Coventry Health Care
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland, United States Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
Coventry Health Care List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Coventry Health Care. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Coventry Health Care Salaries. You can even request information on how much does Coventry Health Care pay if you want to. Learn about salaries, pros and cons of working for Coventry Health Care directly from the past employees.
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3,100 Coventry Health Care employees in database. Find out everything there's to know about Coventry Health Care employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Coventry Health Care Employees
Florida Hospital June 2015 - Present
Florida Hospital August 2012 - Present
Coventry Health Care June 2007 - August 2012
Coventry Health Care April 2006 - June 2007
Skills
Process Improvement, Leadership, Management, Analysis, Financial Analysis, Budgets, Customer Service, Hospital Revenue Cycle, Accounting, Healthcare Analytics, Microsoft Office, Financial Reporting, Finance, Project Management, SAP, Auditing, Microsoft Excel, Insurance, Six Sigma, Revenue Cycle, CRM, Cross-functional Team..., Sales, Revenue Cycle Management, Account Management, Training, Six Sigma Green Belt, Call Centers, Access, Employee Training, Data Analysis, GAAP, Healthcare, Financial Statements, Business Analysis, Accounts Receivable, Time Management, Internal Controls, Strategic Planning, Invoicing, Change Management, Analytics, Variance Analysis, Managerial Finance, Strategic Financial..., Vendor Management, Microsoft Word, Healthcare Industry, Financial Accounting, PowerPoint
Education
University of South Florida 2012 — 2014
MBA, Finance
DeVry University-Florida 2008 — 2011
Bachelor's, Business Admin/Accounting, 3.7
Gary High School
Magellan Health Services October 2008 - Present
Coventry Health Care June 2004 - October 2008
Coventry Health Care September 2000 - June 2004
St. Francis Hospital February 1995 - June 2000
Family Practice Specialists 1985 - 1995
Army National Guard June 1977 - June 1980
Skills
Training, Customer Service, Policy, Health Insurance, Recruiting, Interviews, Leadership, Medicare, Quality Assurance, Healthcare Management, Healthcare, Hospitals, Management, Payroll, Managed Care
Education
Delaware Technical and Community College-Stanton-Wilmington 1979 — 1983
Business Administration and Management, General
Coventry Health Care September 2005 - Present
Skills
Microsoft Excel, Access, PowerPoint, SharePoint, Visio, Outlook, Data Analysis, Analysis, Customer Service, Databases, HIPAA, Healthcare, Insurance, Leadership, Microsoft Office, Process Improvement, Team Building
Education
Community College of Allegheny County
Teach For America August 2014 - Present
J Williams Staffing August 2013 - August 2014
Aflac June 2012 - December 2013
Restoration Evangelistic Ministries, Inc. January 2008 - December 2012
Coventry Health Care February 2008 - March 2010
Skills
Health Insurance, Insurance, Employee Benefits, Life Insurance, Disability Insurance, Marketing, Outlook, Microsoft Excel, Microsoft Office, Team Building, Term Life Insurance, PowerPoint, Public Speaking, Sales Presentations, Legal Liability
Education
University of Houston 2014 — 2016
Bachelor of Science: Human Development & Family Studies
Cosumnes River College 2011 — 2013
Associate of Arts (AA), Behavioral Sciences
Diablo Valley College 2006 — 2007
Undergraduate Studies
Coventry Health Care April 2010 - Present
Coventry Health Care March 2007 - April 2010
Sykes August 2000 - March 2007
Skills
Employee Benefits, Health Insurance, Customer Service, Medicare, Insurance, Accounts Receivable, Managed Care, Team Building, Healthcare, Process Improvement, Call Centers, Account Management, Management
Education
Concordia College 1976 — 1980
Bachelor of Arts (B.A.), International Relations and Affairs
Madelia
Coventry Workers' Comp Services July 2010 - Present
Coventry Health Care November 1997 - July 2010
Memorial Hospital Tampa 1986 - November 1997
Skills
Managed Care, Medicare
Education
Hillsborough Community College 1986 — 1988
ADN, Registered Nursing/Registered Nurse
D G Erwin Technical Center 1979 — 1980
Practical Nursing, Nursing
Coventry Health Care, an Aetna Company October 2013 - Present
Coventry Health Care February 2011 - October 2013
Coventry Health Care 2002 - 2010
Coventry Health Care, Princiapl Healthcare 1996 - 2002
CIGNA Healthcare 1992 - 1994
Equicor 1990 - 1992
Equicor 1989 - 1990
Equicor 1989 - 1989
Skills
Provider Relations, Health Insurance, Vendor Management, Medicare, Managed Care, Medicaid, HIPAA, PPO, SharePoint, Process Improvement, Healthcare, Insurance, HMO, Customer Service, Leadership, Strategic Planning
Education
Wichita State University 1986 — 1988
Bachelor's degree, Business Administration and Management, General
Crowder College 1984 — 1986
Associates Degree
Blue Springs High School 1980 — 1984
Cruise Planners - Your Cruise Team January 2009 - Present
Coventry Health Care April 2008 - August 2009
USAA December 2000 - October 2006
Bank One 1995 - 1999
Bank One 1991 - 1994
Bank One 1986 - 1990
Skills
Human Resources, Recruiting, Change Management, Management, Leadership Development, Training, Process Improvement, Leadership, Program Management, Strategic Planning, Project Management, Team Building, Operations Management, Project Planning, Personnel Management, Team Management, Executive Coaching, Staff Development, Succession Planning, Customer Service, Travel Planning, Event Planning, Vendor Management, Workforce Planning, Sales, Marketing, Business Process..., Mentoring
Education
Cornell University
HR Certification, School of Labor Law
Texas State University 1970 — 1973
B.S., Education
John Marshall High
The University of Texas at San Antonio
Business Law
Aetna January 2014 - Present
Coventry Health Care August 2012 - Present
Coventry Health Care September 2011 - August 2012
Coventry Health Care April 2010 - September 2011
Coventry Health Care August 2008 - April 2010
Coventry Health Care June 2007 - August 2008
Skills
Medicare Part D, Medicare Prescription..., Medicare, Health Insurance, Provider Relations, Claim, Investigation, Investigative Reporting, Customer Service, Grievances, Complaint Investigations, Fraud, Insurance Fraud, Medicaid, Claim Investigation, Insurance, HIPAA, Healthcare, Policy
Education
University of Phoenix 2010 — 2013
Bachelor of Arts (BA), Health/Health Care Administration/Management
Robert Morris University
N/A, Registered Nursing/Registered Nurse
Community College of Beaver County 2005 — 2007
Associate's degree, Business Administration and Management, General
Coventry Health Care April 2013 - Present
Coventry Health Care October 2012 - Present
Coventry Health Care February 1999 - October 2012
McDonald's Corporation July 1992 - April 2006
Skills
Access, Visio, Oracle, SQL*Plus, MS Project, SQL, Microsoft Excel, Customer Service, Data Analysis, Databases, Windows, Software Development, Java, ASP.NET, Outlook, Project Management, Troubleshooting, HTML, Microsoft Word, Process Improvement, PowerPoint, Visual Studio, Software Documentation, Microsoft Office, Analysis, SharePoint, Windows Server, Quality Assurance, Microsoft SQL Server
Education
DeVry University 2009 — 2012
CIS, Database Administration
CareCentrix 2013 - 2014
FMQAI 2011 - 2012
Coventry Health Care 2010 - 2011
Coventry Health Care 2006 - 2008
Arcadia Home Care & Staffing 2003 - 2007
Tampa General Hospital 2003 - 2003
Skills
Medicare, Nursing, Hospitals, Patient Education, Acute Care, Healthcare, Utilization Management, Utilization Review, Patient Advocacy, Medical/Surgical, Risk Management, Microsoft Office, Home Care, Medical Billing, Inpatient, Disease Management, Healthcare Information..., Long-term Care, Healthcare Management, EMR, HIPAA, Managed Care, Medicaid, Direct Patient Care, Wound Care, Health Insurance, Sleep Medicine, Respiratory Therapy, Workers' Compensation..., Medicare/Medicaid..., Nursing Documentation, Quality Assurance, Healthcare Information..., Gynecologic Oncology, Prescription Drugs, Durable Medical..., Negative Pressure Wound..., Infusion Pumps, Medical Coding, Medicine, Medical-Surgical
Education
University of Tampa 2011 — 2013
Nursing; Spanish
D G Erwin Technical Center
Diploma, Certificate, Practical Nursing, Intravenous (IV) Therapy
Walgreens September 2011 - Present
Apex Systems January 2011 - September 2011
Truven Health Analytics January 2009 - January 2011
Marsh February 2006 - December 2008
Coventry Health Care May 2005 - February 2006
eQHealth Solutions June 2002 - May 2005
Skills
Healthcare, Program Management, Project Management, Leadership, Strategy, Product Management, Cross-functional Team..., Management, Business Analysis, Business Intelligence, Integration, Vendor Management, Analytics, SDLC, Product Development, Agile Methodologies, CRM, New Business Development, Budgets, Training, Enterprise Software, RFP, E-commerce, PMP, Information Technology, Analysis, SQL, Disaster Recovery, IT Strategy
Education
DePaul University - Charles H. Kellstadt Graduate School of Business
MBA, Economics
Illinois Wesleyan University
BA, Political Science
PPG Industries August 2014 - Present
Vitran Express October 2012 - February 2014
Coventry Health Care April 2012 - October 2012
JEVS Human Services April 2011 - April 2012
Skills
Process Improvement, Microsoft Excel, Customer Service, Accounts Receivable, Invoicing, Operations Management
Education
Community College of Allegheny County
ePeople Healthcare April 2015 - Present
EXPRESS November 2014 - April 2015
Callos Resource October 2013 - March 2015
Signature Settlement Services July 2012 - September 2013
Bath & Body Works October 2009 - January 2013
The Callos Companies May 2012 - October 2012
Coventry Health Care 2008 - 2012
Skills
Leadership, Public Speaking, Team Leadership, Employee Relations, HRIS, Teamwork, Organization, Administrative Work, Clerical Skills, Microsoft Excel, Microsoft Word, Email, Training, Temporary Staffing, Applicant Tracking..., Recruiting, Administration, Interviews
Education
Community College of Beaver County 2011 — 2013
Associate's degree, Human Resources Management
Community College of Beaver County
Associate's degree, Human Resources Management and Services
UPMC June 2012 - Present
Coventry Health Care October 2011 - June 2012
Burger King Corporation August 2003 - February 2009
Skills
HIPAA, Health Insurance, Managed Care, Insurance, Medicare, Healthcare, Medicaid, Process Improvement, Risk Management, Customer Service, Healthcare Information..., SDLC, Health Policy, Team Building, Employee Benefits
Education
Community College of Allegheny County 2014 — 2016
Associate of Science (A.S.), Business Administration, Management and Operations
Pittsburgh Technical Institute 2005 — 2006
Associate of Science (A.S.), Tourism and Travel Services Management
LogistiCare April 2015 - Present
XTransit Solutions October 2007 - April 2015
Battle's Transportation, Inc. June 2010 - February 2014
MTM, Inc. September 2007 - April 2010
Coventry Health Care November 2004 - October 2006
Skills
Business Development, Medicaid Managed Care, Transportation..., Marketing Strategy, Insurance, Training, Education and Outreach, Strategy, Budgets, Contract Negotiation, Customer Service, Leadership, Management, Operations Management, Policy, Strategic Planning, Team Building, Transportation, Logistics, Program Management
Education
Community College of the US Air Force
Associate's degree, Business Administration and Management, General
University of Hartford
Coventry Health Care, an Aetna Company January 2015 - Present
Coventry Health Care September 2007 - January 2015
Rosemont Presbyterian Village March 2004 - August 2007
Broomall Presbyterian Village October 1999 - March 2004
Skills
Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Certified Case Manager, Workers Compensation, Healthcare, Management, Training, Nursing, Medicare, Utilization Review, Home Care, Managed Care, Patient Safety, Insurance, Case Management
Education
Villanova University 2002 — 2004
Bachelor's degree, Registered Nursing/Registered Nurse
Delaware County Community College 1996 — 1999
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Ann and Robert H. Lurie Children's Hospital of Chicago October 2014 - Present
Molina Healthcare September 2013 - October 2014
Rush University Medical Center September 2012 - September 2013
