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
Employee
Years
Job
Industry
Carlen Ellis Carlen Ellis's Coventry Health Care Experience April 2013 - August 2013
Job Advertising & Communications Professional
Industry Marketing and Advertising
Experience
Undisclosed February 2014 - Present
Undisclosed February 2014 - Present
YouthLight,Inc. August 2013 - 2014
Coventry Health Care April 2013 - August 2013
FirstCall LLC March 2006 - April 2013
Disability Action Center, Inc. 2012 - 2012
Flock & Rally Events and Communications 2012 - 2012
Greenville Technical College 2009 - 2009
Express, Inc. 2008 - 2008
Skills
Product Marketing, Retail, Customer Satisfaction, Fashion, Marketing Communications, Advertising, Copywriting, Integrated Marketing, Social Media Marketing, Social Media, Public Relations, Media Planning, Corporate Communications, Digital Marketing, Press Releases, Facebook, Social Networking, Marketing, Sales, Marketing Strategy
Education
University of South Carolina-Columbia
Bachelor of Mass Communication & Journalism, Advertising
Undisclosed February 2014 - Present
Undisclosed February 2014 - Present
YouthLight,Inc. August 2013 - 2014
Coventry Health Care April 2013 - August 2013
FirstCall LLC March 2006 - April 2013
Disability Action Center, Inc. 2012 - 2012
Flock & Rally Events and Communications 2012 - 2012
Greenville Technical College 2009 - 2009
Express, Inc. 2008 - 2008
Skills
Product Marketing, Retail, Customer Satisfaction, Fashion, Marketing Communications, Advertising, Copywriting, Integrated Marketing, Social Media Marketing, Social Media, Public Relations, Media Planning, Corporate Communications, Digital Marketing, Press Releases, Facebook, Social Networking, Marketing, Sales, Marketing Strategy
Education
University of South Carolina-Columbia
Bachelor of Mass Communication & Journalism, Advertising
Larry Lindsey Larry Lindsey's Coventry Health Care Experience January 2009 - September 2009
Job Contract Coordinator at Aetna Health Care
Industry Insurance
Experience
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2009 - December 2013
Coventry Health Care January 2009 - September 2009
Skills
Health Insurance, Insurance, Medicare/Medicaid..., Subject Matter Experts, Hospital Reimbursement, Financial Analysis, Fee Schedules, Business Process..., Business Analysis, Managed Care, Access, Microsoft Excel, SharePoint, Microsoft Office, Databases, Provider Relations, Medicaid, Contract Management, Contractual Agreements, Healthcare Analytics, InfoPath Forms, Claim Investigation, Contract Coordinator, Contract Implementation..., Ambulatory Surgery, Rate Management, Discrepancy Resolution, Pivot Tables, Medical Coding, Medical/Surgical, Ancillary Contract..., Healthcare Reimbursement, PowerPoint, Online Research, Contract Negotiation, Claim, Customer Service, Healthcare, Medicare, HIPAA, Process Improvement
Education
University of South Florida 2005 — 2008
Bachelor of Business Administration (BBA), Finance, Marketing
Rock Valley College 2004 — 2005
Associate of Arts (AA), General Studies
University of South Florida
Bachelor of Science (B.S.)
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2009 - December 2013
Coventry Health Care January 2009 - September 2009
Skills
Health Insurance, Insurance, Medicare/Medicaid..., Subject Matter Experts, Hospital Reimbursement, Financial Analysis, Fee Schedules, Business Process..., Business Analysis, Managed Care, Access, Microsoft Excel, SharePoint, Microsoft Office, Databases, Provider Relations, Medicaid, Contract Management, Contractual Agreements, Healthcare Analytics, InfoPath Forms, Claim Investigation, Contract Coordinator, Contract Implementation..., Ambulatory Surgery, Rate Management, Discrepancy Resolution, Pivot Tables, Medical Coding, Medical/Surgical, Ancillary Contract..., Healthcare Reimbursement, PowerPoint, Online Research, Contract Negotiation, Claim, Customer Service, Healthcare, Medicare, HIPAA, Process Improvement
Education
University of South Florida 2005 — 2008
Bachelor of Business Administration (BBA), Finance, Marketing
Rock Valley College 2004 — 2005
Associate of Arts (AA), General Studies
University of South Florida
Bachelor of Science (B.S.)
Ric Sierra, PHR, SHRM-CP Ric Sierra, PHR, SHRM-CP's Coventry Health Care Experience May 2012 - April 2013
Job Senior Human Resources Generalist at ArrMaz
Industry Human Resources
Experience
ArrMaz January 2014 - Present
Aetna May 2013 - January 2014
Coventry Health Care May 2012 - April 2013
The Tampa Tribune January 1998 - January 2011
The Tampa Tribune January 1995 - January 1998
The Tampa Tribune January 1994 - January 1995
Skills
PeopleSoft, Microsoft Office, Employee Relations, Executive Compensation, Organizational Design, Organizational..., Benefits Administration, Executive Pay, Personnel Management, Human Resources, Training, Management, Leadership, Employee Handbooks, Customer Service, Interviews, Talent Acquisition, Compensation & Benefit, Payroll, SPHR, Sales, Policy, Employee Benefits, Recruiting, Coaching, HRIS, Succession Planning, Deferred Compensation, Workforce Planning, FMLA, Hiring, New Hire Orientations, Performance Management, Onboarding, Employee Engagement, Talent Management, Affirmative Action, Workers Compensation, Leadership Development, Job Descriptions, Applicant Tracking..., HR Policies, ADP Payroll, Kronos, Internal Communications, College Recruiting, Taleo, Employee Training, Legal Compliance, Conflict Resolution
Education
University of South Florida
Bachelor of Arts (BA), English Education
ArrMaz January 2014 - Present
Aetna May 2013 - January 2014
Coventry Health Care May 2012 - April 2013
The Tampa Tribune January 1998 - January 2011
The Tampa Tribune January 1995 - January 1998
The Tampa Tribune January 1994 - January 1995
Skills
PeopleSoft, Microsoft Office, Employee Relations, Executive Compensation, Organizational Design, Organizational..., Benefits Administration, Executive Pay, Personnel Management, Human Resources, Training, Management, Leadership, Employee Handbooks, Customer Service, Interviews, Talent Acquisition, Compensation & Benefit, Payroll, SPHR, Sales, Policy, Employee Benefits, Recruiting, Coaching, HRIS, Succession Planning, Deferred Compensation, Workforce Planning, FMLA, Hiring, New Hire Orientations, Performance Management, Onboarding, Employee Engagement, Talent Management, Affirmative Action, Workers Compensation, Leadership Development, Job Descriptions, Applicant Tracking..., HR Policies, ADP Payroll, Kronos, Internal Communications, College Recruiting, Taleo, Employee Training, Legal Compliance, Conflict Resolution
Education
University of South Florida
Bachelor of Arts (BA), English Education
Shane Gentry Shane Gentry's Coventry Health Care Experience October 2007 - August 2012
Job Director, KPCC Provider Systems Administration at Kaiser Permanente
Industry Insurance
Experience
Kaiser Permanente April 2014 - Present
Aetna (Coventry Health Care) July 2012 - March 2014
Coventry Health Care October 2007 - August 2012
ADP November 2005 - September 2007
Innovative Staffing Incorporated October 2002 - September 2005
Professional Staff Management, UT 1994 - 2002
Select Business Services June 1993 - November 1994
Skills
Employee Benefits, Payroll, Customer Service, Customer Satisfaction, Budgeting, Data Entry, Employee Relations, Benefits, HRIS, Payroll Processing, Benefits Administration, Change Management, Team Building, Process Improvement, Insurance, Customer Relations, Health Insurance, Problem Solving, Outsourcing, ADP, Outlook, Excel, Mentoring, Operations Management, Microsoft Office, Team Leadership, Business Strategy, Administration, Business Planning, Contract Management, New Business Development, Performance Management, Onboarding, Coaching, Employee Engagement, Technical Recruiting, Process Engineering, HIPAA, BPO, FMLA, Business Analysis, Negotiation, Supervisory Skills, Workers Compensation, Talent Management, Documentation, Staff Development, Word, PowerPoint, Executive Management
Education
University of Phoenix 1999 — 2001
Bachelor of Science, Business Administration
Kaiser Permanente April 2014 - Present
Aetna (Coventry Health Care) July 2012 - March 2014
Coventry Health Care October 2007 - August 2012
ADP November 2005 - September 2007
Innovative Staffing Incorporated October 2002 - September 2005
Professional Staff Management, UT 1994 - 2002
Select Business Services June 1993 - November 1994
Skills
Employee Benefits, Payroll, Customer Service, Customer Satisfaction, Budgeting, Data Entry, Employee Relations, Benefits, HRIS, Payroll Processing, Benefits Administration, Change Management, Team Building, Process Improvement, Insurance, Customer Relations, Health Insurance, Problem Solving, Outsourcing, ADP, Outlook, Excel, Mentoring, Operations Management, Microsoft Office, Team Leadership, Business Strategy, Administration, Business Planning, Contract Management, New Business Development, Performance Management, Onboarding, Coaching, Employee Engagement, Technical Recruiting, Process Engineering, HIPAA, BPO, FMLA, Business Analysis, Negotiation, Supervisory Skills, Workers Compensation, Talent Management, Documentation, Staff Development, Word, PowerPoint, Executive Management
Education
University of Phoenix 1999 — 2001
Bachelor of Science, Business Administration
Stephanie Rennekamp Stephanie Rennekamp's Coventry Health Care Experience 2001 - 2012
Job Insurance Professional
Industry Insurance
Experience
Strickler Agency, Inc. May 2013 - Present
Coventry Health Care 2001 - 2012
Centre Medical and Surgical Associates November 1997 - August 2001
Skills
Medical Coding, Claims Handling, Medical Billing, Health Insurance, Customer Service, Quality Auditing, Inventory Management, Training, Invoicing, Insurance, Provider Relations, Employee Benefits, Microsoft Office, Claim, Employee Relations, Healthcare, Medicare, Team Building, Underwriting, Human Resources, Leadership, Management
Education
University of Phoenix 2010 — 2013
Health/Health Care Administration/Management
Strickler Agency, Inc. May 2013 - Present
Coventry Health Care 2001 - 2012
Centre Medical and Surgical Associates November 1997 - August 2001
Skills
Medical Coding, Claims Handling, Medical Billing, Health Insurance, Customer Service, Quality Auditing, Inventory Management, Training, Invoicing, Insurance, Provider Relations, Employee Benefits, Microsoft Office, Claim, Employee Relations, Healthcare, Medicare, Team Building, Underwriting, Human Resources, Leadership, Management
Education
University of Phoenix 2010 — 2013
Health/Health Care Administration/Management
Rebecca Redhouse Rebecca Redhouse's Coventry Health Care Experience February 2009 - May 2011
Job Formerly the Executive Director at Emeritus at Tucson
Industry Hospital & Health Care
Experience
Farmers Insurance December 2013 - Present
Emeritus at Tucson Assisted Living Center October 2012 - June 2013
Assisted Living Concepts May 2011 - September 2012
Coventry Health Care February 2009 - May 2011
Casa de Esperanza Assisted Living Center 2009 - 2010
Skills
Healthcare, Medicare, Home Care, Elder Care, Medicaid, Long-term Care, Healthcare Management, Policy, Managed Care, Case Managment, Nursing, Hospitals, Medical Terminology, Customer Service, Public Speaking, Cpr Certified, Community Outreach, HIPAA, Event Planning, Team Building, Non-profits, Healthcare, Medicare,..., Medical Records, Leadership
Education
University of Phoenix
Healthcare Administration
University of Phoenix
Farmers Insurance December 2013 - Present
Emeritus at Tucson Assisted Living Center October 2012 - June 2013
Assisted Living Concepts May 2011 - September 2012
Coventry Health Care February 2009 - May 2011
Casa de Esperanza Assisted Living Center 2009 - 2010
Skills
Healthcare, Medicare, Home Care, Elder Care, Medicaid, Long-term Care, Healthcare Management, Policy, Managed Care, Case Managment, Nursing, Hospitals, Medical Terminology, Customer Service, Public Speaking, Cpr Certified, Community Outreach, HIPAA, Event Planning, Team Building, Non-profits, Healthcare, Medicare,..., Medical Records, Leadership
Education
University of Phoenix
Healthcare Administration
University of Phoenix
CHARLES BURKS JR CHARLES BURKS JR's Coventry Health Care Experience July 2007 - January 2010
Job Member Services Supervisor Medicare Part D at CVS Caremark Corporation
Industry Pharmaceuticals
Experience
CVS Caremark Corporation September 2012 - Present
Pure Shooter Touch January 2010 - September 2012
Coventry Health Care July 2007 - January 2010
Cigna Healthcare July 2005 - September 2006
Express Scripts February 2003 - July 2004
Household Finance May 2002 - February 2003
Philip Pelusi May 2001 - April 2002
Verizon June 1995 - May 2001
Skills
Training, Management, Customer Satisfaction, Recruiting, Call Centers, Human Resources, Process Improvement, Budgets, Sales, Project Management, Team Management, Customer Service
Education
University of Pittsburgh 1990 — 1995
Economics
Sewickley Academy 1977 — 1990
CVS Caremark Corporation September 2012 - Present
Pure Shooter Touch January 2010 - September 2012
Coventry Health Care July 2007 - January 2010
Cigna Healthcare July 2005 - September 2006
Express Scripts February 2003 - July 2004
Household Finance May 2002 - February 2003
Philip Pelusi May 2001 - April 2002
Verizon June 1995 - May 2001
Skills
Training, Management, Customer Satisfaction, Recruiting, Call Centers, Human Resources, Process Improvement, Budgets, Sales, Project Management, Team Management, Customer Service
Education
University of Pittsburgh 1990 — 1995
Economics
Sewickley Academy 1977 — 1990
Marielsa Caraballo Marielsa Caraballo's Coventry Health Care Experience July 2012 - September 2014
Job Enroller specialist at AG Health Ins Agency
Industry Insurance
Experience
AG Health Ins Agency October 2014 - Present
Coventry Health Care July 2012 - September 2014
Humana January 2006 - July 2012
CIGNA Healthcare May 1999 - December 2005
Skills
Health Insurance, Customer Retention, Account Management, Sales, Customer Service, Sales Management, Retention Management, Enrollment Services, Open Enrollment, 401k, Dental Insurance, Vision Insurance, Life Insurance
Education
University of Puerto Rico-Rio Piedras 1989 — 1994
Bachelor's degree, Public Communications
AG Health Ins Agency October 2014 - Present
Coventry Health Care July 2012 - September 2014
Humana January 2006 - July 2012
CIGNA Healthcare May 1999 - December 2005
Skills
Health Insurance, Customer Retention, Account Management, Sales, Customer Service, Sales Management, Retention Management, Enrollment Services, Open Enrollment, 401k, Dental Insurance, Vision Insurance, Life Insurance
Education
University of Puerto Rico-Rio Piedras 1989 — 1994
Bachelor's degree, Public Communications
Nannette Benedetto Nannette Benedetto's Coventry Health Care Experience January 2008 - April 2013
Job QM Consultant
Industry Health, Wellness and Fitness
Experience
Aetna April 2013 - Present
Coventry Health Care January 2008 - April 2013
Coventry Health Care August 2010 - July 2012
First Script October 2008 - August 2010
First Script January 2008 - October 2008
Mobility Insurance Agency May 2006 - November 2007
Progressive Insurance September 2005 - September 2006
California Casualty Management Company January 2001 - February 2004
RSA 1998 - 2000
Skills
Process Improvement, Visio, Business Analysis, Insurance, Leadership, Project Management, Vendor Management, Quality Assurance, Program Management, Change Management, PMP, SDLC, Six Sigma, Software Documentation, PMO, MS Project, Training, Operations Management, Access, Project Portfolio..., Software Project..., Requirements Analysis, Project Delivery, SharePoint, SharePoint Designer, Adobe Acrobat, Intuitive Documentation..., Process Mapping, Snag-It, Arizona Notary, Business Process Mapping
Education
University of Phoenix 2011 — 2011
BS, Marketing
University of Phoenix 2002 — 2011
BS, Business Management
University of Phoenix
Certification, Project Management
Aetna April 2013 - Present
Coventry Health Care January 2008 - April 2013
Coventry Health Care August 2010 - July 2012
First Script October 2008 - August 2010
First Script January 2008 - October 2008
Mobility Insurance Agency May 2006 - November 2007
Progressive Insurance September 2005 - September 2006
California Casualty Management Company January 2001 - February 2004
RSA 1998 - 2000
Skills
Process Improvement, Visio, Business Analysis, Insurance, Leadership, Project Management, Vendor Management, Quality Assurance, Program Management, Change Management, PMP, SDLC, Six Sigma, Software Documentation, PMO, MS Project, Training, Operations Management, Access, Project Portfolio..., Software Project..., Requirements Analysis, Project Delivery, SharePoint, SharePoint Designer, Adobe Acrobat, Intuitive Documentation..., Process Mapping, Snag-It, Arizona Notary, Business Process Mapping
Education
University of Phoenix 2011 — 2011
BS, Marketing
University of Phoenix 2002 — 2011
