Coventry Health Care
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland, United States Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
Coventry Health Care List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Coventry Health Care. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Coventry Health Care Salaries. You can even request information on how much does Coventry Health Care pay if you want to. Learn about salaries, pros and cons of working for Coventry Health Care directly from the past employees.
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Coventry Health Care Employees
Healthcare Insurance February 2013 - Present
Coventry Health Care July 2002 - February 2013
Skills
Provider Relations, Network Development, Medicare, Managed Care, Medicaid, PPO, Provider Network..., Medicaid Managed Care, Credentialing, HEDIS, Health Insurance, Medicare Part D, Claims Resolution, HIPAA, Claim, Healthcare Management, Healthcare Industry, Healthcare, Insurance, Physicians, Health Policy, Healthcare Consulting, Physician Relations
Education
Southwest Baptist University 1993 — 1995
Psychology\
College of the Ozarks 1991 — 1993
Criminal Justice/Psych
United Healthcare June 2011 - Present
Coventry Health Care April 2001 - June 2011
Skills
Healthcare, HIPAA, Healthcare Industry, Medicaid, HMO, Healthcare Management, Network Development, Insurance, Physician Relations
Education
Columbia Southern University
MBA, Healthcare Administration
Kansas Turnpike Authority September 2013 - Present
Delta Dental of Kansas September 2012 - August 2013
Coventry Health Care February 2010 - August 2012
Preferred Health Systems September 2003 - March 2010
Franchise Services, Inc (Accenture) 2000 - 2003
McLane Company (AmeriServe) 1999 - 2000
Harold's Stores August 1996 - October 1999
Innovative Computing Corporation 1996 - 1996
University of Central Oklahoma 1994 - 1996
Computaciones Bancor 1990 - 1993
Skills
SDLC, EDI, IBM iSeries, IBM Websphere..., Managed Care, Health Insurance, SQL, RPG, Embedded SQL, PowerMHS, Remedy, Business Analysis, BMC Remedy, DB2, Analysis, Program Management, Aldom LMI, SEQUEL Viewpoint, RSE - IBM Rational..., Visio, RPG III, Systems Analysis, Business Process
Education
University of Central Oklahoma - College of Business Administration 1994 — 1996
MBA, Decision Sciences
Universidad Católica de Santiago de Guayaquil 1985 — 1990
Computing Systems Engineer, Systems Engineering
Coventry Health Care May 2010 - Present
GENEX Services, Inc. September 2006 - June 2009
Concentra July 2001 - August 2006
hilton hotels April 1995 - March 2000
Skills
Workers Compensation, Claim, Insurance, Sales, Claims Management, Liability, Legal Liability, Managed Care, New Business Development, Management, Property & Casualty..., Account Management, Recruiting, Health Insurance, Medicare, Casualty, Sales Management, Employee Benefits, Claim Investigation, Commercial Insurance, Customer Service, Negotiation, Brokers, Claims, Customer Relations, Subrogation, General Insurance, Casualty Insurance
Education
College of Insurance 2003 — 2003
Study specific to Workers compensation & general liabilty, Insurance, 4.0
Hunter College 1992 — 1994
English & History
Laguardia Community College 1989 — 1992
AAS, English Language and Literature/Letters
Centura Health September 2014 - Present
University of Utah Health Care May 2009 - September 2014
Coventry Health Care December 2008 - May 2009
Summerlin Hospital Medical Center August 2008 - November 2008
Intermountain Healthcare February 2007 - August 2008
LifePoint Hospitals October 2006 - February 2007
Northeastern Nevada Regional Hospital 1996 - 2006
Mt. Carmel Medical Center 1984 - 1990
Skills
Medical Staff..., Operations Management, Accreditation, Certification..., Certification Testing, Employee Management, Medical Staffing, Medical Staff Relations, Bylaws, delegated credentialing, Medical Terminology, Physicians, Credentialing, Healthcare Analytics, Physician Relations, Medical Billing, JCAHO, Healthcare Management, Revenue Cycle, Medicaid, Provider Relations, Hospitals, Process Improvement, ICD-9, Patient Safety, Medicare, Managed Care, Healthcare, HIPAA, Healthcare Information..., EMR, EHR, Quality Improvement, Healthcare Consulting
Education
Columbia Southern University 2012 — 2014
Master of Business Administration (MBA), Health/Health Care Administration/Management, 4.0
Columbia Southern University 2007 — 2011
BS, Healthcare Administration
SecureCare, Inc 2007 - Present
Coventry Health Care 2005 - 2007
Health Data Management Corporation 2001 - 2004
UnitedHealth Group 1998 - 2001
Prudential Healthcare 1990 - 1998
Skills
Strategic Planning, Insurance, Team Building, Customer Service, Healthcare, Leadership, Public Speaking, Employee Benefits, Process Improvement, Management, Managed Care, New Business Development, Marketing, Medicare, Strategy, Account Management, Business Development, Sales Management, Sales, Program Management
Education
Columbia University - Columbia Business School 1996 — 1998
Master of Business Administration (MBA), Finance, General
University of Nebraska-Lincoln 1980 — 1984
Bachelor's degree, Accounting
USI Insurance Services June 2014 - Present
Waste Connections, Inc. June 2012 - May 2014
Principal Financial Group July 2009 - January 2011
Coventry Health Care 2008 - 2009
Skills
Sales, Insurance, Health Insurance, Disability Insurance, Life Insurance, Employee Benefits, Account Management, Term Life Insurance, Brokers, Customer Service, Leadership, Health Savings Accounts
Education
University of Tennessee at Martin 2002 — 2005
Bachelor's degree, health and human performance
Colby Community College 2000 — 2002
Associate's degree, General Studies
Coventry Health Care December 2012 - Present
Shamrock Foods April 2010 - Present
US Navy September 2003 - April 2011
Phoenix Staff October 2008 - December 2009
Skills
Joomla, Microsoft Exchange, Microsoft Office, Microsoft Dynamics, Mitel 3300, Cisco Call Manager, Norton Ghost, Windows Remote Desktop, Windows Desktop..., Windows 7, Remedy Ticketing System, Linux, Active Directory, Windows Server, Troubleshooting, Wireless Networking, Citrix, Networking, Group Policy, DNS, Microsoft Technologies, System Administration, Help Desk Support, Technical Support, DHCP, MCITP, BMC Remedy, Antivirus, Servers, IT Management, Disaster Recovery, Visio, Printers, SharePoint, Operating Systems, Network Administration, Hardware, VMware, XP, Powershell, Blackberry, Citrix Metaframe, TCP/IP, WSUS, Virtualization, Cisco Technologies, Software Documentation, VBScript, Security
Education
Central Texas College 2005 — 2005
Coronado High School 1999 — 2003
High School Diploma
iContact January 2009 - Present
Verizon February 2007 - March 2009
Coventry Health Care January 2000 - January 2002
Duke Medical Center January 1995 - January 2000
Skills
Customer Satisfaction, Management, Troubleshooting, Microsoft Office, Analysis, Technical Support, Workforce Management, Call Centers, Process Scheduler, Customer Service, Process Improvement, Scheduling, Salesforce.com, CRM, Work Force Management, Forecast Reporting, Real-Time Reporting, Training, Business Analysis, Leadership, Strategy, Enterprise Software, Software Development, Time Management, Team Building, Team Management, Strategic Planning, Business Development, SaaS, Taske (Real time), Healthcare, Networking, Team Leadership, MS Office, Operations, WFM Tools Experience:...
Education
University of Phoenix 2009 — 2010
Master of Business Administration (MBA), Business Administration and Management, General
University of Phoenix 2009 — 2010
MBA, Business Management
Mount Olive College 2004 — 2008
Bachelors of Arts, Business Management
Cheonggang Academy
Associate Degree, Business Management
Coventry Health Care, an Aetna Company January 2013 - Present
Coventry Health Care April 2011 - January 2013
Verizon Wireless April 2009 - April 2011
CVS Caremark Corporation July 2006 - June 2008
Ford Motor Company May 2000 - May 2008
Skills
Provider Relations, Medicare, Managed Care, Medicaid, Insurance, Claim, PPO, HIPAA, HMO, Network Development, Workers Compensation, Employee Benefits, Call Centers, Healthcare, Health Policy, Process Improvement, Benefits Administration, Access, Healthcare Industry, Long-term Care, Leadership
Education
Middle Tennessee State University 2001 — 2004
Bachelor of Arts (B.A.), Communication Disorders Sciences and Services
Columbia State Community College 1998 — 2001
Bachelor of Arts (B.A.), Communication, General
Network Health WI February 2015 - Present
Network Health WI August 2014 - February 2015
Group Health Cooperative of South Central Wisconsin April 2014 - August 2014
Group Health Cooperative of South Central Wisconsin 2012 - April 2014
WPS Health Insurance October 2011 - October 2012
Dean Health Plan April 2010 - October 2011
Coventry Health Care 2007 - 2009
Mutual of Omaha 2003 - 2007
Skills
Healthcare, Health Insurance, HIPAA, Business Analysis, Process Improvement, Medicare, Insurance, Billing Systems, Operations Management, Managed Care, Team Leadership, Team Building, Management, Data Analysis, Project Planning, Analysis, Project Management, Leadership
Education
Chadron State College 2000 — 2002
MBA
Eagle One Case Management Solutions July 2014 - Present
Nye Pointe May 2013 - October 2013
Coventry Health Care September 2001 - May 2013
Skills
Healthcare, Medicare, Managed Care, Nursing, Insurance, Health Insurance, HIPAA, Medicaid, Home Care, Patient Safety, Inpatient, Medical Terminology, Microsoft Office, Microsoft Word, Microsoft Excel, Patient Advocacy, Provider Relations
Education
Clarkson College
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Coventry Health Care September 2013 - November 2013
The Music Suite August 2011 - May 2013
Philip Rae and Co. January 2011 - April 2011
Skills
Music, Communication, Customer Service, Marketing, Marketing Communications, Social Media Marketing, Writing, Oral & Written..., Public Speaking, Public Relations, Event Planning, Social Networking, Social Media, Time Management, Event Management, Editing, Leadership, Teamwork, Microsoft Excel, Blogging, Advertising, PowerPoint, Research, Microsoft Office, Facebook, Microsoft Word, Creative Writing, Training, Fundraising, Nonprofits, Analysis, Volunteer Management, Community Outreach, Management, Team Leadership, Customer Satisfaction, Press Releases
Education
Northern Illinois University 2011 — 2013
Bachelor of Arts (B.A.), Communication and Media Studies
College of DuPage 2007 — 2010
Associate of Arts (A.A.), General Studies
Aetna May 2013 - Present
Coventry Health Care January 2010 - May 2013
Coventry Health Care July 2007 - January 2010
Mutual of Omaha July 2006 - July 2007
Mutual of Omaha March 2002 - July 2006
Skills
InterQual Certified..., Managed Health Care..., Microsoft Excel, Microsoft Word, Pivot Tables, Utilization Review, Internal Audit, Appeals, Development & delivery..., PeopleSoft, Management, HEDIS, Quality Assurance, Claim, Medicaid Managed Care, Healthcare, Process Improvement, Medicare, Medicaid, Business Process, Quality Auditing, Risk Management, Training, Insurance, HMO, Software Documentation, Managed Care, Time Management, Utilization Management, Auditing, Health Policy, Access, Quality Improvement, Critical Thinking, Cross-functional Team..., Healthcare Management
Education
Central Michigan University 1995 — 1999
Master of Science (MS), Health Services Concentration
University of Nebraska Medical Center 1990 — 1993
Bachelor of Science, Nursing (BSN)
University of Nebraska at Kearney 1989 — 1993
Prep Work for BSN
Coventry Health Care August 2008 - Present
Physician Associates January 1998 - Present
Phoenix Physicians January 1996 - September 2008
Nova Southeastern University 2000 - 2007
Skills
Managed Care, Medicare, Health Policy, Healthcare, Physician Relations, Medicaid, Physicians, Oncology, Health Insurance, Disease Management, Healthcare Consulting, Quality Improvement, Pharmacy, Provider Relations, Credentialing, Utilization Management, Health Care..., Healthcare Management, Medicare Advantage, Special Needs..., HIPAA, HMO, PPO, Healthcare improvement, Case Managment, Long Term Care Insurance, Education, Prehospital Care, Healthcare Industry, Leadership, Pharmacy Benefit..., Patient Safety, Medicare Part D, Emergency Room, Medical Case Management, Medicine, Emergency Medicine, Utilization Review, Health Care Reform, Population Health, Healthcare Reimbursement, Accreditation