Coventry Health Care January 2012 - September 2012
Presence Health/ Joliet Oncology Hematology Associates December 2008 - January 2012
Accelerated Rehabilitation Centers, Ltd January 2007 - December 2008
University of Chicago Hospitals December 2004 - January 2007
First Health/Coventry September 2003 - August 2004
HFN Inc January 2002 - August 2003
Central DuPage Hospital January 2000 - January 2002
Skills
Managed Care, Contract Negotiations, Credentialing-Managed..., Medicare Medicaid Govt..., Medicare, Provider Relations, Medicaid, Contract Negotiation, Health Insurance, Network Development, Physicians, HIPAA, HMO, Healthcare, Insurance, Health Care Reform, Credentialing, Healthcare Management
Education
DePaul University
BA, Liberal Arts and Sciences, General Studies and Humanities
CompuCom September 2014 - Present
Aetna December 2010 - April 2014
Coventry Health Care December 2005 - April 2014
Coventry Health Care 1998 - 2013
First Health June 2002 - December 2005
Skills
Computer Technology, Customer Service, Computer Hardware, Windows 7, Software Documentation, Technical Support, Windows, Active Directory, Field Support, Troubleshooting, XP, Software Installation, BMC Remedy, System Administration, Help Desk Support, Windows XP, Visio, SDLC, Servers, SharePoint
Education
DeVry University-Illinois 1997 — 1998
Mutual of Omaha December 2014 - Present
Saint Louis University January 2014 - May 2014
Coventry Health Care May 2012 - November 2013
Missouri Department of Insurance, Financial Institutions & Professional Registration June 2013 - August 2013
University of Nebraska Medical Center May 2004 - July 2011
Creighton University May 2009 - May 2010
Skills
Legal Writing, PowerPoint, Research, Community Outreach, Legal Research, Public Speaking, Nonprofits, Microsoft Word, Public Policy, Fundraising, Government, Data Analysis, Public Health
Education
Saint Louis University School of Law 2010 — 2014
Doctor of Law (J.D.), Health Law Certificate
Saint Louis University College for Public Health & Social Justice 2010 — 2014
Master of Public Health (MPH) - Health Management and Policy
Creighton University 2006 — 2010
Bachelor of Science (BS), Health Administration and Policy
CIGNA Healthcare December 2012 - Present
Coventry Health Care June 2008 - November 2012
Coventry Health Care January 2008 - November 2012
Skills
Client Counseling, Insurance Brokerage, Account Management, Key Account Development, Sales, Sales Presentations, Presentation Development, Wellness Coaching, Lifestyle Coaching, Territory Management, Territory Development, Territory Growth, Sales Growth, Product Development, Marketing Strategy, Marketing Communications, Competitive Analysis, Competitive Strategies, Selling, New Business Development, Health Insurance, Brokers
Education
DeSales University 2014 — 2018
Master of Business Administration (M.B.A.), Business, Management, Marketing, and Related Support Services
Lehigh University 2012 — 2014
MBA Student, Project Management, Executive MBA
The University of Connecticut School of Business 2004 — 2008
Bachelors, Marketing/ Global Marketing/ Sales
Children's Hospitals and Clinics of Minnesota July 2013 - Present
HealthMarkets April 2007 - May 2012
Coventry Health Care July 2005 - April 2007
Ardent Health Services November 2003 - July 2005
Health Net October 1999 - November 2003
Kaiser Permanente March 1998 - October 1999
Education
University of Southern California 1996 — 1998
Master's degree, Health/Health Care Administration/Management
Creighton University 1988 — 1992
Bachelor of Arts (B.A.), History
Coventry Health Care September 2012 - Present
Beaver County Historical Research and Landmarks Foundation May 2012 - September 2012
Burger King Corporation July 2007 - September 2012
Rock Writing January 2012 - April 2012
Sound and Literary Art Book September 2011 - April 2012
Arby's Restaurant Group June 2006 - November 2006
Skills
Writing Skills, Microsoft Word, Microsoft Excel, PowerPoint, Facebook, YouTube, Twitter, Blogger, Internet Explorer, Public Speaking, Customer Service, Time Management, Acting, Sitting/standing for..., Data Entry
Education
Slippery Rock University of Pennsylvania 2010 — 2012
Bachelor of Science, English-Professional Writing track, 3.7
Community College of Beaver County 2008 — 2010
Associate of Art, Humanities/Social Sciences, 3.8
The Wine Shack, Puffin Brand Wines and Provisions 124 January 2012 - Present
Kaiser Permanente January 2010 - December 2011
Coventry Health Care April 2006 - May 2009
Comprehensive Benefits Agency October 2003 - April 2006
Associations Marketing Group May 2002 - October 2003
Holmes Murphy & Associates May 2001 - May 2002
American Medical Security July 1998 - May 2001
American Medical Security July 1996 - July 1998
US Air Force July 1984 - May 1993
Skills
Wine Tasting, Wine Sales, Wine Marketing, Wine Education, Wine Pairing, Wine Knowledge, Retail Industry, Multi-channel Retail, Inventory Management, Cost Control, Product Development, Product Management, Customer Loyalty, Strategic Planning, Brand Loyalty, Retail, Wine
Education
University of the Pacific - McGeorge School of Law 1991 — 1994
JD, Labor and Employment Law
Des Moines Area Community College 2009 — 2011
Enology & Viticulture
Louisiana Tech University 1987 — 1990
MBA, Management
St. Norbert College 1979 — 1983
BBA, Sales and Marketing
Aetna December 2013 - Present
Coventry Health Care November 2011 - December 2013
Albert Einstein Healthcare Network December 2009 - November 2011
Albert Einstein Healthcare Network August 2006 - November 2009
HealthPartners of Philadelphia September 2005 - July 2006
Catholic Health East June 2004 - August 2005
The Whitman Group 1996 - 1998
Skills
Healthcare Industry, Claim, Process Improvement, Medicaid, Medicare, Managed Care, Budgets, HCPCS, Hospitals, Financial Reporting, Nonprofits, Revenue Cycle, Healthcare Management, Accounts Receivable, Healthcare, HIPAA, Analysis, CPT, Healthcare Consulting, Healthcare Information..., Network Development, Informatics
Education
DeSales University 1999 — 2001
MBA, Business Administration and Management, General
Temple University 1984 — 1989
BBA, Accounting and Business/Management
Public Health Management Corporation August 2014 - Present
Community Development Institute Head Start February 2014 - August 2014
Maternity Care Coalition July 2011 - February 2014
Madison Adoption Associates August 2010 - May 2011
HSBC January 2009 - January 2010
Coventry Health Care June 2006 - January 2008
Skills
Community Outreach, Child Advocacy, Case Management, Child Welfare, Parenting Skills..., Maternal-Child Health, Customer Service, Communication Skills, Crisis Situations, Health Insurance, Public Health, Mental Health First Aid, Individual Counselling, Welfare, Public Safety, Non-profit Program..., Student Recruiting, Attendance Management, Family Partnerships
Education
Delaware State University 2007 — 2011
Bachelor of Science (BS), Social Work
Aetna January 2013 - Present
Coventry Health Care March 2010 - January 2013
Coventry Health Care October 2005 - February 2010
Skills
Business Intelligence, Quality Improvement, Data Analytics, HEDIS, CAHPS, URAC, NCQA, AAAHC, Microsoft Office, Access Database, Excel Pivot, VBA, Cognos, SQL, SAS programming, Accreditation, IDX, SharePoint..., Monarch Pro, Microsoft SQL Server
Education
Cornell University 2000 — 2004
B.A., Economics, International Relations
Alliance Health, LLC November 2014 - Present
Aetna (previously Coventry Health Care) August 2013 - November 2014
Coventry Health Care August 2013 - December 2013
Tom Brown General Contractor March 2013 - August 2013
Piotr Rudnicki Consulting (Credit Risk Management) October 2011 - January 2013
Mid Cork Pallets January 2007 - April 2011
Mid Cork Pallets October 2005 - January 2007
Mid Cork Pallets July 2005 - October 2005
Skills
Human Resources, Training, Data Analysis, Microsoft Excel, Translation, Management, International Relations, Process Improvement, Public Speaking, Marketing, Business Development, Interviews, Analysis, Employee Benefits, Start-ups, Leadership, Team Building
Education
Cork Institute of Technology 2007 — 2011
Bachelor, Business Management
The Marketing Institute of Ireland 2006 — 2007
Certificate, Marketing
Aetna Life Insurance Company August 2013 - Present
Coventry Health Care August 2012 - June 2014
PMC Aquisition Company July 2010 - June 2014
Baker Law Group, PLLC January 2009 - August 2012
Coventry Health Care July 2006 - August 2012
The City of Brentwood, Tennessee August 2002 - July 2005
Skills
Appeals, Legal Writing, Workers Compensation, Legal Research, Litigation, Insurance Law, Courts, Mediation, Civil Litigation, Legal Issues, Corporate Law, Claim
Education
Nashville School of Law 2004 — 2008
Juris Doctor, Jurisprudence
Cornell University 2005 — 2006
Cert. Human Resources, Industrial & Labor Relations
University of Tennessee-Knoxville 1995 — 1999
B.S., Political Science
Aetna May 2013 - Present
Coventry Health Care January 2012 - May 2013
CVS Caremark 1997 - January 2012
CVS Caremark Corporation May 2007 - June 2010
CVS Caremark Corporation October 2003 - May 2007
CVS Caremark Corporation September 1997 - October 2003
Computer Horizons September 1996 - September 1997
Robert Half October 1994 - August 1996
Elevator Industries of Illinois May 1982 - October 1994
Education
CHICAGO DEMING ASSOCIATION, Naperville, IL 2011 — 2011
Six Sigma Green Belt Training, Six Sigma Masters Program
Harper College 2011 — 2011
Project Mgmt Concepts, Practical Project Mgmt, Introductory & Intermediate MS Project training
Microtrain 2011 — 2011
Product Management
Microtrain 2011 — 2011
Business Analysis
Webster University 2001 — 2003
MBA, Finance; Economics, and Business Policy
Webster University 1999 — 2001
MA, Computer Resources & Information Management; Project Management & System Analysis
DePaul University 1994 — 1997
BA, Liberal Arts
Walton College of Accounting 1969 — 1971
B.S.A, Accounting, Corporate Taxes and Business Law
JKM Consulting, LLC March 2012 - Present
Bogert & Rembold, P.L. September 2013 - June 2015
USI Insurance Services October 2010 - March 2012
Coventry Health Care 2001 - October 2010
Sell, Rembold & Cohen, LLC 2001 - 2001
Agresti & Associates, LLC 1999 - 2001
Antero Healthplans 1997 - 1999
Skills
Health Savings Accounts, Employee Benefits, Underwriting, Health Insurance, Insurance, Disability Insurance, Business Planning, Medicare, Workers Compensation, Healthcare, Managed Care, Medicaid, Commercial Insurance, Reinsurance, Benefits Administration, Casualty, Long-term Care, Brokers, Strategic Planning, Life Insurance, Liability, Small Business, Group Insurance, Strategy, Claim, Term Life Insurance, General Insurance, Property & Casualty..., Health Care Reform, 401k, Claims Management, Professional Liability, Fixed Annuities, Health Policy, Retirement, Legal Liability, Umbrella Insurance, HIPAA, Dentistry, Executive Management, Retirement Planning, COBRA, Risk Management, Medicare Part D, Provider Relations, Management
Education
DePaul University College of Law 1992 — 1996
JD, Health Law Certificate
Concordia University-St. Paul 1971 — 1975
B.A., Educational Psychology
Gateway Health January 2015 - Present
DST Health Solutions October 2013 - 2015
DST Health Solutions 2010 - 2013
eBDS (A Highmark Company) 2008 - 2009
Coventry Health Care 2006 - 2008
University of Pittsburgh Medical Center 2002 - 2005
Kirkpatrick and Lockhart 2001 - 2002
BISYS Fund Services 1996 - 2000
T Rowe Price 1991 - 1996
Skills
Account Management, Operations Management, Contract Negotiation, Call Center, Client Services, Client Relationship..., Change Leadership, Strategic Consulting, Management Consulting, Health Insurance, financial services..., CRM, Financial Services, Change Management, Relationship Management, Business Analysis, Coaching, Call Centers, Requirements Gathering, Leadership, SDLC, Process Improvement, Integration, Training, Start-ups, Strategy, Consulting, Strategic Planning, Business Strategy, Business Process..., Vendor Management, Cross-functional Team..., Outsourcing, Healthcare, Business Process, Software Implementation, Requirements Analysis, Customer Satisfaction, Project Management, Business Development, Business Requirements, Management, Team Leadership, Executive Management, Team Building, Business Process..., Healthcare Information..., Service Delivery, Business Process Design, Product Management
Education
Creighton University
Master of Public Health (M.P.H.)
