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
Coventry Health Care January 2002 - Present
Truman Medical Centers March 1999 - January 2002
Skills
Case Management, Social Services, Behavioral Health, Crisis Intervention, Medical Social Work, Motivational..., Mental Health, Mental Health Counseling, Medicaid, Group Therapy, Psychotherapy, Adolescents, Utilization Management, Medicare, Family Therapy, Case Management Services, Program Development, Medical Case Management, Community Outreach, Utilization Review
Education
University of Kansas
Master of Social Work (MSW), Social Work
Wichita State University
Bachelor of Arts (BA), Psychology
Aetna July 2014 - Present
Aetna December 2012 - Present
Coventry Health Care January 2012 - December 2012
Community First Health Plans August 2011 - January 2012
Visiting Physicians Association December 2008 - July 2011
AQTS Home Health and Outpatient Therapy March 2003 - November 2008
Skills
Provider Relations, Patient Education, Physicians, Medicare, Healthcare Information..., Utilization Management, Certified Case Manager, Critical Care, HEDIS, Health Insurance, Home Care, Medicaid, Elder Care, Managed Care, Physician Relations, Wellness, Clinical Research, Patient Advocacy, Disease Management, Hospitals, HIPAA, Healthcare Management, Strategic Planning, EMR, Patient Safety, Case Managment, Nursing, Healthcare, Health Education, HMO, Healthcare Consulting, Workers Compensation, Acute Care, JCAHO, Utilization Review, Healthcare Industry, Wound Care, Meditech, Quality Improvement, Case Management
Education
Unversity of Texas Health Science Center San Antonio 1989 — 1991
BSN, Nursing
The University of Texas at San Antonio 1985 — 1989
Bachelor's degree, Biology, General
CIGNA Healthcare May 2012 - Present
CMC Consulting April 2012 - May 2012
Coventry Health Care August 2010 - March 2012
ARC Review Services, LLC March 2010 - August 2010
iHealth Technologies January 2005 - February 2010
Coalition America, Inc September 2001 - January 2005
Kaiser Permanente July 1999 - September 2001
Cariten Healthcare December 1997 - July 1999
Blue Cross Blue Shield of Tennessee August 1994 - December 1997
EMSI-Examination Management Services, Inc. January 1991 - January 1996
Skills
Access, Account Management, Administration, Auditing, Budgets, Business Analysis, Business Development, Business Process, Call Centers, Change Management, Coaching, Continuous Improvement, Contract Management, Contract Negotiation, Customer Satisfaction, Employee Benefits, Customer Service, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Information..., Hospitals, Human Resources, Healthcare Management, Insurance, Leadership, Lotus Notes, Managed Care, Medical Billing, Medicaid, Management, Medicare, Microsoft Excel, Microsoft Word, Negotiation, Onboarding, Operations Management, Outlook, Process Improvement, Program Management, Project Management, Quality Management, Quality Assurance, Recruiting, Sales, Security, Software Documentation, Staff Development, Strategic Planning
Education
The University of Tennessee at Chattanooga 1980 — 1987
Marketing & Advertising
Chattanooga State
Coventry Health Care February 2010 - Present
Preferred Health Systems December 1996 - February 2010
Via Christi Health October 1993 - December 1996
St. Francis Regional Medical Center July 1988 - October 1993
Skills
Call Center..., Health Insurance, Registered Health..., Corporate Communications, Customer Service...
Education
University of Kansas 1982 — 1986
B.A. Human Biology and B.S. Health Information Management
Alere January 2015 - Present
LatticeWorx April 2013 - January 2015
Alere, Inc. May 2004 - February 2013
Abbott Laboratories December 2002 - May 2003
Coventry Health Care June 1999 - May 2002
Skills
Business Intelligence, Tableau, Business Analysis, Microsoft SQL Server, Integration, Data Warehousing, Data Modeling, Healthcare Information..., SQL, Databases, HIPAA, Healthcare, SSAS, SSIS, SQL Server Management..., ETL, SSRS, Report Development, SDLC, Access, Vendor Management, Program Management, Visio, Requirements Analysis, Disaster Recovery, Analytics, Process Improvement, Database Administration, Leadership, Database Design, Cognos, Performance Tuning, Stored Procedures, MDX, OLAP, Relational Databases, Visual Studio, Visual Basic, Consulting, Data Analysis, Business Requirements, Dashboard, Requirements Gathering, Strategic Planning, T-SQL, Software Project..., TFS
Education
School of the Art Institute of Chicago 2002 — 2012
BFA
Taxpayer Advocate Service September 2014 - Present
Internal Revenue Service November 2010 - September 2014
FedEx Services November 2013 - December 2013
Coventry Health Care 2007 - August 2009
First Tennessee Bank June 2007 - March 2008
Skills
Training, Policy, Customer Satisfaction, Call Centers, Project Planning, Accounting, Tax, Customer Service, Analysis, Account Management, Microsoft Office, Time Management, Leadership, Interviews, Data Entry, Clerical Skills, Sales Support, Outlook, Microsoft Excel, Team Building, Team Leadership, Coaching, Telephone Skills, Microsoft Word, Office Administration, Organizational..., Organizational..., Project Management, Troubleshooting, Remote Troubleshooting, Banking, Critical Thinking, Report Writing, Report Development, Communication, Supervisory Skills, Staff Supervision, Quality Control, Quality Reviews, Management, Public Speaking, Research, Social Media, Program Management, Community Outreach, Social Networking, Event Management, Customer Advocacy, Finance, Financial Analysis
Education
The University of Memphis
Coventry Health Care September 2011 - Present
Humana Inc February 2008 - September 2011
Hospital Contract Auditing September 2005 - February 2008
Humana April 2005 - August 2005
Humana September 2002 - September 2003
Skills
Six Sigma, Quality Assurance, Auditing, Internal Audit, Leadership, Management, Recruiting, Medicare, Health Insurance, Insurance, Managed Care, Process Improvement, Employee Benefits, Lotus Notes, Medicaid
Education
The University of Texas at Arlington
B.S, Information SystemsAugust
The University of Texas at Austin 1982 — 1987
B.A, JournalismAugust
UnitedHealth Group January 2012 - Present
Coventry Health Care December 2010 - December 2012
Coventry Health Care January 2007 - December 2010
Coventry Health Care January 2000 - December 2007
Skills
Workers Compensation, Healthcare, Account Management, Managed Care, Strategic Planning, Case Managment, Insurance, Process Improvement, Microsoft Office, Operations Management, Change Management, Product Development, Sales Management, Customer Service, Team Building, Research, Microsoft Word, New Business Development, Sales, Leadership, Program Implementation, Marketing, Program Management, Cross-functional Team..., Team Leadership, Business Analysis, Business Development, Training
Education
Thomas College 1992 — 1994
MBA, Marketing / Management
University of Maine 1988 — 1992
BS, Business Administration
48 Hour Film Project April 2014 - Present
Straight No Chaser Productions May 2005 - Present
CentroNia May 2008 - May 2010
The Black AIDS Institute April 2006 - December 2006
Americans for the Arts March 2004 - April 2006
Coventry Health Care November 2000 - February 2004
Skills
Final Cut Pro, Workshop Presentation, Media Production, Excel, Script Editing, Script Writing, Youth Engagement, Youth Empowerment, Constant Contact, Photoshop, Creative Writing, Creative Development, Creative Concept..., Camera, Budget Development, Travel Planning, Curriculum Design, Curating, Screenwriting, Creative Direction, Documentaries, Film, Product Development, Blogging, Video Production, Microsoft Excel, Public Speaking
Education
Trinity University-Washington
Communications
Coventry Health Care February 2013 - Present
Olathe Medical Center May 2010 - January 2013
Olathe Medical Center March 2008 - May 2010
Olathe Medical Center November 1997 - February 2008
Skills
HL7, Cerner, Healthcare Information..., Process Improvement, HIPAA, Contract Negotiation, Contract Management, Managed Care, Project Management, Lawson HRIS, EPSI, Software Development, Software Design, Software Documentation, Implementation..., MS Project, Eclipsys, Report Writing, Healthcare Reimbursement, Technical Writing, Software Testing Life..., Healthcare, Visio, Hospitals, Health Insurance, Leadership
Education
Truman State University 1985 — 1989
Bachelor of Arts (BA), Communication with Emphasis in Organizational Leadership
Coventry Health Care December 2012 - Present
HealthCare USA March 2012 - May 2012
Menorah Medical Center 1999 - 2008
University of Kansas Medical Center August 1988 - April 1990
Gastrointestinal Associates, PA February 1982 - June 1988
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Writing, Critical Thinking, Internet, Photoshop, Craft, Boy Scouts, Sewing, Crochet, Microsoft Publisher, Cpr Certified, Wellness, Nursing, Healthcare, Hospitals, Managed Care, Disease Management, Healthcare Information..., Physicians, Clinical Research, Insurance, Leadership, Provider Relations, Utilization Management, Home Care, Patient Advocacy, Medicaid, Behavioral Health, Public Speaking, Team Building, Mental Health, Medicare, Medical Records
Education
The University of Kansas 1990 — 1996
MS, Nursing Administration, 4.0
University of Kentucky 1975 — 1979
BSN Nursing, Registered Nursing/Registered Nurse, 3.25
Mt. Healthy Senior High 1971 — 1975
High School Diploma, General
WellCare January 2013 - Present
Chemo Beanies October 2010 - Present
Coventry Health Care June 2010 - December 2012
LOGISTICARE SOLUTIONS, LLC State May 2009 - August 2009
LogistiCare June 2004 - July 2008
Jewish Hospital & St. Mary's HealthCare May 2003 - June 2004
University of Louisville Healthcare March 2002 - May 2003
HOSPICE CARE OF LOUISIANA January 2001 - December 2001
Skills
Mental Health, Customer Service, Public Relations, Psychotherapy, Marketing, Sales, Policy Analysis, Community Outreach, Non-profits, Program Development, Crisis Intervention, Social Services, Training, Nonprofits, Healthcare, Treatment, Adolescents, Teaching, Public Speaking
Education
Tulane University 2000 — 2001
Master, Social Work
UNIVERSITY OF SOUTHWEST LOUISIANA 1972 — 1976
Bachelor of Arts, Sociology
Coventry Health Care September 2007 - Present
Skills
Underwriting, Strategic Planning, Financial Modeling, Product Development, Pricing, Contract Negotiations, Employee Benefits, Insurance, Health Insurance, Healthcare, Analysis, Managed Care, Benefits, Market Research, Academic Writing, Sales, Marketing, Process Improvement, Financial Analysis, Organizational..., Finance, Property & Casualty..., Health Savings Accounts, Policy, Medicare, Life Insurance, Health Policy, Brokers, Mergers & Acquisitions, Leadership, Contract Negotiation, Risk Management, Commercial Insurance, Team Building, Disability Insurance, Long-term Care, Healthcare Industry, Management, Account Management, Training, Benefits Administration, Budgets, HIPAA, Customer Service, Executive Management, Workers Compensation, Term Life Insurance, Product Marketing, New Business Development, Claim
Education
University of Florida 1999 — 2002
MBA
Trinity International University 1991 — 1996
BA
Trinnovate Ventures, Arizona BCBS Innovations & Partnerships Holding Company March 2015 - Present
Arizona Blue Cross Blue Shield April 2010 - Present
Coventry Health Care March 2007 - June 2009
FutureHealth / Nationwide Insurance Companies March 2004 - August 2006
Keystone Health Plan December 1998 - March 2004
Highmark Blue Shield & Capital Blue Cross December 1998 - September 1999
Clinical practice July 1983 - November 1998
Healthcare Automation 1991 - 1998
Skills
Medical Management, HMO, Health Plans, Health Management, Credentialing, Managed Care, Utilization Management, Healthcare Management, Medicare, Medicaid, Wellness Programs, Disease Management, Healthcare IT, Network Development, Medical Directors, Provider Relations, Informatics, Quality Of Care, Health Insurance, Health Promotion, Clinical
Education
The Johns Hopkins University School of Medicine
Residency, Pediatrics
Coventry Health Care April 2003 - Present
Risë's Pieces Custom Longarm Quilting December 2000 - Present
MCI Corporation June 1999 - June 2001
House of Fabrics December 1997 - June 1999
AMC Theatres January 1995 - December 1997
EDS Group November 1987 - June 1994
Skills
