Coventry Health Care
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland, United States Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
Coventry Health Care List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Coventry Health Care. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Coventry Health Care Salaries. You can even request information on how much does Coventry Health Care pay if you want to. Learn about salaries, pros and cons of working for Coventry Health Care directly from the past employees.
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3,100 Coventry Health Care employees in database. Find out everything there's to know about Coventry Health Care employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Coventry Health Care Employees
The Perfect Piece Home Furnishings, LLC 2014 - Present
Dr. Conan Shaw December 2013 - February 2014
Coventry Health Care November 2010 - July 2013
FedEx Services May 1998 - October 2010
US Airways 1997 - 1998
GlaxoSmithKline 1993 - 1996
Skills
Project Management, Business Analysis, Customer Service..., Customer Service, Organization, Self-starter, Idea Generation, Integrity, Genuine, Discipline, Communication, Writing, Information Systems, Business, Data Conversion, Leadership, Analysis, Access, Software Documentation
Education
Robert Morris University 1982 — 1994
Bachelor of Science (B.S.), Administrative Management
EDMC January 2014 - Present
Coventry Health Care February 2013 - January 2014
EDMC March 2008 - February 2013
Skills
Microsoft SQL Server, SQL, SharePoint, Systems Analysis, Visio, Requirements Gathering, SSRS, SDLC, SSIS, Data Warehousing, Requirements Analysis, Crystal Reports, T-SQL, Active Directory, Databases, ASP.NET, Software Documentation, Agile Methodologies, User Acceptance Testing, Data Analysis, Process Improvement, Microsoft Office, Business Analysis
Education
Rio Salado College 2008 — 2010
Associate of Science (A.S.), Information Technology
Federal Trade Commission April 2015 - Present
Secure Communication Solutions, Inc., dba SCS Networks January 2014 - April 2015
CONEXIS January 2013 - January 2014
Coventry Health Care February 2012 - January 2013
CONEXIS January 2011 - February 2012
MT Systems January 2009 - April 2011
Denbury Resources October 2000 - January 2009
Software Spectrum February 1998 - September 2000
Marble Center of Arizona January 1991 - February 1998
Skills
VMware, Active Directory, VMware ESX, Servers, SQL, Microsoft Cluster, Windows 2000, Windows Security, Windows Server, Windows Scripting, Powershell, CommVault, Raritan, Dell OpenManage, Dell PowerEdge Servers, HP Proliant, NetApp Filers, Symantec Endpoint..., Symantec Backup, Brocade Fibre Switches, Chess, NLP, Deductive Reasoning, Troubleshooting, SnapMirror, SnapManager, Security, Data Center, Network Security, ITIL, Microsoft SQL Server, SAN, Unix, IT Management, Windows, System Administration, Citrix, IT Strategy, Xen, Group Policy, Windows 7, Virtualization, High Availability, VMware Infrastructure, Hardware, Microsoft Exchange, NAS, vSphere, Software Installation, Cluster
Education
Software Spectrum 1998 — 1998
MCSE, Certified Microsoft Systems Engineer - 480 hours
CCI 1997 — 1998
IT Systems Engineer, Informations Systems - 430 hours
Phoenix College 1993 — 1995
Electives
Southern Methodist University
Microsoft Systems Information Specialist MCSE, IT
Sharp Statistical Sciences May 2015 - Present
Sabbatical April 2014 - April 2015
Coventry Workers' Comp Services, an Aetna Company November 2007 - March 2014
Coventry Health Care October 2005 - November 2007
Thomson Medstat July 2004 - October 2005
First Health January 1999 - June 2004
Office of AIDS, CA Dept of Health Services September 1996 - January 1999
Skills
Data Analysis, Statistics, Analytics, SAS, Managed Care, Healthcare, Data Mining, Health Insurance, SAS programming, Data Management, Leadership, Project Management, Data Warehousing, Medicaid, Medicare, Predictive Modeling, Data Science, R, Workers Compensation, Microsoft Office, Decision Support, Management, Healthcare Industry, Analysis, SQL, Biostatistics, Workers' Compensation..., Medical Billing, HIPAA, Epidemiology, Informatics, Healthcare Consulting, Communication, Presentations, Evidence-based Medicine, Clinical Outcomes, Insurance, Public Health, Business Intelligence, MS Excel Pivot Tables, Provider Networks
Education
University of California, Davis 1995 — 1998
MS, Statistics, Emphasis Biostatistics, 1997
Pitzer College 1991 — 1995
BA, Mathematics, Honors
Coventry Health Care April 2005 - Present
First Health August 2000 - Present
First Health February 1994 - August 2000
First Health February 1992 - February 1994
First Health June 1989 - February 1992
Skills
PM, Informatica Developer, SDLC, PL/SQL, SQL, Data Modeling, Oracle, Data Warehousing, Agile Methodologies, Business Analysis, Visio, Database Design, ETL, Requirements Gathering, SSIS, Enterprise Architecture, Requirements Analysis, Business Intelligence
Education
Robert Morris College
Roosevelt University
Aetna November 2013 - Present
Coventry Health Care May 2006 - November 2013
Skills
Microsoft SQL Server, SSIS, ETL, Cognos, Oracle SQL, Data Architecture, SQL, SDLC, Business Intelligence
Education
Robert Morris University
MS CIS Competetive Intelligence systems
Robert Morris University
BS Information Science
Pulmonary Associates of Southern Arizona March 2013 - Present
Pima Lung and Sleep 2012 - 2012
Coventry Health Care March 2008 - December 2011
V.A.C.M.O.P December 2007 - February 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Quick Base, 40 wpm, Multitasking Skills, Propriortize, Organizational..., Customer Service, Medical Terminology, Billing & Coding, ICD-9, Cash Register, International Shipping, Inventory, Fast learner, Excellent listening..., Job Scheduling, Negotiation, 10 Key, Data Entry, Positive Energy, Teamwork
Education
Apollo College
Pima Medical Institute
Licensed, Pharmacy Technician
Pima Medical Institute-Tucson
Licensed, Pharmacy Technician
Tucson Prepatory High
Diploma, General Studies
Aetna January 2014 - Present
Coventry Health Care September 2012 - January 2014
Coventry Health Care August 2010 - September 2012
Coventry Health Care November 2006 - August 2010
Skills
VB.NET, ASP, JavaScript, SharePoint, Visual Studio, .NET, HTML, SQL, T-SQL, ASP.NET, Visual Basic, SharePoint Designer, SSRS, Microsoft SQL Server, IIS, VBScript, C#, C++, Java, XML, CSS, SharePoint Workflow..., Crystal Reports, Programming, Web Design, Visio, Business Process, SDLC, Web Applications, Databases, jQuery, SPServices, AJAX, Flash, Silverlight, Graphic Design, InfoPath, MySQL, Database Design, LINQ, ASP.NET MVC, Systems Analysis, Oracle, Pascal, COBOL, PHP, Qbasic, Web Services, Windows Services
Education
Pittsburgh Technical Institute 1998 — 2000
Associate's Degree, Computer Programming
Marcolin January 2013 - Present
U.S. Bank May 2010 - January 2013
Coventry Health Care March 2003 - March 2009
Skills
Accounts Receivable, Retail, Sales, Customer Service, Forecasting, Inventory Management, Data Entry, Budgets, Access, Management, Pricing, Merchandising, Analysis, Customer Retention, Leadership, Team Leadership, Training, Sales Management
Education
Phoenix College
Coventry Health Care January 2009 - February 2014
csstars 2007 - 2009
CS STARS August 2007 - December 2008
PCI Insurance, Inc. April 2001 - January 2007
pci 2001 - 2007
Kemper Insurance May 1997 - April 1999
kemper 1996 - 1999
zurich 1987 - 1998
Zurich Insurance May 1988 - May 1997
Skills
SDLC, Test Planning, Data Conversion, Insurance, Process Improvement, Business Analysis, Software Project..., Requirements Gathering, MS Project, Testing, Business Requirements, DB2, Analysis, Databases, Software Documentation, Visio, Project Management
Education
Peter the Great St.Petersburg Polytechnic University 1980 — 1985
M.S., Computer Science
My own company (I am self-employed) January 2012 - Present
Comfortable Palace Daycare January 2012 - Present
CVS Caremark Corporation January 2008 - March 2010
Coventry Health Care July 2004 - January 2008
Fairfax Hematology Oncology May 2001 - August 2004
Healthcare Management Group September 1999 - April 2001
Skills
PeopleSoft, PowerPoint,..., Budgets, Microsoft Excel, Training, Time Management, Customer Service, Data Entry, Insurance, Software Documentation, Outlook, Data Analysis, Healthcare, Policy
Education
Prince George's Community College 2011 — 2011
Child Development, Chid Care
University of the District of Columbia
Healthcare
Automatic Data Processing Insurance Agency, Inc. August 2013 - Present
Automatic Data Processing Insurance Agency, Inc. October 2011 - August 2013
Coventry Health Care September 2009 - March 2011
Skills
Health Insurance, Sales, Cold Calling, Warm Calling, Salesforce.com, Sales Process, Building Relationships, Customer Service, Sales Presentations, Customer Support, Customer Satisfaction, Insurance, Customer Retention, Employee Benefits, Sales Operations, Marketing, Business Process, Training, New Business Development, Business, Time Management
Education
Robert Morris University 2004 — 2009
Bachelor of Science in Business Administration, Marketing
Self November 2013 - Present
Coventry Health Care May 2003 - November 2013
Source Corp, Inc. 2001 - 2003
eHealthChange 2000 - 2001
Healthnet / EOS 1998 - 2000
DEP Corporation 1997 - 1998
Apria Healthcare 1992 - 1997
Compex Legal Services 1991 - 1992
Beech Street 1989 - 1991
Tetra Tech (San Diego, CA) 1986 - 1988
Skills
SQL: SQL Server,..., Documentation: Excel,..., Software Applications -..., Insurance, Health Insurance, Requirements Gathering, SDLC, Business Analysis, Visio, Business Requirements, Medicare, Claim, Requirements Analysis, Process Improvement, Managed Care, Project Management, Communication Skills
Education
Ivy Tech Community College-Northcentral 1981 — 1982
Associate's degree, Data Processing
Purdue University 1979 — 1980
None., Electrical Engineering.