Creighton University
BA, Journalism
Northwestern University - Kellogg School of Management
MBA, Finance and Marketing
US Steel January 2014 - Present
Vocollect January 2013 - December 2013
Total Learning Centers August 2012 - December 2012
Coventry Health Care December 2010 - November 2011
CVS Caremark Corporation February 2002 - November 2010
Skills
Microsoft Office, PowerPoint, Help Desk Support, Microsoft Word, Laptops, Outlook, Windows XP Pro, Microsoft Excel, Windows 7, XP, Windows Server, Active Directory, Printers, Technical Support, Networking, C++ Language, Windows 8, VBS, Server 2000-2008, LDAP, System Administration, VBScript, Computer Hardware, Hardware, Operating Systems, Windows, Troubleshooting, Software Installation, Wireless Networking, VMware, Software Documentation, Visio, ITIL, Network Security, Lotus Notes, SharePoint, Pharmacy Benefit..., BMC Remedy, Citrix
Education
Penn State University 2012 — 2012
Associate's degree, IST
Community College of Allegheny County
Coventry Health Care August 2013 - May 2014
Century Heritage FCU July 2007 - October 2010
Education
Community College of Allegheny County 1992 — 1994
Associate's degree, Business management
Highmark, Inc. June 2014 - Present
Coventry Health Care May 2013 - Present
Highmark October 2011 - June 2012
Highmark November 2008 - October 2011
Unison 2008 - 2008
United Health Plan 2008 - 2008
United Health Plan 2008 - 2008
Gateway Health Plan 2004 - 2008
Premier Medical Associates 1997 - 2002
Skills
Case Management, Managed Care, Medicare, Nursing, Utilization Management, Disease Management, Medicaid, Home Care, Healthcare Management, Patient Safety, Healthcare, Health Insurance, Healthcare Consulting, Hospitals, HIPAA, Healthcare Information..., EMR, EHR, Motivational...
Education
Duquesne University 1999 — 2002
BSN, Nursing
Community College of Allegheny County 1992 — 1995
ASN, Nursing
University of Pittsburgh 1978 — 1983
Business, Information Science
CH July 2014 - Present
Healthcare April 2011 - December 2013
Spectrum Health September 2009 - April 2011
Coventry Health Care April 2006 - September 2009
Blue Care Network 2002 - 2006
Skills
Health Insurance, Healthcare, Medicare, Microsoft Office, Training, Medicaid, Process Improvement, Benefits Administration, HIPAA, Managed Care, Human Resources, Employee Relations, Employee Benefits, Access, Insurance, Call Centers, HMO, Healthcare Management, Provider Relations
Education
Davenport University 1995 — 1999
BBA, HEALTH CARE
Central Michigan University
Masters, Human Resource Management
Northwestern High School
Aetna/Coventry Health Care of Florida August 2010 - Present
Coventry Health Care October 2009 - August 2010
Coventry Health Care January 2008 - September 2009
Sun Coast Hospital February 2007 - January 2008
Humana August 2004 - February 2007
Aetna February 2004 - August 2004
Skills
URAC, HEDIS, STARS, Contract Negotiation, Provider Relations, Contract Management, Project Planning, Staff Training, Network Operations, Provider Contracting, Service Providers, PPO, Utilization Review, Credentialing, Medicare, Managed Care, Health Insurance, Healthcare Management, Healthcare Industry, Medicaid, Healthcare, HIPAA, Healthcare Information..., Hospitals, EHR, Healthcare Consulting, Health Policy, HMO, Physician Relations, Quality Improvement, Revenue Cycle, Provider Network..., Medicare Part D, Network Development, Medicaid Managed Care, Claim, Healthcare Analytics, Utilization Management, Insurance, Disease Management, Workers Compensation, Provider Networks, Healthcare Reimbursement, IDX, Policy, Health Care Reform, Medicare/Medicaid..., CPT, Medical Billing, EMR
Education
DeSales University 2005 — 2007
MBA, Healthcare administration
King's College 1999 — 2003
BS, Healthcare administration
Quintiles 2012 - Present
Coventry Health Care 2011 - 2012
inVentiv Health November 2010 - 2012
Hurwitz & Fine, P.C. 2006 - 2011
Skills
Healthcare, Nursing, Disease Management, Personal Injury, Case Management, Teaching, Case Managment, Inpatient, Litigation, Critical Care, Hospitals, Managed Care, ACLS, Psychiatry, Medical/Surgical, Medicine, Elder Care, EMR, Home Care, Medical Malpractice, Nursing Management, Acute Care, Public Speaking, Palliative Care, Health Policy, EHR, BLS, Certified Case Manager, Pediatrics, Medicare, Public Health, Quality Improvement, Healthcare Consulting, Wound Care, Perinatal Nursing, Patient Safety, Healthcare Information..., Healthcare Management, Clinical Research, Nursing Education, Registered Nurses, Medicaid, ICU, Education, Diabetes Education, Community Health..., Health Education, Neurology, Patient Education
Education
D'Youville College 2011 — 2012
Master’s Degree, Advanced Practice Nurse- Community Health/Education, 3.98
Coventry Health Care, an Aetna Company June 2012 - Present
McConnell House and Red Pony June 2007 - January 2013
Coventry Health Care December 2009 - June 2012
Coventry Health Care January 2009 - July 2009
Criallo's Bar and Grill August 2006 - June 2007
Carrabba's February 2005 - January 2007
Berean Christian Stores August 2002 - August 2004
Skills
Microsoft Excel, Access, Microsoft Office, Outlook, Customer Service, Microsoft Word, PowerPoint, Process Scheduler, Data Entry, Event Planning, Lotus Notes, Leadership, Software Documentation, Time Management, Training, Social Media, Public Speaking, Social Networking
Education
De Anza College 2002 — 2004
Music/English
DeAnza Community College, Foothill Community College 2002 — 2004
Foothill College 2002 — 2004
Arts/Music/English
WellCare Health Plans April 2014 - Present
WellCare Health Plans, Inc. May 2013 - April 2014
Best Buy May 2007 - April 2013
Best Buy November 2005 - May 2007
Coventry Health Care August 2004 - November 2005
Best Buy June 2002 - November 2005
Skills
Human Resources, Retail, Time Management, Customer Service, Leadership, Administrative..., Store Management, Payroll, Merchandising, Expense Management, Inventory Management, Office Management, PowerPoint, Planograms, WebEx, Microsoft Office, Visual Merchandising, Meeting Planning, Office Administration, Hiring, Travel Arrangements, Bilingual-English/Spanis..., Income Statement, P&L, Customer Experience, MS Excel Pivot Tables, Event Management, Taleo, Event Planning, Driving Results, Outlook, SharePoint, InfoPath, Administrative..., Loss Prevention, Customer Satisfaction, Team Building, Employee Training, Microsoft Excel
Education
DeVry University 2013 — 2015
Bachelor's Degree, Bachelors of Science in Management specializing in Business Information Systems
Hillsborough Community College 2005 — 2010
AA, Business Administration
Brandon Regional Hospital June 2011 - Present
Coventry Health Care January 2010 - May 2011
Bay Area Infectious Disease Associates July 2008 - December 2009
Infusion Technologies January 2007 - December 2008
Bay Area Infectious Disease Associates January 2006 - July 2008
Brandon Regional Hospital September 1997 - September 2006
Bay Area Infectious Disease January 2000 - January 2004
Correctional Medical Services January 1998 - January 2000
Skills
Nursing, Hospitals, Healthcare, Critical Care, Clinical Research, Medical/Surgical, Home Infusion, Clinical Trials, Utilization Management, BLS, Disease Management, Healthcare Management
Education
Hillsborough Community College 2005 — 2008
Associate in Science, Nursing
Hillsborough County School of Practical Nursing 1996 — 1997
Diploma for Practical Nursing
D G Erwin Technical Center 1979 — 1981
Diploma, Electronic Technology
Brandon High School 1976 — 1979
High School Diploma, General
DICK'S Sporting Goods February 2015 - Present
DICK'S Sporting Goods June 2014 - September 2014
FedEx Services April 2013 - March 2014
Heeter Printing July 2012 - April 2013
FedEx Services May 2011 - April 2012
DCK Worldwide May 2008 - February 2011
Coventry Health Care April 2004 - May 2008
Skills
Microsoft Server 2008, VMware ESX, SQL Server 2012, Exchange 2010, Cisco IOS, Juniper ScreenOS, Track-It, 10Gb LAN, iSCSI, Symantec Backup Exec..., Mac OS X, Local Area Network, Solarwinds Storage..., Microsoft Exchange, DHCP, OS X, Networking, VMware Infrastructure, Integration, Network Architecture, Juniper, Operating Systems, Cisco Nexus, Cisco Technologies, Windows Server, LAN-WAN, Linux, Citrix, TCP/IP, Security, JUNOS, Routing, VPN, SQL, Troubleshooting, VMware, VoIP, Active Directory, Servers, Data Center, Disaster Recovery, Microsoft SQL Server
Education
University of Pittsburgh
B.S., Computer Science
Community College of Allegheny County 2013 — 2014
Certificate, Renewable/Alternative Energy Technologies
VMware 2015 — 2015
VMware vSphere: Install, Configure, Manage V5.5
EMC May 2011 - Present
Coventry Health Care October 2010 - May 2011
WorldColor, Inc. January 2007 - October 2010
WorldColor Inc. 2005 - 2007
WorldColor, Inc. 2001 - 2005
StorageWay, Inc. 2000 - 2001
Great Western Publishing 1997 - 2000
DuPont February 1988 - May 1997
Skills
ITIL, Data Center, Project Management, Microsoft Certified..., CompTIA, Project Plans, Disaster Recovery, Troubleshooting, Vendor Management, Active Directory, Process Improvement, Integration, VMware, IT Management, Security, Software Documentation, IT Service Management, SharePoint, Cloud Computing, Migration Projects, Enterprise Architecture, Hardware, Information Technology, Management, Requirements Analysis, Servers, Storage, Technical Support, IT Strategy, Leadership, Software Installation, System Deployment, IT Operations, Virtualization, SDLC, System Administration, Windows Server, Cisco Technologies, Infrastructure, Visio
Education
DeVry University 1986 — 1988
AA
Aetna May 2013 - Present
Coventry Health Care May 2002 - May 2013
CNA Insurance May 1998 - March 2000
Searle Pharmaceuticals/Monsanto June 1996 - May 1998
CNA Insurance March 1990 - May 1996
Skills
Requirements Gathering, SDLC, Software Development, Microsoft Visual Studio..., Oracle, Visio, Requirements Analysis, Process Improvement, Sybase, Enterprise Architecture, SharePoint, Agile Methodologies, Erwin, Oracle Report Builder, Microsoft SQL Server, DB2, Database Design, Database Modeling, COBOL, JCL, .NET, Systems Analysis, Unix, Scrum, Software Documentation, Testing, Data Migration, SQL, Integration, Databases, Microsoft Office, Data Modeling, Data Analysis, Business Analysis, VSAM, VB5, Toad, BCP, FileNet, kornshell, ActiveX, Rumba, .net Framework, Citrix, VDN, XP, Windows 7, Windows 2000, Windows NT, Team Leadership
Education
DeVry University 1987 — 1990
Bachelor of Computer Science, Computer Science
Northeastern University 1985 — 1986
Liberal Arts, Liberal Arts and Sciences/Liberal Studies
Coventry Health Care January 2001 - Present
Skills
Insurance, Health Insurance, SDLC, Requirements Gathering, Business Requirements, Visio, Business Analysis, Medicare, Claim, Requirements Analysis, Process Improvement, Managed Care, Integration, SharePoint, Testing
Education
DeVry University-Pennsylvania 2008 — 2012
Bachelor of Science (BS), Computer Information Systems, 4.0
Danieli Corp. May 2013 - Present
Coventry Health Care February 2011 - March 2013
Rainbow Daycare August 2005 - January 2011
Skills
Administrative..., Customer Service, Customer Support, Art, Fine Art, Contemporary Art, Drawing, Painting, Childcare
Education
Community College of Beaver County
Tyco Integrated Security 2015 - Present
RadioShack January 2014 - April 2015
JCPenney 2012 - 2014
Coventry Health Care September 2010 - April 2012
Verizon Wireless June 2005 - August 2010
U.S. Air Force January 1995 - April 2004
Skills
Talent Acquisition, Employee Benefits, Temporary Placement, Corporate Law, Onboarding, Workforce Planning, Performance Management, Benefits Administration, New Hire Orientations, Applicant Tracking..., Employee Engagement, HRIS, Conflict Resolution, College Recruiting, Succession Planning, HR Policies, PeopleSoft, Labor Relations, Leadership Development, Organizational Design, Leadership
Education
Troy University 2007 — 2009
MS, Human Resource Managment
Saint Leo University 2000 — 2003
BS, Sociology
Community College of the US Air Force 2001 — 2002
A.A., Social Services
Community College of the US Air Force 2000 — 2001
A.A., Supply Chain Management
Correct Care Solutions 2014 - Present
Saint Thomas Health Services January 2011 - August 2014
Simplex Healthcare July 2009 - October 2010
