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
Banner Health July 2015 - Present
Aetna April 2012 - July 2015
Coventry Health Care March 2007 - April 2012
Coventry Health Care September 2001 - March 2007
First Health July 1997 - September 2001
Health Care Compare April 1994 - July 1997
Health Care Compare November 1993 - April 1994
Skills
Health Insurance, Process Improvement, Managed Care, Training, Software Documentation, Claim, Healthcare, Workers Compensation, Leadership, Customer Service, Provider Relations, Business Analysis, Healthcare Management, Call Center, Account Management, Call Centers, Six Sigma, Green Belt Certificate, Documentation, Claims, Operations Management, Change Management, Microsoft Office, Vendor Management, Contract Management, Lean Six Sigma, Medical Coding, Medical Billing, Health Plan Operations, Federal Healthcare
Education
Villanova University 2012 — 2012
Lean Six Sigma Certificate
Villanova University 2011 — 2011
Six Sigma Green Belt Certificate
University of Phoenix 1998 — 2000
Master of Business Administration
Northern Illinois University 1989 — 1993
Bachelor of Arts, Psychology
Humana March 2014 - Present
Genworth December 2011 - March 2014
Coventry Health Care April 2001 - December 2011
Bloodhound, Inc. (Verisk Analytics) April 2000 - April 2001
Coventry Health Care April 1997 - April 2000
Continental Medical Systems, Inc (CMS) - Acquired by HealthSouth August 1996 - April 1997
Skills
Medicare, Health Insurance, Managed Care, Medicaid, Insurance, HIPAA, Provider Relations, Healthcare, Network Development, Healthcare Management, Process Improvement, Claim, Medicare Part D, Long-term Care, Strategic Planning, HMO, Healthcare Information..., Project Management, Data Analysis, Employee Benefits, SQL, Microsoft Access, Health Policy, Healthcare Industry, Business Process..., Leadership, Access, Analysis
Education
Penn State University 1994 — 1996
Master of Health Administration (MHA), Healthcare Administration
Northern Michigan University 1990 — 1994
Bachelor of Science (B.S.), Finance, Business Administration
Univita Health Inc August 2014 - August 2015
Trinity Health January 2012 - August 2014
ITT Technical Institute November 2011 - December 2013
Bayview Asset Management July 2010 - September 2011
Coventry Health Care October 2007 - September 2009
Vista Healthplan March 2005 - October 2007
Proxymed, Inc September 1999 - March 2005
Skills
Cisco, Microsoft Technologies, VMware, Citrix, ITIL, IP Networking, Telecommunications, Change Management, Disaster Recovery, Business Continuity, IT Management, Vendor Management, Process Improvement, Strategic Planning, Team Building, Data Center, Security, IT Strategy, VPN, Cisco Technologies, Management, Cloud Computing, SharePoint, Cost Reduction, Mergers, IT Governance, Storage Area Networks, Networking, Servers, Enterprise Software, Active Directory, Information Technology, Leadership, Program Management, Microsoft Exchange, Network Administration, Technical Support, Governance
Education
Nova Southeastern University 2007 — 2009
Master of Science, Leadership
University of Phoenix 2005 — 2007
Bachelor of Science, Health Administration
Cardinal Gibbons High School 1986 — 1988
Aetna May 2013 - Present
Coventry Health Care April 2008 - Present
VistaCare April 2005 - April 2008
Grassroots Communications October 2004 - April 2005
Lowe's Companies August 2000 - June 2004
Carteret County News-Times 1987 - 1989
Skills
C, C++, SQL, Mercurial, Slackware, Git, Perl, Databases, Software Development, Linux, Software Documentation, Unix, Visio, Bash, Oracle, JavaScript, PHP, HTML, PL/SQL, Testing
Education
University of Wyoming 1996 — 1998
North Carolina State University 1989 — 1991
Bachelor of Arts (B.A.)
North Carolina State University 1983 — 1987
BA
West Carteret High School 1979 — 1983
HCA November 2013 - Present
Health Management Associates, Inc. January 2013 - October 2013
Coventry Health Care June 2011 - December 2012
UnitedHealthcare February 2010 - May 2011
Education
Oklahoma City University 2005 — 2007
Master of Business Administration (MBA)
Southwestern Oklahoma State University 2000 — 2005
Bachelor of Science (BS), Health Care Administration
Catamaran May 2011 - Present
Millennium Information Services 2010 - 2011
Viant April 2008 - July 2009
Coventry Health Care 2004 - 2008
Concentra Preferred Systems 2001 - 2004
Education
University of Illinois at Chicago 1987 — 1988
BA, Sociology
Northern Illinois University 1985 — 1987
Aetna January 2014 - Present
Aetna (Coventry Health Care) August 2011 - January 2014
Coventry Health Care 2001 - 2011
PC Network Solutions 1999 - 2001
Skills
SharePoint, Active Directory, VMware, Citrix, Windows Server, Microsoft Exchange, Vendor Management, Process Improvement, ITIL, SCCM, Altiris, Windows, Technical Support, Windows 7, Software Documentation, Servers, Group Policy, IT Management, IT Infrastructure..., Change Management, Security, System Administration, Systems Engineering, Patch Management, Troubleshooting, Networking, Access, Visio, Citrix Metaframe, Data Center, XP, VMware ESX, System Deployment, Virtualization, Windows XP, IIS, DHCP, Hardware, DNS, BMC Remedy, Software Installation, IT Service Management, Operating Systems, Infrastructure, Microsoft Certified..., Six Sigma
Education
North Carolina State University
Lifestyle Retail Recruiters May 2013 - Present
Lucas Group February 2012 - May 2013
Coventry Health Care September 2011 - February 2012
Amazon April 2011 - September 2011
THOR GROUP June 2010 - April 2011
Connexion Systems & Engineering June 2000 - August 2009
Skills
Full-cycle Recruiting, Technical Recruiting, Sales Management, Applicant Tracking..., SDLC, Sourcing, Screening, Talent Management, Onboarding, Recruiting, Benefits Negotiation, Business Development, Coaching, Cold Calling, College Recruiting, Contract Negotiation, Contract Recruitment, Customer Service, Executive Search, Hiring, Human Resources, Internet Recruiting, Interviews, Leadership, Management, Marketing, Networking, Operations Management, PeopleSoft, Product Marketing, Retail, Sales, Social Networking, Staffing Services, Talent Acquisition, Temporary Placement, Temporary Staffing, Time Management, Training, Permanent Placement, Screening Resumes, Search, Performance Management, Employee Training, Employee Relations, Cross-functional Team..., Business Strategy
Education
Northeastern University 1994 — 1999
BA, Business
Aetna December 2013 - November 2014
Coventry Health Care May 2012 - November 2014
Deltak June 2008 - December 2010
Museum of Science and Industry August 2007 - March 2008
Safeway June 2004 - August 2007
EquiFirst November 2003 - June 2004
NACCO Materials Handling Group November 2000 - November 2003
Competitive Solutions July 2000 - November 2000
Southern Jet, Inc. March 2000 - June 2000
Center for Creative Leadership March 1999 - March 2000
Skills
Instructional Design, Leadership Development, Change Management, Team Building, Organizational..., Strategic Planning, Coaching, Customer Relations, Program Management, E-learning, Event Planning, Budgeting, Mentoring, Negotiation, Research, Customer Satisfaction, Customer Service, Event Management, Public Speaking, Performance Management, Curriculum Development, Microsoft Office, PowerPoint, Excel, Word, Writing, Problem Solving, Talent Management, Process Improvement, Curriculum Design, Business Strategy, Data Analysis, Certified DDI..., Achieve Global Certified, Training, Strategy, Management, Organizational..., Career Development, Succession Planning, Personnel Management, Onboarding, CRM, Leadership, Employee Engagement, Human Resources, Staff Development, Management Consulting, Organizational Design, MBTI
Education
North Carolina State University 1998 — 2002
M.S., Industrial/Organizational/Vocational Psychology
University of Maryland College Park 1994 — 1998
B.S., Psychology
Coventry Health Care July 2009 - Present
Skills
Medicaid, Utilization Management, Managed Care, Medicaid Managed Care, HMO, Health Insurance, Nursing, Medical Coding, Utilization Review, Medicare, Healthcare, ICD-9, Medical Terminology, Medical Case Management, Claim, Disease Management, CPT, Medical Records, Healthcare Industry, Claims Resolution, PPO, Case Managment, HCPCS, HIPAA
Education
University of South Florida 2004 — 2006
Master of Library & Information Science (MLIS), Library Science
Nova Southeastern University 1990 — 1992
Bachelor of Science (BS), Psychology
Queensborough Community College 1975 — 1979
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Not at this time Career AdvisorUltimate Medical AcademyApril 2013 - April 2014
Booz Allen Hamilton 2011 - 2014
Ormco 1975 - 2013
Coventry Health Care May 2008 - June 2012
Hilton Garden Inn 2003 - 2004
Skills
Healthcare Recruiting, Healthcare, Customer Service, Employee Benefits, Insurance, Coaching, Training, Outlook, Team Building, Time Management, Sales, Data Entry, Access, Call Centers, Team Leadership, Customer Satisfaction, Employee Relations, Customer Retention, Administration, Supervisory Skills, Employee Training, Process Scheduler, Cold Calling, Interviews, Hiring, Budgets, Human Resources, Teamwork, Software Documentation, Payroll, Leadership, Recruiting, Career Counseling
Education
NYU 1983 — 1998
Bachelor's degree, Hotel, Motel, and Restaurant Management
John Adams high school 1980 — 1983
General Studies
UMA
Catalyst Rx January 2011 - Present
Coventry Health Care April 2008 - January 2011
ProCare Rx September 2003 - April 2008
Skills
Pharmacy, Pharmacy Benefit..., Managed Care, Medicare Part D, Utilization Management, Medicaid, Pharmacists, Healthcare, Disease Management, Health Insurance, Medication Therapy..., Pharmaceutical Industry, Healthcare Industry, Healthcare Management, Insurance
Education
Nova Southeastern University 1998 — 2002
PharmD, Pharmacy
Coventry Health Care September 2001 - Present
Coventry Health Care February 2006 - March 2008
Northern Arizona University October 1983 - May 1989
Skills
Able To Multi-task, Detail Orientation, Confidentiality, Writing Skills, Organizational Skills
Education
Northern Arizona University 1985 — 1989
Bachelor of Arts (B.A.), General Studies
Blair Junior College 1981 — 1983
Associate of Science (A.S.), Administrative Assistant and Secretarial Science, General
MHG Insurance Brokers February 2014 - Present
Independent Insurance Professional April 2012 - Present
Insurance Sales Operations Project Management Leadership in the Miami/Fort Lauderdale Area 2012 - Present
Teleperformance July 2012 - January 2014
Coventry Health Care September 2007 - March 2012
Vista Healthplan January 2000 - August 2007
Foundation Health June 1996 - December 1999
Skills
PPO, HMO, Individual Health..., Health Insurance, Managed Care, HIPAA, Help Desk Support, Insurance, Customer Support, Customer Service..., Customer Service..., Project Management, Project Coordination, Project Planning, Consultant Selling, Call Center Management, Licensed Life & Health..., Medical Underwriting, Healthcare Management, Building Relationships, Communication Skills, Call Center
Education
New York University
Bachelor of Fine Arts (B.F.A.), Communications
