Memphis Managed Care Corporation
Industry: Company
DescriptionFounded: 1994 Parent organization: AMERIGROUP Tennessee Inc Subsidiary: MidSouth Health Plan, Inc.
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Memphis Managed Care Corporation Employees
Accretive Health July 2001 - November 2014
Memphis Managed Care Corporation January 2000 - June 2001
The Regional Medical Center at Memphis June 1990 - December 1999
Skills
Healthcare Management, Financial Accounting, Financial Reporting, Leadership, Process Improvement, Budgets, Financial Analysis, Hospitals, Microsoft Excel, Strategic Planning, Managed Care, Data Analysis, Healthcare
Education
The University of Memphis 1995 — 1997
Master of Business Administration (MBA), Accounting and Finance, 3.92
University of Arkansas at Fayetteville 1978 — 1982
Bachelor of Business Administration (BBA), Econometrics and Quantitative Economics
Our Lady of the Lake Regional Medical Center December 2013 - Present
Methodist LeBonheur June 2009 - December 2013
Accredo Healthcare - a Medco Company September 2007 - June 2009
Memphis Managed Care Corporation May 2003 - February 2008
Skills
Customer Service, Healthcare, Microsoft Office, Team Building, Microsoft Excel, Microsoft Word, Coaching, Healthcare Management, Public Speaking, PowerPoint, Leadership, Process Improvement, Training, Strategic Planning, Management, Outlook, Hospitals, HIPAA, Team Leadership, Time Management
Education
Bethel College (TN) 2011 — 2013
MBA, Business Administration and Management, General, 4.0
Belhaven College 2007 — 2009
BHA, Health/Health Care Administration/Management, 4.0
Methodist Healthcare September 2014 - Present
Methodist Healthcare October 2011 - September 2014
University of Tennessee Medical Group September 2009 - October 2011
Memphis Managed Care Corporation November 2003 - July 2009
Skills
Microsoft Office, Medicare, Healthcare Management, Hospitals, Training, Managed Care, Leadership, ICD-9, Medicaid, CPT, Insurance, Home Care, Management, Medical Billing
Education
Franklin University 2011 — 2013
Master of Business Administration (MBA)
Franklin University 2006 — 2008
Bachelor of Science (BS)
Mid South Community College 2002 — 2005
Associate of Arts (AA), General Education
Bristol-Myers Squibb May 2014 - Present
Bristol-Myers Squibb April 2013 - May 2014
BlueCross BlueShield of Tennessee September 2012 - April 2013
BlueCross BlueShield of Tennessee April 2007 - September 2012
Memphis Managed Care Corporation September 2005 - April 2007
Memphis Mental Health Institute November 2004 - September 2005
Walgreens June 2002 - September 2005
Skills
Chemotherapy, Managed Care, Disease Management, Medicaid, Medicare Part D, Pharmacists, Pharmacy Automation, Pharmacy Benefit..., Medication Therapy..., Utilization Management, Healthcare, Team Building, Medication..., Pharmacy, Health Policy, Outcomes Research, Informatics, Medicare, Clinical Pharmacy, Healthcare Industry, Pharmacoeconomics, Healthcare Management, Oncology, Diabetes
Education
The University of Tennessee at Chattanooga 2009 — 2012
Master of Business Administration (MBA)
University of Tennessee-Health Science Center 1998 — 2002
PharmD
Middle Tennessee State University 1994 — 1998
BS, Chemistry
Coram Healthcare 2011 - Present
Shelby County Government (Health Department) December 2009 - August 2011
YWCA Abused Womens' Services July 2008 - December 2009
Tennessee Voices for Children 2007 - 2008
Memphis Managed Care Corporation 2005 - 2007
Skills
Nursing, Healthcare Management, Medical Terminology, Patient Safety, BLS, HIPAA, Inpatient, Cpr Certified, Critical Care, Public Health, Home Care, Case Managment, Community Outreach, Utilization Management, Medication Therapy...