Education
Carnegie Mellon University - Tepper School of Business 2008 — 2010
Master's degree, Masters of Medical Management
The Johns Hopkins University School of Medicine 1987 — 1991
Doctor of Medicine (M.D.), Medicine
University of Miami 1985 — 1987
Bachelor's degree, Chemistry
Wichita Public Library April 2015 - Present
Wichita Public Library August 2014 - April 2015
Mental Health Association of South Central Kansas August 2013 - November 2014
NORMA Group November 2010 - May 2013
Managers Investment Group March 2010 - July 2010
LinkShare Corporation July 2009 - December 2009
Edelman January 2008 - February 2009
Coventry Health Care May 2005 - November 2007
Pop Culture PR August 2004 - April 2005
Mitch Schneider Organization January 2004 - May 2004
Skills
Event Planning, Microsoft Office, Public Relations, Office Management, Workers Compensation, Online Advertising, Microsoft Excel, Social Media, Microsoft Word, Microsoft Access, Website Development, Microsoft Power Point, Library Science, Administrative Assistant, Microsoft Expression..., Library Management, Cataloging, Social Media Marketing, CRM databases, Non-profits..., Human Resources, PowerPoint
Education
Wayne State University 2012 — 2015
Master of Library & Information Science (MLIS), Library and Information Science
Central Michigan University 2000 — 2004
B.A.A., Integrative Public Relations, Broadcast & Cinematic Arts
Sandia National Laboratories March 2014 - Present
Sandia National Laboratories March 2012 - March 2014
Coventry Health Care May 2011 - March 2012
ACS, a Xerox Company August 2010 - May 2011
Lockheed Martin March 2007 - August 2010
Socratic Technologies, Inc. November 2000 - March 2006
NBC Internet July 2000 - November 2000
Entercept December 1998 - July 2000
University of California, San Francisco September 1997 - December 1998
Newman Group 1997 - 1998
Skills
VB.NET, JavaScript, ASP.NET, HTML, AJAX, PL/SQL, T-SQL, Documentation, XML, Visual Basic, Technical Writing, User Acceptance Testing, CSS, SQL, SQL Server, Application Development, ASP, C#, Databases, Database Design, VBScript, VSS, Visio, Java, SOA, SSRS, Access, IIS, Visual Studio, .NET, Scrum, ADO.NET, OOP, Crystal Reports, jQuery, Web Services, DHTML, Architecture, Software Development, SOAP, Agile, XSLT, Web Development, Business Analysis, MARC21, Oracle, Microsoft SQL Server, Agile Methodologies, Enterprise Architecture, Agile Project Management
Education
The University of New Mexico - Robert O. Anderson School of Management 2007 — 2010
Master of Business Administration (M.B.A.), Management Information Systems, 3.64
City College of San Francisco 2002 — 2002
Technical Certificate, Software Programming, 4.0
San Francisco State University, College of Business 1994 — 1999
Bachelor of Science, Business Administration, 3.23
Utah Department of Health September 2014 - April 2015
Salt Lake County October 2013 - June 2014
Coventry Health Care March 2013 - October 2013
V.A. Medical Center November 2009 - November 2012
Wellness Center July 2010 - January 2011
V.A. Medical Center November 2009 - July 2010
Office of Emergency Preparedness June 2005 - May 2009
University of Utah Hospitals and Clinics January 2005 - June 2005
U.S. Army November 1995 - June 2004
Dugway Proving Grounds April 1999 - April 2001
Skills
Nursing, Acute Care, Leadership, Healthcare, Process Improvement, Medical/Surgical, HIPAA, Healthcare Information..., Hospitals, Medicine, Patient Safety, Managed Care, Public Speaking, ICU, EMR, Clinical Research, Healthcare Management, Epic Systems, Informatics, Training, Critical Care, Telemetry, Ambulatory Care, Patient Education, Nursing Education, EHR, Patient Advocacy, Inpatient, BLS, Medical-Surgical
Education
University of Utah 2008 — 2009
Bachelors of Science, Nursing
Central Michigan University 2001 — 2003
Master of Science (M.S.), Health/Health Care Administration/Management
University of Arizona 1992 — 1995
Bachelor of Arts, Art History, Criticism and Conservation
The Advisory Board Company March 2014 - Present
Coventry Health Care (acquired by Aetna, May 2013) June 2011 - November 2013
Coventry Health Care November 2010 - June 2011
Coventry Health Care November 2007 - November 2010
Veterans Health Adminstration August 2005 - October 2007
Allscripts Healthcare, Inc June 2005 - July 2005
Chicago Mercantile Exchange September 2004 - April 2005
Self-employed August 1998 - August 2004
Chicago Board of Trade 1996 - 1998
Abbott Laboratories 1995 - 1996
Skills
SDLC, Software Documentation, Business Analysis, Requirements Gathering, Visio, SharePoint, Training, HIPAA, Requirements Analysis, Quality Assurance, Analysis, CRM, Process Improvement, Leadership, Insurance, Healthcare, Project Management, Healthcare Industry, Business Process..., Management, Health Care Reform, Certified Business..., Microsoft Office
Education
Carthage College 1987 — 1991
BA, English
Aetna March 2013 - Present
Coventry Health Care January 2012 - March 2013
Coventry Health Care, an Aetna Company September 2011 - December 2011
Boyo Transportation October 2004 - September 2011
USA Nail Studio August 1996 - May 2006
Skills
Insurance, Health Insurance, Claim, Customer Service, Call Center, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Conflict Resolution, Telephone Skills, Healthcare, Customer Experience, Office Management, Customer Satisfaction
Education
Central Pennsylvania College 2011 — 2014
Bachelor's Degree, Business Administration/Healthcare Administration
University of Phoenix 2009 — 2011
Associate of Arts (AA), Human Resources Management and Services, 3.57
Coventry Health Care January 2013 - Present
Currently Studying Risk Management in Health Care Institutions December 2012 - Present
Crowley Clinical Case Consulting October 2011 - Present
Billings Plastic Surgery Center April 2011 - February 2013
Billings Clinic December 2009 - February 2012
Yellowstone Surgery Center January 2007 - December 2009
Saint Vincent Healthcare 2006 - 2007
Campbell County Memorial Hospital 2004 - 2006
Skills
Legal Nurse Consulting, Operating Room (OR), Post Anesthesia Care..., Outpatient Surgery..., Medical Records, Personal Injury, Medical Malpractice, Product Liability, Post Anesthesia Care, Nursing, Medicine, BLS, Medical/Surgical, Litigation, ACLS, Clinical Research, Surgery, Healthcare, Healthcare Consulting
Education
Casper College 2002 — 2004
Registered Nurse, RN
Northern Wyoming Community College 2000 — 2002
Nursing
Children First Pediatrics October 2011 - Present
Nebraska Department of Health and Human Services January 2012 - Present
Coventry Health Care June 2012 - July 2013
UnitedHealthcare September 2010 - February 2012
Complete Children's Health August 1999 - September 2010
Skills
Computer Science, Pediatrics, Physician Executive, Healthcare, Clinical Research, Public Health, Hospitals, Healthcare Information..., Program Development, Medicare, HIPAA, Wellness, Medicaid, Managed Care, Medicine, Healthcare Management, Informatics, Healthcare Consulting, EHR, EMR, Physicians, Family Medicine, Surgery
Education
University of Iowa Hospitals and Clinics 1996 — 1999
Residency - Pediatrics, Pediatrics Residency Program
Medical University of South Carolina 1992 — 1996
M.D., Medicine
Clemson University 1987 — 1989
M.S., Computer Science
Clarkson University 1983 — 1987
B.S., Computer Science
Le Gendre Expressions Business Consulting LLC February 2014 - Present
Resource Workforce Partners Management Team September 2012 - Present
Resource Partners Management Team September 2012 - Present
Richmond City Public Schools Early Head Start & Head Start Program January 2013 - January 2014
Mt Gilead FGIM 2008 - 2014
United Virginia Education Fund November 2012 - November 2013
AmeriCorps VISTA November 2012 - November 2013
Resource Workforce Center KRA/WIA 2011 - October 2012
Coventry Health Care May 2006 - November 2009
Progressive Nursing Staffers May 2001 - July 2006
Education
Colorado Technical University
Master’s Degree, Management
American Council on Education 2013 — 2013
Certificate, Fundraising & Grant Writing
Colorado Technical University 2010 — 2011
Master of Business Administration (MBA), Health/Health Care Administration/Management, 3.69
Virginia Commonwealth University 2001 — 2005
Bachelor of Arts (B.A.), African-American/Black Studies
Virginia Commonwealth University 2001 — 2005
Bachelor of Arts (B.A.), Political Science and Government
Aetna January 2014 - Present
Coventry Health Care July 2012 - January 2014
Brown College August 2011 - June 2012
Satellite Laboratory Services September 2010 - July 2011
Ascend Clinical September 2010 - July 2011
Fresenius Medical Care August 2007 - September 2010
Everest Institute September 2009 - April 2010
Fresenius Medical Care June 2002 - August 2007
Skills
Certified Hemodialysis..., Healthcare, Training, Microsoft Word, Management, Hospitals, System Administration, Healthcare Management, Customer Service, Data Entry, Microsoft Excel, Microsoft Office, Software Documentation, Healthcare Information..., EMR, Teaching, Access, Leadership Development, Medicare, Process Improvement, Leadership
Education
Central Michigan University 2009 — 2010
Master of Arts, Education, 3.88
Clayton State University 2005 — 2007
B.S, Health Care Management
McKesson Health Solutions July 2013 - Present
Coventry Health Care December 2008 - November 2012
Coventry Health Care 2004 - 2008
Coventry Health Care 2001 - 2004
Marconi Communications, LLC 1999 - 2001
Professional Services Group 1995 - 1997
Skills
Testing, Customer Service, Quality Assurance, Requirements Gathering, Cross-functional Team..., SDLC, Software Documentation, Process Improvement, Training, Leadership, Management, Technical Writing, Data Analysis, Analysis, Databases
Education
Clarion University of Pennsylvania 1987 — 1992
BS, General Studies
Lincoln High School
Aetna June 2011 - March 2014
UnitedHealth Group June 2009 - June 2011
Unisys Corporation February 2003 - June 2009
Coventry Health Care September 2001 - February 2003
Hartford Customer Services Group February 1998 - September 2001
Skills
Outsourcing, Business Process..., Management, Business Strategy, Business Development, Leadership, Program Management, Project Management, IT Strategy, Account Management, Vendor Management, Financial Services, SDLC, Auditing, Team Leadership, Strategic Planning, Competitive Analysis, Research, Salesforce.com
Education
Trinity College-Hartford
Master of Arts (MA), Economics
Central Connecticut State University
Bachelor's degree, Accounting
Saint Bernard's High School
The Lash Group November 2013 - Present
Coventry Health Care November 2012 - November 2013
Bath & Body Works November 2011 - November 2012
Justifacts Credential Verification, Inc. August 2010 - November 2012
Skills
Customer Service, Time Management, Sales, Microsoft Excel, Outlook, Microsoft Office, PowerPoint, Customer Satisfaction, Leadership, Data Entry, Microsoft Word, Retail, Account Management, Training, Human Resources
Education
Community College of Allegheny County 2006 — 2009
Associate of Science (AS), Accounting
Community College of Allegheny County 2006 — 2009
Associate of Science (AS), Business Management
Gateway Senior High School 2002 — 2006
Amerigroup January 2012 - Present
Coventry Health Care January 2007 - December 2011
Keller Graduate School of Management 2009 - 2011
DeVry University August 2007 - September 2009
Skills
COMPUTER-RELATED SKILLS, Proficient in MS Office..., Medical software:..., Microsoft Excel, Training, Leadership, Risk Management, Budgets, Process Improvement, Software Documentation, Insurance, Auditing, Financial Analysis, Data Analysis, System Administration, Project Management, Human Resources, Claim, Recruiting, Business Process..., Customer Service, Access, Accounts Payable, Healthcare, Analysis, Strategic Planning, Outlook, Teamwork, Microsoft Office, Coaching, Operations Management, Accounts Receivable, Time Management, Data Entry, Microsoft Word, Management, Research, Medicare, Employee Benefits, Team Building, PowerPoint, Health Insurance, Public Speaking, Negotiation, Team Leadership, Inventory Management, Change Management, Medicaid, Customer Satisfaction, Employee Relations
Education
Keller Graduate School of Management of DeVry University 2009 — 2011
MBA, Business
DeVry University 2007 — 2009
Bachelor's Degree, Business Administration and Management, General