Rider University
Communication and Media Studies
Texas Health and Human Services Commission June 2015 - Present
USAA August 2014 - June 2015
The University of Texas at San Antonio June 2013 - August 2014
Coventry Health Care October 2012 - February 2013
The Exchange May 2010 - July 2012
Transcom Telecommunications August 2010 - September 2011
Skills
PowerPoint, Microsoft Word, Outlook, Microsoft Excel, Adobe Acrobat, Research, Analytical Reasoning, Public Administration, Communication, HTML, Microsoft Publisher, JavaScript, Data Entry, SWOT analysis, Data Analysis, Civic Engagement, Budget Process, Troubleshooting, Escalation Resolution, Customer Service, Phone Etiquette, Customer Engagement, Organization, Adaptability, SPSS, Office Administration, Report Writing, Travel Management, Reimbursement, Logistics, Priority Management, Analysis, Critical Thinking, Customer Satisfaction, Administrative..., Telephone Skills, Time Management, Team-oriented, Spreadsheets, Administration
Education
The University of Texas at San Antonio
Master of Public Administration (MPA), Public Administration
The University of Texas at San Antonio 2013 — 2014
Bachelor's degree, Public Administration
Northwest Vista College 2010 — 2012
Associate of Arts (A.A.), General Studies
Aetna October 2014 - Present
Coventry Health Care/Aetna March 2009 - October 2014
Coventry Health Care August 2004 - February 2009
Health Net May 2003 - July 2004
Health Net October 2001 - May 2003
Health Net September 2000 - October 2001
Health Net 1999 - 2000
Skills
Insurance, Training, Underwriting, Leadership, Analysis, Brokers, New Business Development, Health Insurance, Employee Benefits, Medicare, Managed Care, Commercial Insurance, Financial Risk, Accounting, Risk Management, Healthcare, Claim
Education
Quinnipiac University 1992 — 1995
Bachelor degree in health and science studies
Northeastern University 1991 — 1992
Mechanical Engineering
Ansonia High School 1989 — 1991
Diploma of Distinction, General Studies
St. Joseph's High School, Trumbull, CT 1987 — 1989
General Studies
California Casualty Management Company January 2015 - Present
ACE Group July 2012 - December 2014
Coventry Health Care May 2012 - July 2012
Taiwan Army Engineering Department October 2007 - October 2008
Taiwan Industrial Research Institution 2006 - 2007
Optical and Nanoelectromechanical Systems Laboratory, NTU 2003 - 2006
Skills
Actuarial Science, Access, Statistics, VBA, Risk Management, SQL, Actuarial, Data Analysis, Excel, Mathematics, Data Mining, Reinsurance, RMS Risklink, Insurance, Analysis, Microsoft Office, Financial Risk, PowerPoint, Financial Modeling, Management, Microsoft Word
Education
Temple University 2010 — 2012
M.S, Actuarial Science, 3.9
National Taiwan University 1999 — 2003
B.S, Engineering Science
Coventry Health Care 2010 - 2013
Aetna 2006 - 2009
Aetna 2002 - 2006
Aetna 2001 - 2002
Aetna 2000 - 2001
Prudential Healthcare 1996 - 2000
Prudential Insurance 1992 - 1996
Prudential Insurance 1990 - 1992
Prudential Insurance 1987 - 1990
Skills
Risk Management, Underwriting, Strategy, Leadership, Management, Health Insurance, Program Management, Analysis, Training, Strategic Planning, Project Management, Financial Analysis, Team Building, Disability Insurance, Team Leadership, New Business Development
Education
Occidental College 1981 — 1984
Bachelor of Arts, Mathematics
University of California, Los Angeles 1980 — 1981
Wells Fargo May 2015 - Present
JPMorgan Chase April 2014 - December 2014
Sunset Canyon Realty June 2008 - October 2009
Statler Properties January 2008 - May 2008
Coventry Health Care October 2005 - September 2007
HCA Physician Services February 2005 - October 2005
Coldwell Banker D'Ann Harper, REALTORS August 2003 - September 2004
Humana 1998 - 2003
Internal Revenue Service January 1995 - June 1998
Skills
Microsoft Office, Low Level Programming, PowerPoint, Programming, Java, Microsoft Word, Windows, Microsoft Excel, English, Access, Sales, Banking, Contract Negotiation, Project Management, Customer Service, Management, Process Improvement, Team Building, Leadership, Marketing
Education
Texas A&M University 2013 — 2015
Bachelor's degree, Computer Science, 3.6
Northwest Vista College 2011 — 2013
Bachelor's degree, Computer Science, 3.6
Unipen Christian Academy 1980 — 1991
Whitworth Lawn & Landscape LLC April 2010 - Present
Cornerstone Home Lending, Inc. March 2013 - January 2014
Colonial Life August 2011 - February 2013
Coventry Health Care October 2008 - August 2011
Nations Title Agency October 2004 - October 2008
NBanC August 1994 - October 2004
Skills
Health Insurance, Brokers, Disability Insurance, Term Life Insurance, Employee Benefits, Health Savings Accounts, Life Insurance, Accident, Cold Calling, Cafeteria Plans, Sales, Voluntary Employee..., Whole Life, Critical Illness, Insurance, Sales Presentations, Benefits Administration, Group Medical, Group Insurance, Claim, Flexible Spending..., Universal Life, Licensed Life, Accident Insurance, COBRA, Open Enrollment, Health Care Reform, Life, Individual Health..., General Insurance, HRA, Account Management, FSA, Mortgage Lending, Permanent Life Insurance, Marketing, Real Estate, Fixed Annuities
Education
Westmoore High School 1990 — 1993
Oklahoma City Community College
OneGroup-Workplace Health Solutions February 2008 - Present
Coventry Health Care December 2005 - February 2008
First Choice Evaluations November 2002 - December 2005
Concentra April 1996 - November 2002
Skills
Claims Management, Commercial Insurance, Legal Liability, Liability, Professional Liability, Disability Insurance, Employee Benefits, Casualty, General Insurance, Medicare, Reinsurance, Independent Medical..., NYS WCB Medical..., NYS WCB NAP Treatment..., Municpality Risk...
Education
Nazareth College of Rochester 1989 — 1992
BS, Business/Marketing
TMG Health September 2013 - Present
Community Health Group January 2012 - September 2013
Aetna Better Health - Pennsylvania December 2009 - December 2011
Aetna December 2006 - December 2009
Coventry Health Care 2004 - 2006
Independence Blue Cross 1998 - 2004
Skills
Medicare, Managed Care, Claim, Health Insurance, Medicaid, Process Improvement, Provider Relations, Healthcare, Insurance, Healthcare Industry, Healthcare Information..., Customer Service, Network Development, Health Policy, Pharmacy Benefit..., Quality Improvement, Healthcare Management, Performance Improvement, Management, Employee Benefits, Physician Relations, Utilization Management, Physicians, Practice Management, Marketing, Call Centers, Revenue Cycle, Medical Compliance, EMR, Executive Management, NCQA, Claims Management, EHR, ledership, Team Leadership, Organizational..., HIPAA, HMO
Education
Philadelphia College of Osteopathic Medicine 2000 — 2003
MS, Organizational Development
Neumann University 1987 — 1990
Bachelors, Communications
Cardinal O'hara High School 1981 — 1985
Ounce of Prevention Fund April 2015 - Present
Ounce of Prevention Fund July 2014 - Present
Thirty Million Words September 2014 - April 2015
Youth Organizations Umbrella, Inc. January 2014 - June 2014
American Legacy Foundation October 2011 - August 2013
Office of Congresswoman Jan Schakowsky September 2011 - October 2011
Coventry Health Care May 2011 - August 2011
The Cradle September 2008 - March 2011
Access Living March 2010 - June 2010
Legal Assistance Foundation of Metropolitan Chicago September 2007 - June 2008
Skills
Microsoft Office, Raiser's Edge, HIPAA, Non-profits, Fundraising, Event Planning, Editing, Research, Data Entry, Community Outreach, Social Media, Volunteer Management, PowerPoint, Administrative..., Program Management, Microsoft Word, Microsoft Excel, Public Relations, Nonprofits, Photoshop, Training, Marketing
Education
The University of Chicago 2013 — 2015
Master of Arts in Social Service Administration, Public Administration and Social Service Professions
Northwestern University 2007 — 2011
BS, Social Policy
Sun City Del Webb thru Continuiti National Interim HR Staffing August 2014 - April 2015
TakeCare Insurance Company, Inc. January 2012 - August 2014
California Shock Trauma Air Rescue October 2007 - January 2012
Coventry Health Care May 2003 - September 2006
Skills
Talent Management, Benefits Administration, Aviation, Performance Management, Organizational..., Labor Relations, Employee Benefits, Healthcare Management, Coaching, Operations Management, Employee Relations, Budgets, Policy, Employee Training, Leadership Development, Management, Recruiting, Process Improvement, Change Management, Hospitals, Six Sigma, Healthcare, Organizational Design, Airlines, Conflict Resolution, HRIS, Employee Engagement, New Hire Orientations, Sourcing
Education
Villanova University 2013 — 2014
Master Certificate
National University 2003 — 2005
Master's
SHRM
SPHR
Coventry Health Care, an Aetna Company October 2004 - November 2014
Coventry Health Care June 2002 - October 2004
Coventry Health Care May 2000 - June 2002
WellPath July 1998 - May 2000
Skills
Disability Insurance, Health Savings Accounts, Health Insurance, Employee Benefits, Insurance, Underwriting, Managed Care, Life Insurance, Medicare, Dental Insurance, Workers Compensation, Long-term Care, Sales, Term Life Insurance, Training, Brokers, Customer Service, Account Management, Claim, Healthcare
Education
North Carolina Wesleyan College 1992 — 1993
Aetna Sales Training
Coventry “Back to Basics” Sales Training
North Carolina Life & Health Insurance License
Boston Capital October 2008 - Present
Coventry Health Care February 2007 - July 2008
Robert Half April 2005 - February 2007
Macy's December 2004 - February 2005
Christian Book Distributors September 2004 - December 2004
The Athlete's Foot September 2003 - July 2004
The Athlete's Foot February 2003 - September 2003
Waldenbooks December 2002 - February 2003
Weathervane Seafoods February 2002 - July 2002
Skills
Invoicing, Accounts Payable, Account Reconciliation, General Ledger, Accounting, Customer Service, Expenses, Time Management
Education
North Shore Community College 2008 — 2008
Associate in Science / Accounting
Lynn English High School 1997 — 2002
High School Diploma
Coventry Health Care, an Aetna Company September 2013 - Present
Coventry Health Care June 2004 - June 2010
Skills
Customer Service, Outlook, Accounts Receivable, Financial Analysis, Bill Review, Data Analysis, Account Management, Workers Compensation, Healthcare Industry, PowerPoint, Microsoft Office, Hospitality, Microsoft Excel, Microsoft Word, Business Analysis, Data Entry
Education
Danvers High School 1997 — 2001
North Shore Community College
Associate's degree, Business Administration and Management, General
University of Massachusetts Boston
University of Rhode Island
Coventry Health Care May 2002 - Present
Aetna 1990 - 2002
Skills
Health Insurance, Benefits, Employee Benefits, Customer Service, Claims, Strategic Planning, Managed Care, Data Analytics, Leadership Development, Claim, Health Policy, Insurance, Human Resources, Medicaid, HIPAA, Management, Healthcare, Leadership
Education
North Dakota State College of Science 1980 — 1982
Milliman April 2004 - Present
Coventry Health Care July 2002 - April 2004