Education
Union University 2006 — 2010
Bachelor of Science (BS), Health/Health Care Administration/Management
Kaplan University
Harris County Medical Society June 2010 - Present
Memphis Managed Care Corporation November 2005 - May 2008
Glencoe Group Services Inc. December 2003 - June 2005
ABB Offshore Systems Inc. February 2001 - July 2003
Skills
General Ledger..., Human Resources, Accounts Payable, Accounts Receivable, ADP Payroll, Payroll Analysis, Daily Cash Forecasting, Database Updates, Budget Forecasts, Internal Audit, External Audit, Functional Expense..., Liability Insurance..., Workers Compensation
Education
University of Houston 1994 — 1998
BBA, Accounting
LifePoint Health May 2014 - Present
Healthways September 2013 - January 2014
Community Health Systems October 2007 - August 2013
Tennessee Commissioner of Commerce and Insurance January 2003 - September 2007
Xantus Healthplan of Tennessee, Incorporated December 2002 - July 2003
Memphis Managed Care Corporation January 2001 - December 2002
United States Postal Service October 1999 - December 2000
Honorable Bernice B. Donald, United States District Court August 1997 - August 1999
Skills
Medicaid, Healthcare, Litigation, HIPAA, Corporate Law, Insurance, Hospitals, Managed Care, Healthcare Information..., Healthcare Management, Physicians, Physician Relations, Healthcare Industry, Healthcare Consulting, Management, Employment Law, Mergers & Acquisitions, Compliance, Anti-Kickback Statute, Fraud, Medicare/Medicaid..., Employee Training, Contract Negotiation, Risk Management, Privacy Law, Health Law, Legal Writing, Licensing, Medicare, Corporate Governance
Education
Ohio Northern University—Claude W. Pettit College of Law
J.D.
Vanderbilt University
BA, English
St. Jude Children's Research Hospital February 2014 - Present
St. Jude Children's Research Hospital June 2007 - February 2014
St. Jude Children's Research Hospital June 2007 - July 2011
Memphis Managed Care Corporation 2002 - 2007
Skills
Legal Contract Review, Legal Research, Contract Negotiation, Compliance, Litigation, Commercial Litigation, Healthcare, Legal Writing, Risk Management, Lexis, Training, Research, Patents, Corporate Governance, Legal Assistance, Managed Care, Patent Prosecution, System Administration, Contract Management, Civil Litigation, Policy Analysis, Outlook, Litigation Support, Westlaw, Enterprise Risk..., Employment Law, Licensing, Document Review
Education
The George Washington University 2010 — 2012
Master's degree, Paralegal Studies
The University of Memphis
Bachelor of Science (BS), Paralegal Studies
University of Memphis
Bachelors of Professional Studies, Paralegal Studies
Robert Half Technology October 2012 - Present
Robert Half Technology 2007 - October 2012
Memphis Managed Care Corporation November 1999 - October 2007
DPL Systems Engineering 1996 - 1999
LeBlanc Inch Engineering Ltd. October 1995 - June 1996
Skills
Microsoft SQL Server, Business Intelligence, Data Warehousing, Databases, Database Development, ETL, Database Design, T-SQL, SQL, Programming, SSIS, Stored Procedures, SQL Server, Relational Databases, VB.NET, Microsoft Excel, SSRS, DTS, Database Implementation, Star Schema, SQL Server 2000-2008, Data Modeling, Access, Visio, Crystal Reports, Analysis Services, Excel, MS Integration Services, OLAP, SQL Tuning
Education
Information Technology Institue (ITI) 1999 — 1999
Diploma in Applied Information Technology, Information Technology
Technical University of Nova Scotia (TUNS) 1983 — 1985
B.Eng, Electrical Engineering
Dalhousie University 1980 — 1983
B.Sc., Physics
DLW IT Solutions January 2010 - Present
ILS July 2007 - January 2010
JDResources 2010 - 2010
Lewis Supply Company January 1999 - July 2007
Mueller Industries 1998 - 1999
Computer Consulting & 1998 - 1998
Memphis Managed Care Corporation 1994 - 1998
Crye Leike Realtors 1992 - 1994
Education
Bethel College (TN)
BA, English & Religion
Memphis Theological Seminary
M.Div., Theology
Misc.