THA Middle TN Compliance Professionals Networking 2008 - 2010
Cogent Healthcare October 2007 - July 2009
Coventry Health Care February 2007 - September 2007
Concentra June 2006 - February 2007
Legalbill February 2005 - June 2006
HCA August 1995 - July 2004
Skills
HIPAA, Compliance, Risk Management, Privacy, Security, Access, EHR, Contract Negotiation, EMR, Financial Risk, Health Insurance, Health Law, Healthcare, Healthcare Consulting, Healthcare Information..., Healthcare Management, Hospitals, Information Security, Information Security..., Insurance, Leadership, Litigation, Managed Care, Medicaid, Medical Billing, Medical Compliance, Medicare, Networking, Physician Relations, Physicians, Policy, Privacy Law, Process Improvement, Project Planning, Revenue Cycle, Risk Assessment, Software Documentation, Strategic Planning, Team Building, Time Management, Training, Quality Improvement, Healthcare Industry, Healthcare Compliance, Privacy Compliance, Ethics, Healthcare Reimbursement, Medical Terminology, Cerner, Legal Compliance
Education
Middle Tennessee State University 1991 — 1995
B.S.
Cumberland University 1989 — 1990
Coventry Health Care May 2001 - Present
BCBSNC October 1996 - May 2001
ON Technology October 1994 - August 1996
FGI Research April 1988 - October 1994
Skills
Managed Care, Process Improvement, HMO, Analysis, HIPAA, Medicare, Disease Management, Health Insurance, Health Policy, Provider Relations, Medicaid, Insurance, Organizational..., Utilization Management, Healthcare Industry, Medicare Part D, Healthcare Consulting, Healthcare Information..., Healthcare, Pharmacy Benefit..., Employee Benefits
Education
Pfeiffer University 1997 — 2000
Masters Business Administration
Davidson College 1982 — 1986
Bachelor of Arts, Political Science
Ross Technologies, RTGX May 2010 - Present
Coventry Health Care September 2008 - May 2010
Skills
Documentation, Employee Relations, Microsoft Office, Performance Management, Event Planning, Account Management, Health Insurance
Education
University of Maryland University College 2012 — 2015
Master’s Degree, Human Resources Mgmt
Coppin State University 2001 — 2007
Bachelor’s Degree, Business Administration and Management, General
ARAMARK Healthcare October 2014 - Present
TEKsystems December 2013 - October 2014
Coventry Health Care October 2010 - November 2013
Wolters Kluwer March 2004 - March 2010
SAIC December 2001 - May 2003
BP January 2000 - December 2001
Amoco October 1989 - December 1999
Sears, Roebuck and Company 1986 - 1989
Skills
Software Project..., MS Project, Certified Scrum Master..., PMP, Project Management, Application Lifecycle..., SDLC, PMO, Project Portfolio..., Program Management, Vendor Management, Visio, Process Improvement, Business Analysis, SharePoint, Agile Project Management, Software Documentation, Microsoft Project
Education
University of Tennessee-Knoxville 1981 — 1986
BA, Economics/Computer Science
DePaul University 2003 — 2003
Masters Certificate, Project Management
CONSOL Energy June 2015 - Present
PNC October 2014 - June 2015
PNC September 2012 - October 2014
Coventry Health Care November 2011 - June 2012
US Steel May 2011 - November 2011
ServiceLink August 2010 - May 2011
EQT Corporation January 2010 - March 2010
FedEx Ground June 2006 - November 2009
Highmark Inc July 2005 - March 2006
Skills
Project Management, ERP Oracle, SAP, Tableau, Process Improvement, Troubleshooting, Technical Support, Business Analysis, Software Documentation, SAP Netweaver, Access, Customer Service, Leadership, Windows 7, SDLC, SQL, Management, Project Portfolio..., Microsoft Office, Software Installation, SharePoint, Quality Assurance, Requirements Gathering, Hardware Installation, Business Intelligence, Lotus Notes, Customer Support, Oracle E-Business Suite, Business Strategy, Microsoft SQL Server, Supply Chain Management, Application Lifecycle..., Oracle SQL, Toad, Data Management, Mortgage Servicing, Health Insurance, Software Procurement, Hardware Procurement, Troubleshooting Hardware, Blackberry, ecommerce, Asset Management, Business Process..., OLAP, Performance Dashboards, Microsoft Reporting..., HTML, Analysis, Business Process
Education
Robert Morris University 2013 — 2017
Master of Science (M.S.), Competitive Intelligence Systems
Community College of Allegheny County 2012 — 2012
SQL Programming, Computer Programming, 3.0
University of Phoenix 2008 — 2009
Certificate, Project Management
Point Park University 2006 — 2008
BS, Information Technology/Business Management; Business and Business Finance
ITT Tech
Avesis April 2015 - Present
Johns Hopkins University May 2014 - April 2015
Broad Path Health Care January 2014 - May 2014
MedStar Health January 2013 - October 2013
Coventry Health Care September 2011 - January 2013
Neighborhood Health Care May 2010 - August 2011
Skills
Medicaid, NCQA, Analytics, Accounts Receivable, Account Reconciliation, Managed Care, Provider Relations, Customer Service, Health Insurance, Health Policy, Healthcare Consulting, Healthcare Industry, Outlook, Physicians, Revenue Cycle, Medical Terminology, Team Building, Insurance
Education
University of Phoenix-Philadelphia Campus 2002 — 2004
MA, Organizational Management
Delaware State University 1995 — 1999
BS, Sociology /Criminal Justice
TTX Company June 2010 - Present
Coventry Health Care May 2005 - April 2010
Esh Telligence Inc July 2003 - May 2005
First Health February 1998 - May 2005
R Systems March 1996 - July 2003
Tata Infotech 1993 - 1996
Skills
Vendor Management, Systems Analysis, Integration, Visio, Oracle, .NET, Architecture, Unix, Microsoft SQL Server, PMP, Java, Databases, C#, Testing, MS Project, VB.NET, SOA, SDLC, Program Management, Data Modeling, Software Development, Agile Methodologies, Business Analysis, Enterprise Architecture, Requirements Gathering, Solution Architecture, Data Warehousing, Business Intelligence, IT Strategy, Requirements Analysis, Resource Management, Business Process, Web Development, Project Management, SharePoint, Software Project..., IT Management, ETL, ITIL, Software Design, SQL, ERP, Disaster Recovery, PMO, Scrum, Web Services, Architectures, Project Planning, Software Documentation, Data Migration
Education
Stanford University Graduate School of Business 2008 — 2010
Certification, Project/Program/Portfolio Management
Keller Graduate School of Management of DeVry University 1997 — 1999
MBA, Project Management
Shivaji University 1989 — 1993
Bachelor of Engineering (B.Eng.), Computer Engineering
Walchand Institute of Technology (WIT) 1989 — 1993
BE, Computer Science
Delhi University 1988 — 1991
Chemistry, Physics
Govt Model Sr Sec School Vivek Vihar Delhi 1985 — 1988
Green Fields Public School 1976 — 1988
Delhi University
Davita HealthCare Partners April 2015 - Present
Coventry Health Care July 2011 - April 2015
Medical Associates Clinic June 2010 - June 2011
Wellmark June 2008 - June 2010
Principal Financial Group August 2004 - December 2007
Mercy Clinics January 1996 - May 2003
Skills
Managed Care, Healthcare Management, Healthcare, Medicare, Medicaid, Healthcare Information..., Hospitals, Utilization Management, HIPAA, Disease Management, Health Policy, Clinical Research, EHR, EMR, Healthcare Consulting, Physicians, Provider Relations, Health Insurance, Medicine, Network Development, Quality Improvement, Oncology, Cardiology
Education
Des Moines University-Osteopathic Medical Center
Doctor of Osteopathy, Osteopathic Medicine/Osteopathy; Public Health; Health Care Administration
University of Iowa
Bachelor of Science (B.S.), Zoology/Animal Biology
Lumeris Healthcare Outcomes / Essence Healthcare July 2003 - Present
Magellan Health Services January 2004 - October 2004
Coventry Health Care September 1998 - June 2003
WellPoint 1993 - 1998
Kforce Inc. 1991 - 1998
AT&T May 1985 - March 1991
Boeing May 1984 - August 1984
University of Missouri-Columbia 1983 - 1984
University of Missouri-Columbia 1982 - 1983
Creighton University 1981 - 1982
Skills
IT Management, IT Operations, Healthcare IT, Software Development, Web Design, Web Development, Database Development, MS Project, Project Planning, Software Project..., Healthcare Information..., Business Intelligence, Databases, Agile Methodologies, Data Warehousing, T-SQL, Process Improvement, SharePoint, Microsoft SQL Server, Medicare, SDLC, Disaster Recovery, Enterprise Architecture, Management, Vendor Management, Program Management, Integration, Software Documentation, Requirements Gathering, Systems Analysis, Requirements Analysis, Information Technology, Leadership, Business Analysis
Education
University of Missouri-Saint Louis 1992 — 1995
Chancellor's Certificate, Computer Science
University of Missouri-Rolla 1985 — 1986
Some graduate work towards Masters, Computer Science
University of Missouri-Columbia 1982 — 1985
BS, Computer Science
Creighton University 1981 — 1982
Some undergraduate work towards BS, Computer Science
St. Henry's Preparatory Seminary High School 1977 — 1981
Colorado HealthOP July 2015 - Present
Colorado HealthOP July 2014 - Present
Colorado HealthOP February 2013 - Present
WellPoint July 2003 - February 2013
Coventry Health Care December 1997 - July 2003
Aetna August 1993 - December 1997
Skills
Six Sigma, Quantitative Research, Statistics, Process Engineering, Business Process..., Customer Satisfaction..., Committed to Customer..., Visio, PowerPoint, Microsoft Word, Strategic Leadership, Quantitative Analytics, MS Excel Pivot Tables, Health Insurance, Start-up Environment, Early-stage Startups, Sales Operations, Contract Negotiation, Third Party Vendor..., Contract Management, Product Development, New Business Development, Strategic Policy..., Insurance Law, Policy Analysis, Appeals, Health Care Reform, Health Insurance..., Open Enrollment, Individual Health..., Group Insurance, Process Improvement, Data Analysis, Healthcare Industry, Insurance, Vendor Management, Call Centers, HIPAA, Analysis, Business Analysis, Cross-functional Team..., Operations Management, Managed Care, HMO, Program Management, Underwriting
Education
Delaware Tech 1992 — 1995
Delaware State University 1992 — 1992
Hershey Medical Center March 2013 - Present
Coventry Health Care June 2003 - March 2013
Coventry Health Care June 2003 - February 2006
Central PA Surgical Associates Ltd May 2001 - June 2003
PinnacleHealth System September 1994 - May 2001
Sera Tech Biological (DBA IBR Plasma Center) September 1994 - March 1996
CardioTel, Inc. May 1992 - September 1994
Skills
Medicine, Credentialing, Managed Care, Medicaid, Medicare, HIPAA, Provider Relations, Cardiology, Health Insurance, Healthcare, Healthcare Management, Insurance, Healthcare Information..., Hospitals, Healthcare Consulting, Process Improvement, Physicians, Software Documentation, Visio, Health Policy
Education
Central Penn College 2000 — 2001
Community College of Allegheny County 1989 — 1992
Community College of Allegheny County 1989 — 1991
Arizona Humane Society June 2014 - Present
CORESTAFF Services August 2013 - June 2014
CORESTAFF Services June 2011 - July 2013
Coventry Health Care March 2011 - May 2011
P.F. Chang's China Bistro June 2010 - January 2011
Black Hawk County September 2009 - June 2010
Benevilla June 2009 - August 2009
Allen Hospital March 2009 - May 2009
University of Northern Iowa January 2009 - May 2009
UNI Athletic Department October 2008 - May 2009
Skills
Recruiting, Statistics, Consulting, Employment Law, Organization, Customer Service, Writing, Communication, Benefits Administration, Human Resources, Employee Benefits, New Hire Orientations, Interviews, Leadership Development, Sourcing, Training, Job Analysis, Job Descriptions, Management, Copy Editing, I-9 Compliance, I-9 audits, Employee Files, Social Media, Payroll, College Recruiting, Onboarding, FMLA, Time Management
Education
University of Northern Iowa 2008 — 2010
MA, Industrial/Organizational Psychology
Cornell College 2004 — 2008
BA, Psychology, Spanish (minor)
Andiamo Travel Concierge January 2013 - Present
Pizza Joe's Leetsdale August 2006 - Present
Coventry Health Care October 2010 - December 2012
Skills
Customer Service, Call Centers, Customer Satisfaction, Team Building, Outlook, Insurance, Microsoft Office, Microsoft Excel, Health Insurance, Sales, Data Entry, Microsoft Word, Employee Benefits, Account Management, Process Improvement, Freestyle Cruise...
