Prudential Healthcare
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823 Prudential Healthcare employees in database. Find out everything there's to know about Prudential Healthcare employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Prudential Healthcare Employees
Humana September 2014 - Present
Humana June 2012 - September 2014
NextGen Healthcare Information Systems January 2011 - May 2012
NextGen Healthcare Information Systems, Inc. July 2007 - January 2011
Child Health Corporation of America April 2006 - July 2007
American Academy of Family Physicians September 2001 - March 2006
Aetna US Healthcare February 2000 - September 2001
Illinois Foundation for Quality Health Care July 1996 - May 1999
Prudential Healthcare 1993 - 1995
Caremark 1990 - 1992
Skills
Healthcare Information..., Healthcare, Leadership, HIPAA, Business Planning, Health Information..., Program Management, Quality Improvement, Project Management, EMR, Strategic Planning, Business Process..., Clinical Research, Project Plans, EHR, Market Planning, Performance Improvement, Process Improvement, Health Policy, Practice Management, Informatics, Physicians, HL7, Healthcare Consulting, Healthcare Industry, Software Documentation, Cerner, Integration, Software Implementation, CPOE, Medicare, SDLC, Managed Care, Consulting, Hospitals, Healthcare Management, Health Information..., Ambulatory, Medicaid, Medicine, Epic Systems, Analysis, Revenue Cycle Management, Revenue Cycle, Management, HIT, Medical Coding, NextGen, Policy, Physician Relations
Education
MidAmerica Nazarene University 2003 — 2005
MBA, Business
Department of Veterans Affairs July 2006 - Present
San Joaquin Public Health Department, California Children Services June 2004 - July 2006
Sonoma County Department of Health Services July 1999 - September 2003
Prudential Healthcare November 1988 - November 1998
Skills
Public Health, Case Management, Nursing, Patient Safety, Healthcare, Hospitals, Health Education, Mental Health, Healthcare Management, Cpr Certified, Pediatrics, Program Development, Nursing Education, BLS, Crisis Intervention, Healthcare Information..., EMR, Patient Advocacy, Patient Education
Education
University of the Pacific 2004 — 2006
Master's degree, International and Intercultural Communication
Northeastern University 1986 — 1989
Bachelor's Degree Nursing, Registered Nursing/Registered Nurse
Self Employed May 2009 - Present
Circle K Convenience Stores (HK) Ltd August 2013 - March 2014
Hanley Wood March 2013 - April 2013
Hanley Wood March 2012 - May 2012
Griffin Knights Realty Corp March 2011 - August 2011
Dun and Bradstreet August 2009 - December 2009
Paul Love Industries July 2004 - May 2009
Prudential Financial July 1997 - June 2004
Prudential Healthcare August 1995 - July 1997
Pana-Pacific February 1993 - July 1995
Skills
Notary Public, Administrative Office..., Executive Support, Office Management, Sales Support, Sales Desk, Customer Service, Call Centers, Data Research, Data Entry, Social Media, Social Networking, Facebook, Outlook Express, Lotus Notes, ACT
Education
Arizona Department of Education 2013 — 2013
GED, 720/800
Santa Rosa Junior College 1990 — 1991
Anthropology, Linguistics
Irvine Valley College 1988 — 1990
Anthropology, Linguistics
Lamar Highschool 1985 — 1987
Irvine Highschool 1984 — 1985
LiquidHub April 2013 - Present
The Pew Charitable Trusts June 2010 - March 2013
Liquidhub January 2004 - June 2010
The Sycamore Group September 2000 - January 2004
Strategic Distribution January 2000 - October 2000
Main Line Health January 1999 - January 2000
Thomas Jefferson University Hospital January 1997 - January 1999
Prudential Healthcare April 1995 - January 1997
Lockheed Martin April 1994 - April 1995
IBM Global Services December 1988 - March 1994
Skills
Agile Project Management, Business Intelligence, Application Development, Integration, Business Process, Strategic Planning, Cloud, Cloud Computing, Enterprise Architecture, Enterprise Resource..., Network Operations, Data Warehousing, Software Development, ERP, IT Strategy, SDLC, Governance, CRM, Program Management, Computer Network..., Project Management, Management Consulting, PMO, Security, Management, Leadership, Analysis, Risk Management, Project Planning, Team Leadership
Education
Pace University - Lubin School of Business 1985 — 1989
MBA
Indiana University of Pennsylvania 1979 — 1983
BS
Aetna June 2011 - Present
Aetna December 2007 - June 2011
Aetna January 2002 - December 2007
PacifiCare of Texas July 2000 - December 2001
Willis October 1999 - July 2000
Prudential Healthcare May 1991 - September 1999
Skills
Health Insurance, Health Savings Accounts, Insurance, Customer Retention, Disability Insurance, Management, Employee Benefits, Dentistry, Account Management, Sales, Disease Management, Managed Care, Brokers, Medicare, Underwriting
Education
University of Illinois at Chicago 1987 — 1988
B.A., Political Science
Universitat Autònoma de Barcelona 1986 — 1987
Liberal Arts
Knox College 1984 — 1986
Liberal Arts
State of Ohio January 2012 - Present
Hillcrest Training School August 2010 - July 2012
Axcess Financial August 2008 - March 2009
Fifth Third Bank November 2005 - April 2007
Provident Bank October 1997 - March 2005
Prudential HealthCare 1996 - 1997
MetLife 1992 - 1995
Ford Motor Company 1992 - 1992
General Electric Aircraft Engines 1983 - 1991
Skills
Forecasting, Banking, Cash Management, Budgets, Strategic Planning, Risk Management, Variance Analysis, Financial Reporting, Finance, Financial Analysis, Analysis, Accounting, Hyperion Enterprise, Management, Project Planning, Policy, Managerial Finance, Human Resources, Cash Flow, Essbase, Leadership, Strategic Financial..., Mergers & Acquisitions, Microsoft Excel, Financial Services, Employee Benefits, Financial Modeling, Corporate Finance, Data Analysis, Government, Process Improvement, Investments, Auditing
Education
Xavier University - Williams College of Business 1990 — 1994
MBA, Taxation
Northern Kentucky University 1981 — 1988
Bachelor of Science, Business Management
Canidium July 2014 - Present
Service Corporation International January 2012 - June 2014
Sogeti October 2010 - January 2012
Freedom Boat Club May 2009 - October 2010
nGenera December 2007 - October 2008
Hewitt Associates January 2004 - December 2007
Iconixx 1998 - 2002
Robert Half International (RHI Consulting) 1997 - 1998
Prudential Healthcare 1992 - 1997
Skills
Training, Human Resources, Applicant Tracking..., SharePoint, Project Management, Salesforce.com, Instructional Design, Enterprise Software, Instructor-led Training, Performance Management, Leadership, Technical Writing, Customer Service, Management, Organizational..., Strategy, Program Management, SDLC, Business Process, Consulting, Recruiting
Education
Houston Baptist University 1987 — 1991
BA, Finance/Marketing
San Diego Unified School District November 2013 - Present
McGregor & Associates April 2009 - August 2013
Teachers Health Trust October 2001 - April 2009
American Specialty Health February 1996 - March 2001
Prudential Healthcare August 1993 - February 1996
Skills
Benefits Administration, Group Benefit Plans, Manage Client..., Bilingual-English/Spanis..., Customer Service, Microsoft Office, Salesforce.com, Health Insurance, Healthcare, Medical Terminology, CPT, ICD-9, Medicare, Managed Care, Pharmacy Benefit..., Utilization Review, Referrals, Appeals, Eligibility Audits, HIPAA, COBRA, Provider Relations, Medical Staff..., Contractual Agreements, Data Reconciliation, Claims Handling, Data Entry, 10 Key
Education
Southwestern College
National University
CIGNA Healthcare October 1998 - Present
Prudential Healthcare May 1994 - October 1998
Skills
Vendor Management, Project Management, Change Management, Cross-functional Team..., Program Management, Health Insurance, Insurance, Process Improvement, Healthcare
Education
Indiana University Bloomington 1982 — 1983
Computer Science
Roncalli
U.S. Computer Corporation February 2011 - June 2015
JPMorganChase Houston January 2006 - May 2009
Invesco Aim January 2002 - December 2006
Enron Corporation June 1998 - December 2001
Prudential Healthcare October 1993 - May 1998
Celeron of Goodyear Houston February 1988 - September 1993
Skills
Windows Server, Active Directory, Hardware, Software Installation, Backup Solutions, Servers, Business Continuity, Data Center, ITIL, Windows 7, IT Operations, Information Technology, VPN, Windows, Help Desk Support, Disaster Recovery, Security, Software Documentation
Education
Henry Ford, Michigan
Houston Community College
Information Technologies
ITIL Foundation Certification and MCP
Web Commerce Service, LLC 2009 - Present
Perficient March 2015 - August 2015
AT&T Hosting & Application Services 2007 - December 2009
Daniel IT Services, Inc. 2001 - 2007
MCBA, Inc. 1996 - 2001
Prudential Healthcare 1993 - 1996
Skills
E-commerce, IT Strategy, E-business, Consulting, Strategy, Professional Services, Management, Training, Software Development, E-commerce Consulting, Strategic Planning, IBM Websphere Commerce, WebSphere Application..., Pre-sales, Websphere, Integration, Business Development, B2C, Employee Training, Cloud Computing, SaaS, Enterprise Software, Leadership, Business Process, Thought Leadership, Hands-on Training, Start-ups, Portals, Software Project..., Solution Architecture, Enterprise Architecture, Entrepreneurship, Strategic Partnerships, Project Management, B2B, Team Leadership, CRM, SDLC, Program Management, Solution Selling, Software Training, SOA, Vendor Management, Product Management, Business Intelligence, Information Technology, EAI, Analytics, Managed Services, Sales
Education
Purdue University 2012 — 2013
M.S.Ed, Learning Design & Technology
Indiana University Bloomington 1982 — 1987
B.A., Psychology
Jacque's After 5 May 1989 - Present
Spirit Halloween August 2011 - November 2011
Spirit Halloween July 2010 - November 2010
Hannah's Group Home November 2007 - April 2009
Bath & Body Works 2002 - 2007
Prudential Healthcare October 1996 - September 2001
Skills
Sales, Sales Management, Team Building, Management, Leadership, E-commerce, Customer Service, Coaching, Merchandising, Training, Recruiting, Small Business, Social Media, Public Relations, Leadership Development, Event Management, Social Networking, Inventory Management, Customer Satisfaction, Time Management, Team Leadership, Profit, Event Planning, Store Management, Entrepreneurship, Business Planning, Customer Experience, Fundraising, Customer Retention, Public Speaking, Employee Training, Hiring, Visual Merchandising, Teamwork, Human Resources, Fashion, Outlook, B2B, Team Management, Retail Sales, Employee Relations, Microsoft Word, Facebook, Inventory Control, Retail, Start-ups, Loss Prevention, Strategic Planning, Income Statement, POS
Education
Stratford University
Interior Decorator
Los Angeles Trade Technical College 1980 — 1982
Fashion Design/Business
John C. Fremont High 1979 — 1980
James Monroe High 1977 — 1979
Transamerica Financial Advisors, Inc. Transamerica Financial Group Division January 2012 - Present
Dale Carnegie of Georgia December 2003 - Present
Dale Carnegie of Georgia November 1998 - January 2014
Good Neighbor Homeless Shelter 2009 - 2012
Prudential Healthcare March 1996 - November 1998
Hanover Insurance November 1988 - March 1995
Skills
Research, Team Building, New Business Development, Leadership Development, Strategic Planning, Coaching, Sales, Change Management, Public Speaking, Program Management, Process Improvement, Contract Negotiation, Team Leadership, Leadership, Training, Budgets, Negotiation, Project Management, Marketing, Management, Account Management, Strategic Financial..., Life Insurance, Investments, Operations Management, Customer Service, Organizational..., Staff Development, Management Consulting, Consulting, Entrepreneurship, Performance Management, Executive Coaching, Sales Management, Strategy
Education
Kennesaw State University - Michael J. Coles College of Business
Bachelors, Marketing
Dave Ramsey
Landmark Education
MS Leadership Class of 2013
Consulting Project:Comptroller of Maryland September 2015 - Present
CACI International Inc May 2014 - April 2015
AQUAS, Inc. November 2012 - November 2014
U.S. Army Command and Control Support Agency (CCSA) July 2011 - September 2012
Concurrent Technologies Corporation December 2008 - January 2011
IFMC Information Systems August 2007 - November 2008
Lockheed Martin (contracted through DCR, Inc.) April 2006 - July 2007
American Express Tax and Business Services May 1999 - July 2005
American Express Tax and Business Services 1999 - 2005
Prudential Healthcare 1996 - 1998
Skills
Technical Writing, Project Management, Software Documentation, Requirements Analysis, SDLC, PMP, Process Improvement, Proposal Writing, Business Analysis, Integration, ITIL, Business Process..., Analysis, SharePoint, Instructional Design, Testing, Business Process, Information Technology, Training, Databases, Systems Engineering, Presentation Design, Team Building, DoD, IT Service Management, Photoshop, Process Mapping, Business Process Mapping, Workshop Facilitation, Creative Problem Solving, Graphic Design, CMMI, CBT, Business Process..., Requirements Gathering, Visio, Adobe Creative Suite, Photography, Test Cases and Scenarios, Facilitation, System Requirements, Problem Management, Blended Learning, Knowledge Management, Change Management
Education
University of North Carolina at Chapel Hill
BA, English
University of Maryland Baltimore County 2013 — 2013
Project Management
Illinois State University 1992 — 1996
MFA, Art
Cape Fear High School
NC Dept.Health/Human Services July 2004 - Present
CIGNA Healthcare 2001 - 2003
Prudential Healthcare 1997 - 1999
Skills
Provider Relations, HealthCare Provider..., Managed Care, Commercial & Government..., Workshop/Seminar..., Critical Thinking &..., Business Etiquette, Excellent Communication, Contractual &..., Results Oriented, Attention to Detail, Public Health Education, Outreach, Leadership, Public Speaking, Project Management, Policy/Procedure..., Customer Relations, Microsoft Office Suites, Team Player,..., Customer Service, Team Building, Management
Education
North Carolina A&T State University 1984 — 1989
B.S, Business Administration, - Management
Newark Academy June 2015 - Present
Carrollton School of the Sacred Heart December 2014 - May 2015
The Pingry School July 2011 - October 2014
The Pingry School July 2009 - June 2011
The Pingry School August 2001 - June 2009
Corporate Communications Group 2001 - 2001
The NonProfit Times 1999 - 2001
Prudential Healthcare 1996 - 1999
MacTemps/Aquent, The Creative Group March 1996 - December 1997
Dow Jones 1995 - 1996
Skills
Social Media, Marketing Communications, Google Analytics, Web Content Management, Graphic Design, CMS, Content Management, Photoshop, Photography, Creative Direction, InDesign, Web Analytics, Web Site Management, Social Media Marketing, Public Speaking, Content Strategy, Public Relations, Advertising, Strategic Planning, Crisis Communications, Media Relations, Stakeholder Engagement, Branding & Identity, Social Media Management, Editorial Calendars, Digital Asset Management, Proofreading, Editing, Design Management, Art Direction, Staff Management
Education
Montclair State University 1989 — 1994
B.A. Fine Arts, Graphic Design Major
Marist College 1987 — 1988
Rutgers Preparatory School 1974 — 1987
H.S.
