MCNA Dental: Managed Care of North America
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MCNA Dental: Managed Care of North America Employees
Bitovi June 2014 - Present
Kaplan June 2013 - June 2014
MCNA Dental: Managed Care of North America November 2012 - June 2013
Kaplan August 2012 - November 2012
Alfredo Delgado August 2000 - October 2012
eSilo May 2012 - July 2012
TLO March 2012 - May 2012
HealthPlan Services September 2011 - March 2012
eSilo August 2010 - August 2011
Laird Plastics February 2005 - August 2010
Skills
PHP, JavaScript, AJAX, SQL, DB2, PostgreSQL, MySQL, Linux, Apache, Database Design, Data Modeling, Logical Data Modeling, Relational Data Modeling, Web Applications, Web Development, Web Services, donut eating, IBM iSeries, Software Development, HTML, Agile Methodologies, CSS, MVC, REST, Ruby on Rails, HTML 5, Shell Scripting, Zend Framework, LAMP, Design Patterns, User Interface Design, Databases, Moodle, Microsoft Excel, Google App Engine, Vim, Microsoft Office, HTML5
Education
Florida Atlantic University 1996 — 1998
MCNA Dental: Managed Care of North America February 2013 - Present
Skills
Unix, SQL, Databases, Software Documentation, JavaScript, Healthcare, SharePoint, SDLC, Process Improvement, HIPAA, Requirements Gathering, Access, Business Analysis, Visio, Quality Assurance, Troubleshooting
Education
Broward College
PayPal June 2012 - February 2015
MCNA Dental: Managed Care of North America December 2011 - May 2012
Appleseed Software Consulting June 2009 - January 2012
Art and Culture July 2010 - September 2010
Gensym January 2005 - November 2007
Northeastern University April 1996 - June 2003
Pure Software June 1992 - June 1995
Pure Atria 1992 - 1995
Skills
Python, Java, Perl, Ruby, C++, Racket, Common Lisp, Scheme, Ruby on Rails, Google App Engine, JavaScript, jQuery, ActiveRecord, DBIC, Catalyst, HAML, Template Toolkit, PostgreSQL, MySQL, Backbone.js, Agile Methodologies, Programming
Education
Northeastern University 1995 — 2005
PhD, Computer Science
University of California, Berkeley 1988 — 1992
BA, Computer Science
Ygnacio Valley High School 1984 — 1988
High school diploma
Berlin Community School 1979 — 1984
The Muldoon Group August 2012 - Present
Coventry Health Care 2011 - 2012
MCNA Dental: Managed Care of North America 2009 - 2011
Commonwealth of Kentucky 2007 - 2009
Keystone Mercy Health Plan 1998 - 2006
WellPoint April 1994 - August 1998
Humana 1979 - 1992
Skills
HIPAA, Managed Care, Medicaid, Healthcare Management, Healthcare, Medicare, Healthcare Consulting, Provider Relations, Network Development, Quality Improvement, Pharmacy Benefit..., Strategic Planning, Medicaid Managed Care, Program Development, Contract Negotiation, Leadership Development, Budgets, Policy, Healthcare Industry, Health Insurance, Leadership, Accreditation, Health Policy, Healthcare Information..., Revenue Cycle, Disease Management, Physicians, Utilization Management, Physician Relations, Hospitals, HMO, Credentialing, EHR, Medicare Part D
Education
University of Kentucky
Aetna March 2013 - Present
MCNA Dental: Managed Care of North America November 2011 - November 2012
N.E.W. Customer Service Companies, Inc December 2007 - July 2011
United States Air Force April 2000 - September 2001
United States Air Force February 1996 - April 2000
Skills
Customer Service, Outlook, Call Center, Process Improvement, Team Building, Microsoft Word, Microsoft Office, Software Documentation, PowerPoint, Microsoft Excel, Fax, Customer Satisfaction, Management, Security Operations, Training, Staff Supervision, Staff Development, Call Centers
Education
University of Oklahoma 1994 — 1998
MEd, Administration of Adult and Higher Education
Chapman University 1986 — 1992
BA, Criminal Justice
Community College of the Air Force 1984 — 1990
Associate of Apllied Science, Industrial Security
ADP TotalSource August 2015 - Present
DAS Enterprises May 2015 - August 2015
Bankers Healthcare Group, Inc. September 2014 - March 2015
MCNA Dental: Managed Care of North America July 2012 - September 2014
Ryder System, Inc. November 2009 - July 2012
NCCI January 2008 - March 2009
NCCI October 2004 - January 2008
Intelligent Content Corp. 2003 - 2004