BS, Business Management
University of Phoenix
Certification, Project Management
Warrenette Nazaire Warrenette Nazaire's Coventry Health Care Experience 2012 - December 2013
Job Provider Relations Manager at Consumers' Choice Health Plan
Industry Insurance
Experience
Consumers' Choice Health Plan November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care 2012 - December 2013
Absolute Total Care 2007 - 2012
Palmetto GBA 2004 - 2007
Palmetto GBA 1997 - 2004
Skills
Provider Relations, Managed Care, Healthcare, Network Development, Medicaid, Healthcare Management, Customer Service, Medicare, Hospitals, Public Speaking, HMO, PPO, Medicaid Managed Care, Contract Negotiation, Software Documentation, Insurance, HIPAA, Health Insurance, Claim, Training, Claims Resolution, Provider Network..., Provider Education, Healthcare Industry
Education
Webster University 1998 — 2000
Master of Business Administration (MBA)
University of South Carolina-Columbia 1988 — 1993
Bachelor of Arts (BA)
Consumers' Choice Health Plan November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care 2012 - December 2013
Absolute Total Care 2007 - 2012
Palmetto GBA 2004 - 2007
Palmetto GBA 1997 - 2004
Skills
Provider Relations, Managed Care, Healthcare, Network Development, Medicaid, Healthcare Management, Customer Service, Medicare, Hospitals, Public Speaking, HMO, PPO, Medicaid Managed Care, Contract Negotiation, Software Documentation, Insurance, HIPAA, Health Insurance, Claim, Training, Claims Resolution, Provider Network..., Provider Education, Healthcare Industry
Education
Webster University 1998 — 2000
Master of Business Administration (MBA)
University of South Carolina-Columbia 1988 — 1993
Bachelor of Arts (BA)
Charles Burks Jr. Charles Burks Jr.'s Coventry Health Care Experience July 2007 - January 2010
Job Supervisor, Appeals and Grievances at Superior Health Plan at Centene Corporation Utilization Management
Industry Hospital & Health Care
Experience
Centene Corporation May 2015 - Present
MedImpact Healthcare Systems, Inc. October 2013 - April 2015
CVS/Caremark Pharmacy September 2012 - October 2013
Pure Shooter Touch January 2010 - September 2012
Coventry Health Care July 2007 - January 2010
Cigna Healthcare July 2005 - September 2006
Express Scripts February 2003 - July 2004
Household International May 2002 - February 2003
Skills
Medicare Part D, Medicare Prescription..., Medicare Advantage, Union Steward, Customer Retention, Customer Satisfaction, Customer Service, Business Writing, Operations Management, Multi-cultural Team..., Employee Training, Mentoring Of Staff, Youth Mentoring, Mentoring New Hires, Staff Development, Staff Management, Coaching Staff, Staff Retention, Microsoft Excel, Access Database, Microsoft Office, Avaya, Compass, Kronos, Cellular Communications, Volunteering, Pharmacy Benefit..., Human Resources, Employee Benefits, Recruiting, Access, Management, Time Management, Process Improvement, Coaching
Education
University of Pittsburgh 1990 — 1995
Economics/History, Economics/History
Sewickley Academy 1977 — 1990
Centene Corporation May 2015 - Present
MedImpact Healthcare Systems, Inc. October 2013 - April 2015
CVS/Caremark Pharmacy September 2012 - October 2013
Pure Shooter Touch January 2010 - September 2012
Coventry Health Care July 2007 - January 2010
Cigna Healthcare July 2005 - September 2006
Express Scripts February 2003 - July 2004
Household International May 2002 - February 2003
Skills
Medicare Part D, Medicare Prescription..., Medicare Advantage, Union Steward, Customer Retention, Customer Satisfaction, Customer Service, Business Writing, Operations Management, Multi-cultural Team..., Employee Training, Mentoring Of Staff, Youth Mentoring, Mentoring New Hires, Staff Development, Staff Management, Coaching Staff, Staff Retention, Microsoft Excel, Access Database, Microsoft Office, Avaya, Compass, Kronos, Cellular Communications, Volunteering, Pharmacy Benefit..., Human Resources, Employee Benefits, Recruiting, Access, Management, Time Management, Process Improvement, Coaching
Education
University of Pittsburgh 1990 — 1995
Economics/History, Economics/History
Sewickley Academy 1977 — 1990
Rashele Wiltzius Rashele Wiltzius's Coventry Health Care Experience November 2011 - April 2012
Job Senior Specialist Training at MAXIMUS
Industry Government Administration
Experience
MAXIMUS April 2012 - Present
Coventry Health Care November 2011 - April 2012
ReserveAmerica May 2007 - October 2011
Education
University of Phoenix
Bachelor of Arts (B.A.), Business Administration/Communications
MAXIMUS April 2012 - Present
Coventry Health Care November 2011 - April 2012
ReserveAmerica May 2007 - October 2011
Education
University of Phoenix
Bachelor of Arts (B.A.), Business Administration/Communications
Tracee Street's Coventry Health Care Experience May 2008 - May 2009
Job Independent Consultant
Industry Wine and Spirits
Experience
Avon Representative September 2015 - Present
Wine Shop at Home 2015 - Present
Annapolis Asthma Pulmonary Sleep Specialist January 2012 - July 2015
Carolinas Back and Sports Specialist September 2009 - July 2011
Coventry Health Care May 2008 - May 2009
The Lash group/CSI Temp Agency November 2007 - February 2008
Skills
Medical Records, Insurance, Filing, Healthcare, Medical Terminology, EMR, Patient Education, Patient Safety, HIPAA, Medical Billing, Employee Benefits, Health Insurance, Appointment Scheduling, IDX, Quality Improvement
Education
University of Phoenix 2012 — 2014
Bachelor of Arts (BA), Business management
University of Phoenix 2009 — 2011
Associate's degree, Health/Health Care Administration/Management
Meade High School 1995 — 1997
diploma
Avon Representative September 2015 - Present
Wine Shop at Home 2015 - Present
Annapolis Asthma Pulmonary Sleep Specialist January 2012 - July 2015
Carolinas Back and Sports Specialist September 2009 - July 2011
Coventry Health Care May 2008 - May 2009
The Lash group/CSI Temp Agency November 2007 - February 2008
Skills
Medical Records, Insurance, Filing, Healthcare, Medical Terminology, EMR, Patient Education, Patient Safety, HIPAA, Medical Billing, Employee Benefits, Health Insurance, Appointment Scheduling, IDX, Quality Improvement
Education
University of Phoenix 2012 — 2014
Bachelor of Arts (BA), Business management
University of Phoenix 2009 — 2011
Associate's degree, Health/Health Care Administration/Management
Meade High School 1995 — 1997
diploma
Twanda Waller Twanda Waller's Coventry Health Care Experience March 1999 - August 2007
Job Lead Business Analyst at CareFirst BCBS
Industry Insurance
Experience
CareFirst BlueCross BlueShield August 2014 - Present
Cigna-HealthSpring January 2014 - August 2014
CareFirst BlueCross BlueShield May 2008 - November 2010
Keller Williams Advantage Realty May 2006 - April 2008
Coventry Health Care March 1999 - August 2007
Cigna Healthcare February 1990 - March 1999
Skills
Business Analysis, Process Improvement, Project Management, Operations Technical..., Six Sigma, Trend Analysis, Reporting & Analysis, Operations Leadership, Call Center Management, Claims Management, Cross-functional Team..., Mergers & Acquisitions, New Business Development, Meeting Planning &..., EDI ANSI X12, Portals, HIPAA, Validation, User Acceptance Testing, System Testing, Unix Shell Scripting, Macroinstruction, Quality Assurance, Third Party Vendor..., Contract Negotiation, Start-up Environment, Client Presentation, SOP development, Health Insurance, Open Enrollment, Individual Health..., Group Insurance, Marketing, Sales, MS Project, Microsoft Word, MS Excel Pivot Tables, Visio, PowerPoint, Lotus Notes, Unix, IDX, Facets, Mainframe, Symposium, IVR Implementation, Claim, Insurance, Medicare, Call Centers
Education
University of Phoenix 2012 — 2014
Bachelor of Arts (BA), Business, Management, Marketing, and Related Support Services, 3.54 GPA
University of Phoenix 2006 — 2008
Associate of Arts (AA), Business Administration and Management, General, 3.56 GPA
CareFirst BlueCross BlueShield August 2014 - Present
Cigna-HealthSpring January 2014 - August 2014
CareFirst BlueCross BlueShield May 2008 - November 2010
Keller Williams Advantage Realty May 2006 - April 2008
Coventry Health Care March 1999 - August 2007
Cigna Healthcare February 1990 - March 1999
Skills
Business Analysis, Process Improvement, Project Management, Operations Technical..., Six Sigma, Trend Analysis, Reporting & Analysis, Operations Leadership, Call Center Management, Claims Management, Cross-functional Team..., Mergers & Acquisitions, New Business Development, Meeting Planning &..., EDI ANSI X12, Portals, HIPAA, Validation, User Acceptance Testing, System Testing, Unix Shell Scripting, Macroinstruction, Quality Assurance, Third Party Vendor..., Contract Negotiation, Start-up Environment, Client Presentation, SOP development, Health Insurance, Open Enrollment, Individual Health..., Group Insurance, Marketing, Sales, MS Project, Microsoft Word, MS Excel Pivot Tables, Visio, PowerPoint, Lotus Notes, Unix, IDX, Facets, Mainframe, Symposium, IVR Implementation, Claim, Insurance, Medicare, Call Centers
Education
University of Phoenix 2012 — 2014
Bachelor of Arts (BA), Business, Management, Marketing, and Related Support Services, 3.54 GPA
University of Phoenix 2006 — 2008
Associate of Arts (AA), Business Administration and Management, General, 3.56 GPA
Heather Sumpter's Coventry Health Care Experience October 2011 - October 2013
Job Community Health Educator At Humana Healthcare
Industry Health, Wellness and Fitness
Experience
Humana November 2013 - Present
Coventry Health Care October 2011 - October 2013
Jewish Community Center August 2011 - October 2013
Michele's Dance Center September 2007 - June 2013
PNC Bank June 2010 - October 2011
University of Pittsburgh November 2010 - August 2011
Highmark Preventive Health Services May 2010 - August 2010
University of Pittsburgh Strength and Conditioning January 2009 - April 2009
Clinical Translational Research Center March 2006 - April 2009
Skills
Research, Microsoft Office, Telephone Skills, Health Education, Fitness, Teaching, Personal Training, Nutrition, Fitness Training, Wellness, Strength Training, Customer Service, chronic conditions, Health Program Planning, HIPPA, Exercise Physiology, Exercise Prescription, Healthcare, Health Insurance, Coronary Artery Disease, Diabetes, Diabetes Management, COPD, Cardiac Rehabilitation, EKG, Athletics, Community Outreach, Event Planning, Health Promotion, Lifestyle, Training, Public Speaking
Education
University of Pittsburgh 2009 — 2010
Master of Science, Exercise Physiology
University of Pittsburgh 2005 — 2009
Bachelor of Science, Health and Physical Activity Dept; Exercise Science
American College of Sports Medicine
Health fitness specialist certificate
Humana November 2013 - Present
Coventry Health Care October 2011 - October 2013
Jewish Community Center August 2011 - October 2013
Michele's Dance Center September 2007 - June 2013
PNC Bank June 2010 - October 2011
University of Pittsburgh November 2010 - August 2011
Highmark Preventive Health Services May 2010 - August 2010
University of Pittsburgh Strength and Conditioning January 2009 - April 2009
Clinical Translational Research Center March 2006 - April 2009
Skills
Research, Microsoft Office, Telephone Skills, Health Education, Fitness, Teaching, Personal Training, Nutrition, Fitness Training, Wellness, Strength Training, Customer Service, chronic conditions, Health Program Planning, HIPPA, Exercise Physiology, Exercise Prescription, Healthcare, Health Insurance, Coronary Artery Disease, Diabetes, Diabetes Management, COPD, Cardiac Rehabilitation, EKG, Athletics, Community Outreach, Event Planning, Health Promotion, Lifestyle, Training, Public Speaking
Education
University of Pittsburgh 2009 — 2010
Master of Science, Exercise Physiology
University of Pittsburgh 2005 — 2009
Bachelor of Science, Health and Physical Activity Dept; Exercise Science
American College of Sports Medicine
Health fitness specialist certificate
Deb Pratt Deb Pratt's Coventry Health Care Experience March 2001 - July 2012
Job Consultant at EcoSys
Industry Information Technology and Services
Experience
EcoSys February 2014 - Present
Ciber 2013 - Present
Ciber March 2013 - October 2013
Coventry Health Care March 2001 - July 2012
Coventry Health Care February 2006 - July 2010
Coventry Health Care March 2001 - February 2006
Tiburon Technologies January 1996 - January 2001
Omega Systems January 1992 - January 1996
Dollar Bank 1985 - 1992
Skills
SDLC, PMO, PMP, Program Management, Project Portfolio..., Project Management, Resource Management, IT Management, Change Management, Software Development, Cross-functional Team..., Agile Project Management, Project Delivery, Project Planning, Risk Management, Information Technology, HIPAA, Governance, IT Strategy
Education
University of Pittsburgh 1982 — 1985
Master of Science (MS), Information Science, Summa Cum Laude
University of Pittsburgh 1979 — 1983
Bachelor of Science, Information Science
EcoSys February 2014 - Present
Ciber 2013 - Present
Ciber March 2013 - October 2013
Coventry Health Care March 2001 - July 2012
Coventry Health Care February 2006 - July 2010
Coventry Health Care March 2001 - February 2006
Tiburon Technologies January 1996 - January 2001
Omega Systems January 1992 - January 1996
Dollar Bank 1985 - 1992
Skills
SDLC, PMO, PMP, Program Management, Project Portfolio..., Project Management, Resource Management, IT Management, Change Management, Software Development, Cross-functional Team..., Agile Project Management, Project Delivery, Project Planning, Risk Management, Information Technology, HIPAA, Governance, IT Strategy
Education
University of Pittsburgh 1982 — 1985
Master of Science (MS), Information Science, Summa Cum Laude
University of Pittsburgh 1979 — 1983
Bachelor of Science, Information Science
Jacqueline Lovitch Jacqueline Lovitch's Coventry Health Care Experience July 2004 - June 2005
Job Senior Manager, Clinical Operations
Industry Hospital & Health Care
Experience
Express Scripts March 2013 - Present
Medco April 2009 - March 2013
Medco July 2005 - April 2009
Coventry Health Care July 2004 - June 2005
Skills
Capacity Management, Business Process..., Training & Development, Medicare Part D, Continuous Improvement, Team Management, Managed Care, Healthcare, Clinical Operations, Clinical Consulting, Pharmacy Benefit..., Healthcare Consulting, Pharmacy, Employee Training, Cross-functional Team..., Data Analysis, Project Management, Health Policy, Pharmacists, Utilization Management, Pharmacy Automation, Medicaid, Disease Management, Healthcare Industry, Medicare, Medication Therapy..., Healthcare Information..., HIPAA, Informatics, Pharmacoeconomics, Diabetes, Outcomes Research, Healthcare Management, Clinical Research, Pharmaceutical Industry, Management, Process Improvement
Education
University of Pittsburgh 1998 — 2004
Doctor of Pharmacy, Pharmacy
Express Scripts March 2013 - Present
Medco April 2009 - March 2013
Medco July 2005 - April 2009
Coventry Health Care July 2004 - June 2005
Skills
Capacity Management, Business Process..., Training & Development, Medicare Part D, Continuous Improvement, Team Management, Managed Care, Healthcare, Clinical Operations, Clinical Consulting, Pharmacy Benefit..., Healthcare Consulting, Pharmacy, Employee Training, Cross-functional Team..., Data Analysis, Project Management, Health Policy, Pharmacists, Utilization Management, Pharmacy Automation, Medicaid, Disease Management, Healthcare Industry, Medicare, Medication Therapy..., Healthcare Information..., HIPAA, Informatics, Pharmacoeconomics, Diabetes, Outcomes Research, Healthcare Management, Clinical Research, Pharmaceutical Industry, Management, Process Improvement
Education
University of Pittsburgh 1998 — 2004
Doctor of Pharmacy, Pharmacy
Chuck Hatalsky's Coventry Health Care Experience September 2008 - November 2009
Job Coowner at Snapology of Reading
Industry Retail
Experience
Snapology of Reading September 2012 - Present
Boscov's June 2010 - Present
Coventry Health Care September 2008 - November 2009
Waddell & Reed Financial Services June 2007 - October 2008
Highmark Blue Cross Blue Shield March 1998 - November 2006
Bouquet Enterprises (Zelda's Greenhouse) August 1989 - February 1997
Skills
JDA, Strategic Planning, Inventory Management, Forecasting, Process Improvement, Retail, Team Building, Sales, Merchandising, Insurance, Customer Service, Product Development, Health Insurance, Data Analysis, Analysis, Sales Management, Leadership, Pricing, Strategic Financial..., Marketing, Profit, Training, Coaching, Microsoft Excel, PowerPoint, Public Speaking, Project Management, Customer Satisfaction, Business Planning, Competitive Analysis, Inventory Control, Cross-functional Team..., Contract Negotiation, Management
Education
University of Pittsburgh 1988 — 1993
BA, Liberal Arts
Jersey Shore Area High School 1986 — 1993
Snapology of Reading September 2012 - Present
Boscov's June 2010 - Present