Memorial Hermann Health System April 2005 - Present
First Health, Inc. January 2004 - April 2005
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas June 1998 - January 2004
Prudential Healthcare April 1997 - May 1998
Skills
Microsoft Excel, Research, Teaching, Photoshop, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java, Team Building, Project Management, Social Media, Event Planning
Education
Houston Community College 2002 — 2003
Certificate Medical Coding, Nursing Education
Texas Southern University 1988 — 1990
Business Administration and Management, General, 3.0
Texas College of Medical & Dental Careers 1987 — 1988
Certificate, Medical Assistant Certificate
Forest Brook High School 1984 — 1987
Diploma, Regular/General High School/Secondary Diploma Program
Nudge Games Inc. May 2014 - Present
Aetna Pharmacy Management August 2000 - April 2014
Prudential Healthcare August 1996 - August 2000
Cigna September 1991 - July 1996
Skills
Insurance, Healthcare, Health Insurance, HIPAA, Managed Care, Medicaid, Employee Benefits, Medicare, Pharmacy, Health Savings Accounts, Claim, Long-term Care, Disease Management, Healthcare Industry, Health Policy
Education
University of Colorado at Denver 1996 — 2001
Master's degree, Economics
North Dakota State University 1974 — 1977
Bachelor's degree, Pharmacy
UnitedHealthcare 1999 - March 2014
Prudential Healthcare April 1997 - September 1999
AvMed Health Plan January 1995 - April 1997
Skills
Sales, Stop Loss, Health Savings Accounts, Health Insurance, HMO, Vision Insurance, PPO, Provider Relations, Managed Care, Group Medical, HRA, Medicare, Pharmacy Benefit..., Health Policy, Dental Insurance, Disability Insurance, Life Insurance, Life & Health Insurance..., PEO, Underwriting, COBRA, Brokers
Education
Illinois State University
Bachelor of Science, Finance
Toys R Us April 2013 - Present
Toys R Us September 2012 - April 2013
HOTELS AT HOME October 2002 - September 2012
HOTELS AT HOME January 2004 - December 2009
Roth Group July 2000 - October 2002
BZA LLC 1999 - 2000
Prudential Healthcare July 1998 - July 1999
Skills
Strategy, E-commerce, Mobile Devices, Leadership, Online Marketing, Product Development, Mobile Commerce, Management, SEO, Analytics, Email Marketing, Project Management, Online Advertising, Affiliate Marketing, Team Leadership, Social Media Marketing, Business Analysis, Global E-commerce, Mobile Marketing, Team Building, Emerging Technologies, Global Operations, Strategic Leadership, Multi-channel Retail, Product Management, Online Strategy &..., Global Ecommerce, User Experience Design, Site Analytics, Multi-Channel Commerce, Resource Management, Building Strong Teams, Creative Concept..., IT Operations, Business Planning, Ecommerce Operations, Marketing, User Experience, Mobile Applications
Education
New Jersey Institute of Technology - School of Management 2011 — 2013
MBA, Technology Management, 4.0
Montclair State University 1996 — 2001
BA, Fine Arts Studio - Graphic Design, Minor Computer Science
Weehawken High School 1992 — 1996
High School Diploma
Blueline Enterprise October 2003 - Present
Coram Infusion Speciality Services January 2011 - January 2012
Cantex Senior Communities January 2010 - September 2010
HealthTexas Provider Network December 2001 - August 2003
Prudential Healthcare March 1998 - September 2000
MiniMed Inc April 1994 - November 1997
Skills
Customer Service, Administration, Billing, Payroll, Policy, Certified Customer..., Management, Human Resources, Recruiting, System Administration, Access, Leadership, Process Improvement, Employee Benefits, Training
Education
Southern Methodist University - Cox School of Business 2002 — 2002
Certificate, Executive Leadership Program
National Technical College 1985 — 1985
Certificate, Medical Management
Los Angeles City College 1979 — 1982
AA, Business Administration
Citizens, Inc October 2013 - Present
Citizens, Inc June 2012 - Present
non-profit organizations, RRISD August 2006 - June 2012
IBM Global Business Services July 2008 - January 2009
Purity Wholesale Grocers November 1998 - December 1999
David Wood Personnel November 1996 - December 1998
Prudential Healthcare May 1995 - December 1996
Block Vision, Inc. December 1995 - August 1996
Coastal Healthcare Group, Inc. December 1993 - March 1995
RTI International June 1992 - December 1993
Skills
Microsoft Office, Microsoft, Microsoft Office 2007, Dbase, Lotus 123, WordPerfect, Shorthand, Dictation, Dictaphone, Medical Terminology, Medical Transcription, Filing, Editing, English grammar, 10 Key, Typing, Keyboarding, Organizing, Policy, Budgets, Customer Service, Nonprofits, Administrative..., Management, Wordperfect, Recruiting, Project Planning, Microsoft Excel, Project Management, Software Documentation, Sales, Public Speaking, Team Building
Education
Johnston Community College 1990 — 1992
Associate of Arts and Sciences (AAS), Business Administration and Management, General
Colonial Life December 2005 - Present
United Healthcare 2004 - 2005
CompBenefits Corp. 1999 - 2004
Prudential Healthcare 1997 - 1999
Aetna Health Plans 1993 - 1997
US Army October 1987 - April 1991
Skills
Marketing Communications, Health Insurance, Employee Benefits, Disability Insurance, Insurance, Life Insurance, Term Life Insurance, Brokers, Health Savings Accounts, Long-term Care, Managed Care, Account Management, Underwriting, Sales Management, Cafeteria Plans, Benefits Administration, Sales, Accident, Critical Illness, Whole Life, Umbrella Insurance, Sales Operations, Leadership, Medicare, Team Building, Fixed Annuities, Voluntary Employee..., Long Term Care Insurance, Universal Life, Workers Compensation, Commercial Insurance, Property & Casualty..., Accident Insurance, General Insurance, 401k, Dentistry, Group Insurance, Flexible Spending..., Retirement, Claim, Professional Liability, Group Medical, Legal Liability, COBRA, Casualty, Commercial Lines
Education
North Carolina State University 1991 — 1993
Economics and Business Management, Economics and Business Management
East Bladen High 1983 — 1986
High School Diploma
Marsh & McLennan Companies, Inc. May 2013 - Present
Victor O. Schinnerer & Co., Inc. July 2001 - May 2013
Commonfind March 2000 - May 2001
espire Communications June 1999 - March 2000
Prudential Healthcare June 1998 - June 1999
Black Entertainment Television November 1991 - June 1998
Reliance Group Holdings September 1989 - November 1991
Skills
Office Administration, Event Management, Space Planning, Disaster Recovery, Project Planning, Purchasing, Internal Communications, Change Management, Event Planning, Training, Project Management, Employee Relations, Team Leadership, Budgets, Management, Leadership, Analysis, Commercial Insurance, Microsoft Office, Quality Assurance, Customer Service, Program Management, Team Building, Space planning, Business Process..., Strategic Planning, Process Improvement, Outlook, Risk Management
Education
Liberty University
Associate of Arts (AA), Psychology, 4.0 Average
Centers for Medicare & Medicaid Services (CMS) - US Dept of Health & Human Services October 2006 - Present
Chase Brooke Associates, LLC May 2006 - October 2006
Rothman Therapeutic Services August 2004 - March 2006
Arcane School - Lucis Trust August 2003 - March 2004
ACS State & Local Solutions January 2001 - September 2003
Community Premier Plus @ New York Presbyterian Hospital June 1999 - September 2000
Magellan Health Services February 1998 - January 1999
Prudential Healthcare October 1994 - November 1997
Horizon BCBSNJ Mercy Healthplan September 1993 - September 1994
Health Partners of Philadelphia March 1987 - September 1993
Skills
Program Development, Managed Care, Non-profits, Medicare, Healthcare Management, Healthcare, Public Speaking, Coaching, Team Building, Strategic Planning, Hospitals, Healthcare Consulting, Health Policy, Healthcare Information..., Physicians, Nonprofits, Provider Relations, Medicaid, Government, HIPAA, Medicare Part D, Proposal Writing, Social Services, Healthcare Industry, Public Health
Education
La Salle University 1985 — 1987
MBA
Temple University 1967 — 1971
BA
Lucent Health October 2014 - Present
FlagshipHealth Group, a FlagshipSailsRx company March 2007 - October 2014
HealthSmart October 2007 - February 2012
Great-West HealthCare 2004 - 2008
Benesight / United HealthCare Administrators 1997 - 2002
United HealthCare July 1993 - July 1998
Prudential Healthcare 1988 - 1993
Skills
Salesforce.com, Sales Management, Leadership, Budgets, Medicaid, Employee Benefits, Health Savings Accounts, Account Management, Coaching, Marketing, Risk Management, Management, Marketing Strategy, Underwriting, Healthcare Information..., Strategic Planning, Disease Management, Sales, Network Development, Project Management, Managed Care, Health Insurance, Team Building, Process Improvement, Business Development, Self-funded, Customer Service, Disability Insurance, Contract Negotiation, Insurance, HIPAA, Medicare, Healthcare Management, Healthcare, New Business Development, PPO, Healthcare Industry, Claim, Healthcare Consulting, COBRA, HMO, Brokers, Health Care Reform, Health Policy, Executive Management, Provider Relations, Long-term Care, Benefits Administration, Pharmacy Benefit...
