Cigna Health Plan
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Cigna Health Plan Employees
n/a - currently unemployed April 2012 - Present
Caring Senior Service February 2011 - April 2012
Texas Health Spring November 2007 - January 2010
MD Anderson Cancer Center August 1999 - December 2006
HMO/Texas Golden Choice /Group Presenter April 1996 - January 1999
Cigna Health Plan October 1989 - January 1996
Skills
Medical Billing, Customer Service, Employee Benefits, Health Insurance, Authorization, Medicare Advantage, Grievances, QuickBooks, CPT, ICD-9, Quality Assurance, Payroll, Invoicing, Accounts Receivable, Claim, Positive Team Player, Sales Presentations, HIPAA, EMTALA, Human Resources
Education
Houston Community College 1976 — 1977
N/A, Business Administration
Houston Community College 1976 — 1976
Houston Community College 1976 — 1976
DialogueWORKS LLC May 2013 - Present
DialogueWorks LLC January 2009 - Present
DialogueWORKS January 2009 - Present
Light Storm Consulting 1995 - 2009
The Praxis Group 1991 - 1995
Shipley Associates 1989 - 1992
Dean Zabriskie & Associates 1989 - 1991
Cigna Health Plan 1984 - 1985
Skills
Conflict Resolution, Emotional Intelligence, Critical Thinking, Change Management, Dialogue, Leadership Development, Executive Coaching, Culture Change, Coaching, Performance Management, Feedback, Collaboration and..., Holding REAL..., Training, Organizational..., Team Building, Program Management, Leadership, Management Consulting, Dialog Programs, Organizational..., Public Speaking, Talent Management, Executive Management, Team Leadership, Management, Workshop Facilitation, Performance Improvement, Consulting, Executive Development, Organizational Design, Instructional Design, Career Development, Succession Planning, 360 Feedback, Employee Training, Strategy, Management Development, Employee Engagement
Education
Brigham Young University
BA, English, French, Philosophy
Brigham Young University
JD
Brigham Young University
MOB, Organizational Behavior
Molina Healthcare January 2013 - Present
Employers Health Direct February 2012 - November 2012
Baylor Carrollton Medical Center March 2010 - February 2012
AIG/Chartis :Q-Temps August 2009 - January 2010
Children's Medical Center February 2007 - April 2009
United Health Care January 2006 - February 2007
Cigna Health Plan April 2003 - January 2006
Aetna US Health Care February 2000 - April 2003
ProviderCare October 1997 - February 2000
Metrocrest Orthopedic/Sports Medicine September 1996 - October 1997
Skills
Certified Case Manager, Utilization Review, Case Managment, HEDIS, NCQA, Legal Nurse Consulting, Care Planning, Palliative Care, Hospitals, Healthcare Management, Clinical Research, Managed Care, Nursing, Medicine, Pediatrics, Patient Safety, Healthcare, Home Care, Long-term Care
Education
Univerisity of Central Arkansas 1975 — 1979
BSN, Nursing
University of Central Arkansas 1975 — 1979
Bachelor of Science Degree, Nursing
MILYN Enterprises, Inc. September 2011 - Present
Humana 2002 - September 2011
Humana 1988 - 2002
CIGNA Health Plan 1986 - 1988
Delray Medical Center 1982 - 1986
Kaiser Permanente 1977 - 1982
Skills
Medicare, Medicaid, Managed Care, Healthcare Industry, Health Information..., Physicians, Health Insurance, Healthcare, Strategic Planning, Credentialing, Provider Relations, HIPAA, HMO, Disease Management, Long-term Care, EHR, Network Development, Healthcare Consulting, Contract Negotiation, Quality Improvement, Medicaid Managed Care, Strategy, Leadership, Hospital Contracting, Healthcare Information..., Practice Management, Employee Benefits, Healthcare Management, Business Development, Insurance, Health Policy, EMR, Physician Relations, Hospitals, Medical Billing, Revenue Cycle Management, Revenue Cycle, Executive Management, Program Management, MSO Risk Contracting, Informatics, Management, Performance Improvement, PPO, Home Care, Utilization Management, Medicare Part D, Pharmacy, ACO
Education
Rutgers, The State University of New Jersey-Newark 1975 — 1978
MPA, Health Services
New Jersey Institute of Technology 1973 — 1975
MS, Management Engineering
New Jersey Institute of Technology 1968 — 1972
BS, Industrial Engineering
Irvington High School 1964 — 1968
VHA 2009 - Present
Kaiser Permanente 1997 - November 2011
Washington Medical CenterDirector January 1994 - January 1997
Convacare January 1993 - January 1994
Cigna Health Plan January 1992 - January 1993
Good Samaritan Hospital January 1991 - January 1992
Cedars-Sinai Medical Center January 1982 - January 1991
University of Illinois Medical CenterPreceptor January 1980 - January 1981
Skills
Clinical, Healthcare, Healthcare Management, Pharmacists, Hospitals, Patient Education, Pharmacokinetics, Surgery, Oncology, Medication Therapy..., Cancer, Patient Safety, Ambulatory Care, Healthcare Consulting, Chemotherapy, Pharmacueticals, Quality Improvement, EMR, Long-term Care, Acute Care, Home Infusion, Clinical Research, Healthcare Information..., Epidemiology, Home Care, Pharmacy, ICU, Pharmaceutical Industry, Pharmacy Automation, Treatment, IV, Pediatrics, Inpatient, Medical/Surgical, Public Health, Clinical Pharmacology, Diabetes, Critical Care, Transplant, Infectious Diseases, Internal Medicine, Medical Education, Psychiatry, Managed Care, Anticoagulation, Informatics, Patient Counseling, Clinical Pharmacy, Meditech, Disease Management
Education
Universidad De Guadalajara, Mexico 1980 — 1981
none, Medicine
ASHP Residency Unv. of Illinois Chicago 1979 — 1980
Mercer University 1979 — 1980
Pham.D., Clinical Pharmacy
Butler University 1974 — 1978
Bachelor of Science, Pharmacy
Retired, Enjoy helping others October 2004 - Present
Lovelace Health System August 1992 - October 2004
CIGNA Health Plan September 1978 - August 1992
Gallup-McKinley County Schools Field Health August 1972 - August 1978
U.S. Public Health Service Gallup Indian Medical Center April 1961 - August 1972
Tuveson and McLoone Orthopedic Surgeons October 1959 - April 1961
St. Joseph's Hospital and Medical Center August 1958 - October 1959
Skills
Non-profit Volunteering, Writer of Children's..., Patient Navigator to..., Mentor of Hungarian..., Public Speaking, Chairman of Fundraisers..., Interim Director of..., Board Member of...
