Presbyterian Health Plan
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Presbyterian Health Plan Employees
Employee
Years
Job
Industry
Carolyn Woodhull Carolyn Woodhull's Presbyterian Health Plan Experience August 2008 - Present
Job Executive Associate Commercial Product &Sales
Industry Hospital & Health Care
Experience
Presbyterian Health Plan August 2008 - Present
Presbyterian Healthcare Services February 2006 - August 2007
Blue Cross Blue Shield of New Mexico February 2005 - March 2006
Lovelace Health Plan November 1990 - February 2005
Skills
Administrative..., Training, Customer Service, Healthcare, Insurance, Microsoft Excel, Event Planning, Microsoft Word, Employee Benefits, Marketing, Health Insurance, Outlook, PowerPoint, Office Management, Public Speaking, Teamwork, Project Management, Event Management, Access, Sales, Employee Relations, Team Building, Process Improvement
Education
University of Phoenix-Albuquerque Campus 2007 — 2011
Bachelor of Science in Business Management, Business Administration, Management and Operations, 3.49
Presbyterian Health Plan August 2008 - Present
Presbyterian Healthcare Services February 2006 - August 2007
Blue Cross Blue Shield of New Mexico February 2005 - March 2006
Lovelace Health Plan November 1990 - February 2005
Skills
Administrative..., Training, Customer Service, Healthcare, Insurance, Microsoft Excel, Event Planning, Microsoft Word, Employee Benefits, Marketing, Health Insurance, Outlook, PowerPoint, Office Management, Public Speaking, Teamwork, Project Management, Event Management, Access, Sales, Employee Relations, Team Building, Process Improvement
Education
University of Phoenix-Albuquerque Campus 2007 — 2011
Bachelor of Science in Business Management, Business Administration, Management and Operations, 3.49
Christopher Sanchez, CIA, CICA Christopher Sanchez, CIA, CICA's Presbyterian Health Plan Experience December 1999 - September 2000
Job Internal Audit Professional
Industry Financial Services
Experience
PNM Resources April 2015 - Present
New Mexico Student Loans September 2004 - June 2014
New Mexico Student Loans September 2000 - August 2004
Presbyterian Health Plan December 1999 - September 2000
U.S. New Mexico Federal Credit Union June 1997 - November 1999
Arthur Andersen LLP August 1995 - May 1997
Security Capital Group February 1994 - August 1995
U.S. Government Accountability Office 1991 - 1991
Skills
Corporate Finance, Accounts Payable, Internal Controls, Strategic Planning, Auditing, COSO, Investments, Financial Analysis, Finance, Accounting, Budgets, Risk Assessment, Loans, Leadership, Management, Internal Audit, IT Audit, Financial Audits, Program Management, Process Improvement, Business Process..., Policy, Assurance, Financial Statements, Managerial Finance, Due Diligence, US GAAP, Enterprise Risk..., Sarbanes-Oxley, Risk Management, Sarbanes-Oxley Act, Financial Reporting, Financial Accounting, General Ledger, Financial Risk, Variance Analysis, Cash Flow, Cash Management, Fraud, CISA, Cost Accounting, Strategic Financial..., Forensic Accounting, Access Lists, CPA
Education
New Mexico State University 1986 — 1992
BBA, MBA, Finance and International Business
New Mexico State University
Bachelor's degree, Finance, General
PNM Resources April 2015 - Present
New Mexico Student Loans September 2004 - June 2014
New Mexico Student Loans September 2000 - August 2004
Presbyterian Health Plan December 1999 - September 2000
U.S. New Mexico Federal Credit Union June 1997 - November 1999
Arthur Andersen LLP August 1995 - May 1997
Security Capital Group February 1994 - August 1995
U.S. Government Accountability Office 1991 - 1991
Skills
Corporate Finance, Accounts Payable, Internal Controls, Strategic Planning, Auditing, COSO, Investments, Financial Analysis, Finance, Accounting, Budgets, Risk Assessment, Loans, Leadership, Management, Internal Audit, IT Audit, Financial Audits, Program Management, Process Improvement, Business Process..., Policy, Assurance, Financial Statements, Managerial Finance, Due Diligence, US GAAP, Enterprise Risk..., Sarbanes-Oxley, Risk Management, Sarbanes-Oxley Act, Financial Reporting, Financial Accounting, General Ledger, Financial Risk, Variance Analysis, Cash Flow, Cash Management, Fraud, CISA, Cost Accounting, Strategic Financial..., Forensic Accounting, Access Lists, CPA
Education
New Mexico State University 1986 — 1992
BBA, MBA, Finance and International Business
New Mexico State University
Bachelor's degree, Finance, General
Zachary Sanchez Zachary Sanchez's Presbyterian Health Plan Experience September 2014 - Present
Job Network Contract Manager at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan September 2014 - Present
Lovelace Health System July 2013 - January 2014
Lovelace Health System August 2011 - July 2013
Lovelace Health System October 2009 - August 2011
University of Arizona, Office of Student Financial Aid August 2005 - April 2009
Skills
Healthcare Reform, Healthcare, Managed Care, Process Improvement, Public Speaking, PPACA, Meeting Facilitation, Lean Thinking, Written Communication, Claims Review, System Configuration, Reports Analysis, Team Building, Creative Problem Solving, Qualified Health Plans, Federally Facilitated..., Facets, Value Stream Mapping, Business Workflows, Customer Service, Medicare, Medicaid, Health Care Reform, Workshop Facilitation, Health Insurance, Affordable Care Act
Education
University of Arizona 2005 — 2009
Presbyterian Health Plan September 2014 - Present
Lovelace Health System July 2013 - January 2014
Lovelace Health System August 2011 - July 2013
Lovelace Health System October 2009 - August 2011
University of Arizona, Office of Student Financial Aid August 2005 - April 2009
Skills
Healthcare Reform, Healthcare, Managed Care, Process Improvement, Public Speaking, PPACA, Meeting Facilitation, Lean Thinking, Written Communication, Claims Review, System Configuration, Reports Analysis, Team Building, Creative Problem Solving, Qualified Health Plans, Federally Facilitated..., Facets, Value Stream Mapping, Business Workflows, Customer Service, Medicare, Medicaid, Health Care Reform, Workshop Facilitation, Health Insurance, Affordable Care Act
Education
University of Arizona 2005 — 2009
Sandra Goodman-Padilla Sandra Goodman-Padilla's Presbyterian Health Plan Experience May 2005 - Present
Job Benefit Product Specialist at Presbyterian Health Plan
Industry Insurance
Experience
Presbyterian Health Plan May 2005 - Present
Northwestern Mutual June 2004 - May 2005
Lorraine Y. Chavez Insurance Agency June 2000 - May 2004
FHP of New Mexico, Inc./Presbyterian Health Plan September 1989 - June 2000
Skills
Insurance, Health Insurance, Medicare, Healthcare, Process Improvement, HIPAA, Managed Care, Software Documentation, Medicaid, Leadership, Vendor Management, Business Analysis, Healthcare Management, Team Building
Education
Wayland Baptist University 2009 — 2012
Bachelor of Science (BS), Business Administration with a specialization in Healthcare Administration, 3.5
University of Phoenix 2007 — 2009
Associates, Business Administration
Presbyterian Health Plan May 2005 - Present
Northwestern Mutual June 2004 - May 2005
Lorraine Y. Chavez Insurance Agency June 2000 - May 2004
FHP of New Mexico, Inc./Presbyterian Health Plan September 1989 - June 2000
Skills
Insurance, Health Insurance, Medicare, Healthcare, Process Improvement, HIPAA, Managed Care, Software Documentation, Medicaid, Leadership, Vendor Management, Business Analysis, Healthcare Management, Team Building
Education
Wayland Baptist University 2009 — 2012
Bachelor of Science (BS), Business Administration with a specialization in Healthcare Administration, 3.5
University of Phoenix 2007 — 2009
Associates, Business Administration
Eugenio Pokluda Eugenio Pokluda's Presbyterian Health Plan Experience 2011 - 2014
Job Manager, IT Service Management at Presbyterian Healthcare Services
Industry Information Technology and Services
Experience
Presbyterian Healthcare Services December 2014 - Present
Presbyterian Health Plan 2011 - 2014
Presbyterian Health Plan 2011 - 2013
Presbyterian Health Plan 2005 - 2011
Skills
Business Analysis, Oracle, IT Strategy, Requirements Analysis, ITIL, IT Management, Program Management, Integration, IT Service Management, Disaster Recovery, PMP, SDLC, Vendor Management, Troubleshooting, Visio, Process Improvement, Data Warehousing, Software Documentation, Healthcare Information...
Education
Central New Mexico Community College 2009 — 2011
Certificate Exercise Physiology, Personal Training
University of Arizona 1978 — 1982
BS, Management Information Systems
Presbyterian Healthcare Services December 2014 - Present
Presbyterian Health Plan 2011 - 2014
Presbyterian Health Plan 2011 - 2013
Presbyterian Health Plan 2005 - 2011
Skills
Business Analysis, Oracle, IT Strategy, Requirements Analysis, ITIL, IT Management, Program Management, Integration, IT Service Management, Disaster Recovery, PMP, SDLC, Vendor Management, Troubleshooting, Visio, Process Improvement, Data Warehousing, Software Documentation, Healthcare Information...
Education
Central New Mexico Community College 2009 — 2011
Certificate Exercise Physiology, Personal Training
University of Arizona 1978 — 1982
BS, Management Information Systems
Corrina Barry's Presbyterian Health Plan Experience February 2002 - July 2002
Job Agent at MVD Express
Industry Automotive
Experience
MVD Express April 2014 - Present
Corner Store April 2012 - April 2014
Aerotek Staffing Agency July 2011 - July 2011
Aerotek Staffing Agency February 2011 - March 2011
Jackson Hewitt January 2009 - April 2009
JCPenney Call Center October 2005 - December 2005
Everest Security April 2005 - July 2005
Jackson Hewitt January 2005 - April 2005
Tax Solutions January 2004 - April 2004
Presbyterian Health Plan February 2002 - July 2002
Skills
English, Microsoft Excel, Microsoft Word, Microsoft Office, Data Entry, Call Centers, Telephone Skills, Customer Service, Sales, Filing, Fax, Banking, Tax, Income Tax, Shipping, 10 Key, Receptionist Duties, Cashiering, Outlook, Customer Satisfaction, Teamwork, Time Management
Education
Central New Mexico Community College 2003 — 2008
General Prerequisites
Robert H Goddard High School 1987 — 1991
High School, High School/Secondary Diplomas and Certificates
MVD Express April 2014 - Present
Corner Store April 2012 - April 2014
Aerotek Staffing Agency July 2011 - July 2011
Aerotek Staffing Agency February 2011 - March 2011
Jackson Hewitt January 2009 - April 2009
JCPenney Call Center October 2005 - December 2005
Everest Security April 2005 - July 2005
Jackson Hewitt January 2005 - April 2005
Tax Solutions January 2004 - April 2004
Presbyterian Health Plan February 2002 - July 2002
Skills
English, Microsoft Excel, Microsoft Word, Microsoft Office, Data Entry, Call Centers, Telephone Skills, Customer Service, Sales, Filing, Fax, Banking, Tax, Income Tax, Shipping, 10 Key, Receptionist Duties, Cashiering, Outlook, Customer Satisfaction, Teamwork, Time Management
Education
Central New Mexico Community College 2003 — 2008
General Prerequisites
Robert H Goddard High School 1987 — 1991
High School, High School/Secondary Diplomas and Certificates
Shawn Quinn Shawn Quinn's Presbyterian Health Plan Experience January 2006 - March 2009
Job Clinical Pharmacist Manager at OptumHealth
Industry Health, Wellness and Fitness
Experience
OptumHealth March 2009 - February 2014
Presbyterian Health Plan January 2006 - March 2009
Presbyterian Health Plan November 1999 - January 2006
Skills
Disease Management, Managed Care, Healthcare, Utilization Management, Healthcare Management, Pharmacy Benefit..., Medication Therapy..., Pharmacists, Medicaid, Pharmacy, Clinical Pharmacy, Medicare Part D, Pharmacueticals, Medicare, Ambulatory Care, Diabetes, Health Policy, Pharmacy Automation, Medicine, Patient Education
Education
The University of New Mexico 2005 — 2010
Doctor of Pharmacy (PharmD), Pharmacy
The University of New Mexico 1991 — 1998
Bachelor's Degree, Pharmacy
OptumHealth March 2009 - February 2014
Presbyterian Health Plan January 2006 - March 2009
Presbyterian Health Plan November 1999 - January 2006
Skills
Disease Management, Managed Care, Healthcare, Utilization Management, Healthcare Management, Pharmacy Benefit..., Medication Therapy..., Pharmacists, Medicaid, Pharmacy, Clinical Pharmacy, Medicare Part D, Pharmacueticals, Medicare, Ambulatory Care, Diabetes, Health Policy, Pharmacy Automation, Medicine, Patient Education
Education
