Coventry Health Care
Industry: Health insurance company
DescriptionCoventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Headquarters: Maryland, United States Number of employees: 14,400 (Jan 2013) Founded: 1986 Subsidiaries: First Health Group Corp., Parent organization: Aetna
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Coventry Health Care Employees
ExamWorks Clinical Solutions April 2014 - Present
Coventry Health Care 2001 - 2014
Concentra 2000 - 2008
Skills
Case Managment, Workers Compensation, Managed Care, Medicine, Claim, Insurance
Education
Framingham State College 1997 — 2001
Bach of Science, Family and Consumer Studies
Aetna November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care August 2010 - January 2014
Kids Hope United April 2007 - August 2008
Skills
Microsoft Office, Microsoft Excel, Health Insurance, Insurance, Sales, Customer Service, Account Management, Employee Benefits, Healthcare, Marketing, Strategic Planning, Sales Management, Brokers, Leadership Development, Life Insurance, Cold Calling
Education
Nova Southeastern University 2011 — 2013
Master of Business Administration (M.B.A.), Entrepreneurship/Entrepreneurial Studies
Florida International University 2002 — 2006
Bachelor of Business Administration (B.B.A.), Human Resources Management
Miami Springs Senior High 1998 — 2002
Highschool Diploma
Milliman December 2013 - Present
Coventry Health Care November 2010 - November 2013
Aon Hewitt May 2007 - November 2010
Skills
Actuarial Science, Data Analysis, SAS, Health Insurance, Pension Funds, ProVal
Education
Georgia State University 2004 — 2008
Bachelor of Business Administration (B.B.A.), Actuarial Science
FAC
Alliance for Aging, Inc. November 2014 - July 2015
Coventry Health Care October 2013 - November 2014
Alliance for Aging, Inc. May 2011 - October 2013
Batchelor Children's Research Institute January 2012 - August 2012
Mailman Center for Child Development January 2012 - August 2012
Gymboree Play & Music December 2010 - November 2011
Jumpstart January 2010 - July 2010
Skills
Microsoft Office, Case Management, Elder Care, Child Development, Social Services, Medicare, HIV prevention, Program Development, Healthcare, CIRTS, FLMMIS, Medicaid Managed Care, Family Services, Group Therapy, Medicaid, Long-term Care, Transitional Care, Program Administration
Education
Florida International University 2010 — 2012
Master of Social Work (MSW)
Florida State University 2006 — 2010
Bachelor of Science (B.S.), Family and Child Sciences
Aetna January 2014 - Present
Coventry Health Care January 2008 - Present
Dade Christian School July 2000 - December 2007
Miami Lakes Periodontal Associates May 1987 - August 2000
Skills
Life Insurance, Insurance, Health Insurance, Sales Management, Employee Benefits, Disability Insurance, Dental Insurance, Dental Marketing, Human Resources for..., HMO, ppo, Health Savings Accounts, Life & Health Insurance..., Marketing Management, Account Management, Wellness, CRM, Managerial Skills, Brokers
Education
Florida Career College-Miami 1984 — 1985
Bachelor in Science, Business Administration
Florida Career College-Miami 1983 — 1985
Associate of Science (A.S.), Accounting and Business/Management
NC Department of Revenue October 2014 - Present
Coventry Health Care November 2009 - September 2014
IKEA December 2008 - November 2009
Convergys November 2005 - August 2008
Skills
Insurance, Health Insurance, Claim, Commercial Insurance, Property & Casualty..., Medicare, General Insurance, Adjudication, Foreign Currency..., TPA, Foreign Currency..., Customer Service, Accounting, Confidentiality, Security Clearance, Sales, Training
Education
Gardner-Webb University 2012 — 2014
Master of Science (M.S.), Accounting, 3.0
UNCC 2005 — 2009
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
DentaQuest November 2012 - Present
Coventry Health Care November 2010 - November 2012
Coventry Health Care, an Aetna Company January 2009 - November 2010
Humana November 2007 - December 2008
Humana October 2004 - November 2007
UnitedHealth Group December 2001 - October 2004
Skills
Network Development, Provider Relations, PPO, HMO, Medicaid, Medicare, Managed Care, Health Insurance, Credentialing, HIPAA, Healthcare Industry, Health Policy, Insurance, Claim, Healthcare
Education
Florida International University
International Relations and Affairs; Economics
Indiana University Bloomington
Bachelor's Degree, Economics
Aetna January 2013 - Present
Coventry Health Care March 2012 - January 2013
Coventry Health Care January 2012 - March 2012
Georgia Institute of Technology August 2009 - December 2011
The Port Authority of NY & NJ June 2011 - August 2011
Hartsfield-Jackson Atlanta International Airport May 2010 - August 2010
StandUp For Kids June 2009 - August 2009
Education
Georgia Institute of Technology 2007 — 2011
Bachelor of Science, Discrete Mathematics
Georgia Institute of Technology 2007 — 2011
Certificate, Finance
Aetna November 2013 - Present
Coventry Health Care November 2010 - November 2013
Coventry Health Care March 2010 - November 2010
Sutter Health December 2007 - July 2009
Wells Fargo Bank September 1997 - August 2006
Skills
Data Center, Disaster Recovery, Requirements Analysis, Project Management, Cross-functional Team..., Testing, Citrix, Strategic Planning, Management, SDLC, Visio, PMP, Process Improvement, Project Portfolio..., PMO, Analysis, Vendor Management, Information Technology, Integration
Education
Ferris State University 1985 — 1987
Bachelor of Science (B.S.), Criminal Justice
Coventry Health Care May 2012 - Present
La Clinique Medical Center 2009 - February 2012
Skills
HIPAA, Healthcare Information..., Medicare, Provider Relations, Credentialing, Customer Service, Managed Care, Medicaid, Healthcare, Healthcare Management, Hospitals, EMR, Team Building, Healthcare Consulting, Physicians, Leadership, Medical Billing, Healthcare Industry
Education
Florida State University
Biology, General
Molina Healthcare September 2014 - Present
Coventry Health Care October 2012 - September 2014
Innovative care inc September 2010 - September 2012
Innovative Care Inc. September 2010 - September 2012
Skills
Medical Coding, Medical Records, HEDIS, Medical Terminology, Cpr Certified, Telephone Skills, Bilingual, Computer Proficiency, Microsoft Office, Answering Phones, Front Office, Reliability, Dedication to work, Determination, Flexibility, Data Entry, Databases, Microsoft Excel, Navigators, Healthcare, Appointment Scheduling, Medical Billing, Medicine, HIPAA, Healthcare Management, Medicare, Hospitals, Customer Service, CPR Certified, Healthcare Information..., Managed Care, Leadership
Education
Florida International University - College of Business 2014 — 2015
Master of Business Administration (MBA), Health/Health Care Administration/Management
Florida International University 2010 — 2011
Bachelor of Arts (BA), Psychology
Florida Atlantic University 2008 — 2009
Associates, Pre-Nursing Studies
Soulful Scents by Iris August 2013 - Present
Coventry Health Care January 2011 - Present
Amerigroup Corporation February 2004 - January 2011
Skills
Customer Service, Retail, Sales, Recruiting, Time Management, Microsoft Office, Coaching, Team Building, Microsoft Excel, Microsoft Word, Team Leadership, Inventory Management, Marketing, Employee Relations, Outlook, Leadership, PowerPoint, Customer Satisfaction, Public Speaking, Strategic Planning
Education
University of Tampa - John H. Sykes College of Business 2005 — 2008
Bachelor of Science (B.S.), Business, Management, Marketing, and Related Support Services
Florida A&M University 1986 — 1987
Under Study
Coventry Health Care May 1995 - Present
Chase Bank May 1984 - May 1995
Skills
Insurance, Claims Resolution, Network Development, Process Improvement, PPO, Healthcare, Medicare, SDLC, Team Building, Access, Provider Relations, Vendor Management, HMO, Health Insurance, Medicare Part D, HIPAA, Managed Care, Workers Compensation, Underwriting, Utilization Management, Visio, Software Documentation, Employee Benefits, Customer Service, SharePoint, Medicaid, Call Center, Business Analysis, Claim, Accident, Brokers, Business Process..., Claims Handling, Credentialing, Disability Insurance, Healthcare Industry, Integration, Long-term Care, Quality Assurance, Requirements Analysis, COBRA, CPT, Claim Investigation, Claims Management, Data Analysis, Health Savings Accounts, ICD-9, Leadership
Education
Grand Canyon University
Bachelor of Science (B.S.), Business Administration
paradise high school
HealthSmart May 2015 - Present
Delta Dental of Kansas September 2013 - May 2015
Surency Life and Health Insurance Company October 2012 - September 2013
Surency Life and Health Insurance Company October 2010 - October 2012
EBMS July 2007 - December 2008
Coventry Health Care 2004 - 2007
Skills
Employee Benefits, Insurance, Health Insurance, Strategic Planning, Leadership, Benefits Administration, Management, Team Building, Process Improvement, Account Management, Training, Sales, Health Savings Accounts, Vendor Management, Managed Care, Performance Management, Healthcare, Product Management, Strategy, FSA, New Business Development, Claim, Cross-functional Team..., Project Management, Organizational..., Coaching, Brokers, Call Centers, Strategic Partnerships, Leadership Development, Fundraising, Operations Management, Business Process..., Compliance, Health, Budgeting, Product Development, ERISA, Mergers, Change Management, Health Care Reform, Business Planning, Business Strategy, FSA, HRA, HSA and..., COBRA, Brand Development, Non-profit Leadership, Marketing Strategy
Education
Gonzaga University - School of Business Administration 2009 — 2012
Master of Arts (M.A.), Masters of Organizational Leadership, 3.97
Young Professionals of Wichita Leadership Academy 2013 — 2013
2013 Graduate
University of Mary 2000 — 2004
BS, Business Administration
Medical Clinics of Houston 2015 - Present
The University of Texas Health Science Center at Houston (UTHealth) 2013 - March 2015
St. Luke's Episcopal Health System 2005 - 2010
Coventry Health Care 2003 - 2005
MD Anderson Cancer Center 2000 - 2002
Skills
Microsoft Office, Medical Devices, Operational Excellence, Organizational..., Team Building, Communication Skills, Critical Thinking, Crisis Management, Conflict Resolution, Public Speaking, Microsoft Word, PowerPoint, Customer Service, Research, Microsoft Excel, Cpr Certified, Hospitals, Nursing Education, BLS, CPR Certified, Healthcare, Healthcare Management, IV, Medicine, Nursing, Patient Education, Patient Safety, Physicians, Critical Care
Education
Western Governors University 2015 — 2017
Bachelor of Science Nursing - MSN, Registered Nursing/Registered Nurse
Fordham University 1996 — 2001
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Lee College
RN - Honors; Valedictorian, Registered Nursing/Registered Nurse
Coventry Health Care May 2013 - Present
Newport Senior Link January 2013 - June 2013
Mederi Home Health Agency March 2010 - April 2013
Share the Care, Inc July 2007 - September 2009
Share the Care, Inc November 2000 - June 2006
Signature Home Health September 1996 - September 2000
1st United Methodist, Winter Park May 1989 - August 1996
Orlando Regional Medical Center June 1986 - May 1989
Skills
Social Services, Elder Care, Medical Social Work, Home Care, Caregiving, Program Development, Gerontology, Adolescents, Case Managment, Crisis Intervention
Education
Florida State University 1984 — 1986
Master's degree, Social Work
Florida Southern College 1980 — 1984
Bachelor's degree, Sociology & Communications
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2015 - Present
TIRR Memorial Hermann September 2014 - May 2015
Memorial Hermann Healthcare System April 2012 - September 2014
Memorial Hermann Healthcare System July 2011 - April 2012
Bravo Health September 2009 - March 2011
Coventry Health Care January 2009 - May 2009
RehabCare August 2007 - November 2008
Centene Corporation October 2006 - June 2007
Centene Corporation July 2004 - October 2006
Apria Healthcare August 2002 - July 2004
Skills
Patient Centered..., Accountable Care..., PQRS, Clincial Integration, Accountable Care, Managed Care, Human Resources, Medicaid, Medical Coding, Medical Billing, Medical Home, Medicare, Network Development, PPO, Physician Relations, Physicians, Insurance, Hospitals, Healthcare, Health Insurance, HMO, HIPAA, EMR, EHR, Customer Service, Credentialing, Claim, Analysis, Healthcare Consulting, Healthcare Industry, Training, Visio, Leadership, Policy, Utilization Management
Education
Webster University 2001 — 2006
BA Communications
Fontbonne University 2000 — 2001
Milliman May 2014 - Present
Havertys Furniture February 2014 - May 2014
All 10, Inc. September 2013 - May 2014
Coventry Health Care May 2012 - December 2012
Georgia State University August 2010 - May 2011
Skills
Microsoft Excel, Mathematics, Mathematical Modeling, Health Insurance, Healthcare, Statistics, Statistical Modeling, VBA, SQL, R, HTML, Access, Microsoft Word, Microsoft Office, PowerPoint, Data Analysis, Employee Benefits, Analysis, Management, Insurance
Education
Georgia State University 2009 — 2013
Bachelor of Business Administration (BBA), Actuarial Science
Centene Corporation May 2013 - Present
Coventry Health Care May 2004 - May 2013
Skills
Provider Relations, PPO, Healthcare, Public Speaking, Microsoft Excel, Claim, Long-term Care, Medicare, Health Policy, Utilization Management, Disability Insurance, Underwriting, Visio, Microsoft Office, Benefits Administration, Access, Software Documentation, Insurance, Employee Benefits, Workers Compensation, Case Managment, Claim Investigation, Medical Billing, Medical Coding, Medicaid Managed Care, Medical Records, Healthcare Information..., IDX, Telephone Skills, ICD-9, CPT, Call Center Development
Education
Fontbonne University 2011 — 2013
Master of Business Administration (M.B.A.)