Employee Benefits, Customer Service, Management, Medicare, Strategic Planning, Insurance, Health Insurance, Microsoft Office, Marketing, Healthcare, Budgets, Sales, Process Improvement, Program Management, Marketing Strategy
Education
Texas Woman's University
Business / Psychology / Women's Studies
William Jewell College
Business, Accounting
MedRisk Inc. January 2015 - Present
Mad Signs Inc January 2014 - Present
Coventry Health Care May 2000 - December 2013
Blackberry Creek Church 1992 - 2000
Rexam 1988 - 1995
Skills
Health Insurance, Account Management, Personnel Management, Budget Process, Sales, Sales Presentations, Stewardship, Human Resources, Training Delivery, Office Management, Customer Service, Managed Care, Workers Compensation, Medicare, Insurance, Provider Relations, PPO, Property & Casualty..., HIPAA, Benefits Administration, Medicaid, Disease Management, Employee Benefits, Healthcare Industry, Network Development, Healthcare, Health Policy, Claim, Claims Management, Long-term Care, Disability Insurance, HMO, Pharmacy Benefit..., Brokers, Medical Billing, Healthcare Consulting, Revenue Cycle, Healthcare Management, Physicians, Healthcare Information..., Case Management, Executive Management, Physician Relations, Home Care, Underwriting
Education
Trinity International University 1993 — 1997
BA, Interpersonal and Group Communication
University of Pennsylvania August 2013 - Present
Coventry Health Care April 2012 - August 2013
The Hills Health Club and Wellness Center November 2010 - July 2011
The Hills Health Club and Wellness Center September 2010 - July 2011
The Alliance for a Healthy Tomorrow, c/o Clean Water Action, MA January 2010 - May 2010
Somerville Cares About Prevention (City of Somerville) May 2008 - August 2008
Skills
Community Outreach, Program Coordination, Bilingual, Coordinating Events, Personal Training, Fitness, Public Health, Employee Wellness, Wellness, Training, Health Promotion, Event Planning, Weight Training, Nutrition, Health Education, Prevention, Program Development, Public Speaking
Education
Tufts University School of Medicine 2009 — 2010
Master of Public Heath, Health Services Management & Policy
Tufts University 2005 — 2009
Bachelor of Science, Majors: Biology & Community Health
University of Missouri June 2014 - Present
Health Care Administrators March 2007 - June 2012
Hallmark Cards August 2001 - August 2002
Coventry Health Care June 1999 - July 2001
Skills
Bilingual ( Spanish,..., Microsoft Word, QNXT, AMSIS, Microsoft Excel, PowerPoint, Enthusiasm to learn, Marketing, Community Outreach, Social Networking, Teamwork, Sales, Healthcare, Leadership Development, Leadership
Education
University of Hawaii at Manoa 2001 — 2003
Education
Universidad de Panamá 1994 — 1998
1998, Business Administration
WellCare Health Plans April 2014 - Present
Self employed consultant June 2013 - March 2014
Coventry Health Care 2012 - 2013
CoventryCares Kentucky 2011 - 2012
Coventry Health Care of NE 2007 - 2011
Group Health Plan 1999 - 2007
Skills
Managed Care, Medicaid, Medicare, Health Insurance, Insurance, Strategic Planning, Process Improvement, Health Policy, Healthcare Industry, Healthcare, Healthcare Management, Healthcare Consulting, HMO, Claim, HIPAA, Medicare Part D, Mergers & Acquisitions, Disease Management, Credentialing, Revenue Cycle, Pharmacy Benefit..., Integration, Physician Relations, Start-ups, Contract Negotiation, Claims, Compliance, Medicaid Managed Care, Utilization Management, Quality Improvement, Change Management, Correctional Healthcare, Contractual Agreements, Finance, Proposal Leadership, Proposal Generation, Proposal Management, Cost Savings, Operational Efficiency, Process Efficiency, Government Relations, Employee Benefits, Leadership
Education
Webster University 1992 — 1995
Master of Business Administration (MBA), Personnel Management
Truman State University 1979 — 1983
Bachelor of Science (B.S.), Accounting
SAIC November 2014 - Present
Preferred Health Professionals June 2004 - November 2014
Coventry Health Care October 1995 - October 2003
JE Dunn Construction 1992 - 1994
JE Dunn Construction 1992 - 1994
JE Dunn Construction 1992 - 1994
Skills
SQL, Databases, Operating Systems, Business Analysis, Microsoft Office, Programming, C#, Visio, Stored Procedures, System Administration, Disaster Recovery, Networking, SQL Tuning, HP, Microsoft SQL Server, Unix, Shell Scripting, HP-UX, Management, Sybase, Oracle, .NET, Performance Tuning, Troubleshooting, AIX, VB.NET, SharePoint, Database Administration, Access, IBM AIX
Education
University of Kansas 1981 — 1987
BS, Computer Science
Claims and Rehabilitation Enterprises (C.A.R.E.) May 2013 - Present
Genex Services, Inc October 2012 - May 2013
Coventry Health Care August 2011 - October 2012
Self Employed/Agel Enterprises, Inc. August 2009 - August 2011
Zurich North America January 2001 - July 2009
Kemper Insurance September 1997 - January 2001
PacifiCare Health Systems November 1992 - September 1997
MetLife January 1991 - January 1992
St. John Medical Center August 1986 - January 1991
Skills
Healthcare, Case Managment, Nursing, Workers Compensation, Treatment, Mental Health, Nutrition, Hospitals, Health Insurance, Personal Development, Pain Management, Adolescents, Managed Care
Education
University of Tulsa 1976 — 1979
BSN, Nursing, 3.75
Tulsa Community College 1970 — 1976
Associate in Science, Science
Gavi, the Vaccine Alliance September 2013 - Present
GAVI Alliance July 2010 - July 2012
The GAVI Alliance June 2008 - June 2010
The GAVI Fund May 2007 - June 2008
Coventry Health Care June 2004 - May 2007
Intelsat 2000 - 2004
Skills
Financial Analysis, Corporate Finance, Risk Management, Management, Financial Modeling, Strategy, Negotiation, Sarbanes-Oxley Act, Strategic Planning, Research, Managerial Finance, Financial Reporting, Financial Accounting, Internal Controls, Finance, French, Cross-functional Team..., Corporate Governance, Governance, NGOs, Analysis, Management Consulting
Education
The University of Georgia 1986 — 1990
Political Science and French, International Studies (concentration Western Europe)
Peak Health Solutions March 2014 - Present
MCS, Inc. June 2013 - April 2014
Matrix Medical Network December 2010 - April 2013
Coventry Health Care June 2007 - November 2010
Universal Health Care December 2006 - May 2007
MarCom Technologies October 1996 - September 2005
Humana January 1989 - September 1996
Skills
Managed Care, Medicare, Healthcare, Healthcare Management, Process Improvement, Health Insurance, Strategic Planning, Insurance, Team Building, Operations Management, Cross-functional Team..., Leadership, Program Management
Education
Universidad de Puerto Rico 1976 — 1980
Chemical Engineering
Villanova University
Six Sigma Green Belt - Health Care May 2013
Independence Blue Cross March 2015 - Present
Deloitte Consulting July 2011 - February 2015
EmblemHealth October 2006 - July 2011
Health Insurance Plan of Greater New York October 2006 - July 2011
Coventry Health Care July 2005 - October 2006
Skills
Insurance, Health Insurance, Actuarial Science, Financial Modeling, Financial Risk, Underwriting, Employee Benefits, Medicare, Defined Benefit, Financial Reporting, Health Care Reform, Actuarial Consulting, Affordable Care Act, ORSA
Education
The Johns Hopkins University 2001 — 2005
Bachelor of Arts (B.A.), Mathematics
Endorse.me April 2013 - Present
Coventry Health Care May 2013 - August 2013
Skills
Data Analysis
Education
The Johns Hopkins University 2013 — 2016
Psychology and Entrepreneurship and Management
VMware October 2013 - Present
Point B November 2011 - October 2013
Coventry Health Care October 2010 - November 2011
Town of Castle Rock May 2004 - October 2010
WHPacific 2003 - 2004
Parsons 2001 - 2003
ESRI 1999 - 2001
Skills
Change Management, Infrastructure, Leadership, Business Development, Account Management, Program Management, Project Portfolio..., Project Management, PMO, PMP, Vendor Management, IT Strategy, Process Improvement, Strategic Planning, MS Project, Project Planning, IT Management, Analysis, Enterprise Software, Management, Cross-functional Team..., Consulting, Strategic Partnerships, Team Leadership, Business Process..., Team Management, Enterprise GIS
Education
The Evergreen State College
MS, Environmental Studies
University of Colorado at Boulder
BA, Psychology
Aetna May 2014 - Present
Coventry Health Care March 2011 - May 2014
Coventry Health Care October 2010 - March 2011
Coventry Health Care August 2007 - October 2010
Cardinal Health July 2000 - August 2007
Skills
HIPAA, Health Insurance, Healthcare, Managed Care, Management, Medicaid, Pharmacy, Pharmacy Benefit..., Healthcare Industry
Education
Bethel University of Tennessee 2012 — 2015
Master of Business Administration (MBA), Healthcare Administration
Trevecca Nazarene University 2011 — 2012
BA, Management and Human Relations
Synthesis Health Systems March 2013 - Present
ACS, a Xerox Company September 2009 - March 2013
T&C Management September 2007 - August 2009
Coventry Health Care November 2004 - August 2007
Express Scripts April 1995 - November 2004
Skills
Project Implementation, MS Project, Product Development, MS Office Suite, PMBOK, Account Management, Strategic Communications
Education
Albuquerque 1989 — 1993
Bachelor of Arts (B.A.), Communications
The University of New Mexico 1987 — 1992
Bachelor in Arts and Sciences, Communications
United Healthcare June 2011 - Present
Coventry Health Care July 2010 - June 2011
St Luke's Hospital Kansas City May 2009 - June 2011
North Kansas City Hospital July 2008 - May 2009
Education
The University of Kansas
BSN, NURSING
WellCare July 2010 - July 2012
Jocarni Culinary Creations May 2004 - July 2012
Coventry Health Care April 2007 - January 2010
WellCare Health Plans December 2004 - April 2007
WellCare Health Plans December 2003 - December 2004
Humana 1999 - 2003
Pebbles Restaurant 1992 - 1996
Skills
Community Outreach, Insurance, Sales Management, Medicare, Medicare Supplements, Chef, Catering, Marketing Management, Training, Managed Care, Medicaid, Healthcare, Long-term Care, Employee Benefits, Customer Service, Management, Sales, Medicare Part D, Health Insurance, Customer Retention, Leadership, Marketing, HIPAA, Disability Insurance, HMO, Network Development, Provider Relations, Healthcare Industry, Team Building
Education
Culinary Institute of America 1983 — 1985
Associates Degree, Occupational studies
The Culinary Institute of America 1983 — 1985
Associates Degree, Culinary Arts
Queensbury High School 1979 — 1982
Regents Diploma, General Studies
Coventry Health Care June 2008 - Present
CORAZON P. SANCHEZ, MD, LLC December 2002 - Present
CORAZON P. SANCHEZ, MD, LLC December 2002 - Present
Cecil County Pediatrics February 2001 - November 2002
Education
The Johns Hopkins University - Carey Business School 2007 — 2009
MBA, MBA IN MEDICAL SERVICES
Cebu Institute of Medicine 1981 — 1985
MD, MEDICINE
NYU Langone Medical Center March 2011 - Present
PNC 2010 - 2011
Coventry Health Care 2009 - 2010
Safeco/Liberty Mutual Insurance 2007 - 2009
DHL 2002 - 2007
Cable & Wireless 1998 - 2002
Motorola 1996 - 1998
U S WEST 1992 - 1996
Skills
Information Technology, Telecommunications, IT Strategy, PMO, Project Portfolio..., IT Management, Vendor Management, Project Management, IT Service Management, ITIL, Outsourcing, Storage Virtualization, Clinical Device..., Unified Communications, Cloud Computing, Hybrid Cloud, Help Desk Implementation, Network Engineering, Mobile Communications, Website Development, Data Backup Solutions, Voice & Data Convergence, Data Center, Strategy, PMP, Project Planning, Disaster Recovery, SDLC, Integration, Business Process..., IT Operations, Infrastructure, Networking
Education
The George Washington University 1996 — 1998
Masters, International Project Management
University of Arizona 1987 — 1993
BS, Electrical Engineering
Aetna January 2014 - Present
Coventry Health Care January 2012 - December 2013
Tulane University 2009 - 2011
DreamWorks Animation May 2008 - August 2008
BMG Columbia House May 2008 - August 2008
Nickelodeon 2005 - 2006
Skills
Policy, Legal Writing, Management, Public Policy, Mediation, Legal Research, Litigation, Research, Politics, Intellectual Property, Legislative Relations, Analysis, Human Resources, Recruiting, Appeals, Insurance Law, Policy Analysis, Microsoft Office
Education
Tulane University 2011 — 2014
Master of Business Administration (M.B.A.)
