Unicare Company
Industry: Health insurance company
DescriptionUniCare is an American health insurance company owned by Anthem Inc. Headquarters: Indianapolis, IN Owner: Anthem
Unicare List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Unicare. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Unicare Employees
Aetna May 2012 - Present
Literacy DuPage January 2012 - December 2012
MetLife January 2004 - April 2011
First Penn Pacific/Lincoln Financial Group January 1998 - January 2004
Unicare January 1997 - January 1998
United Health Care January 1996 - January 1997
Skills
Underwriting, Microsoft Office Suite, Claims, Brokers, Term Life Insurance, Risk, Compliance, Policy, Insurance, Employee Benefits, Disability Insurance, Process Improvement, Training, Microsoft Office, Claim
Education
Northern Illinois University
Bachelor of Arts, History
Brann Insurance OwnerCHRISTIANCARE360.COMJanuary 2011 - Present
iCancerplans.com January 2012 - January 2014
Unicare 1990 - 1993
Skills
Insurance, Disability Insurance, Health Insurance, Term Life Insurance, Life Insurance, New Business Development, Property & Casualty..., Event Planning, Recruiting, Fixed Annuities, Long-term Care, Strategic Planning, Whole Life, Long Term Care Insurance, Health Savings Accounts, Homeowners, IRAs, Accident, Critical Illness, Brokers, Employee Benefits, Retirement, Retirement Planning, Financial Planners, 401k, Workers Compensation, Medicare, Sales, Roth IRA, Small Business
Education
Southern Methodist University - Cox School of Business 1986 — 1989
Master of Business Administration (M.B.A.), Business, 3.5
Texas A&M University 1979 — 1983
Bachelor's Degree, Engineering, 3.8
Woodrow 1976 — 1979
Bachelor of Engineering (B.E.)
Aetna Better Health Louisiana May 2015 - Present
Commonwealth Care Alliance December 2013 - May 2015
DentaQuest August 2012 - April 2013
New England College of Business and Finance January 2011 - September 2012
Neighborhood Health Plan October 2003 - August 2012
Fidelity Investments February 2001 - April 2002
Fidelity Investments February 2001 - April 2002
Neighborhood Health Plan November 1999 - February 2001
Unicare July 1990 - November 1999
Skills
Process Improvement, Managed Care, Project Management, Healthcare Information..., Healthcare, Health Insurance, Insurance, Vendor Management, Cross-functional Team..., HIPAA, Change Management, Business Analysis, Strategic Planning, Medicare, Time Management, Team Building, Customer Satisfaction, Medicaid, Leadership, Management, Business Process..., Call Centers, Program Management
Education
Southern New Hampshire University 2006 — 2010
MBA, Global Studies, Business
Southern New Hampshire University
Bachelor of Science, Business Studies
PsycHealth, LTD March 2015 - Present
Aon Hewitt November 2011 - March 2015
Health Thy People 2010 - 2011
Unicare October 2007 - March 2009
Skills
Process Improvement, Strategic Planning, Employee Benefits, Healthcare, Customer Service, Flexible Spending..., Claims Resolution, Microsoft Excel, Outlook, Microsoft Word, PowerPoint, Benefits Administration, Nonprofits, Time Management, Analysis, Customer Satisfaction, Call Centers, Training, Lotus Notes
Education
University of Phoenix
Associate's degree, Human Services, General
Oster & Fischer, LLC January 1999 - Present
Unicare August 1997 - December 1999
Education
University of Georgia - Terry College of Business 1993 — 1997
Bachelor of Business Administration (BBA), Risk Management and Insurance
Baptist Health May 2012 - Present
Walmart July 2009 - Present
Unicare March 2011 - May 2012
CVS Pharmacy November 2004 - July 2007
Education
University of Alabama 2013 — 2014
Master's degree, Consumer Quality Management
Tuskegee University 2003 — 2007
Bachelor of Science (B.S.), Business Administration and Management, General, 3.4
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas January 2015 - Present
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas July 2012 - Present
Orthofix February 2010 - July 2012
Unicare August 2003 - December 2010
Skills
Process Improvement, Managed Care, Healthcare, Visio, Medicare, HIPAA, Software Documentation, Project Management, Healthcare Information..., Cross-functional Team..., Health Insurance, SharePoint, Customer Service, Training, Insurance, Hospitals, Outlook, Team Building, MS Project, Account Management
Education
Morris Brown College 1995 — 1997
Business Administration
Strayer University
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Rogers Benefit Group March 2015 - Present
Core Benefits 2014 - 2014
Blackmon Mooring 2013 - 2014
Foster Benefit Resources 2010 - 2012
WOVEN Ministries 2003 - 2011
Unicare 2007 - 2009
American Medical Security 2004 - 2005
NBI & Associates 2000 - 2004
CommunityCare HMO 1996 - 2000
Skills
Health Insurance, Disability Insurance, Medicare, Dentistry, Brokers, Insurance, Employee Benefits, Health Savings Accounts, Workers Compensation, Long-term Care, Term Life Insurance, Fixed Annuities, Long Term Care Insurance, Critical Illness, Whole Life, Life Insurance, Claim, Accident, Underwriting, Universal Life, Commercial Insurance, Health Policy, Property & Casualty..., 401k, Umbrella Insurance, General Insurance, Group Insurance, COBRA, Medicare Part D, Cafeteria Plans, Health Care Reform, Retirement, Retirement Planning, Financial Planners, Telehealth, Financial Planning
Education
LeTourneau University 2008 — 2010
Psychology
flour bluff
Anthem, Inc. August 2014 - Present
Dearborn National September 2010 - April 2013
Unicare June 2003 - January 2010
Aetna 1997 - 2003
Skills
Brokers, Claim, Insurance, Life Insurance, Employee Benefits, Management, Disability Insurance, Underwriting, Project Management, Health Savings Accounts, Training, Sales, Health Insurance, Term Life Insurance, COBRA, Group Insurance
Education
Triton-College
Mass Premier Courts September 2005 - Present
Proshots Athletic Center 2004 - 2005
Town of Sharon 2002 - 2004
Unicare 1997 - 2001
John Hancock Financial Services 1986 - 1997
Skills
Account Reconciliation, Customer Service, Program Management, Project Coordination, General Ledger, Microsoft Excel, Microsoft Word, Management, Revenue Analysis, Budget Reconciliation, Budget Forecasts, Expense Reports, Organization, Internal Audit, Staff Supervision, Outsourcing, Advertising, Product Marketing, Quality Assurance, Bookkeeping, Revenue Forecasting, Microsoft Publisher, Disability Insurance, PowerPoint, Sports
Education
UMass Boston
Liberal Arts and Sciences/Liberal Studies
Allied Benefit Systems September 2012 - Present
Meier Clinics December 2009 - September 2012
Unicare January 2001 - February 2009
Skills
Customer Service, Health Insurance, Invoicing
Education
University of Phoenix 2008 — 2010
Associate of Arts (AA), 3.48
Meridian Medical Associates June 2012 - Present
Meridian Medical Associates March 2011 - June 2012
Meridian Medical Associates April 2010 - March 2011
Unicare 1989 - 1998
Skills
Medical Billing, Medical Coding, CPT, HIPAA, Health Insurance, Healthcare, Insurance, Medicaid, Medical Terminology, Medicare, ICD-9, EMR
Education
Lewis University 1999 — 2001
Associate's degree, Business Administration and Management, General
Robert Morris College, Carthage IL 1988 — 1989
Small Business Management Diploma, Business Administration and Management, General
Anthem Blue Cross October 2009 - Present
WellPoint October 2006 - October 2009
WellPoint March 2004 - October 2006
