, Corporate Real Estate, Purchasing, Strategic Planning, Contract Management, Team Building, Business Continuity..., Workplace Design, Procurement, Contract Negotiation, Project Management, Sustainability, Analysis, Project Planning, Budgets, Strategy, Leadership, Nonprofits, Start-ups, Vendor Management, Program Management, Microsoft Office, Management, Customer Service, Operations Management, Business Development
Education
Rhode Island College
Bachelor of Arts Degree, Music
University of California, Irvine
Facility Management Certificate
University of Redlands
Bachelor of Science Degree, Business and Management
Workplace Management Solutions July 2014 - Present
IFMA Foundation July 2014 - Present
Vienna University of Technology December 2012 - Present
MIT Professional Education August 2010 - Present
SCAN Health Plan June 2003 - June 2014
CalOptima 1995 - June 2003
Orange County Transportation Authority 1989 - 1995
Orange County Transportation Authority 1988 - 1995
Skills
Facilities Management, Change Management, Corporate Real Estate, Purchasing, Strategic Planning, Contract Management, Team Building, Business Continuity..., Workplace Design, Procurement, Contract Negotiation, Project Management, Sustainability, Analysis, Project Planning, Budgets, Strategy, Leadership, Nonprofits, Start-ups, Vendor Management, Program Management, Microsoft Office, Management, Customer Service, Operations Management, Business Development
Education
Rhode Island College
Bachelor of Arts Degree, Music
University of California, Irvine
Facility Management Certificate
University of Redlands
Bachelor of Science Degree, Business and Management
Kim Houska Kim Houska's CalOptima Experience January 2013 - November 2014
Job Manager of Member Services at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare December 2014 - Present
CalOptima January 2013 - November 2014
Arcadian Health Plan/ Humana September 2006 - March 2013
PacifiCare Health Systems May 1995 - September 2006
Skills
Healthcare, Healthcare Management, Medicare, Managed Care, Policy, Process Improvement
Education
Cypress College 1999 — 2004
Molina Healthcare December 2014 - Present
CalOptima January 2013 - November 2014
Arcadian Health Plan/ Humana September 2006 - March 2013
PacifiCare Health Systems May 1995 - September 2006
Skills
Healthcare, Healthcare Management, Medicare, Managed Care, Policy, Process Improvement
Education
Cypress College 1999 — 2004
Jane Q. Gan Jane Q. Gan's CalOptima Experience December 2014 - Present
Job Healthcare & Communication Professional topasianmarketer@gmail.com
Industry Hospital & Health Care
Experience
CalOptima December 2014 - Present
Vision21 Art & Design Portfolio School July 2013 - October 2014
AltaMed Health Services Corporation, Inc. May 2010 - March 2012
Iconic Car Consulting, Inc. May 2007 - April 2010
Asian Marketing Communications, Inc. March 2006 - April 2007
Tianyang Group Inc. August 2000 - March 2004
Skills
Intercultural Business..., Strategic Planning, Marketing, Advertising,..., Consultive Sales, Revenue & Profit..., Multicultural Marketing..., Community Outreach, Presentations, Promotion Events and..., Leadership Development, Bilingual..., Consultation, Healthcare, Nonprofits
Education
Medical School of Yangtze University
The Co-Active Coach Training Institute
Caoch
UCLA Anderson School of Management
Certificate: Business Management Development
US Small Business Administration
Certificate: Intensive MBA
University of California, San Diego
New Drug Trails and Management, Certificate
CalOptima December 2014 - Present
Vision21 Art & Design Portfolio School July 2013 - October 2014
AltaMed Health Services Corporation, Inc. May 2010 - March 2012
Iconic Car Consulting, Inc. May 2007 - April 2010
Asian Marketing Communications, Inc. March 2006 - April 2007
Tianyang Group Inc. August 2000 - March 2004
Skills
Intercultural Business..., Strategic Planning, Marketing, Advertising,..., Consultive Sales, Revenue & Profit..., Multicultural Marketing..., Community Outreach, Presentations, Promotion Events and..., Leadership Development, Bilingual..., Consultation, Healthcare, Nonprofits
Education
Medical School of Yangtze University
The Co-Active Coach Training Institute
Caoch
UCLA Anderson School of Management
Certificate: Business Management Development
US Small Business Administration
Certificate: Intensive MBA
University of California, San Diego
New Drug Trails and Management, Certificate
Jim Cubellis, PhD Jim Cubellis, PhD's CalOptima Experience March 2008 - Present
Job Manager and Biostatistician, Medical Informatics at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2008 - Present
Hoag Memorial Hospital July 2002 - May 2007
LA Care Health Plan July 1998 - July 2002
Skills
Healthcare, Healthcare Consulting, Medicaid, EHR, Medicare, Revenue Cycle, Project Management, Healthcare Information..., HIPAA, Disease Management, Healthcare Management, Managed Care, Informatics, EMR, Hospitals, Health Policy, Biostatistics, Clinical Informatics, Health Economic, Health Services Research
Education
University of California, Irvine 1993 — 1997
Doctor of Philosophy (PhD), Economics (specializing in Health Economics and Statistics)
University of California, Irvine 1989 — 1993
Master's degree, Economics
CalOptima March 2008 - Present
Hoag Memorial Hospital July 2002 - May 2007
LA Care Health Plan July 1998 - July 2002
Skills
Healthcare, Healthcare Consulting, Medicaid, EHR, Medicare, Revenue Cycle, Project Management, Healthcare Information..., HIPAA, Disease Management, Healthcare Management, Managed Care, Informatics, EMR, Hospitals, Health Policy, Biostatistics, Clinical Informatics, Health Economic, Health Services Research
Education
University of California, Irvine 1993 — 1997
Doctor of Philosophy (PhD), Economics (specializing in Health Economics and Statistics)
University of California, Irvine 1989 — 1993
Master's degree, Economics
Joi Brooks Joi Brooks's CalOptima Experience December 2014 - Present
Job Provider Data Enrollment Coordinator at CalOptima
Industry Hospital & Health Care
Experience
CalOptima December 2014 - Present
St. Mary Medical Center March 2014 - August 2014
Insure the Uninsured Project June 2013 - November 2013
Allstate April 2011 - March 2012
Laureate Online Education 2012 - 2012
Skills
Customer Service, Highly detail oriented, Higher Education, Microsoft Office, SPSS, Highly motivated..., Office Administration, Adobe Acrobat, Public Health, Health Policy, Policy
Education
Walden University 2011 — 2013
Master of Public Health (M.P.H.)
Tennessee State University 2008 — 2010
Bachelor of Science (B.S.), Public Health
CalOptima December 2014 - Present
St. Mary Medical Center March 2014 - August 2014
Insure the Uninsured Project June 2013 - November 2013
Allstate April 2011 - March 2012
Laureate Online Education 2012 - 2012
Skills
Customer Service, Highly detail oriented, Higher Education, Microsoft Office, SPSS, Highly motivated..., Office Administration, Adobe Acrobat, Public Health, Health Policy, Policy
Education
Walden University 2011 — 2013
Master of Public Health (M.P.H.)
Tennessee State University 2008 — 2010
Bachelor of Science (B.S.), Public Health
Rosa Sanson, PHR Rosa Sanson, PHR's CalOptima Experience December 2013 - August 2014
Job HR Coordinator at Blizzard Entertainment
Industry Human Resources
Experience
Blizzard Entertainment August 2014 - Present
CalOptima December 2013 - August 2014
Optimum Employer Solutions LLC October 2011 - October 2013
Siemens February 2009 - October 2012
Aspen Education Group October 2007 - January 2009
Farmers and Merchants Bank September 2005 - October 2007
AT&T Wireless September 2001 - September 2005
Skills
Employee Relations, Human Resources, Employee Benefits, Benefits Administration, HRIS, New Hire Orientations, Customer Satisfaction, Training, Onboarding, Microsoft Office, Access, Customer Service, Microsoft Excel, Performance Management, Outlook, ADP Payroll, Personnel Management, Organizational..., Payroll, HR Policies, Employee Engagement, Talent Acquisition, Interviews, FMLA, PeopleSoft, Management, Deferred Compensation, Background Checks, Applicant Tracking..., Excel, Spanish, Taleo, Workforce, Oracle Fusion Middleware
Education
Cypress College 2005 — 2005
Computer Applications Software Specialist
Long Beach City College
Computer Applications Software Specialist
Blizzard Entertainment August 2014 - Present
CalOptima December 2013 - August 2014
Optimum Employer Solutions LLC October 2011 - October 2013
Siemens February 2009 - October 2012
Aspen Education Group October 2007 - January 2009
Farmers and Merchants Bank September 2005 - October 2007
AT&T Wireless September 2001 - September 2005
Skills
Employee Relations, Human Resources, Employee Benefits, Benefits Administration, HRIS, New Hire Orientations, Customer Satisfaction, Training, Onboarding, Microsoft Office, Access, Customer Service, Microsoft Excel, Performance Management, Outlook, ADP Payroll, Personnel Management, Organizational..., Payroll, HR Policies, Employee Engagement, Talent Acquisition, Interviews, FMLA, PeopleSoft, Management, Deferred Compensation, Background Checks, Applicant Tracking..., Excel, Spanish, Taleo, Workforce, Oracle Fusion Middleware
Education
Cypress College 2005 — 2005
Computer Applications Software Specialist
Long Beach City College
Computer Applications Software Specialist
Joanna Pallo Joanna Pallo's CalOptima Experience September 2013 - Present
Job at
Industry Health, Wellness and Fitness
Experience
CalOptima September 2013 - Present
Apex Energetics November 2010 - September 2013
REDC 2010 - 2010
Lucescu Realty 2009 - 2009
CBRE 2008 - 2009
Skills
Adobe Creative Suite, Microsoft Office, InDesign, Illustrator, Photoshop, Adobe Acrobat, Microsoft Word, Microsoft Excel, Adobe Flash, Dreamweaver, Advertising, Graphic Design, Graphics
Education
The Art Institute of California-Orange County
Bachelor's Degree, Graphic Design
CalOptima September 2013 - Present
Apex Energetics November 2010 - September 2013
REDC 2010 - 2010
Lucescu Realty 2009 - 2009
CBRE 2008 - 2009
Skills
Adobe Creative Suite, Microsoft Office, InDesign, Illustrator, Photoshop, Adobe Acrobat, Microsoft Word, Microsoft Excel, Adobe Flash, Dreamweaver, Advertising, Graphic Design, Graphics
Education
The Art Institute of California-Orange County
Bachelor's Degree, Graphic Design
TC Roady TC Roady's CalOptima Experience December 2014 - Present
Job Manager, Regulatory Affairs at CalOptima
Industry Government Relations
Experience
CalOptima December 2014 - Present
CalOptima January 2014 - December 2014
CalOptima May 2012 - January 2014
University of Georgia August 2010 - December 2011
City of Brea May 2009 - July 2010
City of Anaheim November 2009 - February 2010
City of Villa Park September 2009 - February 2010
Cornell University January 2009 - May 2009
U.S. House of Representatives 2006 - 2006
Education
Cornell University 2005 — 2009
B.S. Policy Analysis and Management
The University of Georgia 2010 — 2011
Master of Public Administration
Deutsche Hochschule für Verwaltungswissenschaften Speyer
Study Abroad
University of the West Indies, Cave Hill, Barbados
Study Abroad
CalOptima December 2014 - Present
CalOptima January 2014 - December 2014
CalOptima May 2012 - January 2014
University of Georgia August 2010 - December 2011
City of Brea May 2009 - July 2010
City of Anaheim November 2009 - February 2010
City of Villa Park September 2009 - February 2010
Cornell University January 2009 - May 2009
U.S. House of Representatives 2006 - 2006
Education
Cornell University 2005 — 2009
B.S. Policy Analysis and Management
The University of Georgia 2010 — 2011
Master of Public Administration
Deutsche Hochschule für Verwaltungswissenschaften Speyer
Study Abroad
University of the West Indies, Cave Hill, Barbados
Study Abroad
Dean Shi's CalOptima Experience July 2013 - September 2013
Job Accounting Assistant at JAE Electronics
Industry Insurance
Experience
JAE Electronics November 2014 - Present
Linkers Product Corp July 2012 - November 2014
CalOptima July 2013 - September 2013
Skills
Microsoft Office, Mathematics, Microsoft Excel, Customer Service, Actuarial Exams, Statistics, Advanced Excel, Accounting, QuickBooks, Peachtree, SOA/CAS Exam 2/FM, SOA/CAS Exam 1/P, Mandarin, Office Management, Invoicing, Account Reconciliation
Education
University of California, Irvine 2009 — 2012
Mathematics, specialization in statistics, Physical Sciences, 3.25/4.00
University of California, Berkeley, Haas School of Business 2011 — 2011
Business certificate, Business Administration and Management, General, 3.67/4.00
JAE Electronics November 2014 - Present
Linkers Product Corp July 2012 - November 2014
CalOptima July 2013 - September 2013
Skills
Microsoft Office, Mathematics, Microsoft Excel, Customer Service, Actuarial Exams, Statistics, Advanced Excel, Accounting, QuickBooks, Peachtree, SOA/CAS Exam 2/FM, SOA/CAS Exam 1/P, Mandarin, Office Management, Invoicing, Account Reconciliation
Education
University of California, Irvine 2009 — 2012
Mathematics, specialization in statistics, Physical Sciences, 3.25/4.00
University of California, Berkeley, Haas School of Business 2011 — 2011
Business certificate, Business Administration and Management, General, 3.67/4.00
Rona Peckich Rona Peckich's CalOptima Experience 2010 - May 2013
Job QA/IT Management
Industry Information Technology and Services
Experience
CalOptima 2010 - May 2013
Bio-Rad November 2007 - October 2009
Protocol Marketing September 2003 - January 2006
iBASEt May 2000 - February 2003
Epicor Software Corp 1997 - 1999
NetSoft - Network Software Associates (NSA) July 1989 - August 1997
Skills
Process Improvement, SDLC, Healthcare Information..., Software Documentation, Project Management, Program Management, Microsoft SQL Server, Visio, SQL, SharePoint, Healthcare, Integration, Requirements Analysis, Strategic Planning, Databases
Education
University of California, Irvine 1991 — 1992
Certification, Law - Paralegal
Penn State University 1985 — 1986
Certification, Applied Management
Robert Morris University 1978 — 1983
BS, Business Information Systems/Finance
CalOptima 2010 - May 2013
Bio-Rad November 2007 - October 2009
Protocol Marketing September 2003 - January 2006
iBASEt May 2000 - February 2003
Epicor Software Corp 1997 - 1999
NetSoft - Network Software Associates (NSA) July 1989 - August 1997
Skills
Process Improvement, SDLC, Healthcare Information..., Software Documentation, Project Management, Program Management, Microsoft SQL Server, Visio, SQL, SharePoint, Healthcare, Integration, Requirements Analysis, Strategic Planning, Databases
Education
University of California, Irvine 1991 — 1992
Certification, Law - Paralegal
Penn State University 1985 — 1986
Certification, Applied Management
Robert Morris University 1978 — 1983
BS, Business Information Systems/Finance
Margaret Chan, PharmD Margaret Chan, PharmD's CalOptima Experience 2014 - Present
Job Clinical Pharmacist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima 2014 - Present
Lumetra Healthcare Solutions 2014 - Present
Health Plan Of San Mateo March 2011 - July 2014
CVS Health November 2010 - March 2011
CVS Health June 2009 - November 2010
Safeway January 2009 - June 2009
Kaiser Permanente January 2006 - June 2009
Skills
Pharmacists, Pharmacy, Immunization, Medication Therapy..., Clinical Pharmacy, Certified Immunizer, Medicare Part D, Ambulatory Care, Clinical Pharmacology, Pharmacueticals, Diabetes, Managed Care, Patient Counseling, Pharmacy Practice, Pharmacy Benefit..., Compounding, Community Pharmacy, Utilization Management, Formulary, Pharmacy Education, Medicaid, Medicaid Managed Care, Prior Authorization
Education
University of California, San Francisco 2005 — 2009
PharmD., Pharmacy
University of California, San Diego 2000 — 2005
B.S, Biochemsitry
CalOptima 2014 - Present
Lumetra Healthcare Solutions 2014 - Present
Health Plan Of San Mateo March 2011 - July 2014
CVS Health November 2010 - March 2011
CVS Health June 2009 - November 2010
Safeway January 2009 - June 2009
Kaiser Permanente January 2006 - June 2009
Skills
Pharmacists, Pharmacy, Immunization, Medication Therapy..., Clinical Pharmacy, Certified Immunizer, Medicare Part D, Ambulatory Care, Clinical Pharmacology, Pharmacueticals, Diabetes, Managed Care, Patient Counseling, Pharmacy Practice, Pharmacy Benefit..., Compounding, Community Pharmacy, Utilization Management, Formulary, Pharmacy Education, Medicaid, Medicaid Managed Care, Prior Authorization
Education
University of California, San Francisco 2005 — 2009
PharmD., Pharmacy
University of California, San Diego 2000 — 2005
B.S, Biochemsitry
Tami Jones Tami Jones's CalOptima Experience 2008 - 2011
Job Sr Change Management Specialist at Orion Health
Industry Hospital & Health Care
Experience
Orion Health November 2012 - Present
L.A. Care Health Plan October 2011 - October 2012
CalOptima 2008 - 2011
Case Specialists Inc. June 1997 - March 2008
Skills
Healthcare, Process Improvement, Change Management, Project Management, Account Management, Hiring/firing, Customer Acquisition, Proposal Generation, Health Information..., Healthcare Information..., Training, EHR, Managed Care, HIPAA, EMR, Human Resources, Healthcare Consulting, Management, Healthcare Management, HL7
Education
Citrus College
Mt. San Antonio College
Orion Health November 2012 - Present
L.A. Care Health Plan October 2011 - October 2012
CalOptima 2008 - 2011
Case Specialists Inc. June 1997 - March 2008
Skills
Healthcare, Process Improvement, Change Management, Project Management, Account Management, Hiring/firing, Customer Acquisition, Proposal Generation, Health Information..., Healthcare Information..., Training, EHR, Managed Care, HIPAA, EMR, Human Resources, Healthcare Consulting, Management, Healthcare Management, HL7
Education
Citrus College
Mt. San Antonio College
Erin Mellas (Mulvihill)'s CalOptima Experience January 2006 - December 2009
Job President
Industry Hospital & Health Care
Experience
Mulvihill Healthcare Concepts, Inc. October 2013 - Present
HealthCare Insight, a unit of Verisk Analytics, Inc. March 2010 - October 2013
CalOptima January 2006 - December 2009
Molina Healthcare 1995 - 2004
Skills
Healthcare, Informatics, Strategic Planning, HIPAA, Team Building, Healthcare Information..., Medicare, Training, Healthcare Management, Process Improvement, EMR, Managed Care, Hospitals, Project Management, Insurance, Medicaid, EHR, Microsoft Office, Healthcare Consulting, Change Management, Data Analysis, Customer Service, Program Management, Health Insurance, Budgets, Leadership, Policy, Visio, Business Analysis, Claim, Health Policy, Software Documentation, Healthcare Industry, Employee Benefits, Medical Coding, Medical Billing, Quality Assurance, SDLC, Analysis, Business Process..., Practice Management, Integration, Business Intelligence, Cross-functional Team..., Management, Analytics, Vendor Management, IT Strategy, Strategy, Business Development
Education
Sierra College 1992 — 1994
Architecture
Mulvihill Healthcare Concepts, Inc. October 2013 - Present
HealthCare Insight, a unit of Verisk Analytics, Inc. March 2010 - October 2013
CalOptima January 2006 - December 2009
Molina Healthcare 1995 - 2004
Skills
Healthcare, Informatics, Strategic Planning, HIPAA, Team Building, Healthcare Information..., Medicare, Training, Healthcare Management, Process Improvement, EMR, Managed Care, Hospitals, Project Management, Insurance, Medicaid, EHR, Microsoft Office, Healthcare Consulting, Change Management, Data Analysis, Customer Service, Program Management, Health Insurance, Budgets, Leadership, Policy, Visio, Business Analysis, Claim, Health Policy, Software Documentation, Healthcare Industry, Employee Benefits, Medical Coding, Medical Billing, Quality Assurance, SDLC, Analysis, Business Process..., Practice Management, Integration, Business Intelligence, Cross-functional Team..., Management, Analytics, Vendor Management, IT Strategy, Strategy, Business Development
Education
Sierra College 1992 — 1994
Architecture
Sharon Dwiers Sharon Dwiers's CalOptima Experience September 1996 - Present
Job HighLevel Executive Assistant
Industry Health, Wellness and Fitness
Experience
CalOptima September 1996 - Present
Keystone Aniline Corporation June 1990 - June 1993
Gregg Foods April 1983 - May 1990
Skills
MS Project, Lotus 123, Adobe Acrobat, MS Word, MS PowerPoint, MS Access, MS Outlook, MS Excel, MS Visio, SharePoint, Outlook, Access, Visio, Healthcare, Microsoft Excel, Process Improvement, Administration, HIPAA, Healthcare Information..., Healthcare Management, Hospitals, Software Documentation, Strategic Planning, Leadership, Managed Care, Microsoft Word, Program Management, Medicare
Education
Coastline Community College
CalOptima September 1996 - Present
Keystone Aniline Corporation June 1990 - June 1993
Gregg Foods April 1983 - May 1990
Skills
MS Project, Lotus 123, Adobe Acrobat, MS Word, MS PowerPoint, MS Access, MS Outlook, MS Excel, MS Visio, SharePoint, Outlook, Access, Visio, Healthcare, Microsoft Excel, Process Improvement, Administration, HIPAA, Healthcare Information..., Healthcare Management, Hospitals, Software Documentation, Strategic Planning, Leadership, Managed Care, Microsoft Word, Program Management, Medicare
Education
Coastline Community College
Miles Masatsugu Miles Masatsugu's CalOptima Experience September 2013 - Present
Job Medical Director, Medical Management, CalOptima
Industry Hospital & Health Care
Experience
CalOptima September 2013 - Present
East Valley Community Health Center, West Covina Ca. June 2009 - July 2013
AltaMed Health Services August 2008 - May 2009
Community Care Health Centers August 2001 - August 2008
Skills
Community Health, Board Certified, Disease Management, Medical Education, Physicians, Emergency Medicine, Urgent Care, Informatics, Occupational Medicine, Diabetes, ACLS, Nursing, Mental Health, Clinical Decision..., Evidence-based Medicine, Treatment, Primary Health Care, Healthcare, Nutrition, Utilization Management, Case Management, Healthcare Consulting, Epidemiology, Health Policy, Ambulatory Care, Critical Care, Health Education, Population Health, EMR, Managed Care
Education
California Health Care Foundation 2009 — 2011
Fellowship, Health Care Leadership Program
Harvard University School of Public Health 2003 — 2003
Program, Managing Ambulatory Doctors in California Community Health Centers
UC Irvine Family Medicine Residency Program 1998 — 2001
Family Medicine Residency Program
Wayne State University School of Medicine 1994 — 1998
Doctor of Medicine (M.D.)
UC Irvine 1988 — 1993
Bachelor of Science (B.S.), Biology
CalOptima September 2013 - Present
East Valley Community Health Center, West Covina Ca. June 2009 - July 2013
AltaMed Health Services August 2008 - May 2009
Community Care Health Centers August 2001 - August 2008
Skills
Community Health, Board Certified, Disease Management, Medical Education, Physicians, Emergency Medicine, Urgent Care, Informatics, Occupational Medicine, Diabetes, ACLS, Nursing, Mental Health, Clinical Decision..., Evidence-based Medicine, Treatment, Primary Health Care, Healthcare, Nutrition, Utilization Management, Case Management, Healthcare Consulting, Epidemiology, Health Policy, Ambulatory Care, Critical Care, Health Education, Population Health, EMR, Managed Care
Education
California Health Care Foundation 2009 — 2011
Fellowship, Health Care Leadership Program
Harvard University School of Public Health 2003 — 2003
Program, Managing Ambulatory Doctors in California Community Health Centers
UC Irvine Family Medicine Residency Program 1998 — 2001
Family Medicine Residency Program
Wayne State University School of Medicine 1994 — 1998
Doctor of Medicine (M.D.)
