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
Aetna January 2015 - Present
Independent June 2013 - December 2014
Coventry Health Care May 2012 - June 2013
Coventry Health Care June 2009 - May 2012
Altius Health Plans September 2003 - June 2009
Altius Health Plans September 2001 - September 2003
IHC Health Plans August 1995 - June 2000
IHC Health Plans 1990 - 1995
Time Insurance Company August 1988 - August 1990
Connecticut Mutual August 1987 - August 1988
Skills
Mathematics, Video Editing, Auto Repair, Exploring Desert, Target Shooting
Education
Brigham Young University 1986 — 1987
Master of Science (M.S.), Statistics/Actuarial Science
Brigham Young University 1980 — 1985
Bachelors of Science, Statistics
Corporate Contracts, LLC November 2014 - Present
Eclipse Aerospace, Inc. August 2013 - August 2014
American Red Cross January 2011 - February 2013
Coventry Health Care August 2008 - June 2010
Human Genome Sciences February 2007 - July 2008
Corporate Contracts July 2006 - February 2007
Highmark December 1991 - February 2006
Skills
Strategic Sourcing, Procurement, Spend Analysis, Supply Management, Purchasing, Operations Management, Vendor Management, Sourcing, Cross-functional Team..., Outsourcing, Process Improvement, Negotiation, Supply Chain Management, Program Management, Contract Negotiation, Leadership, Contract Management, Materials Management, Supplier Development, Management, Supply Chain, Six Sigma, Global Sourcing, Logistics, Business Process..., Forecasting, Strategy, Change Management, Continuous Improvement, Lean Manufacturing, SAP, ERP, Analysis, MRP, Inventory Management, Quality Management, Strategic Planning, Warehousing, Supply Chain..., Project Planning, Process Engineering, E-procurement, Budgets, Team Leadership, Project Management, Business Strategy, Team Building, Supplier Negotiation, Operational Excellence
Education
Bucknell University
Bachelor of Science (B.S.), Business Administration
Coventry Health Care June 2008 - February 2012
University of Illinois at Chicago June 2007 - June 2008
Coventry Health Care July 2006 - June 2007
CIGNA Healthcare September 2005 - July 2006
UnitedHealthcare July 2004 - September 2005
Skills
Benefits Administration, Employee Benefits, Healthcare, Insurance, Account Management, Training, Customer Service, Marketing, Health Insurance, Management, New Business Development, CRM, Strategy, Budgets, Workers Compensation, Team Building, Recruiting, Process Improvement, Selling
Education
California State University-Chico 2000 — 2004
Bachelor of Science, Health Science
Holy Names High School 1996 — 2000
Lee Hecht Harrison July 2012 - Present
Baker Hughes June 2011 - January 2012
Brite Healthcare June 2010 - June 2011
Coventry Health Care February 2009 - June 2010
Robert Half August 2008 - February 2009
Express Employment Professionals September 2007 - March 2008
Robert Half August 2006 - August 2007
Skills
Customer Service, Coaching, Employee Relations, HRIS, Onboarding, Human Resources, SAP, PeopleSoft, Microsoft Excel, ADP Payroll, Leadership, Superior Computer Skills, Office Administration, Office Management, Consolidation, Project Management, Account Reconciliation, Business Strategy, Cross-functional Team..., Leadership Development, Management, Payroll, Success Driven, Data Analysis, Time Management, Resume Writing, Customer Satisfaction, Facilities Management, Event Management, Relationship Management, Talent Management, Vendor Management, Operations Management, Business Process..., Process Improvement, Policy, New Hire Orientations, Performance Management, Recruiting, Career Development, Claims Management, Claims Resolution, Claim Investigation, HIPAA, JCAHO, Medical Coding, Medical Terminology, Medical Billing, Medical Transcription
Education
University of Phoenix 2012 — 2015
Bachelor of Business Administration (BBA), Human Resources Management, 3.67
Houston Community College 2009 — 2011
Associate of Arts (AA), Health/Health Care Administration/Management, 3.2
Bryant and Stratton College-Milwaukee 2003 — 2004
Medical Office Administration, Medical Billing and Coding
Coventry Health Care September 2006 - Present
mercy medical center, merced ca June 2004 - March 2005
Vencor Medical Center- Westminster, ca January 1994 - June 1996
Skills
Cardiac nursing x10..., nursing, ER nursing x 5 years, Nursing, Patient Education, Healthcare, Utilization Management, Home Care, Medicare, Hospitals, Managed Care, Healthcare Management, Workers Compensation, Health Insurance, Case Managment, Supervisory Skills, Claim Investigation, Healthcare Industry, Long-term Care, HIPAA, Provider Relations, Case Management
Education
Reading Hospital School of nursing 1990 — 1993
diploma of nursing, Nursing
California State University-Long Beach 1988 — 1990
pre-reqs, Nursing
Anthem December 2013 - Present
Coventry Health Care May 2012 - November 2013
ResCare 2011 - 2012
Commonwealth of Kentucky 2009 - 2011
Pedia Research, LLC 2005 - 2008
Owensboro Health 2001 - 2004
Skills
Managed Care, Medicaid, Marketing, Business Relationship..., Clinical Research, Recruitment Advertising, Community Outreach, Project Coordination, Volunteering, Community Development, Project Management, Social Services, Healthcare, Fundraising, Website Development, Microsoft Office, Presentations, Health Education, Event Planning, Staff Development, Policy, Customer Service, Public Relations, Team Building, Research, Public Speaking, Leadership, Training, Volunteer Management, Nonprofits, Teaching, Event Management, PowerPoint, Marketing Strategy, Program Development
Education
Brescia University 2014 — 2015
Bachelor of Arts (B.A.), Psychology
Mid-Continent University
Associate's degree, Business, Management, Marketing, and Related Support Services
US Army February 2013 - Present
Coventry Health Care January 2011 - February 2013
Furniture Row Companies October 2010 - January 2011
YMCA January 2010 - July 2010
ARAMARK April 2009 - October 2009
BYU-Idaho July 2007 - April 2008
Brigham Young University - Idaho April 2006 - April 2007
LDS Church November 2003 - November 2005
Skills
Event Planning, Public Speaking, Customer Service, Volunteer Management, Microsoft Office, Community Outreach, PowerPoint, Research, Leadership, Social Media, Microsoft Excel, Microsoft Word, Event Management, Public Relations, Leadership Development, Teaching, Process Scheduler, Outlook, Time Management, Sales, Management, Teamwork, Critical Thinking, Operations Management
Education
Brigham Young University - Idaho 2006 — 2008
B.S., Recreation Management
Centene Corporation October 2013 - Present
Coventry Health Care May 2003 - October 2013
Skills
Workers Compensation, Training, Insurance, Health Insurance, Managed Care, Employee Benefits, Benefits Administration, Disability Insurance, HIPAA, Healthcare, Medicare
Education
California State University-Sacramento
Bachelor of Business Administration (B.B.A.), Strategic Management
HCA February 2013 - Present
Coventry Health Care February 2010 - October 2012
Florida Medical Center February 2000 - January 2010
Education
Broward College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Coral Springs High School
Mann, Urrutia, Nelson, CPAs June 2015 - Present
Mann, Urrutia, Nelson, CPAs May 2014 - June 2015
Mann, Urrutia, Nelson, CPAs October 2013 - May 2014
Mann, Urrutia, Nelson, CPAs August 2012 - October 2013
Coventry Health Care October 2010 - August 2012
Federal Government June 2009 - June 2010
Skills
GAAP, Financial Reporting, General Ledger, Accounting, Auditing, Financial Statements, Internal Controls, Financial Accounting, Account Reconciliation, US GAAP, Fixed Assets, Variance Analysis, Tax, CPA, Accounts Payable, QuickBooks, Accounts Receivable, Financial Analysis, Journal Entries, Accruals, Tax Preparation, Tax Accounting
Education
California State University-Sacramento 2007 — 2009
BS, Accounting
University of Hawaii at Manoa 2005 — 2007
BS, Accounting
Sawtooth Software January 2014 - Present
Pentara Corporation May 2012 - December 2013
Coventry Health Care January 2012 - April 2013
TaxHawk, Inc May 2011 - January 2012
Brigham Young University August 2010 - April 2011
Brigham Young University August 2009 - August 2010
Brigham Young University May 2008 - August 2009
Skills
SAS, R, Data Mining, Statistics, Predictive Modeling, Data Analysis, Analysis, Analytics, Programming, Statistical Modeling, C++, SQL, Linear Regression, Logistic Regression, Time Series Analysis, Predictive Analytics, Quantitative Analytics, C, Regression, Experimental Design, Choice Modeling, Survey Design, Survey Methodology, Java, MySQL, Perl, SAS EG, Segmentation, Cluster Analysis, Statistical Programming, Mathematical Modeling, Conjoint Analysis, MaxDiff, HTML, JavaScript, jQuery, CSS, Bayesian statistics, Multivariate Statistics, Probability, Statistical Computing
Education
Brigham Young University 2007 — 2011
M.S./B.S, Statistical Science
Cigna June 2014 - Present
Sentry Data Systems May 2013 - June 2014
EnvisionRX Options June 2011 - April 2013
Coventry Health Care January 1997 - May 2006
Skills
SDLC, Process Improvement, Project Management, Management, Managed Care, Business Requirements, Data Analysis, User Acceptance Testing, Software Documentation, Access, Analysis, Business Intelligence, Healthcare, Business Analysis, Cross-functional Team..., Leadership
Education
California Polytechnic State University-San Luis Obispo 1990 — 1994
BS, Biology
Duchon Vocational & Economic Consulting, LLC January 2013 - Present
Coventry Health Care April 2007 - Present
Skills
Vocational Evaluation, Vocational..., Economics, Forensic Consulting, Mental Health Counseling, Social Security..., Workers Compensation, Workers Compensation..., Job Analysis, Disability Management, Americans with..., Case Management Services, Job Coaching, Job Search Strategies, Job Search Advice, Job Evaluation, Job Descriptions, Crisis Intervention, Crisis Counselling
Education
Canisius College 2009 — 2013
Master of Business Administration (MBA)
Canisius College 2005 — 2007
Master of Science (M.S.), Mental Health Counseling/Counselor
Dane Street October 2014 - Present
Dane Street February 2014 - Present
Dane Street December 2012 - Present
Dane Street May 2011 - November 2011
Coventry Health Care September 1997 - August 2010
Concentra Health Services 1997 - 2007
Skills
Healthcare, Management, Workers Compensation, Insurance, Strategic Planning, Process Improvement, Customer Service, Troubleshooting, Disability Insurance, Automobile Liability, Peer Reviews, Quality Assurance, Claims Management, Claim, Managed Care, Employee Benefits, Liability, Health Insurance, Property & Casualty..., Medicare, Team Building, Risk Management, Data Analysis, Training, Account Management, Customer Satisfaction, HIPAA
Education
Brookdale Community College 1996 — 1998
AA, Business Administration
Celerity October 2013 - Present
Coventry Health Care 2011 - Present
Highmark Blue Cross Blue Shield 2004 - 2011
Highmark 2001 - 2004
Highmark Life and Casualty Group 1998 - 2001
FORE Systems 1994 - 1998
Skills
Process Improvement, SDLC, Vendor Management, Governance, Business Analysis, Management, Project Planning, SharePoint, Strategic Planning, Business Process..., IT Strategy, Strategy, Enterprise Architecture, Leadership, Project Delivery, Cross-functional Team..., Software Project..., Insurance, Budgets, CRM, Integration, Program Management, Software Development, Project Management, Business Intelligence, Disaster Recovery, Executive Management, Analysis, Business Process, Change Management, Data Warehousing, IT Management, Information Technology, Outsourcing, Project Portfolio..., Requirements Analysis, Requirements Gathering, Risk Management, Software Documentation, Visio, Business Requirements, ITIL, PMO, PMP, Resource Management, Systems Analysis, ERP
Education
Robert Morris University 1982 — 1987
MS, Business
California University of Pennsylvania 1973 — 1977
BA, Urban Affairs
VSF Dental Network ManagementAetnaNovember 2007 - December 2014
Coventry Health Care September 2006 - August 2007
CompBenefits December 2002 - September 2006
Mid America Health 2002 - 2002
Coventry Health Care October 1994 - June 2001