Exodus, A Cable & Wireless Company February 2001 - October 2002
ARC/EDS 1998 - 2001
Skills
Business Analysis, Project Management, Quality Assurance, Microsoft Office, Requirements Gathering, Document Management, Waterfall, Process Improvement, Lean Operations, Agile Project Management, Scrum, SharePoint, Software Project..., PMO, Vendor Management, SDLC, Business Intelligence, Business Process..., Risk Management, Program Management, Software Documentation, Analysis, Information Technology, Visio, Microsoft SQL Server, Requirements Analysis, Software Development, Management, MS Project, Business Process, IT Management, Business Requirements, PMP, Project Portfolio..., Testing, User Acceptance Testing, ITIL, SQL, Agile Methodologies, Project Delivery, IT Strategy, Microsoft Project
Education
Villanova University 2012 — 2012
Certificate, Lean Six Sigma
Florida Atlantic University 2008 — 2009
MBA, Information Systems
Florida Atlantic University 1994 — 1996
BS, International Business
Miami Dade College 1991 — 1993
AA, Business Administration
OnCall Emergency Center Memorial Village September 2014 - Present
SPHIER Emergency Room September 2013 - September 2014
Home February 2006 - September 2013
CPS Energy May 2013 - August 2013
MCNA Dental: Managed Care of North America 2011 - 2012
Los Angeles Unified School District August 1998 - February 2006
Lechters Inc. January 1994 - August 1998
Skills
Management, Team Leadership, Supervising, Clerical Skills, Bilingual, Project Management, Organizational..., Data Entry, Customer Service, Microsoft Office
Education
California State Polytechnic University-Pomona 1995 — 2002
Bachelor of Science (BS), Business Administration and Management, International
Turner Broadcasting System 2015 - Present
WallabyCare February 2014 - Present
Turner Broadcasting System 2015 - 2015
LightHouse Recovery Institute January 2013 - January 2014
MCNA Dental: Managed Care of North America February 2013 - October 2013
GoTruckerGO.com January 2012 - February 2013
Global Response January 2011 - February 2013
Global Response February 2011 - January 2013
Client First Settlement Funding February 2009 - January 2011
Cendyn February 2007 - January 2009
Skills
Ruby on Rails, Ruby, PHP, Web Development, SEO, WordPress, HTML 5, Agile Methodologies, SEM, HTML, XHTML, JSON, jQuery, E-commerce, AJAX, SASS, Web Design, CSS, Google Analytics, ASP.NET, Website Development, Heroku, SQL, Microsoft SQL Server, HAML, CoffeeScript, PostgreSQL, MySQL, Apache, Linux, SSRS, REST, ERB, Vim, Pentaho, Tableau, Cucumber, Test Driven Development, BDD, Rake, LAMP, Bash, Agile Testing, twitter bootstrap, Continuous Integration, resque, Git, EMR, HL7
Education
Art Institute of Fort Lauderdale 2001 — 2004
Bachelor of Science (BS), Web/Multimedia Management and Webmaster
LightHouse Recovery
MCNA Dental: Managed Care of North America October 2010 - Present
Broward County Schools 2006 - 2008
Skills
Call Centers, Customer Service, HIPAA, Healthcare, Leadership, Management, Medicare, Process Improvement, Project Management, Public Speaking, SharePoint, Software Documentation, Staff Development, Strategic Planning, Team Building, Training, Educational Technology, Coaching, Teaching
Education
Strayer University
Master of Education (MEd), Information Technology
Florida A&M University
Bachelor's degree, Computer Information Systems
Contemporary Family Services August 2015 - Present
Walter Reed National Military Medical Center December 2012 - Present
Journey to Self Understanding October 2013 - June 2014
MCNA Dental: Managed Care of North America 2010 - 2012
Northern Virginia Community College 2006 - 2009
Skills
Healthcare, Research, Customer Service, Access, Spanish, Policy, Software Documentation, Event Planning, Strategic Planning, Leadership Development, Windows, Critical Thinking, Leadership, Data Entry, Nonprofits, CPR Certified, Fundraising, Clinical Research, Community Outreach, Teamwork, Dentistry, Team Building, Public Speaking
Education
Capella University 2010 — 2014
Master of Science (MS), Mental Health Counseling
University of Maryland University College 1993 — 1996
Bachelor of Science (BS), Criminology