UC Irvine 1988 — 1993
Bachelor of Science (B.S.), Biology
Jennifer McAleer, MPP, MBA, CHC, CCEP, AHFI Jennifer McAleer, MPP, MBA, CHC, CCEP, AHFI's CalOptima Experience March 2014 - May 2015
Job Chief Compliance & Privacy Officer
Industry Hospital & Health Care
Experience
Children's Hospital Los Angeles (CHLA) June 2015 - Present
Point of Prevention May 2005 - Present
CalOptima March 2014 - May 2015
Northland Hospice & Palliative Care March 2012 - March 2014
Northern Arizona Regional Behavioral Health Authority (NARBHA) December 2011 - March 2014
City of Flagstaff August 2013 - February 2014
Unity Care Group, Inc. September 2006 - November 2011
Pacific Medical Centers June 2009 - April 2010
Brighton Marine Medical Center December 2008 - January 2009
Unity Care Group July 2008 - September 2008
Skills
Compliance, Policy, Contract Negotiation, Quality Assurance, Program Implementation, Program Oversight, Executive Management, Behavioral Health, Managed Care, Medicaid Managed Care, Nonprofit Management, Budget Management, Strategic Planning, Operational Planning, Risk Management, Corporate Compliance, Health Care Compliance, Grant Administration, Developmental..., Residential Homes, Board of Director..., Budgets, Non-profits, Program Development, Legal Compliance, Health Policy, Management, Healthcare, System Administration, Medical Compliance, Corporate Governance, Training, Board of Directors, Program Management, Government, Healthcare Management, Medicare, Ethics, Privacy Law, Employee Benefits, Fundraising, Human Resources, Regulations, Analysis, Medicaid, FCPA, Nonprofits, HIPAA, Leadership, Software Documentation
Education
Society for Corporate Compliance and Ethics
Certified in Compliance and Ethics Professional
Health Care Compliance Association
Certified in Health Care Compliance
National Health Care Anti-Fraud Association
Accredited Health Care Fraud Investigator
Golden Gate University 2008 — 2008
MBA, Business
Muskie Institute of Public Service 2001 — 2004
Masters, Public Policy & Management
Muskie Institute of Public Service 2001 — 2003
Certificate in Nonprofit Management
University of New England 1998 — 2001
Bachelors, American Studies
Scarborough High School 1994 — 1997
Diploma, Academic
Children's Hospital Los Angeles (CHLA) June 2015 - Present
Point of Prevention May 2005 - Present
CalOptima March 2014 - May 2015
Northland Hospice & Palliative Care March 2012 - March 2014
Northern Arizona Regional Behavioral Health Authority (NARBHA) December 2011 - March 2014
City of Flagstaff August 2013 - February 2014
Unity Care Group, Inc. September 2006 - November 2011
Pacific Medical Centers June 2009 - April 2010
Brighton Marine Medical Center December 2008 - January 2009
Unity Care Group July 2008 - September 2008
Skills
Compliance, Policy, Contract Negotiation, Quality Assurance, Program Implementation, Program Oversight, Executive Management, Behavioral Health, Managed Care, Medicaid Managed Care, Nonprofit Management, Budget Management, Strategic Planning, Operational Planning, Risk Management, Corporate Compliance, Health Care Compliance, Grant Administration, Developmental..., Residential Homes, Board of Director..., Budgets, Non-profits, Program Development, Legal Compliance, Health Policy, Management, Healthcare, System Administration, Medical Compliance, Corporate Governance, Training, Board of Directors, Program Management, Government, Healthcare Management, Medicare, Ethics, Privacy Law, Employee Benefits, Fundraising, Human Resources, Regulations, Analysis, Medicaid, FCPA, Nonprofits, HIPAA, Leadership, Software Documentation
Education
Society for Corporate Compliance and Ethics
Certified in Compliance and Ethics Professional
Health Care Compliance Association
Certified in Health Care Compliance
National Health Care Anti-Fraud Association
Accredited Health Care Fraud Investigator
Golden Gate University 2008 — 2008
MBA, Business
Muskie Institute of Public Service 2001 — 2004
Masters, Public Policy & Management
Muskie Institute of Public Service 2001 — 2003
Certificate in Nonprofit Management
University of New England 1998 — 2001
Bachelors, American Studies
Scarborough High School 1994 — 1997
Diploma, Academic
Reena Bhavsar, MHA, PMP Reena Bhavsar, MHA, PMP's CalOptima Experience April 2014 - Present
Job Sr. Program Development Analyst, Business Integration
Industry Hospital & Health Care
Experience
CalOptima April 2014 - Present
Skills
Healthcare, Healthcare Management, Managed Care, Healthcare Information..., Project Management, Leadership, Program Development, HIPAA, Management, Hospitals, Strategic Planning, Medicaid, Public Health, Process Improvement, Program Management, EMR, Clinical Research, Nonprofits, EHR, Health Insurance, Healthcare Consulting, Medicare, Health Policy, Data Analysis, Fundraising, Policy, Event Planning, Community Outreach
Education
Chapman University 2007 — 2009
Masters, Health Administration
University of California, Riverside 2001 — 2005
Bachelor of Science, Business Administration
CalOptima April 2014 - Present
Skills
Healthcare, Healthcare Management, Managed Care, Healthcare Information..., Project Management, Leadership, Program Development, HIPAA, Management, Hospitals, Strategic Planning, Medicaid, Public Health, Process Improvement, Program Management, EMR, Clinical Research, Nonprofits, EHR, Health Insurance, Healthcare Consulting, Medicare, Health Policy, Data Analysis, Fundraising, Policy, Event Planning, Community Outreach
Education
Chapman University 2007 — 2009
Masters, Health Administration
University of California, Riverside 2001 — 2005
Bachelor of Science, Business Administration
Amy Anh Tran Amy Anh Tran's CalOptima Experience May 2013 - Present
Job Program Specialist
Industry Hospital & Health Care
Experience
CalOptima May 2013 - Present
IDA-Med February 2013 - May 2013
Vallco Shopping Mall 2010 - 2012
Second Harvest Food Bank 2009 - 2012
Mission College 2009 - 2009
Mission College 2008 - 2009
Skills
Customer Service, Marketing, Microsoft Excel, PowerPoint, Marketing Communications, Account Management, Social Media, Social Media Marketing, Project Planning, Public Speaking, Social Networking, Research, Microsoft Office, Management, Event Planning, Leadership
Education
Santa Clara University 2009 — 2011
Marketing
Le Hong Phong High School for the Gifted 2004 — 2007
CalOptima May 2013 - Present
IDA-Med February 2013 - May 2013
Vallco Shopping Mall 2010 - 2012
Second Harvest Food Bank 2009 - 2012
Mission College 2009 - 2009
Mission College 2008 - 2009
Skills
Customer Service, Marketing, Microsoft Excel, PowerPoint, Marketing Communications, Account Management, Social Media, Social Media Marketing, Project Planning, Public Speaking, Social Networking, Research, Microsoft Office, Management, Event Planning, Leadership
Education
Santa Clara University 2009 — 2011
Marketing
Le Hong Phong High School for the Gifted 2004 — 2007
Greg Buchert, M.D., M.P.H.'s CalOptima Experience May 2005 - January 2012
Job Chief Executive Officer and Plan President at California Health and Wellness Health Plan
Industry Hospital & Health Care
Experience
California Health and Wellness Health Plan September 2013 - Present
Health Management Associates January 2012 - September 2013
CalOptima May 2005 - January 2012
CalOptima September 2001 - May 2005
Accelerated Performance, Inc. March 1999 - September 2001
CalOptima July 1996 - March 1999
CalOptima October 1995 - January 1997
CalOptima April 1995 - September 1995
La Veta Pediatric Medical Group November 1990 - March 1995
Children's Hospital of Orange County (CHOC) January 1990 - January 1994
Skills
Managed Care, Medicaid, Medicare, Health, Hospitals, Utilization Management, Strategic Planning, Health Insurance, Healthcare, Program Development, Healthcare IT, Policy, Clinical, Budgeting, Planning, Change Management, Process Improvement, Care Management, Administration, HMO, Public Speaking, Quality Management, Healthcare Management, Health Plan Operations, ACO, Public Health, Pediatrics, Healthcare Consulting, Budgets, Case Managment, Healthcare Information..., Project Planning, Physicians, Health Policy, HIPAA, System Administration, Provider Relations, Insurance, Performance Improvement, Leadership, Program Management, Clinical Research
Education
Tulane University School of Medicine 1979 — 1983
Doctor of Medicine (M.D.)
Tulane University School of Public Health and Tropical Medicine 1977 — 1979
Master of Public Health (M.P.H.), Health/Health Care Administration/Management
Tufts University 1975 — 1977
Bachelor of Arts (B.A.), Community Health and Delivery of Health Services; Psychology
St. Xavier High School
California Health and Wellness Health Plan September 2013 - Present
Health Management Associates January 2012 - September 2013
CalOptima May 2005 - January 2012
CalOptima September 2001 - May 2005
Accelerated Performance, Inc. March 1999 - September 2001
CalOptima July 1996 - March 1999
CalOptima October 1995 - January 1997
CalOptima April 1995 - September 1995
La Veta Pediatric Medical Group November 1990 - March 1995
Children's Hospital of Orange County (CHOC) January 1990 - January 1994
Skills
Managed Care, Medicaid, Medicare, Health, Hospitals, Utilization Management, Strategic Planning, Health Insurance, Healthcare, Program Development, Healthcare IT, Policy, Clinical, Budgeting, Planning, Change Management, Process Improvement, Care Management, Administration, HMO, Public Speaking, Quality Management, Healthcare Management, Health Plan Operations, ACO, Public Health, Pediatrics, Healthcare Consulting, Budgets, Case Managment, Healthcare Information..., Project Planning, Physicians, Health Policy, HIPAA, System Administration, Provider Relations, Insurance, Performance Improvement, Leadership, Program Management, Clinical Research
Education
Tulane University School of Medicine 1979 — 1983
Doctor of Medicine (M.D.)
Tulane University School of Public Health and Tropical Medicine 1977 — 1979
Master of Public Health (M.P.H.), Health/Health Care Administration/Management
Tufts University 1975 — 1977
Bachelor of Arts (B.A.), Community Health and Delivery of Health Services; Psychology
St. Xavier High School
Ray Jankowski Ray Jankowski's CalOptima Experience January 2012 - May 2012
Job Principal at Health Management Associates
Industry Hospital & Health Care
Experience
Health Management Associates September 2014 - Present
Health Management Associates May 2012 - August 2014
CalOptima January 2012 - May 2012
CalOptima May 2010 - January 2012
Community Hospital of Long Beach January 2003 - May 2010
CalOptima January 1998 - January 2003
CalOptima May 1995 - May 1998
Western Medical Center 1991 - 1995
UniHealth America 1987 - 1991
Skills
Medicaid, Managed Care, Healthcare, Hospitals, Strategic Planning, Healthcare Information..., Physician Relations, Healthcare Management, Home Care, Disease Management, Nonprofits, Health Policy, Healthcare Consulting, EHR, Elder Care, HIPAA, Leadership, Program Development, Medicare, Revenue Cycle, Physicians, Healthcare Industry, Quality Improvement, Provider Relations, Revenue Cycle Management, EMR, Practice Management
Education
UCLA Anderson School of Management 1974 — 1977
MBA, Finance
University of California, Los Angeles 1969 — 1971
Bachelor of Science, Chemistry
Health Management Associates September 2014 - Present
Health Management Associates May 2012 - August 2014
CalOptima January 2012 - May 2012
CalOptima May 2010 - January 2012
Community Hospital of Long Beach January 2003 - May 2010
CalOptima January 1998 - January 2003
CalOptima May 1995 - May 1998
Western Medical Center 1991 - 1995
UniHealth America 1987 - 1991
Skills
Medicaid, Managed Care, Healthcare, Hospitals, Strategic Planning, Healthcare Information..., Physician Relations, Healthcare Management, Home Care, Disease Management, Nonprofits, Health Policy, Healthcare Consulting, EHR, Elder Care, HIPAA, Leadership, Program Development, Medicare, Revenue Cycle, Physicians, Healthcare Industry, Quality Improvement, Provider Relations, Revenue Cycle Management, EMR, Practice Management
Education
UCLA Anderson School of Management 1974 — 1977
MBA, Finance
University of California, Los Angeles 1969 — 1971
Bachelor of Science, Chemistry
Sheraz Amin Sheraz Amin's CalOptima Experience September 2015 - Present
Job Sr. Analyst at CalOptima
Industry Higher Education
Experience
CalOptima September 2015 - Present
Prospect Medical November 2013 - September 2015
Kaiser Permanente December 2011 - November 2013
Kaiser Permanente June 2010 - July 2010
Indymac Bank May 2008 - September 2008
Altus Recruiting Services July 2007 - April 2008
P&H Medical June 2006 - June 2007
Skills
Project Management, Management, Team Leadership, Public Speaking, Training, Program Management, Strategic Planning, Business Strategy, Business Development, Recruiting, Strategy, Negotiation, Analysis, Finance, Sales, Financial Analysis, Marketing Strategy
Education
Pepperdine University- Graziadio School of Business and Management 2009 — 2011
Masters In Business Administration, International Business
Universidad Austral- IAE School of Management and Business 2010 — 2010
International Exchange Program
University of California, Riverside 2002 — 2006
Bachelors of Arts, Business Administration
CalOptima September 2015 - Present
Prospect Medical November 2013 - September 2015
Kaiser Permanente December 2011 - November 2013
Kaiser Permanente June 2010 - July 2010
Indymac Bank May 2008 - September 2008
Altus Recruiting Services July 2007 - April 2008
P&H Medical June 2006 - June 2007
Skills
Project Management, Management, Team Leadership, Public Speaking, Training, Program Management, Strategic Planning, Business Strategy, Business Development, Recruiting, Strategy, Negotiation, Analysis, Finance, Sales, Financial Analysis, Marketing Strategy
Education
Pepperdine University- Graziadio School of Business and Management 2009 — 2011
Masters In Business Administration, International Business
Universidad Austral- IAE School of Management and Business 2010 — 2010
International Exchange Program
University of California, Riverside 2002 — 2006
Bachelors of Arts, Business Administration
Benjamin Singer Benjamin Singer's CalOptima Experience January 2007 - September 2007
Job Senior Public Affairs Consultant with emphasis on healthcare and nonprofits
Industry Public Relations and Communications
Experience
Open to New Opportunities 2010 - Present
Singer Strategic June 2009 - Present
Anthem Blue Cross September 2008 - May 2009
CalOptima January 2007 - September 2007
FischerHealth, a PorterNovelli Company June 2004 - December 2006
PacifiCare Health Systems (now UnitedHealthcare) June 1993 - December 2001
Skills
Strategic..., Issues and Crises..., Coalition Building, Fund-raising &..., Writing, Corporate Communications, Crisis, Project Planning, Communication, Healthcare Management, Strategic Communications, Internal Communications, Coalitions, Fundraising, Public Relations, Editing, Press Releases, Marketing Communications, Crisis Communications, Leadership, Media Relations, Training, Brand Development, Nonprofits, Copywriting, Strategic Planning, Strategy, Marketing Strategy, Program Management, Management, Crisis Management, Public Affairs, Spokesperson, Government, Publicity, Newsletters, Speech Writing, Community Development, Message Development, Communication Training, Messaging, Integrated Marketing, Communications Planning, Corporate Social..., Interviews, Corporate Branding, Thought Leadership, Content Development, Publications, Web Content
Education
Seton Hall University 1972 — 1975
Bachelor of Arts (B.A.), Mass Commnunication, TV production, journalism; Minor: English, Foreign Language
Seton Hall University 1972 — 1975
Bachelor of Arts (B.A.), Mass Communication/Media Studies, 3.22
Open to New Opportunities 2010 - Present
Singer Strategic June 2009 - Present
Anthem Blue Cross September 2008 - May 2009
CalOptima January 2007 - September 2007
FischerHealth, a PorterNovelli Company June 2004 - December 2006
PacifiCare Health Systems (now UnitedHealthcare) June 1993 - December 2001
Skills
Strategic..., Issues and Crises..., Coalition Building, Fund-raising &..., Writing, Corporate Communications, Crisis, Project Planning, Communication, Healthcare Management, Strategic Communications, Internal Communications, Coalitions, Fundraising, Public Relations, Editing, Press Releases, Marketing Communications, Crisis Communications, Leadership, Media Relations, Training, Brand Development, Nonprofits, Copywriting, Strategic Planning, Strategy, Marketing Strategy, Program Management, Management, Crisis Management, Public Affairs, Spokesperson, Government, Publicity, Newsletters, Speech Writing, Community Development, Message Development, Communication Training, Messaging, Integrated Marketing, Communications Planning, Corporate Social..., Interviews, Corporate Branding, Thought Leadership, Content Development, Publications, Web Content
Education
Seton Hall University 1972 — 1975
Bachelor of Arts (B.A.), Mass Commnunication, TV production, journalism; Minor: English, Foreign Language
Seton Hall University 1972 — 1975
Bachelor of Arts (B.A.), Mass Communication/Media Studies, 3.22
Jian-ya Lin Pharm.D. Jian-ya Lin Pharm.D.'s CalOptima Experience July 2014 - June 2015
Job Pharmacist Program Manager at Anthem, Inc.
Industry Hospital & Health Care
Experience
Anthem, Inc. July 2015 - Present
CalOptima July 2014 - June 2015
Marin General Hospital July 2011 - May 2014
Gilead Sciences January 2014 - February 2014
UCSF Medical Center July 2011 - March 2012
UCLA March 2006 - August 2010
CVS Pharmacy February 2007 - July 2010
Skills
Clinical Research, Hospitals, Medical Terminology, Cpr Certified, Medicine, CPR Certified, Pharmacy, Pharmacology, Research, Pharmacy Benefit..., Medicaid Managed Care, Medication Therapy..., Managed Care
Education
University of California, San Francisco 2010 — 2014
Doctor of Pharmacy (Pharm.D.)
UCLA 2005 — 2009
Bachelor of Science (BS), Microbiology, Immunology, and Molecular Genetics
Anthem, Inc. July 2015 - Present
CalOptima July 2014 - June 2015
Marin General Hospital July 2011 - May 2014
Gilead Sciences January 2014 - February 2014
UCSF Medical Center July 2011 - March 2012
UCLA March 2006 - August 2010
CVS Pharmacy February 2007 - July 2010
Skills
Clinical Research, Hospitals, Medical Terminology, Cpr Certified, Medicine, CPR Certified, Pharmacy, Pharmacology, Research, Pharmacy Benefit..., Medicaid Managed Care, Medication Therapy..., Managed Care
Education
University of California, San Francisco 2010 — 2014
Doctor of Pharmacy (Pharm.D.)