Aetna July 2013 - Present
Aetna/Coventry Health Care October 2012 - Present
Coventry Health Care December 2005 - October 2012
Coventry Health Care December 2002 - December 2005
CIGNA January 1999 - December 2002
Southern Health Services, Inc. /Coventry Health Care July 1996 - December 1998
Skills
Customer Service, Appeals, NCQA, Health Care Compliance, Budgets, Health Care Reform, HIPAA, Health Care Regulation, Health Insurance, Complaint Management, Quality Assurance, Medicaid, Medicare, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Strategic Planning, Health Policy, Software Documentation, Insurance, Data Analysis, Provider Relations, HMO
Education
Radford University 1982 — 1985
none, Speech-Language Pathology/Pathologist
Aetna May 2014 - May 2015
Buck Consultants June 2013 - August 2013
Robert Morris University April 2012 - June 2013
Coventry Health Care April 2012 - May 2013
Robert Morris University May 2011 - December 2012
JCPenney May 2011 - July 2012
Education
Ambassador Bible College 2014 — 2015
Diploma, Biblical Studies
Robert Morris University 2010 — 2014
Bachelor's Degree, Actuarial Science
TMC HealthCare November 2012 - January 2013
C3i August 2011 - June 2012
Pima Federal Credit Union July 2009 - May 2011
OAO Technology Solutions Inc August 2007 - March 2008
Coventry Health Care February 2006 - June 2007
Catalina Foothills School District June 2004 - August 2005
Amphitheater School District May 1998 - April 2004
Skills
GIS, Software Documentation, Active Directory, Backup & Restore, Report Writing, Financial Statements, Financial Audits, Software Quality..., Servers, Windows Server, Help Desk Support, Operating Systems, Hardware, Network Administration, Switches, TCP/IP, Software Installation, Networking, Technical Support, WAN, SharePoint, XP, Windows, Linux, BMC Remedy, Cisco Routers, Windows XP
Education
Pima Community College 1978 — 1988
Associates
University of Arizona 1980 — 1983
Bally's Total Fitness Corp October 2009 - May 2011
Bally’s Total Fitness Corp October 2009 - May 2011
Durham School April 2009 - July 2009
Durham School April 2009 - July 2009
Navigant Consultant Inc December 2006 - March 2008
Navigant Consultant Inc December 2006 - March 2008
First Health May 2002 - February 2006
First Health/Coventry May 2002 - February 2006
Coventry Health Care 2002 - 2006
Skills
Oracle SQL, PeopleSoft, Elite, Process Improvement, General Ledger, Access, Auditing, Financial Analysis, Accounts Payable, Budgets, ADP Payroll, Invoicing, Microsoft Office, Spreadsheets, Accounting, Fixed Assets, JD Edwards, Microsoft Excel, Payroll, Customer Service, Bank Reconciliation, Peachtree, Financial Reporting, Account Reconciliation, Outlook, Accruals, Journal Entries, Forecasting, QuickBooks, Accounts Receivable, Sarbanes-Oxley Act
Education
Robert Morris University - Illinois 1992 — 1995
Robert Morris University - Illinois
Associates Degree, Business Management
Robert Morris University - Illinois
Associates Degree, Business Management
Hillcrest high school 1990 — 1992
Corliss High school 1988 — 1992
Coventry Health Care November 2012 - January 2014
Coventry Health Care October 2011 - November 2012
Freelance June 2011 - December 2011
McKesson Automation October 2009 - February 2011
McKesson Automation June 2008 - October 2009
McKesson Automation September 2006 - June 2008
rsvp4messages November 2003 - September 2006
People's Home Savings Bank May 1998 - January 2003
Skills
SQL, Databases, HTML, JavaScript, Windows, Requirements Analysis, Active Directory, Web Development, AJAX, XML, Microsoft Office, SharePoint, SharePoint Designer, jQuery, CSS, CSS3, Workforce Management, Call Center..., JIRA, SSRS, Microsoft SQL Server, SDLC, VB.NET, Software Documentation
Education
Robert Morris University 2010 — 2014
MS, IT Project Management
Robert Morris University 2007 — 2010
BS, Computer Information Systems, 3.95
Community College of Beaver County 2005 — 2007
AA, Computer Information Services / Web Programming
Aetna November 2013 - Present
Coventry Health Care January 2012 - November 2013
Mckesson Automation June 2008 - January 2012
Pittsburgh Force September 2008 - January 2010
Verizon Wireless February 2005 - January 2008
Wal-Mart June 1998 - July 2000
Skills
Customer Service, Call Center, Billing, Outlook, Business Analysis, Microsoft Office, Visual Basic, MUMPS, SQL, Call Centers, Visio
Education
Robert Morris University 2011 — 2013
Master of Human Resource Management, HR
Robert Morris University Moon 2007 — 2009
Master of Science, Organizational Leadership
Robert Morris University Moon 2000 — 2004
B.S, Information Science; Computer Information Science
Wakely Consulting Group December 2010 - Present
Coventry Health Care September 2010 - December 2010
Skills
Actuarial Consulting, Health Insurance, Microsoft Excel, Actuarial Science, VBA, Data Analysis, Insurance
Education
Purdue University 2009 — 2010
Actuarial Science
Coventry Health Care January 2013 - Present
Express Scripts (formerly Medco) December 1990 - December 2012
Skills
Project Planning, CRM, Social Media Marketing, Managed Care, Healthcare, Medicare, HIPAA, Pharmacy Benefit..., Pharmacists, Medicare Part D, Account Management, Process Improvement, Pharmacy, Contract Negotiation, SDLC, Cross-functional Team..., Healthcare Management, Team Building, Leadership, Vendor Management, Strategic Planning, Healthcare Information..., Health Policy, Utilization Management, Healthcare Industry, Healthcare Consulting, Medical Compliance, Disease Management, Health Care Reform, Management, Product Management, Pharmacy Automation, Health Insurance, HMO, PPO, Physicians, Informatics, Patient Outcomes, Visio, Sales, EHR, Provider Relations, Healthcare Reimbursement, Medicaid, Physician Relations, Pharmaceutical Industry, Hospitals, Home Infusion, Employee Benefits, Diabetes
Education
Ramapo College of New Jersey 1977 — 1982
Bachelors, Communications
Global Healthcare Alliance July 2010 - Present
Global Healthcare Alliance July 2010 - Present
Coventry Health Care April 2006 - January 2009
Gentiva Health Services August 2002 - January 2006
Skills
Medical Terminology, Medical Billing, Medical Coding, Medical Education, Medical Records
Education
Rasmussen College-Florida 2011 — 2015
Associate's degree, Health Information/Medical Records Technology/Technician
Aesynt October 2013 - Present
McKesson October 2013 - October 2013
GeBBS Healthcare Solutions January 2013 - October 2013
Emergency Medicine Physician April 2008 - January 2013
Coventry Health Care March 2005 - April 2008
Allegheny General Hospital December 2002 - April 2005
Alternative Techniques May 1995 - December 1999
Skills
Healthcare Information..., SQL, Software Documentation, Crystal Reports, Databases, SDLC, Business Analysis, Microsoft SQL Server, Visual Basic, HIPAA, Requirements Analysis, EDI, Software Project..., Business Requirements, IDX, .NET, Business Process, Business Intelligence, Requirements Gathering, MUMPS, Visual C#, Microsoft Office, Team Leadership, Relational Databases, HTML, HL7, Access, EHR, Systems Analysis, SharePoint, Process Improvement, Integration, Data Analysis, Enterprise Architecture, Intersystems Cache, Visual C++, Data Architecture, Testing, Training, Information Security, Ethical Hacker, Computer Security
Education
University of Pittsburgh 2000 — 2002
Bachelors of Science, Computer Science, Computer Science, Information Technology
Rochester Institute of Technology 1998 — 2000
Software Engineering, Information Technology
Aetna November 2013 - Present
Coventry Health Care June 2012 - November 2013
Coventry HealthCare October 2006 - June 2012
IKEA May 2006 - April 2007
United Airlines May 1986 - September 2005
Skills
Total Quality Management, Team Building, Employee Relations, Event Planning, Customer Service, Distribution, Negotiation, Strategic Planning, Trend Analysis, Ground Security..., Project Management, Cross-functional Team..., Account Management, Recruitment/Retention, Profitability, Budget Management, Security, Budgets, Operations Management, Management, Continuous Improvement, Organizational..., Healthcare Management, Strategy, Training, Human Resources, Customer Satisfaction, Policy, CRM, Business Planning, Logistics, Leadership, Process Improvement, Business Development, Business Strategy, Marketing, Insurance, Change Management, Program Management, Vendor Management, Contract Negotiation, Analysis, Team Leadership, Business Process..., Performance Management, Project Planning
Education
Robert Morris University 1978 — 1982
BSBA, Management
Ambridge Area High School 1974 — 1977
High School, Advanced placement
M/A-COM Technology Solutions May 2010 - Present
Coventry Health Care May 2008 - July 2009
Genesys Conferencing April 2001 - April 2008
Simplex Time Recorder July 1989 - February 2001
Simplex/Tyco July 1981 - June 1989
Skills
Accounts Receivable, Analysis, Financial Analysis, Credit, CRM, Accounting, Forecasting, Cross-functional Team..., Cash Flow, Process Improvement, Credit Analysis, Training, Auditing, Strategic Planning, SAP, Risk Management, Financial Reporting, Mergers & Acquisitions, Access, Sarbanes-Oxley Act, Management, Human Resources, Business Process..., Budgets, Pricing, Sales, Finance, Leadership, Invoicing
Education
Piedmont College 1977 — 1981
BS, Accounting & Business Administration
DS2 September 2010 - Present
Defense Support Services September 2010 - Present
Coventry Health Care 2006 - 2010
Skills
Disaster Recovery, Active Directory, Software Documentation, COBOL, Oracle, Technical Recruiting, SharePoint, Technical Support, Aircraft, Aviation, Maintenance & Repair, Windows Server, Helicopters, Servers, Troubleshooting, Homeland Security, Aircraft Maintenance, Program Management, Systems Engineering, Process Improvement, Aerospace
Education
Pikes Peak Community College 1993 — 1995
Associate's degree, Aviation Maintenence Mgmt
Fidelity National Information Services June 2013 - Present
Coventry Health Care March 2002 - June 2013
Skills
Microsoft SQL Server, SDLC, Healthcare, Programming
Education
Robert Morris University
BilAmerica, Inc January 2004 - Present
Coventry Health Care June 2000 - December 2003
Coventry Health Care September 1998 - May 2000
Carle Foundation Hospital May 1995 - August 1998
Skills