Saint Louis University 2010 — 2011
BA, Liberal Arts and Sciences/Liberal Studies
Aetna February 2014 - Present
Coventry Health Care January 2011 - November 2013
Amerigroup Corporation March 2004 - January 2011
USF Physicians Group August 1998 - March 2004
Skills
Health Insurance, Insurance, Medicare, Managed Care, Claim, Medicaid, Disability Insurance, HIPAA, Customer Service, Outlook, Microsoft Excel, Healthcare, PPO, HMO, Healthcare Industry, Hospitals, Microsoft Office, Provider Relations
Education
University of Tampa 2005 — 2008
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
Hillsborough Community College 2001 — 2004
Associate of Arts (AA), Business Administration and Management, General
Florida Agricultural and Mechanical University 1985 — 1987
Liberal Arts, School of Business
Express Scripts April 2011 - Present
Coventry Health Care 2006 - 2011
Skills
SDLC, Requirements Analysis, Software Project..., Requirements Gathering, Process Improvement, SharePoint, Business Analysis, Visio, Project Management, Vendor Management, PMP, Enterprise Architecture, PMO, Project Portfolio..., Agile Methodologies, IT Strategy, IT Management, Integration, Resource Management
Education
Fontbonne University
Organizational Studies
BFG Communications March 2015 - Present
AUC Robert W. Woodruff Library February 2011 - February 2015
Georgia Campaign for Adolescent Power and Potential June 2009 - December 2013
KC Public Relations November 2008 - July 2009
KC Public Relations August 2008 - November 2008
PQC International November 2007 - February 2008
Public Broadcasting Atlanta October 2005 - October 2007
Coventry Health Care October 2002 - October 2005
The Seattle Times June 2000 - June 2000
Skills
Press Releases, Blogging, PowerPoint, Sales Letters, Media Relations, Copywriting, Newsletters, Proposal Writing, Public Relations, Brochures, Writing, Social Media, Marketing Communications, Corporate Communications, Social Media Marketing, Community Relations, Word, Microsoft Office, Internal Communications, Customer Relations, Excel, Strategic Communications, Advertising, Promotions, Research, Facebook, Marketing Strategy, Editing, Integrated Marketing, Crisis Communications, Non-profits, Online Marketing, Photoshop, Outlook, InDesign, Proofreading, Creative Writing, SEO, Social Networking, Publicity, Customer Service, Event Planning, Microsoft Word, Marketing, Microsoft Excel, Nonprofits, Community Development, Web Content, Digital Marketing, New Media
Education
Lasell College 2013 — 2014
Master's Degree, Public Relations, Advertising, and Applied Communication
Georgia State University - J. Mack Robinson College of Business 2000 — 2007
Bachelor of Business Administration, Marketing
Lincoln High School
Berkeley Research Group LLC November 2012 - Present
Coventry Health Care June 2012 - November 2012
Universal Health Care, Inc. November 2001 - June 2012
Skills
Medicare, Medicaid, Health Insurance, Healthcare Consulting, Managed Care, HIPAA, Health Policy, Insurance, EHR, Network Development, Disease Management, Healthcare Management, Physician Relations, Medicare Part D, Visio, Invoicing, Practice Management, Hospitals, Healthcare Industry, HMO, Revenue Cycle, Healthcare, Process Improvement, Healthcare Information..., PPO, Claim, Employee Benefits, Long-term Care, Call Centers, Provider Relations, Data Analysis, Software Documentation, Physicians, EMR, Utilization Management, Medical Billing, Access, Credentialing, Claims Management, Performance Improvement, Healthcare Reimbursement, Medical Compliance, Healthcare Analytics, Revenue Cycle Management, Informatics, Medicaid Managed Care, ICD-10, Analysis, Business Process..., Health Care Reform
Education
University of South Florida 2006 — 2008
Bachelor's degree, Accounting
Florida Metropolitan University 2002 — 2004
MBA
Moscow Pedagogical State University 1996 — 2000
BA, Economics
Humana September 2012 - Present
Coventry Health Care March 2012 - September 2012
Everest College October 2011 - March 2012
Wee Watch Child Care June 2000 - October 2011
ManpowerGroup January 1999 - June 2000
Skills
Admissions, Student Financial Aid, Customer Service, Sales Management, Budgets, Outlook, Microsoft Office, Contract Negotiation, Leadership, Leadership Development, Public Speaking, Account Management, Sales, Team Building
Education
Fort Hays State University 2010 — 2016
Bachelor of General Studies, Business Management
Kansas Wesleyan University
USX Federal Credit Union December 2014 - Present
A Second Chance, Inc. May 2013 - December 2014
Coventry Health Care September 2007 - May 2013
HCR Manor Care October 2005 - September 2007
PNC 1997 - 2002
Braddock Medical Center 1977 - 1992
Skills
Employee Relations, Compensation, Benefit Administration, Employee Benefits, Workers Compensation, Background Checks, Job Descriptions, Labor Relations, Benefits, Policy, FMLA, Payroll, Affirmative Action, OFCCP, Compliance, HRIS, Performance Management, Hiring, Full-cycle Recruiting, Insurance, Onboarding, Mentoring, Orientation, Coaching, Employment Law, Technical Recruiting, Conflict Resolution, Customer Service, Benefits Administration, Research, EEO, Interviewing, Microsoft Office, Salary, Job Fairs, Performance Appraisal, Sourcing, Succession Planning, Organizational..., Screening, Resume Writing, Employee Engagement, Policy Analysis, Health, Talent Acquisition, Legal Compliance, Staff Development, Call Center, Negotiation, Talent Management
Education
Geneva College 2003 — 2005
BA, Human Resources
Geneva College 2003 — 2005
Bachelor’s Degree, Human Resources, 3.68 GPA
Point Park College
Curant Health April 2008 - Present
Coventry Health Care September 2003 - April 2008
Coventry Health Care February 2001 - November 2004
Skills
Medicaid, Medicare, Pharmacy, Pharmacy Automation, Medicine, Invoicing, Employee Benefits, Accounts Receivable, Physicians, Human Resources, Insurance, Medical Compliance, Claim, Pharmacueticals, Team Building, Customer Service, Management, Outlook, Microsoft Word, Microsoft Excel, Budgets, Employee Relations, New Business Development, Microsoft Office, Project Management, Managed Care, Healthcare, Process Improvement, Training, Vendor Management, HIPAA, Leadership, Access, Pharmacy Benefit...