Education
Penn State University 2007 — 2009
Bachelor of Business Administration (BBA)
Community College of Beaver County 2005 — 2007
Blue Cross and Blue Shield of Nebraska May 2011 - Present
Coventry Health Care July 2008 - February 2011
Wellmark Blue Cross and Blue Shield May 2002 - July 2008
American Republic Insurance Company 2000 - 2002
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care, Underwriting, Account Management, Strategic Planning, Life Insurance, Sales Management, Healthcare, Sales, Team Building, Term Life Insurance, New Business Development, Customer Service, Leadership, Customer Retention
Education
Des Moines University
Health/Health Care Administration/Management
East High
Grand View College
Bachelor of Arts (BA), Accounting and Business/Management
U.S. Cellular January 2015 - Present
United States Cellular Corporation 2007 - January 2015
U.S. Cellular May 2007 - November 2009
Coventry Health Care May 1998 - May 2007
First Health Group/Coventry 1998 - 2007
University of Minnesota Medical Center, Fairview July 1996 - July 1998
Capintec, Inc. January 1993 - December 1995
Skills
PMO, Project Management, Quality Assurance, ITIL, Program Management, IT Strategy, Vendor Management, Cross-functional Team..., SDLC, Management, PMP, Telecommunications, IT Management, Networking, Leadership, Project Portfolio..., Project Delivery, Integration, Infrastructure, Data Center, Software Project...
Education
DePaul University 2003 — 2004
Certification, Project Management
Point Park University 1987 — 1992
BSEET, Electrical Engineering
Pennsylvania Technical Institute 1985 — 1986
Associate's degree, Electronics
Optum October 2012 - Present
Coventry Health Care January 2012 - October 2012
Physicians Plus Insurance Corporation November 2007 - January 2012
APS Healthcare January 2005 - October 2007
Watson Wyatt 1999 - 2003
Lehman Brothers 1997 - 1999
Skills
Product Development, Actuarial Science, Health Insurance, Health Care Reform, Actuarial Consulting, Medicare Part D, Software Implementation, Health Informatics, Affordable Care Act
Education
Dartmouth College 1993 — 1997
BA, Mathematics
Hampton High School 1989 — 1993
Anthem, Inc. December 2013 - Present
University of Chicago Medicine November 2009 - April 2013
Coventry Health Care February 1999 - October 2009
City Colleges of Chicago January 1997 - December 2001
CCH, a Wolters Kluwer business March 1997 - February 1999
Skills
Legal Research, Privacy Law, Health Insurance, Managed Care, HIPAA/HITECH, ERISA, Compliance, Training, Insurance, Compliance Education, Legal Advice, Presentations, Risk Analysis, Federal Employee Health..., Event Planning, Event Management, Volunteer Management, Program Management, Health Law, Access, Healthcare, Policy, Management, Public Speaking, HIPAA, Employee Benefits, Leadership
Education
University of Chicago Graham School of Continuing Education
currently pursuing certificate of completion, Clinical Trial Management
DePaul University College of Law 1993 — 1996
Juris Doctorate, Law
University of Chicago 1986 — 1990
B.A., English Language and Literature/Letters
UPMC Health Plan May 2013 - Present
Coventry Health Care May 2012 - Present
Health Dialog 2008 - 2011
Gateway Rehabilitation Center December 2005 - December 2008
Heritage Valley Health System July 2005 - June 2006
Skills
Wellness, Nursing, Disease Management, EMR, Wellness Coaching, Health Promotion, Healthcare Management, Patient Education, Healthcare, Motivational..., Health Education, Medicare, Patient Advocacy, Utilization Management, Leadership, Managed Care
Education
Community College of Beaver County 2003 — 2005
ADN, Nursing
MTS Systems Corporation April 2015 - Present
UTC Aerospace Systems September 2014 - April 2015
UTC Aerospace Systems August 2013 - September 2014
UTC Aerospace Systems May 2011 - August 2013
Coventry Health Care August 2010 - May 2011
HIT Consulting company June 2009 - June 2010
Self Employed October 2000 - June 2010
Gannett Digital Ventures September 2008 - June 2009
Angie's List June 2007 - September 2008
The Schwan Food Company February 2002 - November 2004
Skills
Technical Recruiting, Full-cycle Recruiting, Internet Recruiting, Personnel Recruiting, Strategic Sourcing, Sourcing, Interview Coaching, Mock Interviews, Interviewing, Interview Preparation, Exit Interviews, Talent Management, Developing Talent, Staffing Analysis, Staffing Services, Employment, Engineering, Aerospace/Defense, Team Building, Business Analysis, Customer Relations, Coaching, Customer Service, Contract Negotiation, Data Analysis, Excel, Event Planning, Event Management, Hiring, Insurance, Internet, Lean Manufacturing, Team Leadership, Leadership Development, Microsoft Office, Social Media, Negotiation, Social Networking, New Business Development, Operations, Outlook, Outsourcing, Operations Management, Organizational..., Organizing, PowerPoint, Strategic Planning, SEO, Word, Writing
Education
Concordia University-St. Paul 2014 — 2016
Master of Business Administration (MBA), Business Administration, Management and Operations
Marian University 2006 — 2008
Bachelors, Business Administration - Human Resources Management
Open for leadership roles, board positions, and consulting engagements 2012 - Present
Guarantee Trust Life Insurance 2013 - 2014
The Main Street America Group 2009 - 2012
Coventry Health Care 2007 - 2009
CNA Insurance 2002 - 2007
Firemans Fund Insurance Company 2000 - 2002
GEICO 1988 - 2000
Skills
Vendor Management, IT Strategy, SDLC, Enterprise Architecture, IT Management, Insurance, Business Analysis, Program Management, PMO, Business Intelligence, SOA, Process Improvement, PMP, Business Process..., Disaster Recovery, Requirements Analysis, Change Management, Information Technology, Risk Management, Data Warehousing, Solution Architecture, Agile Methodologies, Requirements Gathering, IT Solutions, Information Systems, Information Management, Executive Management, Life Insurance, Health Insurance, Property & Casualty..., Project Management, Cross-functional Team..., Integration, Outsourcing, Leadership, Enterprise Software, CRM, Management, Team Building, Project Portfolio..., Governance, Business Process, SharePoint, Software Project..., SaaS, Business Strategy, Resource Management, Business Process..., Business Requirements, Software Development
Education
DePaul University
The Citadel
BS
Ma 2014 - Present
Coventry Health Care December 2012 - Present
Aetna 2014 - 2015
Aetna 2014 - 2015
Coventry Health Care June 2011 - December 2012
Coventry Health Care January 2010 - June 2011
SXC Health Solutions August 2006 - September 2008
Neighborcare May 2002 - August 2006
Glaser Technology, Inc. 1991 - 2002
Skills
Healthcare Information..., HIPAA, Pharmacy Benefit..., SDLC, Healthcare, Business Analysis, Vendor Management, Visio, Process Improvement, Project Management, Change Management, Integration, Program Management, Cross-functional Team..., IT Strategy, PMP, Business Process..., Software Documentation, Business Intelligence, Software Project..., Databases, Analysis, Quality Assurance, Requirements Gathering, Software Development, SharePoint, Management, Requirements Analysis, Leadership, MUMPS, Visual Studio, Visual Basic
Education
DePaul University
MBA, Management Information Systems, General
University of Illinois at Urbana-Champaign 1985 — 1991
Bachelor of Science (B.S.), Computer Science
Publicis Groupe March 2004 - Present
Tek Systems March 2002 - August 2003
ROI Enterprises February 2000 - November 2001
Dominicks Finer Foods 1992 - 2000
Coventry Health Care August 1988 - April 1992
Skills
Cisco, Project management, Cisco Technologies, Integration, IT Service Management, Project Management, Wireless, Management, Networking, ERP, Vendor Management, ITIL, Servers, Disaster Recovery, IT Operations, People-oriented, Communication Skills, Customer Insight, Integrity, Troubleshooting, Team Leadership, System Deployment, Data Center, IT Strategy, System Administration, Service Delivery, Active Directory, IT Management, Business Analysis, Windows Server, Process Improvement, Hardware, Information Technology, Virtualization
Education
DeVry University 1986 — 1988
A.A.S., Electronics
DeVry University 1986 — 1988
Associate's degree, Electronics
Township High School District 214 August 2014 - Present
Wheeling High School August 2012 - May 2013
CVS Caremark Corporation November 2009 - February 2013
Coventry Health Care May 2008 - October 2009
Coventry Health Care January 2006 - May 2008
Coventry Health Care August 2004 - January 2006
Skills
Crisis Communications, Cross-functional Team..., Higher Education, Management, Healthcare, Account Management, Health Insurance, Insurance, New Business Development, Proposal Writing, Pricing, Managed Care, Strategic Planning, Marketing Communications, Team Building, Mental Health, Data Analysis, Healthcare Industry, Leadership
Education
Concordia University-River Forest 2010 — 2013
Masters, Type 73 Certification, School Counseling
Northern Illinois University 1997 — 2001
B.S., Psychology
Wings Lifecoaching May 2012 - Present
IGT June 2006 - May 2012
Coventry Health Care April 2003 - June 2006
Sliger 2002 - 2003
Skills
Product Management, Process Improvement, Project Management, Coaching, Business Coaching, Goal Setting, Goal Analysis, Accountability, Communication, Team Building, SQL, Team Leadership, Program Management, Customer Service, Time Management, Training, Change Management, Marketing, Leadership, Analysis, Project Planning, Strategy, Leadership Development, Management, Entrepreneurship, Organizational..., Networking, Budgets, Business Analysis, Business Process..., Cross-functional Team..., Employee Training, Executive Coaching, Management Consulting, Social Networking, Strategic Planning, Team Management, Workshop Facilitation