Tulane University 2006 — 2009
Doctor of Law (J.D.), Law
Tufts University 2001 — 2005
Bachelor's degree, International Relations and Affairs
UPMC April 2013 - Present
Coventry Health Care October 2012 - December 2012
Bennett Family Center September 2010 - November 2012
Centre County United Way January 2012 - April 2012
Teaching Hotel Château Bethlehem May 2011 - July 2011
Shoot My Food February 2011 - May 2011
BD-PRo Marketing May 2010 - June 2010
Borgata Hotel Casino & Spa June 2009 - August 2009
Direct Advantage Marketing July 2008 - August 2008
Skills
Consulting, Project Management, Customer Service
Education
The Pennsylvania State University 2007 — 2012
Bachelor of Science, Marketing/Hotel, Restaurant, & Institutional Management, Minor in International Business
Hodge Hotelschool Zuyd Maastricht 2010 — 2011
Global Hospitality Management Program
The Chinese University of Hong Kong 2010 — 2010
Global Hospitality Management Program
Coventry Health Care July 2012 - Present
CasePro, Inc. September 2011 - June 2012
WellMed June 2008 - October 2011
beardsley case management services August 2001 - June 2008
Skills
Workers Compensation..., management of workers..., geriatric care...
Education
The University of Texas Health Science Center at San Antonio 1981 — 1983
BS, nursing, BSN, RN
Poth High School
Leadership for CFOs and Directors of Finance in the Washington D.C. Area 2011 - Present
Fairfax Nursing Center 2007 - 2011
Coventry Health Care 2004 - 2007
Woodbine Rehabilitation Center 2000 - 2004
Union Pacific Railroad 1997 - 2000
Mobil Mining and Minerals 1977 - 1997
Education
The George Washington University 1975 — 1977
MBA, International Business
University of Virginia 1970 — 1974
BS Commerce, Finance
Coventry Health Care August 2011 - Present
Levi Strauss & Co. November 1999 - August 2010
Advantage Home Care May 1997 - April 1998
and Telemetry floor May 1994 - May 1997
Mercy Hospital May 1984 - May 1994
The Christ Hospital June 1981 - December 1983
EPP Memorial Hospital June 1979 - June 1981
Montgomery Care Center June 1976 - June 1979
Skills
Nursing, Medicare, Medical/Surgical, Medicaid
Education
The Christ Hospital School of Nursing 1981 — 1983
Diploma, Registered Nurse
The Christ College of Nursing and Health Sciences 1980 — 1983
Aetna formally Coventry Health Care August 2011 - Present
any company May 2010 - Present
Coventry Health Care August 1991 - March 2010
Skills
Team Building, Claim, Employee Benefits, Customer Service, PPO, Internal Provider..., Call Centers, Medicare, Training, Insurance, Vendor Management, Process Improvement, Strategic Planning, Program Management, Outlook, Health Insurance, Leadership, Sales
Education
The Ohio State University 1976 — 1978
general studies
Ansira November 2013 - Present
evetos November 2012 - October 2013
Truman State University August 2009 - August 2013
Truman State University's Career Center August 2012 - May 2013
Truman State University September 2011 - May 2013
Coventry Health Care July 2012 - August 2012
Truman State University August 2011 - May 2012
RubinBrown LLP June 2011 - July 2011
Truman State University December 2010 - May 2011
Truman State University October 2010 - May 2011
Skills
Resume Writing, Creative Writing, Writing, Film Editing, Film, Customer Service, Japanese, Microsoft Word, PowerPoint, Cover Letters, Avid Media Composer, Technical Writing, Storytelling
Education
Truman State University 2009 — 2013
Bachelor of Arts (B.A.), English (Writing and British Literature), Senior
Cardinal Ritter College Prep 2005 — 2009
Choices in Medicare 2013 - Present
Coventry Health Care 2009 - 2013
Markel Insurance Company 2004 - 2008
Precis, Inc. 2002 - 2003
Assurant Solutions aka ABIG 1986 - 2001
Skills
Medicare, Insurance, Health Insurance, Employee Benefits, Brokers, Sales, Product Development, Property & Casualty..., Reinsurance, Group Medical, Health Savings Accounts, Group Insurance
Education
The University of Texas at Austin
BBA, Management Major
Silberstein Insurance Group (SIG) August 2013 - Present
Coventry Health Care June 2011 - July 2013
Health Advocate February 2006 - November 2010
UnitedHealthcare June 2001 - February 2006
Aetna 1992 - 2001
Skills
Employee Benefits, Health & Wellness..., Captives, Leadership, Managing Effectively..., Health Care Reform, Sales, Marketing, Strategic Planning, Program Management, Health Insurance, Health Plan Service..., Customer Retention, Regional and National..., Sales and Account..., Member Health Advocacy, Vendor Management, Insurance, Account Management, Sales Management
Education
Towson University 1987 — 1991
Bachelor of Science (B.S.), Mass Communication/Public Relations
Towson University
Bachelor of Science (B.S.), Mass Communication/Media Studies
Davis Vision 2014 - Present
Longfellow Benefits 2012 - 2013
UnitedHealthcare 2010 - 2012
Coventry Health Care 2006 - 2010
Skills
Insurance, Medicare, Medicaid, Account Management, Dentistry, Network Development, Workers Compensation, Strategic Planning, Benefits Administration, Disability Insurance, Defined Benefit, Commercial Insurance, 401k, Legal Liability, Fixed Annuities, Property & Casualty..., Health Care Reform, Call Centers, Long Term Care Insurance, Life Insurance, Claim, Long-term Care, Healthcare Industry, Employee Wellness, Retirement Planning, Healthcare Consulting, Relationship Management, Employee Engagement, Business Development, Umbrella Insurance, Health Savings Accounts, Medicare Part D, COBRA, Provider Relations, Term Life Insurance, Brokers
Education
The American College 2005 — 2006
RHU
Westfield State University 1985 — 1988
Bachelors
McCauley Law Firm, LLC January 2013 - Present
Primerica Financial Services September 2009 - Present
Jenab & McCauley, LLP 2005 - December 2012
HMCC (HCA Midwest Comprehensive Care) 2000 - 2004
Coventry Health Care 1996 - 2000
Kaiser Foundation Health Plan 1993 - 1995
Blue Cross Blue Shield of Kansas City 1992 - 1993
Skills
Life/Health Insurance..., Notary Public, Financial Services, Strategy, Insurance, Marketing, Managed Care, Training, Healthcare, Public Speaking, Analysis, Outlook, Customer Service, Management, Team Building, Leadership, Research
Education
University of Missouri-Kansas City 1986 — 1991
M.B.A., Operations Management/Quantitative Analysis
The University of Kansas 1975 — 1979
B.A., Psychology
Meade High School
Provider Resources, Inc. October 2013 - Present
Aetna August 2012 - October 2013
Coventry Health Care August 2012 - October 2013
Provider Resources Inc. March 2011 - April 2012
Baptist Hospital East January 2010 - February 2011
National Government Services January 2001 - December 2009
Skills
Medicare, Medical Coding, EHR, Nursing, Program Management, Healthcare, HIPAA, Healthcare Information..., Healthcare Management, Managed Care, Medical Review, Hospitals, Data Analysis, Policy, Case Managment, Utilization Management, EMR, Case Management, Physicians
Education
Ellis University 2007 — 2009
MBA, Healthcare Administration
The Southern Baptist Theological Seminary 1989 — 1992
Master of Divinity (M.Div.), Pastoral Care and Counseling
University of Tennessee-Knoxville 1980 — 1988
BS, Child and Family Studies
Baptist Memorial Hospital School of Nursing 1982 — 1986
AD, Nursing
TMS Health, a Xerox Company 2014 - Present
TMS Health, a Xerox Company September 2012 - June 2014
TMS Health October 2010 - August 2012
Scarborough Research October 2007 - January 2010
Campanola Consulting 2010 - 2010
Coventry Health Care July 2002 - May 2006
Coventry Health Care (formerly Medview) July 1994 - July 2002
Coventry Health Care September 1991 - July 1994
Skills
SQL, Oracle SQL, XML, .NET, C#, Visual Basic, TFS, MS Project, Test Planning, Test Cases, Regression Testing, Manual Testing, Usability Testing, Software Quality..., Java, SDLC, Call Centers, Business Analysis, Project Management, Business Intelligence, Software Development, Databases, Integration, Business Process, Testing, Troubleshooting, Analysis, Data Analysis, Visio, Requirements Analysis
Education
Everglades University 2006 — 2009
B.S., Alternative Medicine
Tyler Junior College
A.S., Computer Science
Humana September 2011 - Present
Swindell Photography March 2009 - April 2012
Coventry Health Care February 2008 - March 2009
Wausau Signature Agency June 2006 - February 2008
Pacific Life & Annuity - Health Division January 2001 - June 2006
Skills
Health Insurance, Insurance, Employee Benefits, Sales Management, New Business Development, Disability Insurance, Customer Service, Account Management, Public Speaking, Life Insurance, Sales Operations, Marketing, Sales
Education
The University of Memphis 1974 — 1978
Kingsbury High School 1961 — 1973
UnitedHealthcare February 2015 - Present
UnitedHealthcare December 2006 - February 2015
Coventry Health Care November 2005 - December 2006
Target June 2002 - January 2006
Nortel Networks November 1997 - October 2001
Intervoice September 1995 - November 1997
Switch Solutions, Inc. 1990 - 1995
Skills
Project Management, Meeting Facilitation, Collaborative Problem..., Customer-focused Service, Reporting & Analysis, Strategic Communications, Presentation Skills, Microsoft Office, SharePoint..., Organization Skills, Human Resources, Leadership, Market Research, Program Management, Managed Care, Strategic Planning
Education
The University of Texas at Austin 1993 — 1995
MLIS, Masters of Library & Information Science
The University of Texas at Austin 1990 — 1993
BS, Communications Sciences & Disorders
Florida Hospital October 2014 - Present
Absolute Realty Group September 2012 - Present
Florida Healthcare Plus July 2012 - October 2014
CuraScript, Inc. An Express Scripts Co. December 2011 - June 2012
Blue Cross Blue Shield of Florida May 2011 - December 2011
Coventry Health Care November 2010 - May 2011
Amerigroup Corporation March 2010 - May 2010
United Healthcare March 1989 - March 2010
Skills