Health Net August 2000 - June 2002
Skills
Insurance, Actuarial Consulting, Pricing, Actuarial Science, Financial Modeling, Actuaries, Health Insurance, Data Analysis, Healthcare, Managed Care, Medicare, Risk Management, Underwriting
Education
Northern Arizona University 1988 — 1994
Master of Science (M.S.), Actuarial Science
National Express June 2015 - Present
National Express April 2014 - June 2015
National Express October 2013 - April 2014
Career Education Corporation December 2011 - October 2013
Career Education Corporation June 2010 - December 2011
Coventry Health Care May 2008 - June 2010
KPMG January 2008 - March 2008
Skills
Financial Reporting, Finance, General Ledger, Fixed Assets, SEC filings, Financial Analysis, Accounting, GAAP, PeopleSoft, Account Reconciliation, Financial Statements, Accounts Payable, Accounts Receivable, Journal Entries, Forecasting, Pricing, Budgets, SEC Filings
Education
Northern Illinois University - College of Business 2009 — 2011
MBA, Business Administration
Northern Illinois University - College of Business 2004 — 2008
B.S., Accountancy
Improving Enterprises October 2015 - Present
Agile Now January 2013 - Present
Glynlyon Inc. February 2015 - October 2015
ASU June 2013 - February 2015
Coventry Health Care September 2010 - June 2013
Western International University January 1989 - February 2012
Vangent- 2010 Census 2009 - 2010
Intel Corporation 2006 - 2008
Intel Corporation 2003 - 2006
Intel Corporation 2000 - 2002
Skills
Technical Training, Mentoring, Agile, SDLC, Statistical analysis..., Agile Methodologies, Training, Agile Project Management, Statistics, Project Planning, Project Management, Cross-functional Team..., Process Improvement, Team Leadership, Software Documentation, SharePoint, Recruiting, Technical Writing, Data Analysis, E-Learning, Instructional Design, Program Management, Teaching, Management, Team Building, Visio, Leadership, Analysis, Vendor Management, Change Management, PMO, Scrum, Business Analysis, Quality Assurance, PMP, Integration, MS Project, Requirements Gathering, Requirements Analysis, Business Process..., Systems Analysis, Business Process, Business Intelligence, Software Project..., Software Development, Consulting, Information Technology, Coaching
Education
Northern Arizona University 1986 — 1988
30 core credit hours in Computer Information Systems, Computer and Information Sciences and Support Services
University of Rhode Island (MA Human Development) 1978 — 1980
MA, Human Development/Organization Development, 4.0
Rhode Island College 1973 — 1975
BA (Education/Psychology), Education / Psychology
Humana April 2015 - Present
Humana August 2014 - April 2015
Humana February 2014 - August 2014
Aetna October 2013 - January 2014
Coventry Health Care (Acquired by Aetna, May 2013) February 2013 - September 2013
Coventry Health Care April 2009 - February 2013
Coventry Health Care December 2000 - April 2009
Eisenman and Associates 1997 - 2000
Executive Association Management, Inc. June 1987 - February 1997
Texas Apartment Association June 1984 - June 1987
Skills
Healthcare, Medicaid, Marketing Communications, Event Management, SharePoint, Adobe Creative Suite, Employee Training, Joomla, Project Management, Strategy, Newsletters, Corporate Communications, Marketing, Training, Management, Health Insurance
Education
Ohio University 1977 — 1981
BSJ, Journalism
Enterprise Holdings July 2015 - Present
First Data Corporation January 2015 - June 2015
Charter Communications October 2014 - December 2014
Kaiser Permanente October 2013 - September 2014
Jeppesen April 2013 - July 2013
Great-West Financial March 2012 - March 2013
Oppenheimer Funds June 2011 - March 2012
ECSTeam November 2010 - August 2011
Valen Technologies, Inc. July 2010 - November 2010
Coventry Health Care July 2002 - August 2010
Skills
Spring, Java, Web Services, J2EE, Web Applications, Java Enterprise Edition, Software Development, Algorithms, Enterprise Software, Software Engineering, C, SDLC, Flex, Ninja Skills, Agile Methodologies, Tomcat, Oracle, Databases, Scala, Eclipse, JSP, JUnit, REST, Weblogic, SOA, SOAP, Hibernate, Spring Framework
Education
North Carolina State University 1997 — 2001
MCS, Computer Science
Coventry Health Care June 2006 - Present
The Hartford September 2004 - April 2006
The Hartford June 2003 - September 2004
Edward Hospital 1997 - 2003
Rush-Copley Hospital 1998 - 2000
Silver Cross Hospital 1997 - 1997
Christ Hospital 1995 - 1997
Center for Human Reporduction 1994 - 1995
Central DuPage Hospital 1989 - 1994
Skills
Case Managment, Utilization Review, Workers Compensation, General Medical, Obstetrics, Certified Lactation..., Telemetry, CCU, Infertility, Nursing, Certified Case Manager, Patient Education, Utilization Management, Case Management
Education
University of Phoenix 2010 — 2012
Master's degree, Health/Health Care Administration/Management
University of Phoenix 2010 — 2012
Masters of Science, Registered Nursing/Registered Nurse
Northern Illinois University 1988 — 1992
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Aetna January 2012 - Present
Coventry Health Care March 2002 - Present
Humana March 1996 - March 2002
Florida Air Academy February 1991 - July 1993
Skills
Financial Analysis, Health Insurance, SOX, Insurance, Financial Modeling, Medicare, Decision Support, Process Improvement, Healthcare Industry, Financial Management, Medicaid, Financial Reporting, HMO, Team Building, Managed Care, HIPAA, Healthcare Information..., PPO, Claim, Employee Benefits, Provider Relations, Revenue Cycle, Healthcare, Healthcare Consulting, Disability Insurance, Long-term Care, Health Policy, Medicare Part D, Managerial Finance, Healthcare Management, Executive Management, Workers Compensation, Life Insurance, Sarbanes-Oxley Act, Term Life Insurance, Utilization Management, Benefits Administration, Brokers, Underwriting, Health Care Reform, Practice Management, Network Development, Credentialing, Risk Management, Physicians, Disease Management, Physician Relations, Quality Improvement, Access, Commercial Insurance
Education
Nova Southeastern University 2005 — 2007
Master of Business Administration, Finance
Peruvian Naval Academy - Lima, Perú 1979 — 1980
Master of Science, Aeronautical Engineering - AVIONICS
Escuela Naval del Peru 1972 — 1976
BS, Electrical Engineering
Northern Trust Corporation August 2014 - Present
Nielsen June 2012 - August 2014
Nokia L&C March 2008 - June 2012
Coventry Health Care June 2007 - March 2008
Freddie Mac January 2006 - June 2007
JPMorgan Chase August 2005 - January 2006
Sears Holdings Management Corporation January 2001 - August 2005
Metamor May 1998 - December 2000
Skills
Hadoop, Pig, Hive, SOA, Java, J2EE Architecture, Web Services, Java Enterprise Edition, Apache Pig, Application Architecture, Architecture, Unix, Agile Methodologies, Distributed Systems, JMS, Maven, Tomcat, REST, Architectures, Ant, Enterprise Architecture, Hibernate, Software Project..., SDLC
Education
Northwestern University 2009 — 2011
Master of Science, Information Technology
Oracle Conference
Oracle Conference
Oracle Conference
Coventry Health Care June 2007 - Present
Education
Northeastern Illinois University 2005 — 2007
Master of Arts, Rehabilitation Counseling
Deutsche Bank June 2010 - March 2011
Sedgwick CMS March 2009 - October 2009
GlaxoSmithKline March 2008 - October 2008
Coventry Health Care April 2005 - December 2007
ChemWare, Inc. March 1995 - May 2004
Education
North Carolina State University 1990 — 1992
BS, Computer Science
North Carolina State University 1982 — 1987
BS, Chemistry
Sun Valley High School, Monroe, NC 1979 — 1982
MetLife June 2011 - Present
MetLife June 2005 - June 2011
Coventry Health Care July 2002 - June 2005
Coventry Health Care January 2001 - July 2002
Unicare March 2000 - January 2001
Skills
Employee Benefits, Disability Insurance, Customer Service, Account Management, Benefits Administration, Customer Satisfaction
Education
Northern Illinois University 1994 — 1999
Community Health, Health Administration
Audit Recovery Management Services, Inc. October 2009 - Present
MicroVu October 2010 - February 2013
UnitedHealth Group January 2008 - September 2009
Coventry Health Care March 2004 - January 2008
CIGNA Healthcare December 2001 - February 2003
NCCI 2001 - 2002
Health Net August 1996 - March 2001
Professional Examination Service January 1994 - January 1995
Professional Examination Service January 1991 - January 1994
Skills
Claims Auditing, Operations Management, Consulting, Revenue Cycle Management, Healthcare Industry, Revenue Cycle, Healthcare Management, Healthcare Information..., Healthcare Consulting, Healthcare, Health Insurance, Medical Compliance, EHR, Medicaid, Physicians, Budgets, Medicare, HMO, Managed Care, Insurance, Management, Auditing, Leadership, Hospitals, HIPAA, Medical Coding, Project Management, Provider Relations, Strategic Planning, Start-ups, Fraud Detection, Overpayment..., Claims Management, Management Consulting, Provider Network..., Long Term Care Insurance, Lon Term Care Auditing, Disease Management, Program Management, Health Policy, Analysis
Education
Nova Southeastern University 1999 — 2000
MPH, Public Health
State University of New York College at Brockport 1987 — 1991
Bachelors of Science; Bachelors of Science, Psychology; African-American History
SwedishAmerican Health System May 2011 - Present
Coventry Health Care 2003 - 2006
Rockford Health Plans 2001 - 2003
Skills
Provider Relations, HIPAA, Medicare, Healthcare Information..., Healthcare Management, EMR, Medicaid, EHR, Medical Billing, Healthcare Industry, Revenue Cycle, Managed Care, Healthcare Consulting, Healthcare, Epic Systems, Customer Service, Microsoft Excel, Physician Relations, Credentialing, Team Building, Practice Management
Education
Northern Illinois University 1992 — 1995
Bachelor of Science (B.S.), Biological Sciences
Rising Medical Solutions January 2015 - Present
One Call Care Management January 2014 - December 2014
Coventry Health Care May 2000 - December 2013
CNA Insurance 1997 - May 2000
Property Casualty Insurers Association of America 1997 - 1998
The Hartford 1993 - 1997
Kemper Insurance 1990 - 1993
Skills
Health Insurance, Managed Care, Medicare, Medicaid, Provider Relations, Insurance, Workers Compensation, Bill Review, PPO Network Management, Regulatory Compliance, MCO, Vendor Management, Network Development, Healthcare, Utilization Management, Claims Management, Contract Negotiation, Claim, Healthcare Industry, heal, vendor, Vendor Relationships, New Client..., Product Management, Claims Handling, Project Management, HMO, Process Improvement, Leadership, Strategic Planning, Management, Employee Benefits, Executive Management
Education
National-Louis University
Master of Science (M.S.), Management and Organizational Design and Developement
National Louis University
Bachelors of Arts, Management and Organizational Design
American Education Institute
Senior Claim Law Associate (SCLA)
Western Illinois University
Pre-Nursing Studies
Wolters Kluwer September 2012 - Present
Coventry Health Care January 2011 - September 2012
Branae Consulting September 2009 - May 2010
