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
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Coventry Health Care Employees
Employed February 2014 - Present
OfficeTeam January 2014 - February 2014
Lone Star College October 2013 - January 2014
PreCheck May 2010 - July 2013
Coventry Health Care April 2009 - June 2009
PreCheck June 2006 - January 2009
One Call One Team June 2005 - May 2006
Southwest Airlines June 2002 - August 2004
Skills
Customer Service, Time Management, Microsoft Office, Microsoft Word, Microsoft Excel, Outlook, Payroll, Salesforce.com, Accounts Payable, Call Centers, Accounts Receivable, SAP, Administrative..., Data Entry, Administrative..., Office Administration, Document Review, Nuance, Peachtree, OASIS, Training, Account Management, Process Improvement, Leadership, Management, Team Building, PowerPoint, Team Leadership
Education
Lone Star College-CyFair 2009 — 2013
In Progress, Business, Management, Marketing, and Related Support Services
AT&T February 2014 - Present
Coventry Health Care April 2013 - February 2014
Verizon Wireless March 2012 - April 2013
Verizon Wireless May 2011 - April 2013
MediFit Corporate Services February 2010 - March 2011
Verizon Wireless August 2008 - August 2009
Skills
Customer service, Technical Support, Computer Skills Word, Data Entry, Financial Services, Collections, Sales, Fitness, Health, Customer Retention, Leadership, Microsoft Word, Team Building, Training, Customer Service, Microsoft Office, Microsoft Excel, PowerPoint
Education
Middle Tennessee State University 2005 — 2008
Bachelor of Science (BS), Health and Physical Education/Fitness
Lindenwood University 2003 — 2005
None, Health and Physical Education/Fitness
Lumeris 2014 - Present
Mercy February 2012 - September 2014
Coventry Health Care October 2010 - October 2011
Mercy Health Plans, Inc. January 1994 - June 2011
Mercy Health Plans June 2004 - September 2009
Westport Healthcare Management, Inc July 1993 - October 1994
IBM January 1984 - July 1993
IBM January 1984 - January 1993
Skills
Community Outreach, Access, Credentialing, Customer Satisfaction, Customer Service, Fundraising, Health Insurance, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Human Resources, Leadership, HIPAA, Managed Care, Management, Outlook, Process Improvement, Time Management, Travel Arrangements, Team Building, Marketing, Marketing Communications
Education
Lindenwood University
Degree: Master of Science, Human Resources Management
Lindenwood University 1995 — 1997
Bachelors, Health Care Management
Aetna Healthcare October 2014 - Present
NextEra Energy Resources 2013 - Present
Asurion January 2011 - July 2013
EDC ATM October 2009 - April 2010
Coventry Health Care February 2009 - April 2009
IAN HEWITT ASSOCIATES August 2008 - December 2008
DHL October 2005 - May 2007
TeleCheck June 2002 - September 2005
Skills
Customer Service, Call Centers, Cross-functional Team..., Customer Experience, Troubleshooting, Data Entry, Vendor Management, Process Improvement, Customer Satisfaction, Telecommunications, Customer Retention, Visio, Wireless, Technical Support, SDLC
Education
Lone Star College System 1997 — 2001
Basics & Legal
Nimitz High School 1993 — 1997
Diploma, Cosmetology/Cosmetologist, General
Towers Watson July 2012 - Present
Coventry Health Care May 2011 - December 2011
Lebanon Seaboard August 2010 - December 2010
Skills
Access, SQL, VBA, Microsoft Excel, C++, Java
Education
Lebanon Valley College 2008 — 2012
Bachelor of Science (BS), Actuarial Science and Computer Science
Aetna May 2013 - Present
Coventry Health Care October 2004 - May 2013
OmniCare Health Plan April 1975 - October 2004
Skills
Medicare, Provider Relations, Managed Care, Network Development, Credentialing, Health Insurance, Healthcare Industry, HMO, Medicaid, Revenue Cycle, HIPAA, Health Policy, Physicians, Pharmacy Benefit..., Insurance, Healthcare Consulting, Healthcare Management, Utilization Management, Physician Relations
Education
Marygrove College 1997 — 2002
BA, Business Administration
Marygrove College 1998 — 2001
BBA, Accounting
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas June 2015 - Present
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas August 2013 - June 2015
Coventry Health Care January 2012 - July 2013
Illinois Performance Volleyball Association October 2012 - June 2013
Marquette University January 2011 - December 2011
Children's Community Health Plan September 2010 - December 2011
Allegro Music Academy May 2005 - August 2010
Rush University Medical Center June 2009 - August 2009
Skills
SQL, Verisk Health Systems, Wisconsin Immunization..., HPMS, Forecasting, Market Research, SAS, SPSS, Best Practices, Business Process..., Microsoft Excel, Data Analysis, Data Modeling, Presentation Development, Professional..., Cross-functional Team..., Healthcare
Education
Marquette University Graduate School of Management 2010 — 2011
M.S
Marquette University 2007 — 2010
BS
Benet Academy 2003 — 2007
High School
Genex September 2014 - Present
Coventry Health Care May 2013 - September 2014
CorVel Corporation April 2011 - May 2013
GSG and Associates October 2006 - March 2011
Self August 2004 - October 2006
Self August 2004 - October 2006
Self Employed Independent Case Manager July 2004 - September 2006
Intracorp September 1998 - June 2002
Gates McDonald September 1997 - September 1998
CMRI January 1997 - September 1997
Skills
Managed Care, Provider Relations, Medicare, Disease Management, Home Care, HIPAA, Medicaid, Utilization Management, Nursing, Case Managment, Rehabilitation, Medical Case Management, Critical Care, Certified Case Manager, Patient Advocacy, Acute Care, Utilization Review, Orthopedic, Physician Relations, Inpatient, Healthcare Consulting, Physicians, Traumatic Brain Injury, Workers' Compensation..., ACLS, JCAHO, Case Management, Orthopedics
Education
Mount St. Mary's College 1983 — 1986
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Long Beach City College 1981 — 1983
Undergrad Classes, Nursing/LVN
Steinman Communications November 2014 - Present
Snitz Creek Brewery January 2014 - Present
Santander Bank, N.A. October 2010 - October 2014
Sovereign Bank July 2010 - November 2010
Philhaven Hospital February 2007 - July 2010
Coventry Health Care January 2006 - February 2007
Kochenderfer United Methodist Church October 2000 - January 2006
Keystone Health Plan Central August 1998 - October 2000
Skills
Event Planning, Excel, Supervisory Skills, Access, Hiring, Microsoft Excel, Recruiting, Coaching, Public Speaking, Management, PeopleSoft, Onboarding, Human Resources, Program Management, New Hire Orientations, Employee Relations, Sourcing, Applicant Tracking..., Employee Benefits, Talent Acquisition, Team Building, Performance Management, Leadership, Leadership Development, HRIS, Interviews, Taleo, Temporary Placement, College Recruiting
Education
Millersville University of Pennsylvania 1996 — 1997
Secondary Education / Guidance Counseling
Lancaster Bible College 1993 — 1996
BS, Counseling
Arthur J. Gallagher & Co. May 2013 - Present
Krewe Volleyball Club November 2008 - July 2013
Coventry Health Care November 2008 - May 2013
Skills
HMO, Managed Care, PPO, Health Care Reform, Health Insurance, Employee Benefits, Insurance, Healthcare Management, Self-funded, Health Savings Accounts, Healthcare Industry, Healthcare, Health Policy, Brokers, Disability Insurance
Education
Lehigh University 2003 — 2007
Bachelor of Arts (B.A.), Political Science and Government, History, Business Minor
Benjamin Franklin High School 2000 — 2003
Kindred Healthcare April 2013 - Present
Comfort Keepers September 2011 - February 2012
Delta Home Health January 2011 - September 2011
Coventry Health Care January 2009 - January 2010
Skills
Client Services, Recruitment/Retention, Coordination, Assessment, Supervisory Skills, Sales, Schedules, Marketing, Credentialing, Contract Negotiation, Provider Relations, Network Contracting, Liaison, Training, Human Resources, Home Care
Education
Louisiana State University 1996 — 2000
History/English
Coventry Health Care October 2008 - Present
UnitedHealthcare 1991 - 2004
Skills
Health Insurance, Insurance, Employee Benefits, Managed Care, Brokers, Disability Insurance, Underwriting, Property & Casualty..., Medicare, Life Insurance, Claim, Health Savings Accounts, Healthcare, Workers Compensation, Long-term Care, Professional Liability, Account Management
Education
Lewis and Clark Community College
Coventry Health Care August 2011 - Present
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care
Education
Lindenwood University
MBA
Willis August 2011 - Present
Coventry Health Care September 2006 - August 2011
Skills
Insurance, Health Insurance, Employee Benefits, Underwriting, Claim, Life Insurance, Benefits Administration, Disability Insurance, Brokers, Health Savings Accounts, Customer Service, Term Life Insurance
Education
Northeastern University 1991 — 1992
Paralegal Certificate, Paralegal
Marietta College 1980 — 1984
BA, Finance
Cambridge High School
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program
Enterprise Holdings July 2013 - Present
Coventry Health Care March 2011 - June 2013
Safety National July 2006 - March 2011
Huntington Learning Center March 2002 - June 2006
Skills
Quality Assurance, SDLC, Business Analysis, Agile, Documentation, System Testing, Manuals, Test Cases, Test Planning, Requirements Analysis, Testing, Excel, Word, Insurance, Waterfall, Software Documentation, Agile Methodologies, Agile Methodolgy, Microsoft Word, Requirements Gathering, Microsoft Excel, SharePoint, Business Requirements, ClearQuest, Visio, User Acceptance Testing, Process Improvement, Quality Center, XML, MS Project, SQL, Business Process, Regression Testing
Education
Lincoln University (MO) 1998 — 2001
BS Ed, Elementary Education
St Charles Community College 1996 — 1998
General Studies
Blue Cross Blue Shield of Texas April 2015 - Present
Blue cross blue shield of Texas March 2014 - April 2015
Molina Healthcare January 2013 - March 2014