Skills
Medicare, Medicaid, Managed Care, Healthcare, Health Insurance, Long-term Care, Insurance, Healthcare Management, Provider Relations, Home Care, Employee Benefits, Disease Management, Health Policy, Case Managment, HMO, Healthcare Consulting, Healthcare Industry
Education
Capella University 2013 — 2016
Doctor of Philosophy (Ph.D.), Public Health with specialization in Epidemiology
Fort Hays State University 2007 — 2012
Master of Liberal Studies, Gerontology
Fort Hays State University 2005 — 2007
Bachelor of Arts (B.A.), Sociology
Jess Clifford Marketologies January 2012 - Present
Coventry Health Care February 2007 - December 2011
Clifford for State Legislature, LLC February 2006 - November 2006
Trilobyte Internet Services July 2004 - March 2006
Clifford Studios January 1995 - February 2006
Happijac Company February 2002 - December 2005
Skills
Web site development..., Technical and social..., Communications, Graphic Design, Creative Direction,, Motivational speaking, Training and..., Message and content..., Media relations and PR, Fluent French., Project and team..., Team building,, Negotiations,, Product development,, Strategic market..., Creative problem..., Customer experience..., Cross-discipline..., Whole picture thinking, Analytics, Self Defense Instruction, Corporate budget..., Leadership, Marketing Communications, Marketing, Strategic Planning, Internal Communications, Public Speaking, Negotiation, Market Research, Social Media Marketing, Social Media, Leadership Development, Coaching, Marketing Strategy, Microsoft Office, Team Building, Strategy, Motivational Speaking, Entrepreneurship, Training, Online Marketing, Management, Social Networking, Small Business, Budgets, Advertising, Public Relations, Trade Shows, Business Development
Education
Brigham Young University 1990 — 1994
BA, Design
University of Colorado at Colorado Springs 1987 — 1988
1 year, Design and Visual Communications, General
Katheryn Michels Core Alignment Coaching
Certified Core Alignment Coaching Specialist (CAS), Personal Awareness and Self-Improvement
Caradigm November 2012 - Present
Renn's Gourmet Smoked Salt 2011 - Present
HealthCare Insight 2009 - 2011
Coventry Health Care 1990 - 2008
Salt Lake Community College 1987 - 1990
Skills
Relational Databases, Business Reporting, Design and Problem..., Batch Analysis and..., Application Development, Data Conversion, SQL/PLSQL, Windows products, Software Development, Report Writing, Windows, Troubleshooting, SQL, SharePoint, Process Improvement, Software Documentation, Business Analysis, Program Management, Databases, SDLC, Visio
Education
Brigham Young University 1968 — 1976
Bachelor of Science (B.Sc.), LEJA
Salt Lake Community College 1985 — 1986
Associate of Applied Science (B.A.Sc.), Computer and Information Sciences, General
Cincinnati Insurance Company August 2012 - Present
Carom Data/Primacy Case Management March 2011 - August 2012
Ability Services Network May 2008 - August 2012
Coventry Health Care 1996 - May 2008
Kent Sussex Industries 1993 - June 1996
Skills
Disability Management, Workers Compensation, Managed Care, Healthcare, Case Managment, Certified Case Manager, Claims Management, Claim, Workers' Compensation..., Utilization Management, Disease Management, Utilization Review, Medical Case Management, Health Insurance, Medicare, Medical Records, Nursing, Provider Relations, Case Management Services, HIPAA, Healthcare Consulting, Quality Improvement, Healthcare Industry, Rehabilitation, Physicians, Home Care, Healthcare Management, Medicaid, HEDIS, Hospitals, Medicine, Patient Advocacy, Physician Relations, Long-term Care, Vocational..., Case Management, Acute Care, Elder Care, HMO, Legal Nurse Consulting, Medical/Surgical, Network Development, Nursing Education, PPO, Patient Education, Patient Safety, Inpatient, Health Policy, Traumatic Brain Injury, Wound Care
Education
Capital University
BSN, Nursing
Delaware Technical and Community College-Terry
Nursing, Registered Nursing/Registered Nurse
Anthem, Inc. February 2014 - Present
Coventry Health Care December 2011 - February 2014
Enloe Medical Center October 2011 - November 2011
Forever 21 August 2011 - October 2011
Fremont-Rideout Health Group January 2011 - May 2011
California State University, Chico Educational Opportunity Program August 2010 - May 2011
Mr. Kopy August 2005 - July 2010
Skills
Microsoft Office, Contract Pricing, Medical Billing, Adobe Acrobat, Grant Writing, Higher Education, PCM, OCN, Event Planning, PowerPoint, Leadership, Customer Service, Microsoft Excel, Data Analysis
Education
California State University-Chico 2006 — 2011
Bachelor of Science, Health Science with an option in Health Administration
Sequoia Human Capital Consulting LLC February 2013 - Present
Helios HR July 2006 - January 2013
Coventry Health Care 1999 - 2005
Independent Human Resources Consultant January 1997 - May 1999
Bond, Schoeneck & King, PLLC 1993 - 1996
Caremark International 1990 - 1993
Skills
HR Consulting, Program Development, Performance Management, Employee Engagement, Organizational..., Onboarding, Coaching, Legal Compliance, Leadership Development, Employee Benefits, Personnel Management, Employee Relations, Training, Talent Management, Talent Acquisition, Organizational..., HR Policies, Human Resources, Workforce Planning, Management
Education
Brown University 1983 — 1987
BA, Psychology, English and American Literataure
24 Hour Fitness September 2014 - Present
Old Navy November 2010 - July 2014
JWT Beirut June 2013 - August 2013
Love at First Bite Gourmet Cookies May 2013 - May 2013
Coventry Health Care April 2012 - October 2012
IKEA Group February 2009 - May 2009
Skills
InDesign, Photoshop, Illustrator, Adobe Creative Suite, Microsoft Word, Microsoft Excel, PowerPoint, Social Media, Advertising, Dreamweaver, Teamwork, Logo Design, Time Management, Microsoft Office, Marketing
Education
Florida Atlantic University 2010 — 2013
Bachelor of Fine Arts (B.F.A.), Graphic Design
Broward Community College 2008 — 2010
Associate of Arts (AA)
The British International School of Jeddah 2004 — 2008
I.B. Diploma
Coventry Health Care March 2005 - Present
Great-West Life and Annuity Insurance Company February 1998 - October 2004
Omni Healthcare September 1997 - March 1998
First Health September 1987 - September 1997
Skills
Managed Care, Health Insurance, Healthcare Management, Workers Compensation, Benefits Administration, Healthcare, Contract Negotiation, Process Improvement, Network Development, Account Management, Provider Relations, Management, Medicare, Insurance
Education
CSU Sacramento
Bachelor's degree, Political Science and Government
Visual Mobile Technologies April 2013 - Present
Sovereign Technologies November 2011 - Present
Acupera August 2011 - September 2012
Access USA April 2011 - August 2011
Coventry Health Care November 2008 - July 2010
Sovereign Technologies November 2005 - November 2008
TalentSecure October 2006 - July 2008
Aegon/Transamerica June 2004 - November 2005
Horace Mann March 2002 - June 2004
Corporate Action, Inc. August 2001 - March 2002
Skills
IT Management, IT Strategy, IT Transformation, IT Operations, Agile Project Management, HIPAA, PCI Standards, Healthcare Information..., Insurance, Project Management, Program Management, Architecture, Cloud Computing, SaaS, Web Applications, SOA, VMware, CIOs, Data Warehousing, Business Analysis, Agile Methodologies, Integration, Strategy, Software Development, Start-ups, E-commerce, CRM, ERP
Education
California State University-Sacramento 1979 — 1985
BS, Computer Science, Business minor
Medata Inc. June 2010 - Present
Coventry Health Care January 2009 - March 2012
StrataCare, Inc. September 2009 - July 2010
Coventry Health Care August 2007 - July 2009
Hireright Inc, July 2005 - July 2007
TC3 Health August 2004 - May 2005
Fair Isaac July 2001 - August 2004
Fair Isaac November 2000 - July 2001
PacifiCare Health Systems May 1999 - November 2000
Oakley November 1997 - February 1999
Education
California Polytechnic State University-San Luis Obispo 1993 — 1997
BA
State of Utah July 2015 - Present
DxACT/State of Utah August 2012 - July 2015
State of Utah July 2010 - August 2012
Keller Williams Legacy One Realty November 2002 - September 2010
Coventry Health Care December 2008 - June 2009
Regence Blue Shield - Seattle November 1998 - December 2001
UnitedHealthcare July 1997 - August 1998
Premera Blue Cross aka Medical Service Corp December 1995 - July 1997
MetLife/MetraHealth/United Healthcare November 1994 - November 1995
Department of Workforce Services August 1992 - April 1994
Skills
Customer Service, Coaching, Teaching, People Skills, Building Relationships, Real Estate, Public Speaking, Negotiation, Training, Time Management, File Management, Team Building, Contract Negotiation, Leadership, Marketing, Management, Interviews, Resume Writing, Strategy, Program Management, Leadership Development, Conflict Resolution, Career Counseling, Job Search
Education
Brigham Young University 1984 — 1989
BS, Psychology/Sociology
Marina High School 1980 — 1984
Diploma, General
Coventry Health Care January 2006 - Present
Tek Systems April 2000 - January 2006
Self-Employed September 1997 - August 2000
Enterprise Solutions Providers March 1996 - August 1997
EDS July 1994 - March 1996
Masters Software Company June 1988 - July 1994
Skills
System Administration, Project Management, Programming, Program Management, Business Intelligence, Personnel Management, Disaster Recovery, Database Administration, Application Architecture, Databases, SDLC, Systems Analysis, Visio, Business Analysis, Telecommunications, Customer Service, Integration, IT Management, Servers, Enterprise Architecture, Project Planning, Requirements Analysis
Education
California State University-Fullerton, Mihaylo College of Business and Economics 1986 — 1990
CareFirst BlueCross BlueShield September 2013 - Present
Avalere Health July 2010 - August 2013
Coventry Health Care January 2007 - June 2010
McDermott Will and Emery October 2004 - January 2007
Harvard School of Public Health September 2002 - June 2004
Foley & Lardner LLP May 2002 - August 2002
Arthur Andersen February 1999 - May 2001
The Lewin Group July 1996 - January 1999
Skills
Health Policy, Policy Analysis, Public Policy, Legal Writing, Legal Research, Policy, Healthcare, Research, Legislation, Government, Health Law, Medicare, Health Care Reform
Education
Bryn Mawr College
Bachelor's Degree
Harvard Law School
JD
Gordon & Rees March 2014 - Present
Bon Secours Health System April 2012 - February 2014
Bon Secours Health System 2011 - April 2012
Bostwick Laboratories 2009 - 2010
Coventry Health Care 2007 - 2009
Skills
Hospitals, Healthcare Information..., Healthcare Management, Healthcare
Education
Capella University
Master of Public Health (MPH), Health/Health Care Administration/Management
Virginia Commonwealth University
Bachelor of Business Administration (BBA), Business Administration and Management, General
WellPoint July 2013 - Present
WellPoint April 2012 - July 2013
WellPoint June 2011 - April 2012
WellPoint July 2010 - June 2011
WellPoint November 2008 - July 2010
UnitedHealth Group October 2007 - November 2008
Coventry Health Care April 2004 - October 2006
Countrywide KB Home Loans 2004 - 2005
Washington Mutual Card Services 1999 - 2002
Washington Mutual Card Services 1999 - 2002
Skills
Vendor Management, Business Analysis, Leadership, Management, Project Management, Change Management, Data Analysis, Team Building, Operations Management, CRM, Healthcare, Medicare, HIPAA, Medicaid, Strategic Planning, Managed Care, Insurance, Program Management, Strategy, Healthcare Industry, Health Insurance, Process Improvement, Business Process..., Analysis, Training, Visio, Healthcare Information..., Provider Relations, Cross-functional Team..., Access, Business Requirements, Call Centers, Databases, Requirements Analysis, SharePoint, Business Intelligence, Business Process
Education
Erickson Coaching International 2015 — 2015
Erickson Certified Coach, Life/Business Coach
University of Maryland University College 2010 — 2011
Master of Business Administration (M.B.A.)