WellPoint May 2002 - March 2004
Unicare June 2000 - May 2002
Unicare March 1999 - June 2000
Blue Cross of California October 1992 - March 1999
Skills
Health Insurance, Provider Relations, Project Management, Managed Care, Healthcare, Network Development, HIPAA
Education
University of Maryland College Park 1982 — 1986
Bachelor of Arts (B.A.), Sociology
Credentialing Consultant, LLC 2014 - Present
Integrated Care Partners, LLC 2013 - April 2015
Hartford Physician Hospital Organization August 2006 - April 2015
NAMSS - National Association Medical Staff Services 2012 - 2015
Hartford HealthCare 2013 - 2014
WellPoint 1996 - 2003
Unicare 1996 - 2003
Boston Medical Center (BMC) 1990 - 1996
Skills
Credentialing, Medical Staff..., Credentialing Delegation, Clinical Integration, Project Management, Project Design, NCQA Standards, Nursing Management, Emergency Nursing, Nursing, Healthcare Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, Healthcare Consulting, EMR, Clinical Research, Utilization Management, Medicare, Medicine
Education
University of Massachusetts Boston 1980 — 1984
Bachelor's degree, Registered Nursing/Registered Nurse
Unicare, a WellPoint company April 2011 - April 2012
Unicare June 2010 - April 2011
Unicare August 2007 - June 2010
Unicare April 2000 - July 2007
Unicare October 1998 - April 2000
Unicare May 1995 - September 1998
Skills
Account Management, Manage Client..., Sales Operations, Consultative Selling..., Customer Retention, Cross Selling, National Account..., Large Group, Small Group, Self-funded, PPO, HMO, HRA, HSA, Dental, Life, STD, LTD, Vision, EAP, FSA, Voluntary Employee..., COBRA, Medicare, ERISA, Open Enrollment, Renewal Retention, Customer Relations, Customer Service..., Claims Handling, Claims Auditing, Managed Care, Proposal Coordination, Marketing Communications, Process Improvement..., Implementation..., Root Cause Problem..., Customer Reporting, Grievance and Appeals, Healthcare improvement, Life & Health Insurance..., Publication Planning, Publications Production, Undergraduate Teaching, Team-oriented, Training, Journalism, Microsoft Office 2007, Foreign Exchange, Language Teaching
Education
University of Michigan 1993 — 1994
French Language and Literature
University of Kentucky 1989 — 1993
Bachelor of Arts (B.A.), French and Psychology
AFS Foreign Exchange Student 1988 — 1989
American Field Service (AFS), Belgium
Plexus Worldwide, Inc. June 2014 - Present
CorVel Corporation June 2011 - Present
CorVel Corporation July 2000 - January 2011
Reimbursement Technologies September 1998 - July 2000
Unicare 1996 - 1997
Skills
Workers Compensation, Medical Billing, Healthcare, Managed Care, Claims Management, Claim, Insurance, Employee Benefits, Health Insurance, Claims Resolution, Risk Management, Liability, PPO, Medicare, PowerPoint, Microsoft Excel, SharePoint, Commercial Insurance, Provider Relations, Property & Casualty..., Workers' Compensation..., Utilization Management, General Insurance, Subrogation, Legal Liability, Healthcare Industry, Diet Planning, Wellness Coaching
Education
Saint Joseph's University 1986 — 1988
Health Administration
Cumberland County College 1982 — 1984
Heilind Electronics March 2012 - June 2013
Wellpoint - Anthem Credentialing Services August 2010 - November 2011
Unicare March 2008 - March 2009
Target October 2007 - January 2008
Landmark Archaeology September 2007 - October 2007
Wal-Mart July 1999 - August 2006
Skills
Microsoft Office 2007, Microsoft Office 2003, Qualitative Research, Online Research, Customer Service (8+..., Typing - 50+ WPM, Windows XP Professional, Writing Skills, Editing, Retail Math, XP, Microsoft Excel, Customer Service, Data Entry, Microsoft Office 2010, Windows 7, GiftWorks, Windows XP, Office 2010, Time Management, Retail, Outlook, Analysis, Community Outreach, Higher Education
Education
University at Albany, SUNY 2006 — 2008
University of Massachusetts Dartmouth 2001 — 2006
Bachelors
Humana April 2014 - Present
University of Louisville February 2014 - Present
Humana August 2012 - April 2014
WellPoint August 2010 - July 2012
WellPoint November 2009 - August 2010
Unicare April 2007 - November 2009
Anthem September 2005 - April 2007
Anthem May 2004 - September 2005
Skills
Project Management, Six Sigma, Process Consulting, Strategic Consulting, Product Management, Product Development, PMP, CSSBB, Data Analysis, Process Improvement, Cross-functional Team...
Education
University of Louisville 2005 — 2007
MBA, Master of Business Administration
University of Louisville 2000 — 2004
BA, Mathematics
Unicare March 2008 - December 2009
Celtic Insurance Company June 2005 - December 2006
Combined Insurance Company of America November 1975 - March 2004
Skills
Insurance, Underwriting, Health Insurance, Claim, Disability Insurance, Risk Management, Management, Training, Risk Assessment, Medicare, Analysis, Long-term Care, Life Insurance, General Insurance, Financial Risk, Business Analysis
Education
University of Illinois at Chicago
Biology, Secondary Education, German
Quest Diagnostics June 2012 - Present
Unicare August 2006 - April 2010
Unicare March 2005 - August 2006
Unicare May 1999 - March 2005
Unicare September 1985 - May 1999
Education
Montay College 1991 — 1995
Associates, Applied Science/Addictions
Oakton Community College 1981 — 1983
Liberal Arts
Maine North High School 1977 — 1981
UniCare 2005 - Present
WellPoint 1999 - 2005
Wellpoint Inc./Unicare 1998 - 1999
Unicare 1998 - 1999
WellPoint Inc./ Unicare February 1997 - 1998
Hallmark Administrators for Blue Cross and Blue Shield of Illinois January 1992 - February 1997
Education
University of Phoenix 2007 — 2009
Associates Degree, Health Care Administration
Martin eNterprises - "The HIPAA Mechanics" 2006 - Present
Mechanicville~Stillwater Lions Club 2001 - Present
American Society of Consultant Pharmacists 1986 - 2010
JCAHO - The Joint Commission 2002 - 2007
Omnicare, Inc. 1996 - 2006
CounselCare 1991 - 2006
Managed Care Resources 1994 - 1996
InstaCare January 1993 - December 1994
UniCare 1987 - 1993
NHPA 1987 - 1990
Skills
Healthcare, Pharmaceuticals, Compliance, Mergers, New Business Development, Negotiation, Customer Relations, Litigation Support, Budgeting, Customer Service, Long Term Care, Team Building, Change Management, Business Strategy, Medicaid, Strategic Planning, Contract Negotiation, Healthcare IT, Operations Management, Business Analysis, Product Development, Leadership Development, Business Planning, Process Improvement, Problem Solving, Product Management, Data Analysis, Managed Care, Long-term Care, Pharmaceutical Industry, Pharmacy Automation, Clinical Research, HIPAA, Pharmacists, Leadership, Pharmacy, Diabetes, Medication Therapy..., Healthcare Information..., Policy, Disease Management, Pharmacy Benefit..., Oncology, Health Policy, Hospitals, Medicare, Healthcare Management, Medicare Part D
Education
Massachusetts College of Pharmacy and Health Sciences 1975 — 1977
B.S.Pharm, Pharmaceutical Science
Saint Anselm College 1964 — 1968
B.A., Biology
Blue Cross Blue Shield of Michigan February 2010 - Present
Wellpoint July 2006 - March 2011
UniCare 2006 - 2010
Genworth Financial July 2004 - July 2006
GE Capital December 2001 - July 2004
FineLight Marketing Communications April 2000 - December 2001
WellPoint Inc. (formerly Trigon Health Care Company) April 1993 - April 2000
St. Gregory Group April 1989 - April 1993
Anthem April 1986 - April 1989
