WellCare Health Plans
Industry: Health care company
DescriptionWellCare Health Plans, Inc. began operations in 1985 and is based in Tampa, Florida. WellCare provides managed care health plans primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for more than 4.4 million members across the country. Headquarters: Tampa, Florida, United States Number of employees: ~8,900 (December 2017) CEO: Kenneth A. Burdick (1 Jan 2015–) Subsidiaries: WellCare Health Insurance of Illinois Inc,
WellCare Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at WellCare Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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1,176 WellCare Health Plans employees in database. Find out everything there's to know about WellCare Health Plans 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.
WellCare Health Plans Employees
Employee
Years
Job
Industry
Shawn Norde Shawn Norde's WellCare Health Plans Experience August 2011 - December 2011
Job Security Consultant at ADT
Industry Insurance
Experience
Department Of Eduacation September 2014 - Present
Affinity Health Plan January 2013 - July 2013
Allstate 2013 - 2013
WellCare Health Plans August 2011 - December 2011
New York Life Insurance Company November 2009 - April 2010
Best Buy March 2003 - June 2009
Skills
Insurance, General Insurance, Health Insurance, Interpersonal..., Leadership, Employee Training, Motivated self-starter, Team Leadership, Dependable Team Player, Retail Sales, Marketing, Technology, Computers
Education
P.O.H.S. INSTITUTE 2009 — 2009
Borough of Manhattan Community College 2000 — 2001
Business Administration and Management, General
Department Of Eduacation September 2014 - Present
Affinity Health Plan January 2013 - July 2013
Allstate 2013 - 2013
WellCare Health Plans August 2011 - December 2011
New York Life Insurance Company November 2009 - April 2010
Best Buy March 2003 - June 2009
Skills
Insurance, General Insurance, Health Insurance, Interpersonal..., Leadership, Employee Training, Motivated self-starter, Team Leadership, Dependable Team Player, Retail Sales, Marketing, Technology, Computers
Education
P.O.H.S. INSTITUTE 2009 — 2009
Borough of Manhattan Community College 2000 — 2001
Business Administration and Management, General
Sara Neale, MSN, RN, CPHQ Sara Neale, MSN, RN, CPHQ's WellCare Health Plans Experience June 2015 - Present
Job Senior Director Behavioral Health Utilization Management at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans June 2015 - Present
UnitedHealth Group February 2013 - March 2015
Centene Corporation January 2005 - November 2012
Centene Corporation June 2005 - November 2011
Compliance and Government Affairs, Cenpatico Behavioral Health January 2005 - January 2007
UM Compliance, Sierra Health Services January 2003 - January 2005
PacifiCare January 2002 - January 2003
CIGNA Behavioral Health March 2001 - May 2002
Magellan Behavioral Health Services January 1999 - January 2001
Highmark BCBS March 1998 - March 1999
Skills
Provider Relations, Disease Management, Health Policy, Healthcare Information..., Network Development, Case Managment, Hospitals, Health Insurance, Clinical Research, Process Improvement, Managed Care, Home Care, Physicians, Healthcare Consulting, Quality Improvement, Nursing, Software Documentation, Policy, HMO, Case Management, Healthcare Industry, Medicare, HIPAA, Medicaid, Healthcare, Healthcare Management, Utilization Management, Leadership
Education
The George Washington University 2009 — 2010
Post Graduate Certificate, Health Care Compliance
Duquesne University 1998 — 2000
MSN, Nursing Administration
Alderson-Broaddus College 1970 — 1974
BSN, Nursing
WellCare Health Plans June 2015 - Present
UnitedHealth Group February 2013 - March 2015
Centene Corporation January 2005 - November 2012
Centene Corporation June 2005 - November 2011
Compliance and Government Affairs, Cenpatico Behavioral Health January 2005 - January 2007
UM Compliance, Sierra Health Services January 2003 - January 2005
PacifiCare January 2002 - January 2003
CIGNA Behavioral Health March 2001 - May 2002
Magellan Behavioral Health Services January 1999 - January 2001
Highmark BCBS March 1998 - March 1999
Skills
Provider Relations, Disease Management, Health Policy, Healthcare Information..., Network Development, Case Managment, Hospitals, Health Insurance, Clinical Research, Process Improvement, Managed Care, Home Care, Physicians, Healthcare Consulting, Quality Improvement, Nursing, Software Documentation, Policy, HMO, Case Management, Healthcare Industry, Medicare, HIPAA, Medicaid, Healthcare, Healthcare Management, Utilization Management, Leadership
Education
The George Washington University 2009 — 2010
Post Graduate Certificate, Health Care Compliance
Duquesne University 1998 — 2000
MSN, Nursing Administration
Alderson-Broaddus College 1970 — 1974
BSN, Nursing
Diana Connell Diana Connell's WellCare Health Plans Experience January 2015 - Present
Job Case Manager
Industry Hospital & Health Care
Experience
WellCare Health Plans January 2015 - Present
Health South Rehabilitation Hospital November 2010 - Present
Dulce, NM February 2008 - June 2009
Qualis Health January 2001 - July 2004
Parrish Medical Center January 2000 - April 2001
Skills
Case Management, Nursing, Healthcare Management, Medicare, Hospitals, Inpatient, Healthcare, Managed Care, Pediatrics, Utilization Management, Home Care, Patient Advocacy, Medicaid, Disease Management, Utilization Review, Public Speaking, Quality Improvement
Education
University of Central Florida 1997 — 1999
BS, Nursing
Bethel College 1985 — 1987
Memorial Hospital School Of Nursing, Nursing
Indiana University South Bend 1981 — 1984
Registered Nursing/Registered Nurse
WellCare Health Plans January 2015 - Present
Health South Rehabilitation Hospital November 2010 - Present
Dulce, NM February 2008 - June 2009
Qualis Health January 2001 - July 2004
Parrish Medical Center January 2000 - April 2001
Skills
Case Management, Nursing, Healthcare Management, Medicare, Hospitals, Inpatient, Healthcare, Managed Care, Pediatrics, Utilization Management, Home Care, Patient Advocacy, Medicaid, Disease Management, Utilization Review, Public Speaking, Quality Improvement
Education
University of Central Florida 1997 — 1999
BS, Nursing
Bethel College 1985 — 1987
Memorial Hospital School Of Nursing, Nursing
Indiana University South Bend 1981 — 1984
Registered Nursing/Registered Nurse
Jennie (Amy) Brock Jennie (Amy) Brock's WellCare Health Plans Experience June 2015 - Present
Job Marketing Event Representative (MER) at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans June 2015 - Present
Museum of Florida History February 2011 - October 2014
The Florida Historical Society March 2010 - February 2011
University of Florida/Levin College of Law February 2007 - April 2008
Levenger May 1999 - February 2005
West Marine August 1997 - December 1999
Skills
Educational Programs, Museum Education, History, Museums, Museum Collections, Archives, Historic Preservation, Grant Writing, Editing, Volunteer Management, Research, Cataloging, Community Outreach, Nonprofits, Newsletters, Teaching, Blogging, Creative Writing, American History, Exhibit Design, Art History, Digitization, Fundraising, Event Planning
Education
Florida State University 2008 — 2010
M.A., Public History/Museum Studies
University of Florida 2006 — 2008
B.A., History
Art Institute of Fort Lauderdale 1997 — 1999
A.S., Graphic Design
WellCare Health Plans June 2015 - Present
Museum of Florida History February 2011 - October 2014
The Florida Historical Society March 2010 - February 2011
University of Florida/Levin College of Law February 2007 - April 2008
Levenger May 1999 - February 2005
West Marine August 1997 - December 1999
Skills
Educational Programs, Museum Education, History, Museums, Museum Collections, Archives, Historic Preservation, Grant Writing, Editing, Volunteer Management, Research, Cataloging, Community Outreach, Nonprofits, Newsletters, Teaching, Blogging, Creative Writing, American History, Exhibit Design, Art History, Digitization, Fundraising, Event Planning
Education
Florida State University 2008 — 2010
M.A., Public History/Museum Studies
University of Florida 2006 — 2008
B.A., History
Art Institute of Fort Lauderdale 1997 — 1999
A.S., Graphic Design
Joanne Cummings's WellCare Health Plans Experience February 2015 - May 2015
Job Attended Hohokus SchoolRETS Nutley
Industry Hospital & Health Care
Experience
Bergen Medical Associates July 2015 - Present
WellCare Health Plans February 2015 - May 2015
Hoboken Integrated Healthcare March 2014 - June 2014
MMS A Medical Supply Company March 2013 - March 2014
BioReference Laboratories December 2010 - August 2011
Quest Diagnostics Health & Wellness Services March 2010 - November 2010
CVS Pharmacy May 2008 - October 2008
Sweet Factory July 2007 - April 2008
Skills
Customer Service, Microsoft Excel, Microsoft Word, Outlook, Inventory Management, Data Entry, Time Management, Teamwork, Retail, Warehousing, Customer Satisfaction, Public Speaking, Event Planning, Healthcare, HIPAA, Management, Training, Leadership, Access, Medical Terminology, Social Media, CPR Certified, Policy, Strategic Planning, Social Networking, PowerPoint, Event Management, Team Leadership
Education
Hohokus School-RETS Nutley 2009 — 2009
Medical/Clinical Assistant
Bergen Community College 2006 — 2008
Computer Graphics
Bergen Medical Associates July 2015 - Present
WellCare Health Plans February 2015 - May 2015
Hoboken Integrated Healthcare March 2014 - June 2014
MMS A Medical Supply Company March 2013 - March 2014
BioReference Laboratories December 2010 - August 2011
Quest Diagnostics Health & Wellness Services March 2010 - November 2010
CVS Pharmacy May 2008 - October 2008
Sweet Factory July 2007 - April 2008
Skills
Customer Service, Microsoft Excel, Microsoft Word, Outlook, Inventory Management, Data Entry, Time Management, Teamwork, Retail, Warehousing, Customer Satisfaction, Public Speaking, Event Planning, Healthcare, HIPAA, Management, Training, Leadership, Access, Medical Terminology, Social Media, CPR Certified, Policy, Strategic Planning, Social Networking, PowerPoint, Event Management, Team Leadership
Education
Hohokus School-RETS Nutley 2009 — 2009
Medical/Clinical Assistant
Bergen Community College 2006 — 2008
Computer Graphics
Rosemarie Thompson Rosemarie Thompson's WellCare Health Plans Experience April 2013 - October 2014
Job Independent Distributor at My it Works
Industry Hospital & Health Care
Experience
LGTravel powered by Xstream Travel February 2015 - Present
UnitedHealth Group October 2014 - Present
My it Works January 2010 - Present
WellCare Health Plans April 2013 - October 2014
Fletcher Health and Rehab August 2012 - April 2013
Carollwood Care Center August 2011 - June 2012
John Knox Village October 2010 - August 2011
Bayshorepointe Health and Rehab October 2008 - February 2011
UCH Tampa February 2006 - August 2008