California State University-Northridge 1997 — 2002
BS, Management, Information Systems
PreferredOne August 2015 - Present
MVP Health Care December 2012 - May 2015
UHealthSolutions July 2011 - December 2012
Coventry Health Care February 2009 - September 2010
HealthPlus of Michigan October 2003 - January 2009
HealthPlus of Michigan March 2000 - October 2003
Kaiser Permanente, Ohio December 1998 - March 2000
Kaiser Permanente, Ohio January 1997 - December 1998
Kaiser Permanente, Ohio August 1995 - January 1997
Blue Cross Blue Shield of Western New York, Inc. January 1985 - August 1995
Skills
Managed Care, Medicare, Medicaid, Health Policy, Disease Management, Health Insurance, Insurance, Utilization Management, HIPAA, Healthcare, Healthcare Management, Employee Benefits, Strategic Planning, Process Improvement, Leadership, Network Development, Policy, HMO, Healthcare Industry, Training, Claim
Education
Northwestern University - Kellogg School of Management 2002 — 2003
AHIP- Certified Managed Care Executive, Health Care
State University of New York College at Buffalo 1987 — 1992
M.B.A, Concentration: Health Care Management
Canisius College 1979 — 1983
B.A., Industrial Organizational Psychology (Marketing and Psych)
3D Results May 2015 - Present
Comcast Spotlight May 2012 - April 2015
Coventry Health Care December 2008 - May 2012
Countrywide Financial (Bank of America) January 2007 - December 2008
Valley National Gases July 2006 - January 2007
McKesson (Per-Se Technologies) July 2002 - July 2006
Alcatel -Lucent & Mastech November 1997 - September 2001
Skills
Human Resources, HR Consulting, Strategic HR, Talent Acquisition, Recruiting, Sourcing, HR Policies, Employee Relations, SuccessFactors, Onboarding, Talent Management, Organizational..., HRIS, Training, Project Management, Employee Engagement, Applicant Tracking..., Succession Planning, Change Management, Employee Benefits, Employment Law, Compensation & Benefit, PeopleSoft, FMLA, Taleo, Technical Recruiting, Employee Management, Behavioral Interviewing, SAP HR, HR Transformation, Workers Compensation, Employee Surveys, Salary Review, EEO/AA Compliance, EEO Investigations, LOA, ADA compliance, Workforce Management, SurveyMonkey, employee metrics, FLSA, Staffing Models, Business Strategy, Trusted Business Partner, Multiple Sites, Highly detail oriented, Multi Tasking, employee mediation, XML
Education
California University of Pennsylvania 1990 — 1994
BS, Business Administration and Management, Marketing
Coventry Health Care 1995 - 2008
Skills
Brokers, Health Insurance, Medicaid, Property & Casualty..., Claim, Data Analysis, Provider Relations, Insurance, Employee Benefits, General Insurance, Health Policy, Access, Commercial Insurance, Underwriting, Life Insurance, HIPAA, Reinsurance, Actuarial Science
Education
California State University-Long Beach 1975 — 1979
Bachelor's Degree, Business Administration and Management, General
California State University-Long Beach
United Health Group May 2011 - Present
Coventry Health Care May 2006 - May 2011
Beech Street 1992 - 2002
OUCH/First Health August 1990 - November 1992
Skills
Provider Relations, Network Development, Managed Care, PPO, Medicaid, Medicare, HMO, Credentialing, Healthcare Industry, Contract Negotiation, Contract Management, Healthcare, Health Policy, Employee Benefits, Healthcare Consulting, HIPAA, Health Insurance, Workers Compensation, Claim, Medicare Part D, Medicaid Managed Care, Revenue Cycle, Physician Relations, Utilization Management, Healthcare Management
Education
California State University-Sacramento 1985 — 1989
BA, Organizational Communication/Health
Helios March 2015 - Present
Helios October 2013 - March 2015
PMSI January 2009 - October 2013
PMSI January 2010 - December 2011
PMSI January 2009 - January 2010
Coventry Health Care July 2005 - January 2009
Coventry Health Care July 2006 - April 2007
Coventry Health Care July 2005 - July 2006
Roswell Park Cancer Institute June 2000 - June 2005
Roswell Park Cancer Institute June 2000 - December 2002
Skills
Customer Relations, Mentoring, Forecasting, Management Consulting, Healthcare, Healthcare Marketing, Client Acquisition, Business Acquisition, Acquisition Integration, Account Acquisition, Budgets, Business Process..., CRM, Contract Negotiation, Cross-functional Team..., Customer Acquisition, Customer Service, Entrepreneurship, Insurance, Integration, Health Insurance, Leadership, Managed Care, Management, Marketing, Mergers, New Business Development, Performance Management, Pharmacy Benefit..., Process Improvement, Product Development, Program Management, Sales, Sales Management, Strategic Planning, Account Management, Claim, Medicare, Project Management
Education
Villanova University 2007 — 2009
Master of Business Administration (MBA), Business
American College of Healthcare Executives 2003 — 2004
Certified Health Care Executive
Canisius College
Bachelor's degree(s), Business Administration & Information Systems
London Business School
General Studies
St. Joseph's Collegiate Institute
High School
Confidential May 2013 - August 2013
Independent Contractor February 2013 - May 2013
USAble Life June 2012 - February 2013
Timberhorn Healthcare March 2012 - May 2012
Independent Contractor April 2011 - March 2012
UnitedHealthcare February 2010 - November 2010
Baylor Surgicare of Grapevine/USPI January 2008 - February 2010
Penrose St. Francis Hospital, Colorado Springs, CO./National Healthcare September 2007 - October 2007
Coventry Health Care November 2006 - September 2007
L&E First Assistants, Inc. January 2006 - October 2006
Skills
Medical record review, Medical Coding, Software Knowledge, Software Proficiency, Medical Research, EHR, Report Writing, Insurance Billing, Knowledge Sharing, Business Knowledge, Legal Nurse Consulting, Legal Research, Legal Writing, Patient care, Operating Room..., RNFA in Plastics and..., Workers Compensation, Disability Case..., Teamwork, Individualization, Tax Preparation, Payroll Processing, Research, BLS, Continuing Education, Medical Case Management, Healthcare Consulting, Patient Advocacy, Inpatient, Nursing Education, ICD-9, JCAHO, Utilization Review, Disease Management, Health Insurance, Patient Safety, EMR, HIPAA, Nursing, Operating Room, Acute Care, Surgery, Home Care, Clinical Research, Training, Case Management, Hospitals, Healthcare, Medical Records
Education
Front Range Community College 2000 — 2001
RN First Assistant Certificate Program, Course Completion
Brookhaven Community College 1988 — 1992
Associates Degree Nursing, Nursing
Evolent Health April 2014 - Present
Coventry Health Care June 2004 - March 2014
Crowell & Moring LLP 2002 - 2004
Skills
Medicaid Managed Care, Health Care Fraud, Provider Network..., Legal Research, Legal Compliance, Managed Care, Medicaid, Health Care Compliance, Health Care Reform, Litigation
Education
Emory University School of Law 1998 — 2001
JD/MPH
Emory University 1999 — 2001
MPH
Brandeis University 1994 — 1998
BA
Victorious May 2015 - Present
Possibilities Marketing 2009 - Present
Apple September 2011 - May 2015
Clamcase March 2011 - September 2011
Koi Design March 2008 - February 2009
Genutec Business Solutions October 2005 - February 2008
Coventry Health Care March 2002 - October 2005
Ticketmaster Entertainment January 2000 - March 2001
Skills
Blogging, Social Media, Facebook, Small Business, Marketing, SEO, Photography, Customer Service, Microsoft Office, iWork, iLife, iMovie, Garageband, Adobe Creative Suite, Mac OS, Website Development, Web Design, JIRA, Asana, Agile Project Management, WordPress, Newsletters, Magento, Filezilla, QuickBooks, Kronos Timekeeping, Salesforce Training, SAP, FTP software, Google Adwords, Google Analytics, Facebook Marketing, Facebook Fan Page..., Twitter, Instagram, Web Hosting, Email Marketing, Aweber, GetResponse, MailChimp, Entrepreneurship, Event Planning, Advertising, Account Management, Public Relations, Affiliate Marketing, Affiliate Management, Net Promoter Score, iPhone Support, HTML
Education
California State University-Fullerton
Communications
Novia Strategies and Novia Solutions March 2012 - Present
CareFusion (spin-off from Cardinal Health) December 2008 - October 2011
Cardinal Health January 2008 - December 2008
Cardinal Health December 2005 - December 2007
Coventry Health Care May 2004 - December 2005
American Association of Critical Care Nurses (AACN) June 2001 - April 2004