Great American Insurance June 1980 - April 1986
Skills
Account Management, Brokers, Business Analysis, Business Development, Business Strategy, Contract Negotiation, Cross-functional Team..., Employee Benefits, Executive Management, Health Insurance, Healthcare, Insurance, Leadership, Life Insurance, Managed Care, Management, Marketing, Marketing Strategy, Medicare, New Business Development, Process Improvement, Product Development, Sales, Sales Management, Strategic Planning, Strategy, Team Building, Team Leadership, Underwriting
Education
University of Cincinnati College of Business 1987 — 1989
Masters, Marketing
University of Cincinnati College of Business 1976 — 1980
Bachelors, Actuarial Science & Finance
Anthem, Inc. January 2007 - Present
Unicare January 2007 - Present
SXC Health Solutions May 2006 - January 2007
Baxter Healthcare March 2006 - May 2006
UnitedHealth Group January 1993 - January 2006
Skills
Business Analysis, Business Intelligence, Databases, Business Process, CRM, Siebel, SDLC, Requirements Gathering, Integration, Analytics, Access, Software Documentation, ETL, Data Modeling, Data Marts
Education
Moody Bible Institute 2011 — 2015
Bachelor of Science degree, Biblical Studies
HealthSCOPE Benefits September 2014 - Present
COLE Technology Corporation August 2008 - Present
HealthSmart October 1999 - August 2008
Unicare February 1997 - October 1999
Skills
Employee Benefits, Claim, Human Resources, Employee Relations, HRIS, Recruiting, Benefits Administration, Performance Management, HR Policies, Payroll, Deferred Compensation, Onboarding, Talent Management, Change Management, Employee Training, FMLA, Coaching, Insurance, Customer Service, Management, Analysis, Leadership, Process Improvement
Education
Stephen F. Austin State University 1980 — 1984
Bachelor of Business Administration (B.B.A.), Marketing
Oak Street Health May 2014 - Present
Medical Business Office May 2012 - February 2013
Hanger Orthopedic Group May 2005 - May 2012
Unicare 1997 - 2004
Skills
•Team Development &..., •Excellent Accounts..., •Experienced in GE..., Proficient in Medicare,..., •Productivity &..., Strong ability to..., •Outstanding oral and..., HIPAA, Customer Service, Insurance, Training, Accounts Receivable, Healthcare, Strategic Planning, Health Insurance, Medical Records
Education
Moraine Valley Community College
Provider Network Alliance (PNA) November 2013 - Present
Steward Health Care July 2012 - November 2013
DentaQuest July 2011 - August 2012
Wellpoint 2003 - July 2011
Unicare 2003 - 2006
Skills
Provider Relations, NCQA, Credentialing, Medicare, Managed Care, Health Insurance, Medicaid, HMO, Health Policy, Healthcare, Healthcare Management, PPO, Provider Enrollment, Insurance, Network Development, Management, Claims Review
Education
University of Phoenix 2008 — 2011
Associate of Arts (AA), Health/Health Care Administration/Management, 3.61
American Westbrook Insurance Services, LLC November 2011 - Present
North Shore Benefits Group, Inc. January 2007 - November 2011
Unicare May 2001 - January 2007
Skills
Health Savings Accounts, Employee Benefits, Account Management, HRA, Health Insurance, Disability Insurance, Brokers, Insurance, COBRA, HMO, Managed Care, PPO, Life Insurance
Education
Northern Illinois University 1996 — 2000
BS, Marketing
Allstate August 2012 - Present
Project Manager at Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas August 2010 - February 2012
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas January 2009 - July 2010
Project Leader at Unicare November 2006 - March 2009
Unicare August 2000 - July 2006
Unicare August 2000 - July 2003
Skills
Intercultural..., General Correspondence, Team Facilitation, Listening to customers, Conflict Resolution, Public Speaking, Events Coordination, Cross-functional..., Following Through, Executive Reporting, Coaching Staff, Highly motivated..., Cross Functional Team..., Managing Meetings, Managing Events, Note Taking, Directing Teams, Delegates, Office Organizing, Event Planning, Setting Priorities, Customer Oriented, Continuous Improvement, SDLC, Problem Solving, PowerPoint, Customer Service, Project Planning, Project Management, Team Building, Organizational..., Project Scheduling, Budget Administration, Project Scope Mangement, Risk Assessment, Risk Management, Issue Resolution, Requirements Analysis, Resource Allocation, Communication, Process Control, ITIL Certified, PMI Trained, Microsoft Excel, MS Project, Management
Education
The George Washington University 2006 — 2007
Associate's Certificate, Project Management
I.S.E.C - Instituto Superior de Estudios Comerciales - Mexico 1975 — 1978
Associate, Business Administration
The Insurance Exchange January 2006 - Present
WellPoint December 1999 - January 2006
UNICARE LIFE & HEALTH INSURANCE COMPANY 1999 - 2006
Unicare 1999 - 2006
UniCare Life & Health (a Division of Wellpoint, Inc.) 1999 - 2006
Prudential Healthcare December 1993 - December 1999
Skills
Employee Benefits, Managed Care, Underwriting, Health Savings Accounts, Consultative Selling, Strategic Planning, Disability Insurance, New Business Development, Risk Management, Health Insurance, Selling, Insurance, Workers Compensation, Benefits Administration, D&O, Brokers, Sales, Life Insurance, Healthcare
Education
University of Maryland Baltimore County 1988 — 1992
BS, Actuarial Mathematics
University of Maryland Baltimore County 1988 — 1992
BS - Actuarial Mathematics, Actuarial Science
Community Health Choice March 2010 - Present
UniCare 2006 - 2010
WellPoint (UniCare) 2006 - 2010
CIGNA 1996 - 2002
FHP of Utah 1993 - 1996
Skills
Medicaid, Managed Care, Disease Management
Education
McMaster University 1970 — 1973
MD
Health New England May 2007 - Present
Infinex Financial Group August 2004 - May 2007
Unicare January 2000 - September 2003
Skills
Process Improvement, Insurance, Health Insurance, Healthcare, Software Documentation, Access, HIPAA, Medicare, Visio, Healthcare Information..., Telecommunications, Customer Service, Managed Care, Microsoft Office, Leadership, Vendor Management
Education
Massachusetts College of Liberal Arts 1996 — 1998
Bachelor of Science (B.S.), Computer Science
Springfield Technical Community College 1994 — 1996
Associate's degree, Computer Systems
MetLife June 2011 - Present
MetLife June 2005 - June 2011
Coventry Health Care July 2002 - June 2005
Coventry Health Care January 2001 - July 2002
Unicare March 2000 - January 2001
Skills
Employee Benefits, Disability Insurance, Customer Service, Account Management, Benefits Administration, Customer Satisfaction
Education
Northern Illinois University 1994 — 1999
Community Health, Health Administration
Mutual of Omaha June 2012 - Present
UniCare a WellPoint Company May 2010 - April 2012
UniCare a WellPoint Company June 2009 - April 2010
Unicare June 2007 - June 2009
Kirbee Chiropractic & Rehabilitation Center August 1996 - June 2007
Skills
Illinois Life and..., Life Insurance, Management, Health Insurance, Insurance, Employee Benefits, Dentistry, Disability Insurance, Benefits Administration, Term Life Insurance, Healthcare, Outlook, Customer Service, HIPAA, Sales, Account Management, Brokers
Education
Morton College 1996 — 1999
Associates Degree, Liberal Arts & Science
MetroWest Medical Center July 2015 - Present
MCMC LLC April 2014 - Present
Masspro May 2013 - April 2014
HMS April 2011 - May 2013
MCMC May 2006 - April 2011
Unicare April 2002 - April 2006
Inova Health System November 2000 - March 2002