UCLA 2005 — 2009
Bachelor of Science (BS), Microbiology, Immunology, and Molecular Genetics
Tina Bailey Tina Bailey's CalOptima Experience March 2005 - September 2005
Job Senior Director, Compliance Solutions
Industry Hospital & Health Care
Experience
Gorman Health Group April 2011 - Present
Self Employed November 2010 - April 2011
March Vision Care October 2009 - October 2010
L.A. Care Health Plan January 2008 - October 2009
Citizens Choice Healthplan September 2005 - March 2007
CalOptima March 2005 - September 2005
CareMore January 2002 - March 2005
Molina Healthcare March 1999 - January 2002
Foundation Health Systems August 1995 - March 1999
FHP 1989 - 1995
Skills
Medicaid, Medicare, Healthcare, HIPAA, Managed Care
Education
Ocean View High School 1985 — 1989
Diploma
Golden West College
Gorman Health Group April 2011 - Present
Self Employed November 2010 - April 2011
March Vision Care October 2009 - October 2010
L.A. Care Health Plan January 2008 - October 2009
Citizens Choice Healthplan September 2005 - March 2007
CalOptima March 2005 - September 2005
CareMore January 2002 - March 2005
Molina Healthcare March 1999 - January 2002
Foundation Health Systems August 1995 - March 1999
FHP 1989 - 1995
Skills
Medicaid, Medicare, Healthcare, HIPAA, Managed Care
Education
Ocean View High School 1985 — 1989
Diploma
Golden West College
Martin Wang Martin Wang's CalOptima Experience July 2013 - September 2013
Job Student at University of California, Irvine The Paul Merage School of Business
Industry Accounting
Experience
Becker Professional Education May 2013 - Present
Division of Education, UC Irvine May 2013 - Present
EY 2014 - 2015
EY 2014 - 2015
EY 2014 - 2015
CalOptima July 2013 - September 2013
Walsin Lihwa Corp. June 2012 - September 2012
Chen CPA June 2010 - September 2010
Skills
Chinese, Microsoft Office, Project Management, PowerPoint, Strategic Planning, Leadership
Education
University of California, Irvine - The Paul Merage School of Business 2009 — 2014
Bachelor of Arts (B.A.), Accounting and Chinese, Senior
Torrey Pines High School 2005 — 2009
Diploma
Becker Professional Education May 2013 - Present
Division of Education, UC Irvine May 2013 - Present
EY 2014 - 2015
EY 2014 - 2015
EY 2014 - 2015
CalOptima July 2013 - September 2013
Walsin Lihwa Corp. June 2012 - September 2012
Chen CPA June 2010 - September 2010
Skills
Chinese, Microsoft Office, Project Management, PowerPoint, Strategic Planning, Leadership
Education
University of California, Irvine - The Paul Merage School of Business 2009 — 2014
Bachelor of Arts (B.A.), Accounting and Chinese, Senior
Torrey Pines High School 2005 — 2009
Diploma
Arnold Carreon Arnold Carreon's CalOptima Experience March 2014 - Present
Job Senior Programmer at CalOptima
Industry Information Technology and Services
Experience
CalOptima March 2014 - Present
QBE North America February 2000 - February 2014
Software AG April 1999 - February 2000
Software AG May 1996 - April 1999
Computer Aid, Inc. July 1991 - May 1996
Skills
Web Services, Software Development, SQL, C#, Web Applications, SOA, .NET, VBScript, Software Project..., Rules Engines, Requirements Analysis, Business Analysis, Web Development, Systems Analysis, Microsoft SQL Server, Testing, Database Design, SSIS, Workflow Applications, SDLC, ADABAS, COBOL, JCL, CICS, DB2, Crystal Reports, VB.NET, MVS, Requirements Gathering, T-SQL, Visio, TSO, IBM Mainframe, ASP.NET, VSAM, Agile Methodologies, XML, ETL, Data Modeling, Data Warehousing, JavaScript, IMS DB/DC, SharePoint, Telerik, Easytrieve, Assembly Language, PLI, MVVM, TFS
Education
Mapua Institute of Technology 1986 — 1991
Bachelor of Science (BS), Computer Engineering
St. Andrew's School
CalOptima March 2014 - Present
QBE North America February 2000 - February 2014
Software AG April 1999 - February 2000
Software AG May 1996 - April 1999
Computer Aid, Inc. July 1991 - May 1996
Skills
Web Services, Software Development, SQL, C#, Web Applications, SOA, .NET, VBScript, Software Project..., Rules Engines, Requirements Analysis, Business Analysis, Web Development, Systems Analysis, Microsoft SQL Server, Testing, Database Design, SSIS, Workflow Applications, SDLC, ADABAS, COBOL, JCL, CICS, DB2, Crystal Reports, VB.NET, MVS, Requirements Gathering, T-SQL, Visio, TSO, IBM Mainframe, ASP.NET, VSAM, Agile Methodologies, XML, ETL, Data Modeling, Data Warehousing, JavaScript, IMS DB/DC, SharePoint, Telerik, Easytrieve, Assembly Language, PLI, MVVM, TFS
Education
Mapua Institute of Technology 1986 — 1991
Bachelor of Science (BS), Computer Engineering
St. Andrew's School
Jacqueline Mack-Harris's CalOptima Experience July 2009 - Present
Job Case Manager at CalOptima
Industry Hospital & Health Care
Experience
Center for Individual & Family Therapy 2013 - Present
CalOptima July 2009 - Present
Community Temple Church December 2013 - Present
Community Temple Church 1997 - 2013
Tustin High School 2006 - 2012
Absolute Health Care October 2001 - July 2009
Alterra Wynwood August 1999 - October 2001
United States Air Force 1986 - 1991
Skills
Healthcare, Nursing, Hospitals, Public Speaking, Health, PowerPoint, Event Planning, Team Building, Home Care, Public Health, Microsoft Office, Utilization Management, Healthcare Management, Software Documentation, Data Entry, Inpatient, Case Managment, Physician Relations, Medicaid, Wellness, Community Outreach, HIPAA, Healthcare Consulting, Physicians, Managed Care, Nonprofits, Healthcare Information..., Disease Management, Program Development, Long-term Care, Health Education, Elder Care, Medicine, Quality Improvement, Patient Advocacy, Clinical Research, Prevention, Treatment, Behavioral Health, Case Management, Social Services, Mental Health Counseling, Psychotherapy, Mental Health, Crisis Intervention, Care Planning
Education
The Chicago School of Professional Psychology 2014 — 2017
Doctor of Psychology (Psy.D.), Marital and Family Therapy, 2nd year
Hope International University 2011 — 2014
Master's Degree, Marriage and Family Therapy
University of Phoenix 2006 — 2011
BA, Human Services Management
Orange Coast College 1995 — 1999
AA, Culinary Arts
Center for Individual & Family Therapy 2013 - Present
CalOptima July 2009 - Present
Community Temple Church December 2013 - Present
Community Temple Church 1997 - 2013
Tustin High School 2006 - 2012
Absolute Health Care October 2001 - July 2009
Alterra Wynwood August 1999 - October 2001
United States Air Force 1986 - 1991
Skills
Healthcare, Nursing, Hospitals, Public Speaking, Health, PowerPoint, Event Planning, Team Building, Home Care, Public Health, Microsoft Office, Utilization Management, Healthcare Management, Software Documentation, Data Entry, Inpatient, Case Managment, Physician Relations, Medicaid, Wellness, Community Outreach, HIPAA, Healthcare Consulting, Physicians, Managed Care, Nonprofits, Healthcare Information..., Disease Management, Program Development, Long-term Care, Health Education, Elder Care, Medicine, Quality Improvement, Patient Advocacy, Clinical Research, Prevention, Treatment, Behavioral Health, Case Management, Social Services, Mental Health Counseling, Psychotherapy, Mental Health, Crisis Intervention, Care Planning
Education
The Chicago School of Professional Psychology 2014 — 2017
Doctor of Psychology (Psy.D.), Marital and Family Therapy, 2nd year
Hope International University 2011 — 2014
Master's Degree, Marriage and Family Therapy
University of Phoenix 2006 — 2011
BA, Human Services Management
Orange Coast College 1995 — 1999
AA, Culinary Arts
Katia Taylor (Nilsson) Katia Taylor (Nilsson)'s CalOptima Experience February 2015 - Present
Job Human Resources Manager (Recruitment and Employee Relations)
Industry Human Resources
Experience
CalOptima February 2015 - Present
AltaMed Health Services September 2011 - February 2015
Packaging Plus February 2008 - September 2011
Del Taco March 2007 - 2008
Behr Process Corporation February 1998 - February 2007
Skills
Employee Relations, Applicant Tracking..., Coaching, Succession Planning, Talent Acquisition, Employee Engagement, Strategic Planning, HRIS, Human Resources, Workforce Planning, Payroll, Change Management, Process Improvement, Benefits Administration, Organizational..., Labor Relations, Deferred Compensation, Recruiting, Operations Management, Performance Management, Talent Management, HR Policies, Management, Leadership, Training, Team Building, Employee Benefits, Personnel Management, Hiring, Onboarding, College Recruiting, Employee Training, Employment Law, FMLA, HR Consulting, Interviews, Job Descriptions, Leadership Development, New Hire Orientations
Education
University of La Verne 2008 — 2010
BA, Business
University of California, Irvine
CalOptima February 2015 - Present
AltaMed Health Services September 2011 - February 2015
Packaging Plus February 2008 - September 2011
Del Taco March 2007 - 2008
Behr Process Corporation February 1998 - February 2007
Skills
Employee Relations, Applicant Tracking..., Coaching, Succession Planning, Talent Acquisition, Employee Engagement, Strategic Planning, HRIS, Human Resources, Workforce Planning, Payroll, Change Management, Process Improvement, Benefits Administration, Organizational..., Labor Relations, Deferred Compensation, Recruiting, Operations Management, Performance Management, Talent Management, HR Policies, Management, Leadership, Training, Team Building, Employee Benefits, Personnel Management, Hiring, Onboarding, College Recruiting, Employee Training, Employment Law, FMLA, HR Consulting, Interviews, Job Descriptions, Leadership Development, New Hire Orientations
Education
University of La Verne 2008 — 2010
BA, Business
University of California, Irvine
Shradha Patel's CalOptima Experience May 2013 - Present
Job at
Industry Health, Wellness and Fitness
Experience
CalOptima May 2013 - Present
THINK Together August 2012 - May 2013
Citrus Healthcare August 2008 - June 2010
Best Western International General Manager November 2007 - April 2008
Hunter Sports School March 2007 - May 2007
Kokomo High School January 2007 - March 2007
Monroe County Schools September 2005 - December 2006
Northside Middle School January 2006 - May 2006
Marion Parks and Recreation June 2004 - August 2004
Skills
Education, Research, CMS, Reconciliation, Working With Children, Classroom Management, Classroom Instruction, Health Education, Organizing, Microsoft Office, Community Outreach, Recreation Planning, Healthcare, Analysis, HIPPA, Customer Service, Enrollment Services, Tutoring, Mentoring, Classroom, HIPAA, Process Improvement, Call Centers, Medicare, Teaching
Education
Indiana University Bloomington 2003 — 2007
Bachelor of Science, Applied Health Sciences (Secondary Health Education)
Marion High School 1999 — 2003
Applied
CalOptima May 2013 - Present
THINK Together August 2012 - May 2013
Citrus Healthcare August 2008 - June 2010
Best Western International General Manager November 2007 - April 2008
Hunter Sports School March 2007 - May 2007
Kokomo High School January 2007 - March 2007
Monroe County Schools September 2005 - December 2006
Northside Middle School January 2006 - May 2006
Marion Parks and Recreation June 2004 - August 2004
Skills
Education, Research, CMS, Reconciliation, Working With Children, Classroom Management, Classroom Instruction, Health Education, Organizing, Microsoft Office, Community Outreach, Recreation Planning, Healthcare, Analysis, HIPPA, Customer Service, Enrollment Services, Tutoring, Mentoring, Classroom, HIPAA, Process Improvement, Call Centers, Medicare, Teaching
Education
Indiana University Bloomington 2003 — 2007
Bachelor of Science, Applied Health Sciences (Secondary Health Education)
Marion High School 1999 — 2003
Applied
Keith Quinlivan Keith Quinlivan's CalOptima Experience September 2005 - May 2008
Job Retired
Industry Hospital & Health Care
Experience
Self Employed May 2013 - Present
Kern Health Systems April 2010 - May 2013
CalOptima September 2005 - May 2008
Inland Empire Health Plan May 1995 - August 2005
SCAN Health Plan July 1999 - September 2004
Skills
Non-profits, Medicare, Medicaid, Capitation, Managed Care, Budgets, Healthcare, Hospitals, Healthcare Management, HMO, Health Insurance, Revenue Cycle, Start-ups, Accounting, Management, Strategic Planning, Finance
Education
UCLA Anderson School of Management 1974 — 1976
MBA, Accounting & Information Systems
University of California, Santa Cruz 1970 — 1974
BA, Biology, cum laude
Self Employed May 2013 - Present
Kern Health Systems April 2010 - May 2013
CalOptima September 2005 - May 2008
Inland Empire Health Plan May 1995 - August 2005
SCAN Health Plan July 1999 - September 2004
Skills
Non-profits, Medicare, Medicaid, Capitation, Managed Care, Budgets, Healthcare, Hospitals, Healthcare Management, HMO, Health Insurance, Revenue Cycle, Start-ups, Accounting, Management, Strategic Planning, Finance
Education
UCLA Anderson School of Management 1974 — 1976
MBA, Accounting & Information Systems
University of California, Santa Cruz 1970 — 1974
BA, Biology, cum laude
Kelley Ribera's CalOptima Experience March 2014 - Present
Job Executive Assistant to CIO & Executive Director of Operations at CalOptima
Industry Executive Office
Experience
CalOptima March 2014 - Present
Irvine Company January 2005 - November 2013
Apria Healthcare 1996 - 2004
St. Joseph Medical Corporation 1994 - 1996
Skills
Kronos, Outlook, Spreadsheets, Office Management, Data Entry, Project Portfolio..., MondoPad Technology, Administrative...
Education
Irvine Valley College 1984 — 1986
Irvine High School 1980 — 1984
High School Diploma
CalOptima March 2014 - Present
Irvine Company January 2005 - November 2013
Apria Healthcare 1996 - 2004
St. Joseph Medical Corporation 1994 - 1996
Skills
Kronos, Outlook, Spreadsheets, Office Management, Data Entry, Project Portfolio..., MondoPad Technology, Administrative...
Education
Irvine Valley College 1984 — 1986
Irvine High School 1980 — 1984
High School Diploma
Richard Helmer Richard Helmer's CalOptima Experience May 2013 - Present
Job CMO at CalOptima
Industry Hospital & Health Care
Experience
CalOptima May 2013 - Present
NCQA 1997 - Present
Central California Alliance for Health 2007 - 2013
Molina Healthcare August 1999 - July 2005
Pacific Healthcare Group, Inc. July 1994 - July 1999
TakeCare Health Plan June 1992 - June 1994
FHP December 1988 - June 1992
Skills
Disease Management, Utilization Management, Managed Care, Healthcare Management, Quality Management, Medicaid, NCQA, Case Management, Quality Improvement, Healthcare Information..., Hospitals, Case Managment, Program Development, Health Policy, Program Evaluation, Public Health, Healthcare, Healthcare Consulting, Medicare, Healthcare Industry, Provider Relations, HIPAA, Physician Relations
Education
Medical College of Wisconsin 1972 — 1976
MD
CalOptima May 2013 - Present
NCQA 1997 - Present
Central California Alliance for Health 2007 - 2013
Molina Healthcare August 1999 - July 2005
Pacific Healthcare Group, Inc. July 1994 - July 1999
TakeCare Health Plan June 1992 - June 1994
FHP December 1988 - June 1992
Skills
Disease Management, Utilization Management, Managed Care, Healthcare Management, Quality Management, Medicaid, NCQA, Case Management, Quality Improvement, Healthcare Information..., Hospitals, Case Managment, Program Development, Health Policy, Program Evaluation, Public Health, Healthcare, Healthcare Consulting, Medicare, Healthcare Industry, Provider Relations, HIPAA, Physician Relations
Education
Medical College of Wisconsin 1972 — 1976
MD
Jennifer Santoro Jennifer Santoro's CalOptima Experience January 2003 - March 2014
Job Transition & Ambulatory Care Pharmacy Supervisor at Providence Health & Services
Industry Hospital & Health Care
Experience
Providence Health & Services April 2014 - Present
CalOptima January 2003 - March 2014
Cedars-Sinai Medical Center August 2001 - January 2003
Skills
Medication Therapy..., Pharmacists, Leadership, Pharmacy Benefit..., Pharmacy Automation, Managed Care, Medicare Part D, Healthcare, Utilization Management, Disease Management, Healthcare Management, Hospitals, Medicaid, Clinical Research, Pharmacy
Education
University of California, San Francisco 1996 — 2000
Pharm.D., Pharmacy
Santa Clara University 1992 — 1996
Bachelor of Science (B.S.), Biology, General
Providence Health & Services April 2014 - Present
CalOptima January 2003 - March 2014
Cedars-Sinai Medical Center August 2001 - January 2003
Skills
Medication Therapy..., Pharmacists, Leadership, Pharmacy Benefit..., Pharmacy Automation, Managed Care, Medicare Part D, Healthcare, Utilization Management, Disease Management, Healthcare Management, Hospitals, Medicaid, Clinical Research, Pharmacy
Education
University of California, San Francisco 1996 — 2000
Pharm.D., Pharmacy
Santa Clara University 1992 — 1996
Bachelor of Science (B.S.), Biology, General
Sheri Tovo Sheri Tovo's CalOptima Experience June 2015 - Present
Job RN Case Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima June 2015 - Present
Alere Health, LLC June 2008 - June 2015
Heartland Home Health and Hospice Care 2000 - 2005
VNA of Orange County 1993 - 1997
Community Hospice Care 1990 - 1993
Skills
Palliative Care, Discharge Planning, Home Care, Case Management, Disease Management, Nursing, Nurses, Medicare, Healthcare, Case Managment, Managed Care, Medicaid, Acute Care, Utilization Management, Healthcare Management, Elder Care, Hospitals, EMR, Patient Advocacy, Clinical Research, Healthcare Information..., Mental Health, Long-term Care, HIPAA, Nursing Education, Patient Education, Medical/Surgical, Inpatient, Wound Care, Medication..., Health Education, Critical Care, ICU, IV, Utilization Review, Quality Improvement, Nursing Management, BLS, Certified Case Manager, Physician Relations, End of Life, Nursing Care, Direct Patient Care, Home Infusion, Nursing Process
Education
University of Phoenix 2005 — 2007
Bachelor of science Nursing, Nursing Practice
Santa Ana College 1974 — 1977
ADN, Nursing
Santa Ana College 1974 — 1977
ADN, Nursing
El Modena High School 1968 — 1972
diploma, general education
CalOptima June 2015 - Present
Alere Health, LLC June 2008 - June 2015
Heartland Home Health and Hospice Care 2000 - 2005
VNA of Orange County 1993 - 1997
Community Hospice Care 1990 - 1993
Skills
Palliative Care, Discharge Planning, Home Care, Case Management, Disease Management, Nursing, Nurses, Medicare, Healthcare, Case Managment, Managed Care, Medicaid, Acute Care, Utilization Management, Healthcare Management, Elder Care, Hospitals, EMR, Patient Advocacy, Clinical Research, Healthcare Information..., Mental Health, Long-term Care, HIPAA, Nursing Education, Patient Education, Medical/Surgical, Inpatient, Wound Care, Medication..., Health Education, Critical Care, ICU, IV, Utilization Review, Quality Improvement, Nursing Management, BLS, Certified Case Manager, Physician Relations, End of Life, Nursing Care, Direct Patient Care, Home Infusion, Nursing Process
Education
University of Phoenix 2005 — 2007
Bachelor of science Nursing, Nursing Practice
Santa Ana College 1974 — 1977
ADN, Nursing
Santa Ana College 1974 — 1977
ADN, Nursing
El Modena High School 1968 — 1972
diploma, general education
Deborah Rodriguez Deborah Rodriguez's CalOptima Experience February 2005 - July 2007
Job SVP Talent at ALPHAEON Corporation a Strathspey Crown company
Industry Human Resources
Experience
ALPHAEON Corporation a Strathspey Crown company February 2014 - Present
Alliance HealthCare Services June 2011 - February 2014
IMI Severe Service (CCI) June 2009 - June 2011
Allergan July 2007 - February 2009
CalOptima February 2005 - July 2007
Johnson & Johnson, Biosense Webster 2002 - 2004
Polar Air Cargo, a GE Capital Company April 2000 - May 2002
BP - Atlantic Richfield Company (ARCO) May 1996 - April 2000
Skills
Human Resources, Organizational..., Process Improvement, Talent Acquisition, Leadership Development, Training, Executive Coaching, Labor Relations, Career Development, Benefits Administration, Team Building, Leadership, Workforce Management, Talent Management, Vendor Management, Mergers & Acquisitions, Performance Management, Employee Training, Strategy, Employee Relations, Personnel Management, Deferred Compensation, Recruiting, Coaching, Change Management, Succession Planning, Negotiation, Employment Law, HR Consulting, Program Management, Management, Strategic Human..., Six Sigma, Employee Engagement, Workforce Planning, Onboarding, HRIS, Employee Benefits, Organizational Design, Organizational..., Applicant Tracking..., Sourcing, Interviews, Strategic HR, College Recruiting, HR Policies, Employer Branding
Education
La Roche College
MS, Human Resources Development
University of Maine, Orono
BS, International Relations
ALPHAEON Corporation a Strathspey Crown company February 2014 - Present
Alliance HealthCare Services June 2011 - February 2014
IMI Severe Service (CCI) June 2009 - June 2011
Allergan July 2007 - February 2009
CalOptima February 2005 - July 2007
Johnson & Johnson, Biosense Webster 2002 - 2004
Polar Air Cargo, a GE Capital Company April 2000 - May 2002
BP - Atlantic Richfield Company (ARCO) May 1996 - April 2000
Skills
Human Resources, Organizational..., Process Improvement, Talent Acquisition, Leadership Development, Training, Executive Coaching, Labor Relations, Career Development, Benefits Administration, Team Building, Leadership, Workforce Management, Talent Management, Vendor Management, Mergers & Acquisitions, Performance Management, Employee Training, Strategy, Employee Relations, Personnel Management, Deferred Compensation, Recruiting, Coaching, Change Management, Succession Planning, Negotiation, Employment Law, HR Consulting, Program Management, Management, Strategic Human..., Six Sigma, Employee Engagement, Workforce Planning, Onboarding, HRIS, Employee Benefits, Organizational Design, Organizational..., Applicant Tracking..., Sourcing, Interviews, Strategic HR, College Recruiting, HR Policies, Employer Branding
Education
La Roche College
MS, Human Resources Development
University of Maine, Orono
BS, International Relations
Michael Blatt, PharmD's CalOptima Experience July 2013 - August 2013
Job Clinical Science Specialist Cardiovascular & Metabolism
Industry Hospital & Health Care
Experience
Quintiles/Janssen October 2015 - Present
Central California Alliance for Health November 2014 - Present
Target August 2011 - November 2014
Hoag Hospital February 2014 - March 2014
Ralphs Grocery Company January 2014 - February 2014
CalOptima July 2013 - August 2013
Avanir Pharmaceuticals May 2013 - June 2013
Actelion June 2012 - March 2013
Kaiser Permanente April 2012 - May 2012
American Pharmacists Association UCSF Chapter April 2011 - April 2012
Skills
Pharmacy, Pharmacists, Certified Immunizer, Immunization, Medication Therapy..., Patient Counseling, Pharmacy Practice, Community Pharmacy, Clinical Research, Patient Education, Healthcare, Medicine, Clinical Trials, Managed Care, Pharmaceutical Industry, Public Health, Hospitals, Diabetes, Clinical Pharmacy, Research, Healthcare Management, Clinical Pharmacology, Pharmacology, Medicare Part D
Education
UCSF 2010 — 2014
Doctor of Pharmacy (Pharm.D.), Pharmacy
UC Merced 2007 — 2009
Bachelor of Science (B.S.), Biological Sciences
Quintiles/Janssen October 2015 - Present
Central California Alliance for Health November 2014 - Present
Target August 2011 - November 2014
Hoag Hospital February 2014 - March 2014
Ralphs Grocery Company January 2014 - February 2014
CalOptima July 2013 - August 2013
Avanir Pharmaceuticals May 2013 - June 2013
Actelion June 2012 - March 2013
Kaiser Permanente April 2012 - May 2012
American Pharmacists Association UCSF Chapter April 2011 - April 2012
Skills
Pharmacy, Pharmacists, Certified Immunizer, Immunization, Medication Therapy..., Patient Counseling, Pharmacy Practice, Community Pharmacy, Clinical Research, Patient Education, Healthcare, Medicine, Clinical Trials, Managed Care, Pharmaceutical Industry, Public Health, Hospitals, Diabetes, Clinical Pharmacy, Research, Healthcare Management, Clinical Pharmacology, Pharmacology, Medicare Part D
Education
UCSF 2010 — 2014
Doctor of Pharmacy (Pharm.D.), Pharmacy
UC Merced 2007 — 2009
Bachelor of Science (B.S.), Biological Sciences
Susie (Iglesias) Brewer's CalOptima Experience January 2011 - March 2011
Job Project Coordinator at Snyder Langston
Industry Construction
Experience
Snyder Langston April 2015 - Present
Athena Engineering, Inc. November 2011 - Present
The Bergman Companies April 2011 - August 2011
CalOptima January 2011 - March 2011
St. Joseph's Healthcare System October 1998 - June 2009
AARP October 1985 - May 1998
Skills
Construction, HVAC, Construction Management, Budgets, Project Bidding, Change Orders, Pre-construction, CPM Scheduling, Subcontracting, Contractors, Facilities Management, LEED, Energy, Renovation, Project Estimation, Project Coordination, RFI, Process Scheduler, LEED AP, Submittals, Value Engineering, Green Building, Design-Build, Estimates, Construction Safety, Contract Negotiation, Cost Control, Carpentry, Construction Drawings, Tenant Improvement, Constructability, Plumbing, High Rise, Contract Management, MS Project, Blueprint Reading, Entitlements, Supervisory Skills, Energy Audits, Energy Efficiency, Demolition, Energy Management, HVAC Controls, Revit, Energy Conservation, Negotiation, Building Automation, Suretrack, Electricians, Procurement
Education
GAHR
Long Beach City College
Administrative Justice
University of Phoenix-Southern California Campus
Business Administration and Management, General
Snyder Langston April 2015 - Present
Athena Engineering, Inc. November 2011 - Present
The Bergman Companies April 2011 - August 2011
CalOptima January 2011 - March 2011
St. Joseph's Healthcare System October 1998 - June 2009
AARP October 1985 - May 1998
Skills
Construction, HVAC, Construction Management, Budgets, Project Bidding, Change Orders, Pre-construction, CPM Scheduling, Subcontracting, Contractors, Facilities Management, LEED, Energy, Renovation, Project Estimation, Project Coordination, RFI, Process Scheduler, LEED AP, Submittals, Value Engineering, Green Building, Design-Build, Estimates, Construction Safety, Contract Negotiation, Cost Control, Carpentry, Construction Drawings, Tenant Improvement, Constructability, Plumbing, High Rise, Contract Management, MS Project, Blueprint Reading, Entitlements, Supervisory Skills, Energy Audits, Energy Efficiency, Demolition, Energy Management, HVAC Controls, Revit, Energy Conservation, Negotiation, Building Automation, Suretrack, Electricians, Procurement
Education
GAHR
Long Beach City College
Administrative Justice
University of Phoenix-Southern California Campus
Business Administration and Management, General
Betsy Chang Ha's CalOptima Experience 1998 - 2005
Job 2015 Emerging Leader Program (ELP) Coach at United Health Group
Industry Hospital & Health Care
Experience
United Health Group June 2015 - Present
OptumCare, UnitedHealth Group October 2013 - Present
Monarch HealthCare/OptumHealth Collaborative Care May 2011 - October 2013
Alta Med Health Services November 2009 - February 2011
California Health Care Foundation March 2008 - September 2010
American Sentinel University August 2009 - May 2010
California Prison Health Care Receivership Corp March 2007 - April 2009
Center for Health Care Strategies 2005 - 2007
CalOptima 1998 - 2005
MedPartners June 1996 - October 1998
Skills
Healthcare Management, Healthcare, Quality Improvement, Medicaid, Medicare, Nursing, Health Policy, Clinical Research, Managed Care, Hospitals, Utilization Management, Healthcare Consulting, Six Sigma, Strategic Planning, Performance Improvement, Quality Management, Healthcare Information..., Lean Manufacturing, Program Development, Revenue Cycle, Yoga, Process Improvement, Public Health, Registered Yoga Teacher, Clinical, Black Belt, Change Management, Care Management, Lean Health Care, Mindfulness Yoga, Patient Safety, Case Management, Pediatrics, Health Education
Education
California State University-Los Angeles 1984 — 1989
MS
University of Maryland Baltimore 1978 — 1980
BS
Loyola College in Maryland 1976 — 1978
United Health Group June 2015 - Present
OptumCare, UnitedHealth Group October 2013 - Present
Monarch HealthCare/OptumHealth Collaborative Care May 2011 - October 2013
Alta Med Health Services November 2009 - February 2011
California Health Care Foundation March 2008 - September 2010
American Sentinel University August 2009 - May 2010
California Prison Health Care Receivership Corp March 2007 - April 2009
Center for Health Care Strategies 2005 - 2007
CalOptima 1998 - 2005
MedPartners June 1996 - October 1998
Skills
Healthcare Management, Healthcare, Quality Improvement, Medicaid, Medicare, Nursing, Health Policy, Clinical Research, Managed Care, Hospitals, Utilization Management, Healthcare Consulting, Six Sigma, Strategic Planning, Performance Improvement, Quality Management, Healthcare Information..., Lean Manufacturing, Program Development, Revenue Cycle, Yoga, Process Improvement, Public Health, Registered Yoga Teacher, Clinical, Black Belt, Change Management, Care Management, Lean Health Care, Mindfulness Yoga, Patient Safety, Case Management, Pediatrics, Health Education
Education
California State University-Los Angeles 1984 — 1989
MS
University of Maryland Baltimore 1978 — 1980
BS
Loyola College in Maryland 1976 — 1978
Norma Dominguez, MPH Norma Dominguez, MPH's CalOptima Experience March 2015 - Present
Job Technical Writer at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2015 - Present
CalOptima December 2014 - March 2015
CalOptima April 2014 - December 2014
St. Joseph Hospital August 2012 - April 2013
South Main Medical June 2008 - January 2012
Stanford University Undergraduate Admissions Office October 2010 - March 2011
Skills
Medicaid Managed Care, Community Outreach, Affordable Care Act, Business Strategy, Federally Qualified..., Cost Benefit, Policy Analysis, Health Policy, Healthcare..., International Health..., Child Health Policy, Medical Safety Net, Grant Writing, Barrier Analysis, Public Speaking, SQL, Patient Centered..., Public Health, Data Entry, Organization &..., Microsoft Excel, Electronic Medical..., Customer Service, Medical Terminology, Event Planning, Microsoft Word, PowerPoint, Microsoft Office, Teaching, Clerical Skills, Writing, Microsoft Outlook, Mistake Proofing
Education
Keck School of Medicine of the University of Southern California 2012 — 2014
Master of Public Health (M.P.H.)