Education
Minnesota State University, Mankato 1982 — 1986
BS, Finance and Real Estate / Insurance
Puckett EMS 2012 - Present
Capo's NY Pizza and Italian Ristorante April 2014 - Present
Self Employed August 2011 - September 2012
Meda Pharmaceuticals March 2008 - August 2011
MDI Group February 2007 - January 2008
Fresenius Medical Care May 2005 - September 2006
Georgia Baptist Health Care System April 1997 - January 2003
Scottish Rite Children's Hospital February 1996 - February 1997
PCA Health January 1995 - January 1996
Prudential Healthcare June 1987 - January 1995
Skills
Forecasting, Financial Reporting, Auditing, Strategy, Accounts Receivable, Accounting, Analysis, Accounts Payable, Finance, Payroll, Account Reconciliation, General Ledger, Management, Training, Sarbanes-Oxley Act
Education
Kennesaw State University 1991 — 1993
MBA, Accounting/Management
Kennesaw State University
Bachelor's degree, Accounting
CIGNA Healthcare September 1997 - Present
Prudential HealthCare 1991 - 1997
Skills
Insurance, Brokers, Life Insurance, Employee Benefits, Disability Insurance, Health Insurance, New Business Development, Health Savings Accounts, Medicare, Human Resources, Underwriting, Claim, Strategic Planning, Healthcare, Term Life Insurance, Managed Care, Health Care Reform, Account Management, Benefits Administration, Health Policy
Education
Marist College
BA
Dawson Consulting Group February 2014 - Present
Dawson Consulting Group May 2010 - January 2014
CIGNA Healthcare April 2002 - February 2010
CIGNA Healthcare September 2000 - April 2002
CIGNA Group Insurance September 1999 - September 2000
Prudential Healthcare June 1996 - September 1999
Prudential Healthcare July 1985 - September 1996
Prudential Healthcare April 1994 - June 1996
Skills
New Business Development, Benchmarking, Financial Reporting, Pharmacy, Internal Communications, Wellness, Strategy, Health Insurance, Employee Benefits, Managed Care, Selling, Sales, Healthcare, Management, Budgets, Insurance, Account Management, Strategic Planning, Leadership
Education
Michigan State University 1972 — 1976
BA, Social Science-Labor and Industrial Relations
Professional Health & Fitness Consulting December 1998 - Present
Prudential Healthcare June 1990 - December 1998
Bloomfield Department of Health & Human Services December 1981 - June 1990
Skills
Fitness, Health, Weight Training, Health Promotion, Health Education, Program Development, Strength Training, Nutritional Counseling, Wellness Coaching, Exercise Physiology, Wellbeing, Lifestyle Coaching, Stress Management, Operant Conditioning, Wellness, Public Speaking, Healthcare, Training
Education
The University of Michigan School of Public Health 1979 — 1981
Master of Public Health, Health Behavior and Health Education
Harvard University 1973 — 1977
Bachelor of Arts, Physical Sciences
Human Arc September 2001 - Present
Human Arc September 2001 - October 2011
MemberHealth June 2000 - August 2001
Prudential Healthcare January 1997 - December 1999
Skills
Health Policy, Network Development, Provider Relations, Health Insurance, Medicaid Managed Care, HIPAA, Revenue Cycle, Hospitals, Healthcare Industry, Business Development, Managed Care, Strategic Planning, Leadership, Physician Relations, Healthcare Management, EHR, New Business Development, Sales Management, Physicians, Healthcare Information..., Medical Billing
Education
Miami University 1974 — 1977
Bachelor of Science (B.S.), Psychology
Texas Tech University Health Sciences Center September 2013 - Present
Texas Tech University Health Sciences Center July 2005 - July 2013
Texas Tech University Health Sciences Center February 2003 - June 2005
Texas Tech University Health Sciences Center November 2001 - November 2003
Texas Tech University Health Sciences Center June 2000 - October 2001
Charter Plains Behavioral Health System November 1997 - February 2000
Prudential Healthcare October 1994 - October 1996
Lovelace Sandia Health System June 1992 - September 1994
Skills
Managed Care, Network Contracting, Contract Negotiation, Expert relationship..., Provider Networks, Provider Enrollment, Healthcare Management, Healthcare Industry, Medicaid Managed Care, Medicare Advantage, Team Leadership, Team Building, HMO, PPO, Health Insurance, Claims Management, Project Management, Accountable Care, Group Benefit Plans, Sales, Financial Analysis, Life Insurance, Personal Financial..., Disability Insurance, Investments, Hospitals, EHR, Provider Relations, Physicians, Healthcare, Medical Billing, Disease Management
Education
New Mexico State University 1986 — 1988
MBA, Business
University of California, San Diego
BA, Biology
GEHA Account Executive TrainerGEHAJanuary 2004 - June 2008
GEHA April 1999 - December 2003
Antero Health Plans September 1996 - March 1999
FHP Health Care January 1996 - September 1996
Prudential Healthcare March 1995 - January 1996
Skills
Healthcare, Health Insurance, Claims Management, Claim, Coaching, Employee Benefits, Customer Service, HIPAA, Healthcare Management, Insurance, Managed Care, Medicare, Microsoft Excel, Microsoft Word, Process Improvement, Strategic Planning, Team Building, Training
Education
Metropolitan State University of Denver 1992 — 1994
Health Care Management, Gerontology
DeVry University July 2015 - Present
McKesson Health IT March 2001 - February 2005
Saint Joseph's Hospital of Atlanta June 1999 - March 2001
Ernst & Young January 1999 - May 1999
Northside Hospital May 1997 - January 1999
Prudential Healthcare June 1995 - May 1997
Northside Hospital June 1992 - June 1995
Skills
Business Analysis, Microsoft Office, SQL, Microsoft SQL Server, Management, EHR, Testing, Customer Service, Healthcare Information..., Requirements Analysis, Leadership, Horizon Patient Folder, Microsoft Excel, Sales, Microsoft Word, PowerPoint, Visio, Healthcare, Software Documentation, EMR, HIPAA, SharePoint, Process Improvement, Healthcare Consulting, Document Imaging, SDLC, STAR Patient Processing, Transcription, Consulting, Microsoft PowerPoint, Organizational Behavior, Organizational..., Computer Security, Statistical Data..., Information Technology, Workflow Management, Change Management, Training, Team Building, Project Management, Databases, Workflow Software, Troubleshooting, Citrix, Health Information...
Education
Keller Graduate School of Management of DeVry University 2014 — 2017
Master's Degree, Information Systems Management (MISM) concentration in Health Information Systems Management, 4.0
University of Pittsburgh 1987 — 1991
B.S., Health Information Management
Rush Works LLC April 2008 - Present
Oui the Corporation March 2008 - Present
Prudential Healthcare May 1997 - August 2000
Skills
Strategic Planning, Strategic Partnerships, Project Planning, Project Delivery, Project Implementation, Market Analysis, Systems Evaluations, Client Relationship..., Non-profit Consulting, Fluency of Ideas, Operational Leadership, Compliance, Product Development, Program Development, Program Management
Education
Longwood University
QVC February 2014 - Present
QVC May 2008 - Present
QVC July 2001 - May 2008
Rohm and Haas July 1999 - July 2001
Rohm and Haas March 1997 - July 1999
Prudential Healthcare 1995 - 1997
Prudential Healthcare 1994 - 1995
Prudential Healthcare 1991 - 1994
Prudential Healthcare 1988 - 1991
Prudential Healthcare 1987 - 1988
Education
La Salle University
MBA, MIS
La Salle University
Bachelor, Business Administration
Morehouse School of Medicine April 2011 - Present
Kaiser Permanente June 2009 - April 2011
Eisai Medical Research May 2007 - May 2008
Wyeth Pharmaceuticals 2000 - 2007
Computer Associates International January 1998 - March 2000
Prudential Healthcare January 1997 - January 1998
U.S. Army 1987 - 1997
Education
Stevens Institute of Technology
MS
Norfolk State University
BS
Project Management Institute
PMP
Ascende, formerly Employee Benefit Solutions 2005 - Present
Humana 2002 - 2005
Milliman 2000 - 2002
Prudential Healthcare 1997 - 2000
Blue Cross Blue Shield of Missouri 1994 - 1997
Skills
Benefits Administration, Employee Benefits, Insurance, Health Insurance, Workers Compensation, Analysis, Brokers, Vendor Management, Disability Insurance, 401k, Strategic Planning, ERISA, Term Life Insurance, Life Insurance, HIPAA, Defined Benefit, Underwriting, Medicare, Property & Casualty..., HRIS
Education
Maryville University of Saint Louis 1991 — 1995
BS, Actuarial Science
Centauri Health Solutions April 2014 - Present
WellCare June 2006 - March 2014
IL Association of Medicaid Health Plans January 2004 - June 2006
Amerigroup Corporation June 2001 - January 2004
Healthcare Leadership Council December 1995 - June 2001
Prudential Healthcare May 1994 - December 1995
54th District, Kansas House of Representatives May 1994 - November 1994
Kansas Legislature, for Representatives Kathleen Sebelius, Ed McKechnie, Tom Sawyer December 1992 - May 1994
Slattery for Congress October 1991 - November 1992
Skills
Medicaid, Medicare, Managed Care, Health Policy, Healthcare, Network Development, Provider Relations, Health Insurance, Legislative Relations, Health Care Reform, Insurance, Policy, Public Policy, HMO, HIPAA, Government, Proposal Writing, Strategy, Leadership, Healthcare Industry, Political Campaigns, Legislation, Politics, Program Management, Public Affairs
Education
Loyola University Chicago School of Law 1999 — 2002
J.D.
The University of Kansas 1986 — 1990
BS, Political Science, Human Resources
Topeka High School
Kaslow Fine Art 2005 - Present
New York New Media Association (NYNMA) 2001 - 2003
Prudential Healthcare 1996 - 1998
Anthem Blue Cross Blue Shield of Kentucky 1992 - 1995
TRW 1984 - 1989
Skills
Operations Management, Strategic Planning, Strategy
Education
John Carroll University
B.S.B.A., Business Management
Weatherhead School of Management at Case Western Reserve University
M.B.A., Business
Sutter Health September 2010 - Present
Hiller Aviation 2000 - 2011
Stanford University November 2005 - March 2010
UCSF Medical Center July 2003 - November 2005
UCSF 1999 - 2003
UCSF Stanford Healthcare 1998 - 1999
Healthplan of San Mateo January 1998 - November 1998
Prudential Healthcare January 1991 - December 1997
Prudential Insurance August 1988 - January 1991
Skills
Healthcare, Surgery, EHR, Practice Management, Clinical Research, Change Management, Process Improvement, Policy, Strategic Planning, Human Resources, Management, Medical Billing, Healthcare Management, HIPAA, Healthcare Consulting, Revenue Cycle, Epic Systems, EMR, Finance, Training, Physician Relations, Healthcare Industry, PowerPoint, Organizational..., Medicaid, Leadership Development, Ambulatory, Research, Access, Disease Management, Health Policy, Healthcare Information..., Hospitals, Leadership, Negotiation, Physicians, Project Planning, Patient Safety, Provider Relations
Education
Notre Dame de Namur University 1996 — 1998
MBA, Organizational Leadership
Notre Dame de Namur University 1994 — 1996
B.S., Business Management
VA Medical Center November 2009 - Present
Blue Cross & Blue Shield of Massachusetts May 2008 - August 2008
HSBC Card Services 2003 - 2007
Merck 2001 - 2002
Aetna U. S. Healthcare 1998 - 2001
Prudential Healthcare 1998 - 2000
AT&T 1996 - 1998
AT&T 1991 - 1996
AT&T 1984 - 1991
Bristol Community College 1983 - 1984
Skills
SAS, TSO, JCL, COBOL, DB2, Fileaid, SQL, FTP, IBM Utilities, REXX, Syncsort, Panvalet, Easytrieve, CLIST, Serena Changeman, CA7, RPG, SDSF, Control-M, Connect Direct, IBM Mainframe, Disaster Recovery, Project Management, Databases, Mainframe, Analysis, Data Warehousing, MVS
Education
Johnson & Wales University 1979 — 1983
B.S., Computer Science
Xerox March 2000 - Present
Xerox March 2000 - Present
Affiliated Computer Services 2000 - Present
Mellon HR Solutions (formerly PWC) 2000 - Present
ACS (Formerly Mellon HR&IS, PwC - Unifi Network) March 2000 - January 2010
Affiliated Computer Services March 2000 - January 2010
PricewaterhouseCoopers 2000 - 2004
Horizon Blue Cross Blue Shield of NJ April 1999 - March 2000
Prudential Healthcare May 1998 - April 1999
Skills
Business Process, Cross-functional Team..., RFP, Outsourcing, Vendor Management, Benefits Administration, Employee Benefits, Defined Benefit, Call Center, Process Improvement, Relationship Management, Performance Management, Change Management, BPO, Account Management, Project Management, Operations Management, Service Delivery, Business Process..., Human Resources, Shared Services, Leadership, Offshoring, Team Leadership, Team Management, Business Process..., Management, Training, Customer Service, Consulting, Pensions, Strategic Planning, Customer Satisfaction, Management Consulting, Project Delivery, HRO, Governance, Service Management, Resource Management, Requirements Analysis, Strategy, Outsourcing Management, Process Engineering, Global Delivery, Business Requirements, Solution Selling, Sourcing, Analysis, Call Centers, CRM
Education
Montclair State University 1994 — 1998
BS, Mathematics
Bloomfield High School 1990 — 1994
Genentech August 2009 - Present
Genentech, Inc. January 2009 - August 2009
United Health Group 2000 - 2005
UnitedHealth Group 2000 - 2005
Uniprise 2000 - 2005
UnitedHealthcare 1998 - 2000
Prudential Healthcare 1988 - 1997
Skills
Health Economics, Oncology, Outcomes Research, Managed Care, Product Launch, Biotechnology, Medical Affairs, Pharmaceutical Industry, Strategic Planning, Market Access, Immunology, Hospitals, Strategy
Education
Rush Medical College of Rush University Medical Center 1973 — 1977
MD, medicine
Harvard University 1965 — 1969
Johns Hopkins University Carey Business School July 2015 - Present
Johns Hopkins University Carey Business School December 2011 - June 2015
Johns Hopkins University Technology Transfer November 2005 - October 2012
VIPS / WebMD September 1999 - August 2005
Emdeon Business Services 2004 - 2005
Prudential Healthcare 2001 - 2004
PrimeSource Health Network 1995 - 1999
Sheppard Pratt 1982 - 1985
Johns Hopkins Hospital 1976 - 1982
Skills
Management, Mergers, Venture Capital, Strategic Planning, Mergers & Acquisitions, Acquisitions, Finance, Due Diligence, Program Management, Process Improvement, Contract Negotiation, Technology Transfer, Data Analysis, Corporate Finance, Licensing, Human Resources, Start-ups, Business Planning, Strategy, Management Consulting, Executive Management, Analysis
Education
Loyola University Maryland 1975 — 1977
MBA
The Johns Hopkins University 1969 — 1972
BA
Pennywise May 2004 - Present
Edward Jones April 2001 - May 2004
Anheuser-Busch September 2000 - April 2001
Navisys May 1997 - October 1999
Genelco Software Solutions May 1994 - September 1996
Prudential Healthcare March 1987 - May 1994
St. Francois Memorial Park May 1981 - 1987
Skills
Technical Writing, Training, Requirements Analysis, User Interface Design, User-centered Design, Usability, Business Process..., Public Speaking, Communication, Team Building, Quality Assurance, Healthcare Information..., Documentation, Testing, Process Improvement, Troubleshooting, Change Management, Microsoft Office, Project Management, Software Development, Team Management, Writing, Business Analysis, Content Management, Web Design, Leadership, Editing, Databases, Microsoft Project
Education
St. Louis Community College 1994 — 1995
Program Design and COBOL, A
University of Missouri-Columbia 1985 — 1986
Communication and Media Studies
Stephens College 1983 — 1984
Writing for Mass Media
Mineral Area College 1981 — 1983
Liberal Arts and Sciences, General Studies and Humanities
North County High School 1980 — 1983
High School
Clareo Partners January 2015 - Present
IBM Global Services November 2006 - February 2012
IBM Strategy & Change June 2001 - November 2006
Cunningham Ventures June 2000 - October 2000
First Union Securities July 1998 - July 1999
Prudential Healthcare September 1996 - February 1998
Skills
Strategy, Program Management, CRM, Management Consulting, IT Strategy, Business Intelligence, Business Strategy, Marketing Strategy, Management, Strategic Planning, Start-ups, Consulting, Cross-functional Team..., Analysis, Leadership
Education
The School of the Art Institute of Chicago 2014 — 2015
Master's Degree
The University of Texas at Austin - Red McCombs School of Business 1999 — 2001
Master of Business Administration (M.B.A.)