CareFirst BlueCross BlueShield June 1998 - October 2000
Georgetown University Hospital October 1996 - May 1998
Massachusetts General Hospital July 1990 - August 1996
Skills
Utilization Management, HIPAA, Health Insurance, ICD-9, CPT, Healthcare Industry, Medicaid, Medicare, Quality Improvement, Utilization Review, Healthcare, Managed Care, Nursing, Customer Service, Hospitals, Inpatient, Acute Care
Education
Saint Anselm College 1986 — 1990
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
The Standard April 1998 - Present
Unicare February 1997 - January 1998
Rogers Benefit Group March 1993 - February 1997
Skills
Insurance, Sales, Health Insurance, Employee Benefits, Brokers, Disability Insurance, Customer Service, Fixed Annuities, Underwriting, Disabilities, Long-term Care, COBRA, Term Life Insurance, Health Savings Accounts, Benefits Administration, Life Insurance, Medicare, 401k, Program Management, Retirement, Strategic Planning, Retirement Planning, Workers Compensation, Claim, Group Insurance
Education
North Georgia College 1986 — 1991
Bachelor of Science (B.S.), Business Administration and Management, General
University of North Georgia 1986 — 1991
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Healthcare Consultant February 2015 - Present
Baylor Scott & White Health January 2013 - February 2015
Press Ganey October 2011 - December 2013
Texas Health Presbyterian Hospital Rockwall 2010 - 2011
Quorum Health Resources (QHR) 1998 - 2010
Unicare 1995 - 1998
Skills
Leadership, Strategy, Strategic Planning, Process Improvement, Management, Healthcare Consulting, Patient Satisfaction, Analysis, Training, Change Management, Facilitation, Data Analytics, Hospitals, Healthcare, Program Development, Team Building..., Leadership Development, Project Management, Networking, Experiential Learning, Consulting, Business Development, Curriculum Design, Team Building, Large Group Facilitation, Business Planning, Workshop Facilitation, Discussion Facilitation, Continuous Process..., Training Facilitation, Strategic Planning for..., Service Line Planning, Adult Learning..., Microsoft Excel, Microsoft Word, PowerPoint, Lync, Outlook, Physician Network..., Physician Relations
Education
Northern State University
Bachelor of Science (BS), Double Major: Business Administration and Psychology, Summa Cum Laude
The University of Dallas
Master of Business Administration (MBA), Health Care Administration/Management, All A's except for one Accounting course
Assurance April 2012 - Present
Benefitdecisions, Inc. June 2011 - November 2011
Hub International Midwest Limited June 2008 - June 2011
Unicare 1994 - 2008
Rush Prudential 1992 - 1994
Skills
Health Insurance
Education
University of Phoenix 2012 — 2014
Bachelor's degree, Business, 3.9 GPA
South Suburban College 1988 — 1991
AAS, Paralegal
Omnicell, Inc January 2013 - Present
Omnicell, Inc February 2007 - December 2012
Baird and Warner 2004 - 2007
Verizon Enterprise Solutions Group February 1999 - July 2003
Verizon Enterprise Solutions Group April 1998 - February 1999
Unicare May 1997 - April 1998
Skills
Software Documentation, SharePoint, Process Improvement, ITIL, Cross-functional Team..., Troubleshooting, Business Process, Business Process..., Team Building, Change Management, Servers, Software Project..., Team Leadership, Requirements Analysis, Information Technology, Program Management, Leadership, Customer Service, Project Management, Budgets, CRM, Management, Vendor Management, Training, Microsoft SQL Server, Technical Support, Project Planning, Networking, Process Engineering, SAP, Integration, Strategy, IT Management, IT Strategy, Disaster Recovery, System Administration, Visio, IT Operations, Help Desk Support, Infrastructure, Business Intelligence, Business Analysis, Security, Problem Solving, Customer Relations, Documentation, Budgeting, Strategic Planning, Product Management, Medical Devices
Education
Lake Forest Graduate School of Management 2011 — 2014
MBA, Business
Northern Illinois University 1986 — 1990
BA, English
Sony Corporation of America President & Chair, Board of Trustee's for the Presbytery of DetroitPresbytery of Metro DetroitJanuary 2009 - Present
Abba Consulting 2009 - Present
Orchard Lake Community Church, Presbyterian January 2001 - Present
Bose Corporation October 2012 - October 2014
Magna E-Car Systems September 2011 - August 2012
Unicare 2009 - 2009
Independant Consultant 2006 - 2009
Chrysler Holdings,LLC January 2001 - December 2008
Lakes Skin & Vien Clinic 2006 - 2006
Skills
Program Management, Process Improvement, Visio, Lotus Notes, Access, Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, SQL, Oracle, Automotive, Cross-functional Team..., Management, Business Process..., Continuous Improvement, Root Cause Analysis, Analysis, Lean Manufacturing, Risk Management, Components, Strategy, Product Development, Business Planning, Leadership, Integration, Powertrain, FMEA, Vehicles, MS Project, SAP, Time Management, Project Planning, Manufacturing, Business Strategy, Engineering, New Business Development, Finance, Team Leadership, Six Sigma, Testing, Change Management, Budgets, Engineering Management, Business Analysis, Accounting, Forecasting, Team Building, Strategic Planning, Project Management
Education
New Horizons 2010 — 2011
Certificate in Lean Six Sigma
Lawrence Technological University
BSEE, Electrical & Mechanical Engineering
University of Detroit Mercy
MBA, Economics & Finance
Waste Management June 2014 - Present
Complete Staffing Solutions June 2011 - August 2011
Crystal Clear Cleaning December 2010 - January 2011
Parnell & McKay May 2009 - December 2009
Unicare March 2008 - March 2009
Parnell & McKay August 2004 - May 2006
Dalton and Baron November 2003 - February 2004
Verizon June 2000 - November 2002
Education
Southern New Hampshire University 2014 — 2018
Master’s Degree, Psychology, 3.6
Mount Washington College 2002 — 2004
Associates, Paralegal
Hesser College
Bachelor's Degree, Psychology
Hixme August 2014 - Present
Renal Ventures Management May 2011 - Present
Skyview Development 2007 - Present
Applied Merchant Systems January 2011 - Present
FocalScan Systems, LLC 2003 - December 2013
Dole Food Company 2009 - May 2013
Salem Communications 2005 - May 2013
WellPoint (Now Anthem) March 1986 - May 2005
UniCare 1995 - 2001
Health Management Inc 1994 - 1996
Skills
Healthcare, Medical Devices, Medical Diagnostics, Medical Device Product..., Business Development, Turn Around Management, Real Estate, Mergers, Strategic Planning, Business Strategy, Team Building, Executive Management, Financial Analysis, Start-ups, Change Management, Management Consulting, Private Equity, Process Improvement, New Business Development, Strategic Partnerships, Budgets, Strategy, Mergers & Acquisitions, Marketing Strategy, Leadership, Management, Insurance, Business Planning, Operations Management, Business Process..., Corporate Development, Entrepreneurship, Contract Negotiation, Finance, Risk Management, Cross-functional Team..., Investments, Negotiation, Forecasting, P&L Management, Financial Modeling, Consulting, Competitive Analysis, Portfolio Management, Analysis, Due Diligence, Corporate Finance, Venture Capital, Acquisition Integration, Restructuring
Education
University of Missouri-Columbia 1970 — 1975
Bachelor's Degree, Electrical and Electronics Engineering
University of Missouri-Columbia 1970 — 1975