Education
Franklin University 2009 — 2011
Bachelors, Business Forensics
University of Phoenix 2004 — 2008
Bachelors, Business Administration
ASO Corporation, Sarasota, Florida 2013 - 2013
Douglas, Knight & Associates, Inc March 2012 - July 2012
Leedom Group Auto Maxx October 2011 - January 2012
Coventry Health Care April 2008 - July 2009
TESco Associates, Inc. 2004 - 2006
Skills
Invoicing, Microsoft Excel, Accounting, Management, Access, Claim
Education
Fitchburg State College 1987 — 1992
BS, Communications/Media/Television Production, 3.0
Freedom Health January 2013 - Present
Health Management Associates, Inc. November 2011 - December 2014
Coventry Health Care May 2010 - June 2011
Skills
Medical/Surgical, Nursing, Inpatient, Acute Care, HIPAA, Hospitals, Medical-Surgical, Utilization Management
Education
Liberty University 2010 — 2011
BSN, Nursing
Galen School of Nursing-Tampa Bay 2008 — 2009
RN ADN, Registered Nursing/Registered Nurse
Lennar November 2013 - Present
Selgas CPU January 2008 - Present
Coventry Health Care June 2013 - November 2013
Cigna June 2013 - June 2013
MasTec February 2012 - June 2012
AT&T Tech Support April 2011 - December 2011
Florida International University February 2007 - March 2011
University of Miami August 2005 - March 2006
Skills
Computer Security, Computer Forensics, Computer Repair, Network Security, Servers, Routers, Printers, Active Directory, Computer Hardware, Windows 7, Security, Windows, Network Administration, System Administration, Firewalls, VPN, Windows Server, Troubleshooting, XP, Microsoft Exchange, Operating Systems, VMware, TCP/IP, Remote Desktop, SharePoint, Networking, Technical Support, Hardware
Education
Florida International University 2007 — 2011
Master's Degree, Management Information Systems
Florida International University 2007 — 2011
Bachelor's Degree, Criminal Justice
Florida International University 2007 — 2009
Bachelors, Information Technology
University of Miami 2005 — 2007
Bachelors, Mechanical Engineering
ISO Claims Partners (formerly Crowe Paradis) October 2013 - Present
Coventry Health Care July 2000 - October 2013
The SSI Group, Inc. February 1999 - July 2000
Education
Florida State University 1991 — 1996
Bachelors, Social Science
Coventry Health Care December 2012 - Present
Lenzner Tour and Travel January 2008 - December 2012
ARDEX Americas June 2010 - August 2010
Skills
Recruiting, Customer Service, Sales, New Business Development, Contract Negotiation, Operations Management, Employee Relations, Leadership, Team Building, Training, Strategic Planning, Performance Management, Social Media, Time Management
Education
Geneva College 2010 — 2012
Bachelors, Human Resource
Butler County Community College 2008 — 2010
Associates, Human Resource
Centers for Medicare & Medicaid Services February 2014 - Present
Centers for Medicare & Medicaid Services’ Center for Consumer Information and Insurance Oversight February 2012 - February 2014
Self-Pay Healthcare LLC March 2011 - February 2012
Healthways August 2010 - February 2012
Coventry Health Care September 2007 - February 2010
Advanced Medical Expense Solutions LLC March 2006 - September 2007
UnitedHealthcare March 2003 - March 2006
Skills
Leadership, Program Management, Management, Healthcare, Strategic Planning, Strategy, Analysis, Medicare, Process Improvement, Training, Employee Benefits, Health Insurance, Health Policy, Insurance, Executive Management
Education
The Johns Hopkins University 2006 — 2010
MA, Government
Georgia State University - J. Mack Robinson College of Business 1999 — 2002
MBA
William & Mary 1993 — 1997
BA, History
Marist 1987 — 1993
High School Graduate
Coventry Health Care May 2012 - Present
Coventry Health Care October 2011 - May 2012
National Elevator Supply May 2007 - August 2009
Education
Georgia State University 2008 — 2012
Bachelor of Business Administration (BBA), Actuarial Science
Evolent Health November 2013 - Present
UnitedHealth Group September 2012 - November 2013
Coventry Health Care October 2011 - August 2012
Aveta July 2009 - October 2011
Wellcare July 2007 - June 2009
Pan-American Life Insurance July 2006 - July 2007
Louisiana State University August 2003 - July 2005
Alvin Ailey American Dance Theater May 2002 - June 2003
Carnegie Hall 2002 - 2003
Garth Fagan Dance 2001 - 2002
Skills
Medicare, Medicaid, Insurance, Medicare Part D, Actuarial Science, Pricing, Forecasting, Life Insurance, Data Analysis, Managed Care, Claim, Health Insurance, Financial Modeling, Employee Benefits, Access, Valuation
Education
Southern University and Agricultural and Mechanical College at Baton Rouge 2004 — 2005
MS
Florida State University 1999 — 2001
MFA
Louisiana State University 1994 — 1999
BS
Aetna December 2013 - Present
Coventry Health Care May 2013 - December 2013
Florida Department of Financial Services December 2011 - May 2013
Florida State University August 2008 - May 2010
Skills
Data Reporting, Microsoft Excel, Access, Data Analysis, Financial Modeling, Insurance, Data Management, Financial Analysis, Actuarial Science, Statistics, Microsoft Office, Teamwork, Microsoft Word, PowerPoint, Analysis, Risk Management, Economics, Visual Basic, Data Warehousing, Health Insurance..., VBA, Database Queries, Data Validation, Rate Validation, SAS Programming
Education
Florida State University 2007 — 2011
Bachelors of Science, Finance, Actuarial Science
Delone Catholic High School 2003 — 2007
High school diploma
Banfield Pet Hospital March 2014 - Present
Living Faith Community Church July 2013 - Present
Coventry Health Care July 2013 - March 2014
GSI Commerce August 2011 - February 2013
West Telemarketing August 2003 - May 2008
Skills
Pro Tools, Music Production, Music, Audio Engineering, Logic Pro, Social Networking, Audio Editing, OS X, Mac, Video Editing, Audio Post Production, Final Cut Pro, Sound Editing, Sound Design, Photoshop, Music Industry, Music Theory, Live Sound, Sound Mixing, Audacity, Audio Mixing, Social Media
Education
Full Sail University 2014 — 2017
Bachelor's degree, Music Production
Full Sail University 2010 — 2013
Associate's degree, Recording Arts Technology/Technician
Westwood College of Technology 2001 — 2003
Associate's degree, Westwood College of Technology
Coventry Health Care August 1990 - Present
Skills
Microsoft Office, Windows 7, Visio, Health Insurance, Workers Compensation, Insurance, Account Management, Healthcare, Process Improvement, Team Building, Strategic Planning, Sales, Sales Management, Provider Relations, Medicare, PPO, HIPAA, Customer Service, Pharmacy Benefit...
Education
Argosy University Tampa 2005 — 2010
MBA, Healthcare Organizational Mgmt
Florida Metropolitan University 1995 — 1998
Associates, Business
Anthem, Inc. July 2015 - Present
Anthem, Inc. December 2013 - July 2015
Anthem, Inc. September 2012 - December 2013
Anthem, Inc. March 2011 - September 2012
Coventry Health Care July 2008 - August 2011
E*TRADE Financial July 2007 - July 2008
UGL Equis April 2006 - July 2007
UGL Equis May 2005 - April 2006
Skills
Visio, MS Project, XP, Mac, Outlook, Journal Entries, Accounting, General Ledger, Financial Accounting, Account Reconciliation, Health Insurance, Budgets, Management, Finance, Access, Microsoft Excel, Microsoft Office, Process Improvement
Education
Georgia State University - J. Mack Robinson College of Business 2011 — 2012
Masters, Accouting, 3.36
University of Maryland University College 2006 — 2010
Bachelors, Marketing, 3.55
Aetna November 2011 - September 2013
Paychex Insurance Agency, Inc. October 2009 - November 2011
Coventry Health Care June 2008 - June 2009
Kaiser Permanente October 2006 - June 2008
WellPoint Blue Cross Blue Shield March 1997 - October 2004
CIGNA Healthcare March 1994 - October 1995
Travelers August 1988 - March 1994
Skills
Salesforce.com, Employee Benefits, Health Insurance, WebEx, Microsoft Office, Sales, Insurance, Brokers, Disability Insurance, Health Savings Accounts, Commercial Insurance, Life Insurance, Benefits Administration, Sales Management, Sales Presentations, Time Management, Health Care Reform, Accident, General Insurance, Critical Illness, Property, Term Life Insurance, Claim, Underwriting, Workers Compensation, Cold Calling, COBRA, Managed Care, 401k, Sales Process, Customer Retention, Group Insurance, Medicare, Account Management, Interviews, Property & Casualty..., Selling, Building Relationships
Education
George Mason University 1983 — 1987
Bachelor of Science
WellCare December 2005 - Present
Coventry Health Care March 1997 - November 2005
Education
Aliquippa
Gannon University
MS, Health Administration
Penn State University
BS, Psychology
EDS Group 2006 - 2007
Coventry Health Care 2005 - 2006
State of Florida 2000 - 2004
Skills
Business Analysis, Data Analysis, Business Development, Investigation, Creative Writing, Technical Writing, Proposal Writing, Microsoft Office, Microsoft Publisher, ADP Payroll, Windows 7, Windows 2000, Windows XP Pro, SQL, Access, Crystal Reports, Claritas Demographics..., ICD-9, Microsoft Office 2003, Microsoft Office 2007, Adobe Creative Suite, PowerPoint, Courts, Management, Visio, Project Management, Public Speaking, Leadership, Customer Service, Microsoft Excel, Strategic Planning, Outlook, Microsoft Word
Education
Florida State University
Master in Public Administration (MPA), Project Management, Leadership and Strategic Management., 3.67
Florida State University
Bachelor of Science (B.S.), Sociology and English, 3.48
Utopia Homecare December 2012 - Present
Bayshore Point Nursing Home December 2011 - December 2012
Coventry Health Care June 2010 - August 2011
Coventry Health Care June 2008 - June 2010
Skills
Healthcare, Medical Terminology, Medical Billing, Home Care, Microsoft Word, CPT, Patient Safety, Rehabilitation, HIPAA, Vital Signs, Hospitals
Education
Florida State University 1996 — 1998
B.S., REHABILITATION SERVICES
Aetna June 2013 - Present
Coventry Health Care December 2007 - June 2013
United Health Group March 2003 - February 2007
Pan American Hospital December 1990 - February 2003
Skills
Medicare, Medicaid, Managed Care, Health Insurance, Insurance, Financial Analysis, Financial Reporting, CPA, GAAP, Strategic Financial..., Healthcare, Forecasting, Financial Modeling, Accounting, Long-term Care, Finance, Process Improvement, Executive Management, Financial Planning, Healthcare Industry, Strategic Planning
Education
Florida State University 1982 — 1985
BS, Accounting
CHEC December 2009 - Present
PMSCO Healthcare Consulting 2001 - Present
Pennsylvania Medical Society March 2011 - Present
Pennsylvania Academy of Family Practice March 2014 - Present
Pennsylvania eHealth Partnership Authority January 2013 - Present
PaEHI December 2013 - Present
GEMT, Inc. 2005 - Present
PACT - Physician Engagement Assessment March 2015 - Present
PaEHI August 2011 - December 2013
Coventry Health Care May 2010 - March 2011
Skills
Healthcare IT, Negotiation, Workflow, Disease Management, Customer Service, Physician Relations, Hospitals, EHR, Policy, HMO, Physicians, Medicine, Project Management, Health Information..., Managed Care, Clinical Research, Quality Improvement, Healthcare Management, Healthcare, Process Improvement, Management, Public Speaking, Healthcare Information..., EMR, Medicare, Medicaid, Informatics, Medical Education, Leadership, Public Health, Healthcare Consulting, Utilization Management, Accreditation, Board Certified, Credentialing, HIPAA, Health Policy, Healthcare Industry, Internal Medicine, Patient Safety, Practice Management, Revenue Cycle, Surgery, Pediatrics, Diabetes, Critical Care, Emergency Medicine, Provider Relations, Family Medicine, Health Insurance
Education
State University of New York at Buffalo - School of Medicine & Biomedical Sciences 1976 — 1980
MD, Medicine
Fordham University 1972 — 1976
BS, Psychology
CerTek Software Designs, Inc. August 2012 - Present
