CalOptima Company
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CalOptima Employees
Employee
Years
Job
Industry
Folayemi (Yemi) Fashola Folayemi (Yemi) Fashola's CalOptima Experience July 2013 - June 2014
Job Clinical Pharmacist
Industry Hospital & Health Care
Experience
Kaiser Permanente July 2014 - Present
CalOptima July 2013 - June 2014
Kaiser Permanente October 2010 - June 2013
Skills
Pharmacy, Clinical Pharmacy, Medication Therapy..., Medication..., Hepatitis C, Specialty Pharmaceutical, Medication Adherence, Managed Care, Medicaid Managed Care, Medicare, Special Needs..., Prior Authorization, HEDIS, STAR
Education
University of Southern California 2006 — 2013
Doctor of Pharmacy (Pharm.D.)
Kaiser Permanente July 2014 - Present
CalOptima July 2013 - June 2014
Kaiser Permanente October 2010 - June 2013
Skills
Pharmacy, Clinical Pharmacy, Medication Therapy..., Medication..., Hepatitis C, Specialty Pharmaceutical, Medication Adherence, Managed Care, Medicaid Managed Care, Medicare, Special Needs..., Prior Authorization, HEDIS, STAR
Education
University of Southern California 2006 — 2013
Doctor of Pharmacy (Pharm.D.)
Yan Hong Yan Hong's CalOptima Experience 2007 - 2008
Job Project Manager, Sales & Marketing at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
L.A. Care Health Plan May 2010 - Present
L.A.Care Health Plan October 2008 - April 2010
L.A.Care Health Plan June 2007 - July 2008
CalOptima 2007 - 2008
Skills
Project Management, CRM, Community Outreach, Managed Care
Education
University of Southern California
MHA, Master of Health Administration
L.A. Care Health Plan May 2010 - Present
L.A.Care Health Plan October 2008 - April 2010
L.A.Care Health Plan June 2007 - July 2008
CalOptima 2007 - 2008
Skills
Project Management, CRM, Community Outreach, Managed Care
Education
University of Southern California
MHA, Master of Health Administration
Teri Balentine Teri Balentine's CalOptima Experience 1975 - Present
Job General Manager at Ravenwood Management Group
Industry Publishing
Experience
Ravenwood Management Group January 1992 - Present
CalOptima 1975 - Present
Education
University of Southern California
Ravenwood Management Group January 1992 - Present
CalOptima 1975 - Present
Education
University of Southern California
Stephen Kong Stephen Kong's CalOptima Experience 2006 - 2010
Job Director, Systems and Application Architecture
Industry Information Technology and Services
Experience
Blue Shield of California October 2011 - Present
Blue Shield of California January 2007 - October 2011
The TriZetto Group 2002 - October 2011
CalOptima 2006 - 2010
Chinese Community Health Plan 2007 - 2007
Premera Blue Cross 2004 - 2005
OptumHealth - DBP 2002 - 2004
PT. Sun Microsystems Indonesia 2000 - 2001
Skills
SDLC, Healthcare Information..., HIPAA, EDI, Requirements Analysis, Business Analysis, Requirements Gathering, Software Project..., Enterprise Architecture, Business Requirements, Process Improvement, Integration, Healthcare, Program Management, Business Process..., PMO, Health Insurance, Facets, Solution Architecture, PMP, IT Strategy
Education
University of San Diego 1998 — 2001
BS, Computer Science
Blue Shield of California October 2011 - Present
Blue Shield of California January 2007 - October 2011
The TriZetto Group 2002 - October 2011
CalOptima 2006 - 2010
Chinese Community Health Plan 2007 - 2007
Premera Blue Cross 2004 - 2005
OptumHealth - DBP 2002 - 2004
PT. Sun Microsystems Indonesia 2000 - 2001
Skills
SDLC, Healthcare Information..., HIPAA, EDI, Requirements Analysis, Business Analysis, Requirements Gathering, Software Project..., Enterprise Architecture, Business Requirements, Process Improvement, Integration, Healthcare, Program Management, Business Process..., PMO, Health Insurance, Facets, Solution Architecture, PMP, IT Strategy
Education
University of San Diego 1998 — 2001
BS, Computer Science
Niyati Reddy's CalOptima Experience March 2014 - September 2014
Job Implementation Project Manager at HMS
Industry Hospital & Health Care
Experience
Health Management Systems (HMS) September 2014 - Present
CalOptima March 2014 - September 2014
CalOptima: A Public Healthcare Agency (Health Plan) October 2007 - March 2014
CalOptima - Public Agency 2008 - 2011
CalOptima 2007 - 2008
GME Solutions 2004 - 2006
John Wayne Cancer Institute August 2000 - May 2002
Skills
Project Management, Project Planning, MS Project, Visio, Strategic Planning, Business Strategy, Team Facilitation, Policy Analysis, Healthcare Consulting, Healthcare, Change Management, Strategy, Process Improvement, Analysis, Health Policy, Medicare, Data Analysis, Healthcare Information...