Central Texas College 2003 — 2004
Associate's degree, Computer Science
Retired July 2014 - Present
Aetna May 2013 - June 2014
Coventry Health Care December 2011 - May 2013
Quest Diagnostics January 2002 - December 2011
PacifiCare Health Systems 2001 - 2002
CIGNA Healthcare 1998 - 2001
Humana 1990 - 1998
Naval Air Technical Services Facility- US Navy 1984 - 1990
Education
Chestnut Hill College
BA, English Lit and Communications
Aetna January 2014 - Present
Coventry Health Care October 2011 - December 2013
Coventry Health Care November 2006 - November 2011
Doug Whatley 1985 - 2010
State of Tennessee April 2005 - November 2006
Gaylord Entertainment December 1998 - October 2004
Skills
Healthcare Information..., SQL, Microsoft SQL Server, Information Technology, Project Management, ITIL, Management, Budget Process, VBA, Microsoft Visual Studio, Team Management, Cross-functional Team..., Vendor Partnerships, SDLC, Requirements Analysis, Software Documentation, Integration, Process Improvement, Business Analysis, Program Management, Vendor Management
Education
Christian Brothers University 1978 — 1981
Electrical Engineering
Marketing/Communications March 2009 - Present
Independent Writer & Charity Fundraiser March 2009 - Present
Slayton Search Partners 2007 - 2009
BASF (formerly Cognis Nutrition & Health) 2000 - 2004
Coventry Health Care, an Aetna Company 1994 - 2000
Coventry Health Care 1994 - 2000
MCL 1990 - 1993
Skills
Marketing, Freelance Writing, Event Planning, Fundraising, Press Releases, Research, Newsletters, Sales, Public Relations, Marketing Communications, Blogging, Graphic Arts, Social Media Marketing, Start-ups, Publishing, Social Media, Editing, Writing, Management, Leadership, Social Networking, Strategic Planning, Team Building, Journalism
Education
College of DuPage 2004 — 2006
Associate of Science (AS), Science
McDonald's Corporation June 2015 - Present
GlaxoSmithKline May 2002 - May 2015
Ion Beam Applications January 2002 - April 2002
Francotyp-Postalia, Inc. July 1996 - November 2001
FP Mailing Solutions 1996 - 2001
Coventry Health Care 1993 - 1996
Skills
Management, Leadership, Training, Sales, Sales Effectiveness, Event Planning, Customer Service, Cross-functional Team..., Negotiation, Meeting Planning, Time Management, Budget Monitoring, Collaboration, Executive..., Strategic Planning
Education
Northwood University 2007 — 2013
BBA Management, Business Administration and Management, General, Magna Cum Laude
College of DuPage 2001 — 2004
AAS Management, Management & Marketing, High Honors
Bolingbrook High School 1986 — 1990
Diploma, General Studies
Celerity January 2013 - August 2013
PNC April 2010 - January 2013
Unison Health Plan March 2009 - February 2010
Coventry Health Care December 1996 - December 2008
Skills
Data Analysis, Data Warehousing, SharePoint, Health Insurance, Microsoft Excel, Microsoft Office, Employee Training, Customer Service, Sarbanes-Oxley Act, PowerPoint, Cross-functional Team..., Health Information..., Workers Compensation, Third Party Liability, Corporate Recovery, HIPAA, Requirements Gathering, Software Documentation, Vendor Management, Business Analysis, Insurance, Medicare, Process Improvement, SDLC, Visio, Access, Healthcare Information..., Medicaid, Claim, Testing, Analysis, Requirements Analysis, Managed Care, Leadership, Training, Business Requirements, Healthcare
Education
Community College of Allegheny County 2007 — 2019
Saint Kilian Parish/Saint Kilian Parish School April 2014 - Present
Cardinal Wuerl North Catholic High School April 2014 - Present
Coventry Health Care February 2012 - April 2014
PNC July 2011 - February 2012
Laser Bella December 2010 - July 2011
MEDRAD, Inc. January 2008 - December 2010
MEDRAD, Inc July 2006 - December 2007
MEDRAD, Inc. January 2005 - July 2006
MEDRAD, Inc. August 2003 - January 2005
MEDRAD, Inc. May 2002 - March 2003
Education
Carnegie Mellon University - Tepper School of Business 2005 — 2008
MBA, Marketing, Organizational Behavior
Carnegie Mellon University 1994 — 1998
BS, Electrical and Computer Engineering
Coventry Health Care February 2009 - Present
Skills
Multilingual, English, French,..., Certified Case Manager, Registered Nurse, Insurance, Case Management, Health Insurance, Healthcare, Injury, Managed Care, Management, Medicare, Utilization Management, Medicaid, Provider Relations
Education
College of Southern Idaho
AD Nursing, Registered Nursing/Registered Nurse
University for chemical technologies -Sofia, Bulgaria
Master's degree, Automation of metallurgy/ minor Economy
UST Global April 2011 - Present
Renda Media Ink September 2009 - December 2011
Federated Investors May 2007 - September 2009
Bombardier May 2006 - May 2007
Coventry Health Care November 2004 - May 2006
The Western Pennsylvania Hospital March 2001 - November 2004
University of Pittsburgh Medical Center October 1995 - March 2001
Nemacolin Woodlands Resort 1994 - 1995
Skills
Technical Recruiting, College Recruiting, Recruitment Advertising, Interviewing, Employee Relations, Employee Engagement, Employee Counseling, HR Business Partnering, Workers Compensation, Benefits Administration, Leave Management, Disability Management, Training & Development, Change Management, Compensation, Organizational..., Unemployment Claims, Vendor Relations, Policy Writing, Management, Interviews, Employee Training, Onboarding, Talent Management, HRIS, Talent Acquisition, Human Resources, Recruiting, Succession Planning
Education
La Roche College 1999 — 2002
Masters of Science in Human Resource Management, Human Resources Management
Clarion University of Pennsylvania 1990 — 1994
Bachelor of Science in Business Administration, Human Resources Management
Aetna March 2015 - Present
Aetna October 2013 - March 2015
Coventry Health Care February 2013 - October 2013
Toney Consulting, LLC March 2012 - February 2013
Drake University August 2011 - December 2011
Cylient, LLC May 2009 - July 2011
Office of the Governor - Iowa May 2009 - October 2009
Carnegie Mellon University May 2007 - August 2008
Carnegie Mellon University August 2005 - May 2008
Skills
Legal Research, Legal Writing, Compliance, Banking, Document Drafting, Coaching, Strategic Planning, Event Planning, Strategic Communications, Product Development, Consumer Protection, Regulatory Affairs, International Relations, International Law, MBA, Ethics, SOP development, Management, Problem Solving, Process Improvement
Education
Drake University 2010 — 2011
MBA, Business
Drake University Law School 2008 — 2011
Professional, JD/MBA
Carnegie Mellon University 2004 — 2008
Bacherlors of Science, Business Administration
Hovis Auto and Truck Supply November 2012 - Present
Coventry Health Care January 2011 - November 2012
WESCO Distribution, Inc. August 1999 - January 2009
American Outpost February 1996 - August 1999
American Eagle Outfitters September 1984 - January 1996
Skills
Cross-functional Team..., Budgets, Process Improvement, Continuous Improvement, Supply Chain, Negotiation
Education
Butler County Community College 1972 — 1975
AAS, Business Management
Central Texas College 1972 — 1972
Certificate, Cobol programming
Arizona State University - Alumni Association April 2013 - Present
Arizona State University - Alumni Association August 2011 - March 2013
Coventry Health Care June 2009 - August 2011
Coventry Health Care October 2007 - June 2009
Skills
Microsoft Office, Customer Service, Spanish, Data Entry, Windows, Teamwork, Process Improvement, Data Research, Data Quality Control, Medical Billing, Information Systems, Project Planning, Program Management
Education
Ira A. Fulton Schools of Engineering at Arizona State University 2015 — 2019
Bachelor’s Degree, Information Technology
California State University - Stanislaus 2004 — 2007
Bachelor of Science (B.S.), Computer Information Systems
Central Arizona College 2002 — 2004
Associate of Business
Navigant June 2012 - Present
Coventry Health Care August 2008 - June 2012
Midas International June 2006 - August 2008
Mediacom October 2005 - June 2006
Skills
Troubleshooting, Active Directory, Customer Service, Windows, Excel, Problem Solving, Outlook, Documentation, Administration, Analysis, Unix, Security, System Administration, ITIL, PeopleSoft, PeopleTools, Essbase, Oracle Security, Software Documentation, Technical Support, Microsoft Excel, PeopleSoft Security, Vendor Management, Disaster Recovery, Visio, SharePoint, IT Strategy
Education
College of DuPage
Northern Illinois University
Information Technology
On Call Staffing Solutions, Inc. September 2014 - February 2015
Aerotek August 2013 - February 2014
Conde Group, Inc. April 2013 - July 2013
Experience Unlimited October 2012 - April 2013
Coventry Health Care March 2011 - August 2012
Charles Schwab July 1999 - September 2008
IBM Global Services January 1994 - July 1999
Skills
Change Management, MS Project, Documentation, Mainframe, RUP, Release Management, Software Project..., Resource Management, Software Documentation, Project Management, Program Management, SDLC, Integration, PMP, IT Management, Visio, Cross-functional Team..., Business Analysis, Management, Data Center, Analysis, Requirements Gathering, Project Planning, Leadership, SharePoint, Requirements Analysis, Strategy, Risk Management, Process Improvement, Vendor Management, PMO, Databases, Microsoft Project
Education
San Francisco State University
Bachelor's Degree
City College of San Francisco
Associate's Degree
Lowell High School, San Francisco
TEKsystems April 2015 - Present
Jacksonville FC December 2012 - Present
Hewlett-Packard 2006 - October 2014
Coventry Health Care 2001 - 2005
Claims Adminstration Corporation 1988 - 2001
Skills
Project Management, Program Management, Vendor Management, Process Improvement, Marketing, Business Analysis, Integration, ITIL, Leadership, Data Center, Reporting & Analysis
Education
University of Maryland College Park 1979 — 1981
BA, Political Science
College of Southern Maryland 1977 — 1979
AA, General Studies
Self November 2006 - Present
Thirty-One Gifts August 2011 - August 2014
Beyond Organic August 2011 - August 2012
Mechling-Shakley Veterans Center April 2009 - April 2011
Coventry Health Care December 1999 - November 2006
Skills
Project Planning, Business Analysis, Grant Writing, Certified Project..., Grants, Time Management, Project Management, Business Process..., Nonprofits, Program Management, Team Building, Training, Process Improvement, Analysis, Customer Service, PowerPoint
Education
Carlow College 2003 — 2005
Information Technology
Robert Morris University 1991 — 1993
Paralegal Studies
ExamWorks Clinical Solutions March 2014 - Present
MEDVAL, LLC June 2013 - October 2013
Crowe Paradis April 2010 - May 2013
Coventry Health Care March 2005 - April 2010
Investigative Visual Services (IVS) October 2004 - March 2005
Skills
Claim, Insurance, Liability, Medicare, Property & Casualty..., Managed Care, Subrogation, Claim Investigation, Account Management, Healthcare, Customer Service, Sales, Pharmacy Benefit..., Negotiation, New Business Development, Sales Management, Workers Compensation, Claims Management, CRM, Claims Resolution, Workers' Compensation..., Legal Liability, Direct Sales, Sales Operations
Education
Carthage College 1996 — 2000
education, elementary education
Aetna December 2013 - Present
Coventry Health Care October 2010 - Present
Z-Tech Partners March 2008 - October 2010
Safeway November 2006 - March 2008
Z-Tech Partners January 2002 - October 2006
Walmart.com March 2000 - November 2001
Charles Schwab & Co September 1999 - March 2000
@once June 1998 - September 1999
Softbank Forums October 1996 - May 1998
Gap April 1992 - October 1996
Skills
Vendor Management, ITIL, Budgeting, IT Service Management, Business Analysis, Program Management, Budgets, Management, Enterprise Architecture, Process Improvement, Enterprise Software, Unix, Software Development, IT Strategy, Databases, Leadership, IT Management, SDLC, Start-ups, Windows Server, Networking, E-commerce, Consulting
Education
Carnegie Mellon University 1966 — 1972
BS Mechanical Engineering & BS Industrial Administration, BS Mechanical Engineering
White Plains High School 1963 — 1966
Coventry Health Care December 2009 - Present
CXI April 2007 - October 2008
Time Warner Inc. 2006 - 2007
BNP Paribas April 2005 - September 2006
NYC HHC Belevue Hospital 2004 - 2005
Education
TCI 2002 — 2004
A.A.S., Networking Technology
City University of New York 2000 — 2002
A.A.S.
