Coventry Health Care
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland, United States Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
Coventry Health Care List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Coventry Health Care. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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3,100 Coventry Health Care employees in database. Find out everything there's to know about Coventry Health Care employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Coventry Health Care Employees
Myriad Genetics March 2013 - Present
Coventry Health Care June 2008 - March 2013
Flextronics April 2007 - January 2008
Skills
Poetry, Customer Service, Coaching, Poetry Readings, Team Building, Teaching, Public Speaking, Instructional Design, Large Group Facilitation, Leadership, Performance Management, Recruiting, Copywriting, Technical Writing, Team Leadership, Team Management, Editing, Call Centers, Healthcare, Social Media, Writing, Sales Presentations, Microsoft Excel, Technical Training, Sales Operations, Mentoring, Visual Arts, Creative Events, Wordpress, Excel, Sales Management, Sales Support, Sales Skills Training, Presentation Development, Group Presentations, Technical Presentations, Presentation Coaching, Shin Buddhism, Selling Skills, spoken word, Art, Curriculum Development, Project Management, Startup Development, Performance Poetry, Management, Training, Microsoft Office, Blogging, Research
Education
Antioch University-Los Angeles 2003 — 2005
MFA, Creative Writing Poetry
University of Utah 2000 — 2002
BS, Environmental Studies
Emory University September 2012 - October 2013
UnitedHealth Group April 2011 - June 2013
Emory University October 2011 - September 2012
Coventry Health Care December 2010 - April 2011
Highmark Blue Cross Blue Shield July 2006 - December 2010
Highmark Blue Cross Blue Shield November 2007 - November 2008
Highmark Blue Cross Blue Shield November 2005 - July 2006
Highmark Blue Cross Blue Shield April 2001 - November 2005
Highmark Blue Cross Blue Shield April 1999 - April 2001
Highmark Blue Cross Blue Shield May 1997 - April 1999
Skills
Business Requirements, Requirements Gathering, SDLC, Gap Analysis, Visio, User Acceptance Testing, Waterfall, Business Analysis, Business Process Mapping, Requirements Analysis, Systems Analysis, Business Process..., Business Process..., Process Improvement, Business Process, Leadership, Project Management, Vendor Management, Quality Assurance, Management, Software Documentation
Education
American Intercontinental University 2009 — 2013
BS, Project Management
American Intercontinental University 2007 — 2009
Associates Degree, Human Resource Management
South County Mental Health Center September 2013 - Present
Inquistive Kidz Learning Academy 2009 - Present
Coventry Health Care June 2011 - November 2011
Lincoln University of Missouri January 2006 - May 2009
Skills
Medical Terminology, Data Entry, Microsoft Office, Multi Tasking, Customer Service, ICD-9, Appointment Scheduling, Typing, Multi-line Phone, Practice Partner, Medical Billing, Medical Records, Front Office Support, Administrative Office..., Team-oriented, Positivity, Dependable Team Player, Administrative..., Education, Filing, Bulk Mailing, Communication, Computer/Technical..., Adaptability, Professional..., Always Willing to Learn
Education
Missouri College 2011 — 2011
Diploma, Medical Insurance Specialist/Medical Biller
University of Missouri St. Louis College of Business
sociology, Sociology
MultiPlan October 2011 - Present
MedRisk, Inc. March 2010 - October 2011
Coventry Health Care December 2008 - March 2010
Skills
Healthcare, Managed Care, Hospitals, HIPAA, Healthcare Information..., Health Insurance, Medicare, Customer Service, Healthcare Management, Process Improvement, Microsoft Office, Microsoft Excel, Salesforce.com, Workers Compensation
Education
Arizona State University 2003 — 2005
Bachelor of Science (B.S.), Justice Studies
Bristol Community College 2000 — 2002
Associate of Science (A.S.), Criminal Justice
PAB Insurance Services, LLC September 2014 - Present
Novitas Solutions, Inc. October 2012 - September 2014
Coventry Health Care January 2012 - June 2012
Accredo Healthcare - a Medco Company January 2005 - December 2011
UPMC November 2001 - January 2005
PREFIT Health and Fitness 1994 - 2001
IBM May 1981 - June 1993
Skills
Medicare, Healthcare Management, Medicaid, Utilization Management, Nursing, Health Insurance, Managed Care, Management, Strategic Planning, Insurance, Training, Employee Benefits
Education
Bellevue University
MHA, Healthcare Adminstration
Penn State-Capitol Campus
BA, Psychosocial Sciences
Allegany College of Maryland
AS, Nursing
Coventry Health Care June 2007 - December 2013
Skills
Health Insurance, Insurance, Medicare, Claim, Managed Care, Workers Compensation, Employee Benefits, Underwriting, Medicaid, Provider Relations, Disability Insurance, SDLC, Commercial Insurance, Process Improvement, Brokers, Property & Casualty..., HIPAA, Claims Management, Healthcare, Business Analysis
Education
Anthem College-Phoenix 2011 — 2013
Associate of Science (A.S.), Health Information Management, A
CVS Caremark August 2011 - Present
United Health Group August 2009 - August 2011
Coventry Health Care August 2007 - August 2009
Banner Health September 2004 - August 2007
Computer Friendly May 1999 - August 2004
Skills
Quality Assurance, Business Analysis, Software Implementation, Software Development, PMO, Strategy, Testing, Team Leadership, SDLC, PMP, Visio, Software Project..., Vendor Management, Project Portfolio..., Process Improvement, Requirements Analysis, Requirements Gathering, Information Technology, Business Process..., Business Process, IT Management, MS Project, Cross-functional Team..., Project Management, IT Strategy, Resource Management, Healthcare Information..., Healthcare, Analysis, Project Delivery, Business Requirements, Agile Methodologies, Change Management, Outsourcing, Program Management, Risk Management
Education
Arizona State University - W. P. Carey School of Business 2006 — 2007
MS, Information System Management
Arizona State University 2000 — 2004
BS, Computer Science
PMI
PMP Certified, Project Management
ProAct Health Solutions July 2014 - Present
ProAct Health Solutions January 2014 - July 2014
Coventry Health Care 2009 - 2012
AvMed Health Plans 1997 - 2006
AvMed Health Plans 1997 - 2006
Skills
HIPAA, Claim, Health Insurance, Medicaid, Medicare, Process Improvement, PPO, Provider Relations, Visio, HMO, Network Development, Credentialing, Insurance, Managed Care, Healthcare, Healthcare Industry, Healthcare Management, Healthcare Consulting
Education
Auburn University
Avera Technology July 2014 - Present
Spherion May 2014 - Present
Access Technologies Inc October 2013 - March 2014
Cigna Home Delivery Pharmacy January 2011 - October 2013
Coventry Health Care June 2008 - August 2010
Skills
Customer Service, Communication, Multi Tasking, Work in A Fast Paced..., Typing, Information Technology, Problem Solving, Time Management, Call Centers, Technical Support, Access, Networking, Lotus Notes, System Administration, Windows 7, Windows XP
Education
Colorado State University 2012 — 2013
Bachelor of Applied Science (B.A.Sc.), Information Technology, GPA 3.33 Graduated 7/2013
Ashford University 2010 — 2012
Bachelor of Applied Science (BASc), Social Sciences
Touchstone Behavioral Health April 2013 - Present
Mountain Valley Counseling August 2011 - Present
Choices Network of Arizona August 2012 - April 2013
PSA Behavioral Health June 2012 - November 2012
Coventry Health Care March 2009 - May 2011
Target November 2007 - December 2009
Grainger August 2006 - July 2008
Skills
Excellent Oral and..., Proficient in Microsoft..., Enjoys Multitasking, Detailed Oriented and..., Experienced and..., Very Good Counseling..., Cognitive Behavioral..., Rational Emotive..., Motivational..., Individual Therapy, Family Therapy, Children's Therapy, Group Therapy, Anxiety Disorders, Stress Management, Depression, Relational Problems, Adjustment Disorders, Communication Skills, Psychotherapy, Treatment, Data Entry, Case Managment, Multi Tasking, Customer Service, Oral & Written..., Conflict Resolution, Employee Relations, Therapists, Behavioral Health, CBT, Case Management, Mental Health Counseling, Mental Health
Education
Argosy University Phoenix 2009 — 2012
Master's Degree, Mental Health Counseling
Arizona State University West 2006 — 2008
Bachelor's Degree, Psychology
Glendale Community College 2004 — 2006
Sunrise Mountain High School 2002 — 2004
High School Diploma
Deer Valley High School 2000 — 2002
Citizens Property Insurance Corporation November 2013 - Present
Citizens Property Insurance May 2008 - October 2013
Sears July 2007 - May 2008
Coventry Health Care February 2007 - July 2007
Satyam November 2005 - December 2006
Nokia April 2004 - November 2005
Healthhighway March 2003 - May 2004
NuFront Software Technologies September 2000 - January 2003
Skills
Spring, Java Enterprise Edition, Web Services, Agile Methodologies, Tomcat, Enterprise Architecture, JUnit, Weblogic, Java, Struts, EJB, REST, Hibernate, Guidewire, Guidewire BillingCenter, Guidewire PolicyCenter, Ant, JSP, Oracle SOA Suite, HTML, JBoss Application Server, JMS, JavaScript, jQuery, Ruby on Rails, MySQL, WebSphere Application..., Ruby, J2EE, HTML + CSS, Integrations, Eclipse, IntelliJ IDEA, TOGAF, Scala, Agile, Ontology Development, JBoss, Grails, Android, Alfresco, Liferay, System Architecture, Oracle BPEL, ExtJS, RDF, Play Framework
Education
Andhra University 1998 — 2001
Masters Of Computer Applications, Computer Science
Social Security Administration May 2014 - Present
United States Army Reserve October 2013 - Present
US Army (active duty) July 2009 - July 2013
Pediatrix Medical Group September 2008 - July 2009
Coventry Health Care June 2005 - September 2008
Skills
Human Resources, Operations Management, Data Analysis, Communication, Journalism, Writing, Employee Training, Copy Editing, Key Performance..., Administrative Work, Office Administration, Health Services..., Military Experience, Management, Administration, Training, Interviews, Access, Customer Service, Government, Data Entry, Hospitals, Leadership, Microsoft Excel, Outlook
Education
American InterContinental University-South Florida 2006 — 2007
Master of Business Administration (MBA), Business Administration and Management, General
Long Island University, C.W. Post Campus 1999 — 2003
Bachelor of Fine Arts (BFA), Journalism
Piedmont Hospital January 2013 - Present
Alliant/GMCF October 2012 - December 2012
Coventry Health Care August 2011 - August 2012
Coventry Healthcare August 2011 - August 2012
Humana May 2010 - August 2011
Humana Inc May 2010 - July 2011
United Health Care October 2008 - May 2010
OptumHealth October 2008 - May 2010
Health Management Corporation February 2007 - October 2009
Health Management Corporation February 2007 - October 2008
Skills
Utilization Management, Certified Case Manager, Utilization Review, Medical Case Management, Disease Management, Medicare, Medicaid, Case Managment, Managed Care, Health Insurance, Healthcare
Education
Athens Technical College 2002 — 2005
ADN, Nursing
Athens Technical College 2002 — 2005
Associates Degree, Nursing
Blackbaud October 2009 - Present
Coventry Health Care November 2008 - February 2009
JPMorgan Chase November 2007 - November 2008
Skills
SAP ERP, Amdocs Clarify, OTS, Microsoft Office, SaaS, Revenue Recognition, Process Improvement, Adobe Creative Suite
Education
Arizona State University 2012 — 2013
Bachelor of Science (BS), Technical Communication
Salt Lake Community College 2003 — 2004
Associate of Science (AS), General Studies
Aetna February 2014 - Present
Coventry Health Care March 2010 - January 2014
Health Dialog September 2007 - February 2010
Anova Home Care February 2006 - September 2007
Skills
Medicare, Disease Management, Utilization Management, Managed Care, Medicaid, Nursing, Healthcare, HIPAA, Health Insurance, Case Management, Home Care, Hospitals, EMR, Patient Advocacy
Education
St Margaret School of Nursing 1987 — 1989
R.N. Diploma
St. Margaret's School of Nursing,Pgh PA 1987 — 1989