HIJK September 2000 - July 2001
HemoTherapies, Inc. February 1999 - September 2000
Skills
Product Development, Product Launches, Product Management, Product Marketing, Product Strategy, Marketing Strategy, Marketing Communications, Marketing Management, Market Analysis, Communications Strategy, Sales Process, New Business Development, Business Process, Operations Management, Operational Excellence, Financial Analysis, Financial Modeling, Negotiating Contracts, Contract Negotiation, Product Launch, Six Sigma, Strategic Communications, Management, Strategy, Training, Medical Devices, Healthcare, Marketing, Healthcare Information..., Cross-functional Team..., Leadership, Competitive Analysis, FDA, Program Management, Business Strategy, Business Development, Budgets, Go-to-market Strategy, P&L Management, Strategic Planning
Education
California State University San Marcos 2001 — 2002
Master of Business Administration (MBA), Business Administration
California State University-San Marcos 1993 — 2002
MA, Education
California State University-San Marcos 1996 — 1997
Multi-Subject Teaching Credential
California State University-San Marcos 1993 — 1995
B.A., Liberal Studies
Madison High School
Actium Consulting September 2015 - Present
Cognizant Technology Solutions September 2014 - September 2015
Xerox State Healthcare, LLC November 2011 - September 2014
Coventry Health Care April 2011 - November 2011
California Independent System Operator July 2010 - November 2010
California Independent System Operator March 2008 - July 2010
California Independent System Operator July 2005 - March 2008
California Independent System Operator June 2000 - July 2005
California Independent System Operator December 1997 - May 2000
Lockheed Martin Information Technology February 1997 - December 1997
Skills
Project Management, PMP, PMO, Project Planning, MS Project, Information Technology, Business Analysis, Business Process..., Business Process..., Requirements Management, Change Management, Risk Management, Team Leadership, Team Facilitation, Software Development..., SDLC, End User Training, Quality Management, Contract Negotiation, Energy, Security, Project Delivery, Call Center, Corporate Compliance, Compliance, Requirements Analysis, Troubleshooting, Budget, Enterprise Software, Software Documentation, Leadership, Testing, Call Centers, Process Improvement, Management, Program Management, Cross-functional Team..., Quality Assurance, Business Intelligence, Budgets, Microsoft Project
Education
Capella University 2006 — 2008
Masters of Business Administration (MBA), General Business Administration
University of Phoenix 2002 — 2005
Bachelor of Science in Information Technology (BSIT), Business Systems Analysis
Xerox
Xerox Lean Six Sigma (LSS) 2.0
MoreSteam University
Xerox Lean Six Sigma Service Green Belt
Juran Institute 2008 — 2010
Business Process Analysis
California ISO Academy 2006 — 2008
Electricity Markets
Coventry Health Care 2012 - 2013
Trustmark Insurance January 2009 - February 2012
ECPI University August 2005 - December 2008
Celtic Insurance Company October 2002 - August 2005
Skills
Health Insurance, Sales Management, Employee Benefits, Health Care Reform, Relationship Marketing, New Business Development, Territory Account..., Public Speaking, Insurance, Sales Presentations, Underwriting, Disability Insurance, Sales, Medicare, Managed Care
Education
California University of Pennsylvania 1997 — 2001
Bachelor of Business Administration (B.B.A.), Marketing/Marketing Management
Hewlett-Packard Enterprise Services June 2010 - Present
Coventry Health Care October 2006 - May 2010
Coventry Health Care October 2006 - May 2010
Vista Health Plan February 2002 - August 2007
Vista Health Plan January 2005 - September 2006
Vista Health Plan February 2003 - December 2004
Meridian Healthcare Management July 2001 - November 2002
Heritage Medical Systems/Heritage Provider Network February 2000 - July 2001
Skills
HIPAA, Health Insurance, Healthcare, Claim, Data Analysis, Insurance, Process Improvement, Medicare, Access, Healthcare Information..., Medicaid, Managed Care, Analysis, Business Analysis, Visio, Fraud Detection, Fraud Claims, Health Care Fraud, Employee Benefits, Provider Relations, Auditing, Training, Management
Education
California State University-Northridge 1986 — 1994
Bachelor of Arts (B.A.)
MM July 2014 - Present
Freelancer June 2004 - Present
ADP AdvancedMD March 2012 - June 2014
American Express March 2011 - July 2012
LDS Church 2011 - 2012
Coventry Health Care November 2005 - October 2011
BearingPoint March 2004 - November 2005
First Health June 1998 - January 2004
Allen Communication Learning Services January 1995 - June 1998
Florida State University June 1994 - January 1995
Skills
Instructional Design, E-Learning, Needs Analysis, Technical Writing, Instructor-led Training, Distance Learning, ADDIE, Learning Management..., Training, Team Building, Blended Learning
Education
Florida State University 1992 — 1994
MS, Instructional Systems Design
Brigham Young University 1982 — 1989
BA, Communications
PRA International January 2011 - Present
Coventry Health Care January 2008 - October 2010
Venturi Staffing Partners October 2007 - January 2008
Skills
Research, Microsoft Office, Project Coordination, Windows, Editing, Data Analysis, Access, Teaching, Organizational..., Microsoft Excel, Analysis, Process Improvement, Project Management, Outlook, Leadership
Education
Bridgewater College 1998 — 2002
Bachelor of Science, Mathematics
LongView International Technology Solutions October 2013 - Present
Coventry Health Care March 2012 - September 2013
GE Healthcare April 1986 - March 2012
Meditech 1984 - 1986
Skills
Healthcare Information..., Healthcare IT, EHR, Software Implementation, Agile Methodolgy, Scrum, Test Driven Development, Java, JUnit, lab, SDLC, Integration, Enterprise Software, Agile Methodologies
Education
Bridgewater State University 1982 — 1984
BS, Computer Science
Dignity Healthcare Inc. November 2013 - Present
Keller Graduate School of Management November 2011 - Present
Project Manager Institute - Phoenix October 2010 - Present
Coventry Health Care July 2010 - November 2013
Microsoft Project Users Group (MPUG) August 2010 - March 2012
Lash Group September 2007 - July 2010
Network Infrastructure Corporation 2006 - 2007
American Express December 2004 - June 2006
Osborne Construction/Alaska Mechanical, Inc. July 2001 - April 2003
Stream International 1996 - 2000
Skills
Program Management, MS Project, Project Management, SharePoint, PMP, Process Improvement, Leadership, SDLC, Project Portfolio..., Management, Visio, Analysis, Microsoft Office, Business Analysis, ITIL, Agile Methodologies, Risk Management, Software Development, MS Office Suite, Project Delivery, Security, Cross-functional Team..., Requirements Analysis, PMO, Health Care Systems, Healthcare, Healthcare Information..., Higher Education
Education
University of Phoenix 2011 — 2013
DM/IST, Doctorate of Mgmt. in Organizational Leadership
University of Phoenix 2005 — 2008
MBA, Masters of Business Administration
University of Phoenix 2002 — 2005
Business Management, BSBM
Portland State University 1991 — 1993
Civil Engineering
California State University-Long Beach 1990 — 1991
Civil Engineering
Lathrop 1985 — 1987
High School Diploma
Reynolds 1983 — 1984
College of the Desert
Kodiak
Blue Shield of California October 2009 - Present
Coventry Health Care January 2007 - October 2009
The Agora Group February 2004 - August 2006
Pegasystems 1998 - 2001
Skills
Requirements Analysis, Customer Relations, Visio, Business Analysis, SDLC
Education
University of Phoenix 2004 — 2007
MBA, Business Administration
CSU Sacramento 1993 — 1995
BA, Communications
Sierra College 1991 — 1993
AA, Liberal Arts
Aetna July 2014 - Present
Coventry Health Care May 2007 - July 2014
Erie Insurance Group June 2004 - April 2007
Skills
Actuarial Science, Analytics
Education
Bucknell University 2000 — 2004
Bachelor of Science, Mathematics
Aetna September 2013 - Present
Coventry Health Care November 2010 - Present
Mckesson 2007 - 2010
McKesson Automation 2007 - 2010
Strategic Energy 2006 - 2006
Blair Corporation 2002 - 2006
Libra 1999 - 2000
Skills
SQL Server, SSIS, ETL, Database Design, SQL, T-SQL, Business Intelligence, VB.NET, Visual Basic, SSRS, Crystal Reports, Database Development, Microsoft SQL Server, Business Intelligence...