Continuing Education, Information Technology
New Horizons Learning Center
Continuing Education, Information Systems
Vanderbilt University School of Theology
Doctoral Studies, Theology
MLH OnSite January 2009 - Present
UT Medical Group, Inc. 2001 - 2009
Memphis Managed Care Corporation 2003 - 2006
BlueCross BlueShield of Tennessee January 1991 - January 2001
Skills
Healthcare Management, Customer Service, Microsoft Excel, Healthcare Information..., Leadership, Process Improvement, Team Building, Strategic Planning
Education
Bethel University 2008 — 2010
Master of Business Administration (MBA), Accounting and Business/Management, Cum Lauda
Belhaven College 2001 — 2005
Bachelor of Business Administration (B.B.A.), Business/Commerce, General
FedEx Services October 2013 - Present
FedEx Services December 2005 - October 2013
Memphis Managed Care Corporation July 2001 - November 2005
Skills
Databases, Security, Identity Management, Enterprise Architecture, Unix, Application Security, Management, Analysis, Siteminder, Solaris, Microsoft SQL Server, Programming, Access, CISSP, Weblogic, SDLC, Information Security, Business Analysis, IAM, Systems Analysis, Oracle, Sun, SSO, System Deployment, Computer Security, SQL, Password Management, Integration, Security Architecture..., Linux, IIS, LDAP, Visio, Disaster Recovery, Java, Shell Scripting, SOA
Education
The University of Memphis 2000 — 2000
Master of Science, Engineering Technology
The University of Memphis 1998 — 1999
PhD Candidate & Research Assistant, Geophysics
Lanzhou Institute of Seismology 1983 — 1986
Master of Science (M.Sc.)
Yunnan University 1979 — 1983
B.S., Geophysics
富顺二中
富顺二中
RH Healthcare Advisors & Analytics Solutions, LLC August 2014 - Present
Pershing Yoakley & Associates, P.C. September 2005 - August 2014
Memphis Managed Care Corporation 2004 - 2005
Cellular Sales 1998 - 2004
Knoxville Pediatric Associates, P.C. 1992 - 1998
Skills
Revenue Cycle, Physician Reimbursement, Healthcare Regulatory..., Fair Market Value, Physician Coding, Physician Alignment, Healthcare Consulting, Physicians, Hospitals, Capitation, Physician Relations, Revenue Cycle Management, Heathcare Litigation..., Healthcare Reimbursement, Managed Care, Practice Management, Medicaid, Medical Coding, Medicare, EMR, Health Information..., Healthcare
Education
University of Tennessee-Health Science Center 2004 — 2005
B.S. with Highest Honors, Health Information Management
University of Tennessee-Knoxville 1990 — 1996
B.S., Organismal and Systems Biology
Just Associates February 2006 - Present
Accelerated Community Oncology Research Network October 2005 - February 2006
Memphis Managed Care Corporation June 2005 - October 2005
Methodist University Hospital January 2003 - June 2005
Education
The University of Tennessee Health Science Center 2004 — 2005
The University of Memphis 1999 — 2004
Memphis Managed Care Corporation Vice President of Human ResourcesAmerigroup c/o Memphis Managed Care1993 - Present
KBMT-TV 1976 - 1980
Education
Central Michigan University 2003 — 2005
Accredo Health April 2010 - Present
Accredo Health June 2009 - March 2010
Accredo Health February 2007 - June 2009
Memphis Managed Care Corporation August 2006 - February 2007
Jack Henry & Associates April 2005 - July 2006
Skills
Managed Care, Process Improvement, Healthcare, Vendor Management, Cross-functional Team..., Business Analysis, HIPAA, SDLC, Visio, Healthcare Industry, Business Process..., Project Management, Change Management, Project Portfolio..., Software Documentation, MS Project, Operations Management, Medicaid, Medicare, Program Management, Access, Analysis, Analytics, Budgets, Business Intelligence, Business Process, CRM, Call Centers, Data Analysis, Forecasting, Health Policy, Healthcare Information..., IT Management, Integration, IT Strategy, Leadership, Management, PMO, PMP, Pharmaceutical Industry, Pharmacy Benefit..., Process Engineering, Quality Assurance, Requirements Analysis, Requirements Gathering, SharePoint, Six Sigma, Software Project..., Strategic Planning, Strategy