Education
International Coaching Academy 2012 — 2013
CPCP, LifeCoaching
DeVry University 2001 — 2003
BS, Information Technology
University of the Pacific 1990 — 1992
Bachelor of Arts (B.A.), Arts, Entertainment, and Media Management
Therapeutic Writing Institute
Therapeutic Writing Institute
Magellan Health Services July 2009 - Present
Coventry Health Care 2004 - July 2009
Region of Peel 2001 - 2004
Systems Xcellence Ltd 2000 - 2001
Education
Dalian University of Technology
Aetna May 2013 - Present
Coventry Health Care October 2012 - Present
Coventry Health Care December 2005 - October 2012
Strategic Capital Allocation Group, LLC 2004 - 2005
IDX Systems 2004 - 2005
MEDITECH 1996 - 2004
Skills
Healthcare IT, Documentation, Programming, Databases, Analysis, Meditech, Software Development, MUMPS, IDX, Visio, HL7, Windows, Healthcare Information..., Project Management, Integration, Software Documentation, Microsoft SQL Server, Software Project..., Healthcare Industry, Program Management, Requirements Analysis, HIPAA, Process Improvement, Requirements Gathering, SharePoint, Software Implementation, SDLC, Business Analysis, IT Management, SQL, Agile Methodologies
Education
University of Massachusetts, Amherst 1993 — 1996
BS, Biology
Corning Community College 1991 — 1993
AS, Math and Science
Akamai Technologies 2012 - Present
Cognizant Technology Solutions 2008 - 2011
Coventry Health Care 2006 - 2008
Sun Life Financial 2000 - 2004
Epsilon 1992 - 1998
Skills
Strategic Consulting, Engagement Management, Strategy, Agile Project Management, Project Management, Program Management, Process Improvement, Business Analysis, Management, Analytics, IT Strategy, SDLC, Financial Mgmt, Human Capital
Education
Northeastern University - Graduate School of Business Administration
MBA
Regis College
BA
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2013 - Present
Coventry Health Care July 2012 - July 2013
TEKsystems @ Bank of America October 2011 - June 2012
Cengage Learning June 2010 - June 2011
American Bar Association April 2007 - June 2010
Skills
Business Process, Access, Team Building, Requirements Analysis, Analysis, Business Analysis, Software Documentation, Management, Sales, Strategic Planning, Project Management, Cross-functional Team..., Leadership
Education
Keller Graduate School of Management of DeVry University 2006 — 2009
MBA, Business Adminstration
DeVry University 2003 — 2005
Bachelor of Science, Business Information Systems
Coventry Health Care November 2008 - Present
Atlas Copco January 1983 - October 1999
Skills
Workers Compensation, Process Improvement, Managed Care, Customer Service, Health Insurance, Claim, Claims Management, Healthcare, Insurance
Education
Dallas Baptist University 1991 — 1995
Roundtop Mountain Resort November 2014 - Present
Aetna December 2013 - Present
Aetna May 2013 - December 2013
Coventry Health Care June 2012 - May 2013
Coventry Health Care December 2008 - June 2012
Coventry Health Care November 2007 - December 2008
Coventry Health Care January 2007 - November 2007
Coventry Health Care August 2002 - January 2007
Keystone Health Plan Central November 2000 - August 2002
Saturn January 1999 - November 2000
Skills
Health Insurance, Medicare, Utilization Management, Medicaid, Claims, Inventory Management, Contract Management, Supervisory Skills, Supervisory Experience, Mechanical, Access, PowerPoint, Kronos, Automotive Repair, Medicare Part D, Process Improvement, HMO, Managed Care, Hospitals, Employee Benefits, Insurance, Healthcare Management, Team Building, Microsoft Excel, Microsoft Word, Visio, Vendor Management, Coaching, Business Analysis, System Administration, Leadership Development, Physicians, Business Process..., Performance Management, Recruiting, Claim Investigation, Medical Coding, Medical Compliance, CPT, ICD-9, Medical Billing, Quality Improvement, Change Management, Customer Service, Data Analysis, HIPAA, Claim, Health Policy, Network Development, PPO
Education
Messiah College 1997 — 1997
Clinical Psychology
Dickinson College 1995 — 1996
Biology, General
Lincoln Financial Group 2014 - Present
Coventry Health Care 2007 - 2014
Methodist Health System 2002 - 2006
Mutual of Omaha 1997 - 2002
Mutual of Omaha 1994 - 1997
Mutual of Omaha 1987 - 1994
Skills
Human Resources, Change Management, Strategic Planning, Employee Benefits, Recruiting, Process Improvement, Underwriting, Leadership, Organizational..., Executive Coaching, Management, Project Management, Employee Engagement, Talent Acquisition, Onboarding, Talent Management, Personnel Management, Leadership Development
Education
Creighton University
Master of Business Administration (MBA)
University of Nebraska-Lincoln
Bachelors of Science, Business Administration and Management, General
Aetna December 2013 - Present
Coventry Health Care January 2012 - November 2013
Discover Financial Services November 1990 - June 2011
Skills
Technical Recruiting, Applicant Tracking..., Talent Acquisition, Workforce Planning, Recruiting, Employee Engagement, Onboarding, Internet Recruiting, Performance Management, Taleo, Employee Relations, College Recruiting, Benefits Negotiation, Temporary Placement, Talent Management, Succession Planning, Executive Search, Human Resources, Employee Benefits, Graduate Recruitment, Sourcing, HRIS, Benefits Administration
Education
Wilmington University 2002 — 2004
Masters, Human Resources Management
Delaware State University 1985 — 1989
BS, Marketing
The Allant Group April 2012 - Present
Coventry Health Care October 2010 - April 2012
CNA Insurance 2005 - October 2010
The Boston Consulting Group 1992 - 1997
Federal Reserve Bank Of Chicago 1989 - 1992
Skills
Insurance, Provider Relations, Claims, Analysis, IT Service Management, Customer Relations, Vendor Management, Requirements Analysis, Managed Care, Portfolio Management, SOX, Strategic Planning, Banking, Vendor Relations, Healthcare, Claim, Customer Service, Visio, Enterprise Architecture, Management, IT Strategy, Risk Management, Business Intelligence, PMO, SDLC, Business Analysis, Requirements Gathering, Project Portfolio..., IT Management, Business Process..., Information Technology, Business Process, Data Warehousing, Software Documentation, Disaster Recovery, Resource Alignment, Talent Management, Software Project..., Integration, Program Management, CRM, PMP, Resource Management, Outsourcing, Process Improvement, SharePoint, Cross-functional Team..., Analytics, Change Management, Agile Methodologies
Education
University of Illinois at Urbana-Champaign
DePaul University
Lever Interactive March 2015 - Present
Lever Interactive May 2011 - March 2015
Lever Interactive May 2009 - May 2011
Lever Interactive May 2008 - May 2009
Coventry Health Care April 2001 - May 2008
Duffy Design Works September 1999 - April 2001
Dominican University August 1996 - September 1999
Skills
Web Analytics, SEM, Affiliate Marketing, Email Marketing, Conversion Optimization, E-commerce, Website Management, Online Marketing, Marketing Management, Google Analytics, SEO, Social Media Marketing, Digital Marketing, PPC, Social Media, Website Development, Online Advertising, Google Adwords, Digital Strategy, Mobile Marketing, Interactive Marketing, Marketing Strategy, HTML, Copywriting, Marketing Communications, E-business, Digital Media, Landing Page..., Blogging, Content Management, Web Development, Marketing, Web Marketing, Advertising, Newsletters, Integrated Marketing, Search Advertising, Strategy, Lead Generation, Press Releases
Education
DePaul University 1997 — 1999
MA, Business Writing
Dominican University 1992 — 1996
BA, Creative Writing
Nextwave Logistics February 2008 - Present
First Health 2000 - 2008
Coventry Health Care September 1999 - February 2007
Skills
Web Services, SDLC, XML, Java, Java Enterprise Edition, Vendor Management, SQL, Business Analysis, Requirements Analysis, Microsoft SQL Server, Agile Methodologies, Software Development, Ant, Spring, Visio, Spring Framework
Education
DePaul University
Bachelor of Arts (B.A.), Criminalistics and Criminal Science
DePaul University
Bachelor's degree, Criminal Justice/Police Science
Coventry Health Care November 2011 - Present
eHDL, LLC May 2010 - November 2011
WellCare October 2009 - May 2010
MCM Managed Care Consultants March 1999 - February 2007
Metropolitan Health Network, Inc. (Metcare) September 1997 - March 1999
MedPartners, Inc. May 1996 - September 1997
Humana Health Care Plans, Inc. March 1990 - May 1996
Skills
Managed Care, Medicaid, Network Development, Provider Relations, Credentialing, Provider Recruitment, Utilization Management, HMO/PPO, Microsoft Excel, PowerPoint, Microsoft Word, Medical Billing, ICD-9, Workers Compensation, Independent Medical..., Medicare Advantage, EHR, Healthcare, Physicians, Healthcare Management, Hospitals, Contract Negotiation, Physician Network..., Supervisory Skills, Medicaid Managed Care, Medicare Risk..., Health Policy, HIPAA, Healthcare Industry, Healthcare Consulting, Practice Management, Claim, HMO, Revenue Cycle, Physician Relations, Health Insurance, Healthcare Information..., HEDIS
Education
D'Amore-McKim School of Business at Northeastern University 1983 — 1985
MBA, Business
Pitzer College 1976 — 1979
BA, Psychology, Organizational Studies
Geneia June 2014 - Present
Capital BlueCross March 2012 - Present
Department of Public Welfare April 2006 - September 2012
Coventry Health Care February 2001 - April 2006
Keystone Health Plan Central November 1997 - February 2001