Education
Butler County Community College 1985 — 1987
AAS, Metrology
Gannon University 1980 — 1981
Sutter Health August 2013 - Present
Project Management Institute, Sacramento Valley Chapter January 2014 - Present
Limitless Sky Squadron September 2010 - Present
Coventry Health Care April 2008 - August 2013
ITT Technical Institute August 2010 - July 2013
Mercedes Benz USA June 2010 - December 2011
Miles Consulting Corp. July 2007 - February 2008
EchoStar / Dish Network January 2007 - July 2007
Intel Corporation January 1995 - July 2006
Intel Corporation January 1995 - July 2006
Skills
PMP, Certified Scrum Master..., Program Management, Integration, Business Process..., Agile Methodologies, PMO, Project Management, Cross-functional Team..., Visio, SharePoint, Business Analysis, Change Management, SDLC, Voice of the Customer, Business Requirements, IV&V, Requirements Analysis, Leadership, Management, Strategy, Testing, Training, Consulting, Enterprise Architecture, Team Building, Vendor Management, Project Portfolio..., Organizational..., Software Documentation, Process Improvement, IT Management, Requirements Gathering, Resource Management, Information Technology, Agile Project Management, Business Process, Business Intelligence, Microsoft SQL Server, CRM, IT Strategy, MS Project, Networking, Software Project..., Disaster Recovery, Software Development, Human Resources, Quality Assurance, Team Leadership, Systems Analysis
Education
California State University-East Bay
Bachelors, Communications
The Intercessors August 2008 - Present
Golden1 Credit Union March 2008 - August 2008
Coventry Health Care November 2007 - March 2008
Wachovia Education Finance December 2002 - June 2007
California Department of Education 2000 - 2002
California Department of Information Technology November 1998 - February 1999
JPS.net June 1997 - October 1997
Skills
Analysis, Access, Databases, Project Management, Customer Service, Microsoft Excel, Strategy, Marketing, Management, HTML, Microsoft Office, SQL, Financial Analysis, Data Analysis, Finance, Entrepreneurship, Microsoft Word, Database Administration, Banking, Leadership, Process Improvement, Team Leadership
Education
California State University-Sacramento 1998 — 2002
BS, Management Information Systems
Rio Americano 1989 — 1994
Isidore Newman 1982 — 1987
Aetna September 2013 - Present
Coventry Health Care August 2013 - Present
Coventry Health Care February 2012 - August 2013
US Army November 2000 - August 2012
Dell, Inc June 2011 - February 2012
Snow Creek Pottery January 2006 - January 2010
Skills
Windows 7, Windows Server, Microsoft Office 2007, Symantec, BMC Remedy, Norton Ghost, Novell Servers, Novell Netware, Active Directory, Windows XP Professional, IP Networking, Citrix, Mobile Devices, iPhone, iPad, Android, Blackberry, XP, Troubleshooting, Hardware, Microsoft Exchange, Enterprise Vault, iOS, Operating Systems, Software Installation, ITIL, System Deployment, Software Documentation, Printers, IP, Microsoft Office, Windows XP, Novell
Education
Cape Fear Community College
Associate, Arts; Computer Engineering Network
University of North Carolina at Wilmington
California Medical Association 2011 - Present
VibrantCare Rehabilitation August 2011 - November 2011
Sacramento Professional Network March 2011 - August 2011
Kaiser Permanente July 2007 - September 2010
Hill Physicians Medical Group August 2006 - July 2007
Coventry Health Care 2003 - 2006
First Health 1990 - 1996
Affordable Health Care November 1988 - 1990
Skills
Strategy, Project Management, Healthcare, Microsoft Office, Managed Care, Analysis, Healthcare Information..., Process Improvement, Medicaid, Access, Management, Policy, Health Insurance, Medicare, Healthcare Industry, Operations Management, Insurance, Contract Negotiation, Leadership, Data Analysis, HIPAA, Healthcare Consulting, Negotiation, Health Policy, Strategic Planning, Physicians
Education
California State University-Sacramento 1984 — 1986
Art-Design
Precipice Strategies February 2010 - Present
Fresenius Medical Care July 2006 - September 2009
Coventry Health Care January 2000 - July 2006
Coventry Health Care November 1998 - January 2000
Coventry Health Care November 1997 - November 1998
UNITED HEALTHCARE OF ILLINOIS March 1996 - November 1997
St. Elizabeth's Hospital June 1994 - March 1996
Alexian Brothers Medical Center October 1992 - June 1994
Education
California Western School of Law
Juris Doctor
UNIVERSITY OF NEVADA
BS, Business Management and Management Information Systems
BlackLine March 2015 - Present
RGH Themed Entertainment October 2012 - Present
Rubicon Group Holding 2012 - Present
GPL Technologies February 2012 - June 2012
Deluxe Entertainment Services Group, Inc. 2009 - February 2012
Stereo D 2010 - 2010
Coventry Health Care 2004 - 2009
Skills
Scripting, OS X, Active Directory, Windows Server, VMware, Windows 7, Troubleshooting, Disaster Recovery, Technical Support, Networking, Linux, Windows, Python, Virtualization, Mac, Web Development, SCCM, Maya, Video, Final Cut Pro, Visual Effects, IT Strategy, Programming, Storage Solutions
Education
Cal Poly Pomona 1998 — 2000
Associate of Arts (AA), Computer Science
Workday April 2015 - Present
Tallwave June 2011 - July 2015
Coventry Health Care November 2010 - May 2011
ACI November 2008 - November 2010
Lumension Security August 2007 - November 2008
iCrossing June 2005 - July 2007
CheckFree Investment Services February 2005 - June 2005
Express Scripts November 2003 - January 2005
ACI August 2001 - November 2003
ON Semiconductor November 2000 - June 2001
Skills
Talent Acquisition, Recruiting, Healthcare, E-commerce, Digital Marketing, Pharmaceutical Industry, Applicant Tracking..., Technical Recruiting, Internet Recruiting, Benefits Negotiation, Onboarding, Vendor Management, Talent Management, College Recruiting, Sourcing, Contract Recruitment, Account Management, Employee Relations, Executive Search, Employer Branding, Temporary Placement, Screening, Team Building, Screening Resumes, Coaching, Employee Engagement, Sales, Start-ups, Business Development, Information Technology, Process Improvement, Microsoft Office, Strategy, Hiring, Leadership, Interviews, SDLC, Search, Marketing, Temporary Staffing, Human Resources, CRM, Management, Social Networking, Employee Benefits, Product Management, Consulting, Networking, IT Recruitment
Education
California State University-Northridge 1988 — 1988
Bachelors, Chemistry
Granada Hills High School
Diploma
Cisco Systems April 2007 - Present
Arden Arcade County Commission 2008 - 2009
Cisco Systems April 2007 - August 2008
National Multiple Sclerosis Society 2005 - 2006
QRS 2001 - 2004
MiFund 1999 - 2001
Rural Community Assistance Corporation 1998 - 1999
Sierra Health Foundation 1996 - 1998
Coventry Health Care 1994 - 1996
BUK 1992 - 1994
Skills
Program Management, Telecommunications, SaaS, Project Management, Cloud Computing, Wireless, Enterprise Software, Strategy, Cross-functional Team..., Marketing, Data Center
Education
California State University-Sacramento 2007 — 2011
Geography
University of Wisconsin-Madison 1982 — 1983
English
Aetna May 2013 - Present
Coventry Health Care October 2011 - May 2013
Coventry Health Care February 2007 - October 2011
Fluid Management, Inc. June 2001 - February 2007
Fluid Management, Inc. June 1999 - June 2001
Skills
Software Development, Process Improvement, SQL, Microsoft SQL Server, Visual Studio, .NET, Databases, SOA, VB.NET, XML, Software Engineering, SSIS, Visual Basic, Visio, SDLC, Agile Methodologies
Education
DePaul University 2003 — 2007
MS, Software Engineering with concentration in Software Architecture
Bradley University 1996 — 1999
BSEE, Electrical Engineering
Monmouth College 1994 — 1996
Physics - Pre-Engineering
Aledo High School 1990 — 1994
Blue Cross Blue Shield of Arizona February 2013 - Present
Coventry Health Care 2012 - February 2013
Coventry Health Care 2007 - 2011
First Health 1999 - 2005
First Health Group Corp 1999 - 2001
Skills
Infrastructure, Data Center, Disaster Recovery, Integration, SDLC, System Administration, Vendor Management, High Availability, Process Improvement, IT Strategy, Database Administration, Storage Architecture, Systems Management, Visio, IT Management, Enterprise Architecture, VMware, HIPAA, Business Analysis, Healthcare, Software Project..., Business Intelligence, Management, Systems Engineering, Databases, Executive Management, Servers, Virtualization, Program Management, SharePoint, Team Building
Education
Westminster College 1998 — 2001
MBA
Brigham Young University 1993 — 1996
B.S., Management
Coventry Health Care 2008 - Present
Education
California State University-Dominguez Hills
Coventry Health Care September 2007 - Present
Wells Fargo 2003 - 2006
Skills
Business Analysis, PMO, PMP, Process Improvement, Requirements Analysis, SDLC, Vendor Management, Visio
Education
Brigham Young University
UnitedHealth Group August 2015 - Present
Keenan and Associates June 2014 - May 2015
Allsup Inc. January 2011 - April 2014
MDIA - Medical Diagnostic Associates February 2009 - December 2010
Coventry Health Care September 2006 - January 2009
Skills
Workers Compensation, General Liability, Health, Medicare, Employee Benefits, Health Insurance, Account Management, Government, PPO, Team Building, Salesforce.com, Legal Liability, Claim, Insurance, HMO, Healthcare Management, Mental Health Counseling, Project Management, Vocational..., Presentations, Managed Care, Property & Casualty..., Disability Insurance, Healthcare, Professional Liability, Casualty, Provider Relations, Marketing, Workers' Compensation..., Benefits Administration, Pharmacy Benefit..., Customer Retention, Training, Sales Presentations, Healthcare Industry, Outlook, Employee Relations, Coaching, Employee Training, Customer Service, Commercial Insurance, General Insurance, Brokers
Education
California State University, Fresno 1987 — 1989
Master of Science (M.S.), Rehabilitation Counseling
California State University, Fresno 1981 — 1986
Bachelor of Science (BS), Psychology
Melaleuca:The Wellness Company October 2013 - Present
Thrive Life February 2015 - May 2015
Vivint June 2014 - December 2014
CSS Corp October 2012 - March 2013
Actiontrak May 2011 - November 2012
Coventry Health Care March 1998 - July 2010
Novell January 1995 - January 1997
Skills
Networking, Testing, Product Development, SQL, Customer Service, Databases, Microsoft Office, Project Management, Microsoft SQL Server, Java, Perl, Program Management, Process Improvement, Sourcing, JavaScript, Recruiting, Vendor Management, C, Agile Methodologies, Software Development, Software Project...
Education
Brigham Young University 1974 — 1986
BS, Computer Science
Desert Schools Federal Credit Union August 2011 - Present
Healthways June 2010 - August 2011
Coventry Health Care May 2008 - December 2009
Acxiom January 2008 - April 2008
Express Scripts 2001 - 2007
Paradigm Health Corporation 1995 - 2001
Skills
Business Process, Business Intelligence, SDLC, PMP, Healthcare, Project Management, Project Planning, Strategy, Team Leadership, Program Management, Budgets, Leadership, Business Analysis, Quality Assurance, Process Improvement, Team Building, Databases, Software Development, Management, Visio, Six Sigma, Testing, IT Service Management, PMO, SharePoint, Time Management, Business Process..., Project Portfolio..., Vendor Management, MS Project, Software Project..., Cross-functional Team..., Requirements Analysis
Education
California Polytechnic State University-San Luis Obispo
BS, Business Administration & Management Information Systems
University of Arizona
MBA, Business Administration
Net-Ability December 2010 - Present
Coventry Health Care September 2010 - March 2011
Lone Star Business Solutions January 2006 - September 2010
Lone Star Business Solutions 2006 - September 2010
The Tux Shop 1997 - 2005
Skills
Micrsoft Certified..., Microsoft Certified..., CompTia A+, CompTIA, Active Directory, Disaster Recovery, Microsoft Exchange, VMware, Sonicwall, Microsoft SQL Server, Servers, Networking, DNS, Network Administration, Windows Server, VMware Infrastructure, Cisco Technologies, Data Center, Network Security, VPN, VMware ESX, SharePoint, Firewalls, ITIL
Education
Butler County Community College 1994 — 1996
Associates of Applied Science
Wolters Kluwer Health August 2004 - Present
Paradigm Insurance Group March 1996 - February 2002
Coventry Health Care 2002 - 2002
Employers Health Insurance October 1983 - February 1995
Skills
Microsoft Office, Excel, CRM Project Development, Project Management, Stop Loss, Underwriting, Health Insurance, Sales Logix, Sales Management, Microsoft Excel, Content Development, Team Building, Publishing, Negotiation, Academic Publishing, Account Management, Management, Marketing, New Business Development, Sales, Marketing Strategy, Sales Operations, Leadership, Salesforce.com
Education
Cardinal Stritch University 1987 — 1989
Associate Degree, Business Management
IHC Carrier Solutions October 2007 - Present
Health America 2005 - 2007
Coventry Health Care 2005 - 2007
Actuarial Management Corporation 2003 - 2005
Health Net of AZ 2001 - 2003
Deloitte 1998 - 2001
Home Life Financial Assurance Corporation 1994 - 1998
Travelers Life & Annuity 1989 - 1994
Education
Bucknell University 1985 — 1989
BS, Mathematics
Coventry Health Care July 2007 - Present
First Health September 1986 - July 2007
Skills
Managed Care, Network Development, PPO, Healthcare Industry, Process Improvement, Healthcare, Contract Negotiation, Workers Compensation, Project Management, Program Management, Provider Relations, Software Documentation, HIPAA, Health Insurance, Insurance, Health Policy, Healthcare Management
Education
California State University-Sacramento
Bachelor of Arts (B.A.)