The University of New Mexico 2005 — 2010
Doctor of Pharmacy (PharmD), Pharmacy
The University of New Mexico 1991 — 1998
Bachelor's Degree, Pharmacy
Troy Runck Troy Runck's Presbyterian Health Plan Experience June 2015 - Present
Job Information Technology Specialist
Industry Computer Networking
Experience
Presbyterian Healthcare Services September 2015 - Present
Presbyterian Health Plan June 2015 - Present
505 Technologies December 2004 - Present
Presbyterian Health Plan August 2013 - June 2015
Sandia Motorcycle Roadracing Inc. August 2004 - November 2014
Lovelace September 2011 - August 2013
ITT Technical Institute September 2010 - December 2011
Dekker/Perich/Sabatini July 2005 - September 2011
Colorado Department of Human Services August 1996 - October 2004
Skills
Project Management, IT Management, Analysis, Networking, Databases, Network Administration, Software Development, Technical Support, Microsoft Office, Process Improvement, Disaster Recovery, Strategic Planning, Project Planning, Photoshop, Policy, Microsoft Excel, Team Building, PowerPoint, Customer Service, Computer Security, Windows Server, Laptops, Active Directory, Security, Servers, Troubleshooting, Windows 7
Education
Regis University 1998 — 2002
Bachelors, Computer Information Technology Managment
Red Rocks Community College 1995 — 1998
Associates, Computer Information Technology Managment
Presbyterian Healthcare Services September 2015 - Present
Presbyterian Health Plan June 2015 - Present
505 Technologies December 2004 - Present
Presbyterian Health Plan August 2013 - June 2015
Sandia Motorcycle Roadracing Inc. August 2004 - November 2014
Lovelace September 2011 - August 2013
ITT Technical Institute September 2010 - December 2011
Dekker/Perich/Sabatini July 2005 - September 2011
Colorado Department of Human Services August 1996 - October 2004
Skills
Project Management, IT Management, Analysis, Networking, Databases, Network Administration, Software Development, Technical Support, Microsoft Office, Process Improvement, Disaster Recovery, Strategic Planning, Project Planning, Photoshop, Policy, Microsoft Excel, Team Building, PowerPoint, Customer Service, Computer Security, Windows Server, Laptops, Active Directory, Security, Servers, Troubleshooting, Windows 7
Education
Regis University 1998 — 2002
Bachelors, Computer Information Technology Managment
Red Rocks Community College 1995 — 1998
Associates, Computer Information Technology Managment
Charles Karaian's Presbyterian Health Plan Experience January 2003 - December 2013
Job Former Heart Service Line Medical Director
Industry Hospital & Health Care
Experience
Presbyterian Health Plan January 2003 - December 2013
Presbyterian Healthcare Services January 2003 - June 2013
Presbyterian Healthcare Services April 1998 - June 2013
Southwest Cardiology Associates, PA July 1982 - April 1998
Skills
Healthcare Management, Informatics, EHR, Clinical Research, Compliance, Risk Management, Quality Management, Patient Safety, Staff Retention, Finance, Balanced Scorecard, Program Development, Peer Review, Integrated Healthcare..., Marketing, Communication Skills, Clinical Pharmacology, Compensation Structures, Program Management, Managed Care, Medicine, Hospitals, Peer Reviews, Physician Relations, HIPAA, Healthcare, Healthcare Consulting
Education
Univerisity of Colorado Health Sciences Center 1980 — 1982
Cardiology Fellowship Program
Oregon Health and Science University 1977 — 1980
Internal Medicine Residency Program
Harvard Medical School 1972 — 1977
Doctor of Medicine (MD)
Massachusetts Institute of Technology 1968 — 1972
S.B., S.M, Engineer Degree, Electrical Engineering and Computer Science
Presbyterian Health Plan January 2003 - December 2013
Presbyterian Healthcare Services January 2003 - June 2013
Presbyterian Healthcare Services April 1998 - June 2013
Southwest Cardiology Associates, PA July 1982 - April 1998
Skills
Healthcare Management, Informatics, EHR, Clinical Research, Compliance, Risk Management, Quality Management, Patient Safety, Staff Retention, Finance, Balanced Scorecard, Program Development, Peer Review, Integrated Healthcare..., Marketing, Communication Skills, Clinical Pharmacology, Compensation Structures, Program Management, Managed Care, Medicine, Hospitals, Peer Reviews, Physician Relations, HIPAA, Healthcare, Healthcare Consulting
Education
Univerisity of Colorado Health Sciences Center 1980 — 1982
Cardiology Fellowship Program
Oregon Health and Science University 1977 — 1980
Internal Medicine Residency Program
Harvard Medical School 1972 — 1977
Doctor of Medicine (MD)
Massachusetts Institute of Technology 1968 — 1972
S.B., S.M, Engineer Degree, Electrical Engineering and Computer Science
William P Bradish William P Bradish's Presbyterian Health Plan Experience May 2008 - Present
Job SIU Regulatory Associate at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Health Plan May 2008 - Present
Presbyterian Healthcare Services November 2005 - May 2008
Presbyterian Health Plan August 2002 - November 2005
Skills
Healthcare, Fraud Investigations, Assets Recovery, Regulatory Reporting, Compliance, Claims, Reconciliations, Insurance, Research, Code Compliance, Collaborative Working, Administrative Support, Claim, Administrative..., Collaborative..., Account Reconciliation, Provider Relations, Hospitals, Medical Records, HIPAA, Managed Care, Healthcare Management, EHR, Revenue Cycle, Healthcare Industry, Healthcare Consulting, Medical Coding, CPT, Healthcare Information..., Health Policy, Credentialing, Medical Billing, EMR, ICD-9, Physician Relations, Fraud, Code Enforcement, Health Insurance, Medicare, Medicaid, HCPCS, Medical Terminology, Software Documentation, Health Care Fraud, HMO, Medical Compliance, Medicare/Medicaid..., Health Information..., Healthcare Reimbursement
Education
The University of New Mexico
Master of Fine Arts Degree
University of Oregon
Bachelor of Fine Arts
Presbyterian Health Plan May 2008 - Present
Presbyterian Healthcare Services November 2005 - May 2008
Presbyterian Health Plan August 2002 - November 2005
Skills
Healthcare, Fraud Investigations, Assets Recovery, Regulatory Reporting, Compliance, Claims, Reconciliations, Insurance, Research, Code Compliance, Collaborative Working, Administrative Support, Claim, Administrative..., Collaborative..., Account Reconciliation, Provider Relations, Hospitals, Medical Records, HIPAA, Managed Care, Healthcare Management, EHR, Revenue Cycle, Healthcare Industry, Healthcare Consulting, Medical Coding, CPT, Healthcare Information..., Health Policy, Credentialing, Medical Billing, EMR, ICD-9, Physician Relations, Fraud, Code Enforcement, Health Insurance, Medicare, Medicaid, HCPCS, Medical Terminology, Software Documentation, Health Care Fraud, HMO, Medical Compliance, Medicare/Medicaid..., Health Information..., Healthcare Reimbursement
Education
The University of New Mexico
Master of Fine Arts Degree
University of Oregon
Bachelor of Fine Arts
Jana Burdick Jana Burdick's Presbyterian Health Plan Experience October 2009 - Present
Job VP, Chief Service Officer at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan October 2009 - Present
Presbyterian Healthcare Services January 1986 - Present
Skills
Leadership, Change Management, Vendor Management, Healthcare, Management, Cross-functional Team..., Program Management, Team Building, Process Improvement, Business Analysis, Performance Improvement, Quality Assurance, Healthcare Management, HIPAA, Healthcare Consulting, Managed Care, Business Process..., Operations Management
Education
New Mexico State University
Bachelor's degree, Business
Presbyterian Health Plan October 2009 - Present
Presbyterian Healthcare Services January 1986 - Present
Skills
Leadership, Change Management, Vendor Management, Healthcare, Management, Cross-functional Team..., Program Management, Team Building, Process Improvement, Business Analysis, Performance Improvement, Quality Assurance, Healthcare Management, HIPAA, Healthcare Consulting, Managed Care, Business Process..., Operations Management
Education
New Mexico State University
Bachelor's degree, Business
Tyler Fulcher Tyler Fulcher's Presbyterian Health Plan Experience April 2013 - June 2013
Job Software Engineer at Smart Software Solutions, Inc
Industry Computer Software
Experience
Smart Software Solutions, Inc July 2014 - Present
TAU Technologies June 2013 - January 2014
Presbyterian Health Plan April 2013 - June 2013
Target November 2011 - January 2012
GameStop May 2007 - January 2008
Hot Topic April 2004 - January 2007
United Way of Central New Mexico May 2001 - August 2001
Skills
Java, Testing, C++, Windows, Linux, C, HTML, JavaScript, MySQL, Visual Studio, LAMP, Visual Basic, Retail, Customer Service, Software Development
Education
The University of New Mexico 2005 — 2012
Bachelor of Science (BS), Computer Science
Smart Software Solutions, Inc July 2014 - Present
TAU Technologies June 2013 - January 2014
Presbyterian Health Plan April 2013 - June 2013
Target November 2011 - January 2012
GameStop May 2007 - January 2008
Hot Topic April 2004 - January 2007
United Way of Central New Mexico May 2001 - August 2001
Skills
Java, Testing, C++, Windows, Linux, C, HTML, JavaScript, MySQL, Visual Studio, LAMP, Visual Basic, Retail, Customer Service, Software Development
Education
The University of New Mexico 2005 — 2012
Bachelor of Science (BS), Computer Science
Bruce Butler Bruce Butler's Presbyterian Health Plan Experience 2008 - 2013
Job Chief Executive Officer at Valley Health Plan
Industry Hospital & Health Care
Experience
County of Santa Clara March 2015 - Present
University of California February 2013 - March 2015
Presbyterian Health Plan 2008 - 2013
Tatum LLC 2004 - 2008
Vivius Inc. 2001 - 2004
Medical Alliance Partnership 1995 - 2000
Premier, Inc. 1992 - 1994
United Healthcare 1989 - 1991
Aetna Health Plans 1987 - 1990
American MedCenters, Inc. (acquired into Partners/Aetna) 1985 - 1987
Skills
Health Insurance, Managed Care, Healthcare Information..., Healthcare Management, Health Policy, Underwriting, Reinsurance, Valuation, Financial Analysis, Strategic Planning, Process Improvement, Financial Modeling, Insurance, Healthcare
Education
The University of Chicago Booth School of Business 1980 — 1984
MBA
Stanford University 1975 — 1979
BA
Hinsdale Central High School, IL 1971 — 1975
County of Santa Clara March 2015 - Present
University of California February 2013 - March 2015
Presbyterian Health Plan 2008 - 2013
Tatum LLC 2004 - 2008
Vivius Inc. 2001 - 2004
Medical Alliance Partnership 1995 - 2000
Premier, Inc. 1992 - 1994
United Healthcare 1989 - 1991
Aetna Health Plans 1987 - 1990
American MedCenters, Inc. (acquired into Partners/Aetna) 1985 - 1987
Skills
Health Insurance, Managed Care, Healthcare Information..., Healthcare Management, Health Policy, Underwriting, Reinsurance, Valuation, Financial Analysis, Strategic Planning, Process Improvement, Financial Modeling, Insurance, Healthcare
Education
The University of Chicago Booth School of Business 1980 — 1984
MBA
Stanford University 1975 — 1979
BA
Hinsdale Central High School, IL 1971 — 1975
Amy Annett Amy Annett's Presbyterian Health Plan Experience May 2003 - May 2014
Job Ph.D. Student
Industry Health, Wellness and Fitness
Experience
Presbyterian Health Plan May 2003 - May 2014
Skills
Coaching, Training, Film, Photography, Dance, Mental Health, Psychology, Event Planning, Public Speaking, Team Building, Teaching, Strategic Planning, Social Services, Sales, Social Media, Project Management, Program Development, Microsoft Office, Healthcare, Customer Service, Case Management
Education
Webster University 2000 — 2002
Master of Arts (M.A.), Mental Health Counseling/Counselor
The University of New Mexico 1991 — 1997
Bachelor of Arts (B.A.), Psychology
Presbyterian Health Plan May 2003 - May 2014
Skills
Coaching, Training, Film, Photography, Dance, Mental Health, Psychology, Event Planning, Public Speaking, Team Building, Teaching, Strategic Planning, Social Services, Sales, Social Media, Project Management, Program Development, Microsoft Office, Healthcare, Customer Service, Case Management
Education
Webster University 2000 — 2002
Master of Arts (M.A.), Mental Health Counseling/Counselor
The University of New Mexico 1991 — 1997
Bachelor of Arts (B.A.), Psychology
Paul Sanchez-Hindi Paul Sanchez-Hindi's Presbyterian Health Plan Experience May 1998 - August 2007
Job Executive Director of New Mexico Cancer Center Foundation, Marketing/Advertising Director, Qlty. of Care Coord.