Microsoft SQL Server, T-SQL Stored Procedures, SQL Server Management..., SSRS, SSIS, SSAS, SQL Tuning, Healthcare Information..., Medical Billing, ETL, HL7, EDI ANSI X12 835, EDI ANSI X12 837, EDI ANSI X12 277CA, T-SQL, Visual Basic, Perl, Java, C, C++, XML, Unix Shell Scripting, Clarion, Crystal Reports, Visual Studio, Microsoft Reporting..., Microsoft Office, EDIFACT, Unix, Linux, DOS, Windows XP Pro, Windows 7, Windows 8, Databases, SQL, EDI
Education
Purdue University 1985 — 1990
Bachelor of Science (BS), Mathematics & Chemistry, 5.15/6.0
New Palestine High School 1981 — 1985
Baroncini Financial July 2012 - Present
Coventry Health Care 2008 - 2012
Zurich North America May 2006 - April 2008
Breckenridge Pharmaceutical January 2006 - May 2006
CVS Caremark Corporation May 2004 - December 2005
Skills
Microsoft Platform, Communicative Skills, Negotiating Fees, Insurance Adjusting, Risk Management, Insurance Fraud, Claim, Training, Commercial Insurance, Employee Training
Education
Rhode Island College 2000 — 2004
Bachelor of Arts (B.A.), Business/Corporate Communications
University of Hartford 1999 — 2000
Undergrad Studies, Communication, General
Aetna October 2013 - Present
Coventry Health Care October 2011 - October 2013
Harmony Beer Distributor October 2007 - October 2011
North Hills Hockey Association June 2007 - June 2008
Party City September 2006 - October 2007
Skills
Customer Service, Outlook, Sales, Microsoft Excel, PowerPoint, Training, Insurance, Health Insurance, Marketing, Data Entry, Benefits Administration, File Management, SharePoint, Advertising, Public Relations, Public Speaking, Access
Education
Robert Morris University 2006 — 2011
Communication, Corporate Communications
Robert Morris University 2006 — 2011
Bachelor Arts, Communication
Centene Corporation September 2012 - Present
Coventry Health Care June 2010 - September 2012
WellPoint July 2006 - June 2010
MVP Health Care December 1996 - September 2005
Humana 1988 - 1997
Skills
Network Development, Provider Relations, Managed Care, Medicare, Health Insurance, Medicaid, HMO, PPO, Healthcare, Healthcare Consulting, Credentialing, Revenue Cycle, Healthcare Industry, Practice Management, Process Improvement, Disease Management, EMR, Strategic Planning, Leadership, Executive Management, Healthcare Information..., Benefits Administration, Employee Benefits, Medicare Part D, Healthcare Management, Physicians, Insurance, Medical Coding, Hospitals, Claim, Contract Negotiation, Quality Improvement, Health Care Reform, Medical Billing, Pharmacy Benefit..., EHR, Workers Compensation, Utilization Management, Physician Relations
Education
Rockhurst University 1990 — 1992
MBA, Finance
Truman State University 1970 — 1974
Bachelor of Science (BS), Nursing Science
BranchServ March 2012 - Present
Coventry Health Care October 2009 - March 2012
Papermart February 2009 - July 2009
Bath and Body Works November 2008 - March 2009
T.G.I. Friday's November 2006 - September 2008
Bayer Corporation June 2008 - August 2008
Papermart March 2004 - August 2005
Skills
Customer Service, Event Planning, Microsoft Office, Insurance, Retail, Logistics, Call Centers, SAP, Procurement, Employee Benefits, Invoicing, Health Insurance, Customer Satisfaction, Outlook, Sales, Team Building, Access, Managed Care, Leadership, Process Improvement, Training
Education
Robert Morris University 2005 — 2009
Bachelor of Science, Business Administration; Management
Anthem, Inc. May 2013 - Present
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas November 2012 - February 2013
Coventry Health Care January 2012 - September 2012
Mather LifeWays April 2011 - November 2011
Ardmore Associates June 2009 - February 2011
Mayer Brown April 2008 - April 2009
Locke Lord Bissell & Liddell February 2008 - April 2008
Foley & Lardner, LLP October 2007 - February 2008
OWP/P March 2006 - February 2007
Dynasty Group, Inc. January 2004 - January 2006
Skills
Marketing Communications, Project Management, Direct Marketing, Marketing Research, Marketing Strategy, Competitive Analysis, Corporate Positioning, Corporate Branding, Database Administration, SEO, Digital Marketing, Web 2.0, Web Analytics, Web Content, HTML 5, Marketing, Social Media, Integrated Marketing, Editing, Strategy, Advertising
Education
Roosevelt University 2003 — 2007
M.S., Integrated Marketing Communications
Roosevelt University 1994 — 2002
B.A., Public Relations
Tek Systems Inc. @ Charles Schwab June 2011 - December 2011
Coventry Health Care July 2007 - March 2011
Network Secure, LLC @ Edward Jones December 2006 - July 2007
Universal Underwriters Group Zurich North America August 2000 - August 2006
Sequencia Corporation, Inc March 1996 - July 2000
Skills
Telephony, Vendor Management, Avaya, Troubleshooting, Switches, Technical Support, Software Documentation, Servers, Call Center, Networking, Security, System Administration, Microsoft Exchange, Voice Mail, Software Installation, ACD, Routing, Management, Quality Assurance, Project Management, Communication Training, Data Center, Call Centers
Education
Project Management Institute 2008 — 2011
Project Management
University of Phoenix 1999 — 2000
Avaya Training
Phoenix College
ZOLL Medical Corporation September 2013 - Present
Coventry Health Care January 2012 - September 2013
Allegheny General Hospital February 2006 - September 2009
Allegheny General Hospital August 2004 - February 2006
Allegheny General Hospital March 1997 - August 2004
Skills
Healthcare, Medicare Advantage, Patient Advocacy, Microsoft office, Medicare appeal..., Medicare, Community Outreach, EMR, Healthcare Management, Inpatient, Microsoft Office, Surgery
Education
Robert Morris University 1978 — 1982
BSBA, Administrative Management
Integrated Management Resources Group, Inc. January 2010 - Present
Allegheny General hospital October 2006 - May 2009
Coventry Health Care June 2006 - October 2006
Skills
Healthcare, Healthcare Management, Medicine, Insurance, Employee Benefits, Customer Satisfaction, Data Entry, Strategic Planning, Training, Microsoft Office, Microsoft Excel, Team Building, Microsoft Word, Management, Outlook, Customer Service
Education
Remington College 2013 — 2015
Bachelor of Applied Science (B.A.Sc.), Business/Organizational Management
Remington College-Honolulu Campus 1997 — 1999
Associate of Arts (AA), Business Administration and Management, General
Aetna January 2014 - Present
Coventry Healthcare April 2012 - December 2013
Coventry Health Care April 2011 - April 2012
Eaton Corporation July 2007 - May 2011
Thermo Fisher Scientific September 2006 - July 2007
NOVA Chemicals January 2000 - August 2006
WESCO July 1997 - December 1999
Calgon Corporation October 1984 - September 1996
Skills
Visio, Project Management, Business Analysis, Process Improvement, Program Management, SDLC, PMO, Requirements Analysis, PMP, Vendor Management, Integration, Cross-functional Team..., Software Project..., CRM, Business Process, Six Sigma, Analysis, MS Project, Change Management, Process Engineering, Business Intelligence, Project Portfolio..., Enterprise Architecture, Leadership, Business Process..., IT Management, SharePoint, Requirements Gathering, Software Development, ERP, Team Building
Education
Robert Morris University 1986 — 1998
Bachelor's degree, Business Information Systems
NuQuest/Bridge Pointe September 2013 - Present
GENEX Services, Inc. October 2001 - September 2013
Coventry Health Care June 2001 - October 2001
HealthQuest April 1998 - June 2001
Skills
Management Of Direct..., Experience in Case..., Medicare Set Aside..., Experience in Nursing..., Knowledge of Workers..., Computer Proficiency, Proficient Communicator, Team-oriented, Dependable Team Player, Highly motivated..., Motivation of staff to..., Case Management Services, Workers Compensation, Utilization Management, Utilization Review, Insurance, Disease Management
Education
Burlington County College 1985 — 1987
Associate of Science (A.S.), Registered Nursing/Registered Nurse
ZOLL Medical Corporation February 2014 - Present
Coventry Health Care August 2012 - February 2013
PNC August 2009 - August 2012
Skills
HTML, Windows, Troubleshooting, Linux, Microsoft Office, Customer Service, Customer Satisfaction, Escalation Resolution, Web Browser..., Special Effects Makeup, Makeup Artistry, Handmade Jewelry, Acrylic Painting, Watercolor Artist, Data Entry, Telecommuting, Help Desk Support, Training, Employee Training, Mentoring, Handle Confidential..., Multi Tasking, Chrome, Firefox, Internet Explorer, Technical Support
Education
Pittsburgh Technical Institute 2003 — 2005
Associate's degree, Computer Network Security and Computer Forensics
Pittsburgh Technical Institute 2003 — 2005
Associate's degree, Computer Networking Security and Forensics
Coventry Health Care October 2005 - Present
Education
Robert Morris University
Associate's degree, Medical/Clinical Assistant
Coventry Health Care August 2012 - Present
ACAC Fitness & Wellness Center August 2004 - August 2012
Skills
Personal Training, Functional Training, TRX Suspension Training, Strength Training, Fitness, Exercise Physiology, Fitness Training, Kettlebells, Cpr Certified, Operant Conditioning, First Aid
Education
Radford University
Bachelor of Applied Science (B.A.Sc.), Sports and Exercise
NEWSCYCLE Solutions November 2001 - Present
Coventry Health Care April 2010 - April 2011
Media Software Professionals January 2010 - April 2010
Atex, Inc (formerly Mactive, Inc) November 2001 - December 2009
Atex 2001 - 2009
TNI Partners, DBA Tucson Newspapers March 1995 - July 2001
Tucson Newspapers 1985 - 2001
Skills
Software Project..., PMP, Business Analysis, Integration, Project Management
Education
Pima Community College
Computer Science
Physician Affiliate Group of New York, P.C. November 2011 - Present
Coventry Health Care February 2007 - June 2011
Next Level Fighting 1993 - August 2009
Kaufmann's Department Stores November 1993 - July 2006
Juno Trattoria 1989 - 1993
Skills
Recruitment/Staffing, Employee Relations, Employee Benefits, Top rated Human..., PeopleSoft, Training and development, Proficiency with..., Experience using..., Budget development, Operations analysis, Produce and process..., Merger and acquisitions, Employee relations..., Experience with..., Termination management, Personnel file..., Project management, Employee Counseling, Employee Coaching, Management Coaching, Payroll Processing, Employee Management, Employee Handbooks, Event Management, Student Recruitment, Retention, Employee Surveys, Scheduling, Group Presentations, Presentation Preparation, Employee Development, Trained New Human..., Results Oriented, Delivering Quality..., Focus On Results, Conflict Resolution, Project Management, Coaching, Benefits Administration, Leadership, Human Resources, Payroll, Process Scheduler, Hiring, Employee Relations..., Goal Oriented, Recruiting, Student Recruiting, Onboarding, Customer Retention