DentaQuest June 2015 - Present
Aetna August 2013 - June 2015
Aetna April 2012 - August 2013
Coventry Health Care, an Aetna Company August 2011 - April 2012
Coventry Health Care September 2010 - August 2011
Centene Corporation October 2008 - September 2010
Centene Corporation January 2008 - October 2008
Centene Corporation June 2006 - January 2008
Centene Corporation May 2004 - October 2006
Sisters of Mercy Health System May 2002 - October 2004
Skills
Medicaid, Managed Care, Provider Relations, HIPAA, Healthcare, Health Insurance, Process Improvement, Healthcare Management, Project Management, Healthcare Information..., Data Analysis
Education
Butler University 1997 — 2001
Bachelor of Arts (BA), Cultural Anthropology
School for International Training 1999 — 2000
Coventry Health Care January 1991 - Present
Health Care Compare 1991 - 1995
Education
California State University-Sacramento
OptumRx October 2014 - Present
Premier healthcare alliance August 2012 - October 2014
Express Scripts December 2009 - August 2012
WellPoint July 2007 - December 2009
Coventry Health Care August 2004 - July 2007
Sentara Healthcare July 2003 - June 2004
Skills
Account Management, Biotechnology, CRM, Clinical Pharmacy, Clinical Research, Consulting, Contract Management, Contract Negotiation, Cross-functional Team..., Data Analysis, Diabetes, Disease Management, Employee Benefits, Financial Analysis, Formulary, HIPAA, HMO, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Hospitals, Informatics, Leadership, Managed Care, Management, Market Access, Medicaid, Medicare, Medicare Part D, Mergers, Negotiation, Oncology, Pharmaceutical Industry, Pharmaceutical Sales, Pharmaceutics, Pharmacy, Pharmacy Benefit..., Pricing, Process Improvement, Product Launch, Project Management, Sales, Strategic Planning, Strategy, Supply Chain Management, Team Building
Education
Campbell University 1999 — 2003
PharmD, MBA, Pharmacy, Business Administration
University of North Carolina at Chapel Hill 1997 — 1999
Pre-Pharmacy, Chemistry
High
High
Coventry Health Care 1988 - 2011
Skills
Strategic Planning, Contract Negotiation, Network Development, Managed Care, Healthcare
Education
California State University-Chico 1981 — 1985
Oxley Enterprises, Inc. January 2015 - Present
LifeBridge Health January 2010 - January 2015
Sinai Hospital January 2010 - January 2015
Kaiser Permanente October 2008 - October 2009
Kaiser Permanente October 2008 - October 2009
Coventry Health Care June 2006 - October 2008
Coventry Health Care June 2006 - October 2008
Kaiser Permanente May 2005 - June 2006
CareFirst BlueCross BlueShield November 1997 - February 2005
CareFirst BlueCross BlueShield 1997 - 2004
Skills
SDLC, HIPAA, Requirements Analysis, Systems Analysis, Process Improvement, Healthcare Information..., Business Analysis, Troubleshooting, Software Development, Analysis, Visio, Software Documentation, Program Management, Databases, Integration
Education
Info-Age Computer School 1985 — 1985
Certificate, ANSI MUMPS
California State College 1976 — 1980
Pursued degree, Biological and Environmental Sciences
California University of Pennsylvania 1976 — 1980
Aliquippa High School 1972 — 1976
High School Diploma, Academic Course
First Call Comprehensive October 2010 - Present
Coventry Health Care March 2007 - October 2010
Coventry Health Care March 2007 - October 2010
Skills
Medical Management, Utilization Management, Workers Compensation, Managed Care, Healthcare, Health, Case Management, Program Development, Network Development, Cost Containment, Hospitals, Outcomes, Strategic Planning, Wellness, Account Management, Nursing, Provider Contracting, Provider Relations, Healthcare Management, Wellness Programs, Home Care, Public Speaking, Mentoring, Credentialing, Risk Management, Supervisory Skills, Operations Management, Executive Management, Customer Relations, Healthcare Industry, Team Building, Problem Solving, Coaching, Case Managment, Insurance, Customer Service, Medical Billing, HIPAA, Management, Health Insurance, Claims Management, Employee Benefits, Medicare, Physician Relations, Healthcare Information..., Physicians, Long-term Care, Orthopedic, Medicine, Healthcare Consulting
Education
California State University-San Bernardino 1988 — 1989
Riverside Community College 1986 — 1988
Associate of Science (A.S.), Registered Nursing/Registered Nurse
IBM June 2015 - Present
Aetna May 2013 - June 2015
Coventry Health Care October 2010 - May 2013
EDMC June 2010 - October 2010
Teradata February 2008 - June 2010
Del Monte Foods February 2002 - February 2008
HJ Heinz February 2002 - November 2002
Mellon Bank August 1996 - August 2002
Ketchum Directory Advertising October 1999 - August 2001
Coventry Health Care 2001 - 2001
Skills
Teradata, Netezza, Informatica, Data Warehouse..., Data Warehouse..., Oracle, Unix, Tidal Enterprise..., IBM Tivoli, Erwin, SAS, Technical Architecture, ETL Tools, Enterprise Architecture, ETL, Database Administration, Performance Tuning, Data Warehousing, Data Migration, SQL Tuning, Microsoft SQL Server, Data Integration, Data Modeling, OLAP, Cognos
Education
Canisius College 1979 — 1984
BA, Computer Science
Suffern High School
Connexin Software Inc December 2012 - March 2014
QVC 2012 - 2012
Access Group January 2010 - October 2011
Coventry Health Care January 2009 - December 2009
American Express July 2006 - January 2009
Rowan University November 2004 - April 2006
JP Morgan Chase February 2000 - July 2003
Fair Isaac & Company July 1995 - February 2000
Fair Isaac & Company July 1995 - February 2000
Skills
Unix, T-SQL, Crystal Reports, Oracle, Databases, Access, ETL, Visio, SQL, Microsoft SQL Server, Microsoft Excel, SAS, Customer Service, Visual Basic, Business Analysis, Quality Assurance, Software Documentation
Education
California State University-Fullerton 1994 — 1998
North High
North High
North High
Saint Joseph's University
Saint Joseph's University
Zenith Insurance October 2008 - Present
Coventry Health Care March 2006 - November 2008
Wellpoint Insurance September 1994 - November 2005
Education
California State University-Northridge 1986 — 1988
BS, Nursing services-Occupational & Environmental Health
Lacaso Artworks April 2000 - Present
Coventry Health Care April 1997 - March 2013
Coventry Health Care February 1994 - April 1997
Skills
Visio, Microsoft Office, Microsoft Word, Microsoft Publisher, Microsoft Powerpoint, Microsoft Excel, Kronos, Technical Writing, News Writing, Documentations, Document Review, Strategic Planning, Management, Insurance, Health Insurance, Access, Managed Care, Workers Compensation, Administrative..., Software Documentation
Education
California State University-Sacramento
Coventry Health Care August 2000 - Present
Skills
SQL, HIPAA, Access, Project Management, Testing, Healthcare, Microsoft Office, Data Analysis, Requirements Gathering, Software Project..., Databases, Visio, Business Analysis, Requirements Analysis, Troubleshooting
Education
California State University-Sacramento 2005 — 2013
BS, Computer Engineering
Coventry Health Care January 2012 - Present
Regency HOSPICE August 2010 - Present
Wichita Clinic March 1999 - March 2004
The Doctors' Clinic - Straub Development Corp HNL, HI September 1992 - 1998
Skills
HIPAA, Healthcare Information..., EMR, Process Improvement, Customer Service, Leadership, Team Building, Recruiting, Medicare, Hospitals, Nursing, Healthcare, Healthcare Industry, Physicians
Education
California State University-East Bay 1982 — 1986
BS, Biology
GENEX Services, LLC June 2014 - Present
GENEX Services, Inc. January 2013 - Present
GENEX Services, Inc September 2003 - February 2013
Coventry Health Care January 1997 - June 2000
Keenan and Associates August 1988 - August 1997
Skills
Workers Compensation, Claims Management, Claim, Managed Care, New Business Development, Insurance, Sales Management, Contract Negotiation, Team Building, Sales, Disability Management, Account Management, Relationship Management, Building Relationships
Education
California State University-Long Beach
Bachelor of Arts (B.A.), Journalism
StrataCare, A Xerox Company May 2010 - Present
Coventry Health Care February 2007 - May 2010
Fair Isaac May 1999 - January 2007
HNC Software Solutions/FairIsaac 1998 - 2007
Fair Isaac 1999 - 2002
CorVel 1996 - 1998
Clothworld 1990 - 1993
Skills
Account Management, Insurance, Workers Compensation, Customer Relations, Salesforce.com, Microsoft Office, SaaS, Outlook, Microsoft CRM, Management, Leadership, Project Management, Training, Process Improvement, CRM, Team Building, Business Analysis
Education
Fullerton College 2001 — 2003
Associate's degree, Fashion/Apparel Design/Teaching
California State Polytechnic University-Pomona 1984 — 1986
teaching
Coventry Health Care
Skills
Visio, Data Warehousing, Data Warehouse..., Data Modeling
Education
University of Phoenix 2002 — 2005
Bachelor Of Science, Information Technology
Brigham Young University - Idaho 1984 — 1985
Coventry Health Care September 2005 - Present
Skills
Six Sigma, Process Improvement, Change Management, Business Analysis, Project Management, Organizational..., Vendor Management, Cross-functional Team..., HIPAA, Insurance
Education
California State University-Northridge
Bachelor of Science (B.S.), Business Management
Coventry Health Care July 2005 - September 2012
Humana June 2002 - March 2005
Skills
Sales, Management, HMO, Life Insurance, Underwriting, Health Insurance, Long-term Care, Customer Service, Team Building, Strategic Planning, Process Improvement, Health Savings Accounts, Sales Operations
Education
California State University Stanislaus 1981 — 1983
MA, International Relations/History
United States Air Force Academy 1968 — 1972
BS, Eng Mech
Vincentian Collaborative System February 2014 - Present
Coventry Health Care November 1998 - January 2014
HCR Manor Care November 1992 - November 1998
Skills
Succession Planning, Leadership Development, Employment Law, Conflict Resolution, Diversity Champion, Diversity Training, Talent Management, PeopleSoft, Employee Benefits, Personnel Management, College Recruiting, Internet Recruiting, Interviews, Career Development, Leadership, Technical Recruiting, Training
Education
Robert Morris University
Master of Science (MS), Organizational Studies
Cameron University
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
EBDS August 2008 - Present
Coventry Health Care January 2006 - June 2008
Education
Carlow University 1996 — 1999
MS, Professional Leadership (Management of Non-Profit Org)