Coventry Health Care September 2008 - November 2009
Waddell & Reed Financial Services June 2007 - October 2008
Highmark Blue Cross Blue Shield March 1998 - November 2006
Bouquet Enterprises (Zelda's Greenhouse) August 1989 - February 1997
Skills
JDA, Strategic Planning, Inventory Management, Forecasting, Process Improvement, Retail, Team Building, Sales, Merchandising, Insurance, Customer Service, Product Development, Health Insurance, Data Analysis, Analysis, Sales Management, Leadership, Pricing, Strategic Financial..., Marketing, Profit, Training, Coaching, Microsoft Excel, PowerPoint, Public Speaking, Project Management, Customer Satisfaction, Business Planning, Competitive Analysis, Inventory Control, Cross-functional Team..., Contract Negotiation, Management
Education
University of Pittsburgh 1988 — 1993
BA, Liberal Arts
Jersey Shore Area High School 1986 — 1993
Maxwell Nurnberger Maxwell Nurnberger's Coventry Health Care Experience August 2013 - December 2013
Job Actuarial Consultant at Aetna
Industry Insurance
Experience
Aetna December 2013 - Present
Coventry Health Care August 2013 - December 2013
Coventry Health Care April 2013 - August 2013
Catalyst-360 October 2012 - January 2013
URJ Camp Harlam June 2012 - August 2012
Complex Biological Systems Group, University of Pittsburgh September 2011 - May 2012
Temple Ohav Shalom September 2008 - May 2012
University of Pittsburgh January 2011 - August 2011
Hillel Jewish University Center November 2008 - April 2009
Communications Automation Corporation June 2007 - August 2007
Skills
Research, Microsoft Office, SAS, Microsoft Excel, Visual Basic, Public Speaking, SQL, Medicare Part D, Time Management, Teaching, Youth Development, Team Leadership, Team Management, Leadership, Youth Programs, PowerPoint
Education
University of Pittsburgh 2008 — 2012
BS, Applied Mathematics & Physics
Abington Senior High
Aetna December 2013 - Present
Coventry Health Care August 2013 - December 2013
Coventry Health Care April 2013 - August 2013
Catalyst-360 October 2012 - January 2013
URJ Camp Harlam June 2012 - August 2012
Complex Biological Systems Group, University of Pittsburgh September 2011 - May 2012
Temple Ohav Shalom September 2008 - May 2012
University of Pittsburgh January 2011 - August 2011
Hillel Jewish University Center November 2008 - April 2009
Communications Automation Corporation June 2007 - August 2007
Skills
Research, Microsoft Office, SAS, Microsoft Excel, Visual Basic, Public Speaking, SQL, Medicare Part D, Time Management, Teaching, Youth Development, Team Leadership, Team Management, Leadership, Youth Programs, PowerPoint
Education
University of Pittsburgh 2008 — 2012
BS, Applied Mathematics & Physics
Abington Senior High
Nancy Melton's Coventry Health Care Experience December 2011 - Present
Job Director Product Management at Wellpoint Anthem
Industry Insurance
Experience
Wellpoint Anthem December 2013 - Present
Coventry Health Care December 2011 - Present
CIGNA April 2009 - January 2012
Kaiser Permanente June 1998 - April 2009
Kaiser Foundation Health Plan of Georgia, Inc 1997 - 2009
Skills
Health Insurance, Managed Care, Healthcare, Insurance, Medicare, Sales, Marketing, Management, Employee Benefits, Call Centers, Product Development, Account Management, Process Improvement, Team Building, Strategic Planning, Disability Insurance, Leadership, Selling, Health Savings Accounts, Brokers, Health Care Reform, Underwriting, Life Insurance, Long-term Care, Term Life Insurance, HMO, Workers Compensation, Medicare Part D, Dentistry
Education
University of Phoenix
Bachelor of Science in Business Marketing
Wellpoint Anthem December 2013 - Present
Coventry Health Care December 2011 - Present
CIGNA April 2009 - January 2012
Kaiser Permanente June 1998 - April 2009
Kaiser Foundation Health Plan of Georgia, Inc 1997 - 2009
Skills
Health Insurance, Managed Care, Healthcare, Insurance, Medicare, Sales, Marketing, Management, Employee Benefits, Call Centers, Product Development, Account Management, Process Improvement, Team Building, Strategic Planning, Disability Insurance, Leadership, Selling, Health Savings Accounts, Brokers, Health Care Reform, Underwriting, Life Insurance, Long-term Care, Term Life Insurance, HMO, Workers Compensation, Medicare Part D, Dentistry
Education
University of Phoenix
Bachelor of Science in Business Marketing
Michael Ermlich Michael Ermlich's Coventry Health Care Experience July 2005 - August 2010
Job Enterprise Program Manager
Industry Information Technology and Services
Experience
IAGNOSIS February 2014 - Present
Direct Energy Business August 2010 - January 2014
Coventry Health Care July 2005 - August 2010
Deloitte Consulting June 2000 - June 2005
Skills
SDLC, Business Analysis, Software Project..., Requirements Gathering, SharePoint, MS Project, Requirements Analysis, Visio, Process Improvement, Vendor Management, PMP Certified, Cross-functional Team..., Strategic Planning, Healthcare Information..., Natural Gas, Energy Industry, Budget Monitoring, Vendor Management..., Business Process..., Project Management, IT Strategy, Business Process, Integration, Microsoft Project, PMP
Education
University of Pittsburgh 1995 — 1999
Bachelor, Information Sciences
IAGNOSIS February 2014 - Present
Direct Energy Business August 2010 - January 2014
Coventry Health Care July 2005 - August 2010
Deloitte Consulting June 2000 - June 2005
Skills
SDLC, Business Analysis, Software Project..., Requirements Gathering, SharePoint, MS Project, Requirements Analysis, Visio, Process Improvement, Vendor Management, PMP Certified, Cross-functional Team..., Strategic Planning, Healthcare Information..., Natural Gas, Energy Industry, Budget Monitoring, Vendor Management..., Business Process..., Project Management, IT Strategy, Business Process, Integration, Microsoft Project, PMP
Education
University of Pittsburgh 1995 — 1999
Bachelor, Information Sciences
ANDREW KIMMERLE ANDREW KIMMERLE's Coventry Health Care Experience January 2006 - January 2007
Job
Industry Information Technology and Services
Experience
Computer Sciences Corporation September 2010 - October 2012
Express Scripts September 2009 - October 2010
WellPoint September 2009 - December 2009
The TriZetto Group May 2009 - September 2009
Gateway Health System November 2007 - May 2009
Coventry Health Care January 2006 - January 2007
Skills
Medicaid, Medicare, User Acceptance Testing, Business Requirements, Test Cases, Requirements Analysis, Business Process, Documentation, HIPAA, Healthcare Industry, Decision Support, Healthcare IT, Visio, SDLC, Data Analysis, Business Analysis, Deliverables, Process Improvement, Prioritization, Data Management, Healthcare, Access, Oracle SQL, Application Development, SQL, PBM, Quality Assurance, RFP, Billing, Business Intelligence, Managed Care, System Integration..., Medicare Part D, Healthcare Consulting, Business Process..., Healthcare Information..., Program Management, Software Development, Software Documentation
Education
University of Pittsburgh 1999 — 2004
Philosophy
Computer Sciences Corporation September 2010 - October 2012
Express Scripts September 2009 - October 2010
WellPoint September 2009 - December 2009
The TriZetto Group May 2009 - September 2009
Gateway Health System November 2007 - May 2009
Coventry Health Care January 2006 - January 2007
Skills
Medicaid, Medicare, User Acceptance Testing, Business Requirements, Test Cases, Requirements Analysis, Business Process, Documentation, HIPAA, Healthcare Industry, Decision Support, Healthcare IT, Visio, SDLC, Data Analysis, Business Analysis, Deliverables, Process Improvement, Prioritization, Data Management, Healthcare, Access, Oracle SQL, Application Development, SQL, PBM, Quality Assurance, RFP, Billing, Business Intelligence, Managed Care, System Integration..., Medicare Part D, Healthcare Consulting, Business Process..., Healthcare Information..., Program Management, Software Development, Software Documentation
Education
University of Pittsburgh 1999 — 2004
Philosophy
Jon Snurka Jon Snurka's Coventry Health Care Experience May 2008 - September 2012
Job Manager, EndUser Technology at HAVI Global Solutions
Industry Insurance
Experience
HAVI Global Solutions September 2012 - Present
Coventry Health Care May 2008 - September 2012
Hilb, Rogal and Hobbs April 2004 - May 2008
HRH of Colorado July 1999 - March 2004
Ciber Inc March 1999 - July 1999
Bit by Bit Computer Rentals July 1998 - March 1999
Abracadabra Booksearch International 1994 - 1998
United States Naval Reserve 1989 - 1995
Skills
Vendor Management, IT Management, IT Strategy, Active Directory, Project Management, IT Service Management, Security, Integration, Business Analysis, Servers, Leadership, SDLC, Information Technology, Enterprise Software, Management, Visio, Process Improvement, Project Planning, SharePoint, Budgets, System Administration, Disaster Recovery, Networking
Education
University of Phoenix 2000 — 2002
BS
HAVI Global Solutions September 2012 - Present
Coventry Health Care May 2008 - September 2012
Hilb, Rogal and Hobbs April 2004 - May 2008
HRH of Colorado July 1999 - March 2004
Ciber Inc March 1999 - July 1999
Bit by Bit Computer Rentals July 1998 - March 1999
Abracadabra Booksearch International 1994 - 1998
United States Naval Reserve 1989 - 1995
Skills
Vendor Management, IT Management, IT Strategy, Active Directory, Project Management, IT Service Management, Security, Integration, Business Analysis, Servers, Leadership, SDLC, Information Technology, Enterprise Software, Management, Visio, Process Improvement, Project Planning, SharePoint, Budgets, System Administration, Disaster Recovery, Networking
Education
University of Phoenix 2000 — 2002
BS
Cheryl Speir Cheryl Speir's Coventry Health Care Experience May 2002 - August 2010
Job Project Manager
Industry Renewables & Environment
Experience
The Western Pennsylvania Conservancy October 2012 - December 2012
Slippery Rock University August 2011 - August 2012
Venture Outdoors, Inc. May 2011 - September 2011
Coventry Health Care May 2002 - August 2010
MedSelect Systems, Division of Diebold, Inc. 1994 - 2001
Children's Hospital of Pittsburgh 1990 - 1994
Digital Equipment Corporation (DEC) 1984 - 1990
Skills
Healthcare, Project Management, Program Management, Community Outreach, Event Planning, Outdoor Recreation, Sustainability, Sustainable Agriculture, Process Improvement, Data Analysis, Project Planning, CRM, Policy, Networking, Analysis, Data Center
Education
Slippery Rock University 2011 — 2012
MS3, Sustainable Science
University of Pittsburgh 1978 — 1982
MSIS, Information Science
University of Pittsburgh 1974 — 1978
BS Biochemistry, MS Information Science
The Western Pennsylvania Conservancy October 2012 - December 2012
Slippery Rock University August 2011 - August 2012
Venture Outdoors, Inc. May 2011 - September 2011
Coventry Health Care May 2002 - August 2010
MedSelect Systems, Division of Diebold, Inc. 1994 - 2001
Children's Hospital of Pittsburgh 1990 - 1994
Digital Equipment Corporation (DEC) 1984 - 1990
Skills
Healthcare, Project Management, Program Management, Community Outreach, Event Planning, Outdoor Recreation, Sustainability, Sustainable Agriculture, Process Improvement, Data Analysis, Project Planning, CRM, Policy, Networking, Analysis, Data Center
Education
Slippery Rock University 2011 — 2012
MS3, Sustainable Science
University of Pittsburgh 1978 — 1982
MSIS, Information Science
University of Pittsburgh 1974 — 1978
BS Biochemistry, MS Information Science
Danelle Davis's Coventry Health Care Experience January 2001 - May 2002
Job Medical Billing Specialist at HCA/College Park Family Care Center
Industry Medical Practice
Experience
College Park Family Care Center December 2010 - Present
Dermatology & Skin Cancer Center June 2006 - January 2007
Saint Luke's Medical Group January 2004 - April 2006
Coventry Health Care January 2001 - May 2002
Skills
Healthcare, Hospitals, Clinical Research, Cpr Certified, Medical Terminology, Medical Billing, Nursing, Data Entry, Inpatient, Public Speaking, EMR, Microsoft Office 2007, Teamwork, Customer Service, Accounts Receivable, Insurance, ICD-9, Microsoft Office
Education
University of Pittsburgh 1990 — 1995
Bachelor of Arts (B.A.), Communications
College Park Family Care Center December 2010 - Present
Dermatology & Skin Cancer Center June 2006 - January 2007
Saint Luke's Medical Group January 2004 - April 2006
Coventry Health Care January 2001 - May 2002
Skills
Healthcare, Hospitals, Clinical Research, Cpr Certified, Medical Terminology, Medical Billing, Nursing, Data Entry, Inpatient, Public Speaking, EMR, Microsoft Office 2007, Teamwork, Customer Service, Accounts Receivable, Insurance, ICD-9, Microsoft Office
Education
University of Pittsburgh 1990 — 1995
Bachelor of Arts (B.A.), Communications
Marcia (Andrews) Swenck Marcia (Andrews) Swenck's Coventry Health Care Experience February 2008 - December 2013
Job Global Security Business Risk Mitigation, Continuity Management (Sr Consultant)
Industry Information Technology and Services
Experience
Aetna December 2013 - Present
Coventry Health Care February 2008 - December 2013
Wachovia Securities January 2007 - August 2007
Federal Reserve Bank of Richmond May 2006 - January 2007
Wachovia Securities March 2004 - December 2005
Capital One July 2002 - March 2003
Capital One August 1996 - April 2002
Coreast Savings Bank, FSB June 1980 - April 1992
Skills
SDLC, Leadership, Agile Methodologies, Project Management, Program Management, Risk Management, Management, Business Process, Integration, Business Analysis, Analysis
Education
University of Richmond 1972 — 1976
Bachelor of Science (B.S.), Biology, General
Aetna December 2013 - Present
Coventry Health Care February 2008 - December 2013
Wachovia Securities January 2007 - August 2007
Federal Reserve Bank of Richmond May 2006 - January 2007
Wachovia Securities March 2004 - December 2005
Capital One July 2002 - March 2003
Capital One August 1996 - April 2002
Coreast Savings Bank, FSB June 1980 - April 1992
Skills
SDLC, Leadership, Agile Methodologies, Project Management, Program Management, Risk Management, Management, Business Process, Integration, Business Analysis, Analysis
Education
University of Richmond 1972 — 1976
Bachelor of Science (B.S.), Biology, General
Laurie Hilfiker Laurie Hilfiker's Coventry Health Care Experience July 2003 - September 2007
Job Executive Director, Dedicated Accounts
Industry Hospital & Health Care
Experience
One Call Care Management, Formally TechHealth September 2007 - Present
Coventry Health Care July 2003 - September 2007
Capital One Auto Finance November 2002 - June 2003
Residential Resources, Inc. March 1995 - May 2002
Skills
Training, Healthcare Management, Medicare, Managed Care, Provider Relations, Workers Compensation, Medical Terminology, HIPAA, Team Building, Strategic Planning, Quality Improvement, Workers' Compensation..., Claim, Health Insurance, Healthcare, Insurance, Medicaid, Outlook, Management, Claims Management, Healthcare Industry, Utilization Management, Call Centers, Orthopedic, Revenue Cycle
Education
University of Phoenix 2012 — 2012
Masters, Health/Health Care Administration/Management
University of Phoenix 2006 — 2012
Bachelors, Health/Health Care Administration/Management
One Call Care Management, Formally TechHealth September 2007 - Present
Coventry Health Care July 2003 - September 2007
Capital One Auto Finance November 2002 - June 2003
Residential Resources, Inc. March 1995 - May 2002
Skills
Training, Healthcare Management, Medicare, Managed Care, Provider Relations, Workers Compensation, Medical Terminology, HIPAA, Team Building, Strategic Planning, Quality Improvement, Workers' Compensation..., Claim, Health Insurance, Healthcare, Insurance, Medicaid, Outlook, Management, Claims Management, Healthcare Industry, Utilization Management, Call Centers, Orthopedic, Revenue Cycle
Education
University of Phoenix 2012 — 2012
Masters, Health/Health Care Administration/Management
University of Phoenix 2006 — 2012
Bachelors, Health/Health Care Administration/Management
Nicole Griscti's Coventry Health Care Experience November 2010 - November 2011
Job Vendor Liaison at CareCentrix
Industry Hospital & Health Care
Experience
CareCentrix July 2014 - Present
CareCentrix September 2013 - July 2014
CareCentrix January 2013 - September 2013
Freedom Healthcare January 2012 - December 2012
Coventry Health Care November 2010 - November 2011
Coventry Health Care July 2010 - November 2010
USF Health May 2005 - July 2010
Old Navy July 2008 - November 2009
Ellen’s Hallmark August 2004 - July 2008
Skills
Healthcare, Healthcare Management, Data Entry, HIPAA, Medical Records, Medicare, Outlook, Customer Service, Medicaid, Insurance, Call Center, Management, Fax, Medical Terminology, Medical Billing, Claim, Access, Health Insurance, Utilization Management, Training, Prior Authorization, Eligibility, Microsoft Office, Verification, CPT, ICD-9, Call Centers, Medical Coding, Healthcare Industry, Invoicing