Heart 2 Heart Hospice August 2012 - January 2013
Alere, Inc. June 2012 - August 2012
H August 2011 - April 2012
United Health Group September 2010 - June 2011
Homecare network 2010 - 2010
United healthcare 2008 - 2010
Coventry Health Care 2006 - 2007
Skills
Healthcare, Utilization Management, Healthcare Management, Medicaid, Medicare, Disease Management, Managed Care, Nursing, Hospitals, Provider Relations, Healthcare Information..., Case Management
Education
Louisiana Tech University 1987 — 1989
Associate's degree, Nursing
Rayville high school 1979 — 1983
Preisig &Assoc. March 2012 - Present
PMA Companies May 2008 - February 2012
Zurich Services Corp October 1997 - March 2008
Coventry Health Care April 1996 - October 1997
GENEX Services, Inc. January 1992 - September 1995
Intracorp April 1987 - January 1992
Skills
Managed Care, Cost Containment, Healthcare, Workers Compensation, Case Management, Strategic Planning, Property & Casualty..., Public Speaking, Workers' Compensation..., Utilization Management, Advisory Boards, Litigation Support, Medical Case Management, Occupational Medicine, Mergers & Acquisitions, Health Insurance, Medicare, Case Managment, Strategic Leadership, Integrity, Bill Review, Leadership, Insurance, Management, Commercial Insurance, Team Building, Process Improvement, Claim, Employee Benefits, Risk Management
Education
Lake Forest Graduate School of Management 1990 — 1994
MBA, Executive Program
Northeastern Illinois University 1978 — 1981
B.S, Biology
St. Mary of Nazareth School of Nursing 1976 — 1978
R.N, Nursing
Coventry Health Care May 2012 - Present
Independence Planning Group May 2011 - May 2012
Aetna September 2002 - May 2011
Funk & Bolton, P.A. January 2000 - September 2002
Skills
Corporate Governance, Account Management, Strategic Planning, Insurance, Litigation, Commercial Litigation, Medicare, Property & Casualty..., Claim, Liability, Managed Care, Health Insurance, Risk Management, Disability Insurance, Employment Law, Workers Compensation, Contract Negotiation, Employee Benefits, Insurance Law, Corporate Law, Life Insurance, Underwriting, Professional Liability, Leadership, Brokers, Health Savings Accounts, Health Care Reform, Claims Management, Reinsurance
Education
University of Baltimore School of Law 1995 — 1998
JD
Lehigh University 1989 — 1993
BA, Double major Gov't and History
Lower Moreland High School 1985 — 1989
Cabell Huntington Hospital March 2010 - Present
Dixon Hughes Goodman LLP November 2008 - March 2010
Coventry Health Care August 2007 - November 2008
Cabell Huntington Hospital July 2005 - August 2007
Pershing Yoakley & Associates & iSource, LLC November 2000 - March 2005
West Virginia Hospital Assn February 1994 - January 1997
EY January 1992 - March 1994
Skills
Strategic Financial..., Revenue Cycle, Contract Negotiation, Managerial Finance, Healthcare, Medicaid, Leadership Development, Managed Care, Healthcare Management, Physicians, Hospitals, Clinical Research, Physician Relations, Medicare, Health Policy, Public Speaking, Contract Negotiations, Financial Management, Financial Planning, Healthcare Information..., HIPAA, Healthcare Consulting, Revenue Cycle Management, Medical Coding, EHR, EMR, Internal Medicine, Informatics, Healthcare Industry, Performance Improvement, Nursing, Practice Management, Patient Safety, Medical Billing
Education
Marshall University 1986 — 1991
B.S., Accountancy
Shepherd University 1987 — 1988
Chemistry & Biology
Exam Works Clinical Solutions June 2014 - Present
MedAllocators August 2012 - June 2014
MedAllocators January 2012 - August 2012
Coventry Health Care June 2000 - December 2011
Concentra Health Services July 2000 - April 2007
Lumber Mutual Ins Co June 1994 - June 2000
Liberty Mutual Insurance February 1987 - June 1994
Skills
Account Management, Workers Compensation, Claims, Claims Management, Healthcare, Insurance, Negotiation, Sales Management, Customer Relations, Risk Management, Product Development, Strategic Planning, Managed Care, Process Improvement, Compliance, Budgeting, Marketing Strategy, Cost Containment, General Liability, Risk, Risk Mitigation, Problem Solving, Strategic Partnerships, Claim
Education
Massachusetts College of Liberal Arts 1982 — 1987
Medway High School 1978 — 1982
Veolia Water December 2014 - Present
UnitedHealth Group October 2014 - December 2014
UMR May 2014 - September 2014
Coventry Health Care October 2012 - April 2014
Links Staffing 2012 - October 2012
Office Depot January 2011 - June 2012
Walgreens October 2005 - January 2011
Skills
CRM, Management, Process Improvement, Customer Service
Education
Lee College 2011 — 2012
35 credit hours, Business Administration and Management, General
San Jacinto College 2011 — 2012
35 credit hours, Business Administration and Management, General
Coventry Health Care April 2013 - March 2014
Walmart March 2006 - January 2012
Skills
Customer Service, Data Entry, Cashiering, Telephone Skills, Customer Satisfaction, Time Management, Outlook, Call Centers, Microsoft Word, Microsoft Office, Critical Thinking, Phone Etiquette, Microsoft Excel, PowerPoint, Medical Terminology, 10 Key, Inventory Management, Cpr Certified, HIPAA, Customer Experience
Education
Lone Star College System 2013 — 2015
Registered Nursing/Registered Nurse
Measure, Mentor, & Motivate 2013 - Present
Cenergistic - formerly Energy Education, Inc May 2011 - November 2012
Coventry Health Care September 2005 - July 2010
Aon - Cambridge Integrated Services 1998 - 2005
Crawford & Company 1994 - 1998
Crawford & Company 1989 - 1994
Skills
Leadership, Strategy, Business Development, Direct Sales, CRM, Strategic Planning, Sales Management, Management, Process Improvement, Product Development, Executive Management, Program Management, Team Building, Selling, New Business Development, Sales, Account Management, Coaching, Customer Service, Sales Presentations, Critical Thinking, Managed Care
Education
Lehigh University - College of Business and Economics
BS, Management & Economics
Insurance Institute of America 1990 — 1991
Associate in Risk Management
Blue Cross Blue Shield of Louisiana July 2013 - Present
Coventry Health Care August 2011 - July 2013
Peoples Health September 2010 - August 2011
Community August 2001 - September 2010
Blue Cross Blue Shield of Louisiana November 1997 - August 2001
Skills
Provider Relations, Network Development, Network Contracting, Healthcare Reimbursement, Payer Relations, IPAs, Provider Education, Fee Schedules, Capitation, Hospital Contracting, HMO, PPO, Managed Care, Healthcare Consulting, Healthcare Industry, Insurance, Medicare, Process Improvement, Medicaid, Utilization Management
Education
Loyola University New Orleans
Bachelor of Business Administration (B.B.A.)
Stream Energy February 2008 - Present
Coventry Health Care August 2005 - June 2007
Texas Life Insurance Company September 1996 - April 2005
Skills
Microsoft Office, SharePoint, PowerPoint, NNA Certified and..., Advanced Certified..., Certified Paralegal 1998, Microsoft Excel, Customer Service, Strategic Planning, Access, Process Improvement, Project Management, Business Analysis, Management, Contract Negotiation
Education
Mclennan Community College
Associate of Arts and Sciences (A.A.S.), Paralegal Studies
Youngstown State University
Northwestern Mutual October 2008 - Present
United Healthcare February 2004 - March 2007
MAMSI July 2003 - February 2004
Bare Associates International, Inc. May 2002 - July 2003
Coventry Health Care December 1999 - May 2002
Skills
Employee Benefits, Strategy, Disability Insurance, Management, Insurance, Sales, Brokers, Leadership, Underwriting
Education
Marymount University
BS, Biology
Rahall Transportation Institute June 2012 - Present
Coventry Health Care November 2011 - June 2012
United Way of the River Cities April 2004 - March 2012
Marshall University August 2008 - December 2009
HR Collaborative - University of Charleston, Alderson-B & Ohio Valley Parkersburg 2003 - 2004
Skills
Brand Development, Brand Awareness, Social Media, Media Relations, Public Relations, Relationship Development, Building Relationships, Program Management, Event Management, Event Marketing, Special Events, Marketing, Human Resources, Fundraising, Event Planning, Customer Service, Account Management, Coaching, Sales, Management, Social Networking, Training, Marketing Communications, Interviews, Advertising, Public Speaking, Strategic Planning, Nonprofits, Leadership, Social Media Marketing, Budgets, Leadership Development, Microsoft Office, Team Building, Community Outreach, Strategic Communications, Press Releases, Research, Editing, Newsletters, Marketing Strategy, Program Development, Facebook, New Business Development, Entrepreneurship, Teaching, Strategy
Education
Marshall University 1997 — 2001
Masters IER, Employee Industerial Relations
Marshall University 1997 — 2000
B.A. Marketing, Marketing, Undergraduate
MERS / Goodwill August 2013 - June 2014
Columbia Upcycle May 2013 - May 2014
Preferred Family Healthcare January 2011 - September 2013
Preferred Family Healthcare May 2013 - August 2013
Missouri.com December 2012 - June 2013
Coventry Health Care October 2009 - January 2011
Missouri Department of Corrections May 2008 - August 2008
Skills
Mental Health, Blogging, Behavioral Health, Social Media, Facebook, Case Managment, Volunteer Management, Marketing, Managed Care, Community Outreach, Social Services, Vocational Counseling, Vocational..., Vocational Evaluation, Career Assessment, Client Intake, Training, Software Documentation, Clinical Research, Employee Benefits, Management, Interviews, Time Management, Microsoft Excel, Inpatient, Quality Improvement, Health Policy, Nonprofits, Program Development, Public Speaking
Education
Maryville University of Saint Louis 2010 — 2014
Master's Degree (MA), Rehabilitation Counseling
University of Missouri-Saint Louis 2004 — 2008
Bachelor's Degree (BS), Criminology and Criminal Justice, Minor in Psychology
Skyline Home Loans March 2015 - Present
Bank of America June 2010 - March 2015