Industry Hospital & Health Care
Experience
Enchantment Ballroom Aerial Yoga Instructor October 2011 - Present
New Mexico Cancer Center August 2007 - Present
Presbyterian Health Plan May 1998 - August 2007
Skills
Healthcare, Hospitals, Physicians, Healthcare Management, Medicare, Physician Relations, Epic Systems, Leadership, Nutrition, Treatment, Healthcare Information..., Managed Care, Medicaid, Training, Medical Terminology, Healthcare Industry, Healthcare Consulting, Internal Medicine, Practice Management, Health Education, Health Policy, Yoga, EMR, Revenue Cycle, Quality Improvement, Clinical Research, Cancer, Physician Network..., Utilization Management, Provider Relations, Patient Safety, HIPAA, Radiology, Tobacco Control, Grassroots Lobbying, Medical Billing, Program Management, Healthcare Reimbursement, EHR, Oncology, Disease Management, Credentialing, Home Care, Medicine, Elder Care, Nursing, Network Development, Orthopedic, Medical Education, Non-profit Leadership
Education
New Mexico State University 1988 — 1992
Business Administration/Nursing
Enchantment Ballroom Aerial Yoga Instructor October 2011 - Present
New Mexico Cancer Center August 2007 - Present
Presbyterian Health Plan May 1998 - August 2007
Skills
Healthcare, Hospitals, Physicians, Healthcare Management, Medicare, Physician Relations, Epic Systems, Leadership, Nutrition, Treatment, Healthcare Information..., Managed Care, Medicaid, Training, Medical Terminology, Healthcare Industry, Healthcare Consulting, Internal Medicine, Practice Management, Health Education, Health Policy, Yoga, EMR, Revenue Cycle, Quality Improvement, Clinical Research, Cancer, Physician Network..., Utilization Management, Provider Relations, Patient Safety, HIPAA, Radiology, Tobacco Control, Grassroots Lobbying, Medical Billing, Program Management, Healthcare Reimbursement, EHR, Oncology, Disease Management, Credentialing, Home Care, Medicine, Elder Care, Nursing, Network Development, Orthopedic, Medical Education, Non-profit Leadership
Education
New Mexico State University 1988 — 1992
Business Administration/Nursing
Rebecca Kohl Rebecca Kohl's Presbyterian Health Plan Experience 2000 - 2003
Job Healthcare operations/financial executive
Industry Hospital & Health Care
Experience
Health Partners of Philadelphia March 2009 - Present
Schaller Anderson of Arizona/ Aetna December 2006 - April 2008
Coventry Health Care 2003 - 2004
Presbyterian Health Plan 2000 - 2003
Blue Cross of NE Pennsylvania 1997 - 2000
PhyCor 1996 - 1997
Blue Cross Blue Shield of Utica Watertown 1995 - 1996
Wellcare Management Group 1994 - 1995
Skills
Process Improvement, Credentialing, Strategic Planning, Leadership, Management, Medicaid, Managed Care, Medicare, Network Development, Provider Relations, Strategy, Project Management, Negotiation, Talent Acquisition, Talent Developer, Turn Around Management, Provider Network..., Health Insurance, Healthcare, Healthcare Information..., Hospitals, HIPAA, Physicians, Insurance, Revenue Cycle, PPO, Contract Negotiation, Medicaid Managed Care, Medicare Advantage, Healthcare Management, Analysis, HMO
Education
Leadership Philadelphia 2013
State University of New York at Binghamton
BS
Union College
Health Partners of Philadelphia March 2009 - Present
Schaller Anderson of Arizona/ Aetna December 2006 - April 2008
Coventry Health Care 2003 - 2004
Presbyterian Health Plan 2000 - 2003
Blue Cross of NE Pennsylvania 1997 - 2000
PhyCor 1996 - 1997
Blue Cross Blue Shield of Utica Watertown 1995 - 1996
Wellcare Management Group 1994 - 1995
Skills
Process Improvement, Credentialing, Strategic Planning, Leadership, Management, Medicaid, Managed Care, Medicare, Network Development, Provider Relations, Strategy, Project Management, Negotiation, Talent Acquisition, Talent Developer, Turn Around Management, Provider Network..., Health Insurance, Healthcare, Healthcare Information..., Hospitals, HIPAA, Physicians, Insurance, Revenue Cycle, PPO, Contract Negotiation, Medicaid Managed Care, Medicare Advantage, Healthcare Management, Analysis, HMO
Education
Leadership Philadelphia 2013
State University of New York at Binghamton
BS
Union College
Chuck Klein Chuck Klein's Presbyterian Health Plan Experience January 1999 - August 2003
Job Informatics Design Lead at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Services March 2012 - Present
Presbyterian Healthcare Services August 2003 - March 2012
Presbyterian Health Plan January 1999 - August 2003
Skills
Visio, Healthcare Information..., Enterprise Content..., SharePoint, Enterprise Software, Web Applications, SDLC, Epic Systems, Software Documentation, Systems Analysis, Informatics, Epic Bridges, Epic ADT/Prelude, ITIL, CPOE, Microsoft SQL Server, Software Implementation, Disaster Recovery, HL7, Process Improvement, Data Warehousing, Troubleshooting, Ambulatory, Requirements Gathering, System Administration, PMP, Business Intelligence, Bridge, Data Analysis, Requirements Analysis, Access, HIPAA, Software Project..., Information Technology, EHR, EMR, Integration, Software Development, Databases, System Deployment, Enterprise Architecture, Cerner, Technical Support, Oracle, MS Project, Business Analysis, Revenue Cycle, Database Design, Program Management
Education
University of Phoenix 2003 — 2010
MBA, Business with emphasis in eBusiness
University of Phoenix 1999 — 2002
MS/CIS, Computer Information Systems
National University 1989 — 2001
BS/CIS, Education
Presbyterian Healthcare Services March 2012 - Present
Presbyterian Healthcare Services August 2003 - March 2012
Presbyterian Health Plan January 1999 - August 2003
Skills
Visio, Healthcare Information..., Enterprise Content..., SharePoint, Enterprise Software, Web Applications, SDLC, Epic Systems, Software Documentation, Systems Analysis, Informatics, Epic Bridges, Epic ADT/Prelude, ITIL, CPOE, Microsoft SQL Server, Software Implementation, Disaster Recovery, HL7, Process Improvement, Data Warehousing, Troubleshooting, Ambulatory, Requirements Gathering, System Administration, PMP, Business Intelligence, Bridge, Data Analysis, Requirements Analysis, Access, HIPAA, Software Project..., Information Technology, EHR, EMR, Integration, Software Development, Databases, System Deployment, Enterprise Architecture, Cerner, Technical Support, Oracle, MS Project, Business Analysis, Revenue Cycle, Database Design, Program Management
Education
University of Phoenix 2003 — 2010
MBA, Business with emphasis in eBusiness
University of Phoenix 1999 — 2002
MS/CIS, Computer Information Systems
National University 1989 — 2001
BS/CIS, Education
Brian Ingold Brian Ingold's Presbyterian Health Plan Experience September 2012 - Present
Job Applications DBA, SR at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan September 2012 - Present
Presbyterian Healthcare Services September 2011 - August 2012
Genesis Health System August 2005 - June 2011
US Army / TDF Corp April 1999 - August 2005
John Deere / Sedona December 1997 - April 1999
US DOT / FAA Oakland ARTCC February 1992 - October 1997
US DOT / FAA Oakland ARTCC September 1990 - February 1992
Skills
SQL, Business Analysis, Data Analysis, Healthcare Information..., Oracle, Troubleshooting, VMware, Systems Analysis, Active Directory, System Administration, Windows, Microsoft SQL Server, Windows Server, Databases, Servers, Process Improvement, Linux, Visual Basic, DNS, Data Center, Microsoft Office, Access, Technical Support, Networking, Quality Assurance, IT Service Management, Web Development, Visio, Enterprise Architecture, Operating Systems, Disaster Recovery, Solaris, Database Design, Database Administration, SDLC, Computer Hardware, Hardware, IT Operations, ITIL, Visual Studio, Unix, Software Project..., Unix Shell Scripting, Microsoft Exchange, Citrix, IT Management, Requirements Analysis, Software Development, Integration, Virtualization
Education
US DOT / FAA Academy 1990 — 1990
Enroute Air Traffic Control Specialist (ATCS) Program
Augustana College 1985 — 1987
Sociology / Language
Presbyterian Health Plan September 2012 - Present
Presbyterian Healthcare Services September 2011 - August 2012
Genesis Health System August 2005 - June 2011
US Army / TDF Corp April 1999 - August 2005
John Deere / Sedona December 1997 - April 1999
US DOT / FAA Oakland ARTCC February 1992 - October 1997
US DOT / FAA Oakland ARTCC September 1990 - February 1992
Skills
SQL, Business Analysis, Data Analysis, Healthcare Information..., Oracle, Troubleshooting, VMware, Systems Analysis, Active Directory, System Administration, Windows, Microsoft SQL Server, Windows Server, Databases, Servers, Process Improvement, Linux, Visual Basic, DNS, Data Center, Microsoft Office, Access, Technical Support, Networking, Quality Assurance, IT Service Management, Web Development, Visio, Enterprise Architecture, Operating Systems, Disaster Recovery, Solaris, Database Design, Database Administration, SDLC, Computer Hardware, Hardware, IT Operations, ITIL, Visual Studio, Unix, Software Project..., Unix Shell Scripting, Microsoft Exchange, Citrix, IT Management, Requirements Analysis, Software Development, Integration, Virtualization
Education
US DOT / FAA Academy 1990 — 1990
Enroute Air Traffic Control Specialist (ATCS) Program
Augustana College 1985 — 1987
Sociology / Language
Tamara Stevenson Tamara Stevenson's Presbyterian Health Plan Experience July 2004 - April 2006
Job Director, Provider Network Management at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Services August 2013 - Present
Presbyterian Healthcare Services July 2011 - August 2013
Presbyterian Healthcare Services April 2006 - July 2012
Presbyterian Healthcare Services July 2004 - April 2006
Presbyterian Health Plan July 2004 - April 2006
Presbyterian Health Plan Provider Care Unit April 2002 - July 2004
Presbyterian Health Plan Claim Care Unit March 2001 - April 2002
Presbyterian Health Plan November 1999 - March 2001
Skills
Provider Relations, Training, Insurance, Managed Care, Healthcare Industry, Employee Benefits, Health Insurance, Medicare, Medicaid, Healthcare, Claim, Network Development, Analysis, Healthcare Management, Health Policy, Customer Service, Call Centers, HIPAA, Credentialing, Healthcare Consulting
Education
University of Phoenix 2013 — 2015
Bachelor's degree, Management
National American University 2009 — 2013
Business Administration
Presbyterian Healthcare Services August 2013 - Present
Presbyterian Healthcare Services July 2011 - August 2013
Presbyterian Healthcare Services April 2006 - July 2012
Presbyterian Healthcare Services July 2004 - April 2006
Presbyterian Health Plan July 2004 - April 2006
Presbyterian Health Plan Provider Care Unit April 2002 - July 2004
Presbyterian Health Plan Claim Care Unit March 2001 - April 2002
Presbyterian Health Plan November 1999 - March 2001
Skills
Provider Relations, Training, Insurance, Managed Care, Healthcare Industry, Employee Benefits, Health Insurance, Medicare, Medicaid, Healthcare, Claim, Network Development, Analysis, Healthcare Management, Health Policy, Customer Service, Call Centers, HIPAA, Credentialing, Healthcare Consulting
Education
University of Phoenix 2013 — 2015
Bachelor's degree, Management
National American University 2009 — 2013
Business Administration
Mohammed Altameemi Mohammed Altameemi's Presbyterian Health Plan Experience August 2014 - Present
Job System Analyst
Industry Computer Software
Experience
Presbyterian Health Plan August 2014 - Present
Ultramain Systems, Inc. April 2012 - July 2014
USAID/ MSI-Tatweer December 2007 - February 2011
USAID/ MSI-Tatweer December 2007 - December 2009
UNDP- IOM October 2005 - December 2006
Internet Time Center July 2001 - August 2005
INJAZ 2002 - 2004
Skills
Databases, PL/SQL, Database Design, Oracle, SQL, SDLC, Software Development, Data Migration, Analysis, Testing, System Administration, Data Analysis
Education
Jami'at Amman Al-Arabiyya lil Disarat Al-Ulia 2014 — 2014
Oracle Database 11g: Advanced PL/SQL, Computer Science
Presbyterian Health Plan August 2014 - Present
Ultramain Systems, Inc. April 2012 - July 2014
USAID/ MSI-Tatweer December 2007 - February 2011
USAID/ MSI-Tatweer December 2007 - December 2009
UNDP- IOM October 2005 - December 2006
Internet Time Center July 2001 - August 2005
INJAZ 2002 - 2004
Skills
Databases, PL/SQL, Database Design, Oracle, SQL, SDLC, Software Development, Data Migration, Analysis, Testing, System Administration, Data Analysis
Education
Jami'at Amman Al-Arabiyya lil Disarat Al-Ulia 2014 — 2014
Oracle Database 11g: Advanced PL/SQL, Computer Science
Summere Smith Summere Smith's Presbyterian Health Plan Experience January 2006 - August 2006
Job Software Client Leader at IBM
Industry Information Technology and Services
Experience
IBM June 2013 - Present
IBM 2013 - 2015
IBM 2013 - 2015
IBM Global Services October 2010 - June 2013
Praefero, Inc. September 2007 - September 2010
Proxicom June 2007 - September 2007
Proxicom October 2006 - June 2007
Proxicom August 2006 - October 2006
Presbyterian Health Plan January 2006 - August 2006
Presbyterian Health Plan January 2001 - January 2003
Skills
Quality Assurance, User Acceptance Testing, Requirements Analysis, Integration, Testing, Project Management, Business Analysis, SDLC, Healthcare Management, Healthcare, Automated Software..., Business Process Design, Program Management, Management, Business Intelligence, Visio, Software Documentation, Process Improvement, Data Warehousing, Business Process, Test Planning, Analysis, Enterprise Software, Requirements Gathering, Databases, Access
Education
The University of New Mexico 1993 — 1997
Bachelor of Business Administration (BBA), International Business
IBM June 2013 - Present
IBM 2013 - 2015
IBM 2013 - 2015
IBM Global Services October 2010 - June 2013
Praefero, Inc. September 2007 - September 2010
Proxicom June 2007 - September 2007
Proxicom October 2006 - June 2007
Proxicom August 2006 - October 2006
Presbyterian Health Plan January 2006 - August 2006
Presbyterian Health Plan January 2001 - January 2003
Skills
Quality Assurance, User Acceptance Testing, Requirements Analysis, Integration, Testing, Project Management, Business Analysis, SDLC, Healthcare Management, Healthcare, Automated Software..., Business Process Design, Program Management, Management, Business Intelligence, Visio, Software Documentation, Process Improvement, Data Warehousing, Business Process, Test Planning, Analysis, Enterprise Software, Requirements Gathering, Databases, Access
Education
The University of New Mexico 1993 — 1997
Bachelor of Business Administration (BBA), International Business
Dennis Angellis Dennis Angellis's Presbyterian Health Plan Experience August 1999 - December 2008
Job Executive Medical Director, Integrated Care Solutions at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Services September 2013 - Present
Presbyterian Healthcare Services December 2008 - Present
Presbyterian Health Plan August 1999 - December 2008
Skills
Quality Improvement, Healthcare, Physicians, Clinical Research, Process Improvement, Six Sigma, Healthcare Management, Internal Medicine, Lean Manufacturing, Case Managment
Education
Geisel School of Medicine at Dartmouth 1976 — 1979
MD, Medicine
Presbyterian Healthcare Services September 2013 - Present
Presbyterian Healthcare Services December 2008 - Present
Presbyterian Health Plan August 1999 - December 2008
Skills
Quality Improvement, Healthcare, Physicians, Clinical Research, Process Improvement, Six Sigma, Healthcare Management, Internal Medicine, Lean Manufacturing, Case Managment
Education
Geisel School of Medicine at Dartmouth 1976 — 1979
MD, Medicine
Angela Maldonado Angela Maldonado's Presbyterian Health Plan Experience September 2011 - April 2014
Job Systems Analyst at University of New Mexico Hospitals
Industry Information Technology and Services
Experience
University of New Mexico Hospitals November 2014 - Present
RESPEC/POD April 2014 - November 2014
Presbyterian Health Plan September 2011 - April 2014
Presbyterian Health Plan May 2007 - September 2011
University of New Mexico February 2004 - May 2007
Affiliated Computer Services 1997 - 2004
MPower Solutions Inc 1996 - 1997
Blue Cross Blue Shield of New Mexico 1989 - 1991
Home Savings of America 1989 - 1989
Home Savings of America 1984 - 1989
Skills
Unix, SQL, PL/SQL, Data Warehousing, Software Documentation, Visual Basic, Oracle, Testing, Program Management, SDLC, Project Management, Visio, SharePoint, Requirements Analysis, ITIL, Systems Analysis, Integration, CRM
Education
The University of Texas at El Paso 1980 — 1984
BS, Computer Science
University of New Mexico Hospitals November 2014 - Present
RESPEC/POD April 2014 - November 2014
Presbyterian Health Plan September 2011 - April 2014
Presbyterian Health Plan May 2007 - September 2011
University of New Mexico February 2004 - May 2007
Affiliated Computer Services 1997 - 2004
MPower Solutions Inc 1996 - 1997
Blue Cross Blue Shield of New Mexico 1989 - 1991
Home Savings of America 1989 - 1989
Home Savings of America 1984 - 1989
Skills
Unix, SQL, PL/SQL, Data Warehousing, Software Documentation, Visual Basic, Oracle, Testing, Program Management, SDLC, Project Management, Visio, SharePoint, Requirements Analysis, ITIL, Systems Analysis, Integration, CRM
Education
The University of Texas at El Paso 1980 — 1984
BS, Computer Science
Katsumia Breeze Katsumia Breeze's Presbyterian Health Plan Experience January 1993 - March 2001
Job Project Manager
Industry Information Technology and Services
Experience
Honeywell April 2006 - Present
Cimarron Health Plan / Molina Healthcare April 2001 - March 2005
Presbyterian Health Plan January 1993 - March 2001
Education
The University of New Mexico 1986 — 1989
BA
Honeywell April 2006 - Present
Cimarron Health Plan / Molina Healthcare April 2001 - March 2005
Presbyterian Health Plan January 1993 - March 2001
Education
The University of New Mexico 1986 — 1989
BA
Stacey Dalton Stacey Dalton's Presbyterian Health Plan Experience May 2010 - Present
Job Manager of Medicare Part D, Clinical Pharmacy Specialist at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Health Plan May 2010 - Present
Skills
Healthcare Management, Medical Education, Patient Education, Clinical Pharmacy, Medicare Part D, Healthcare Information..., Medication Therapy..., Medicare, Disease Management, Medicaid, Hospitals, Clinical Pharmacology, Pharmaceutical Industry, Clinical Research
Education
The University of New Mexico 2006 — 2010
Doctor of Pharmacy (Pharm.D.)