Education
The University of New Mexico 1998 — 2001
Master in Public Administration, Public Administration and Health Care Administration, 3.8 GPA
University of Phoenix 1985 — 1988
Bachelor's Degree in Nursing, Registered Nursing/Registered Nurse, 4.0 GPA
Arizona State University 1958 — 1961
Credits toward BS in Nursing, Nursing Education, 3.9 GPA
St Joseph's Hospital and Medical Center 1955 — 1958
Diploma in Nursing, Registered Nursing/Registered Nurse, 3.75
Englewood Hospital and Medical Center June 2010 - Present
St. Peter's College February 2010 - Present
Funday, Tomorrow's Children's Fund, Hackensack University Medical Center January 2002 - Present
Holy Name Hospital July 2008 - November 2010
Consumer's Medical Resource May 1996 - July 2008
Franklin Health Group November 1989 - May 1996
CIGNA Health Plan February 1987 - November 1989
Consulting Medical Services February 1987 - February 1988
Englewood Hospital February 1986 - February 1987
Englewood Hospital January 1985 - January 1986
Skills
Strong Business Acumen, Health insurance, Product Development, Healthcare, Managed Care, Nursing, Hospitals, Clinical Research, Healthcare Management, Home Care, Healthcare Information..., Disease Management, Healthcare Consulting, Quality Improvement, Medicine, Case Managment, EMR, Medicaid
Education
St. Peter's College 2007 — 2010
Masters of Science, Nursing; Nursing Administration & Case Management
Jersey City State College
Bachelor of Science, Nursing
Englewood Hospital Nursing School
Degree, Nursing
Cigna Health Plan 1987 - 1989
East Coast Medical 1987 - 1989
U.S Public Health Service 1984 - 1987
National Health Service corps 1984 - 1987
Tulane University medical Center 1982 - 1984
Mt Sinai Medical Services at Elmhurst hospital 1981 - 1982
Skills
Medicine, Healthcare, Practice Management, Hospitals, Healthcare Management, Strategic Planning, Healthcare Information..., Physicians
Education
Howard University 1977 — 1981
Enertech April 2009 - Present
Disneyland 2004 - 2009
Children's Hospital of Orange County 1996 - 1997
Children's Hospital Oakland 1982 - 1996
CIGNA Health Plan 1980 - 1982
Ross-Loos Medical Group 1978 - 1980
Haskins & Sells 1969 - 1978
Skills
Finance, Accounting, Financial Reporting, Auditing, Financial Accounting, Account Reconciliation, Financial Analysis, Accounts Payable, Microsoft Excel, General Ledger, Internal Controls, SAP, Accounts Receivable, Microsoft Office, Budgets, Forecasting, Payroll, Variance Analysis, Fixed Assets, Tax
Education
University of California, Berkeley 1967 — 1969
Master of Business Administration (MBA), Accounting
Santa Clara University 1959 — 1963
Bachelor of Arts (B.A.), Philosophy
Shionogi Pharmaceuticals August 2011 - Present
SANOFI-AVENTIS PHARMACEUTICALS May 1989 - December 2010
Nursefinders Inc October 1986 - May 1989
Cigna Health Plan March 1985 - June 1986
Hospital Corporation of America April 1984 - March 1985
US Navy Hospital Corpsman February 1979 - February 1985
Skills
Pharmaceutical Industry, Gastroenterology, Rheumatology, Diabetes, Cardiology, Pharmaceutical Sales, Hospital Sales, Endocrinology, Allergy, Neurology, Pulmonology, Urology, Nephrology, OB/GYN, Managed Care, Dermatology
Education
Southern Illinois University, Carbondale 1982 — 1985
BS, Health Care Management
Daymon Worldwide 2004 - 2011
Envirotech, Inc. June 2001 - January 2004
Price Waterhouse Coopers LLP Dallas, Texas April 2000 - May 2001
Pearle Vision Inc. December 1993 - December 1999
Coopers & Lybrand February 1989 - December 1993
Bowker, Graves and Associates June 1986 - February 1989
CIGNA Health Plan October 1982 - June 1986
Electronic Data Systems (EDS) July 1979 - October 1982
Skills
Marketing Analysis and..., Business Analysis, Engagement Management, Consumer Demographic..., IT Management, IT Strategy
Education
Richland College
The University of Texas at Austin