Stanford University 2007 — 2012
Bachelor of Arts (B.A.)
CalOptima March 2015 - Present
CalOptima December 2014 - March 2015
CalOptima April 2014 - December 2014
St. Joseph Hospital August 2012 - April 2013
South Main Medical June 2008 - January 2012
Stanford University Undergraduate Admissions Office October 2010 - March 2011
Skills
Medicaid Managed Care, Community Outreach, Affordable Care Act, Business Strategy, Federally Qualified..., Cost Benefit, Policy Analysis, Health Policy, Healthcare..., International Health..., Child Health Policy, Medical Safety Net, Grant Writing, Barrier Analysis, Public Speaking, SQL, Patient Centered..., Public Health, Data Entry, Organization &..., Microsoft Excel, Electronic Medical..., Customer Service, Medical Terminology, Event Planning, Microsoft Word, PowerPoint, Microsoft Office, Teaching, Clerical Skills, Writing, Microsoft Outlook, Mistake Proofing
Education
Keck School of Medicine of the University of Southern California 2012 — 2014
Master of Public Health (M.P.H.)
Stanford University 2007 — 2012
Bachelor of Arts (B.A.)
Darren Xanthos Darren Xanthos's CalOptima Experience September 2013 - Present
Job Director of Business Integration at CalOptima
Industry Hospital & Health Care
Experience
CalOptima September 2013 - Present
Beacon Health Strategies August 2010 - September 2013
Western Youth Services August 2008 - August 2010
Child Abuse Prevention Center March 2007 - July 2008
County of Orange - Health Care Agency January 2004 - March 2007
Mercer July 1997 - September 2000
Skills
Leadership, Management, Healthcare, Strategic Planning, Program Management, Strategy, Training, Project Management, Program Development, Case Managment, Operations Management, Healthcare Management, Managed Care, Process Improvement, Team Building, Quality Improvement, Case Management, Non-profits, Data Analysis, Business Intelligence, Program Implementation, Business Integration, Contract Management, Performance Metrics, Behavioral Health
Education
University of Southern California - Marshall School of Business 2008 — 2010
MBA
University of California, Los Angeles 2000 — 2002
MSW, Social Welfare
University of California, San Diego 1993 — 1997
BS, Management Science
CalOptima September 2013 - Present
Beacon Health Strategies August 2010 - September 2013
Western Youth Services August 2008 - August 2010
Child Abuse Prevention Center March 2007 - July 2008
County of Orange - Health Care Agency January 2004 - March 2007
Mercer July 1997 - September 2000
Skills
Leadership, Management, Healthcare, Strategic Planning, Program Management, Strategy, Training, Project Management, Program Development, Case Managment, Operations Management, Healthcare Management, Managed Care, Process Improvement, Team Building, Quality Improvement, Case Management, Non-profits, Data Analysis, Business Intelligence, Program Implementation, Business Integration, Contract Management, Performance Metrics, Behavioral Health
Education
University of Southern California - Marshall School of Business 2008 — 2010
MBA
University of California, Los Angeles 2000 — 2002
MSW, Social Welfare
University of California, San Diego 1993 — 1997
BS, Management Science
Edwin Poon Edwin Poon's CalOptima Experience December 2013 - June 2015
Job Director of Behavioral Health Clinical Services at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan June 2015 - Present
CalOptima December 2013 - June 2015
Skills
Healthcare Management, Healthcare, Behavioral Health, Hospitals, Clinical Research, Public Health, Managed Care, Medicaid, Healthcare Consulting
Education
Michigan State University 1995 — 2002
Doctor of Philosophy (Ph.D.), Clinical Psychology
Michigan State University
Doctor of Philosophy (Ph.D.), Clinical Psychology
L.A. Care Health Plan June 2015 - Present
CalOptima December 2013 - June 2015
Skills
Healthcare Management, Healthcare, Behavioral Health, Hospitals, Clinical Research, Public Health, Managed Care, Medicaid, Healthcare Consulting
Education
Michigan State University 1995 — 2002
Doctor of Philosophy (Ph.D.), Clinical Psychology
Michigan State University
Doctor of Philosophy (Ph.D.), Clinical Psychology
Jill Bogdan Jill Bogdan's CalOptima Experience 2014 - Present
Job EDI Technical Analyst
Industry Information Technology and Services
Experience
CalOptima 2014 - Present
Wipro January 2010 - September 2013
Wipro Infocrossing 2010 - 2013
Education
Columbia College 2010 — 2014
BS, CIS and Environmental Science
CalOptima 2014 - Present
Wipro January 2010 - September 2013
Wipro Infocrossing 2010 - 2013
Education
Columbia College 2010 — 2014
BS, CIS and Environmental Science
Pat Frias Pat Frias's CalOptima Experience June 2014 - Present
Job Senior Project Manager, Project Management Office (PMO)
Industry Information Technology and Services
Experience
CalOptima June 2014 - Present
Carrington Holding Company, LLC April 2014 - June 2014
St. Joseph Health IT August 2013 - January 2014
UnitedHealth Group May 2012 - August 2013
Southern California Edison June 2011 - 2012
Booz Allen Hamilton January 2004 - August 2009
Aetna, Inc/Prudential Health Care (NSC) March 1998 - May 2003
Skills
Software Project..., Cross-functional Team..., Healthcare Information..., Analysis, Program Management, DoD, Change Management, Project Planning, Management, Government, Business Process..., Software Documentation, Data Analysis, Business Process, Project Management, Requirements Analysis, Business Analysis, Strategic Planning, Integration, SDLC, Process Improvement, Policy, PMO, Vendor Management, Management Consulting, Testing, Requirements Gathering, Business Intelligence, Quality Assurance, Process Engineering, Governance, Strategy, Resource Management, Risk Management, Consulting, Business Process Design, Proposal Writing, Information Technology, Training, Project Delivery, ERP, IT Strategy, SharePoint, Team Leadership, Business Transformation, Agile Methodologies, Team Building
Education
DeVry Institute of Technology 1990 — 1993
Bachelors of Science, Business Operations
Rio Hondo College 1992 — 1993
CalOptima June 2014 - Present
Carrington Holding Company, LLC April 2014 - June 2014
St. Joseph Health IT August 2013 - January 2014
UnitedHealth Group May 2012 - August 2013
Southern California Edison June 2011 - 2012
Booz Allen Hamilton January 2004 - August 2009
Aetna, Inc/Prudential Health Care (NSC) March 1998 - May 2003
Skills
Software Project..., Cross-functional Team..., Healthcare Information..., Analysis, Program Management, DoD, Change Management, Project Planning, Management, Government, Business Process..., Software Documentation, Data Analysis, Business Process, Project Management, Requirements Analysis, Business Analysis, Strategic Planning, Integration, SDLC, Process Improvement, Policy, PMO, Vendor Management, Management Consulting, Testing, Requirements Gathering, Business Intelligence, Quality Assurance, Process Engineering, Governance, Strategy, Resource Management, Risk Management, Consulting, Business Process Design, Proposal Writing, Information Technology, Training, Project Delivery, ERP, IT Strategy, SharePoint, Team Leadership, Business Transformation, Agile Methodologies, Team Building
Education
DeVry Institute of Technology 1990 — 1993
Bachelors of Science, Business Operations
Rio Hondo College 1992 — 1993
Rachel Robison Rachel Robison's CalOptima Experience August 2015 - Present
Job Health Educator/Disabilities Specialist
Industry Health, Wellness and Fitness
Experience
CalOptima August 2015 - Present
CareMore Health Plan August 2013 - August 2015
Institute for Healthcare Advancement August 2012 - August 2013
Omnis Student Loans, Inc. March 2007 - December 2007
Skills
Health Education, Project Management, Healthcare, Public Speaking, Program Management, Nonprofits, Community Outreach, Program Development, Research, Event Planning, Leadership
Education
California State University-Los Angeles 2013 — 2016
Master of Science (MS), Vocational Rehabilitation Counseling/Counselor
California State University-Fullerton 2009 — 2011
Bachelor of Science (BS), Health Science/ Health Promotion and Disease Prevention
CalOptima August 2015 - Present
CareMore Health Plan August 2013 - August 2015
Institute for Healthcare Advancement August 2012 - August 2013
Omnis Student Loans, Inc. March 2007 - December 2007
Skills
Health Education, Project Management, Healthcare, Public Speaking, Program Management, Nonprofits, Community Outreach, Program Development, Research, Event Planning, Leadership
Education
California State University-Los Angeles 2013 — 2016
Master of Science (MS), Vocational Rehabilitation Counseling/Counselor
California State University-Fullerton 2009 — 2011
Bachelor of Science (BS), Health Science/ Health Promotion and Disease Prevention
Alyssa de Leon Alyssa de Leon's CalOptima Experience September 2014 - Present
Job Data Entry Technician at CalOptima
Industry Hospital & Health Care
Experience
CalOptima September 2014 - Present
MemorialCare Medical Group February 2012 - September 2014
The Walt Disney Company June 2011 - February 2012
Toys R Us October 2009 - May 2011
Skills
Data Entry, Customer Service, Time Management, Leadership, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Outlook, 10 Key, Teamwork, Research, Cashiering, Sales, Retail, Team Building, Social Networking, Strategic Planning, Social Media, Project Management, Event Planning, Merchandising, Public Speaking, English, Photoshop, Problem Solving, Telephone Skills, Team Leadership, Training, Inventory Management
Education
Santa Ana College 2014 — 2017
Associate of Science (A.S.), Business Administration and Management, General
CalOptima September 2014 - Present
MemorialCare Medical Group February 2012 - September 2014
The Walt Disney Company June 2011 - February 2012
Toys R Us October 2009 - May 2011
Skills
Data Entry, Customer Service, Time Management, Leadership, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Outlook, 10 Key, Teamwork, Research, Cashiering, Sales, Retail, Team Building, Social Networking, Strategic Planning, Social Media, Project Management, Event Planning, Merchandising, Public Speaking, English, Photoshop, Problem Solving, Telephone Skills, Team Leadership, Training, Inventory Management
Education
Santa Ana College 2014 — 2017
Associate of Science (A.S.), Business Administration and Management, General
Sarah Lazenby, MBA's CalOptima Experience December 2011 - September 2012
Job Organizational Performance Analyst at Shriners Hospitals for Children
Industry Hospital & Health Care
Experience
Shriners Hospitals for Children July 2013 - Present
CareCentrix - Chenoa Information Services September 2012 - June 2013
CalOptima December 2011 - September 2012
Dell February 2011 - December 2011
Universal Health Care May 2009 - February 2011
UnitedHealth Group May 2004 - May 2009
Skills
Healthcare, Analysis, Requirements Gathering, SQL, Dashboard, Scorecard, Microsoft SQL Server, SSRS, Toad Data Modeler, Functional Requirements, UML, Data Analysis, Data Warehousing, System Configuration, Claims Management, HIPAA, ICD-9, ICD-10, CPT, HCPCS, Appeals, Regulatory Requirements, Compliance, Microsoft Excel, Access, Dependable Team Player, Leadership, Claim, Full SDLC, Healthcare Industry, Software Implementation, Analytics, SharePoint, Visio, Testing, Medicaid, Medicare, Business Requirements, Quality Assurance, Business Process..., Databases, Business Analysis
Education
Saint Leo University 2010 — 2013
Master of Business Administration (M.B.A.), Business Administration, Management and Operations, 3.33 GPA
Saint Leo University 2007 — 2010
Bachelor of Science (B.S.), Health/Health Care Administration/Management, 3.45 GPA
Shriners Hospitals for Children July 2013 - Present
CareCentrix - Chenoa Information Services September 2012 - June 2013
CalOptima December 2011 - September 2012
Dell February 2011 - December 2011
Universal Health Care May 2009 - February 2011
UnitedHealth Group May 2004 - May 2009
Skills
Healthcare, Analysis, Requirements Gathering, SQL, Dashboard, Scorecard, Microsoft SQL Server, SSRS, Toad Data Modeler, Functional Requirements, UML, Data Analysis, Data Warehousing, System Configuration, Claims Management, HIPAA, ICD-9, ICD-10, CPT, HCPCS, Appeals, Regulatory Requirements, Compliance, Microsoft Excel, Access, Dependable Team Player, Leadership, Claim, Full SDLC, Healthcare Industry, Software Implementation, Analytics, SharePoint, Visio, Testing, Medicaid, Medicare, Business Requirements, Quality Assurance, Business Process..., Databases, Business Analysis
Education
Saint Leo University 2010 — 2013
Master of Business Administration (M.B.A.), Business Administration, Management and Operations, 3.33 GPA
Saint Leo University 2007 — 2010
Bachelor of Science (B.S.), Health/Health Care Administration/Management, 3.45 GPA
Ashley Alvarez's CalOptima Experience August 2015 - Present
Job Supervisor, Customer Service Member Enrollment at CalOptima
Industry Hospital & Health Care
Experience
CalOptima August 2015 - Present
Herbalife March 2014 - Present
Molina Healthcare October 2014 - August 2015
Molina Healthcare May 2013 - October 2014
Gemini Diversified Services, Inc. August 2012 - April 2013
Medvision Inc November 2011 - August 2012
Skills
Healthcare, Medicare, HIPAA, Microsoft Word, PowerPoint, Medical Billing, Outlook, Microsoft Excel, Medicaid, Credentialing, Microsoft Office, Customer Service, Managed Care, ICD-9, Accounting, Healthcare Management, Medical Coding, CPT, Leadership, Healthcare Information..., Healthcare Industry, Medical Terminology, Health Insurance, Team Building, Process Improvement, Leadership Development, Team Leadership, Process Quality..., Medicare Part D, Analysis, HMO, ICD-10
Education
Career College of California
Medical Insurance Specialist/Medical Biller
CalOptima August 2015 - Present
Herbalife March 2014 - Present
Molina Healthcare October 2014 - August 2015
Molina Healthcare May 2013 - October 2014
Gemini Diversified Services, Inc. August 2012 - April 2013
Medvision Inc November 2011 - August 2012
Skills
Healthcare, Medicare, HIPAA, Microsoft Word, PowerPoint, Medical Billing, Outlook, Microsoft Excel, Medicaid, Credentialing, Microsoft Office, Customer Service, Managed Care, ICD-9, Accounting, Healthcare Management, Medical Coding, CPT, Leadership, Healthcare Information..., Healthcare Industry, Medical Terminology, Health Insurance, Team Building, Process Improvement, Leadership Development, Team Leadership, Process Quality..., Medicare Part D, Analysis, HMO, ICD-10
Education
Career College of California
Medical Insurance Specialist/Medical Biller
Audrey Stenerson Audrey Stenerson's CalOptima Experience August 2015 - Present
Job Intermediate Buyer at CalOptima
Industry Marketing and Advertising
Experience
CalOptima August 2015 - Present
County of Orange February 2015 - August 2015
County of Orange September 2014 - October 2014
Corinthian Colleges January 2013 - February 2014
Priority Posting & Publishing May 2010 - January 2013
AXA Equitable January 2000 - May 2009
MetLife September 1989 - December 1999
Skills
Sourcing, Negotiation, Vendor Management, Procurement, Production, Advertising, Purchasing, Customer Service, Direct Mail, Traffic Management, Budgets, Graphics, Digital Printing, Print Production, Vendor Relations, Inventory Management, Marketing Communications, Project Management, Sales, Time Management, Publishing, Marketing, Management, Direct Marketing, Marketing Strategy, Email Marketing, Leadership, Account Management, Social Media Marketing, Training
Education
Columbia College 1980 — 1984
BA, Commercial and Advertising Art
CalOptima August 2015 - Present
County of Orange February 2015 - August 2015
County of Orange September 2014 - October 2014
Corinthian Colleges January 2013 - February 2014
Priority Posting & Publishing May 2010 - January 2013
AXA Equitable January 2000 - May 2009
MetLife September 1989 - December 1999
Skills
Sourcing, Negotiation, Vendor Management, Procurement, Production, Advertising, Purchasing, Customer Service, Direct Mail, Traffic Management, Budgets, Graphics, Digital Printing, Print Production, Vendor Relations, Inventory Management, Marketing Communications, Project Management, Sales, Time Management, Publishing, Marketing, Management, Direct Marketing, Marketing Strategy, Email Marketing, Leadership, Account Management, Social Media Marketing, Training
Education
Columbia College 1980 — 1984
BA, Commercial and Advertising Art
Lilia Gonzalez, MS, RD, CDE Lilia Gonzalez, MS, RD, CDE's CalOptima Experience June 2012 - Present
Job Registered Dietitian at CalOptima
Industry Health, Wellness and Fitness
Experience
Boston Heart Diagnostics October 2013 - Present
CalOptima June 2012 - Present
RD Consultants February 2012 - June 2012
Network for a Healthy CA - LAUSD September 2010 - June 2012
RD Consultants April 2009 - September 2010
East Los Angeles College February 2009 - June 2009
Network for a Healthy CA - LAUSD January 2008 - April 2009
Skills
Nutrition, Dietetics, Health Education, School Nutrition, Nutrition Education, Medical Nutrition..., Nutritional Counseling, Sports Nutrition, Wellness, Health Promotion, Weight Management, Diabetes, Prevention, Food, Weight, Heart Disease, Renal Nutrition, Wellness Coaching
Education
California State University-Los Angeles
MS, Nutritional Science
University of California, Los Angeles
BS, Physiological Science
Boston Heart Diagnostics October 2013 - Present
CalOptima June 2012 - Present
RD Consultants February 2012 - June 2012
Network for a Healthy CA - LAUSD September 2010 - June 2012
RD Consultants April 2009 - September 2010
East Los Angeles College February 2009 - June 2009
Network for a Healthy CA - LAUSD January 2008 - April 2009
Skills
Nutrition, Dietetics, Health Education, School Nutrition, Nutrition Education, Medical Nutrition..., Nutritional Counseling, Sports Nutrition, Wellness, Health Promotion, Weight Management, Diabetes, Prevention, Food, Weight, Heart Disease, Renal Nutrition, Wellness Coaching
Education
California State University-Los Angeles
MS, Nutritional Science
University of California, Los Angeles
BS, Physiological Science
Audrianna M. Gonzalez's CalOptima Experience March 2011 - December 2011
Job Quality Assurance Specialist at Interface Children & Family Services
Industry Health, Wellness and Fitness
Experience
Interface Children & Family Services November 2014 - December 2014
Maxim Staffing Solutions. May 2014 - December 2014
New Life Community Church April 2013 - December 2014
Interface Children & Family Services July 2012 - October 2014
Barnes and Nobles November 2011 - February 2012
CalOptima March 2011 - December 2011
Share Ourselves September 2008 - October 2011
Share Our Selves (SOS) September 2008 - October 2011
City of Irvine March 2011 - September 2011
American Diabetes Association 2011 - 2011
Skills
Community Outreach, Spanish, Public Health, Social Services, Teaching, Fitness, Public Speaking, Research, Fundraising, Cpr Certified, Sales, Microsoft Office, Health Promotion, Health Education, Nutrition, Healthcare, Wellness, Epidemiology, Prevention, Community Health, Healthcare Management, Clinical Research, Program Evaluation, Wellness Coaching, Program Development, Reproductive Health, Customer Service, Case Management, Case Managment, Grant Writing, Nonprofits, Community Engagement, Elder Care
Education
University of California, Irvine 2007 — 2012
Bachelors of Arts; Bachelor of Arts, Public Health Policy; Spanish
Santa Ana College 2011 — 2011
Interface Children & Family Services November 2014 - December 2014
Maxim Staffing Solutions. May 2014 - December 2014
New Life Community Church April 2013 - December 2014
Interface Children & Family Services July 2012 - October 2014
Barnes and Nobles November 2011 - February 2012
CalOptima March 2011 - December 2011
Share Ourselves September 2008 - October 2011
Share Our Selves (SOS) September 2008 - October 2011
City of Irvine March 2011 - September 2011
American Diabetes Association 2011 - 2011
Skills
Community Outreach, Spanish, Public Health, Social Services, Teaching, Fitness, Public Speaking, Research, Fundraising, Cpr Certified, Sales, Microsoft Office, Health Promotion, Health Education, Nutrition, Healthcare, Wellness, Epidemiology, Prevention, Community Health, Healthcare Management, Clinical Research, Program Evaluation, Wellness Coaching, Program Development, Reproductive Health, Customer Service, Case Management, Case Managment, Grant Writing, Nonprofits, Community Engagement, Elder Care
Education
University of California, Irvine 2007 — 2012
Bachelors of Arts; Bachelor of Arts, Public Health Policy; Spanish
Santa Ana College 2011 — 2011
Abel Stephen's CalOptima Experience January 2013 - October 2013
Job Business & Technology
Industry Management Consulting
Experience
CalOptima January 2013 - October 2013
Evolutionate March 2012 - September 2012
The Myrtum Corporation June 2007 - March 2012
The Union Rescue Mission February 2005 - June 2007
University of California Los Angeles Career Center April 2002 - January 2005
Kaufman Patricoff Enterprises July 2000 - October 2001
InfoWorks-Viacom Inc. September 1999 - June 2000
Bear Stearns & Co. Inc. March 1998 - September 1999
Computer Associates International, Inc March 1997 - March 1998
New York City Hospitals September 1992 - February 1997
Skills
Strategic Planning, Entrepreneurship, Cross-functional Team..., Business Strategy, Business Planning, Start-ups, Marketing Strategy, Strategy Development, Management Consulting, Contract Negotiation, Strategic Consulting, Fundraising, Strategy, Business Development, Social Media, CRM, Nonprofits, Marketing, Management, Leadership, Online Marketing, Training, Project Management, Team Leadership, Analysis, Outsourcing, Integration, Business Intelligence, E-commerce, Executive Management, Team Management, Enterprise Software, Strategic Partnerships, Budgets, Sales, Human Resources, Program Management, SaaS, Business Process..., Organizational..., Leadership Development
Education
UCLA Extension 2012 — 2013
Project Management Certificate, Earned With Distinction
Mount Sinai Hospital/ New York Blood Center Consortium 1992 — 1993
Medical Technology - New York State License, Blood Banking
City University of New York - Brooklyn College 1987 — 1992
B.S., Biology
CalOptima January 2013 - October 2013
Evolutionate March 2012 - September 2012
The Myrtum Corporation June 2007 - March 2012
The Union Rescue Mission February 2005 - June 2007
University of California Los Angeles Career Center April 2002 - January 2005
Kaufman Patricoff Enterprises July 2000 - October 2001
InfoWorks-Viacom Inc. September 1999 - June 2000
Bear Stearns & Co. Inc. March 1998 - September 1999
Computer Associates International, Inc March 1997 - March 1998
New York City Hospitals September 1992 - February 1997
Skills
Strategic Planning, Entrepreneurship, Cross-functional Team..., Business Strategy, Business Planning, Start-ups, Marketing Strategy, Strategy Development, Management Consulting, Contract Negotiation, Strategic Consulting, Fundraising, Strategy, Business Development, Social Media, CRM, Nonprofits, Marketing, Management, Leadership, Online Marketing, Training, Project Management, Team Leadership, Analysis, Outsourcing, Integration, Business Intelligence, E-commerce, Executive Management, Team Management, Enterprise Software, Strategic Partnerships, Budgets, Sales, Human Resources, Program Management, SaaS, Business Process..., Organizational..., Leadership Development
Education
UCLA Extension 2012 — 2013
Project Management Certificate, Earned With Distinction
Mount Sinai Hospital/ New York Blood Center Consortium 1992 — 1993
Medical Technology - New York State License, Blood Banking
City University of New York - Brooklyn College 1987 — 1992
B.S., Biology
Jerry Hou Jerry Hou's CalOptima Experience April 2014 - Present
Job Registered Nurse at CalOptima
Industry Medical Practice
Experience
CalOptima April 2014 - Present
WCCT Global July 2013 - July 2014
Vision Home Health May 2013 - April 2014
Gentle Hands Home Health April 2013 - April 2014
Sunrise Home Health Care March 2013 - April 2014
Skills
IV, Pediatrics, Nursing, Clinical Research, Phlebotomy, EKG, Patient Education, Patient Advocacy, Nursing Education, Public Health, Vital Signs, Inpatient, Medication..., Medical-Surgical, Medical/Surgical
Education
Chamberlain College of Nursing 2014 — 2016
Master of Science (M.S.), Family nurse practitioner
Concordia University Irvine 2011 — 2012
Bachelor's degree, Registered Nursing/Registered Nurse
University of California, Berkeley 2005 — 2008
Bachelor of Science (BS), Microbial Biology
CalOptima April 2014 - Present
WCCT Global July 2013 - July 2014
Vision Home Health May 2013 - April 2014
Gentle Hands Home Health April 2013 - April 2014
Sunrise Home Health Care March 2013 - April 2014
Skills
IV, Pediatrics, Nursing, Clinical Research, Phlebotomy, EKG, Patient Education, Patient Advocacy, Nursing Education, Public Health, Vital Signs, Inpatient, Medication..., Medical-Surgical, Medical/Surgical
Education
Chamberlain College of Nursing 2014 — 2016
Master of Science (M.S.), Family nurse practitioner
Concordia University Irvine 2011 — 2012
Bachelor's degree, Registered Nursing/Registered Nurse
University of California, Berkeley 2005 — 2008
Bachelor of Science (BS), Microbial Biology
Mayra Merrick Mayra Merrick's CalOptima Experience May 2005 - September 2006
Job V.P. of Sales and Marketing at Citizens Choice Healthplan
Industry Hospital & Health Care
Experience
Citizens Choice Healthplan September 2006 - August 2014
CalOptima May 2005 - September 2006
CareMore Health Plan 1999 - 2005
Skills
Medicare, Healthcare, Managed Care, Medicaid, Health Insurance, Healthcare Management, Marketing, Hospitals, Marketing Strategy, Strategic Planning, Team Building, Sales Management, Public Relations, Business Development, Budgets, Process Improvement, Project Management, Data Analysis, Customer Service, Marketing Management, Medicaid Managed Care, Provider Relations, HMO, Network Development, Healthcare Consulting, Healthcare Industry, Management, Insurance, Health Policy, New Business Development, Leadership
Education
USC 1987 — 1994
Master of Science, Gerontology and Health Administration
UCLA Anderson School of Management
Bachelor of Science (B.S.)