Coventry Health Care July 2012 - Present
Wellcare Health Plans of Florida August 2011 - February 2013
Molina Healthcare December 2009 - July 2010
2011 CARE PLUS HEALTH PLANS INC July 2008 - January 2010
QUALITY HEALTH PLANS, INC August 2007 - December 2009
America's Health Choice Health Plans August 2000 - July 2007
HUMANA HEALTH CARE PLANS, INC January 1996 - January 1999
Skills
Network Development, Managed Care, Leadership, Recruiting, Medicaid, Health Insurance, Customer Service, Healthcare Information..., Insurance, Management, Sales, Medicare, Healthcare Consulting, HIPAA, Healthcare, Health Policy, Hospitals, Marketing, Healthcare Industry, Medicare Part D, Provider Relations, Disease Management, Utilization Management, Long-term Care, HMO, Healthcare Management, Healthcare Reimbursement, ICD-9, Medical Coding, Medical Compliance, Pharmacy Benefit..., Revenue Cycle, Physician Relations, Medical Billing, Credentialing
Education
Merrill High School, Merrill, Michigan 1974 — 1975
Cheonggang Academy
Indian River State College
OfficeTeam July 2015 - Present
D&H Distributing June 2012 - March 2015
Coventry Health Care June 2011 - June 2012
Capital Blue Cross February 2008 - March 2010
Courtyard by Marriott August 2007 - March 2009
Capital Blue Cross August 1998 - February 2007
Wyndham Worldwide August 1988 - July 1997
Skills
Sales, Customer Service, Customer Satisfaction, Microsoft Office, Microsoft Excel, Outlook, Account Management, Microsoft Word, Team Building, Training, Management, PowerPoint
Education
Central Penn College
Hotel/Motel Administration/Management
Gen Re September 2001 - Present
Saba June 2000 - October 2001
Coventry Health Care November 1999 - June 2000
McKesson HBOC May 1997 - July 1999
MAMSI May 1992 - May 1997
Skills
Human Resources, Coaching, Leadership Development, Organizational..., Leadership, Employee Training, Training, Talent Management, Executive Coaching, E-Learning, Instructional Design, Organizational..., Performance Management, Learning Management, Employee Engagement, Instructor-led Training, Social Media, Employee Relations, Workshop Facilitation, Training Delivery, Management Consulting, Insurance, Team Building, HRIS, Succession Planning, Adult Education, Strategy, Change Management, Salesforce.com, Strategic Planning, Marketing, Policy, Program Management, Analysis, Software Documentation, Employee Benefits, Management, Project Planning, Talent Acquisition, Consulting, Training, Mentoring
Education
Columbia University in the City of New York
Fairfield University
MS, Adult Education and Leadership in Educational Technology
Mount St. Mary's University
BA, English and Fine Arts
The Johns Hopkins University
Adult Web-Based Learning
University of Phoenix
Pursuing PhD, Leadership in Organizational Education
Blue Shield of California July 2012 - Present
Safeguard Services, LLC July 2007 - July 2012
Pennsylvania Department of Public Welfare September 2005 - July 2007
Coventry Health Care September 2000 - September 2004
Skills
Investigation, Fraud, Insurance, Medicare, Health Insurance, Medicaid, Claims Management, Claims Handling, Data Analysis, Customer Service, Healthcare Management, Training, Government, Nonprofits, Non-profit Volunteering, Leadership, Leadership Development, Community Outreach, Community Engagement, Project Management, Process Improvement, Public Health, Public Policy, Fundraising, Event Planning, Strategic Planning, Program Development, Grant Writing, Public Speaking, Microsoft Office
Education
Drexel University 2013 — 2015
Master of Public Health (MPH)
Central Penn College 2009 — 2011
Bachelor of Science (BS), Health/Health Care Administration/Management
Coventry Health Care April 2013 - Present
Connell Insurance, Inc. October 2007 - April 2013
J. Jill Group March 2006 - September 2007
Skills
Property & Casualty..., Customer Service, Insurance, Sales, Strategic Planning, Legal Liability, Marketing, Negotiation, Umbrella Insurance, Employee Benefits, Real Estate, Small Business, Commercial Insurance, Management, Health Insurance, General Insurance
Education
College of the Ozarks 1995 — 1996
Marketing/Business Management
Enterprise Holdings June 2015 - Present
Aetna May 2014 - June 2015
Coventry Health Care March 2011 - May 2014
Computer Service Professionals, Inc July 2007 - March 2011
Computer Service Professionals, Inc February 2001 - July 2007
Skills
Java Enterprise Edition, Java, Object Oriented Design, Microsoft SQL Server, SQL, Software Development, Databases, JUnit, Test Driven Development, SDLC, Hibernate, Agile Methodologies, XML, Eclipse, Web Services, SOAP, JSP, Tomcat, C#, Visual Studio, MySQL, Ant, Weblogic, AJAX, Web Applications, UML, Struts, Spring, Subversion, DB2, Spring Framework, JBoss Application Server, WebSphere Application..., Spring MVC
Education
Columbia College 2001 — 2003
Bachelor of Science, Computer Information Systems
Lincoln University 1998 — 2000
Computer Information Systems
Anthem, Inc. June 2012 - Present
Coventry Health Care July 2006 - June 2012
Mutual of Omaha June 2005 - July 2006
Skills
Underwriting, Insurance, Health Insurance, Employee Benefits, Disability Insurance, Property & Casualty..., Commercial Insurance, Risk Management, Mortgage Lending, Financial Analysis, Life Insurance, Long-term Care, Workers Compensation, Brokers, Claim, Term Life Insurance
Education
Chadron State College 2003 — 2004
Master of Business Administration (MBA), Business Administration and Management, General
Chadron State College 2001 — 2003
Bachelor of Arts (BA), Finance & Economics
University of Wyoming 1999 — 2001
Cardinal Health July 2013 - Present
Coventry Health Care July 2011 - July 2013
Pinnacle Health Group March 2003 - March 2011
Skills
Customer Service, Research, Outlook, PowerPoint, Data Analysis, Public Speaking, Microsoft Word, Microsoft Office, Microsoft Excel, English, Windows, Teaching, Strategic Planning, Budgets, Negotiation, Editing, Communication, Analytical Skills, Flexible Approach, At Multitasking
Education
Columbia Southern University 2009 — 2013
Master of Business Administration (M.B.A.), Healthcare Management
Drexel University 2006 — 2008
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Gould & Lamb, LLC April 2011 - Present
Skiff Medical Center July 2010 - July 2014
Coventry Health Care October 2008 - July 2010
IFMC November 2007 - October 2008
InteliStaf Healthcare 2006 - 2007
The Iowa Clinic, P.C. 2006 - 2006
Grandview Acres of Toledo 2005 - 2006
Grinnell Regional Medical Center 2000 - 2005
McFarland Clinic 1997 - 2000
Clinic of General Medicine 1996 - 1997
Skills
Healthcare, Healthcare Management, Nursing, Hospitals, Utilization Management, HIPAA, Medicare, Acute Care, Case Managment, Patient Safety, BLS, Healthcare Information..., Quality Improvement, Patient Advocacy, Nursing Education, EHR, Home Care, EMR, ACLS, Medicaid, Meditech, Critical Care, Medical/Surgical, EKG, IV, Cpr Certified, Direct Patient Care, Phlebotomy, Emergency Room, Telemetry, ICU, Medication..., Long-term Care, Elder Care, Radiology, Disease Management, X-ray, Insurance, Medical Terminology, Health Insurance, Inpatient, Patient Education, Managed Care, Leadership, Management
Education
University of Phoenix 2002 — 2005
BSN, Nursing
Marshalltown Community College 2001 — 2002
ADN, Nursing
Marshalltown Community College 1998 — 1998
LPN, Nursing
Indian Hills Community College 1994 — 1996
AAS, Radiology Technology
Clarke College 1993 — 1994
Physical Therapy
Bonwick Capital Partners June 2015 - Present
New York University July 2014 - Present
Glanstone Capital February 2015 - April 2015
Clemson University August 2009 - May 2014
Coventry Health Care May 2012 - August 2012
Kildaire Farms October 2005 - September 2010
Skills
Microsoft Office, Microsoft Excel, Matlab, Statistics, PowerPoint, Word, Excel, Mathematics, Writing, Public Speaking, LaTeX, AMPL, SAS, Stata, JavaScript, Investment Banking, Private Equity, Calculus, Spanish, Tutoring, Cpr Certified
Education
New York University 2014 — 2016
Finance and Risk Engineering, Computative Finance, Algorithmic Finance
Clemson University 2009 — 2014
a dual, Math and Finance major
Apex High School (Fr. - Sr 2005 — 2009
Aetna April 2013 - Present
Coventry Health Care October 2009 - April 2013
Self - Employed February 2009 - September 2009
IBEX Global April 2008 - February 2009
Cottonwood de Tucson 2006 - 2007
Convergys January 2001 - June 2006
Keane May 1998 - January 2001
Tucson Cooperative Warehouse 1994 - 1997
CRInc. 1990 - 1995
University of Phoenix 1985 - 1989
Skills
Training, Recruiting, Team Building, Leadership, Leadership Development, Management, Performance Management, Employee Engagement, Training Delivery, Succession Planning, Instructional Design, Onboarding, Performance Improvement, Human Resources, Talent Management, Instructor-led Training, Organizational..., Needs Analysis, Call Centers, Strategic Planning, Career Development, Call Center, Employee Relations, Workforce Management, Talent Acquisition, Employee Training, BPO, Performance Consulting, Workshop Facilitation, Coaching, Business Development, Creativity, Organizational..., Workforce Planning, Learning Management, Time Management, Process Improvement
Education
University of Phoenix 1983 — 1988
BA, MBA, Business
Central Arizona College 1976 — 1978
Theater/Communication
Coventry Health Care January 2013 - Present
Cox Heath August 2011 - January 2013
Cox Medical Center South June 2010 - August 2011
State of Missouri October 2005 - January 2006
Skills
Case Managment, Utilization Review, Emergency Room, Investigation, Health Care Compliance, Continuing Care, Caseload Management, Managed Care, Home Care, Capital Markets, Acute Care
Education
Cox College of Nursing and Health Sciences 2006 — 2007
Bachelor's degree, Registered Nursing/Registered Nurse
College of the Ozarks 1991 — 1996
Bachelor's degree, Criminal Justice, Forensics
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2012 - December 2013
Coventry Health Care February 2005 - October 2012
Skills
ETL, Data Warehousing, SDLC, Data Modeling, SSIS, Database Design, PL/SQL, Oracle, Informatica, Performance Tuning, AIX, Unix, Database Administration, Databases, SOA, Enterprise Architecture
Education
City University of New York City College 1994 — 1996
Master of Science (MS), Computer Science
FairWinds Partners LLC June 2014 - Present
Aetna April 2013 - May 2014
Coventry Health Care March 2011 - April 2013
Avalere Health January 2010 - March 2011
American Capital Strategies, Ltd. November 2006 - July 2008
State Street March 2005 - August 2006
Investors Bank & Trust August 2004 - February 2005
Education
University of Maryland - Robert H. Smith School of Business 2008 — 2010
Master of Business Administration (M.B.A.), Finance
College of the Holy Cross 2000 — 2004
BA, Economics
Georgetown Preparatory School 1996 — 2000
Coventry Health Care September 2012 - Present
Mercer Management Consulting May 2012 - August 2012
Columbus State University August 2008 - August 2010
Skills
P-Exam Completed, FM-Exam Completed, Microsoft Excel, MS Excel Pivot Tables, VBA
Education
Georgia State University - J. Mack Robinson College of Business 2010 — 2012
B.B.A Actuarial Science
Columbus State University 2008 — 2010
Actuarial Science
Sedona Learning Solutions 2011 - Present
Coventry Health Care 2005 - 2011
Skills
Personnel Recruiting, Administration, Healthcare, Personnel Selection, Cerner, System Administration, Healthcare Information..., CPOE, HIPAA, Epic Systems, Hospitals, EHR, EMR, Nursing, Physicians, Healthcare Management, Healthcare Consulting, Software Documentation, Meditech, Ambulatory, Medicare, Documentations, Medical Terminology, Informatics, Healthcare Industry, Medical Records, Medicaid, Credentialing, ICD-9, Physician Relations, Software Implementation, HL7, Inpatient, Ambulatory Care, JCAHO, Medical Billing, Practice Management, Training, Documentation
Education
Grand Canyon University 2010 — 2011
Masters in Business Administration, Health Care Administration
Central Michigan University 1993 — 1997
Bachelor of Science in Business Administration, Hospitality Service Administration
Arthur J. Gallagher & Co. February 2012 - Present