Bachelor's degree, Electrical and Electronics Engineering
Risk Strategies Company June 2014 - Present
Humana November 2011 - June 2014
Coventry Health Care March 2010 - November 2011
Unicare December 2007 - February 2010
Destiny Health March 2000 - December 2007
Corporate Healthcare Financing, Inc. June 1999 - February 2000
Humana June 1997 - June 1999
Travelers - MetraHealth - UHC May 1994 - April 1997
Skills
Health Insurance, Dental, Brokers, Employee Benefits, Consultative Selling, Insurance, Account Management, Public Speaking, Telesales, Consumer Driven Health..., H S A's, HRA's, Self-Funding, Consumer Healthcare, Self-funded, Dentistry, HRA, Selling, Sales, Health Savings Accounts, Training, Leadership, Marketing, Health Care Reform, Life Insurance, Medicare, Group Insurance, Managed Care, COBRA, Long-term Care, Term Life Insurance, Group Medical, HMO, Underwriting, Workers Compensation, PPO, Claim, Telemarketing, Disability Insurance, Healthcare, Benefits Administration, Employee Wellness, Accident, Health Policy
Education
Northern Illinois University
Bachelor's degree, Finance, Cum Laude
CMS Insurance Agency October 2013 - Present
CoreSource May 2013 - October 2013
Zurich Insurance October 2006 - May 2013
Argonaut Specialty May 2005 - October 2006
GE Insurance Solutions June 1998 - May 2005
Unicare July 1997 - June 1998
Ariston Medical Equipment July 1995 - June 1997
Skills
Problem Solving, Analysis, Customer Relations, Conflict Resolution, Underwriting, Health Care Facilities, Health Insurance, Healthcare, Professional Liability, CGL, Customer Service, Insurance, Risk Management, Reinsurance, Casualty, Legal Liability, Property & Casualty..., Excess, Umbrella Insurance, Commercial Insurance, Liability, Employee Benefits, General Insurance, Claims Management, Workers Compensation, Employment Practices..., D&O, Medical Malpractice, Long-term Care, Licensed Property, Insurance Brokerage, Life Insurance, Disability Insurance, Term Life Insurance, Brokers, Commercial Lines, Financial Risk, Liability Analysis, Licensed Property &..., Training, Leadership, Medicare, Financial Services, Casualty Insurance, Claim
Education
Trinity Christian College 1999 — 2001
Bachelor of Science in Organizational Management, Organization Management
Moraine Valley Community College
Associates in Arts, Liberal Arts
Argo Community High School 1982 — 1986
Diploma, General Studies
Walgreens Health Services May 2007 - February 2009
CVS/Caremark February 2006 - April 2007
VeridianHealth LLC May 2002 - May 2005
Jamo A/S August 2001 - May 2002
Xeikon America May 1999 - August 2001
Unicare June 1997 - May 1999
Education
Southern Illinois University, Carbondale 1985 — 1989
Bachelor of Science Degree
Liberty Residential Mortgage & American National Lending ParalegalFee, Smith, Sharp & Vitullo2002 - 2004
Unicare 1998 - 2001
Education
Southern Methodist University 2004 — 2006
BA, Anthropology
Berkner High School 1985 — 1990
High School
Imaginuity Interactive February 2012 - Present
Unicare August 1999 - April 2010
UNICARE (Division of WELLPOINT,INC) 1999 - 2010
Skills
Business Development, Customer Service, Social Media, Social Media Marketing, Account Management
Education
Loyola Marymount University 1969 — 1973
3 years, Biology
Health Care Services Corporation December 2007 - Present
Health Care Services Corporation August 2004 - November 2007
Advocate Health Centers April 2003 - May 2004
Unicare September 2001 - April 2003
Unicare November 1999 - September 2001
Rush Prudential Health Plans 1997 - November 1999
Skills
Customer Service, Strategic Planning, Business Analysis, Visio, Project Management, Process Improvement, MS Project, Integration, SQL, Vendor Management, SDLC, COBOL, CICS, DB2, J2EE Application..., J2EE Web Services, WebSphere Application..., WebSphere MQ, WebSphere Process Server, WebSphere Message Broker, SOA, Cognos, ClearQuest, EDI, ANSI X12, WebEx, Lotus Notes, Rational Team Concert, Serena, Splunk, Software Development, Systems Analysis, Testing, Enterprise Architecture, Requirements Gathering, Requirements Analysis, Websphere
Education
University of Illinois at Chicago 1986 — 1991
Bachelor of Arts (B.A.)
Aon Hewitt 2007 - Present
Aon Hewitt 1998 - 2007
Unicare 1996 - 1998
John Hancock Insurance 1995 - 1996
Skills
Business Analysis, Systems Analysis, Visio, User Acceptance Testing, SDLC, Benefits Administration, Requirements Gathering, Vendor Management, SQL, Project Management, Process Improvement, Employee Benefits, Requirements Analysis, Software Project..., Mainframe, Outsourcing, HRIS, PeopleSoft, Business Process..., Analysis, Testing, Software Documentation, Business Requirements, Management, Data Analysis
Education
Northern Illinois University
Bachelor of Science (BS), Major: Statistics, Minor: Economics
Healthline Networks, Inc. August 2014 - Present
Healthline Networks, Inc. January 2014 - August 2014
MediMedia USA September 2012 - December 2013
Sharecare, Inc September 2010 - August 2012
Himalayan Light January 2010 - November 2010
Epocrates October 2008 - May 2010
Krames Patient Education Solutions September 2000 - September 2008
Unicare March 1999 - September 2000
INTRACORP July 1996 - January 1999
Protocall Staffing August 1997 - June 1998
Skills
Product Management, Mobile Devices, Mobile Applications, Content Management, Strategic Partnerships, Project Management, Product Development, Strategic Planning, Public Speaking, Healthcare
Education
University of Pennsylvania 1991 — 1995
B.S.N., Nursing and Business Management
Universidad Complutense de Madrid 1994 — 1994
Spanish language
The University of Edinburgh 1993 — 1994
Nursing
ShawHankins, Inc. January 2014 - Present
West Cobb Church 2004 - Present
Willis May 2012 - January 2014
Willis June 2009 - May 2012
Fiscal Solutions, LLC December 2007 - June 2009
cigna June 2007 - December 2007
UniCare 1998 - 2007
John Hancock 1994 - 1998
Skills
Insurance, Employee Benefits, Health Insurance, Analysis, Project Management, Training, Management, Microsoft Office, Life Insurance, Customer Service
Education
Kennesaw State University
English
Lockton Companies April 2008 - Present
Madison Benefits Group, Inc. August 2007 - January 2008
Unicare March 2000 - August 2007
Stern Financial Services June 1994 - March 2000
Professional Concepts Insurance Agency, Inc. October 1991 - June 1994
Houston Insurance Brokerage Center October 1989 - October 1991
Academy October 1987 - October 1989
Kmart Corporation June 1987 - October 1987
Skills
Health Savings Accounts, Benefits Administration, Customer Service, Employee Benefits, Health Insurance, Marketing
Education
Texas State University 1984 — 1987
BBA, Management
Lamar Consolidated High School
UniCare Director, account ExecutiveWellpoint/ UniCare1999 - Present
WellPoint 1999 - Present
UniCare/WellPoint.Inc 1999 - Present
Education
St. Mary's College 1967 — 1971
Lahey Hospital & Medical Center December 2013 - Present
Center for Case Management May 2005 - Present
Lahey Hospital & Medical Center July 2013 - December 2013
HealthAlliance Hospital June 2010 - June 2013
Elliot Hospital November 2008 - August 2010
Unicare September 2003 - May 2005
Skills
Healthcare, Nursing, Case Management, Budgeting, Customer Relations, Utilization Management, Managed Care, Hospitals, Health, Problem Solving, Clinical, Compliance, Medicare, Customer Service, Supervisory Skills, Process Improvement, Strategic Planning
Education
Northeastern University 2000 — 2005