Tampa General Hospital November 1997 - October 2003
Skills
EMR, Cpr Certified, Alzheimer's disease, Mental Health, Medication..., Adults, Medical/Surgical, Nursing Education, Medical Terminology, Rehabilitation, Medicare, Telemetry, EKG, Infection Control, IV, Phlebotomy, HIPAA, Compassion, Managed Care, Therapeutic..., ACLS, Nursing Care, Clinical Research, Patient Education, Health Education, Healthcare Management, Home Care, Patient Safety, Patient Advocacy, Medicaid, Disease Management, Utilization Management, Utilization Review, Case Management, Medical Case Management, ICD-9, HEDIS, NCQA, Medicaid Managed Care, Health Promotion, Home Infusion, Wound Care, Inpatient, Acute Care, Nursing, BLS, Direct Patient Care, JCAHO, Community Health, Healthcare
Education
Fortis College-Tampa 2008 — 2010
ADN
Galen School of Nursing-Tampa Bay 2004 — 2005
graduate pactical nurse
Hialeah Miami Lakes Senior High 1985 — 1985
Ardenne High School 1980 — 1984
LGTravel powered by Xstream Travel February 2015 - Present
UnitedHealth Group October 2014 - Present
My it Works January 2010 - Present
WellCare Health Plans April 2013 - October 2014
Fletcher Health and Rehab August 2012 - April 2013
Carollwood Care Center August 2011 - June 2012
John Knox Village October 2010 - August 2011
Bayshorepointe Health and Rehab October 2008 - February 2011
UCH Tampa February 2006 - August 2008
Tampa General Hospital November 1997 - October 2003
Skills
EMR, Cpr Certified, Alzheimer's disease, Mental Health, Medication..., Adults, Medical/Surgical, Nursing Education, Medical Terminology, Rehabilitation, Medicare, Telemetry, EKG, Infection Control, IV, Phlebotomy, HIPAA, Compassion, Managed Care, Therapeutic..., ACLS, Nursing Care, Clinical Research, Patient Education, Health Education, Healthcare Management, Home Care, Patient Safety, Patient Advocacy, Medicaid, Disease Management, Utilization Management, Utilization Review, Case Management, Medical Case Management, ICD-9, HEDIS, NCQA, Medicaid Managed Care, Health Promotion, Home Infusion, Wound Care, Inpatient, Acute Care, Nursing, BLS, Direct Patient Care, JCAHO, Community Health, Healthcare
Education
Fortis College-Tampa 2008 — 2010
ADN
Galen School of Nursing-Tampa Bay 2004 — 2005
graduate pactical nurse
Hialeah Miami Lakes Senior High 1985 — 1985
Ardenne High School 1980 — 1984
Sharon Libby Sharon Libby's WellCare Health Plans Experience September 2014 - July 2015
Job RN, MSN, Certified Nurse Case Manager
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2014 - July 2015
Potomac Healthcare Solutions March 2013 - June 2014
Georgia Power Company June 2010 - January 2014
Medical Staffing Resources May 2009 - June 2010
Doncasters Group Limited November 2007 - February 2009
CMI Octagon/Sedqwick CMS August 2005 - June 2007
US Airways May 2003 - February 2005
TheraCom, Inc. (AdvancePCS) December 2002 - May 2003
Giant Food July 1997 - December 2002
Skills
Case Managment, Integrated Case..., Certified Case Manager, Team Management, Rare Diseases, Occupational Health, Disaster Response, Disaster Recovery, Incident Management, Disaster Mitigation, Disaster Medicine, Workers Compensation, Workers' Compensation..., Pediatric Occupational..., Policy
Education
American Sentinel University 2014 — 2015
Masters of Science, Nursing Science
University of Virginia 1981 — 1984
BS, Nursing
Marymount University 1979 — 1981
A.A.S, Nursings
WellCare Health Plans September 2014 - July 2015
Potomac Healthcare Solutions March 2013 - June 2014
Georgia Power Company June 2010 - January 2014
Medical Staffing Resources May 2009 - June 2010
Doncasters Group Limited November 2007 - February 2009
CMI Octagon/Sedqwick CMS August 2005 - June 2007
US Airways May 2003 - February 2005
TheraCom, Inc. (AdvancePCS) December 2002 - May 2003
Giant Food July 1997 - December 2002
Skills
Case Managment, Integrated Case..., Certified Case Manager, Team Management, Rare Diseases, Occupational Health, Disaster Response, Disaster Recovery, Incident Management, Disaster Mitigation, Disaster Medicine, Workers Compensation, Workers' Compensation..., Pediatric Occupational..., Policy
Education
American Sentinel University 2014 — 2015
Masters of Science, Nursing Science
University of Virginia 1981 — 1984
BS, Nursing
Marymount University 1979 — 1981
A.A.S, Nursings
Kelly Shepard Kelly Shepard's WellCare Health Plans Experience November 2004 - July 2009
Job Sr. Manager Appeals and Grievances at Freedom Health
Industry Insurance
Experience
Freedom Health July 2009 - March 2015
WellCare Health Plans November 2004 - July 2009
Skills
Medicare Advantage, Medicare Part D, Medicaid Managed Care, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Strategic Planning, Budgets, Negotiation, Insurance, Access
Education
Bryant and Stratton College-Greece 1999 — 2001
Hillsborough Community College
Health/Health Care Administration/Management
Freedom Health July 2009 - March 2015
WellCare Health Plans November 2004 - July 2009
Skills
Medicare Advantage, Medicare Part D, Medicaid Managed Care, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Strategic Planning, Budgets, Negotiation, Insurance, Access
Education
Bryant and Stratton College-Greece 1999 — 2001
Hillsborough Community College
Health/Health Care Administration/Management
Austin Rogers Austin Rogers's WellCare Health Plans Experience September 2015 - Present
Job Business Technical Analyst at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2015 - Present
Kansas Department of Health and Environment June 2014 - September 2015
Kansas Cancer Registry July 2013 - June 2014
Wyandotte County Public Health Department January 2014 - May 2014
University of Kansas School of Medicine-Wichita June 2011 - June 2013
University of Kansas School of Medicine-Wichita August 2010 - August 2011
Kansas State University February 2006 - December 2009
Skills
Cancer Research, Biostatistics, Biology, Cancer, Epidemiology, Public Health, Grants, Community Outreach, SAS, Epilepsy, Program Evaluation, Quality Improvement
Education
University of Kansas Medical Center 2012 — 2014
Master of Public Health (MPH), Epidemiology, 4.00/4.00 GPA
Toyo University 2008 — 2009
Study Abroad, Tokyo, Japan
Kansas State University 2005 — 2009
Bachelor of Science, Biology; Japanese Minor, 3.75/4.00 GPA
WellCare Health Plans September 2015 - Present
Kansas Department of Health and Environment June 2014 - September 2015
Kansas Cancer Registry July 2013 - June 2014
Wyandotte County Public Health Department January 2014 - May 2014
University of Kansas School of Medicine-Wichita June 2011 - June 2013
University of Kansas School of Medicine-Wichita August 2010 - August 2011
Kansas State University February 2006 - December 2009
Skills
Cancer Research, Biostatistics, Biology, Cancer, Epidemiology, Public Health, Grants, Community Outreach, SAS, Epilepsy, Program Evaluation, Quality Improvement
Education
University of Kansas Medical Center 2012 — 2014
Master of Public Health (MPH), Epidemiology, 4.00/4.00 GPA
Toyo University 2008 — 2009
Study Abroad, Tokyo, Japan
Kansas State University 2005 — 2009
Bachelor of Science, Biology; Japanese Minor, 3.75/4.00 GPA
Natalie Sepeda Natalie Sepeda's WellCare Health Plans Experience August 2015 - Present
Job Associate Product Manager at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans August 2015 - Present
WellCare Health Plans April 2014 - August 2015
WellCare Health Plans February 2013 - April 2014
WellCare Health Plans October 2010 - February 2013
WellCare Health Plans January 2010 - October 2010
WellCare Health Plans March 2009 - January 2010
WellCare Health Plans January 2009 - February 2009
Quality Assurance International August 2005 - December 2008
Skills
Customer Service, Management, Call Centers, Cross-functional Team..., Microsoft Excel, Policy, Product Development, Quality Assurance, Vendor Management, Project Management
Education
California State University San Marcos
Bachelor's, Communication, General
MiraCosta College
Associate's degree, Communication, General
WellCare Health Plans August 2015 - Present
WellCare Health Plans April 2014 - August 2015
WellCare Health Plans February 2013 - April 2014
WellCare Health Plans October 2010 - February 2013
WellCare Health Plans January 2010 - October 2010
WellCare Health Plans March 2009 - January 2010
WellCare Health Plans January 2009 - February 2009
Quality Assurance International August 2005 - December 2008
Skills
Customer Service, Management, Call Centers, Cross-functional Team..., Microsoft Excel, Policy, Product Development, Quality Assurance, Vendor Management, Project Management
Education
California State University San Marcos
Bachelor's, Communication, General
MiraCosta College
Associate's degree, Communication, General
Catherine Morel Catherine Morel's WellCare Health Plans Experience June 2012 - August 2013
Job
Industry Insurance
Experience
State Farm June 2014 - August 2014
WellCare Health Plans June 2012 - August 2013
WellCare Health Plans June 2010 - May 2012
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Customer Service, Real Estate, Sales, Medicare Advantage, Access, Analysis, Outlook, Team Building, Insurance, Strategic Planning
Education
Baruch College, City University of New York (CUNY)
Psychology, Psychology
City University of New York-Baruch College
Arts & Sciences, Psychology
State Farm June 2014 - August 2014
WellCare Health Plans June 2012 - August 2013
WellCare Health Plans June 2010 - May 2012
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Customer Service, Real Estate, Sales, Medicare Advantage, Access, Analysis, Outlook, Team Building, Insurance, Strategic Planning
Education
Baruch College, City University of New York (CUNY)
Psychology, Psychology
City University of New York-Baruch College
Arts & Sciences, Psychology
Angeline McCabe Angeline McCabe's WellCare Health Plans Experience February 2015 - Present
Job Vice President, Investor Relations at WellCare
Industry Insurance
Experience
WellCare Health Plans February 2015 - Present
Outerwall Inc. April 2014 - February 2015
Health Net November 2006 - March 2014
Valeant Pharmaceuticals 2006 - 2006
WellPoint April 1997 - January 2005
Countrywide Financial 1996 - 1997
Skills
Investor Relations, Crisis Communications, Corporate Communications, Financial Modeling, Strategic Communications, Mergers, Financial Analysis, Insurance, Internal Communications, Healthcare, Strategic Planning, Health Insurance, Communication Training, Media Relations, Executive Management, Health Care Reform, Competitive Analysis, Corporate Finance, Marketing Communications, Process Improvement, Strategy, Program Management, Business Strategy, Investments, Mergers & Acquisitions, Finance, Annual Reports
Education
Loyola Marymount University 1992 — 1994
California Lutheran University 1989 — 1990
Secondary Teaching Credential
California Polytechnic State University-San Luis Obispo 1984 — 1987
Bachelor of Arts (B.A.)