Coventry Health Care May 2011 - August 2012
Nielsen Media Research March 1989 - December 2010
Skills
JCL, Sybase, PL/1, COBOL, Java, XML, Mainframe, JavaScript, HTML, Unix Shell Scripting, CVS, Web Development, JDBC, CSS, XHTML, DHTML, PHP, MVS, VSAM, Fortran, Visio, Software Project..., Relational Databases, SDLC, Database Design, Software Development, Unix, Oracle, Systems Analysis, Shell Scripting
Education
University of Florida 1977 — 1980
Bachelor's degree, Computer and Information Sciences
Florida State University 1976 — 1977
A.A., pre-pharmacy
Koch Ag & Energy Solutions, LLC January 2015 - Present
Koch Industries July 2011 - January 2015
Grene Vision Group December 2001 - March 2011
Coventry Health Care 2011 - 2011
CCH August 2000 - December 2001
Skills
Windows Server, System Administration
Education
Wichita State University 2015 — 2017
Master of Business Administration (M.B.A.), Business Analytics and Information Management
Friends University 2011 — 2014
Bachelor’s Degree, Accounting
SunTrust July 2015 - Present
Federal Home Loan Bank of Atlanta August 2013 - June 2015
Coventry Health Care January 2013 - June 2013
Georgia State University August 2012 - May 2013
Federal Home Loan Bank of Atlanta June 2012 - August 2012
PwC July 2007 - July 2011
KPMG October 2006 - November 2006
Skills
Financial Risk, Risk Management, Microsoft Excel, Financial Analysis, Access, SAS, Auditing, R, Financial Modeling, Corporate Finance, Actuarial Science, Valuation, Enterprise Risk..., Life Contingencies, Insurance Mathematics, Valuation of Financial..., Financial Accounting, Business Modeling, Internal Controls, Excel, R programming, CPA, ASA candidate, Insurance, Risk, Actuarial, Accounting, Financial Reporting, VBA, PowerPoint, Pensions, Internal Audit, Business Analysis, IAS 19, Employee Benefits, HR Consulting, Pension Funds, predictive risk modeling, SNL, Stata, Econometrics, Medicare Advantage, Medicare, Lender placed insurance, Bloomberg Terminal, stressed testing, Forecasting, balance sheet strategy
Education
Georgia State University - J. Mack Robinson College of Business 2011 — 2012
Master of Science, Actuarial Science, 3.84
Mahawithayalai Thammasat 2003 — 2007
Bachelor of Arts, Business Administration, Accounting and Finance, 3.88/4.00
The University of Texas at Austin 2006 — 2006
Bachelor's Degree of Business Administration (Exchange Student), Accounting and Finance, 3.75/4.00
Lockton Companies April 2015 - Present
Willis of Wisconsin June 2006 - April 2015
Coventry Health Care August 2004 - May 2006
UPMC Health Plan May 2003 - August 2004
Skills
Brokers, Data Analysis, Employee Benefits, Health Insurance, Insurance, Risk Management, Reinsurance, Underwriting, Health Care Reform
Education
Gannon University
Bachelor of Business Administration (B.B.A.), Risk Management Insurance
Penn State University
Santa Rita High School Tucson Unified School District January 2014 - Present
Tucson December 2013 - January 2014
Vail Unified School District May 2012 - October 2013
Southern Arizona Association for the Visually Impaired June 2013 - July 2013
TYD June 2012 - August 2012
Coventry Health Care May 2002 - May 2009
McKesson 1997 - 2001
Private Healthcare Systems 1994 - 1997
Skills
Curriculum Design, Curriculum Development, Classroom, Educational Technology, Lesson Planning, Classroom Management, Differentiated..., K-12, Teaching, Management, Leadership, Market Analysis, Operations Management, Negotiation, Creative Problem Solving, Process Improvement, Budgets, Strategic Planning, Strategy, Instructional Design, Public Speaking, E-Learning, Nonprofits, Grant Writing, Blended Learning, Critical Thinking
Education
University of Arizona 2011 — 2012
Masters Degree, Education
University of Arizona 2009 — 2012
Master of Education (MEd), Conservation Biology
George Mason University 1986 — 1992
Bachelor of Arts (BA), Philosophy
New Century Health February 2013 - Present
MCNA Dental: Managed Care of North America August 2012 - February 2013
Coventry Health Care October 2011 - August 2012
Coventry Health Care June 2008 - October 2011
Skills
Network Development, Provider Relations, Medicare, Health Insurance, Medicaid, Credentialing, Healthcare Industry, Managed Care, Insurance, Claim, Workers Compensation, Contract Negotiation, Hands-on Training, Technical Training, Customer Support, Product Support, Meeting Scheduling, Audio Conferencing, Conference Coordination, HMO, Client Presentation, Written & Oral..., Virtual Assistance, Virtual Training, Public Speaking, HIPAA
Education
Florida International University 2005 — 2010
BS, Criminal Justice
Coventry Health Care 2000 - Present
Skills
Certified Disability..., Workers Compensation, Managed Care, Multilingual, French, Creole, Spanish..., Nursing, Medical/Surgical, BLS, Hospitals, Medicare, Disease Management, Healthcare
Education
Phoenix University 2011 — 2012
Masters of Science in Nursing and Health Care Education
Florida Atlantic University 2005 — 2007
Bachelor of Science, Nursing
Coventry Health Care September 2012 - Present
Buck Consultants June 2005 - September 2012
Education
Georgia State University - J. Mack Robinson College of Business 2001 — 2005
Actuarial Science
Wells Fargo November 2013 - Present
Coventry Health Care April 2012 - November 2013
Accenture October 2005 - March 2012
Skills
Software Project..., SQL, Defining Requirements, Requirements Gathering, Business Process..., Process Flow, Project Estimation, Tax Systems, Business Analysis
Education
George Mason University 2002 — 2004
Bachelor's degree, Decision Sciences and Management Information Systems
Coventry Health Care September 2008 - Present
Skills
Outlook, Teaching, Public Speaking, Budgets, Medical Coding, Medical Transcription, Accounting, Administrative..., health care, HIPAA, Health Information..., Financial Reporting, Employee Training, Communication, Claims Resolution, Healthcare, Inpatient, Data Entry, Hospitals
Education
University of Phoenix 2013 — 2015
Associate’s Degree, Health/Health Care Administration/Management
Georgia Perimeter College
Omnitech Institute
Certificate of Completion, Medical Billing and Coding
ForeFront, Inc. ☁ September 2015 - Present
AscentERP July 2014 - September 2015
FIU Online February 2014 - July 2014
The Elephant Group - Qology & Techzilla Tech Support February 2013 - February 2014
Coventry Health Care February 2009 - February 2013
Colonial Life May 2006 - January 2009
World Financial Group (WFG) May 2004 - May 2006
Protech Retail Solutions January 2002 - May 2004
Levitz Furniture August 1988 - December 2001
Skills
Health Insurance, Benefits Communication, Software Development, Software Project..., Software Engineering, Release Management, Software Configuration..., Spanish, Team Leadership, Retail Systems, Retail Solutions, ERP, Relational Databases, Salesforce.com, Salesforce.com..., Business Analysis, Process Improvement, Business Process, Recruiting, Retail, Insurance, Life Insurance, Employee Benefits, Account Management, Management, Health Savings Accounts, Sales, Long-term Care, Customer Service, CRM, Leadership, Licensed Life & Health..., Disability Insurance, Term Life Insurance, Customer Retention
Education
Florida Atlantic University 1985 — 1988
BA in Business Administraton, Finance
ReFresh Start Human Resources ManagerM&G DuraVentDecember 2014 - August 2015
Sutter Health May 2013 - May 2014
Yocha Dehe Wintun Nation March 2012 - March 2013
Yocha Dehe Wintun Nation August 2011 - March 2012
Coventry Health Care January 2011 - August 2011
Coventry Health Care November 2009 - July 2011
Airgas April 1995 - January 2009
Sacramento Area Human Resources Association January 2001 - December 2001
Skills
Organizational..., Union Avoidance, Union, Contract Negotiation, Employee Relations, HRIS, Employee Benefits, Onboarding, Workforce Planning, Succession Planning, Performance Management, Benefits Administration, Talent Management, Labor Relations, Applicant Tracking..., FMLA, Legal Compliance, Talent Acquisition, Recruiting, Interviews, HR Policies, Human Resources, Temporary Placement, Hiring, Training, Employment Law, HR Consulting, Leadership, Organizational..., Personnel Management, Employee Engagement, Technical Recruiting, Job Descriptions, New Hire Orientations, Conflict Resolution, Taleo, Career Development, PeopleSoft, Employee Training, Internet Recruiting, Management, Compensation & Benefit, Payroll, SPHR, Policy, Employee Handbooks, Job Analysis
Education
Golden Gate University 1998 — 2007
MS, Human Resources
University of Maryland College Park 1978 — 1986
BS, Management Studies
Aetna 2013 - Present
Coventry Health Care 2010 - 2013
Project Management Institute 2009 - 2011
AAA NCNU 2010 - 2010
American Express 2010 - 2010
Apollo Group 2009 - 2009
DHL 2007 - 2009
DHL 2005 - 2007
MSS Technologies 2002 - 2005
Project IntuITions, Inc. 2000 - 2002
Skills
Software Development..., PMP, PMO, Project Portfolio..., SDLC, Program Management, Vendor Management, Process Improvement, Software Project..., Business Analysis, Project Management, Business Process..., Change Management, IT Strategy, Business Process, Requirements Analysis, Resource Management, Integration, MS Project, Business Intelligence, ERP, Data Center, Management, Cross-functional Team..., Requirements Gathering, SharePoint, Business Transformation, Project Planning, Business Requirements, IT Management, Leadership, Quality Assurance, Testing, Visio
Education
Western International University
Bachelors, Computer Information Systems
Gateway Community College
A.A.S., Computer Application Programming
Ciber April 2015 - Present
Ciber May 2013 - Present
Coventry Health Care September 2012 - April 2013
Coventry Health Care August 2011 - September 2012
Melmark March 2011 - July 2011
Wegman's Food Markets May 2009 - July 2011
Weis Markets July 2003 - July 2006
Skills
Employee Relations, Recruiting, Organizational Design, Process Improvement, Project Management, Benefits Administration, Diversity and Inclusion, Onboarding, Payroll Analysis, Professional Writing, Team Leadership, Organizational Culture, Environmental Awareness, Organizational Wellness, Building Business..., Talent Management, Human Resources, Personnel Management, Management, Talent Acquisition, HRIS, Interviews, Applicant Tracking..., Employee Benefits, Performance Management
Education
West Chester University of Pennsylvania 2009 — 2011
M.A., Industrial/Organizational Psychology
Florida State University
B.S, Psychology
CEI America Inc./Anthem Healthcare August 2014 - November 2014
Virginia Premier Health Plan, Inc./VCU Health System December 2013 - July 2014
Independent IT and Services Consultant/Professional September 2013 - December 2013
Alere Inc., Toxicology Services September 2012 - August 2013
Bostwick Laboratories April 2008 - August 2012
accenture February 2007 - February 2008
ACS, Inc., a Xerox Company 2005 - 2006
Coventry Health Care December 2003 - November 2005
Sprint Nextel 1999 - 2003
MCI/Worldcom May 1993 - April 1999
Skills
Business Analysis, Enterprise Architecture, Integration, Project Management, Business Process Design, Windows Server, Change Management, Project Delivery, Process Engineering, SDLC, BPMN, UML, SIPOC, RUP Methodologies, Agile & Waterfall..., Data Modeling, Data Analysis, Database Design, TOGAF, Zachman, DoDAF, Software Documentation, Technical Documentation, Document Management, Requirements Analysis, Requirements Gathering, Business Process..., Requirements Management, Business Requirements, Functional Requirements, Systems Analysis, System Testing, Software Requirements, System Requirements, Software Quality..., User Acceptance Testing, Test Cases, Test Planning, Test Management, Regression Testing, Performance Testing, Usability Testing, Requirements..., IBM Rational Tools, Telecommunications, Certified Project..., Enterprise IT Strategy, Analysis, XML, Gap Analysis