The Plasencia Group January 2015 - Present
MCNA Dental: Managed Care of North America December 2011 - December 2014
Skills
Outlook, Office Management, Office Administration, Travel Arrangements, Spreadsheets, Lotus Notes, Confidentiality, Calendaring, Administrative..., Event Planning, Executive..., Executive Support, Calendars, Expense Reports, Time Management, Process Scheduler, Expenses, Human Resources, Meeting Planning, Event Management, PowerPoint
Education
Florida Atlantic University
Tallahassee Community College
MCNA Dental: Managed Care of North America February 2012 - Present
Newpark Drilling Fluids March 2007 - November 2011
Q-Med Corp March 2001 - August 2006
Skills
Outlook, Microsoft Word, Microsoft Excel, Microsoft Office, Customer Service, Accounts Payable, SAP, Team Building, Budgets, Employee Relations, Financial Analysis, Financial Reporting, Forecasting, Process Improvement, Software Documentation
Education
Ashworth College 2013 — 2014
HR Management
american high 1984 — 1988
american senior high 1984 — 1986
Miami Dade College
Basic accounting
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
MCNA Dental: Managed Care of North America January 2013 - Present
First Service Residential October 2012 - November 2012
Kaplan University January 2012 - October 2012
United TransActions LLC 2007 - 2011
Wachovia Bank - Investment April 2007 - August 2007
Citibank (Banamex USA) October 2005 - April 2007
Skills
Quality Assurance, Testing, Visio, Research, User Interface, SQL, Visual Studio, Databases, MS Office Suite, Excel, Word, PowerPoint, Dreamweaver, HTML, Photoshop, Internet, Chrome, Newsletters, Organizing, Outlook, Spanish, Problem Solving, Troubleshooting, Teamwork, Documentation, Graphics, SysAid, QTP, MySQL, Selenium Testing, Visual Basic, Balsamic Mockups, E-commerce, VBScript, Lotus Notes, Photography, Telerik Test Studio, Sitefinity, Bugzilla, Ruby on Rails, Ruby, Software Documentation, Regression Testing, Test Planning, Microsoft Excel, Microsoft Office, Customer Service, Agile Methodologies
Education
ScrumMaster Certification 2015 — 2015
Certified ScrumMaster CSM, IT
Broward Community College 2007 — 2009
Graphic Technology, Graphic Design, 3.9
Universidad Nacional de Cuyo 1990 — 1995
Bachelor, Graphic Designer
MCNA Dental: Managed Care of North America February 2012 - Present
Broward County December 2010 - December 2011
Lazzara Yacht Corporation August 2007 - October 2008
Skills
Medicare, Healthcare, Case Management, Healthcare Management, Medicaid, Policy, HIPAA, Social Services, PowerPoint, Training, Microsoft Office, Customer Service, Microsoft Word, Event Planning, Outlook, Public Speaking, Management, Leadership, Microsoft Excel, Managed Care, Strategic Planning
Education
Everest University-South Orlando 2013 — 2014
Associate of Arts (AA)
Holy Childhood High School 1985 — 1990
Diploma
ABB OPTICAL GROUP April 2014 - Present
Sheridan Healthcorp November 2013 - Present
Bayview Financial April 2013 - November 2013
MCNA Dental: Managed Care of North America August 2012 - April 2013
DaVita SOURCE October 2010 - July 2012
Nationwide Laboratory Services 2003 - October 2010
Book Trailer 2003 - 2003
Spherion 2000 - 2003
Autonation USA 1999 - 1999
Skills
Business Analysis, Process Improvement, EMR, HIPAA, Healthcare, SDLC, Software Documentation, EHR, Project Management, Quality Assurance, Healthcare Information..., Cross-functional Team..., Agile Methodologies, Scrum, Requirements Analysis, Visio, Team Leadership, Requirements Gathering, Analysis, Data Analysis, Vendor Management, Software Implementation, Access, Microsoft SQL Server, Crystal Reports, Disaster Recovery, Business Requirements, Troubleshooting, Leadership, Training, Business Process..., MS Project, PeopleSoft, Integration, IT Management, Healthcare Management, SQL, Business Intelligence, Team Building, Software Project..., Strategy, Databases, Management
Education
University of Phoenix 2005 — 2007
BSM, Business
Presidio May 2013 - Present
MCNA Dental: Managed Care of North America September 2012 - May 2013
Icon Information Consultants May 2010 - May 2011
First Data Corporation January 1999 - May 2010
Bell Atlantic Network Integration January 1998 - January 1999