MS, Nursing Administration
University of New Hampshire 1995 — 1999
BSN, Nursing
Dearborn National May 2014 - Present
Sun Life Financial June 2012 - May 2014
BlueCross BlueShield of Texas, BlueCross BlueShield of Oklahoma, BlueCross BlueShield of New Mexic 2006 - June 2012
UniCare March 2001 - March 2006
SafeGuard Health Plans March 1997 - March 2001
Home Life January 1996 - March 1997
Education
Texas State University-San Marcos 1992 — 1995
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Midwestern State University 1991 — 1992
Rockwall High School 1988 — 1991
Blue Cross Blue Shield of South Carolina March 2009 - Present
UniCare August 1997 - March 2009
Unicare Insurance August 1997 - March 2009
Hallmark Insurance 1992 - August 1997
Education
Moraine Valley Community College 1980 — 1982
WellStar Health System October 2004 - Present
Blue Cross Blue Shield of Georgia 2001 - 2003
UNICARE 1999 - 2001
Skills
Healthcare Management, Credentialing, Provider Relations, Hospitals, Managed Care, Revenue Cycle, Medicaid, HIPAA, Medicare, Medical Terminology, CMOS, IPA, Contract Recruitment, Provider Network..., Healthcare Consulting, Healthcare Information..., EMR, Medical Billing, Network Development, Physicians, Healthcare
Education
Kennesaw State University 2010 — 2014
Bachelor of Business Administration (BBA), Business Administration and Management, General
J.D. Moschitto & Associates, Inc November 2011 - Present
Middlegate Insurance Agency LLC August 2004 - November 2011
Oxford Health Plans February 2002 - August 2004
Unicare January 1998 - June 1999
Skills
Insurance, Employee Benefits, Health Insurance, Underwriting, Disability Insurance, Healthcare, Sales, Strategic Planning, Term Life Insurance, New Business Development, Medicare, Brokers, Account Management, Health Savings Accounts, Benefits Administration, Long-term Care, Managed Care, Life Insurance, Workers Compensation, Health Care Reform, ERISA, HMO, Health Policy, COBRA, PPO, HIPAA, Claim, Medicaid, Provider Relations, Claims Management
Education
State University of New York at Albany 1990 — 1994
Bachelor of Arts, Political Science
Collections Etc. June 2007 - Present
Collections Etc. 2007 - 2008
American Health Information Management Association 2005 - 2007
Rush Prudential 1998 - 2002
Unicare 1998 - 2002
WellPoint 1998 - 2002
First Chicago 1997 - 2000
Key Investment Services 1991 - 1997
Chicago Stock Exchange 1980 - 1991
Education
Loyola University Chicago 1988 — 1991
Mundeline College 1988 — 1991
ba, business adminstration
Wendell Phillps 1966 — 1970
college preparation
CIGNA April 2013 - Present
CIGNA August 2011 - Present
CIGNA Healthcare July 2008 - July 2011
CIGNA February 2005 - March 2008
Unicare January 1999 - July 2001
Skills
Provider Relations, Medicare, Healthcare, Medicaid, Managed Care, Network Development, Health Insurance, Healthcare Management
Education
Lake Forest Graduate School of Management 2004 — 2006
MBA, Business
Babson Capital Management 2003 - 2013
Unicare 1993 - 2003
Education
University of Massachusetts, Amherst
Alere, Inc. November 2013 - Present
Alere Health, LLC 2009 - Present
Alere September 2008 - 2009
Alere Medical December 2006 - August 2008
Alere November 2002 - November 2006
Unicare July 2001 - October 2002
Psych Management, Inc. August 1998 - July 2001
Skills
Project Planning, Leadership, Cross-functional Team..., Disease Management, Process Improvement, Vendor Management, Client Liaison, Business Analysis, Business Process, Customer Satisfaction, Healthcare Information..., Strategy, Product Management, Management, Program Management, Sales, CRM, Medicare, Product Development
Education
University of Nevada-Reno 2006 — 2008
Masters, Business
Southern Connecticut State University 1993 — 1997
BA, Psychology
Great West VPGreat West healthcare2006 - 2008
Unicare 2001 - 2006
Education
University of Connecticut 1972 — 1976
Unicare Lead Medical ReviewerUnicare Heath Insurance Company1999 - Present
CorVel Corporation September 1989 - August 1999
Education
Loyola University Chicago 1965 — 1969
BSN, Nursing
The University of Vermont Medical Center April 2012 - Present
Unicare April 2005 - April 2012
Skills
Healthcare, Healthcare Management, Managed Care, Health Policy, Case Managment, Home Care, Healthcare Information..., Case Management, Clinical Research, Hospitals, Informatics, ACLS, Medicare, Medicaid, Coaching, Public Speaking, Long-term Care, Instructional Design, Internal Audit
Education
University of Illinois at Urbana-Champaign
Bachelor of Fine Arts (BFA), Industrial and Product Design
University of Massachusetts at Lowell
Bachelor of Science (BS), Registered Nursing/Registered Nurse
CIGNA November 2000 - Present
Unicare 1987 - 2000
Skills
Project Management, Vendor Management, Process Improvement, Contract Negotiation, Program Management, Project Portfolio..., SDLC, Project Planning, Business Process, Healthcare, PMO, Business Process..., PMP, Business Analysis
Education
Lesley University 2001 — 2004
BA, Business
The Segal Group August 2014 - Present
Willis February 2013 - March 2014
Buck Consultants January 2000 - February 2013
UniCare February 1997 - December 1999
John Hancock July 1993 - February 1997
Confederation Life Insurance Company April 1990 - July 1993
Skills
Employee Benefits, HR Consulting, Benefits Administration, Executive Pay, Health Insurance, Disability Insurance, Defined Benefit, ERISA, Human Resources, Insurance, Strategic Planning, Strategy, Underwriting, Vendor Management, Account Management, Management, Consulting
Education
The University of Georgia 1985 — 1989
BA, Economics
WellPoint May 2013 - Present
Allstate Insurance March 2013 - May 2013
ResCare Homecare October 2012 - March 2013
Wells Fargo Bank NA August 2012 - October 2012
Unicare March 1996 - November 2010
Skills
Claims Handling, Financial Analysis, HMO, Accounts Receivable, Risk Management, PPO, Account Reconciliation, Health Savings Accounts, PeopleSoft, Claim Investigation, Customer Service, Process Improvement, Medicare, Health Insurance, Claim, Finance, Access, Training
Education
North Carolina Agricultural and Technical State University
Greater Chicago Food Depository November 2005 - Present
Unicare January 2005 - November 2005
Cornell Companies May 1999 - January 2005
BHS 1997 - 1999
Skills
Budgets, Access, Grants, Financial Analysis, Financial Audits, Cash Flow Forecasting, Process Improvement, Strategic Financial..., Accounting, Project Management, Financial Reporting, Financial Modeling, Outlook, Management, Microsoft Word, Forecasting, Auditing, Accounts Payable, Managerial Finance, Sarbanes-Oxley Act, Internal Controls, Payroll, GAAP, Analysis, Finance, Financial Forecasting, Nonprofits
Education
Loyola University Chicago 1998 — 2002
Master of Science, Information Systems Management
Rhodes College 1992 — 1996
BA, Finance
DeSoto High School 1988 — 1992
Career Systems Developement Corporation March 2001 - Present
Unicare January 1999 - December 2000
FDIC March 1992 - December 1998
Skills
Accounting, Financial Reporting, Finance, Account Reconciliation, Financial Statements, General Ledger, Managerial Finance, Budgets, Financial Analysis, Financial Accounting, Microsoft Excel, Auditing, Internal Controls, Analysis, Management, Accounts Payable, Microsoft Office
Education
University of New Haven 1989 — 1991
MBA, Accounting and Finance, 3.6 out of 4.0
Michigan State University 1983 — 1988