WellCare Health Plans February 2015 - Present
Outerwall Inc. April 2014 - February 2015
Health Net November 2006 - March 2014
Valeant Pharmaceuticals 2006 - 2006
WellPoint April 1997 - January 2005
Countrywide Financial 1996 - 1997
Skills
Investor Relations, Crisis Communications, Corporate Communications, Financial Modeling, Strategic Communications, Mergers, Financial Analysis, Insurance, Internal Communications, Healthcare, Strategic Planning, Health Insurance, Communication Training, Media Relations, Executive Management, Health Care Reform, Competitive Analysis, Corporate Finance, Marketing Communications, Process Improvement, Strategy, Program Management, Business Strategy, Investments, Mergers & Acquisitions, Finance, Annual Reports
Education
Loyola Marymount University 1992 — 1994
California Lutheran University 1989 — 1990
Secondary Teaching Credential
California Polytechnic State University-San Luis Obispo 1984 — 1987
Bachelor of Arts (B.A.)
Letesha Askins Letesha Askins's WellCare Health Plans Experience December 2012 - Present
Job
Industry Medical Practice
Experience
WellCare Health Plans December 2012 - Present
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Customer Service, English, Management
Education
Medvance Institute-Stuart 2014 — 2014
Associate's degree, Registered Nursing/Registered Nurse
WellCare Health Plans December 2012 - Present
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Office, Customer Service, English, Management
Education
Medvance Institute-Stuart 2014 — 2014
Associate's degree, Registered Nursing/Registered Nurse
Shalonda Smith-Latimer, BBA Shalonda Smith-Latimer, BBA's WellCare Health Plans Experience May 2014 - February 2015
Job Manager, Quality Improvement, Network Management, Provider Relations, Hospital and Healthcare Professional
Industry Hospital & Health Care
Experience
Family Health Network April 2015 - Present
WellCare Health Plans May 2014 - February 2015
Advocate Christ Medical Center March 2012 - January 2014
Advocate Health Care March 2011 - March 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas July 2007 - August 2010
Skills
Provider Relations, Managed Care, Health Insurance, Healthcare Management, Project Management, Strategic Planning, HIPAA, Medical Terminology, Microsoft Office, Training, Claim, Quality Improvement, EMR, Disease Management, Medical Compliance, Physician Relations, Healthcare, Hospitals, Physicians, Performance Improvement, Process Improvement, HMO, Medicaid, Medicare, Network Development, Medicare Part D, ICD-9, Nursing
Education
American InterContinental University 2006 — 2007
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management, Cum Laude
Clarke College 1990 — 1993
Chemistry Major, Chemistry
Family Health Network April 2015 - Present
WellCare Health Plans May 2014 - February 2015
Advocate Christ Medical Center March 2012 - January 2014
Advocate Health Care March 2011 - March 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas July 2007 - August 2010
Skills
Provider Relations, Managed Care, Health Insurance, Healthcare Management, Project Management, Strategic Planning, HIPAA, Medical Terminology, Microsoft Office, Training, Claim, Quality Improvement, EMR, Disease Management, Medical Compliance, Physician Relations, Healthcare, Hospitals, Physicians, Performance Improvement, Process Improvement, HMO, Medicaid, Medicare, Network Development, Medicare Part D, ICD-9, Nursing
Education
American InterContinental University 2006 — 2007
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management, Cum Laude
Clarke College 1990 — 1993
Chemistry Major, Chemistry
Keith Noster Keith Noster's WellCare Health Plans Experience September 2014 - July 2015
Job Agent Manager at United Healthcare
Industry Insurance
Experience
United Healthcare August 2015 - Present
WellCare Health Plans September 2014 - July 2015
Franciscan Alliance - St. Francis Insurance Services/Senior Promise September 2013 - August 2014
ADVANTAGE Health Solutions, Inc. March 2010 - September 2013
Conseco Insurance Group (now Washington National Insurance Company) December 2004 - December 2009
Skills
Insurance, Health Insurance, Medicare, Managed Care, Healthcare, Healthcare Management, Medicaid, Disability Insurance, Strategic Planning, Account Management, Process Improvement, HIPAA, Long-term Care, Employee Benefits, Leadership, Sales, Marketing, Hospitals, Healthcare Information..., Health Savings Accounts, Healthcare Consulting, Team Building, Term Life Insurance, Life Insurance, Brokers, Fixed Annuities, Medicare Part D, Accident, HMO, Long Term Care Insurance, Disease Management
Education
Bowling Green State University
Bachelor, HR Management
University of Indianapolis
MBA, Business
United Healthcare August 2015 - Present
WellCare Health Plans September 2014 - July 2015
Franciscan Alliance - St. Francis Insurance Services/Senior Promise September 2013 - August 2014
ADVANTAGE Health Solutions, Inc. March 2010 - September 2013
Conseco Insurance Group (now Washington National Insurance Company) December 2004 - December 2009
Skills
Insurance, Health Insurance, Medicare, Managed Care, Healthcare, Healthcare Management, Medicaid, Disability Insurance, Strategic Planning, Account Management, Process Improvement, HIPAA, Long-term Care, Employee Benefits, Leadership, Sales, Marketing, Hospitals, Healthcare Information..., Health Savings Accounts, Healthcare Consulting, Team Building, Term Life Insurance, Life Insurance, Brokers, Fixed Annuities, Medicare Part D, Accident, HMO, Long Term Care Insurance, Disease Management
Education
Bowling Green State University
Bachelor, HR Management
University of Indianapolis
MBA, Business
Claudette Knight, PMP, CEBS, & RHU Claudette Knight, PMP, CEBS, & RHU's WellCare Health Plans Experience March 2006 - January 2010
Job Insurance (Medicare Advantage and Group Benefits), Consulting, Implementations
Industry Insurance
Experience
UnitedHealth Group November 2013 - Present
Health Care, Insurance, Exchanges Product Development July 2012 - Present
WellCare Health Plans, Inc. April 2006 - July 2012
WellCare Health Plans, Inc. January 2010 - November 2011
WellCare Health Plans March 2006 - January 2010
Aon Consulting April 2003 - March 2006
Towers Watson August 2002 - April 2003
Hewitt Associates 1997 - 2002
Skills
Marketing Communications, Medicare, Employee Benefits, Insurance, Medicaid, Product Management, Program Management, Cross-functional Team..., Health Insurance, HIPAA, Healthcare Consulting, Healthcare, Strategic Planning, Leadership, Training, Managed Care, Marketing, Management, Project Management, Provider Relations, Health Policy, Process Improvement, Medicare Part D, HMO, Healthcare Industry, Network Development, Competitive Analysis, Vendor Management, Benefits Administration, Medicare Prescription..., Medicaid Managed Care, Networking, Compliance, Medicare Advantage
Education
University of Tampa - John H. Sykes College of Business
MBA, Management
Albertus Magnus College
Bachelor of Science (BS), Business Management
N/A
UnitedHealth Group November 2013 - Present
Health Care, Insurance, Exchanges Product Development July 2012 - Present
WellCare Health Plans, Inc. April 2006 - July 2012
WellCare Health Plans, Inc. January 2010 - November 2011
WellCare Health Plans March 2006 - January 2010
Aon Consulting April 2003 - March 2006
Towers Watson August 2002 - April 2003
Hewitt Associates 1997 - 2002
Skills
Marketing Communications, Medicare, Employee Benefits, Insurance, Medicaid, Product Management, Program Management, Cross-functional Team..., Health Insurance, HIPAA, Healthcare Consulting, Healthcare, Strategic Planning, Leadership, Training, Managed Care, Marketing, Management, Project Management, Provider Relations, Health Policy, Process Improvement, Medicare Part D, HMO, Healthcare Industry, Network Development, Competitive Analysis, Vendor Management, Benefits Administration, Medicare Prescription..., Medicaid Managed Care, Networking, Compliance, Medicare Advantage
Education
University of Tampa - John H. Sykes College of Business
MBA, Management
Albertus Magnus College
Bachelor of Science (BS), Business Management
N/A
Romano Whitley Romano Whitley's WellCare Health Plans Experience July 2015 - Present
Job Case Management Supervisor at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans July 2015 - Present
WellCare Health Plans 2014 - Present
Benicomp Insurance Company October 2013 - December 2014
Tampa General Hospital March 2010 - March 2012
Jackson Memorial Hospital February 2002 - September 2010
AvMed Health Plans March 1996 - January 2002
Skills
ER, Medical Surgical,..., Utilization Management, Case Managment, Patient Education, Medical Coding, Medical/Surgical, Legal Nurse Consulting, Case Management, Health Education, Nursing, Healthcare Management, Physicians
Education
Saint Thomas University 2003 — 2005
MSM, Science Managment
Barry University 1999 — 2002
BSN, Registered Nursing/Registered Nurse
WellCare Health Plans July 2015 - Present
WellCare Health Plans 2014 - Present
Benicomp Insurance Company October 2013 - December 2014
Tampa General Hospital March 2010 - March 2012
Jackson Memorial Hospital February 2002 - September 2010
AvMed Health Plans March 1996 - January 2002
Skills
ER, Medical Surgical,..., Utilization Management, Case Managment, Patient Education, Medical Coding, Medical/Surgical, Legal Nurse Consulting, Case Management, Health Education, Nursing, Healthcare Management, Physicians
Education
Saint Thomas University 2003 — 2005
MSM, Science Managment
Barry University 1999 — 2002
BSN, Registered Nursing/Registered Nurse
Brenda Richardson Brenda Richardson's WellCare Health Plans Experience September 2014 - Present
Job Senior, Health Services Training Specialist at WellCare Health Plans
Industry Medical Devices
Experience
WellCare Health Plans September 2014 - Present
Kinetic Concepts March 2011 - February 2014
Humana Inc. January 2008 - April 2010