ABACUS Custom Research February 1995 - November 1997
The Lehigh Valley Hospital May 1993 - January 1995
Skills
Healthcare, Strategy, Policy, SAS, Databases, Strategic Planning, Clinical Research, Forecasting, Analysis, Business Analysis, Healthcare Information..., Data Analysis, Business Planning, Process Improvement, Business Intelligence, Health Insurance, Marketing, Medicaid, Program Management, Statistics
Education
Penn State University 1990 — 1992
MHA, Health Policy Administrations
DeSales University
MBA, Business Administration
Penn State University
BS, Health Policy Administration
Stanford University Medical Center October 2012 - Present
Coventry Health Care April 2011 - November 2012
Chickasaw Nation Industries December 2009 - June 2011
Sunquest Information Systems August 1998 - December 2009
Sunquest Information Systems February 1997 - August 1998
Sunquest Information Systems August 1995 - February 1997
U.S Air Force 1975 - 1987
Skills
PL/SQL, COBOL, PL/1, Pro*C, Visual Basic, Troubleshooting, Programming, System Administration, Databases, Software Project..., Software Development, SDLC, Disaster Recovery, Operating Systems, Linux, Integration, Perl, Database Design, Systems Analysis, Application Development, Mumps, Unix Shell Scripting, Unix Administration, Intersystems Cache, Oracle, Database Administration, Data Conversion, Data Warehousing, Software Documentation, Unix, Visio, Agile Methodologies, Scrum, Microsoft SQL Server, Software Design, Testing, SQL, Enterprise Architecture, Business Intelligence, IIS, Requirements Analysis, Visual Studio, HL7, XML, VB.NET, SOA, SharePoint, .NET, Business Analysis, Web Services
Education
Colorado Theological Seminary 2009 — 2011
MA, Clinical Pastoral Counseling
University of Maryland College Park 1983 — 1987
Bachelor of Science (BS), Computer Science
Community College of the US Air Force 1977 — 1987
AAS/MIS, Management Information Systems
Fortis Management Group, LLC September 2014 - Present
Columbia St. Marys Hospital March 2011 - September 2014
Coventry Health Care 2010 - 2011
Columbia St. Marys Hospital 2007 - 2010
Geriatric Consultants, LLC 2000 - 2007
Humana 1990 - 2000
Skills
Acute Care, Managed Care, Wound Care, Care Planning, Healthcare Management, Elder Care, Medicare, Patient Advocacy, Medicaid, Long-term Care, Patient Education, Utilization Management, Disease Management, Nursing Education, Program Development, Cpr Certified, Nursing Management, Healthcare Consulting, Medical Terminology, Social Services, Hospitals, Case Managment, Gerontology, Rehabilitation, Healthcare, Treatment, Medicine, Crisis Intervention, Patient Safety, Alzheimer's disease, Home Care, Clinical Research, Nonprofits, Mental Health, Healthcare Information..., HIPAA, Nursing, EMR, Quality Improvement, Leadership, Inpatient, EHR, Physician Relations, Healthcare Industry
Education
Concordia University-Wisconsin
Bachelors, Health Care Administration
Marian University
Masters, Organizational Leadership and Quality
Milwaukee Area Technical College
Associates, Registered Nursing
Coventry Health Care May 2006 - Present
Skills
Windows 7, Windows Server, Operating Systems, Computer Hardware
Education
Robert Morris University 2010 — 2013
Bachelor's degree, Computer and Information Sciences, 3.98
Pittsburgh Technical Institute 2006 — 2009
ITNA, Network Administration
Community College of Allegheny County 1994 — 1998
Associates, Data Processing
Coventry Health Care May 2014 - Present
Coventry Health Care January 2010 - Present
First Health April 2000 - February 2006
prudential healthcare 1985 - 2001
prudential 1988 - 2000
Jackson Long & Assoc 1979 - 1982
Skills
Medicare, Account Management, Health Policy, Health Insurance, Managed Care, Employee Benefits, Insurance, Healthcare, Claim, Benefits Administration, Healthcare Industry, HMO, Health Savings Accounts, Brokers, Medicare Part D, Disability Insurance, Medicaid
Education
DePaul University
BA, BUSINESS
Coventry Health Care August 2011 - Present
Coventry Health Care May 2009 - August 2011
RecoverCare LLC April 2008 - April 2009
Skills
Managed Care, Healthcare, Process Improvement, Strategic Planning, Cross-functional Team..., Healthcare Management, Team Building, Leadership, Healthcare Information..., Change Management, Contract Negotiation, Operations Management, Management, Medicare, Sales Management, Health Insurance, Account Management, New Business Development, Executive Management
Education
NYU Stern School of Business 1988 — 1990
Master of Business Administration (MBA), Business Administration and Management, General
DeSales University 1973 — 1977
Bachelor of Science (BS), Biology/Biological Sciences, General
ChannelIQ February 2011 - Present
Active Technologies Group 2001 - Present
Channel Velocity January 2010 - January 2011
The Warranty Group September 2008 - December 2009
Coventry Health Care 2005 - 2008
First Health 1999 - 2005
Sargent & Lundy, LLC 1994 - 1999
Skills
Integration, Data Management, Microsoft SQL Server, SSIS, Software Development, T-SQL, Business Analysis, Business Intelligence, Databases, Agile Methodologies, Database Design, Data Modeling, Solution Architecture, Data Warehousing, SDLC, SQL, Relational Databases, Requirements Analysis, ETL, Agile Project Management
Education
DePaul University
Information Technology
University of Notre Dame 1987 — 1991
BSEE, Electrical Engineering/Computer Science
Archbishop Stepinac 1983 — 1987
Heartland Health Outreach July 2014 - Present
Implantable Provider Group October 2010 - July 2014
APS Healthcare September 2009 - October 2010
Coventry Health Care 2008 - 2009
CompBenefits/Humana 2004 - 2008
Cox Communications 2002 - 2004
The Walt Disney Company 1998 - 2002
AT&T 1989 - 1998
First Chicago 1988 - 1989
Chemical Bank 1984 - 1988
Skills
Start-ups, Employee Engagement, Operations Leadership, Change Management, Operations Management, Leadership, Human Resources, Healthcare, Organizational..., Insurance, Six Sigma, Strategy, Call Centers, Business Planning, Recruiting, Customer Service, Mergers & Acquisitions, Budgets, Process Improvement, Talent Management, Team Building, Business Development, Team Leadership, Analysis, Management, Cross-functional Team..., Project Planning, Sales, Executive Management, Finance, Customer Satisfaction, Training, Contract Negotiation, Leadership Development, Strategic Planning, Employee Benefits, Vendor Management, Account Management, Employee Relations, Management Consulting, Business Strategy, New Business Development, Forecasting, Business Analysis, Performance Management, Risk Management
Education
Georgia State University 2007 — 2008
Lean Six Sigma Black Belt, Business Analytics and Process improvement
DePaul University 1980 — 1982
MBA, Masters of Business Administration
Northern Illinois University 1976 — 1979
B.S., Finance
BCBSNC April 2013 - Present
Highmark December 2011 - April 2013
Coventry Health Care June 2008 - December 2011
ECSM Utility Contractors July 2007 - June 2008
Skills
Economics, Actuarial, Access, Excel, Word, programming, Health Insurance, VBA, SQL, SAS, Predictive Modeling, Ratemaking, Visual Basic, Microsoft Office, Stochastic Modeling, Databases, SAS programming, Java, Mathematical Analysis, Actuarial Science
Education
Dickinson College 2003 — 2007
B.S., Mathematics, Computer Science
Friends School of Baltimore 2001 — 2003
APC
UnitedHealth Group March 2015 - Present
Coventry Health Care April 2009 - February 2013
CIGNA Behavioral Health May 2008 - April 2009
UnitedHealth Group October 2005 - May 2008
Block Vision, Inc. August 2003 - October 2005
Skills
Provider Relations, Medicaid, Process Improvement, Healthcare, Claim, Workers Compensation, Credentialing, Hospitals, Health Insurance, Managed Care, ICD-9, CPT, Insurance, Network Development, Contract Negotiation, HEDIS, IDX, Medical Billing, HIPAA, Health Policy, Medicare, Healthcare Industry, Utilization Management, HMO, Healthcare Management, Leadership, Management, Strategic Planning, Customer Service, Training, Physicians, Team Building, PPO, Program Management, Physician Relations, Policy
Education
University of Baltimore 2008 — 2014
Bachelor's degree, Health/Health Care Administration/Management
Coppin State University 2005 — 2007
Bachelor of Mathematics, General Studies
Walbrook Senior High School
WesBanco September 2014 - August 2015
Horsehead Corporation August 2007 - April 2014
Coventry Health Care November 2006 - March 2007
ATM Corporation of America February 2005 - November 2006
Skills
Administrative..., Customer Service, Microsoft Office, Time Management, Outlook, Microsoft Word, Microsoft Excel, PowerPoint, Budgets, Human Resources, FMLA, Process Scheduler, Materials, Accounts Payable, Public Speaking, Continuous Improvement
Education
Community College of Beaver County 2014 — 2015
Certificate-Administrative Medical Specialist and Medical Billing and Coding, Medical Administrative/Executive Assistant and Medical Secretary, 3.9
Robert Morris University 1998 — 2003
Bachelor of Arts (B.A.), Communication and Media Studies
WellMed Medical Management October 2009 - Present
Coventry Health Care February 2004 - June 2009
PharMerica November 2002 - February 2004
Skills
Managed Care, Provider Relations, Network Development, Health Policy, Workers Compensation, Medicare, Health Insurance, Physicians, Contract Negotiation, Contract Management, Healthcare Management, Medical Sales, Insurance, Hospitals, Healthcare Industry, Healthcare Consulting, Recruiting, Revenue Cycle, Medicaid, HIPAA, Healthcare, Medical Billing, Medicine, Physician Relations, Credentialing, PPO, Medical Coding, HMO, HEDIS Quality Care...