Arthur J. Gallagher & Co. February 2010 - February 2012
Coventry Health Care September 2008 - February 2010
First Health October 1999 - September 2008
First Health March 1997 - October 1999
Bank One October 1994 - March 1997
Bank One October 1990 - October 1994
Skills
Disaster Recovery, Software Asset..., IT Asset Management, Management, Project Management, Active Directory, Software Licensing, Software License..., Software Licensing..., Leadership, Technical Support, Troubleshooting, Software Documentation, Process Improvement, Information Technology, Integration, IT Management, IT Service Management, Analysis, Training
Education
Columbia College Chicago 1994 — 1996
Triton College 1992 — 1993
University of Illinois at Chicago 1990 — 1990
University of Illinois at Urbana-Champaign 1987 — 1989
Lincoln Financial Group April 2012 - Present
Lamson Dugan & Murray, LLP August 2009 - March 2012
Coventry Health Care July 2006 - July 2009
Mutual of Omaha October 2004 - July 2006
Honorable Nancy A. Vecchiarelli- Northern District of Ohio August 2003 - November 2003
United States Air Force Judge Advocate General May 2003 - August 2003
Skills
Compliance, Legal Research, Civil Litigation, Insurance, Legal Writing, Litigation, Contract Negotiation, Corporate Law, Insurance Law, Team Building
Education
Case Western Reserve University School of Law 2001 — 2004
Juris Doctor
University of Nebraska-Lincoln 1997 — 2001
BA, Political Science, English, Communications
Lincoln Southeast 1995 — 1997
Bittel Vision Care November 2008 - Present
Howard Hanna January 2000 - Present
Aetna/Prudential June 1984 - July 2004
Coventry Health Care February 1994 - March 2000
Skills
Buyer Representation, First Time Home Buyers, Listings, Single Family Homes, Sellers, Relocation, Short Sales, Condos, New Home Sales, Move Up Buyers
Education
Carlow University
Sacred Heart
VisionIT March 2015 - Present
Duquesne University January 2015 - Present
Intepros Consulting July 2014 - October 2014
IDI Consulting June 2014 - July 2014
MDI Group December 2013 - June 2014
Coventry Health Care January 2010 - August 2013
Robert Morris University August 2007 - May 2010
TEKsystems January 2008 - March 2009
AmerisourceBergen Solutions Group October 2004 - December 2007
Self-Employed, ACCoy and Prequel Solutions September 2001 - September 2004
Skills
SharePoint, Business Analysis, Program Management, SDLC, Requirements Analysis, Visio, Project Management, Quality Assurance, Software Documentation, MS Project, Software Project..., PMP, PMO, Vendor Management, Requirements Gathering, CRM, Cross-functional Team..., Business Intelligence, Analysis, Business Requirements, Testing, Enterprise Software, Management, Leadership, Information Technology, Product Management, IT Strategy, Business Process, Consulting, Process Improvement, Data Warehousing, Integration, Enterprise Architecture, Project Planning
Education
Robert Morris University 2007 — 2010
D.Sc. (Doctor of Science)
Carnegie Mellon University 1983 — 1993
Ph.D. (ABD)
Carnegie Mellon University 1980 — 1982
MA
University of Pittsburgh 1976 — 1980
BA
Citizens Property Insurance Corporation January 2015 - Present
Department of Veterans Affairs (Insignia) August 2014 - December 2014
Northrop Grumman Corporation January 2012 - July 2014
General Dynamics February 2010 - December 2011
Computer Sciences Corporation January 2009 - December 2009
Coventry Health Care May 2008 - December 2008
Symantec Corporation August 2000 - June 2007
Northrop Grumman December 1998 - July 2000
Skills
System Administration, Testing, Agile Methodologies, Software Quality..., SDLC, Unix, Quality Assurance, Test Planning, SQL, Software Development, Linux, Test Automation, Java, Integration, VMware, SharePoint, Test Cases, Software Documentation, Windows, Test Strategy, Visual Basic, Solaris, Web Applications, Requirements Management
Education
Villanova University 2012 — 2013
Master Certificate in Software Testing
Christopher Newport University 1999 — 2001
Information Science
University of St.Thomas 1988 — 1992
Bachelor of Science (B.S.)
MorphoTrust ™ USA July 2013 - December 2014
Coventry Health Care August 2007 - July 2013
Compuware September 2006 - June 2007
Software Secure, Inc May 2006 - August 2006
Aspen Research Group April 2001 - April 2006
EDS/Scicon June 2000 - April 2001
EDS/Scicon March 2000 - June 2000
Self-Employed February 1999 - April 2000
EDS/Scicon March 1995 - February 1999
Digital Equipment Corp April 1983 - August 1992
Skills
File Systems, Operating System..., WinForms, Web Services, C#, WPF, .NET, ADO.NET, LINQ, Device Drivers, Windows Services, SQL Server, XML, TFS, SOAP, SOA, Kernel, .NET Remoting, Software Engineering, MySQL, C, Software Development, Application Development, Visual Studio, Microsoft SQL Server, Operating Systems, WCF Services, Linux, Software Design, Subversion, Unix, Windows, Programming, Troubleshooting, C++, Apache, SDLC, Web Applications, Object Oriented Design, Testing, Distributed Systems, Agile Methodologies, Software Documentation, Visual Basic, Oracle, T-SQL, Databases
Education
University of Connecticut 1997 — 2001
Ph.D., Clinical Psychology
University of Connecticut 1994 — 1997
MA, Clinical Psychology
University of New Hampshire-Manchester 1992 — 1994
BA, Psychology
Colorado School of Mines 1973 — 1974
Metallurgy
Coventry Health Care October 2007 - Present
ACS October 2000 - September 2007
COM21 February 2000 - October 2000
Sprint Communication Systems August 1998 - February 2000
U.S. Air Force June 1989 - August 1998
Skills
Check Point firewall..., Cisco Nexus, Cisco Routers, Cisco Routing &..., Cisco VPN, Data Center, Disaster Recovery, Firewalls, Virtualization, Checkpoint, WAN, VMware, Active Directory, Juniper, Cisco Technologies, Routers, VPN, Storage Area Networks, Switches, CCNA, Cisco IOS, Networking, Troubleshooting, LAN-WAN, BGP
Education
University of Phoenix 2006 — 2008
Bachelor of Science (BS), Electronic Business
Community College of the Air Force 1990 — 1992
Associate of Science (A.S.), Electronic Systems Technology
Chabot College 1986 — 1988
Associate of Arts (AA), Educational Leadership and Administration, General
Terra Verde Services April 2014 - Present
Aetna September 2013 - February 2014
Coventry Health Care February 2013 - September 2013
Coventry Health Care October 2011 - February 2013
ISD 192 August 2006 - June 2011
Wells Fargo Services Company 2000 - 2004
Leonard, Street and Deinard 1997 - 1998
IGAK-DLZ 1994 - 1997
Skills
Disaster Recovery, Information Security, Active Directory, HIPAA, Vulnerability Management, Operating Systems, Networking, SIEM, Nessus, Computer Security, System Administration, Information Technology, Troubleshooting, Computer Forensics
Education
City University of Bellevue Washington 1991 — 1994
Bachelor of Science, Business Administration
City University of Seattle
Bachelor of Science (B.S.), Business Administration and Management, General
Visa March 2011 - Present
Wells Fargo November 2009 - February 2011
Coventry Health Care September 2007 - August 2008
Skills
Software Quality..., Web Applications, QTP, Test Management, SoapUI, Web Services, Unix, Quality Assurance, .NET, VBScript, Integration, Integration Testing, Black Box Testing, IIS, SOA Testing, NUnit, Automation, Scripting, Agile Methodologies, Test Automation..., Test Automation, SDLC, E-commerce, TFS, Testing, User Acceptance Testing, VSS, Agile Project Management, Regression Testing, Software Engineering, Test Cases, Test Strategy, XML, Test Planning, Perl, Manual Testing, System Testing, Scrum, JIRA, Quality Center, SOA, Selenium
Education
Cogswell Polytechnical College 1989 — 1994
Bachelor of Science (BS), Computer Engineering
Cogswell Polytechnical College 1989 — 1994
Bachelor of Science (BS), Music Engineering technolgy
FMA Advisory Inc March 2015 - Present
Highmark Blue Shield August 2012 - February 2015
Coventry Health Care February 2011 - August 2012
Independence Blue Cross December 2003 - June 2009
Skills
Business Analysis, Data Analysis, User Acceptance Testing, Business Requirements, Effective Communication, Process Improvement, Customer Service, Claims Resolution, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Sharepoint, Cognos, Access, Visio, Managed Care, Medicare Advantage, HighRup, Health Insurance, Insurance
Education
Chestnut Hill College
Bachelor's Degree, Business Communications
Coventry Health Care December 2008 - Present
Thermo Fisher Scientific November 2007 - November 2008
Strategic Energy LLC December 2001 - November 2007
Education
Clarion University of Pennsylvania 1997 — 2001
Aetna September 2014 - Present
Aetna March 2014 - September 2014
Coventry Health Care August 2011 - March 2014
Coventry Health Care July 2007 - July 2011
Quality Insights of Pennsylvania July 2005 - July 2007
University of Pittsburgh 2004 - 2005
Skills
Data Analysis, Healthcare Information..., SAS, Data Warehousing, Access, SQL, Medicare, Medicaid, HEDIS, Project Management, Statistics, Visio, Health Insurance, Microsoft SQL Server, Data Mining, Databases, Statistical Modeling, Business Analysis, Healthcare, Software Documentation, Business Intelligence, Process Improvement, Health Policy, Program Management, Visual Basic, Informatics, HIPAA, Healthcare Analytics, SAS programming
Education
Clarion University of Pennsylvania 2012 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
University of Pittsburgh 2003 — 2005
MS, Biostatistics
University of Pittsburgh 1998 — 2003
BS, Industrial Engineering
Kaiser Foundation Health Plan December 2014 - Present
Kaiser Foundation Health Plan September 2011 - December 2014
Coventry Health Care February 2009 - September 2011
W. R. Ely & Associates, LLC January 1998 - January 2009
Towers Perrin 1995 - 1997
Blue Cross Blue Shield of Kansas 1994 - 1995
Blue Cross & Blue Shield of Kentucky 1988 - 1993
Colonial Life 1984 - 1988
Capital Holding Corporation 1981 - 1984
Skills
Managed Care, Medicare, Actuarial Science, Insurance, Health Insurance, Medicaid Managed Care, Data Analysis, Management, Strategic Financial..., Organizational..., Underwriting, Medicaid
Education
Centre College 1977 — 1981
BS, Economics, Applied Mathematics
Systems Integration and Development, Inc (SID) April 2010 - March 2015
Coventry Health Care June 2007 - December 2009
Ultimate Staffing January 2006 - June 2007
WBTW 13 CBS March 2004 - July 2005
WPDE July 2001 - March 2004
WBTW (CBS) 2002 - 2004
WPDE (ABC) 2001 - 2003
Skills
Technical Recruiting, Sales Recruitment, Inside Sales, Applicant Tracking..., Recruiting, Employee Relations, Benefits Administration, Personnel Management, Internet Recruiting, Executive Search, Screening, Human Resources, Talent Management, Onboarding, Contract Recruitment, Cold Calling, Employee Engagement, Recruitment Advertising, Sourcing, Benefits Negotiation, New Hire Orientations, Employee Benefits, Screening Resumes, Interviews, Temporary Placement, Talent Acquisition, Resume Writing, Hiring, SDLC, Staffing Services, Performance Management, HRIS, Temporary Staffing, Deferred Compensation, Employer Branding, Workforce Planning, Taleo, Training, College Recruiting, Payroll, PeopleSoft, Permanent Placement, HR Policies, Job Fairs, IT Recruitment, HR Consulting, Leadership, Vendor Management, Succession Planning, Staff Augmentation
Education
Webster University 2003 — 2004
Master of Arts, Human Resources Development
Webster University 2003 — 2004
Masters, Human Resource Development 2004
Coastal Carolina University 1999 — 2003
B.A, Sociology
Coastal Carolina University 1998 — 2003
BA, Sociology
Aetna September 2013 - Present
Coventry Health Care August 2012 - September 2013
Coventry Health Care July 2010 - August 2012
Partners HealthCare/Brigham & Women's Hospital 2006 - 2010
Skills
Employee Relations, Onboarding, Sourcing, HRIS, Applicant Tracking..., Talent Acquisition, Talent Management, Recruiting, Employee Benefits, Performance Management, Technical Recruiting, Deferred Compensation, PeopleSoft, Employee Engagement, Personnel Management, New Hire Orientations, Workforce Planning, Benefits Administration
Education
Emmanuel College 2009 — 2011
Master of Science, Human Resources Management