CoreStates Financial November 1990 - January 1998
Colonial Penn Life Insurance March 1989 - November 1990
Colonial Penn Life Insurance March 1987 - March 1989
US Air Force May 1984 - October 1986
US Air Force January 1983 - April 1984
Skills
Data Center, Disaster Recovery, Troubleshooting, WAN, Networking, Computer Network..., Cisco Technologies, Information Technology, Routers, Technical Support, Firewalls, Project Management, Hardware, Switches, Network Administration, IT Operations, Problem Management, Vendor Management, Managed Services, Management, ITIL v3 Foundations..., IT Service Management, Professional Services, TCP, Customer Service, Change Management, Incident Management, Creative Problem Solving, UDP, Mentoring, Team Building, Influence Others
Education
US Air Force 1982 — 1982
307x0 Network Technical Control Systems, 307x0 Network Technical Control Systems, Certificate
Temple University 1980 — 1980
TracFone Wireless May 2014 - Present
TracFone Wireless May 2014 - Present
The Ashvins Group August 2013 - March 2014
MCNA Dental: Managed Care of North America August 2012 - May 2013
Acceller, Inc. September 2011 - May 2012
Canada Safeway Limited- IT Department December 2009 - April 2011
IBM March 2009 - September 2009
Building Systems Design September 2008 - March 2009
Skills
SQL, Quality Center, JIRA, JavaScript, Linux, C++, Unix, C, .NET, Eclipse, Ruby, PHP, TCP/IP, Subversion, SharePoint, SoapUI, Websphere, Testing Tools, RUP, VoIP, SDLC, Scrum, Testing, Agile Methodologies, Test Planning, Test Automation, Visual Basic, System Testing, DB2, Web Applications, Regression Testing, Defect Tracking, QTP, LoadRunner, Quality Assurance, Databases, Java, Software Development, PL/SQL, XML, Perl, Visio, Release Management, Selenium, Microsoft SQL Server, Software Quality..., Software Project..., Manual Testing, Web Services, Visual Studio
Education
Florida State University 2000 — 2004
BS, Electrical Engineering/Computer Engineering
Ely High
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2015 - Present
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas July 2014 - May 2015
MCNA Dental: Managed Care of North America September 2011 - January 2014
Broward Health Corporate Compliance & Ethics August 2010 - August 2011
THE TAYLOR & TAYLOR PARTNERSHIP May 2008 - February 2009
Susan Lachance Interior Design July 2006 - January 2008
Interiors by Steven G February 2002 - May 2006
Skills
Training, Software Documentation, HIPAA, Project Management, Healthcare, Customer Service, Budgets, Microsoft Office, Team Building, Process Scheduler, Medicaid, Microsoft Excel, Process Improvement, Microsoft Word, Outlook, PowerPoint, Medical Billing, Healthcare Management, Strategic Planning, Medicare, HITECH, Regulatory Requirements, Project Planning
Education
Broward College 2009 — 2010
AS, Business Administration
Art Institute of Fort Lauderdale 2003 — 2006
SecureOne Corporation March 2015 - Present
Amazon February 2012 - February 2015
MCNA Dental: Managed Care of North America August 2011 - February 2012
Siemens June 2010 - July 2011
Gensym January 2002 - November 2007
ATG November 1999 - July 2001
Skills
Common Lisp, Lisp, C, Java, Clojure, Perl, Software Engineering, Software Development, Artificial Intelligence, Unix, Linux, Windows, XML, JavaScript, OOP, SQL, MySQL, Eclipse, C++
Education
Columbia University in the City of New York 1988 — 1995
Bachelor of Arts (B.A.), Computer Science
3C Interactive February 2015 - Present
Citrix July 2014 - January 2015
MCNA Dental: Managed Care of North America April 2013 - July 2014
Saveology.com September 2010 - April 2013
Cerrao Systems April 2010 - October 2010
Saveology.com ™ May 2008 - November 2009
JDL Technologies September 2005 - April 2008
Skills
Xen, VMware, VirtualBox, Windows Server, XP, VMware ESX, DHCP, Active Directory, Networking, Network Security, SQL, Security, Linux, HTML, Cisco IOS, Servers, Virtualization, Microsoft SQL Server, IIS, Citrix, Apache, CentOS, Cisco Technologies, Bash, Red Hat Linux, Troubleshooting, MySQL, Switches, Technical Support, VoIP, OS X, Linux System..., Help Desk Support, Windows, DNS, HP, Windows 7, System Administration, Data Center, FTP, Cloud Computing, Samba, Cacti, RHEL, VMware Infrastructure, VMware Server, Open Source, LAMP, Fedora, Software Installation