Education
Robert Morris University 1984 — 1989
Bachelors of Science, Economics, with a minor in International Studies
Florida Blue June 2013 - Present
Blue Cross Blue Shield of Florida July 2011 - June 2013
Robert Morris University August 2010 - May 2011
Coventry Health Care May 2010 - August 2010
Skills
VBA, Microsoft Excel, Actuarial Science, Valuation, Access, Insurance, Analysis, Employee Benefits
Education
Robert Morris University 2007 — 2011
B.S., Actuarial Science
Coventry Health Care May 2011 - Present
Ritual Beaded Art and Jewelry January 1990 - Present
Sahuaro Girl Scout Council May 2000 - July 2010
Pima Community College November 1999 - May 2000
Skills
Illustrator, InDesign, Newsletters, Adobe Acrobat, Editing, Art, Event Planning, Graphics, Advertising, Logo Design, Posters, Illustration, Brochures, Publishing, Flyers, Adobe Creative Suite, Graphic Design, QuarkXPress, Dreamweaver, Photography, Digital Photography, Invitations
Education
University of Arizona
Bachelor's of Arts Degree, Psychology
Pima Community College
Associate's Degree, Communication Graphics; Web Design
United Healthcare August 2010 - Present
Coventry Health Care July 2005 - September 2010
TheraCom 2010 - 2010
Highmark BCBS (CIBER Inc August 2003 - July 2005
ATM Corporation March 2003 - August 2003
Mellon Financial (Sapphire Technologies) November 2002 - January 2003
Skills
Requirements Gathering, Business Process, Business Requirements, Quality Assurance, Testing, Project Management, Business Analysis, User Acceptance Testing, SDLC, Data Analysis, Software Documentation
Education
Villanova University 2011 — 2012
Master Certificate, Business Analysis
Robert Morris University 1992 — 1995
Bachelor of Science Degree, Computer and Information Science
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas May 2013 - Present
Independent Health Insurance Consultant July 2012 - May 2013
Andreini & Company November 2011 - July 2012
Coventry Health Care June 2009 - November 2011
Sunlounge Inc February 2008 - December 2009
City of Oklahoma City August 1998 - February 2009
Skills
Marketing Management, Business-to-Business..., Market Research, Leadership, Marketing, Public Speaking, Management, Team Building, Recruiting, Strategy, Employee Relations, Employee Training, Account Management, Health Care Reform, Employee Benefits, Customer Retention, Insurance, Health Insurance, Medicare, Sales, Human Resources, Customer Service, Brokers, Benefits Administration, Disability Insurance, Long-term Care, Microsoft Excel, Access, Term Life Insurance, Microsoft Word, Interviews, Training, Customer Satisfaction, Microsoft Office Suites, Word, Health Savings Accounts, Accident, Lead Generation, Call Centers, COBRA, Salesforce.com, Cvent
Education
Rose State College 1997 — 1999
Business, Management, Marketing, and Related Support Services
Aetna April 2013 - Present
Coventry Health Care June 2007 - April 2013
TMP Directional Marketing January 2006 - February 2007
Proceed Interactive September 2005 - January 2006
KZ Response Marketing November 2002 - September 2005
Cornerstone Promotions, Inc. 1992 - 2002
Skills
Digital Direct Marketing, Healthcare Information..., Project Management, New Business Development, Business Development, Business Analysis, Commercial Design, Direct Marketing, Ownership, Accounting, Fulfillment Services, Superior Client Service, Internet Yellow Pages, Advertising, Digital Marketing, Marketing, Digital Media, Product Development, Web Design, Web Project Management, Health Insurance, Entrepreneurship, Web Application Design, Market Research, Web Development, Web Analytics, Digital Strategy, Online Advertising, E-commerce, Sales, Email Marketing, Product Management, Vendor Management, Interactive Marketing, Financial Services, Mobile Marketing, Project Planning, CRM, Analysis, SEO, Integrated Marketing, Business Intelligence, Strategy, Enterprise Software, Software Development, Google Adwords, SDLC, Lead Generation, SEM, Marketing Management
Education
Roosevelt University
Bachelor’s Degree, Marketing/Advertising, 3.92 GPA
Harper College 1993 — 1995
Associate’s Degree, General Studies, 3.84 GPA
Meade Senior High, Fort Meade, Maryland 1982 — 1985
High School, Business/General Education, 4.0 GPA
Aetna January 2014 - Present
Coventry Health Care November 2012 - December 2013
Highmark Blue Cross Blue Shield November 2005 - November 2012
Skills
DB2, JCL, SDLC, Requirements Gathering, Mainframe, Websphere, Teradata, SQL, Informatica, Testing, Data Warehousing, System Testing, Unix, ETL, TSO, Visio, Regression Testing, Relational Databases, Oracle, Business Process, Master Data Management, Data Migration
Education
Purdue University Calumet 2003 — 2005
MS, ECE
SVIT Vasad GJ INDIA 1999 — 2001
Bachelor's degree, Electrical Engineering
Texas Department of Aging and Disability Services February 2014 - May 2014
Casa De Los Ninos October 2012 - May 2013
Department of Veterans Affairs Blind Rehabilitation April 2012 - October 2012
Coventry Health Care January 2010 - August 2012
US Navy August 2004 - March 2007
Skills
Case Managment, Mac OS, Acoustic Guitar, Electric Guitar, Behavioral Health, Behavioral Disorders, Rehabilitation..., electronics maintenance, Sonar, Claim, Invoicing, Mental Health, Medical Terminology, Medicare, Case Management, Nonprofits, Group Therapy, Data Entry, Program Development, Mental Health Counseling, Crisis Management, Social Services, Conflict Resolution, Call Centers, Insurance, Program Management, Human Resources, Plannning, Motivational..., Community Outreach, Child Development, Crisis Intervention, Counseling Psychology, Case Management Services, Psychology, Family Therapy, Training, Psychotherapy, Clinical Research, Leadership Development, Adolescents, Treatment, Public Speaking, Healthcare, Managed Care, Troubleshooting, Medicine, Medicaid
Education
University of Houston-Clear Lake 2014 — 2017
Master's of Arts in Clinical Psychology, Clinical Psychology
University of Arizona 2009 — 2011
Bachelor of Arts (BA), Psychology
Pima Community College 2007 — 2009
Associate of Arts (AA), Psychology
BranchServ March 2012 - Present
Coventry Health Care October 2009 - March 2012
Papermart February 2009 - July 2009
Bath & Body Works November 2008 - March 2009
TGI Fridays November 2006 - September 2008
Bayer MaterialScience June 2008 - August 2008
PetSmart August 2005 - October 2006
Skills
Customer Service, Call Center, Health Insurance, Retail, Customer Satisfaction, Customer Experience, Outstanding Customer..., Phone Etiquette, Phone Skills, Cashiering, Cash Handling, Ten Key, Microsoft Office, Excel, PowerPoint, Outlook, Answering Phones, Upselling, Logistics, Procurement, Call Centers, Invoicing, SAP, Social Media, Microsoft Word
Education
Robert Morris University 2005 — 2009
BSBA Business Administration, Management
West Allegheny Senior High School 2001 — 2005
High School, General Studies
Coventry Health Care November 2006 - Present
Highmark 2013 - 2014
PNC November 2003 - November 2006
PNC June 2000 - November 2003
Consolidated Natural Gas Company May 1991 - April 2000
Skills
EDI ANSI X12, SDLC Project..., Pinacle for Windows..., Website building HTML, basic Java programming, IDX System Application, •Microsoft Office Suite, EDI, Process Improvement, SDLC
Education
Point Park University 1992 — 1999
Bachelor's degree, Business Administration and Management, General
Bradford Business School 1990 — 1991
Business Diploma, Business/Commerce, General
IAGNOSIS March 2013 - Present
Coventry Health Care August 2005 - March 2013
ServiceLink 2003 - 2005
Mellon Bank, AFCO Division 2001 - 2003
Modis 1996 - 2001
Mellon Bank 1994 - 1996
UEC 1991 - 1994
Skills
Program Management, PMP, SDLC, PMO, MS Project, Process Improvement, IT Governance, Software Project..., Risk Management, Operations Management, Management, Executive Management, Solution Implementation, Creative Problem Solving, Relationship Management, Software Development, Business Process, Resource Management, Business Process..., Business Analysis, Requirements Analysis, Enterprise Software, Enterprise Architecture, IT Management, Strategy, Solution Architecture, Business Intelligence, Project Portfolio..., Integration, IT Strategy, Vendor Management, Disaster Recovery, Governance, Project Management, SOA, Requirements Gathering, Change Management, Leadership, Outsourcing, Software Documentation, Team Leadership, Information Technology, Quality Assurance, Start-ups, Project Planning, Visio, Testing, SharePoint
Education
Robert Morris University 1988 — 1992
BS, Computer Information Systems
Coventry Health Care, an Aetna Company June 2015 - Present
Coventry Health Care June 2012 - June 2015
Intuit November 2006 - June 2012
Skills
Software Quality..., Test Planning, Agile Methodologies, Quality Assurance, Testing, Requirements Analysis, XML, SQL, Databases, User Acceptance Testing, Software Project..., Business Analysis, Quality Center, Process Improvement, Usability Testing, Web Applications, Agile Project Management, .NET, Manual Testing, Windows, Microsoft SQL Server, Test Management, HTML, SharePoint, Software Documentation, Software Engineering, Test Cases, Certified Scrum Master..., System Testing, Scrum, Oracle, Software Development, Defect Tracking, SDLC, Test Strategy, Integration, SaaS, Performance Testing, WinRunner, Visual Basic, Regression Testing, Perforce, Selenium, JIRA
Education
Baboquivari High School
Pima Community College
Walgreens July 2013 - Present
Walgreens November 2007 - June 2013
Coventry Health Care November 2012 - December 2012
Skills
Patient Counseling, Critical Thinking, Customer Service, Teamwork, Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, Public Speaking, English
Education
Purdue University 2008 — 2013
Doctor of Pharmacy (PharmD), Pharmacy
Purdue University Calumet 2006 — 2008
Pre-Pharmacy Studies
McKesson August 2015 - Present
Coventry Health Care June 2013 - August 2015
Coventry Health Care October 2011 - June 2013
McKesson Provider Technologies July 2010 - October 2011
McKesson Provider Technologies January 2008 - July 2010