Northwestern University 1992 — 1996
BS
Prudential Group Insurance November 2014 - Present
Prudential Group Insurance May 2011 - Present
Prudential Financial - Retirement Services October 1999 - May 2011
Prudential Group Insurance June 1996 - October 1999
Prudential Healthcare November 1994 - June 1996
Skills
Relationship-building..., Close Attention to..., Project Management, Process Improvement, Microsoft Office, Mentoring, Strategy, Time Management
Education
Kean University 2007 — 2009
Master of Business Administration (MBA), Business Administration and Management, General, 3.7
Kean University 2003 — 2005
Bachelor's degree, Public Administration, 3.5
Corporate Synergies Group December 2010 - Present
Connextions September 2009 - November 2010
J. Rolfe Davis Insurance Co. 2005 - 2009
United Healthcare 2004 - 2005
United Healthcare 2003 - 2004
United Healthcare 2002 - 2003
HealthNet 1999 - 2001
Prudential Healthcare 1994 - 1999
Cigna Healthcare 1993 - 1994
Skills
Business Development, Strategy, Start-ups, Management, Strategic Planning, Leadership, Account Management, CRM, New Business Development, Product Management, Sales Operations, Insurance, Process Improvement, Marketing, Forecasting, Analytics, Enterprise Software, Executive Management, Sales, Customer Retention, Operations Management, Budgets, Pricing, Health Insurance, Healthcare, Managed Care, Selling, Employee Benefits, Medicare, Salesforce.com, Team Building, Underwriting, Strategic Partnerships, Disability Insurance, Training, Workers Compensation, Long-term Care, Brokers, Health Savings Accounts, Benefits Administration, Sales Management
Education
University of Pennsylvania - The Wharton School 2004 — 2005
Certificate, Leadership
Regis University 2002 — 2005
MBA, Management & Finance, Magna Cum Laude
Kean University 1995 — 1997
MPA, Health Services Administration, Magna Cum Laude
Kean University 1988 — 1992
BA, Physical Education - Adult Fitness
Kean University 1988 — 1992
Bachelor of Arts (B.A.), Health and Physical Education/Fitness
ELM Exchange 2006 - Present
Hartford Life 2004 - 2006
Mercer Human Resource Consulting 1999 - 2004
Prudential Healthcare 1996 - 1999
Pikes Peak Broadcasting 1991 - 1994
Skills
Insurance, Hospitals, Project Planning, Health Insurance, CRM, Marketing, Sales Operations, Healthcare, Salesforce.com, Marketing Strategy, Program Management, Employee Benefits, Risk Management, Account Management, Leadership, Entrepreneurship
Education
Northwestern University 1994 — 1995
MS, Integrated Marketing Communication
University of Wisconsin-Madison 1986 — 1990
BA, English
St. Paul Academy and Summit School 1982 — 1986
High School
GlaxoSmithKline March 2000 - Present
Aetna Healthcare 1999 - 2000
Prudential Healthcare 1997 - 2000
Cedars-Sinai Medical Center November 1995 - February 1997
Skills
Managed Care, Pharmacy Benefit..., Pharmaceutical Sales, Managed Markets, Pharmaceutical Industry, Pharmacy, Market Access
Education
North Dakota State University 1977 — 1980
BS Pharmacy, Pharmacy
Blue Cross Blue Shield of Texas October 2005 - Present
Blue Cross Blue Shield of Missouri July 2002 - October 2005
HealthScope Benefits April 2001 - July 2002
Buck Consultants January 2000 - April 2001
Prudential Healthcare July 1996 - January 2000
United States Federal Bankruptcy Court August 1994 - July 1996
Skills
Employee Benefits, Insurance, Consultative Selling, Health Insurance, Disability Insurance, Health Savings Accounts, Managed Care, Underwriting, Brokers, Medicare
Education
William Mitchell College of Law 1989 — 1992
Juris Doctor, Emphasis on trial advocacy, client counseling, and alternative dispute resolution techniques
University of Minnesota-Twin Cities 1983 — 1987
Bachelor of Arts, Sociology Major and Political Science Minor
Marathon Petroleum Corporation January 2015 - April 2015
Thomas & Betts September 2013 - April 2014
Chevron Phillips Chemical Company September 2012 - October 2013
Chevron Phillips Chemical Company September 2011 - September 2012
Tempfinders Personnel June 2011 - August 2011
Sullivan Environmental Services, Inc. June 2010 - June 2011
The Hunton Group April 2005 - January 2010
Accurate Air Systems November 2004 - November 2005
TDIndustries June 2000 - April 2004
Prudential Healthcare August 1998 - June 2000
Skills
Budgets, Account Management, Process Scheduler, Customer Service, Sales, Contract Negotiation, Negotiation, Team Building, Sales Management, Strategic Planning, Event Planning, Travel, Microsoft Office, CRM, Expenses, Coins, Visio, QuickBooks, Confidentiality, Outlook, SharePoint, Microsoft Excel, Microsoft Word, PowerPoint, Publishing, Construction, Purchasing, Leadership, Project Management, Procurement, Project Planning, Contract Management, Supervisory Skills, Facilities Management, Management, Human Resources, Time Management, Recruiting, Marketing, Payroll, Analysis, Inventory Management, Access, Process Improvement, Customer Satisfaction, Training
Education
San Jacinto College 1998 — 1999
Mountain View College
Business Administration; Business Administration
Freddie Mac June 2011 - February 2015
Freddie Mac November 2009 - June 2011
Fannie Mae 2006 - 2009
Freddie Mac 2004 - 2006
Prudential Healthcare January 1997 - January 1998
Prudential Healthcare January 1995 - January 1997
CHUBB LIFEAMERICA INSURANCE COMPANY January 1992 - January 1995
Skills
SOX, Risk, Operational Risk..., Audit, Process Engineering, SDLC, Executive Management, Analysis, Auditing, Banking, Budgets, Business Process, Business Process..., Capital Markets, Cash Management, Internal Audit, Internal Controls, Enterprise Risk..., Change Management, Finance, Financial Analysis, Financial Modeling, Financial Risk, Financial Services, Governance, IT Audit, Leadership, Information Technology, Management, Operational Risk, PMO, PMP, Portfolio Management, Process Improvement, Program Management, Project Management, Requirements Analysis, Risk Analysis, Risk Assessment, Risk Management, Sarbanes-Oxley, Sarbanes-Oxley Act, Six Sigma, Software Documentation, Strategic Financial..., Strategic Planning, Business Continuity, Financial Planning, Business Analysis
Education
The George Washington University 1998 — 1999
MS Certificate, Project Management - Information Technology
Lincoln University 1985 — 1988
BS, Accounting
overbrook 1981 — 1984
Genentech May 2008 - Present
Genetech, Inc. April 2006 - May 2008
Genentech November 2003 - March 2006
Amgen April 2000 - November 2003
Parke-Davis 1998 - April 2000
Prudential Healthcare 1997 - 1998
Nationwide Insurance 1994 - 1996
NC Farm Bureau 1994 - 1994
Capital Associated Properties, Inc. 1989 - 1993
NC Attorney Generals Office 1992 - 1992
Skills
Account Management, Sales, Managed Care, Rheumatology, Pharmaceutical Sales, Biotechnology, Oncology, Pharmaceutical Industry, Endocrinology, Cardiology, Market Access, Product Launch, Hospitals, Healthcare Reimbursement, Strategic Planning, Cross-functional Team..., Healthcare, Diabetes, Sales Effectiveness, Immunology, Marketing, Management, Leadership, Hospital Sales, Contract Negotiation, Biopharmaceuticals, Sales Operations, Lifesciences, Training
Education
Meredith College 1991 — 1993
Political Studies, Political Science
University of North Carolina at Chapel Hill 1985 — 1989
Public Policy Analysis -Health Concentration
Campaign for Black Male Achievement August 2015 - Present
Collective Elements February 2006 - Present
New Jersey Advocates for Education April 2012 - July 2015
New Jersey Advocates for Education May 2007 - April 2012
Federal Autocat Recycling March 2006 - May 2007
System Partners Inc. March 2004 - January 2006
Cherry Lane Music Publishing June 2000 - July 2002
Summit Medical Group September 1998 - June 2000
Prudential Healthcare June 1997 - September 1998
Skills
Access, Social Media, Visio, Adobe Acrobat, Social Networking, PowerPoint, Microsoft Office, Photoshop, Web Design, Dreamweaver, HTML, Customer Service, Research, Databases, Analysis, Teamwork, Benefits Administration, Graphic Design, Budgeting, Customer Relations, Windows, Crystal Reports, Payroll, Report Writing, Adobe Creative Suite, Accounting, Logo Design, Quickbooks, Accounts Payable, Inventory Management, MS Office Suite, Administration, Troubleshooting, Database Administration, SQL, WordPress, Instagram, Facebook Fan Page..., Twitter
Education
New Jersey Institute of Technology 2008 — 2011
MS, Business and Information Systems
William Paterson University of New Jersey 1993 — 1997
B.A., Music
New Jersey City University 1991 — 1993
Music
Chevron Corporation September 2007 - Present
Golden Gate University November 2007 - Present
Open Circles January 2010 - Present
Kaiser Permanente January 2007 - June 2007
Aetna Inc August 2003 - January 2007
Charles Schwab and Co., Inc January 1996 - August 2003
Watson Wyatt Consulting January 1996 - January 1998
Prudential Healthcare January 1987 - January 1996
Prudential 1987 - 1996
Skills
Strategy Development, Team Leadership, Team Building, Training & Development, Vendor Management, Analysis, Presenter, Account Management, Contract Negotiation, Education, Insurance, Legislative Analysis, Benefits Management, Strategy, Certified Group..., Wellness Coaching, Employee Wellness..., Strategic Planning, Employee Training, Employee Benefits, Coaching, Organizational..., Leadership, Project Management, Healthcare, Cross-functional Team..., Policy, Process Improvement, Program Management, Management, Benefits Administration, Time Management, Consulting
Education
Loyola Marymount University, College of Business Administration 1991 — 1994
Master of Business Administration (M.B.A.), Finance and Financial Management Services
UCLA 1981 — 1986
Bachelor of Science, Applied Mathematics
San Francisco State University 2007 — 2009
Certificate, Core Strengths Coaching: Positive Psychology
Eli Lilly and Company October 2014 - Present
Eli Lilly and Company April 2002 - Present
New Directions Academy July 2000 - May 2001
Prudential Healthcare December 1988 - August 1999
Education
Indiana State University
Business
Indiana University-Purdue University at Indianapolis
Psychology
Spark Health April 2014 - Present
Health and Human Services November 2013 - Present
P3 Compounding Pharmacy October 2012 - September 2013
Cypress Care September 2008 - September 2012
BeneScript Clinical Services March 2000 - September 2008
Custom Compounding Center -- Atlanta September 1998 - March 2000
Prudential Healthcare 1993 - 1998
Prudential Healthcare 1993 - 1998
Prudential Healthcare 1993 - 1998
Prudential Healthcare 1993 - 1998
Skills
Pharmacy Benefit..., Pharmacy, Patient Counseling, Pharmacy Automation, Healthcare, Medicine, Pharmaceutics, Pharmaceutical Industry, Clinical Pharmacy, Compounding, Management, Marketing, Pharmacist, Georgia-3..., Leadership, Program Management, Project Management, Contract Negotiation, Formulary management,..., IV, Managed Care, Pharmacists, Medicare, Diabetes, Medicaid, Clinical Research, Nursing, Patient Safety, Disease Management, Hospitals, Healthcare Information..., Utilization Management, Medication Therapy..., Medicare Part D, Pharmacy Practice
Education
Mercer University 1985 — 1989
Doctor of Pharmacy - Cum Laude, BS, Pharm.D. (Pharmaceuticals / Pharmacy Practice, 3.6
The University of Georgia
Telecommunications/Broadcast Journalism AB, Telecommunications Arts
The University of Georgia
BS Zoology
St. Luke's Cornwall Hospital May 2015 - Present
Westchester Medical Center May 2014 - April 2015
St Luke's Cornwall Hospital April 2009 - April 2014
St. Luke's Cornwall Hospital October 2003 - April 2009
Orange Regional Medical Center 2002 - 2003
Aetna 1998 - 2000
Prudential Healthcare 1993 - 1998
Skills
Nursing, Utilization Management, Case Managment, Healthcare, Managed Care, Hospitals, Patient Safety, Home Care, Inpatient, Clinical Research, EMR, Healthcare Management, BLS, HIPAA, Medicaid, Critical Care, Medicare, Disease Management, Physician Relations, Case Management, Wound Care, Healthcare Information..., Meditech, Medical Terminology, Acute Care, Patient Advocacy, EHR
Education
Mount Saint Mary College 1979 — 1983
BSN, Nursing, Psychology
FASTFRAME USA January 2006 - Present
FASTFRAME USA January 2001 - January 2006
FASTFRAME USA January 2000 - January 2001
Prudential Healthcare June 1997 - June 2000
Skills
Social Media Marketing, Multi-channel Marketing, Customer Acquisition, Online Advertising, Email Marketing, Direct Marketing, Marketing Strategy, Lead Generation, Marketing, Leadership, Brand Development, Direct Mail, Franchising, Customer Service, Management, Advertising, Retail, Sales Management, Fundraising, Public Relations, Marketing Management, Facebook, Small Business, Social Media, Social Networking, Market Planning, Sales
Education
Kean University
Bachelor of Arts
Baker Tilly Virchow Krause, LLP October 2014 - Present
ParenteBeard LLC January 2013 - October 2014
Presscott Associates September 1993 - December 2012
Prudential Healthcare 1989 - 1993
NYU Langone Medical Center 1986 - 1989
Skills
Hospitals, Strategic Planning, Medicare, Contract Negotiation, Healthcare, Medical Devices, Process Improvement, Team Building, Negotiation, Marketing Strategy, New Business Development, Operations Management, Business Development, Healthcare Management, Contract Management, Medicaid, Healthcare Consulting, Healthcare Industry, Provider Relations, Health Policy
Education
New York University 1986 — 1989
Master of Public Administration (MPA), Healthcare Policy
The College of Wooster 1980 — 1984
Bachelor of Science (BS), Biology, General
MultiPlan August 2012 - Present
Amerigroup Corporation 2006 - 2012
Aetna 2004 - 2006
Aetna 1999 - 2004
Prudential Healthcare 1997 - 1999
Skills
Managed Care, Network Development, Employee Relations, PeopleSoft, Applicant Tracking..., Team Building, Leadership Development, Project Management, Recruiting, Provider Relations, Medicare, HIPAA, PPO, Healthcare Industry, Healthcare Consulting, Data Entry, HMO, Revenue Cycle, Health Insurance, Credentialing, Resume Writing, Office Management, Outlook, Health Policy, Benefits Administration, Contract Negotiation, Leadership, Marketing, Sales
Education
New York University Gallatin School of Individualized Study 1991 — 1993
Bachelor's degree, English Language and Literature, General
Saint Leo University 2013 — 2016
Health Care Management
New York University 1989 — 1991
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Hackensack High School
IBM BCRS (Business Continuity Recovery Services January 2009 - Present
IBM BCRS (Business Continuity Recovery Services) January 2003 - January 2009
IBM October 2001 - January 2003
Deloitte and Touche January 2000 - January 2001
Prudential Healthcare January 1998 - January 2001
Dun and Bradstreet January 1994 - March 1998
Bell Atlantic, MCI, ATT January 1991 - January 1994
Dun & Bradstreet February 1983 - March 1991
Skills
Storage, Disk, Tape, Data Center, Storage Area Networks, Tape Libraries, disaster recovery, IBM Storage, Mainframe, Replication, Switches, Business Continuity, Solution Design, High Availability, ITIL, IT Service Management, SAN, Virtualization, Incident Management, Storage Management, Enterprise Storage, Clariion, Vendor Management, Storage Architecture, IT Management, Service Management, Testing, Storage Solutions, Backup Solutions, Storage Virtualization, Disaster Recovery, DS4000, Solution Architecture
Education
State University of New York College at Brockport 1979 — 1980
Master of Education, Educational Administration
Montclair State University 1975 — 1979
Bachelor of Science, Physical Education
Boehringer Ingelheim Pharmaceuticals November 2012 - Present
The Ford Group, Inc April 2010 - November 2012
Boehringer Ingelheim Pharmaceuticals July 2007 - April 2010
Boehringer Ingelheim Pharmaceuticals July 2005 - July 2007
CVS/Caremark 2000 - 2005
Aetna US Healthcare July 1999 - July 2000
Prudential Healthcare September 1994 - September 1999
Integrated Pharmacy Solutions July 1982 - September 1994
Skills
Managed Care, Pharmaceutical Industry, Pharmacy Benefit..., Pharmaceutical Sales, Pharmacy, Healthcare, Neurology, Disease Management, Diabetes, Product Launch, Marketing, Oncology, Clinical Research, Physicians, Cardiology, Market Access, Managed Markets, Sales Effectiveness, Endocrinology, Health Economics, Non-profit..., Generating Revenue, Non-profit Program...
Education
Mercer University 1978 — 1981
B.S., Pharmacy
University of Richmond 1973 — 1977
B.S., Biology
Bristol-Myers Squibb September 2014 - Present
IMS Health March 2012 - September 2014
Merck Pharmaceuticals June 2009 - March 2012
Merck October 2007 - June 2010
Merck October 2007 - June 2009
Aetna May 2006 - October 2007
Aetna April 2002 - May 2006
Aetna February 2000 - April 2002
Prudential Healthcare March 1998 - February 2002
PHICO Insurance July 1996 - March 1998
Skills
Cross-functional Team..., Program Management, Managed Care, Healthcare, Change Management, Project Management, Strategy, Clinical Research, Leadership, Management, Oncology, Clinical Trials, Informatics, Data Warehousing, Analytics, Account Management, Business Process, Health, Recruiting, Disease Management, Training, Business Analysis, Diabetes, Strategic Communications, Governance, Communication, Process Improvement, SDLC, Healthcare Information...
Education
University of Pennsylvania 2006 — 2012
MSN, Healthcare Leadership
University of Pennsylvania 1991 — 1994
BSN, Nursing
John Carroll University 1985 — 1989
B.A., English
Chico's FAS, Inc. September 2011 - Present
TEKsystems March 2011 - September 2011
Tiffany and Company June 2006 - March 2011
InfiNET Data Systems February 2005 - June 2006
DigitalGrit September 2003 - February 2005
JCDecaux North America November 1999 - September 2003
Prudential Healthcare August 1998 - November 1999
Skills
CISSP, Security, Information Security, Computer Security, Consulting, Information Security..., Vendor Management, PCI DSS, Threat & Vulnerability..., Active Directory, Business Process, Cisco Technologies, Cloud Computing, Disaster Recovery, Enterprise Architecture, HIPAA, IDS, IT Audit, Integration, Network Security, Networking, SIEM, Security Audits, Vulnerability Management, Information Technology, Vulnerability Assessment, Business Continuity, Penetration Testing, Firewalls
Education
New York Institute of Technology 1992 — 1996
BS, Management Information Systems
IBM June 1997 - Present
NYU Medical Center 2005 - 2005
Iron Dragon K-9 2004 - 2005
Prudential Health Care September 1985 - June 1997
Prudential Healthcare 1990 - 1997
Prudential Insurance 1989 - 1997
Prudential Insurance 1984 - 1989
Skills
Negotiation, Data Center, Call Center, Sales Management, International Business, Telecom Infrastructure, Infrastructure Projects, Help Desk Management, SME, Cost Management, Program Management, Project Management, Help Desk Support, Telecommunications, Infrastructure, Business Analysis, Outsourcing, Team Leadership, PMP, Service Delivery, Leadership, Management, IT Service Management, Vendor Management, IT Management, ITIL, IT Strategy, Call Centers, PMO, Information Technology, Project Portfolio..., IT Operations, Business Process, Project Delivery, Business Process..., Business Intelligence, Integration, Customer Satisfaction, Operations Management, Global Business...