Coventry Health Care November 2000 - April 2008
Countrywide Home Loans November 1998 - June 2000
Tarzana Sports Injury & Orthopedic Medical Group October 1985 - April 1996
Skills
Customer Relations, Supervisory Skills, Scheduling, Research, Billing, Benefits Administration, Telephone Skills, Event Planning, Customer Service, Budgeting, Microsoft Office, Invoicing, Budgets, Process Scheduler, Management, Policy, Software Documentation, Training
Education
The Learning Tree 2004 — 2004
Certification, Supervisory Management
Agoura High School
Los Angeles Pierce College
Coventry Health Care January 2012 - Present
University of Illinois at Urbana-Champaign April 2009 - January 2012
Coventry Health Care December 2008 - March 2009
Coventry Health Care December 2005 - December 2008
Skills
Hospitals, Managed Care, Medicare, Contract Negotiations, Philanthropy, Health Insurance, Direct Sales, Account Management, Strategic Leadership, Market Analysis, New Business Development, Proposal Preparation, Budgets, Contract Negotiation, Proposal Writing, Process Improvement, Strategic Planning, Management, Public Speaking, Training, Business Planning, Negotiation, Leadership Development, Operations Management, Team Leadership, Start-ups, Team Building, Sales Operations, Policy, Healthcare, Change Management, Workers Compensation, Leadership, Program Management, Insurance, Network Development, Strategy, Analysis, Cross-functional Team..., Data Analysis, Healthcare Industry
Education
University of St. Francis 2001 — 2005
Masters, Business Management
Loras College 1994 — 1998
Bachelor, Business Management
Coventry Health Care, an Aetna Company May 2013 - Present
Coventry Health Care September 2009 - May 2013
Coventry Health Care November 2002 - September 2009
Concentra, Inc 2002 - 2007
PhyCor, Inc. January 1997 - October 2002
KPMG September 1991 - December 1996
Skills
Financial Accounting, Accounting, Tax, Financial Analysis, Financial Reporting, Forecasting, Budgeting, Analysis, Due Diligence, Auditing, Audit, Excel, Word, Financial Management
Education
University of Alabama 1990 — 1991
Masters, Tax Accounting
Lipscomb University 1986 — 1990
BS, Accounting
Memorial Medical Center August 1999 - Present
Professional Medical Services April 2003 - Present
Coventry Health Care June 1994 - August 1999
NCCI (National Counsel on Compensation Insurance) 1983 - 1994
Skills
Healthcare, Hospitals, Healthcare Management, HIPAA, Healthcare Information..., EHR, Microsoft Excel, Medical Terminology, Process Improvement, Accounting, Medical Billing, Microsoft Office, Insurance, CPT, Time Management
Education
Lincoln Land Community College 1981 — 1984
Associate's degree, Computer Programming
Lanphier High School 1978 — 1981
Graduated, General Studies
Northeast Georgia Health System June 2014 - Present
Northeast Georgia Health System January 2014 - June 2014
Northeast Georgia Health System July 2013 - January 2014
Coventry Health Care January 2011 - July 2013
FCSS 2007 - 2009
ATS Tech Solutions, Inc. 2006 - 2007
Skills
Citrix, Citrix Metaframe, Active Directory, Remote Desktop, A+ Certified, Windows 7, Windows Server, McAfee, Group Policy, XP, Antivirus, Microsoft Certified..., Servers, VMware ESX, DNS, DHCP, Windows XP, Help Desk Support, Hyper-V, Virtualization, CompTIA, Microsoft Certified..., BMC Remedy, Printers, MCTS, MCP, MCTS 70-640, Citrix Xendesk 7.1, VMware 5.5, VMware View, Window 8, Server 2012, Server 2012 R2, Unidesk, Unidesk Certified..., CCA-V, Troubleshooting, Networking, Disaster Recovery, System Administration
Education
Lanier Technical College 2005 — 2006
Esse Health July 2014 - Present
Barnes-Jewish Hospital October 2013 - July 2014
Coventry Health Care May 2013 - October 2013
RGL Forensics January 1998 - March 2013
St. Paul Companies March 1993 - July 1997
Aetna Life and Casualty Insurance March 1991 - March 1993
Skills
Workers Compensation, Personal Injury, Healthcare, Insurance, Case Management, Nursing, Critical Care, Documentation, Orthopedics, Teaching, Public Speaking, Medical Records, Orthopedic, Case Managment, Software Documentation, Rehabilitation, Healthcare Management, Hospitals, Elder Care, Healthcare Consulting, Clinical Research, Medicare, Medicine, Home Care, Inpatient, Physicians, Health Insurance, Claim, Managed Care, Quality Improvement, Utilization Management, Healthcare Industry, HIPAA, EMR, Physician Relations, EHR, Patient Safety, Revenue Cycle, Medicaid, Informatics, Epic Systems, Long-term Care, Medical Compliance, Healthcare Information..., Cerner, Health Policy, Medical Billing, Medical Coding, Clinics, Credentialing
Education
Saint Louis University 1990 — 1994
MSN, Nursing
Saint Louis University 1979 — 1982
BSN, Nursing
Maryville University of Saint Louis 1975 — 1978
Associate Degree, Nursing
Confidential May 2013 - Present
Zonghsen Industrial Group May 2010 - May 2013
Coventry Health Care January 2008 - April 2010
Doctors Medical Center, Inc. January 2004 - January 2008
Humana January 2000 - January 2004
Skills
Business Development, Marketing Strategy, Marketing, Contract Negotiation, International Sales, Operations Management, Sales Leads, New Business Development, Strategic Planning, Sales Management, Business Strategy, Sales, Account Management, Negotiation, Competitive Analysis, Market Research, Cross-functional Team..., Forecasting, Market Analysis, Business Planning, Team Leadership, Budgets, Management Consulting, Financial Analysis
Education
Thunderbird School of Global Management 2008 — 2010
Global MBA for Latin American Managers
Tecnológico de Monterrey 2008 — 2010
Global MBA for Latin American Managers
Loyola University New Orleans 1995 — 1999
B.S. of Business Administration, International Business
Dane Street April 2013 - Present
Coventry Health Care January 2012 - April 2013
University of Phoenix April 2012 - September 2012
Abita Recreation Booster Club, Inc. April 2010 - April 2012
D'Amico & Carimi October 2010 - January 2012
Skills
Legal Research, Courts, Commercial Litigation, Insurance, Quality Management, Quality Assurance, Project Management, HIPAA, Information Security..., Regulatory Guidelines, Regulatory Affairs, Policy Writing, SSAE 16, RFP, Company Newsletters, Employment Contracts, Contract Negotiation, Internal Audit, Employee Training, Accreditation, Reporting & Analysis, Data Analysis, Licensing, Marketing Communications, Security Audits, Litigation, Claim, Arbitration, Employment Law, Legal Writing, Intellectual Property, Estate Planning, Liability, Westlaw, Product Liability, Appeals
Education
Southern University Law Center 2006 — 2008
J.D., Law
Louisiana State University 1999 — 2003
B.A., Communications & Latin
Louisiana School for Math, Science & the Arts 1997 — 1999
HS
Fulfillment Consulting January 2009 - Present
Crossroads Hospice May 2011 - February 2014
Coventry Health Care December 2007 - February 2010
Fulfilllment Inc, Leadership and Life Coaching July 2006 - September 2009
Teep Designs 2008 - 2009
DeMatteo Monness June 2003 - May 2007
Healthways 2001 - 2005
J. Norman Consulting 1997 - 2000
Missouri Pacific Employees Health Association 1978 - 1995
Skills
Healthcare Management, Healthcare, Managed Care, Leadership, Public Speaking, Leadership Development, Coaching, Analysis, Disease Management, Healthcare Consulting, Insurance, Medicaid, Policy, Sales, Start-ups, Strategic Planning, Training, Business Strategy, Elder Care, Executive Coaching, Home Care, Hospitals, Human Resources, Management, Marketing Strategy, Medicare, Mental Health, Nonprofits, Process Improvement, Product Development, Program Development, Program Management, Staff Development, Team Building, Time Management, Consulting, Marketing, Customer Service, Event Planning, Mentoring, Physician Relations, Business Development, Life Coaching, Management Consulting, Strategy, Fundraising, Entrepreneurship, New Business Development, Budgets, Healthcare Industry
Education
Lindenwood University 1990 — 1995
Bachelor of Arts (BA), Health/Health Care Administration/Management
Bon Secours Richmond Health Care Foundation October 2013 - Present
Realty Website Design April 2012 - October 2013
Coventry Health Care May 2006 - December 2011
Mobil-Tek August 2005 - May 2006
Branch County ISD August 2004 - July 2005
Head Start July 2003 - August 2004
Glen Oaks Community College 1998 - 2001
Alaska Bible Institute 1997 - 1998
Skills
Microsoft Office 2007, Supervisory Skills, Event Planning, Administration, Administrative Support, Administrative..., System Administration, Customer Service, Management, Microsoft Office, Employee Recognition, Employee Handbooks, Joomla, Camtasia, Dropbox, WebEx, Fresh Ideas, Office Management, Policy, Training, Human Resources, Healthcare, Insurance, Health Insurance
Education
Liberty University 2009 — 2012
Bachelor's Degree, Business Management
Glen Oaks Community College 1998 — 2002
Associate Degree, Nursing
Alaska Bible Institute 1995 — 1998
Diploma, Theology
HCA-LewisGale Montgomery Hospital April 2015 - Present
HCA Physician Services January 2013 - April 2015
Coventry Health Care June 2008 - December 2012
Pitney Bowes 2006 - 2008
Skills
Employee Relations, Talent Acquisition, Onboarding, Applicant Tracking..., HRIS, Recruiting, Employee Benefits, Benefits Administration, Talent Management, Deferred Compensation, Human Resources, Performance Management
Education
Liberty University 2015 — 2017
Master of Business Administration (M.B.A.), Business Administration and Management, General
Southern Connecticut State University 2003 — 2006
Bachelor of Science (B.S.), Business Management
Piedmont Wellstar Health Plan September 2013 - Present
Coventry Health Care February 1996 - August 2013
Schumpert Medical Center 1989 - 1995
Skills