Education
The George Washington University
Masters Certificate in Project Management, George Washington Certified Project Manager, GWCPM, Project Management, Passed
Friends University
Master's degree, Management Information Systems
Friends University
Bachelor of Science, Computer Information Systems
PNC May 2012 - Present
PNC April 2011 - May 2012
PNC Financial Services Group October 2009 - April 2011
Coventry Health Care March 2007 - September 2009
PNC January 2004 - March 2007
PNC January 1999 - January 2004
US Steel May 1996 - January 1999
Skills
JCL, Java, COBOL, Business Analysis, Visio, Oracle SQL, PMP, Team Building, Leadership, SDLC, Agile Methodologies, Data Analysis, Healthcare Information..., Information Systems, Project Management, Oracle, SQL, DB2, Requirements Gathering, Risk Management
Education
Robert Morris University 1999 — 2004
MBA, Info Systems Management
Geneva College 1994 — 1998
BS, Computer Science
Humana, Inc. June 2014 - Present
Humana, Inc. March 2011 - June 2014
Coventry Health Care February 2007 - March 2011
Education
George Mason University 1983 — 1986
Bachelor's of Science, Nursing
University of Virginia Health System September 2014 - Present
Molina Healthcare February 2014 - August 2014
Select Health of South Carolina July 2012 - January 2014
MedManagement LLC March 2012 - June 2012
Coventry Health Care April 2010 - October 2011
WellPoint Anthem Blue Cross and Blue Shield March 2007 - April 2010
Skills
Nursing, Surgery, Utilization Management, Clinical Documentation, Managed Care, Ambulatory, Healthcare, Utilization Review, Clinical Care, Hospitals, Acute Care, BLS, Documentation, Health Insurance, Medicaid, Documentations, Customer Service, Healthcare Management
Education
Grand Canyon University 2015 — 2016
RN to BSN, Registered Nursing/Registered Nurse, A
Samford University, Ida V. Moffett School of Nursing 1992 — 1995
Associate Degree, Nursing
University of Alabama at Birmingham 1989 — 1990
None, Business
Jefferson State Junior College 1975 — 1976
None, Business
Piedmont Virginia Community College 1974 — 1975
None, Business
Albemarle High School 1971 — 1974
General Diploma, NA
The Southern Region October 2012 - Present
Coventry Health Care June 2010 - September 2011
City of Hialeah March 2008 - June 2010
Skills
Project Management, Health Insurance, Insurance, Life Insurance, Accident Insurance, Sales, Marketing, Term Life Insurance, Commercial Insurance, Customer Retention, Team Leadership, Benefits Administration, Training, Long-term Care, Sales Presentations, Leadership, Medicare Part D, Microsoft Excel, Accident, Sales Management, Healthcare, Account Management, Disability Insurance, Property & Casualty..., Customer Service, Medicaid, Group Insurance, Cold Calling, Managed Care, Voluntary Employee..., Underwriting, Strategic Planning, Brokers, General Insurance, Insurance Brokerage, Medicare, Group Medical, New Business Development, Critical Illness, Salesforce.com, Health Savings Accounts, Risk Management, Claim, Workers Compensation, Employee Benefits, Team Building, Small Business, Fixed Annuities, Whole Life, Dentistry
Education
Florida International University 2014 — 2016
Business Administration
Florida International University 2010 — 2014
Business, Management, Marketing, and Related Support Services
Coventry Health Care September 2013 - Present
American Eldercare July 2013 - September 2013
Family Resource Center of South Florida August 2011 - July 2013
Metro Traffic School 2007 - 2012
Skills
Social Services, Mental Health, Mental Health Counseling, Program Development, Case Managment, Community Service, Advocacy, Case Management Services, Social Skills, School Social Work, Crisis Intervention, Group Therapy, Psychotherapy, Adolescents, CBT, Behavioral Health, Psychology, Child Welfare, Foster Care, Healthcare, Medicaid, Elder Care, Adoption, Public Speaking, Therapists, Family Therapy, Case Management
Education
Florida International University 2013 — 2015
Master's degree, Social Work
Florida International University 2009 — 2012
Bachelor's degree, Social Work
Miami Dade College
Associate of Arts (A.A.), Social Work
PetSmart April 2015 - Present
Providence Service Corporation September 2013 - April 2015
Freeport - McMoRan Copper & Gold Inc. August 2010 - September 2013
Coventry Health Care August 2009 - August 2010
Network Appliance (NetApp) November 2007 - August 2009
Computer Sciences Corporation (CSC) November 2005 - 2007
Computer Sciences Corporation (Motorola Account) August 2003 - November 2005
Motorola, Inc February 2000 - August 2003
Skills
IT Management, Data Center, Project Management, High Performance Teams, Strategic Planning, IT Operations, Process Improvement, Outsourcing, IT Strategy, Program Management, Disaster Recovery, ITIL, Telecommunications, Change Management, Integration, System Administration, Cloud Computing, Business Process, Leadership, Virtualization, Management, Information Technology, Infrastructure, Vendor Management, Six Sigma, Quality Assurance, System Deployment, Project Portfolio..., Strategy, PMP, IT Service Management, Business Intelligence, PMO, Enterprise Architecture, Business Process..., Team Building, SDLC, Security, SharePoint, ERP
Education
University of Phoenix 1991 — 1993
MBA, Business Adminstration
University of Phoenix
BSBA, Business Administration
Glendale Community College
Mesa Community College
Aon Hewitt January 2015 - Present
Coventry Health Care October 2012 - December 2014
Coventry Health Care August 2007 - October 2012
Warner Robins Air Logistics Center (U.S. Air Force) February 2003 - August 2007
Skills
Actuarial Science, Insurance, Commercial Insurance, Health Insurance
Education
Georgia Institute of Technology 1998 — 2002
Aetna May 2013 - Present
Coventry Health Care May 2013 - May 2013
A. Muir Computer Consulting May 2009 - May 2010
Hewlett-Packard Company May 2001 - May 2009
EDS, an HP Company 2001 - May 2009
A. Muir Computer Consulting January 1998 - May 2001
MDS Laboratories March 1990 - December 1997
SAS Institute June 1987 - March 1990
Skills
DCL, DEC Alpha, VAX/VMS, DECnet, VMS, OpenVMS Ambassador, OpenVMS, MUMPS, Systems Analysis, Integration, Clustering, Disaster Recovery, System Administration, Troubleshooting, HTML, Cluster, Data Center, HP, High Availability, Operating Systems, ITIL, Unix, Servers, Programming, TCP/IP, Active Directory, IT Management, IT Service Management, Security, Storage, System Deployment, IT Operations, SAN, Hardware, Systems Management, Visio, DNS, Enterprise Architecture, Server Architecture, Solution Architecture, SharePoint, Business Continuity, Service Delivery, Storage Area Networks, Databases, Outsourcing
Education
Georgian College 1985 — 1986
Computer Programmer, Computer Programming
Altegra Health April 2013 - Present
Altegra Health April 2012 - April 2013
Altegra Health February 2011 - April 2012
Social Service Coordinators February 2010 - February 2011
Coventry Health Care January 2007 - February 2010
Magellan Health Services May 1997 - January 2007
Skills
Business Analysis, Process Improvement, Project Management, Data Analysis, Healthcare, Management, Strategic Planning, Healthcare Information..., Analysis, Program Management, Vendor Management, Leadership, Cross-functional Team..., Databases
Education
Gettysburg College 1992 — 1996
BA, Management, Computer Science
DSC Health Care Services July 2013 - Present
Health Partners September 2008 - June 2013
Coventry Health Care May 2006 - August 2008
Executive Health Resources June 2004 - May 2006
Skills
Disease Management, Case Management, Counseling, Policy, Quality Assurance, Legal Research, Medicaid, Managed Care, Medicare, Credentialing, Healthcare Management, Healthcare, Medical Management, Clinical, Hospitals, Health, Health Insurance, Compliance, Quality Management, Board Certified, Program Development, Pediatrics, Healthcare Consulting, Patient Safety, Wellness, Strategic Planning, Research, Emergency Medicine, Utilization Management, HIPAA, Public Health, Nursing, EMR, Teaching, Documentation, Clinical Research, Team Building, Acute Care, Contract Negotiation, Case Managment, Health Policy, HMO, Management, Quality Improvement, Software Documentation, Physicians, Provider Relations, Psychotherapy, Physician Relations, Pharmacy
Education
University of North Carolina School of Law 1998 — 2001
J.D., Law
Philadelphia College of Osteopathic Medicine 1981 — 1985
D.O., Medicine
Gannon University 1976 — 1980
Bachelor's Degree, Biology / Chemistry
Esurance 2011 - Present
Esurance August 2011 - September 2012
Gould & Lamb, LLC August 2010 - January 2011
Direct General Insurance September 2009 - September 2010
Coventry Health Care February 2008 - April 2010
AIG April 2006 - October 2007
AIG June 2004 - April 2006
AIG June 2003 - June 2004
AIG August 1999 - June 2003
Winsor Group/Infinity 1998 - 2000
Skills
Claim, Insurance, Claims Management
Education
Florida State University
Tallahassee Community College
AA
SBA Communications 2014 - Present
Sheridan Healthcorp January 2013 - Present
Alpha Staff March 2011 - Present
Coventry Health Care February 2005 - November 2010
Holy Cross Hospital 2000 - 2005
Skills
SDLC, Process Improvement, Microsoft SQL Server, SQL, SSIS, SSRS, SharePoint, Visio, Business Analysis, Data Analysis, ETL, HIPAA, Health Insurance, Healthcare, Insurance, Managed Care, Medicare, Analysis, Access
Education
Florida Atlantic University 1992 — 1996
Willis April 2007 - Present
Willis Group 2007 - Present
Coventry Health Care December 2001 - April 2007
Strategic Technologies 1999 - December 2001
Reynolds & Reynolds 1994 - 1999
Cincinnati Bell Information Systems 1992 - 1994
bell atlantic 1989 - 1992
Skills
Database Design, Oracle, Management, Enterprise Software, Data Integration, Data Warehousing, SDLC, Project Management, Program Management, Business Intelligence, SSIS, Change Management, ETL, IT Strategy, Visio
Education
Saint Joseph's University 1988 — 1992
M.B.A., Informations Systems
Frostburg State University 1982 — 1985
B.S., Computer Science
Bishop Walsh High School 1978 — 1982
Coventry Health Care June 2008 - March 2010
Vista Healthplan September 2006 - May 2008
Vista Healthplan November 2002 - September 2006
PROMPERÚ June 2000 - August 2000
Skills
Insurance, Customer Service, Microsoft Office, Risk Management, Process Improvement, Strategic Planning, Change Management, Business Analysis, Team Building, Modern Standard Arabic, Chinese, Brazilian Portuguese, Spanish-speaking
Education
Florida International University 2010 — 2012
Bachelor of Arts, Asian Studies; East Asian Culture
Zhejiang University
East Asian Languages, Literatures, and Linguistics
Nova Southeastern University 1998 — 2000
Master, International Business Administration
Universidad de Montevideo
International Business
University of Florida 1994 — 1998
Bachelor of Arts, Portuguese
University of Florida 1994 — 1998
Bachelor of Arts, Political Science; International Relations
Instituto Brasil Estados Unidos
Portuguese Language and Literature
Pharmacy Healthcare Solutions/AmerisourceBergen 2007 - Present
Sullivan Consulting Group 2002 - 2004
Coventry Health Care 2000 - 2002
Skills
Healthcare Management, Healthcare Information..., Healthcare Consulting, Pharmacy, Hospitals, Informatics, EHR, Managed Care, Management, Strategic Planning, Pharmaceutical Industry, Healthcare, Healthcare Industry, Clinical Research, Process Improvement
Education
Georgia State University - J. Mack Robinson College of Business 2000 — 2003
MBA, MHA
University of Colorado Denver 1998 — 1999
University of Alabama in Huntsville 1996 — 1998
BS, Biology
University of Colorado Boulder 1994 — 1996
Biology
Humana July 2014 - Present
C.S. Tatem & Associates August 2013 - July 2014
Sweat Equity Promo, LLC August 2012 - August 2013
Tatem Marketing, LLC February 2003 - December 2012