Citizens Choice Healthplan September 2006 - August 2014
CalOptima May 2005 - September 2006
CareMore Health Plan 1999 - 2005
Skills
Medicare, Healthcare, Managed Care, Medicaid, Health Insurance, Healthcare Management, Marketing, Hospitals, Marketing Strategy, Strategic Planning, Team Building, Sales Management, Public Relations, Business Development, Budgets, Process Improvement, Project Management, Data Analysis, Customer Service, Marketing Management, Medicaid Managed Care, Provider Relations, HMO, Network Development, Healthcare Consulting, Healthcare Industry, Management, Insurance, Health Policy, New Business Development, Leadership
Education
USC 1987 — 1994
Master of Science, Gerontology and Health Administration
UCLA Anderson School of Management
Bachelor of Science (B.S.)
Kristi Hall's CalOptima Experience May 2013 - Present
Job CalOptima
Industry Insurance
Experience
CalOptima May 2013 - Present
The Word & Brown Companies February 2013 - May 2013
SCAN Health Plan February 2012 - February 2013
Principal Financial Group April 2010 - February 2012
MetLife Ins February 2008 - December 2009
SafeGuard Dental & Vision June 1999 - February 2008
Skills
Billing, Invoicing, Insurance, Customer Relations, Customer Service, Supervisory Skills, Healthcare, Team Building, Health Insurance, Excel, Word, Problem Solving, Microsoft Excel, Health Care Reform, Medicare, Medicaid Managed Care, Project Planning, Accounts Receivable, Analysis, Microsoft Word, Process Improvement, Training, Management, Leadership
Education
Saddleback College 2001 — 2005
AA, Organizational Leadership
Saddleback College 2001 — 2005
J.F. Kennedy High School 1976 — 1978
General Studies
John f Kennedy 1976 — 1978
CalOptima May 2013 - Present
The Word & Brown Companies February 2013 - May 2013
SCAN Health Plan February 2012 - February 2013
Principal Financial Group April 2010 - February 2012
MetLife Ins February 2008 - December 2009
SafeGuard Dental & Vision June 1999 - February 2008
Skills
Billing, Invoicing, Insurance, Customer Relations, Customer Service, Supervisory Skills, Healthcare, Team Building, Health Insurance, Excel, Word, Problem Solving, Microsoft Excel, Health Care Reform, Medicare, Medicaid Managed Care, Project Planning, Accounts Receivable, Analysis, Microsoft Word, Process Improvement, Training, Management, Leadership
Education
Saddleback College 2001 — 2005
AA, Organizational Leadership
Saddleback College 2001 — 2005
J.F. Kennedy High School 1976 — 1978
General Studies
John f Kennedy 1976 — 1978
Robyn Hudson Robyn Hudson's CalOptima Experience September 2007 - January 2012
Job Sales Development Representative at Xtime
Industry Computer Software
Experience
Xtime August 2015 - Present
Amoretti September 2012 - July 2015
CalOptima September 2007 - January 2012
Warm Your Floor October 2006 - July 2007
Frontier International Group March 2006 - October 2006
Precision Aerospace Corporation June 2004 - March 2006
Skills
Customer Satisfaction, Customer Service, Management, Sales, PowerPoint, Time Management, Data Analysis, Microsoft Excel, Employee Benefits, Testing
Education
Saddleback College 2004 — 2007
Business Administration
Aliso Niguel High School 2000 — 2004
Xtime August 2015 - Present
Amoretti September 2012 - July 2015
CalOptima September 2007 - January 2012
Warm Your Floor October 2006 - July 2007
Frontier International Group March 2006 - October 2006
Precision Aerospace Corporation June 2004 - March 2006
Skills
Customer Satisfaction, Customer Service, Management, Sales, PowerPoint, Time Management, Data Analysis, Microsoft Excel, Employee Benefits, Testing
Education
Saddleback College 2004 — 2007
Business Administration
Aliso Niguel High School 2000 — 2004
Peerapong Tantameng's CalOptima Experience April 2010 - December 2014
Job
Industry Hospital & Health Care
Experience
On Lok SeniorHealth Services (Lifeways) January 2015 - Present
CalOptima April 2010 - December 2014
On Lok SeniorHealth Services May 2007 - April 2010
Physicians' Advocates May 2006 - May 2007
Davis Wright Tremaine LLP July 2003 - May 2006
Choate, Hall & Stewart July 2002 - July 2003
Skills
Healthcare, Elder Care, Program Development, Public Health, Nonprofits, Medicaid, Program Evaluation, Healthcare Management, Grant Writing, Grants, Health Policy, Litigation, Psychology, Policy, Policy Analysis, Managed Care, Community Outreach, Program Management, Healthcare Information..., Corporate Law
Education
University of California, Los Angeles - School of Law 1999 — 2002
JD, Law
Harvard T.H. Chan School of Public Health 1997 — 1999
SM, Health & Social Behavior
Pomona College 1991 — 1995
BA, Psychology
On Lok SeniorHealth Services (Lifeways) January 2015 - Present
CalOptima April 2010 - December 2014
On Lok SeniorHealth Services May 2007 - April 2010
Physicians' Advocates May 2006 - May 2007
Davis Wright Tremaine LLP July 2003 - May 2006
Choate, Hall & Stewart July 2002 - July 2003
Skills
Healthcare, Elder Care, Program Development, Public Health, Nonprofits, Medicaid, Program Evaluation, Healthcare Management, Grant Writing, Grants, Health Policy, Litigation, Psychology, Policy, Policy Analysis, Managed Care, Community Outreach, Program Management, Healthcare Information..., Corporate Law
Education
University of California, Los Angeles - School of Law 1999 — 2002
JD, Law
Harvard T.H. Chan School of Public Health 1997 — 1999
SM, Health & Social Behavior
Pomona College 1991 — 1995
BA, Psychology
Khanh Vu's CalOptima Experience August 2001 - January 2006
Job Strategy Leader at WellPoint
Industry Hospital & Health Care
Experience
Anthem, Inc. June 2014 - Present
Anthem, Inc. May 2011 - May 2014
Dynamic Healthcare Systems September 2010 - April 2011
SCAN Health Plan January 2006 - August 2010
CalOptima August 2001 - January 2006
Centers for Medicare & Medicaid Services July 1997 - August 2001
Skills
Managed Care, Medicare, Healthcare, Medicaid, Health Insurance, Strategic Planning, Healthcare Management, Process Improvement, Program Management, Project Management, Business Development, Data Analysis, Change Management
Education
University of Southern California - Marshall School of Business 2003 — 2006
MBA
University of California, Los Angeles - Fielding School of Public Health 1995 — 1997
MPH
University of California, Los Angeles 1991 — 1995
BA
Anthem, Inc. June 2014 - Present
Anthem, Inc. May 2011 - May 2014
Dynamic Healthcare Systems September 2010 - April 2011
SCAN Health Plan January 2006 - August 2010
CalOptima August 2001 - January 2006
Centers for Medicare & Medicaid Services July 1997 - August 2001
Skills
Managed Care, Medicare, Healthcare, Medicaid, Health Insurance, Strategic Planning, Healthcare Management, Process Improvement, Program Management, Project Management, Business Development, Data Analysis, Change Management
Education
University of Southern California - Marshall School of Business 2003 — 2006
MBA
University of California, Los Angeles - Fielding School of Public Health 1995 — 1997
MPH
University of California, Los Angeles 1991 — 1995
BA
Lindsey Angelats's CalOptima Experience April 2015 - Present
Job Director of Strategic Development at CalOptima
Industry Hospital & Health Care
Experience
CalOptima April 2015 - Present
UniHealth Foundation August 2013 - March 2015
City and County of San Francisco April 2013 - July 2013
City and County of San Francisco January 2007 - March 2013
Lucile Packard Children's Hospital July 2005 - January 2007
Kaiser Family Foundation May 2004 - July 2004
Advisory Board Company July 2001 - July 2003
Skills
Policy Analysis, Healthcare, Project Management, Strategic Planning, Public Policy, Marketing Communications, Nonprofits, Grants, Strategy, Program Evaluation, Policy, Data Analysis
Education
Harvard University 2003 — 2005
MS, Health Policy and Administration
University of North Carolina at Chapel Hill 2015 — 2018
Doctorate in Public Health
Certified Project Management Professional (PMP)
Duke University 1998 — 2001
BA, Public Policy
Fellow of the American College of Health Care Executives (FACHE)
CalOptima April 2015 - Present
UniHealth Foundation August 2013 - March 2015
City and County of San Francisco April 2013 - July 2013
City and County of San Francisco January 2007 - March 2013
Lucile Packard Children's Hospital July 2005 - January 2007
Kaiser Family Foundation May 2004 - July 2004
Advisory Board Company July 2001 - July 2003
Skills
Policy Analysis, Healthcare, Project Management, Strategic Planning, Public Policy, Marketing Communications, Nonprofits, Grants, Strategy, Program Evaluation, Policy, Data Analysis
Education
Harvard University 2003 — 2005
MS, Health Policy and Administration
University of North Carolina at Chapel Hill 2015 — 2018
Doctorate in Public Health
Certified Project Management Professional (PMP)
Duke University 1998 — 2001
BA, Public Policy
Fellow of the American College of Health Care Executives (FACHE)
Opel Ferguson's CalOptima Experience December 2009 - February 2010
Job Senior Accountant
Industry Computer Software
Experience
Performance Team February 2011 - Present
Quest Software August 2010 - February 2011
Graphic Communications International June 2010 - August 2010
Urban Decay Cosmetics February 2010 - June 2010
CalOptima December 2009 - February 2010
Commerce Energy February 2007 - October 2009
People's Choice Home Loan June 2006 - January 2007
APX Logistics October 2004 - June 2006
Bullet Freight System February 1999 - October 2004
Skills
Sarbanes-Oxley Act, Accounting, Account Reconciliation, Financial Analysis, General Ledger, Internal Controls, Variance Analysis, Financial Accounting, Financial Modeling, GAAP, Analysis, Finance, Payroll, Auditing, Cash Management, Budgets, Fixed Assets, Mergers & Acquisitions, Strategic Financial..., Financial Statements, Due Diligence, Management, Sarbanes-Oxley, Accruals, Financial Forecasting, Invoicing, Journal Entries, Tax, Bank Reconciliation, Revenue Recognition, Consolidation, Forecasting, Financial Reporting, Cash Flow, Accounts Receivable, SEC filings, US GAAP, Accounts Payable, Great Plains Software, Managerial Finance, Hyperion Enterprise, Internal Audit
Education
California State University-Long Beach - College of Business Administration 2000 — 2005
Accounting
National University 1996 — 1998
MBA, Financial Management
Institut D'Etudes Francaises De Touraine, France
Certificate, French language
Chiang Mai University, Thailand 1986 — 1989
BA, French Literature
Performance Team February 2011 - Present
Quest Software August 2010 - February 2011
Graphic Communications International June 2010 - August 2010
Urban Decay Cosmetics February 2010 - June 2010
CalOptima December 2009 - February 2010
Commerce Energy February 2007 - October 2009
People's Choice Home Loan June 2006 - January 2007
APX Logistics October 2004 - June 2006
Bullet Freight System February 1999 - October 2004
Skills
Sarbanes-Oxley Act, Accounting, Account Reconciliation, Financial Analysis, General Ledger, Internal Controls, Variance Analysis, Financial Accounting, Financial Modeling, GAAP, Analysis, Finance, Payroll, Auditing, Cash Management, Budgets, Fixed Assets, Mergers & Acquisitions, Strategic Financial..., Financial Statements, Due Diligence, Management, Sarbanes-Oxley, Accruals, Financial Forecasting, Invoicing, Journal Entries, Tax, Bank Reconciliation, Revenue Recognition, Consolidation, Forecasting, Financial Reporting, Cash Flow, Accounts Receivable, SEC filings, US GAAP, Accounts Payable, Great Plains Software, Managerial Finance, Hyperion Enterprise, Internal Audit
Education
California State University-Long Beach - College of Business Administration 2000 — 2005
Accounting
National University 1996 — 1998
MBA, Financial Management
Institut D'Etudes Francaises De Touraine, France
Certificate, French language
Chiang Mai University, Thailand 1986 — 1989
BA, French Literature
Ronald Lee, MBA, CFE's CalOptima Experience January 2015 - Present
Job Investigator Senior at CalOptima
Industry Insurance
Experience
CalOptima January 2015 - Present
Safeguard Services LLC, a Hewlett Packard Company January 2012 - January 2015
Progressive Insurance May 2007 - December 2011
RS Wireless June 2004 - March 2007
Santa Clara County Office of the Sheriff January 2002 - May 2004
Skills
Sales Management, Compliance Reviews and..., Multi Lingual Skills;..., New Business Development, Product Development, Strategic Planning, Marketing Strategy, Consumer Electronics, Business Strategy, Sales, Team Building, Marketing, Negotiation, Customer Service, Business Development, Policy Analysis, Training, Process Improvement
Education
National University 2009 — 2011
Master of Business Administration (MBA), Business Administration and Management, General
University of California, Irvine 1996 — 1998
Bachelor's degree, Social Ecology
CalOptima January 2015 - Present
Safeguard Services LLC, a Hewlett Packard Company January 2012 - January 2015
Progressive Insurance May 2007 - December 2011
RS Wireless June 2004 - March 2007
Santa Clara County Office of the Sheriff January 2002 - May 2004
Skills
Sales Management, Compliance Reviews and..., Multi Lingual Skills;..., New Business Development, Product Development, Strategic Planning, Marketing Strategy, Consumer Electronics, Business Strategy, Sales, Team Building, Marketing, Negotiation, Customer Service, Business Development, Policy Analysis, Training, Process Improvement
Education
National University 2009 — 2011
Master of Business Administration (MBA), Business Administration and Management, General
University of California, Irvine 1996 — 1998
Bachelor's degree, Social Ecology
Julie Ashby Umansky's CalOptima Experience August 1995 - January 1997
Job VP, Legal Advocacy, Exec. Dir. Legal Defense Fund at California Charter Schools Association
Industry Legal Services
Experience
California Charter Schools Association February 2004 - Present
Foley & Lardner LLP January 1997 - February 2004
CalOptima August 1995 - January 1997
Skills
Charter Schools, Public Education, Non-profits, Litigation Management, Legal Research, Fundraising, Grant Writing, Litigation, Policy Analysis, Corporate Governance, Legislation
Education
Tulane University Law School 1992 — 1995
JD, Law
UCLA 1987 — 1991
BA, Communication Studies
Cypress High School 1984 — 1987
High School Diploma
California Charter Schools Association February 2004 - Present
Foley & Lardner LLP January 1997 - February 2004
CalOptima August 1995 - January 1997
Skills
Charter Schools, Public Education, Non-profits, Litigation Management, Legal Research, Fundraising, Grant Writing, Litigation, Policy Analysis, Corporate Governance, Legislation
Education
Tulane University Law School 1992 — 1995
JD, Law
UCLA 1987 — 1991
BA, Communication Studies
Cypress High School 1984 — 1987
High School Diploma
Ajay Ahlawat's CalOptima Experience July 2014 - Present
Job Senior Project Manager at CalOptima
Industry Information Technology and Services
Experience
CalOptima July 2014 - Present
Molina Healthcare July 2011 - July 2014
Aaxis Group March 2011 - May 2011
Animated Designs May 2010 - February 2011
Sierra Systems December 2007 - May 2010
Beckman Coulter August 2006 - April 2007
Countrywide July 2007 - 2007
United HealthCare / (PacifiCare Behavioral Health) September 2004 - August 2006
Syncata Inc. September 2000 - September 2004
Megasys June 1999 - September 2000
Skills
Business Process Design, Requirements Analysis, Financial Services, Software Project..., SDLC, Integration, Access, Automotive, E-commerce, Testing, Visio, Healthcare Industry, Business Analysis, Quality Assurance, CRM, Requirements Gathering, Software Documentation, Process Improvement, Management, PMP, Business Process, Oracle, Analysis, Cross-functional Team..., SOA, Databases, Agile Methodologies
Education
Faculty of Management Studies - University of Delhi 1996 — 1999
MBA, MBA
Padmashree Dr D. Y. Patil Vidyapeeth 1986 — 1991
Bachelor of Engineering in Computer Science
University of Pune 1986 — 1991
BE, Computer Science
St johns school chandigarh 1978 — 1984
10th, 10th
DAV College Sector 10 chandigarh
CalOptima July 2014 - Present
Molina Healthcare July 2011 - July 2014
Aaxis Group March 2011 - May 2011
Animated Designs May 2010 - February 2011
Sierra Systems December 2007 - May 2010
Beckman Coulter August 2006 - April 2007
Countrywide July 2007 - 2007
United HealthCare / (PacifiCare Behavioral Health) September 2004 - August 2006
Syncata Inc. September 2000 - September 2004
Megasys June 1999 - September 2000
Skills
Business Process Design, Requirements Analysis, Financial Services, Software Project..., SDLC, Integration, Access, Automotive, E-commerce, Testing, Visio, Healthcare Industry, Business Analysis, Quality Assurance, CRM, Requirements Gathering, Software Documentation, Process Improvement, Management, PMP, Business Process, Oracle, Analysis, Cross-functional Team..., SOA, Databases, Agile Methodologies
Education
Faculty of Management Studies - University of Delhi 1996 — 1999
MBA, MBA
Padmashree Dr D. Y. Patil Vidyapeeth 1986 — 1991
Bachelor of Engineering in Computer Science
University of Pune 1986 — 1991
BE, Computer Science
St johns school chandigarh 1978 — 1984
10th, 10th
DAV College Sector 10 chandigarh
Erica Neal (Evans)'s CalOptima Experience December 2014 - Present
Job Manager, Information ServicesInfrastructure at CalOptima
Industry Telecommunications
Experience
CalOptima December 2014 - Present
CalOptima June 2012 - December 2014
CalOptima September 2007 - June 2012
caloptima 2007 - 2008
Skills
Active Directory, Backup Exec, Change Management, Disaster Recovery, Data Center, EHR, HIPAA, Healthcare, Healthcare Information..., Healthcare Management, IT Management, IT Operations, ITIL, Information Technology, Integration, Management, Microsoft Office, Microsoft SQL Server, Networking, Process Improvement, Program Management, Project Management, Project Planning, SQL, Servers, SharePoint, Software Documentation, Strategic Planning, System Administration, Team Building, Telecommunications, Troubleshooting, VMware, VMware ESX, Vendor Management, Virtualization, Visio, Windows Server
Education
University of Phoenix 2009 — 2011
MBA, Technology Management
University of California, Santa Barbara 1987 — 1991
BA, Law and Society
CalOptima December 2014 - Present
CalOptima June 2012 - December 2014
CalOptima September 2007 - June 2012
caloptima 2007 - 2008
Skills
Active Directory, Backup Exec, Change Management, Disaster Recovery, Data Center, EHR, HIPAA, Healthcare, Healthcare Information..., Healthcare Management, IT Management, IT Operations, ITIL, Information Technology, Integration, Management, Microsoft Office, Microsoft SQL Server, Networking, Process Improvement, Program Management, Project Management, Project Planning, SQL, Servers, SharePoint, Software Documentation, Strategic Planning, System Administration, Team Building, Telecommunications, Troubleshooting, VMware, VMware ESX, Vendor Management, Virtualization, Visio, Windows Server
Education
University of Phoenix 2009 — 2011
MBA, Technology Management
University of California, Santa Barbara 1987 — 1991
BA, Law and Society
Peter Scheid's CalOptima Experience November 2010 - May 2013
Job Addiction Medicine Specialist and Consultant at Peter J. Scheid, M.D.