RedPrairie April 2007 - January 2008
Courtyard by Marriott December 2004 - April 2007
Preferred Drapery and Blinds February 1998 - December 2004
Retail Industry 1989 - 1998
Skills
SDLC, Software Quality..., Requirements Analysis, SQL, Microsoft SQL Server, Database Design, Databases, Software Project..., HL7, ICD-10, EDI, ICD-9, ALM, EDI ANSI X12, Testing, Business Analysis, Analysis, Process Improvement, Oracle, Integration, Unix, Visio, Software Documentation
Education
Robert Morris University 2009 — 2011
Master of Science, Information Technology Project Management
DeVry University 2004 — 2008
Bachelor of Science, Computer Information Systems
Bradford School 1989 — 1990
Diploma, Retail Business Management
Monaca
U.S. Department of Veterans Affairs June 2015 - Present
U.S. Department of Veterans Affairs May 2014 - June 2015
U.S. Department of Veterans Affairs November 2013 - May 2014
Department of Veterans Affairs June 2013 - May 2014
Coventry Health Care May 2012 - May 2013
Drury Hotels 2006 - 2013
Skills
Excel, Word, PowerPoint, Microsoft Office, Healthcare, Public Speaking, Customer Service, Research, Social Media, Community Outreach, Data Analysis, Outlook, SharePoint, Mac OS, Medicaid Managed Care, Legislative Research, Legislative Policy, SPSS, Microsoft Word, Microsoft Excel, Healthcare Management, Time Management, Data Entry, Leadership
Education
Saint Louis University 2011 — 2013
Master of Public Health, Health Management and Policy
Rockhurst University 2007 — 2011
Bachelor of Science, Biology
The MITRE Corporation May 2015 - Present
Holy Cross Health September 2014 - May 2015
Aetna December 2013 - August 2014
Coventry Health Care April 2000 - December 2013
Korn Ferry International 1981 - March 2000
Skills
Talent Management, Onboarding, Healthcare Management, Healthcare Industry, Executive Recruiting, Executive Search, Management, Team Building, Leadership, Human Resources, Benefits Negotiation, Interviews, Hiring, Executive Management, Succession Planning, Organizational..., Negotiation, Taleo, Technical Recruiting, Vendor Management, Leadership Development, Process Improvement, PeopleSoft, Change Management, Personnel Management, Strategy, Policy, Temporary Placement, Training, Employee Engagement, Internet Recruiting, Sourcing
Education
Rider University
B.A., Sociology/Psychology
SAS January 2015 - Present
Kangaroo Express, an operating trade name of The Pantry, Inc. February 2014 - January 2015
HealthSmart July 2013 - January 2014
UNC Greensboro December 2012 - May 2013
Targetbase May 2012 - August 2012
Coventry Health Care August 2010 - July 2011
Skills
Predictive Modeling, Predictive Analytics, SAS programming, Stata, Data Analysis, Analysis, Economic Research, Economic Modeling, Logistic Regression, SAS, Database Marketing, Data Manipulation, Tableau, ARIMA, Financial Economics, Sales, Relationship Management
Education
University of North Carolina at Greensboro 2011 — 2013
Master's degree, Economics
Roanoke College 2008 — 2010
BA, Economics
Gateway Health April 2015 - Present
Coventry Health Care August 2013 - April 2015
UPMC Health Plan September 2011 - August 2013
Central Blood Bank July 2004 - August 2011
Skills
Healthcare Information..., EMR, Healthcare Management, Access, Outlook, Managed Care, HIPAA, Physician Relations, Customer Service, Medicare, Compliance, Project Management, Health Insurance, Process Improvement, Healthcare, Leadership, Medicare Part D
Education
Robert Morris University 2006 — 2009
B.S., Health Services Administration
Millennium Information Services September 2010 - Present
FamilyFarmed.org September 2009 - Present
Coventry Health Care March 2006 - June 2009
Bank of America September 1997 - March 2006
RR Donnelley May 1996 - September 1997
Vision Enterprises June 1995 - September 1996
First Chicago/NBD June 1994 - September 1995
Arthur Andersen/Andersen Consulting 1990 - 1994
Education
Purdue University Calumet 1985 — 1990
Coventry Health Care April 2013 - Present
IBM September 2006 - March 2013
Operation Lifesaver, Inc. May 2009 - February 2012
IBM May 2000 - August 2006
IBM June 1998 - April 2000
IBM March 1997 - May 1998
Equifax Healthcare Analytical Services June 1995 - January 1997
Rochester Institute of Technology September 1987 - May 1995
Eastman Kodak May 1985 - May 1995
University of Pittsburgh May 1980 - April 1985
Skills
Databases, SOA, Websphere, SQL Server, Administration, Healthcare IT, Public Safety
Education
Rochester Institute of Technology 1991 — 1995
MS, Software Development and Management
University of Pittsburgh 1978 — 1985
BS, Computer Science
Coventry Health Care February 2008 - Present
ADVO, Inc. July 2004 - July 2006
ADVO, Inc. September 2000 - June 2004
ADVO, Inc. January 1996 - August 2000
ADVO, Inc. August 1994 - December 1995
ADVO, Inc. October 1992 - July 1994
ADVO, Inc. May 1991 - September 1992
Self-Employed February 1989 - May 1991
Skills
Change Management, Project Management, Business Development, Cross-functional Team..., Analysis, Management, Leadership
Education
Robert Morris University 1976 — 1978
Aetna May 2013 - Present
Coventry Health Care June 2005 - May 2013
Cognizant Technology Solutions September 1997 - March 2000
Skills
SharePoint, SDLC
Education
PSG College of Technology 1989 — 1992
Master of Computer Applications (MCA), Computer Science
Coventry Health Care Systems EngineerIntel1994 - 2002
Education
Rhode Island College 1980 — 1986
Centene Corporation July 2014 - Present
Coventry Health Care July 2010 - July 2014
Humana 2000 - July 2010
Humana January 2005 - November 2005
Skills
Medicare, Health Insurance, Budgets, Managed Care, HMO, Insurance, PPO, Analysis, Claim, Healthcare Industry, Hospitals, HIPAA, Healthcare Management, Medicare Part D, Utilization Management, Process Improvement, Data Analysis, Provider Relations, Pharmacy Benefit..., Healthcare Information..., Claims Management, Disease Management, Medicaid, Revenue Cycle, Healthcare, Network Development, Healthcare Consulting, Revenue Cycle Management, Finance, Strategic Financial...
Education
Rockhurst University 1987 — 1998
Bachelor of Arts (B.A.), Non-Profit/Public/Organizational Management
Rockhurst University 1995 — 1997
MBA, Finance
Merrimac 1986 — 1986
Soroptimist International of Pittsburgh April 2012 - June 2015
Soroptimist International of Pittsburgh January 2012 - March 2012
Hudson Highland Group, Inc. January 2011 - August 2011
The Bank of New York Mellon July 2010 - January 2011
Soroptimist International of Pittsburgh June 2005 - January 2011
Amateur Astronomers Association of Pittsburgh (AAAP) June 2004 - September 2010
Kforce Technology Staffing December 2008 - August 2009
AmerisourceBergen March 2006 - March 2008
Coventry Health Care 2005 - 2006
Prequel Solutions, LLC 2004 - 2004
Skills
Quality Assurance, ERP, Business Requirements, Mentoring, PeopleSoft, Requirements Analysis, Requirements Gathering, Software Project..., User Acceptance Testing, Process Improvement, Visio, SharePoint, Testing, Integration, MS Project, Project Planning, Vendor Management, IT Management, PMO, Quality Management, Project Implementation, Change Management, Software Implementation, Process Engineering, Coaching, Product Development, SDLC, Business Analysis, Business Process..., Business Intelligence, Agile, Agile Methodologies, Information Technology, Quality Center, Software Quality..., Board of Directors, Board Governance, Non-profit Board..., Project Management, Management, Consulting, Leadership, Product Management, Databases, Training, Program Management, Business Process, Strategy, Analysis, Strategic Planning
Education
Robert Morris University 1991 — 1999
BSBA, MIS
Coventry Health Care February 2008 - Present
Giant Eagle May 1998 - February 2008
Westinghouse Electric Corp October 1979 - May 1998
Skills
Sun, AIX, Veritas Storage..., Netbackup, Servers, Vendor Management, Operating Systems, Unix, Brocade, Linux, HACMP, Veritas Cluster Server, SharePoint, Cluster, HMC, Requirements Gathering, SDLC, Clariion, Unix Shell Scripting, Disaster Recovery, HP-UX, Solaris, Visio, Data Center
Education
Point Park University 1980 — 1985
Wakely Consulting Group April 2012 - Present
OptumInsight March 2011 - March 2012
WellCare January 2009 - October 2010
WellCare March 2007 - December 2008
Coventry Health Care June 2002 - March 2007
Anthem May 1995 - June 2002
Skills
Health Insurance, Insurance, Underwriting, Employee Benefits, Risk Management, Provider Relations, Property & Casualty..., HMO, Reinsurance, Medicare
Education
Purdue University 1991 — 1995
Bachelor of Science (B.S.), Mathematics and Statistics
Colonial Group International August 2009 - Present
Aon September 2007 - June 2009
Coventry Health Care October 1994 - September 2007
First Health Group Corp. 1994 - 2007
Skills
Health Insurance, Insurance, Healthcare, Healthcare Management, Strategic Planning, Account Management, New Business Development, Team Building, Contract Negotiation, Process Improvement, Operations Management, Employee Benefits, Managed Care, Management, Leadership, Healthcare Industry
Education
Purdue University 1982 — 1985
Aetna May 2013 - Present
Coventry Health Care August 2008 - Present
Coventry Health Care February 2007 - August 2008
Education
Point Park University 2006 — 2008
EK Health Services November 2011 - Present
CompPartners March 2008 - November 2011
Coventry Health Care 2004 - 2008
Lynne Tracy & Associates 2003 - 2004
Primary Colour Ltd 1987 - 1991
Skills
Workers Compensation, Medicare, Compliance, Claim, Claims Management, Property & Casualty..., Insurance, Employee Benefits, Healthcare, Managed Care, HIPAA, Liability, Management, Utilization Management, Process Improvement, Claim Investigation, Health Insurance, Healthcare Management, Casualty, Workers' Compensation..., Legal Liability, Medicine, Subrogation, Disease Management, Executive Management, Litigation Management, Casualty Insurance
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1999 — 2001
B.S., Business Management
Guttman Energy June 2013 - February 2015
Coventry Health Care April 2009 - June 2013
Patricia Davis Quality Solutions, LLC November 2004 - February 2009
Strategic Energy June 2003 - October 2004
Strategic Energy Services, LLC. June 2001 - June 2003
Strategic Energy Services, LLC. June 2000 - June 2001
Strategic Energy Services, LLC. June 1999 - June 2000
Strategic Energy Services, LLC. June 1996 - June 1998