Skills
Marketing Communications, Social Media, Microsoft Office, Facebook, Social Media Marketing, Customer Service, Marketing, Account Management, Leadership, Advertising, Microsoft Excel, Public Relations, Marketing Strategy, Adobe Creative Suite, Social Networking, Salesforce.com, Blogging, Event Planning, WordPress, Health Insurance, Content Strategy, SEO, Event Management, Graphic Design, Product Design, Branding & Identity
Education
The Maryland Institute College of Art 2014 — 2015
PBGD, Graphic Design
Oakwood College 2006 — 2010
Bachelors of Business Administration, Marketing, Advertising, Public Relations
Coventry Health Care January 2006 - Present
HealthSouth 1999 - 2006
Harrington Benefit Services February 1996 - April 1999
Skills
Insurance, Health Insurance, Medicare, Health Savings Accounts, Managed Care, Workers Compensation, Brokers, Disability Insurance, Employee Benefits, Healthcare, Long-term Care, Pharmacy Benefit..., Underwriting, Claim, Claims Management, Life Insurance, Account Management, Management
Education
Ohio University 1989 — 1993
Bachelor's of Science, Political Comm and Political Science
VRS Disability Management October 2007 - Present
Coventry Health Care January 2005 - October 2007
State of Vermont, Division of Vocational Rehabilitation November 1999 - December 2004
Goodwill Industries May 1997 - November 1999
ARC June 1994 - April 1996
Skills
Vocation, Workers Compensation, Community Outreach, Vocational Evaluation, Rehabilitation..., Program Development, Career Counseling, Case Management, Disability Management, Social Services, Career Development, Conflict Resolution, Vocational..., Case Management Services
Education
Northeastern University 1995 — 1997
Master's Degree, Rehabilitation Counseling
University of Massachusetts at Lowell 1990 — 1994
Bachelor's Degree, Psychology
Sharon High School, Sharon, Massachusetts 1986 — 1990
Risk Strategies Company June 2014 - Present
Humana November 2011 - June 2014
Coventry Health Care March 2010 - November 2011
Unicare December 2007 - February 2010
Destiny Health March 2000 - December 2007
Corporate Healthcare Financing, Inc. June 1999 - February 2000
Humana June 1997 - June 1999
Travelers - MetraHealth - UHC May 1994 - April 1997
Skills
Health Insurance, Dental, Brokers, Employee Benefits, Consultative Selling, Insurance, Account Management, Public Speaking, Telesales, Consumer Driven Health..., H S A's, HRA's, Self-Funding, Consumer Healthcare, Self-funded, Dentistry, HRA, Selling, Sales, Health Savings Accounts, Training, Leadership, Marketing, Health Care Reform, Life Insurance, Medicare, Group Insurance, Managed Care, COBRA, Long-term Care, Term Life Insurance, Group Medical, HMO, Underwriting, Workers Compensation, PPO, Claim, Telemarketing, Disability Insurance, Healthcare, Benefits Administration, Employee Wellness, Accident, Health Policy
Education
Northern Illinois University
Bachelor's degree, Finance, Cum Laude
Aetna June 2013 - Present
Coventry Health Care April 2007 - Present
Concentra, Inc January 2003 - June 2006
Staples, Inc 1994 - 2003
Skills
Integration, Business Process..., Strategy, Management, Software Development, Leadership, Project Portfolio..., E-commerce, Databases, Product Development, Budgets, Web Applications, Web Development, Architectures, Contract Management, B2B, SDLC, Business Process..., Vendor Management, Process Improvement, Project Management, Program Management
Education
Northeastern University
Blue Shield of California April 2013 - Present
Dell August 2012 - April 2013
American Red Cross, Top of Virginia/Shenandoah/Page chapter July 2010 - August 2012
Valley Health December 2009 - August 2012
Coventry Health Care October 2007 - December 2009
Coventry Health Care March 2006 - October 2007
PRSSA 2006 - 2007
Intermountain Healthcare April 2001 - March 2006
Internet Events International, Inc. January 2000 - April 2001
Skills
Strategic Planning, Healthcare, Customer Relations, Process Improvement, Public Speaking, Budgeting, Contract Negotiation, Negotiation, Coaching, Problem Solving, Team Building, Microsoft Office, Public Relations, Administration, Analysis, Operations Management, Leadership Development, Marketing Strategy, Mentoring, Planning, Change Management, Organizational..., Policy, Writing, Data Analysis, Program Management, Business Strategy, Business Analysis, New Business Development, Quality Assurance, Budgets, Customer Service, System Administration, Project Planning, Management, Strategy, Hospitals, Human Resources, Project Management, Business Process..., Performance Management, Marketing, Entrepreneurship, Managed Care, Business Development, Consulting, Healthcare Consulting, Cross-functional Team..., Team Leadership, Healthcare Information...
Education
Ohio University 2011 — 2012
MHA, Health Administration
University of Utah 1985 — 2007
BS, Public Relations
Tata Consultancy Services June 2014 - Present
Accenture September 2012 - May 2014
VSP Vision Care 2013 - 2013
Coventry Health Care December 2011 - July 2012
Health Net Federal Services May 2010 - December 2011
Governor's Office of Emergency Services November 2008 - April 2010
Serena Software October 2007 - October 2008
California Highway Patrol August 2006 - August 2007
Prosodie Interactive April 2005 - December 2005
Blue Shield of California January 2004 - April 2005
Skills
Business Analysis, Agile, Software Development, Requirements Analysis, Documentation, Web Content Management, Medical Management, B2B eCommerce, SaaS, Adobe CQ5, Software Project..., Scrum, SDLC, Waterfall, Enterprise Software, E-commerce, Agile Methodologies, Software Documentation, Management, Enterprise Architecture, Adobe Creative Suite, B2B, Web Applications, Agile Project Management, Analytics, Project Management, Mobile Devices, Web Analytics
Education
National University 1991 — 1992
BBA, Financial Accounting
National University 1987 — 1989
MBA, Financial Management
National University 1985 — 1987
BS, Computer Information Systems
Integrity Staffing Solutions, Inc August 2014 - Present
Contemporary Staffing Solutions March 2014 - Present
Sallie Mae December 2012 - August 2013
Robert Half January 2011 - December 2012
Nemours April 2005 - November 2010
Coventry Health Care March 1999 - June 2004
MBNA America March 1992 - May 1999
American General Life Companies is now part of the AIG Family! 1998 - 1999
Skills
Insurance, Employee Benefits, Customer Service, Software Documentation, Hospitals
Education
Northeastern University
Aetna May 2013 - Present
Coventry Health Care October 2008 - Present
FTD September 2004 - August 2008
Boise Office Solutions (now Officemax) June 1996 - February 2004
The Bradford Group/Collectibles Today (e-commerce) June 1990 - May 1996
Uarco, Inc January 1984 - June 1990
Skills
Strategic Planning, Business Analysis, Cross-functional Team..., Project Planning, Management
Education
Northern Illinois University 1981 — 1983
BS, Computer Science / Math
Joliet Junior College 1979 — 1981
Associate, Computer Science / Math
Hub International July 2008 - Present
Coventry Health Care September 2005 - May 2008
First Health Group Corp April 2003 - January 2005
Ameritech July 1995 - July 2001
Celtic Life Insurance 1988 - 1995
Skills
Marketing Communications, Advertising, Brand Awareness, Corporate Communications, Direct Marketing, Public Relations, Product Management, Budget Management, Customer Satisfaction, Customer Segmentation, Database Marketing, Sales Support, Strategic Planning, Social Media, Website Redesign, Website Development, Online Advertising, Employee Engagement, Intranet Strategy, Segmentation, Corporate Branding, Budgets, Integrated Marketing, Marketing Strategy, Marketing Management, Strategy, Strategic Communications, Email Marketing, Marketing
Education
Northwestern University 1987 — 1989
Master of Science
University of Illinois
Bachelor of Science
Coventry Health Care ConsultantAcxiom CorporationDecember 2005 - August 2009
Education
Northern Illinois University 2002 — 2005
Masters, Computer Science
Coventry Health Care October 2012 - Present
Collabrus June 2011 - September 2011
Genex September 2008 - July 2009
CorVel Corporation 2006 - 2007
Pearsall & Associates 2004 - 2006
First Health November 2004 - June 2005
Intracorp 2001 - 2003
Skills
Healthcare, Nurses, Supervisory Skills, Medicare, Medical Records, Case Management, Nursing, ICD-9, Health Insurance, Healthcare Management, Care Management, Medicare Supplements, Discharge Planning, HIPAA, Health, Workers Compensation, Insurance, Hospitals
Education
Western Governors University 2009 — 2011
BSN, Nursing
Ohlone College
AS Nursing with Honors, Registered Nursing
Mutual of Omaha November 2012 - Present
Mutual of Omaha October 2004 - Present
Mutual of Omaha November 2010 - November 2012
Mutual of Omaha May 2009 - November 2012
Mutual of Omaha January 2005 - May 2009
Coventry Health Care July 2007 - July 2008
Mutual of Omaha January 2006 - June 2007
Mutual of Omaha October 2004 - January 2006
Gateway February 2002 - October 2004
Gateway May 1998 - February 2002
Skills
Account Management, Customer Satisfaction, Insurance, Customer Service, Call Centers, Employee Benefits, Customer Retention, Sales, Process Improvement, Life Insurance, Health Insurance, Disability Insurance, Term Life Insurance, Brokers, Team Building, Leadership, Management
Education
Nebraska Wesleyan University 2005 — 2007
Bachelor's degree
Nebraska Wesleyan University
Bachelor's degree, Business Administration and Management, General
United Healthcare January 2000 - Present
UnitedHealthcare 2000 - Present
Coventry Health Care 1998 - December 1999
Skills
Self-funded, Health Insurance, Managed Care, Health Savings Accounts, Employee Benefits, Health Policy, HMO, Pharmacy Benefit..., Health Care Reform, Brokers, Utilization Management, Healthcare Industry, PPO, Benefits Administration, COBRA, HIPAA, Flexible Spending..., Healthcare Consulting, Claim
Education
Ohio University 1993 — 1997
Bachelor of Science, Health Administration
Sutter Health March 2009 - Present
Coventry Health Care September 2006 - March 2009
Skills
EHR, Epic Systems, Epic Bridges, Interface Builder, Interfaces, HL7, Healthcare Information..., Integration, Epic Radiant, Radiology, PACS, OpTime, Anesthesia, Biomedical Devices, Ambulatory, EMR, Software Documentation, Software Implementation, Systems Analysis, SDLC, GoLive, Documentations, Business Analysis, HIPAA, Revenue Cycle, Healthcare, Health Information..., Health Information..., Informatics, EDI, Hospitals, Healthcare Management, Troubleshooting, BMC Remedy, Network Administration, Crystal Reports, Visio, SharePoint, Outlook, Microsoft Office, Documentation
Education
National University 2004 — 2007
Bachelor of Science, Information Technology Management
Oakmont High School
Aetna November 2012 - Present
Coventry Health Care October 2006 - November 2012
Northwestern Medical Faculty Foundation 2001 - 2006
University of chicago Physicians Group 2000 - 2001
Quest Diagnostics 1997 - 1999
Elmhurst Memorial Hospital 1994 - 1997
Humana, Inc 1990 - 1994
Department of Veterans Affairs 1989 - 1990
Skills
Business Analysis
Education