Industry Hospital & Health Care
Experience
Peter J. Scheid, M.D. July 2014 - Present
Loma Linda University Medical Center July 2013 - June 2014
CalOptima November 2010 - May 2013
CalOptima January 2008 - November 2010
Primary Provider Management Company March 2007 - January 2008
Community Care Health Centers November 2002 - July 2007
University of California, San Diego August 2001 - October 2002
Skills
Quality Management, Utilization Management, Managed Care, Physicians, Healthcare Management, Healthcare, Quality Improvement, Healthcare Information..., Program Development, Medicaid, Medicare, Addiction Medicine, Addiction Recovery, Addictive Disorders, Mindfulness Meditation
Education
Wayne State University School of Medicine 1994 — 1998
M.D., Medicine
Michigan State University 1987 — 1990
B.A., English
Peter J. Scheid, M.D. July 2014 - Present
Loma Linda University Medical Center July 2013 - June 2014
CalOptima November 2010 - May 2013
CalOptima January 2008 - November 2010
Primary Provider Management Company March 2007 - January 2008
Community Care Health Centers November 2002 - July 2007
University of California, San Diego August 2001 - October 2002
Skills
Quality Management, Utilization Management, Managed Care, Physicians, Healthcare Management, Healthcare, Quality Improvement, Healthcare Information..., Program Development, Medicaid, Medicare, Addiction Medicine, Addiction Recovery, Addictive Disorders, Mindfulness Meditation
Education
Wayne State University School of Medicine 1994 — 1998
M.D., Medicine
Michigan State University 1987 — 1990
B.A., English
Cindy Su's CalOptima Experience July 2011 - Present
Job Communications Specialist at CalOptima
Industry Public Relations and Communications
Experience
CalOptima July 2011 - Present
James Mitchell and Company March 2009 - May 2011
UCSD Department of Pediatrics March 2009 - May 2011
BakBone Software, Inc August 2009 - July 2010
UCSD International Relations and Pacific Studies June 2005 - December 2008
BakBone Software October 2007 - November 2008
ABC 10 News June 2007 - September 2007
San Diego's CW (formerly WB) January 2007 - April 2007
Skills
Online Research, Writing, Organizing, Teamwork, Team Coordination, Social Media, Training Facilitation, Microsoft Office, Team Building, Social Media Marketing, Blogging, Editing, Marketing, Corporate Communications, Public Relations, Newsletters
Education
University of Southern California 2009 — 2011
Masters, Teaching
University of California, San Diego 2004 — 2008
Bachelor of Arts, Communications
CalOptima July 2011 - Present
James Mitchell and Company March 2009 - May 2011
UCSD Department of Pediatrics March 2009 - May 2011
BakBone Software, Inc August 2009 - July 2010
UCSD International Relations and Pacific Studies June 2005 - December 2008
BakBone Software October 2007 - November 2008
ABC 10 News June 2007 - September 2007
San Diego's CW (formerly WB) January 2007 - April 2007
Skills
Online Research, Writing, Organizing, Teamwork, Team Coordination, Social Media, Training Facilitation, Microsoft Office, Team Building, Social Media Marketing, Blogging, Editing, Marketing, Corporate Communications, Public Relations, Newsletters
Education
University of Southern California 2009 — 2011
Masters, Teaching
University of California, San Diego 2004 — 2008
Bachelor of Arts, Communications
Helen Syn's CalOptima Experience July 2015 - Present
Job Manager, Disease Management Program Development at CalOptima
Industry Health, Wellness and Fitness
Experience
CalOptima July 2015 - Present
Hospitals Insurance Company February 2014 - June 2015
Hospitals Insurance Company/FOJP Service Corporation January 2009 - January 2014
Community Premier Plus -NYP 2005 - 2007
Maxicare 1998 - 2000
Maxicare 1998 - 2000
Skills
Hospitals, Research, Clinical Research, Disease Management, Health Education, Risk Management, Access, Medicine, Healthcare Management, Managed Care, Analysis, Public Health, Data Analysis, Healthcare, Medical Education, Medicaid, Medicare, Management
Education
University of California, Los Angeles - School of Public Health 1995 — 1997
Master of Public Health (MPH), Community Health and Policy
University of California, Berkeley 1990 — 1994
Bachelor's degree, Psychology
CalOptima July 2015 - Present
Hospitals Insurance Company February 2014 - June 2015
Hospitals Insurance Company/FOJP Service Corporation January 2009 - January 2014
Community Premier Plus -NYP 2005 - 2007
Maxicare 1998 - 2000
Maxicare 1998 - 2000
Skills
Hospitals, Research, Clinical Research, Disease Management, Health Education, Risk Management, Access, Medicine, Healthcare Management, Managed Care, Analysis, Public Health, Data Analysis, Healthcare, Medical Education, Medicaid, Medicare, Management
Education
University of California, Los Angeles - School of Public Health 1995 — 1997
Master of Public Health (MPH), Community Health and Policy
University of California, Berkeley 1990 — 1994
Bachelor's degree, Psychology
Donna Davis, RN's CalOptima Experience November 2011 - August 2013
Job Director, Case Management
Industry Hospital & Health Care
Experience
Molina Healthcare April 2015 - Present
Monarch.Health IPA 2013 - April 2015
CalOptima November 2011 - August 2013
CalOptima December 2006 - January 2012
Schaller Anderson June 2004 - December 2006
Greater Newport Physicians 2002 - 2004
Education
Cypress College 1973 — 1974
Registered Nurse, psychiatric technician
Regents College
Registered Nursing
Molina Healthcare April 2015 - Present
Monarch.Health IPA 2013 - April 2015
CalOptima November 2011 - August 2013
CalOptima December 2006 - January 2012
Schaller Anderson June 2004 - December 2006
Greater Newport Physicians 2002 - 2004
Education
Cypress College 1973 — 1974
Registered Nurse, psychiatric technician
Regents College
Registered Nursing
Byron Nate, MPH's CalOptima Experience July 2009 - March 2015
Job Manager, Training & Development at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare March 2015 - Present
CalOptima July 2009 - March 2015
American Cancer Society 2007 - 2009
Watts Healthcare Corporation 2006 - 2007
St. Mary Medical Center 1999 - 2004
Skills
Program Development, Health Education, Public Health, Program Evaluation, Health Policy, Community Outreach, Community Health, Event Planning, Health Promotion, Grants, Prevention, Healthcare Management, Case Management, Healthcare, Grant Writing
Education
Loma Linda University 2004 — 2006
MPH, School of Public Health (Health Education & Health Promotion)
La Sierra University 1995 — 1999
B.A., Psychology, Clinical
Molina Healthcare March 2015 - Present
CalOptima July 2009 - March 2015
American Cancer Society 2007 - 2009
Watts Healthcare Corporation 2006 - 2007
St. Mary Medical Center 1999 - 2004
Skills
Program Development, Health Education, Public Health, Program Evaluation, Health Policy, Community Outreach, Community Health, Event Planning, Health Promotion, Grants, Prevention, Healthcare Management, Case Management, Healthcare, Grant Writing
Education
Loma Linda University 2004 — 2006
MPH, School of Public Health (Health Education & Health Promotion)
La Sierra University 1995 — 1999
B.A., Psychology, Clinical
Jeorjii Cruz's CalOptima Experience June 2014 - Present
Job case manager/administrative
Industry Executive Office
Experience
CalOptima June 2014 - Present
Diana Prince Construction October 2013 - March 2014
NeighborImpact February 2009 - August 2012
Mt Bachelor, Inc. November 2010 - March 2012
Yozamp Construction,Inc. February 2010 - February 2011
The City of Bend April 2007 - July 2008
Partners in Care 2005 - 2006
CalOptima April 2003 - October 2005
KB Toys 1998 - 2002
Skills
Event Planning, Public Relations, Social Media, Public Speaking, Microsoft Office, Community Outreach, Facebook, Press Releases, Customer Service, PowerPoint, Microsoft Word, Newsletters, Media Relations, Data Entry, Human Resources, Event Management, Budgets, Recruiting, Leadership, Nonprofits, Management, Outlook, Team Building, Administrative..., Spanish, Hiring, Conflict Resolution, Employee Relations, Program Management
Education
Irvine Valley College 2012 — 2014
Liberal Arts, Social Work
Central Oregon Community College 2010 — 2011
Liberal Arts, 4.0
CalOptima June 2014 - Present
Diana Prince Construction October 2013 - March 2014
NeighborImpact February 2009 - August 2012
Mt Bachelor, Inc. November 2010 - March 2012
Yozamp Construction,Inc. February 2010 - February 2011
The City of Bend April 2007 - July 2008
Partners in Care 2005 - 2006
CalOptima April 2003 - October 2005
KB Toys 1998 - 2002
Skills
Event Planning, Public Relations, Social Media, Public Speaking, Microsoft Office, Community Outreach, Facebook, Press Releases, Customer Service, PowerPoint, Microsoft Word, Newsletters, Media Relations, Data Entry, Human Resources, Event Management, Budgets, Recruiting, Leadership, Nonprofits, Management, Outlook, Team Building, Administrative..., Spanish, Hiring, Conflict Resolution, Employee Relations, Program Management
Education
Irvine Valley College 2012 — 2014
Liberal Arts, Social Work
Central Oregon Community College 2010 — 2011
Liberal Arts, 4.0
Sara Le, SPHR's CalOptima Experience October 2013 - May 2014
Job Sr. Manager, Human Resources
Industry Medical Devices
Experience
Edwards Lifesciences May 2014 - Present
CalOptima October 2013 - May 2014
Broadcom April 2011 - October 2013
towerjazz March 2009 - April 2011
St. Jude Medical March 2008 - March 2009
Skills
Talent Management, Employee Relations, Performance Management, Human Resources, Deferred Compensation, Succession Planning, HR Consulting, HR Policies, Organizational..., Onboarding, Talent Acquisition, Personnel Management, Labor Relations, Workforce Planning, Temporary Placement, Management, HRIS, Applicant Tracking..., College Recruiting, Employee Engagement, Compensation & Benefit, Employee Benefits, Benefits Administration, Organizational..., Interviews, Technical Recruiting, Employer Branding, PeopleSoft, Recruiting, Employee Training, Organizational Design, Job Descriptions, Sourcing, Internet Recruiting, Employment Law, Executive Search, Career Development, Screening, Hiring, Performance Appraisal, Benefits Negotiation, Executive Pay, Screening Resumes, Strategic HR
Education
University of California, Riverside
AB Miller
Edwards Lifesciences May 2014 - Present
CalOptima October 2013 - May 2014
Broadcom April 2011 - October 2013
towerjazz March 2009 - April 2011
St. Jude Medical March 2008 - March 2009
Skills
Talent Management, Employee Relations, Performance Management, Human Resources, Deferred Compensation, Succession Planning, HR Consulting, HR Policies, Organizational..., Onboarding, Talent Acquisition, Personnel Management, Labor Relations, Workforce Planning, Temporary Placement, Management, HRIS, Applicant Tracking..., College Recruiting, Employee Engagement, Compensation & Benefit, Employee Benefits, Benefits Administration, Organizational..., Interviews, Technical Recruiting, Employer Branding, PeopleSoft, Recruiting, Employee Training, Organizational Design, Job Descriptions, Sourcing, Internet Recruiting, Employment Law, Executive Search, Career Development, Screening, Hiring, Performance Appraisal, Benefits Negotiation, Executive Pay, Screening Resumes, Strategic HR
Education
University of California, Riverside
AB Miller
Geoff Patino's CalOptima Experience May 2009 - Present
Job
Industry Marketing and Advertising
Experience
CalOptima May 2009 - Present
Binary Research Institute 2002 - December 2008
Newport Beach Film Festival September 2004 - July 2006
The Great Year: A Documentary Narrated by James Earl Jones January 2002 - September 2004
Strouds February 2003 - March 2003
NetChemistry 1999 - 2001
Various Projects 1997 - 1999
Skills
After Effects, Premiere, Adobe Creative Suite, Final Cut Pro, Visual Effects, Film Production, Short Films, Video Editing, Video Production, Creative Direction, Creativity, Motion Graphics, Graphic Design, Brand Management, Corporate Branding, Visual Identity, Message Development, Strategic Communications, Corporate Communications, Healthcare, Newsletters, Brand Development, Editing, Graphics, Logo Design, New Media, Photography, Film, Marketing, Post Production, Digital Media
Education
University of California, San Diego 1993 — 1997
B.A.
CalOptima May 2009 - Present
Binary Research Institute 2002 - December 2008
Newport Beach Film Festival September 2004 - July 2006
The Great Year: A Documentary Narrated by James Earl Jones January 2002 - September 2004
Strouds February 2003 - March 2003
NetChemistry 1999 - 2001
Various Projects 1997 - 1999
Skills
After Effects, Premiere, Adobe Creative Suite, Final Cut Pro, Visual Effects, Film Production, Short Films, Video Editing, Video Production, Creative Direction, Creativity, Motion Graphics, Graphic Design, Brand Management, Corporate Branding, Visual Identity, Message Development, Strategic Communications, Corporate Communications, Healthcare, Newsletters, Brand Development, Editing, Graphics, Logo Design, New Media, Photography, Film, Marketing, Post Production, Digital Media
Education
University of California, San Diego 1993 — 1997
B.A.
Jeffrey Blend's CalOptima Experience November 1994 - November 1998
Job Assistant General Counsel at AIDS Healthcare Foundation
Industry Law Practice
Experience
AIDS Healthcare Foundation August 2014 - Present
O'Melveny & Myers LLP January 2014 - July 2014
O'Melveny & Myers LLP September 2008 - December 2013
O'Melveny & Myers LLP May 2007 - September 2008
St. Francis Medical Center March 2000 - May 2007
InterMed Health Systems November 1998 - March 2000
CalOptima November 1994 - November 1998
Office of Management and Budget June 1991 - April 1994
Skills
Health Policy, Healthcare, Policy, Data Analysis, Public Policy, Healthcare Information..., Policy Analysis, Program Evaluation, Grant Writing, Legislative Relations, Medicaid, Program Development, Litigation, Healthcare Consulting, Legal Research, Legal Writing, Managed Care, Legislation, Intellectual Property, Insurance, Westlaw, Class Actions
Education
Loyola Law School, Loyola Marymount University 2004 — 2008
JD
University of Michigan 1989 — 1991
MPP, Public Policy
University of California, Berkeley 1984 — 1988
Bachelor's Degree, History
AIDS Healthcare Foundation August 2014 - Present
O'Melveny & Myers LLP January 2014 - July 2014
O'Melveny & Myers LLP September 2008 - December 2013
O'Melveny & Myers LLP May 2007 - September 2008
St. Francis Medical Center March 2000 - May 2007
InterMed Health Systems November 1998 - March 2000
CalOptima November 1994 - November 1998
Office of Management and Budget June 1991 - April 1994
Skills
Health Policy, Healthcare, Policy, Data Analysis, Public Policy, Healthcare Information..., Policy Analysis, Program Evaluation, Grant Writing, Legislative Relations, Medicaid, Program Development, Litigation, Healthcare Consulting, Legal Research, Legal Writing, Managed Care, Legislation, Intellectual Property, Insurance, Westlaw, Class Actions
Education
Loyola Law School, Loyola Marymount University 2004 — 2008
JD
University of Michigan 1989 — 1991
MPP, Public Policy
University of California, Berkeley 1984 — 1988
Bachelor's Degree, History
Patrick Maez's CalOptima Experience August 1999 - Present
Job Sr. Network Admin at CalOptima
Industry Hospital & Health Care
Experience
CalOptima August 1999 - Present
Saddleback Memorial Medical Center 1997 - 1999
Memorial Medical Center 1995 - 1997
Bonne Bridges Mueller O'Keefe & Nichols 1991 - 1995
US Marines Corps 1987 - 1995
Skills
HIPAA, Healthcare, Software Documentation, Healthcare Information..., Computer Forensics, Disaster Recovery, Process Improvement, Hardware, Active Directory, Networking, Team Building, Visio, System Administration, Troubleshooting, Windows Server, SharePoint, Databases, Project Management, Data Center, Technical Support, Information Technology, VMware, Servers, Access, Microsoft SQL Server, Security, Integration, Program Management, Virtualization, System Deployment, VMware ESX, Vendor Management, IT Operations
Education
Central Texas College 1988 — 1988
Legal
New Mexico Highlands University 1985 — 1987
General Ed \ Drafting
Robertson High School 1982 — 1985
CalOptima August 1999 - Present
Saddleback Memorial Medical Center 1997 - 1999
Memorial Medical Center 1995 - 1997
Bonne Bridges Mueller O'Keefe & Nichols 1991 - 1995
US Marines Corps 1987 - 1995
Skills
HIPAA, Healthcare, Software Documentation, Healthcare Information..., Computer Forensics, Disaster Recovery, Process Improvement, Hardware, Active Directory, Networking, Team Building, Visio, System Administration, Troubleshooting, Windows Server, SharePoint, Databases, Project Management, Data Center, Technical Support, Information Technology, VMware, Servers, Access, Microsoft SQL Server, Security, Integration, Program Management, Virtualization, System Deployment, VMware ESX, Vendor Management, IT Operations
Education
Central Texas College 1988 — 1988
Legal
New Mexico Highlands University 1985 — 1987
General Ed \ Drafting
Robertson High School 1982 — 1985
Richard Patapoff's CalOptima Experience September 2007 - April 2011
Job EM Credit Analyst at Salient Partners
Industry Investment Management
Experience
Salient Partners June 2015 - Present
PIMCO June 2013 - June 2015
PIMCO January 2013 - May 2013
PIMCO May 2011 - December 2012
CalOptima September 2007 - April 2011
Skills
Fixed Income, Financial Modeling, Financial Analysis, Microsoft Excel, VBA, SQL
Education
Pepperdine University 2003 — 2007
Bachelor of Science in Business Administration
Salient Partners June 2015 - Present
PIMCO June 2013 - June 2015
PIMCO January 2013 - May 2013
PIMCO May 2011 - December 2012
CalOptima September 2007 - April 2011
Skills
Fixed Income, Financial Modeling, Financial Analysis, Microsoft Excel, VBA, SQL
Education
Pepperdine University 2003 — 2007
Bachelor of Science in Business Administration
Dianna Hudson's CalOptima Experience July 2013 - February 2014
Job Compliance Analyst
Industry Health, Wellness and Fitness
Experience
CalOptima July 2013 - February 2014
CalOptima February 2012 - July 2013
Caloptima October 2005 - February 2012
Skills
Healthcare Management, Healthcare, Medicaid, Managed Care, Medicare, Healthcare Information..., Utilization Management, HIPAA, Hospitals, Nursing, Process Improvement, Disease Management, EHR, EMR, Health Policy, Healthcare Consulting, Informatics, Quality Improvement, Revenue Cycle
Education
University of Nevada-Las Vegas
CalOptima July 2013 - February 2014
CalOptima February 2012 - July 2013
Caloptima October 2005 - February 2012
Skills
Healthcare Management, Healthcare, Medicaid, Managed Care, Medicare, Healthcare Information..., Utilization Management, HIPAA, Hospitals, Nursing, Process Improvement, Disease Management, EHR, EMR, Health Policy, Healthcare Consulting, Informatics, Quality Improvement, Revenue Cycle
Education
University of Nevada-Las Vegas
Lena Berlove's CalOptima Experience April 1994 - July 2010
Job Project Support Supervisor
Industry Government Administration
Experience
IHSS Public Authority December 2013 - Present
Orange County June 2013 - November 2013
Peace Corps August 2010 - August 2012
CalOptima April 1994 - July 2010
Skills
Spanish, conversational French, Customer Service, Program Development, Community Outreach, Healthcare, Fundraising, Public Health, Research, Training, Non-profits, Public Relations, Strategic Planning, PowerPoint, Microsoft Office, Project Management, Teaching, Corporate Communications, Policy, Public Speaking, Quality Improvement, Nonprofits, HIPAA
Education
University of California, Santa Barbara 1972 — 1975
Sociology
San Marcos High School
IHSS Public Authority December 2013 - Present
Orange County June 2013 - November 2013
Peace Corps August 2010 - August 2012
CalOptima April 1994 - July 2010
Skills
Spanish, conversational French, Customer Service, Program Development, Community Outreach, Healthcare, Fundraising, Public Health, Research, Training, Non-profits, Public Relations, Strategic Planning, PowerPoint, Microsoft Office, Project Management, Teaching, Corporate Communications, Policy, Public Speaking, Quality Improvement, Nonprofits, HIPAA
Education
University of California, Santa Barbara 1972 — 1975
Sociology
San Marcos High School
Gisela Gómez Cuéllar's CalOptima Experience November 2012 - Present
Job Manager at CalOptima
Industry Health, Wellness and Fitness
Experience
CalOptima November 2012 - Present
CalOptima Kids - Healthy Families Program February 2004 - November 2012
Education
University of California, Berkeley 1994 — 1997
Bachelor's, Marjor: Economics / Minor: Early Childhood Development
UCLA School of Public Health
CalOptima November 2012 - Present
CalOptima Kids - Healthy Families Program February 2004 - November 2012
Education
University of California, Berkeley 1994 — 1997
Bachelor's, Marjor: Economics / Minor: Early Childhood Development
UCLA School of Public Health
Paul Searles's CalOptima Experience April 2010 - October 2012
Job Graphic Designer at 5.11 Tactical
Industry Graphic Design
Experience
5.11 Tactical May 2013 - Present
CalOptima April 2010 - October 2012
Binary Pulse Technology Marketing August 2008 - November 2010
Kenny the Printer 2007 - 2008
Altec May 2004 - February 2007
Skills
Graphic Design, Adobe InDesign, Photoshop, Illustrator, Adobe Acrobat, Adobe Creative Suite, Typography, Creative Services, Graphics, Art Direction, Newsletters, Social Media, Creative Direction, Creative Strategy, Project Management, Web Design, Marketing Communications, HTML, Microsoft Office, Print Media, Logo Design, Corporate Branding, Presentation Design, Motion Graphics, Multilingual..., InDesign, Photography, Email Marketing, Packaging, Direct Mail, Layout, Multimedia, Flyers, Animation, Catalogs, Advertising
Education
Full Sail University 1998 — 1999
Associate - Science, Digital Media
5.11 Tactical May 2013 - Present
CalOptima April 2010 - October 2012
Binary Pulse Technology Marketing August 2008 - November 2010
Kenny the Printer 2007 - 2008
Altec May 2004 - February 2007
Skills
Graphic Design, Adobe InDesign, Photoshop, Illustrator, Adobe Acrobat, Adobe Creative Suite, Typography, Creative Services, Graphics, Art Direction, Newsletters, Social Media, Creative Direction, Creative Strategy, Project Management, Web Design, Marketing Communications, HTML, Microsoft Office, Print Media, Logo Design, Corporate Branding, Presentation Design, Motion Graphics, Multilingual..., InDesign, Photography, Email Marketing, Packaging, Direct Mail, Layout, Multimedia, Flyers, Animation, Catalogs, Advertising
Education
Full Sail University 1998 — 1999
Associate - Science, Digital Media
LuAnna Loza's CalOptima Experience 2005 - 2007
Job at
Industry Health, Wellness and Fitness
Experience
IEHP February 2014 - Present
Center for Oral Health October 2012 - Present
Phoenix Children's Hospital August 2011 - September 2012
Phoenix Children's Hospital 2012 - 2012
L.A. Care Health Plan May 2008 - July 2011
CalOptima 2005 - 2007
Center for Community and Family Services 1997 - 2001
Skills
Early Childhood..., Healthcare Management, Case Managment, Grants, Healthcare Information..., Public Health, Non-profits, Program Development, Training, Nonprofits, Fundraising, Leadership, Public Policy
Education
California State University-Los Angeles 2001 — 2004
M.A., Child and Family Studies
Pacific Oaks College 1997 — 2000
B.A., Human Development
IEHP February 2014 - Present
Center for Oral Health October 2012 - Present
Phoenix Children's Hospital August 2011 - September 2012
Phoenix Children's Hospital 2012 - 2012
L.A. Care Health Plan May 2008 - July 2011
CalOptima 2005 - 2007
Center for Community and Family Services 1997 - 2001
Skills
Early Childhood..., Healthcare Management, Case Managment, Grants, Healthcare Information..., Public Health, Non-profits, Program Development, Training, Nonprofits, Fundraising, Leadership, Public Policy
Education
California State University-Los Angeles 2001 — 2004
M.A., Child and Family Studies
Pacific Oaks College 1997 — 2000
B.A., Human Development
Daren Conroy's CalOptima Experience January 2011 - April 2012
Job Purchasing Specialist at Parker Aerospace
Industry Aviation & Aerospace
Experience
Parker Aerospace October 2012 - Present
CalOptima January 2011 - April 2012