Bachelor's degree, Business, Management, Marketing, and Related Support Services, 2.8 out of 4.0
Rogers Benefit Group May 2013 - Present
TASC (Total Administrative Services Corporation) July 2012 - April 2013
Bankers Life and Casualty July 2011 - October 2011
CIGNA May 2010 - July 2011
CIGNA October 2007 - April 2010
BenefitMall April 2005 - September 2007
HealthMarket March 2002 - April 2005
Unicare February 1999 - February 2002
Richard S. Smith & Associates March 1997 - December 1998
Skills
Health Insurance, Health Savings Accounts, Disability Insurance, Employee Benefits, Insurance, COBRA, Brokers, FMLA, Long-term Care, Term Life Insurance, ERISA, Life Insurance, Sales, Workers Compensation, Benefits Administration, Underwriting
Education
Texas A&M University 1992 — 1996
BA, History, English
Quick Turn Process Serving Inc April 2010 - Present
themysteriousmaze.com January 2009 - Present
Brose February 2009 - March 2009
Chrysler May 2008 - November 2008
Chrysler June 2004 - May 2008
Visteon August 2001 - May 2004
Unicare November 1996 - August 2001
Skills
Lean Manufacturing, Manufacturing, Continuous Improvement, Leadership
Education
Wayne State University 1993 — 1995
B.S., Criminal Justice
University of Michigan-Dearborn 1991 — 1993
Pre - Law
Chippewa Valley High School 1987 — 1991
1991
Institute for Drug Resistance 2009 - Present
Cap Gemini Ernst & Young 1997 - 2002
Unicare 1995 - 1997
Skills
Biotechnology, Executive Coaching, Research, Product Management, Pharmaceutical Industry, Product Development, Market Research
Education
Mount Holyoke College 1972 — 1976
AB, Economics
University of Pennsylvania - The Wharton School
MBA, Health Services Management
bcbs April 2009 - Present
Unicare March 1998 - February 2009
UnitedHealthcare June 1994 - November 1997
Skills
Insurance, Underwriting, Health Insurance, Term Life Insurance
Education
Northern Illinois University 1974 — 1978
Bachelor of Science (B.S.), Family Social Services
Aetna ActiveHealth Management June 2010 - Present
Conseco October 2009 - June 2010
Medcor November 2002 - September 2009
American Family Insurance October 2005 - August 2009
Metropolitan Life Disability August 1999 - October 2005
Marriott Church Creek November 2001 - November 2002
Unicare December 1997 - August 1999
Columbia Hoffman Estates June 1997 - December 1997
MCV Hospital 1994 - 1997
St, Mary's Hospital 1994 - 1997
Skills
Successfully completed..., Microsoft Office, ACLS, Critical Care, BLS, Medicare, Case Managment, Clinical Research, Epic Systems, Patient Education, Pediatrics, Inpatient, Patient Safety
Education
Virginia Commonwealth University 1990 — 1992
Bachelor's degree, Registered Nursing/Registered Nurse
Tuskegee University 1983 — 1985
Registered Nursing/Registered Nurse
Community Health Choice September 2015 - Present
Cigna-HealthSpring March 2014 - August 2015
Cigna-HealthSpring September 2011 - February 2014
Bravo Health August 2008 - March 2011
Great-West Healthcare May 2006 - August 2008
Unicare November 2001 - May 2006
Skills
Provider Relations, Leadership, Managed Care, Network Development, Medicare, Healthcare Management, Medicaid, Healthcare Industry, Hospitals, HMO, Physicians, Health Insurance, Management, PPO, Contract Negotiation
Education
LeTourneau University
Master of Science (MS), Health/Health Care Administration/Management
Unicare November 1996 - Present
Market Basket September 1991 - June 2010
Skills
Claim, Management, Health Insurance, Employee Benefits, Insurance
Education
Northern Essex Community College 1993 — 1996
Associate of Science, Criminal Justice
BlueCross Blue Shield of Illinois June 2014 - Present
HCSC 2011 - June 2014
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas 2010 - June 2014
Unicare March 2008 - January 2010
Wellpoint/Unicare Insurance March 2008 - January 2010
Destiny Health August 2005 - March 2008
Destiny Health Insurance August 2005 - March 2008
Edward Hospital April 2005 - August 2005
University of Chicago October 2003 - September 2004
The University of Chicago Hospitals October 2003 - September 2004
Skills
Managed Care, Healthcare, Utilization Management, Disease Management, Nursing, Health Insurance, JCAHO, HEDIS, Medicare, Leadership, Healthcare Management, Hospitals, HIPAA, Medicaid, Strategic Planning, Healthcare Information..., Case Managment, Healthcare Industry, Case Management
Education
NCPT 2000 — 2001
Certification, Law
University of Georgia School of Law 1999 — 2000
Paralegal, Medical Law
Lewis University 1988 — 1991
BSN, Nursing
Lewis University 1986 — 1989
Bachelor of Science, Nursing
St Joseph Med Ctr School of Nursing 1981 — 1984
Diploma, Nursing
St. Joseph Medical Center School of Nursing 1981 — 1984
Diploma, Nursing
Travelers November 2010 - Present
St. John Vianney May 1991 - 2014
Zurich Insurance September 2004 - December 2008
Chase Merchant Services June 1999 - July 2004
Unicare August 1995 - January 1999
CNA Insurance April 1983 - August 1995
Skills
Property & Casualty..., Benefits, Direct Sales, Sales Operations, Sales Process, Trade Associations, Commercial Insurance, Workers Compensation, Group Benefits, Volunteer Recruiting, Managing Volunteers, Volunteer Coordinating, Environmental Insurance, Technology Insurance, Cyber Insurance, Insurance, Employee Benefits, Underwriting, Risk Management, Brokers, Executive Management, Casualty, Errors & Omissions, Professional Liability, Marketing, Liability, Management, New Business Development, Legal Liability, Sales, Umbrella Insurance, Claim, Commercial Lines, D&O, Inland Marine, Health Insurance, General Insurance, Claims Management, Surety Bonds, Life Insurance, Excess, Disability Insurance, Directors & Officers..., Negotiation, Financial Services, Liability Analysis, Business Development, Term Life Insurance, Reinsurance, Long-term Care
Education
The University of Texas at Austin
BBA, Finance
Three Rivers June 2011 - Present
MassMutual February 1977 - June 2011
Unicare May 1997 - June 1999
Skills
Mainframe, Sybase, SDLC, Data Modeling, Java, Informatica, COBOL, Pega PRPC, Siebel, IVR
Education
University of Massachusetts, Amherst 1970 — 1972
Master of Business Administration (MBA), Business Administration and Management, General
University of Massachusetts, Amherst 1966 — 1970
BBS, Finance and Financial Management Services
Advantedge Healthcare Solutions September 2012 - Present
Salem Radiology January 2003 - September 2012
Unicare October 1992 - August 2006
Education
Salem State University 1992 — 1996
bachelor, Education
Northern Essex Community College 1989 — 1992
Associates, Business Management
RE/MAX Ability Plus August 2014 - Present
RSR Properties November 2013 - August 2014
Sur La Table April 2013 - February 2014
RE/MAX Results (Schererville) May 2012 - November 2013
RE/MAX Results (Schererville) October 2009 - May 2012
T.J. Boyle Real Estate December 2007 - October 2009
UNICARE June 2001 - January 2003
UNICARE May 2000 - June 2001
UNICARE November 1998 - May 2000
Lake Federal Bank February 1998 - October 1998
Skills
Real Estate, Health Insurance, Sellers, Loans, Sales Management, Real Estate Transactions, Referrals, Strategic Partnerships, Sales, New Home Sales, Single Family Homes, Relocation, First Time Home Buyers
Education
F.C. Tucker School of Real Estate (online) 2013 — 2013
Certificate of completion - Broker Transition, Real Estate
Coldwell Banker School of Real Estate 2007 — 2007
Certificate of completion, Real Estate
Purdue University 1989 — 1993