R.N. Diploma, Registered Nursing/Registered Nurse
Pennsylvania Housing Finance Agency December 2005 - Present
Coventry Health Care July 1996 - October 2005
Skills
Compliance, Underwriting, Insurance, Financial Analysis, Policy, Budgets
Education
Ashford University 2013 — 2015
Master's degree, Business Administration and Management, General
University of Phoenix 2006 — 2011
Bacherlors, Business/Management
Oasis Of Hope Ministries June 2015 - Present
Hawk Bookkeeping & Tax Services October 2014 - Present
Mt Zion New Life Center (Retreat Center) June 2015 - August 2015
Aetna December 2013 - May 2015
Professional Tax & Accounting Services, LTD January 2015 - April 2015
H&R Block December 2012 - April 2014
Coventry Health Care May 2012 - December 2013
Crazy For Christ Computer Services January 2006 - January 2008
CATHEDRAL INTERNATIONAL May 2006 - January 2007
Skills
Accounting, Tax Preparation, General Ledger, Budgets, Research, Tax Returns, Bookkeeping, Financial Reporting, Public Speaking, Business Development, Financial Accounting, Leadership, Microsoft Office, Process Improvement, Strategic Planning, Team Building, System Administration, Business Planning, Administration, Teamwork, Training, Windows, Customer, Income Tax, Tax Advisory, Finance, Strategic Financial..., Financial Analysis, QuickBooks, Small Business, Microsoft Excel, Outlook
Education
Ashworth University 2010 — 2012
Associate of Science (A.S.), Healthcare Management, 3.1
Baylor Scott & White Healthcare September 2013 - October 2014
Cognizant April 2005 - February 2013
Coventry Health Care May 1997 - April 2005
Coventry Health Care April 1993 - May 1997
Coventry Health Care July 1991 - March 1993
Skills
Epic Systems, Training, Analysis, Business Analysis, Testing, Software Documentation, Process Improvement, Requirements Gathering, Access, Project Management, Microsoft Excel, Training Skills, Project Coordination, Client Relationship..., Microsoft Office, Workers Compensation, PowerPoint, Medicaid, Commercial Insurance, Revenue Cycle Management, Payors, Account Reconciliation, SDLC, Managed Care, Inpatient, Ambulatory, Go Live Support, Software Implementation, CPOE, Training Documentation, EMR Training, Supervisory Skills, SnagIt, Salesforce, SharePoint, GoToMeeting, Camtasia, Healthcare, Healthcare Information..., HIPAA, EHR, Customer Service, Leadership
Education
American River College 2005 — 2007
AA, Culinary Arts
Coventry Health Care July 2012 - Present
GE Healthcare 2006 - March 2012
IDX August 1992 - December 2005
Skills
Integration, Process Improvement
Education
Alfred University
BS, Electrical Engineering
Humana December 2010 - Present
Detroit Medical Center March 2010 - December 2010
Health Alliance Plan July 2009 - April 2010
Coventry Health Care March 2006 - September 2008
Coventry Health Care June 2004 - March 2006
Paramount Health Care, Inc. October 2001 - June 2004
Skills
Provider Contracting, Provider Relations, Risk Management, Medicaid, Health Insurance, Managed Care, Insurance, Network Development, Underwriting, Contract Negotiation, Leadership, Medicare, Commercial Insurance, Management, Business Development, Employee Benefits, HIPAA, HMO, Workers Compensation, Healthcare, Claim, Disability Insurance, Policy, Process Improvement
Education
Arizona State University - W. P. Carey School of Business 2004 — 2006
MBA, Business Administration
Lourdes College 2001 — 2004
BIS, Business Administration / Humanities
Ottawa Hills High School 1996 — 1997
HS Diploma, General Studies
Inovalon June 2015 - Present
Centene Corporation October 2014 - April 2015
Centene Corporation November 2012 - December 2014
Coventry Health Care January 2012 - November 2012
Lee's Summit Ear Nose and Throat April 2008 - January 2012
Skills
Utilization Management, Medicare, Nursing, Medical Terminology, Managed Care, Health Insurance, Medicaid Managed Care, Case Management, Prior Authorization, Pediatrics, Utilization Review, Medical Coding, InterQual Criteria, Milliman Criteria, Onsite Coordination, Start-ups, Employee Training, Discharge Planning, Project Management, ENT, Sleep Medicine, Pulmonary Diseases
Education
Indiana State University 2012 — 2016
BSN
Metropolitan Community College-Penn Valley 2006 — 2008
LPN Bridge, General Education Req.
Cass Career Center 2002 — 2003
Practical Nursing
Asset & Reputation Protection March 2015 - Present
Confidential May 2014 - March 2015
Ricoh Americas Corporation April 2011 - May 2014
Coventry Health Care 2008 - 2009
Women Helping & Empowering Women 2001 - 2007
Aetna 1988 - 1994
Skills
Umbrella Insurance, Property & Casualty..., Commercial Insurance, Directors & Officers..., Workers Compensation, Home Health Agencies, Employment Practices..., New Business Development, Sales, Marketing, Team Building, CRM, Recruiting, B2B, Leadership, Selling, Customer Service, Program Management, Cold Calling, Sales Operations, Event Planning, Training, Negotiation, Fundraising, Customer Retention, Customer Satisfaction, Budgets, Networking, Community Outreach, Healthcare, Nonprofits, Salesforce.com, Grassroots Fundraising, Grant Writing, Public Speaking, Executive..., Delegation, Donor Development, Sponsorship, Public Seminars, Project Planning, Advertising, Community Relations..., Sales Presentations
Education
Anderson University (SC) 2011 — 2014
Bachelor's Degree, Human Services
Greenville Technical College 2009 — 2011
Human Services, General
Spartanburg High School
Flagship Credit Acceptance March 2014 - Present
Coventry Health Care April 2009 - March 2014
2Wire, Inc February 2007 - October 2007
CompUSA, Inc August 2006 - July 2007
Honeywell, Inc August 2005 - June 2006
Skills
Active Directory, Powershell, Microsoft Exchange, Shell Scripting, System Administration, Hyper-V, Windows Server, Troubleshooting, Technical Support, Software Installation, Hardware, Unix, Windows, Windows XP, Citrix, Outlook, Service Desk, Windows 7, Printers, XP, Computer Hardware, Routers, Networking, Incident Management, VMware, BMC Remedy, Desktop Support, Unix Operating Systems, Open Source Software, Servers, Laptops, Workstations, Unix Shell Scripting, Linux System..., Switches, iPhone, Android, KeePass, Cisco Technologies, Vyatta, Microsoft Office, Python, Forefront
Education
Arizona State University, W. P. Carey School of Business 2009 — 2012
Computer Information Systems, CIS/Management
Walmart January 2011 - Present
Sterling5 Inc September 2007 - Present
Coventry Health Care August 2010 - January 2011
Skills
Solaris, Data Modeling, Oracle RAC, RMAN, PL/SQL, Data Migration, SQL Tuning, AIX, Data Guard, Oracle, Oracle Enterprise..., Microsoft SQL Server, Oracle Applications, Replication, Erwin, Toad, Performance Tuning, Windows Server, Java, IBM AIX
Education
Anna University
University of Bridgeport
Department of Veterans Affairs October 2007 - Present
Coventry Health Care January 2005 - December 2007
First Health January 2003 - December 2005
Richland Lexington Disabilities and Special Needs Board January 2000 - December 2003
United States Army Special Operations Command October 1980 - November 1991
Skills
Veterans Benefits, Case Managment, Veterans Affairs, Veterans, Federal Government, Government, Public Administration, Medicaid, Policy Analysis, Government Procurement, Policy, Equal Employment..., Military, Program Evaluation, Community Outreach, Public Policy, Public Speaking, Mental Health
Education
Webster University 1999 — 2001
Master of Arts (MA), Human Resources Development
Allen University 1995 — 1999
Bachelor of Arts (BA), Social Sciences
Private Practice August 2010 - Present
Coventry Health Care January 2011 - July 2013
Perspectives Ltd October 2008 - May 2010
Education
Adler School of Professional Psychology 2006 — 2008
MA, Psychology
Thor Anderson & Associates April 2011 - Present
Innovare Health Advocates June 2011 - March 2014
Coventry Health Care March 2003 - February 2011
Express Scripts January 1997 - January 2001
UnitedHealthcare of the Midwest January 1993 - January 1997
GenCare Health Systems January 1992 - January 1993
Sanus Health Plan January 1989 - January 1992
Unity Health Plan January 1988 - January 1989
Physicians Health Plan of Florida January 1984 - January 1987
Skills
Health Insurance, Medicare, PPO, HMO, Healthcare Information..., Process Improvement, Insurance, Long-term Care, Managed Care, Medicaid, Physicians, Healthcare, HIPAA, EHR, Medicare Part D, Health Policy, Team Building, Employee Benefits, Hospitals, Pharmacy Benefit..., Provider Relations, Network Development, Disease Management, Healthcare Management, Healthcare Industry, Utilization Management, Medicaid Managed Care, Physician Relations, Healthcare Consulting, Pharmacy
Education
University of Wisconsin-Madison 1978 — 1979
MA-Bus, Health Services Administration
Antioch College
Bachelor of Arts Degree, Political Science
University of Wisconsin
Master of Arts, Business Degree, Health Services Administration
Dean Health Plan August 2010 - Present
MVP Health Care April 2007 - December 2009
Coventry Health Care December 2004 - December 2006
Coventry Health Care July 2003 - June 2005
PacifiCare Health Systems November 2001 - June 2003
United Healthcare January 1996 - November 1998
Skills
Medicine, Healthcare, Managed Care, Internal Medicine, Healthcare Management, Informatics, Medical Education, Oncology, Clinical Trials, Critical Care, Epidemiology, Medical Affairs
Education
Wilkes University 1998 — 2000
MBA, Business
University of Connecticut 1995 — 1998
MPH, Public Health
Harvard Medical School 1971 — 1975
MD, Medicine
Albright College 1967 — 1971
BS, Biology
Toyota Financial Services October 2009 - April 2015
CareFirst BlueCross BlueShield July 2004 - September 2009
Coventry Health Care March 1999 - July 2004
HCR Manor Care January 1998 - April 1999
Healthcare Management Group March 1996 - January 1998
Companion Management Systems Group, Inc November 1994 - March 1996
Claims Administration Corporation July 1988 - November 1994
Skills
Requirements Management, Integration, Acceptance Testing, Financial Operations, Auditing, Software Documentation, Program Management, Process Improvement, SharePoint, Workshop Facilitation, Business Analysis, Team Building, MS Project, Project Management, Requirements Analysis, Business Process..., Business Process, Analysis, SDLC, Training, Business Requirements, Management, Requirements Gathering, Visio, Call Centers, Insurance, Vendor Management, Budgets, Strategic Planning
Education
Southeastern University (Washington, D.C.) 1999 — 2001
Masters of Public Administration, MPA, Health Services Administration
Christopher Newport University 1983 — 1988
Bachelor of Arts, Political Science; Pre-Law
PETCO Animal Supplies, Inc. July 2013 - Present
Badlands Power Fuels May 2012 - July 2013
Mobile Paw Spa July 2011 - May 2012
Coventry Health Care October 2009 - May 2012
Barnes & Noble October 2010 - September 2011
PetSmart July 2007 - October 2009
Uptown Dog July 2006 - July 2007
Rinker Materials June 2005 - July 2006
Sports Authority June 2004 - July 2005
Advanced Refrigeraton and Air November 2001 - July 2003
Skills
Health Insurance, Provider Relations, Managed Care, Medicare Part D, Insurance, Claim, Call Center, Customer Service, PPO, HMO, Process Improvement, Group Medical, Self-funded, Network Development, Outlook, Call Centers, Customer Satisfaction, Time Management, Telephone Skills, Dogs, Sales, Data Entry, Pets, Cashiering, Team Building, Retail, Training, Dog Grooming
Education
Stevens-Henager College 2015 — 2018
Bachelor’s Degree, Web Designer/Web Developer
Florida Institute of Animal Arts 2005 — 2006
Professional Pet Stylist, Dog/Pet/Animal Grooming
Leeward Community College 2003 — 2005
Digital Arts
Coventry Health Care, an Aetna Company January 2015 - Present
Coventry Health Care August 2013 - January 2015
Tucson College October 2012 - July 2013
65 Force Support Squadron/Resource Management July 2011 - February 2012
65 Force Support Squadron/Human Resources September 2010 - March 2011
Air Force Inns/The Gateway Inn November 2009 - July 2010
MWR Tour Office August 2004 - September 2006
Skills