Health Insurance, Employee Benefits, Insurance, Managed Care, Provider Relations, Network Development, Healthcare Industry, Medicaid, HIPAA, Healthcare, Disability Insurance, Dentistry, Underwriting, Health Savings Accounts, Claim, Medicare, Process Improvement, Performance Improvement, Account Management, Strategic Planning, Healthcare Consulting, HMO, Term Life Insurance, Medicare Part D, PPO, Life Insurance, COBRA, Health Policy, Benefits Administration, Long-term Care, Utilization Management, Disease Management, Claims Management, Brokers, Credentialing, Workers Compensation, Claims Resolution, Accident, Healthcare Management, Healthcare Information..., Revenue Cycle, Property & Casualty..., Call Centers, Commercial Insurance, Customer Retention, Executive Management, Marketing, Claim Investigation, Open Enrollment, Hospitals
Education
Louisiana State University 1975 — 1978
BS, MBA, Marketing
SATELLITE HIGH SCHOOL
Coventry Health Care January 2010 - September 2012
Mercy Health Plans January 2008 - January 2010
Mercy Health Plans January 2005 - January 2008
The Mattson Jack Group January 1997 - January 2005
Cannon Design 1987 - 1997
Skills
Healthcare, Data Analysis, Performance Management, Project Management, Access, Quality Management, Quality Assurance, Strategic Planning, Performance Improvement, Outlook, Program Management, Analysis, Process Improvement
Education
Lindenwood University
Master of Arts, Communications; Training and Development
Lindenwood University
Bachelors of Science, Business Administration
Catholic Healthcare West August 2011 - January 2013
CVS Caremark Corporation January 2011 - March 2011
Coventry Health Care April 2008 - March 2010
DHL July 2003 - May 2006
Motorola March 1998 - March 2001
Skills
PMP, PMO, Vendor Management, Resource Management, MS Project, Project Portfolio..., Software Project..., Visio, Process Improvement, Change Management, SDLC, HIPAA, PRINCE2, Program Management, Business Process
Education
Western International University 1996 — 1998
MBA, Marketing for Film and Televison
Lamar University 1971 — 1973
BS, Medicine
Rx Gregory Consulting LLC April 2012 - Present
Aetna Inc January 2000 - April 2012
Coventry Health Care September 1997 - April 1999
Group Health Association 1992 - 1994
Skills
Pharmacy Benefit..., Managed Care, Long-term Care, Benefits Design, Prescription Drug..., Microsoft Office, Microsoft Excel, Microsoft Word, Collaboration, Disease Management, Medicare Part D, Healthcare, Pharmaceutical Industry, Medicine, Medicare, Pharmacy Automation, Health Policy, Healthcare Industry, Pharmacy, Utilization Management, Insurance, Medicaid, HIPAA, Clinical Trials, Health Insurance, Process Improvement, Program Management, Healthcare Management, Diabetes, Pharmaceutical Sales, Clinical Research, Hospitals, Cardiology, Leadership, Health Economics, Strategic Planning, Management, Pharmacists, Employee Benefits, Claim
Education
University of Houston 1989 — 1992
MBA, Business, Management, Marketing, and Related Support Services
Massachusetts College of Pharmacy and Health Sciences 1980 — 1983
MS, Hospital Pharmacy Administration
Massachusetts College of Pharmacy and Health Sciences 1973 — 1977
Bachelor of Science (BS), Pharmacy, Pharmaceutical Sciences, and Administration
Kaiser Permanente November 2013 - Present
Coventry Health Care February 2000 - November 2013
First Health Group Corp. 2000 - November 2013
CNA Insurance July 1988 - August 1999
Skills
Credentialing, Sourcing Services, Health Insurance, Project Management, Operations Management, Product Development, Healthcare, CRM, Managed Care, Management, Provider Relations, Employee Benefits, Workers Compensation, Healthcare Consulting, Claim, Health Policy, Customer Service
Education
Marymount University 1985 — 1989
MBA
The Catholic University of America 1977 — 1981
BSN, Nursing
University of Houston 2013 - Present
CORE Media LLC 2004 - Present
Coventry Health Care 2012 - 2013
Universal American 2010 - 2012
Health Net 2008 - 2009
WellPoint 2004 - 2008
TIAA-CREF 1999 - 2004
Skills
Strategy, Marketing Strategy, Marketing, Direct Marketing, Digital Marketing, Marketing Communications, Customer Retention, Customer Acquisition, Competitive Analysis, Public Relations, Cross-functional Team..., Business Process..., Strategic Planning, Leadership, Management, CRM, Training, Integrated Marketing, Business Strategy, Strategic Communications, Advertising, Customer Experience, Product Development, Community Outreach, Budgets, Program Management, Business Development, Project Planning, Segmentation, Executive Management, Enterprise Software, Strategic Partnerships, Analytics, Product Launch, Fundraising, Lead Generation, Creative Direction, Start-ups, Product Marketing, Marketing Management, Market Research, Strategic Thinking, Product Management, Email Marketing, Market Planning, Market Analysis, P&L Management, Account Management, E-commerce, Marketing Research
Education
University of Southern California
Bachelor of Science (BS)
Lamar University
Master of Business Administration (MBA)
University of Houston 2015 — 2018
Doctor of Philosophy (Ph.D.)
Ross Buehler Falk & Company, LLP October 2014 - Present
ParenteBeard LLC September 2013 - June 2014
ParenteBeard LLC January 2013 - April 2013
Coventry Health Care July 2012 - November 2012
Lebanon School District December 2011 - May 2012
Volunteer Income Tax Assistent January 2012 - March 2012
Skills
Accounting, QuickBooks, Access, Financial Analysis, Microsoft Excel, Spreadsheets, Data Entry, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Critical Thinking, Invoicing, Budgets, Peachtree, ProSystem fx Tax, Data Analysis, Teamwork, Research, Customer Service, Tax, Financial Reporting, Finance, Bookkeeping
Education
Lebanon Valley College 2009 — 2013
Bachelor of Science (B.S.), Accounting
Texas Coastal Energy Company 2012 - 2015
The Southern Bank Company 2013 - 2014
The Guardian Life Insurance Company of America 2009 - December 2012
Coventry Health Care 2009 - December 2012
Ethan & Associates 2008 - 2009
US Navy September 2002 - December 2007
Skills
Financial Modeling, Financial Accounting, Managerial Finance, Financial Risk, Investments, Investors, Strategic Financial..., Holistic Financial..., Insurance, Life Insurance, Disability Insurance, Long-term Care, Oil/Gas, Oil & Gas Industry, Oil Analysis, Employee Benefits, Access, Sales, Portfolio Management, Financial Planning, Management, Leadership, Negotiation, Customer Service, Strategic Planning, Business Development, Oil & Gas, Finance, Marketing, Marketing Strategy, Contract Negotiation, New Business Development
Education
American College of Sports Medicine 2008 — 2010
certificate of athletic & personal training, Health and Physical Education/Fitness
University of New Orleans 2008 — 2009
Finance
Louisiana State University 2000 — 2002
Finance
St. Martin's Episcopal 1986 — 2000
Capital One May 2015 - Present
Capital One June 2012 - May 2015
T. Rowe Price May 2007 - May 2012
Coventry Health Care May 2004 - May 2007
Skills
Vendor Management, Procurement, Contract Negotiation, Strategic Sourcing, Negotiation, Sourcing, Management, Process Improvement, Purchasing, Project Management, RFP, Procurement Category..., Investment Services, People Management, Travel Management, Supply Chain Management, Change Management, Cross-functional Team..., Program Management, Risk Management, Strategy, RFP Process, Vendor Selection, Website Management, Excel, Oracle Financials, Broker-Dealer, Registered Investment..., category strategy
Education
University of Maryland College Park 1994 — 1999
B.S., Horticulture Science
Loyola College in Maryland 1993 — 1994
Finance
Capital BlueCross July 2014 - Present
Aetna May 2013 - July 2014
Coventry Health Care February 2008 - July 2014
Coventry Health Care April 2004 - February 2008
Skills
Health Insurance, Managed Care, Healthcare, Insurance, Medicare, Medicaid, Employee Benefits, HIPAA, Analysis, Training, Document Management, External Audit, Financial Audits, Project Coordination, Web Development, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Legal Documents, New Product..., Data Analysis, Access Database, Client Development, Client Liason, Vendor Relationships, Communication, Communication Skills, IDX, Service Implementation, Legal Writing, Policy Writing, Print Management, Management, Project Management, Medicare Part D, Process Improvement, Reinsurance, Outlook, Business Analysis, Performance Improvement, Marketing, Access, Health Care Reform, Healthcare Industry, HMO
Education
University of Phoenix 2011 — 2013
Bachelor's of Science, Management
Lebanon Valley College 2000 — 2004
Na, English Communications
Pierce College 1995 — 1996
Na, General
Washington University School of Medicine January 2013 - Present
Coventry Health Care December 2006 - July 2012
Mercy November 2002 - December 2006
Lincoln County Medical Center September 2001 - November 2002
Convergys July 1999 - June 2001
Skills
Medicare, Medical Compliance, Pharmacy Benefit..., Health Insurance, Healthcare Management, Medicare Part D, Medicare Prescription..., Hospital Pharmacy, Medical Terminology, HMO, Managed Care, Compliance Testing, NCQA, Health Care Reform, Account Management, SPDs, Riders, Customer Retention, Customer Satisfaction, Report Writing, Microsoft Office
Education
Lindenwood University 2003 — 2006
Bachelor of Arts (BA), Health/Health Care Administration/Management
Kelly McKee Insurance Agency 2012 - Present
Cocciardi and Associates, Inc. November 2010 - October 2011
Hythiam, Inc. March 2009 - November 2010
IncentOne 2007 - 2009
Nationwide Better Health January 2006 - August 2007
ullico 2000 - 2006
Coventry Health Care 2000 - 2001
University of Maryland Medicine 1994 - 2000
Skills
Leadership, CRM, Strategic Planning, Insurance, Process Improvement, Healthcare, Fixed Annuities, Mergers & Acquisitions, Contract Negotiation, Strategy, Accident, Risk Management, Health Insurance, Health, Team Building, Customer Service, Product Management, Managed Care, Business Analysis, Life Insurance, Claim, Cross-functional Team..., Program Management, Account Management, Visio, Budgets, Vendor Management, Management, Change Management, Employee Benefits, Life, Health, Accident..., Property and Casualty..., Registered Nurse,..., Auto Insurance, Home Insurance, Commerical Insurance, Voluntary Employee...