Allegheny Energy September 1995 - June 1998
Monongahela Power June 1990 - June 1995
Skills
Business Analysis, Process Improvement, SDLC, Business Process..., Sarbanes-Oxley Act, Project Management, Program Management, Risk Management, Information Technology, Strategic Planning, Budgets, SharePoint, Vendor Management, Financial Analysis, Requirements Gathering, MS Project, Leadership, Business Process, Visio, EDI, Business Requirements, Change Management, PMO, Software Documentation, Team Leadership, Requirements Analysis, Management, Forecasting, Integration, Project Portfolio..., IT Strategy, Team Building, IT Management, Cross-functional Team..., Product Development, Software Project..., Project Planning, Governance, Analysis, Product Management, CRM, Business Intelligence, PMP, Consulting, Resource Management, Systems Analysis, Enterprise Architecture, Data Warehousing, ERP, Energy
Education
Robert Morris University 1993 — 1995
Bachelor of Science, Business / Accounting
Robert Morris University
Bachelor's degree, Business/Managerial Economics
Aetna 2014 - Present
WellCare January 2012 - August 2013
WellCare April 2011 - December 2011
Kaiser Permanente 2010 - 2010
Coventry Health Care 2008 - 2010
Coventry Health Care 2007 - 2008
Coventry Health Care 2006 - 2007
Coventry Health Care 2006 - 2006
Skills
Claim, Healthcare, HIPAA, Hospitals, Healthcare Management, Contract Negotiation, Process Improvement, Claims Resolution, Leadership, PPO, Healthcare Industry, HMO, Training, Healthcare Consulting, Management, Health Policy, Physicians
Education
Rockford University 2000 — 2004
BA, English Literature and Philosophy
Francis Howell
Coccinella Development, Inc. September 2008 - Present
Enviar February 2008 - Present
Coventry Health Care October 2005 - January 2008
Education
Long Technical Institute
Physical Therapy
Pima Community College
Women in Progress
Coventry Health Care April 2011 - Present
West Penn Allegheny Health System November 2010 - April 2011
PNC Financial Services Group July 2010 - October 2010
Southwinds August 2009 - April 2010
Coventry Health Care September 2008 - June 2009
Coventry Health Care August 2003 - September 2008
Coventry Health Care 1997 - 2003
Coventry Health Care 1996 - 1997
Coventry Health Care 1993 - 1996
Coventry Health Care 1977 - 1993
Skills
Training Delivery, Training Management, Training, Organizational..., Program Management, Employee Training
Education
Robert Morris University
B.S., Business, Management
University of Pittsburgh
Coventry Health Care 2004 - Present
Wilmington University 1997 - Present
LabCorp 1999 - 2003
Skills
PeopleSoft, PeopleTools, Taleo, Kenexa, Kronos, ADP, CSS, Blackboard, Jing, SmartBoard, ADP Payroll, Human Resources, Organizational..., University Teaching, Talent Acquisition, Employee Relations
Education
Wilmington University 1995 — 1996
MS, HR Management
Rowan University 1990 — 1994
BA, Psychology
Paul VI
DICK'S Sporting Goods March 2013 - Present
Coventry Health Care February 2009 - March 2013
Heritage Valley Health System June 2008 - February 2009
Coventry Health Care July 2005 - June 2008
Air Force Space Command September 2002 - July 2005
Skills
Disaster Recovery, Active Directory, Integration, Process Improvement, Microsoft Exchange, SharePoint, Enterprise Architecture, Operating Systems, Windows Server, VMware
Education
Pikes Peak Community College 2002 — 2003
American Health Holding September 2010 - Present
Coventry Health Care May 2007 - September 2010
Professional Rehab Associates August 2002 - May 2007
Skills
Workers Compensation
Education
Roger Williams University 1984 — 1986
Bachelor of Science, Social Work
Massachusetts General Hospital School of Nursing 1977 — 1980
Diploma, Registered Nursing/Registered Nurse
Aetna January 2014 - Present
Coventry Health Care DevelpoerIndependance blue crossJanuary 1996 - January 1997
Skills
Requirements Analysis, Requirements Gathering, SQL, SDLC, Integration, Databases, Visio, Business Analysis, Software Project..., Systems Analysis, Business Intelligence, Data Warehousing, Vendor Management, Process Improvement, Agile Methodologies, PMO, Six Sigma
Education
Robert Morris University
BS, Accounting & CIS
University of Hartford
MBA
Coventry Health Care March 2006 - Present
Toys R Us 2001 - 2006
Samas Staffing 2000 - 2001
Alliant Food Service 1998 - 2000
Skills
Customer Service, Call Center, Insurance, Team Leadership, Retail, Supervisory Skills, Scheduling, Claim, Customer Satisfaction, PPO, HMO, IDX, Health Insurance, Medicaid, Medicaid Managed Care, Medicare, Provider Relations, HIPAA, Claims Resolution, Subrogation, Healthcare, Health Care Reform, Recruiting, Managed Care, Healthcare Reimbursement, Self-funded, Employee Benefits, Healthcare Industry
Education
Robert Morris University 2012 — 2017
Health Services Administration
Aetna November 2013 - Present
Aetna December 2010 - November 2013
Coventry Health Care July 2004 - December 2010
Swish Corporation 1999 - July 2004
McKesson 1993 - 1999
Skills
Business Intelligence, PMP, SDLC, Change Management, Data Warehousing, Cross-functional Team..., Project Management, Management, Leadership, Information Technology, Resource Management, Vendor Management, Software Development, Oracle, Visio, Business Analysis
Education
Robert Morris University
ServiceLink, A Black Knight Company September 2012 - Present
FLABEG Solar US Corporation September 2008 - August 2012
Coventry Health Care January 2006 - September 2008
BNY Mellon October 2002 - January 2006
Skills
Employee Relations, Performance Management, Organizational..., Succession Planning, 6S, Shared Services, Employee Benefits, Leadership Development, Human Resources, Deferred Compensation, Personnel Management, Recruiting, Change Management, FMLA, Payroll, New Hire Orientations, Coaching, HRIS, Strategic Planning, Talent Management, Applicant Tracking..., PeopleSoft, Benefits Administration, Leadership, Onboarding, Employee Training, Performance Appraisal, Conflict Resolution, Process Improvement, Talent Acquisition, HR Policies, Interviews, Policy, Job Descriptions, College Recruiting, Employee Engagement, Workers Compensation, Internet Recruiting, Workforce Planning, Sourcing, Labor Relations, Temporary Placement, ADP Payroll, Career Development, HR Consulting, Employment Law, Compensation & Benefit, Job Fairs, Employee Handbooks, Taleo
Education
St. Francis University 2000 — 2005
Master's, Human Resources & Labor Relations
Robert Morris University 1992 — 1996
Bachelor of Science, Business Administration; Human Resource Management
Coventry Health Care August 2007 - September 2011
Coventry Workers Compensation Services August 2007 - September 2011
Coca Cola Enterprises September 2004 - March 2007
Skills
Provider Relations, Health Insurance, Medicare, Managed Care, Disease Management, Health Policy, Utilization Management, Medicaid, Healthcare, Insurance, Workers Compensation, Employee Benefits, Dentistry, HIPAA, Claim, Customer Service, Healthcare Industry, Microsoft Office, Pharmacy Benefit..., Microsoft Excel
Education
Rasmussen College 2010 — 2011
Health/Health Care Administration/Management
Papillion LaVista High School - HS
Hillsborough Community College
of, general studies
ADP AdvancedMD May 2014 - Present
Humana August 2013 - May 2014
UnitedHealthcare Military & Veterans August 2012 - August 2013
Coventry Health Care February 2011 - September 2012
United Healthcare October 2007 - November 2008
Fidelis Care 2003 - 2008
Skills
Network Development, Provider Relations, Managed Care, Medicaid, Medicare, Credentialing, Health Insurance, Health Policy, Healthcare Industry, Claim, HIPAA, Healthcare, Healthcare Management, Insurance, HMO, Contract Negotiation, PPO, Hospitals, Claims Resolution, Contract Management, Data Analysis, Revenue Cycle, Medicaid Managed Care, Healthcare Consulting, Physicians, Physician Relations, Medical Billing, Utilization Management, Disease Management, Healthcare Information..., Practice Management, Employee Benefits, Management, Medicare Part D, Home Care, EMR, Account Management, EHR, Pharmacy Benefit..., Performance Improvement, Process Improvement, Software Documentation, Revenue Cycle Management
Education
Stratford Career Institute 2010 — 2011
certificate, Medical Billing Specialist
Pratt Institute 1971 — 1972
Marketing and Advertising
Highmark Delaware October 2012 - Present
BlueCross BlueSheild Delaware June 2009 - October 2012
Horizon Blue Cross Blue Shield of NJ January 2004 - June 2009
Coventry Health Care 1996 - 2003
Coventry Health Care of Delaware 1996 - 2003
CIGNA Healthcare 1993 - 1996
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Network Development, Provider Relations, Insurance, Healthcare, HIPAA, Health Policy, HMO, Healthcare Management, Disease Management, PPO, Healthcare Consulting, Revenue Cycle, Healthcare Industry
Education
Rutgers, The State University of New Jersey-Camden 1982 — 1986
BA, Business
Audubon High School 1976 — 1982
Greenbriar Treatment Center October 2013 - Present
Thermo Fisher Scientific June 2012 - July 2013
Software Management Inc August 2009 - June 2012
Mckesson Automation February 2008 - March 2009
Western Edge Seafood May 2007 - October 2007
Coventry Health Care November 2006 - February 2007
Skills
C#, SQL, Visual Basic, Software Development, ASP.NET, Microsoft SQL Server, XML, SDLC, MySQL, TCP/IP, Windows, Computer Security, Networking, Network Security, Team Leadership, VB.NET, Programming
Education
Robert Morris University 2004 — 2010
none, Information Technology Management
Pittsburgh Technical Institute 2000 — 2001
None
Washington Institute of Technology 1988 — 1990
none, Electronics Engineering Technology
Coventry Health Care, an Aetna Company January 2012 - Present
Coventry Health Care February 2010 - December 2011
Coventry Health Care January 1997 - July 2008
Coventry Health Care January 1994 - December 1997
Coventry Health Care 1989 - 1993
Coventry Health Care August 1986 - March 1989
Skills
Risk Management, Business Analysis, Change Management, Business Requirements, Business Process, Process Improvement, EDI, SharePoint, Visio, SDLC, PMP, Requirements Gathering, Health Insurance, Project Portfolio..., PMO, Requirements Analysis, Vendor Management
Education
Robert Morris University 1989 — 1998
BS, Business Administration & Accounting
GE Healthcare 1999 - Present
Coventry Health Care 1998 - 1999
Skills
Healthcare Information..., HL7, HIPAA, EHR, Process Improvement, Healthcare, Business Analysis