Customer Service, File Management, Typing, Microsoft Office, Travel Planning, Software Engineering, Human Resources, Clerical Skills, Axapta, Due Process, Background Checks, Hospitality, Event Planning, Volunteering, Software Development, Phone Etiquette, Administrative..., Employee Benefits, Cash Handling Experience, Database Design, Payroll, Microsoft Excel, Java, Microsoft Word, C++, PowerPoint, Tourism, Windows, Applications, Data Entry, ICD-9-CM, CPT, UB04, CMS-1500, ICD-10, Dental coding, Medical Terminology, Medisoft, Medicare/Medicaid..., Health insurance claims, HMO, PPO, Durable Medical..., Coordination of Benefits, Medical Billing, Medical Coding, HCPCS, Fundraising, Management, Telephone Skills
Education
Tucson College 2012 — 2013
Diploma, Medical Insurance Specialist/Medical Biller
Háskólinn í Reykjavík 1998 — 2000
Diploma, Computer Software Engineering
CVS Caremark Corporation November 2013 - Present
Coventry Health Care May 2013 - September 2013
Express Scripts 2005 - 2012
UCC 1997 - 2012
JPMorgan Chase 1996 - 2005
Skills
Organizational..., LEAN, Forecasting, Strategic Planning, Six Sigma, Management, Key Account Management, Problem Solving Skills, Cultivating..., Administrator, Project Leader, Client & Vendor..., Performance Management, Leadership Development, Integrity Management, Business Development, Public Speaker, Excellent Communication..., Staff Development, Analyst, Writer, Budget Analyst, Compliance Officer, Leader, Staffing Model, Trainer, Risk Management, Organizational Design, Time Management, Human Resources, Brand Management, Value Added Process Map, Leadership, Coaching, Customer Service, Healthcare, Lean Manufacturing, Process Improvement, Public Speaking, Team Building, Training
Education
Arizona State University
Bachelor of Music, Music
Wesley Willows Corporation April 2015 - Present
Ingenium Technologies June 2013 - April 2015
Professional Power Products Inc. August 2012 - March 2013
Gunite Corporation November 2011 - April 2012
Stay at Home Dad February 2004 - October 2011
Coventry Health Care November 2001 - January 2004
DriveTime August 2000 - October 2001
Skills
Benefits Administration, Employee Relations, Employee Benefits, Applicant Tracking..., Talent Acquisition, New Hire Orientations, Interviews, Employee Training, Hiring, Technical Recruiting, Temporary Placement, Training, Sourcing, Recruiting, Onboarding, Human Resources, College Recruiting
Education
Augustana College 1990 — 1994
Bachelor of Arts (B.A.), Business Administration and Management, General
IHS June 2012 - Present
IHS September 2010 - Present
Coventry Health Care March 2000 - October 2010
Conseco 1999 - 2000
Wells Fargo Financial October 1998 - July 1999
Wal-Mart June 1998 - August 1998
Skills
Program Management, Agile Methodologies, SDLC, Management, Cross-functional Team..., Project Management, Business Analysis, Process Improvement, Software Development, Business Intelligence, PMP, Software Project..., Requirements Analysis, Vendor Management, Business Process, Product Development
Education
University of Utah - David Eccles School of Business 2008 — 2010
MBA, Business
Anna University 1991 — 1995
B.E., Electrical and Electronics Engineering
Fifth Third Bank June 2011 - Present
Interactive Health Solutions May 2010 - June 2011
MasterCard May 2008 - April 2009
LaSalle Bank May 2007 - May 2008
Coventry Health Care February 1999 - August 2006
Assurant Health November 1996 - January 1999
Assurant Health April 1989 - November 1996
Skills
Leadership, Healthcare, Health Insurance, Negotiation, Payment Card Processing, Payments, Strategic Planning, Financial Services, Product Development, Product Management, Product Design, Product Launch, Business Development, New Business Development, Strategy, Banking
Education
Washington University in St. Louis
MAE, Education
Arizona State University
BAE, Education
Aetna December 2013 - Present
Coventry Health Care September 2008 - December 2013
HP July 2005 - August 2008
Coventry Health Care January 2000 - July 2005
Skills
Microsoft Office 2007, Excel, Access, Word, Oracle SQL, JavaScript, HTML, Java, Visio, Requirements Analysis, Application Development, Documentation, SQL, Business Analysis, PowerPoint, Software Development, Software Documentation, Microsoft Excel, SDLC, SharePoint, Quality Assurance, Testing, Analysis, Systems Analysis, Microsoft Word, Requirements Gathering, Process Improvement
Education
American River College 1995 — 2000
Associate, Computer Information Science
Office of Statewide Health Planning and Development July 2013 - Present
Coventry Health Care September 2012 - March 2013
Hill Physicians Medical Group August 2005 - February 2012
Aetna November 2004 - August 2005
First Health January 2004 - November 2004
First Health January 2003 - December 2003
First Health September 1999 - December 2002
First Health September 1997 - August 1999
Skills
EDI, Staff Development, Research, Medical Records, Business Development, Managed Care, Network Development, Medicaid, Healthcare, Provider Relations, Process Improvement, Contract Negotiation, HIPAA, Program Management, Management, Training, Hospitals, Health Insurance, Physicians, Medicare, Strategy, Healthcare Information..., Revenue Cycle, EHR, ICD-9, Healthcare Industry, Healthcare Management, PPO, Healthcare Consulting
Education
Citrus College 1977 — 1978
Glendale Community College 1976 — 1977
General Studies
Glendale High School 1974 — 1976
American River College
Associate of Arts, General Education
Novartis October 2014 - Present
Kimberly-Clark January 2012 - October 2014
Coventry Health Care June 2009 - November 2011
Minnesota Surgery Center-MAPS May 2003 - June 2009
Skills
Nursing, Sales, Medical Devices, Pain Management, Medical Case Management, Case Management Services, Physician Network..., Medical Education, Sales Presentations, Key Account Development, Workers Compensation, Marketing, Nursing Education, Customer Service, Healthcare, Customer Insight, Cross-functional Team..., Consumer Products, Strategy, Surgeons, Physicians, Key Account Management, Adult Education, Project Management, Change Management, Physician Relations, Continuous Improvement, Microsoft Office, Healthcare Industry, FDA, Complaint Management, Telephone Triage
Education
Bethel University 2002 — 2004
Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse
Anoka Ramsey Community College 1999 — 2002
Associate of Science in Nursing (ASN), Registered Nursing/Registered Nurse
Anoka High School
HCA Physician Services Utilization Management Specialist IIAnthemMay 2015 - Present
Coventry Health Care 2011 - 2012
Education
J Sargeant Reynolds Community College
A.S in Social Science, Clinical/Medical Social Work
Centura College Richmond Metro Area
Certificate in Medical Billing & Coding
PDC Hosting Services (a wholly owned Aetna Affiliate) October 2014 - Present
Aetna (formerly Coventry Health Care) January 2014 - October 2014
Coventry Health Care August 2012 - December 2013
Coventry Health Care December 2006 - August 2012
Skills
Requirements Gathering, SDLC, Business Analysis, Business Requirements, Process Improvement, SharePoint, Visio, Requirements Analysis, System Administration, ServiceNow, IT Governance, Internal Audit
Education
Arizona State University 2004 — 2006
Bachelor of Applied Science (B.A.Sc.), Computer Information Systems
NORC December 2011 - Present
Westat April 2011 - Present
California State Library February 2011 - October 2011
PRIDE Industries November 2006 - October 2009
Coventry Health Care October 2002 - November 2006
Hubbert Systems Consulting May 2001 - March 2002
IBM Global Services April 1996 - May 2001
Education
University of Phoenix, Sacramento, CA 1999 — 2002
American River College
University of Phoenix
Humana May 2014 - Present
Humana August 2007 - May 2014
Atlanta Association of Health Underwriters 2008 - 2010
Coventry Health Care 2005 - 2007
Skills
Health Insurance, Disability Insurance, Insurance, Employee Benefits, Underwriting, HMO, Group Medical, Medicare, Health Savings Accounts, Benefits Administration, Cold Calling, Term Life Insurance, Sales Presentations, Life Insurance, Account Management, Healthcare, Brokers, Leadership, Managed Care, Sales, COBRA, Sales Management
Education
Kennesaw State University 2003 — 2006
Bachelor of Science (BS), Organizational Communication
University of Alabama 2001 — 2003
Auburn University 1999 — 2001
Lassiter 1995 — 1999
Aetna Contract NegotiatorCoventry Health Care, an Aetna CompanyJune 2015 - Present
Coventry Health Care January 2012 - Present
Coventry Healthcare an AETNA Company January 2012 - Present
AvMed Health Plans April 2008 - February 2010
Berlin & Denys Blue Cross Blue Shield of Florida January 1998 - April 2001
Skills
Provider Relations, PPO, Medicare, Managed Care, Medicaid, Health Insurance, HIPAA, Claim, Healthcare Management, Healthcare, Insurance, Healthcare Information..., Medical Billing, Revenue Cycle, Medical Coding, Hospitals, CPT, HMO, Medical Terminology, Call Centers, EHR, Utilization Management, Health Policy, Healthcare Consulting, ICD-9, Healthcare Industry, Physician Relations, Physicians, Quality Improvement, Practice Management, Credentialing, Revenue Cycle Management, EMR, Informatics, Disease Management, Pharmacy Benefit..., JCAHO, Medicare Part D, Health Information..., Network Development, Team Building, Leadership, Management, Customer Service, Strategic Planning, Process Improvement, Training
Education
American InterContinental University
Bachelor's Degree, Healthcare Administration, 3
Sunset senior high
Coventry Health Care October 2010 - Present
PHI November 2002 - October 2010
Cavalier Telephone March 2000 - November 2002
Skills
Disaster Recovery, System Administration, Netbackup, Virtualization, VMware, Windows Server, Storage Area Networks, SAN, Servers, EMC Storage, Data Center, Active Directory, Server Architecture, VMware ESX, Business Continuity, High Availability, VMware Infrastructure, Storage, Enterprise Architecture, vSphere, Solaris, Microsoft Exchange, DNS, AIX
Education
University of Delaware 1997 — 2005
MS in Computer Science, Computer Science
Chuvash State Pedagogical University
Blueshield of California October 2012 - Present
IBM July 2012 - Present
CDCR/Experis April 2010 - July 2012
Coventry Health Care September 2005 - October 2009
Skills
Negotiation, Public Speaking, Government, Team Building, Strategic Planning, Project Management, Business Analysis
Education
Ashford University 2011 — 2014
Bachelor's degree, Project Management
Coventry Health Care December 2012 - Present
TechHealth October 2007 - December 2012
Coventry Health Care October 2001 - October 2007
Skills
Managed Care, Medicare, Healthcare, Medicaid, Provider Relations, Healthcare Management, Workers Compensation, Health Insurance, HIPAA, Medical Terminology, Claim, Insurance, Software Documentation, Customer Service, Healthcare Industry, Healthcare Information..., Utilization Management, Medical Billing, Supervisory Skills, Claims Management, Strategic Planning, Process Improvement, Team Building, Outlook, Account Management, Hospitals, Sales
Education
St. Petersburg College 2012 — 2015
Bachelor's degree, Health/Health Care Administration/Management
Veeb Nassau County School of Practical Nursing 1998 — 1999
Vocational, Licensed Practical Nurse
Nassau Community College 1993 — 1995
Associates, Liberal Arts
CVS Caremark Corporation April 2013 - Present
CVS Caremark Corporation March 2008 - March 2013
Coventry Health Care October 2007 - March 2008
American Express November 2003 - June 2007
Caremark - AdvancePCS June 1999 - November 2003
American Express July 1993 - May 1999
Skills
SDLC, PMP, Six Sigma, Vendor Management, Software Development, Management, Project Portfolio..., Process Improvement, Software Project..., PMO, Integration, Program Management, Project Management, .NET, Business Analysis, Microsoft Office, Agile Project Management, Industrial Engineering, Agile Methodologies, CRM, IT Management, Enterprise Architecture, Business Requirements, Java, Infrastructure, IT Strategy, Visio, Business Intelligence, Leadership, Business Process..., Informatica, Production Support, IT Outsourcing, Strategy, Information Technology, Business Process, SharePoint, People Management, Microsoft .net, Infrastructure Planning, Pharmacy Benefit...