Experian September 2001 - May 2010
Wire Cut Company March 2001 - July 2001
ARCO Products Company September 1994 - January 2001
Skills
Process Improvement, Forecasting, Vendor Management, Strategic Sourcing, Procurement, Purchasing, Sourcing, Supply Management, Contract Negotiation, Contract Management, Supply Chain Management, Materials Management, Supply Chain, Cross-functional Team..., Global Sourcing, Budgets, Strategy, Management
Education
University of California, Los Angeles
BA, Economics
Parker Aerospace October 2012 - Present
CalOptima January 2011 - April 2012
Experian September 2001 - May 2010
Wire Cut Company March 2001 - July 2001
ARCO Products Company September 1994 - January 2001
Skills
Process Improvement, Forecasting, Vendor Management, Strategic Sourcing, Procurement, Purchasing, Sourcing, Supply Management, Contract Negotiation, Contract Management, Supply Chain Management, Materials Management, Supply Chain, Cross-functional Team..., Global Sourcing, Budgets, Strategy, Management
Education
University of California, Los Angeles
BA, Economics
Pshyra Jones's CalOptima Experience June 2014 - Present
Job Director Health Education and Disease Management at CalOptima
Industry Hospital & Health Care
Experience
CalOptima June 2014 - Present
Molina Healthcare June 2012 - May 2014
Molina Healthcare February 2012 - July 2012
Molina Healthcare January 2002 - January 2012
HealthCare Partners 2000 - 2002
Skills
Healthcare, Disease Management, Management, QNXT, Managed Care, Healthcare Management, Medicare, Healthcare Consulting, Healthcare Information..., HIPAA
Education
Loma Linda University 1998 — 2000
Masters, Public Health/Health Services Research
Loma Linda University 1998 — 2000
MPH, Health Services Research
Oakwood College 1993 — 1998
Bachelors, Biology
CalOptima June 2014 - Present
Molina Healthcare June 2012 - May 2014
Molina Healthcare February 2012 - July 2012
Molina Healthcare January 2002 - January 2012
HealthCare Partners 2000 - 2002
Skills
Healthcare, Disease Management, Management, QNXT, Managed Care, Healthcare Management, Medicare, Healthcare Consulting, Healthcare Information..., HIPAA
Education
Loma Linda University 1998 — 2000
Masters, Public Health/Health Services Research
Loma Linda University 1998 — 2000
MPH, Health Services Research
Oakwood College 1993 — 1998
Bachelors, Biology
Gertrude Carter, M.D.'s CalOptima Experience October 2005 - November 2012
Job CMO at L.A. Care Health Plan
Industry Health, Wellness and Fitness
Experience
L.A. Care Health Plan November 2012 - Present
CalOptima October 2005 - November 2012
Schaller Anderson 2003 - 2005
Catholic Health Care West 1998 - 2002
MedPartners 1996 - 1998
Mullikin Medical 1992 - 1996
Hawthorne Community Medical Group 1987 - 1992
Hawthorne Community Medical Group 1977 - 1987
Skills
Managed Care, Medicaid, Healthcare, Medicare, Healthcare Management, Healthcare Information..., Hospitals, Strategic Planning, Disease Management, Clinical Research, Marketing Strategy, Health Insurance, Business Development, Public Speaking, EHR, Healthcare Consulting, Public Health, Medicine, Health Policy, Process Improvement, Physicians, Utilization Management, Provider Relations, Physician Relations, Quality Improvement
Education
The Johns Hopkins University School of Medicine 1970 — 1974
Doctor of Medicine (M.D.), Medicine
Howard University 1966 — 1970
BS, Chemistry
L.A. Care Health Plan November 2012 - Present
CalOptima October 2005 - November 2012
Schaller Anderson 2003 - 2005
Catholic Health Care West 1998 - 2002
MedPartners 1996 - 1998
Mullikin Medical 1992 - 1996
Hawthorne Community Medical Group 1987 - 1992
Hawthorne Community Medical Group 1977 - 1987
Skills
Managed Care, Medicaid, Healthcare, Medicare, Healthcare Management, Healthcare Information..., Hospitals, Strategic Planning, Disease Management, Clinical Research, Marketing Strategy, Health Insurance, Business Development, Public Speaking, EHR, Healthcare Consulting, Public Health, Medicine, Health Policy, Process Improvement, Physicians, Utilization Management, Provider Relations, Physician Relations, Quality Improvement
Education
The Johns Hopkins University School of Medicine 1970 — 1974
Doctor of Medicine (M.D.), Medicine
Howard University 1966 — 1970
BS, Chemistry
Ann Jordan's CalOptima Experience August 2011 - Present
Job IS ICD10 Project Manager at CalOptima
Industry Information Technology and Services
Experience
CalOptima August 2011 - Present
Various September 2008 - July 2011
Volt Information Sciences June 2000 - September 2008
Volt Workforce Solutions 2000 - 2008
Volt Managment Corp ( formally known as ProcureStaff Ltd.) 2000 - 2008
St. Joseph Health System July 1998 - July 1999
Healthcare Decisions International January 1998 - June 1998
Inter-Valley Health Plan June 1997 - November 1997
FHP International May 1985 - December 1995
FHP HealthCare - Fountain Valley 1985 - 1995
Skills
SaaS, Process Improvement, SDLC, Vendor Management, Business Process..., Information Technology, Program Management, Business Intelligence, Business Analysis, Project Management
Education
New Horizons 2010 — 2010
ITIL v.3 Certification
Project Management Institute 2010 — 2010
PMP - Project Management Professional Certification
Volt Information Sciences, Inc. 2006 — 2006
Six Sigma Black Belt Certification
Golden West College 1978 — 1979
Associate of Arts (AA), Business
CalOptima August 2011 - Present
Various September 2008 - July 2011
Volt Information Sciences June 2000 - September 2008
Volt Workforce Solutions 2000 - 2008
Volt Managment Corp ( formally known as ProcureStaff Ltd.) 2000 - 2008
St. Joseph Health System July 1998 - July 1999
Healthcare Decisions International January 1998 - June 1998
Inter-Valley Health Plan June 1997 - November 1997
FHP International May 1985 - December 1995
FHP HealthCare - Fountain Valley 1985 - 1995
Skills
SaaS, Process Improvement, SDLC, Vendor Management, Business Process..., Information Technology, Program Management, Business Intelligence, Business Analysis, Project Management
Education
New Horizons 2010 — 2010
ITIL v.3 Certification
Project Management Institute 2010 — 2010
PMP - Project Management Professional Certification
Volt Information Sciences, Inc. 2006 — 2006
Six Sigma Black Belt Certification
Golden West College 1978 — 1979
Associate of Arts (AA), Business
Davood Shahabi's CalOptima Experience March 2015 - Present
Job Business Analyst at Caloptima
Industry Management Consulting
Experience
CalOptima March 2015 - Present
So Cal Contractors and Remodeling Inc. December 2014 - March 2015
SAIL Capital Partners July 2014 - October 2014
SM Entrepreneurs Consultant March 2012 - December 2013
ICC Malaysia May 2011 - March 2012
Skills
Analytically Thinking..., Business Analysis, Business Strategy, Change Management, Project Management, Contract Management, Marketing, Financial Analysis, Financial Modeling, Market Research, Management, Risk Management, Business Process..., Business Development, Team Leadership, Human Resources
Education
University of California, Irvine 2014 — 2014
International Business and Operation Managenet
University of California, Irvine 2014 — 2014
Project Management
Universiti Teknologi Malaysia 2008 — 2010
Master of Business Administration (M.B.A.), Strategic Management
CalOptima March 2015 - Present
So Cal Contractors and Remodeling Inc. December 2014 - March 2015
SAIL Capital Partners July 2014 - October 2014
SM Entrepreneurs Consultant March 2012 - December 2013
ICC Malaysia May 2011 - March 2012
Skills
Analytically Thinking..., Business Analysis, Business Strategy, Change Management, Project Management, Contract Management, Marketing, Financial Analysis, Financial Modeling, Market Research, Management, Risk Management, Business Process..., Business Development, Team Leadership, Human Resources
Education
University of California, Irvine 2014 — 2014
International Business and Operation Managenet
University of California, Irvine 2014 — 2014
Project Management
Universiti Teknologi Malaysia 2008 — 2010
Master of Business Administration (M.B.A.), Strategic Management
Jim Pijloo's CalOptima Experience February 2001 - Present
Job Site Director, MSSP Program at CalOptima
Industry Education Management
Experience
CalOptima February 2001 - Present
CSULB September 1989 - Present
California State University, Long Beach 1989 - Present
Education
San Diego State University-California State University 1983 — 1985
MSW
CalOptima February 2001 - Present
CSULB September 1989 - Present
California State University, Long Beach 1989 - Present
Education
San Diego State University-California State University 1983 — 1985
MSW
Ryan Aleshire's CalOptima Experience December 2012 - Present
Job Contracts Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima December 2012 - Present
CalOptima December 2010 - December 2012
American Express September 2009 - November 2010
Casas del Oso Luxury Homes March 2007 - August 2009
Beazer Homes 2004 - 2006
Centex 2002 - 2004
Del Webb 1998 - 2002
Skills
Strategic Sourcing, Contract Negotiation, Procurement, Contract Management, Sourcing, Purchasing, Supply Management, Process Improvement, E-procurement, Global Sourcing, Supply Chain Management, eSourcing, Vendor Management, Supply Chain, Cross-functional Team..., Supplier Negotiation, Six Sigma, Ariba, Purchase Management, Forecasting, Change Management, Business Process..., Negotiation, Pricing, Management, Team Building, Operations Management, Program Management, Spend Analysis, Budgets, Leadership, Process Scheduler, Project Management, Strategic Planning, Strategy
Education
Thunderbird School of Global Management
Supply Chain Management
CalOptima December 2012 - Present
CalOptima December 2010 - December 2012
American Express September 2009 - November 2010
Casas del Oso Luxury Homes March 2007 - August 2009
Beazer Homes 2004 - 2006
Centex 2002 - 2004
Del Webb 1998 - 2002
Skills
Strategic Sourcing, Contract Negotiation, Procurement, Contract Management, Sourcing, Purchasing, Supply Management, Process Improvement, E-procurement, Global Sourcing, Supply Chain Management, eSourcing, Vendor Management, Supply Chain, Cross-functional Team..., Supplier Negotiation, Six Sigma, Ariba, Purchase Management, Forecasting, Change Management, Business Process..., Negotiation, Pricing, Management, Team Building, Operations Management, Program Management, Spend Analysis, Budgets, Leadership, Process Scheduler, Project Management, Strategic Planning, Strategy
Education
Thunderbird School of Global Management
Supply Chain Management
Michelle Gladden's CalOptima Experience April 2004 - 2014
Job Manager, Concurrent Review & Transitions of Care at CalOptima
Industry Hospital & Health Care
Experience
HealthSmart MSO, Inc January 2015 - Present
CalOptima April 2004 - 2014
Monarch HealthCare 2003 - 2004
Tenet Healthcare 2002 - 2003
Hoag Memorial Hospital 1990 - 1994
Skills
Utilization Management, Medicaid, Managed Care, Healthcare, Organizational..., Quality Improvement, Medicine, Medicare, HIPAA, Healthcare Management, Acute Care, Nursing, Health Insurance, Healthcare Industry, Critical Care, Disease Management, Leadership, Case Managment, Emergency Room, Denials Management, Appeals, Transitions of Care, Health Policy, EHR, EMR, HMO, Inpatient, Patient Safety, ICD-9, Healthcare Information..., Performance Improvement, Patient Advocacy, Process Improvement, Certified Case Manager, Nursing Education, Medical Case Management, Patient Education, Insurance, Medical Terminology, Physician Relations, Case Management, Healthcare Consulting, Revenue Cycle, Home Care, Hospitals, Physicians, Policy
Education
LA County Medical Center School of Nursing 1987 — 1998
Diploma, Registered Nursing/Registered Nurse
Mt. San Antonio College 1985 — 1987
Associates of Science in Nursing, Registered Nursing/Registered Nurse
HealthSmart MSO, Inc January 2015 - Present
CalOptima April 2004 - 2014
Monarch HealthCare 2003 - 2004
Tenet Healthcare 2002 - 2003
Hoag Memorial Hospital 1990 - 1994
Skills
Utilization Management, Medicaid, Managed Care, Healthcare, Organizational..., Quality Improvement, Medicine, Medicare, HIPAA, Healthcare Management, Acute Care, Nursing, Health Insurance, Healthcare Industry, Critical Care, Disease Management, Leadership, Case Managment, Emergency Room, Denials Management, Appeals, Transitions of Care, Health Policy, EHR, EMR, HMO, Inpatient, Patient Safety, ICD-9, Healthcare Information..., Performance Improvement, Patient Advocacy, Process Improvement, Certified Case Manager, Nursing Education, Medical Case Management, Patient Education, Insurance, Medical Terminology, Physician Relations, Case Management, Healthcare Consulting, Revenue Cycle, Home Care, Hospitals, Physicians, Policy
Education
LA County Medical Center School of Nursing 1987 — 1998
Diploma, Registered Nursing/Registered Nurse
Mt. San Antonio College 1985 — 1987
Associates of Science in Nursing, Registered Nursing/Registered Nurse
Jordan Barrera's CalOptima Experience January 2005 - Present
Job Senior Financial Analyst
Industry Hospital & Health Care
Experience
CalOptima January 2005 - Present
Education
Loma Linda University 2003 — 2005
MBA
University of California, Irvine 1998 — 2002
CalOptima January 2005 - Present
Education
Loma Linda University 2003 — 2005
MBA
University of California, Irvine 1998 — 2002
Elizabeth Ramos-Lopez's CalOptima Experience February 2015 - Present
Job Grievance and Appeals Resolution Services CalOptima
Industry Hospital & Health Care
Experience
CalOptima February 2015 - Present
CalOptima March 2011 - February 2015
CalOptima March 1995 - March 2011
Skills
Healthcare, Medicaid, HIPAA, Medicare, Public Health, Health Policy, Health Insurance, Healthcare Industry, Training, Program Development, Process Improvement, Non-profits, Managed Care, Healthcare Management, Healthcare Information..., Healthcare Consulting, EHR, EMR, Disease Management
Education
Southern Illinois University, Carbondale 2005 — 2007
Bachelor of Science, Workforce Education and Development
CalOptima February 2015 - Present
CalOptima March 2011 - February 2015
CalOptima March 1995 - March 2011
Skills
Healthcare, Medicaid, HIPAA, Medicare, Public Health, Health Policy, Health Insurance, Healthcare Industry, Training, Program Development, Process Improvement, Non-profits, Managed Care, Healthcare Management, Healthcare Information..., Healthcare Consulting, EHR, EMR, Disease Management
Education
Southern Illinois University, Carbondale 2005 — 2007
Bachelor of Science, Workforce Education and Development
Shuang Xia's CalOptima Experience September 2011 - Present
Job Sr DBA
Industry Information Technology and Services
Experience
CalOptima September 2011 - Present
Panda Restaurant Group January 2011 - August 2011
Cleveland Clinic June 2009 - December 2010
Progressive Insurance May 2003 - June 2009
Skills
Database Design
Education
The University of Akron 2000 — 2004
MS, Computer Science
CalOptima September 2011 - Present
Panda Restaurant Group January 2011 - August 2011
Cleveland Clinic June 2009 - December 2010
Progressive Insurance May 2003 - June 2009
Skills
Database Design
Education
The University of Akron 2000 — 2004
MS, Computer Science
Alexander Caoile's CalOptima Experience December 2009 - Present
Job Software Developer at CalOptima
Industry Information Technology and Services
Experience
CalOptima December 2009 - Present
Volt Information Sciences December 2007 - December 2009
Carlson Companies 2005 - October 2007
AQUA Software Products, Inc. March 2002 - October 2007
Skills
Microsoft SQL Server, Resourceful..., .NET, ASP.NET, XML, C#, SQL, SDLC, Software Development, Visual Studio, VB.NET, SSIS, SSRS, JavaScript, Databases, CSS, AJAX, Web Applications, Design Patterns, jQuery, Web Development, User Interface, Integration, T-SQL, IIS, Architectures, Web Services, C, ASP.NET AJAX, Windows, Software Design, Business Intelligence, HTML, Data Warehousing, Enterprise Architecture, ETL, Eclipse, PHP, JSON, Software Documentation, Agile Methodologies, MySQL, SharePoint, Visio, Windows Server, TFS, Scrum
Education
University of California, Irvine 1996 — 2001
Bachelor of Science, Information and Computer Science
CalOptima December 2009 - Present
Volt Information Sciences December 2007 - December 2009
Carlson Companies 2005 - October 2007
AQUA Software Products, Inc. March 2002 - October 2007
Skills
Microsoft SQL Server, Resourceful..., .NET, ASP.NET, XML, C#, SQL, SDLC, Software Development, Visual Studio, VB.NET, SSIS, SSRS, JavaScript, Databases, CSS, AJAX, Web Applications, Design Patterns, jQuery, Web Development, User Interface, Integration, T-SQL, IIS, Architectures, Web Services, C, ASP.NET AJAX, Windows, Software Design, Business Intelligence, HTML, Data Warehousing, Enterprise Architecture, ETL, Eclipse, PHP, JSON, Software Documentation, Agile Methodologies, MySQL, SharePoint, Visio, Windows Server, TFS, Scrum
Education
University of California, Irvine 1996 — 2001
Bachelor of Science, Information and Computer Science
Teresa Le Leux, MSG/MHA's CalOptima Experience September 1998 - December 2001
Job Geriatric Care Manager and Consultant at Teresa Le Leux, Elder Care Concierge and Consulting
Industry Hospital & Health Care
Experience
Teresa Le Leux, Elder Care Concierge and Consulting January 2013 - Present
Family GCM, Inc., Professional Geriatric Care Managers March 2012 - December 2012
Silverado At Home-Orange County March 2010 - September 2011
St. Jude's Caregiver Resource Center May 2009 - October 2010
Freedom Village January 2002 - April 2003
CalOptima September 1998 - December 2001
Wesley Community Services September 1997 - September 1998
California Lutheran Homes and Community Services October 1994 - April 1997
Aging Services of California May 1995 - August 1995
Skills
Knowledge of Elder Care..., Ability to Vet Quality..., Crises Intervention, Caregiver Supervision..., Educational Programs: ..., Advanced Care Planning, Case Managment, Gerontology, Care Planning, Training, Healthcare, Elder Care, Home Care
Education
University of Southern California 1993 — 1996
Dual Masters, Gerontology and Health Administration
Loyola Marymount University 1989 — 1993
Bachelor, Psychology
Teresa Le Leux, Elder Care Concierge and Consulting January 2013 - Present
Family GCM, Inc., Professional Geriatric Care Managers March 2012 - December 2012
Silverado At Home-Orange County March 2010 - September 2011
St. Jude's Caregiver Resource Center May 2009 - October 2010
Freedom Village January 2002 - April 2003
CalOptima September 1998 - December 2001
Wesley Community Services September 1997 - September 1998
California Lutheran Homes and Community Services October 1994 - April 1997
Aging Services of California May 1995 - August 1995
Skills
Knowledge of Elder Care..., Ability to Vet Quality..., Crises Intervention, Caregiver Supervision..., Educational Programs: ..., Advanced Care Planning, Case Managment, Gerontology, Care Planning, Training, Healthcare, Elder Care, Home Care
Education
University of Southern California 1993 — 1996
Dual Masters, Gerontology and Health Administration
Loyola Marymount University 1989 — 1993
Bachelor, Psychology
Kelly Rex-Kimmet's CalOptima Experience May 2014 - Present
Job Director, Quality Analytics
Industry Hospital & Health Care
Experience
CalOptima May 2014 - Present
Molina Healthcare August 2013 - April 2014
Medsurant September 2009 - July 2013
MedAssurant September 2009 - November 2011
Catalyst Technologies July 2000 - August 2009
Skills
Managed Care, Medicaid, Process Improvement, Healthcare Information..., Medicare, HIPAA, Healthcare Consulting, Healthcare, Data Analysis, Healthcare Management, Cross-functional Team..., Strategic Planning, Vendor Management, Business Analysis, Informatics, Quality Improvement, HEDIS, Healthcare Industry, Health Policy, EHR, Health Insurance
Education
The University of Texas at Arlington 2008 — 2010
EMBA, International Business
Michigan State University 1978 — 1984
MSW, Psychology, Social Work
CalOptima May 2014 - Present
Molina Healthcare August 2013 - April 2014
Medsurant September 2009 - July 2013
MedAssurant September 2009 - November 2011
Catalyst Technologies July 2000 - August 2009
Skills
Managed Care, Medicaid, Process Improvement, Healthcare Information..., Medicare, HIPAA, Healthcare Consulting, Healthcare, Data Analysis, Healthcare Management, Cross-functional Team..., Strategic Planning, Vendor Management, Business Analysis, Informatics, Quality Improvement, HEDIS, Healthcare Industry, Health Policy, EHR, Health Insurance
Education
The University of Texas at Arlington 2008 — 2010
EMBA, International Business
Michigan State University 1978 — 1984
MSW, Psychology, Social Work
Ngoc-Tram Tran's CalOptima Experience August 2013 - Present
Job Staff Attorney at CalOptima
Industry Legal Services
Experience
CalOptima August 2013 - Present
Woodruff Spradlin & Smart July 2010 - August 2013
McCormick Kidman & Behrens February 2007 - July 2010
Skills
Legal Research, Litigation, Public Law, Land Use, Civil Litigation, Legal Writing, Arbitration, Environmental Law, Commercial Litigation, Water Law, Appeals, Municipal Law, Administrative Law, Trials, Westlaw, Pleadings, Courts, Product Liability, Depositions, Business Litigation, Lexis, Personal Injury
Education
University of California, Davis - School of Law 2002 — 2005
Law
CalOptima August 2013 - Present
Woodruff Spradlin & Smart July 2010 - August 2013
McCormick Kidman & Behrens February 2007 - July 2010
Skills
Legal Research, Litigation, Public Law, Land Use, Civil Litigation, Legal Writing, Arbitration, Environmental Law, Commercial Litigation, Water Law, Appeals, Municipal Law, Administrative Law, Trials, Westlaw, Pleadings, Courts, Product Liability, Depositions, Business Litigation, Lexis, Personal Injury
Education
University of California, Davis - School of Law 2002 — 2005
Law
Marina Hornby's CalOptima Experience 1998 - 2010
Job QA at StemCyte
Industry Health, Wellness and Fitness
Experience
StemCyte January 2010 - Present
CalOptima 1998 - 2010
UnitedHealth Group 1993 - 1998
Skills
Biotechnology, Quality Assurance, Pharmaceutical Industry, FDA, GMP, Medical Devices, CAPA, Training, Product Development, V&V, Software Documentation, Validation, Regulatory Affairs, Biopharmaceuticals, Clinical Trials, Change Control, Quality System, Quality Auditing, Laboratory, Utilization Review, Medicaid, Medicare
Education
Fullerton College
StemCyte January 2010 - Present
CalOptima 1998 - 2010
UnitedHealth Group 1993 - 1998
Skills
Biotechnology, Quality Assurance, Pharmaceutical Industry, FDA, GMP, Medical Devices, CAPA, Training, Product Development, V&V, Software Documentation, Validation, Regulatory Affairs, Biopharmaceuticals, Clinical Trials, Change Control, Quality System, Quality Auditing, Laboratory, Utilization Review, Medicaid, Medicare
Education
Fullerton College
Maria Calleros's CalOptima Experience March 2009 - February 2012
Job Director, Safety Net Initiatives at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan February 2012 - Present
CalOptima March 2009 - February 2012
Health Management Associates June 2008 - May 2009
CalOptima January 2003 - March 2008
CalOptima January 2000 - February 2003
CalOptima September 1995 - January 2000
Skills
Managed Care, Medicaid, Healthcare, Healthcare Management, Strategic Planning, Hospitals, Healthcare Consulting, Process Improvement, Program Management, HIPAA
Education
UCLA 1988 — 1990
Master of Public Health (M.P.H.), Community Health Sciences
USC
Bachelor of Science, Biology/Biological Sciences, General
L.A. Care Health Plan February 2012 - Present
CalOptima March 2009 - February 2012
Health Management Associates June 2008 - May 2009
CalOptima January 2003 - March 2008
CalOptima January 2000 - February 2003
CalOptima September 1995 - January 2000
Skills
Managed Care, Medicaid, Healthcare, Healthcare Management, Strategic Planning, Hospitals, Healthcare Consulting, Process Improvement, Program Management, HIPAA
Education
UCLA 1988 — 1990
Master of Public Health (M.P.H.), Community Health Sciences
USC
Bachelor of Science, Biology/Biological Sciences, General
Richard Bock, MD, MBA's CalOptima Experience June 2014 - Present
Job Deputy Chief Medical Officer at CalOptima
Industry Hospital & Health Care
Experience
CalOptima June 2014 - Present