Breckenridge Financial Supplies 1999 - 2003
Preferred Consumer Marketing, Inc. 1997 - 1999
Quantam Management/ Coventry Healthcare 1996 - 1997
Coventry Health Care 1994 - 1996
AT&T 1990 - 1994
Skills
Public Speaking, Product Development, Social Media, Small Business, Social Networking, Entrepreneurship, Social Media Marketing, Strategic Planning, Business Development, Business Strategy, Web Design, Start-ups, Coaching, Budgets, Leadership, Management, Online Advertising, Direct Sales, Sales Management
Education
Florida Community College at Jacksonville 1990 — 1993
Associate of Arts (AA), Business Administration and Management, General
Coventry Health Care June 2012 - Present
Travelers Insurance April 2006 - June 2012
GUARD Insurance Group August 2001 - April 2006
Liberty Mutual Insurance 1999 - 2001
Skills
Workers Compensation, Claims Management, Insurance, Claim, Medicare, Healthcare, Managed Care, Health Insurance, Case Management, Workers' Compensation..., Subrogation
Education
Goodwin College 2010 — 2012
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
New York Institute of Technology 2006 — 2008
MBA, Health Care Management
Northeastern University 1995 — 1999
Bachelor of Arts (B.A.), Criminalistics and Criminal Science
Aetna March 2004 - Present
Coventry Health Care March 2004 - June 2007
MBNA October 2002 - March 2003
MBNA November 1992 - October 2002
Skills
Process Improvement, Vendor Management, Team Management, Outsourcing, Business Process..., Project Management, Management, Business Analysis, Six Sigma, Insurance, Microsoft Office, Strategic Planning, Customer Service, Business Planning, Call Centers, Healthcare, Claim, Health Insurance, Marketing, Leadership, Program Management
Education
Goldey-Beacom College 1999 — 2003
University of Delaware
Coventry Health Care July 2011 - Present
Preferred Health Systems July 1999 - June 2011
Skills
Insurance, Claim, Healthcare, Employee Benefits, Software Documentation, Private Investigations, Fraud Detection, Process Improvement, Managed Care, Analysis, Customer Service, Microsoft Office, Strategic Planning, Utilization Management, Medicaid, Fraud, Medicare, Risk Management, Health Care Fraud, Healthcare Management, Provider Relations, HIPAA, HMO, ICD-9, Health Care Compliance, Medical Compliance, Medicaid Managed Care, PPO, Claims Resolution, Health Policy, Claims Management, Healthcare Industry
Education
Friends University 2009 — 2011
Master's degree, Health Care Administration, Magna Cum Laude
University of Nebraska-Lincoln 1996 — 1997
Bachlor of Science, Speech-Language Pathology/Pathologist
Kansas State University 1993 — 1996
Speech-Language Pathology/Pathologist
Coventry Health Care October 2011 - Present
Coventry Health Care September 2008 - October 2011
CIGNA Healthcare September 2006 - August 2008
Kaiser Permanente May 2006 - August 2006
Affiliated Computer Services July 2003 - June 2004
Capital Health Plan March 2003 - July 2003
Skills
Provider Relations, Provider Contracting, Managed Care, Medicare, Medicare Advantage, Network Development, PPO, Workers Compensation, Healthcare Management, Contract Negotiation
Education
Florida Agricultural and Mechanical University 2002 — 2004
Masters of Science, Health Services Administration
Florida Agricultural and Mechanical University 1998 — 2002
Bachelor of Science, Health Care Management
UnitedHealth Group February 2013 - Present
Kaiser Permanente October 2011 - June 2012
Coventry Health Care April 2007 - October 2011
iHealth Technologies January 2002 - March 2007
Mag Mutual Healthcare Solutions, Inc. May 2000 - June 2001
McKessonHBOC 1998 - 2000
Skills
Medical Billing, Medical Coding, HIPAA, ICD-9, Healthcare, Hospitals, Data Analysis, Access, EMR, Healthcare Information..., Medicare, Managed Care, Medicaid, Medical Records, Management, Process Improvement, Medical Terminology, Employee Benefits, Training, Insurance, Claim, Analysis, Software Documentation, PPO, Troubleshooting
Education
Georgia State University
Independent Agent/ Vipe Consulting June 2012 - Present
Coventry Health Care 2009 - 2012
IBM 2005 - 2006
HJ Russell 2001 - 2002
Kaiser Permanente 1999 - 2001
UnitedHealthcare 1990 - 1999
Skills
Health Insurance, Insurance, Managed Care, Healthcare, Sales, Medicare, Medicaid, Account Management, Process Improvement, Strategic Planning, Leadership, Team Building, Health Policy, Employee Benefits, Management, Marketing, Claim, Long-term Care, Life Insurance, Disability Insurance, Health Savings Accounts, Brokers, HIPAA, Term Life Insurance, Property & Casualty..., Commercial Insurance, Universal Life, Fixed Annuities, Underwriting
Education
Florida State University
MBA, Business, Management, Marketing, and Related Support Services
Woodland
Coventry Health Care 2012 - Present
HCA West Florida 2010 - Present
Education
Florida Agricultural and Mechanical University 2002 — 2008
Coventry Health Care April 2010 - Present
Coventry Healthcare Services August 2002 - March 2010
Coventry Health Care August 2002 - March 2010
Gallagher Bassett August 2000 - August 2002
Liberty Mutual Insurance September 1997 - August 1999
Liberty Mutual Insurance July 1991 - August 1997
Skills
Claims Management, Workers Compensation, Claim, Managed Care, Insurance, Commercial Insurance, Liability, Property & Casualty..., Medicare, Benefits Administration, Call Center, Healthcare, Legal Liability, Call Centers, Health Savings Accounts, Claim Investigation, Disability Insurance, Brokers, Casualty, Employee Benefits, Life Insurance, Training, Team Building, Workers' Compensation..., Health Insurance, Dentistry, Sales, Term Life Insurance, Underwriting, Claims Handling, Professional Liability, Claims Resolution
Education
University of Redlands 2000 — 2001
MA, Management
Grambling State University 1990 — 1991
BS, Economics
Optum Health Services (Canada) Ltd. May 2014 - Present
United Health Group January 2011 - May 2014
United Health Group April 2009 - January 2011
UnitedHealth Group 2007 - 2009
Person-Blueprint Technologies 2006 - 2007
UnitedHealth Group 2004 - 2006
UnitedHealth Group 2002 - 2004
Coventry Health Care 2000 - 2002
Skills
Leadership, Process Improvement, Management, Healthcare, Project Management, Six Sigma, Account Management, Business Strategy, Medicare, New Business Development, Provider Relations, HIPAA
Education
Florida International University 1997 — 1999
MHA, Health Services Administration
Florida Atlantic University 1991 — 1994
BHS, Health Science
Coventry Health Care October 2004 - Present
Education
Florida Agricultural and Mechanical University 1990 — 2004
BS, Accounting
Cass
Independent HR Contractor- Retail June 2015 - Present
Gardner Benefits Management, LLC 2012 - Present
Unified Physician Management January 2014 - May 2015
Ardor Health Solutions September 2012 - December 2013
Independent Contractor April 2012 - August 2012
Independent July 2011 - March 2012
Robert Half International January 2011 - July 2011
Coventry Health Care November 2008 - 2010
The GEO Group Inc March 2006 - July 2008
Spherion- ADT Tyco December 2005 - March 2006
Skills
Employee Relations, Applicant Tracking..., Human Resources, Benefits Administration, Employee Benefits, Interviews, Onboarding, Job Descriptions, HRIS, Screening, Recruiting, FMLA, New Hire Orientations, Training, Sourcing, Hiring, Staff Retention, Succession Planning, Personnel Management, Temporary Placement, Workers Compensation, Compliance, Performance Management, Corporate Relocation, COBRA, Policy Writing, SDLC, Employment Law, Talent Acquisition, HR Consulting, Performance Appraisal, College Recruiting, Talent Management, Full-cycle Recruiting, COBRA Administration, Customer Service, Internet Recruiting, Job Fairs, Policy, Leadership, Collective Bargaining, Union Agreements, Management, HR Policies
Education
St. Thomas University 1996 — 2000
MS, General Management, HR
Florida International University 1991 — 1994
Bachelors of Science, Journalism and Communication
FEI Systems December 2014 - Present
PwC February 2010 - November 2014
Coventry Health Care July 2007 - January 2010
Sharp HealthCare June 2005 - July 2007
Sybase October 1999 - June 2005
Skills
EDI, Healthcare Consulting, HIPAA, Healthcare Information..., ICD-10, Health Care Reform, Project Management, Data Analytics, Testing, Revenue Cycle, Java, SQL, Trizetto
Education
George Mason University 2003 — 2005
Master's Degree, Information Systems
James Madison University 1993 — 1997
Bachelor's Degree, Political Science and Government/Communications
Coventry Health Care (An Aetna Company) 2013 - Present
Coventry Health Care 2003 - Present
Dickinson College 1995 - 2003
Skills
Succession Planning, Employee Relations, Employee Benefits, Strategic Planning, Performance Management, Leadership Development, Change Management, Budgeting, Policy, Coaching, Healthcare, Conflict Resolution, Compensation, Talent Management, Mentoring, Team Building, Organizational..., Talent Acquisition, Employee Engagement, HRIS, Benefits Administration, Workforce Planning, Mergers, Compliance, Employment Law, Team Leadership
Education
Gettysburg College 1987 — 1991
BA, Human Resource Management
Penn State University
Master's in Public Administration, Certificate in Human Resources
Aetna June 2013 - Present
Coventry Health Care July 2009 - June 2013
EDS, an HP Company October 2005 - July 2009
EHP October 2000 - October 2005
Skills
Business Intelligence, Data Warehousing, Process Improvement, Business Analysis, SQL, SDLC, Software Development, Visio, Requirements Analysis, HIPAA
Education
Georgia State University 1997 — 1999
Did Not Complete, Interrelated Special Education
William Jennings Bryan College 1988 — 1993
BA, English/Seconary Education
Aetna July 2011 - Present
Coventry Health Care June 2001 - March 2007
Skills
Data Warehousing, ETL, Business Intelligence
Education
Geneva College 2000 — 2002
B.S.B.A. with concentration in IS
Nemours October 2005 - Present
Coventry Health Care November 1998 - August 2005
High Performance Services June 1997 - November 1998
Skills
Customer Service, Microsoft Office, Microsoft Excel, Process Improvement, Hospitals, Team Building, Strategic Planning, Healthcare Information..., Epic Systems, Public Speaking, Medical Terminology, Social Media, EHR, PowerPoint, Healthcare, Training, Outlook, Leadership
Education
Florida Community College at Jacksonville 1981 — 1983
Coventry Health Care Senior AuditorErnst & YoungJanuary 1995 - March 1997
Education
Florida Agricultural and Mechanical University 1990 — 1994
BS, Accounting
Cass Technical High School 1986 — 1989
Business Administration
Aetna January 2014 - Present
Coventry Health Care May 2002 - December 2013
Wichita Clinic January 2000 - January 2002
HEALTH-E-QUIP March 2000 - October 2000
Skills
Health Insurance, Insurance, Management, Analysis, Software Documentation, HIPAA, Managed Care, Healthcare, PPO, Project Management, Employee Benefits, Leadership, Policy, Claim, Medicare, Medicaid, Health Care Reform, HMO, Provider Relations
Education
Wichita State University 2000 — 2002
Masters, Public Health
Fort Hays State University 1995 — 1999
BS, Biology
Fort Hays State University 1995 — 1999
Bachelor of Science, Biology, General
Aetna May 2013 - Present
Coventry Health Care July 2006 - May 2013
Coventry Health Care January 2000 - July 2006
Coventry Health Care June 1998 - December 1999
Heritage Valley Heatlh May 1996 - May 1998
East Liverpool City Hospital October 1992 - May 1996
Skills
SDLC, Vendor Management, Process Improvement, IT Strategy, Business Analysis, Business Intelligence, HIPAA, SharePoint, Visio, Data Warehousing, Healthcare Information..., Enterprise Architecture, Program Management, PMP, Disaster Recovery, Project Management, PMO, IT Management, Integration, Change Management, Project Portfolio..., Requirements Gathering
Education
Geneva College