Education
Christian Brothers University 2008 — 2010
MBA
Arkansas State University 1996 — 2001
BS, Finance
Self-Employed February 2009 - Present
National Institute for Law and Equity June 2008 - January 2009
Blue Cross Blue Shield of Massachusetts 2005 - 2008
Memphis Managed Care Corporation 2003 - 2004
Education
Boston University School of Law 1998 — 2001
Doctor of Law (J.D.), Law
NCQA January 2015 - Present
Advocate Trinity Hospital July 2009 - Present
Advocate Health Care-Advocate Medical Group/Trinity July 2006 - Present
Advocate Health Care 2006 - Present
Memphis Managed Care Corporation March 2000 - June 2006
United Health Care 1997 - 2000
Skills
Healthcare Information..., Medicine, Healthcare, Nursing, Hospitals, Healthcare Management, Physicians, EHR, Managed Care, Physician Relations, Patient Safety, Management, Medicaid, Informatics, EMR, HIPAA, Disease Management, Healthcare Consulting, Utilization Management, Medical Education, Accountable Care, Revenue Cycle, Clinical Research, Public Speaking, Medicare, Board Certified, Provider Relations, Process Improvement, Critical Care, Quality Improvement, Internal Medicine, Clinical Decision..., Performance Improvement, Strategic Planning, Public Health, Leadership Development, Inpatient, Pediatrics, Healthcare Industry, Leadership, Pharmacy, Acute Care, Health Policy, Program Development, Practice Management, Home Care, Quality Assurance
Education
Chicago Medical School at Rosalind Franklin U-Med & Science 1975 — 1979
MD, Family Medicine
Tougaloo College 1971 — 1975
BS, pre-med
University of California, Berkeley 1973 — 1974
Crown_Zellerbach Scholar, pre-med
Madison-Rigdeland High School 1969 — 1971
n/a
rosa Scott High School 1968 — 1971
none
Cook County Hospital
University of Phoenix October 2010 - Present
Methodist Healthcare February 2010 - Present
FedEx Express December 2008 - May 2009
Advertising Checking Bureau March 2008 - December 2008
Memphis Managed Care Corporation August 2006 - March 2008
Physiotherapy Associates March 2005 - August 2006
Accredo Health February 2004 - March 2005
Robert Half Technology September 2003 - January 2004
Flextronics November 2002 - June 2003
Skills
Microsoft SQL Server, Databases, Business Objects, Management, Outlook, Database Administration, Security, Project Management, Access, SQL, Software Development, Data Warehousing, Business Analysis, Troubleshooting
Education
Strayer University 2005 — 2008
Master of Science, Management Information Systems
The University of Memphis 1999 — 2003
Bachelors of Business Administration, Management Information Systems
The Burkett Group, LLC July 2012 - Present
UT Medical Group, Inc. July 2011 - June 2012
UT Medical Group March 1984 - July 2011
Memphis Managed Care Corporation 1994 - 2007
UT Bowld Hospital 1989 - 1993
Skills
Strategic Planning, Physician Compensation..., Hospital - Physician..., Not for Profit Health..., Technology in Healthcare, Public..., Organizational Structure, Physicians, Healthcare, Hospitals, Compensation & Benefit
Education
The University of Memphis 1978 — 1980
MPA, Health Administration
The University of Memphis 1974 — 1976
M.Ed., Heatlh Education - Administration
Rhodes College 1969 — 1973
BA, Biology & Psychology
Stanford Healthcare August 2015 - Present
NorthBay Healthcare October 2013 - August 2015
Affinity Medical Solutions November 2012 - October 2013
APS Healthcare Inc October 2010 - November 2012
Aetna Workers' Comp Access July 2008 - October 2010
Coventry Health Care July 2006 - July 2008
Alere Medical October 2005 - July 2006