Education
New Jersey Institute of Technology 1981 — 1987
BA, Industrial Administration
Clifford Scoot HS
East Orange
East Orange
SCAN Health Plan 2010 - 2011
TXNPlus Global Inc. April 2006 - August 2010
SCAN Health Plan 2008 - 2010
Health Net 2001 - 2003
Aetna 1999 - 2001
Daniel Freeman 1995 - 1997
Prudential Healthcare 1992 - 1994
Skills
Managed Care, Medicare, Medicaid, Healthcare Management, Provider Relations, Revenue Cycle, Healthcare Information..., HIPAA, Healthcare Industry, Hospitals, Health Insurance, Healthcare Consulting, Healthcare, Health Policy, EMR, Physician Relations, Medical Terminology, Business Development, Practice Management, Health Information..., Process Improvement, Clinical Research, Medical Coding, Health Information..., Medical Billing, Informatics, EHR, Data Analysis, Nursing, Quality Improvement, Revenue Cycle Management, Insurance, Medicine, Utilization Management, Disease Management, Physicians, Performance Improvement, Accreditation, Patient Safety, Home Care, Credentialing, Ambulatory, Executive Management, JCAHO, Inpatient, Epic Systems, Claim, Long-term Care
Education
University of Florida - Fredric G. Levin College of Law 1994 — 1996
Michigan State University - The Eli Broad Graduate School of Management 1987 — 1989
MBA, Finance
Michigan State University 1983 — 1987
BS, Biochemistry
Willis December 1997 - Present
Prudential HealthCare February 1997 - December 1997
Anthem Blue Cross Blue Shield September 1986 - February 1997
Skills
Health Insurance, Vendor Management, Casualty, Brokers, Benefits Administration, Professional Liability, Commercial Insurance, Property & Casualty..., Underwriting, Sales, HRIS, Commercial Lines, Employment Practices..., Strategic Planning, Health Care Reform, Term Life Insurance, Employee Benefits, Insurance, Customer Service, Sales Management, Microsoft Excel, Life Insurance, Marketing, Employee Relations, Reinsurance, Liability, ERISA, Business Analysis, Workers Compensation, Long-term Care, Claim, Health Savings Accounts, Risk Management, Accident, General Insurance, Claims Management, Leadership, Disability Insurance, Human Resources, Healthcare, Legal Liability, New Business Development, Analysis, COBRA, Insurance Brokerage, Employee Wellness, Account Management, Team Building, Medicare, D&O
Education
Longwood University 1980 — 1984
Bachelor of Science in Business Administration, Marketing and Management
Combe, Inc. January 1999 - Present
Millward Brown July 1998 - January 1999
Prudential HealthCare August 1995 - June 1998
American International Group July 1993 - July 1995
BBDO April 1990 - June 1993
BBDO New York 1990 - 1993
J. Walter Thompson 1988 - 1989
Lever R&D 1985 - 1988
Skills
Advertising, Market Research, Project Management, Team Building, Customer Insight, Analytics, Product Development, Strategy, Brand Management, Marketing Research, Integrated Marketing, Segmentation, Competitive Intelligence, Competitive Analysis, Positioning, Consumer Insight
Education
Hofstra University 1980 — 1985
Ph. D., Applied Research and Development in Psychology
Saint John's University 1976 — 1980
BS, Biology
WellPoint November 2013 - Present
CIGNA Healthcare 2008 - Present
Amerigroup Corporation March 2011 - October 2013
Great-West Healthcare November 1999 - March 2011
CIGNA November 1999 - December 2009
Prudential Healthcare 1996 - 1998
Skills
Provider Relations, Network Development, Managed Care, Medicaid, Medicare, Health Insurance, HMO, Healthcare Industry, Healthcare, HIPAA, Healthcare Management, Health Policy, Disease Management, Healthcare Consulting, Credentialing, Insurance, Utilization Management, Process Improvement
Education
Lafayette College 1987 — 1991
Bachelor of Arts (B.A.), Economics
Lafayette College 1987 — 1991
Bachelor of Arts (B.A.), Psychology
Tufts Health Plan May 2010 - Present
Tufts Health Plan 2005 - 2010
Nortel Networks 2000 - 2005
Tufts Health Plan 1997 - 2000
Prudential Healthcare May 1987 - October 1997
Skills
Excel, Access, Requirements Analysis, Analysis, Customer Relations, Word, PowerPoint, Microsoft Office, Lotus Notes, Business Analysis, Databases, Testing, User Acceptance Testing, Requirements Gathering, Business Requirements, sas, Customer Service, Program Management, CRM, Data Analysis, Analytics, Business Process, Visio, Management, Software Documentation, SDLC, Microsoft Excel, Process Improvement, Team Management
Education
Northern Essex Community College 1986 — 1989
Associate's Degree, Business Administration and Management, General
United Healthcare May 1999 - Present
Oxford Health Plans May 1999 - July 2004
Prudential Healthcare January 1996 - May 1999
New York Presbyterian Hospital 1996 - 1998
Empire Blue Cross and Blue Shield 1990 - 1992
Education
University of Connecticut
mba, finance
Marist College 1985 — 1989
BS, Finance
Bristol-Myers Squibb May 2014 - Present
Bristol-Myers Squibb November 2012 - May 2014
Bristol-Myers Squibb April 2012 - November 2012
Bristol-Myers Squibb 2006 - April 2012
Bristol-Myers Squibb 2000 - 2006
Prudential Healthcare 1993 - 1999
Skills
Domestic Compensation, Long-Term Incentive..., Incentive Programs, Certified Compensation..., Pharmaceutical Industry, Talent Management, Organizational Design, Employee Engagement, Human Resources, Employee Benefits, Healthcare Industry, Managed Care, Succession Planning, Leadership, Compensation & Benefit, Compensation & Benefits
Education
Seton Hall University 1995 — 1999
MBA, Management, International Business
Monmouth University 1986 — 1990
B.S., International Business
ISO July 2001 - Present
Prudential Healthcare August 1998 - July 2001
Skills
Software Documentation, Business Analysis, Team Building, Requirements Gathering, Insurance, Customer Service, Microsoft Office
Education
Lynn University 1994 — 1998
MBA, Business
Livingston High School 1990 — 1994
CaeFirst Blue Cross Blue Shield December 2009 - November 2012
Kaiser Permanente January 1997 - June 2004
Prudential Healthcare 1991 - 1996
Skills
Project Management, Change Management, Management, SDLC, Requirements Analysis, SharePoint, IT Strategy, Vendor Management, PMO, Enterprise Architecture, SOA, PMP, Visio, Process Improvement, Integration, Program Management, Healthcare Information..., Software Project..., Requirements Gathering, Data Warehousing, Business Analysis, Business Process
Education
Morgan State University
Business Administration and Management, General
The George Washington University
IT Project Management Master's Certificate
Lumenos May 2006 - September 2007
The University of Medicine & Dentistry of New Jersey February 2001 - March 2006
Prudential Healthcare 1998 - 2001
Novant Health 1982 - 1998
Novant Health 1982 - 1998
Waterbury Hospital Health Center 1978 - 1982
Education
University of Connecticut 1981 — 1983
MBA, Health Care Management
University of Tennessee-Knoxville 1973 — 1974
BS, Industrial Engineering
Lipscomb University 1970 — 1972
Pre-engineering
Liazon July 2012 - Present
bswift May 2011 - July 2012
The Vitality Group Inc. January 2011 - May 2011
bswift February 2009 - January 2011
Univers Workplace Benefits October 2008 - February 2009
A.D.A.M Inc. April 2000 - September 2008
Corporate IT August 1999 - February 2000
Prudential Healthcare December 1997 - August 1999
Consolidated Group 1985 - 1996
Skills
Employee Benefits, Insurance, Health Insurance, Account Management, Healthcare, New Business Development, Benefits Administration, Sales, Disability Insurance, Marketing, Strategic Planning, Salesforce.com, Enterprise Software, Human Resources, Management, Selling, Strategy, Training
Education
New England College 1977 — 1981
BA, Communications
Dover Sherborn High School 1974 — 1977
REAL Software Systems April 2004 - Present
BearingPoint February 1998 - April 2004
Prudential Healthcare 1994 - 1996
J.D. Power & Associates 1992 - 1994
J.D. Power and Associates a division of The McGraw-Hill Companies 1992 - 1994
Exxon 1987 - 1992
Skills
Solution Architecture, Enterprise Architecture, Java, SQL, Scrum, Business Analysis, HTML, XML, Visio, C, Integration, Microsoft SQL Server, Project Management, Software Development, SDLC, XSLT, SOA, PowerBuilder, InstallShield, C#, Requirements Analysis, SaaS, Agile Methodologies
Education
National University 1992 — 1995
BS, Computer Science
Aetna Health Plans December 1997 - Present
United Healthcare July 2003 - July 2005
GHI July 1995 - December 1997
Prudential Healthcare March 1994 - July 1995
Skills
Sales, Negotiation, Health Insurance, Insurance, Employee Benefits, Disability Insurance, Managed Care, Health Savings Accounts, Medicare, Underwriting, Brokers, Life Insurance, Account Management, Claim, Benefits Administration, Commercial Insurance, Salesforce.com, Health Care Reform, COBRA, Market Planning
Education
Hampton University 1987 — 1992
Bachelor of Arts (BA)
HMS October 2013 - Present
HMS January 2012 - October 2013
HMS May 2004 - January 2012
Prudential Healthcare February 1987 - August 2001
Skills
SQL, Data Analysis, Software Development, Quality Assurance, Databases, Business Requirements, Program Management, Project Management, Process Improvement, Analysis, Integration, Software Documentation, Business Analysis
Education
Montclair State University
Bachelor of Arts (BA)
Molina Healthcare November 2012 - Present
Molina Healthcare December 2010 - November 2012
Molina Healthcare January 2006 - December 2010
Boho Design September 1996 - September 2006
Prudential Healthcare February 1997 - January 2002
Skills
Business Analysis, Process Improvement, Project Implementation, Medicaid, Managed Care, Medicare, Healthcare Management, Healthcare, Case Managment, Utilization Management, HIPAA, Healthcare Information..., Health Insurance, Hospitals, Healthcare Industry, Healthcare Consulting, Disease Management, Pharmacy Benefit..., NCQA, Leadership, Data Analysis, Health Policy, Training, Access, EHR, Quality Improvement, Clinical Research, Provider Relations, EMR, Project Management, Revenue Cycle, Business Process, Software Documentation, Informatics, Case Management, Program Management
Education
The Ohio State University 2004 — 2006
Social Work
Marshall University 1986 — 1990
Bachelor of Arts
Blue Shield of California December 2014 - Present
Health Net 2005 - December 2014
Health Net 2001 - 2005
Aetna 1998 - 2001
Prudential Healthcare 1996 - 1998
Prudential Healthcare 1993 - 1996
Prudential Healthcare 1991 - 1993
Skills
Underwriting, Health Insurance, Insurance, Claim, Brokers, Health Savings Accounts, Managed Care, Medicare, Management, Life Insurance, HMO, Employee Benefits, Benefits Administration
Education
University of Southern California - Marshall School of Business 1998 — 2001
Master of Business Administration (M.B.A.)
Loyola Marymount University 1987 — 1991
Bachelor, Business
Charon Planning August 2003 - Present
Aetna, INC. August 1999 - August 2003
Prudential Healthcare April 1987 - August 1999
Aetna Life Insurance Company March 1986 - April 1987
Education
La Salle University
Masters in Business Administration, Healthcare Administration
Northeastern University
Bachelor of Science, Health Sciences
WellPoint April 2009 - Present
WellPoint April 2005 - April 2009
Anthem January 1998 - April 2005
Prudential Healthcare September 1994 - January 1998
Prudential Healthcare May 1988 - September 1994
Prudential Healthcare January 1987 - May 1988
State of Ohio, Rehabilitative Services Commission August 1985 - January 1987
State of Ohio, Rehabilitative Services Commission January 1984 - August 1985
State of Ohio, Rehabilitative Services Commission August 1982 - January 1984
State of Ohio, Rehabilitative Services Commission August 1980 - August 1982
Skills
Project Management, Change Management, Claim, Portfolio Management, Vendor Management, Health Insurance, Budgets, Process Improvement, PMP, Program Management, Pharmacy Benefit..., Product Management, Cross-functional Team..., Managed Care, Leadership, Business Process...