Medicaid, Healthcare, Claim, Hospitals, Managed Care, Health Insurance, Insurance, Customer Service, Contract Negotiation, Social Media, Mental Health, HIPAA, Social Media Marketing, Medicare Part D, Healthcare Industry, Provider Relations, Credentialing, Medical Billing, Health Policy, Pharmacy, HMO, Utilization Management, Healthcare Consulting, Workers Compensation, Physician Relations, PPO, Healthcare Management, Disease Management, CPT, Physicians, Medicaid Managed Care, Network Development, ICD-9, Pharmacy Benefit..., Revenue Cycle, EHR, Policy, Medical Compliance, HEDIS, Medical Coding, Practice Management, Quality Improvement, Healthcare Analytics, Healthcare Reimbursement, Medical Records, JCAHO, Revenue Cycle Management, Medicare/Medicaid..., Claims Resolution, NCQA
Education
Universidad del Turabo 1978 — 1981
NA, Psychology/Sociology
Duke University Health System May 2013 - November 2014
The Prevention Group/Lifesigns June 2010 - March 2013
Triangle Insurance Group, Inc. August 2005 - June 2010
Coventry Health Care December 1995 - August 2005
Healthsource North Carolina December 1993 - December 1995
Skills
Healthcare, Strategic Planning, Leadership, Management, Insurance, Training, Employee Benefits, Marketing Strategy, Recruiting, Strategy, Microsoft Excel, Customer Service, Wellness, Health Insurance, Business Development, Marketing, Marketing Communications, Sales, Microsoft Word, Account Management, Licensed Life and..., Human Resources, Budgets, Team Building, New Business Development, Public Speaking, Word, Excel, Managed Care, Hospitals, Relationship Building, Epic Systems, EHR, SalesForce
Education
University of North Carolina at Chapel Hill
Health Sciences and Business Administration
The American College 2007 — 2015
Northern High School
Wake Technical Community College 2015 — 2015
PMP (Project Management Professional) Certificaton Exam Preparation Study
Aetna March 2011 - Present
Coventry Health Care March 2011 - May 2013
URS Corporation March 2010 - January 2011
Managed Care Advisors June 2009 - March 2010
Dan Ryan Builders March 2007 - January 2009
KB Home February 2004 - November 2006
SAIC January 2000 - January 2003
Skills
Domestic and..., Meeting Planning, Dinners, Microsoft Office, Administrative..., Customer Service, Travel Arrangements, Event Planning, Calendaring, Executive Support, Conference Coordination, High Level Of..., Office Management, Expense Reports, Project Planning, Human Resources, Confidentiality, Leadership, Administrative..., Insurance, Management
Education
Towson University
Mercer September 2012 - Present
Coventry Health Care April 2012 - September 2012
Mercer April 2008 - April 2012
Missouri State Auditor's Office May 2007 - April 2008
Skills
Actuarial Science, Health Insurance, Enrolled Actuary, Human Resources, Actuaries, Employee Benefits
Education
Truman State University 2003 — 2007
Bachelor of Science (BS), Accounting
Retired and Traveling - Enjoying time with family. August 2014 - Present
Aetna (Aetna acquired Coventry Health Care in May 2013) August 2008 - February 2014
Coventry Health Care August 2006 - September 2008
Perot Systems Government Services February 2004 - August 2006
Providence Health & Services June 1990 - December 2004
Skills
HL7, Conversions, Healthcare IT, Hospitals, RIS, Clinical Information..., Radiology, IDX, Health Insurance, Software Project..., Software Implementation, Healthcare Information..., PMP, Traditional Labor Law, Microsoft Project, XML, Integration Engineering, Data Conversion, MS Project, Integration, SDLC, Requirements Analysis, Visio, Project Management, Business Analysis, PMO, SharePoint, Vendor Management, Systems Analysis, Program Management, Requirements Gathering, Resource Management, Project Portfolio..., Agile Methodologies, Databases, Software Documentation, Business Intelligence, Business Requirements, IT Management, User Acceptance Testing, Data Warehousing, Business Process, Agile Project Management, IT Strategy, Enterprise Architecture, Leadership, ITIL, Process Improvement, System Deployment, Troubleshooting
Education
The Evergreen State College 2004 — 2005
Business Administration
University of Washington 2003 — 2004
Certificate, Project Management
South Puget Sound Community College 1987 — 1990
Associate in Technical Degree, Computer Science
Insperity September 2006 - Present
Coventry Healthcare January 2005 - September 2006
Coventry Health Care June 1998 - January 2005
Syntellect February 1996 - June 1998
Skills
Windows 7, Employee Benefits, WSUS, Information Technology, Sourcing, Scripting, Technical Support, Windows NT, Servers, XP, IIS, Windows Server, Backup Exec, VMware, Call Centers, Hardware, Group Policy, Software Documentation, Operating Systems, Help Desk Support, Active Directory, Software Installation, Networking, Citrix, Troubleshooting, Training, Windows Vista, Disaster Recovery, SAN, BMC Remedy, Windows XP, Windows, System Administration, Customer Satisfaction, Outlook, Talent Acquisition, Customer Service
Education
The University of Georgia 1988 — 1991
Economics
Select Medical August 2011 - Present
Coventry Health Care August 2000 - June 2010
Rite Aid January 1986 - January 1999
Skills
Excel, Word, Access, PowerPoint, Outlook, Microsoft Office, Visio, microsoft office 2010, Windows 7, Leadership, Databases, Spreadsheets, Administrative..., Telephone Skills, Data Entry, HTML, Lotus Notes, Office Administration, Windows, Payroll, Microsoft Office 2007, HIPAA, QuickBooks, Database Administration, Training, Customer Service, Software Documentation, Office Management, Invoicing, Insurance, Inventory Management, Fax, Data Analysis, Healthcare, Crystal Reports, Administration, System Administration, Microsoft Excel
Education
Harrisburg Area Community College 2011 — 2016
Associate's degree, Business Studies
Thompson Institute
Diploma, Career Secretarial
Centene Corporation - Superior HealthPlan November 2013 - Present
Aetna May 2013 - October 2013
Coventry Health Care May 2012 - May 2013
Humana December 1994 - May 2012
Skills
Health Insurance, Claim, Insurance, Claims Management, Medicare, Provider Relations, Healthcare Management, Employee Benefits, Medicaid, Employee Engagement, Managed Care, Health Policy, HIPAA, Healthcare, HMO
Education
The University of Texas Health Science Center at San Antonio 1974 — 1976
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Anthem, Inc. February 2015 - Present
Self-employed January 2013 - January 2015
CorVel Corporation April 2011 - July 2012
Self-employed November 2009 - March 2011
Principal Financial Group December 2008 - November 2009
(Self-employed) July 1999 - November 2008
BMC HealthNet Plan October 1998 - June 1999
Coventry Health Care March 1997 - October 1998
Principal Health Care, Inc. June 1995 - March 1997
Skills
Managed Care, PPO, Network Development, Provider Relations, Health Policy, HMO, Healthcare, Medicaid Managed Care, Hospitals, Provider Network..., Insurance, Healthcare Consulting, Medicare, Medicaid, Leadership, Workers Compensation, Strategic Planning, Management
Education
The George Washington University School of Medicine and Health Sciences 1992 — 1995
MHSA
Bates College 1985 — 1989
BA
St. Andrew's Episcopal School 1979 — 1985
Catalyst Health Solutions, Inc. January 2012 - Present
Coventry Health Care January 2009 - December 2011
UHS January 2006 - December 2008
Skills
nurse, Nurse Practitioners, Nursery, Legal Nurse Consulting, Nurse Recruitment, Nurse Call, Registered Nurses, Nurseries, Certified Pediatric..., Nursery Management
Education
The Johns Hopkins University 2004 — 2005
Master's degree, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
The Ohio State University 2001 — 2003
Bachelor's degree, Nursing Education
Colorado HealthOP August 2013 - July 2015
Meritain Health an Aetna Company May 2010 - May 2013
HealthSmart (FKA Interplan Health Group) July 2007 - March 2010
Blue Cross of Texas February 2006 - July 2007
Coventry Health Care January 1999 - January 2005
Skills
Leadership, Sales, Process Improvement, Recruiting, Training, Sales Management, Strategic Planning, Start-ups, Negotiation, Team Building, Strategy, Account Management, Employee Relations, New Business Development, Marketing Strategy, Marketing, Healthcare, Program Management, Contract Negotiation, Customer Service, Employee Benefits, Sales Operations, Disability Insurance, Health Insurance, Insurance, CRM, Customer Satisfaction, Product Marketing, Managed Care, Medicare, Brokers, Underwriting, Life Insurance, Health Savings Accounts, Term Life Insurance, Management, Long-term Care, Benefits Administration, Claim, Project Management, Business Development, HIPAA
Education
The University of Texas at Dallas 2004 — 2004
Bachelors, Science
University of North Texas 1989 — 1991
Bachelor of Arts, Arts
U.S. Department of Justice February 2015 - Present
Padgett Advance Technologies, Inc July 2013 - Present
US Department of Transportation (DOT) June 2014 - February 2015
Integrated Finance & Accounting Solutions (IFAS) December 2013 - March 2014
Sevatec, Inc. April 2013 - July 2013
Indus Corporation September 2011 - April 2013
HPTi August 2010 - September 2011
Coventry Health Care October 2008 - May 2010
MetLife 1998 - 2000
Skills
Accounting, Financial Reporting, Cash Flow, PMP, Budgets, Process Improvement, Auditing, Managerial Finance, Management, Strategic Planning, Finance, Internal Controls, Financial Analysis, Program Management, Project Management, Leadership, Business Process..., Sarbanes-Oxley Act, Risk Management, Corporate Finance, Analysis, Mergers & Acquisitions, Forecasting
Education
University of Maryland 1992 — 1996
BA, Accounting
The George Washington University
Buck Consultants December 2014 - Present
Buck Consultants at Xerox March 2013 - December 2014
Coventry Health Care September 2012 - March 2013
Nassau BOCES June 2009 - June 2012
The College of New Jersey September 2009 - May 2012
Capital One June 2006 - August 2008
Skills
Excel, VBA, SQL, Access, Data Analysis, SAS, Mathematica, SPSS, Tableau, Minitab, Data Mining, Collaborative Working, Collaborative Leadership, R, Microsoft Excel, Analysis, Actuarial Science, Statistics, Quantitative Analytics, Stata, Management
Education
The College of New Jersey 2008 — 2012
Bachelors of Arts, Mathematical Statistics
John F. Kennedy high school 2004 — 2008
Coventry Health Care December 2004 - Present
Coventry Health Care November 2004 - December 2009
Gallagher Bassett 1999 - 2001
ROI (Resource Opportunities Inc.) 1995 - 1999