Matria Health Care January 2007 - January 2008
Independent Contractor October 2002 - January 2007
Ortho Biotech October 1999 - October 2002
Morehouse School of Medicine December 1996 - January 1999
Skills
Clinical Education, Wound Care, Critical Care, Medical Devices, Nursing, Managed Care, ICU, Home Care, Healthcare, Clinical Research, Territory, Pharmaceuticals, Consultative Selling, Health, Cross-functional Team..., Account Management, Sales Support, Team Building, Process Improvement, Strategic Planning, Inventory Management, Sales Management, Disposables, Pharmaceutical Industry, Hospitals, Training, Leadership, Sales, Pharmaceutical Sales, Management, Customer Service
Education
Bauder College
Associate of Arts (AA), Interior Design
Temple University
BS, Nursing
University of Phoenix
Master of Business Administration (M.B.A.), Marketing and Finance, 3.8 Magna Cum Laude
WellCare Health Plans September 2014 - Present
Kinetic Concepts March 2011 - February 2014
Humana Inc. January 2008 - April 2010
Matria Health Care January 2007 - January 2008
Independent Contractor October 2002 - January 2007
Ortho Biotech October 1999 - October 2002
Morehouse School of Medicine December 1996 - January 1999
Skills
Clinical Education, Wound Care, Critical Care, Medical Devices, Nursing, Managed Care, ICU, Home Care, Healthcare, Clinical Research, Territory, Pharmaceuticals, Consultative Selling, Health, Cross-functional Team..., Account Management, Sales Support, Team Building, Process Improvement, Strategic Planning, Inventory Management, Sales Management, Disposables, Pharmaceutical Industry, Hospitals, Training, Leadership, Sales, Pharmaceutical Sales, Management, Customer Service
Education
Bauder College
Associate of Arts (AA), Interior Design
Temple University
BS, Nursing
University of Phoenix
Master of Business Administration (M.B.A.), Marketing and Finance, 3.8 Magna Cum Laude
Scott Rathke Scott Rathke's WellCare Health Plans Experience August 2006 - July 2008
Job Vice President Public Exchange Operations / Government Relations
Industry Insurance
Experience
HealthPlan Services November 2012 - Present
WellCare Health Plans, Inc. July 2008 - April 2012
WellCare Health Plans August 2006 - July 2008
PainCare Holdings, Inc October 2005 - August 2006
Navigant Consulting March 2000 - October 2005
KPMG Consulting, Inc. May 1999 - March 2000
Mazza, Spero & Hougham February 1996 - May 1999
Blue Cross Blue Shield of AZ January 1994 - February 1996
CNR Health January 1992 - December 1993
Skills
Managed Care / Provider, Relationship Development, Consulting, Medicare, Medicaid, Performance Improvement, Litigation Support, Revenue Cycle, Government Relations, Managed Care, Healthcare, Process Improvement, Strategic Planning, Policy, Leadership, Physicians, Strategy, Health Insurance, Insurance, Provider Relations, Health Policy, Program Management, Healthcare Consulting, Network Development, Healthcare Industry, Analysis
Education
Arizona State University, W. P. Carey School of Business 1997 — 1999
MBA, Finance
University of Wisconsin-Stevens Point 1988 — 1992
BS, Accounting and Finance
HealthPlan Services November 2012 - Present
WellCare Health Plans, Inc. July 2008 - April 2012
WellCare Health Plans August 2006 - July 2008
PainCare Holdings, Inc October 2005 - August 2006
Navigant Consulting March 2000 - October 2005
KPMG Consulting, Inc. May 1999 - March 2000
Mazza, Spero & Hougham February 1996 - May 1999
Blue Cross Blue Shield of AZ January 1994 - February 1996
CNR Health January 1992 - December 1993
Skills
Managed Care / Provider, Relationship Development, Consulting, Medicare, Medicaid, Performance Improvement, Litigation Support, Revenue Cycle, Government Relations, Managed Care, Healthcare, Process Improvement, Strategic Planning, Policy, Leadership, Physicians, Strategy, Health Insurance, Insurance, Provider Relations, Health Policy, Program Management, Healthcare Consulting, Network Development, Healthcare Industry, Analysis
Education
Arizona State University, W. P. Carey School of Business 1997 — 1999
MBA, Finance
University of Wisconsin-Stevens Point 1988 — 1992
BS, Accounting and Finance
Eric Jorgensen's WellCare Health Plans Experience August 2014 - Present
Job Sr Project Manager at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans August 2014 - Present
Navin, Haffty & Associates April 2013 - August 2014
Kforce October 2012 - April 2013
Providence Health & Services April 2011 - October 2012
Providence Health & Services October 2009 - April 2011
Providence Health and Services May 2008 - October 2009
Re-Elect Rep. Dennis Richardson November 2007 - May 2008
Brunner & White Commercial October 2007 - May 2008
Courtesy Commercial Property & Development August 2005 - October 2007
U.S. Senator Gordon Smith August 2004 - December 2004
Skills
Healthcare IT, Healthcare, Customer Relations, Customer Service, Meditech, Software Project..., Healthcare Information..., CPOE, Training, Management, Inpatient, EHR, Strategic Planning, Leadership, Customer Satisfaction, HL7, Project Management, Project Planning, Physicians, Visio, Hospitals, Healthcare Management, Software Documentation, Property Management, Budgets, HIPAA, Troubleshooting, Process Improvement, Nursing, EMR, Epic Systems
Education
Project Management Institute 2009 — 2009
CAPM, PMP Exam Prep
Brigham Young University 1999 — 2005
BS, Communications
WellCare Health Plans August 2014 - Present
Navin, Haffty & Associates April 2013 - August 2014
Kforce October 2012 - April 2013
Providence Health & Services April 2011 - October 2012
Providence Health & Services October 2009 - April 2011
Providence Health and Services May 2008 - October 2009
Re-Elect Rep. Dennis Richardson November 2007 - May 2008
Brunner & White Commercial October 2007 - May 2008
Courtesy Commercial Property & Development August 2005 - October 2007
U.S. Senator Gordon Smith August 2004 - December 2004
Skills
Healthcare IT, Healthcare, Customer Relations, Customer Service, Meditech, Software Project..., Healthcare Information..., CPOE, Training, Management, Inpatient, EHR, Strategic Planning, Leadership, Customer Satisfaction, HL7, Project Management, Project Planning, Physicians, Visio, Hospitals, Healthcare Management, Software Documentation, Property Management, Budgets, HIPAA, Troubleshooting, Process Improvement, Nursing, EMR, Epic Systems
Education
Project Management Institute 2009 — 2009
CAPM, PMP Exam Prep
Brigham Young University 1999 — 2005
BS, Communications
Chuck Bidwell Chuck Bidwell's WellCare Health Plans Experience 2014 - Present
Job Claims Team Lead at Wellcare Health Plans
Industry Insurance
Experience
Wellcare Health Plans 2014 - Present
Windsor Health Plan 1996 - 2014
Skills
Medicare, Health Insurance, Insurance, Claim, HIPAA, Medicaid, Process Improvement, Underwriting, Customer Service, HMO, Property, Medicare Part D, Team Building
Education
Austin Peay State University
Wellcare Health Plans 2014 - Present
Windsor Health Plan 1996 - 2014
Skills
Medicare, Health Insurance, Insurance, Claim, HIPAA, Medicaid, Process Improvement, Underwriting, Customer Service, HMO, Property, Medicare Part D, Team Building
Education
Austin Peay State University
Janette Paradizo Janette Paradizo's WellCare Health Plans Experience 2006 - 2007
Job Legal Receptionist at Ligori & Cappy, Attorneys at Law
Industry Law Practice
Experience
Ligori & Cappy, Attorneys at Law August 2015 - Present
13th Judicial Circuit Court February 2012 - July 2015
Amarosa Law Firm P.A. February 2009 - February 2012
Law Firm May 2007 - February 2012
WellCare Health Plans 2006 - 2007
Skills
Courts, Criminal Law, Civil Litigation, Case Management, Investigation, Personal Injury, Legal Assistance, Litigation Support, Document Drafting, Notary Public, Personal Injury..., Paralegals, Legal Documents, Family Law, Document Review
Education
Argosy University 2015 — 2017
Masters Degree, Forensic Psychology
Everest University-Tampa 2005 — 2009
Bachelor in Science, Pre-Law Studies
Ligori & Cappy, Attorneys at Law August 2015 - Present
13th Judicial Circuit Court February 2012 - July 2015
Amarosa Law Firm P.A. February 2009 - February 2012
Law Firm May 2007 - February 2012
WellCare Health Plans 2006 - 2007
Skills
Courts, Criminal Law, Civil Litigation, Case Management, Investigation, Personal Injury, Legal Assistance, Litigation Support, Document Drafting, Notary Public, Personal Injury..., Paralegals, Legal Documents, Family Law, Document Review
Education
Argosy University 2015 — 2017
Masters Degree, Forensic Psychology
Everest University-Tampa 2005 — 2009
Bachelor in Science, Pre-Law Studies
Felix Cirillo Felix Cirillo's WellCare Health Plans Experience January 2010 - May 2011
Job CIO at Advantedge Healthcare Solutions
Industry Information Technology and Services
Experience
Advantedge Healthcare Solutions March 2013 - Present
MagnaCare September 2011 - March 2013
WellCare Health Plans January 2010 - May 2011
Cigna September 2007 - April 2010
ActiveHealth Management May 1999 - August 2007
Skills
Business Analysis, Process Improvement, Vendor Management, IT Strategy, SDLC, Healthcare Information..., Healthcare, Healthcare Management, Leadership, Informatics, Business Intelligence, Data Warehousing, Business Process, EHR, Enterprise Software, Information Technology, Healthcare Industry, Program Management, Management, Strategy, IT Management, Enterprise Architecture, Integration, Executive Management
Education
Dowling College 1994 — 1996
Master of Business Administration (MBA), Information Technology, 3.7
Adelphi University 1982 — 1986
Bachelor of Science (BS), Critical Care Nursing, 3.3
Advantedge Healthcare Solutions March 2013 - Present
MagnaCare September 2011 - March 2013
WellCare Health Plans January 2010 - May 2011
Cigna September 2007 - April 2010
ActiveHealth Management May 1999 - August 2007
Skills