Education
Miami University 1976 — 1980
BA, Psychology
Consulting January 2007 - December 2007
WellPoint 2002 - 2007
Merrill Lynch 1997 - 2002
Prudential Healthcare 1989 - 1997
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care, Healthcare, Medicaid, Leadership, Claim, Process Improvement, Provider Relations, HIPAA, Health Policy, Long-term Care, Healthcare Industry, Vendor Management, Team Building
Education
Montclair State University 1980 — 1982
North Plainfield High School
Autodesk August 2013 - Present
Autodesk March 2007 - July 2013
Autodesk February 2006 - March 2007
Autodesk May 1999 - January 2006
Prudential Healthcare August 1997 - July 1998
America Online 1995 - 1996
Skills
AutoCAD, Oracle, Oracle SQL, Windows, Troubleshooting, SQL, Computer Hardware, Siebel, Technical Support, Salesforce.com, Java, Windows Server, Android, Cloud Computing, SharePoint, Databases, Enterprise Software, Operating Systems, Unix, Visio, Software Documentation, Agile Methodologies, Microsoft SQL Server, SaaS, Autodesk Vault
Education
Manchester Community College 2009 — 2012
Associate in Science, Computer Technologies
New Hampshire Technical Institute 1994 — 1995
Computer Engineering Technology
Aver Informatics Inc. July 2013 - Present
Aver Informatics Inc. 2011 - June 2013
ZyQuest, Inc. April 2008 - 2012
Kentuckiana Project Management Institute 2009 - December 2011
Aver Informatics Inc. 2010 - 2011
YRC World Wide November 2006 - June 2007
The Limited 1998 - 2006
Victoria's Secret Stores/Limitedbrands 1998 - 2006
Prudential Healthcare April 1994 - December 1997
Prudential Financial Services 1991 - 1994
Skills
Management, Retail, SDLC, Visio, Project Planning, Project Management, Program Management, Process Improvement, PMP, Business Analysis, PMO, Vendor Management, Enterprise Architecture, Requirements Analysis, Marketing, Business Intelligence, Cross-functional Team..., Project Portfolio..., Business Process..., Team Leadership
Education
Jacksonville University 1994 — 1996
Executive MBA
Notre Dame College 1987 — 1990
Bachelor of Arts, Finance
Ascension Insurance, Inc. April 2002 - Present
Aetna 1999 - 2002
Prudential Healthcare 1994 - 1998
Skills
Health Insurance, Insurance, Health Savings Accounts, Employee Benefits, Disability Insurance, Brokers, Life Insurance, Benefits Administration, Claim
Education
Jefferson Community College
Magellan Health Services February 2013 - Present
Magellan Health Services 2011 - 2013
Cutler Healthcare 2008 - 2011
Aetna September 2003 - July 2008
America's Health Insurance Plans September 1999 - August 2003
Prudential Healthcare 1993 - 1999
Harvard Pilgrim Health Care 1990 - 1993
Rhode Island Group Health Association (RIGHA) 1976 - 1990
Skills
Healthcare, Medicine, Managed Care, Healthcare Management, Medicare, Healthcare Consulting, Medicaid, Disease Management, Health Policy, Health Insurance, Informatics, Physicians, Quality Improvement, Public Health
Education
Massachusetts Institute of Technology - Sloan School of Management 1988 — 1989
MS, Management
New York University School of Medicine 1969 — 1973
MD, Medicine
The University of Chicago 1965 — 1969
AB, Biology
Magellan Behavioral Health July 2012 - Present
Health Management Systems January 2011 - November 2011
Bell Insurance Group August 2009 - May 2010
Perot Systems May 2004 - January 2009
Great-West Healthcare December 2005 - October 2006
Magellan Health Services October 1998 - May 2004
Prudential Healthcare August 1992 - October 1998
Skills
Insurance, Account Management, HIPAA, Medicaid, Healthcare Information..., Medicare, Team Building, Strategic Planning, Contract Negotiation, Process Improvement, Vendor Management, Healthcare Management, Customer Service, Leadership, CRM, Management, Program Management
Education
The University of Southern Mississippi 1984 — 1986
Master of Science, Psychology
Louisiana State University School of Medicine in Shreveport 1984 — 1985
Internship, Psychology
Louisiana Tech University 1981 — 1984
Bachelor of Arts, Psychology
Minden High School 1976 — 1981
Independent Consultant Services January 2007 - Present
Systematic Medical Billing & Credentialing Services, Inc. January 2000 - Present
Prudential Healthcare January 1997 - December 2000
HIP Health Plan of New York June 1995 - December 1997
Skills
Managed Care, Medicaid, Provider Relations, Medicare, Healthcare, Network Development, Hospitals, Physicians, Medical Billing, Credentialing, Medical Terminology, Healthcare Consulting, Healthcare Information..., HIPAA, Healthcare Management, Healthcare Industry, Health Policy, Health Insurance, Customer Service, Revenue Cycle, Process Improvement
Education
Molloy College 1997 — 1998
Continuing Education Courses, Continuing Education Courses
LIU Post 1992 — 1995
MPA, Health Administration
Long Island University 1992 — 1995
MPA, Health Administration
Suffolk County Community College 1982 — 1984
A.A.S, Electrical Technology
US Military Training Center 1976 — 1980
United States Navy Electronics Training, United States Navy Electronics Training
Montefiore Medical Center - CMO July 1996 - Present
Prudential HealthCare July 1995 - July 1996
IBM May 1988 - June 1995
Education
New York University 1993 — 1996
MPA, Health Policy & Management
Pace University - Lubin School of Business 1984 — 1988
BBA, Marketing
ResCare 2011 - 2015
Kimberly-Clark 2007 - 2011
Phipps Houses Services &Community Development Corporation 2005 - 2007
Cadbury Schweppes 2002 - 2006
Pfizer, Inc. 1998 - 2002
Prudential Healthcare 1996 - 1998
Aetna 1994 - 1996
GE(Nuclear,Aerosapce,Medical,Capital 1982 - 1994
Skills
Succession Planning, Talent Management, Performance Management, Change Management, Process Improvement, Employee Relations, Employee Engagement, Deferred Compensation, Personnel Management, Workforce Planning, Talent Acquisition, Strategic Planning, Organizational..., Human Resources, Recruiting, Organizational Design, Applicant Tracking..., Strategy, Leadership Development, Onboarding, Organizational..., Labor Relations, HRIS, Mergers & Acquisitions, Global Management, Training, Global Human Resources..., Global Strategy, Leadership
Education
La Salle University - School of Business Administration
MBA
Temple University - Fox School of Business and Management
BBA
Independence Blue Cross May 2015 - Present
EmblemHealth January 2009 - May 2015
CIGNA Healthcare September 2001 - November 2008
Aetna September 1999 - August 2001
Prudential Healthcare June 1984 - September 1999
Skills
Managed Care, Medicare, Claim, Management, Health Insurance, Medicaid, HIPAA, Healthcare, Provider Relations, Insurance, Healthcare Information..., Process Improvement, Healthcare Management, HMO, Healthcare Industry, Employee Benefits, Network Development, Healthcare Consulting, Disease Management, Health Policy, PPO, Contract Negotiation, Claims Management, Medicare Part D, Physicians, Executive Management, EMR, EHR, Account Management, Workers Compensation, Pharmacy Benefit..., Software Documentation, Cross-functional Team..., Data Analysis, Budgets, Revenue Cycle, Underwriting
Education
AHIP 2010 — 2011
Executive Leadership Program, HealthCare
Monmouth University 1985 — 1988
MBA, Business Administration
Rider University 1981 — 1984
BS in Commerce, Management & Organizational Behavior
United Health Care, Basking Ridge, NJ 2009 - Present
United Health Care September 2002 - May 2010
Aetna June 2000 - April 2002
Prudential Healthcare February 1986 - June 2000
Prudential 1986 - 2000
Skills
SDLC
Education
New Jersey Institute of Technology
Union Spring Central High School
The Oswald Companies July 2008 - Present
CIGNA Healthcare January 2001 - June 2008
Denmark Insurance 1999 - 2001
Prudential Healthcare 1997 - 1999
Skills
Employee Benefits, Health Insurance, Insurance, Health Savings Accounts, Disability Insurance, Benefits Administration, Healthcare, Workers Compensation, Underwriting, Life Insurance, Brokers, Managed Care, New Business Development, Term Life Insurance, Claim, COBRA, Long-term Care, Community Outreach, Property & Casualty..., Commercial Insurance, Medicare, Sales
Education
Kutztown University of Pennsylvania 1987 — 1992
Bachelors, Speech Communication
Abington High School
Mount Pleasant High School
Aon Hewitt January 2015 - Present
HealthNEXT April 2013 - January 2015
Citi November 2011 - April 2013
Merck January 2009 - October 2011
Merck May 2006 - December 2008
Honeywell International 2000 - 2005
Prudential Healthcare January 1996 - March 2000
Prudential Healthcare January 1994 - January 1996
Skills
Employee Benefits, Healthcare, Strategic Planning, Process Improvement, Benefits Administration, Employee Engagement, Deferred Compensation, Employee Relations, Vendor Management, Mergers, Change Management, HRIS, Performance Management, Health Insurance, Team Building, Organizational..., Human Resources, Insurance, Executive Pay, Leadership Development, Program Management, Mergers & Acquisitions, Talent Management, Strategy, Talent Acquisition, Leadership, Succession Planning, Organizational..., Recruiting, Organizational Design, Onboarding, Coaching, Workforce Planning, Underwriting
Education
Lehigh University 1980 — 1983
B.S., Finance
Karen W. Reisman, Inc. 1990 - Present
Prudential Healthcare 1986 - 1990
Baylor University Medical Center 1981 - 1985
Skills
Managed Care, Healthcare Management, Healthcare Consulting, Network Development, Revenue Cycle Management, Medical Practice..., Contract Negotiation, Contract Management, New Business Development, Provider Relations, Strategic Planning, Employee Benefits, PPO, Ambulatory Care, Management, Insurance, Medical Compliance, Team Building, Quality Improvement, Ambulatory, Healthcare Reimbursement, Performance Improvement, Healthcare, Physician Network...
Education
Texas Woman's University 1983 — 1985
M.S., Health Care Administration
Michigan State University 1977 — 1981
B.S., Nutrition and Dietetics
Ascende, Inc. February 2004 - April 2013
Self-employed October 2002 - February 2005
Aetna, INC. August 2000 - October 2002
Prudential Healthcare 1976 - 2000