Castleton University 1997 — 2001
BA, Sociology
Coventry Health Care January 2013 - Present
CorVel Corporation September 2003 - January 2013
Loma Linda University Medical Center 1999 - 2002
Riverside Community Hospital 1997 - 1999
St. Agnes Medical Center January 1988 - January 1998
Skills
Workers Compensation, Cardiothoracic Surgery, Nursing, Healthcare, Case Management, Supervisory Skills, Health, Orthopedics, Medical Management, Nurses, Critical Care, ICU, Telemetry, Disability Management, Medical Case Management, Orthopedic, Certified Case Manager, Managed Care, Medicine, Home Care, Medicaid, Medicare, Management, Case Managment
Education
Chamberlain College of Nursing
Bachelor's Degree, Registered Nursing/Registered Nurse
University of California, Riverside 2006 — 2014
Case Management
University of California, Riverside 2006 — 2014
Case Management
Excelsior College 1984 — 1985
ASN, Nursing
Riverside Community College 1978 — 1982
General education for ASN, Nursing Practice
University of the State of New York
Associate's degree, Registered Nursing/Registered Nurse
Coventry Health Care August 2009 - Present
Express Scripts November 2001 - August 2009
Skills
Healthcare Management, Health Insurance, Healthcare, Managed Care, Medicare, Cross-functional Team..., Business Analysis, Process Improvement, Strategic Planning, Leadership, Pharmacy Benefit..., Medicaid, Vendor Management, Healthcare Information..., HIPAA, Healthcare Industry, Analytics, Medicare Part D, Data Analysis
Education
Colorado State University 1997 — 2002
ICONMA (Remote contract in the health insurance industry) November 2014 - Present
Via-Source (Remote contract in the financial indsutry) January 2014 - August 2014
SunTrust Mortgage March 2011 - November 2013
Virginia Community College System March 2009 - June 2010
Philip Morris USA (Contractor) May 2007 - May 2008
Coventry Health Care September 2006 - May 2007
Virginia Department of Medical Assistance Services May 2006 - September 2006
Virginia Department of Transportation November 2005 - May 2006
Wachovia Securities April 2005 - September 2005
Wachovia Securities September 2004 - December 2004
Skills
Visio, MS Project, Microsoft Office..., SharePoint, SharePoint Designer, Microsoft Project, HTML/XHTML, Mac OS X, Internet & Intranet..., PeopleSoft SIS/AIS, Oracle Discoverer, Technical Writing, Dreamweaver, Adobe Acrobat..., Adobe Creative Suite, Microsoft Office, Adobe Acrobat, Program Management, System Administration, Databases
Education
Pace University-New York 1997 — 1999
B.S., Professional Computer Studies
CUNY New York City College of Technology 1992 — 1996
A.A.S., Computer Information Systems
City University of New York-John Jay College of Criminal Justice
City University of New York-John Jay College of Criminal Justice
City University of New York-John Jay College of Criminal Justice
United States Steel Corporation December 2014 - Present
Plus Consulting January 2014 - December 2014
Deal & Associates Mobile Marketing March 2012 - February 2014
Coventry Health Care June 2010 - October 2012
Coventry Health Care December 2006 - June 2010
Coventry Health Care December 2005 - November 2006
HealthAmerica July 2003 - April 2005
Coventry Health Care April 2001 - July 2003
Skills
Information Security..., Cyber-security, Information Security..., Information Security..., Access, HIPAA, Visio, Information Technology, Software Documentation, Analysis, Data Analysis, Healthcare, Risk Management, Process Improvement, Information Security, Application Security, Leadership, Team Building, Insurance, Managed Care, Claim, Medicare, Employee Benefits, Customer Service, Underwriting, Microsoft Excel, Statistical Data..., Security Management, IT Governance, Project Management, Disaster Recovery, Integration, Management, Vendor Management, Security
Education
College of Business 1994 — 1996
BBA, Management of Information Systems
University of Central Oklahoma 1994 — 1996
BBA - Management of Information Systems
Humana May 2012 - Present
Humana October 2008 - June 2012
Humana May 2001 - September 2008
Highmark Blue Cross Blue Shield 1997 - 2001
Coventry Health Care 1989 - 1996
Equicor 1987 - 1989
Skills
Health Insurance, Managed Care, Healthcare, Health Policy, Provider Relations, Employee Benefits, Insurance, Medicare, Strategic Planning, Public Speaking, Leadership Development, Group Insurance, Health Insurance..., Employer Groups, Team Building, Management, Medicaid, Healthcare Industry, HMO, Leadership, Network Development, HIPAA, Healthcare Management, Process Improvement, Benefits Administration, Strategy, Risk Management, Disease Management, Program Management, Disability Insurance, Executive Management, Utilization Management, Medicare Part D, Healthcare Information..., Pharmacy Benefit..., Underwriting, Sales, Healthcare Consulting, Long-term Care, Claim, Health Care Reform, Vendor Management, Health Savings Accounts, Brokers, PPO, Life Insurance, Accident
Education
Carnegie Mellon University 1987 — 1991
MPM, Public Management
Carlow University 1976 — 1979
BA, Sociology
F.N.B. Corporation September 2015 - Present
Enterprise Bank December 2012 - September 2015
Coventry Health Care December 2010 - November 2012
Kinol, Sharie, Leyh and Associates September 2001 - December 2010
Carter Mountain Affiliates January 2000 - September 2001
Skills
Active Directory, Citrix Access Gateway, Citrix Provisioning, Citrix XenApp, Disaster Recovery, VMware ESX, Windows Server, Firewalls, Windows 7, Group Policy, Cloud Computing, Cisco Technologies, Storage Area Networks, Troubleshooting, Microsoft Exchange, DNS, DHCP, TCP/IP, Networking, Network Administration, Backup Exec, Antivirus, Powershell, Hyper-V, McAfee, Systems Engineering, Information Security, Gramm-Leach-Bliley, IT Risk Management, Citrix, Citrix Metaframe, Exchange 2010/2007/2003, System Deployment, Servers, Security, VMware, Data Center, IT Management, Virtualization, SAN
Education
Community College of Allegheny County 2002 — 2004
AS, Computer Information Technology: Network Administration
Westminster College (PA) 1995 — 1999
Chemistry / Computer Science
West A Thomson Business January 2015 - Present
Bloomberg BNA August 2013 - December 2014
BlueCross BlueShield of SC July 2011 - August 2013
Coventry Health Care January 2005 - July 2011
Skills
Insurance, Health Insurance, Account Management, Employee Benefits, Marketing, Sales, Managed Care, Cold Calling, Sales Presentations, Brokers, Customer Retention, Healthcare, Selling, Strategic Planning, Health Savings Accounts, Trade Shows, Underwriting, Legal Research
Education
College of Charleston 1994 — 1998
Bachelor of Science, Athletic Training
Long Island Jewish Medical Center May 2012 - Present
Coventry Health Care May 2006 - September 2011
Health Care Training Associates September 2005 - June 2007
Catholic Medical Center August 2003 - May 2006
Wang Laboratories 1986 - 1999
Skills
HIPAA, Healthcare Management, EMR, Medical Terminology, Patient Safety, EHR, Business Process..., Business Strategy, IT Management, Hospitals, Management, Medicine, Nursing, Clinical Research, Process Improvement, Healthcare Information..., Informatics, Healthcare
Education
New England College 2005 — 2007
MS, Management Science, Healthcare Administration
Hamilton College 1977 — 1979
BA, Biology
Centenary College 1975 — 1977
AA, Biology
Aetna May 2013 - Present
Coventry Health Care April 1998 - Present
Concentra Inc 1998 - 2007
J.Baker 1993 - 1998
Education
Chernivci National 'Juriy Fedkovyc' University 1985 — 1989
Engineering
WellPoint July 2014 - Present
WellPoint January 2013 - Present
Amerigroup Corporation June 2010 - January 2013
Coventry Health Care 2002 - 2010
Vale-U-Health October 1998 - October 2002
Skills
Disease Management, Medicaid, Managed Care, Utilization Management, Medicare, Provider Relations, HMO, Healthcare Management, Health Policy, Credentialing, Healthcare Information..., Healthcare, Health Insurance, HIPAA, Healthcare Industry, Medicaid Managed Care, Case Management, HEDIS, NCQA, Process Improvement, Healthcare Consulting, Clinical Research, Quality Improvement
Education
Carnegie Mellon University 1998 — 2001
MPM, Business and Health Care Administration
Penn State University
BSN, Nursing
CNA Insurance March 2014 - Present
Newark element14 May 2013 - January 2014
The Warranty Group February 2008 - May 2013
Coventry Health Care November 2005 - October 2007
Paley Commercial Real Estate April 2004 - November 2005
Huron County Press November 2003 - December 2003
Skills
Microsoft Office, Business Analysis, Analysis, Business Objects, Crystal Reports, Research, Editing, Writing, Customer Service, Microsoft Word, Marketing, Data Analysis, Negotiation, Forecasting, Retail, Access, Budgets, Training, Microsoft Excel, New Business Development, Customer Retention, Team Leadership, Customer Satisfaction, Sales, Sales Management, Process Improvement, Leadership, Program Management, Management, Account Management, Sales Process, Finance, Strategic Planning, Pricing, Team Building
Education
Central Michigan University 1999 — 2003
B.S., Psychology, Journalism/Advertising
North Huron High School 1995 — 1999
Diploma
Amerigroup Corporation November 2011 - Present
Coventry Health Care August 2009 - November 2011
New York Business Group on Health March 2008 - April 2009
Preservation Resource Center of New Orleans September 2006 - August 2007
Skills
Program Evaluation, Health Policy, Government, Research, Medicaid, Policy Analysis, Data Analysis, Grant Writing, Public Health, Public Policy, Policy, Management, Qualitative Research, Strategic Planning, Program Development, Grants, Community Outreach, Program Management, Stata, Nonprofits, Healthcare, Project Management
Education
Columbia University Mailman School of Public Health 2007 — 2009
Master of Public Health (MPH), Health Policy and Management
Columbia University in the City of New York 2007 — 2009
MPH, Health Policy and Management
University of Pennsylvania 2000 — 2004
BA, International Relations
Nissley Vineyards February 2015 - Present
Physicians of Rehabilitation, Industrial, & Spine Medicine, PC October 2007 - Present
Tamanend Winery November 2013 - February 2015
Seven Valleys Vineyard and WInery August 2012 - November 2013
Coventry Health Care March 1999 - March 2007
Skills
Microsoft Office, Technical Training, Winemaking, Winery Lab Testing, Administrative..., Office Administration, Outlook, Type 70 wpm, Supervisory Skills, Health insurance claims..., HIPAA, Spreadsheets, Access, Microsoft Word, Microsoft Excel, Medical Terminology, Customer Service, Health Insurance, Training, Healthcare, Microsoft Office 2007, Confidentiality, Insurance, PowerPoint, Wine, Medical Coding, Call Centers, Data Entry, Wineries, Hiring, Telephone Skills, Administration, Benefits Administration, Medical Records, Office Equipment, Appointment Scheduling, Management, Team Building, Inventory Management, Budgets, Social Media, Wine Tasting, Process Improvement
Education
Harrisburg Area Community College 2012 — 2014
Enology and Viticulture Technology, Winemaking & Vineyard Management, 4.0
Coastal Carolina University 1992 — 1994
Business Administration/Accounting
Aetna December 2013 - Present
Coventry Health Care October 2012 - December 2013
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas October 2001 - December 2011
Lucent Technologies November 1997 - September 2001
CNA Insurance September 1986 - November 1997
Skills
Data Warehousing, SDLC, Data Modeling, Requirements Analysis, Business Analysis, Databases, ETL, DB2, Business Intelligence, SQL, Unix, Database Design, Mainframe, Requirements Gathering, Testing, Oracle, Microsoft SQL Server, Enterprise Architecture, Teradata, Systems Analysis, Visio, Data Analysis, Software Development, Data Management, COBOL, Integration, Cognos, Vendor Management, IT Strategy, Information Management, JCL, Software Project..., SAS, Erwin, Unix Shell Scripting, Data Mining, Business Objects, Disaster Recovery, Oracle SQL, Process Improvement, Data Integration, Process Development, Team Leadership, Telecommunications, SQL Server, Vendor Management..., Business Analytics, Third Party Vendor...