Sinai Health System/ VSP 1994 - 1995
Skills
Workers Compensation, Claim, Managed Care, Health Insurance, Claims Management, Property & Casualty..., Insurance, Healthcare, Disability Insurance, Liability, Vocational..., Benefits Administration, Rehabilitation, Medicare, Case Managment, Team Building, Employee Benefits, Claim Investigation, Case Management
Education
Towson University 1990 — 1993
Master of Arts, Clinical Psychology
Towson University 1983 — 1988
Bachelor's, Business Administration/ Marketing
Kennedy Krieger Institute March 2012 - Present
Johns Hopkins Bloomberg School of Public Health November 2011 - Present
www.kristinarolfes.com 2010 - Present
Johns Hopkins University 2010 - 2011
Johns Hopkins Hospital 2001 - 2005
HP Enterprise Services (formerly EDS) 1998 - 2001
The Washington Post 1999 - 1999
Kaiser Permanente 1998 - 1998
Mercer 1997 - 1997
Coventry Health Care 1995 - 1996
Skills
Copy Editing, Writing, Editing, Newsletters, Rewriting, Storytelling, Copywriting, Health Writing, Non-profits, Interviewing Skills, Marketing Communications, Non-profit Marketing, Research, Corporate Communications, Proofreading, Fundraising, Health, Report Writing, Creative Writing, Online Marketing, Strategic Communications, Publications, Freelance Writing, Medical Writing, Writing For The Web, Editing Newsletters, Grammar, Journalism, Profiles, Bios, Speech Writing, Communications..., Promotional Writing, Non-profit..., Fundraisers, Hospitals, Universities, Resume Writing, Advertising, Email Marketing, Education, Annual Reports, science writing, Magazines, Flyers, Disabilities, donor newsletters, Web Content Management, Content Development, Blogging
Education
Towson University 2005 — 2011
MS, Professional Writing
University of Maryland - Robert H. Smith School of Business 1996 — 1998
MBA, marketing
Villanova University 1991 — 1995
BS, Business Administration
The University of Maryland Medical System April 2014 - Present
PwC February 2012 - February 2014
ASRC Federal July 2011 - February 2012
Coventry Health Care February 2010 - July 2011
Howard Hughes Medical Institute February 2002 - November 2009
AstraZeneca January 2001 - December 2001
Boston Gas Company January 1998 - December 2000
American Association of Physics Teachers January 1996 - January 1997
American Physical Society (APS Physics) January 1994 - January 1996
W.R. Grace January 1990 - January 1994
Skills
Computer Hardware, Active Directory, Project Management, Hardware, Troubleshooting, Program Management, Disaster Recovery, Servers, Integration, Budgets, Testing, Security, Networking, Technical Support, Microsoft Office, Vendor Management, Desktop Deployment, Desktop Support..., Help Desk Implementation, Help Desk Institute, ITIL, VoIP, Windows, Software Installation, Enterprise Software, Management, Telecommunications, Help Desk Support, Windows 7, Windows XP, Change Management, Infrastructure
Education
The Johns Hopkins University - Carey Business School 2005 — 2010
M.S., Information and Telecommunication Systems
University of Maryland University College 1991 — 1993
B.S, Business Administration
Alere, Inc. October 2011 - June 2014
Coventry Health Care November 2009 - September 2011
The Advisory Board Company September 2006 - November 2009
Neoforma, Inc (aquired by GHX 2006) September 1999 - August 2006
VNA and Hospice of Northern California (Sutter VNA & Hospice) September 1997 - August 1999
Mid-Peninsula Homecare & Hospice (Pathways Home Health & Hospice) January 1994 - September 1997
Parkland Hospital 1979 - 1983
Skills
Nursing, Healthcare, Content Management, Managed Care, Informatics, Project Management, Trustee, Training, Medical Devices, Leadership, Healthcare Management, Hospitals, Healthcare Consulting, Business Intelligence, Leadership Development, Process Improvement, Quality Assurance, Analysis, Management, Data Analysis, Case Managment, Healthcare Industry, Home Care, Medicare, Utilization Management, Healthcare Information..., Health Policy, Disease Management, Case Management, Clinical Research
Education
Texas Woman's University 1975 — 1981
BSN
Thomas Jefferson Dallas, Tx
Associated Veterans LLC December 2012 - Present
Coventry Health Care 2010 - December 2012
Coventry Health Care 2007 - October 2010
Emerald Connections Web Designs Inc. August 2004 - March 2008
PepsiCo November 2006 - January 2007
Motorola Inc. 1998 - 2006
AT&T 1992 - 1993
Skills
Program Management, Process Improvement, Project Management, Business Analysis, Requirements Analysis, Software Project..., SharePoint, Agile Methodologies, MS Project, Requirements Gathering, Cross-functional Team..., Analysis, Business Requirements, Software Documentation, User Acceptance Testing, Business Intelligence
Education
The George Washington University 2003 — 2005
Master's Certificate
The Ohio State University 1992 — 1998
BS
American Express April 2015 - Present
High Flight Software, Inc November 1996 - Present
SkyTouch Technology February 2013 - April 2015
Early Warning Services May 2012 - February 2013
PayPal November 2011 - May 2012
Coventry Health Care November 2010 - November 2011
rSmart June 2010 - November 2010
Discount Tire Co September 2006 - June 2010
CDI March 2006 - September 2006
MAXIMUS March 2006 - September 2006
Skills
Java, Agile Methodologies, Software Development, Struts, JBoss Application Server, Scrum, Java Enterprise Edition, Tomcat, Software Design, C++, Web Services, Oracle, SOA, Web Development, SDLC, SQL, Programming, Perl, Web Applications, SOAP, Unix, Spring, XML, Hibernate, Ant, JUnit, Software Engineering, Databases, Maven, JSP, Weblogic, Enterprise Architecture, WebLogic, Spring Framework
Education
United States Air Force Academy 1979 — 1983
BS
University of Dayton 1985 — 1987
MS
Aetna March 2014 - Present
Coventry Health Care April 2008 - February 2014
Magellan Health Services 2005 - April 2008
Greater Baltimore Committee 1998 - 2004
Baltimore Chamber Orchestra 1991 - 1998
Canton Symphony Orchestra 1984 - 1991
National Endowment for the Arts 1983 - 1984
Skills
Strategic Planning, Insurance, Marketing Communications, Marketing, Team Building, Leadership, Brand management, Medicare compliance, Direct mail, Management, Brand Management, Cross-functional Team..., Medicare, Program Management, Budgets, Advertising, Account Management, Strategy, Integrated Marketing
Education
Leadership Baltimore County 2001 — 2002
The College of Wooster
BA
Coventry Health Care October 2012 - Present
Gould & Lamb, LLC September 2010 - November 2012
Gould & Lamb, LLC November 2006 - October 2012
Gould & Lamb, LLC April 2008 - September 2010
Gould & Lamb, LLC November 2006 - April 2008
Skills
Sales Operations, Insurance, Workers Compensation, Claim, Sales Management, Medicare, Sales, Health Insurance
Education
The Ohio State University 1989 — 1993
Treat America Food Services August 2012 - Present
Coventry Health Care March 2012 - September 2012
US Toy July 2011 - March 2012
eScreen March 2006 - July 2011
Standard Motor Products June 2002 - March 2006
Skills
Event Planning, Recruitment/Retention, Employee Benefits, Training, Team Building, Leadership, Employee Relations, Recruiting, Onboarding, Personnel Management, Human Resources, Leadership Development, New Hire Orientations, Performance Management
Education
University of Kansas
The Horton Group March 2015 - Present
DD&A Insurance Services May 2013 - March 2015
Humana September 2011 - May 2013
Coventry Health Care March 2010 - September 2011
Meeker-Magner Company March 2007 - August 2010
Destiny Health March 2005 - February 2007
Meeker - Magner Company June 2003 - February 2005
Skills
Insurance, Sales Operations, Leadership, Employee Benefits, Health Care Reform, Health Insurance, Budgets, Start-ups, Disability Insurance, Health Savings Accounts, Life Insurance, Strategic Planning, Sales, Account Management, Brokers, Customer Service, Underwriting, Marketing
Education
Glenbard West High School 1992 — 1996
The American College
Employee Benefits and Financial Services
Vista a Coventry Healthplan April 2003 - Present
Coventry Health Care 2003 - Present
Education
Ohio State University
Vitacost September 2010 - Present
Coventry Health Care April 2003 - September 2010
Coventry Health Plan 2003 - September 2010
Coventry Health Plans 2003 - September 2010
Skills
ssrs, Data Modeling, ETL, SSRS, Data Warehousing, Business Intelligence, SSIS, SQL, Informatica, Crystal Reports
Education
The Ohio State University - The Max M. Fisher College of Business
BS Administrative Science, Business/Computer Science
Mutual of Omaha August 2013 - Present
Mutual of Omaha April 2009 - August 2013
Coventry Health Care July 2007 - April 2009
Mutual of Omaha August 1996 - July 2007
First Data Corporation January 1995 - September 1996
Omaha Steaks October 1994 - January 1995
State Of North Dakota August 1983 - June 1993
Skills
Systems Analysis, Analysis, Visio, Requirements Gathering, SQL, Insurance, Requirements Analysis, COBOL, Business Analysis, Software Development, Project Management, Process Improvement, SDLC, Software Documentation, Agile Methodologies
Education
The University of North Dakota School of Medicine and Health Sciences 1979 — 1981
Williams Scotsman April 2013 - Present
Coventry Health Care May 2012 - April 2013
Constellation Energy 2001 - June 2012
KPMG 1995 - 2001
Skills
Internal Controls, Tax, Sarbanes-Oxley Act, SEC filings, Financial Statements, Accounting, Leadership, Income Tax, Corporate Tax, Tax Accounting, Property Tax, Financial Analysis, Account Reconciliation, Corporate Law, Sales & Use Tax, Sarbanes-Oxley, Tax Research, Management, State Tax, Recruiting
Education
Towson University
BS, Business Adminstration - Accounting
University of Baltimore
MS, Taxation
Amerigroup Corporation January 2007 - Present
Optum / United Health Group February 2004 - November 2006
Coventry Health Care October 2001 - February 2004
CIGNA Healthcare July 1999 - October 2001
Baptist Healthcare System August 1997 - June 1999
Education
The University of Memphis 1997 — 1999
MBA
University of North Carolina at Chapel Hill School of Medicine 1984 — 1989
University of Maryland University College October 2014 - Present