Education
University of Southern California 2002 — 2004
M.H.A., Health Care Administration and Management
Health Management Systems (HMS) September 2014 - Present
CalOptima March 2014 - September 2014
CalOptima: A Public Healthcare Agency (Health Plan) October 2007 - March 2014
CalOptima - Public Agency 2008 - 2011
CalOptima 2007 - 2008
GME Solutions 2004 - 2006
John Wayne Cancer Institute August 2000 - May 2002
Skills
Project Management, Project Planning, MS Project, Visio, Strategic Planning, Business Strategy, Team Facilitation, Policy Analysis, Healthcare Consulting, Healthcare, Change Management, Strategy, Process Improvement, Analysis, Health Policy, Medicare, Data Analysis, Healthcare Information...
Education
University of Southern California 2002 — 2004
M.H.A., Health Care Administration and Management
Christopher DiFonso, MBA's CalOptima Experience July 2005 - September 2012
Job Senior Financial Analyst at Planned Parenthood of Orange and San Bernardino Counties
Industry Health, Wellness and Fitness
Experience
Planned Parenthood of Orange and San Bernardino Counties September 2013 - Present
CalOptima July 2005 - September 2012
CalOptima October 2005 - June 2007
PacifiCare Health Systems -- Prescription Solutions January 2003 - October 2004
PacifiCare Health Systems -- Western Region I.S. July 1999 - December 2002
Skills
Visio, Project Management, Financial Analysis, Process Improvement, Budgets, Healthcare, Data Analysis, Business Analysis, Public Speaking, Leadership Development, Microsoft Excel, Analysis, Forecasting, Management, Accounting, Software Documentation, Insurance, Program Management, Strategic Planning, Healthcare Information..., Policy, Leadership, Business Process..., Change Management, Operating Budgets, Budget Forecasts, Financial Modeling, Variance Analysis, Microsoft Office, Microsoft Access, Microsoft Powerpoint, SQL, Team Building, Customer Service, Non-profits, Medicaid, Fund Accounting, Financial Reporting, Data Validation, Sage, Tableau, PowerPoint, Access
Education
University of Southern California - Marshall School of Business
Master of Business Administration (MBA), Business Administration and Management, General
USC
Bachelor of Arts (B.A.), Economics
Planned Parenthood of Orange and San Bernardino Counties September 2013 - Present
CalOptima July 2005 - September 2012
CalOptima October 2005 - June 2007
PacifiCare Health Systems -- Prescription Solutions January 2003 - October 2004
PacifiCare Health Systems -- Western Region I.S. July 1999 - December 2002
Skills
Visio, Project Management, Financial Analysis, Process Improvement, Budgets, Healthcare, Data Analysis, Business Analysis, Public Speaking, Leadership Development, Microsoft Excel, Analysis, Forecasting, Management, Accounting, Software Documentation, Insurance, Program Management, Strategic Planning, Healthcare Information..., Policy, Leadership, Business Process..., Change Management, Operating Budgets, Budget Forecasts, Financial Modeling, Variance Analysis, Microsoft Office, Microsoft Access, Microsoft Powerpoint, SQL, Team Building, Customer Service, Non-profits, Medicaid, Fund Accounting, Financial Reporting, Data Validation, Sage, Tableau, PowerPoint, Access
Education
University of Southern California - Marshall School of Business
Master of Business Administration (MBA), Business Administration and Management, General
USC
Bachelor of Arts (B.A.), Economics
Michelle Propper's CalOptima Experience August 2005 - Present
Job Registered Nurse/Case Manager at CalOptima
Industry Medical Practice
Experience
CalOptima August 2005 - Present
Hoag Hospital 1999 - 2005
Education
University of Southern California 1992 — 1994
BSN, Nursing
CalOptima August 2005 - Present
Hoag Hospital 1999 - 2005
Education
University of Southern California 1992 — 1994
BSN, Nursing
Ted Holloway, MBA's CalOptima Experience September 2006 - Present
Job Director of Sales and Business Development at LA Care Health Plan
Industry Marketing and Advertising
Experience
L.A. Care Health Plan September 2015 - Present
L.A. Care Health Plan September 2015 - Present
CalOptima September 2006 - Present
CalOptima/OneCare 2006 - Present
CalOptima September 2006 - September 2015
UHP Healthcare March 2005 - April 2006
Skills
Health Insurance, Healthcare Management, Marketing, Hospitals, Leadership, Healthcare Information..., Event Planning, EMR, HIPAA, Program Management, Customer Service, Contract Negotiation, Medicaid, Strategic Planning, Management, EHR, Data Analysis, Physician Relations, Healthcare Industry, Process Improvement, Team Building, Insurance, Physicians, Sales, Policy, Training, Healthcare Consulting
Education
University of Phoenix 2004 — 2006
Masters Degree, MBA, 3.86
University of Phoenix-Southern California Campus 1996 — 1998
BS/BA, Business, 3.8
L.A. Care Health Plan September 2015 - Present
L.A. Care Health Plan September 2015 - Present