Education
University of South Florida 2004 — 2009
Bachelor of Arts (BA), Gerontology, Public Health
Jefferson Senior High School 2000 — 2004
High School Diploma
CareCentrix July 2014 - Present
CareCentrix September 2013 - July 2014
CareCentrix January 2013 - September 2013
Freedom Healthcare January 2012 - December 2012
Coventry Health Care November 2010 - November 2011
Coventry Health Care July 2010 - November 2010
USF Health May 2005 - July 2010
Old Navy July 2008 - November 2009
Ellen’s Hallmark August 2004 - July 2008
Skills
Healthcare, Healthcare Management, Data Entry, HIPAA, Medical Records, Medicare, Outlook, Customer Service, Medicaid, Insurance, Call Center, Management, Fax, Medical Terminology, Medical Billing, Claim, Access, Health Insurance, Utilization Management, Training, Prior Authorization, Eligibility, Microsoft Office, Verification, CPT, ICD-9, Call Centers, Medical Coding, Healthcare Industry, Invoicing
Education
University of South Florida 2004 — 2009
Bachelor of Arts (BA), Gerontology, Public Health
Jefferson Senior High School 2000 — 2004
High School Diploma
Rosali Magee's Coventry Health Care Experience December 2008 - May 2010
Job Workload Relationship Specialist at USAA
Industry Financial Services
Experience
USAA January 2011 - Present
American Express July 2005 - January 2011
Coventry Health Care December 2008 - May 2010
Skills
Sales, Customer Service, Call Center..., Call Centers, Contact Center..., Customer Satisfaction, Workforce Management, Operations Management, Forecasting, Business Analysis, Analysis, Contact Centers, Outlook, Team Building, Customer Retention
Education
University of the Incarnate Word 2012 — 2017
working on Bachelor's degree, Human Resources Management/Personnel Administration, General
University of Phoenix 2009 — 2011
AAFB, Business Administration and Management, General
USAA January 2011 - Present
American Express July 2005 - January 2011
Coventry Health Care December 2008 - May 2010
Skills
Sales, Customer Service, Call Center..., Call Centers, Contact Center..., Customer Satisfaction, Workforce Management, Operations Management, Forecasting, Business Analysis, Analysis, Contact Centers, Outlook, Team Building, Customer Retention
Education
University of the Incarnate Word 2012 — 2017
working on Bachelor's degree, Human Resources Management/Personnel Administration, General
University of Phoenix 2009 — 2011
AAFB, Business Administration and Management, General
Dimple Ambooken's Coventry Health Care Experience June 2004 - July 2006
Job Actuarial Director at OptumInsight
Industry Management Consulting
Experience
OptumInsight June 2011 - Present
Aon Hewitt September 2008 - May 2011
Aon Benfield July 2006 - August 2008
Coventry Health Care June 2004 - July 2006
Highmark Blue Cross Blue Shield July 2001 - June 2004
Prudential Financial June 1998 - July 2001
Skills
Actuarial Science, Financial Modeling, Health Care Reform, Reinsurance, Statistical Modeling, Financial Analysis, Actuarial Consulting, Executive Pay, Defined Benefit, Pricing, Forecasting, Analytics, Underwriting, Data Mining, Managed Care, Analysis, Health Policy, Claim, Access, General Insurance, ERISA, Employee Benefits, Statistics, Brokers, Financial Reporting
Education
University of Pittsburgh 1994 — 1998
Bachelor of Science (B.S.), Statistics
OptumInsight June 2011 - Present
Aon Hewitt September 2008 - May 2011
Aon Benfield July 2006 - August 2008
Coventry Health Care June 2004 - July 2006
Highmark Blue Cross Blue Shield July 2001 - June 2004
Prudential Financial June 1998 - July 2001
Skills
Actuarial Science, Financial Modeling, Health Care Reform, Reinsurance, Statistical Modeling, Financial Analysis, Actuarial Consulting, Executive Pay, Defined Benefit, Pricing, Forecasting, Analytics, Underwriting, Data Mining, Managed Care, Analysis, Health Policy, Claim, Access, General Insurance, ERISA, Employee Benefits, Statistics, Brokers, Financial Reporting
Education
University of Pittsburgh 1994 — 1998
Bachelor of Science (B.S.), Statistics
Marie Broadnax Marie Broadnax's Coventry Health Care Experience January 2003 - March 2008
Job Analyst at Covered California
Industry Hospital & Health Care
Experience
Covered California 2013 - Present
California Department of Managed Health Care March 2008 - 2013
California Department of Managed Health Care March 2008 - 2013
California Health Benefits Exchange 2012 - 2012
California Department of Managed Health Care March 2008 - April 2009
Coventry Healthcare April 2007 - March 2008
Coventry Health Care January 2003 - March 2008
Coventry Healthcare May 2005 - April 2007
Skills
Healthcare, Public Speaking, PowerPoint, Microsoft Office, Leadership, Data Analysis
Education
University of Phoenix 2007 — 2010
Bachelor of Science, Healthcare Administration
Covered California 2013 - Present
California Department of Managed Health Care March 2008 - 2013
California Department of Managed Health Care March 2008 - 2013
California Health Benefits Exchange 2012 - 2012
California Department of Managed Health Care March 2008 - April 2009
Coventry Healthcare April 2007 - March 2008
Coventry Health Care January 2003 - March 2008
Coventry Healthcare May 2005 - April 2007
Skills
Healthcare, Public Speaking, PowerPoint, Microsoft Office, Leadership, Data Analysis
Education
University of Phoenix 2007 — 2010
Bachelor of Science, Healthcare Administration
Hogsett Chris Hogsett Chris's Coventry Health Care Experience June 2004 - Present
Job Operations Manager at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care June 2004 - Present
Bank of America August 1975 - July 2003
First Florida Bank N. A. 1975 - 1990
Skills
Process Improvement, Management, Time Management, Operations Management, Team Building, Leadership, Change Management, Cross-functional Team..., Call Centers, Program Management
Education
University of South Florida 1977 — 1981
Business Administration and Management, General and Criminal Justice
Hillsborough Community College 1975 — 1977
Associate of Arts (AA), Business Administration and Management, General
C. Leon King High School 1971 — 1974
Coventry Health Care June 2004 - Present
Bank of America August 1975 - July 2003
First Florida Bank N. A. 1975 - 1990
Skills
Process Improvement, Management, Time Management, Operations Management, Team Building, Leadership, Change Management, Cross-functional Team..., Call Centers, Program Management
Education
University of South Florida 1977 — 1981
Business Administration and Management, General and Criminal Justice
Hillsborough Community College 1975 — 1977
Associate of Arts (AA), Business Administration and Management, General
C. Leon King High School 1971 — 1974
Jennifer Parisi Jennifer Parisi's Coventry Health Care Experience January 2010 - March 2013
Job Change Management Consultant at FluidEdge Consulting
Industry Professional Training & Coaching
Experience
FluidEdge Consulting February 2015 - Present
Lernia Training Solutions November 2014 - Present
Vinaya Consulting, LLC March 2013 - Present
Silverline Consulting, Inc. March 2013 - Present
Universal American March 2013 - April 2014
Coventry Health Care January 2010 - March 2013
Independence Blue Cross July 2007 - January 2010
Independence Blue Cross May 2006 - July 2007
Highmark February 2004 - May 2006
Skills
Training & Development, Instructional Design, Medicare Compliance, Customer Service, MS Office Suite, Adobe Captivate 5, SharePoint, SharePoint Designer, E-learning Development, Performance Management, Captivate, E-Learning, Medicare, Curriculum Design, Software Documentation, Training, Process Improvement, Learning Management..., Training Delivery, Needs Analysis, ADDIE, Instructor-led Training, Blended Learning, Management, Visio, Insurance, Leadership Development, Healthcare Industry, Employee Training, Microsoft Office, Call Centers, Analysis, Health Insurance, Project Management, Consulting, Administration, Program Management, Leadership, Coaching, Healthcare, Team Building
Education
University of Pittsburgh 1998 — 2002
BA, Communications and Rhetoric
FluidEdge Consulting February 2015 - Present
Lernia Training Solutions November 2014 - Present
Vinaya Consulting, LLC March 2013 - Present
Silverline Consulting, Inc. March 2013 - Present
Universal American March 2013 - April 2014
Coventry Health Care January 2010 - March 2013
Independence Blue Cross July 2007 - January 2010
Independence Blue Cross May 2006 - July 2007
Highmark February 2004 - May 2006
Skills
Training & Development, Instructional Design, Medicare Compliance, Customer Service, MS Office Suite, Adobe Captivate 5, SharePoint, SharePoint Designer, E-learning Development, Performance Management, Captivate, E-Learning, Medicare, Curriculum Design, Software Documentation, Training, Process Improvement, Learning Management..., Training Delivery, Needs Analysis, ADDIE, Instructor-led Training, Blended Learning, Management, Visio, Insurance, Leadership Development, Healthcare Industry, Employee Training, Microsoft Office, Call Centers, Analysis, Health Insurance, Project Management, Consulting, Administration, Program Management, Leadership, Coaching, Healthcare, Team Building
Education
University of Pittsburgh 1998 — 2002
BA, Communications and Rhetoric
DeAnn Alcantar, M.S. IDT's Coventry Health Care Experience December 2012 - December 2013
Job Talent Development Consultant at Aetna
Industry Education Management
Experience
Aetna December 2013 - Present
Coventry Health Care December 2012 - December 2013
Medicis July 2012 - December 2012
Covance, Inc. October 2010 - July 2012
Covance, Inc. May 2009 - October 2010
Covance, Inc. January 2009 - May 2009
Arizona Government University April 2007 - January 2009
Skills
Instructional Design, Training, Project Management, Collaboration, Team Leadership, Eye for Details, Organization, Interpersonal..., Instructor-led Training, Change Management, Program Management, Learning Management..., Talent Management, Leadership, Workshop Facilitation, Training Delivery, Employee Training, Performance Consulting, Blended Learning, Needs Analysis, Learning Management, Technical Documentation, Adult Education, E-Learning, Technical Training, Software Documentation, Coaching, ADDIE, Performance Management, Technical Writing, Organizational..., Staff Development, Organizational..., Management, Leadership Development, Process Improvement, Recruiting, Distance Learning, Performance Improvement, SharePoint, Career Development, Camtasia, Conflict Resolution, Hands-on Training, Training Facilitation
Education
Walden University 2011 — 2013
Master of Science (MS), Instructional Design & Technology
University of Phoenix 1998 — 2000
Bachelor, Business Information Systems
Aetna December 2013 - Present
Coventry Health Care December 2012 - December 2013
Medicis July 2012 - December 2012
Covance, Inc. October 2010 - July 2012
Covance, Inc. May 2009 - October 2010
Covance, Inc. January 2009 - May 2009
Arizona Government University April 2007 - January 2009
Skills
Instructional Design, Training, Project Management, Collaboration, Team Leadership, Eye for Details, Organization, Interpersonal..., Instructor-led Training, Change Management, Program Management, Learning Management..., Talent Management, Leadership, Workshop Facilitation, Training Delivery, Employee Training, Performance Consulting, Blended Learning, Needs Analysis, Learning Management, Technical Documentation, Adult Education, E-Learning, Technical Training, Software Documentation, Coaching, ADDIE, Performance Management, Technical Writing, Organizational..., Staff Development, Organizational..., Management, Leadership Development, Process Improvement, Recruiting, Distance Learning, Performance Improvement, SharePoint, Career Development, Camtasia, Conflict Resolution, Hands-on Training, Training Facilitation
Education
Walden University 2011 — 2013
Master of Science (MS), Instructional Design & Technology
University of Phoenix 1998 — 2000
Bachelor, Business Information Systems
Rachel Brisco Rachel Brisco's Coventry Health Care Experience January 2006 - September 2008
Job Business Development Manager
Industry Marketing and Advertising
Experience
Dove Contracting Inc January 2015 - Present
Marco Contractors, Inc. February 2012 - December 2014
Coventry Health Care January 2006 - September 2008
Skills
Microsoft Office, Online Marketing, Market Research, Marketing Strategy, Market Analysis, Marketing Communications, New Business Development, Email Marketing, Cold Calling, Social Networking, Business Networking, Travel, Business Travel, Creative Strategy, Creative Concept..., Trade Shows, Product Development, Contract Negotiation, Contract Management, Customer Service, Project Planning, Retail, Negotiation, Team Building, Construction Management, Construction, Process Scheduler
Education
University of Phoenix 2010 — 2013
Bachelor of Science
Ambridge Area High School 1999 — 2002
Diploma
Dove Contracting Inc January 2015 - Present
Marco Contractors, Inc. February 2012 - December 2014
Coventry Health Care January 2006 - September 2008
Skills
Microsoft Office, Online Marketing, Market Research, Marketing Strategy, Market Analysis, Marketing Communications, New Business Development, Email Marketing, Cold Calling, Social Networking, Business Networking, Travel, Business Travel, Creative Strategy, Creative Concept..., Trade Shows, Product Development, Contract Negotiation, Contract Management, Customer Service, Project Planning, Retail, Negotiation, Team Building, Construction Management, Construction, Process Scheduler
Education
University of Phoenix 2010 — 2013
Bachelor of Science
Ambridge Area High School 1999 — 2002
Diploma
Faith Burdell Faith Burdell's Coventry Health Care Experience May 2005 - January 2011
Job Business Law I Teacher's Assistant and School of Accountancy Student Advisory Board
Industry Higher Education
Experience
USF School of Accountancy August 2013 - Present
USF School of Accountancy Student Advisory Board January 2013 - Present
USF Student Athletics Department August 2012 - Present
University of South Florida August 2001 - Present
Beta Alpha Psi Delta Gamma January 2013 - May 2013
Beta Alpha Psi Delta Gamma June 2012 - December 2012
Beta Alpha Psi Delta Gamma Chapter January 2012 - May 2012
Coventry Health Care May 2005 - January 2011
Skills
Microsoft Office, Access, Critical Thinking, Fast Learner, Computer Literate, Adaptive, Able To Multi-task, Teamwork, Proactive, Proven Leadership Skills, Ethical, Hard Worker, Responsible, Loyal, Professional, Willing to Learn, Analytical Abilities, Attention To Detail, Data Entry, Customer Service, Goal Oriented, Public Speaking, Tutoring, Communication, Accounting, Analytical Skills, Internal Controls, Internal Audit, Leadership
Education
University of South Florida 2001 — 2013
Bachelor of Science (B.S.), Accounting
Leto High School 1997 — 2001
High School Diploma, College Preparatory
USF School of Accountancy August 2013 - Present
USF School of Accountancy Student Advisory Board January 2013 - Present
USF Student Athletics Department August 2012 - Present
University of South Florida August 2001 - Present
Beta Alpha Psi Delta Gamma January 2013 - May 2013
Beta Alpha Psi Delta Gamma June 2012 - December 2012
Beta Alpha Psi Delta Gamma Chapter January 2012 - May 2012
Coventry Health Care May 2005 - January 2011
Skills
Microsoft Office, Access, Critical Thinking, Fast Learner, Computer Literate, Adaptive, Able To Multi-task, Teamwork, Proactive, Proven Leadership Skills, Ethical, Hard Worker, Responsible, Loyal, Professional, Willing to Learn, Analytical Abilities, Attention To Detail, Data Entry, Customer Service, Goal Oriented, Public Speaking, Tutoring, Communication, Accounting, Analytical Skills, Internal Controls, Internal Audit, Leadership
Education
University of South Florida 2001 — 2013
Bachelor of Science (B.S.), Accounting
Leto High School 1997 — 2001
High School Diploma, College Preparatory
Yvonne McCallum, PHR's Coventry Health Care Experience February 2002 - May 2005
Job Senior Human Capital Program Manager at Amtrak
Industry Human Resources
Experience
Amtrak September 2014 - Present
Amtrak October 2013 - September 2014
Amtrak June 2012 - September 2013
Amtrak May 2011 - May 2012
Amtrak April 2010 - April 2011
Condé Nast May 2005 - March 2009
Coventry Health Care February 2002 - May 2005
Wachovia Bank March 1981 - November 2001
Skills
Employee Relations, Process Improvement, Benefits Administration, Microsoft Office, Strategic Planning, 401k, Banking, Crystal Reports, Credit Cards, Retirement, Pensions, HRIS, Performance Management, Human Resources, PeopleSoft, Employee Benefits, Talent Acquisition, FMLA, Onboarding, Recruiting, Risk Management, Strategy, Personnel Management, SAP, Training, Business Process, Project Management, Leadership, Program Management, Time Management, Policy, Temporary Placement, New Hire Orientations, Deferred Compensation, Budgets, Coaching, Change Management, Management, Business Process..., Interviews, Call Centers, Succession Planning