University of Maryland University College February 2014 - October 2014
The Brickman Group March 2013 - February 2014
Holy Cross Hospital October 2012 - March 2013
Coventry Health Care December 2008 - October 2012
CACI October 2007 - December 2008
Adventist HealthCare 2001 - 2007
Showtime Networks 1995 - 1996
Skills
Human Resources, HRIS, Deferred Compensation, Hiring, Personnel Management, Performance Management, Compensation Structures, PeopleSoft, New Hire Orientations, Training, Management, Job Descriptions, FLSA, Salary, Onboarding, Workforce Planning
Education
University of Baltimore 1995 — 1998
MS, I/O Psychology
Towson University 1991 — 1995
BS
Coventry Health Care Project ManagerViant2006 - 2007
FOCUS 2006 - 2007
Concentra 2005 - 2007
Schaller Anderson 2001 - 2006
United Healthcare 1995 - 2001
Education
Trevecca Nazarene University 2005 — 2006
Bachelor of Science, Business
Bravo Health May 2003 - Present
Coventry Health Care 2001 - 2003
CareFirst 1983 - 1988
Skills
Medicare
Education
Towson University 1974 — 1977
Bachelor of Science (BS), Accounting and Finance
Sorlie Family September 2006 - Present
Coventry Health Care 2005 - 2006
University of North Dakota 2004 - 2005
Western Wireless 2003 - 2004
Mesaba Airlines 2001 - 2003
ACE USA 1999 - 2001
Recreation Supply Company 1995 - 1998
Education
The University of North Dakota 1991 — 1996
Bachelor of Business Administration (B.B.A.), Aviation Management
Maine Pointe August 2015 - Present
UT Southwestern Medical Center June 2014 - August 2015
DB&A - DeWolff, Boberg & Associates, Inc January 2013 - August 2014
Children's Medical Center Dallas June 2010 - January 2013
Coventry Health Care January 2010 - March 2010
St. Jude Children's Research Hospital November 2008 - December 2009
Progressive Insurance December 2005 - October 2008
Progressive Insurance July 2003 - December 2005
Progressive Insurance November 2000 - July 2003
Skills
Recruitment/Retention, College Recruiting, Staff Training, Risk Management, Insurance, Healthcare, Behavioral Targeting, Employee Recognition, Employee Engagement, Employee Relations, Salary Negotiation, Interviewing, Sourcing, Hiring, Full-cycle Recruiting, Performance Management, Talent Management, Coaching, Organizational..., Talent Acquisition, Compensation, Applicant Tracking..., Onboarding, Recruiting, Benefits Negotiation, Human Resources, Social Networking, Leadership, Team Building, Interviews, Internet Recruiting, Workforce Planning, Strategic Planning, Executive Search, Technical Recruiting, Management, Program Management, Employee Benefits, HRIS, Process Improvement, SDLC, Training, Benefits Administration, Deferred Compensation, Employee Training, PeopleSoft, Leadership Development, New Hire Orientations, Personnel Management, Succession Planning
Education
The University of Dallas 2012 — 2012
Certificate, SPHR Prep Course
The University of New Mexico 1994 — 1999
BS, Health Promotion
Northeastern Oklahoma State University 1993 — 1994
Coventry Health Care May 2004 - Present
Motorola 2000 - 2003
Skills
Account Management, Business Analysis, Claim, Claims Management, Contract Negotiation, Employee Benefits, Forecasting, HIPAA, Health Insurance, Healthcare, Insurance, Managed Care, Medicare, Pharmacy Benefit..., Process Improvement, Property, Provider Relations, Sales Management, Utilization Management, Workers Compensation
Education
The University of Texas at Arlington 1996 — 2000
CVS Caremark Corporation April 2010 - Present
Coventry Health Care April 2008 - April 2010
Coventry Health Care November 2000 - April 2008
United Healthcare February 1992 - November 1999
Education
The University of Georgia
BA, Psychology
CareFirst BlueCross BlueShield April 2013 - Present
Coventry Health Care October 2011 - January 2013
Blue Cross Blue Shield of Louisiana December 1998 - January 2008
Skills
Data Analysis, Medicare, Product Development, Healthcare, Medicaid, Health Insurance, Analytics, Strategic Planning, Analysis, Risk Management, Healthcare Analytics, Financial Modeling, Managed Care, EHR
Education
Union College 1983 — 1987
BS, Applied Mathematics
The Johns Hopkins University
Paychex May 2014 - Present
CommunityCare Manged Healthcare Plans of Oklahoma October 2012 - May 2014
Coventry Health Care March 2012 - February 2013
Coventry Health Care October 2010 - March 2012
ADMINISTAFF, INC July 2007 - January 2010
Hewitt Associates October 1999 - July 2007
Texas Health Choice August 1996 - July 1999
Health Administration Services, Inc. April 1995 - July 1996
Blue Cross Blue Shield of Oklahoma October 1994 - March 1995
Blue Cross Blue Shield of Oklahoma July 1993 - October 1994
Skills
Employee Benefits, Benefits Administration, Health Insurance, Analysis, Team Building, Employee Relations, Training, Customer Service, Employee Management, Strategic Planning, Insurance, Account Management, Small Business, HIPAA, Teamwork, Team Leadership, Workers Compensation, Employee Training, Healthcare, Process Improvement, HMO, Disability Insurance, Accounts Receivable, Human Resources, Provider Relations, Claim, Call Centers, Onboarding, Performance Management
Education
Oklahoma Accident & Health, Life Resident Producer
Oklahoma Accident & Health,Life Resident Producer
Tulsa Community College
Associate, Accounting
Coventry Health Care Director, Medicare Operations and PolicyCapital Blue CrossOctober 2006 - October 2007
Education
The George Washington University School of Medicine and Health Sciences 1993 — 1996
MHA, Health Administration and Policy
Coventry Health Care September 2012 - Present
The TriZetto Group May 2010 - August 2012
CCC Information Services September 2003 - April 2010
Enterprise Logistics April 2001 - September 2003
Comp-Est Inc. March 1999 - September 2003
Education
The Ohio State University 1990 — 1995
Bachelor of Science, Psychology
Litz Business & Technology Solutions, Inc. November 2010 - Present
Forsythe January 2013 - Present
Lincoln Financial Group July 2012 - January 2013
Blue Cross Blue Shield of Nebraska November 2010 - July 2012
National Rural Electric Cooperative Association 2010 - 2010
Coventry Health Care July 2007 - July 2009
Mutual of Omaha June 2000 - June 2007
First Data Resources October 1994 - February 2000
CCC Information Services January 1992 - September 1994
US Bank June 1991 - December 1991
Skills
Team Building, Strategic Planning, Software Development, Program Management, Agile Methodologies, Budgets, Vendor Management, Business Analysis, Requirements Gathering, Cloud Computing, Scrum, Integration, Project Portfolio..., Governance, Process Improvement, Requirements Analysis, Data Center, PMP, Visio, Software Project..., Management, Project Management, Analysis, Risk Management, Leadership, Enterprise Architecture, Management Consulting, Enterprise Collaboration, Enterprise Governance, Package Implementations, Innovation, Manage Client..., Payment Card Processing, Health Insurance, Group Insurance, Financial Services, Financial Systems, Kanban, CA Clarity, Clarizen, Planview Enterprise, Salesforce.com, Internal Marketing, Saas, Disaster Recovery, vBlock, Vspex, Microsoft Project, SAP, SRM / SRDF
Education
The University of South Dakota 1979 — 1983
BS, Administration, Management
Institute of Computer Science 1983 — 1983
Certificate in Programming and Systems Analysis, Information Technology
Insurance Advisors November 2007 - Present
MAMSI September 1999 - February 2006
Community HealthCare March 1996 - April 1999
Coventry Health Care July 1990 - February 1996
Skills
Health Insurance, Employee Benefits, Sales, Brokers, Underwriting, Life Insurance, Account Management
Education
The Ohio State University Fisher College of Business 1982 — 1988
Finance, Insurance
Humana November 2013 - Present
CIGNA Healthcare July 2011 - November 2013
Coventry Health Care October 2008 - July 2011
Humana September 2003 - September 2008
CIGNA Healthcare September 1983 - September 2003
Skills
HMO, Health Insurance, Medicare, Self-funded, PPO, Managed Care, Health Savings Accounts, Employee Benefits, Insurance, Disability Insurance, General Insurance, Group Medical, Claim, Life Insurance, Critical Illness, Healthcare Industry, Medicare Part D, Healthcare Information..., Underwriting, Property & Casualty..., Legal Liability, ERISA, Voluntary Employee..., Brokers, Casualty, Reinsurance, Healthcare, Open Enrollment, Credentialing, Accident, Health Policy, Customer Retention, Employee Wellness, Process Improvement, Commercial Insurance, Workers Compensation, Term Life Insurance, Network Development, Benefits Administration, Healthcare Consulting, Claims Management, Health Care Reform, Dentistry, FMLA, Provider Relations, HIPAA, Hospitals, Fixed Annuities, Pharmacy Benefit..., Flexible Spending...
Education
Florida College of Medical and Dental Assistants
The Ohio State University
St. Clairsville High School
Stibo Systems June 2015 - Present
Aetna (acquired Coventry - 5/2013) January 2012 - June 2015
Coventry Health Care August 2006 - December 2011
Leon and Tina Robbins March 2005 - November 2005
YKK (USA) Inc. July 2004 - March 2005
eMag Solutions, LLC December 1999 - July 2004
DIT-MCO International June 1997 - October 1999
Skills
Marketing, Web Analytics, Analysis, Editing, Graphic Design, Advertising, Marketing Communications, Process Improvement, Training, Direct Marketing, Insurance, Project Management, Business Analysis, Strategic Planning, Management, Health Insurance, Data Analysis, Marketing Management, Voice of the Customer..., Budgets, Web Content, Integrated Marketing, Vendor Relationships, Company Newsletters, HTML, XML, Adobe Creative Suite, User Acceptance Testing, Survey Design, Agile & Waterfall..., IBM Rational Tools
Education
Truman State University
B.S. in Business Administration, Concentration: Marketing; Minor: Statistical Methods
Aetna February 2014 - Present
Coventry Health Care July 2012 - February 2014
Coventry Health Care April 2003 - July 2012
Skills
Clinical Research, Healthcare, Pharmacy, Customer Service, Hospitals, Managed Care, HIPAA, Healthcare Information..., Medicare, Nursing, Health Care Exchanges, Formulary Management
Education
The University of Kansas
Doctor of Pharmacy (Pharm.D.)