Education
Loyola University Maryland 1996 — 1998
MBA, International Business
John Carroll 1975 — 1979
Landmark Forum
The George Washington University
Nippon Life Benefits December 2014 - Present
Aetna November 2013 - December 2014
Coventry Health Care August 2012 - November 2013
Coventry Health Care October 2010 - September 2012
Lift for Life Academy May 2008 - October 2010
Skills
Actuarial Science, SAS, Mathematical Analysis, Statistical Modeling, Statistics, Data Analysis, Insurance, Access, Data Mining, Probability, Analysis, Predictive Modeling, Microsoft Excel, PowerPoint, Microsoft Word, Analytics, Actuarial Consulting
Education
Lindenwood University 2003 — 2008
Bachelor of Arts (B.A.), Mathematics, 3.73/4.0
Aetna May 2013 - Present
Coventry Health Care September 2011 - June 2013
Coventry Health Care September 2005 - August 2011
First Health Group June 2000 - September 2005
Virtual Media Group Lethbridge April 1999 - September 1999
Skills
Ant, JSF, CVS, XML, AJAX, JavaScript, JSP, Servlets, CSS, Java, MyEclipse, System Design, Database Design, Requirements Analysis, Software Project..., SQL, SharePoint, Unix, Spring, Visio, SOA, Oracle, SDLC, Enterprise Architecture, IceFaces, Web Services, Software Development, Web Applications, Weblogic, Web Development, Quality Assurance, Testing, Process Improvement
Education
Western International University 2007 — 2009
Associate Degree; Certificate, Information Technology; Computer Information Technology
Lethbridge Community College 1997 — 2000
CIT, Intormation Technology
The University of Lethbridge 1995 — 1996
Psychology/Biochemistry
Fortegra December 2013 - Present
Transamerica March 2011 - November 2013
Coventry Health Care October 2010 - March 2011
AEGON December 2009 - September 2010
SMART Business Advisory and Consulting June 2008 - August 2008
ING June 2007 - August 2007
Auntie Anne's, Inc. May 2006 - August 2006
Skills
Actuarial, Actuarial Science, Economics, Modeling, Mathematics, Actuaries, Insurance, MoSes, Financial Reporting, Financial Risk
Education
Lebanon Valley College 2005 — 2009
Bachelor of Science, Actuarial Science and Economics
Westat November 1998 - Present
Coventry Health Care January 1995 - October 1998
The Wilderness Society May 1988 - December 1995
Skills
Visio, Teaching, Leadership, Technical Support, Microsoft Office, Microsoft Exchange, Training, Windows, Access, Management, Nonprofits, Program Management, Computer Hardware, Security, Data Analysis, Agile Project Management
Education
Marywood University 1969 — 1973
BA, English
The Catholic University of America
Aetna (formerly Coventry Health Care) March 2014 - Present
Coventry Health Care January 2013 - March 2014
Coventry Health Care September 2005 - January 2013
PharmaCare Specialty Pharmacy (now CVS Caremark Corporation) October 2002 - September 2005
Adelphia Business Solutions (now TelCove) December 2001 - October 2002
Teen Mania Ministries August 1999 - August 2000
Skills
Marketing, Management, Managed Care, Budgets, Project Management, Medicare, Medicare Advantage, Medicare Part D, Business Analysis, Health Insurance, Healthcare, Healthcare Management, Process Improvement, Best Practices, Compliance, HIPAA, EOC, Operations Management, Logistics, Logistics Management, Leadership, Team Building, Sales
Education
Liberty University 2007 — 2012
BS, Psychology
Certilytics April 2013 - Present
Florida Blue August 2010 - April 2013
MVP Health Care October 2006 - October 2010
Capital District Physician's Health Plan June 2005 - October 2006
Coventry Health Care August 2001 - July 2005
Sierra Military Health Services 2000 - 2001
Bob Gold & Associates, a Practice of Ernst & Young January 1998 - May 2000
KPMG Peat Marwick 1996 - 1998
Mercer 1995 - 1996
Guardian Life Insurance May 1993 - December 1994
Skills
Managed Care, Medicare, Business Intelligence, Analytics, PPO, Actuarial Science, Risk Management, Medicaid, Strategic Planning, Data Warehousing, Health Insurance, Predictive Modeling, Insurance, Product Development, Management, Business Process..., Pricing, Process Improvement, Leadership, Health Policy, Underwriting, Financial Modeling, Consulting, Forecasting, Employee Benefits, HMO, Provider Relations, Healthcare
Education
Lebanon Valley College 1989 — 1993
BS, Actuarial Science and Economics
Fellow of the Society of Actuaries
Member of the American Academy of Actuaries
Coventry Health Care October 2013 - Present
Farmers Insurance June 2000 - November 2010
Target February 1998 - February 2000
Skills
Customer Service
Education
Tucson College 2013 — 2013
Diploma, Medical Coding and Billing, 3.86
Lake Washington Technical College 2011 — 2012
Business Administration Support, 3.6
Juanita High School 1992 — 1995
diploma, 2.5
Coventry Health Care February 2012 - Present
Forest Laboratories March 2011 - July 2011
KV Pharmaceutical June 2004 - May 2010
Cross Country Healthcare October 1997 - December 2003
Polsinelli Shughart PC October 1993 - April 1997
Skills
Microsoft Office, learning management..., Lectora, SnagIt, Viewlet Builder, Visio, Excel, Word, Outlook, Kronos, Critical Thinking, Team Oriented, Writing, Independent Thinker, Consciousness, Time Management, Proactivity, ThinkTank, Organizing, Project Planning, Self Starter, complex administrative..., Compliance
Education
University of Missouri-Saint Louis 2007 — 2009
MEd, Adult and Higher Education
Maryville University of Saint Louis 2005 — 2007
BA, Psychology
Mid America Paralegal Institute
Paralegal Certificate, Paralegal Studies
Parkway Central Senior High School
Diploma, General
UCare July 2013 - Present
Coventry Health Care August 2012 - July 2013
Coventry Health Care January 2011 - August 2012
Children's Mercy Family Health Partners 2007 - December 2011
Children's Mercy Hospital 2005 - 2007
US Army 2003 - 2005
US Army 2000 - 2003
US Army 1995 - 2000
Skills
Leadership, Healthcare, Healthcare Management, Medicare, Insurance, Hospitals, HIPAA, Medicaid, Employee Benefits, Human Resources, Healthcare Information..., Training, Managed Care, Quality Improvement, Public Speaking, Process Improvement, Health Insurance, Strategic Planning, Team Building, Quality Management, Customer Service, Software Documentation, Disease Management, Program Management, Health Policy, Healthcare Consulting
Education
Liberty University 2012 — 2013
Master of Arts (MA), Theology/Theological Studies
Portland State University 1997 — 1999
MBA
St. Cloud State University 1985 — 1989
BA, English
Unemployeed - looking for opportunity December 2014 - Present
Univita Health Inc July 2012 - December 2014
Coventry Health Care 1999 - 2010
Skills
Customer Service, Health Insurance, Medicare, Medicaid, Commercial Insurance, Outlook, HIPAA, Healthcare, High Level Of Accuracy, Bilingual..., Process Improvement, Leadership, Positive, Professional Services
Education
Lindsey Hopkins Technical Education Center 1989 — 1989
High School, High School/Secondary Diplomas and Certificates, GED
Century 21 Curran & Christie August 2013 - Present
Coventry Health Care August 2010 - January 2013
Franklin Community Church 2009 - 2010
Gentz Industries 2009 - 2009
Big George's Home Appliance Mart 2008 - 2009
Urban Harvest Ministries July 2003 - August 2008
Gringer and Sons August 2003 - July 2008
Skills
Fundraising, Community Outreach, Newsletters, Teaching, Program Management, Sales, Marketing, Photography, Curriculum Design, Non-profit Volunteer, Non-profit Program..., Leadership, Sales Presentations, Real Estate Transactions, Real Estate, Non-profit Leadership, Buyer Representation, First Time Home Buyers, Buyer's Agent, Relocation Buyers, Relocation, Listing Homes, New Home Sales, Home Staging, Open Houses, Existing Home Sales, Commercial Real Estate, National Association of..., Social Media Marketing, Public Speaking
Education
Lee University 1993 — 1998
BA, Communications
HFCC
WellPoint December 2013 - Present
Coventry Health Care March 2007 - Present
Skills
Visio, Process Improvement, Requirements Analysis, Business Analysis, Business Requirements, SDLC, Requirements Gathering, PMP, SharePoint, Data Warehousing, Systems Analysis, Business Process, Software Documentation, Software Project..., Vendor Management, User Acceptance Testing
Education
Lindenwood University
Bachelors, Information Technology
American Board of Psychiatry and Neurology April 2007 - Present
Coventry Health Care 2007 - 2007
Protective Life August 2000 - December 2006
American Board of Psychiatry & Neurology 1995 - 2000
Education
Loyola University of Chicago 1991 — 1994
Bachelor of Science (BS), Psychology
Jeluma Enterprises, Inc. 2008 - Present
Aon Consulting March 2006 - August 2011
Coventry Health Care 2001 - 2005
Sierra Military Health Services 1997 - 2000
Aon Consulting (formerly Alexander & Alexander) 1994 - 1997
CIGNA Group Insurance 1990 - 1994
Centers for Medicare & Medicaid Services (formerly Health Care Finance Administration) 1991 - 1991
Blue Cross Blue Shield of Maryland 1987 - 1991
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Underwriting, Healthcare, Managed Care, Strategic Planning, Risk Management, Actuarial Science, Reinsurance, Team Building, New Business Development, Financial Analysis, Management Consulting, Small Business, Medicaid, Coaching, Sales, Consulting, Marketing, Benefits Administration, Wellness, Performance Management, Executive Management, Business Analysis, Program Management
Education
Loyola College in Maryland 1984 — 1988
BS, Mathematics
The Catholic High School of Baltimore 1980 — 1984
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program
MultiPlan March 2015 - Present
Aetna May 2013 - February 2015
Coventry Health Care 2007 - May 2013
Concentra May 1999 - April 2007
Monarch Dental 1997 - 1999
Scheur Mananagement Group 1996 - 1997
Electronic Data Systems 1995 - 1996
Arthur Andersen & Co. 1986 - 1995
Skills
Managed Care, Workers Compensation, Product Strategies, Product Development, Operations Management, Product Management, Mergers & Acquisitions, Healthcare, Health Insurance, HIPAA, Auditing, Network Development, Risk Management, Mergers, Insurance, Leadership, PPO, Data Analysis, Process Improvement, SEC filings, Executive Management, Finance, Financial Reporting, Negotiation, Provider Relations, Project Management, Healthcare Industry, Claim, Medicare, Medicaid, Cross-functional Team..., Employee Benefits
Education
Louisiana Tech University 2001 — 2006
MPA, Accounting
Coventry Health Care June 1998 - May 2006
Education
Loras College 1994 — 1998
Enterprise Holdings May 2015 - Present
Aetna May 2014 - March 2015
Aetna May 2013 - May 2014
Coventry Health Care January 2011 - May 2013
Coventry Health Care January 2008 - January 2011
Coventry Health Care December 2002 - January 2008
DST Systems July 1999 - December 2002
Missouri Department of Transportation December 1997 - July 1999
Missouri Department of Transportation August 1995 - December 1997
Skills
SDLC, Data Warehousing, Business Analysis, SharePoint, IT Strategy, Microsoft SQL Server, Requirements Gathering, Agile Methodologies, Project Management, Software Development, Requirements Analysis, SOA, Visio, Systems Analysis, Process Improvement, Program Management, XML, Software Documentation, Oracle, Enterprise Architecture, Disaster Recovery, SQL, Vendor Management, Software Project..., Healthcare Information..., Integration, IT Management, Databases, Java, Business Intelligence, Web Services, HTML, PMP, Database Design, HIPAA, Management, Leadership, Communication
Education
Lincoln University (MO) 1992 — 1998
Bachelor of Science (B.S.), Computer and Information Sciences and Support Services, 3.5+
Southeast Missouri State University 1988 — 1990
Bachelor of Science (B.S.), Computer Science
Coventry Health Care August 2006 - Present
Skills
Actuarial, Actuarial Science, Insurance, Actuarial Consulting
Education
Lebanon Valley College 1998 — 2002
Aetna November 2011 - Present
Coventry Health Care February 2008 - November 2011
VISTA HEALTH PLANS July 2006 - February 2008
CIGNA August 2005 - June 2006
COMPUTER SCIENCES CORPORATION Healthcare Group January 1998 - January 2004
COMPUTER SCIENCES CORPORATION, Healthcare Group January 1995 - January 1998
ProSystems January 1987 - January 1995
PRECISION METALSMITHS, INC January 1985 - January 1987