Skills
Benefits Administration, Employee Benefits, Onboarding, HRIS, Training, Health Insurance, Management, Insurance, Performance Management, Employee Relations, Human Resources, Recruiting, New Hire Orientations, Deferred Compensation, Employee Engagement
Education
Kalamazoo College 1968 — 1972
BA, Political Science, English
Medica VP and GMMedica Health Plans1998 - Present
UnitedHealth Group March 1994 - November 1998
Prudential Healthcare 1980 - 1994
Education
Minnesota State University, Mankato 1976 — 1980
BA, BUsiness
BD June 2002 - Present
Prudential Healthcare January 1990 - January 2000
Education
Kean University 1986 — 1990
BA, Finance/Computers
Fairleigh Dickinson University-Metropolitan Campus
Humana February 2007 - July 2015
Aetna Health Plans 2000 - October 2006
Convergys 1999 - 2000
Prudential Healthcare December 1998 - 2000
Skills
Microsoft Office, Lotus Notes, Healthcare, Customer Service, SQL, SharePoint, Visio, Team Building, Databases, Access, Microsoft Excel, PowerPoint, Microsoft Word, Outlook, Troubleshooting, Windows, Database Administration, Managed Care, Analysis
Education
Jamestown Community College 1992 — 1995
Computer Science, Computer Science
The Emory Clinic August 1996 - Present
Emory Healthcare 1996 - Present
Prudential Healthcare May 1993 - August 1996
HealthPartners March 1981 - April 1993
Skills
Healthcare Management, Medicine, Nursing, Hospitals, Healthcare Information..., Clinical Research, EHR, Patient Safety, Public Health, Medical Education, Medical Coding, Medical Billing, Clinical Trials, Healthcare, Process Improvement, Leadership, Strategic Planning, Internal Medicine, EMR
Education
University of Illinois Springfield 1978 — 1980
Master of Public Administration (MPA), Health Services Administration
Lee 1966 — 1970
Bachelor of Science (BS), Finance/business
HealthSpring May 2010 - Present
Cigna HealthSpring May 2010 - Present
Coventry First Health June 2007 - June 2009
Coventry First Health June 2007 - June 2009
PROPATH August 2005 - June 2007
Three Generations Catering November 2004 - August 2005
Trinity Mother Frances Health System February 1998 - October 2004
Trinity Mother Frances Health System January 1998 - January 2004
Prudential Healthcare 1992 - 1998
Texas Commerce Bank Preston Royal 1983 - 1989
Skills
Credentialing, Network Development, Hospitals, Provider Relations, Managed Care, Healthcare, Business Development, Training, Contract Negotiation, Strategy, Physicians, Medicare, Medicaid, Account Management, Insurance, Healthcare Industry
Education
LeTourneau University 1997 — 1998
Masters, Business Administration
LeTourneau University
Master of Business Administration (MBA)
Southern Methodist University
The University of Texas at Dallas
Bachelor of Arts, Government and Politics
Empire Computing & Consulting, Inc. Business ManagerEBC Office Centers2001 - 2004
Walt Disney Feature Animation June 1996 - June 1998
Prudential Healthcare June 1989 - June 1996
Prudential Health Care 1989 - 1996
Skills
New Business Development, Strategic Planning, Project Management, Program Management, Security, Strategic Partnerships, Project Planning, Sales Management, Solution Selling, Business Development, Account Management, Time Management, Disaster Recovery, SaaS, Leadership, Sales
Education
University of Central Florida - College of Business Administration 1991 — 1993
Moody Bible Institute
Ottawa University September 2014 - Present
Independent Consultant August 2013 - Present
Molina Healthcare April 2011 - August 2013
United Health Care February 2010 - March 2011
American Board of Medical Specialties August 2006 - February 2010
Wheaton Franciscan Healthcare July 2001 - July 2006
PersonalCare Health Management July 1997 - January 1999
Prudential Healthcare August 1994 - February 1996
Mercy Health Services February 1990 - July 1994
SelectCare August 1982 - February 1990
Skills
Managed Care, Healthcare Management, Utilization Management, Hospitals, Quality Management, Quality Assurance, Wellness, Wellness Coaching, Employee Wellness..., Executive Management, Writing, Nursing, Directors, Public Health, White Papers, Consulting, Operations Management, Education, Higher Education, Clinical Supervision, Case Managment, Holistic Health, population management, Medical homes, Health Policy, Case Management, Quality Improvement
Education
University of Michigan 1988 — 1990
MHSA, Health Service Administration
Oakland Community College 1978 — 1981
Associate of Science (AS), Registered Nursing/Registered Nurse, 3.8
Madonna University 1976 — 1978
Teacher Education and Professional Development, Specific Subject Areas
University of Detroit Mercy 1969 — 1971
Bachelor's Degree, English, Speech, Drama, and Music Education, 3.85
Michigan State University 1967 — 1969
Vocal Music Education
Aetna January 2002 - Present
Aetna January 1999 - January 2002
Prudential Healthcare July 1988 - December 1999
Skills
Network Contracting &..., Communication,..., Health Insurance, Medicaid, HMO, Disease Management, HIPAA, Claim, Health Policy, Healthcare, Insurance, NCQA, Healthcare Industry, Healthcare Management, Credentialing, Medicaid Managed Care, Medicare Part D
Education
Northern Illinois University
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Northern Illinois University
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
AMITA Health January 2013 - Present
Crozer Keystone Health System January 2009 - December 2012
Southern Regional Health System 2000 - 2008
Prudential Healthcare 1998 - 2000
APM Management Consulting 1996 - 1998
Booz Allen Hamilton 1991 - 1996
Skills
Physicians, Hospitals, Strategic Planning, Leadership, Strategy, Healthcare Consulting, Program Management, Mergers, Healthcare Information..., Healthcare, Budgets, Healthcare Management, Management, New Business Development, Business Development, Business Strategy, Operations Management
Education
Michigan State University
Bachelor of Science (BS)
The Ohio State University
MHA
Community Health Systems December 2012 - Present
Community Health Systems October 2010 - December 2012
Humana August 2006 - January 2010
DePuy Spine March 2005 - August 2006
Medtronic January 2003 - March 2005
Humana July 2002 - January 2003
Humana July 1998 - July 2002
Prudential Healthcare November 1996 - June 1998
AT&T July 1995 - November 1996
Medico Psychological Services January 1986 - January 1993
Skills
Managed Care, Project Management, Market Development, Contract Negotiation, Healthcare, Medicare, Technology Integration
Education
New Mexico State University 1993 — 1995
M.B.A., Business Administration
CIGNA August 1999 - Present
Prudential Healthcare June 1995 - August 1999
Education
Moraine Valley Community College 1987 — 1989
Associate Degree, Business
Humana Seniorbridge June 2014 - Present
Enlivant November 2013 - May 2014
VNA Texas March 2013 - August 2013
UMR/OPTUM HEALTH July 2008 - March 2013
Children's Medical Center Dallas July 1997 - April 2008
Prudential Healthcare April 1992 - May 1997
Skills
Healthcare, Case Management, Nursing, Hospitals, Disease Management, Case Managment, Utilization Management, BLS, Public Speaking, Pediatrics, Customer Service, Microsoft Excel, Team Building, Leadership, Training, Health Insurance, Microsoft Office, Process Improvement, Management, Home Care, Wellness Coaching
Education
The University of Texas 1987 — 1988
BSN, Nursing
North Central Texas College 1983 — 1986
RN, Nursing
Amerigroup NJ October 2014 - Present
Columbus Hospital LTACH July 2011 - October 2014
Magellan Health Services April 2004 - July 2011
Aetna 2000 - 2004
Prudential HealthCare 1997 - 2000
Skills
Accreditation, Quality Management, QI, Quality Auditing, Quality Assurance, Process Improvement, FDA, Medicare, Root Cause Analysis, Quality Improvement, Quality System, Behavioral Health, Healthcare Management, Validation, HIPAA, Medicaid, Managed Care, Healthcare, Clinical Research, Healthcare Information..., Healthcare Consulting, Hospitals, Healthcare Industry, Health Policy, Public Health, Informatics, Cross-functional Team..., Health Insurance, Medical Compliance, EMR, CQA, Program Development, Medicaid Managed Care, EHR, Call Centers, HMO, ISO 14971, Mental Health, Provider Relations, Case Management, Utilization Management
Education
Kean University 2011 — 2015
Master of Public Administration (MPA), Public Administration, Health Services
Kean University 1995 — 1999
BS, Management
Assumption Home & School Association July 2014 - Present
Assumption Home & School Association September 2012 - December 2014
Arthur Andersen August 2000 - June 2002
CIGNA Healthcare January 1999 - August 2000
Prudential Healthcare January 1998 - January 1999
Prudential Healthcare 1998 - 1999
Prudential Healthcare June 1995 - January 1998
Skills
Management, Change Management
Education
Montclair State University 1987 — 1991
Bachelor of Science, Marketing, Management
ICS (Integrated Consulting Services) June 2009 - Present
CalRHIO May 2006 - July 2009
Blue Shield of California 2005 - May 2006
Ascent Business Consulting 2003 - 2005
LabCorp 1999 - 2003
Decision Innovations 1998 - 1999
Prudential Healthcare 1996 - 1998
Skills
Health Information..., Integration, Program Management, SDLC, Enterprise Architecture, Healthcare Information..., Data Warehousing, Business Intelligence, Strategic Planning, Strategy, Enterprise Software, Business Process, PMO, Start-ups, Cross-functional Team..., Consulting, HL7, Data Integration, Software Project..., Project Management, IT Strategy, EHR, SOA, Service Orientation, Cloud Computing, Informatics, Analytics, Analysis, Healthcare Consulting, Master Data Management, Requirements Analysis, HIE Strategy &..., Healthcare Analytics, Management, Solution Architecture, SaaS, Architecture, Vendor Management, Software Implementation, Project Portfolio..., Practice Management, Certified SOA Architect, IT Strategic Planning, TOGAF Certification, HIE Architecture, Enterprise MDM Strategy, System Interoperability..., Consulting Services..., Service-oriented..., PMO Development &...