Education
Broward Community College 2002 — 2007
Technical, CCNA, Linux+, Net+
Broward College
Cisco Technical Certification, IT/Networking
MCNA Dental: Managed Care of North America, Inc. December 2014 - Present
Consultant February 2014 - July 2014
N/A April 2013 - August 2013
MCNA Dental: Managed Care of North America April 2012 - February 2013
Pine Crest School October 2011 - April 2012
JumpStart Wireless February 2012 - March 2012
Florida Atlantic University August 2009 - December 2011
DataCore Software March 2011 - September 2011
Talcott Systems July 2010 - November 2010
Skills
Clojure, JavaScript, Java, Vim, Ruby, Ruby on Rails, Emacs
Education
Broward College
AA - Associates, Arts
Florida Atlantic University
BA, Business Administration
Aetna September 2014 - Present
MCNA Dental: Managed Care of North America October 2012 - Present
Law Offices of Marshall C. Watson, P.A. August 2012 - September 2012
Armando Toral, D.M.D. April 2010 - July 2012
Skills
Administrative..., Customer Service, HIPAA, Managed Care, Legal Documents, Medicaid, Medicare, Microsoft Excel, Microsoft Office, Microsoft Word, Outlook, Software Documentation, PowerPoint, Access, Administrative..., Public Speaking, Event Planning, Data Entry, Training, Event Management, Time Management, Healthcare
Education
Keiser University-Ft Lauderdale 2012 — 2013
Associate of Arts (A.A.), Legal Assistant/Paralegal
MCNA Dental: Managed Care of North America September 2013 - Present
Sunshine State Health Plan June 2009 - September 2013
CareGuide 1997 - 2008
City of Coral Springs, FL 1992 - 1997
Skills
Executive Management, Managed Care, Administrative..., Medicare, Health Policy, Customer Service, Human Resources, Leadership, Disease Management, Contract Negotiation, Microsoft Office, Healthcare, Microsoft Excel, Management, Project Management, Employee Benefits, Team Building, Business Planning, Strategy, Process Improvement, Medicaid, Insurance, Administrative...
Education
Fordham University 1988 — 1992
BA
MCNA Dental: Managed Care of North America August 2012 - Present
Law offices of Elizabeth R. Wellborn PA April 2011 - March 2012
DJSP Enterprises, Inc. February 2008 - March 2011
Skills
Microsoft Word, Document Preparation, Document Review, Notary Public, Training, Customer Service, Microsoft Excel, Microsoft Office, Sarbanes-Oxley Act, VMware, Internal Controls, Luxury, Award Submissions, Investor Relations, Auctions, Press Release..., Wordperfect, System Administration, Management, Outlook, Legal Research, Foreclosures, Litigation Support, PowerPoint, Team Building, Legal Writing, Notar, Job Scanning, Recording, For, Hospitality, Purchase Orders, Social Media, Cooking
Education
Adelphi University 1995 — 1997
Buisness record keeping
MCNA Dental: Managed Care of North America March 2011 - Present
Dental Benefit Providers (A United HealthCare Co) 1999 - 2006
Education
University of Maryland Baltimore County
Bachelors of Science, Information Systems Management
MCNA Dental: Managed Care of North America November 2010 - Present
HealthSpring January 2009 - November 2010
Leon Medical Centers Health Plans by HealthSpring July 2007 - January 2009
Leon Medical Centers Health Plans May 2006 - July 2007
NationsHealth September 2005 - May 2006
UnitedHealthcare February 2005 - September 2005
PRC, LLC June 1998 - February 2005
Skills
Accreditation, NCQA, HEDIS, Patient Safety, Compliance, Policy, Medicare, Healthcare Management, HIPAA, Medicaid, Quality Management, Process Improvement, Quality Assurance, Software Documentation, Quality Improvement, Healthcare, Provider Relations, EMR, Healthcare Information..., Disease Management, Utilization Management, Managed Care, Clinical Research, HMO, Medicaid Managed Care, EHR, Physician Relations, Healthcare Industry, Medical Compliance, Credentialing, Health Policy, Physicians, Healthcare Consulting
Education
Miami Dade College 2009 — 2012
ASN, Registered Nursing
Florida International University 2001 — 2004
BHSA, Health Service Adminstration
Marion High School