Texas Tech University 2001 — 2006
Bachelor of Science (B.S.), Chemistry
Presbyterian Health Plan May 2010 - Present
Skills
Healthcare Management, Medical Education, Patient Education, Clinical Pharmacy, Medicare Part D, Healthcare Information..., Medication Therapy..., Medicare, Disease Management, Medicaid, Hospitals, Clinical Pharmacology, Pharmaceutical Industry, Clinical Research
Education
The University of New Mexico 2006 — 2010
Doctor of Pharmacy (Pharm.D.)
Texas Tech University 2001 — 2006
Bachelor of Science (B.S.), Chemistry
Karen Smoot Karen Smoot's Presbyterian Health Plan Experience April 1992 - September 1997
Job Professional
Industry Hospital & Health Care
Experience
Health Care Service Corp 1997 - Present
Presbyterian Health Plan April 1992 - September 1997
HealthSouth Rehabilitation Hospital March 1988 - May 1992
Skills
Strategic Planning, Managed Care, Medicare, Healthcare, Health Insurance, HIPAA, Healthcare Information..., Process Improvement, Insurance, Health Policy, Medicaid, Provider Network..., Hospitals, Program Management, Leadership
Education
University of Utah 1977 — 1979
Clarion University of Pennsylvania
B.S., Education
Health Care Service Corp 1997 - Present
Presbyterian Health Plan April 1992 - September 1997
HealthSouth Rehabilitation Hospital March 1988 - May 1992
Skills
Strategic Planning, Managed Care, Medicare, Healthcare, Health Insurance, HIPAA, Healthcare Information..., Process Improvement, Insurance, Health Policy, Medicaid, Provider Network..., Hospitals, Program Management, Leadership
Education
University of Utah 1977 — 1979
Clarion University of Pennsylvania
B.S., Education
Brandon Fryar Brandon Fryar's Presbyterian Health Plan Experience February 2014 - Present
Job Chief Financial Officer at Presbyterian Health Plan
Industry Accounting
Experience
Presbyterian Health Plan February 2014 - Present
Moss Adams LLP December 2005 - February 2014
Moss Adams LLP January 1996 - February 2014
Office of Special Trustee for American Indians October 2004 - December 2005
KPMG LLP January 1996 - September 2004
Skills
Accounting, SEC filings, CPA, GAAP, US GAAP, Internal Controls, Auditing, Financial Reporting, Analysis, Forecasting, Leadership, Budgets, Financial Accounting, Assurance, Tax Research
Education
New Mexico State University 1992 — 1996
Bachelor of Accountancy, Accounting
Reserve High School
Presbyterian Health Plan February 2014 - Present
Moss Adams LLP December 2005 - February 2014
Moss Adams LLP January 1996 - February 2014
Office of Special Trustee for American Indians October 2004 - December 2005
KPMG LLP January 1996 - September 2004
Skills
Accounting, SEC filings, CPA, GAAP, US GAAP, Internal Controls, Auditing, Financial Reporting, Analysis, Forecasting, Leadership, Budgets, Financial Accounting, Assurance, Tax Research
Education
New Mexico State University 1992 — 1996
Bachelor of Accountancy, Accounting
Reserve High School
Michelle Provencio Michelle Provencio's Presbyterian Health Plan Experience October 1999 - October 2002
Job Owner, USANA Independent Associate
Industry Health, Wellness and Fitness
Experience
USANA August 2003 - Present
USANA Health Sciences 2003 - Present
NMSU 2005 - 2006
Presbyterian Health Plan October 1999 - October 2002
Alcatel Network Systems January 1992 - July 1994
Education
New Mexico State University 1985 — 2008
USANA August 2003 - Present
USANA Health Sciences 2003 - Present
NMSU 2005 - 2006
Presbyterian Health Plan October 1999 - October 2002
Alcatel Network Systems January 1992 - July 1994
Education
New Mexico State University 1985 — 2008
Brigid Holland Brigid Holland's Presbyterian Health Plan Experience July 2011 - July 2012
Job Manager, Medical Case Management at Integrion Group
Industry Health, Wellness and Fitness
Experience
Integrion Group May 2015 - Present
Lovelace Health System May 2013 - Present
Presbyterian Health Plan July 2011 - July 2012
Summit Healthcare Regional Medical Center November 2000 - June 2010
Skills
EHR, Healthcare Information..., Revenue Cycle, Managed Care, Medicare, Healthcare, Hospitals, EMR, Clinical Research, HIPAA, Healthcare Management, Medical Records, Medicaid, Healthcare Consulting, Healthcare Industry, Medical Terminology, Medical Coding
Education
Capella University 2011 — 2014
Bachelor's degree, Healthcare Management, 3.95 out of 4.0
Integrion Group May 2015 - Present
Lovelace Health System May 2013 - Present
Presbyterian Health Plan July 2011 - July 2012
Summit Healthcare Regional Medical Center November 2000 - June 2010
Skills
EHR, Healthcare Information..., Revenue Cycle, Managed Care, Medicare, Healthcare, Hospitals, EMR, Clinical Research, HIPAA, Healthcare Management, Medical Records, Medicaid, Healthcare Consulting, Healthcare Industry, Medical Terminology, Medical Coding
Education
Capella University 2011 — 2014
Bachelor's degree, Healthcare Management, 3.95 out of 4.0
Lisa Hardisty Lisa Hardisty's Presbyterian Health Plan Experience July 2014 - Present
Job Clinical Operations Oversight Manager at Presbyterian Health Plan
Industry Insurance
Experience
Presbyterian Health Plan July 2014 - Present
Presbyterian Health Plan October 2011 - July 2014
Presbyterian Health Plan June 2009 - October 2011
Presbyterian Health Plan July 2004 - June 2009
Skills
Medicare Advantage..., Medicaid Managed Care..., Certified in Healthcare..., Managed Care member and..., Managed Care appeal and..., Managed care provider..., Program Management, Medicaid, Training, Analysis, Policy, Medicare, Management, Insurance, Healthcare, Managed Care, Employee Benefits, Customer Service, Process Improvement, Public Speaking
Education
The University of New Mexico 2010 — 2016
Bachelor of Arts (B.A.), Political Science and Government
University of Phoenix 2008 — 2010
Associate of Arts (A.A.), Healthcare Administration
Presbyterian Health Plan July 2014 - Present
Presbyterian Health Plan October 2011 - July 2014
Presbyterian Health Plan June 2009 - October 2011
Presbyterian Health Plan July 2004 - June 2009
Skills
Medicare Advantage..., Medicaid Managed Care..., Certified in Healthcare..., Managed Care member and..., Managed Care appeal and..., Managed care provider..., Program Management, Medicaid, Training, Analysis, Policy, Medicare, Management, Insurance, Healthcare, Managed Care, Employee Benefits, Customer Service, Process Improvement, Public Speaking
Education
The University of New Mexico 2010 — 2016
Bachelor of Arts (B.A.), Political Science and Government
University of Phoenix 2008 — 2010
Associate of Arts (A.A.), Healthcare Administration
Saravanan Sonaikannapiran, FAHM® Saravanan Sonaikannapiran, FAHM®'s Presbyterian Health Plan Experience August 2011 - April 2012
Job Engagement Manager at Syntel
Industry Information Technology and Services
Experience
Anthem, Inc. July 2015 - Present
Syntel January 2015 - Present
Optum May 2015 - July 2015
Anthem, Inc. January 2015 - May 2015
Cognizant Technology Solutions July 2014 - January 2015
Blue Shield of California April 2012 - January 2015
Cognizant Technology Solutions May 2012 - July 2014
Cognizant Technology Solutions September 2011 - May 2012
Presbyterian Health Plan August 2011 - April 2012
Cognizant Technology Solutions May 2011 - September 2011
Skills
Business Objects, Crystal Reports, SQL, Project Management, Trizetto, FACETS, Facets Consulting, Healthcare Consulting, Healthcare Information..., COSMOS, Fieldglass, HIPAA, Trizetto HIPAA Gateway, Trizetto Facets, EDI, 837I, 837P, 834, Oracle SQL, Oracle Application..., MS Project, MS Query, Claredi, Healthcare, Behavioral Health, Claims, Enrollment, Eligibility, Providers, Commissions, Letters, ID Cards, Capitation, Utilization Management, Benefits, Membership, Testing, System Testing, Manual Testing, User Acceptance Testing, Unit Testing, MS Excel Pivot Tables, Manager, Reviewer, Resource Management, Resource Allocation, Resource Development, Training, Information Technology, Windows Scripting
Education
Stanford University 2014 — 2014
International Policy Studies - Program Management
Carnegie Mellon University - Tepper School of Business 2013 — 2013
Executive Leadership Program
PSG College of Technology 1998 — 2003
BE, SW Mechanical
Anthem, Inc. July 2015 - Present
Syntel January 2015 - Present
Optum May 2015 - July 2015
Anthem, Inc. January 2015 - May 2015
Cognizant Technology Solutions July 2014 - January 2015
Blue Shield of California April 2012 - January 2015
Cognizant Technology Solutions May 2012 - July 2014
Cognizant Technology Solutions September 2011 - May 2012
Presbyterian Health Plan August 2011 - April 2012
Cognizant Technology Solutions May 2011 - September 2011
Skills
Business Objects, Crystal Reports, SQL, Project Management, Trizetto, FACETS, Facets Consulting, Healthcare Consulting, Healthcare Information..., COSMOS, Fieldglass, HIPAA, Trizetto HIPAA Gateway, Trizetto Facets, EDI, 837I, 837P, 834, Oracle SQL, Oracle Application..., MS Project, MS Query, Claredi, Healthcare, Behavioral Health, Claims, Enrollment, Eligibility, Providers, Commissions, Letters, ID Cards, Capitation, Utilization Management, Benefits, Membership, Testing, System Testing, Manual Testing, User Acceptance Testing, Unit Testing, MS Excel Pivot Tables, Manager, Reviewer, Resource Management, Resource Allocation, Resource Development, Training, Information Technology, Windows Scripting
Education
Stanford University 2014 — 2014
International Policy Studies - Program Management
Carnegie Mellon University - Tepper School of Business 2013 — 2013
Executive Leadership Program
PSG College of Technology 1998 — 2003
BE, SW Mechanical
Melissa Banik's Presbyterian Health Plan Experience February 2012 - Present
Job Medicare Program Director at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan February 2012 - Present
Geisinger Health Plan April 2005 - February 2012
Geisinger Health Plan 2003 - 2005
Geisinger Health Plan 1999 - 2003
Geisinger Health System 1994 - 1999
Skills
Medicare, Managed Care, Medicaid, Healthcare, Medicare Part D, Leadership, Supervisory Skills, Health Insurance, Healthcare Management, Healthcare Information..., Strategic Planning, Program Management, Policy, Healthcare Industry, Provider Relations, HIPAA, Health Policy, Revenue Cycle, Network Development, Healthcare Consulting
Education
Bloomsburg University of Pennsylvania 2000 — 2008
B.A., Communication Studies - Corporate Track
Pennsylvania College of Technology
A.A.S., Paralegal Studies
Williamsport Area High School 1975 — 1978
Diploma
Presbyterian Health Plan February 2012 - Present
Geisinger Health Plan April 2005 - February 2012
Geisinger Health Plan 2003 - 2005
Geisinger Health Plan 1999 - 2003
Geisinger Health System 1994 - 1999
Skills
Medicare, Managed Care, Medicaid, Healthcare, Medicare Part D, Leadership, Supervisory Skills, Health Insurance, Healthcare Management, Healthcare Information..., Strategic Planning, Program Management, Policy, Healthcare Industry, Provider Relations, HIPAA, Health Policy, Revenue Cycle, Network Development, Healthcare Consulting
Education
Bloomsburg University of Pennsylvania 2000 — 2008
B.A., Communication Studies - Corporate Track
Pennsylvania College of Technology
A.A.S., Paralegal Studies