University of Maryland Medical System Health Plans (formerly Riverside Health, Inc.) February 2015 - Present
CareFirst BlueCross BlueShield December 2012 - February 2015
Coventry Health Care March 2007 - October 2012
Bravo Health (formerly, Elder Health, Inc.) January 2001 - November 2006
Kaiser Permanente February 1997 - December 2000
Humana March 1994 - January 1997
Group Health Association, Inc. July 1991 - February 1994
Group Health Association, Inc. November 1989 - July 1991
Group Health Association, Inc. July 1982 - November 1989
Skills
Managed Care, Medicare Part D, Medicare Adv, Customer Service, Contract Management, Staff Development, Project Management, New Product..., Corporate Communications, Business Operations, Grievance and Appeals, Benefits Administration, Medicare, Employee Benefits, Cross-functional Team..., Program Management, Policy, Vendor Management, Compliance, Healthcare Management, Quality Assurance, Healthcare, Leadership, Management, Process Improvement, Utilization Management, Data Analysis, Health Insurance, HIPAA, Strategy, HMO, Insurance, Network Development, Health Policy, Government, Healthcare Industry, Revenue Cycle, Healthcare Information..., Pharmacy Benefit..., Disease Management, Medicare Advantage, Regulatory Compliance
Education
Towson University 1978 — 1982
BS, Mass Communication
Aetna June 2013 - Present
Coventry Health Care January 2009 - Present
Coventry Health Care of Kansas May 2001 - January 2009
Skills
Insurance, Managed Care, Forecasting, Health Insurance, Medicare, Healthcare, Data Analysis, Strategic Planning, Decision Support
Education
The University of Kansas 1996 — 2000
B.S., Atmospheric Science
eviCore healthcare 2013 - Present
Dohmen October 2009 - November 2012
SXC Health Solutions March 2007 - April 2010
Coventry Health Care September 2006 - March 2007
Caremark January 2000 - September 2006
Sarnoff Corporation January 1994 - September 2000
Skills
Marketing Communications, Cross-functional Team..., Healthcare, Strategic Planning, Lead Generation, PBM, Marketing Strategy, Market Research, Social Media, Market Analysis, Competitive Analysis, Proposal Writing, Corporate Communications, Content Management, Marketing Management, Strategic Communications, Message Development, Pharmacy Benefit..., Strategy, Management, CRM, Brand Development, Marketing, Start-ups, Account Management, New Business Development, Budgets, Business Development, Sales Operations, Leadership, Public Relations, Business Strategy, Corporate Branding, Product Development, Product Launch, Program Management, B2B Marketing, Brand Management, Strategic Partnerships, Integrated Marketing, Digital Marketing
Education
The Johns Hopkins University 1990 — 1992
MBA, Marketing
West Virginia University 1979 — 1983
BS, Journalism
Aetna June 1995 - Present
Coventry Health Care January 2000 - April 2005
Coventry Health Care June 1997 - January 2000
HealthAmerica February 1996 - June 1997
HealthAmerica June 1995 - February 1996
Skills
Data Warehousing, Data Modeling, Business Intelligence, Predictive Modeling, SAS, Visio, ETL, Business Analysis, SDLC, Data Analysis, Business Objects, SharePoint, Insurance, SAS programming, SQL, Oracle, Access, Informatica, Data Management, Software Development, SAS Programming, Analysis
Education
Academy of HealthCare Management 1999 — 1999
PAHM, Professional, Academy for HealthCare Management
The College of New Jersey 1991 — 1995
BA, Mathematics, Statistics
Coventry Health Care Area Sales Manager NY NJGENEX Services, Inc.April 2009 - Present
Princeton BMW 2006 - 2008
Education
The College of New Jersey 1999 — 2003
BS, Finance
Coventry Health Care March 2013 - Present
Placentia Linda Hospital May 2011 - March 2013
Prospect Medical September 2009 - May 2011
Monarch HealthCare January 2009 - August 2009
Health Direct 2004 - 2008
SHPS 2002 - 2004
Skills
Nursing, Public Speaking, Case Managment, Managed Care, Utilization Management, HIPAA, Hospitals, Inpatient, Medicaid, Microsoft Office, Medicare, Disease Management, Healthcare, Medical Terminology, Health Insurance
Education
University of Phoenix 2005 — 2007
BS, Nursing
The University of Texas-Pan American 1990 — 1992
AAS, Nursing
Eastern Area Health Education Center July 2014 - Present
Vidant Health August 2011 - October 2013
Health Management Associates May 2009 - October 2010
Spartanburg Regional Healthcare System October 2001 - February 2009
KaMMCO 2001 - 2001
LabCorp 1998 - 2001
Coventry Health Care 1995 - 1998
Principal Healthcare 1995 - 1998
Wesley Rehabilitation Hospital 1993 - 1995
Wesley Medical Center 1992 - 1993
Skills
Managed Care, Management, Team Leadership, Customer Service, Leadership, Sales, Healthcare, HIPAA, Healthcare Management, Hospitals, Networking, Business Development, Healthcare Information..., Physicians, Strategic Planning, Project Management, Leadership Development, EHR, Analysis, System Administration, Revenue Cycle
Education
University of Kansas Medical Center 1990 — 1992
MHSA, Health Services Administration
The University of Kansas 1983 — 1987
BS, Accounting and Business
Aetna May 2012 - Present
First Health, a Coventry Healthcare Company October 2010 - May 2012
Coventry Healthcare April 2009 - October 2010
Coventry Work Comp August 2005 - April 2009
Coventry Health Care August 2000 - August 2005
CIGNA January 1998 - August 2000
The Hartford 1993 - 1998
Skills
Medicare, Managed Care, Service Operations, Medicaid, Health Insurance, HMO, HIPAA, Provider Relations, Health Policy, Claim, Healthcare Industry, Medicare Part D, Utilization Management, Insurance, Employee Benefits, Healthcare, Healthcare Consulting, Claims Management, Strategic Planning, Workers Compensation, Healthcare Information..., Process Improvement, Disease Management, Healthcare Management
Education
The College of New Rochelle 1980 — 1982
BA, History
Emdeon July 2014 - Present
MultiPlan December 2011 - July 2014
MultiPlan May 2010 - December 2011
Viant May 2005 - May 2010
CS STARS August 2000 - February 2005
Coventry Health Care August 1995 - August 2000
Skills
SDLC, CRM, Project Management, Program Management, Cross-functional Team..., Project Portfolio..., PMO, Software Implementation, Project Delivery, Project Planning, Business Analysis, Requirements Gathering, Software Documentation, Resource Management, Business Process..., Change Management, Leadership, Visio, Account Management, Sales Operations, Product Management, Strategic Planning, Vendor Management, Management
Education
The University of Texas at Austin 1981 — 1985
BA
Aetna August 2014 - Present
Healthagen April 2012 - Present
Aetna March 2004 - April 2012
Aetna January 2002 - April 2004
Aetna January 2000 - January 2003
Coventry Health Care January 1998 - January 2000
Skills
Project Managment, Customer Focus, Creative Problem Solving, Healthcare, Health Insurance, Medicare, Customer Service, HIPAA, Medicaid, Insurance, Health Policy, Talent Acquisition, Claim, Pharmacy Benefit..., Healthcare Industry, Team Building, Healthcare Consulting, Recruiting, Healthcare Management, Negotiation, Cross-functional Team..., Provider Relations, Training, Vendor Management, HMO, Marketing Strategy, Hiring, Employee Relations, Hospitals, Leadership Development, Strategic Planning, Quality Improvement, Business Process..., Healthcare Information..., Physician Relations, Coaching, EHR, Performance Management, Interviews, Life Insurance, Management Consulting, Change Management, Project Management, Leadership, Management, Process Improvement, Medicare Part D, Physicians, Sales Operations, Utilization Management
Education
American Intercontinental University Life and Health 2004 — 2006
Bachelors of Business Administration, Health Care Management
The Ohio State University 1993 — 1997
Williamson Memorial Hospital October 2013 - Present
Coventry Health Care October 2011 - October 2012
Pikeville Medical Center July 2005 - February 2012
Pike County Health Department November 2010 - November 2011
Skills
Nursing, Inpatient, Pediatrics, Home Care, Utilization Review, General Surgery, Patient Education, Disease Management, Orthopedic, Epic Systems, Healthcare Management, NICU, Medical/Surgical, Healthcare Information..., Hospitals, Medicaid, Family Medicine, HIPAA, Healthcare, Managed Care, Case Managment, Patient Safety, Case Management, EMR, Medical-Surgical, Registered Nurses, ACLS, BLS, Acute Care, Orthopedics
Education
Big Sandy Community and Technical College 2007 — 2008
Associate of Science, Nursing
Ivy Tech Community College-Northeast 1993 — 1995
Practical Nursing- Technical Certificate, Practical Nursing, Vocational Nursing and Nursing Assistants
The University of Akron
Vitacost.com February 2011 - Present
Vitacost.com February 2011 - Present
Coventry Health Care April 2003 - September 2011
Skills
ETL, Data Warehousing, SSRS, T-SQL, Data Integration, Business Intelligence, SQL, COBOL, SAS, Mainframe, Data Conversion, Application Development, Data Analysis, TSO, Production Support, Systems Analysis, Unix
Education
The Ohio State University - The Max M. Fisher College of Business
Bachelor of Science (BS), Business Administration and Management, General
KU MedWest Primary Care/Jayhawk Primary Care June 2013 - Present
California Southern University March 2010 - Present
Coventry Health Care May 2007 - June 2011
Psychiatric Associates 2002 - 2004
Shawnee Mission Medical Center April 1991 - December 2001
Rainbow Mental Health Facility 1983 - 1991
Skills
Psychology, Social Services, Mental Health Counseling, Behavioral Health, Family Therapy, Medical Social Work, Mental Health, Program Development, Clinical Supervision, Treatment, Clinical Research, Psychotherapy, Wellness, Therapists
Education
The University of Kansas 1974 — 1983
MSW, Social Work, Sociology & Psychology
California Southern University
MET Healthcare Solutions September 2014 - Present
Coventry Health Care April 2012 - June 2014
USPH - Fit2wrk January 2011 - March 2012
MSC 2003 - 2008
Medical Evaluation Specialists 1994 - 2003
Skills
Direct Sales, Workers Compensation, Physical Therapy, Recruiting, Account Management, Training, Healthcare, Sales, Sales Management, New Business Development, Executive Management, Salesforce.com, Contract Negotiation, Team Building, Strategic Planning, Business Development, Medicare, Leadership, Negotiation, Marketing Strategy, Key Account Management, Process Improvement, Insurance
Education
Florida College of Medical and Dental
EDA, Dentistry
Tidewater Community College
Alvarez & Marsal August 2013 - Present
OptumInsight March 2013 - August 2013
178 WATER STREET CONSULTING SERVICES LLC August 2012 - February 2013
Coventry Health Care June 2010 - August 2012
AETNA INC January 2004 - May 2010
Aetna US Healthcare January 1997 - January 2004
Aetna US Healthcare January 1996 - January 1997
Aetna Health Plans January 1993 - January 1996
Managed Care Systems January 1992 - January 1993
Aetna May 1989 - July 1992
Skills
Call Center, CRM, Budgets, Claim Investigation, Health Insurance, Process Improvement, Program Management, Insurance, Management, Outsourcing, Vendor Management, Leadership, Business Process..., Management Consulting, Performance Management, Project Management, Business Process, BPO, Team Building, Strategy, Customer Satisfaction, Team Leadership, Claim, Managed Care, Account Management, Change Management, Healthcare, Executive Management, Strategic Planning, Operations Management, Employee Benefits, Business Analysis, Cross-functional Team..., New Business Development, Call Centers, Data Analysis, Quality Management, Financial Analysis, Training, Human Resources, Risk Management, Mergers & Acquisitions, Operational Excellence, Analysis, Enterprise Software, Start-ups, Business Development, Contract Management, Performance Improvement, Consulting
Education
The University of Connecticut School of Business 1975 — 1979
Business, Industrial Engineering
Universsity of Connecticut
Independent Contractor February 2011 - Present
GENEX Services, Inc. December 2007 - Present
Marin General Hospital November 2001 - Present
Coventry Health Care January 2005 - December 2007
Concentra March 2001 - January 2005
North Texas vocational Nursing Program January 1993 - December 2000
Parkland Hospital June 1992 - December 2000
Education
Texas Woman's University 1988 — 1992
BSN, Nursing
Aetna February 2014 - Present
Coventry Health Care 2002 - Present
Mid America Health (HealthNet) 1994 - 2002
BMA 1991 - 1994
Blue Cross Blue Shield of Kansas City 1979 - 1991
Skills
Underwriting, Managed Care, Health Insurance, Employee Benefits, Medicare, Insurance, HMO
Education
The University of Kansas 1976 — 1979
MS, Educational Statistics and Research
The University of Kansas 1972 — 1976
BA, Math, Psychology
PhRMA July 2015 - Present
Evergreen Health Co-op December 2013 - July 2015
Kantar Health February 2012 - June 2013
AstraZeneca October 2006 - January 2012
Coventry Health Care March 2005 - September 2006
Navigant December 2002 - March 2005
CIGNA Healthcare June 1999 - November 2002
Skills
Health Economics, Pharmaceutical Industry, Market Access, Managed Care, Management, Pricing, Strategy, Forecasting, Financial Modeling, Financial Analysis, Market Analysis, Market Research, Analysis, Marketing, Cross-functional Team...