Precision MetalSmiths January 1981 - January 1985
Skills
SDLC, Business Analysis, MS Project, Program Management, Quality Assurance, Databases, Software Development, Cross-functional Team..., SQL, Project Management, Data Warehousing, Analysis, Management, Leadership, Testing, Systems Analysis
Education
State of Ohio Hondros College 2005 — 2005
Ohio Real Estate License, Real Estate
A.E Roberts Continuing Education 1993 — 1993
HIPAA and Cobra
Lakeland Community College 1979 — 1981
Business Management, Information Technology
Coventry Health Care August 2010 - Present
Coventry Health Care February 2007 - Present
Coventry Health Care October 2005 - Present
Dupree Financial Services August 1994 - Present
Gateway Health Plan May 1994 - February 2005
Skills
Public Speaking, Internal Communications, Managed Care, Event Planning, Strategic Planning, Strategic Communications, Community Outreach, Corporate Communications, Newsletters, Marketing Communications, Nonprofits, Proposal Writing, Leadership, Media Relations, Fundraising, Community Development, Public Relations, Marketing, Leadership Development, Training, Team Building, Coaching, Policy, Program Management, Organizational..., Volunteer Management, Program Development, Budgets, Research
Education
Lincoln University 1976 — 1980
Bachelor of Science (B.S.), Chemistry
Central Catholic HS
Gemini Healthcare, LLC January 2007 - Present
AstraZeneca Pharmaceuticals 2005 - 2007
Coventry Health Care December 1998 - August 2005
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Pharmacy, Healthcare, Pharmaceutical Industry, Medicaid, Medicare, Disease Management, Health Economics, Healthcare Industry, Utilization Management, Health Insurance, Healthcare Management, Hospitals, Health Policy, Diabetes, Pharmacy Automation, Clinical Research, Oncology, Healthcare Consulting, Biotechnology, Medical Devices, Informatics, Long-term Care, Cardiology, Pharmacists, Outcomes Research, HIPAA, Pharmaceutical Sales, Product Launch, Market Access, Gastroenterology, Endocrinology, Physicians, Neurology, Infectious Diseases, Medical Writing, Pharmaceutics, Hospital Sales, Urology, Sales Effectiveness, Clinical Trials, Therapeutic Areas, Dermatology, Clinical Development, Hematology, Medical Education, Medicine, Regulatory Affairs
Education
Philadelphia University 1995 — 1997
MBA
Massachusetts College of Pharmacy and Health Sciences 1988 — 1993
Pharmacy
Coventry Health Care 2011 - Present
Alcatel-Lucent 1996 - 2008
AT&T 1992 - 1996
Education
University of Wisconsin-Milwaukee 1987 — 1991
MS, Computer Science
Marquette University
IFS Benefits September 2011 - Present
Coventry Health Care December 2007 - August 2011
Skills
New Business Development, Insurance, Disability Insurance, Health Insurance, Account Management, Employee Benefits, Compliance, Employment Legislation, Health & Safety..., Legislative Issues, Audit Management, Legal Compliance, Employee Handbooks, Employee Wellness, Employer Development, Employer Groups
Education
Widener University School of Law 2006 — 2007
Law
Lynchburg College 1999 — 2003
Bachelor of Arts (B.A.), Business Administration and Management, Computer Science
Maryville University of Saint Louis July 2014 - Present
Monsanto August 2012 - Present
Coventry Health Care March 2008 - August 2012
Centene Corporation March 2007 - December 2007
Mercy Health Plans March 2002 - March 2007
Skills
Vendor Management, Process Improvement, Managed Care, Provider Relations, Contract Negotiation, Contract Management, Account Management, Project Management, Program Management, Procurement, Healthcare, Cross-functional Team..., Business Analysis, Health Insurance, Software Documentation, Business Process..., Team Building, Training, Leadership, Management, Medicaid, Change Management, Network Development, Strategic Planning, Analysis, Insurance, Operations Management, HIPAA, Healthcare Industry, Medicare
Education
Maryville University of Saint Louis 2007 — 2010
MBA
Maryville University of Saint Louis 2001 — 2003
BS, Business Administration
St. Charles Community College 1999 — 2001
AA, Business Administration
Aetna January 2014 - Present
Coventry Health Care September 2012 - Present
Coventry Health Care July 2010 - October 2012
Emerson Electric June 2007 - August 2010
Taylor Morley 2006 - 2007
Ungerboeck Systems International 2005 - 2006
The Care of Trees 2003 - 2005
Skills
SharePoint, Microsoft SQL Server, Business Intelligence, SQL, Business Analysis, Project Management, Databases, Visio, Windows Server, ERP, SSIS, Data Analysis, Troubleshooting, Requirements Analysis, Process Improvement, Microsoft Office, Database Administration, Cognos, Crystal Reports, Software Documentation, SSRS, Network Administration, Access, Management, Citrix, Testing, Data Warehousing, Active Directory, Servers, System Administration, ETL, Microsoft Exchange, Enterprise Software, SDLC
Education
Lindenwood University 2006 — 2008
MBA
Central Missouri State University 1997 — 2002
BSBA
Marshall High School 1993 — 1997
Department of Veterans Affairs January 2013 - Present
Veteran Affairs September 2011 - January 2013
Coventry Health Care July 2008 - November 2012
A.G. Edwards/ Wachovia/ Allied Barton February 2003 - September 2011
United States Marine Corps July 1997 - July 2001
Skills
Microsoft Office, Risk Management, Insurance, Customer Service, Outlook, Leadership, Access, Team Building, Training, Process Improvement, Microsoft Excel, Management, Microsoft Word, Team Leadership, Change Management, Personnel Management, PowerPoint, Spreadsheets, Health Insurance, Life Insurance, Customer Satisfaction, Government, Employee Benefits, CRM, Physical Security, Security, Policy, Time Management, Program Management, Surveillance, Marketing, Data Analysis, Leadership Development
Education
Lindenwood University 2011 — 2015
MBA, Business Administration and Management, General
Lindenwood University 2007 — 2010
BA Business Administration, Business
Southwestern Illinois College
Paradigm Outcomes March 2012 - Present
Coventry Health Care December 2000 - March 2012
Softbite Solutions 1998 - 2000
Greater Illinois Title Company January 1997 - March 1998
Technium March 1996 - January 1997
Argonne National Laboratory March 1993 - March 1996
Education
Lewis University
B.S., Computer Science
Coventry Health Care January 2006 - Present
Aspen Systems Corporation 1997 - 2006
Skills
Real Estate, Contract Negotiation, Strategic Planning, Lease Administration, Real Estate Transactions, Real Estate Development, Landlords, Property Management, Investment Properties
Education
Loyola College in Maryland
WellCare Health Plans May 2015 - Present
Aon Consulting September 2007 - April 2015
Coventry Health Care August 2002 - September 2007
Coventry Health Care December 1995 - August 2002
Carelink Health Plans 1995 - 1999
Skills
Process Improvement, Insurance, Financial Reporting, Health Insurance, Medicare, Risk Management, Managed Care
Education
Marshall University 1995 — 1999
MS, Information Systems
West Virginia University Institute of Technology 1987 — 1991
Prescott Newspapers, Inc. August 2015 - Present
Creative Business Resources (CBR) September 2012 - September 2013
Coventry Health Care January 2011 - September 2012
NMR Consulting May 2008 - January 2011
Skills
Employee Benefits, Human Resources, HRIS, Recruiting, Management, Policy, FMLA, Microsoft Office, Technical Recruiting, Employment Law, SharePoint, Payroll, Taleo, I-9 Compliance, E-Verify, Personnel Management, HRA, Workforce Planning, Organizational...
Education
Limestone College
Bachelor of Science, Business Administration
Aetna September 2014 - Present
Coventry Health Care December 2010 - October 2014
Coventry Health Care December 2006 - December 2010
Group Health Plan January 2002 - December 2006
Skills
Health Policy, Insurance, Credentialing, Healthcare Industry, Healthcare Management, Healthcare, Vendor Management
Education
Southwestern Illinois College 1982 — 1986
RHIT, Health Information
Lindenwood University
BA Business, Business
Coventry Health Care January 2012 - Present
Barnes-Jewish Hospital November 2009 - December 2011
Mercy Health Plans July 2007 - November 2009
Skills
Healthcare, Insurance, Health Insurance, Clinical Research, HIPAA, Healthcare Information...
Education
Maryville University of Saint Louis 2004 — 2006
Bachelors, Nursing
Lindenwood University 1999 — 2001
Bachelors, Business Administration
Coventry Health Care August 2008 - December 2013
Hallmark Services Corporation December 1998 - July 2008
Aon Corporation September 1990 - December 1998
Skills
Health Insurance, Insurance, Training & Development, Building Relationships, Leadership, Natural Problem Solver, Organization & Follow..., Commuication &..., Underwriting, Customer Service, Medical Claims, Credit Disability and..., Employee Benefits, Leadership Development
Education
Lewis University 1980 — 1983
BA, Business Administration
Jones Commercial High School
Anthem, Inc. August 2014 - Present
Anthem, Inc. December 2012 - August 2014
Anthem, Inc. May 2012 - December 2012
Anthem, Inc. November 2010 - May 2012
Midwest Employers Casualty Company May 2010 - October 2010
Midwest Employers Casualty Company May 2009 - May 2010
Rizzo's Italian Restaurant October 2002 - May 2009
Coventry Health Care May 2008 - August 2008
Skills
Actuarial Science, Health Insurance, Data Analysis, Insurance, Commercial Insurance, Medicaid, Group Insurance, SAS, Claim, Pricing
Education
Maryville University of Saint Louis 2007 — 2010
Bachelor of Science (BS) and Master of Science (MS), Actuarial Science
University of Missouri-Saint Louis 2005 — 2006
Avis/Budget BLR ENTERPISES LLC February 2015 - Present
CarMax February 2013 - December 2014
Xerox January 2013 - February 2013
Coventry Health Care August 2011 - April 2012
Kaplan Higher Education February 2011 - August 2011
Sally Beauty Company August 2010 - April 2011
SMX May 2010 - August 2010
Verizon September 1994 - May 2009
Skills
Employee Training, Human Resources, Troubleshooting, Access, System Administration, Training, PowerPoint, Management, Organizational..., Leadership, Windows XP, Process Improvement, Call Centers, Research, Customer Satisfaction, Team Building, Coaching, Outlook, XP, Microsoft Office, Interviews, Microsoft Excel, Customer Service, Negotiation, Organization &..., Career Development, Wireless, Windows, Technical Support, Software Documentation, Employee Benefits, Employee Relations, Change Management, Time Management, Outsourcing, Team Management, SAP, Strategic Thinking, Microsoft Word, Call Center, Goal Oriented, Operating Systems, Sales, Customer Retention, Team Leadership, Project Management, Telecommunications, Personnel Management
Education
VZ Learn at Verizon Wireless 1994 — 2009
Certificates, Management/Leadership Studies
San Jacinto College 1990 — 1990
Certificate, Receptionist
Lamar University 1984 — 1987
AAS, Mid - Management Degree
Universal Schools Division/Commercial Technical Institute/CTI 1986 — 1986
Certificate, Legal Investigation
Coventry Health Care May 2013 - Present
Brockton Visiting Nurse Association January 2011 - Present
Life Care Centers of America May 2007 - Present
RTW, Inc. November 1997 - May 2013
VNA Care Network & Hospice November 2000 - May 2006
Skills
Nursing, Home Care, Utilization Management, Disease Management, Medical Case Management
Education
University of Massachusetts Dartmouth 2011 — 2014
Bachelor of Science (B.S.), Nursing
Massachusetts Bay Community College 1990 — 1993
Associate's degree, Nursing
EXL Healthcare March 2015 - Present
Healogics, Inc. April 2013 - March 2015
Coventry Health Care July 2012 - March 2013
Coventry Health Care February 2011 - August 2012
Coventry Health Care December 2009 - February 2011
Coventry Health Care May 2007 - December 2009
Coventry Health Care 2000 - 2007
Healthy Communities St. Charles County 1998 - 2001
Barnes-Jewish Hospital 1989 - 2000
Barnes-Jewish Hospital 1983 - 1989
Skills
Case Management, Utilization Management, Quality Improvement, Managed Care, Disease Management, Medicaid, HIPAA, Case Managment, Medicare, Healthcare Management, Nursing, Provider Relations, Utilization Review, Program Development, Healthcare, Healthcare Consulting, Hospitals, Healthcare Information...