Westminster College (PA) 1985 — 1989
BA, Business Management
Coventry Health Care September 2007 - Present
CHG February 2005 - September 2007
Education
Brigham Young University 1975 — 1976
General Studies
Cherish Your Children August 2010 - Present
Coventry Health Care September 2007 - January 2010
CompHealth February 2005 - September 2007
Education
Brigham Young University 1975 — 1976
Child Development and Family Relations
Coventry Health Care September 1993 - Present
Skills
Case Management, Workers Compensation, Managed Care, Utilization Management, Vocational..., Disability Management, HIPAA, Case Managment, Disease Management, Claim, Health Insurance, Long-term Care, Medicaid, Medicare, Provider Relations, Utilization Review, Customer Service, Healthcare, Team Building, Budgets, Marketing, Strategic Planning
Education
Mount Saint Mary's College California 1988 — 1992
BA, Psychology
California Coast University
MS, Psychology
Coventry Health Care February 2009 - January 2010
Harvard Pilgrim Health Care September 2006 - September 2008
Skills
Health Insurance, Insurance, Customer Service, Call Centers, Claim, PowerPoint, Telephone Skills
Education
Bridgewater State University
Health Promotion
Anthem, Inc. 2013 - Present
Coventry Health Care 2011 - 2012
APS Healthcare August 2009 - 2011
UnitedHealth Group September 2000 - August 2009
Optum / UnitedHealth Group September 2000 - August 2009
Paradigm Management Services January 1996 - August 2000
Skills
Health Insurance, Disease Management, Healthcare, Managed Care, Medicare, Medicaid, Analytics, Econometrics, HIPAA, Healthcare Information..., Healthcare Consulting, Healthcare Management, Healthcare Industry, Leadership, Data Analysis, Management
Education
California State University-Sacramento 1986 — 1990
BA, Government
Aetna November 2013 - Present
Coventry Health Care May 2012 - Present
WellPoint February 2010 - December 2012
WellPoint July 2009 - March 2011
WellPoint November 2008 - February 2009
WellPoint April 2006 - November 2008
WellPoint April 2005 - April 2006
WellPoint August 2004 - April 2005
WellPoint August 2003 - August 2004
Independent Consultant August 2002 - November 2003
Skills
Pharmacy Benefit..., Account Management, Healthcare Management, Healthcare, Health Policy, Pharmacy, Managed Care, Medicaid, Leadership, Pharmacists, Cross-functional Team..., Healthcare Consulting, Process Improvement, Insurance
Education
Purdue University 1994 — 1996
Doctor of Pharmacy, Pharmacy
Butler University 1990 — 1992
Masters of Pharmacology, Pharmacy
Butler University 1983 — 1987
Bachelors of Science, Pharmacy
Deloitte Digital September 2014 - Present
Hewlett-Packard April 2013 - August 2014
Coventry Health Care August 2009 - March 2013
Hewlett-Packard June 2000 - June 2009
Skills
SilkTest, Java, Quality Center, Testing, Regression Testing, QTP, ALM, VBScript, SQL, Perl, Test Automation..., Software Quality..., Agile Methodologies, Unix, SDLC, Test Automation, Manual Testing
Education
California State University-Sacramento 1999 — 2001
BS, Computer Science
ADP September 2009 - Present
Coventry Health Care April 2006 - June 2009
First Health / Coventry Health Care April 2006 - April 2007
First Health October 2000 - April 2005
Skills
Requirements Analysis, Testing, SQL, Integration, Software Documentation
Education
Brigham Young University - Hawaii 1986 — 1992
Bachelors of Science, Business Information Systems
Restore Rehabilitation April 2015 - Present
ExamWorks Clinical Solutions (formerly Ability Services Network) February 2015 - April 2015
Coventry Health Care September 2013 - February 2015
Healogics April 2012 - September 2013
Kinetic Concepts July 2006 - April 2012
Ortho McNeil Neurolgics 2005 - 2006
AstraZeneca 2003 - 2005
Concentra Integrated Services July 2002 - November 2003
AstraZeneca 2000 - 2002
Concentra Integrated Services July 1996 - September 1998
Skills
Medical Devices, Cardiology, Neurology, Healthcare, Clinical Research, Workers' Compensation..., Wound Care, Healthcare Management, Medicine, Case Managment, Physicians, Oncology
Education
California Coast University 1998 — 1999
Master of Science, Health Care Management
California Coast University 1996 — 1998
Bachelor of Science, Management
Vermont College of Norwich Univ. 1978 — 1980
Associate in Science, Nursing
Aetna November 2012 - October 2013
Aetna August 2010 - November 2012
Coventry Health Care January 2009 - December 2009
Coventry Health Care November 2005 - January 2009
Coventry Health Care October 2005 - November 2005
Robert Morris University August 1999 - September 2003
California University of Pennsylvania August 1988 - August 1999
Skills
Customer Relations, Accounts Receivable, Microsoft Office, Customer Service, Employee Engagement, Change Management, Reconciliation, Leadership, Training, Program Management, Management, Data Analysis, Human Resources, Recruiting, Policy, Budgets, Insurance, Healthcare, Project Management, Leading Development..., Project Planning, Microsoft Excel, Higher Education, Account Reconciliation
Education
California University of Pennsylvania 1990 — 1997
Masters of Science; 1997, Community Agency Counseling
Slippery Rock University of Pennsylvania 1983 — 1987
Bachelor of Science, 1987, Health and Physical Education; Sports Management
Aetna April 2013 - Present
Coventry Health Care April 2007 - April 2013
Skills
Health Insurance, Insurance, Requirements Gathering, Business Analysis, Managed Care, Data Analysis, Medicare, Claim, Workers Compensation, Process Improvement, HIPAA, Vendor Management, Analysis, Risk Management
Education
California State University-San Bernardino - College of Business and Public Administration
BS-MIS, Information Technology
Sierra Nevada Corporation January 2014 - Present
Coventry Health Care October 2012 - January 2014
Hostess Brands May 2011 - October 2012
Hostess Brands June 2007 - May 2011
Skills
Labor Relations, Benefits Administration, Employee Relations, New Hire Orientations, HRIS, Onboarding, HR Policies, Employee Benefits, Talent Acquisition, College Recruiting, Succession Planning, Talent Management, Applicant Tracking..., Performance Management, Employment Law, Change Management, Personnel Management, Grievances, Leadership Development, Kronos Timekeeping, Technical Recruiting, Recruiting, FMLA, Employee Engagement, Kronos, EEO, PeopleSoft, Job Descriptions, Human Resources, Management, Payroll, Taleo, Conflict Resolution, Sourcing, Workforce Planning, Interviews, Temporary Placement, Training, Policy, Screening, HR Consulting, Workers Compensation, Organizational..., SAP HR, Organizational..., Performance Appraisal, Organizational Design, LOA, Internet Recruiting, Hiring
Education
California State University-Chico 2002 — 2007
Bachelor of Science- Business Management, Human Resources Management
Mercer April 2015 - Present
Mercer June 2012 - March 2015
Coventry Health Care February 2012 - May 2012
Brigham Young University October 2009 - April 2012
Coventry Health Care November 2011 - February 2012
Freelance Film Production October 2009 - November 2009
Church of Jesus Christ of Latter August 2007 - September 2009
BYU Broadcasting September 2006 - April 2007
Skills
Actuarial Science, Data Analysis, Training, Public Speaking, Microsoft Excel, Analysis, Access, Research, Microsoft Office, Statistics, Leadership, PowerPoint
Education
Brigham Young University 2006 — 2012
Bachelor of Science, Actuarial Science
Allstate June 2006 - Present
AMACA Investments, Inc 2004 - 2006
Coventry Health Care 1989 - 2004
Skills
Project Management, Risk Management, Commercial Insurance, Insurance, Construction Management, Business Planning, Account Management, Business Strategy, Market Analysis, Marketing, Sales, Customer Service, Commercial Management, Management, Team Building, Business Analysis, Health Insurance, Leadership, Process Improvement, Real Estate, Real Estate Development, Sales Management, Sales Operations, Social Media, Training, Vendor Management
Education
California State University, Los Angeles - College of Business and Economics
Bachelor of Science (BS), Information Technology
Effective Health Systems January 2009 - Present
AIMS/ Allied Managed Care June 2007 - July 2008
Coventry Health Care June 2004 - July 2007
Skills
Insurance, Workers Compensation, Performance Consulting
Education
National University 2001 — 2002
MS, Instructional Technology
Cal State Fullerton
BS, Communications Public Relations
PwC March 2015 - Present
PwC August 2011 - Present
Coventry Health Care August 2010 - August 2011
Brigham Young University January 2008 - May 2010
Pinnacle Security June 2007 - August 2007
Melaleuca:The Wellness Company June 2006 - December 2006
Education
Brigham Young University 2007 — 2010
Masters, Accounting
Brigham Young University - Idaho 2003 — 2006
Associate of Science (A.S.), General Studies
Health Care Consultant 2007 - Present
URAC 2006 - Present
Specialty Medical Reviews 2008 - 2013
RI Free Clinic 2006 - 2012
Coventry Health Care April 1998 - July 2007
Skills
Managed Care, Clinical Research, Healthcare, Utilization Management, Medicine, Utilization Review, Physicians, Healthcare Management, Health Policy, Medicare, Healthcare Information..., Disease Management, Medicaid, Hospitals, Healthcare Consulting, Quality Improvement, Internal Medicine, Provider Relations, Pharmacy, Infectious Diseases, Accreditation, Informatics, Public Health, Policy, Physician Relations, Healthcare Industry
Education
Harvard Medical School 1975 — 1978
Infectious Disease Fellowship; Instructor in Medicine
Brown University 1972 — 1975
Internal Medicine Residency
University of Wisconsin-Madison 1965 — 1972
Doctor of Medicine (MD), Medicine
Coventry Health Care July 2006 - Present
HealthCare Insight February 2005 - June 2006
inContact January 2004 - February 2005
HK Systems (Automation/Material Handling Systems) September 1984 - November 1999
Skills
SDLC, Requirements Gathering, Visio, SharePoint, Business Requirements, Business Process, Quality Assurance, Integration, Quality Center, Change Management, Program Management, Project Portfolio..., Project Management, SQL, Business Analysis, Disaster Recovery, IT Management, Requirements Analysis, Solution Architecture, Software Documentation, PMP, MS Project, Waterfall, Software Development, Business Process..., Database Design, Crystal Reports, Software Project..., Data Warehousing, Vendor Management, Testing, Databases, IT Strategy, Oracle, ITIL, PMO, Systems Analysis, Process Improvement, Mainframe, Data Modeling, DB2, Enterprise Architecture, Scrum, Business Intelligence, Release Management, User Acceptance Testing, Resource Management, COBOL, Agile Methodologies, Microsoft SQL Server