Education
Arizona State University - W. P. Carey School of Business 1999 — 2001
Master of Business Administration (M.B.A.), Finance, Technology, 3.9
Ira A. Fulton Schools of Engineering at Arizona State University 1994 — 1998
Bachelor of Science (B.S.), Industrial and Management Systems Engineering
KSA Insurance Agency July 2010 - Present
Coventry Health Care November 2008 - May 2009
CIGNA Group Insurance June 2006 - October 2008
Bowden Investment Group May 2005 - May 2006
Education
Appalachian State University 2001 — 2006
BSBA, Finance & Banking, Risk & Insurance
Magellan Health Services August 2009 - Present
Coventry Health Care February 2009 - July 2009
UNOS February 2008 - February 2009
Capital One August 2000 - February 2008
IPC Technologies May 1998 - August 2000
Skills
Data Modeling, Database Design, Database Administration, T-SQL, Databases, ETL, Data Warehousing, Business Objects, Microsoft SQL Server, SQL, SDLC, SSRS, Performance Tuning, SharePoint, SSIS
Education
Saint Petersburg State University of Refrigeration and Food Engineering 1983 — 1989
Bachelor, Mechanical Engineering
Coventry Health Care January 2010 - Present
NITSUGA INTERNATIONAL (RELR US) May 2004 - January 2010
AON Corporation 1997 - 2002
Intracorp 1995 - 1997
Community Care Network (CCN) 1992 - 1995
Travelers Insurance 1982 - 1991
Skills
Managed Care, Medicare, Health Insurance, Insurance, Workers Compensation, Healthcare, Provider Relations, Process Improvement, Claim, Project Management, Strategic Planning, Vendor Management, Team Building, Contract Negotiation, Business Analysis, Call Center, Management, PPO
Education
Mission College 1994 — 1995
General
3M March 2013 - Present
3M March 2012 - March 2013
ClosetMaid June 2011 - April 2012
Coventry Health Care April 2009 - June 2011
3M Health Information Systems 2008 - 2009
3M June 2006 - March 2008
3M 2001 - 2005
Skills
Management, Project Management, Budgets, Strategic Planning, Negotiation, Marketing, Customer Satisfaction, Sales, Databases, Enterprise Software, Sales Management, Product Development, Account Management, Forecasting, B2B, Cross-functional Team..., Process Improvement, Consumer Products, Competitive Analysis, Key Account Management, Pricing, Strategy, Product Management, Product Marketing, CRM, Sales Operations
Education
Augsburg College 1996 — 2000
National Sleep Foundation August 2015 - Present
Public Risk Management Association January 2012 - August 2015
Association for Pool and Spa Professionals July 2011 - February 2012
Public Risk Management Association March 2008 - July 2011
Coventry Health Care August 2007 - March 2008
U.S. Department of State June 2007 - August 2007
State of Wisconsin 2007 - 2007
US Bank 2001 - 2006
Skills
Non-profits, Strategic Planning, Budgets, Management, Risk Management, Nonprofits, Training, Public Speaking, Leadership, Management Consulting, Policy, Event Management, Executive Management, Proposal Writing, Recruiting, Customer Service, Program Management, Organizational..., Marketing, Team Building, Government, Event Planning, Volunteer Management, Leadership Development, Program Development, Association Management
Education
American University 2010 — 2012
Masters, Economics
University of Wisconsin-Madison 2005 — 2007
Bachelors, Economics & Political Science
Magellan Health December 2013 - Present
Transitional Homecare, Inc. August 2013 - December 2013
Coventry Health Care October 2011 - July 2013
Magellan Health Services January 2011 - October 2011
Skills
Medicaid, Human Resources, Recruiting, Leadership
Education
Ashford University 2013 — 2015
Master of Health Care Administration
Andrews University 2004 — 2008
BA, Public Relations, Advertising, and Applied Communication
eKidzCare September 2014 - Present
Pediatric Specialty Care August 2013 - September 2014
Bottom Dollar Food - Delhaize America January 2012 - July 2013
Coventry Health Care June 2008 - August 2011
NationalLink May 2006 - June 2008
Skills
Software Documentation, Budgets, Sales, Insurance, Policy, Human Resources, Healthcare, Research, Claim, Outlook, Pricing, Data Entry, Nursing, Time Management, Customer Service, Critical Thinking, Documentation, HIPAA, Health Insurance, Home Care, Hospitals
Education
Community College of Beaver County 2010 — 2013
Associate's degree, Registered Nursing/Registered Nurse
Ohio Valley College of Technology 2001 — 2003
Associate's degree, Medical Office Administration
Apollo Education Group October 2010 - Present
Cisco Systems August 2009 - October 2010
Coventry Health Care August 2008 - August 2009
Cisco Systems August 2005 - August 2008
Maximus, Inc September 2004 - August 2005
Ivis Technologies July 2003 - September 2004
Digital Concepts, Inc. October 2000 - June 2003
Skills
Engineering Management, Product Management, Analytics, Hadoop, Big Data Applications, Agile Methodologies, Web Applications, Java, SOA, Enterprise Architecture, Web Services, Salesforce.com, CRM, SaaS, Agile Project Management, Scrum, SDLC, REST, SQL, Cloud Computing, Team Leadership, XML, Leadership, Start-ups, Scalability, Platform Architecture, Software Design, E-Learning, Predictive Analytics, Software Project..., Software Development, Integration
Education
Arizona State University 1999 — 2000
Masters, Industrial Engineering, Information Systems
Karnatak University 1993 — 1997
Bachelor's Degree, Mechnical Engineering
St Pauls, Belgaum 1987 — 1991
Tastefully Simple March 2015 - Present
Tastefully Simple February 2005 - March 2015
Coventry Health Care January 2009 - March 2011
Coventry Health Care June 2007 - January 2009
Skills
Team Building, Customer Service, Training, Budgets, Microsoft Office, Event Planning, Microsoft Excel, Public Speaking, Leadership, Leadership Development, Marketing, Entrepreneurship, Graphics, Pharmaceutical Industry, Cosmetology, People Skills, Call Centers, Credentialing, Medical Staff..., Social Media, Time Management, Social Networking, Account Management
Education
Empire Beauty School-Harrisburg 2002 — 2004
Cosmetology License, Cosmetology/Cosmetologist, General
Lock Haven University of Pennsylvania 1997 — 1998
N/A Degree, Early Childhood Education and Teaching
Anthem, Inc. January 2015 - Present
Independent Consultant November 2010 - Present
AIM Specialty Health October 2013 - January 2015
Aetna May 2013 - October 2013
Coventry Health Care April 2012 - October 2013
Kosmos Wellcare July 2011 - October 2012
ExamWorks November 2009 - November 2010
NACCAS - National Accrediting Commission of Cosmetology Arts and Sciences April 2008 - April 2009
EduCap July 2006 - September 2006
Homework Helpers Learning Center August 2000 - August 2003
Skills
Business Analysis, Project Portfolio..., Strategic Consulting, Healthcare, Quality Assurance, Process Improvement, Data Analysis, Customer Relations, Customer Service, Marketing, Insurance, Strategy, Management, Training, Analysis, CRM, Project Management
Education
Augustana College 2003 — 2007
BA, Business Administration, concentrations: Marketing, Finance, International Business
Augustana College
Bachelor of Arts (B.A.), Business Administration and Management, General, Marketing, Finance, International Business
Avalon Health Care Group December 2014 - Present
Acadia Healthcare February 2014 - March 2015
Coventry Health Care June 2012 - January 2013
Private care nursing January 2010 - September 2012
StoneRiver January 2012 - June 2012
C3 August 2011 - December 2011
Skills
Health Insurance, Insurance, Medicare, Claim, Employee Benefits, Managed Care, Process Improvement, Call Centers, Visio, SDLC, HIPAA, basic life support, utah food handler permit, Mental Health, Adolescents, Medicaid, Healthcare, Nursing, Hospitals, Phlebotomists, CPI Training, BLS, Elder Care, CPR Certified, Patient Safety, Home Care, Medical Terminology, Customer Service
Education
Stevens-Henager College 2015 — 2016
Associate of Science (A.S.), Surgical Technology/Technologist
Everest College-West Valley City 2013 — 2015
Associate of Arts and Sciences (A.A.S.), Surgical Tech, 3.8
Weber Basin High school 1993 — 1995
High School Dipolma, General Studies
Coventry Health Care July 2011 - May 2015
Education
Brookline College-Tucson 2010 — 2010
Diploma, Phlebotomy Technician/Phlebotomist
International Institute of the Americas 2008 — 2008
Certificate Diploma, Medical/Clinical Assistant
Aetna January 2015 - Present
Coventry Health Care December 2010 - December 2014
MDI Group June 2010 - August 2010
Qubera Solutions November 2009 - March 2010
Sun Microsystems, Inc. 2007 - November 2009
First Magnus Financial Corp 2006 - 2007
GEICO 2006 - 2006
Discovery Communications, Inc. 2002 - 2005
Harris Bank 1991 - 1996
Logica, Inc. 1988 - 1991
Skills
Integration, Business Analysis, Program Management, PMP, Project Management, Business Process..., Process Improvement, IT Strategy, Management, SDLC, Project Planning, Testing, CRM, Agile Methodologies, Software Development, Software Project..., Strategy, Change Management, Vendor Management, PMO, Leadership, SQL, Enterprise Architecture
Education
American University - Kogod School of Business 1996 — 1998
MBA, International Business and Marketing
Northwestern University
BA, Computer Studies and Political Science
Elizabeth Arden Red Door Spas April 2015 - Present
CFCE August 2014 - March 2015
Coventry Health Care August 2013 - June 2014
Regis House, Inc. January 2013 - August 2013
Victim Advocacy Center June 2009 - April 2013
Florida International University Student Media September 2008 - December 2012
Save A Mother May 2011 - July 2011
Where 2 Butlers November 2010 - January 2011
Skills