Williamsport Area High School 1975 — 1978
Diploma
Allen Cooley's Presbyterian Health Plan Experience April 2015 - Present
Job Commercial Sales Ops. Manager
Industry Hospital & Health Care
Experience
Presbyterian Health Plan April 2015 - Present
Presbyterian Health Plan July 2014 - April 2015
Lovelace Health Plan September 2010 - January 2014
Randomville April 2009 - January 2013
Lovelace Health Plan January 2010 - September 2010
Skills
Adobe Acrobat, Outlook, Photoshop, Microsoft Word, InDesign, Microsoft Office, Access, Marketing, Microsoft Excel, SurveyMonkey, GoToMeeting, Constant Contact, Wellness, Project Management, Copywriting, Copy Editing, Event Scheduling, Data Analysis, Reports, Graphic Design, Pick-A-Time, Writing
Education
The University of New Mexico 2003 — 2008
Bachelor of Arts (BA) in Communications & Journalism
Presbyterian Health Plan April 2015 - Present
Presbyterian Health Plan July 2014 - April 2015
Lovelace Health Plan September 2010 - January 2014
Randomville April 2009 - January 2013
Lovelace Health Plan January 2010 - September 2010
Skills
Adobe Acrobat, Outlook, Photoshop, Microsoft Word, InDesign, Microsoft Office, Access, Marketing, Microsoft Excel, SurveyMonkey, GoToMeeting, Constant Contact, Wellness, Project Management, Copywriting, Copy Editing, Event Scheduling, Data Analysis, Reports, Graphic Design, Pick-A-Time, Writing
Education
The University of New Mexico 2003 — 2008
Bachelor of Arts (BA) in Communications & Journalism
Jason Sharp Jason Sharp's Presbyterian Health Plan Experience April 2013 - May 2014
Job Director, Contracts for Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Services May 2014 - Present
Presbyterian Health Plan April 2013 - May 2014
Lovelace Health Plan February 2012 - April 2013
UNM Medical Group June 2011 - February 2012
Presbyterian Health Plan September 2003 - June 2011
Express Scripts October 1997 - August 2003
Skills
Managed Care, Healthcare, Medicare, Healthcare Management, HIPAA, Hospitals, Provider Relations, Medicaid, Health Insurance, Healthcare Industry, Network Development, Contract Negotiation, Analysis, Claim, Clinical Research, Healthcare Consulting, Health Policy, Home Care, Insurance, Medical Terminology, Pharmacy Benefit..., Physician Relations, Physicians, Quality Improvement, Revenue Cycle, Strategic Planning, System Administration, Utilization Management, Healthcare Information...
Education
University of Phoenix 2004 — 2013
Business Management
Manzano High School 1991 — 1994
Presbyterian Healthcare Services May 2014 - Present
Presbyterian Health Plan April 2013 - May 2014
Lovelace Health Plan February 2012 - April 2013
UNM Medical Group June 2011 - February 2012
Presbyterian Health Plan September 2003 - June 2011
Express Scripts October 1997 - August 2003
Skills
Managed Care, Healthcare, Medicare, Healthcare Management, HIPAA, Hospitals, Provider Relations, Medicaid, Health Insurance, Healthcare Industry, Network Development, Contract Negotiation, Analysis, Claim, Clinical Research, Healthcare Consulting, Health Policy, Home Care, Insurance, Medical Terminology, Pharmacy Benefit..., Physician Relations, Physicians, Quality Improvement, Revenue Cycle, Strategic Planning, System Administration, Utilization Management, Healthcare Information...
Education
University of Phoenix 2004 — 2013
Business Management
Manzano High School 1991 — 1994
Steve DeSaulniers Steve DeSaulniers's Presbyterian Health Plan Experience November 2000 - April 2001
Job Director of Health Plan Operations Behavioral Health at Molina Healthcare of New Mexico
Industry Hospital & Health Care
Experience
Molina Healthcare of New Mexico May 2015 - Present
Magellan Healthcare May 2013 - March 2015
Lovelace Health Plan April 2003 - April 2013
Lovelace Health Plan April 2001 - April 2003
Presbyterian Health Plan November 2000 - April 2001
CIGNA Behavioral Health July 1998 - November 2000
Charter-Heights Behavioral Health System July 1992 - July 1998
Heights Psychiatric Hospital November 1987 - July 1992
Skills
Healthcare, Medicaid, Medicare, Health Insurance, HIPAA, Healthcare Management, Revenue Cycle, Managed Care, Healthcare Information..., Healthcare Consulting, EMR, Medicaid Managed Care, Medical Terminology, HMO, Claim, Health Policy, Employee Benefits, Provider Relations, Home Care
Education
The University of New Mexico
Master of Arts (M.A.), Communication
University of Albuquerque
Bachelor of Arts (B.A.), History and Political Science
University of New Mexico Emergency Medical Services Academy
Molina Healthcare of New Mexico May 2015 - Present
Magellan Healthcare May 2013 - March 2015
Lovelace Health Plan April 2003 - April 2013
Lovelace Health Plan April 2001 - April 2003
Presbyterian Health Plan November 2000 - April 2001
CIGNA Behavioral Health July 1998 - November 2000
Charter-Heights Behavioral Health System July 1992 - July 1998
Heights Psychiatric Hospital November 1987 - July 1992
Skills
Healthcare, Medicaid, Medicare, Health Insurance, HIPAA, Healthcare Management, Revenue Cycle, Managed Care, Healthcare Information..., Healthcare Consulting, EMR, Medicaid Managed Care, Medical Terminology, HMO, Claim, Health Policy, Employee Benefits, Provider Relations, Home Care
Education
The University of New Mexico
Master of Arts (M.A.), Communication
University of Albuquerque
Bachelor of Arts (B.A.), History and Political Science
University of New Mexico Emergency Medical Services Academy
Lisa Armendariz, MBA, PMP Lisa Armendariz, MBA, PMP's Presbyterian Health Plan Experience October 2008 - September 2013
Job Process Excellence Project Manager at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Services September 2013 - Present
Presbyterian Health Plan October 2008 - September 2013
Skills
Healthcare, Process Improvement, Project Management, Strategic Planning, Program Management, Project Portfolio..., Healthcare Information..., Cross-functional Team..., Change Management, Leadership, Event Planning, Healthcare Management, Hospitals, Team Building, HIPAA, Managed Care, Strategic Business, Public Speaking, Data Analysis
Education
The University of New Mexico - Robert O. Anderson School of Management 2003 — 2005
MBA, Policy & Planning
Presbyterian Healthcare Services September 2013 - Present
Presbyterian Health Plan October 2008 - September 2013
Skills
Healthcare, Process Improvement, Project Management, Strategic Planning, Program Management, Project Portfolio..., Healthcare Information..., Cross-functional Team..., Change Management, Leadership, Event Planning, Healthcare Management, Hospitals, Team Building, HIPAA, Managed Care, Strategic Business, Public Speaking, Data Analysis
Education
The University of New Mexico - Robert O. Anderson School of Management 2003 — 2005
MBA, Policy & Planning
Albert Rizzoli Albert Rizzoli's Presbyterian Health Plan Experience July 1996 - Present
Job Medical Director at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan July 1996 - Present
New Mexico Medical Review Association (PRO/QIO) July 1994 - June 1996
Skills
Healthcare Information..., Medicine, Healthcare Management, Diabetes, Physicians, Health Policy, Leadership, Research, Access, Hospitals, Healthcare Industry, Pharmacists, Healthcare, Clinical Research, Managed Care, Public Health, Disease Management, Healthcare Consulting, Oncology, Health Insurance, Medicaid, Medicare, Treatment
Education
The University of New Mexico School of Medicine 1970 — 1974
MD
Presbyterian Health Plan July 1996 - Present
New Mexico Medical Review Association (PRO/QIO) July 1994 - June 1996
Skills
Healthcare Information..., Medicine, Healthcare Management, Diabetes, Physicians, Health Policy, Leadership, Research, Access, Hospitals, Healthcare Industry, Pharmacists, Healthcare, Clinical Research, Managed Care, Public Health, Disease Management, Healthcare Consulting, Oncology, Health Insurance, Medicaid, Medicare, Treatment
Education
The University of New Mexico School of Medicine 1970 — 1974
MD
James De Lara James De Lara's Presbyterian Health Plan Experience 2002 - 2009
Job Certified Personal Trainer at Ninja Park ABQ
Industry Health, Wellness and Fitness
Experience
Ninja Park ABQ September 2015 - Present
AmeriHealth Caritas October 2013 - Present
Fitness Renegades Training, LLC May 2013 - Present
Lovelace Health System July 2010 - September 2013
Sports and Wellness Downtown November 2012 - May 2013
Presbyterian Health Plan 2002 - 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HIPAA, Healthcare, Medicare, Health Insurance, Managed Care, Medicaid, Healthcare Information..., Process Improvement, Healthcare Management, Hospitals, Insurance, Personal Training, Software Documentation, Disease Management, Training, Health Education, Health Policy, HMO, Fitness
Education
California University of Pennsylvania 2011 — 2014
Bachelor of Science (B.Sc.), Health and Wellness, General
University of Phoenix 2009 — 2011
Associate of Arts (A.A.), Sports Management
Ninja Park ABQ September 2015 - Present
AmeriHealth Caritas October 2013 - Present
Fitness Renegades Training, LLC May 2013 - Present
Lovelace Health System July 2010 - September 2013
Sports and Wellness Downtown November 2012 - May 2013
Presbyterian Health Plan 2002 - 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HIPAA, Healthcare, Medicare, Health Insurance, Managed Care, Medicaid, Healthcare Information..., Process Improvement, Healthcare Management, Hospitals, Insurance, Personal Training, Software Documentation, Disease Management, Training, Health Education, Health Policy, HMO, Fitness
Education
California University of Pennsylvania 2011 — 2014
Bachelor of Science (B.Sc.), Health and Wellness, General
University of Phoenix 2009 — 2011
Associate of Arts (A.A.), Sports Management
Ann Greenberg Ann Greenberg's Presbyterian Health Plan Experience November 2011 - Present
Job Director of Compliance at Presbyterian Health Plan
Industry Insurance
Experience
Presbyterian Health Plan November 2011 - Present
AG Compliance Group, LLC August 2010 - Present
OptumHealth August 2010 - October 2011
Lovelace Health Plan and Lovelace Insurance Company February 2005 - July 2010
Skills
Medicaid, Medicare, Project Management, HIPAA, Managed Care, Regulatory Analysis
Education
The George Washington University 2007 — 2007
Certified Health Care Compliance Professional, Compliance
The University of New Mexico
MA, Mathematics
Presbyterian Health Plan November 2011 - Present
AG Compliance Group, LLC August 2010 - Present
OptumHealth August 2010 - October 2011
Lovelace Health Plan and Lovelace Insurance Company February 2005 - July 2010
Skills
Medicaid, Medicare, Project Management, HIPAA, Managed Care, Regulatory Analysis
Education
The George Washington University 2007 — 2007
Certified Health Care Compliance Professional, Compliance
The University of New Mexico
MA, Mathematics
Lonnie Brown Lonnie Brown's Presbyterian Health Plan Experience March 2015 - Present
Job Systems Analyst at Presbyterian Health Plan
Industry Computer Software
Experience
Presbyterian Health Plan March 2015 - Present
Lubricar, Inc. March 2013 - February 2014
Skills