CalOptima September 2006 - Present
CalOptima/OneCare 2006 - Present
CalOptima September 2006 - September 2015
UHP Healthcare March 2005 - April 2006
Skills
Health Insurance, Healthcare Management, Marketing, Hospitals, Leadership, Healthcare Information..., Event Planning, EMR, HIPAA, Program Management, Customer Service, Contract Negotiation, Medicaid, Strategic Planning, Management, EHR, Data Analysis, Physician Relations, Healthcare Industry, Process Improvement, Team Building, Insurance, Physicians, Sales, Policy, Training, Healthcare Consulting
Education
University of Phoenix 2004 — 2006
Masters Degree, MBA, 3.86
University of Phoenix-Southern California Campus 1996 — 1998
BS/BA, Business, 3.8
Sunmi Janicek's CalOptima Experience 2014 - 2015
Job VP of Medicaid at Gorman Health Group
Industry Hospital & Health Care
Experience
Gorman Health Group 2015 - Present
CalOptima 2014 - 2015
WellCare Health Plans, Inc. 2011 - 2014
WellCare Health Plans, Inc. d/b/a 'Ohana Health Plan 2009 - 2011
WellCare Health Plans, Inc. 2005 - 2009
Skills
Process Improvement, Healthcare, Insurance, Program Management, Software Documentation, Risk Management, Management, Policy, Analysis, Medicaid, Auditing, Medicare, Health Policy, Strategy, Managed Care, HIPAA, Healthcare Industry, Health Insurance, Healthcare Management, Training, Healthcare Consulting
Education
University of South Florida 2002 — 2008
MPH
University of South Florida 1996 — 2000
B.S. Biology and Chemistry
Gorman Health Group 2015 - Present
CalOptima 2014 - 2015
WellCare Health Plans, Inc. 2011 - 2014
WellCare Health Plans, Inc. d/b/a 'Ohana Health Plan 2009 - 2011
WellCare Health Plans, Inc. 2005 - 2009
Skills
Process Improvement, Healthcare, Insurance, Program Management, Software Documentation, Risk Management, Management, Policy, Analysis, Medicaid, Auditing, Medicare, Health Policy, Strategy, Managed Care, HIPAA, Healthcare Industry, Health Insurance, Healthcare Management, Training, Healthcare Consulting
Education
University of South Florida 2002 — 2008
MPH
University of South Florida 1996 — 2000
B.S. Biology and Chemistry
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
DeAnne Polanco's CalOptima Experience August 2007 - December 2007
Job Emergency Response Children's Social Worker at Department of Children and Family Services
Industry Human Resources
Experience
Department of Children and Family Services March 2011 - Present
Los Angeles County Metropolitan Transportation Authority September 2009 - April 2010
Bridges Inc. September 2008 - May 2009
CalOptima August 2007 - December 2007
Education
University of Southern California 2008 — 2010
Masters, Social Work
Department of Children and Family Services March 2011 - Present
Los Angeles County Metropolitan Transportation Authority September 2009 - April 2010
Bridges Inc. September 2008 - May 2009
CalOptima August 2007 - December 2007
Education
University of Southern California 2008 — 2010
Masters, Social Work
Kimberly Lemberg's CalOptima Experience January 1999 - June 2002
Job Experienced project coordinator and data analysis management
Industry Security and Investigations
Experience
ExpertsIT@Hewlett-Packard on the American Express Account July 2012 - July 2013
ExpertsIT@ Hewlett-Packard / American Express Account July 2012 - July 2013
American Express July 2011 - July 2012
IBM (Manpower) September 2006 - June 2011
CalOptima January 1999 - June 2002
Skills
Excel, Documentation, Spreadsheets, Access, Customer Service, Word, Microsoft Office, PowerPoint, Vendor Relations, Problem Solving, Compliance, Analysis, Databases, Research, Customer Relations, Auditing, Writing, Data Analysis, Administration, Process Improvement, Microsoft Excel, Software Documentation, Microsoft Word, Clarity, SharePoint, Risk Management, Visio, Project Management, Project Planning, MS Project, Vendor Management, Business Analysis
Education
University of Phoenix 2011 — 2015
Business, Project Management
Executrain
New Horizons
Rancho Santiago Community College
ExpertsIT@Hewlett-Packard on the American Express Account July 2012 - July 2013
ExpertsIT@ Hewlett-Packard / American Express Account July 2012 - July 2013
American Express July 2011 - July 2012
IBM (Manpower) September 2006 - June 2011
CalOptima January 1999 - June 2002
Skills
Excel, Documentation, Spreadsheets, Access, Customer Service, Word, Microsoft Office, PowerPoint, Vendor Relations, Problem Solving, Compliance, Analysis, Databases, Research, Customer Relations, Auditing, Writing, Data Analysis, Administration, Process Improvement, Microsoft Excel, Software Documentation, Microsoft Word, Clarity, SharePoint, Risk Management, Visio, Project Management, Project Planning, MS Project, Vendor Management, Business Analysis
Education
University of Phoenix 2011 — 2015
Business, Project Management
Executrain
New Horizons
Rancho Santiago Community College