Master of Science (MS), Organizational Leadership
Geneva College
Bachelor of Science (BSc), Computer Science
Aetna June 2014 - Present
Aetna, Inc December 2009 - Present
Aetna, Inc. June 2009 - December 2009
Self Employed February 2009 - June 2009
Aetna 2008 - 2008
Schaller Anderson 2004 - 2008
Coventry Health Care 1997 - 2004
Education
Wilmington University 2001 — 2002
Masters, Business Administration
Goldey-Beacom College 1990 — 1992
Bachelors, Accounting
Widener University 1989 — 1991
Associates, Accounting
MMIS, Inc. May 2014 - Present
Ascension Health January 2013 - May 2014
SUPERVALU February 2012 - January 2013
Coventry Health Care April 2010 - January 2012
UnitedHealth Group September 2006 - 2010
UnitedHealth Group September 2002 - September 2006
Idea Integration June 2000 - September 2002
Customer Access, Inc November 1995 - June 2000
Union Switch & Signal January 1993 - January 1995
Westinghouse Electric Company January 1991 - January 1993
Skills
Enterprise Architecture, J2EE Architecture, SOA Architecture, SOA, Application Architecture, Java Enterprise Edition, Weblogic, Web Services, Integration, Java, SDLC, XML, Data Warehousing, Software Development, Requirements Analysis, Business Intelligence, Software Project..., Oracle, Spring, Unix, Microsoft SQL Server, Databases, Enterprise Software, Agile Methodologies, IT Strategy, Scrum
Education
Geneva College 1985 — 1989
BS CS, Computer Science
Technical Resources International, Inc. December 2004 - Present
Coventry Health Care February 1998 - July 2004
Skills
Human Resources, Personnel Management, Leadership, HRIS, Employee Relations, Employee Engagement, Succession Planning, Coaching, Executive Coaching, Employment Law, Benefits Administration, Development Of Employees, Employee Training, Onboarding
Education
Florida State University 1984 — 1988
Bachelors of Science, Accounting and Finance
Florida State University - College of Business 1984 — 1988
Bachelors, Finance
General Dynamics Information Technology October 2014 - Present
General Dynamics Information Technology August 2013 - Present
Central Iowa Chapter IIBA March 2013 - December 2014
Principal Financial Group August 2012 - August 2013
Buccaneer Computer Systems and Services, Inc. July 2009 - August 2012
Iowa Foundation for Medical Care January 2007 - July 2009
Central Iowa Chapter IIBA 2008 - 2009
Coventry Health Care October 2000 - December 2006
GuideOne Insurance September 1998 - October 2000
Skills
Access, SDLC, Data Warehousing, Technical Support, Networking, Business Requirements, Visio, Leadership, CMMI, Databases, Requirements Gathering, Management, SharePoint, Requirements Analysis, Software Documentation, Business Analysis
Education
Graceland University 2001 — 2003
B.A., Information Technology
American Institute of Business 1993 — 1995
Associates of Business, Microcomputer Specialist/Office Management
WellCare Health Plans May 2014 - Present
HealthPlan Services February 2013 - May 2014
Universal Health Care June 2012 - February 2013
HealthPlan Services October 2010 - June 2012
Coventry Health Care May 2010 - October 2010
Amerigroup Corporation January 2007 - June 2010
UnitedHealth Group July 2004 - December 2007
Skills
Medicaid, HIPAA, Healthcare Industry, Organizational..., Health Insurance, Management, Insurance, Employee Relations, Call Center, HMO, Healthcare, Healthcare Information..., Coaching, Process Improvement, Medicare Part D, Visio, Performance Management, Training, Team Building, SharePoint, Leadership Development, Healthcare Management, Claims Resolution, Customer Service, Call Centers, Employee Benefits, Managed Care, Leadership, Claim, Analysis, Medicare, Access, Claims Management, Provider Relations, Quality Assurance, Project Management, Software Documentation, Health Policy, Credentialing, Benefits Administration, Long-term Care
Education
Florida State University
Coventry Health Care April 2006 - Present
YouthTrack July 2003 - August 2005
Bannum Place of Tallahassee June 2000 - December 2003
Education
Florida Agricultural and Mechanical University 1995 — 2000
B.S, Psychology
John I. Leonard
MOSANCA USA CORP August 2011 - Present
Coventry Health Care April 2010 - August 2011
Skills
Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Customer Service, Research, Public Speaking, Healthcare, Teamwork, Social Media, Photoshop, Leadership, Project Planning, Data Entry, Budgets
Education
Florida International University 2003 — 2009
HEALTH INFORMATION MANAGEMENT, Health/Health Care Administration/Management
Coventry Health Care October 1996 - Present
Skills
MCO Executive with..., Leadership, Marketing and Product..., Medicare Advantage, Complex Negotiation and..., MCO Operations and..., Strategic Planning, ACO & PCMH Development, Payor - Provider..., Network Development, Managed Care, HMO, PPO, Healthcare Industry, Health Care Reform, Regulatory Compliance, Policy, Medicare, Provider Relations, Hospitals, Healthcare, Credentialing, Process Improvement, Healthcare Consulting, Medicaid, Health Insurance, Utilization Management, Health Policy, Medicare Part D, Disease Management, Pharmacy Benefit..., Healthcare Management, HIPAA, Physicians, Employee Benefits, Insurance, Revenue Cycle, Healthcare Information..., Claim, Executive Management, Physician Relations, Health Savings Accounts, Workers Compensation, Quality Improvement, Medical Billing, Long-term Care, Revenue Cycle Management, Home Care, Claims Management, Informatics
Education
Fontbonne University 1995 — 1997
M.B.A
Missouri State University 1986 — 1991
BS, Human Resource Management
URS Corporation, An AECOM Company November 2012 - Present
Coventry Health Care October 2006 - November 2012
Lincoln Financial Advisors 2003 - 2006
Skills
Accounting, Financial Reporting, Financial Analysis, Sarbanes-Oxley Act, Internal Controls, Accounts Payable, Strategic Financial..., Access, Internal Audit, Process Improvement, Corporate Tax, Tax Returns, Account Reconciliation, Auditing
Education
Frostburg State University 1997 — 2002
Bachelor of Science, Business Administration with a concentration in Marketing
Thomas Memorial Hospital June 2012 - Present
Coventry Health Care October 2010 - July 2011
Coventry Health Care June 2006 - July 2011
Osceola Regional Medical Center September 1988 - June 2006
Skills
Healthcare, Utilization Management, Utilization Review, Disease Management, Certified Case Manager, Medicare, Managed Care, Medicaid, HEDIS, Medical Case Management, Provider Relations, Healthcare Management, NCQA, Case Managment, Hospitals, Inpatient
Education
Florida Southern College 2000 — 2004
BSN, Nursing
Prudential Financial July 2013 - Present
Regions Financial Corporation January 2012 - July 2013
Coventry Health Care May 2011 - October 2011
DLV Capital LLC February 2011 - May 2011
Skills
SAS, SQL, VBA, Statistical Modeling, Credit Scoring, Actuarial Science, Matlab, Access, Decision Trees, Optimization, Logistic Regression, Monte Carlo Simulation, High Performance GPU..., Stochastic Calculus, US GAAP and Statutory..., Capital Market Hedging, Risk Neutral Pricing, Variable Annuity, Interest Rate Models
Education
Georgia State University - J. Mack Robinson College of Business 2010 — 2011
M.S., Mathematical Risk Management
University of Central Florida 2008 — 2010
M.S., Computer Engineering
Tongji University 2003 — 2008
B.S., Electrical Engineering and German (Minor)
LexisNexis July 2013 - Present
CIT February 2012 - June 2013
Coventry Health Care May 2011 - October 2011
Georgia State University August 2010 - August 2011
DAVIDCOM June 2007 - September 2007
Skills
VBA, SAS, Access, Matlab, Statistical Modeling, C++, Risk Management, R, Predictive Modeling, SQL, Visual Basic, C, Microsoft Excel, Data Mining, Financial Modeling, Statistics, Actuarial Science, Quantitative Analytics, Quantitative Finance, SAS programming, Monte Carlo Simulation, Data Analysis, Financial Analysis, Excel, Statistical Data..., CHAID, Logistic Regression, Machine Learning, Analytics, Analysis
Education
Georgia Institute of Technology 2015 — 2017
Master's degree, Computer Science
Georgia State University - J. Mack Robinson College of Business 2010 — 2014
Master, Actuarial Science
National Chiao Tung University 2006 — 2008
MASTER of Science, Electrical and Communication Engineering
National Chi Nan University 2002 — 2006
Bachelor of Science (B.S.), Electrical Engineering
Chen-Kung Senior High
Arizona Department of Economic Security August 2010 - May 2014
Coventry Health Care March 2007 - March 2010
Schaller Anderson 2005 - 2007
DHL 2004 - 2004
Sun Microsystems (Critical Path, Peerlogic) 2000 - 2002
Information Network Corporation June 1996 - June 2000
PCS Health Systems 1990 - 1995
Western Savings and Loan 1988 - 1990
Skills
Process Improvement, SQL, Visio, Access, COBOL, Healthcare, Requirements Gathering, SharePoint, Software Documentation
Education
Glendale Community College
Dell August 2014 - Present
T-Systems March 2013 - June 2014
Coventry Health Care July 2010 - March 2013
Pegasus Solutions March 1999 - July 2010
Alternative Resources Corporation March 1997 - February 1999
FormGen Inc September 1994 - June 1996
Mr. Parcel June 1993 - August 1994
United States Air Force August 1988 - January 1993
Skills
Unix, Unix Shell Scripting, Solaris, Netbackup, Disaster Recovery, Data Center, Servers, Troubleshooting, Shell Scripting, Storage, VMware ESX, AIX, Perl, Linux, VMware, NetBackup, IBM AIX
Education
Paradise Valley Community College 2006 — 2008
Computer Networking, PHP Programing
Glendale Community College 1998 — 2005
Computer Science, Physics, Chemistry, and Economics
Phoenix College 1995 — 1998
Math, Chemistry and Physics
DeVry Institute of Technology, Dallas USA 1993 — 1994
Electronics and Computers
Rural Sourcing Inc. June 2015 - Present
Lord & Taylor October 2014 - June 2015
Centene Corporation January 2014 - October 2014
Coventry Health Care May 2013 - November 2013
Brodie International January 2011 - May 2013
Information Systems Software Development Project September 2008 - December 2010
Skills
Java, SQL, JavaScript, HTML, CSS, Linux, Databases, Testing, Visual Basic (Pre .NET), C, C ++, COBOL, Flash, JSP, Hibernate, Apache Ant, C#, Java RMI, Struts, XML, PL/SQL
Education
Georgia Southern University 2004 — 2013
Bachelor of Science (B.S.), Information Technology
Westside High School 2000 — 2004
High School Diploma, College-prep Program
RV Traders March 2014 - Present
Coventry Health Care July 1997 - October 2011
Southwest Airlines January 1995 - July 1997
Bank One June 1985 - July 1995
Skills
Microsoft Office, Business Analysis, Business Process..., Customer Service, Organization, Problem Solving, Quality Assurance, Strategic Planning, User Acceptance Testing, Visual Studio, Windows, Process Improvement, Managed Care, Software Documentation, Systems Analysis, Mainframe, Medicaid, Business Requirements, SharePoint, Health Insurance, Claim, Integration, HIPAA, Data Analysis, Insurance, Requirements Gathering, SDLC, Access, Medicare, Visio, Requirements Analysis, Business Process, Testing, Analytics, Business Intelligence, Databases, PMO, Crystal Reports, Functional..., Data Warehousing, Data Modeling, Analysis, Business Objects, Agile Project Management, ETL, Experienced Business..., Software Project..., Gap Analysis
Education
Mesa Community College 2003 — 2004
N/A, Computer Information Systems
Glendale Community College 1986 — 1987
N/A, Business Administration
Grand Canyon University 1984 — 1985
N/A, Computer Science
Coventry Health Care November 2009 - Present
Coventry Healthcare February 2001 - November 2009
Coventry Healthcare February 2005 - November 2006
First Health October 2003 - February 2005
First Health May 1996 - February 2001
Skills
Managed Care, Health Insurance, Claim, Vendor Management, Team Building, Organization, Business Decision Making, Business Process...