Software Development, SQL, Programming, Web Applications, Databases, TCP/IP, Unix, MySQL, C++, Linux, Cloud Computing, Business Analysis, Operating Systems, JavaScript, Integration, System Administration, Apache, HTML, Web Development, Software Documentation, Agile Methodologies, Requirements Analysis, IIS, Microsoft SQL Server, Shell Scripting, Ubuntu, Servers, Windows Server, Perl, SDLC, Business Intelligence, Access, Troubleshooting, Database Design, Networking, MS Project, Security, Visio, Disaster Recovery
Education
The University of New Mexico 1987 — 1990
Bachelor of Arts (BA), English/Professional Writing
Presbyterian Health Plan March 2015 - Present
Lubricar, Inc. March 2013 - February 2014
Skills
Software Development, SQL, Programming, Web Applications, Databases, TCP/IP, Unix, MySQL, C++, Linux, Cloud Computing, Business Analysis, Operating Systems, JavaScript, Integration, System Administration, Apache, HTML, Web Development, Software Documentation, Agile Methodologies, Requirements Analysis, IIS, Microsoft SQL Server, Shell Scripting, Ubuntu, Servers, Windows Server, Perl, SDLC, Business Intelligence, Access, Troubleshooting, Database Design, Networking, MS Project, Security, Visio, Disaster Recovery
Education
The University of New Mexico 1987 — 1990
Bachelor of Arts (BA), English/Professional Writing
Deanna French Deanna French's Presbyterian Health Plan Experience November 1996 - December 1997
Job HR Generalist at ADESA OpenLane
Industry Automotive
Experience
ADESA OpenLane March 2015 - Present
ADESA Phoenix April 2012 - Present
ADESA April 2009 - Present
Zaio Inc May 2006 - October 2008
The Reserve Vineyard and Golf Club March 2004 - March 2005
Gerber Legendary Blades April 2002 - January 2004
Intel Corporation March 2000 - April 2002
Community Action Organization January 1998 - March 2000
Presbyterian Health Plan November 1996 - December 1997
Consultec October 1994 - November 1996
Skills
Human Resources, Administrative..., Customer Service, New Hire Orientations, HRIS, Employee Relations, ADP Payroll, Benefits Administration, Workers Compensation, Unemployment Claims, HR Policies, Microsoft Office, Taleo, Clerical Skills, Disability Insurance
Education
USAF 1984 — 1994
none, Human Resources Management/Personnel Administration, General
Community College of the Air Force 1985 — 1986
none, Human Resources Management/Personnel Administration, General
Huntington North High School 1980 — 1982
diploma, Regular/General High School/Secondary Diploma Program
ADESA OpenLane March 2015 - Present
ADESA Phoenix April 2012 - Present
ADESA April 2009 - Present
Zaio Inc May 2006 - October 2008
The Reserve Vineyard and Golf Club March 2004 - March 2005
Gerber Legendary Blades April 2002 - January 2004
Intel Corporation March 2000 - April 2002
Community Action Organization January 1998 - March 2000
Presbyterian Health Plan November 1996 - December 1997
Consultec October 1994 - November 1996
Skills
Human Resources, Administrative..., Customer Service, New Hire Orientations, HRIS, Employee Relations, ADP Payroll, Benefits Administration, Workers Compensation, Unemployment Claims, HR Policies, Microsoft Office, Taleo, Clerical Skills, Disability Insurance
Education
USAF 1984 — 1994
none, Human Resources Management/Personnel Administration, General
Community College of the Air Force 1985 — 1986
none, Human Resources Management/Personnel Administration, General
Huntington North High School 1980 — 1982
diploma, Regular/General High School/Secondary Diploma Program
Virginia Gleason's Presbyterian Health Plan Experience April 1998 - September 1998
Job Product Manager at Thomson Reuters Elite
Industry Legal Services
Experience
Thomson Reuters Elite November 2012 - Present
Thomson Reuters January 2008 - November 2012
Thomson Elite, ProLaw Software November 2005 - December 2007
Thomson Elite, ProLaw Software June 2004 - November 2005
Thomson Elite, ProLaw Software August 2002 - May 2004
Thomson Elite, ProLaw Software August 2001 - August 2002
Foundation Consulting Group September 1998 - June 2001
Presbyterian Health Plan April 1998 - September 1998
Skills
ProLaw Back Office..., Bookkeeping, Outstanding Customer..., Contract Negotiation, Software Documentation, Account Management, Outlook, Accounts Receivable, Negotiation, Accounting, Databases, Process Improvement, Customer Service, Microsoft Office, Strategic Planning, Microsoft SQL Server, Budget, Microsoft Excel, Budgets, Leadership, Business Analysis, Analysis, CRM, SaaS, Software Project..., Management
Education
Eastern New Mexico University 1984 — 1985
Kemtah Training Center
Thomson Reuters Elite November 2012 - Present
Thomson Reuters January 2008 - November 2012
Thomson Elite, ProLaw Software November 2005 - December 2007
Thomson Elite, ProLaw Software June 2004 - November 2005
Thomson Elite, ProLaw Software August 2002 - May 2004
Thomson Elite, ProLaw Software August 2001 - August 2002
Foundation Consulting Group September 1998 - June 2001
Presbyterian Health Plan April 1998 - September 1998
Skills
ProLaw Back Office..., Bookkeeping, Outstanding Customer..., Contract Negotiation, Software Documentation, Account Management, Outlook, Accounts Receivable, Negotiation, Accounting, Databases, Process Improvement, Customer Service, Microsoft Office, Strategic Planning, Microsoft SQL Server, Budget, Microsoft Excel, Budgets, Leadership, Business Analysis, Analysis, CRM, SaaS, Software Project..., Management
Education
Eastern New Mexico University 1984 — 1985
Kemtah Training Center
Rebecca Kohl's Presbyterian Health Plan Experience 2000 - 2003
Job VP Network Development at Schaller Anderson of Arizona
Industry Insurance
Experience
Schaller Anderson of Arizona Vice President Network ManagementCoventry Health Care2003 - 2004
Presbyterian Health Plan 2000 - 2003
Blue Cross of Northeastern PA 1997 - 2000
Education
Binghamton University
Schaller Anderson of Arizona Vice President Network ManagementCoventry Health Care2003 - 2004
Presbyterian Health Plan 2000 - 2003
Blue Cross of Northeastern PA 1997 - 2000
Education
Binghamton University
Deirdre Podgorski's Presbyterian Health Plan Experience November 2002 - February 2005
Job Process Engineer at Providence Health & Services
Industry Hospital & Health Care
Experience
Providence Health & Services 2012 - Present
Providence Health & Services 2007 - 2012
Presbyterian Healthcare System February 2005 - November 2006
Presbyterian Health Plan November 2002 - February 2005
Emcore Corporation May 2001 - June 2002
CTS Wireless, Inc. March 1999 - May 2001
Motorola Components Products Division August 1998 - March 1999
Intel Corporation January 1991 - April 1994
Skills
Healthcare, Change Management, Process Improvement, Six Sigma, Process Engineering, Lean Manufacturing, Healthcare Information..., Quality Assurance, Cross-functional Team..., Training, Analysis, Project Management, Visio, Business Process..., Operational Excellence, Continuous Improvement, Testing, Program Management, Management, HIPAA, EHR, Data Analysis, Quality Management, Strategy, Software Documentation, SharePoint, Performance Improvement, Performance Management, Strategic Planning, Business Analysis
Education
Saint Joseph's College
Master of Health Administration
New Mexico State University
Bachelor of Science (BS), Industrial Engineering
Providence Health & Services 2012 - Present
Providence Health & Services 2007 - 2012
Presbyterian Healthcare System February 2005 - November 2006
Presbyterian Health Plan November 2002 - February 2005
Emcore Corporation May 2001 - June 2002
CTS Wireless, Inc. March 1999 - May 2001
Motorola Components Products Division August 1998 - March 1999
Intel Corporation January 1991 - April 1994
Skills
Healthcare, Change Management, Process Improvement, Six Sigma, Process Engineering, Lean Manufacturing, Healthcare Information..., Quality Assurance, Cross-functional Team..., Training, Analysis, Project Management, Visio, Business Process..., Operational Excellence, Continuous Improvement, Testing, Program Management, Management, HIPAA, EHR, Data Analysis, Quality Management, Strategy, Software Documentation, SharePoint, Performance Improvement, Performance Management, Strategic Planning, Business Analysis
Education
Saint Joseph's College
Master of Health Administration
New Mexico State University
Bachelor of Science (BS), Industrial Engineering
Mark Ammons's Presbyterian Health Plan Experience September 2000 - December 2005
Job VP of Operations at J3Global, Inc.
Industry Hospital & Health Care
Experience
J3Global, Inc. January 2015 - Present
Lighthouse Mission June 2009 - February 2015
J3Global, Inc. March 2014 - December 2014
Health Technology Services March 2012 - December 2014
Intelli-Source Solutions September 2011 - January 2012
Intelli-Source Solutions February 2011 - May 2011
Sterling Life Insurance March 2010 - January 2011
Sterling Life Insurance December 2008 - February 2010
Primary Health, Inc. April 2006 - November 2008
Presbyterian Health Plan September 2000 - December 2005
Skills
Process Improvement, RFP, Business Continuity..., Fraud, Medicare, HIPAA, Healthcare, Health Insurance, Insurance, Healthcare Information..., Strategic Planning, Medicaid, Health Policy, Managed Care, Healthcare Management, Software Project..., Claims Payment..., Vendor Contracting and..., PBMs, Business Analysis, Pharmacy Benefit..., Project Management, Management, SDLC, Provider Relations, Healthcare Consulting, Healthcare Industry, Claim, Network Development, HMO, Employee Benefits, Credentialing, Medicare Part D, Program Management, Disease Management, Utilization Management, Revenue Cycle, Long-term Care, Physicians, Physician Relations, PPO, EHR, Hospitals, Informatics, EMR, Executive Management, Brokers, Software Documentation, EDI, Provider Network...
Education
University of Michigan - Stephen M. Ross School of Business 1990 — 1992
Master of Business Administration (MBA), Finance, Marketing, IT
Michigan State University 1978 — 1981
Bachelor of Science (BS), Cytochemistry - Zoology
J3Global, Inc. January 2015 - Present
Lighthouse Mission June 2009 - February 2015
J3Global, Inc. March 2014 - December 2014
Health Technology Services March 2012 - December 2014
Intelli-Source Solutions September 2011 - January 2012
Intelli-Source Solutions February 2011 - May 2011
Sterling Life Insurance March 2010 - January 2011
Sterling Life Insurance December 2008 - February 2010
Primary Health, Inc. April 2006 - November 2008
Presbyterian Health Plan September 2000 - December 2005
Skills
Process Improvement, RFP, Business Continuity..., Fraud, Medicare, HIPAA, Healthcare, Health Insurance, Insurance, Healthcare Information..., Strategic Planning, Medicaid, Health Policy, Managed Care, Healthcare Management, Software Project..., Claims Payment..., Vendor Contracting and..., PBMs, Business Analysis, Pharmacy Benefit..., Project Management, Management, SDLC, Provider Relations, Healthcare Consulting, Healthcare Industry, Claim, Network Development, HMO, Employee Benefits, Credentialing, Medicare Part D, Program Management, Disease Management, Utilization Management, Revenue Cycle, Long-term Care, Physicians, Physician Relations, PPO, EHR, Hospitals, Informatics, EMR, Executive Management, Brokers, Software Documentation, EDI, Provider Network...