Writing, Editing, Public Speaking, Graphic Design, Social Media, Blogging, Press Releases, Advertising, Community Outreach, Proofreading, Social Networking, Research, Wordpress, Copy Editing, PowerPoint, Radio, Media Relations, Time Management, Journalism, Facebook, Event Management, Creative Writing, Nonprofits, Newsletters, Spanish, Fundraising, Volunteer Management, WordPress
Education
Hollywood Institute of Beauty Careers 2014 — 2015
Licentiate degree, Aesthetician/Esthetician and Skin Care Specialist
Florida International University 2008 — 2013
Bachelor of Science (B.S.), Social Work
Robert Morgan Educational Center 2004 — 2008
Diploma received: High School Diploma, Commercial Art
Paradigm Management Services December 2006 - Present
Coventry Health Care April 1999 - May 2006
Skills
Account Management, Health Insurance, Property & Casualty..., New Business Development, Process Improvement, Hospitals, Case Managment, Leadership, Contract Negotiation, Customer Service, Program Management, Public Speaking, Business Development, Sales, Coaching, Sales Management, Commercial Insurance, Team Building, Employee Benefits, Training, Marketing, Management, Leadership Development
Education
University of Arkansas at Fayetteville 1998 — 1999
Master of Science (M.S.), Educational Administration and Supervision
Arkansas Tech University 1982 — 1985
Bachelor of Applied Science (B.A.Sc.), Secondary Education and Teaching
Insurance Overload Staffing June 2010 - July 2010
Coventry Health Care August 1988 - June 2009
Skills
Access, Analysis, Business Analysis, Business Process, Business Requirements, Health Insurance, Project Management, Technical Writing, Testing, Workers Compensation, SDLC
Education
American River College 2009 — 2013
Completed, Computer Information Science - Technical Communications AA Degree - 2012, Actual Grade average out of 4.0 for TC is 3.677
Cordova High School 1976 — 1979
Heritage Cooperative September 2007 - Present
Coventry Health Care 1997 - 2006
Randolph Brooks Federal Credit Union 1983 - 1997
Skills
Microsoft Excel, Customer Service, Microsoft Office, Microsoft Word, Teamwork, Account Reconciliation, Social Media, Sales, Event Planning, General Ledger, Financial Statements
Education
Apollo Career Center 1978 — 1980
diploma
ada high school 1976 — 1980
diploma
c3/consulting January 2011 - Present
Coventry Health Care November 2001 - December 2010
Joseph-Beth Booksellers June 1998 - November 2001
Skills
Business Intelligence, Business Analysis, Project Management, Microsoft SQL Server, Process Improvement, Data Warehousing, Integration, SQL, Software Development, SSRS, Analysis, Healthcare Information..., Management, Visual Basic, Business Process..., Leadership, Management Consulting, SDLC, Change Management, Program Management, Requirements Analysis, Software Implementation, Business Process
Education
Vanderbilt University 1991 — 1993
MBA, General Business
Arizona State University 1975 — 1980
BS, Electrical Engineering
Media & Entertainment 2014 - Present
Impetus July 2012 - 2014
Prodapt January 2012 - May 2012
Echostar Satellite LLC January 2009 - January 2012
Wipro Technologies January 2003 - January 2012
Coventry Health Care March 2008 - December 2008
Blue Cross Blue Sheild of Minnesota July 2007 - December 2008
NYSE September 2003 - June 2007
NYSE Euronext 2003 - 2007
Telcordia Technologies July 2002 - August 2003
Skills
Vendor Management, SDLC, Management, Program Management, Business Analysis, Outsourcing, Integration, Process Improvement, Cross-functional Team..., Business Intelligence, Software Project..., Requirements Analysis, IT Strategy, Software Development, SaaS, Pre-sales, Enterprise Architecture, Solution Architecture, Enterprise Software, PMP, CRM, IT Service Management, Cloud Computing, Data Center, Agile Methodologies, Service Delivery, Telecommunications, ITIL, Business Process, ERP, Project Portfolio..., Product Management
Education
Atomic Energy Central School 1986 — 1987
Auditing Consulting Group ACG June 2009 - Present
Coventry Health Care June 2002 - June 2008
Education
Albrecht-Dürer-Schule, Berufskolleg Düsseldorf 1980 — 1984
BS, Biology
Christiana Care Health System June 2006 - Present
Coventry Health Care November 2002 - June 2006
Electronic Payment Services 1995 - 1999
Skills
Healthcare, Hospitals, Healthcare Management, Healthcare Information..., Public Speaking, Public Health, Medical Education, Patient Safety, Strategic Planning, Medicine, Process Improvement, Research
Education
Strayer Business College 1993 — 1994
Business Administration, Management and Operations
Ashworth University
Associate's degree, Health Care Management
CVS Health July 2012 - Present
Coventry Health Care October 2011 - July 2012
CSC October 2004 - October 2011
CVS Health January 1999 - September 2004
CVS Health July 1992 - January 1999
Skills
PMP, PMO, SDLC, Change Management, Team Leadership, Infrastructure, Project Portfolio..., Vendor Management, Software Development..., Six Sigma, Process Improvement, Resource Management, Offshore Outsourcing, Lean Thinking, Lean Process Improvement, Analysis, Visio, SharePoint, Telecommunications, Requirements Analysis, Integration, Cross-functional Team..., IT Management, Project Management, Data Center, Strategy, Management, MS Project, ERP, Leadership, Solution Architecture, IT Strategy, CRM, Risk Management, Enterprise Software, Information Technology, Software Project..., ITIL, Business Process..., Business Analysis, Requirements Gathering, Project Delivery, IT Service Management, Consulting, Business Intelligence, Outsourcing, Testing, Software Development, Program Management, Business Process
Education
Arizona State University 2012 — 2012
Lean Green Belt Certification, LGB 1221
University of Phoenix 2008 — 2009
Masters, Master of Business Administration (MBA)
University of Phoenix 1999 — 2002
BS, BUSINESS/E-BUSINESS
CVS Health June 2015 - Present
CVS Caremark Corporation June 2013 - June 2015
Coventry Health Care March 2011 - June 2013
State of Michigan December 2009 - March 2011
Budco 2008 - December 2009
Computer Consultants of America, Inc July 2007 - June 2008
Chrysler October 2004 - February 2007
Karma Technologies 2000 - 2001
Skills
Java Enterprise Edition, Enterprise Architecture, Spring, SDLC, SOA, Web Services, Agile Methodologies, XML, Java, Requirements Analysis, Hibernate, Software Development, UML, Oracle, Websphere, Weblogic, Struts, Integration, Architecture, Solution Architecture, SOAP, JUnit, Ant, DB2, JSP, JMS, Maven, Web Applications, AJAX, JBoss Application Server, Eclipse, Test Driven Development, jQuery, Subversion, EJB, Application Architecture, Design Patterns, Continuous Integration, Servlets, Mobile Applications, jQuery Mobile, PhoneGap, html5, SSO, MyBatis, JPA, WebSphere Application..., JDBC, WebSphere Message Broker, WebSphere MQ
Education
Hindustan University Chennai 1993 — 1997
Bachelor of Engineering (BEng), Electrical and Electronics Engineering
Aetna May 2013 - Present
Coventry Health Care January 2000 - Present
PacifiCare 1995 - 1999
Skills
Underwriting, Managed Care, Healthcare, Health Insurance, Insurance, Employee Benefits, Reinsurance, Data Analysis, Health Savings Accounts, Long-term Care, Process Improvement, Health Care Reform, Access, Life Insurance
Education
Arizona State University 1986 — 1990
FirstCare June 2008 - Present
Scott and White Health Plan October 2007 - June 2008
Scott and White Health Plan August 2006 - October 2007
Coventry Health Care March 2006 - August 2006
Coventry Health Care April 2004 - March 2006
Kaiser Permanente October 2000 - March 2004
William M Mercer September 1999 - September 2000
CIGNA Healthcare July 1998 - August 1999
Skills
Underwriting, Contract Negotiation, Managed Care, Health Insurance, Insurance, Healthcare, Benefits, Employee Benefits, Accounting, Financial Analysis, Team Building, Executive Management, Strategy, Medicare, Claim, Leadership, Process Improvement, HMO, Brokers, Disability Insurance
Education
University of Phoenix 1996 — 1998
MBA, Business
Arizona State University 1988 — 1995
Accounting
Center for Medicare and Medicaid Innovation (CMMI/CMS/HHS) January 2015 - Present
Center for Medicare and Medicaid Innovation (CMMI/CMS/HHS) May 2013 - January 2015
HHS/CMS September 2010 - May 2013
Coventry Health Care April 2009 - September 2010
AmeriChoice March 2008 - April 2009
Wellpoint (Lumenos) May 2005 - March 2008
Optima Direct November 2001 - May 2005
Hummingbird August 2000 - November 2001
Skills
SAS, SQL, Microsoft Excel, Access, Medicare, Healthcare, Health Insurance, Managed Care, Insurance, Healthcare Information..., Policy Analysis, Business Analysis, Strategic Planning, Policy, Analysis, Data Analysis, Government, Medicaid, Health Policy, Software Documentation, Public Policy, Financial Modeling, Process Improvement, Management, Legislation, Program Management, Finance, Legislative Relations
Education
American University 1992 — 1996
BA, Sociology
University of Maryland University College 2005 — 2007
NA, Business Administration and Management, General
Georgetown University 2002 — 2004
NA, Public Policy Analysis
Albany Academy 1980 — 1992
H.S., College Prep
Coventry Health Care May 2009 - December 2011
Healthways January 2000 - April 2007
Skills
Disease Management
Education
Anne Arundel Community College 1990 — 1994
Aetna May 2013 - Present
Coventry Health Care February 2007 - May 2013
AmeriChoice January 2003 - February 2007
UnitedHealth Group 2003 - 2007
i2 Technologies 2001 - 2003
Hologix 1994 - 2001
Skills
Visio, Vendor Management, HIPAA, Business Analysis, Process Improvement, SDLC
Education
Arizona State University 1992 — 1994
BS, CIS