Education
Lindenwood University
MS, Health Management
University of Missouri-Saint Louis
BSN, Nursing
Barnes Hospital School of Nursing 1981 — 1983
RN, Nursing
The ALARIS Group, Inc. May 2015 - Present
Health Insurance Worx, LLC October 2013 - Present
NextImage Medical April 2014 - May 2015
Medical Consultants Network, Inc. September 2012 - October 2013
Coventry Health Care January 2003 - September 2012
Specialty Risk Services 1999 - 2003
Speciality Risk Services January 1999 - January 2000
Skills
Workers Compensation, Liability, Account Management, Sales, Business Development, Leadership, Claim, Insurance, Claims Management, Legal Liability, Managed Care, Commercial Insurance, Property & Casualty..., Health Insurance, Medicare, Casualty, Underwriting, Brokers, Employee Benefits, Professional Liability, Accident, Subrogation, Customer Retention, Reinsurance, Healthcare, PPO, Management, Disability Insurance, Workers' Compensation..., Long-term Care, Life Insurance, Provider Relations, Claim Investigation, General Insurance, Claims Resolution, Pharmacy Benefit..., Executive Management, Claims Handling, Medicaid, Sales Process, Risk Management, Umbrella Insurance, Disease Management, Healthcare Industry, Commercial Lines, Excess, Liability Analysis, Utilization Management, HIPAA, Network Development
Education
Lycoming College 1992 — 1996
B.A., Business & Economics
EHP Administrators / Preferred IPA May 2010 - Present
Golden State Roofing July 2009 - July 2010
Coventry Health Care 2002 - 2007
Skills
Healthcare Management, Medicare, Managed Care, Outlook, Confidentiality, Visio, Administrative..., Office Management, Expense Management, Office Administration, Customer Service, Legal Secretary, Human Resources..., Case Management, Milliman Care Guidelines, ICD-9-CM, CMS (Centers for..., Meeting Minutes, Human Resources, Healthcare, Management, Insurance, Administrative..., Process Improvement
Education
Los Angeles Valley College 1978 — 1981
Art, English
APS Healthcare May 2010 - Present
Coventry Health Care March 2009 - May 2010
Coventry Health Care December 2005 - March 2009
Carolina Care Plan September 2000 - December 2005
Education
Penn State University 2007 — 2009
Masters, Health Administration
Lebanon Valley College 1995 — 1999
BS, International Business and French
Aetna December 2013 - Present
Aetna May 2013 - December 2013
Coventry Health Care November 2009 - May 2013
Coventry Health Care March 2003 - November 2009
Guardian Life Insurance 1994 - 2003
Skills
Healthcare, Actuarial Science, Modeling, Managed Care, Health Insurance, Financial Analysis, Forecasting, Microsoft Excel, Underwriting, Rating Systems, Healthcare Pricing, Predictive Modeling, Medicare, Insurance, Reinsurance, Employee Benefits, Actuarial Consulting
Education
Lebanon Valley College 1990 — 1994
BS, Actuarial Science
Coventry Health Care April 2008 - Present
AT&T May 2007 - February 2008
Skills
Data Warehousing, Business Intelligence, Unix, SDLC, SAS, Business Analysis, Oracle, Requirements Analysis
Education
University of Denver 2002 — 2004
MS, Electrical Engineering
Madurai Kamaraj University 1997 — 2001
BE, Electronics and Communication Engineering
Aetna October 2010 - Present
Coventry Health Care September 2001 - October 2010
QualChoice of Virginia (Coventry acquired company) August 1994 - September 2001
University of Virginia Health Services Foundation September 1992 - August 1994
Blue Cross and Blue Shield of Mississippi November 1990 - September 1992
Skills
Provider Relations, Claim, Healthcare, Budgets, Customer Service, Medicaid, Managed Care, Medicare, Health Insurance, Insurance, Network Development, Process Improvement, HIPAA, Healthcare Management, Medicare Part D, Healthcare Industry, Vendor Management, Team Building, Strategic Planning, Employee Benefits, Utilization Management, Claims Management, Change Management, Call Center, Underwriting, HMO, Long-term Care, Healthcare Information..., Healthcare Consulting, Leadership, Medical Billing, Operations Management, Pharmacy Benefit..., Physician Relations, Health Policy, Project Management, Quality Improvement, Cross-functional Team..., Program Management, Account Management, Management, Call Centers, Software Documentation, Disease Management, Training, Credentialing, Revenue Cycle, Physicians, Revenue Cycle Management, Medical Coding
Education
Louisiana Tech University
Bachelor of Science (B.S.)
Universal American November 2006 - Present
Coventry Health Care October 1994 - January 2006
Education
Louisiana Tech University
Babst Calland October 2013 - Present
Babst Calland (via Solvaire) May 2013 - October 2013
City of Chicago Dept of Law April 2012 - November 2012
Coventry Health Care January 2007 - March 2012
Aon Hewitt November 2004 - January 2007
American Dietetic Association June 2002 - October 2004
Skills
Strategic Planning, Analysis, Healthcare, Quality Assurance, Performance Management, Team Leadership, Software Documentation, Leadership, Training, Insurance, Management, Change Management, Healthcare Information..., Contract Negotiation, Software Project..., Program Management, Requirements Gathering, Cross-functional Team..., Business Intelligence, SDLC, Process Improvement, Legal Writing, Requirements Analysis, Legal Research, Visio, Vendor Management, Business Process..., Project Management, Business Process
Education
The John Marshall Law School 2008 — 2012
Juris Doctor, Law
Marquette University 1996 — 2004
Bachelor of Science (B.S.), Biomedical/Medical Engineering
Coventry Health Care April 1991 - Present
Skills
Workers Compensation, Managed Care, Account Management, Medical Cost Containment, Program Management, Strategic Planning, Pharmacy Benefit..., Case Management
Education
Massachusetts College of Liberal Arts
BA
Springfield College
Master of Education (M.Ed.), RehabIlitation Services
Coventry Health Care April 2007 - January 2010
Concentra Medical April 2007 - January 2010
Concentra October 2004 - April 2007
Concentra March 2003 - March 2004
Concentra Medical March 2003 - March 2004
Cunningham Lindsey November 2000 - February 2003
Cunningham Lindsey November 2000 - February 2003
Lumber Insurance September 1995 - November 2000
Lumber Insurance September 1994 - November 2000
Lumber Insurance September 1994 - November 2000
Skills
Claim, Claims Management, Employee Benefits, Management, Payroll, Quality Assurance, Personal Injury, Time Management, Workers Compensation
Education
Massachusetts Bay Community College 1988 — 2000
Associate
Aetna May 2013 - Present
Coventry Health Care October 2007 - May 2013
EMC January 2007 - October 2007
Coventry Healthcare July 2003 - December 2006
Kemper Insurance Companies – Kemper Technology Services July 1999 - July 2003
First Health Group Corp, Inc March 1996 - July 1999
First Health Group Corp, Inc. November 1994 - March 1996
First Health Group Corp, Inc September 1993 - November 1994
First Health Group Corp, Inc July 1992 - September 1993
Wolf and Company September 1991 - July 1992
Education
Loyola University Chicago
Master of Business Administration (M.B.A.), Information Technology
University of Illinois at Urbana-Champaign
Bachelor's Degree, Advertising
MedAssets July 2013 - Present
MedAssets January 2011 - July 2013
Coventry Health Care October 2009 - October 2010
Jackson Health System January 2007 - October 2009
IntegraMed August 2003 - October 2005
Liberty Medical Supply January 2000 - August 2003
EY April 1996 - August 1999
Skills
Managed Care, Healthcare Management, Physicians, Healthcare, Hospitals, Revenue Cycle, Budgets, Healthcare Information..., Healthcare Industry, Medicare, HIPAA, Management, EMR, Healthcare Consulting, Physician Relations, EHR, Medicaid, Strategic Planning, Medical Devices, Practice Management, Epic Systems, Radiology, Credentialing, HMO, Meditech, CPT, Medical Coding, Performance Improvement, Provider Relations, PPO, Team Building, Process Improvement, Revenue Cycle Management, Utilization Management, Medical Billing, Informatics, Cerner, Contract Negotiation, Health Policy, Executive Management, Medicine, Nursing, Medicare Part D, Clinical Research, Network Development, Patient Safety, Disease Management, Surgery, Cardiology, Pharmacy
Education
University of Miami - School of Business 1994 — 1995
Master of Business Administration (M.B.A.), Health Administration
Loyola University New Orleans 1986 — 1989
BA, Industrial Psychology
Miami Dade College 1984 — 1986
Associate of Arts (AA), Economics
Coventry Health Care November 2010 - April 2012
Northwest Permanente July 2005 - November 2010
MetroHealth Medical Center July 2004 - June 2005
Skills
Health Promotion, Leadership, Wellness, Personal Development, Coaching, Leadership Development, Entrepreneurship, Utilization Management, Emotional Intelligence, Case Management, Disease Management, Pediatrics, Executive Development, Executive Coaching, Lifestyle Coaching, Business Coaching, Work Life Balance, Healthcare Management, Managed Care, Medicaid, Healthcare, HIPAA, Medicare, Healthcare Consulting, EHR, NCQA, Board Certified
Education
Coaches Training Institute 2012 — 2013
CPCC, Professional Coaching
MetroHealth Medical Center affiliated with Case Western Reserve University 2001 — 2004
Pennsylvania State University College of Medicine 1997 — 2001
MD
Lehigh University 1994 — 1997
Bachelor of Arts
The Hartman Group (PA) October 2012 - Present
HealthAmerica December 2007 - October 2012
Coventry Health Care 2007 - October 2012
Yellowbook August 2007 - November 2007
Skills
Employee Benefits, Brokers, Managed Care, Medicare, Account Management, Health Insurance, Disability Insurance, Insurance, Health Savings Accounts, Customer Retention
Education
Lock Haven University of Pennsylvania 1989 — 1994
BS, Environmental Biology/ Minor Chemistry
Humana November 2008 - Present
Coventry Health Care April 2005 - October 2008
Coventry Health Care April 2005 - October 2008
Skills
Disease Management, Medicare, Utilization Management, Managed Care, Health Policy, Health Insurance, Healthcare, HMO, Healthcare Management, Healthcare Industry, Hospitals, Healthcare Consulting, HIPAA, Medicine, Physicians, Medicare Part D, PPO, Medicaid, Healthcare Information..., Quality Improvement
Education
University of Massachusetts, Amherst
Master of Business Administration (M.B.A.)