Business Analysis, Process Improvement, Vendor Management, IT Strategy, SDLC, Healthcare Information..., Healthcare, Healthcare Management, Leadership, Informatics, Business Intelligence, Data Warehousing, Business Process, EHR, Enterprise Software, Information Technology, Healthcare Industry, Program Management, Management, Strategy, IT Management, Enterprise Architecture, Integration, Executive Management
Education
Dowling College 1994 — 1996
Master of Business Administration (MBA), Information Technology, 3.7
Adelphi University 1982 — 1986
Bachelor of Science (BS), Critical Care Nursing, 3.3
Reginald Martin, MBA Reginald Martin, MBA's WellCare Health Plans Experience March 2010 - November 2012
Job Director of Compliance
Industry Health, Wellness and Fitness
Experience
Centene Corporation June 2015 - Present
Integral Quality Care March 2014 - June 2015
Integral Quality Care November 2012 - March 2014
WellCare Health Plans March 2010 - November 2012
Florida Medicaid March 2001 - March 2010
ZAR Database Solutions March 2006 - March 2009
Skills
•Project Coordination..., •State and Federal Law..., •Process Improvement, •Data Analysis, •Strategic Planning, •Leadership and..., Management, Strategy, Contract Compliance, Regulatory Requirements, Cross Functional Team..., Visio, Medicaid, Home and Community..., Process Design, Contract Management, Employee Training, Healthcare, Medicare, Managed Care, Case Management, Utilization Management, HIPAA
Education
California Coast University 2008 — 2013
Master of Business Administration (M.B.A.), Business
Lee University 1985 — 1988
Bachelor's Degree, Education
Centene Corporation June 2015 - Present
Integral Quality Care March 2014 - June 2015
Integral Quality Care November 2012 - March 2014
WellCare Health Plans March 2010 - November 2012
Florida Medicaid March 2001 - March 2010
ZAR Database Solutions March 2006 - March 2009
Skills
•Project Coordination..., •State and Federal Law..., •Process Improvement, •Data Analysis, •Strategic Planning, •Leadership and..., Management, Strategy, Contract Compliance, Regulatory Requirements, Cross Functional Team..., Visio, Medicaid, Home and Community..., Process Design, Contract Management, Employee Training, Healthcare, Medicare, Managed Care, Case Management, Utilization Management, HIPAA
Education
California Coast University 2008 — 2013
Master of Business Administration (M.B.A.), Business
Lee University 1985 — 1988
Bachelor's Degree, Education
Cheryl Riley's WellCare Health Plans Experience October 2014 - Present
Job Sr. Community Relations Specialist
Industry Health, Wellness and Fitness
Experience
WellCare Health Plans October 2014 - Present
Clayton Board of Health August 2011 - October 2014
Gwinnett, Newton, and Rockdale County Health Departments June 2007 - August 2011
Skills
Wellness, Nutrition, Health Promotion, Health Education, Nutritional Counseling, Lifestyle, Holistic Health, Wellbeing, Healthcare, Nutrition Education, Stress Management, Corporations, Public Speaking, Public Health, Fitness, Wellness Coaching, Prevention, Community Health
Education
American InterContinental University 2007 — 2008
Master of Business Administration (MBA), Health/Health Care Administration/Management
Georgia State University 2003 — 2007
Bachelor of Science (BS), Dietetics/Dietitian
WellCare Health Plans October 2014 - Present
Clayton Board of Health August 2011 - October 2014
Gwinnett, Newton, and Rockdale County Health Departments June 2007 - August 2011
Skills
Wellness, Nutrition, Health Promotion, Health Education, Nutritional Counseling, Lifestyle, Holistic Health, Wellbeing, Healthcare, Nutrition Education, Stress Management, Corporations, Public Speaking, Public Health, Fitness, Wellness Coaching, Prevention, Community Health
Education
American InterContinental University 2007 — 2008
Master of Business Administration (MBA), Health/Health Care Administration/Management
Georgia State University 2003 — 2007
Bachelor of Science (BS), Dietetics/Dietitian
G. Frank Turckes, SSGB, SMC, PMP's WellCare Health Plans Experience April 2015 - July 2015
Job Implementation Success Manager at Oracle
Industry Information Technology and Services
Experience
Oracle July 2015 - Present
GTS Consulting LLC January 2001 - Present
WellCare Health Plans April 2015 - July 2015
MUFG Union Bank, N.A. November 2013 - April 2015
NGA Human Resources June 2013 - October 2013
Time Warner Inc. August 2012 - May 2013
McCarty Wholesale Lumber Company January 1986 - October 2012
Jabil December 2011 - July 2012
KMM Telecommunications June 2009 - April 2011
Verizon Business August 1999 - June 2009
Skills
MS Project, PMP, Six Sigma, Full SDLC, Oracle, Unix, Open Systems Accounting..., Visio, Program Management, Software Project..., SQL Server, Project Implementation, PeopleSoft, Informatica, Agile Project Management, Waterfall, Scrum, PMO, Project Portfolio..., PMI, PMBOK, SDLC, Requirements Gathering, Certified Project..., Project Delivery, Project Execution, User Acceptance Testing, Release Management, Business Analysis, Life Cycle Assessment, Siebel, Software Implementation, Project Planning, IT Management, Requirements Analysis, Business Process..., SharePoint, Business Requirements, ERP, Software Development..., Celoxis PPM, Resource Management, Vendor Management, IT Strategy, Business Process, Integration, Process Development, IT Operations, Workday, HRIS
Education
Ball State University 1982 — 1986
Oracle July 2015 - Present
GTS Consulting LLC January 2001 - Present
WellCare Health Plans April 2015 - July 2015
MUFG Union Bank, N.A. November 2013 - April 2015
NGA Human Resources June 2013 - October 2013
Time Warner Inc. August 2012 - May 2013
McCarty Wholesale Lumber Company January 1986 - October 2012
Jabil December 2011 - July 2012
KMM Telecommunications June 2009 - April 2011
Verizon Business August 1999 - June 2009
Skills
MS Project, PMP, Six Sigma, Full SDLC, Oracle, Unix, Open Systems Accounting..., Visio, Program Management, Software Project..., SQL Server, Project Implementation, PeopleSoft, Informatica, Agile Project Management, Waterfall, Scrum, PMO, Project Portfolio..., PMI, PMBOK, SDLC, Requirements Gathering, Certified Project..., Project Delivery, Project Execution, User Acceptance Testing, Release Management, Business Analysis, Life Cycle Assessment, Siebel, Software Implementation, Project Planning, IT Management, Requirements Analysis, Business Process..., SharePoint, Business Requirements, ERP, Software Development..., Celoxis PPM, Resource Management, Vendor Management, IT Strategy, Business Process, Integration, Process Development, IT Operations, Workday, HRIS
Education
Ball State University 1982 — 1986
Erika Crevier Erika Crevier's WellCare Health Plans Experience January 2008 - January 2009
Job Mac Cosmetics Makeup Artist
Industry Cosmetics
Experience
Stila Cosmetics April 2012 - Present
SHEAR ART SALON AND SPA April 2010 - April 2012
WELLCARE HEALTH PLANS January 2008 - January 2009
Florida FFA Association January 2007 - January 2008
Skills
Cosmetics
Education
The Salon Professional Academy-Tampa 2011 — 2012
Licensed Cosmetologist, Cosmetology/Cosmetologist, General
Stila Cosmetics April 2012 - Present
SHEAR ART SALON AND SPA April 2010 - April 2012
WELLCARE HEALTH PLANS January 2008 - January 2009
Florida FFA Association January 2007 - January 2008
Skills
Cosmetics
Education
The Salon Professional Academy-Tampa 2011 — 2012
Licensed Cosmetologist, Cosmetology/Cosmetologist, General
Thomas Garry Thomas Garry's WellCare Health Plans Experience August 2015 - Present
Job Senior Financial Analyst at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans August 2015 - Present
WellCare Health Plans August 2014 - August 2015
WellCare May 2013 - August 2014
USTA 2012 - 2012
TakeCare Insurance Company, Inc. June 2009 - June 2011
Los Angeles Unified School District September 2005 - April 2009
Skills
Access, Analysis, Insurance, Crystal Reports, Business Analysis, Software Documentation, Process Improvement, Data Analysis, Microsoft Excel, Healthcare, Customer Service, Program Management, Management, Team Building, Microsoft SQL Server, Microsoft Word, Project Management, MS Project, SDLC, Business Process, Leadership, Vendor Management, ArcView 3.x, ERDAS Imagine, Visual Basic, Outlook, Invoicing, PeopleSoft, SAP, Human Resources, Photoshop, PowerPoint, Project Planning, SAS programming, Customer Relations, SQL Server, Word, Excel, Trizetto Facets, SAS
Education
California State Polytechnic University-Pomona 1996 — 2000
Bachelor of Science (BS), Geography with Geographic Information Systems Option, GPA 3.63/4.0 Magna Cum Laude
Hunter College 1994 — 1996
WellCare Health Plans August 2015 - Present
WellCare Health Plans August 2014 - August 2015
WellCare May 2013 - August 2014
USTA 2012 - 2012
TakeCare Insurance Company, Inc. June 2009 - June 2011
Los Angeles Unified School District September 2005 - April 2009
Skills
Access, Analysis, Insurance, Crystal Reports, Business Analysis, Software Documentation, Process Improvement, Data Analysis, Microsoft Excel, Healthcare, Customer Service, Program Management, Management, Team Building, Microsoft SQL Server, Microsoft Word, Project Management, MS Project, SDLC, Business Process, Leadership, Vendor Management, ArcView 3.x, ERDAS Imagine, Visual Basic, Outlook, Invoicing, PeopleSoft, SAP, Human Resources, Photoshop, PowerPoint, Project Planning, SAS programming, Customer Relations, SQL Server, Word, Excel, Trizetto Facets, SAS
Education
California State Polytechnic University-Pomona 1996 — 2000
Bachelor of Science (BS), Geography with Geographic Information Systems Option, GPA 3.63/4.0 Magna Cum Laude
Hunter College 1994 — 1996
Pamela Bryant Pamela Bryant's WellCare Health Plans Experience October 2014 - Present
Job Author
Industry Human Resources
Experience
WellCare Health Plans October 2014 - Present
Paychex 1999 - 2012
Skills