University of Phoenix 2007 — 2011
MS, Information Systems
North Central College 1985 — 1989
BS, Computer Science
Aetna December 2013 - Present
Coventry Health Care April 2009 - December 2013
Coventry Health Care September 2007 - April 2009
Vista Healthplan February 2006 - September 2007
Vista Healthplan April 2000 - February 2006
Florida Health Choice March 1997 - April 2000
Skills
Business Analysis, Managed Care, Teamwork, Data Analysis, Healthcare Information..., Healthcare, Access, Medicare, Visio, Customer Service, Health Insurance, Process Improvement, Medicaid, HIPAA, Requirements Gathering
Education
Niagara University 1991 — 1993
HAVI Global Solutions March 2013 - Present
Coventry Health Care November 2012 - March 2013
Cars.com June 2011 - November 2012
CNO Financial Group March 2008 - June 2011
CNO Financial Group August 2005 - March 2008
Cargill Investor Services June 2004 - August 2005
Cap Gemini Ernst & Young June 2001 - June 2004
Skills
Customer Data..., Master Data Management, ETL, Dimensional Modeling, Data Warehousing, Data Integration, Erwin, Data Architecture, Informatica, Data Modeling, Data Warehouse..., Data Governance, Data Marts, Data Quality, Teradata, PL/SQL, Business Intelligence, Business Objects, Database Design
Education
Northern Illinois University
Master of Science, Management Information Systems
Jopari Solutions Inc. November 2013 - Present
Coventry Health Care December 2009 - July 2013
Coventry Health Care September 2004 - December 2009
Coventry Health Care February 2003 - September 2004
Skills
National Accounts, Managed Care, Medicare, Health Insurance, Healthcare, Healthcare Industry, Provider Relations, PPO, Hospitals, Insurance, HIPAA, Account Management
Education
Northern Illinois University 1994 — 1999
Bachelor of Science (B.S.), Community Health
Coventry Health Care Development and QA manager of the First RX adjudication softwareApplication Manager - Member ChannelsCVS Caremark CorporationFebruary 2008 - Present
Syntellect Inc. 1998 - 2007
Skills
SQL, Microsoft SQL Server, SDLC, Unix, Visio, XML, Requirements Analysis, Project Management, Software Development, Java, Software Documentation, Integration, C#
Education
Northern State University 1979 — 1985
HealthSmart September 2013 - Present
CompNet America May 2010 - August 2013
Strategic Partners December 2007 - May 2010
Coventry Health Care October 2003 - December 2007
Integrated Medical Delivery June 2000 - October 2003
PPO Oklahoma January 1991 - October 2003
University of Oklahoma February 1991 - May 1996
INTEGRIS HEALTH, INC October 1989 - February 1992
Skills
Strategic Planning, Managed Care, Workers Compensation, Hospitals, Leadership Development
Education
Rush University
Masters of Healthcare Administration
Northwestern University
Bachelor of Arts (B.A.)
Aetna 2013 - Present
Coventry Health Care June 2008 - Present
Computer Associates August 2007 - February 2008
Computer Associates February 2005 - August 2006
Lucent Technologies 1999 - 2005
Skills
Requirements Analysis, SDLC, Agile Methodologies
Education
National Institute of Technology Warangal 1992 — 1996
Chemical Engineering
Coventry Health Care October 1995 - Present
Coventry Workers' Comp Services 1995 - Present
United States Air Force May 1986 - May 1990
Skills
Managed Care, Workers Compensation, Claim, Health Insurance, Insurance, Medicare, Healthcare, PPO, Account Management, Strategic Planning, Medicaid, Healthcare Industry, Team Building, Process Improvement, Provider Relations, Utilization Management, Hospitals, Contract Negotiation, New Business Development, Disease Management, Network Development
Education
Northern Illinois University 1991 — 1995
BS, Health Administration and Community Health
One Call Care Management July 2014 - Present
Coventry Health Care, an Aetna Company January 2014 - July 2014
Coventry Health Care, an Aetna Company April 2013 - December 2013
Coventry Healthcare May 2009 - April 2013
Coventry Health Care December 2007 - May 2009
Skills
Insurance, Managed Care, Provider Relations, HIPAA, Health Insurance, Healthcare, Medicare, Workers Compensation, Claim, Process Improvement, Medicaid, Network Development, Healthcare Industry, Team Building, Business Analysis, PPO, Customer Service
Education
American Health Insurance Plan 2008 — 2010
Health Insurance Associate, Health/Health Care Administration/Management
Ohio University 1992 — 1994
Accounting and Business/Management
Logan High School 1990 — 1992
Coventry Health Care February 1995 - Present
Skills
Insurance, Medicare, Provider Relations, Brokers, Health Insurance, Medicaid, Workers Compensation, Managed Care, PPO, Healthcare, Employee Benefits, Network Development, Claim, Claims Management, Pharmacy Benefit..., Healthcare Industry
Education
Northern Illinois University 1988 — 2001
Bachelor's Degree, Political Science and Government
Coventry Health Care Manager, Database AdministrationCoventry Health CareOctober 2009 - Present
Skills
Visio, Microsoft SQL Server, Integration, Data Warehousing, Database Administration, Disaster Recovery, Business Intelligence, SDLC, Data Modeling, Enterprise Architecture, Vendor Management, Leadership, Business Analysis, Databases, Database Design, Healthcare, Process Improvement, Oracle, Requirements Analysis, Healthcare Information..., SharePoint, Data Center, SQL, Servers, VMware
Education
Northern Illinois University
United Airlines 2012 - Present
Jeppesen 2010 - 2012
United Air Lines 2009 - 2010
Coventry Health Care 2008 - 2009
Pulte Homes July 2005 - December 2008
The Dial Corporation 2001 - 2005
TOSCO 1999 - 2001
Delta Tech January 1995 - December 1998
Skills
Program Management, Process Improvement, Integration, Vendor Management, Change Management, Strategic Planning, Process Engineering, Agile & Waterfall..., PMO, PMBOK, CMMI, ITIL, Software Project..., Portfolio Management, Software Development, Software Quality..., Quality Control, Resource Management, Resource Development, Business Analysis, Management, Business Process..., Leadership, PMP, Team Leadership, CRM, IT Strategy, Testing, Project Portfolio..., Oracle, Agile Methodologies, Problem Solving, Project Management, Analysis, Business Strategy, Cross-functional Team..., Requirements Analysis, Quality Assurance, MS Project, SDLC, Scrum, Business Process, Requirements Gathering, Visio, Project Delivery, Business Intelligence, Enterprise Architecture, Outsourcing, ERP, Strategy
Education
National Institute of Technology Surat 1992 — 1996
BS, Engineering
Aetna July 2013 - Present
Coventry Health Care July 2008 - July 2013
Coventry Health Care January 2007 - July 2008
Lewis & Clark Community College July 2003 - January 2007
KK Interactive January 2000 - May 2004
Skills
CSS, jQuery, User Experience, Flash, HTML, User Interface, Web Applications, HTML 5, Photoshop, Graphic Design, Subversion, JavaScript, JSP, Illustrator, Usability, Web Development, Graphics, MySQL, 3D, Flash Animation, Multimedia, XHTML, Photography, Video Editing, HTML + CSS, Dojo, Wireframes, 3D graphics, Captivate, Premiere, After Effects, Video Production, Axure, Kony, Prototyping, Course Creation, College Teaching, Client Relations Skills, Requirements Gathering, Web Standards, Eclipse, Dreamweaver, Design Research, HTML5
Education
St. Charles Community College 1998 — 1998
AA, Computer Graphics and Graphic Design
University of Missouri-Columbia 1989 — 1996
PhD, American History and Anthropology
New Mexico State University 1986 — 1988
MA, History
New Mexico State University 1982 — 1986
BA, History
New Mexico State University 1982 — 1986
BA, Anthropology
La Frontera Center January 2013 - June 2014
Coventry Health Care October 2011 - September 2012
Community Partnership of Southern Arizona (CPSA) February 2008 - October 2011
Crosstown Traders August 2007 - December 2007
Raytheon Missile Systems September 2006 - July 2007
Alcoa Fastening Systems March 2006 - September 2006
Verizon January 1999 - September 1999
Cahners Business Info May 1998 - January 1999
United Way October 1997 - February 1998
Merck & Co November 1994 - June 1995
Skills
Data Analysis, Access, VBA, SQL, Crystal Reports, Analysis, Business Analysis, T-SQL, Visual Basic, Statistics, Data Mining, Microsoft SQL Server, Data Modeling, Microsoft Excel, Databases, Data Management, Predictive Analytics, SPSS, Relational Databases
Education
North Carolina State University
M. S, Industrial Engineering
Pune University
B.S, Industrial Engineering
Tenzing February 2006 - May 2009
Coventry Health Care May 2004 - February 2006
Rockford Health Plans May 2001 - April 2004
Education
Northern Illinois University 1993 — 1995
Rock Valley College 1990 — 1993
Lutheran Children and Family Services April 2008 - Present
Coventry Health Care 1996 - 2005
University of Chicago Graduate School of Business 1987 - 1998
Skills
System Administration, Disaster Recovery, Visio, Troubleshooting, Process Improvement, SQL, Project Management, Microsoft Office, Unix, Operating Systems, Customer Service, Public Speaking, Security, Nonprofits, Training
Education
Northeastern Illinois University 1975 — 1979
Bachelor of Science (BS), Computer and Information Sciences and Support Services
CIGNA Healthcare May 2013 - Present
Coventry Health Care May 2007 - March 2013
Haake Companies April 2006 - May 2007
UnitedHealthcare May 2004 - April 2006
Skills
Account Management, Customer Service, Employee Benefits, Health Insurance, Health Savings Accounts, Insurance, Managed Care, New Business Development, Public Speaking, Sales, Social Media, Underwriting, Healthcare, Brokers
Education
Northwest Missouri State University 1996 — 2000
Bachelor of Arts, Public Relations
Park Hill High School 1992 — 1996
High School Diploma
Coventry Health Care 2010 - 2013
ACS 2010 - 2010
BioReliance 1992 - December 2009
The Weinberg Group September 2008 - May 2009
Novavax December 2006 - April 2008
BioReliance March 2001 - December 2006
Skills
PowerPoint, Integration, Validation, Microsoft Excel, Outlook, Training, Employee Relations
Education
Northern Virginia Community College 1990 — 1992
Accounting
University of Nebraska Medical Center July 2013 - Present
Coventry Health Care 2012 - 2013
Creighton University April 2010 - 2012
Pharmion May 2006 - June 2008
Berlex February 2002 - May 2006
Skills
Microsoft Office, Clinical Trials, Clinical Development, Clinical Research, Oncology, Biotechnology, Regulatory Affairs, Lifesciences, Healthcare, FDA, GCP, Therapeutic Areas, Data Management, Quality Assurance, Project Management, Endocrinology
Education
Bryan Memorial Hospital School of Nursing
Diploma in Nursing
Nebraska Wesleyan University
Bachelor of Science Nursing
Advanced Care Scripts January 2014 - Present
Cardinal Health October 2010 - January 2014
CVS Caremark January 2002 - October 2010
Willis January 1999 - January 2002
Coventry Health Care 1994 - 1999
Skills
Pharmacy Benefit..., Pharmacy, Medicare, Healthcare Industry, Medicare Part D, Healthcare, Managed Care, Disease Management, Pharmacists, Medicaid, Training, Health Insurance, Insurance, HIPAA, Healthcare Consulting, Utilization Management
Education
Northern Illinois University 1984 — 1989
BA, English
Polo?