Louisiana State University School of Medicine in New Orleans 1993 — 1997
MD
Loyola University New Orleans 1987 — 1991
B.S., Biology
Virginia State Corporation Commission August 2015 - Present
Coventry Health Care May 2014 - August 2015
Skills
Health Insurance, Insurance, Managed Care, Employee Benefits, Customer Service, Healthcare, Health Savings Accounts, Life Insurance, Medicare, Strategic Planning, Account Management
Education
Liberty University
Bachelor of Business Administration (BBA)
Coventry Health Care 1997 - 2006
Novartis 1985 - 1997
Edward Don & Company 1970 - 1985
Gulf & Western Industries 1962 - 1970
Skills
Financial Analysis, Research, Financial Reporting, Accounting, Financial Modeling, Access, Analysis
Education
Lewis University
MBA, Marketing
Lewis University
BA, Accounting
Coventry Health Care January 2006 - Present
sanofi-aventis January 2004 - January 2006
Skills
Insurance, Health Insurance, Employee Benefits, Brokers, Managed Care, Health Savings Accounts, Underwriting, Claim, Disability Insurance, Medicare, Workers Compensation, Term Life Insurance, Life Insurance, PPO, Medicaid, Property & Casualty..., Critical Illness, Long-term Care, Whole Life, Umbrella Insurance, Healthcare Industry, Provider Relations, Accident, Claims Management, Healthcare, Benefits Administration, Health Policy, Dentistry, Commercial Insurance, Healthcare Consulting, HMO
Education
Louisiana Tech University 1996 — 2001
Bachelor's degree, Business Administration and Management, General
UnitedHealthcare June 2012 - Present
Coventry Health Care May 2008 - May 2012
American Red Cross December 2006 - February 2008
Make-A-Wish Foundation of Greater Pennsylvania and West Virginia December 2003 - October 2006
Skills
Network Development, Provider Relations, HMO, PPO, Managed Care, Medicaid, Medicare, Medicaid Managed Care, Credentialing, HEDIS, Provider Network..., NCQA, Medicare Part D, Health Insurance
Education
Marshall University
Bachelor of Arts (B.A.), Journalism
Coventry Health Care February 2011 - Present
HCA November 2008 - August 2010
Blue Cross Blue Shield Texas July 2006 - October 2008
Skills
Utilization Management
Education
Marian College of Fond du Lac
BSN, Nursing
St. Thomas University
MBA, Health Care
Coventry Health Care December 2011 - Present
OneBeacon Insurance October 1995 - October 2011
Coventry Health Care September 1987 - February 1995
Southwood Hospital September 1984 - October 1987
Skills
Case Management, Utilization Management, Medical Management
Education
Lesley University 1988 — 1989
Bachelors Science, Human Services/ Healthcare Mgt
Laboure College 1980 — 1982
Associates, Nursing
Coventry Health Care January 2012 - Present
Molina Healthcare of Missouri June 2006 - January 2012
HealthCare USA 1997 - 2005
Skills
Medicaid, Utilization Management, Provider Relations, Managed Care, Medical Terminology, Disease Management, Medicare, HMO, Healthcare Industry, HIPAA, Network Development, Health Insurance, Healthcare Consulting, Healthcare, Healthcare Management, Healthcare Information...
Education
Marquette University 1985 — 1989
Bachelor of Science, Business Administration
St. Louis Community College
Associate Degree, Nursing
Broadspire September 2012 - June 2013
Coventry Health Care January 2013 - May 2013
Virginia Premier Health Plan, Inc. April 2012 - June 2012
Coventry Health Care February 2012 - April 2012
Virginia Premier Health Plan, Inc. January 2010 - September 2011
Virginia Premier Health Plan, Inc. October 2007 - December 2009
Chippenham Hospital July 2005 - October 2007
Skills
Lean Sigma, Learning Management, Lectora, FTP, WebEx, SharePoint, Process Mapping, PowerPoint, Excel, Word, Quality Management, HEDIS, Provider Relations, Adult Education, Information Technology
Education
Liberty University 2001 — 2005
Bachelor of Science, Nursing
Coventry Health Care October 2010 - Present
HCA April 1992 - March 2005
Education
NYIT 2005 — 2007
MBA
Longwood College 1983 — 1987
BS
Aetna October 2014 - Present
Coventry Health Care Inc/Aetna June 2013 - February 2014
Molina Healthcare November 2011 - July 2012
Coventry Health Care September 2008 - August 2010
Skills
Medicaid, Medicare, Managed health..., Customer Service, Medical terminology, CPT codes, Problem Solving, Claims resulutions, Hospitals, Healthcare Management, Medical Terminology, Behavioral Health, Insurance, HIPAA, HMO, Medicaid Managed Care, HEDIS, Mental Health, Disease Management, CPT, Managed Care
Education
Lindenwood University 2010 — 2013
Bachelor of Applied Science (BA)Sc, Health/Health Care Administration/Management, A average
Allied College Missouri, US 2007 — 2008
Diploma, Medical Billing and Coding
Coventry Health Care March 2010 - Present
Houghton Mifflin Harcourt November 1999 - March 2010
Skills
HRIS
Education
Truman State University 1988 — 1992
Bachelor of Arts (BA), English Language and Literature, General
Lindenwood University
Master of Business Administration (MBA)
Coventry Health Care February 2007 - Present
APAC Customer Services May 2005 - February 2007
CSD February 2002 - May 2005
Skills
PPO, HMO, Process Improvement, Provider Relations, Group Medical, Individual Health..., Claims Processing, COBRA, Group Insurance, Workers Compensation, Insurance, Claims Resolution, Open Enrollment, Claim, Medicare, Long-term Care, Medicaid, Employee Benefits, Disability Insurance, Claim Investigation, Health Insurance, Universal Life, Term Life Insurance, Managed Care, Health Savings Accounts, Workers' Compensation..., Medicare Part D, Health Care Reform, Health Policy, Whole Life, Brokers, Accident, Claims Management, Cafeteria Plans, Flexible Spending..., Licensed Life & Health...
Education
University of Phoenix 2000 — 2002
Business Administration and Management, General
Mayville State University 1988 — 1990
Round Valley High School 1984 — 1988
Americas Health Insurance Plans (AHIP)
Health Insurance
Aetna January 2014 - Present
Coventry Health Care April 1997 - Present
Skills
Health Insurance, Managed Care, Project Management, Legislative Research, Compliance, Healthcare Industry, HIPAA, Health Policy, Process Improvement, Healthcare, Claim, Medicare Part D
Education
Mary Baldwin College
Cenergy International Services November 2014 - Present
Universal American August 2009 - September 2012
Coventry Health Care March 2007 - April 2009
CenterPoint Energy July 2006 - October 2007
DHL September 2004 - July 2006
HealthHelp October 2000 - August 2003
Skills
Medical Terminology, Invoicing, HIPAA, Medical Billing, Customer Service, Team Building, Social Networking, Microsoft Office, Process Improvement, Strategic Planning, Payroll, Call Centers
Education
Lone Star College System
Still Attending, Nursing, Social work
Highmark July 2013 - Present
Coventry Health Care March 2004 - June 2013
The Guardian Life Insurance Company of America May 2000 - March 2004
Skills
Actuarial Science, Health Insurance, Critical Thinking, Time Management, Multi-Tasking, Pricing, Forecasting, Medicare, Insurance, Risk Management, Healthcare
Education
Lebanon Valley College 1996 — 2000
Bachelor of Science (B.S.), Actuarial Science, Economics
Aetna October 2014 - Present
Aetna May 2014 - Present
Coventry Health Care May 2012 - May 2014
Skills
Health Insurance, Insurance, Claim, Managed Care, Employee Benefits, Claims Management, HIPAA
Education
Maryville University of Saint Louis 2015 — 2019
Bachelor’s Degree, Registered Nursing/Registered Nurse
HealthAmerica February 2010 - Present
Coventry Health Care April 1998 - October 2009
Skills
Medicare, Health Insurance, Managed Care, Healthcare, Insurance, Medicaid, HIPAA, Healthcare Management, Employee Benefits, Utilization Management, Provider Relations, Disease Management, Workers Compensation, Customer Service, Health Education, Manage Client..., Customer Retention, Customer Satisfaction, Client Education, Member Relations
Education
Loma Linda University
Health and Physical Education/Fitness
University of Phoenix
Business Administration and Management, General
Coventry Health Care April 2013 - Present
Sedgwick March 2011 - April 2013
The Hartford January 2008 - March 2011
Education
University of Massachusetts, Amherst 1982 — 1984
Bachelor of Arts (B.A.), Economics
Massasoit Community College 1980 — 1982
Associate of Science (A.S.), Business Administration and Management, General
The Methodist Hospital System September 2010 - Present
Coventry Health Care July 2007 - May 2009
Education
Lone Star College System
Coventry Health Care August 2011 - Present
Education
Marietta College 2007 — 2011
Bachelor of Arts (B.A.), Marketing and Sports Management
South Side High School
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas January 2014 - Present
Coventry Health Care/Aetna April 2012 - December 2014
Coventry Health Care August 2000 - May 2011
Skills
Insurance, Medicare, Claim, HIPAA, Workers Compensation, Training, Software Documentation, Underwriting
Education
Northwestern College 1993 — 1995
Associate of Arts and Sciences (AAS), Legal Assistant/Paralegal
Lewis University
Bachelor of Science (BS), Business Administration and Management, General
Coventry Health Care 2004 - Present
Mid America Health 1999 - 2002
Blue Cross and Blue Shield of Kansas City 1987 - 1999
Education
Lincoln University in Missouri 1982 — 1986
Electromechanical Engineering