Education
Robert Morris University 1993 — 1997
Bachelor's degree, Healthcare Informations systems
CorVel Corporation January 2012 - Present
Healthcare Solutions/Procura Management Services Inc. 1998 - January 2012
Cascade Disability Management 2000 - 2000
Coventry Health Care September 1995 - June 1998
Skills
Sales, Account Management, Operations Management, Profit Margins, Training, Vocational..., Medical Case Management, Customer Service, Customer Retention, Revenue Analysis, Teaching English as a..., Disability Management, Managed Care, Insurance, Case Managment, Team Building, Healthcare, Claims Management, Nursing, Management, Strategic Planning, Home Care, Medicaid, Medicare, Health Insurance, Process Improvement, Case Management, Provider Relations, Employee Benefits, Healthcare Management, Litigation Management, Property & Casualty..., Utilization Management, Claim, Workers' Compensation..., New Business Development, Employee Relations, Medical Billing, HIPAA, P&L Management, Leadership, Recruiting, Risk Management, Claim Investigation, Legal Liability, Coaching, Workers Compensation, Casualty, Claims Resolution, Employee Training
Education
City University of New York-Queens College 1990 — 1995
BA, Elementary Education/Sociology
Queensborough Community College 1988 — 1990
AA, Liberal Arts
Allegheny Health Network April 2011 - Present
Coventry Health Care April 2004 - August 2010
Giant Eagle 1979 - 2004
Skills
Crystal Reports, Microsoft SQL Server, SQL, SDLC, Data Warehousing, Oracle, Databases, Database Design, PL/SQL, Software Development, Unix, ETL, Data Modeling, MySQL, Systems Analysis, Scrum, Java, Eclipse, Linux, Requirements Gathering, Software Documentation, Business Intelligence, Cognos, Visio, Visual Studio, XML, Access, SharePoint, Talend, Agile Methodologies, Software Project..., Integration, ASP.NET, Visual Basic, T-SQL, .NET, Requirements Analysis, C#, Business Analysis, Web Applications, JavaScript, Enterprise Architecture, Architectures, Disaster Recovery, SSIS, Perl, DB2, Testing
Education
Robert Morris University 1979 — 1984
Bachelor of Science (BS), Computer Information Systems
K&L Gates May 2010 - Present
Coventry Health Care September 2007 - December 2010
Dollar Bank August 2005 - September 2007
Skills
Visio, Mergers & Acquisitions, Process Improvement, Business Analysis, SQL, Cognos, Data Analysis, Software Documentation, Access, SSRS, Microsoft SQL Server
Education
Robert Morris University
MBA, Business Aminitration, Accounting
Highmark Inc. April 2015 - Present
EDMC December 2010 - April 2015
Communefx - An MDC Partners Company May 2010 - November 2010
Fiserv June 2006 - January 2010
UPMC Health Plan May 2001 - June 2006
UPMC Health Plan January 2001 - May 2001
Coventry Health Care March 1999 - January 2001
United States Navy September 1991 - September 1994
Skills
Visio, Integration, Microsoft SQL Server, Business Intelligence, Databases, Qlikview Administration, Qlikview Development, Toad, Oracle, Informent, Datalever, SSIS, SSRS, MS Project, MS Office, MS Access, Knowledge Sharing, Team Leadership, Strategic Leadership, Technical Leadership, Technical Analysis, Technical Architecture, Technical Support, Technical Documentation, IT Audit, Financial Analysis, Financial Reporting, Assets Recovery, Solution Architecture, System Architecture, Information Architecture, Policy, Procedures Documentation, Technical Translation, Team-oriented, Team Building, Virtual Teams, Dependable Team Player, Reporting & Analysis, Business Intelligence..., Business Intelligence..., Leadership, Data Warehousing, Analysis, Business Analysis, SDLC, Requirements Analysis, Microsoft Office
Education
Argosy University-Phoenix Online Division 2012 — 2013
Master of Business Administration (MBA), Business Administration and Management, General, 3.97
Robert Morris University 1995 — 1998
BSBA, MIS & Finance/Economics Dual Major
BNY Mellon June 2010 - Present
Coventry Health Care September 2006 - April 2010
The Bank of New York Mellon January 2001 - September 2006
MARC USA April 2000 - December 2000
PageNet September 1997 - March 2000
Education
Robert Morris University 1995 — 2002
Bachelors, Management
McMurray Hills Manor October 2009 - Present
Anova Home Health Care October 2007 - May 2009
Coventry Health Care October 2005 - October 2007
WGLO Radio January 2003 - March 2004
WXDX RADIO October 1995 - February 2002
Education
Point Park University
BA, Journalism/Communications
Robert Morris University 1983 — 1985
Associates, Executive Secretarial
Aetna June 2014 - Present
Coventry Health Care February 2012 - June 2014
United Healthcare September 2011 - February 2012
United HealthCare July 2009 - September 2011
AmeriChoice August 2008 - August 2009
Unison Health Plan of Tennessee 2007 - 2009
Unison Health Plan July 1999 - June 2007
Skills
Network Development, Medicaid, Managed Care, Health Policy, Healthcare Management, Healthcare Industry, Claim, Revenue Cycle, Claims Management, Cross-functional Team..., Strategic Planning, Business Process..., Program Management, Management, Credentialing, Physician Relations, Performance Improvement, Health Insurance, Utilization Management, Physicians, Accreditation, Project Management, Healthcare, Medicaid Managed Care, Revenue Cycle Management, HIPAA, PPO, Pharmacy Benefit..., Access, Operations Management, Leadership, Policy, Process Improvement, Contract Negotiation, Analysis, Executive Management, HMO, Benefits Administration, Call Centers, Insurance, Hospitals, Healthcare Consulting, Healthcare Information..., Medicare, Provider Relations, Risk Management, Team Building, EHR, Medical Compliance, Medicare Part D
Education
Point Park University 2003 — 2004
MBA, Business
Magellan Health Services October 2007 - Present
Coventry Health Care May 2002 - October 2007
Skills
HIPAA, SDLC, Healthcare Information..., Medicaid, Process Improvement, Software Documentation, Visio, Healthcare, Requirements Gathering, Access, SharePoint, Data Analysis, Analysis, Business Analysis
Education
Radford University 1995 — 2000
Business Management
Douglas Freeman 1991 — 1995
Aetna April 2012 - Present
Coventry Health Care October 2006 - April 2012
Skills
Insurance, Customer Service, Process Improvement, HIPAA, Data Entry, Outlook, Managed Care, Customer Satisfaction, Training
Education
University of Phoenix 2013 — 2015
Master of Health Administration/Education, Healthcare Administration
University of Phoenix 2008 — 2010
Bachelor of Science Healthcare Administration, BSHA, A
Prairie View A&M University 1996 — 1998
San Augustine High 1992 — 1996
Diploma, General
Aetna October 1995 - Present
Coventry Health Care October 1995 - May 2013
Caremark Specialty Pharmacy October 1993 - October 1995
UNION FEDERAL SAVINGS BANK February 1991 - January 1993
Skills
Business Analysis, Medical Billing, ETL, Requirements Analysis, SDLC, Insurance, Healthcare, Claim, Accounts Payable, Process Improvement, Requirements Gathering, Team Building, Visio
Education
University of California, Santa Cruz 1985 — 1988
BA, literature
Rio Hondo College 1982 — 1985
ASSOCIATES, ENGLISH
Highmark September 2011 - Present
Coventry Health Care May 2010 - September 2011
Skills
Health Insurance, Actuarial Science
Education
Robert Morris University 2006 — 2011
Coventry Health Care May 2012 - Present
Coventry Healthcare March 2002 - January 2013
UPMC Health Plan December 1999 - March 2002
UPMC Health Plan 1999 - 2001
Federated Investors September 1998 - December 1999
ALLEGHENY GENERAL HOSPITAL/ALLEGHENY HEALTH, EDUCATION AND RESEARCH FOUNDATION (AHERF) July 1997 - July 1998
West Penn Allegheny Health System 1990 - 1998
Allegheny Health, Education and Research Foundation July 1996 - June 1997
Allegheny Health, Education and Research Foundation March 1995 - June 1996
General Accounting September 1990 - February 1995
Skills
Data Analysis, Analytics, Project Management, Data Warehousing, Business Intelligence, Health Insurance, Process Improvement, Software Documentation, Analysis, Access, Healthcare, Management, CRM, Cognos, Quality Assurance
Education
Robert Morris University 1997 — 1999
Master, Business Administration
West Virginia University 1985 — 1989
Bachelor of Science, Business Administration; Finance
Aetna February 2013 - Present
Coventry Health Care September 2010 - February 2013
Coventry Health Care September 2005 - October 2010
Sprint Nextel March 2004 - September 2004
Skills
Health Insurance, Insurance, Managed Care, Medicare, Health Savings Accounts, Employee Benefits, Account Management, Underwriting, Term Life Insurance, Brokers, Strategic Planning, Sales, Sales Management
Education
Pittsburg State University 1999 — 2004
Communications, Advertising
Altegra Health July 2010 - April 2014
Coventry Health Care July 2007 - June 2010
Wells Fargo Advisors June 2005 - June 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, CPT, Healthcare, Medical Records, Medical Coding, Analysis, Budgets, ICD-9, ICD-10, Medicare, Visio, Management, Leadership
Education
American Academy Professional Coders 2009 — 2009
Certified, Medical Insurance Coding Specialist/Coder
Pierce College 2000 — 2004
Associate of Science (AS)
Coventry Health Care Supeviser Utlitization Review and Case ManagementSt. Luke's HospitalJune 2004 - May 2010
Education
Research College of Nursing 1994 — 1998
BSN, Healthcare
Coventry Health Care May 2006 - Present
Landmark Medical Center April 2003 - April 2006
Alliance Imaging Inc. January 2002 - March 2003
Blue Cross Blue Shield of Massachusetts 1985 - 1986
Skills
Health Insurance, Provider Relations, Insurance, Network Development, PPO, Medicare, HMO, Claim, Workers Compensation, Managed Care, Claims Resolution, Group Medical
Education
Plymouth State University 1975 — 1979
Bachelor of Arts (BA), History/Political Science
Lexington High 1971 — 1975
Diploma, College Prep
Interim HealthCare March 2014 - Present
Cape Fear Valley Health System May 2007 - September 2012
Coventry Health Care November 2004 - November 2006
VNA of Crawford County February 1992 - July 1999
Skills
Case Management, Healthcare, Utilization Management, Nursing, Legal Nurse Consulting, Disease Management, Acute Care, Healthcare Management, BLS, Critical Care, Case Managment, Inpatient
Education
Robert Morris University 1975 — 1978
A.S., Nursing
Sewickley Valley School of Nursing 1975 — 1978
Diploma, Nursing
McDowell H.S.