Education
Villanova University 2011 — 2011
Lean Six Sigma
Walden University 2007 — 2009
PhD, Applied Mgmt and Decision Sciences - specialization in Organizational Change
University of Phoenix 2005 — 2007
MBA, Business Administration and HRM
Wesley College 2001 — 2005
BBA, Business Administration
Amtrak September 2014 - Present
Amtrak October 2013 - September 2014
Amtrak June 2012 - September 2013
Amtrak May 2011 - May 2012
Amtrak April 2010 - April 2011
Condé Nast May 2005 - March 2009
Coventry Health Care February 2002 - May 2005
Wachovia Bank March 1981 - November 2001
Skills
Employee Relations, Process Improvement, Benefits Administration, Microsoft Office, Strategic Planning, 401k, Banking, Crystal Reports, Credit Cards, Retirement, Pensions, HRIS, Performance Management, Human Resources, PeopleSoft, Employee Benefits, Talent Acquisition, FMLA, Onboarding, Recruiting, Risk Management, Strategy, Personnel Management, SAP, Training, Business Process, Project Management, Leadership, Program Management, Time Management, Policy, Temporary Placement, New Hire Orientations, Deferred Compensation, Budgets, Coaching, Change Management, Management, Business Process..., Interviews, Call Centers, Succession Planning
Education
Villanova University 2011 — 2011
Lean Six Sigma
Walden University 2007 — 2009
PhD, Applied Mgmt and Decision Sciences - specialization in Organizational Change
University of Phoenix 2005 — 2007
MBA, Business Administration and HRM
Wesley College 2001 — 2005
BBA, Business Administration
Keith Baisy's Coventry Health Care Experience September 2006 - September 2009
Job Manager,Contracts, CedarsSinai Medical Foundation
Industry Hospital & Health Care
Experience
Cedars Sinai Medical Foundation June 2014 - Present
Health Plan of San Joaquin October 2012 - February 2014
Anthem Blue Cross July 2009 - October 2012
Coventry Health Care September 2006 - September 2009
Health Net 1998 - 2007
Skills
Network Development, Provider Relations, Managed Care, PPO, Medicare, Medicaid, HMO, Health Insurance, HIPAA, Healthcare Management, Credentialing, Healthcare, Healthcare Industry, Hospitals, Healthcare Information..., Insurance, Process Improvement, Healthcare Consulting, Employee Benefits, Strategic Planning, Physician Relations
Education
University of Southern California 2010 — 2012
Masters, Leadership
University of Phoenix 2003 — 2006
BS, Health Administration
Cedars Sinai Medical Foundation June 2014 - Present
Health Plan of San Joaquin October 2012 - February 2014
Anthem Blue Cross July 2009 - October 2012
Coventry Health Care September 2006 - September 2009
Health Net 1998 - 2007
Skills
Network Development, Provider Relations, Managed Care, PPO, Medicare, Medicaid, HMO, Health Insurance, HIPAA, Healthcare Management, Credentialing, Healthcare, Healthcare Industry, Hospitals, Healthcare Information..., Insurance, Process Improvement, Healthcare Consulting, Employee Benefits, Strategic Planning, Physician Relations
Education
University of Southern California 2010 — 2012
Masters, Leadership
University of Phoenix 2003 — 2006
BS, Health Administration
Stephanie Bernaciak Massaro's Coventry Health Care Experience January 1993 - January 1998
Job Employee Benefits Consultant at Seubert & Associates
Industry Insurance
Experience
Seubert & Associates, Inc. March 2015 - Present
Liberty Insurance Agency June 2013 - February 2015
Independent Consultant January 2011 - June 2013
UnitedHealthcare March 2005 - September 2010
UPMC Health Plan January 1998 - March 2005
Coventry Health Care January 1993 - January 1998
Skills
Account Management, Sales, Self-funded, Sales Management, Process Improvement, Health Savings Accounts, HMO, Strategic Planning, Team Building, PPO, New Business Development, Call Center, Customer Service, Network Development, Sales Operations, Provider Relations, Leadership, Cross-functional Team..., Marketing, Group Medical, Insurance, Health Insurance, Medicare, Employee Benefits, Brokers, Managed Care, Healthcare, Strategy, Business Development, Management, Disability Insurance, Health Policy, Underwriting, COBRA, Health Care Reform, Business Planning, Long-term Care, Medicare Part D, Disease Management, Pharmacy Benefit..., Medicaid, Executive Management, Life Insurance
Education
University of Pittsburgh
south fayette
Seubert & Associates, Inc. March 2015 - Present
Liberty Insurance Agency June 2013 - February 2015
Independent Consultant January 2011 - June 2013
UnitedHealthcare March 2005 - September 2010
UPMC Health Plan January 1998 - March 2005
Coventry Health Care January 1993 - January 1998
Skills
Account Management, Sales, Self-funded, Sales Management, Process Improvement, Health Savings Accounts, HMO, Strategic Planning, Team Building, PPO, New Business Development, Call Center, Customer Service, Network Development, Sales Operations, Provider Relations, Leadership, Cross-functional Team..., Marketing, Group Medical, Insurance, Health Insurance, Medicare, Employee Benefits, Brokers, Managed Care, Healthcare, Strategy, Business Development, Management, Disability Insurance, Health Policy, Underwriting, COBRA, Health Care Reform, Business Planning, Long-term Care, Medicare Part D, Disease Management, Pharmacy Benefit..., Medicaid, Executive Management, Life Insurance
Education
University of Pittsburgh
south fayette
Lee Minniear's Coventry Health Care Experience September 2007 - February 2011
Job Director, Site Reliability Engineering at GoDaddy.com
Industry Information Technology and Services
Experience
GoDaddy.com January 2012 - Present
GoDaddy.com February 2011 - February 2012
Coventry Health Care September 2007 - February 2011
Freescale Semiconductor June 2004 - August 2007
Motorola August 2000 - June 2004
ACS Technology Solutions June 1997 - August 2000
United States Navy August 1988 - June 1997
Skills
Systems Engineering, System Administration, Linux, Unix, ITIL, Change Management, Incident Management, Incident Analysis, Project Execution, Integration, Perl, Project Management, Operating Systems, High Availability, MySQL, Disaster Recovery, Solaris, Data Center, IT Management, Hardware, Web Applications, Software Development, Security
Education
University of Phoenix 1998 — 2004
BS, Electronic Business
Flushing High School 1979 — 1982
High School Diploma
KT Resolve Workshop
GoDaddy.com January 2012 - Present
GoDaddy.com February 2011 - February 2012
Coventry Health Care September 2007 - February 2011
Freescale Semiconductor June 2004 - August 2007
Motorola August 2000 - June 2004
ACS Technology Solutions June 1997 - August 2000
United States Navy August 1988 - June 1997
Skills
Systems Engineering, System Administration, Linux, Unix, ITIL, Change Management, Incident Management, Incident Analysis, Project Execution, Integration, Perl, Project Management, Operating Systems, High Availability, MySQL, Disaster Recovery, Solaris, Data Center, IT Management, Hardware, Web Applications, Software Development, Security
Education
University of Phoenix 1998 — 2004
BS, Electronic Business
Flushing High School 1979 — 1982
High School Diploma
KT Resolve Workshop
Linda Kilmer's Coventry Health Care Experience June 2009 - Present
Job Graduate of University of Phoenix
Industry Hospital & Health Care
Experience
Coventry Health Care June 2009 - Present
Citi October 2006 - January 2007
Wishing Well RV Park September 2000 - August 2005
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Customer Service, Public Speaking, Teamwork, Medical Terminology, Social Media
Education
University of Phoenix 2010 — 2012
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Chaparral College 2006 — 2008
Associate of Science (AS), Health/Health Care Administration/Management
Coventry Health Care June 2009 - Present
Citi October 2006 - January 2007
Wishing Well RV Park September 2000 - August 2005
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Customer Service, Public Speaking, Teamwork, Medical Terminology, Social Media
Education
University of Phoenix 2010 — 2012
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Chaparral College 2006 — 2008
Associate of Science (AS), Health/Health Care Administration/Management
Denis Marais, PMP's Coventry Health Care Experience May 2011 - June 2012
Job Manager, Project Management
Industry Health, Wellness and Fitness
Experience
Aetna July 2012 - Present
Coventry Health Care May 2011 - June 2012
Coventry Health Care January 2008 - April 2011
First Health - Mississauga, Canada October 2006 - December 2007
Coventry Health Care November 2003 - October 2006
Xcel IT Services - Nashua, NH 2000 - November 2003
Waymark Infotech (Xcel) 1996 - 2000
Sasol 1985 - 1995
Skills
Integration, Data Warehousing, Budgeting, Strategic Planning, Financial Management, Software Project..., Release Management, Production Support, Business Intelligence, Web Analytics, People Management, Performance Management, Problem Solving, MS Project, Visio, Excel, Access, Remedy, Word, Cognos, BIQuery, SharePoint, Quality Center, PowerPoint, Web Applications, Healthcare, Oil/Gas, Consultancy, Agriculture, Government, Workers Compensation, Software Implementation, Software Quality..., Weblogic, Oracle, SQL, SQL Server, Apache, IIS, Unix, IP Networking, Wireless Networking, PC maintenance, HTML, Microsoft Excel, Budgets, Management, CRM, Requirements Analysis, SDLC
Education
University of South Africa/Universiteit van Suid-Afrika 1988 — 1991
MBL, Business Leadership
University of Pretoria/Universiteit van Pretoria 1982 — 1982
B Comm Hons (Acc), Accounting, Taxation, Auditing and Management Accounting
University of Pretoria/Universiteit van Pretoria 1979 — 1981
B Comm (Acc), Accounting, Auditing, Taxation, Management Accounting
Aetna July 2012 - Present
Coventry Health Care May 2011 - June 2012
Coventry Health Care January 2008 - April 2011
First Health - Mississauga, Canada October 2006 - December 2007
Coventry Health Care November 2003 - October 2006
Xcel IT Services - Nashua, NH 2000 - November 2003
Waymark Infotech (Xcel) 1996 - 2000
Sasol 1985 - 1995
Skills
Integration, Data Warehousing, Budgeting, Strategic Planning, Financial Management, Software Project..., Release Management, Production Support, Business Intelligence, Web Analytics, People Management, Performance Management, Problem Solving, MS Project, Visio, Excel, Access, Remedy, Word, Cognos, BIQuery, SharePoint, Quality Center, PowerPoint, Web Applications, Healthcare, Oil/Gas, Consultancy, Agriculture, Government, Workers Compensation, Software Implementation, Software Quality..., Weblogic, Oracle, SQL, SQL Server, Apache, IIS, Unix, IP Networking, Wireless Networking, PC maintenance, HTML, Microsoft Excel, Budgets, Management, CRM, Requirements Analysis, SDLC
Education
University of South Africa/Universiteit van Suid-Afrika 1988 — 1991
MBL, Business Leadership
University of Pretoria/Universiteit van Pretoria 1982 — 1982
B Comm Hons (Acc), Accounting, Taxation, Auditing and Management Accounting
University of Pretoria/Universiteit van Pretoria 1979 — 1981
B Comm (Acc), Accounting, Auditing, Taxation, Management Accounting
Christopher Ciano's Coventry Health Care Experience November 2007 - May 2013
Job President, Aetna of Florida
Industry Insurance
Experience
Aetna June 2013 - Present
Coventry Health Care November 2007 - May 2013
Blue Shield of California December 2003 - January 2007
Health Net March 1999 - December 2002
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Insurance, Healthcare, Employee Benefits, HIPAA, Strategic Planning, Process Improvement, Team Building, Healthcare Information..., HMO, Underwriting, Claim, Healthcare Management, Vendor Management, Contract Negotiation, Change Management, Business Process...
Education
University of Southern California 1978 — 1982
Bachelor of Arts (B.A.)
Aetna June 2013 - Present
Coventry Health Care November 2007 - May 2013
Blue Shield of California December 2003 - January 2007
Health Net March 1999 - December 2002
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Insurance, Healthcare, Employee Benefits, HIPAA, Strategic Planning, Process Improvement, Team Building, Healthcare Information..., HMO, Underwriting, Claim, Healthcare Management, Vendor Management, Contract Negotiation, Change Management, Business Process...
Education
University of Southern California 1978 — 1982
Bachelor of Arts (B.A.)
Joseph Nuzzo's Coventry Health Care Experience July 2011 - Present
Job Senior Manager, IT Planning & Analysis at Coventry Health Care
Industry Information Technology and Services
Experience
Coventry Health Care July 2011 - Present
DeVry Inc. 2005 - Present
Highmark,Inc. January 2000 - July 2011
Skills
SDLC, Process Improvement, Requirements Analysis, Program Management, PMP, PMO, Software Project..., Business Analysis, Vendor Management, Visio, Project Portfolio..., Requirements Gathering, Project Management, Business Intelligence, Healthcare Information..., Business Process..., IT Strategy, SharePoint, Enterprise Architecture, MS Project, Data Warehousing, Integration, IT Management, Business Process, Software Documentation, Resource Management, Cross-functional Team..., Software Development
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2000 — 2003
Master of Business Administration (MBA)
Coventry Health Care July 2011 - Present
DeVry Inc. 2005 - Present
Highmark,Inc. January 2000 - July 2011
Skills
SDLC, Process Improvement, Requirements Analysis, Program Management, PMP, PMO, Software Project..., Business Analysis, Vendor Management, Visio, Project Portfolio..., Requirements Gathering, Project Management, Business Intelligence, Healthcare Information..., Business Process..., IT Strategy, SharePoint, Enterprise Architecture, MS Project, Data Warehousing, Integration, IT Management, Business Process, Software Documentation, Resource Management, Cross-functional Team..., Software Development
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2000 — 2003
Master of Business Administration (MBA)
Bob Haberkost's Coventry Health Care Experience March 2002 - June 2004
Job Production Administrator at Coventry Health Care
Industry Information Technology and Services
Experience
Coventry Health Care/Aetna Insurance Companies June 2004 - Present
Coventry Health Care March 2002 - June 2004
UPMC Health System 1999 - 2002
ARC Technologies Group April 1998 - April 1999
Direct Advantage Marketing July 1995 - September 1997
Metagram America July 1989 - September 1990
WERE/WNCX Cleveland, OH December 1988 - April 1989
KDKA (AM) July 1980 - July 1984
WWGO/WCCK (K104) December 1976 - May 1978
WHJB/WOKU March 1975 - December 1976
Skills
SQL, Data Warehousing, Broadcast, Process Improvement, Sound, Radio, Databases, Oracle, Informatica, Change Management, Unix, Requirements Gathering, SharePoint, Software Documentation, Integration
Education
University of Pittsburgh 1971 — 1975
Haddon Township HS 1966 — 1971
Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Coventry Health Care/Aetna Insurance Companies June 2004 - Present
Coventry Health Care March 2002 - June 2004
UPMC Health System 1999 - 2002
ARC Technologies Group April 1998 - April 1999
Direct Advantage Marketing July 1995 - September 1997
Metagram America July 1989 - September 1990
WERE/WNCX Cleveland, OH December 1988 - April 1989
KDKA (AM) July 1980 - July 1984
WWGO/WCCK (K104) December 1976 - May 1978
WHJB/WOKU March 1975 - December 1976
Skills
SQL, Data Warehousing, Broadcast, Process Improvement, Sound, Radio, Databases, Oracle, Informatica, Change Management, Unix, Requirements Gathering, SharePoint, Software Documentation, Integration
Education
University of Pittsburgh 1971 — 1975
Haddon Township HS 1966 — 1971
Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Adam Braun's Coventry Health Care Experience October 2010 - January 2013
Job Business Consultant at Summa Technologies
Industry Information Technology and Services
Experience
Summa Technologies June 2014 - Present
Aetna January 2013 - June 2014
Coventry Health Care October 2010 - January 2013
Coventry Health Care November 2006 - 2010
PNC 2004 - November 2006
The Ayco Company, LP 2002 - 2004
Skills
Business Analysis, Analysis, Software Development, SQL, Requirements Analysis, Visio, SDLC, Requirements Gathering, Software Project..., Systems Analysis, Process Improvement, Integration, Interior Architecture, Contract Negotiation, Business Process...
Education
University of Pittsburgh 2000 — 2002
Bachelor of Science, Information Science
West Virginia University 1998 — 2000
Summa Technologies June 2014 - Present
Aetna January 2013 - June 2014
Coventry Health Care October 2010 - January 2013
Coventry Health Care November 2006 - 2010
PNC 2004 - November 2006
The Ayco Company, LP 2002 - 2004
Skills
Business Analysis, Analysis, Software Development, SQL, Requirements Analysis, Visio, SDLC, Requirements Gathering, Software Project..., Systems Analysis, Process Improvement, Integration, Interior Architecture, Contract Negotiation, Business Process...