Over 15 years of..., Extensive Knowledge of..., Excellent Communication..., Excellent Customer..., Very detail oriented, Over eight years of..., Supervisory Experience, Strong Interpersonal..., Discrete and able to..., Excellent problem..., Strong ability to build..., Strong ability to..., Extensive knowledge of..., Team Player, Excellent skills in..., Role model, Self-motivator, Excellent time..., Strong listening skills, Mac/PC proficient, Proficient in Windows,..., Safety Management, Strong knowledge of..., Benefits Administration, Safety Management..., Teamwork, Performance Management, Payroll, Employee Training, Customer Service, Recruiting, Training, Onboarding, Time Management, Personnel Management, Employee Relations, New Hire Orientations, Employee Benefits, Human Resources, Interviews
Education
American InterContinental University-South Florida 2010 — 2011
MBA, Business- Marketing
American InterContinental University-South Florida 2007 — 2010
BA, Human Resources
WellCare Health Plans October 2014 - Present
Paychex 1999 - 2012
Skills
Over 15 years of..., Extensive Knowledge of..., Excellent Communication..., Excellent Customer..., Very detail oriented, Over eight years of..., Supervisory Experience, Strong Interpersonal..., Discrete and able to..., Excellent problem..., Strong ability to build..., Strong ability to..., Extensive knowledge of..., Team Player, Excellent skills in..., Role model, Self-motivator, Excellent time..., Strong listening skills, Mac/PC proficient, Proficient in Windows,..., Safety Management, Strong knowledge of..., Benefits Administration, Safety Management..., Teamwork, Performance Management, Payroll, Employee Training, Customer Service, Recruiting, Training, Onboarding, Time Management, Personnel Management, Employee Relations, New Hire Orientations, Employee Benefits, Human Resources, Interviews
Education
American InterContinental University-South Florida 2010 — 2011
MBA, Business- Marketing
American InterContinental University-South Florida 2007 — 2010
BA, Human Resources
Joshua Zarandona Joshua Zarandona's WellCare Health Plans Experience May 2007 - Present
Job Sales Manager, Medicare at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans May 2007 - Present
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
WELLCARE HEALTH PLANS March 2006 - April 2007
MUTUAL OF OMAHA INSURANCE COMPANY January 2005 - July 2006
UNITED AMERICAN INSURANCE COMPANY September 2005 - March 2006
Skills
Insurance, Sales Operations, Marketing, Team Building, Fundraising, Leadership, Sales, Public Speaking, Medicare, Analysis, Health Insurance, Customer Service, Management, Managed Care, Strategic Planning, Medicaid, Marketing Strategy, Healthcare
Education
Brigham Young University
M.S. Degree, Exercise
Southern Adventist University
Dual B.A. Degrees, Health, Physical Education, & Recreation and Religion
WellCare Health Plans May 2007 - Present
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
Greater Palm Bay Chamber 2013 - 2014
WELLCARE HEALTH PLANS March 2006 - April 2007
MUTUAL OF OMAHA INSURANCE COMPANY January 2005 - July 2006
UNITED AMERICAN INSURANCE COMPANY September 2005 - March 2006
Skills
Insurance, Sales Operations, Marketing, Team Building, Fundraising, Leadership, Sales, Public Speaking, Medicare, Analysis, Health Insurance, Customer Service, Management, Managed Care, Strategic Planning, Medicaid, Marketing Strategy, Healthcare
Education
Brigham Young University
M.S. Degree, Exercise
Southern Adventist University
Dual B.A. Degrees, Health, Physical Education, & Recreation and Religion
Beatrice Morton Beatrice Morton's WellCare Health Plans Experience July 2011 - March 2012
Job Manager, Community Relationship Management at Affinity Health Plan
Industry Hospital & Health Care
Experience
Affinity Health Plan April 2013 - Present
WellCare Health Plans July 2011 - March 2012
UnitedHealth Group October 1987 - April 2011
UnitedHealthcare (via Oxford Health Plans) October 1987 - April 2011
Skills
Marketing, Marketing Strategy, Healthcare, Management, Project Management, Direct Marketing, Budgets, Event Planning
Education
Baruch College, City University of New York (CUNY) 1978 — 1982
Eli Whitney Technical High School
Affinity Health Plan April 2013 - Present
WellCare Health Plans July 2011 - March 2012
UnitedHealth Group October 1987 - April 2011
UnitedHealthcare (via Oxford Health Plans) October 1987 - April 2011
Skills
Marketing, Marketing Strategy, Healthcare, Management, Project Management, Direct Marketing, Budgets, Event Planning
Education
Baruch College, City University of New York (CUNY) 1978 — 1982
Eli Whitney Technical High School
Patricia Fell Patricia Fell's WellCare Health Plans Experience November 2014 - Present
Job Quality Auditor at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans November 2014 - Present
Aetna January 2012 - November 2014
DermDX May 2006 - January 2012
Skills
Medicaid, ICD-9, CPT, Telephone Skills, Healthcare, Health Insurance, Medicare, HIPAA, Insurance, Training, Quality Assurance, Healthcare Operations
Education
Ashford University 2012 — 2016
Bachelor of Arts (BA), Sociology
WellCare Health Plans November 2014 - Present
Aetna January 2012 - November 2014
DermDX May 2006 - January 2012
Skills
Medicaid, ICD-9, CPT, Telephone Skills, Healthcare, Health Insurance, Medicare, HIPAA, Insurance, Training, Quality Assurance, Healthcare Operations
Education
Ashford University 2012 — 2016
Bachelor of Arts (BA), Sociology
Douglas Grindstaff Douglas Grindstaff's WellCare Health Plans Experience November 2011 - June 2012
Job Agile Transformation Lead and Über Scrum Master
Industry Information Technology and Services
Deborah Brodsky's WellCare Health Plans Experience May 2014 - November 2014
Job Program Associate at Center for Health Care Strategies, Inc.
Industry Public Policy
Experience
Center for Health Care Strategies, Inc. June 2015 - Present
Center for Health Care Strategies, Inc. October 2014 - May 2015
WellCare Health Plans May 2014 - November 2014
State of New Jersey, Medicaid Division May 2013 - August 2013
Commonwealth Care Alliance January 2013 - May 2013
Community Catalyst October 2012 - January 2013
AARP June 2012 - August 2012
United States Senate June 2011 - August 2011
United States Congress June 2011 - August 2011
Skills
Editing, French, Government, Microsoft Office, Nonprofits, Policy, PowerPoint, Public Speaking, Research, Training
Education
Columbia University Mailman School of Public Health 2013 — 2015
Health Policy and Management
Brandeis University 2009 — 2013
BA, Islamic and Middle Eastern Studies, Linguistics
Center for Health Care Strategies, Inc. June 2015 - Present
Center for Health Care Strategies, Inc. October 2014 - May 2015
WellCare Health Plans May 2014 - November 2014
State of New Jersey, Medicaid Division May 2013 - August 2013
Commonwealth Care Alliance January 2013 - May 2013
Community Catalyst October 2012 - January 2013
AARP June 2012 - August 2012
United States Senate June 2011 - August 2011
United States Congress June 2011 - August 2011
Skills
Editing, French, Government, Microsoft Office, Nonprofits, Policy, PowerPoint, Public Speaking, Research, Training
Education
Columbia University Mailman School of Public Health 2013 — 2015
Health Policy and Management
Brandeis University 2009 — 2013
BA, Islamic and Middle Eastern Studies, Linguistics
Dean Wochner Dean Wochner's WellCare Health Plans Experience November 2011 - Present
Job Corporate Medical Director at WellCare Health Plans
Industry Health, Wellness and Fitness
Experience
WellCare Health Plans November 2011 - Present
UnitedHealth Group April 2004 - December 2010
Roche Diagnostics July 2001 - January 2004
Anthem Blue Cross and Blue Shield January 1998 - January 2001
Skills
Case Management, Medicare, Medicaid, Disease Management, Managed Care, Health, Medical Management, Credentialing, Provider Relations
Education
Washington University School of Medicine in St. Louis 1956 — 1960
MD, internal medicine
Arizona State University 1952 — 1956
BS, Chemistry
WellCare Health Plans November 2011 - Present
UnitedHealth Group April 2004 - December 2010
Roche Diagnostics July 2001 - January 2004
Anthem Blue Cross and Blue Shield January 1998 - January 2001
Skills
Case Management, Medicare, Medicaid, Disease Management, Managed Care, Health, Medical Management, Credentialing, Provider Relations
Education
Washington University School of Medicine in St. Louis 1956 — 1960
MD, internal medicine
Arizona State University 1952 — 1956
BS, Chemistry
Robin Riggsbee Robin Riggsbee's WellCare Health Plans Experience May 2014 - Present
Job Supervisor, Field Service Coordination at WellCare Health Plans
Industry Health, Wellness and Fitness
Experience
WellCare Health Plans May 2014 - Present
WellCare August 2011 - May 2014
HCA - Brandon Regional Hospital August 2009 - August 2011
HCA - South Bay Hospital January 2008 - August 2009
Medical Staffing Network June 2006 - January 2008
BayCare Health System - South Florida Baptist Hospital September 2005 - June 2006
HCA - Brandon Regional Hospital July 2002 - September 2005
Florida Hospital 2001 - June 2002
Skills
Typing, Microsoft Word, Microsoft Excel, Internet, Healthcare, Hospitals, Nursing, ICU, EMR, Case Management, Treatment, Pediatrics
Education
University of South Florida 2002 — 2003
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Adventist University of Health Sciences 2000 — 2002
Associate of Science, Nursing
Seminole State College of Florida 2000 — 2000
EMT Certificate
University of North Florida 1998 — 2000
Associate, Arts
WellCare Health Plans May 2014 - Present
WellCare August 2011 - May 2014
HCA - Brandon Regional Hospital August 2009 - August 2011
HCA - South Bay Hospital January 2008 - August 2009
Medical Staffing Network June 2006 - January 2008
BayCare Health System - South Florida Baptist Hospital September 2005 - June 2006
HCA - Brandon Regional Hospital July 2002 - September 2005
Florida Hospital 2001 - June 2002
Skills
Typing, Microsoft Word, Microsoft Excel, Internet, Healthcare, Hospitals, Nursing, ICU, EMR, Case Management, Treatment, Pediatrics