Coventry Health Care July 2003 - 2010
Underwriters 1988 - 2003
Dovenmuehle Mortgage 1997 - 2000
Education
Anne Arundel Community College
General Studies
Walgreens July 2014 - Present
BlueCross BlueSheild of Illinois. April 2012 - June 2014
Tribune Media Services December 2011 - April 2012
Coventry health Care February 2011 - December 2011
CNA Insurance July 2008 - February 2011
Fedex September 2007 - May 2008
Progressive Auto Insurance Services June 2007 - September 2007
Swapna Solutions June 2004 - April 2007
Skills
Spring, JMS, Struts, Hibernate, JSP, JDBC, Spring Batch, Weblogic, AJAX, EJB, Dojo, RAD, JSON, SOAP, WSDL, JDK, JSF, JUnit, JavaScript, JNDI, JSTL, XSLT, C++, c, SQL, PL/SQL, jQuery, HTML, MQSI, Toad, Ant, SQL Loader, Eclipse, PVCS, svn, CVS, Serena Dimensions, Toplink, MyBatis, RDBMS, Oracle, MongoDB, DB2, IBM Websphere Commerce, Tomcat, Apache, jboss, Spring Framework
Education
Andhra University 2001 — 2004
Master's degree, Computer Programming, Specific Applications
Virginia Premier Health Plan, Inc. 2014 - Present
Coventry Health Care 2012 - 2014
Coventry Health Care 2007 - 2012
Professional Healthcare Resources 2005 - 2007
Home Choice Partners 2003 - 2005
Health Management Corporation 2001 - 2003
Various Management/Supervisory Positions 1994 - 2001
Skills
Healthcare, Managed Care, Disease Management, Clinical Research, HIPAA, Health Insurance, Healthcare Industry, Health Policy, Process Improvement, Healthcare Information..., Leadership
Education
Virginia Commonwealth University 2006 — 2008
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Southside Regional Medical Center Professional Schools 1991 — 1994
Associate's degree, Registered Nursing/Registered Nurse
Coventry Health Care April 2008 - Present
Education
Abilene Christian University 1993 — 1998
Wellcare of Georgia Healthplans April 2010 - November 2011
Universal American 2009 - 2010
Coventry Health Care December 2008 - May 2009
Coventry Healthcare of Georgia, Inc December 2008 - May 2009
1st Medical Network April 2002 - August 2008
st Medical Network, LLC April 2001 - August 2008
1st Medical Network, LLC April 2001 - June 2007
Kaiser Permanente 1989 - 1998
Skills
Claims Resolution, Provider Relations, Network Development, Medicare, Provider Contracting, Claims, Medicaid, Insurance, HMO, Contract Negotiation, Credentialing, Claim, PPO, Healthcare Management, Managed Care, HEDIS, Provider Network..., Disease Management, NCQA, Health Policy, Physicians, Healthcare Industry, Utilization Management, Health Insurance, Provider Education, Healthcare, Medicare Part D, Medicaid Managed Care, HIPAA, Physician Relations, Hospitals, Employee Benefits, Revenue Cycle, Healthcare Consulting, Medical Billing, ICD-9, CPT, Health Plan Operations, Quality Improvement, Pharmacy Benefit..., Healthcare Information..., Medical Coding, Health Information..., Medicare/Medicaid..., EHR, Medical Records, Medical Terminology
Education
Ashford University 2010 — 2013
BA, Healthcare Administration with minor in Human Resources
Ashford University 2010 — 2013
Bachelor of Arts (BA), Health/Health Care Administration/Management with Minor in Human Resources
Dekalb Technical College 1992 — 1992
Medical Coding
Commonwealth of Massachusetts September 2014 - Present
Commonwealth of Massachusetts September 2013 - August 2014
Multiplan September 2012 - July 2013
Coventry Health Care January 2011 - September 2012
Caritas Christi Health Care 2006 - June 2010
Caritas St. Elizabeth's Medical Center 2005 - 2006
Caritas St. Elizabeth's Medical Center 2003 - 2005
Lenscrafters 2003 - 2003
LexisNexis 2001 - 2002
Skills
Relationship Management, Healthcare Management, Revenue Cycle, Hospitals, Healthcare Information..., HIPAA, Medicaid, Process Improvement, Medicare, EHR, Data Analysis, EMR, Healthcare, Managed Care, PPO, BH Contracting, Insurance, Medical Billing, Health Insurance, Provider Relations, Contract Negotiation, Contract Analysis, Sales, Sales Force, Harvest, Meditech, Contract Management, Cranware, IDX, On Base, Microsoft Office, Network Development, Medical Coding
Education
Northeastern University 2008 — 2010
Masters of Science, Leadership, Specialization in Finance
Northeastern University 2005 — 2008
Bachelor of Science, HealthCare Management
Letterkenny Institute of Technology 1999 — 2001
National Diploma, Business Studies, Concentration Information Technology
Coventry Health Care August 2012 - Present
Coventry Health Care December 2006 - August 2012
Skills
Visio, Process Improvement, Access, Disaster Recovery, Vendor Management, SharePoint, Troubleshooting, Business Analysis, SDLC, Call Centers, Active Directory
Education
Arizona State University, W. P. Carey School of Business 2004 — 2006
Bachelor of Science (B.S.), Computer Information Systems
Chandler/Gilbert Community College 2000 — 2002
Associate's degree, General Studies
Safeway March 2014 - Present
AAA November 2012 - March 2014
Coventry Health Care August 2010 - November 2012
American Express July 2009 - August 2010
DHL July 2007 - July 2009
Fortech Software Consulting Inc September 2001 - June 2007
Western Area Power Administration 2001 - 2007
DuSoft Inc June 2000 - September 2001
HTC Global Services June 1999 - June 2000
Zerowait Inc January 1997 - June 1999
Skills
Java Enterprise Edition, Web Services, Spring, JSP, Java, Enterprise Architecture, Hibernate, XML, Struts, SOAP, Tomcat, ESB, Axis2, UML, EJB, SDLC, Servlets, JavaScript, Integration, JMS, Agile Methodologies, Databases, Software Project..., Data Warehouse..., Pentaho, SSIS, Service Oriented..., COBIT, ETL, REST, SQL, Management, Enterprise Software, Business Intelligence, Salesforce.com..., PaaS, Heroku, Private Cloud, Continuous Delivery, Force.com, ITIL v3 Foundations..., IT Service Management, Service-now.com, DevOps, IT Se, Big Data, Hadoop, Cassandra, Solr, Apex Programming
Education
Arizona State University 2012 — 2013
MSIM, Information Management
Ghousia College of Engineering 1992 — 1996
B.E, Computer Science
Coventry Health Care Attorney and Legal GuardianSelf Employed--LegalDecember 1996 - Present
Education
Assumption College 1982 — 1987
Bachelors and Masters Degress, Psychology, Social Rehabilitation Services and Rehabilitation Counselor
Aetna October 2013 - Present
Coventry Health Care September 2010 - September 2013
Eos Group, Inc. October 2005 - September 2010
First Health February 2000 - September 2005
Education
Acharya Nagarjuna University 1991 — 1995
BS, Mechanical Engineering
NSM
Gimmel, Weiman, Ersek, Blomberg & Lewis, P.A. August 2014 - Present
Department of Health & Human Services, Aging & Disability Services April 2014 - Present
JSSA (Jewish Social Service Agency) March 2011 - December 2013
Coventry Health Care April 2005 - August 2010
DecisionHealth 1997 - 2005
US Assist 1995 - 1997
The Chase Collection 1993 - 1995
Montgomery County Public Schools 1986 - 1993
Skills
Direct Marketing, Newsletters, Marketing, Advertising, Online Marketing, Social Networking, Public Relations, Social Media, Direct Mail, Press Releases, Editing, Email Marketing, SEO, Strategic Communications, Product Marketing, Nonprofits, Publishing, Web Content Management, Database Admin, Publications, Copywriting
Education
American University
BA
Andover High School
iHealth Technologies June 2010 - Present
iHealth Technologies November 2008 - June 2010
iHealth Technologies February 2006 - November 2008
Coventry Health Care October 1998 - July 2004
Principal Health Care Inc. March 1995 - November 1998
United States Air Force July 1974 - August 1994
Skills
HIPAA, Healthcare Information..., Business Analysis, Integration, SDLC, Customer Service, Business Process..., Software Documentation, Project Management, Program Management, Medical Billing, Medicaid, Managed Care, Requirements Analysis, Visio, PMO, Process Improvement, Business Requirements, Testing, Insurance, Cross-functional Team..., Leadership, Management, Vendor Management, Healthcare, PMP, Employee Benefits, Business Process
Education
University of Missouri-Columbia 1976 — 1979
MBA, Management
Auburn University, College of Business 1971 — 1974
BS, Management
Coventry Health Care, an Aetna Company April 2009 - Present
Coventry Health Care May 2007 - April 2009
Coventry Health Care April 2001 - May 2007
CIGNA Healthcare 1995 - 2001
PCS Health Systems 1991 - 1995
Metropolitan Life Insurance Company 1985 - 1991
Skills
Health Insurance, Managed Care, Insurance, Employee Benefits, Medicare, Benefits Administration, Leadership, Healthcare, Claim, Health Policy, Health Savings Accounts, Sales, Brokers, HMO, Workers Compensation, Provider Relations, Medicaid, Health Care Reform
Education
Arizona State University - W. P. Carey School of Business 1981 — 1985
BS, Marketing, Finance, Accounting
Salem High School 1980 — 1982
Coventry Health Care May 2007 - Present
United Health Care April 1998 - September 2005
Education
Anne Arundel Community College
EMC August 2013 - Present
EMC 2010 - 2013
Scottsdale Insurance Company 2007 - 2010
Coventry Health Care 2004 - 2007
Motorola 1996 - 2004
ADEQ 1995 - 1997
Skills
Disaster Recovery, ITIL, Unix, System Administration, AIX, Servers, Data Center, Virtualization, Vendor Management, Linux, Visio, Active Directory, Red Hat Linux, Software Documentation, Troubleshooting, Windows Server, IT Management, Business Continuity, SQL, Operating Systems
Education
Arizona State University 1991 — 1995
Bachelor's degree, Computer Science
Aetna May 2013 - Present
Coventry Health Care April 2007 - May 2013
U.S. Census Bureau March 2010 - August 2010
WellSpan Health June 2004 - April 2007
LMA Consulting Group June 1999 - April 2004