Education
College of DuPage 1997 — 1999
Associate's degree, Computer Science
Northern Illinois University 1978 — 1982
BS, Computer Science
York Community High School 1975 — 1978
Diploma, General Studies
Sagent Pharmaceuticals May 2011 - Present
Coventry Health Care April 2008 - May 2011
Premier, Inc. 1997 - 2005
Skills
Pharmaceutical Industry, Healthcare, Negotiation, Project Management, Process Improvement, Supply Chain, Customer Service, Vendor Management, Contract Negotiation, Strategic Planning, Data Analysis, Microsoft Excel, Forecasting, Contract Management, Business Analysis, Budgets, Financial Analysis, Access, Leadership, Managed Care, Microsoft Office, Medical Devices, Cross-functional Team..., Team Building, Strategy, Business Process..., Supply Chain Management, Management, Analysis, Account Management, Program Management, Change Management, Operations Management, Pricing, Business Planning, Competitive Analysis, Logistics, Team Leadership, Training
Education
Elmhurst College 2010 — 2012
MBA, Business/Commerce, General
Chicago State University
Bachelor of Science (B.S.), Business Administration and Management, General
Adecco, EcoSure (Division of EcoLab) April 2015 - Present
OFFICE TEAM April 2014 - January 2015
Office Team, Gladson April 2014 - May 2014
The Hub Group October 2013 - April 2014
Coventry Health Care September 2007 - April 2013
Paige Personnel 2004 - 2006
Manpower Employment Agency 2004 - 2004
JBRO Batteries August 1988 - May 2003
Skills
Outlook, Training, Administrative..., Microsoft Office, Drawing, Advertising, Proofreading, Data Entry, MS Office Suite, OMDWin, Lotus Notes, IBM FileNet Content..., Microsoft Word, Editing
Education
College of DuPage 1983 — 1984
None, Art/General
Benet Academy 1979 — 1983
High School diploma, College Prep
Coventry Health Care Data ArchitectCCNJanuary 1992 - September 2001
Education
Coleman College
BS Computer Science
Coventry Health Care Closing Coordinator for new home salesRyland Homes, AZ DivisionFebruary 2000 - October 2007
Education
Central Arizona College 1970 — 1972
Associates, Business
Aetna September 2013 - Present
Coventry Health Care March 2005 - September 2013
First Health February 2003 - September 2013
First Health / Coventry Health Care August 2001 - February 2003
First Health / Coventry Health Care November 1997 - August 2001
First Health / Coventry Health Care December 1996 - November 1997
First Health / Coventry Health Care August 1994 - December 1996
First Health / Coventry Health Care September 1992 - August 1994
The Steward Company June 1987 - September 1992
Skills
Team Leadership, Project Management, Building Construction, Strategic Planning, Budgeting, Vendor Relations, Customer Relations, Team Building, Financial Analysis, Process Improvement, Real Estate, Contract Negotiation, Problem Solving, Facilities Management, Customer Service, Administration, Change Management, Vendor Management, Operations Management, Budgets, Account Management, System Administration, Cross-functional Team..., Contract Management, Negotiation, Construction, Purchasing, Leadership, Lease Administration, Property Management, Microsoft Excel, Construction Management, Program Management, New Business Development, Insurance, Procurement, Risk Management, Project Planning, Forecasting, Process Scheduler, Leases, Accounting, Facilities Operations, Data Center, Disposition, Corporate Real Estate, Business Development
Education
Northern Illinois University - College of Business 1983 — 1985
BS, Managment, Minor in Psychology
College of DuPage 1981 — 1983
Associate of Arts, Business Management
Delta Dental of Illinois 2011 - Present
Renaissance Dental Plans July 2009 - March 2011
Coventry Health Care 1991 - 2009
First Health Group 2000 - 2008
FirstHealth Group Corp. 2000 - 2008
First Health 1991 - 2008
Skills
Insurance, Health Insurance, Medicare, Managed Care, Network Development, PPO, Employee Benefits, Provider Relations, Disability Insurance, HMO, Healthcare, Medicaid, HIPAA, Health Savings Accounts, Health Policy, Claim, Brokers, Team Building, Process Improvement, Underwriting, Leadership, Health Care Reform, Strategic Planning, Healthcare Industry, Dentistry, Disease Management, Medicare Part D
Education
Columbia College Chicago
Northwestern University - Kellogg School of Management
Fellowship - AHIP
Highmark March 2008 - Present
Coventry Health Care March 2005 - March 2008
Briarcliff Pavilion April 2003 - March 2005
UPMC May 1990 - September 1999
Skills
Team Management, Health Coaching, Utilization Review, Project Management, Medicare Advantage, Registered Nurses, Certified Case Manager, Health Insurance
Education
Carlow College 1995 — 1997
Master of Science (MS), Professional Leadership in Health Services Education
Penn State University 1986 — 1990
Bachelor of Science (BS), Registered Nursing/Registered Nurse
ADP July 2008 - Present
Coventry Health Care January 2007 - June 2008
Educators Mutual Insurance July 2003 - December 2006
Skills
System Configuration, Technical Training, Benefits Administration, Business Requirements, Data Validation, Testing, Test Cases, Data Conversion, User Acceptance Testing, SQL, Business Analysis, Requirements Gathering, Change Control, Process Improvement, EDI
Education
Columbia College 2004 — 2006
Bachelor
HP Enterprise Services October 2011 - Present
Coventry Health Care November 2010 - October 2011
Quest Diagnostics May 2007 - February 2010
Skills
Healthcare Information..., HL7, Healthcare, Visio, EHR, EMR, HIPAA, Software Documentation, Databases, Hospitals, Business Analysis, Process Improvement
Education
Rochester Institute of Technology 1998 — 2002
Hunter College 1997 — 1998
Molina Healthcare May 2011 - Present
Amerigroup Corporation March 2008 - February 2011
Coventry Health Care 1999 - 2008
Skills
Managed Care, Medicaid, Health Insurance, Healthcare, Health, Risk, Financial Modeling, Financial Risk, Healthcare Industry, Healthcare Management, Health Policy, HIPAA, Insurance, Healthcare Information..., Process Improvement, Medicare, Data Analysis
Education
Carnegie Mellon University 1988 — 1992
BS, Mathematics and Economics
The MathWorks September 2013 - Present
J.P.Morgan Chase March 2011 - September 2013
SANpulse Technologies September 2009 - March 2011
Coventry Health Care March 2006 - September 2009
Skills
Object Oriented Modeling, Database Design, Data Modeling, Object Oriented Design, C#, Java, JavaScript, jQuery, MVC, Oracle SQL, SQL Server 2000-2008, NHibernate, NUnit, Visual Studio, IoC, Software Design, .NET, ASP.NET MVC, Agile Methodologies, XML, SQL, SDLC, Databases, Oracle, Software Development, Scrum, LINQ, CSS, HTML, Web Applications, SOA, Visio, AJAX, User Interface Design, Architecture, Eclipse, Java Enterprise Edition, Enterprise Architecture, Microsoft SQL Server, Unix, Cloud Computing, SharePoint
Education
Fitchburg State College 2003 — 2009
MS, Computer Science
Colby College 1998 — 2001
BA, Computer Science
Stanford Healthcare August 2015 - Present
NorthBay Healthcare October 2013 - August 2015
Affinity Medical Solutions November 2012 - October 2013
APS Healthcare Inc October 2010 - November 2012
Aetna Workers' Comp Access July 2008 - October 2010
Coventry Health Care July 2006 - July 2008
Alere Medical October 2005 - July 2006
Renown Health May 2004 - October 2005
Mercy Health Partners May 2003 - March 2004
Memphis Managed Care Corporation June 2002 - May 2003
Skills
Credentialing, Contract Negotiation, Provider Relations, Hospitals, Workers Compensation, managed care, Network Development, Healthcare Management, Healthcare
Education
Central Michigan University
Master's of Science, Healthcare Administration
Park University
BS, Human Resource Management
Coventry Health Care January 2013 - Present
CorVel Corporation September 2003 - January 2013
Loma Linda University Medical Center 1999 - 2002
St. Agness Medical Center 1988 - 1999
Skills
Case Managment, Medical Case Management, Nursing, Home Care, Medical/Surgical, Disability Management, Healthcare Management, Healthcare, Workers Compensation, Medicine, Medicaid, Acute Care, ICU, Claims Management, Critical Care, Medicare, Claim, Medical Billing, Inpatient, Patient Advocacy, Cardiology, Medication..., Case Management, Wound Care
Education
Chamberlain College of Nursing
Bachelor's Degree, Registered Nursing/Registered Nurse
University of the State of New York 1984 — 1986
ASN, Nursing
ACHIEVA February 2014 - Present
Jonathan Ryan Films September 2012 - January 2014
Coventry Health Care August 2012 - December 2013
Armstrong Group of Companies January 2012 - July 2012
Staples June 2011 - December 2011
Poor Yorik September 2011 - November 2011
DotSwoof.com April 2009 - June 2011
GameStop August 2009 - April 2011
Skills
Video Games, Acting, Voice Acting, Creative Writing, Retail, Customer Service, Social Networking, Sales, Voice Over, Social Media, Photoshop, Theatre, Video Editing, Final Cut Pro, Film Production, Theatre Education, Audio Editing, Blogging, Comedy, Entertainment, Microsoft Office, Musical Theatre, OS X, Performing Arts, Photography, Public Speaking, Teaching, Television, Directing
Education
Clarion University of Pennsylvania 2004 — 2008
Bachelor of Fine Arts (B.F.A.), Theatre/Acting
Aetna May 2013 - Present
Coventry Health Care
Skills
Health Insurance, Team Building, Business Analysis, Requirements Gathering, Visio, Requirements Analysis, Process Improvement, Insurance, Business Intelligence, SDLC, Software Project..., Enterprise Architecture, Business Requirements, Business Process
Education
Clarke College 1978 — 1982
Computer Science
INETICO, Inc. August 2013 - Present
Coventry Health Care July 2013 - July 2013
INETICO, Inc. November 2011 - June 2013
Home Therapy Products February 2004 - November 2011
WellCare February 2002 - February 2004
Skills
Quality Management, Managed Care, Home Care, Process Improvement, Disease Management, Utilization Management, Medicare, Healthcare Management, Quality Improvement, Nursing, HIPAA, Certified Case Manager, Health Insurance, Rehabilitation, Nursing Management, Utilization Review, Patient Advocacy, Healthcare Industry, HEDIS, Medicaid, Claim, Health Education, Medical Records, Healthcare, Health Policy, Case Management, Team Building, Insurance
Education
Columbus State University
BSN, Registered Nursing/Registered Nurse
Coventry Health Care June 2003 - Present
Skills
Managed Care, Medicare, Healthcare Information..., Health Insurance, Team Building, Provider Relations, HIPAA
Education
Central Michigan University 1993 — 1995
Masters, Health Services Administration
Memorial Hermann Health Solutions September 2014 - Present
Universal American June 2011 - September 2014
Universal American March 2008 - June 2011
Coventry Health Care February 2004 - March 2008
Aetna Health Plans February 1997 - April 2003
Skills
Training, Software Documentation, Employee Benefits, Process Improvement, Customer Service, Policy, Insurance, Time Management, Call Centers, Employee Training, Medicare, HIPAA, Business Process..., Customer Experience, BPO, Medicare Part D, Claim, Managed Care, Program Management, Operations Management, Management
Education
Columbia Southern University 2012 — 2015
Human Resource Management/HPI
Langevin Learning Services
Training and Development
Coventry Health Care August 2002 - Present
Laidlaw August 1999 - July 2002
Crawford & Company 1995 - 1999
Skills
Workers Compensation, Insurance, Claim, Claims Management, Managed Care, Healthcare, Medicare, Claim Investigation, Health Insurance, Legal Liability, Team Building, Employee Benefits, Liability, Strategic Planning, Customer Service, Operations Management, Coaching, Workers' Compensation..., Sales, PPO, Disability Insurance, Provider Relations
Education
National-Louis University 1999 — 2000
BS, healthcare leadership
Saint Xavier University 1985 — 1988
Chicago State University 1983 — 1984
Prairie Entertainment, LLC January 2014 - Present
Genworth Financial December 2007 - December 2012
Coventry Health Care 1997 - 2007
Adelphia Communcation 1995 - 1997
Time Warner Cable 1989 - 1994
KTKA-TV 1983 - 1989
Skills
Long-term Care, Term Life Insurance, Health Insurance, Life Insurance, Insurance, Customer Service, Medicare, Underwriting, Disability Insurance, Long Term Care Insurance
Education
Columbia College Chicago 1967 — 1970
B.A., Mass Communications
Coventry Health Care October 2011 - Present
Skills
Epic Systems, ICD-9, EMR, Hospitals, Healthcare Management, Medical Coding, Medical Billing, Medical Terminology, CPT, Healthcare, HIPAA, EHR, Healthcare Information..., Medical Records, Managed Care, Medicare, Meditech, Revenue Cycle, Health Information..., Patient Safety
Education
College of DuPage
Associate of Arts (A.A.)