Education
University of Michigan - Stephen M. Ross School of Business 1990 — 1992
Master of Business Administration (MBA), Finance, Marketing, IT
Michigan State University 1978 — 1981
Bachelor of Science (BS), Cytochemistry - Zoology
Treya Norris's Presbyterian Health Plan Experience September 2011 - Present
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Presbyterian Health Plan September 2011 - Present
Outcomes Health Information Solutions October 2009 - August 2011
Skills
Hospitals, Healthcare Management, EMR, HIPAA, Healthcare, Clinical Research, EHR, Healthcare Information..., Home Care, Inpatient, Medical Terminology, Medicare, Nursing, BLS, Patient Safety
Education
New Mexico State University
Bachelors, Registered Nursing/Registered Nurse
Presbyterian Health Plan September 2011 - Present
Outcomes Health Information Solutions October 2009 - August 2011
Skills
Hospitals, Healthcare Management, EMR, HIPAA, Healthcare, Clinical Research, EHR, Healthcare Information..., Home Care, Inpatient, Medical Terminology, Medicare, Nursing, BLS, Patient Safety
Education
New Mexico State University
Bachelors, Registered Nursing/Registered Nurse
Berry Kelly's Presbyterian Health Plan Experience January 1992 - December 2000
Job Owner, Berry Kelly Group & Individual Insurance
Industry Insurance
Experience
Berry Kelly Group & Individual Insurance January 2008 - Present
NovaCare Rehabilitation January 2001 - December 2007
Presbyterian Health Plan January 1992 - December 2000
Prudential Insurance Co. of America May 1979 - December 1990
Skills
Sales & Marketing..., Customer Retention, Public Speaking, Spanish-speaking, Customer Insight, Health Insurance, Employee Benefits, Business Development, Insurance, Disability Insurance, Account Management, Customer Service, Marketing, Leadership Development
Education
The University of New Mexico 1972 — 1977
Bachelor of University Studies, Spanish Language and Literature
New Mexico Military Institute 1969 — 1971
High School Degree
Berry Kelly Group & Individual Insurance January 2008 - Present
NovaCare Rehabilitation January 2001 - December 2007
Presbyterian Health Plan January 1992 - December 2000
Prudential Insurance Co. of America May 1979 - December 1990
Skills
Sales & Marketing..., Customer Retention, Public Speaking, Spanish-speaking, Customer Insight, Health Insurance, Employee Benefits, Business Development, Insurance, Disability Insurance, Account Management, Customer Service, Marketing, Leadership Development
Education
The University of New Mexico 1972 — 1977
Bachelor of University Studies, Spanish Language and Literature
New Mexico Military Institute 1969 — 1971
High School Degree
Alan Avery's Presbyterian Health Plan Experience November 1997 - July 1999
Job COO
Industry Insurance
Experience
Kern Health Systems January 2015 - Present
Mercy Health Plans April 2008 - Present
Managed Care Systems, LP March 2010 - January 2015
Medical Associates Health Plans & Health Choices May 2000 - February 2008
Medical Associates Clinic, P.C. 2000 - 2008
Quality Care Network MSO July 1999 - May 2000
Presbyterian Health Plan November 1997 - July 1999
FHP of New Mexico, Inc October 1993 - November 1997
UltraLink July 1992 - October 1993
Aetna Health Plans March 1987 - July 1992
Skills
Network Development, Managed Care, Budgets, Medicaid, Provider Relations, PPO, Medicare, HMO, Sales, Strategy, Customer Service, Healthcare, Health Policy, Leadership, Marketing, Physicians, Process Improvement, Employee Benefits, Strategic Planning
Education
University of Phoenix
MBA, Business Administration and Management, General
Brigham Young University
B.S, Business Management
Kern Health Systems January 2015 - Present
Mercy Health Plans April 2008 - Present
Managed Care Systems, LP March 2010 - January 2015
Medical Associates Health Plans & Health Choices May 2000 - February 2008
Medical Associates Clinic, P.C. 2000 - 2008
Quality Care Network MSO July 1999 - May 2000
Presbyterian Health Plan November 1997 - July 1999
FHP of New Mexico, Inc October 1993 - November 1997
UltraLink July 1992 - October 1993
Aetna Health Plans March 1987 - July 1992
Skills
Network Development, Managed Care, Budgets, Medicaid, Provider Relations, PPO, Medicare, HMO, Sales, Strategy, Customer Service, Healthcare, Health Policy, Leadership, Marketing, Physicians, Process Improvement, Employee Benefits, Strategic Planning
Education
University of Phoenix
MBA, Business Administration and Management, General
Brigham Young University
B.S, Business Management
Art Lewis's Presbyterian Health Plan Experience August 2003 - April 2008
Job VP Quality and Compliance Support at AARP Services Inc
Industry Insurance
Experience
AARP Services Inc May 2008 - Present
Presbyterian Health Plan August 2003 - April 2008
Deloitte April 1997 - October 2001
Deloitte Consulting 1996 - 2001
Skills
Health Insurance, Actuarial Science, Insurance, Analysis, Policy, Strategic Planning, Segmentation, Claim, Program Management, Cross-functional Team..., Pricing, Project Management, Team Building
Education
The Ohio State University 1983 — 1988
BA, Psychology, Philosophy
AARP Services Inc May 2008 - Present
Presbyterian Health Plan August 2003 - April 2008
Deloitte April 1997 - October 2001
Deloitte Consulting 1996 - 2001
Skills
Health Insurance, Actuarial Science, Insurance, Analysis, Policy, Strategic Planning, Segmentation, Claim, Program Management, Cross-functional Team..., Pricing, Project Management, Team Building
Education
The Ohio State University 1983 — 1988
BA, Psychology, Philosophy
Karen Sorel's Presbyterian Health Plan Experience June 2009 - Present
Job Nurse Care Coordinator at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan June 2009 - Present
Presbyterian Home Health Care January 2007 - May 2009
Minneapolis Community College October 2001 - December 2005
IHQ July 1996 - October 2001
Education
University of Minnesota-Twin Cities 1989 — 1992
MPH, Occupational Health
St. Olaf College 1974 — 1979
B.S.N., Nursing
Presbyterian Health Plan June 2009 - Present
Presbyterian Home Health Care January 2007 - May 2009
Minneapolis Community College October 2001 - December 2005
IHQ July 1996 - October 2001
Education
University of Minnesota-Twin Cities 1989 — 1992
MPH, Occupational Health
St. Olaf College 1974 — 1979
B.S.N., Nursing
Staci Gonzalez's Presbyterian Health Plan Experience December 2013 - Present
Job Business Technical Analyst at Presbyterian Health Plan
Industry Information Technology and Services
Experience
Presbyterian Health Plan December 2013 - Present
Lovelace Health Plan October 2011 - November 2013
Tricore Reference Laboratories June 2010 - October 2011
Robert Half Technology February 2010 - September 2010
UniRac, Inc. September 2009 - February 2010
The Insource Group for Thornburg Mortgage May 2008 - April 2009
Peyote Bird Designs April 2004 - April 2008
Accenture Technology Solutions July 1999 - June 2003
Skills
Software Documentation, SharePoint, User Acceptance Testing, Program Management, Analysis, Outlook, Access, Vendor Management, Team Building, Requirements Analysis, ERP, Quality Assurance, SQL, Visio, Project Management, Microsoft Office, Leadership, Healthcare Information..., JavaScript, SDLC, IT Management, Cross-functional Team..., Databases, Technical Support, Management, Business Requirements, Business Intelligence, Business Process, ITIL, Risk Management, Strategy, Software Development, Microsoft SQL Server, HTML, Requirements Gathering, Integration, HIPAA, Process Improvement, Change Management, Business Analysis, Budgets, ASP, Data Analysis, Business Process..., VSS
Education
University of Florida 1998 — 1999
MBA, Finance
University of Florida 1996 — 1999
MS in DIS, Computers and Business
Presbyterian Health Plan December 2013 - Present
Lovelace Health Plan October 2011 - November 2013
Tricore Reference Laboratories June 2010 - October 2011
Robert Half Technology February 2010 - September 2010
UniRac, Inc. September 2009 - February 2010
The Insource Group for Thornburg Mortgage May 2008 - April 2009
Peyote Bird Designs April 2004 - April 2008
Accenture Technology Solutions July 1999 - June 2003
Skills
Software Documentation, SharePoint, User Acceptance Testing, Program Management, Analysis, Outlook, Access, Vendor Management, Team Building, Requirements Analysis, ERP, Quality Assurance, SQL, Visio, Project Management, Microsoft Office, Leadership, Healthcare Information..., JavaScript, SDLC, IT Management, Cross-functional Team..., Databases, Technical Support, Management, Business Requirements, Business Intelligence, Business Process, ITIL, Risk Management, Strategy, Software Development, Microsoft SQL Server, HTML, Requirements Gathering, Integration, HIPAA, Process Improvement, Change Management, Business Analysis, Budgets, ASP, Data Analysis, Business Process..., VSS
Education
University of Florida 1998 — 1999
MBA, Finance
University of Florida 1996 — 1999
MS in DIS, Computers and Business
Femina Jaffer's Presbyterian Health Plan Experience October 2012 - October 2013
Job HL7 Interface Developer at TriCore Reference Laboratories
Industry Information Services
Experience
TriCore Reference Laboratories October 2013 - Present
Presbyterian Health Plan October 2012 - October 2013
Tricore Reference Laboratories March 2006 - October 2012
Microstar Consulting Services 2004 - 2005
Lovelace Health Systems 1998 - 2004
Skills
Data Integration, HL7, EDI, x12, Microsoft SQL Server, T-SQL / PLSQL, SQL, Databases, SSRS, SSIS, Unix, Crystal Reports, Windows 7
Education
Southern Alberta Institute of Technology 1990 — 1992
Information Technology
The University of New Mexico 1985 — 1989
General Studies
TriCore Reference Laboratories October 2013 - Present
Presbyterian Health Plan October 2012 - October 2013
Tricore Reference Laboratories March 2006 - October 2012
Microstar Consulting Services 2004 - 2005
Lovelace Health Systems 1998 - 2004
Skills
Data Integration, HL7, EDI, x12, Microsoft SQL Server, T-SQL / PLSQL, SQL, Databases, SSRS, SSIS, Unix, Crystal Reports, Windows 7
Education
Southern Alberta Institute of Technology 1990 — 1992
Information Technology
The University of New Mexico 1985 — 1989
General Studies
Lora Little Allpass's Presbyterian Health Plan Experience March 2003 - Present
Job Director of Medical Economics Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Health Plan March 2003 - Present
Education
New Mexico State University 1988 — 1993
Bachelors, Accounting and Finance
Presbyterian Health Plan March 2003 - Present
Education
New Mexico State University 1988 — 1993
Bachelors, Accounting and Finance
Denise Marquez-Padilla, MBA's Presbyterian Health Plan Experience May 2004 - December 2006
Job Health Program Manager at Intel
Industry Nanotechnology
Experience
Intel January 2006 - Present
Presbyterian Health Plan May 2004 - December 2006
St. Joseph MedicarePlus October 1999 - June 2003
St. Joseph Healthcare Systems August 1997 - October 1999
ValueRx October 1994 - August 1997
FHP December 1993 - September 1994
FHP June 1986 - December 1993
Skills
Administration, Contract Negotiation, Customer Service, Healthcare Management, Healthcare, Coaching, Strategic Planning, Non-profits, Problem Solving, Event Planning, Customer Relations, Program Development, PowerPoint, Word, Microsoft Office, Public Relations, Event Management, Employee Relations, Excel, Mentoring, HIPAA, Policy, Compliance, Outlook, Budgeting, Vendor Management, Supervisory Skills, Operations Management, Call Center, Process Engineering, Health Insurance, Dental Insurance, Vision Insurance, High Deductible Health..., Health & Welfare..., Process Improvement, Management, Employee Benefits, Medicare, Benefits Administration, HMO, Non-profit Boards, EAP, Pharmacy Benefit..., Public Speaking, Program Management, Leadership, Leadership Development, Data Analysis, Organizational...
Education
The College of Santa Fe 2004 — 2005
MBA, Human Resources
University of Phoenix 1996 — 1997
BA, Management
Intel January 2006 - Present
Presbyterian Health Plan May 2004 - December 2006
St. Joseph MedicarePlus October 1999 - June 2003
St. Joseph Healthcare Systems August 1997 - October 1999
ValueRx October 1994 - August 1997
FHP December 1993 - September 1994
FHP June 1986 - December 1993
Skills
Administration, Contract Negotiation, Customer Service, Healthcare Management, Healthcare, Coaching, Strategic Planning, Non-profits, Problem Solving, Event Planning, Customer Relations, Program Development, PowerPoint, Word, Microsoft Office, Public Relations, Event Management, Employee Relations, Excel, Mentoring, HIPAA, Policy, Compliance, Outlook, Budgeting, Vendor Management, Supervisory Skills, Operations Management, Call Center, Process Engineering, Health Insurance, Dental Insurance, Vision Insurance, High Deductible Health..., Health & Welfare..., Process Improvement, Management, Employee Benefits, Medicare, Benefits Administration, HMO, Non-profit Boards, EAP, Pharmacy Benefit..., Public Speaking, Program Management, Leadership, Leadership Development, Data Analysis, Organizational...