Bachelor, Economics
Munster High School 1985 — 1989
High School
CDK Global October 2011 - Present
CDK Global February 2009 - October 2011
CDK Global January 2008 - February 2009
CDK Global March 2003 - January 2008
CDK Global April 1998 - March 2003
Unicare November 1992 - April 1998
Yes Check Services September 1991 - October 1992
Skills
Salesforce.com, Process Improvement, Team Leadership, Customer Satisfaction, Team Building, Customer Service, Project Management, Analysis, Team Management, Mentoring, Process Efficiency, Business Process..., Leadership, Business Analysis, Sales Operations, Management, Training, Contract Negotiation, Microsoft Office, Product Management, Program Management, Negotiation, Forecasting, Cross-functional Team..., SharePoint, Strategic Planning, Sales, Integration, PMP
Education
Northern Illinois University - College of Business 1987 — 1991
BS, Finance
WellPoint June 2010 - Present
Unicare July 1997 - June 2010
MassMutual Financial Group December 1993 - July 1997
Skills
Health Insurance, Managed Care, Insurance, Provider Relations, Claim, Process Improvement, Training, Employee Benefits, Business Analysis, Medicare, Medicaid, Call Centers, HIPAA, Claims Management, Healthcare Industry, Disability Insurance, Network Development, Health Policy, Medicare Part D, Brokers
Education
Friends Bible College 1977 — 1978
Music Performance, General
Malone College 1976 — 1977
Music Performance, General
The Hartford/Consolidated Health Plans October 2009 - November 2013
MassMutual Financial Group September 2007 - July 2008
MetLife Investors June 2005 - August 2007
GE Financial January 2001 - May 2005
Unicare July 1996 - December 2000
Skills
Sales, Marketing, Customer Service, Insurance, Financial Services, Strategic Planning, Training & Development
Education
Porter & Chester Institute 1991 — 1993
Computer Applications
Springfield Technical Community College
Mercer February 2013 - Present
Willis September 2000 - January 2013
Unicare 1997 - 2000
John Hancock Life Insurance Company (U.S.A.) 1982 - 1997
Skills
Insurance, Health Insurance, Managed Care, Strategic Planning, Employee Benefits, Underwriting, Brokers, Healthcare Industry, Health Care Reform, Claim, Disability Insurance, Life Insurance
Education
Saint Michael's College 1977 — 1981
BA, Business Administration and Management, General
SummaCare April 2008 - Present
Coventry Health Care March 2006 - August 2007
CareSource 2003 - 2007
Unicare February 2001 - October 2006
Aetna 1996 - 1999
Skills
Provider Relations, Managed Care, Network Development, Health Insurance, HMO, PPO, Contract Negotiation, Medicare, Medicaid, NCQA, Healthcare, Business Process..., Business Relationship..., Leadership, Problem Solving, Health Policy, Critical Thinking, Mentoring, Hospitals, Network Management..., Business Development, Negotiation, Healthcare Industry, HIPAA, Pharmacy Benefit..., Healthcare Management
Education
Buchtel High School
The University of Akron
Association House of Chicago August 2009 - July 2010
Unicare July 1997 - September 2004
Skills
Research
Education
Northeastern Illinois University 2008 — 2011
Bachelor of Arts, Social Work
Harold Washington College 2004 — 2007
Associate of Arts, General Studies
Hallmark Services Corporation March 2007 - February 2010
Hallmark Services Corporation March 2007 - February 2010
Hallmark Services Corporation March 2007 - February 2010
Unicare August 2000 - May 2006
Unicare Insurance 2000 - 2006
Skills
Customer Service, Talent Acquisition, Insurance, Enrollment Management
Education
Northern Illinois University 1992 — 1993
Northern Illinois University 1992 — 1993
Winnacunnet February 2006 - Present
Unicare January 1986 - October 1998
Unicare January 1986 - October 1998
Skills
Customer-focused Service, Continuous Improvement, Process Improvement, Work Ethic, Microsoft Word, QuickBooks, High School Students, Food Service, Food Preparation, Cashiering, Typing, Health Insurance, Administrative Work, Telephone Manner, Learn New Software..., Communication Skills, Data Entry, Training, Nutrition Education, Health
Education
Middlesex Community College 1984 — 1985
Associate of Arts (A.A.), Business Administration and Management, General
Merrimack College 1982 — 1984
Aetna October 2003 - Present
Unicare 2001 - 2003
Monmouth Medical Center 1987 - 2001
Education
Independence University 2007 — 2010
Master of Science (MS), Health Services/Allied Health/Health Sciences, General
Monmouth University 1993 — 1995
BSN, Nursing
DaVita September 2011 - August 2014
Unicare September 2011 - May 2012
soundview medical associates June 2005 - September 2011
Skills
BLS, Registered Nurses, Phlebotomy, Vital Signs, Patient Education, EKG, Healthcare, Home Care, Medicine, Treatment, Nursing, Patient Safety, EMR, Hospitals, CPR Certified, Medication..., Medical Terminology, Medical-Surgical, Direct Patient Care, Acute Care, Critical Care, Healthcare Management, Patient Advocacy
Education
Norwalk Community College 2009 — 2011
Associate of Science (A.S.), Registered Nursing/Registered Nurse
University of Madras 1996 — 1999
Bachelor's degree, Chemistry
Charles River Laboratories August 2008 - Present
Charles River Laboratories August 2008 - Present
Charles River Laboratories August 2008 - Present
Unicare July 1993 - September 2007
Skills
PeopleSoft
Education
Northern Essex Community College 2000 — 2003
Associate's degree, Computer Science
Fernando Callejo 1980 — 1984
High School
CIGNA Healthcare February 2010 - Present
Unicare January 2007 - March 2010
Tribune Company September 2002 - February 2007
Skills
Health Insurance, Employee Benefits, Advertising, Medicare, Marketing, Managed Care, Strategic Planning, Disability Insurance
Education
Northwestern University - Kellogg School of Management 2000 — 2002
Master of Business Administration (M.B.A.), Management Strategy, Marketing
University of Illinois at Urbana-Champaign 1992 — 1995
Bachelor of Science (BS), Actuarial Science
RSAMedical April 2010 - September 2013
UniCare June 2000 - April 2010
Skills
Insurance, Claim, Health Insurance, Healthcare, Microsoft Word, Customer Service, Outlook, Call Centers, Medicare, Microsoft Excel
Education
Kishwaukee College
Medical Billing and Coding, A
Consolidated Health Plans February 2014 - Present
Consolidated Health Plans April 2007 - Present
Consolidated Health Plans November 2003 - April 2007
Unicare 1993 - 2002
Skills
Health Insurance, LuminX, Customer Service, Microsoft Word, Microsoft Excel, Access, Insurance, Employee Benefits, Claim, Microsoft Office, Process Improvement, Outlook
Education
Springfield Technical Community College 1977 — 1980
Automotive Technology
Classical High School 1973 — 1977
Aon Hewitt September 2015 - Present
Turf Paradise December 2014 - September 2015
Lakeshore Beverage March 2009 - April 2014
Lakeshore Beverage March 2009 - May 2010
Unicare October 2007 - February 2009
Chicagoland Speedway 2006 - 2009
Fort Dearborn Life November 2004 - October 2007
Levy Restaurants 2006 - 2006
Great-West Life 1993 - 2001
Skills
Resourceful..., Team Leadership, Customer Orientation, Account Reconciliation, Retail and Distribution..., Effective Communicator, Claims Management, Coordination of Benefits, Customer Service, Inventory Control, Safety Training, Warehouse Management, Operations Management, Supply Chain, Leadership, Distribution Center..., Warehousing, Problem Solving
Education
Moraine Valley Community College 1993 — 1994