Coventry Health Care June 2012 - Present
Coventry Health Care 2005 - June 2012
Coventry Health Care 2003 - 2005
Coventry Health Care 2000 - 2003
Coventry Health Care 1998 - 2000
Principal Health Care of Georgia 1996 - 1998
Principal Health Care of Georgia April 1995 - 1996
Skills
Healthcare Industry, Credentialing, Provider Relations, Claim, Medicare, HMO, Network Development, PPO, Provider Network..., Claims Resolution, Claim Investigation, CPT, ICD-9, Healthcare Analytics, Provider Education, Provider Networks, Health Plan Operations, Medicare/Medicaid..., Healthcare Reimbursement, Process Improvement, Managed Care, Medicaid Managed Care, Health Insurance, Health Policy, HIPAA, Insurance, Medicaid, Medicare Part D
Education
Oglethorpe University 1989 — 1993
BS, Biology with Minor in Chemistry
Civitas Learning September 2015 - Present
Eli's Book Club 2014 - Present
Baxter Healthcare July 2012 - July 2014
Essilor of America June 2011 - August 2011
Coventry Health Care March 2008 - June 2010
Cerner Corporation October 2005 - August 2007
Skills
Project Management, Marketing Communications, Business Analysis, Marketing Strategy, Cross-functional Team..., Data Analysis, Healthcare, Marketing, Strategy, Competitive Analysis, Business Strategy, Analytics, Management, Entrepreneurship, Management Consulting, Strategic Planning, Leadership, Consulting
Education
Northwestern University - Kellogg School of Management 2010 — 2012
MBA, Marketing Management, International Business
Stanford University 2001 — 2005
Bachelor of Science, Science, Technology & Society
xG Health Solutions July 2014 - Present
Coventry Health Care February 2012 - June 2014
Coventry Health Care, an Aetna Company December 2013 - April 2014
Coventry Health Care, an Aetna Company November 2013 - April 2014
Cerner Corporation February 2011 - February 2012
Omnicell 2007 - 2009
Skills
Oracle SQL, Microsoft Office, Data Analysis, Team Leadership, Presentations, Training, Strategic Thinking, Troubleshooting, Data Tracking, Superior Client Service, Supervising, Superior Work Ethic, Toad, Analysis, Work Well Independently, Timely Decision Making, Clinical Decision..., Software Documentation, Healthcare Information..., Data Warehousing, Client Services, Quality Assurance, Business Analysis, SDLC, Process Improvement, Requirements Analysis, Healthcare, Business Intelligence, Visio, Management
Education
University of Central Florida 2014 — 2016
Master of Science (MS), Health Care Informatics
Northern Illinois University 1999 — 2003
BA, Sociology
Kenwood Academy
Aetna July 2013 - Present
Coventry Health Care September 2008 - July 2013
Coventry Health Care April 2008 - September 2008
Coventry Health Care July 2005 - April 2008
Coventry Health Care July 2001 - July 2005
Coventry Health Care February 1997 - July 2001
Coventry Health Care October 1995 - February 1997
University of Missouri October 1991 - October 1995
Skills
Web Development, Analysis, Project Management, SDLC, HTML, Graphic Design, Supervision, Software Development, Databases, Strategy, Management, SharePoint, Business Intelligence, CMS, IT Management, Systems Analysis, Software Documentation, XML, Agile Methodologies, PMO, Vendor Management, Integration, JavaScript, jQuery, Requirements Gathering, Content Management, Hibernate, Web Design, Requirements Analysis, Visio, E-commerce, JSP, Business Analysis, SQL, Software Project..., Oracle, Web Applications, Access, CSS3, Photoshop, Eclipse, CSS
Education
New Mexico State University 1984 — 1988
BA, Archaeology/Anthropology
HealthEquity June 2013 - Present
HealthEquity June 2010 - Present
Coventry Health Care June 2009 - June 2010
OptumHealth Bank/UnitedHealth Group July 2008 - March 2009
OptumHealth Bank/UnitedHealth Group January 2006 - July 2008
OptumHealth Bank/UnitedHealth Group August 2004 - January 2006
MinervaHealth February 2004 - July 2004
MinervaHealth June 2003 - February 2004
Skills
Process Improvement, Operations Management, Health Savings Accounts, Project Management, Consumer Healthcare, Cross-functional..., Electronic Payment..., Cross-functional Team..., Product Development, Banking, Start-ups, Leadership, Payments, HIPAA, Insurance
Education
Ohio University
BS, Telecommunications
REGENT BROADCASTING/TOWNSQUARE MEDIA May 2008 - August 2010
Coventry Health Care November 2005 - April 2008
MANAGEMENT PERFORMANCE INTERNATIONAL, INC March 2005 - October 2005
SHIRE US PHARMACEUTICALS, INC August 2003 - February 2005
KROGER CO July 2002 - August 2003
Skills
Recruiting, Employee Relations, Training, Interviews, Human Resources, Management, Employee Benefits, Leadership Development, Payroll, Budgets, Project Management, Deferred Compensation, Analysis, Negotiation, Policy, Personnel Management, New Hire Orientations, Employment Law, Contract Negotiation, HR Consulting, Onboarding, Leadership, Customer Service
Education
Xavier University 2003 — 2005
M.Ed, Human Resource Development
Northern Kentucky University
Bachelor of Science, Psychology
Coventry Health Care Restaurant Server/SupervisorJohn Q Hammons2006 - 2008
Education
University of Central Oklahoma 2007 — 2008
BA, Spanish
Universidad de Guanajuato 2006 — 2007
Spanish
Oklahoma Baptist University 2004 — 2006
Everything
Coventry Health Care Account ExecutiveNAMMFebruary 2004 - May 2006
Skills
Network Development, Managed Care, HIPAA, Medicare, Health Insurance, Insurance, Healthcare, Account Management, Healthcare Industry, Workers Compensation, PPO, Provider Relations
Education
Northern Illinois University 1994 — 2002
Bachelor of Science (BS), Health Administration
Anthem, Inc. July 2014 - Present
WellPoint August 2010 - July 2014
Valence Health February 2010 - August 2010
WellPoint April 2003 - December 2009
Coventry Health Care April 1999 - October 2002
Trilogy Consulting 1998 - 1999
ZS Associates 1998 - 1999
United Airlines 1997 - 1998
Skills
Project Management, SAS, Process Improvement, Change Management, Vendor Management, Recruiting, Customer Service, Salesforce.com, Financial Analysis, Human Resources, Business Analysis, Training, SDLC, Data Analysis, Public Speaking, Insurance
Education
Northern Illinois University
Bachelors of Science, Mathematics
Roosevelt University
Master of Business Administration (MBA)
Aetna January 2014 - Present
Coventry Health Care May 2009 - January 2014
Hallmark Services Corporation October 2002 - May 2009
Skills
Insurance, Health Insurance, Claim, Underwriting, Medicare, Claims Management, Employee Benefits, Disability Insurance, Reinsurance, Life Insurance, Property & Casualty..., Managed Care, Term Life Insurance, Brokers, Risk Management, General Insurance, Process Improvement, HIPAA, Medicaid, Liability, Business Analysis, Access, Analysis, Financial Risk, Workers Compensation, Health Savings Accounts
Education
North Central College 1997 — 2001
Bachelor's, History
VCU Health System July 2014 - Present
Coventry Health Care April 2013 - July 2014
Cascadia Behavioral Healthcare August 2008 - August 2012
Providence Health & Services February 2010 - July 2012
Cascadia Behavioral Healthcare August 2008 - February 2010
Cascadia Behavioral Healthcare May 2005 - July 2007
District Council 37, Personal Service Unit 2003 - 2004
Skills
Mental Health, Social Services, Mental Health Counseling, Crisis Intervention, Case Management, Treatment, Interventions, CBT, Therapists, Motivational..., Dual Diagnosis, Behavioral Health, DBT, Self-esteem, Clinical Supervision, Mindfulness, Life Transitions, Psychotherapy, Psychology, Co-occurring Disorders, Anger Management, Group Therapy, Clinical Research
Education
NYU 2002 — 2004
Master of Social Work (MSW), Clinical/Medical Social Work
North Carolina State University 1998 — 2001
Bachelor of Arts (B.A.), Psychology
Coventry Health Care PC/LAN Administrator 1Coventry Health Care, Richmond, VirginiaSeptember 2004 - Present
Education
New England Institute of Technology 2002 — 2004
A.S., Computer and Network Servicing Technology
UnitedHealth Group 2009 - Present
Coventry Health Care June 2008 - August 2009
Rose International December 2007 - June 2008
Dynamic Computing Services June 2006 - November 2007
First Consulting Group February 2005 - May 2006
Presbyterian Healthcare Services April 2002 - February 2005
Unity Health Insurance September 1999 - January 2002
Baxter Healthcare June 1982 - August 1998
Skills
Requirements gathering, Requirements Analysis, Testing, Test Planning, Medicaid, Managed Care, SDLC, Healthcare, EDI, Documentation, Business Analysis, Quality Assurance, Process Improvement, Visio, SharePoint, User Acceptance Testing, Analysis, Access, Data Analysis, Software Project..., Project Coordination
Education
New Mexico State University
Bachelor of Arts, Psychology
Coventry Health Care PRESIDENT/OWNERSEAPORT VILLAGE TRAVEL1985 - 1995
Education
National University
MBA, BUSINESS
Coventry Health Care August 2008 - Present
Coventry Health Care 2008 - 2010
Skills
General Ledger, Accounts Receivable, Accounting, Account Reconciliation, Cash Flow, Access, GAAP, Variance Analysis, Financial Reporting, Business Analysis, Financial Analysis, Data Analysis
Education
Northeastern University 2007 — 2009
Advanced Accounting Certificate, Accounting and Finance
Saint Petersburg State Polytechnical University 1996 — 2001
Master's degree, Marketing
Coventry Health Care 2007 - Present
CS STARS 1996 - 2007
Skills