Mazzitti & Sullivan EAP Services June 1998 - June 1999
Resources For Living August 1995 - February 1998
Skills
Training, Employee Benefits, Team Building, Account Management, Public Speaking, Healthcare, Employee Relations, Human Resources, Microsoft Office, Conflict Resolution, Leadership, Insurance, Leadership Development, Recruiting, EAP, Coaching, Program Management
Education
Abilene Christian University 1993 — 1995
MS, Psychology
Villanova University 2004 — 2004
Professional Human Resource Management, Human Resources Management and Services
Emory and Henry College 1988 — 1993
BS, Psychology
Coventry Health Care August 2008 - Present
Long Realty Company July 2003 - October 2011
Education
Arizona State University 1982 — 1992
BS, Health Science
GlobalTranz August 2015 - Present
Northcentral University August 2014 - June 2015
CVS Caremark Corporation January 2013 - August 2014
Coventry Health Care January 2012 - January 2013
UnitedHealth Group April 2009 - January 2012
DHL December 2005 - March 2009
DHL Express 2005 - 2009
DHL - IT Services Americas 2005 - 2009
Caremark, Scottsdale AZ August 2002 - December 2005
ImageMaster September 1990 - August 2002
Skills
SDLC, Project Management, EDI, Technical Requirements..., Software Project..., Team Building, Cross-functional Team..., PMP, Integration Testing, Supply Chain Consulting, Healthcare Information..., ERP, International Logistics, Healthcare Analytics, Workers Compensation, Project Delivery, Requirements Gathering, Visio, Agile Methodologies, ITIL, Vendor Management, Process Improvement, Program Management, Business Analysis
Education
Project Management Institute (PMI) 2007 — 2015
PMP Certification Since 2007, Current, PMP Certified Project Management Professional
PMLG 2013 — 2014
CPM Certified Project Manager, Project Management
SAP America Customer Education 2004 — 2005
Arizona State University - W. P. Carey School of Business 1998 — 2002
Bachelor’s of Science, Supply Chain Management
Foundation HealthCare December 2003 - Present
Performance Dashboard, Inc. April 2001 - December 2003
WellCor America July 1997 - April 2001
Coventry Health Care November 1990 - July 1997
Skills
Healthcare Management, Physician Relations, Healthcare, Managed Care, Process Improvement, Healthcare Information..., Hospitals, Performance Management, Team Building, Strategic Planning, Customer Service, Leadership Development, Physicians, Medicare, Healthcare Consulting, EHR, Medicaid, Revenue Cycle Management, Revenue Cycle, EMR, Healthcare Industry, Medical Billing, Practice Management, Credentialing, HIPAA, Management, Quality Improvement, Leadership, JCAHO, Ambulatory, Surgery, Patient Safety, Ambulatory Care, Health Policy, Performance Improvement, Executive Management
Education
Abilene Christian University 2003 — 2007
Bachelor of Arts, Business Management
Revana May 2013 - July 2014
Revana September 2010 - March 2013
Coventry Health Care August 2008 - April 2010
Skills
Business Analysis, SDLC, Process Improvement, Requirements Analysis, Visio, Vendor Management, Business Process, PMP, Requirements Gathering, SharePoint, Six Sigma, Training, Management, Sales Operations, Telecommunications, Program Management, Leadership, CRM
Education
Arizona State University
Mutual of Omaha September 2009 - Present
Coventry Health Care July 2007 - July 2009
Mutual of Omaha November 1988 - June 2007
Skills
Quality Center, Testing, User Acceptance Testing, QTP, Requirements Analysis
Education
Augustana University (SD) 1984 — 1988
Bachelor, Computer Science/MIS
St. Alberts High School 1974 — 1984
Arthur J. Gallagher & Co. October 2013 - Present
HealthSmart January 2012 - August 2013
EyeMed Vision Care October 2009 - December 2011
Coventry Health Care January 2003 - July 2009
First Health 2003 - 2005
John Hancock September 2000 - January 2003
Reliance Standard Life 1990 - 2000
GWL 1982 - 1985
Skills
Benefits, Employee Benefits, Insurance, Consultative Selling, Disability Insurance, Health Insurance, Selling, Managed Care, Sales, Strategic Planning, Leadership, Sales Management, Marketing Strategy, Team Building, Strategy, Benefits Administration, Healthcare, Account Management, Medicare, Long-term Care, Health Savings Accounts, Claim, Brokers, Underwriting, Term Life Insurance, 401k, COBRA, Life Insurance, Workers Compensation, PPO, Health Care Reform, Dentistry, Self-funded, HMO, HIPAA, Retirement, Provider Relations, Medicaid, Employee Wellness, Healthcare Industry, Health Policy, Network Development, Accident, Flexible Spending..., Pharmacy Benefit..., Group Insurance, Customer Retention, Open Enrollment, Fixed Annuities, Executive Pay
Education
Arizona State University 1978 — 1982
BA, Business
Lake Forest High School 1974 — 1978
AB Fortner, Inc. May 2006 - Present
Coventry Health Care August 2008 - May 2011
Coventry Health Care May 2000 - March 2006
Skills
Insurance, Managed Care, Medicare, Group Medical, PPO, HMO, Provider Relations, Account Management, Commercial Insurance, Self-funded
Education
Auburn University 1986 — 1990
Bachelor of Science (BS), Marketing
Bank of America November 2011 - Present
JPMorgan Chase March 2011 - November 2011
Bank of America September 2009 - March 2011
Royal Bank of Scotland July 2008 - August 2009
Pfizer February 2008 - July 2008
Credit Suisse April 2007 - January 2008
Provident Financial April 2006 - March 2007
Lowell Group December 2003 - March 2006
Coventry Health Care January 1999 - June 2003
Skills
SDLC, Microsoft SQL Server, Software Project..., SQL, Data Modeling, Data Management, Data Warehousing, COBOL, DB2, Technical Project..., Financial Analysis, Project Management, Management, IT Strategy, Business Analysis, Risk Management, Solution Architecture, Integration, Requirements Analysis, Testing, Business Intelligence, Enterprise Architecture, Analysis, Project Portfolio...
Education
Old Dominion University 2001 — 2003
MBA, IT and Finance
Annamalai University 1993 — 1997
Bachelor of Engineering (B.E.), Chemical Engineering, 3.6/4.0
Tyco Fire Protection August 2015 - Present
It Works Global April 2014 - Present
Comcast Cable July 2013 - July 2015
CVS Caremark Corporation January 2013 - April 2013
Coventry Health Care October 2012 - December 2012
Walmart August 2012 - October 2012
ADT April 2007 - January 2011
Lmodelz 2003 - 2008
Skills
Medical Terminology, Data Entry, HIPAA, Accounts Receivable, Insurance, Programming, Customer Service, Appointment Scheduling, Sales, Microsoft Word, Leadership, Customer Satisfaction, Training
Education
TechSkills-Indianapolis 2011 — 2012
Pharmacy Technician
Delaware Physicians Care, An Aetna Medicaid Plan August 2010 - Present
XLHealth January 2007 - June 2010
XLHealth December 2005 - January 2007
Coventry Health Care February 2005 - December 2005
Coventry Health Care December 2003 - February 2005
Coventry Health Care March 2003 - December 2003
UnitedHealthcare April 2002 - March 2003
UnitedHealthcare April 2001 - April 2002
UnitedHealthcare March 2000 - April 2001
UnitedHealthcare December 1998 - March 2000
Skills
Medicare, Healthcare, Process Improvement, Medicaid, Provider Relations, Business Analysis, Managed Care, HEDIS, Software Documentation, Health Policy, HIPAA
Education
Anne Arundel Community College
Associate's Degree, Business Management
CNA National April 2012 - Present
US Airways April 2010 - April 2012
Coventry Health Care January 2010 - April 2010
Lumension June 2009 - December 2009
American Funds September 2007 - June 2009
Cybermetrics July 2006 - August 2007
Sage August 1998 - July 2006
Skills
Agile Methodologies, Quality Assurance, Testing, Scrum, Selenium, Software Quality..., Test Management, QTP, Requirements Analysis, SQL, VBScript, Quality Center, Microsoft SQL Server, Software Development, Test Cases, Test Planning, Web Services, Visio, System Testing, TFS, Waterfall, Performance Testing, Software Documentation, User Acceptance Testing
Education
Arizona State University 1994 — 1997
BS, Exercise Science
PepsiCo International May 2010 - Present
Coventry Health Care June 2000 - August 2008
Skills
Business Intelligence, ETL, Business Analysis, Data Warehousing
Education
Sri Padmavati Mahila Viswavidyalayam 1992 — 1995
MCA, Computers
Magellan Health November 2014 - Present
Magellan Health Services November 2012 - Present
Magellan Health Services August 2009 - Present
Coventry Health Care August 2006 - August 2009
Coventry Health Care January 2004 - August 2006
First health 1995 - April 2006
Intergroup Health Insurance January 1992 - May 1995
Skills
Health Insurance, SDLC, Quality Assurance, Healthcare Information..., Process Improvement, Business Analysis, Insurance, Requirements Analysis, SQL, Claim, Call Center, Outlook, HIPAA, Software Project..., Customer Service, Microsoft Office, Integration, Windows, Microsoft Excel, Software Documentation, Call Centers, Training
Education
Arizona State University 1989 — 1991
Education
Northern Arizona University 1988 — 1989
Education
Coventry Health Care February 2007 - May 2011
Symphony Health Services, LLC. December 2004 - January 2007
Giant Food November 1999 - December 2004
Skills
General Ledger, Accounts Payable, Payroll, Financial Reporting, Tax
Education
Universtity of Baltimore 2011 — 2014
Master of Science, Taxation
Anne Arundel Community College 1992 — 1996
Certificate, Financial Accounting
Valparaiso University 1986 — 1990
B.S., Computer Science
Coventry Health Care 2010 - Present
NRECA 2007 - 2010
Skills
Health Insurance, Employee Benefits, Insurance, Program Management, Government, Strategic Planning, Process Improvement, Team Leadership, Managed Care, Risk Management, Project Management, Business Process...