Education
University of Pittsburgh 2000 — 2002
Bachelor of Science, Information Science
West Virginia University 1998 — 2000
Derek Sundberg's Coventry Health Care Experience Account Specialist IIADPJanuary 2006 - November 2006
Job HR Generalist at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care Account Specialist IIADPJanuary 2006 - November 2006
Discover Financial Services March 1999 - January 2006
Education
University of Phoenix 2002 — 2004
Coventry Health Care Account Specialist IIADPJanuary 2006 - November 2006
Discover Financial Services March 1999 - January 2006
Education
University of Phoenix 2002 — 2004
Cleo Bechtold's Coventry Health Care Experience November 1995 - Present
Job Manager Natl Accts at Coventry Health Care
Industry Hospital & Health Care
Experience
Coventry Health Care November 1995 - Present
CIGNA Healthcare November 1989 - July 1995
Education
University of South Florida 1975 — 1989
Coventry Health Care November 1995 - Present
CIGNA Healthcare November 1989 - July 1995
Education
University of South Florida 1975 — 1989
Jason H. Clement's Coventry Health Care Experience June 2012 - Present
Job Business Analyst Consultant
Industry Hospital & Health Care
Experience
Coventry Health Care June 2012 - Present
First Health January 2002 - December 2011
Education
University of Rhode Island - College of Business Administration 1989 — 1999
Coventry Health Care June 2012 - Present
First Health January 2002 - December 2011
Education
University of Rhode Island - College of Business Administration 1989 — 1999
Ricardo Banuelos's Coventry Health Care Experience October 2008 - September 2010
Job Director of Enterprise Technology
Industry Information Technology and Services
Experience
Shfit3 Technologies March 2014 - Present
Dell August 2011 - March 2014
Concord Software Leasing, Inc September 2010 - August 2011
Coventry Health Care October 2008 - September 2010
AAA Northern California, Nevada and Utah November 2005 - October 2008
WMC Mortgage Corp January 2004 - November 2005
MBIA/MuniServices Company June 2000 - December 2003
Skills
Process Improvement, Software Development, IT Management, Enterprise Architecture, SDLC, Business Analysis, Requirements Analysis, Business Intelligence, IT Strategy, Management, Analysis, Program Management, SharePoint, Software Project..., Vendor Management, Integration, Agile Methodologies
Education
University of San Francisco 1990 — 1994
Shfit3 Technologies March 2014 - Present
Dell August 2011 - March 2014
Concord Software Leasing, Inc September 2010 - August 2011
Coventry Health Care October 2008 - September 2010
AAA Northern California, Nevada and Utah November 2005 - October 2008
WMC Mortgage Corp January 2004 - November 2005
MBIA/MuniServices Company June 2000 - December 2003
Skills
Process Improvement, Software Development, IT Management, Enterprise Architecture, SDLC, Business Analysis, Requirements Analysis, Business Intelligence, IT Strategy, Management, Analysis, Program Management, SharePoint, Software Project..., Vendor Management, Integration, Agile Methodologies
Education
University of San Francisco 1990 — 1994
Danielle (Strein) Steele's Coventry Health Care Experience January 2003 - June 2008
Job Strategic Account Executive at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Industry Insurance
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2014 - Present
Humana August 2013 - July 2014
Mercer June 2012 - August 2013
The Meltzer Group January 2011 - June 2012
Kaiser Permanente July 2008 - January 2011
Coventry Health Care January 2003 - June 2008
Skills
Employee Benefits, Health Insurance, Medicare, Vendor Management, Analysis, Training, Strategic Planning, Business Development, Program Management, Management, Sales, Business Process, New Business Development, Competitive Analysis, Insurance
Education
University of Pittsburgh 1999 — 2003
B.A. in Communications
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2014 - Present
Humana August 2013 - July 2014
Mercer June 2012 - August 2013
The Meltzer Group January 2011 - June 2012
Kaiser Permanente July 2008 - January 2011
Coventry Health Care January 2003 - June 2008
Skills
Employee Benefits, Health Insurance, Medicare, Vendor Management, Analysis, Training, Strategic Planning, Business Development, Program Management, Management, Sales, Business Process, New Business Development, Competitive Analysis, Insurance
Education
University of Pittsburgh 1999 — 2003
B.A. in Communications
Michael Angermeier's Coventry Health Care Experience April 2002 - January 2012
Job Technical Support Engineer II at GE Healthcare
Industry Information Technology and Services
Experience
GE Healthcare January 2012 - Present
Coventry Health Care April 2002 - January 2012
Idea Integration July 2000 - March 2001
Kirkpatrick & Lockhart, LLP February 1999 - June 2000
Formtek September 1998 - January 1999
McKesson January 1997 - September 1998
H. B. Maynard and Co., Inc. October 1993 - January 1997
Skills
SQL Server, Cognos, Application Development, SQL, HL7, Microsoft SQL Server, ETL, SDLC, Software Development, Data Warehousing, Visio, SSIS, SharePoint, Systems Analysis, Process Improvement, Enterprise Architecture
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1996 — 1999
M.B.A., Strategic Planning
University of Pittsburgh 1987 — 1993
B.S., Computer Science
GE Healthcare January 2012 - Present
Coventry Health Care April 2002 - January 2012
Idea Integration July 2000 - March 2001
Kirkpatrick & Lockhart, LLP February 1999 - June 2000
Formtek September 1998 - January 1999
McKesson January 1997 - September 1998
H. B. Maynard and Co., Inc. October 1993 - January 1997
Skills
SQL Server, Cognos, Application Development, SQL, HL7, Microsoft SQL Server, ETL, SDLC, Software Development, Data Warehousing, Visio, SSIS, SharePoint, Systems Analysis, Process Improvement, Enterprise Architecture
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1996 — 1999
M.B.A., Strategic Planning
University of Pittsburgh 1987 — 1993
B.S., Computer Science
Johnson L. Chandler, Ed.D.'s Coventry Health Care Experience November 2006 - January 2009
Job Independent Contractor at Robert half office team
Industry Hospital & Health Care
Experience
Robert Half International September 2011 - Present
Coventry Health Care November 2006 - January 2009
Education
University of San Francisco 2006 — 2012
Ed D, Organization and Leadership
Robert Half International September 2011 - Present
Coventry Health Care November 2006 - January 2009
Education
University of San Francisco 2006 — 2012
Ed D, Organization and Leadership
Suzanne Trickel's Coventry Health Care Experience February 1996 - September 2013
Job Director, Network Strategy; Aetna Health Care
Industry Hospital & Health Care
Experience
Aetna September 2013 - Present
Coventry Health Care February 1996 - September 2013
Coventry Health Care January 2002 - November 2006
Skills
Provider Relations, PPO, Managed Care, Network Development, Medicare, Hospitals, HMO, Benefits Administration, Employee Benefits, Medicaid, Healthcare, Contract Negotiation, Health Insurance, Credentialing, Healthcare Industry
Education
University of Sacramento
Business Administration, Human Resources and Health Care Management
Aetna September 2013 - Present
Coventry Health Care February 1996 - September 2013
Coventry Health Care January 2002 - November 2006
Skills
Provider Relations, PPO, Managed Care, Network Development, Medicare, Hospitals, HMO, Benefits Administration, Employee Benefits, Medicaid, Healthcare, Contract Negotiation, Health Insurance, Credentialing, Healthcare Industry
Education
University of Sacramento
Business Administration, Human Resources and Health Care Management
Jennifer Durgee-Hemminger's Coventry Health Care Experience 2007 - 2007
Job Network Manager at United Behavioral Health
Industry Insurance
Experience
United Behavioral Health November 2010 - Present
Crisis Center of Tampa Bay October 2007 - September 2010
Coventry Health Care 2007 - 2007
CIGNA Behavioral Health 2003 - 2007
Education
University of South Florida 1993 — 1997
BA in Psychology
United Behavioral Health November 2010 - Present
Crisis Center of Tampa Bay October 2007 - September 2010
Coventry Health Care 2007 - 2007
CIGNA Behavioral Health 2003 - 2007
Education
University of South Florida 1993 — 1997
BA in Psychology
Pete Zafris's Coventry Health Care Experience 2005 - 2009
Job Partner
Industry Hospital & Health Care
Experience
Healthcare consultant January 2015 - Present
Highmark Blue Cross Blue Shield 2014 - 2014
CIGNA Healthcare 2011 - 2013
UnitedHealthcare Medicare Solutions May 2009 - 2011
Coventry Health Care 2005 - 2009
Skills
Managed Care, Insurance, Medicaid, Medicare, Health Insurance, Network Development, HIPAA, Medicare Advantage, Medicare Part D, Healthcare Information..., HMO, Healthcare Industry, Healthcare Consulting, Retirement, Management, Employee Benefits, Account Management, Life Insurance, Long-term Care, Term Life Insurance, Brokers, Sales Management, Sales, Program Management, Marketing, Healthcare, Strategic Planning, Leadership, Business Development, Disease Management, Health Policy, Provider Relations, Strategy
Education
University of Pittsburgh
Healthcare consultant January 2015 - Present
Highmark Blue Cross Blue Shield 2014 - 2014
CIGNA Healthcare 2011 - 2013
UnitedHealthcare Medicare Solutions May 2009 - 2011
Coventry Health Care 2005 - 2009
Skills
Managed Care, Insurance, Medicaid, Medicare, Health Insurance, Network Development, HIPAA, Medicare Advantage, Medicare Part D, Healthcare Information..., HMO, Healthcare Industry, Healthcare Consulting, Retirement, Management, Employee Benefits, Account Management, Life Insurance, Long-term Care, Term Life Insurance, Brokers, Sales Management, Sales, Program Management, Marketing, Healthcare, Strategic Planning, Leadership, Business Development, Disease Management, Health Policy, Provider Relations, Strategy
Education
University of Pittsburgh
Renee Ralke's Coventry Health Care Experience April 2008 - September 2013
Job Operations Sr. Business Analyst at PNC Bank
Industry Insurance
Experience
PNC Bank September 2013 - Present
Coventry Health Care April 2008 - September 2013
UPMC 2005 - 2008
PNC Advisors 2001 - 2005
The Midwife Center 1996 - 2000
Skills
Requirements Analysis, SDLC, Business Analysis, SQL, Process Improvement, Access, Strategic Planning, Business Process..., Banking, Software Development, Budgets
Education
University of Pittsburgh 2007 — 2011
MSIS, Information Science
University of Pittsburgh 1986 — 1991
Bachelor's degree, Art History
St Paul Cathedral
High School Diploma, Academic
PNC Bank September 2013 - Present
Coventry Health Care April 2008 - September 2013
UPMC 2005 - 2008
PNC Advisors 2001 - 2005
The Midwife Center 1996 - 2000
Skills
Requirements Analysis, SDLC, Business Analysis, SQL, Process Improvement, Access, Strategic Planning, Business Process..., Banking, Software Development, Budgets
Education
University of Pittsburgh 2007 — 2011
MSIS, Information Science
University of Pittsburgh 1986 — 1991
Bachelor's degree, Art History
St Paul Cathedral
High School Diploma, Academic
Karen Austin Morris's Coventry Health Care Experience Responsible for the national service delivery of Field Case Management services as well as the local sales and service strategyVP FCMConcentra1999 - 2004
Job Vice President at Coventry Health Care
Industry Health, Wellness and Fitness
Experience
Coventry Health Care Responsible for the national service delivery of Field Case Management services as well as the local sales and service strategyVP FCMConcentra1999 - 2004
Scott Wetzel Services 1997 - 1999
Travelers Insurance 1981 - 1994
Skills
Utilization Management, Workers Compensation, Operations Management, Case Managment, Business Development, Medical Cost Containment, Territory Mgmt, Account Management, Managed Care, Medicare, Claim, Strategic Planning, Team Building, Leadership, Healthcare, Insurance, PPO, Provider Relations, Health Insurance, Sales, Property & Casualty..., Process Improvement, Strategy, Executive Management, Claims Management, Disease Management, Sales Force Development, Network Development
Education
University of South Florida 1978 — 1981
MA, Guidance and Counseling
Charlotte High School 1969 — 1973
Coventry Health Care Responsible for the national service delivery of Field Case Management services as well as the local sales and service strategyVP FCMConcentra1999 - 2004
Scott Wetzel Services 1997 - 1999
Travelers Insurance 1981 - 1994
Skills
Utilization Management, Workers Compensation, Operations Management, Case Managment, Business Development, Medical Cost Containment, Territory Mgmt, Account Management, Managed Care, Medicare, Claim, Strategic Planning, Team Building, Leadership, Healthcare, Insurance, PPO, Provider Relations, Health Insurance, Sales, Property & Casualty..., Process Improvement, Strategy, Executive Management, Claims Management, Disease Management, Sales Force Development, Network Development
Education
University of South Florida 1978 — 1981
MA, Guidance and Counseling
Charlotte High School 1969 — 1973
Karyn L. Trujillo's Coventry Health Care Experience February 2008 - May 2008
Job Provider Network Manager II at Amerigroup
Industry Hospital & Health Care
Experience
Amerigroup Corporation October 2010 - Present
Amerigroup October 2010 - Present
Citrus Health Care January 2010 - September 2010
CompCare July 2009 - December 2009
Comprehensive Health Management, Inc. May 2008 - December 2008
Coventry Health Care February 2008 - May 2008
Comprehensive Health Management, Inc May 2006 - February 2008
Coventry Health Care March 1990 - May 2006
Skills
Network Development, Provider Relations, Managed Care, Healthcare, PPO, Medicaid, HMO, Health Insurance, Medicare, HIPAA, Credentialing, Healthcare Management, Employee Benefits, Physicians, Hospitals
Education
Hillsborough Community College
Associate of Arts (AA)
University of South Florida
Amerigroup Corporation October 2010 - Present
Amerigroup October 2010 - Present
Citrus Health Care January 2010 - September 2010
CompCare July 2009 - December 2009
Comprehensive Health Management, Inc. May 2008 - December 2008
Coventry Health Care February 2008 - May 2008
Comprehensive Health Management, Inc May 2006 - February 2008
Coventry Health Care March 1990 - May 2006
Skills
Network Development, Provider Relations, Managed Care, Healthcare, PPO, Medicaid, HMO, Health Insurance, Medicare, HIPAA, Credentialing, Healthcare Management, Employee Benefits, Physicians, Hospitals
Education
Hillsborough Community College
Associate of Arts (AA)
University of South Florida
Beth Fedorek's Coventry Health Care Experience May 2002 - April 2013
Job Business Analyst at Coventry Health Care
Industry Information Technology and Services
Experience
Aetna April 2013 - Present
Coventry Health Care May 2002 - April 2013
Coventry Health Care 2001 - 2009
Skills
Business Requirements, Process Improvement, User Acceptance Testing
Education
University of Pittsburgh
Aetna April 2013 - Present
Coventry Health Care May 2002 - April 2013
Coventry Health Care 2001 - 2009
Skills
Business Requirements, Process Improvement, User Acceptance Testing
Education
University of Pittsburgh
Jolanda Malone's Coventry Health Care Experience July 2003 - July 2009
Job at Magellan Behavioral Health
Industry Hospital & Health Care
Experience
Magellan Behavioral Health September 2010 - Present
Coventry Health Care July 2003 - July 2009
Education
University of Phoenix 2009 — 2010
Health Care Adminstration
Georgia Career Insititue 2007 — 2008
Cosmetology
Volunteer State 1997 — 2000
Allied Health, Physical Therapy in Sports Medicine
Magellan Behavioral Health September 2010 - Present
Coventry Health Care July 2003 - July 2009
Education
University of Phoenix 2009 — 2010
Health Care Adminstration
Georgia Career Insititue 2007 — 2008
Cosmetology
Volunteer State 1997 — 2000
Allied Health, Physical Therapy in Sports Medicine
Jason Nelson's Coventry Health Care Experience November 2010 - June 2013
Job Network Engineer IV at US Airways
Industry Information Technology and Services
Experience
US Airways February 2015 - Present
Ports America July 2014 - February 2015
Safeway October 2013 - June 2014
GoDaddy June 2013 - September 2013
Coventry Health Care November 2010 - June 2013
Apollo Group August 2009 - July 2010
Arizona Department of Health Services February 2009 - August 2009
Calence August 2008 - February 2009
Apollo Group May 2003 - August 2008
OnTrac 2000 - 2001
Skills
CCNP, A+ Certified, Security+, Cisco, Switches, Routers, VPN, WAN, BGP, MPLS, Firewalls, DHCP, Network Security, Juniper, Avaya, Security, CCNA, Active Directory, VMware, VoIP, Windows Server, LAN/WAN, Troubleshooting, Data Center, DNS, Routing, Servers, ITIL, VMware ESX, Windows, Frame Relay, System Administration, Linux, Virtualization, Network Design, OSPF, Access, Windows Server 2003, Network Engineering, TCP/IP, Hardware, Load Balancing, Telecommunications, PIX, Cisco IOS, EIGRP, VLAN, HSRP, Cisco Wireless, Network Administration
Education
University of Phoenix 2008 — 2009
MIS, Information Systems
University of Phoenix 2004 — 2007
BSBACC, Accounting
US Airways February 2015 - Present
Ports America July 2014 - February 2015
Safeway October 2013 - June 2014
GoDaddy June 2013 - September 2013
Coventry Health Care November 2010 - June 2013
Apollo Group August 2009 - July 2010
Arizona Department of Health Services February 2009 - August 2009
Calence August 2008 - February 2009
Apollo Group May 2003 - August 2008
OnTrac 2000 - 2001
Skills
CCNP, A+ Certified, Security+, Cisco, Switches, Routers, VPN, WAN, BGP, MPLS, Firewalls, DHCP, Network Security, Juniper, Avaya, Security, CCNA, Active Directory, VMware, VoIP, Windows Server, LAN/WAN, Troubleshooting, Data Center, DNS, Routing, Servers, ITIL, VMware ESX, Windows, Frame Relay, System Administration, Linux, Virtualization, Network Design, OSPF, Access, Windows Server 2003, Network Engineering, TCP/IP, Hardware, Load Balancing, Telecommunications, PIX, Cisco IOS, EIGRP, VLAN, HSRP, Cisco Wireless, Network Administration
Education
University of Phoenix 2008 — 2009
MIS, Information Systems
University of Phoenix 2004 — 2007
BSBACC, Accounting
Irene Caliendo's Coventry Health Care Experience Manager, Managed Care ContractingThe MetroHealth SystemSeptember 1990 - September 1998
Job Director, Network Development at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care Manager, Managed Care ContractingThe MetroHealth SystemSeptember 1990 - September 1998
Education
University of Pittsburgh
BA
University of Pittsburgh - Joseph M. Katz Graduate School of Business
MBA
Coventry Health Care Manager, Managed Care ContractingThe MetroHealth SystemSeptember 1990 - September 1998
Education
University of Pittsburgh
BA
University of Pittsburgh - Joseph M. Katz Graduate School of Business
MBA
Christopher Baldini's Coventry Health Care Experience October 2011 - May 2013
Job Clinical Pharmacist at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care, an Aetna Company November 2014 - Present
Coventry Health Care, an Aetna Company May 2013 - November 2014
Coventry Health Care October 2011 - May 2013
Highmark Blue Cross Blue Shield August 2006 - October 2011
ProCare Rx November 2010 - November 2010
UPMC-Shadyside Hospital August 2005 - August 2006
J.C. Blair Memorial Hospital April 1995 - August 2005
UPMC-Shadyside Hospital July 1990 - April 1995
UPMC-Presbyterian Hospital August 1989 - July 1990
Rite Aid Pharmacy February 1989 - August 1989
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Pharmacy, Health Policy, Medicare, Medication Therapy..., Healthcare Management, Insurance, Disease Management, Pharmacists, Medicare Part D, Clinical Research, Pharmacy Automation, Clinical Pharmacy, Diabetes, Medicaid, Pharmacoeconomics
Education
University of Washington 2000 — 2004
PharmD, Pharmacy
University of Pittsburgh 1984 — 1989
BS, Pharmacy
Coventry Health Care, an Aetna Company November 2014 - Present
Coventry Health Care, an Aetna Company May 2013 - November 2014
Coventry Health Care October 2011 - May 2013
Highmark Blue Cross Blue Shield August 2006 - October 2011
ProCare Rx November 2010 - November 2010
UPMC-Shadyside Hospital August 2005 - August 2006
J.C. Blair Memorial Hospital April 1995 - August 2005
UPMC-Shadyside Hospital July 1990 - April 1995
UPMC-Presbyterian Hospital August 1989 - July 1990
Rite Aid Pharmacy February 1989 - August 1989
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Pharmacy, Health Policy, Medicare, Medication Therapy..., Healthcare Management, Insurance, Disease Management, Pharmacists, Medicare Part D, Clinical Research, Pharmacy Automation, Clinical Pharmacy, Diabetes, Medicaid, Pharmacoeconomics
Education
University of Washington 2000 — 2004
PharmD, Pharmacy
University of Pittsburgh 1984 — 1989
BS, Pharmacy
Nick DeFigio, PMP's Coventry Health Care Experience November 1998 - February 2014
Job Sr. Project Manager at Highmark Inc.