UnitedHealthcare December 2014 - Present
UnitedHealthcare November 2011 - December 2014
Coventry Health Care August 2011 - November 2011
UnitedHealthcare November 2007 - September 2011
Oleen Pinnacle Healthcare Consulting March 2004 - October 2007
Oleen Pinnacle Healthcare Consulting December 1999 - February 2004
Skills
Healthcare Information..., Medicaid, HIPAA, SDLC, Business Analysis, Process Improvement, Visio, Vendor Management, Requirements Analysis, Software Documentation, Requirements Gathering, Program Management, Healthcare, Consulting
Education
Robert Morris University
BS-MIS (Healthcare)
MAPMG - Kaiser Permanente October 2012 - Present
Coventry Health Care August 2011 - October 2012
Kaiser Permanente January 2007 - July 2011
Computer Aid Inc May 2000 - August 2007
Skills
SQL, PL/SQL, Oracle, XML, Microsoft SQL Server, Crystal Reports, Teradata, JSP, Java, .Net, c#, vb.net, Business Object xi, MSSql reports, Javascript, Oracle 10g, SQL Server 2008, SQL server 2005, Exposure to web services, Exposure to Xcelsius, .NET, JavaScript, VB.NET
Education
NIIT 1992 — 1994
Advanced Diploma, Systems Management
PSG College of Technology 1986 — 1990
Bachelor of Engineering, Electronics and Communication; Advanced Systems Management Diploma
Delta Dental of Missouri December 2013 - Present
Coventry Health Care March 2012 - March 2013
Steinmart January 2007 - June 2007
Crown Theaters May 2005 - September 2005
Skills
Excellent Analytical..., Mathematical Analysis, Team Oriented, Microsoft Excel, Access, Microsoft Word, SAS, BI Query, Matlab, PowerPoint, Basic C Programming
Education
Roosevelt University 2010 — 2013
Bachelor of Science, Actuarial Sciences, Business
Coventry Health Care December 1999 - Present
U.S. Healthworks Medical Group 2009 - 2012
Aetna 1999 - 2009
Skills
Insurance, Property & Casualty..., Commercial Insurance, General Insurance, Underwriting, Health Insurance, Claim, Liability, Casualty, Legal Liability, Commercial Lines, Claims Management, Life Insurance, Workers Compensation, Professional Liability, Umbrella Insurance, Brokers, Reinsurance, Disability Insurance, Term Life Insurance, Administrative...
Education
San Diego State University-California State University
Pharmacy Technician, Pharmacy Technician/Assistant
Grossmont College
Personal Insurance, Casualty and Property Underwriters
Polytechnic University of the Philippines
Bachelor of Business Administration (BBA), Marketing/Marketing Management, General
Polythecnic University of the Philippines
Associate in Business Administration/General Secretaryship, Administrative
San Diego Continuing Education
Medical Billing & Coding
PNC 2011 - Present
Coventry Health Care January 2011 - September 2011
Assurant Health May 2009 - August 2009
Coventry Health Care May 2008 - August 2008
Education
Robert Morris University 2006 — 2010
Bachelor of Science (BS), Actuarial Science, 3.79
Keystone First July 2013 - Present
Coventry Health Care September 2010 - July 2013
Independence Blue Cross September 2008 - September 2010
Bravo Health January 2006 - September 2008
Skills
Insurance, Network Development, Medicare, Healthcare Information..., HMO, Managed Care, Healthcare, Medicaid, Health Insurance, Healthcare Management, PPO, Provider Relations, HIPAA, Credentialing, Health Policy, Healthcare Industry, Claim, Healthcare Consulting
Education
St. Joseph's University 1994 — 1999
MS, Health Education
Philadelphia University 1989 — 1993
BS, Business Management
Pima Community College January 2011 - October 2011
Coventry Health Care May 2006 - June 2010
Storage Trac / Fastrac Corporation (previously First American Fastrac Systems February 1999 - August 2005
United Airlines / Mileage Plus May 1991 - August 1994
Great American Savings Bank November 1981 - July 1988
Valley National Bank February 1975 - November 1981
Education
Pima Community College
Certificate, Adminstrative & Office Specialist
Coventry Health Care, an Aetna Company January 2013 - Present
Coventry Health Care July 2000 - December 2012
Parr Emergency Products February 1990 - February 2000
Skills
Enterprise Architecture, Business Process..., Solution Architecture, Enterprise Software, Requirements Gathering, Requirements Analysis, Distributed Systems, Operations Management, IT Operations, Process Improvement, Business Analysis, Software Installation, Software Implementation, Troubleshooting, Data Center, Disaster Recovery, Visio, Unix, SQL, COBOL, Insurance, Mainframe, Vendor Management
Education
Robert Morris University
University of Dayton
U.S. Cellular May 2007 - Present
U.S. Cellular May 2007 - November 2009
Coventry Health Care May 2005 - May 2007
First Health May 1998 - May 2005
University of Minnesota Medical Center, Fairview June 1996 - May 1998
Education
Point Park University 1987 — 1992
BSEET, Electrical and Electronics Engineering
Title Source October 2011 - Present
Coventry Health Care January 2009 - October 2011
Skills
CADD, Internet Research, Mortgage Lending, Spreadsheets, Notary Public, Online Research, Residential Homes, CAD, Customer Service, Team Building, Real Estate Transactions, REO, Investment Properties, Real Estate, Sales, FHA, Refinance, Title Insurance, Foreclosures, Short Sales
Education
Pittsburgh Technical Institute 1999 — 2001
Associates in Specialized Technology, Computer Aided Drafing
Schenley High School 1993 — 1997
Coventry Health Care August 2004 - Present
Education
Phoenix College
AA, Nursing
Coventry Health Care 2010 - 2012
Prosperity Bank November 2006 - February 2010
Skills
Customer Service, Banking, Health Insurance, 10 Key, Data Entry
Education
Remington College-Houston Campus 2009 — 2010
Certificate, Medical Billing and Coding
Rush University Medical Center February 2012 - Present
Beacon Hill Healthcare August 2010 - March 2011
Coventry Health Care April 2008 - August 2010
SCORE! Educational Centers January 2007 - April 2008
United Airlines February 2006 - January 2007
Concord Lutheran School August 2004 - February 2006
Education
Rush University 2011 — 2012
Master's degree, Nursing, 4.0
Saint Louis University 2000 — 2004
Bachelor of Arts (B.A.), Elementary Education, 3.8
Coventry Health Care September 2004 - September 2010
Skills
Utilization Management
Education
Quinnipiac University
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Aetna November 2013 - Present
Coventry Health Care July 2011 - November 2013
Coventry Health Care September 2005 - July 2011
Skills
Medicare, Health Insurance, System Testing, Systems Analysis, Healthcare Industry, Medicare Part D, Medicare Advantage, Medicare Prescription..., Consulting, Process Improvement, Business Process..., Business Analysis, Requirements Analysis, Policy Analysis, Operations Improvement, IDX, Microsoft Office, MMC, ALM, Remedy Ticketing System, Requirements Gathering
Education
Robert Morris University
Information Sciences
Robert Morris University
Bachelor's degree, Information Science/Studies
Franciscan Alliance, Inc. August 2010 - Present
Coventry Health Care October 2003 - June 2009
UPS October 2006 - August 2008
Landauer, Inc. May 2001 - February 2003
U.S. Steel January 1998 - July 2000
Skills
Certifications: ..., SQL, SDLC, Testing, Visio, Requirements Analysis, Microsoft SQL Server, Databases, Troubleshooting, SharePoint
Education
University of Phoenix 2007 — 2009
Master of Computer Applications (M.C.A.), Management Information Systems, General
Purdue University 1998 — 2000
Bachelor of Science (BS), Computer Systems Analysis
Purdue University Calumet 1996 — 1998
Associates degree, Computer Information Systems
LivingSocial December 2012 - Present
Agero, Inc. April 2012 - December 2012
Coventry Health Care October 2006 - August 2011
Education
Pima Community College 2002 — 2016
Coventry Health Care December 1997 - Present
Lender Processing Services, Inc. (LPS) May 1992 - December 1997
84 Lumber April 1986 - February 1992
Education
Robert Morris University 1979 — 1985
Business Information Systems
Aetna January 2014 - Present
Coventry Health Care April 2006 - December 2013
Pittsburgh Public Schools July 2001 - March 2006
Education
Robert Morris University 1993 — 1997
Bachelor's degree
Coventry Health Care July 2012 - Present
Education
Flowing Wells High School
Pima Community College