Education
The Johns Hopkins University 1997 — 1999
MHS, Health Finance and Management
Coventry Health Care October 2011 - March 2013
R & T Controls July 2011 - October 2011
DSI sytems inc. August 2009 - April 2011
Skills
Account Management, B2B, Direct Sales, Key Account Management, Salesforce.com, Sales Operations, Consumer Electronics, Product Marketing, Sales Management, New Business Development
Education
Universal Technical Institute of Texas Inc 2004 — 2006
Automotive Engineering Technology/Technician
Kingwood community college 2002 — 2003
Business Administration and Management, General
Kingwood High School
Lockton Retirement Services September 2012 - Present
Coventry Health Care June 2011 - September 2012
Lockton Companies July 2010 - June 2011
Lockton Companies February 2010 - August 2010
Education
University of Missouri-Kansas City 2009 — 2011
MA, Economics
The University of Kansas 2004 — 2008
BA, Economics
Humana July 2014 - Present
Humana March 2013 - July 2014
Coventry Health Care August 2011 - February 2013
Skills
Medicare, Network Development, Medicaid, Managed Care, Healthcare, Contract Negotiation, Key Account Management, HMO, Revenue Cycle, Healthcare Industry, EHR, PPO, HIPAA, Credentialing
Education
The College of New Jersey 1990 — 1994
Bachelor of Science, Marketing, Psychology
DST Output January 1999 - Present
Coventry Health Care August 1996 - November 1998
Discover Card March 1996 - August 1996
Baxter Healthcare March 1994 - March 1996
rockwell February 1993 - January 1994
Waldner & Company February 1988 - February 1993
Skills
Perl, Java, XML, Eclipse, ClearCase, Unix, Object Oriented Design, Unix Shell Scripting, C, Shell Scripting, Linux, JavaScript
Education
University of Illinois at Chicago 1985 — 1986
Master, Computer Science
Université Paris Sud (Paris XI) 1980 — 1982
D.E.A, analyse numérique
Université de Bretagne Occidentale 1979 — 1980
Maitrise, mathématiques appliquées
The Chinese University of Hong Kong 1975 — 1979
B. Sc, Mathematics
University of Maryland Medical System June 2014 - Present
T. Rowe Price October 2012 - Present
Coventry Health Care December 2011 - October 2012
Anne Arundel County Public Schools April 2011 - December 2011
W.R. Grace March 2005 - February 2011
W.R. Grace August 2003 - March 2005
Skills
Employee Benefits
Education
Towson University
Bachelor of Science (BS), Education
Coventry Health Care, an Aetna Company March 2014 - Present
Coventry Health Care November 2012 - March 2014
Coventry Health Care July 2009 - November 2012
Coventry Health Care July 2009 - July 2010
Skills
Pharmacy Benefit..., Medication Therapy..., Pharmacy, Pharmacists, Managed Care, Clinical Pharmacy, Pharmacy Automation, Medicare, Healthcare, Health Economics, Medicare Part D, Diabetes
Education
University of Kansas 2011 — 2014
Master of Business Administration (M.B.A.)
University of Arizona 2005 — 2009
Doctor of Pharmacy, Pharmacy
University of California, Berkeley
Bachelor of Arts (B.A.), Cell/Cellular and Molecular Biology
SummaCare April 2008 - Present
Coventry Health Care March 2006 - August 2007
CareSource 2003 - 2007
Unicare February 2001 - October 2006
Aetna 1996 - 1999
Skills
Provider Relations, Managed Care, Network Development, Health Insurance, HMO, PPO, Contract Negotiation, Medicare, Medicaid, NCQA, Healthcare, Business Process..., Business Relationship..., Leadership, Problem Solving, Health Policy, Critical Thinking, Mentoring, Hospitals, Network Management..., Business Development, Negotiation, Healthcare Industry, HIPAA, Pharmacy Benefit..., Healthcare Management
Education
Buchtel High School
The University of Akron
BlueCross BlueShield of Tennessee August 2011 - Present
Coventry Health Care September 2008 - September 2011
Blue Cross Blue Shield of Alabama April 2004 - September 2008
Gallet & Associates April 1999 - April 2004
Skills
Employee Benefits, Benefits Administration, Process Improvement, Employee Relations, Talent Acquisition, Personnel Management, Recruiting, Talent Management, Interviews, Leadership, Hiring, Change Management, Human Resources, Onboarding, Performance Management, Temporary Placement, FMLA, Applicant Tracking..., Workforce Planning, Deferred Compensation
Education
Troy State University
Master of Science, Human Resource Management
University of Montevallo
BBA, Management
ICP Consulting July 2013 - Present
Coventry Health Care August 2010 - June 2013
Rising Medical Solutions, Inc. August 2005 - May 2010
Concentra March 1999 - May 2004
OccuSystems, Inc. March 1992 - December 1995
KPMG July 1986 - March 1992
Skills
Insurance, Workers Compensation, Managed Care, Network Development, Healthcare, Strategic Planning, Health Insurance, Account Management, Provider Relations, Process Improvement, Property & Casualty..., Claim, Healthcare Management, Claims Management, Employee Benefits, HIPAA, Commercial Insurance
Education
The University of Texas at Austin - The Red McCombs School of Business 1982 — 1986
BBA, Accounting
Coventry Health Care March 2011 - Present
Coventry Health Care September 2008 - February 2011
Coventry Health Care July 2002 - August 2008
Coventry Health Care July 2000 - June 2002
Coventry Health Care October 1998 - June 2000
Skills
Financial Analysis, Financial Reporting, Medicare, Insurance, Managed Care, Decision Support, Healthcare Analytics, Healthcare Management, Medicaid, Health Insurance, Finance, Provider Relations
Education
Truman State University 1990 — 1996
BS, Accounting
Coventry Health Care August 2011 - Present
Kohl's Department Stores 2011 - 2013
Levi Strauss & Co. 1999 - 2010
Skills
Customer Service, Team Building, Employee Relations, Strategic Planning, Performance Management, Occupational Health..., Medical Surgical Nursing, Telephonic Case..., Inventory Management, Medical/Surgical, Process Improvement, Leadership, Leadership Development, Training, Coaching, Recruiting, Employee Benefits, Retail
Education
The Christ College of Nursing and Health Sciences 1980 — 1983
Registered Nurse, Registered Nursing/Registered Nurse
Coventry Health Care 2005 - Present
Skills
Data Warehousing, Requirements Analysis, SharePoint, T-SQL, Visio, Microsoft SQL Server, SQL, Requirements Gathering, SDLC, Unix, Systems Analysis, Windows, SSRS, Data Modeling, Software Development, DB2, VB.NET, PL/SQL, Database Design, SSIS, Perl, ETL
Education
The University of Texas at San Antonio 1992 — 1996
Bachelor of Business Administration (BBA), MIS
Centene Corporation September 2015 - Present
Grant&Weber June 2013 - September 2015
Coventry Health Care 2008 - 2011
Skills
Claim
Education
Tucson College 2005 — 2006
Billing &I Coding
Coventry Health Care September 1997 - Present
Travelers Insurance 1985 - 1997
Skills
Workers Compensation, Managed Care, Case Managment, Disability Management, Vocational..., Utilization Management, Health Insurance, Employee Benefits, Claims Management, Disease Management, Benefits Administration, Career Counseling, Career Development, Medicare, Claim, HIPAA, Insurance, Provider Relations, Healthcare, Disability Insurance, Onboarding, Case Management, PPO, Medicaid
Education
University of Missouri-Columbia 1978 — 1980
MEd, Rehabilitation Counseling
Tufts University 1974 — 1978
BS, Psychology
UnitedHealth Group July 2012 - Present
Coventry Health Care January 2012 - July 2012
Children's Mercy Family Health Partners November 2007 - July 2012
Presbyterian Hospital of Dallas 2003 - 2007
Skills
Healthcare, Healthcare Management, Public Speaking, Medicaid, HIPAA, Team Building, Instructional Design, Nonprofits, Healthcare Information..., Training, Leadership, Coaching, Strategic Planning, Staff Development, Hospitals, Non-profits, Nutritional Counseling, Public Health, Research, Nutrition Education, Health Education
Education
The University of Texas Health Science Center at Houston 2006 — 2010
Masters in Public Health, Pediatric Obesity
The University of Texas at Austin 1999 — 2003
BS/BA, Nutrition/Hispanic Studies
Coventry Health Care April 2012 - Present
Molina Healthcare July 2011 - April 2012
Coventry Health Care January 2011 - July 2011
Mercy Health Plans January 2008 - January 2011
Mercy Health Plans November 2006 - January 2008
Mercy Health Plans October 2005 - November 2006
Mercy Health Plans November 2003 - October 2005
Mercy Health Plans August 2002 - November 2004
UnitedHealth Group June 2001 - July 2002
Education
Truman State University
MedRisk, Inc. 2008 - March 2012
Coventry Health Care 2002 - 2007
Skills
Comprehensive Knowledge..., Excellent Knowledge on..., Strong Analytical ..., Good leadership..., Excellent..., Medicare, Workers Compensation, Managed Care, Insurance, Claims Management, Claim, CPT, Medical Coding, Medical Billing, HIPAA, Healthcare, Hospitals
Education
Thomas Jefferson University 1998 — 2000
Bachelor's degree, Registered Nursing/Registered Nurse
Anthem January 2013 - Present
Coventry Health Care October 2011 - November 2012
Coventry Health Care September 2009 - October 2011
Roop Financial Services, Inc. June 2007 - September 2009
Memphis Auto Aucton April 2006 - July 2007
Skills
Insurance, Employee Benefits, Listening, Life Insurance, Recruiting, Sales, Disability Insurance, Account Management, Direct Marketing, Direct Sales, Health Savings Accounts, Marketing, Cold Calling, Customer Retention, Customer Service, Health Insurance, Brokers
Education
The University of Memphis 2002 — 2006
Bachelor of Business Administration (B.B.A.), Marketing Management
Coventry Health Care March 1998 - July 2011
Coventry Health Care March 1998 - 2011
Tulsa Hospitals June 1979 - August 1993
Tulsa Hospitals June 1970 - July 1979
Skills
Policy, Government, Public Policy, Federal Government, Healthcare, Nursing, IV, Registered Nurses
Education
University of North Texas 1994 — 1998
Bachelors of Science, Nursing/Rehabiltation
Tulsa Community College 1975 — 1979
Associate’s Degree, Registered Nursing/Registered Nurse
Adventist Health May 2014 - Present
Sutter Physician Services March 2009 - May 2014
Coventry Health Care February 2006 - March 2009
Asian Resources Inc February 2004 - February 2006
Skills
Training, Employee Training, Technical Training, Instructor-led Training, Curriculum Development, Curriculum Design, Needs Analysis, Gap Analysis, Epic Prelude, Epic Cadence, Change Management, Leadership Development, Strategic Planning, Training Delivery, PowerPoint, Microsoft Excel, Microsoft Word, Epic Systems, Instructional Design, Leadership, Program Management, Coaching, E-Learning, Human Resources, Ambulatory, Performance Improvement, Management, Analysis, Project Management, Captivate, Process Improvement, Healthcare Information..., Healthcare, EHR, EMR, HIPAA
Education
The University of Texas at Austin 1994 — 1997
Bachelor's degree, Journalism
Coventry Health Care 2010 - 2012
St. Joseph Medical Center in Kansas City, MO August 2000 - November 2010
Education
University of Kansas 1982 — 1986
Bachelor's degree, Personnell Administration and Communication Studies