Coventry Health Care September 2009 - Present
Coventry Healthcare September 2009 - Present
Wellpoint Inc August 2001 - December 2008
Crawford and Company December 2000 - August 2001
Education
Clayton State University
Associate of Applied Science Degree, Office Administration
Columbia Southern University
Bachelor of Science Degree, Healthcare Administration
Aetna November 2008 - Present
Coventry Health Care March 2003 - October 2008
Coventry Health Care February 2000 - February 2003
Skills
Medicare, Provider Relations, Insurance, Health Insurance, Medicaid, Managed Care, Claim, Employee Benefits, Healthcare, Healthcare Management, Healthcare Information..., Process Improvement, HMO, HIPAA, SDLC, Business Analysis, Leadership, Requirements Gathering
Education
Community College of Allegheny County 1995 — 1997
Associate's degree, General Studies
Community College of Allegheny County
Coventry Health Care 1998 - 2013
Skills
PMP Certified
Education
Carnegie Mellon University
Bachelor's degree, Economics
Carnegie Mellon University - Tepper School of Business
Master of Business Administration (M.B.A.)
Genzyme, a Sanofi company March 2012 - Present
Coventry Health Care September 2011 - March 2012
Genzyme, a Sanofi company March 2010 - September 2011
Genzyme, a Sanofi company March 2008 - March 2010
Chamber Theater Productions August 2007 - February 2008
Reef Point Systems June 2007 - August 2007
Skills
Document Management, Quality System, GMP, Process Improvement, CAPA, Training, Software Documentation, Microsoft Excel, Biotechnology, Quality Assurance, Microsoft Office, Documentation, Leadership
Education
Colgate University 2003 — 2007
BA, English
Coventry Health Care
Skills
Provider Relations, HMO, Managed Care, Medicare, Health Insurance, Medicaid, HIPAA, Insurance, Healthcare Industry, Claim, Process Improvement
Education
Central Michigan University 1993 — 1995
Masters of Science, Health Services Administration
Rockhurst University - BA and Central Michigan University, MHSA
Bachelor of Arts, Sociology
inVentiv Medical Management October 2012 - Present
Coventry Health Care July 2011 - October 2012
Novant Health Presbyterian Medical Center June 2010 - June 2011
Carolinas Healthcare System 2002 - 2007
Skills
Healthcare, Nursing, Medicare, Healthcare Management, Hospitals, Managed Care, HIPAA, Medicaid, Utilization Management, EMR, Disease Management, Healthcare Information..., Inpatient, Medical Terminology, Acute Care
Education
University of North Carolina at Charlotte 2008 — 2009
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Central Piedmont Community College 1999 — 2001
Associate's degree, Registered Nursing/Registered Nurse
Coventry Health Care October 2008 - April 2010
Coventry Health Care September 2005 - October 2008
Coventry Health Care April 2005 - September 2005
Pima County March 2002 - April 2003
Alameda County April 1997 - October 2001
Education
Columbia College 1999 — 2001
BA, Business Administration
Phillips Jr College 1991 — 1993
AS, Accounting
Coventry Health Care September 2006 - Present
Cigna International January 2005 - September 2006
Kaiser Permanente January 2001 - January 2005
Education
Clarion University of Pennsylvania
Anthem April 2015 - Present
Anthem Blue Cross Blue Shield April 2014 - Present
Coventry Health Care January 2012 - April 2014
KDMC HH March 2011 - January 2012
Amedisys Home Health & Hospice June 2010 - March 2011
Bon Secours Health System October 2008 - June 2010
Amedisys Home Health & Hospice July 2007 - October 2008
Bon Secours Health System February 2007 - July 2007
Trident Medical Hospital May 2004 - December 2005
Hill-Rom March 2001 - August 2003
Skills
Acute Care, Healthcare Management, Healthcare, Medical/Surgical, Nursing, Medical Case Management
Education
Charter Oak State College
Bachelor's degree, Health/Health Care Administration/Management
Trident Technical College
Associate of Health Science, Registered Nursing
Isabelle Ridgway Care Center November 2011 - Present
Extendicare June 2010 - September 2011
Coventry Health Care July 2003 - June 2010
Education
Clark State Community College
Dual AB degrees, Computer Programming / Data Administration
Community Hospital School of Nursing
Diploma, Registered Nursing
Wllard Agri Service 2005 - Present
Coventry Health Care 1998 - 2005
Education
Cecil College 1991 — 1993
AA, Professional Photography
Goldey Beacom College 1988 — 1991
AS, Business Admin
Physicians of Rehabilitation, Industrial & Spine Medicine, PC October 2007 - Present
Tamanend Winery November 2013 - Present
Seven Valleys Vineyard and Winery September 2012 - November 2013
Coventry Health Care March 1999 - March 2007
Education
Harrisburg Area Community College 2012 — 2014
Associate of Science (AS), Viticulture and Enology
Coastal Carolina University 1992 — 1994
Business Administration and Management, General
n/a - currently unemployed 1995 - Present
Coventry Health Care 2011 - 2012
Nason Construction 2003 - 2007
Education
Cecil College 2009 — 2009
CMA and CPC Certifications, Healthcare
Sedgwick Vocational Case Manager - Job Placement SpecialistSedgwick CMSJanuary 2011 - December 2014
COVENTRY HEALTH CARE January 2006 - January 2011
CorVel Corporation September 2005 - December 2005
BREAKING FREE – FAMILY SUPPORT CENTER January 2003 - August 2005
The University of Alabama at Birmingham - NIDA Homeless IV Project May 2001 - June 2002
The University of Alabama at Birmingham - State Vocational Rehabilitation Office May 2001 - August 2001
The University of Alabama at Birmingham -Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Study August 1999 - May 2001
The University of Alabama at Birmingham - Cancer Information Service (CIS) August 1996 - September 1999
Bradford Health Services May 1996 - August 1996
Volt January 1995 - May 1996
Skills
Software., Large database, data..., Research - academic,..., Photography - Digital..., Sports Coaching, Life Skills Coaching, Career Counseling, Mental Health Counseling, Counseling Psychology, Individual Counselling, Patient Counseling, Client Counseling, Student Counseling, Substance Use Disorders, Substance Abuse..., Probation, Parole, Alcohol And Drug..., Group Therapy, Individualized..., University - Research, Vocational..., Workers Compensation, Workers' Compensation..., Disability Management, Americans with..., FMLA
Education
University of Alabama at Birmingham 2000 — 2002
Master's Degree, Vocational Rehabilitation Counseling, Honor Roll
University of Tennessee, Knoxville 1986 — 1990
Bachelor's Degree, BA Academic Psychology: Research, Physiological, and Psychological
Clark Atlanta University 1984 — 1986
Biology/Pre-Med/Psychology
Aetna Life Insurance Company January 2014 - Present
Coventry Health Care November 2001 - Present
HealthAmerica June 1997 - October 1999
Skills
Managed Care, Medicare, Medicaid, Nursing, Utilization Management, transplant case..., Healthcare, Healthcare Information..., Pennsylvania nursing..., Corporate medical case..., Healthcare Management, Institutes of Quality...
Education
Carlow College
Bachelor's degree, Nursing
Coventry Health Care January 2008 - Present
Catylist Real Estate Software Inc May 2005 - December 2007
Technical Staff Member January 1997 - December 2003
Skills
Data Warehousing, ETL, Data Modeling, Business Intelligence, SDLC, Microsoft SQL Server, SQL, Business Analysis, Databases, Requirements Gathering, Business Objects, Database Design, Requirements Analysis, Software Development, Oracle, Netezza, SAS, PL/SQL
Education
College of DuPage
Associate of Arts and Sciences (AAS), Computer and Information Systems Security/Information Assurance, Graduate with Honors, Dean’s List
University of Illinois at Chicago
Bachelor of Science (B.S.), Business Management
Aetna/Coventry HealthCare Inc April 2011 - Present
Coventry Health Care May 2001 - Present
Heritage Valley Health System January 1993 - May 2001
Skills
Medical Laboratory..., Supervisory Experience, Business Analysis, Project Management, Business Systems..., Laboratory Information..., Management, PMP Certified, Working knowledge of..., PMP, SDLC, Requirements Gathering, Visio, Medicaid, EDI, Business Requirements, Healthcare Information..., Process Improvement
Education
Clarion University of Pennsylvania 1974 — 1978
Bachelor of Science (B.S.), Medical Technology
Valley High School 1972 — 1974
High School Diploma, College prep
Concentra, Inc October 2013 - Present
Coventry Health Care March 2002 - April 2013
Coventry Health Care November 2000 - March 2002
Lutheran Social Services November 1995 - November 2000
Skills
Health Insurance, Process Improvement, Claim, Medicare, Managed Care, Employee Benefits, Workers Compensation, Customer Service, Event Planning, Billing Process, Accounts Payable, Accounts Receivable, Account Reconciliation, Reporting & Analysis, Software Documentation
Education
College of DuPage 2000 — 2007
Business Administration
Coventry Health Care May 2013 - Present
Coventry Health Care January 2009 - Present
Coventry Health Care January 2007 - January 2009
Coventry Healthcare January 2004 - January 2007
First Health Group Corp January 2001 - January 2004
First Health Group Corp January 1997 - January 2001
First Health Group Corp January 1996 - January 1997
Euclid Managers January 1996 - January 1996
Dupage Surgical Consultants January 1991 - January 1994
Education
College of DuPage
Diploma
inVentiv Medical Management October 2012 - Present
Coventry Health Care July 2011 - October 2012
Novant Health Presbyterian Medical Center June 2010 - June 2011
Skills
Nursing case Management, Managed Care, Revenue Cycle, EMR, Process Improvement, Microsoft Excel, Microsoft Office, Microsoft Word, Nursing, Customer Service, Insurance, Employee Benefits, Strategic Planning, Data Entry, Outlook, Healthcare Consulting, HCPCS, Inpatient, Leadership, Financial Modeling, Cpr Certified, Home Care, Project Management, BLS
Education
UNC Charlotte 2008 — 2009
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Central Piedmont Community College 1999 — 2001
Associate's degree, Registered Nursing/Registered Nurse
Aetna May 2015 - Present
Coventry Health Care 2013 - 2013
PHEAA March 2011 - April 2012
Skills
Customer Service, Microsoft Excel, PowerPoint, Microsoft Word, Outlook, Data Entry, Access, Loans, Call Centers, Telephone Skills, Direct Patient Care, Team Leadership
Education
City University of New York 2004 — 2006
Registered Nursing/Registered Nurse