Industry Insurance
Experience
Highmark Inc. March 2014 - Present
Coventry Health Care November 1998 - February 2014
Advantage Health December 1996 - November 1998
Columbia Pharmacy Solutions February 1996 - December 1996
First Health April 1990 - February 1996
Skills
PMP, Business Analysis, Requirements Gathering, SharePoint, Software Project..., Project Management, Requirements Analysis, Health Insurance, Business Requirements, Integration, Waterfall, EDI, Databases, Resource Management, Business Process, Systems Analysis, Access, Visio, Process Improvement, SDLC, Software Documentation, PMO, Vendor Management, Project Portfolio..., IT Management, Data Warehousing
Education
University of Pittsburgh 1990 — 1995
BS Business, Business Management
Highmark Inc. March 2014 - Present
Coventry Health Care November 1998 - February 2014
Advantage Health December 1996 - November 1998
Columbia Pharmacy Solutions February 1996 - December 1996
First Health April 1990 - February 1996
Skills
PMP, Business Analysis, Requirements Gathering, SharePoint, Software Project..., Project Management, Requirements Analysis, Health Insurance, Business Requirements, Integration, Waterfall, EDI, Databases, Resource Management, Business Process, Systems Analysis, Access, Visio, Process Improvement, SDLC, Software Documentation, PMO, Vendor Management, Project Portfolio..., IT Management, Data Warehousing
Education
University of Pittsburgh 1990 — 1995
BS Business, Business Management
Patty Yarabinetz's Coventry Health Care Experience June 1993 - December 2013
Job Director Information Security at Aetna
Industry Insurance
Experience
Aetna January 2014 - Present
Coventry Health Care June 1993 - December 2013
Skills
CISM, CRISC
Education
University of Pittsburgh 1993 — 1997
Computer and Information Sciences and Support Services
Aetna January 2014 - Present
Coventry Health Care June 1993 - December 2013
Skills
CISM, CRISC
Education
University of Pittsburgh 1993 — 1997
Computer and Information Sciences and Support Services
Walt Bollinger's Coventry Health Care Experience March 2012 - November 2012
Job Voice Network Engineer at Sarasota County Government
Industry Government Administration
Experience
Sarasota County Government April 2012 - Present
Coventry Health Care March 2012 - November 2012
Southeastern Telecom March 2006 - June 2006
Sarasota County Government February 2000 - March 2006
Education
University of South Florida 2000 — 2004
Bachelors, Management Information Systems
Sarasota County Government April 2012 - Present
Coventry Health Care March 2012 - November 2012
Southeastern Telecom March 2006 - June 2006
Sarasota County Government February 2000 - March 2006
Education
University of South Florida 2000 — 2004
Bachelors, Management Information Systems
Christopher Chatelain's Coventry Health Care Experience July 2005 - Present
Job Contract Analyst at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care July 2005 - Present
Vista Healthplan July 2001 - July 2005
Skills
Pentaho, Access, T-SQL, Microsoft Office, Excel, ETL, VBA, Crystal Reports, Provider Relations, Microsoft SQL Server, Microsoft Excel, Managed Care, InfoPath, Kettle
Education
America's Health Insurance Plans 2013 — 2013
FAHM
University of South Carolina-Aiken 1994 — 1998
BS
Coventry Health Care July 2005 - Present
Vista Healthplan July 2001 - July 2005
Skills
Pentaho, Access, T-SQL, Microsoft Office, Excel, ETL, VBA, Crystal Reports, Provider Relations, Microsoft SQL Server, Microsoft Excel, Managed Care, InfoPath, Kettle
Education
America's Health Insurance Plans 2013 — 2013
FAHM
University of South Carolina-Aiken 1994 — 1998
BS
Ken Gustafson's Coventry Health Care Experience June 2008 - February 2010
Job at Kaiser Permanente
Industry Insurance
Experience
Kaiser Permanente January 2011 - Present
Coventry Health Care June 2008 - February 2010
Chevy Chase Bank June 2007 - June 2008
MortgageStar, Inc February 2001 - February 2007
Conseco Finance Corp December 1997 - February 2001
Prism Auto Glass July 1995 - November 1997
Royal Glass Company September 1990 - June 1995
Skills
Insurance, Sales, Underwriting, Budgets, Credit, Mortgage Lending, Loans, Leadership, Process Improvement, Sales Management, Health Insurance, Management, Microsoft Excel, Training, Team Building, Real Estate, Outlook, Strategic Planning, Data Entry, Microsoft Word, Marketing, Account Management, Business Planning, Employee Benefits, Access, Risk Management, Customer Service, Financial Analysis, Project Planning, Pricing, Analysis, Data Analysis, Human Resources, Disability Insurance, Healthcare, Software Documentation, Business Analysis, Life Insurance, Claim, Finance, Brokers, Medicare
Education
University of South Florida 1973 — 1977
BA, Business Management
Kaiser Permanente January 2011 - Present
Coventry Health Care June 2008 - February 2010
Chevy Chase Bank June 2007 - June 2008
MortgageStar, Inc February 2001 - February 2007
Conseco Finance Corp December 1997 - February 2001
Prism Auto Glass July 1995 - November 1997
Royal Glass Company September 1990 - June 1995
Skills
Insurance, Sales, Underwriting, Budgets, Credit, Mortgage Lending, Loans, Leadership, Process Improvement, Sales Management, Health Insurance, Management, Microsoft Excel, Training, Team Building, Real Estate, Outlook, Strategic Planning, Data Entry, Microsoft Word, Marketing, Account Management, Business Planning, Employee Benefits, Access, Risk Management, Customer Service, Financial Analysis, Project Planning, Pricing, Analysis, Data Analysis, Human Resources, Disability Insurance, Healthcare, Software Documentation, Business Analysis, Life Insurance, Claim, Finance, Brokers, Medicare
Education
University of South Florida 1973 — 1977
BA, Business Management
Katheryn Fennell Wonder's Coventry Health Care Experience August 2005 - May 2012
Job Assistant Director of Marketing at Consumers' Choice Health Plan
Industry Insurance
Experience
Consumers' Choice Health Plan May 2012 - Present
Coventry Health Care August 2005 - May 2012
Carolina Care Plan November 2000 - August 2005
Laboratory Corporation of America March 1998 - November 2000
Skills
Managed Care, Provider Relations, Health Insurance, Medicare, Microsoft Office, Insurance, Microsoft Word, Process Improvement, Management
Education
University of South Carolina-Columbia
BA, History
Consumers' Choice Health Plan May 2012 - Present
Coventry Health Care August 2005 - May 2012
Carolina Care Plan November 2000 - August 2005
Laboratory Corporation of America March 1998 - November 2000
Skills
Managed Care, Provider Relations, Health Insurance, Medicare, Microsoft Office, Insurance, Microsoft Word, Process Improvement, Management
Education
University of South Carolina-Columbia
BA, History
Kavitha Casula's Coventry Health Care Experience February 2004 - Present
Job Lead Systems Engineer at Aetna
Industry Information Technology and Services
Experience
Coventry Health Care February 2004 - Present
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2011 — 2012
MBA, Business
Coventry Health Care February 2004 - Present
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2011 — 2012
MBA, Business
Lisa Toews-Daugherty's Coventry Health Care Experience 1998 - 2001
Job
Industry
Experience
Corporate Governance Consultant 2001 - 2003
Coventry Health Care 1998 - 2001
Education
George Mason University - School of Business 1997 — 1998
MBA, Finance, Corporate Governance
University of Richmond - Robins School of Business 1987 — 1991
BSBA, Marketing, Finance
Corporate Governance Consultant 2001 - 2003
Coventry Health Care 1998 - 2001
Education
George Mason University - School of Business 1997 — 1998
MBA, Finance, Corporate Governance
University of Richmond - Robins School of Business 1987 — 1991
BSBA, Marketing, Finance
Jennifer Gallingane's Coventry Health Care Experience July 2005 - July 2010
Job Smith Micro Software: Connect. Control. Capitalize.
Industry Computer Software
Experience
Smith Micro Software, Inc. September 2014 - Present
Highmark July 2013 - September 2014
Smith Micro Software July 2011 - July 2013
Westinghouse Electric Company July 2010 - July 2011
Coventry Health Care July 2005 - July 2010
Mellon Financial April 2000 - July 2005
Skills
SDLC, Software Project..., Business Analysis, Requirements Analysis, Vendor Management, Visio, Process Improvement, Program Management, Cross-functional Team..., Team Leadership, IT Strategy, Business Process..., Software Product..., Agile Methodologies, SQL, Strategy, Mobile Devices, Customer Relations, Project Planning
Education
University of Pittsburgh 1993 — 1994
MS, Information Science
University of Pittsburgh 1989 — 1994
BS, Computer Science
Smith Micro Software, Inc. September 2014 - Present
Highmark July 2013 - September 2014
Smith Micro Software July 2011 - July 2013
Westinghouse Electric Company July 2010 - July 2011
Coventry Health Care July 2005 - July 2010
Mellon Financial April 2000 - July 2005
Skills
SDLC, Software Project..., Business Analysis, Requirements Analysis, Vendor Management, Visio, Process Improvement, Program Management, Cross-functional Team..., Team Leadership, IT Strategy, Business Process..., Software Product..., Agile Methodologies, SQL, Strategy, Mobile Devices, Customer Relations, Project Planning
Education
University of Pittsburgh 1993 — 1994
MS, Information Science
University of Pittsburgh 1989 — 1994
BS, Computer Science
Jesse Ramos's Coventry Health Care Experience November 2006 - July 2012
Job GT Voice Engineer at HP Insight Global
Industry Printing
Experience
HP - Insight Global March 2013 - Present
Coventry Health Care November 2006 - July 2012
Skills
Process Improvement, Visio
Education
University of Phoenix 2002 — 2009
MBA, Business Administration
HP - Insight Global March 2013 - Present
Coventry Health Care November 2006 - July 2012
Skills
Process Improvement, Visio
Education
University of Phoenix 2002 — 2009
MBA, Business Administration
Cheryl Shetty's Coventry Health Care Experience June 2001 - Present
Job Director of Operations at Anthem Workers' Compensation / Wellpoint
Industry Insurance
Experience
Anthem, Inc. November 2012 - Present
Coventry Health Care June 2001 - Present
Community Care Network (CCN) June 1998 - July 2004
Preferred Health Network January 1996 - April 1998
Preferred Health Network June 1989 - December 1996
First Health February 1990 - May 1994
Skills
Insurance, Workers Compensation, PPO, Network Development, Managed Care, Health Insurance, Medicare, Provider Relations, Management, Mentoring Of Staff, Vendor Management, SDLC, Healthcare Information..., Medicaid, Claim, Employee Benefits, Claims Management, Health Policy, Leadership, Healthcare, Healthcare Industry, HIPAA, Process Improvement, Healthcare Consulting, Credentialing, Pharmacy Benefit..., Utilization Management
Education
USC
Healthcare Management
Anthem, Inc. November 2012 - Present
Coventry Health Care June 2001 - Present
Community Care Network (CCN) June 1998 - July 2004
Preferred Health Network January 1996 - April 1998
Preferred Health Network June 1989 - December 1996
First Health February 1990 - May 1994
Skills
Insurance, Workers Compensation, PPO, Network Development, Managed Care, Health Insurance, Medicare, Provider Relations, Management, Mentoring Of Staff, Vendor Management, SDLC, Healthcare Information..., Medicaid, Claim, Employee Benefits, Claims Management, Health Policy, Leadership, Healthcare, Healthcare Industry, HIPAA, Process Improvement, Healthcare Consulting, Credentialing, Pharmacy Benefit..., Utilization Management
Education
USC
Healthcare Management
Wendi Bognar's Coventry Health Care Experience September 2011 - March 2013
Job Costeffective case management
Industry Health, Wellness and Fitness
Experience
Aetna Life Insurance Company November 2014 - Present
Aetna/Coventry Health Care March 2013 - November 2014
Coventry Health Care September 2011 - March 2013
OurPetNetwork LLC January 2011 - September 2011
PA Nurse Peer Assistance Program March 2010 - November 2010
Healthways January 2006 - March 2010
LIFE Pittsburgh September 1998 - January 2005
South Hills Health System, In-Home Services December 1996 - September 1998
Hospital Home Health Services August 1991 - June 1996
Skills
Management, Nursing, Home Care, Case Managment, QIP, Managed Care, Process Improvement, Leadership, Analytics, Healthcare, Healthcare Management, Medicare, Utilization Management, Hospitals, Case Management, Disease Management, Medicaid
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1987 — 1989
MBA, marketing, finance
University of Pittsburgh- Graduate School of Public Health 1985 — 1989
MHA, healthcare finance, marketing
University of Pittsburgh- School of Nursing 1979 — 1984
BSN, nursing
Aetna Life Insurance Company November 2014 - Present
Aetna/Coventry Health Care March 2013 - November 2014
Coventry Health Care September 2011 - March 2013
OurPetNetwork LLC January 2011 - September 2011
PA Nurse Peer Assistance Program March 2010 - November 2010
Healthways January 2006 - March 2010
LIFE Pittsburgh September 1998 - January 2005
South Hills Health System, In-Home Services December 1996 - September 1998
Hospital Home Health Services August 1991 - June 1996
Skills
Management, Nursing, Home Care, Case Managment, QIP, Managed Care, Process Improvement, Leadership, Analytics, Healthcare, Healthcare Management, Medicare, Utilization Management, Hospitals, Case Management, Disease Management, Medicaid
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1987 — 1989
MBA, marketing, finance
University of Pittsburgh- Graduate School of Public Health 1985 — 1989
MHA, healthcare finance, marketing
University of Pittsburgh- School of Nursing 1979 — 1984
BSN, nursing
Gaëlle Pérodin's Coventry Health Care Experience 2011 - Present
Job Supervisor, Service Ops at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care 2011 - Present
Coventry Health Care 2011 - Present
Skills
Health Insurance, Leadership, Insurance, Provider Relations, Human Resources, Call Centers, Employee Benefits, Benefits Administration, Vendor Management, Process Improvement, Business Analysis, HIPAA, Employee Engagement, Team Building, Budgets, Employee Relations, Training, PeopleSoft, Claim, Analysis, Data Entry, Employee Training, Strategic Planning, Medicare, Coaching, Customer Service, Performance Management, Data Analysis, Change Management
Education
University of South Florida - College of Business Administration
Bachelor of Arts (BA), Business Management
Coventry Health Care 2011 - Present
Coventry Health Care 2011 - Present
Skills
Health Insurance, Leadership, Insurance, Provider Relations, Human Resources, Call Centers, Employee Benefits, Benefits Administration, Vendor Management, Process Improvement, Business Analysis, HIPAA, Employee Engagement, Team Building, Budgets, Employee Relations, Training, PeopleSoft, Claim, Analysis, Data Entry, Employee Training, Strategic Planning, Medicare, Coaching, Customer Service, Performance Management, Data Analysis, Change Management
Education
University of South Florida - College of Business Administration
Bachelor of Arts (BA), Business Management
Arlene Sustar's Coventry Health Care Experience April 2002 - Present
Job Operations Manager at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care April 2002 - Present
Benefit Coordinators Corporation 1980 - 1988
Benefit Coordinators Corporation 1980 - 1988
Skills