Education
DeVry University 2011 — 2013
Bachelor's Degree, Business with a focus in Health Services Management
The New England Institute of Art 1997 — 1999
Associate's Degree, Radio and Television Broadcasting Technology/Technician
Wayne Fueling Systems December 2014 - Present
Affinit, LLC December 2013 - Present
Private May 2013 - December 2013
Xerox State Healthcare, LLC December 2012 - April 2013
Epicor Software Corporation May 2010 - November 2012
Coventry Health Care April 2006 - April 2010
Skills
Sarbanes-Oxley Act, Accounting, Sarbanes-Oxley, GAAP, Financial Reporting, General Ledger, Financial Analysis, Variance Analysis, Internal Controls, Account Reconciliation, CPA, Auditing, Accounts Payable, Accounts Receivable, Payroll, Inventory, Fixed Assets, Intangibles, Project Management, Process Improvement
Education
Park University- Austin 2001 — 2003
BS Accounting, Financial Management
Concordia University Texas 1999 — 2001
BA Bus Mgmt, Business/Accounting
Transamerica June 2014 - April 2015
Lockheed Martin January 2013 - April 2014
Gavilon LLC August 2012 - December 2012
Raytheon December 2010 - July 2012
Coventry Health Care August 2007 - July 2009
Mutual of Omaha July 2000 - September 2007
First Data Corporation October 1988 - February 2000
Mutual of Omaha March 1978 - September 1988
Skills
Informatica Development, SQL, Data Warehousing, Data Analysis, Data Modeling, Requirements Gathering, Requirements Analysis, Problem Solving, Process Improvement, SDLC, Software Documentation, IBM Mainframe, COBOL, Windows, MS Office, Visio
Education
Creighton University
Psychology, Sociology, Information Systems, Pre-Med
University of Nebraska at Omaha
Psychology, Business, Information Systems
Aetna August 2008 - Present
Coventry Health Care March 1999 - August 2008
Skills
Network Development, Provider Relations, HMO, Medicare, Medicaid, Managed Care, Health Insurance, Credentialing, Claim, Insurance, Healthcare, Process Improvement, Customer Service, PPO
Education
Delaware Technical and Community College-Stanton-Wilmington
Aperture Credentialing, LLC January 2015 - Present
Coventry Health Care September 2011 - January 2015
SHPS January 2009 - September 2011
Health Care Excel, Incorporated 2008 - 2009
Indiana Family and Social Services Administration 2006 - 2008
Stites & Harbison 2005 - 2006
various 1997 - 2006
Baker & Daniels 1998 - 2004
Skills
Medicaid, Insurance Law, Policy, Quality Assurance, Healthcare, Insurance, Contract Negotiation, Public Speaking, Litigation, Non-profits, Strategic Planning, Negotiation, Leadership, Legal Writing, Program Management, Management, Analysis, Managed Care, HIPAA, Team Building, Fraud, Nonprofits, Health Insurance
Education
Indiana University School of Law—Indianapolis 2001 — 2004
Juris Doctorate
DePauw University 1990 — 1994
Bachelor of Arts, History and English Literature
Highmark March 1996 - Present
Coventry Health Care May 1992 - March 1996
HealthAmerica September 1986 - May 1992
West Penn Allegheny Health System April 1986 - July 1986
Metropolitan ENT Associates April 1974 - April 1986
Skills
Health Insurance, Healthcare, Managed Care, Provider Relations, Medicare, HMO, Medicaid, PPO, HIPAA, Medicare Part D, Utilization Management, Credentialing, Healthcare Management, Healthcare Consulting, Health Policy, Network Development, Disease Management, Healthcare Information..., Revenue Cycle, Internal Medicine, Surgery, Pediatrics
Education
Community College of Allegheny County 1971 — 1972
Nursing License, Licensed Practical/Vocational Nurse Training
CVS Caremark Corporation October 2012 - Present
Giant Eagle (Ok Grocery) November 2010 - May 2012
CVS Caremark Corporation August 2009 - January 2011
Coventry Health Care September 2009 - September 2010
Lender's Service Inc. June 2008 - February 2009
Interline Brands July 2005 - February 2008
West Hills Nissan January 2004 - July 2005
Action Crash Parts March 2003 - September 2003
Sunoco June 2000 - October 2002
Skills
I have experience..., Hand Pallet Trucks, Rider Pallet Trucks, Reach Trucks, Stock Pickers, Forklift Operator, Customer Service, Microsoft Word, Process Improvement
Education
Immokalee Technical Center 2015 — 2016
Automotive Technology, Automobile/Automotive Mechanics Technology/Technician
Community College of Beaver County 2003 — 2007
Business Administration and Management, General
Pittsburgh Technical Institute 2000 — 2002
Computer Aided Drafting
Ambridge Area High School 1996 — 2000
Diploma
Aetna May 2013 - Present
Coventry Health Care July 2000 - Present
Coventry Health Care 2000 - Present
Skills
Managed Care, Network Development, HIPAA, Strategic Planning, Health Insurance, Medicaid, Policy, Process Improvement, Medicare, Provider Relations, HMO, Insurance, Utilization Management, Employee Benefits, Healthcare Management, Disease Management, Healthcare Industry, Claim, Health Policy, Healthcare, Medicare Part D, Healthcare Consulting
Education
Delaware State University
BS, Business Adminstration
LabTech Software December 2014 - Present
LabTech Software February 2014 - Present
LabTech Software August 2013 - February 2014
GFI Software February 2009 - January 2013
Sunbelt Software July 2008 - February 2009
GFI Software January 2007 - January 2008
Coventry Health Care January 2006 - January 2007
Coventry Health Care January 2003 - January 2006
Skills
Network Security, Computer Security, Security, Agile Methodologies, Cloud Computing, Windows, Linux, VMware, Antivirus, Scrum, SaaS, Software Development, Firewalls, Apache, IIS, Security Research, Virtualization, Malware Analysis, Information Security, System Administration, Networking, Software Documentation, Servers, Disaster Recovery, TCP/IP, Technical Support, Microsoft Exchange
Education
D G Erwin Technical Center 2000 — 2001
A+, PC repair and networking, 3.7
PNC January 2015 - Present
PNC October 2012 - December 2014
PNC November 2011 - October 2012
Coventry Health Care February 2008 - March 2011
Sallie Mae September 2004 - February 2008
Price Waterhouse Management Consultants 1997 - 2002
Price Waterhouse Management Consultants 1997 - 2002
Skills
Healthcare, SDLC, PMP, PMO, Project Portfolio..., IT Strategy, Process Improvement, Software Project..., Business Analysis, Program Management, IT Management, Project Management, Requirements Analysis, Integration, Business Process..., Disaster Recovery, Requirements Gathering, ITIL, Resource Management, Outsourcing, Change Management, Agile Methodologies, Governance, Project Delivery, Management, Quality Assurance, Software Development, Leadership, Enterprise Software, Information Technology
Education
Wright State University 1987 — 1991
MS, Computer Science
Denison University 1980 — 1982
BS, Computer Science
Coventry Health Care April 2012 - August 2012
Consumer Health Coalition May 2011 - September 2011
American Civil Liberties Union September 2010 - April 2011
Pittsburgh Action Against Rape September 2009 - April 2010
St. Clair Hospital January 2008 - October 2009
A to Z Communications, Inc March 2003 - December 2007
Greenbriar Treatment Center January 2006 - May 2006
Skills
Grant Writing, Non-profits, Social Services, Community Organizing, Community Outreach, Program Development, Public Relations, Fundraising, Case Managment, Volunteer Management, Youth Development, Program Evaluation, Community Development, Grants, Public Speaking, Event Planning, Nonprofits, Leadership, Case Management
Education
University of Pittsburgh 2010 — 2011
Master of Social Work (MSW), Community Organizing and Social Administration
Carlow University
Bachelor's degree, Social Work
Community College of Allegheny County
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
Zurich North America October 2013 - Present
Allstate Insurance June 2006 - August 2013
Coventry Health Care October 2011 - June 2013
Allstate Insurance June 2006 - August 2009
Deloitte & Touche Tax Technologies August 2000 - June 2006
Skills
Test Planning, Test Strategy, Testing, Quality Assurance, Quality Center, SDLC, User Acceptance Testing, QTP, Test Automation, Requirements Analysis, Visio, Waterfall, Requirements Gathering, Software Quality..., Test Management, ODBC, Software Project...
Education
DePaul University
Master's degree, Human Computer Interaction
DePaul University
BS, Information Systems
Aetna (formerly Coventry Health Care/First Health) August 1998 - Present
Coventry Health Care 1998 - Present
First Health 1998 - 2006
Morton Salt September 1996 - September 1998
Northern Indiana Public Service Co. March 1991 - September 1996
Skills
Microsoft Excel, Microsoft Word, Sales Compensation, Compensation Structure..., Certified Compensation..., Journalism, PowerPoint, Writing, Compensation Structures, Executive Pay, Deferred Compensation
Education
DePaul University
Master of Business Administration (MBA), Business
Northern Illinois University
Bachelor of Arts (B.A.), Journalism
Coventry Health Care September 2006 - Present
Coventry Health Care June 2000 - August 2006
Playboy Enterprises, Inc. October 1987 - May 1992
Skills
IT Service Management, SDLC, Business Analysis, Requirements Gathering, Business Requirements, Process Improvement, Requirements Analysis, Visio, Business Process..., Vendor Management, SharePoint, IT Strategy, PMP
Education
DePaul University 1990 — 1993
MBA, Finance
Northern Illinois University 1978 — 1983
BS, CPA, Accounting
Coventry Health Care
Skills
Customer Service, Health Insurance, Claim, Insurance
Education
Cosumnes River College
Medical Assistant Administration, Health Services Administration
Main Line Health June 2013 - Present
Coventry Health Care October 2010 - June 2013
kgb February 2008 - August 2009
Hooper Holmes, Inc. February 2007 - February 2008
Dun & Bradstreet 2002 - 2006
Skills
Telecommunications, VoIP, Call Center, Process Improvement, Vendor Management, Account Management, Team Leadership, New Business Development, Project Management, Contract Negotiation, Visio, Sales Management, Business Development, Business Strategy, Business Analysis, Strategic Partnerships, Program Management, Customer Service, Strategic Planning, Sales Operations, Cross-functional Team..., Management, Leadership, Business Process..., Product Management, Data Center, Call Centers, Change Management, IT Strategy, Integration, Project Planning, Business Intelligence, IT Management, Project Portfolio..., Team Building, Budgets, Outsourcing, Analysis, CRM, Disaster Recovery, Strategy, Analytics, Executive Management, Risk Management, Salesforce.com, SaaS, SDLC, Start-ups, Avaya, PMP
Education
DeSales University 1989 — 1993
Bachelor of Science (BS), Accounting and Finance
Southern Lehigh High School 1975 — 1979
BS - Finance
Coventry Health Care November 2012 - Present
Randstad Work Solutions 2011 - 2012
Liberty Tax Service January 2011 - April 2011
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Internet Explorer, CSPro, Access, Administrative..., Call Centers, Customer Service, Data Entry, Employee Benefits, Insurance, Invoicing, Outlook, Policy, Spreadsheets, Tax, Telephone Skills
Education
DeVry University 2013 — 2015
Lompoc High School 2002 — 2007
Western Pennsylvania Teamsters and Employers Pension Fund September 2005 - Present
Coventry Health Care August 2002 - July 2005
UPMC Health Plan July 2001 - August 2002
Coventry Health Care April 1998 - July 2001
Skills
Access, Microsoft Excel, Databases, Microsoft Office, Data Analysis, Database Administration, Business Analysis, Project Management, Data Warehousing, Database Admin, PowerPoint, Database Design, Microsoft Word
Education
Community College of Allegheny County
Business Administration and Management, General
Vanderbilt University
Biomedical/Medical Engineering
Coventry Health Care, an Aetna Company December 2013 - Present
Coventry Health Care October 2012 - Present
Coventry Healthcare October 2011 - October 2012
Coventry Healthcare October 2010 - October 2011
Coventry Healthcare March 2005 - October 2010
Ajilon January 2003 - February 2005
EDS June 1998 - January 2003
Skills
EDI ANSI X12, ICD-10, Health Insurance...
Education
York College of Pennsylvania 1996 — 1998
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Community College of Beaver County 1991 — 1993
Registered Nursing/Registered Nurse
CVS/Caremark January 2008 - Present
Convergys February 1991 - October 2007
Coventry Health Care March 1989 - February 1991
Education
Keller Graduate School of Management of DeVry University 2006 — 2010
Master of Business Administration (M.B.A.), Business Administration and Management, General
DeVry University-Illinois 1987 — 1991
Bachelor of Science (BS), Information Technology
Coventry Health Care August 2001 - Present
Education
Delaware Technical and Community College-Stanton-Wilmington 2010 — 2013
Guardian Protection Services September 2012 - Present
Coventry Health Care July 2007 - August 2012
PNC June 2005 - June 2007
Skills
Customer Service..., Customer Service, Banking, Mortgage Lending, Health Insurance, Integrated Security..., Call Center, Calls, Retail, Microsoft Excel
Education
Community College of Beaver County 2002 — 2005
Associate of Arts and Sciences (A.A.S.), Accounting
Edinboro University of Pennsylvania 1999 — 2001
None, Communication and Media Studies
Hopewell Senior High School 1995 — 1999
High School Diploma, General Studies
Rochester Manor + Villa February 2015 - Present
Aetna April 2013 - Present
Coventry Health Care June 2008 - April 2013
Southwood Hospital 1999 - 2005
Skills
HEDIS, Managed Care, Medicare, Medicaid, Quality Patient Care, Provider Relations, NCQA, HMO, Medicaid Managed Care, HIPAA, Quality Improvement, Healthcare Industry, Health Insurance, Nursing, Medical Records, Medical Terminology, Behavioral Health, Healthcare Reimbursement, Health Education, Utilization Management, Disease Management, Utilization Review
Education
Community College of Allegheny County 2009 — 2011
Associate of Science (AS), Registered Nursing/Registered Nurse
ICM School of Businnes & Medical Careers 1997 — 1999
Associate's degree, Medical/Health Management and Clinical Assistant/Specialist
Coventry Health Care November 2008 - Present
Coventry Health Care, an Aetna Company October 2006 - November 2008
Coventry Health Care, an Aetna Company March 2002 - October 2006
Coventry Health Care, an Aetna Company March 1999 - March 2002
Coventry Health Care, an Aetna Company March 1998 - March 1999
Skills
Corporate Training, Repricing, Contract Analysis, Data Analysis, Training, Management, Claim, Account Management, Auditing, Coaching, Hospitals, Spreadsheets, Insurance, Visio, Access, Business Services, Provider Relations, Information Systems, Finance, Process Improvement, Health Insurance, Order Fulfillment, Business, Software Documentation
Education
D G Erwin Technical Center 1997 — 1998
Diploma, Medical Transcription/Transcriptionist
Brandon High School 1990 — 1993
Diploma