Requirements Gathering, SDLC, Health Insurance, Insurance, Business Analysis, Process Improvement, Vendor Management, Visio, Requirements Analysis, SharePoint, Business Process, Business Process..., PMP
Education
Northern Illinois University
Bachelor of Science (BS), Elementary Education and Teaching
Pain Management Center of Houston January 2010 - March 2015
Coventry Health Care September 1999 - December 2009
Skills
Medicare, Healthcare, Hospitals, Marketing Strategy, Strategic Planning, New Business Development, Allscripts, Healthcare Information..., Healthcare Management, Managed Care, HIPAA, Leadership, Physicians
Education
Oakland Community College
Associate’s Degree, Liberal Arts and Sciences/Liberal Studies
Oakland University
Bachelor's Degree, Political Science and Government
University of Michigan
Studied Public Administration in the Graduate Program
Coventry Health Care 1994 - Present
Skills
Managed Care, Workers Compensation, Insurance, Pharmacy Benefit..., Account Management, Claim, Sales, Claims Management, Sales Management, Customer Service, New Business Development, Cold Calling, Healthcare, Health Insurance, Medicare, Property
Education
New York University 1979 — 1981
Master of Arts (MA), Vocational Rehabilitation Counseling/Counselor
Dale Shuford Insurance Services July 1990 - Present
Coventry Health Care 1990 - Present
Messer 2014 - 2015
Ocean Side Corporation 1985 - 1989
Computer Systems, Inc 1982 - 1985
Display Data 1980 - 1982
Aftermarket Diesel 1979 - 1980
CK Supply September 1977 - March 1979
Skills
Accounting, Financial Reporting, Insurance, Microsoft Office, Financial Analysis, Customer Service, Process Improvement, Management, Microsoft Excel, Risk Management, Employee Benefits, Life Insurance
Education
UNC Charlotte 1977 — 1977
Bachelor of Arts (BA) NC State University (only had to take 2 courses), Accounting and Business/Management Double Major
N.C. State University 1970 — 1977
B.A. Accounting, Accounting and Business/Management
North Carolina State University - College of Management 1970 — 1977
B.A., Accounting, Business Management
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2014 - Present
Dearborn National September 2010 - January 2014
Coventry Health Care 2008 - 2010
Destiny Health 2001 - 2008
Hallmark Services Corporation 1993 - 2001
Skills
Health Insurance, Underwriting, Insurance, Disability Insurance, Healthcare, Brokers, Risk Management
Education
Northern Illinois University
Bachelor of Arts, Psychology, graduated cum laude
Humana Health Plans 2008 - 2009
Humana Health Plans 2006 - 2008
Humana Health Plans 2004 - 2006
Humana Health Plans 2000 - 2003
Arthur Andersen 1999 - 2000
Coventry Health Care 1998 - 1999
Humana Health Plans 1995 - 1998
Skills
Medicine, Credentialing, Project Management, Managed Care, Health Insurance, Physicians, Healthcare Consulting, Insurance, Leadership, Healthcare, Medicare, Customer Service, Team Building
Education
New York Medical College
M.D., Medicine
The University of Chicago
MBA, Business
Coventry Health Care
Skills
SDLC, Business Analysis, Requirements Analysis, Software Project..., Process Improvement, Insurance, PMP
Education
Ohio University
Master of Science (MS), Computer Science
Wells Fargo September 2014 - Present
FCE Benefit Administrators September 2013 - September 2014
KForce Government Services (KGS) February 2013 - September 2013
Collabera September 2011 - October 2012
Technisource June 2011 - September 2011
ManpowerGroup July 2010 - November 2010
Coventry Health Care January 2009 - March 2010
Wachovia, A Wells Fargo Company March 2005 - October 2008
Tek-Systems Technology Staffing June 2003 - August 2004
Southwest Research Institute December 2000 - May 2003
Skills
Crystal Reports..., SQL, SharePoint, Crystal Reports, Business Analysis, Microsoft SQL Server, Data Warehousing, Visio, Requirements Analysis, Oracle, Databases, SDLC, Business Intelligence, Data Analysis, Requirements Gathering, Access, PL/SQL, SSRS, Visual Basic, Java, Software Documentation, Analysis, Business Objects, Quality Assurance
Education
Northwest Vista College
San Antonio College
John Jay High School 1979 — 1983
Diploma, general
Suite 2B'd May 2013 - Present
Kristina C Doyle, LMT January 2008 - Present
Commonwealth of Massachusetts December 2008 - February 2012
Coventry Health Care July 2004 - June 2007
Muddy Creek Animal Care Center February 2003 - July 2004
Netscout Systems September 2000 - May 2001
Zoll Medical Corporation May 1998 - June 2000
Telespectrum Worldwide, Inc February 1996 - February 1998
Skills
Healthcare, Therapeutic Massage, Reiki, Craniosacral Therapy, Medical Records, Polarity, Management, Holistic Health, Wellness, Relaxation, Bodywork
Education
Spa Tech Institute 2007 — 2008
Holistic Massage Therapy
North Shore Community College
Wellness & Healing Arts
University of Massachusetts, Boston
Aetna 2013 - Present
Coventry Health Care 2012 - 2013
Education
Northwestern University - The Feinberg School of Medicine 1971 — 1974
Doctor of Medicine (M.D.)
Shield of Faith Publishing May 2014 - Present
Coventry Health Care October 2011 - May 2014
2004-2008 Laducer & Associates July 2004 - November 2008
SingleVision Printing & Publishing May 2002 - June 2004
North Carolina Automobile Dealers Association April 2000 - April 2002
Farm & Ranch Guide November 1998 - April 2000
Ashley Tribune May 1997 - May 1998
Skills
Adobe Creative Suite, Microsoft Word 2010, Facebook, Freelance Writing, Blogging, Creative Writing, Proofreading, Ghostwriting, Feature Articles, Magazine Articles, Non-fiction, Marketing Copy, Social Networking, Social Media, Ap Style, Fiction Writing, Content Writing, Microsoft Word
Education
North Dakota State University 1992 — 1996
BS, Mass Communications - Journalism
Watford City High School 1988 — 1992
Business and Writing classes
Coventry Health Care Account ManagerRegEd2007 - April 2012
ValueOptions 2003 - 2007
ValueOptions 2003 - 2006
ValueOptions 2003 - 2003
ValueOptions 2002 - 2003
Education
University of North Carolina at Chapel Hill
Fundamentals of Clinical Research for Clinical Research Associates
Strayer University-Maryland
Master of Business Administration Degree, Management
North Carolina Central University
Bachelor of Arts Degree, Political Science / Public Administration
AANS January 2012 - Present
Marsh March 2008 - March 2011
Coventry Health Care June 2005 - March 2008
Weeks Publishing Company July 1998 - March 2005
American Board of Psychiatry & Neurology March 1997 - July 1998
Barefoot Grass Lawn Care August 1995 - March 1997
Education
Northeastern Illinois University 1999 — 2009
Bachelor of Science, Business Management
Northeastern Illinois University
Randstad Staffing March 2014 - Present
Kelly Services March 2013 - Present
Coventry Health Care August 2005 - April 2011
Skills
Insurance, Health Insurance, Claims Management, Workers Compensation, Published Author, Prior Authorization
Education
Northern Arizona University 2011 — 2015
Bachelor's degree, Interdisciplinary Studies
Northern Arizona University 2011 — 2015
Bachelors, Interdisciplinary Studies i
College of the Albemarble 1980 — 1984
AAS, Business Administration
Coventry Health Care 2008 - Present
Education
Northeastern Illinois University
Bachelors of Science, Business Management
Aetna 2013 - Present
Coventry Health Care Kansas City Region October 2012 - October 2013
Coventry Health Care- Preferred Health Systems February 2010 - November 2012
Coventry Health Care November 2007 - February 2010
Skills
Healthcare Management, Strategic Planning, Utilization Management, Managed Care, Provider Relations, Insurance, Medicaid, Health Insurance, Medicare, Healthcare, EMR, Healthcare Consulting, Underwriting, Brokers, HMO, Medicine, Health Policy, PPO, Credentialing, Quality Improvement, Network Development, Physicians, Disease Management, Healthcare Information..., Physician Relations, Healthcare Industry, Health Care Reform, Pharmacy Benefit..., HEDIS, Medicaid Managed Care, HIPAA, NCQA, EHR, Medicare Part D, Health Savings Accounts
Education
Northwestern University Medical School 1971 — 1974
M. D., Medical Science
Northwestern University 1969 — 1971
Doctor of Medicine (M.D.), Medical Science
Bart Homes, Inc. February 2014 - Present
Coventry Health Care June 2012 - January 2014
Henricksen August 2010 - November 2011
Skills
PowerPoint, Interior Design, Social Media, B2B, Negotiation, Market Research, Purchasing, Team Building, Contract Negotiation, Competitive Analysis
Education
Northern Illinois University 1982 — 1986
Bachelor of Arts, Communications
Duke University Health Systems February 2012 - Present
Coventry Health Care October 2008 - February 2012
Carolinas Healthcare System August 2007 - August 2008
Carolina Health Care Systems August 2007 - August 2008
QL September 2004 - August 2007
BCBSNC October 2003 - August 2007
Blue Cross Blue Shield of NC 2004 - 2007
Blue Cross Blue Shield of NC October 2003 - September 2004
Durham County Mental Health & Substance Abuse June 1999 - October 2003
NC Department of Corrections /Polk Youth Inst April 1998 - November 1998
Skills
Training, Healthcare, Invoicing, Time Management, Medical Records, Process Scheduler, Hospitals, Policy, Employee Training, Call Centers, Insurance, Managed Care, Spreadsheets, Health Insurance, Access, Outlook, Utilization Management, Telephone Skills, Event Planning, Office Management, Microsoft Word, Microsoft Excel, Administrative..., Customer Service, Administrative...