Education
University of South Florida 2002 — 2003
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Adventist University of Health Sciences 2000 — 2002
Associate of Science, Nursing
Seminole State College of Florida 2000 — 2000
EMT Certificate
University of North Florida 1998 — 2000
Associate, Arts
Ms. Tiffany Harmon Ms. Tiffany Harmon's WellCare Health Plans Experience December 2014 - Present
Job Claims Analyst & Owner of Inspire Designs and Collection
Industry Hospital & Health Care
Experience
WellCare Health Plans December 2014 - Present
The West Clinic September 2012 - Present
Health First Family Care January 2012 - September 2012
U.T Medical Group April 2008 - January 2012
Delta Medical Center January 2006 - July 2007
Skills
Microsoft Word, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Analysis, Hospitals, Sales
Education
Ashford University 2013 — 2015
Bachelor of Science (B.S.), Human Services, General
Greenville High School 1995 — 1998
General Studies, High School/Secondary Diplomas and Certificates
WellCare Health Plans December 2014 - Present
The West Clinic September 2012 - Present
Health First Family Care January 2012 - September 2012
U.T Medical Group April 2008 - January 2012
Delta Medical Center January 2006 - July 2007
Skills
Microsoft Word, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Analysis, Hospitals, Sales
Education
Ashford University 2013 — 2015
Bachelor of Science (B.S.), Human Services, General
Greenville High School 1995 — 1998
General Studies, High School/Secondary Diplomas and Certificates
Pepper Claybrook Pepper Claybrook's WellCare Health Plans Experience May 2014 - Present
Job Marketing / Operations Leader
Industry Hospital & Health Care
Experience
WellCare Health Plans May 2014 - Present
Windsor Health Plan April 2013 - Present
Windsor Health Plan August 2012 - April 2013
Windsor Health Plan September 2008 - August 2012
Direct Connect Solutions November 2007 - September 2008
Vaco November 2007 - March 2008
e+ healthcare March 2004 - July 2007
Gap, Inc. - Supply Chain/Logistics Division March 2003 - April 2004
Skills
Managed Care, Healthcare, Process Improvement, Medicare, HIPAA, Business Analysis, Health Insurance, Strategic Planning, Project Management, Leadership, Team Building, Healthcare Information..., Operations Management, HMO, Sales Management, CRM, Marketing Strategy, New Business Development, Medicare Part D, Insurance, Health Policy, Training, Analysis, Provider Relations, Marketing, Management, Healthcare Industry, Call Centers, Cross-functional Team..., Vendor Management, Account Management, Contract Negotiation, Data Analysis, Healthcare Management, Customer Retention, Lead Generation, Disease Management, Business Process..., Direct Marketing, Team Leadership, Budgets, Change Management, Coaching, Hospitals, Strategy, Forecasting, Performance Management, Marketing Communications, Analytics, Sales
Education
Brescia University 1999 — 2001
B.S., Business Administration
Rhodes College 1993 — 1995
N/A
OHS
WellCare Health Plans May 2014 - Present
Windsor Health Plan April 2013 - Present
Windsor Health Plan August 2012 - April 2013
Windsor Health Plan September 2008 - August 2012
Direct Connect Solutions November 2007 - September 2008
Vaco November 2007 - March 2008
e+ healthcare March 2004 - July 2007
Gap, Inc. - Supply Chain/Logistics Division March 2003 - April 2004
Skills
Managed Care, Healthcare, Process Improvement, Medicare, HIPAA, Business Analysis, Health Insurance, Strategic Planning, Project Management, Leadership, Team Building, Healthcare Information..., Operations Management, HMO, Sales Management, CRM, Marketing Strategy, New Business Development, Medicare Part D, Insurance, Health Policy, Training, Analysis, Provider Relations, Marketing, Management, Healthcare Industry, Call Centers, Cross-functional Team..., Vendor Management, Account Management, Contract Negotiation, Data Analysis, Healthcare Management, Customer Retention, Lead Generation, Disease Management, Business Process..., Direct Marketing, Team Leadership, Budgets, Change Management, Coaching, Hospitals, Strategy, Forecasting, Performance Management, Marketing Communications, Analytics, Sales
Education
Brescia University 1999 — 2001
B.S., Business Administration
Rhodes College 1993 — 1995
N/A
OHS
Adam George Lumsden MBA Adam George Lumsden MBA's WellCare Health Plans Experience 2013 - 2014
Job Financial and Insurance Representative
Industry Financial Services
Experience
Adam Lumsden Financial Services November 2001 - Present
WellCare Health Plans 2013 - 2014
Allstate Insurance Company July 2012 - May 2013
Humana MarketPoint September 2007 - November 2010
Phoenix International 1999 - 2001
Skills
Health Insurance, Disability Insurance, Term Life Insurance, Insurance, Long-term Care, Strategic Planning, Employee Benefits, Microsoft Office, Retirement Planning, Life Insurance, Fixed Annuities, Whole Life, Retirement, Financial Services, Universal Life, IRAs, 401k, Financial Planners, Small Business, Medicare, Strategic Financial..., Estate Planning, Wealth, Mutual Funds, Wealth Management, Long Term Care Insurance, Asset Allocation, Mortgage Lending, Cold Calling, Roth IRA, Financial Analysis, Variable Annuities, Indexed Annuities, Critical Illness, Finance, Casualty, General Insurance, 401k Rollovers, Underwriting, Risk Management, Series 6, Leadership, Investments, Brokers, Financial Advisory, Financial Planning, Sales
Education
Barry University 1991 — 1993
MBA, General
University of Toronto
FICB (Fellow of The Institute of Canadian Bankers)
Adam Lumsden Financial Services November 2001 - Present
WellCare Health Plans 2013 - 2014
Allstate Insurance Company July 2012 - May 2013
Humana MarketPoint September 2007 - November 2010
Phoenix International 1999 - 2001
Skills
Health Insurance, Disability Insurance, Term Life Insurance, Insurance, Long-term Care, Strategic Planning, Employee Benefits, Microsoft Office, Retirement Planning, Life Insurance, Fixed Annuities, Whole Life, Retirement, Financial Services, Universal Life, IRAs, 401k, Financial Planners, Small Business, Medicare, Strategic Financial..., Estate Planning, Wealth, Mutual Funds, Wealth Management, Long Term Care Insurance, Asset Allocation, Mortgage Lending, Cold Calling, Roth IRA, Financial Analysis, Variable Annuities, Indexed Annuities, Critical Illness, Finance, Casualty, General Insurance, 401k Rollovers, Underwriting, Risk Management, Series 6, Leadership, Investments, Brokers, Financial Advisory, Financial Planning, Sales
Education
Barry University 1991 — 1993
MBA, General
University of Toronto
FICB (Fellow of The Institute of Canadian Bankers)
Duenna Dorsett's WellCare Health Plans Experience March 2014 - Present
Job Director of Provider Relations at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans March 2014 - Present
WellCare Health Plans May 2012 - March 2014
WellCare Health Plans November 2008 - May 2012
Humana 2005 - 2008
UnitedHealth Group 1998 - 2004
Skills
Healthcare Management, Health Insurance, Provider Relations, Medicaid, Managed Care, Health Policy, Network Development, Healthcare Industry, Utilization Management, Credentialing, Physician Relations, Physicians, Medicaid Managed Care, HEDIS, EMR, Provider Network..., Disease Management, Healthcare Consulting, HIPAA
Education
Kansas State University
Master of Science (MS), Gerontology
Albertus Magnus College
BA, Political Science, History, Sociology
Manning's High
WellCare Health Plans March 2014 - Present
WellCare Health Plans May 2012 - March 2014
WellCare Health Plans November 2008 - May 2012
Humana 2005 - 2008
UnitedHealth Group 1998 - 2004
Skills
Healthcare Management, Health Insurance, Provider Relations, Medicaid, Managed Care, Health Policy, Network Development, Healthcare Industry, Utilization Management, Credentialing, Physician Relations, Physicians, Medicaid Managed Care, HEDIS, EMR, Provider Network..., Disease Management, Healthcare Consulting, HIPAA
Education
Kansas State University
Master of Science (MS), Gerontology
Albertus Magnus College
BA, Political Science, History, Sociology
Manning's High
Chip Murray Chip Murray's WellCare Health Plans Experience September 2009 - Present
Job Sr. Director, Customer Service
Industry Insurance
Experience
WellCare Health Plans September 2009 - Present
WellCare February 2007 - September 2009
SITEL 1999 - 2007
A.T. Hudson 1998 - 1999
UPS 1989 - 1997
Skills
Health Insurance, Call Center, Insurance, BPO, Process Improvement, Business Process..., Customer Experience, Medicare, Vendor Management, Outsourcing, Forecasting, Analytics, Performance Improvement, Business Analysis, Financial Analysis, Strategic Financial..., Auditing, Business Analytics, Finance, Analysis, Contact Centers, Leadership, Management, Call Center Development, Call Centers, Operations Management, Customer Service, Workforce Management
Education
State University of New York College at Plattsburgh 1987 — 1989
B.S., Operations Research, Management Science
Alfred State College - SUNY College of Technology 1984 — 1985
WellCare Health Plans September 2009 - Present
WellCare February 2007 - September 2009
SITEL 1999 - 2007
A.T. Hudson 1998 - 1999
UPS 1989 - 1997
Skills
Health Insurance, Call Center, Insurance, BPO, Process Improvement, Business Process..., Customer Experience, Medicare, Vendor Management, Outsourcing, Forecasting, Analytics, Performance Improvement, Business Analysis, Financial Analysis, Strategic Financial..., Auditing, Business Analytics, Finance, Analysis, Contact Centers, Leadership, Management, Call Center Development, Call Centers, Operations Management, Customer Service, Workforce Management
Education
State University of New York College at Plattsburgh 1987 — 1989
B.S., Operations Research, Management Science
Alfred State College - SUNY College of Technology 1984 — 1985
Pavel Vassiliev Pavel Vassiliev's WellCare Health Plans Experience July 2006 - July 2010