Organizational..., Event Planning, Public Speaking, Writing, Trip Planning, Plannning, Operations Management, Healthcare, Medicare, Budgets, Management, Team Building, Insurance, Planning, Employee Benefits, Health Insurance, Customer Service, HIPAA, Strategic Planning, Process Improvement, Training, Managed Care, Data Analysis, Leadership
Education
Mount Gallitzin HS
University of Pittsburgh
BA, Economics
Coventry Health Care April 2002 - Present
Benefit Coordinators Corporation 1980 - 1988
Benefit Coordinators Corporation 1980 - 1988
Skills
Organizational..., Event Planning, Public Speaking, Writing, Trip Planning, Plannning, Operations Management, Healthcare, Medicare, Budgets, Management, Team Building, Insurance, Planning, Employee Benefits, Health Insurance, Customer Service, HIPAA, Strategic Planning, Process Improvement, Training, Managed Care, Data Analysis, Leadership
Education
Mount Gallitzin HS
University of Pittsburgh
BA, Economics
Barton Wallace's Coventry Health Care Experience November 2008 - Present
Job Reimbursement Specialist at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care November 2008 - Present
Holy Truth church 2000 - Present
HHC Group 2007 - 2007
Value Options 2003 - 2005
Skills
Medicaid, Medicare, Managed Care, Health Insurance, Insurance, Claims, Billing, Spreadsheets, HIPAA, Healthcare, Healthcare Management, Auditing, Compliance, Excel, Benefits Administration, Data Entry, Hospitals, Word, Customer Service, Outlook, PowerPoint, Provider Relations, Microsoft Word, Accounts Payable, Payroll, Invoicing, Administrative..., Microsoft Excel, Claim, HMO
Education
Bladensburg Sr High 1977 — 1979
HS Diploma, Accademic
University of Phoenix
Coventry Health Care November 2008 - Present
Holy Truth church 2000 - Present
HHC Group 2007 - 2007
Value Options 2003 - 2005
Skills
Medicaid, Medicare, Managed Care, Health Insurance, Insurance, Claims, Billing, Spreadsheets, HIPAA, Healthcare, Healthcare Management, Auditing, Compliance, Excel, Benefits Administration, Data Entry, Hospitals, Word, Customer Service, Outlook, PowerPoint, Provider Relations, Microsoft Word, Accounts Payable, Payroll, Invoicing, Administrative..., Microsoft Excel, Claim, HMO
Education
Bladensburg Sr High 1977 — 1979
HS Diploma, Accademic
University of Phoenix
Justin Mikula's Coventry Health Care Experience July 2007 - 2013
Job Medical Economics Sr. Consultant/Team Lead at Aetna
Industry Insurance
Experience
Aetna February 2015 - Present
Aetna 2013 - February 2015
Coventry Health Care July 2007 - 2013
UPMC Health Plan 2004 - 2007
Highmark 2003 - 2004
Dick's Sporting Goods 2003 - 2003
Aquasoure 2002 - 2003
Skills
Medicaid, Health Insurance, Provider Relations, Medicare, Managed Care
Education
University of Pittsburgh 1996 — 2001
B.S., Business Administration, Major: Finance with Concentration in Management Information Systems
Aetna February 2015 - Present
Aetna 2013 - February 2015
Coventry Health Care July 2007 - 2013
UPMC Health Plan 2004 - 2007
Highmark 2003 - 2004
Dick's Sporting Goods 2003 - 2003
Aquasoure 2002 - 2003
Skills
Medicaid, Health Insurance, Provider Relations, Medicare, Managed Care
Education
University of Pittsburgh 1996 — 2001
B.S., Business Administration, Major: Finance with Concentration in Management Information Systems
Carol Cramer's Coventry Health Care Experience November 2010 - September 2013
Job Business Analyst at Hewlett Packard CalWIN account
Industry Hospital & Health Care
Experience
Quantum Consulting Services (CalHEERS) April 2015 - Present
Hewlett Packard CalWIN account September 2013 - March 2015
Coventry Health Care November 2010 - September 2013
FDI Collateral Management January 2003 - June 2004
DST Output April 1996 - January 2003
Skills
Requirements Gathering, Requirements Analysis, Requirements..., User Interface Design, Data Modeling, SQL, Data Mapping, ERP Software, QAD, Business Process..., Systems Analysis, Software Documentation, Quality Assurance, Project Management, Data Analysis, Business Analysis, SDLC, Agile Methodologies, MS Access, Visio, UML, Use Case Analysis, Use Case Realizations, Sequence Diagrams, Assembler, Business Process Design, Agile Project Management, Process Improvement, Vendor Management
Education
University of Puget Sound 1979 — 1983
Quantum Consulting Services (CalHEERS) April 2015 - Present
Hewlett Packard CalWIN account September 2013 - March 2015
Coventry Health Care November 2010 - September 2013
FDI Collateral Management January 2003 - June 2004
DST Output April 1996 - January 2003
Skills
Requirements Gathering, Requirements Analysis, Requirements..., User Interface Design, Data Modeling, SQL, Data Mapping, ERP Software, QAD, Business Process..., Systems Analysis, Software Documentation, Quality Assurance, Project Management, Data Analysis, Business Analysis, SDLC, Agile Methodologies, MS Access, Visio, UML, Use Case Analysis, Use Case Realizations, Sequence Diagrams, Assembler, Business Process Design, Agile Project Management, Process Improvement, Vendor Management
Education
University of Puget Sound 1979 — 1983
Sharon Case's Coventry Health Care Experience April 2009 - August 2010
Job Business Technical Analyst at Highmark Inc.
Industry Oil & Energy
Experience
Highmark Inc. October 2012 - Present
Direct Energy Business Services August 2010 - October 2012
Coventry Health Care April 2009 - August 2010
Skills
Production Support, SQL Server, SDLC, Systems Analysis, Visio, SharePoint, Business Analysis, Requirements Gathering, Software Project..., Vendor Management, SQL, Integration, Visual Basic, PMP, Oracle, Change Management, SSRS, C#, Visual Studio, MS Project, JavaScript, PMO
Education
University of Pittsburgh
Bachelor of Science, Information Science
Highmark Inc. October 2012 - Present
Direct Energy Business Services August 2010 - October 2012
Coventry Health Care April 2009 - August 2010
Skills
Production Support, SQL Server, SDLC, Systems Analysis, Visio, SharePoint, Business Analysis, Requirements Gathering, Software Project..., Vendor Management, SQL, Integration, Visual Basic, PMP, Oracle, Change Management, SSRS, C#, Visual Studio, MS Project, JavaScript, PMO
Education
University of Pittsburgh
Bachelor of Science, Information Science
Elisia Romero's Coventry Health Care Experience October 2007 - December 2011
Job Account Associate at Lovitt & Touché, Inc.
Industry Insurance
Experience
Lovitt & Touché, Inc. December 2013 - Present
Farmers Insurance March 2012 - April 2013
Coventry Health Care October 2007 - December 2011
Skills
Customer Service, Strategic Communications, Problem Solving, Team Building, Workers Compensation, Time Management, Microsoft Office, Critical Thinking, Mentoring, Customer Relations, Oral & Written..., Task Management, Insurance, Property & Casualty..., Health Insurance
Education
University of Phoenix 2009 — 2012
Bachelor's Degree, Business Management
Moffat County High School 1998 — 2001
High School Diploma
Lovitt & Touché, Inc. December 2013 - Present
Farmers Insurance March 2012 - April 2013
Coventry Health Care October 2007 - December 2011
Skills
Customer Service, Strategic Communications, Problem Solving, Team Building, Workers Compensation, Time Management, Microsoft Office, Critical Thinking, Mentoring, Customer Relations, Oral & Written..., Task Management, Insurance, Property & Casualty..., Health Insurance
Education
University of Phoenix 2009 — 2012
Bachelor's Degree, Business Management
Moffat County High School 1998 — 2001
High School Diploma
Chris Size's Coventry Health Care Experience My department is a Benefit Manager Provider who works with Businesses to ensure their Injured Worker received World Class service when need support with medications. I am the go between, between Case Managers, Injured Workers and the pharmacies that they use for their medications. I ensure their medications once approved are filled accurately and correctly along with resolving any issues that may arise during this process.Performance CoachIntuition Systems, Inc.November 1995 - April 2008
Job Customer Service at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care My department is a Benefit Manager Provider who works with Businesses to ensure their Injured Worker received World Class service when need support with medications. I am the go between, between Case Managers, Injured Workers and the pharmacies that they use for their medications. I ensure their medications once approved are filled accurately and correctly along with resolving any issues that may arise during this process.Performance CoachIntuition Systems, Inc.November 1995 - April 2008
Education
University of Phoenix
Bachelor of Applied Science (B.A.Sc.), Management Information Systems, General
Coventry Health Care My department is a Benefit Manager Provider who works with Businesses to ensure their Injured Worker received World Class service when need support with medications. I am the go between, between Case Managers, Injured Workers and the pharmacies that they use for their medications. I ensure their medications once approved are filled accurately and correctly along with resolving any issues that may arise during this process.Performance CoachIntuition Systems, Inc.November 1995 - April 2008
Education
University of Phoenix
Bachelor of Applied Science (B.A.Sc.), Management Information Systems, General
Rosie Warren's Coventry Health Care Experience October 2004 - June 2005
Job Team Lead at ICONMA
Industry Information Technology and Services
Experience
Independent Contractor April 2006 - Present
ICONMA February 2015 - May 2015
BioMed Specialy Pharmacy March 2013 - January 2015
Health Business Solutions March 2011 - October 2012
Westat 2006 - 2012
Wayne State University Physician Group August 2008 - November 2010
Wixom Health Ceter June 2005 - May 2007
Accretive Health November 2005 - September 2006
Coventry Health Care October 2004 - June 2005
OmniCare, TPA January 2002 - October 2004
Skills
Revenue Cycle, Process Improvement, Contract Negotiation, Healthcare, Healthcare Management, Customer Relations, Customer Service, Microsoft Office, Microsoft Excel, Hospitals, Financial Analysis, Insuance, Provider Relations, Credentialing, PPO, Managed Care, Claims Resolution, Provider Contracting, Medicine, Policy, Health Policy, Call Centers
Education
University of Phoenix 1997 — 2001
Bachelor of Science (B.S.), Management, Business Administration and Management, General
University of Phoenix-Metro Detroit Campus 1997 — 2001
Bachelor of Science (B.S.), Business Administration and Management, General
Independent Contractor April 2006 - Present
ICONMA February 2015 - May 2015
BioMed Specialy Pharmacy March 2013 - January 2015
Health Business Solutions March 2011 - October 2012
Westat 2006 - 2012
Wayne State University Physician Group August 2008 - November 2010
Wixom Health Ceter June 2005 - May 2007
Accretive Health November 2005 - September 2006
Coventry Health Care October 2004 - June 2005
OmniCare, TPA January 2002 - October 2004
Skills
Revenue Cycle, Process Improvement, Contract Negotiation, Healthcare, Healthcare Management, Customer Relations, Customer Service, Microsoft Office, Microsoft Excel, Hospitals, Financial Analysis, Insuance, Provider Relations, Credentialing, PPO, Managed Care, Claims Resolution, Provider Contracting, Medicine, Policy, Health Policy, Call Centers
Education
University of Phoenix 1997 — 2001
Bachelor of Science (B.S.), Management, Business Administration and Management, General
University of Phoenix-Metro Detroit Campus 1997 — 2001
Bachelor of Science (B.S.), Business Administration and Management, General
Bill Giesler's Coventry Health Care Experience September 2012 - September 2013
Job Senior Financial Analyst at Verizon Wireless
Industry Telecommunications
Experience
Verizon Wireless September 2013 - Present
Coventry Health Care September 2012 - September 2013
EDMC August 2008 - September 2012
Skills
Finance, Essbase, Managerial Finance, Hyperion Planning, Financial Forecasting, Hyperion Enterprise, PeopleSoft Financial, Capital Budgeting, Financial Accounting, Oracle Applications, Lawson HRIS, Planview, CampusVue, Microsoft Office, SharePoint, Department Budget..., Trend Analysis, Management Accounting, Hyperion, Sarbanes-Oxley Act, Accounting, Budgets, Financial Analysis, Analysis, Financial Reporting, Forecasting, Management, Process Improvement, General Ledger, Microsoft Excel, Account Reconciliation, Leadership, GAAP, Financial Modeling, Variance Analysis
Education
University of Pittsburgh 2005 — 2008
Bachelor of Business Administration (B.B.A.), Accounting
Verizon Wireless September 2013 - Present
Coventry Health Care September 2012 - September 2013
EDMC August 2008 - September 2012
Skills
Finance, Essbase, Managerial Finance, Hyperion Planning, Financial Forecasting, Hyperion Enterprise, PeopleSoft Financial, Capital Budgeting, Financial Accounting, Oracle Applications, Lawson HRIS, Planview, CampusVue, Microsoft Office, SharePoint, Department Budget..., Trend Analysis, Management Accounting, Hyperion, Sarbanes-Oxley Act, Accounting, Budgets, Financial Analysis, Analysis, Financial Reporting, Forecasting, Management, Process Improvement, General Ledger, Microsoft Excel, Account Reconciliation, Leadership, GAAP, Financial Modeling, Variance Analysis
Education
University of Pittsburgh 2005 — 2008
Bachelor of Business Administration (B.B.A.), Accounting
Tracy Hooker's Coventry Health Care Experience August 2006 - August 2011
Job Accounts Payable at Fleet Products
Industry Automotive
Experience
Fleet Products March 2012 - Present
Coventry Health Care August 2006 - August 2011
The Vitamin Shoppe July 2002 - August 2006
Skills
Insurance, Retail Category..., Accounts Payable, Customer Support, Purchase Order..., Product returns...
Education
University of South Florida 2001 — 2006
Bachelor of Arts and Sciences, Criminology
Fleet Products March 2012 - Present
Coventry Health Care August 2006 - August 2011
The Vitamin Shoppe July 2002 - August 2006
Skills
Insurance, Retail Category..., Accounts Payable, Customer Support, Purchase Order..., Product returns...
Education
University of South Florida 2001 — 2006
Bachelor of Arts and Sciences, Criminology
Rena Spencer's Coventry Health Care Experience 2000 - Present
Job Case manager at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care 2000 - Present
Coventry Health Care, an Aetna Company August 2011 - August 2012
Coventry Health Care, an Aetna Company January 2006 - August 2011
County of Lancaster January 1996 - January 2000
Skills
Case Management, Utilization Management, Managed Care, Disease Management, Health Insurance, Workers Compensation, Utilization Review, Insurance, Provider Relations, Healthcare, Medical Case Management
Education
University of South Carolina-Columbia 1990 — 1991
Master's degree, Vocational Rehabilitation Counseling/Counselor
University of South Carolina-Columbia 1984 — 1988
Biology, General
Coventry Health Care 2000 - Present
Coventry Health Care, an Aetna Company August 2011 - August 2012
Coventry Health Care, an Aetna Company January 2006 - August 2011
County of Lancaster January 1996 - January 2000
Skills
Case Management, Utilization Management, Managed Care, Disease Management, Health Insurance, Workers Compensation, Utilization Review, Insurance, Provider Relations, Healthcare, Medical Case Management
Education
University of South Carolina-Columbia 1990 — 1991
Master's degree, Vocational Rehabilitation Counseling/Counselor
University of South Carolina-Columbia 1984 — 1988
Biology, General
Premera Blue Cross
Medical Mutual of Ohio
Medical Mutual
Fallon Community Health Plan
Unicare
Coventry Healthcare
Fallon Health
Moda Health