Education
The College of Santa Fe 2004 — 2005
MBA, Human Resources
University of Phoenix 1996 — 1997
BA, Management
Paul J Benson's Presbyterian Health Plan Experience November 2010 - June 2011
Job Senior Technology Project Manager at WellPoint
Industry Hospital & Health Care
Experience
WellPoint December 2011 - Present
CEI 2011 - December 2011
Presbyterian Health Plan November 2010 - June 2011
CEI April 2010 - January 2011
Optum Health October 2008 - December 2009
Optum Health 2009 - 2009
US Technology January 2005 - April 2008
USPSA Articles 2004 - 2007
CNSI August 2005 - January 2006
Unisys 2004 - 2006
Education
The University of New Mexico 1982 — 1983
Master, Public Administration
WellPoint December 2011 - Present
CEI 2011 - December 2011
Presbyterian Health Plan November 2010 - June 2011
CEI April 2010 - January 2011
Optum Health October 2008 - December 2009
Optum Health 2009 - 2009
US Technology January 2005 - April 2008
USPSA Articles 2004 - 2007
CNSI August 2005 - January 2006
Unisys 2004 - 2006
Education
The University of New Mexico 1982 — 1983
Master, Public Administration
Betty Shoenberger's Presbyterian Health Plan Experience July 1998 - December 1998
Job Manager at Humana
Industry Insurance
Experience
Humana January 1999 - Present
Humana Inc January 1999 - Present
Ochsner Health Plan 1999 - 2004
Presbyterian Health Plan July 1998 - December 1998
Presbyterian Health Plan July 1998 - December 1998
St.Joseph Healthcare System September 1993 - June 1998
Provident Life & Accident May 1985 - September 1993
Skills
AAPC - Certified..., AHIP - Certified..., Health Insurance, Managed Care, Health Policy, Insurance, Employee Benefits, Healthcare, Provider Relations, Process Improvement, HMO, Healthcare Information..., Healthcare Management, Leadership, Change Management, Claim
Education
Penn State University
BA, Broadcast Journalism
Humana January 1999 - Present
Humana Inc January 1999 - Present
Ochsner Health Plan 1999 - 2004
Presbyterian Health Plan July 1998 - December 1998
Presbyterian Health Plan July 1998 - December 1998
St.Joseph Healthcare System September 1993 - June 1998
Provident Life & Accident May 1985 - September 1993
Skills
AAPC - Certified..., AHIP - Certified..., Health Insurance, Managed Care, Health Policy, Insurance, Employee Benefits, Healthcare, Provider Relations, Process Improvement, HMO, Healthcare Information..., Healthcare Management, Leadership, Change Management, Claim
Education
Penn State University
BA, Broadcast Journalism
Mark Ammons's Presbyterian Health Plan Experience 2000 - 2005
Job Director of Business Engineering (IT) at
Industry Insurance
Experience
Sterling Life Insurance March 2010 - January 2011
Sterling Life Insurance December 2008 - February 2010
Primary Health Plan April 2006 - November 2008
Presbyterian Health Plan 2000 - 2005
Education
University of Michigan - Stephen M. Ross School of Business 1990 — 1992
MBA, Finance, Marketing
Sterling Life Insurance March 2010 - January 2011
Sterling Life Insurance December 2008 - February 2010
Primary Health Plan April 2006 - November 2008
Presbyterian Health Plan 2000 - 2005
Education
University of Michigan - Stephen M. Ross School of Business 1990 — 1992
MBA, Finance, Marketing
Pamela Harrington's Presbyterian Health Plan Experience July 1998 - October 2007
Job MITA Business Analyst II
Industry Information Services
Experience
Molina Healthcare August 2011 - Present
United Healthcare Group through AllMed Staffing March 2010 - October 2010
Adaptis, Inc May 2009 - September 2009
Adaptis, Inc November 2007 - September 2009
Adaptis, Inc November 2007 - May 2009
Presbyterian Health Plan July 1998 - October 2007
Presbyterian Health Plans 1998 - 2007
QualMed Plans for Health October 1994 - July 1998
QualMed Plans for Health June 1990 - October 1994
Sutter General Hospital October 1982 - June 1990
Skills
Software Documentation, Healthcare Information..., Project Planning, Business Analysis, EDI, Claim, Medicaid, HIPAA, Medicare, Microsoft Office, Management, Health Policy, Healthcare, Insurance, SDLC, ICD-10, Process Improvement, Employee Benefits, Quality Assurance, Managed Care, Leadership, Visio, SharePoint
Education
Murray State University 1967 — 1969
Nursing
Champaign Senior High School
Molina Healthcare August 2011 - Present
United Healthcare Group through AllMed Staffing March 2010 - October 2010
Adaptis, Inc May 2009 - September 2009
Adaptis, Inc November 2007 - September 2009
Adaptis, Inc November 2007 - May 2009
Presbyterian Health Plan July 1998 - October 2007
Presbyterian Health Plans 1998 - 2007
QualMed Plans for Health October 1994 - July 1998
QualMed Plans for Health June 1990 - October 1994
Sutter General Hospital October 1982 - June 1990
Skills
Software Documentation, Healthcare Information..., Project Planning, Business Analysis, EDI, Claim, Medicaid, HIPAA, Medicare, Microsoft Office, Management, Health Policy, Healthcare, Insurance, SDLC, ICD-10, Process Improvement, Employee Benefits, Quality Assurance, Managed Care, Leadership, Visio, SharePoint
Education
Murray State University 1967 — 1969
Nursing
Champaign Senior High School
Terry LeVois's Presbyterian Health Plan Experience March 2002 - September 2005
Job Benefits Administrator at PNM Resources
Industry Utilities
Experience
PNM Resources June 2009 - Present
PNM Resources August 2005 - May 2009
Presbyterian Health Plan March 2002 - September 2005
Education
The University of New Mexico - Robert O. Anderson School of Management 2005 — 2010
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Iowa 1971 — 1973
Bachelor's Degree, Education
Western Illinois University 1969 — 1971
Physical Education Teaching and Coaching with Music Minor
World at Work
Certified Benefits Professional
PNM Resources June 2009 - Present
PNM Resources August 2005 - May 2009
Presbyterian Health Plan March 2002 - September 2005
Education
The University of New Mexico - Robert O. Anderson School of Management 2005 — 2010
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Iowa 1971 — 1973
Bachelor's Degree, Education
Western Illinois University 1969 — 1971
Physical Education Teaching and Coaching with Music Minor
World at Work
Certified Benefits Professional
Lisa Groves's Presbyterian Health Plan Experience August 1997 - September 2001
Job Wellness and Pain Management bodywork practice owner/educator; myofascial release, neuromuscular and energy work
Industry Health, Wellness and Fitness
Experience
Universal Therapeutic Massage Institute February 2010 - Present
Young Living Therapeutic Grade Essential Oils 2009 - Present
East and West, Hand in Hand November 2004 - Present
East and West, Hand in Hand May 1993 - Present
Heartland Hospice September 2008 - May 2009
Presbyterian Health Plan August 1997 - September 2001
FHP October 1990 - August 1997
Skills
Myofascial Release, Essential Oils, Teaching, Reiki, Trigger Point Therapy, Neuromuscular Therapy, Hydrotherapy, Microsoft Office, Insurance, Holistic Health, Staff Management, Health Insurance..., Small busines owner and..., Reflexology, Medical Underwriting, Therapists
Education
Missouri Western State University
Universal Therapeutic Massage Institute
Universal Therapeutic Massage Institute February 2010 - Present
Young Living Therapeutic Grade Essential Oils 2009 - Present
East and West, Hand in Hand November 2004 - Present
East and West, Hand in Hand May 1993 - Present
Heartland Hospice September 2008 - May 2009
Presbyterian Health Plan August 1997 - September 2001
FHP October 1990 - August 1997
Skills
Myofascial Release, Essential Oils, Teaching, Reiki, Trigger Point Therapy, Neuromuscular Therapy, Hydrotherapy, Microsoft Office, Insurance, Holistic Health, Staff Management, Health Insurance..., Small busines owner and..., Reflexology, Medical Underwriting, Therapists
Education
Missouri Western State University
Universal Therapeutic Massage Institute
Steven Jenkusky's Presbyterian Health Plan Experience January 2010 - Present
Job Medical Director for Behavioral Health, Presbyterian Healthcare Services
Industry Mental Health Care
Experience
Presbyterian Health Plan January 2010 - Present
Presbyterian Healthcare Services August 2009 - Present
University of New Mexico School of Medicine August 2009 - Present
New Mexico Medical Board July 2009 - Present
Skills
Healthcare Management, Healthcare, Behavioral Health, Health Policy, Psychiatry, Medicaid, Public Health, Board Certified, Healthcare Information..., EHR, HIPAA, Quality Improvement, Medicine, EMR, Treatment, Clinical Research, Physicians, Healthcare Consulting, Patient Safety, Inpatient, Managed Care, Hospitals, Medical Education
Education
Southern Illinois University School of Medicine 1986 — 1990
MD
Southern Illinois University, Carbondale 1976 — 1979
Master's degree, Zoology/Wildlife Biology
St. Francis College 1972 — 1976
Bachelors of Science, Biology
Presbyterian Health Plan January 2010 - Present
Presbyterian Healthcare Services August 2009 - Present
University of New Mexico School of Medicine August 2009 - Present
New Mexico Medical Board July 2009 - Present
Skills
Healthcare Management, Healthcare, Behavioral Health, Health Policy, Psychiatry, Medicaid, Public Health, Board Certified, Healthcare Information..., EHR, HIPAA, Quality Improvement, Medicine, EMR, Treatment, Clinical Research, Physicians, Healthcare Consulting, Patient Safety, Inpatient, Managed Care, Hospitals, Medical Education
Education
Southern Illinois University School of Medicine 1986 — 1990
MD
Southern Illinois University, Carbondale 1976 — 1979
Master's degree, Zoology/Wildlife Biology
St. Francis College 1972 — 1976
Bachelors of Science, Biology
Cynthia Montoya's Presbyterian Health Plan Experience October 2000 - July 2011
Job Provider Network Manager at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
HCSC January 2012 - Present
Presbyterian Health Plan October 2000 - July 2011
Lovelace Health Systems, Inc. May 2000 - October 2000
High Desert Management Systems, Inc January 1994 - September 1997
Lovelace Health Systems, Inc. March 1992 - January 1994
Lovelace Health Systems, Inc. August 1990 - March 1992
Education
The University of New Mexico - Robert O. Anderson School of Management 1984 — 1989
B.B.A, Business Computer Systems
HCSC January 2012 - Present
Presbyterian Health Plan October 2000 - July 2011
Lovelace Health Systems, Inc. May 2000 - October 2000
High Desert Management Systems, Inc January 1994 - September 1997
Lovelace Health Systems, Inc. March 1992 - January 1994
Lovelace Health Systems, Inc. August 1990 - March 1992
Education
The University of New Mexico - Robert O. Anderson School of Management 1984 — 1989
B.B.A, Business Computer Systems
Juanita Hopes's Presbyterian Health Plan Experience June 2000 - January 2006
Job
Industry Arts and Crafts
Experience
Home January 2006 - Present
Presbyterian Health Plan June 2000 - January 2006
Skills
Art
Education
Edinboro University of Pennsylvania 1980 — 1982
Associate of Science (A.S.), Computer Science
Waynesburg University 1957 — 1961
BS, Geology, Graduate
Home January 2006 - Present
Presbyterian Health Plan June 2000 - January 2006
Skills
Art
Education
Edinboro University of Pennsylvania 1980 — 1982
Associate of Science (A.S.), Computer Science
Waynesburg University 1957 — 1961
BS, Geology, Graduate
Chenoa Bah Stilwell-Jensen's Presbyterian Health Plan Experience September 2000 - April 2002
Job Student and Instructor at the University of New Mexico
Industry Higher Education
Experience
University of New Mexico August 2011 - Present
Native American Community Academy 2006 - 2012
Health/Mental Health Services, Albuquerque Public Schools August 2002 - September 2005
Presbyterian Health Plan September 2000 - April 2002
Skills
Higher Education, Non-profits, Public Health, Program Development, Research, Curriculum Development, Grant Writing, Teaching, Nonprofits, Program Evaluation, Community Development, Public Speaking, Grants, Curriculum Design, Community Outreach, Adult Education, Fundraising
Education
The University of New Mexico 2010 — 2014
Master of Science (M.S.), Health Education
University of New Mexico August 2011 - Present
Native American Community Academy 2006 - 2012
Health/Mental Health Services, Albuquerque Public Schools August 2002 - September 2005
Presbyterian Health Plan September 2000 - April 2002
Skills
Higher Education, Non-profits, Public Health, Program Development, Research, Curriculum Development, Grant Writing, Teaching, Nonprofits, Program Evaluation, Community Development, Public Speaking, Grants, Curriculum Design, Community Outreach, Adult Education, Fundraising
Education
The University of New Mexico 2010 — 2014
Master of Science (M.S.), Health Education
Larry Romero's Presbyterian Health Plan Experience January 2012 - Present
Job IT Manager at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan January 2012 - Present
New Mexico Student Loans October 2003 - January 2012
Application Systems Consulting January 2000 - October 2003
St. Joseph Healthcare June 1996 - January 2000
Skills
ITIL, IT Management, Business Analysis, IT Strategy, Project Management, Process Improvement, Disaster Recovery, SDLC, IT Service Management, Integration, Business Intelligence, Microsoft SQL Server, Change Management, Vendor Management, Healthcare Information..., SharePoint, Program Management, Requirements Analysis
Education
Midland College
The University of New Mexico
Computer Science
Presbyterian Health Plan January 2012 - Present
New Mexico Student Loans October 2003 - January 2012
Application Systems Consulting January 2000 - October 2003
St. Joseph Healthcare June 1996 - January 2000
Skills
ITIL, IT Management, Business Analysis, IT Strategy, Project Management, Process Improvement, Disaster Recovery, SDLC, IT Service Management, Integration, Business Intelligence, Microsoft SQL Server, Change Management, Vendor Management, Healthcare Information..., SharePoint, Program Management, Requirements Analysis
Education
Midland College
The University of New Mexico
Computer Science
Mark Stehling's Presbyterian Health Plan Experience April 2004 - April 2012
Job Data Analyst and System Administrator at Presbyterian Healthcare Services
Industry Hospital & Health Care
Experience
Presbyterian Healthcare Systems, Inc April 2012 - Present
Presbyterian Health Plan April 2004 - April 2012
Cimarron Health Plan January 2000 - April 2004
Kinko’s Eastside November 1994 - January 2000
Skills
Healthcare Information..., HIPAA, Software Documentation, Visio, SharePoint, System Administration, Active Directory, Epic Systems, Healthcare, Microsoft SQL Server, Microsoft Excel, Access, Business Objects, Crystal Reports, SQL Report Builder, TeleTracking, Transfer Center, GeoNetworks, Directory Expert, DataCleaner
Education
New Mexico State University 1990 — 1993
B.S, Wildlife Science
SKILL PROFILE
Bachelor of Science (B.S.), Wildlife, Fish and Wildlands Science and Management
Presbyterian Healthcare Systems, Inc April 2012 - Present
Presbyterian Health Plan April 2004 - April 2012
Cimarron Health Plan January 2000 - April 2004
Kinko’s Eastside November 1994 - January 2000
Skills
Healthcare Information..., HIPAA, Software Documentation, Visio, SharePoint, System Administration, Active Directory, Epic Systems, Healthcare, Microsoft SQL Server, Microsoft Excel, Access, Business Objects, Crystal Reports, SQL Report Builder, TeleTracking, Transfer Center, GeoNetworks, Directory Expert, DataCleaner
Education
New Mexico State University 1990 — 1993
B.S, Wildlife Science
SKILL PROFILE
Bachelor of Science (B.S.), Wildlife, Fish and Wildlands Science and Management
Daryl Reese's Presbyterian Health Plan Experience December 1999 - Present
Job Reseach Development Implementation Manager at Presbyterian Health Plan
Industry Hospital & Health Care
Experience
Presbyterian Health Plan December 1999 - Present
Skills
Business Analysis
Education
National American University-Albuquerque
Bachelor's Degree, IT Applications
Southern Illinois University, Carbondale
Bachelor's degree, Health/Health Care Administration/Management
Presbyterian Health Plan December 1999 - Present
Skills
Business Analysis
Education
National American University-Albuquerque
Bachelor's Degree, IT Applications
Southern Illinois University, Carbondale
Bachelor's degree, Health/Health Care Administration/Management