Education
American University, Washington College of Law 1992 — 1995
JD, Law
University of Virginia 1985 — 1989
BA
University of Whashington Medical Center April 2015 - Present
Lehigh Valley Health Network July 2012 - December 2014
Miller-Keystone Blood Center February 2012 - July 2014
Coventry Health Care April 2008 - March 2010
Omnicare October 2007 - April 2008
University of Miami, Miller School of Medicine December 2006 - August 2007
Dun and Bradstreet/RMS January 2002 - April 2006
The Hartford May 2000 - December 2001
Education
Pennsylvania School of Business 2012 — 2013
Medical Assistant
Allentown School of Cosmetology 1992 — 1993
Licensed Cosmetologist/Barber
Accenture August 2015 - Present
Aetna April 2014 - March 2015
Aetna April 2013 - April 2014
Coventry Health Care May 2010 - April 2013
Coventry Health Care March 2008 - May 2010
Owens & Minor November 2006 - March 2008
BankAtlantic September 2003 - May 2006
CQG April 2002 - April 2003
Guidance Solutions July 2001 - April 2002
Tickemaster August 1999 - July 2001
Skills
Databases, ITIL, IT Service Management, Data Warehousing, Microsoft SQL Server, Agile & Waterfall..., SQL, ServiceNow, Disaster Recovery, Data Modeling, Database Design, ETL, SSIS, T-SQL, SSRS, Access, Testing, Performance Tuning, IIS, Business Intelligence, Servers
Education
Nova Southeastern University 2009 — 2013
M.B.A., Business, 3.8 Overall GPA
Arizona State University 1986 — 1992
B.A, Chinese Language
Arizona State University 1986 — 1991
B.A, Political Science
Coventry Health Care October 2007 - Present
Nashville General Hospital January 2003 - June 2006
Skills
Medical Management, Disease Management, Care Management, Nursing, Workers Compensation, Medicaid, Healthcare, Managed Care, Community Health, Case Managment, Management, Medical Case Management, Certified Case Manager, Medicare, Utilization Management, Healthcare Management, Insurance, Health Insurance, Home Care, Case Management
Education
Aquinas College 1990 — 1993
Nursing
Wellpoint September 2009 - Present
Coventry Health Care 2008 - 2008
Education
Ashford University
Meadowbrook
UnitedHealth care June 2013 - Present
Blue Cross Blue Shield of Arizona February 2006 - May 2013
Coventry Health Care October 2003 - February 2006
Pro Mechanical Services October 2000 - October 2002
Freeport Logistics November 1998 - October 2000
Skills
Business Analysis, Insurance
Education
Arizona State University 2004 — 2010
BA Communications, Research Methodology and Quantitative Methods, 3.0
Paradise Valley Community College 2000 — 2004
Associate of Arts and Sciences (AAS), Information Technology
Ability Services Network, Inc May 2012 - May 2013
Alere August 2010 - December 2010
Broadspire August 2007 - July 2009
Coventry Health Care August 2006 - July 2007
GENEX Services, Inc. 2005 - 2005
Skills
Managed Care, Medicare, Healthcare, Hospitals, Healthcare Management, Utilization Management, HIPAA, Nursing, Clinical Research, Case Managment, Disease Management, Workers Compensation, Medicaid, Provider Relations, Home Care, Case Management, Acute Care, Mental Health, Patient Advocacy
Education
University of Illinois at Chicago 1981 — 1982
MPH, Health Program Management
Metreopolitan Community College 1970 — 1972
Assoc, Nursing
Augsburg College 1965 — 1969
BA, Sociology, History
Augsburg College 1965 — 1969
BA, Sociology/Social Welfare
Leidos September 2012 - Present
The AES Corporation May 2008 - August 2012
Marriott International October 2006 - May 2008
Freddie Mac March 2004 - October 2006
Coventry Health Care January 2001 - March 2004
Skills
International Tax, Tax, Corporate Tax
Education
American University 2011 — 2014
MST, Taxation
George Mason University 1995 — 1999
BS - Accounting, Accounting
UT Arlington June 2015 - Present
UT Health Science Center SA June 2012 - June 2015
Coventry Health Care September 2011 - April 2012
Methodist Health System April 2000 - June 2011
Education
Walden University 2011 — 2014
Public Relation
Ashford University 2010 — 2011
Public Relation/Marketing
Coventry Health Care August 1998 - Present
Education
Assumption College
Master's Degree, Rehabilitation Counseling
Coventry Health Care May 2009 - Present
Skills
Fiction, Novels, Writing, Creative Writing, Fiction Writing, Published Author
Education
Arizona State University
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Gateway Community College
Certification, Respiratory Therapy Technician/Assistant
Coventry Health Care September 2011 - Present
Humana April 2006 - September 2011
CHA Health October 1996 - April 2006
Hospice of Central Kentucky aka Hosparus 1988 - 2001
Skills
Business Analysis, Claims Resolution, Access, Vendor Management, Utilization Management, Claims Management, Healthcare, SharePoint, Commercial Insurance, Microsoft Excel, Microsoft Office, Outlook, Requirements Gathering, Disease Management, Health Policy, Benefits Administration
Education
Ashworth University 2009 — 2011
Diploma, Medical Office Billing Manager, 4.0
Campbellsville University 1981 — 1981
Computer Science
Campbellsville High School 1965 — 1977
General Studies
Coventry Health Care April 2012 - Present
CareCentrix July 2011 - April 2012
ProMed 2010 - July 2011
Advanced Nursing Solutions 2010 - July 2011
Consulate Health Care of Safety Harbor 2009 - September 2010
Skills
Healthcare, Home Care, Medicare, Utilization Review, EMR, Disease Management, Patient Safety, Healthcare Management, HEDIS, Acute Care, Nursing, Medicaid, Utilization Management, HIPAA, Medical Case Management, Hospitals, Medical Terminology, Medical/Surgical, Managed Care, Inpatient, IV, BLS, Telemetry, Nursing Education, PALS, Patient Advocacy, Critical Care, Pediatrics, ACLS, Wound Care, Direct Patient Care, Medication..., Patient Education, JCAHO, Palliative Care, Triage, ICD-9, Elder Care, Registered Nurses, Emergency Room, ICU, Vital Signs, Long-term Care, Nursing Care, Phlebotomy, Healthcare Industry, Medical Coding, EKG, Medical Records, Home Health Agencies
Education
Breckenridge School of Nursing @ ITT-Tampa 2010 — 2012
Associate of Science (A.S.), RN
Galen School of Nursing-Tampa Bay 2007 — 2009
Associate's degree, LPN
St. Petersburg College 2002 — 2006
Associate of Arts (AA), General Studies
Alabama A&M University 1987 — 1989
Coventry Health Care December 2010 - Present
Education
Alabama Agricultural and Mechanical University
Marketing
Aetna January 2014 - Present
Coventry Health Care September 2005 - Present
Coventry Health Care, Inc. September 2005 - Present
Skills
Medical Insurance, Special Projects, Settlement Agreements, Dispute Settlement, Dispute Resolution, Contract Negotiation, Contract Analysis, Rate and Contract..., Paralegal, Provider Relations, Analysis, Projects, Healthcare Management, Risk Management, Healthcare, Credentialing, Provider Network..., PPO, Pharmacy Benefit..., Supervisory Experience, Utilization Management, Negotiation, Healthcare Consulting, Macess, Provider Education, Healthcare Industry, Medical Terminology, Provider Networks, Medical Cost Containment, HMO, Amisys, Health Plan Operations, Medical Compliance, Claims Auditing, Medicaid Managed Care, Health Policy, QNXT, Contractual Risk..., HEDIS, Health Insurance..., Utilization Review, Ancillary Benefits, Certified Case Manager, Accountable Care, Government Programs, Health Care Fraud, NCQA, Medical Underwriting, Medicare Prescription..., Ratemaking
Education
California State University-Sacramento 2002 — 2004
American River College 1999 — 2001
Fortis Institute May 2011 - April 2012
Arlington Memorial Hospital September 2010 - February 2012
Arlington Memorial Hospital 2010 - 2012
Coventry Health Care 2007 - 2011
Healthcare Insurance November 2008 - October 2009
Examination Management Services, Inc November 2008 - October 2009
Coventry Healthcare July 2007 - November 2008
Aetna October 2002 - July 2007
Aetna October 2000 - October 2002
Education
Fortis Institute-Jacksonville 2011 — 2012
Vocational Nursing, Nursing
Fortis Institute
Licensed Vocational Nursing
Aetna November 2013 - Present
Coventry Health Care February 2000 - Present
Skills
Financial and Medical...
Education
Maryville University of Saint Louis 2009 — 2012
Bachelor of Science in Nursing, Third year - Clinical
University of the Immaculate Conception 1973 — 1977
Bachelor of Science in Chemistry, Graduated
Coventry Health Care March 2006 - Present
Saddle Creek Logistics Services July 2004 - March 2006
Georgia-Pacific LLC February 2000 - April 2004
Education
Arizona State University 2006 — 2008
Master of Business Administration (M.B.A.), International Business
Mispillion River Brewing April 2013 - Present
Beebe Medical Center 2008 - January 2014
Beebe Medical Center 2005 - 2008
Nanticoke Memorial Hospital 2004 - 2005
Coventry Health Care 2002 - 2004
Bayhealth Medical Center 1996 - 2002
Interim HealthCare 1995 - 1996
St. Francis Hospital 1986 - 1995
Middletown High School 1983 - 1985
Medical Center of Delaware 1976 - 1983
Skills
Healthcare Information..., Healthcare, Informatics, Healthcare Management, Hospitals, Nursing, Clinical Research, ICU, Disease Management, Medicare, Case Managment, Nursing Education, Critical Care, HL7, Patient Education, Home Care, Acute Care, Cardiology, BLS, Quality Improvement, Patient Safety, Oncology, Software Documentation, Inpatient, ACLS, Telemetry, Healthcare Consulting, Managed Care, Community Health, Health Education
Education
Wesley College 1998 — 2001
Master's degree, Nursing
Beebe Hospital School of Nursing 1970 — 1973
Diploma, Registered Nursing/Registered Nurse
Coventry Health Care June 2013 - Present
Coventry Health Care May 2012 - February 2013
Guangzhou Hanfang Pharmaceutical Co.,Ltd June 2009 - November 2010
Skills
Cognos 10, Microsoft SQL Server..., SAS 9.3, Lean Six Sigma Green..., Advanced MS Excel, Advanced MS Access, Oracle 10.5, SPSS
Education
Saint Louis University 2011 — 2013
Master of Health Administration, Health Administration
Guangzhou University of Traditional Chinese Medicine 2005 — 2009
Bachelor's degree, International Economics and Trade
Coventry Health Care Medical Claims ExaminerAll Temporaries IncorporatedOctober 2000 - April 2007
The Jacobson Group February 2002 - September 2005
Blue Cross of California May 1996 - October 2000
Skills
Insurance, HIPAA, Medicare, Claim, Claims Management, Medical Billing
Education
Antelope Valley College 1993 — 1995
Associate's Degree, Medical Office Management/Administration
American Express October 2014 - Present
American Express October 2012 - October 2014
Coventry Health Care January 2012 - October 2012
Crown Castle USA INC July 2010 - January 2012
Charleston’s Restaurant January 2009 - June 2010
Charleston’s Restaurant November 2003 - December 2008
Skills
SDLC, Waterfall, Business Analysis, Requirements Gathering, Microsoft Office Tools, SharePoint, Microsoft Office, Management, Integration, Training, Software Documentation, Process Improvement, Leadership, Analysis, Vendor Management, Business Requirements, Project Planning, Resource Management
Education
Arizona State University 2004 — 2008
Bachelor of Science (BS), Marketing
W.P. Carey School of Business, Arizona State University
Bachelor of Science, Marketing
WellCare January 2012 - Present
State Farm June 2011 - November 2011
Coventry Health Care November 2010 - June 2011
Towers Watson January 2009 - October 2010
Skills
SharePoint, SSRS, T-SQL, Microsoft Office..., C#, ASP.NET, InfoPath Forms, Windows Sharepoint..., Workflow, C++ Language, HTML, CSS, JavaScript, XML, Microsoft SQL Server, Business Intelligence, TFS, SDLC, .NET, SQL Server Management..., SharePoint Server, PowerPivot, SQL, Web Services, Integration
Education
Stratford University 2009 — 2010
Master's degree, Computer Engineering
NJIT 2008 — 2009
Master's degree, Electrical and Electronics Engineering
Nagarjuna University 2004 — 2008
Bachelor of Technology (B.Tech.), Electrical, Electronics and Communications Engineering
Coventry Health Care October 2011 - Present
Education
Arizona Western College
Coventry Health Care Recovery savings analystAetnaFebruary 2007 - Present
Education
Butler County Community College 2008 — 2010
Medical Insurance Coding Specialist/Coder
Oakbridge Academy of Arts 2003 — 2005
Associate's degree, Graphic Design
Exchange Solutions, a Towers Watson Company August 2009 - Present
Towers Watson August 2009 - Present
Ingenix Consulting November 2006 - August 2009
Coventry Health Care July 2005 - November 2006
Humana June 2000 - June 2005
Skills
Insurance, Underwriting, Risk Management, Reinsurance, Health Insurance, Financial Risk, General Insurance, Actuarial Science, Claim, Liability, Analysis, Employee Benefits, Health Policy, Managed Care, Medicare, Strategy
Education
Auburn University 1998 — 2000
Master of Science (MS), Mathematical Statistics and Probability
Birla Institute of Technology & Sciences, INDIA 1995 — 1997
Master's Degree, Pharmacy
Birla Institute of Technology & Sciences, INDIA 1991 — 1995
Bachelor's Degree, Pharmacy
Aetna December 2007 - Present
Coventry Health Care January 1999 - November 2007
Skills
Quality Management
Education
Beebe Hospital School of Nursing
Diploma, Registered Nursing/Registered Nurse