Education
Brigham Young University
Bachelor of Science (B.S.), Computer/Information Technology Administration and Management
University of Santa Clara
Master of Business Administration (MBA), Business and Project Management
Coventry Health Care April 2013 - Present
Coventry Health Care April 2011 - April 2013
PHEAA July 1997 - April 2011
Skills
Marketing, Management
Education
Capital College, Pennsylvania State University 1995 — 1997
Bachelor of Science (B.S.), Public Policy
Harrisburg Area Community College 1993 — 1995
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Certified Holistic Health Coach June 2014 - Present
Coventry Health Care, an Aetna Company December 2012 - May 2014
Coventry Health Care May 2012 - August 2013
Foothills Sports Medicine and Rehabilitation December 2010 - June 2011
Boulder Creek High School December 2010 - May 2011
Brigham Young University January 2009 - June 2010
Intermountain Healthcare January 2010 - May 2010
Hunstman World Senior Games September 2009 - October 2009
Skills
Health Education, Fitness, Fitness Training, Personal Training, Exercise Physiology, Strength Training, Functional Training, Wellness Coaching, Sports Nutrition
Education
Brigham Young University 2006 — 2010
Bachelor of Science (BS), Kinesiology and Exercise Science
Coventry Health Care
Skills
Nonprofits, Public Speaking, Microsoft Office, Social Media, Strategic Planning, Research, Community Outreach, Customer Service, Public Relations, Event Management, Microsoft Excel, Project Management, Volunteer Management
Education
Capella University
Master of Science (MS), Human Services Specializing in Counseling
Florida Atlantic University
BSW
Yakima Valley Farm Workers Clinic March 2011 - Present
Coventry Health Care April 2006 - November 2010
Edward Jones February 2004 - January 2006
First Health March 2002 - February 2004
AT&T Broadband July 2000 - March 2001
Achieve Global August 1996 - June 2000
Stream International January 1986 - July 1996
Skills
Training, Employee Training, Leadership, Leadership Development, Program Management, Human Resources, E-Learning, Needs Analysis, Instructor-led Training, Learning Management..., Adult Education, Curriculum Design
Education
University of Phoenix 1998 — 2000
Masters, Organizational Management
Brigham Young University
Bachelor of Science, Sociology
Regal Medical Group June 2011 - Present
Coventry Health Care January 2007 - April 2011
Blue Cross of California March 1977 - August 1994
Skills
Insurance, Health Insurance, Claims, Provider Relations, PPO, Medicaid, Medical Billing, Claim, Managed Care, HMO, Medicare, HIPAA
Education
CSUN 1973 — 1976
Bachelor's degree, Biology, General
Independent Accounting Consultant 2011 - Present
Grass Roots Investments October 2007 - 2011
Coventry Health Care 1997 - 1998
Principal Health Care 1995 - 1997
Mellon Bank 1993 - 1995
Bank of America 1990 - 1992
Skills
Financial Analysis, Research, Event Management, Financial Modeling
Education
California State University-Sacramento 1986 — 1990
B.S., Business Administration, Finance
Empyrean Services LLC November 2007 - Present
Coventry Health Care July 2005 - November 2007
Marconi 1997 - 2002
Skills
Microsoft Office, Customer Service, Payroll, Excel, Invoicing, Executive Level..., Human Resources, Microsoft Excel, Employee Relations, PowerPoint, Outlook, Microsoft Word, Process Scheduler, Supervisory Skills, Recruiting, Project Management, Change Management, Training, Management, Leadership, MS Project, Team Building, Event Planning, Contract Management, Access, Project Planning, Strategic Planning, Software Documentation, Process Improvement, System Administration, Time Management, Onboarding, Office Management, Applicant Tracking..., Customer Satisfaction, Program Management, Sourcing, Budgets, Team Leadership, Interviews, Talent Acquisition, Employee Benefits
Education
Butler County Community College 2003 — 2005
Certificate, Medical Insurance Specialist/Medical Biller
Coventry Health Care October 1998 - Present
Coventry Health Care October 1998 - Present
Coventry Health Care, Inc October 1998 - Present
Coventry Health Care, Inc January 1998 - Present
Neighborhood Health Partnership January 1996 - January 1998
neighborhood health plans 1995 - 1998
Blue Cross Blue Shield January 1994 - January 1996
Education
Broward College
Bachelors, Business Administration
National School of Technology
Associates, Science Technology
Coventry Health Care March 2012 - Present
ACS XEROX Company June 2011 - June 2012
ACS, a Xerox Company November 2010 - June 2011
qms 2008 - 2010
Skills
Quality Center, Test Planning, QTP, User Acceptance Testing, Regression Testing, Test Cases, Manual Testing, Test Management, Software Quality..., Defect Tracking, System Testing, SDLC
Education
California State University-Sacramento 2002 — 2007
Health Science, Health Care Administration
Sedgwick CMS August 2010 - Present
Coventry Health Care June 2005 - October 2009
Skills
General Insurance, Commercial Insurance, Liability, Property & Casualty..., Microsoft Excel, Claim, Access, Casualty, Disability Insurance, Customer Service, Employee Benefits, Health Insurance, Liability Analysis, Brokers, Insurance
Education
College of the Canyons 2012 — 2014
Associates Degree, Liberal Arts and Social Science
California State University-Northridge 1996 — 1998
Music Technology
UnitedHealth Group August 2013 - Present
CareFirst BlueCross BlueShield April 2013 - July 2013
Coventry Health Care April 2012 - March 2013
HealthNow New York Inc. October 2005 - April 2012
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Teaching, HTML, Public Speaking, Budgets, Strategic Planning, Microsoft Office
Education
Central State University 1984 — 1989
Bachelor of Science (B.S.), Business Administration and Management, General
Capital University
Master of Business Administration (MBA)
United Concordia March 2012 - Present
Coventry Health Care March 2010 - February 2012
Viant May 2001 - March 2010
Education
University of South Carolina - The Moore School of Business 1990 — 1992
MBA, Marketing
Brigham Young University
Bachelor's, Finance
Arborilogical Services June 2012 - Present
Mary Kay Inc. April 2011 - Present
Seams Like New April 2000 - Present
C-Level Marketing & Sales Consulting February 2010 - March 2012
Coventry Health Care October 2010 - February 2012
Skills
Outlook, Access, Microsoft Office, Budgets, Social Networking, Microsoft Word, Team Building, Strategic Planning, Sales, Market Research, Social Media, New Business Development, Marketing Strategy, Insurance, Marketing, Customer Service
Education
Buckeye Joint Vocational School 1990 — 1992
Certificate of completion, Graphic Design
Aetna June 2013 - Present
Coventry Health Care December 2011 - July 2013
Coventry Health Care February 2008 - March 2011
Coventry Health Care January 2007 - February 2008
Coventry Health Care December 2005 - January 2007
Education
CSU Sacramento 2009 — 2011
Bachelor's degree
Consumnes River College 2005 — 2009
Associate's degree
Florida A & M University 2003 — 2005
Coventry Health Care December 2003 - Present
Electronic Instruments and Controls February 1995 - September 1997
CB Ives and Co. September 1992 - February 1995
Skills
Databases, SharePoint, PeopleSoft, SDLC, Database Administration, Visio, Vendor Management, Disaster Recovery, Oracle, SQL, Business Analysis, Enterprise Architecture
Education
California University of Pennsylvania 1988 — 1990
Bachelor's degree, Electrical Engineering Technologies/Technicians
Coventry Health Care December 2005 - Present
El Dorado Furniture February 2003 - December 2005
Skills
Excellent communication, multi-tasking, Admirable work ethic, Excellent leadership...
Education
Broward Community College 2012 — 2015
Associate of Arts (AA), Registered Nursing/Registered Nurse
UnitedHealthcare September 2012 - Present
Coventry Health Care May 2008 - September 2012
Via Christi Health September 2000 - May 2008
Susan B. Allen Memorial Hospital May 1999 - September 2000
Education
Southwestern College 2010 — 2012
Master of Business Administration (MBA), Healthcare
Southwestern College 2003 — 2005
BSN, Registered Nursing/Registered Nurse
Butler County Community College 1996 — 1999
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Circle High School 1992 — 1995
Altec August 2014 - Present
BH Management June 2013 - April 2014
Van Gorp Corporation August 2012 - June 2013
Des Moines Orthopaedic Surgeons January 2003 - July 2012
Coventry Health Care February 1985 - August 2002
Skills
Human Resources, Recruiting, Employee Relations, Employee Benefits, Employee Training, Employee Learning &..., Compensation, Management, Payroll, Training, FMLA, Personnel Management, Deferred Compensation, Workforce Planning, Benefits Administration, New Hire Orientations, HR Policies, HRIS, Job Descriptions, Labor Relations, Onboarding, Strategic HR
Education
Buena Vista University 1982 — 1983
Bachelor's degree, Human Resources Management and Services, A
Iowa State University 1980 — 1982
No degree, Business Administration and Management, General, 3.78
Iowa Central Community College 1978 — 1980
Associate of Arts (A.A.), Business, 3.97
Eagle Grove High School 1975 — 1978
Diploma, General, 3.80
InterSystems January 2014 - Present
Aetna August 2010 - January 2014
Coventry Health Care August 2010 - May 2013
Coventry Health Care April 2007 - August 2010
Partners HealthCare 2003 - 2004
IDX Systems Corporation 1993 - 2002
Skills
Healthcare Information..., Application Architecture, Enterprise Architecture, Software Development, Software Engineering, SDLC, InterSystems HealthShare, InterSystems Ensemble, Intersystems Cache, SOA, SOAP, Web Services, Integration, XML, Java Enterprise Edition, SQL, Object Oriented Design, Software Solution..., M/MUMPS, GE Centricity Business, IT Strategy, Software Documentation, Visio, SaaS
Education
University of Massachusetts Boston 1993 — 1998
Master of Science (M.S.), Computer Science
Bridgewater State College 1988 — 1993
Bachelor of Science (B.S.), Computer Science
Norwell High School
Aetna October 2010 - Present
Coventry Health Care May 2009 - October 2010
CVS Caremark Corporation February 2003 - May 2008
Skills
Healthcare Management, Pharmaceutical Industry, Healthcare, Managed Care
Education
CSU Sacramento 2008 — 2012
BA, Sociology