Education
North Carolina Central University 1987 — 1989
Hillside High School 1983 — 1987
High School
Aetna May 2015 - Present
InfoSync Services June 2014 - May 2015
Coventry Health Care January 2012 - February 2014
Via Christi Health October 2008 - January 2012
KU School of Medicine - Wichita July 2005 - October 2008
Envision February 2003 - July 2005
Envision July 2002 - February 2003
Larksfield Place July 2001 - June 2002
Skills
Organization, Multi-tasking, Efficiency, Confidentiality, Flexibility, Communication, Building Relationships, Proficient in Microsoft..., Leadership, Administration, Management, Human Resources, Policy, Analysis, Training, Accounts Payable, Microsoft Office, Newsletters, Process Improvement, Customer Service, Strategic Planning
Education
Newman University 2003 — 2004
Master of Business Administration, Leadership studies
Wichita State University 1997 — 2001
Bachelor of Arts, Communications
Focus Health-a Covenant Care Company December 2013 - September 2015
NorthBay Healthcare February 2013 - December 2013
Professional HealthCare at Home November 2011 - February 2013
Coventry Health Care November 2009 - November 2011
John Muir Home Health November 2007 - January 2009
Hospice of the East Bay January 2007 - October 2008
Sutter VNA & Hospice October 2004 - December 2006
Hospice Preferred Choice June 2002 - June 2003
Hope Hospice, Dublin CA June 1995 - June 2002
Skills
Management, Hospice, Home Health, Quality Assurance, Case Managment, Clinical Research, JCAHO, Medicare, Healthcare, Quality Improvement, Medicaid, Nursing, Healthcare Management, Hospitals, Elder Care, Managed Care, Long-term Care, Performance Improvement, Patient Advocacy, Home Care, Acute Care, Case Management, Healthcare Consulting
Education
Samuel Merritt University 1994 — 1995
Bachelor of Science, Nursing
Ohlone College 1991 — 1994
Associates in Science, Nursing
Coventry Health Care October 1995 - Present
Integrated Care Management May 2012 - January 2013
Skills
Managed Care, Healthcare, Workers Compensation, Health Insurance, Healthcare Management, HIPAA, Utilization Management, Hospitals, Medicare, Healthcare Information..., Insurance, Long-term Care, Claim, Claims Management, Disease Management, Case Management, Employee Benefits, Home Care, Nursing, Legal Liability, Property & Casualty...
Education
University of North Alabama
Nursing Bachelor, 3.8
Northeast mississippi community college
Registered nurse, Registered Nursing/Registered Nurse, 3.7
Northeast Mississippi Community College
nursing, nursing license practical nurse
Aetna June 2013 - Present
Coventry Health Care January 2013 - June 2013
Loyola Academy August 2004 - July 2012
Skills
Exam P, 1st attempt,..., Exam FM, 1st attempt,..., Exam MLC, 1st attempt,..., Exam MFE, 1st attempt,..., Exam C, 1st attempt,..., All VEE's completed as..., Proficient in Microsoft..., Beginning programming..., Introductory knowledge..., Public Speaking, Microsoft Excel, Tutoring, Staff Development, SAS, Curriculum Development, VBA, Statistics, Actuarial Science, Curriculum Design, Higher Education, Teaching
Education
Northeastern Illinois University 2011 — 2015
MS, Applied Mathematics, 4.0
National Louis University 2007 — 2008
MA, Teaching Secondary Mathematics, 4.0
University of Illinois at Urbana-Champaign 1999 — 2003
BS, General Engineering, 3.4
Retired but willing to accept occasional assignments. November 2014 - Present
AETNA January 2014 - November 2014
Coventry Health Care May 2012 - November 2014
Skills
Managed Care, Medicaid, Insurance, Medicare, Health Insurance, Workers Compensation, Healthcare, Claim, Long-term Care, Utilization Management
Education
Northwestern State University
RN, Registered Nursing/Registered Nurse
Molina Healthcare December 2013 - Present
Coventry Health Care November 2010 - November 2013
Humana 2005 - 2010
United States Marine Corps 1984 - 2004
Skills
Health Insurance, Insurance, Medicare, Disability Insurance, Managed Care, Term Life Insurance, Life Insurance, Employee Benefits, Long-term Care, Brokers, Health Savings Accounts, Fixed Annuities, Medicare Part D, Account Management, Underwriting, Sales, Sales Management, Claim, Customer Service, Strategic Planning
Education
Webster University 1999 — 2002
Master of Business Administration (M.B.A.), Management
National University 1995 — 1998
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services
Holly Springs High School September 2014 - Present
Aetna September 2012 - Present
Coventry Health Care September 2012 - November 2013
AKC Pet Healthcare August 2007 - September 2012
CIGNA Healthcare 1999 - 2007
Skills
P&C License, Insurance, Employee Benefits, Health Insurance, Public Speaking, Claim, Term Life Insurance, Long-term Care, Medicare, Health Savings Accounts, Life Insurance, Workers Compensation, Disability Insurance, Direct Sales, Property, Sales, Managed Care
Education
North Carolina State University 1993 — 1998
Bachelor's degree, Sociology
Coventry Health Care January 2005 - Present
HealthSouth April 1999 - January 2005
Harrington Benefit Services January 1996 - April 1999
Education
Ohio University 1989 — 1993
Bachelor of Science (BS), PoliSci, Legal Comm
NORCAL Mutual Insurance Company January 2013 - Present
Coventry Health Care July 2010 - December 2012
Nationwide Insurance December 2000 - June 2009
Skills
Health Insurance, Claim, Microsoft Excel, Property & Casualty..., General Insurance, Insurance, Underwriting
Education
Northern Virginia Community College
Architectural Drafting and Architectural CAD/CADD
United Professional Realty March 2013 - April 2014
Coventry Health Care August 2008 - July 2012
Coventry Healthcare of Florida August 2008 - July 2012
Hip Health Of New York January 2008 - May 2008
Hip health of New York January 2008 - May 2008
Humana July 2007 - December 2007
Humana Health July 2007 - December 2007
Skills
Microsoft Word,..., Microsoft Word, Medicare, PowerPoint, Employee Benefits, Customer Service, Medicaid, Microsoft Excel, Call Center, Call Centers, Community Outreach, Interviews, Data Entry, Healthcare, Insurance, Access
Education
Nova Southeastern University 2011 — 2014
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
Nova Southeastern University 2011 — 2014
Bachelor of Science, Business Administration
Manhattan Learning Center 2003 — 2004
High School Diploma, Photography/ Printing
Mylan November 2013 - Present
Coventry Health Care February 2004 - November 2013
Self Employed 1990 - 2003
Education
North Carolina Wesleyan College
Computer Information Systems
DEAN INSTITUTE OF TECHNOLOGY
Electrical Technology
University of Notre Dame
Homelink/The VGM Group August 2012 - Present
Coventry Health Care January 1996 - February 2012
Skills
Managed Care, PPO, Workers Compensation, Healthcare Industry, Account Management, Durable Medical..., Medicare, Health Insurance, Insurance, Claim, Healthcare, Claims Management, Employee Benefits, Customer Service, Strategic Planning, New Business Development
Education
Northern Illinois University
Bachelor or Science
HDJ Highschool
Coventry Health Care February 2006 - Present
Private Healthcare Systems September 2000 - March 2005
American Medical Security January 1994 - September 2000
Skills
Cross-functional Team..., Managed Care, Provider Network..., Medicare Advantage, Medicaid Managed Care, Workers Compensation, HMO, PPO, Health Plan Operations, New Business Development, Profit Maximization, Compliance, Marketing Strategy, Market Analysis, Healthcare Management, Strategic Planning, Business Strategy, Acquisition Integration, Analytics, Kaizen, Negotiation, Contract Negotiation, Newsletters, Quality Assurance, Restructuring
Education
New Mexico Institute of Mining and Technology
Bellevue Public Schools June 2015 - Present
Daybreak Mental & Behavioral Health November 2014 - Present
Arthritis Foundation 1997 - Present
Special Olympics 2006 - Present
Christ Community Church 1996 - Present
Nebraska Methodist Health System August 2014 - November 2014
Coventry Health Care October 2013 - February 2014
Childrens Hospital 1981 - 2012
Kimberly Quality Care 1979 - 1981
Skills
Medical Terminology, Clinical Research, EMR, Patient Safety, BLS, Hospitals, Pediatric Nursing, Healthcare, Home Care, Nursing, Healthcare Management, Evidence-based Medicine, Performance Improvement, Professional Experience, Auditing, Problem Solving, Team-oriented, Positive Personality, Work Ethic, Ambulatory Care, Flexible Schedule, electronic doc, Registered Nurses, Trusted, Sincere, honest, Staff Orientation, patient advoc, Customer-focused Service, Volunteering, Nonprofits, Volunteer Management, Community Outreach, Treatment, Adolescents, Leadership, Case Managment, Training, Medical Records, Health Education, Mental Health, Pediatrics, Child Development, Social Services, Program Development, Policy, ACLS, Health Promotion, Patient Education, Elder Care
Education
Midland University
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Nebraska Wesleyan University
Millard High School
Beacon Health Options April 2015 - Present
Coventry Health Care March 2013 - December 2013
SunTrust Banks, Inc. 2005 - 2012
Skills
Employee Relations, Performance Management, Human Resources, Recruiting, Talent Management, Personnel Management, Onboarding, Relationship Management, Employment Law, HRIS, Change Management, Legal Compliance, Succession Planning, HR Policies, Process Improvement, Talent Acquisition, Management, Employee Engagement, Employee Benefits, Applicant Tracking...
Education
Northeastern Illinois University
Bachelor of Arts (B.A.)
Coventry Health Care January 2013 - Present
The Nebraska Medical Center September 2009 - January 2013
Skills
Registered Nurses, Health Insurance
Education
Nebraska Methodist College 2005 — 2009
Bachelor's degree, Registered Nursing/Registered Nurse
Coventry Health Care Senior Systems EngineerNetCentricsOctober 2005 - April 2006
Nortel PEC Solutions May 2001 - September 2005
Skills
Citrix, VMware ESX, Enterprise Vault, Active Directory, Cisco UCS, Netscaler, HP Server Hardware, HP Blade, Windows Server, Wyse, RSA SecurID, SSD, IIS, IBM Servers, Microsoft Cluster
Education
Strayer University (VA) 2001 — 2003
Bachelor's degree, Information Systems
Northern Virginia Community College
Associate of Science (A.S.), Information Technology
Aetna May 2013 - Present
Coventry Health Care May 2011 - Present
Johnson Controls December 2009 - October 2010
Johnson Controls July 2006 - December 2009
York International April 2004 - July 2006
York International July 1994 - April 2004
York International July 1993 - July 1994
Skills
Access, Program Management, Training, CRM, Integration, Business Process, Human Resources, Analysis, Troubleshooting, Project Planning, Testing, Customer Service, Software Documentation, Consulting, Visio, Leadership, Management, Project Management, Time Management, Sales, Process Improvement
Education
Nashville State Community College
Computer Information Systems, Program Development and Database Management, 4.0