Molina Healthcare of California August 2007 - October 2013
Optichart Consulting 2006 - 2007
Prospect Medical Systems 2005 - 2007
Medeor Systems, Inc. 2000 - 2005
Adventist Health S. Cal Medical Foundation 1997 - 1999
FHP Healthcare/Pacificare 1988 - 1997
Skills
Medicare, Medicaid, Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Management, Physicians, Physician Relations, Healthcare Industry, Hospitals, EHR, Disease Management, Health Insurance, Provider Relations, HIPAA, Health Policy, Network Development, Revenue Cycle, Quality Improvement, HMO, Informatics, EMR, Medicaid Managed Care, PPO, Practice Management, Utilization Management
Education
Colgate University
Bachelor of Science (BS), Economics
New York Medical College
Doctor of Medicine (MD)
University of Redlands
MBA
CalOptima June 2014 - Present
Molina Healthcare of California August 2007 - October 2013
Optichart Consulting 2006 - 2007
Prospect Medical Systems 2005 - 2007
Medeor Systems, Inc. 2000 - 2005
Adventist Health S. Cal Medical Foundation 1997 - 1999
FHP Healthcare/Pacificare 1988 - 1997
Skills
Medicare, Medicaid, Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Management, Physicians, Physician Relations, Healthcare Industry, Hospitals, EHR, Disease Management, Health Insurance, Provider Relations, HIPAA, Health Policy, Network Development, Revenue Cycle, Quality Improvement, HMO, Informatics, EMR, Medicaid Managed Care, PPO, Practice Management, Utilization Management
Education
Colgate University
Bachelor of Science (BS), Economics
New York Medical College
Doctor of Medicine (MD)
University of Redlands
MBA
Cathy Wildey's CalOptima Experience May 2000 - January 2001
Job RN Admitting Case Manger at St. Jude Medical Center
Industry Medical Devices
Experience
St. Jude Medical Center July 2002 - Present
St. Jude Medical July 1989 - Present
St. Jude Medical Center July 1989 - Present
Multiple Hospitals throughout LA and Orange County October 1984 - January 2003
Medical Pathways, Professional Care January 2001 - July 2002
St. Jude Medical Center July 1988 - July 2002
CalOptima May 2000 - January 2001
St. Jude Medical Center February 1998 - May 2000
Department of Health Service July 1983 - February 1998
Education
Almeda University
Bachelor of Business Administration, Healthcare
Almeda University 2005 — 2008
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Cypress College
Associate Degree, Nursing
Cypress College 1979 — 1984
Associate of Science (A.S.), Registered Nursing/Registered Nurse, 3.4
St. Jude Medical Center July 2002 - Present
St. Jude Medical July 1989 - Present
St. Jude Medical Center July 1989 - Present
Multiple Hospitals throughout LA and Orange County October 1984 - January 2003
Medical Pathways, Professional Care January 2001 - July 2002
St. Jude Medical Center July 1988 - July 2002
CalOptima May 2000 - January 2001
St. Jude Medical Center February 1998 - May 2000
Department of Health Service July 1983 - February 1998
Education
Almeda University
Bachelor of Business Administration, Healthcare
Almeda University 2005 — 2008
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Cypress College
Associate Degree, Nursing
Cypress College 1979 — 1984
Associate of Science (A.S.), Registered Nursing/Registered Nurse, 3.4
Ana L. Estanga's CalOptima Experience February 2010 - April 2013
Job Paralegal at Wealth Planning Law Firm
Industry Law Practice
Experience
Wealth Planning Law Firm April 2013 - Present
CalOptima February 2010 - April 2013
Allen Matkins July 1999 - November 2006
Skills
Legal Research, Litigation Support, Document Review, Customer Service, Lexis, Westlaw, Trials, Microsoft Office, Accounts Receivable, Legal Documents, Accounts Payable, Pleadings, Paralegals
Education
Mt. San Antonio College
Associate of Arts (AA), Paralegal Studies
Schurr High School Montebello California
Wealth Planning Law Firm April 2013 - Present
CalOptima February 2010 - April 2013
Allen Matkins July 1999 - November 2006
Skills
Legal Research, Litigation Support, Document Review, Customer Service, Lexis, Westlaw, Trials, Microsoft Office, Accounts Receivable, Legal Documents, Accounts Payable, Pleadings, Paralegals
Education
Mt. San Antonio College
Associate of Arts (AA), Paralegal Studies
Schurr High School Montebello California
Margarita Pereyda's CalOptima Experience January 2009 - May 2011
Job Prinicipal at Health Management Associates
Industry Hospital & Health Care
Experience
Health Management Associates September 2012 - Present
Irvine Health Foundation October 2004 - Present
Hoag Hospital July 2014 - August 2015
Hoag Memorial Hospital October 2004 - October 2012
CalOptima January 2009 - May 2011
Skills
Strategic Planning, Hospitals, Change Management, Policy, Process Improvement, Program Management, Non-profit..., Public Health, Community Health, Collaborative Problem..., Healthcare Information..., Internal Medicine, Program Evaluation, Medicine, Healthcare Consulting, EMR, Community Outreach, EHR, Health Policy, Ambulatory, Medical Education, Leadership Development, Quality Improvement, Grants, Disease Management, Managed Care, Health Education
Education
University of Michigan 1990 — 1994
MD, Medicine
California Healthcare Foundation
Healthcare Leadership Fellow
Stanford University Medical Center
Residency, Internal Medicine Residency Program
University of Arizona
Bachelor of Science (B.Sc.), Microbiology and Immunology
Health Management Associates September 2012 - Present
Irvine Health Foundation October 2004 - Present
Hoag Hospital July 2014 - August 2015
Hoag Memorial Hospital October 2004 - October 2012
CalOptima January 2009 - May 2011
Skills
Strategic Planning, Hospitals, Change Management, Policy, Process Improvement, Program Management, Non-profit..., Public Health, Community Health, Collaborative Problem..., Healthcare Information..., Internal Medicine, Program Evaluation, Medicine, Healthcare Consulting, EMR, Community Outreach, EHR, Health Policy, Ambulatory, Medical Education, Leadership Development, Quality Improvement, Grants, Disease Management, Managed Care, Health Education
Education
University of Michigan 1990 — 1994
MD, Medicine
California Healthcare Foundation
Healthcare Leadership Fellow
Stanford University Medical Center
Residency, Internal Medicine Residency Program
University of Arizona
Bachelor of Science (B.Sc.), Microbiology and Immunology
Tina Snider's CalOptima Experience January 2000 - January 2005
Job at
Industry Human Resources
Experience
Metropolitan Water District of Southern California July 2015 - Present
Farmers Insurance February 2012 - Present
Sunbelt Rentals, Inc August 2005 - July 2010
CalOptima January 2000 - January 2005
Skills
Payroll, Spreadsheets, Data Entry, Customer Service, Accounts Receivable, Microsoft Word, Human Resources, Microsoft Excel, PowerPoint, Access, Microsoft Office, Software Documentation, Employee Relations, Training
Education
Riverside City College 1987 — 1990
Business Administration
Metropolitan Water District of Southern California July 2015 - Present
Farmers Insurance February 2012 - Present
Sunbelt Rentals, Inc August 2005 - July 2010
CalOptima January 2000 - January 2005
Skills
Payroll, Spreadsheets, Data Entry, Customer Service, Accounts Receivable, Microsoft Word, Human Resources, Microsoft Excel, PowerPoint, Access, Microsoft Office, Software Documentation, Employee Relations, Training
Education
Riverside City College 1987 — 1990
Business Administration
Camille Teeple's CalOptima Experience October 2009 - Present
Job Director of Facilities, CalOptima
Industry Hospital & Health Care
Experience
CalOptima October 2009 - Present
Heery International September 2000 - March 2009
AAA Auto Club Southern California 1996 - 2000
Skills
Space-planning, Facilities Management, Design Research, Furniture, Interior Design, Sustainable Design, Move Management, Renovation, Space planning, LEED, Project Coordination, Green Building, LEED AP, Submittals, Project Planning, Interior Architecture, Furnishings, Project Management
Education
Interior Designers Guild
Associate of Arts (A.A.), Interior Design
UCLA
Construction and Interior Design
CalOptima October 2009 - Present
Heery International September 2000 - March 2009
AAA Auto Club Southern California 1996 - 2000
Skills
Space-planning, Facilities Management, Design Research, Furniture, Interior Design, Sustainable Design, Move Management, Renovation, Space planning, LEED, Project Coordination, Green Building, LEED AP, Submittals, Project Planning, Interior Architecture, Furnishings, Project Management
Education
Interior Designers Guild
Associate of Arts (A.A.), Interior Design
UCLA
Construction and Interior Design
Becki Melli's CalOptima Experience 1997 - Present
Job Policy Program Analyst at CalOptima
Industry Hospital & Health Care
Experience
CalOptima 1997 - Present
Skills
Healthcare, Healthcare Information..., Healthcare Management, Public Health, EMR, Medicaid, EHR, HIPAA, Hospitals, Clinical Research, Managed Care, Informatics, Quality Improvement, Disease Management, Medicare, Health Policy, Health Education, Inpatient, Physicians, Health Promotion, Prevention, Home Care, Healthcare Consulting, Physician Relations
Education
University of California, Irvine
Master of Business Administration (M.B.A.)
University of California, Los Angeles
Bachelor’s Degree, Kinesiology and Exercise Science
University of Southern California
Kinesiology and Exercise Science; Graduate Program
CalOptima 1997 - Present
Skills
Healthcare, Healthcare Information..., Healthcare Management, Public Health, EMR, Medicaid, EHR, HIPAA, Hospitals, Clinical Research, Managed Care, Informatics, Quality Improvement, Disease Management, Medicare, Health Policy, Health Education, Inpatient, Physicians, Health Promotion, Prevention, Home Care, Healthcare Consulting, Physician Relations
Education
University of California, Irvine
Master of Business Administration (M.B.A.)
University of California, Los Angeles
Bachelor’s Degree, Kinesiology and Exercise Science
University of Southern California
Kinesiology and Exercise Science; Graduate Program
Lanette Hydle (Hydle-Jones)'s CalOptima Experience July 1995 - July 2000
Job Administrative/Special Projects at GKN Aerospace
Industry Aviation & Aerospace
Experience
GKN Aerospace January 2012 - Present
Grating Pacific, Inc. May 2011 - December 2011
Total Air Analysis, Inc. November 2001 - December 2007
CalOptima July 1995 - July 2000
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Outlook, Benefits Administration, Employee Relations, Administrative..., Microsoft Word, Data Entry, Customer Service, Fundraising, Accounts Payable, Training, Payroll, Accounts Receivable, Editing, Team Building, Event Planning, Invoicing, Team Leadership, Organizational..., Leadership Development, Staff Development, Research, Nonprofits, Coaching
Education
Pepperdine University 1989 — 1991
MA, Counseling Psychology
California State University-Northridge 1985 — 1989
BA, Psychology
Venice High School
GKN Aerospace January 2012 - Present
Grating Pacific, Inc. May 2011 - December 2011
Total Air Analysis, Inc. November 2001 - December 2007
CalOptima July 1995 - July 2000
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Outlook, Benefits Administration, Employee Relations, Administrative..., Microsoft Word, Data Entry, Customer Service, Fundraising, Accounts Payable, Training, Payroll, Accounts Receivable, Editing, Team Building, Event Planning, Invoicing, Team Leadership, Organizational..., Leadership Development, Staff Development, Research, Nonprofits, Coaching
Education
Pepperdine University 1989 — 1991
MA, Counseling Psychology
California State University-Northridge 1985 — 1989
BA, Psychology
Venice High School
Greg Wildman's CalOptima Experience 1997 - 1998
Job Sr. Level and Executive Human Resources Professional
Industry Hospital & Health Care
Experience
New Vista Health Services, LLC October 2012 - 2014
Aptium Oncology 2000 - 2012
City of Hope National Medical Center November 1998 - November 1999
Caloptima 1997 - 1998
Skills
Human Resources..., Managing complex..., Policy development and..., Leave of Absence and..., Multi-state and complex..., Worker's Compensation, Employee health and..., Compliance management, Coaching, mentoring,..., Leadership and..., Program Development and..., Talent Acquisition, Training and Development, Leadership
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1997 — 1999
Masters in Business Adminstration, General Management
University of Toledo 1980 — 1985
Masters in Education, Research, Statistics, Program Evaluation
New Vista Health Services, LLC October 2012 - 2014
Aptium Oncology 2000 - 2012
City of Hope National Medical Center November 1998 - November 1999
Caloptima 1997 - 1998
Skills
Human Resources..., Managing complex..., Policy development and..., Leave of Absence and..., Multi-state and complex..., Worker's Compensation, Employee health and..., Compliance management, Coaching, mentoring,..., Leadership and..., Program Development and..., Talent Acquisition, Training and Development, Leadership
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1997 — 1999
Masters in Business Adminstration, General Management
University of Toledo 1980 — 1985
Masters in Education, Research, Statistics, Program Evaluation
Mahnoosh Rajabnejad's CalOptima Experience 1996 - 1997
Job Medical Science Liaison, Managed Care Pharmacy
Industry Pharmaceuticals
Experience
Bayer HealthCare June 2012 - Present
E-Care Pharmacy 2010 - June 2012
AstraZeneca 2000 - 2008
UniHealth Ventures Pharmacy Services, Inc. 1997 - 2000
CalOptima 1996 - 1997
Health Net 1994 - 1996
California Pacific Medical Center 1993 - 1994
Skills
Neurology, Pharmacy Benefit..., Managed Care, Healthcare Industry, Medicare, Gastroenterology, Medicine, Neuroscience, Clinical Trials, Pharmacy, Pharmaceutical Industry, Medical Affairs, Medical Writing, Medicaid, Oncology, Clinical Development, Disease Management, Hospitals, Nephrology, Asthma
Education
University of California, San Francisco 1989 — 1993
Pharm.D., Pharmacy
University of Washington 2013 — 2014
Certificate in Health Economics and Outcomes Research
California Pacific Medical Center, San Francisco 1993 — 1994
Residency, Clinical Pharmacy
University of California, Irvine 1984 — 1988
B.S., Biology
Bayer HealthCare June 2012 - Present
E-Care Pharmacy 2010 - June 2012
AstraZeneca 2000 - 2008
UniHealth Ventures Pharmacy Services, Inc. 1997 - 2000
CalOptima 1996 - 1997
Health Net 1994 - 1996
California Pacific Medical Center 1993 - 1994
Skills
Neurology, Pharmacy Benefit..., Managed Care, Healthcare Industry, Medicare, Gastroenterology, Medicine, Neuroscience, Clinical Trials, Pharmacy, Pharmaceutical Industry, Medical Affairs, Medical Writing, Medicaid, Oncology, Clinical Development, Disease Management, Hospitals, Nephrology, Asthma
Education
University of California, San Francisco 1989 — 1993
Pharm.D., Pharmacy
University of Washington 2013 — 2014
Certificate in Health Economics and Outcomes Research
California Pacific Medical Center, San Francisco 1993 — 1994
Residency, Clinical Pharmacy
University of California, Irvine 1984 — 1988
B.S., Biology
Steve McLarty-Schroeder's CalOptima Experience February 2014 - Present
Job Concurent Review Case Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima February 2014 - Present
Tenet Healthcare April 2012 - February 2014
Prime Healthcare Group LLC July 2008 - February 2012
Tenet Healthcare September 2004 - June 2008
Tenet Garden Grove February 2000 - September 2004
Carondelet St. Mary's Hospital March 1997 - July 1999
Skills
Woodwordking, Soldering, Desktop Computers, Arduino, Artwork, Microsoft Excel, eCare, Interqual, Meditech, Microsoft Word, VBA, C++, Nursing, Hospitals, Utilization Management, Telemetry, Patient Advocacy, Medical/Surgical, BLS, ACLS, Medication..., Patient Education, Medicare, EHR, Medical Terminology, Cpr Certified, Ambulatory, EMR, Acute Care, CPOE, Cerner, Clinical Research, Critical Care, Health Education, Healthcare, ICU, Home Care, Inpatient, JCAHO, Nursing Education, Patient Safety, Case Managment, Healthcare Information..., Informatics, Healthcare Management, HIPAA, EKG, Utilization Review
Education
Pima Community College 1995 — 1999
Associate's degree, Registered Nursing/Registered Nurse
Univeristy of Iowa 1988 — 1991
Cerritos College
Woodworking
Fullerton College
Computers
CalOptima February 2014 - Present
Tenet Healthcare April 2012 - February 2014
Prime Healthcare Group LLC July 2008 - February 2012
Tenet Healthcare September 2004 - June 2008
Tenet Garden Grove February 2000 - September 2004
Carondelet St. Mary's Hospital March 1997 - July 1999
Skills
Woodwordking, Soldering, Desktop Computers, Arduino, Artwork, Microsoft Excel, eCare, Interqual, Meditech, Microsoft Word, VBA, C++, Nursing, Hospitals, Utilization Management, Telemetry, Patient Advocacy, Medical/Surgical, BLS, ACLS, Medication..., Patient Education, Medicare, EHR, Medical Terminology, Cpr Certified, Ambulatory, EMR, Acute Care, CPOE, Cerner, Clinical Research, Critical Care, Health Education, Healthcare, ICU, Home Care, Inpatient, JCAHO, Nursing Education, Patient Safety, Case Managment, Healthcare Information..., Informatics, Healthcare Management, HIPAA, EKG, Utilization Review
Education
Pima Community College 1995 — 1999
Associate's degree, Registered Nursing/Registered Nurse
Univeristy of Iowa 1988 — 1991
Cerritos College
Woodworking
Fullerton College
Computers
Fay Ho's CalOptima Experience January 2015 - Present
Job Program Manager at CalOptima
Industry Hospital & Health Care
Experience
CalOptima January 2015 - Present
CalOptima December 2013 - January 2015
Care1st Health Plan October 2012 - May 2013
Garfield Health Center 2008 - 2012
Skills
Healthcare Management, Managed Care, Medicare, Medicaid, Program Development, Behavioral Health, Training, Mental Health, Health Policy, HMO, Policy
Education
Regis University
Post-Bachelor Certificate, Health Information Management
California State University-Los Angeles
Master of Science (M.S.), Health Care Management
University of California, Santa Barbara
Bachelor of Arts (B.A.), Art History
CalOptima January 2015 - Present
CalOptima December 2013 - January 2015
Care1st Health Plan October 2012 - May 2013
Garfield Health Center 2008 - 2012
Skills
Healthcare Management, Managed Care, Medicare, Medicaid, Program Development, Behavioral Health, Training, Mental Health, Health Policy, HMO, Policy
Education
Regis University
Post-Bachelor Certificate, Health Information Management
California State University-Los Angeles
Master of Science (M.S.), Health Care Management
University of California, Santa Barbara
Bachelor of Arts (B.A.), Art History
Vicky Morgovsky's CalOptima Experience auditCalOptimaJune 2011 - Present
Job auditor at CalOptima
Industry Hospital & Health Care
Experience
CalOptima auditCalOptimaJune 2011 - Present
Skills
Medicaid, Accounts Receivable, Hospitals, Healthcare, Microsoft Excel, Nursing, Medicare, Microsoft Office, HIPAA, Process Improvement, Cpr Certified, Software Documentation, Medical Terminology, PowerPoint, Microsoft Word, Customer Service, Outlook, Clinical Research, Training, Telephone Skills, Teamwork
Education
Stanbridge College
Nursing
CalOptima auditCalOptimaJune 2011 - Present
Skills
Medicaid, Accounts Receivable, Hospitals, Healthcare, Microsoft Excel, Nursing, Medicare, Microsoft Office, HIPAA, Process Improvement, Cpr Certified, Software Documentation, Medical Terminology, PowerPoint, Microsoft Word, Customer Service, Outlook, Clinical Research, Training, Telephone Skills, Teamwork
Education
Stanbridge College
Nursing
Himmet Dajee's CalOptima Experience Medical DirectorCaloptimaMarch 2011 - Present
Job Medical Director at Caloptima
Industry Hospital & Health Care
Experience
Caloptima Medical DirectorCaloptimaMarch 2011 - Present
County of Orange Health Care Agency September 2007 - March 2011
Skills
Healthcare Management, Medicaid, Medicare, Utilization Management, Disease Management, Quality Improvement, Case Management, Managed Care, HIPAA, Electronic Health Record, Hospitals, Cardiovascular &..., Board Certified, Evidence-based Medicine, Physicians PCP &..., Healthcare
Education
University of California, Los Angeles 1982 — 1983
Cardiothoracic Surgery
Royal College of Surgeons & University of London 1969 — 1974
Doctor of Medicine (M.D.), Medicine, A
Caloptima Medical DirectorCaloptimaMarch 2011 - Present
County of Orange Health Care Agency September 2007 - March 2011
Skills
Healthcare Management, Medicaid, Medicare, Utilization Management, Disease Management, Quality Improvement, Case Management, Managed Care, HIPAA, Electronic Health Record, Hospitals, Cardiovascular &..., Board Certified, Evidence-based Medicine, Physicians PCP &..., Healthcare
Education
University of California, Los Angeles 1982 — 1983
Cardiothoracic Surgery
Royal College of Surgeons & University of London 1969 — 1974
Doctor of Medicine (M.D.), Medicine, A
Marty Reza, RHIT, CCS's CalOptima Experience February 2015 - Present
Job HCC Coding Specialist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima February 2015 - Present
Skills
Medical Records, Medical Terminology, Medical Billing, ICD-9, CPT Coding, Data Analysis and..., HCC/Risk Adjustment..., Compliance, Information Technology, Quality Management, Legal, Revenue Cycle, Anatomy & Physiology, Pathophysiology, Pharmacology, HIPAA Guidelines, Medicaid, HIPAA, Medical Coding, ICD-9, Credentialing, Medicare, Health Information..., Health Policy, CPT, ICD-10, Healthcare Information..., Managed Care, Healthcare Management, Training, Healthcare Consulting, EMR, Physicians, Healthcare, Documentation, EHR, Physician Relations, Hospitals, Healthcare Industry, Health Insurance
Education
Cypress College 2010 — 2012
Associate's degree, Health Information Technology
NOCROP 2009 — 2010
Certified professional coder, Medical Billing & Coding
Fashion Institute of Design & Merchandising 1987 — 1989
Associate of Arts (A.A.), Design and Visual Communications, General
CalOptima February 2015 - Present
Skills
Medical Records, Medical Terminology, Medical Billing, ICD-9, CPT Coding, Data Analysis and..., HCC/Risk Adjustment..., Compliance, Information Technology, Quality Management, Legal, Revenue Cycle, Anatomy & Physiology, Pathophysiology, Pharmacology, HIPAA Guidelines, Medicaid, HIPAA, Medical Coding, ICD-9, Credentialing, Medicare, Health Information..., Health Policy, CPT, ICD-10, Healthcare Information..., Managed Care, Healthcare Management, Training, Healthcare Consulting, EMR, Physicians, Healthcare, Documentation, EHR, Physician Relations, Hospitals, Healthcare Industry, Health Insurance
Education
Cypress College 2010 — 2012
Associate's degree, Health Information Technology
NOCROP 2009 — 2010
Certified professional coder, Medical Billing & Coding
Fashion Institute of Design & Merchandising 1987 — 1989
Associate of Arts (A.A.), Design and Visual Communications, General
Paul Fay's CalOptima Experience March 2007 - Present
Job OneCare Partner at CalOptima
Industry Hospital & Health Care
Experience
CalOptima March 2007 - Present
Skills
Healthcare, HIPAA, Healthcare Information..., Medicare, Healthcare Management, Hospitals, Public Health, Managed Care, EHR, EMR, Medicaid, Utilization Management
Education
London School of Economics and Political Science
CalOptima March 2007 - Present
Skills
Healthcare, HIPAA, Healthcare Information..., Medicare, Healthcare Management, Hospitals, Public Health, Managed Care, EHR, EMR, Medicaid, Utilization Management
Education
London School of Economics and Political Science
Yoonhee Kim's CalOptima Experience October 2007 - Present
Job Clinical Pharmacist at CalOptima
Industry Hospital & Health Care
Experience
CalOptima October 2007 - Present
UnitedHealth Group October 2004 - October 2007
Skills
Healthcare Management, Healthcare, Pharmacists, Managed Care
Education
Massachusetts College of Pharmacy and Health Sciences
Doctor of Pharmacy (Pharm.D.)
University of California, Irvine
Bachelor's degree, Chemistry
CalOptima October 2007 - Present
UnitedHealth Group October 2004 - October 2007
Skills
Healthcare Management, Healthcare, Pharmacists, Managed Care
Education
Massachusetts College of Pharmacy and Health Sciences
Doctor of Pharmacy (Pharm.D.)
University of California, Irvine
Bachelor's degree, Chemistry