Education
North Carolina State University 1988 — 1996
MS, Medical Sociology/Statistics
Ucla Medical Group May 2003 - Present
Ucla Medical Group June 1999 - May 2003
Prudential Healthcare April 1997 - June 1999
Skills
Research, Microsoft Office, PowerPoint, Microsoft Excel, Data Analysis, Editing, Statistics, Microsoft Word, Policy Analysis, Social Media, Healthcare, Management, Training, Access, Process Improvement, Team Leadership, Team Building, Customer Service, Coaching, Policy, EHR, Epic Systems, Policies & Procedures..., Strategic Planning
Education
National University 2012 — 2015
Bachelor of Science (BS), Allied Health Diagnostic, Intervention, and Treatment Professions
West Los Angeles College 2009 — 2011
Associate of Science (A.S.), Liberal Arts and Sciences/Liberal Studies, 3.6
West Los Angeles College 2009 — 2011
Associate of Science (A.S.), Business Administration and Management, General, 3.6
Computer Education Institute 2000 — 2001
Licentiate degree, Computer Programming
United Education Institute 1996 — 1997
Licentiate degree, Allied Health and Medical Assisting Services
American College of Careers 1993 — 1994
Licentiate degree, Pharmacy Technician/Assistant
ITT Technical Institute 2007 - 2010
ITT Technical Institute 2006 - 2007
ITT Technical Institute 2005 - 2006
Key Benefit Administrators 2003 - 2004
Sagamore Health Network 1999 - 2000
Prudential Healthcare 1994 - 1999
Skills
Higher Education..., Student Retention, Performance Management, Operations Management, Academic Administration, Educational Leadership, Team Building, Coaching, Issue Resolution, General Insurance, Insurance, Commercial Insurance, Underwriting, Property & Casualty..., Retaining Customers, Management
Education
Indiana Wesleyan University
Master of Science (M.S.), Management
Indiana University-Purdue University at Indianapolis
Bachelor of Science (B.S.), Finance
CompuPay April 2008 - April 2009
ADP TotalSource 2005 - 2007
Interpay 1999 - 2003
Prudential Healthcare 1997 - 1998
Empire Blue Cross and Blue Shield New York 1996 - 1997
Oxford Health Plans 1995 - 1996
Education
Kean University 1997 — 2005
B.S., Communications/Public Relations Writing
Magellan Health Services 2001 - 2011
Prudential HealthCare 1983 - 2001
Skills
Health Insurance, Disability Insurance, HealthCare Appeals, Regulatory Compliance, HIPAA, Medicaid, Case Management
Education
Lafayette College 1978 — 1982
BA, Government and Law
Bottom Line Systems June 2001 - Present
Prudential HealthCare February 1986 - March 2001
Skills
Medicare, Medicaid, Managed Care, Health Insurance, Medical Billing, ICD-9, Claim, Provider Relations, HIPAA, Healthcare, Revenue Cycle, Healthcare Consulting, Healthcare Management, Hospitals, Insurance, Healthcare Information..., Healthcare Industry, Medical Coding
Education
College of Mount St. Joseph
Consultant 2000 - Present
sanofi-aventis 2002 - 2004
Prudential Healthcare January 1995 - January 1998
COMCAST COMMUNICATIONS January 1990 - January 1995
Skills
Customer Relations, Call Center, Help Desk, Technical Support, Training, Help Desk Support, Customer Service, XP, Hardware, BMC Remedy, Windows
Education
Kutztown University of Pennsylvania
Bachelor of Business Administration (BBA), Marketing
Chubb Institute
Diploma, Computer Technical Support
Washington Hospital Center January 2007 - Present
Washington hospital Center July 2007 - September 2011
Washington Hospital Center July 2007 - September 2011
Washington Hospital Center August 1992 - July 2007
Washington Hospital Center January 1998 - January 2007
Washington Hospital Center January 1998 - January 2007
Washington Hospital Center September 1997 - October 1998
Washington Hospital Center January 1997 - January 1998
Washington Hospital Center January 1997 - January 1998
Prudential Healthcare April 1996 - September 1997
Education
University of Phoenix 2009 — 2013
MSN, Nursing
Howard University
Bachelor of Science, Nursing
Howard University
Bachelor of Science, Nursing
University of Phoenix
Masters of Science, Nursing
University of Phoenix
Masters of Science, Nursing
American Therapy Administrators 1997 - Present
Prudential Healthcare December 1990 - September 1997
Skills
Health Insurance, Team Leadership, Insurance, Strategic Planning, Healthcare
Education
Keller Graduate School of Management of DeVry University
MBA
Wabash College
BA
Avalon Health Care Solutions November 2014 - Present
Blue Cross Blue Shield of Florida January 2014 - Present
Blue Cross Blue Shield of Florida November 2006 - December 2013
UnitedHealth Group February 2004 - November 2006
UnitedHealth Group February 2002 - February 2004
UnitedHealth Group March 1998 - February 2002
Prudential Healthcare July 1995 - March 1998
Skills
Medicare, Informatics, Provider Relations, Clinical Research, Network Development, Management, Managed Care, Strategy, Medicine, Utilization Management, Health Policy, Disease Management, Quality Improvement, Health Insurance
Education
New York Medical College 1982 — 1986
Doctor of Medicine (MD), Medicine
Bank of America April 1997 - Present
Ann Taylor 1994 - 1997
Morgan Stanley 1991 - 1994
Prudential Healthcare 1986 - 1991
Skills
Data Warehousing, Application..., Performance Management, Decommissioning, Vendor Management, Data Reconciliation, Data Lineage, Data Quality Assurance, Data Quality Control, Data Modeling, Customer Service, Windows, PowerPoint, Photoshop, Microsoft Office, Outlook, Microsoft Excel, Microsoft Word, Teaching, Research, English, Project Management, SDLC, Business Analysis, Requirements Analysis, Management, Databases, Equities, Analysis
Education
Chubb Institute
Certificate for Computer Programming, IBM Mainframe Computer Programming and System Design
Kean University
Bachelor's Degree, Computer Science
Union County College
Associate's Degree, Business/Computer Information Systems
Premier healthcare alliance March 2006 - Present
Premier healthcare alliance October 1998 - November 2004
Prudential Healthcare September 1985 - April 1997
Skills
Account Management, Program Management, Provider Relations, Business Relationship..., Contract Negotiation, Strategic Sourcing, Project Management, Medical Claims/Billing, Procurement
Education
North Carolina Central University 1978 — 1982
Bachelor of Business Administration (BBA), Business Administration and Management, General
CIGNA Health Care Office ManagerCIGNA Health CareApril 2000 - September 2013
Prudential Healthcare June 1994 - April 2000
ShopRite September 1991 - December 1994
Education
Academy of St. Aloyius 1987 — 1991
High School, College Prep, 12
New Jersey City University
Psychology, 3rd year
Aetna November 2014 - Present
Aetna November 2014 - Present
Aetna February 2006 - Present
Aetna February 2006 - August 2007
Prudential Healthcare November 1996 - March 2003
Skills
Health Insurance, Customer Service, Medical Terminology, Pharmacy, Microsoft Office, Microsoft Excel Basic, Coaching for Excellence, Oral & Written..., Work Well Independently, Excellent interpersonal..., Insurance verification, Home healthcare Billing, New Hire Training, Data Entry
Education
Jones College-Jacksonville 1990 — 1992
Associate's degree, Marketing/Marketing Management, General
Health Partners Plans September 2015 - Present
AmeriHealth Caritas July 2014 - Present
AmeriHealth Caritas August 2013 - Present
Evolent Health February 2015 - September 2015
Coventry Health Care August 2010 - August 2013
Aetna April 2000 - December 2005
Prudential Healthcare June 1991 - April 2000
Skills
Quality Management, Medicare, Visio, Project Management, Writing, Proposal Writing, Report Writing, Technical Writing, Regulatory Requirements, NCQA, HEDIS, Public Speaking, Medicaid, Strategic Planning, Management, Change Management
Education
University of Phoenix 2003 — 2005
Master of Arts (MA), Organizational Leadership
Kutztown University of Pennsylvania 1988 — 1991
Bachelor of Arts (B.A.), Communication, General
Xcel Energy 2007 - Present
Aetna November 1999 - 2006
Prudential Healthcare November 1989 - November 1999
Education
North Hennepin Community College 1983 — 1985
Aetna August 2004 - Present
Kaiser Permanente 1996 - 2004
Prudential Healthcare 1993 - 1996
Sentient Systems 1989 - 1993
Skills
Database Design, Software Development, VB.NET, Microsoft SQL Server, SSIS, Web Development, Optimization, Debugging, OOP, Intersystems Cache, C#, Java, JavaScript, PHP4/5, Oracle SQL Developer, Ensemble, SoapUI, HTML 5, CSS, Informatica, Toad, Unix
Education
Loyola University Maryland 1993 — 1997
Master of Engineering (MEng), Computer Science
Towson University 1985 — 1989
Bachelor of Science (BS), Computer Science
belleville BOE September 2013 - Present
Belleville Board of Education September 2000 - June 2013
Prudential Healthcare October 1992 - March 2000
Skills
Teaching
Education
Seton Hall University School of Law 1987 — 1991
Doctor of Law (JD), Matrimonial Law
Montclair State University 1978 — 1982
Bachelor of Arts (BA), French Language and Literature