Renown Health May 2004 - October 2005
Mercy Health Partners May 2003 - March 2004
Memphis Managed Care Corporation June 2002 - May 2003
Skills
Credentialing, Contract Negotiation, Provider Relations, Hospitals, Workers Compensation, managed care, Network Development, Healthcare Management, Healthcare
Education
Central Michigan University
Master's of Science, Healthcare Administration
Park University
BS, Human Resource Management
Kaiser Permanente - SCPMG October 2005 - June 2010
Memphis Managed Care Corporation July 2001 - October 2005
Skills
Leads with a passion..., Management, Hospitals, Healthcare, Forecasting, Budgets, Managed Care, Analysis, Mergers & Acquisitions, Leadership, Finance
Education
Drexel University - LeBow College of Business 1970 — 1972
MBA, International Business and Finance
Villanova University 1964 — 1968
BS, Accounting and Finance
FedEx Services September 2013 - Present
FedEx Express March 2011 - Present
AutoZone February 2008 - July 2011
Memphis Managed Care Corporation November 2001 - February 2008
Skills
Employee Benefits, Process Improvement, PeopleSoft, Customer Service, New Hire Orientations, Defined Contribution, Human Resources, Defined Benefit, Deferred Compensation, HRIS, Interviews, Benefits Administration, Recruiting, Payroll, COBRA, FMLA, Employee Relations, Management, Training, Insurance, Administration
Education
Belhaven College 2008 — 2011
Bachelor of Science (BS), Business Management
Whitehaven High
HealthSpring November 2008 - August 2011
Memphis Managed Care Corporation August 2000 - October 2008
North Oak Regional Medical Center 2008 - 2008
Skills
HIPAA, Data Analysis, Provider Relations, Data Warehousing, Visio, Microsoft SQL Server, Access, Medicaid, SQL, Healthcare, Medicare, SharePoint
Education
University of Mississippi Medical Center 1998 — 2000
Bachelor of Science (BS), Health Information Management
University of Mississippi 1997 — 1998
Health Choice, LLC September 2012 - Present
Accredo June 2007 - September 2012
Memphis Managed Care Corporation February 2005 - May 2007
St. Jude Children's Research Hospital June 2001 - January 2005
North Suburban Clinic March 2000 - May 2001
Metropolitan Nashville General Hospital May 1999 - November 1999
Baptist Memorial Healthcare Corporation April 1997 - November 1998
Skills
Healthcare, Managed Care Contracting, Specialty Pharmaceutical, Contract Management, Provider Relations, Accountable Care, Disease Management, Team Building, Managed Medicaid, Medicare Part D, Medicare Advantage, Medicaid, Medicare, Hospitals, HIPAA, Managed Care, Healthcare Industry, Healthcare Management, Pharmacy Benefit..., Pharmacy Automation, Pharmacy, Network Development, Informatics, Healthcare Information..., Medical Compliance, Medicaid Managed Care, Home Care, Pharmaceutical Industry, Pharmacists, Health Policy, Strategic Planning, Training, Contract Negotiation, Management, Utilization Management, Credentialing
Education
The University of Tennessee Health Science Center 1995 — 1996
Bachelor of Science, Health Information Management
The University of Memphis 1990 — 1995
Pre-HealthCare Administration
University of Teimessee
B.S, Health Information Management
Southwest Tennessee Community College September 1999 - December 2009
International Paper by way of Teksystems Employment Agency September 1998 - February 1999
Memphis Managed Care Corporation January 1997 - July 1998
Memphis Managed Care Corporation December 1995 - January 1997
Education
The University of Memphis 2002 — 2016
Bachelor of Professional Studies, Information Technology / Organizational Leadership
THE ACADEMY of South Florida Computer Training Center 2014 — 2014
Network Technician Program, A+, Network+, MCSA/MCSE
State Technical Institute 1991 — 1995
Associates, Micro-Computer Management Technology