Education
Florida State University - College of Business 1985 — 1989
B.S., Finance
MasterCard December 2013 - March 2014
Coventry Health Care October 2009 - July 2013
Skills
Outlook, Administrative..., Access, Employee Benefits, Visio, Health Insurance, Insurance, Medicare, Data Entry
Education
Fontbonne University 2002 — 2020
Bachelor of Business Administration (BBA)
VGM/Homelink November 2009 - December 2011
Coventry Health Care 1998 - 2009
Education
Golden Gate University
Masters, Business
Incompas Financial November 2013 - Present
Coventry Health Care November 2011 - October 2013
Sunbelt Investment Properties, Inc January 2010 - January 2012
Structured Asset Funding, LLC May 2008 - July 2011
Ocean Benefits, Inc February 2004 - May 2008
Benefitmall, Inc March 1999 - February 2004
Neighborhood Health Partnership, Inc / John Alden Life Insurance Company May 1997 - February 1999
Skills
Insurance, Employee Benefits, Workers Compensation, Customer Service, Selling, Benefits Administration, Long-term Care, Disability Insurance, Financial Planners, Commercial Insurance, Health Insurance, Strategic Planning, Legal Liability, Training, Sales, Marketing, Finance, Term Life Insurance, Underwriting, Health Savings Accounts, Life Insurance, Whole Life, Professional Liability, Brokers, 401k, Business Planning, Claim, Property & Casualty..., Fixed Annuities
Education
Florida State University 1993 — 1995
B.S, Social Science / Economics
Brandon High Shcool, Brandon, Florida
Aetna November 2013 - Present
Coventry Healthcare 2008 - Present
Coventry Health Care March 2008 - October 2013
A division of PNC Bank December 1998 - March 2008
Skills
SDLC, Business Analysis, Visio, PMP, Requirements Gathering, Vendor Management, PMO, Requirements Analysis, Project Management, Software Project..., Process Improvement, Waterfall, SharePoint, Business Requirements, Risk Management, Data Warehousing, MS Project, Mainframe, Program Management, Project Portfolio..., Business Process
Education
Frostburg State University 1991 — 1996
BS, Computer Science, Economics, Math
Global Project Management Office, MasterCard Worldwide - iBridge Solutions January 2011 - Present
Coventry Health Care October 1990 - April 2010
Education
Fontbonne University
CNH August 2014 - Present
Ahold USA September 2013 - August 2014
Coventry Health Care January 2013 - August 2013
Capital Health Plan January 2012 - January 2013
Hendry County Schools October 2010 - December 2011
Skills
Health Insurance, Access, Financial Modeling, Data Analysis, Employee Benefits, Financial Reporting, Microsoft Excel
Education
Florida State University 2005 — 2009
Bachelor of Science, Actuarial Science
Aetna November 2013 - Present
Coventry Health Care April 2012 - Present
Conifer Health Solutions September 2010 - April 2012
Conifer Health Solutions August 2011 - December 2011
North Broward Medical Center May 2010 - August 2010
Minority Development and Empowerment Inc June 2009 - December 2009
Tenet Healthcare May 2007 - December 2008
Skills
Claims Review, Medical Billing, Data Management, Appeals, contract interpretation, Office Administration, Reports, Highly detail oriented, Self-starter, Reliable, Positive Team Player, Goal Oriented, Always Willing to Learn, Learning Quickly, Remittances, Event Planning, Coordinating Events, Meticulous, Fee Schedules, Claims Resolution, Data Analysis, People Skills, Meeting Planning, Administrative..., Proofreading, HIPAA, Public Speaking, Managed Care, Training, Microsoft Excel
Education
Florida Atlantic University 2009 — 2010
MHA, Health/Health Care Administration/Management
Florida Atlantic University 2003 — 2007
Bachelor, Health Administration
TeleTech January 2015 - April 2015
TeleTech November 2014 - January 2015
SCC Soft Computer December 2013 - September 2014
Modis September 2013 - October 2013
Hiregy September 2012 - March 2013
TeleTech August 2011 - October 2012
Coventry Health Care June 2010 - February 2012
Coventry Health Care December 2008 - June 2010
Target June 2008 - May 2009
Coventry Health Care May 2006 - December 2008
Skills
Excel, Customer Service, Microsoft Office, Access, Word, Databases, Data Entry, Microsoft Excel, Microsoft Word, Windows, Windows 7, Windows XP Pro, Windows 2000, Linux, SAP, HTML, Java, JavaScript, CSS, Microsoft SQL Server, SQL, Visual Basic, C++, .NET, Quality Assurance, Call Centers, Management, Training, Team Leadership, Leadership, Visio, Troubleshooting, Software Documentation
Education
University of Tampa 2008 — 2010
Bachelor, Management Information Systems
Frederick Community College 2001 — 2003
Associates in Arts Degree, General Studies
The Howard Hughes Corporation January 2011 - Present
Coventry Health Care November 2005 - November 2010
Clark Construction 2001 - 2005
Education
Georgetown University 1986 — 1990
MS-Tax, Taxation
Limelight Networks March 2006 - Present
Coventry Health Care October 2002 - March 2006
Skills
Service Delivery, Network Architecture, Apache, Data Center, Content Distribution..., DNS, Streaming Media, Linux, TCP/IP, Cloud Computing, Scalability, Load Balancing, High Availability, FreeBSD, Content Delivery, Virtualization, Unix
Education
Gateway Community College
Associates, Networking Technology: Cisco
Coventry Health Care November 2011 - Present
JustAnswer August 2011 - November 2011
Stonewood Restaurant Group, LLC June 2007 - April 2010
Skills
Analysis, Access, SAS
Education
Georgia State University 2009 — 2011
Master of Actuarial Science, Actuarial Science
Georgia State University
Bachelor of Science Degree, Mathematics
Brunet-Garcia Advertising, Inc. March 2015 - Present
Red Fern, LLC March 2014 - November 2014
Coventry Health Care March 2006 - March 2014
Skills
Conflict Resolution, Contract Negotiation, HIPAA, Healthcare, Medicare, Networking, Network Development, Policy, Provider Relations, Recruiting, Physicians, Management, Human Resources, Managed Care, Health Insurance, Healthcare Industry, Medicaid
Education
Florida Atlantic University 2000 — 2002
Bachelor, Health Care Administration
Palm Beach Community College 1999 — 2000
Coventry Health Care December 2008 - Present
Tri-City Medical Center March 2006 - April 2013
Coventry Health Care July 2006 - September 2007
Synergy Healthcare June 2003 - March 2006
AmeriPath December 2001 - June 2003
LabCorp June 1999 - December 2001
Simione Central August 1998 - June 1999
Skills
SDLC, Visio, Requirements Gathering, SQL, Business Analysis, Requirements Analysis, Insurance, Microsoft SQL Server, Software Project..., Healthcare, Process Improvement, Healthcare Information..., Cerner, Software Documentation, HIPAA, COBOL
Education
Florida Atlantic University
Bachelor of Science (B.S.), Computer Science
Miami Dade Community College
Associate of Arts (A.A.), Computer Science
IFS Benefits November 2004 - Present
Coventry Health Care November 2000 - November 2004
Blue Cross Blue Shielf of Delaware March 1996 - November 2000
Skills
Strategic Planning, Employee Benefits, Account Management, Insurance, Health Insurance, Healthcare
Education
Gettysburg College 1986 — 1990
Bachelors of Arts, Business Management and Psychology
Coventry Health Care 2006 - 2010
Northwestern Medical Faculty Foundation 2004 - 2006
Skills
Business Analysis, Data Warehousing, Analysis, Data Analysis, VBA, SDLC
Education
Georgia Institute of Technology 1997 — 2000
Master's Degree, Computer Science
Tsinghua University 1987 — 1992
Bachelor, Engineering Mechanics
Coventry Health Care November 2002 - Present
American Maritime Officers Plans October 1992 - July 2002
Education
Florida Atlantic University 1982 — 1983
Accouting, Accounting
University of South Florida 1977 — 1981
Bachelors Degree, Business Management
Coventry Health Care May 2010 - Present
St Barnabas Health Care February 2008 - November 2009
Education
West Essex High School 1994 — 1997
Franklin Pierce College
Coventry Health Care January 2013 - Present
Coventry Health Care October 2011 - January 2013
Loyola University Medical Center August 2010 - October 2011
Loyola University Medical Center December 2003 - December 2007
Skills
SDLC, Business Analysis, Data Analysis, Requirements Analysis, Business Intelligence, Visio, SQL, Project Management, SharePoint, Analytics, Requirements Gathering, Vendor Management, Databases
Education
Northern Illinois University 2000 — 2003
Master's degree, Management Information Systems, General
Goa University 1992 — 1994
Master's degree, Marketing/Marketing Management, General
WellCare Health Plans June 2014 - Present
United Healthcare October 2011 - May 2013
United HealthCare May 2010 - October 2011
Coventry Health Care April 2009 - May 2010
Amerigroup Corporation May 2006 - March 2009
Amerigroup Corporation August 2004 - May 2006
Amerigroup Corporation May 2000 - August 2004
HealthFirst, Inc. November 1997 - January 2000
Prudential Healthcare April 1995 - November 1997
Skills
Medicare, Managed Care, Medicaid, Network Development, Health Insurance, Provider Relations, Insurance, Health Policy, Healthcare Management, HIPAA, Healthcare, Healthcare Consulting, Revenue Cycle, Healthcare Industry
Education
Georgia State University 1990 — 1993
MBA
Georgia State University 1990 — 1992
MHA, Healthcare Administration
Wake Forest University 1986 — 1990
BA, Economics; Minor in Biology
Cambia Health Solutions October 2013 - Present
Coventry Health Care July 2011 - June 2013
Humana January 1998 - June 2011
Prudential Health Care May 1996 - January 1998
Skills
Insurance, Medicare, Health Insurance, Medicaid, Managed Care, Risk Management, HIPAA, Financial Risk, Employee Benefits, Workers Compensation, Provider Relations, Claim, Claims Management, Brokers, HMO, Process Improvement
Education
Florida International University
Bachelor's degree, Finance, General
Florida State University
Bachelor's degree, Finance