Job Technical Lead at MedHOK Healthcare Solutions
Industry Insurance
Experience
MedHOK Healthcare Solutions July 2010 - Present
WellCare Health Plans July 2006 - July 2010
Tech USA December 2005 - August 2006
MICR Automation Inc. 2005 - 2006
Multimedia Laboratory 2002 - 2005
Yoshkar-Ola Bank 2003 - 2004
Skills
XML, SQL, Web Services, PL/SQL, JavaScript, Java, Smart GWT, GWT, MySQL, Hudson, Jenkins, Subversion, Maven, Eclipse, Spring, Microsoft SQL Server, Amazon Web Services..., Software Design, Object Oriented Design, Integration, Software Development, C#, Architectures, Visual Basic, HTML, Database Design, Shell Scripting, SDLC, SOA, Java Enterprise Edition, Hibernate, Architecture, Spring Framework
Education
Mari State Technical University (MarSTU) 2000 — 2005
Master of Computer Applications (MCA)
MedHOK Healthcare Solutions July 2010 - Present
WellCare Health Plans July 2006 - July 2010
Tech USA December 2005 - August 2006
MICR Automation Inc. 2005 - 2006
Multimedia Laboratory 2002 - 2005
Yoshkar-Ola Bank 2003 - 2004
Skills
XML, SQL, Web Services, PL/SQL, JavaScript, Java, Smart GWT, GWT, MySQL, Hudson, Jenkins, Subversion, Maven, Eclipse, Spring, Microsoft SQL Server, Amazon Web Services..., Software Design, Object Oriented Design, Integration, Software Development, C#, Architectures, Visual Basic, HTML, Database Design, Shell Scripting, SDLC, SOA, Java Enterprise Edition, Hibernate, Architecture, Spring Framework
Education
Mari State Technical University (MarSTU) 2000 — 2005
Master of Computer Applications (MCA)
Mark Fehring's WellCare Health Plans Experience May 2015 - Present
Job VP National Provider Contracting at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans May 2015 - Present
Dupage Medical Group March 2013 - February 2015
Humana May 2008 - February 2013
Indiana University Health October 2001 - April 2008
Franciscan St. Francis Health July 1997 - September 2001
Cigna February 1995 - June 1997
Skills
Healthcare Management, Healthcare, Budgeting, Commercial Insurance, Medicare, Medicaid, Strategy Development, Budgets, Strategy, HMO, Health Insurance, Employee Benefits, Hospitals, Insurance, Strategic Planning, Revenue Cycle, Process Improvement, Physicians, Managed Care, Leadership
Education
Purdue University - Krannert School of Management 2004 — 2006
Master of Business Administration (MBA)
Ball State University - College of Business 1986 — 1991
Bachelor's degree, Accounting
WellCare Health Plans May 2015 - Present
Dupage Medical Group March 2013 - February 2015
Humana May 2008 - February 2013
Indiana University Health October 2001 - April 2008
Franciscan St. Francis Health July 1997 - September 2001
Cigna February 1995 - June 1997
Skills
Healthcare Management, Healthcare, Budgeting, Commercial Insurance, Medicare, Medicaid, Strategy Development, Budgets, Strategy, HMO, Health Insurance, Employee Benefits, Hospitals, Insurance, Strategic Planning, Revenue Cycle, Process Improvement, Physicians, Managed Care, Leadership
Education
Purdue University - Krannert School of Management 2004 — 2006
Master of Business Administration (MBA)
Ball State University - College of Business 1986 — 1991
Bachelor's degree, Accounting
Diana Brazil Diana Brazil's WellCare Health Plans Experience January 2011 - June 2014
Job Certified Legal Nurse Consultant at Gracious Living At Porter Creek
Industry Hospital & Health Care
Experience
Gracious Living At Porter Creek June 2014 - Present
WellCare Health Plans January 2011 - June 2014
Aetna January 2010 - January 2011
SeaCreast Health Care July 2009 - January 2010
Northside Hospital and Heart Institute January 2007 - June 2009
Tampa General Hospital, Burn Center January 2007 - November 2007
Hillsborough County District Schools August 2003 - January 2007
Florida Metropolitan University August 2001 - August 2003
Skills
Registered Nurses, Certified Case Manager, Legal Nurse Consultant, HEDIS Quality Award, Certified Teacher, BLS/ACLS, Nursing, Medicare, Utilization Management, Medicaid, Healthcare, Healthcare Management, Hospitals, HIPAA, Medical/Surgical, Disease Management, Software Documentation, Home Care, Patient Advocacy, Medical-Surgical
Education
Hillsborough Community College 2003 — 2005
Associate's degree, Registered Nursing/Registered Nurse, Honors
University of South Florida 1991 — 1993
Master of Business Administration (M.B.A.), Marketing, Honors
Brigham Young University 1971 — 1978
Bachelor's Degree, Psychology, Honors
Brigham Young University 1971 — 1974
Bachelor of Applied Science (B.A.Sc.), Psychology, Honors
Lee High School 1968 — 1970
Lee High School
Gracious Living At Porter Creek June 2014 - Present
WellCare Health Plans January 2011 - June 2014
Aetna January 2010 - January 2011
SeaCreast Health Care July 2009 - January 2010
Northside Hospital and Heart Institute January 2007 - June 2009
Tampa General Hospital, Burn Center January 2007 - November 2007
Hillsborough County District Schools August 2003 - January 2007
Florida Metropolitan University August 2001 - August 2003
Skills
Registered Nurses, Certified Case Manager, Legal Nurse Consultant, HEDIS Quality Award, Certified Teacher, BLS/ACLS, Nursing, Medicare, Utilization Management, Medicaid, Healthcare, Healthcare Management, Hospitals, HIPAA, Medical/Surgical, Disease Management, Software Documentation, Home Care, Patient Advocacy, Medical-Surgical
Education
Hillsborough Community College 2003 — 2005
Associate's degree, Registered Nursing/Registered Nurse, Honors
University of South Florida 1991 — 1993
Master of Business Administration (M.B.A.), Marketing, Honors
Brigham Young University 1971 — 1978
Bachelor's Degree, Psychology, Honors
Brigham Young University 1971 — 1974
Bachelor of Applied Science (B.A.Sc.), Psychology, Honors
Lee High School 1968 — 1970
Lee High School
Richard Paone's WellCare Health Plans Experience July 2014 - Present
Job Program Manager, Enterprise PMO at WellCare Health Plans
Industry Computer Software
Experience
WellCare Health Plans July 2014 - Present
eMason / Clarifier February 2013 - April 2014
CIBER April 2011 - August 2012
Metastorm March 2004 - July 2010
Zitel 1997 - 2000
Keane, Inc. 1995 - 1997
Skills
Enterprise Software, SaaS, Business Analysis, Solution Selling, Business Intelligence, Requirements Analysis, Integration, Pre-sales, Business Process, Professional Services, Enterprise Architecture, Agile Methodologies, Salesforce.com, Solution Architecture, IT Strategy, Software Project..., CRM, SDLC, Management, Project Management, Resource Management, Mentoring, Change Management, Operating Budgets, Business Process..., Customer Service, Long-term Customer..., Business Process..., Vendor Management, Executive Management
Education
Boston University - School of Management
Bachelor of Science (BS), Accounting and Computer Science
WellCare Health Plans July 2014 - Present
eMason / Clarifier February 2013 - April 2014
CIBER April 2011 - August 2012
Metastorm March 2004 - July 2010
Zitel 1997 - 2000
Keane, Inc. 1995 - 1997
Skills
Enterprise Software, SaaS, Business Analysis, Solution Selling, Business Intelligence, Requirements Analysis, Integration, Pre-sales, Business Process, Professional Services, Enterprise Architecture, Agile Methodologies, Salesforce.com, Solution Architecture, IT Strategy, Software Project..., CRM, SDLC, Management, Project Management, Resource Management, Mentoring, Change Management, Operating Budgets, Business Process..., Customer Service, Long-term Customer..., Business Process..., Vendor Management, Executive Management
Education
Boston University - School of Management
Bachelor of Science (BS), Accounting and Computer Science
Sandra Rathy Sandra Rathy's WellCare Health Plans Experience November 2007 - August 2013
Job International Sales Admin
Industry Business Supplies and Equipment
Experience
Americo Manufacturing Company July 2014 - Present
Sienhua Group September 2013 - June 2014
WellCare Health Plans November 2007 - August 2013
NovaStar Mortgage December 2003 - August 2007
Anderson International Corporation January 1998 - December 2003
Skills
Health Insurance, Insurance, Medicare, Disability Insurance, Underwriting, Customer Service, Managed Care, Call Centers, HIPAA, Account Management, Sales, Process Improvement, Salesforce.com..., Marketing, Databases, Office Management, Administrative..., Outlook, Data Entry, Team Building, Training, Healthcare, Sales Management, Event Management, Management, Teamwork, Microsoft Excel, Business Development, Strategic Planning, Time Management, Auditing, Social Media, Access
Education
Bryant and Stratton College-Eastlake 1996 — 1997
Americo Manufacturing Company July 2014 - Present
Sienhua Group September 2013 - June 2014
WellCare Health Plans November 2007 - August 2013
NovaStar Mortgage December 2003 - August 2007
Anderson International Corporation January 1998 - December 2003
Skills
Health Insurance, Insurance, Medicare, Disability Insurance, Underwriting, Customer Service, Managed Care, Call Centers, HIPAA, Account Management, Sales, Process Improvement, Salesforce.com..., Marketing, Databases, Office Management, Administrative..., Outlook, Data Entry, Team Building, Training, Healthcare, Sales Management, Event Management, Management, Teamwork, Microsoft Excel, Business Development, Strategic Planning, Time Management, Auditing, Social Media, Access
Education
Bryant and Stratton College-Eastlake 1996 — 1997
Andre' L. Brown Andre' L. Brown's WellCare Health Plans Experience 2012 - Present
Job EXECUTIVE MANAGEMENT: OPERATIONS – PRACTICE ADMINISTRATION – MARKET DEVELOPMENT
Industry Hospital & Health Care
Experience
MERRILLBROWN, LLC 2013 - Present
WELLCARE HEALTH PLANS 2012 - Present
GREEN HARMONY GLOBAL, INC. 2011 - Present
PRESENCE HEALTH – HEALOGICS, INC. 2010 - 2012
AMEDISYS HOME HEALTH & HOSPICE SERVICES 2007 - 2010
PHYSICIANS MEDICAL GROUP, INC. 1994 - 2007
WORSHIP PUBLISHING, INC. 1999 - 2002
MIDWEST COMMUNITY DEVELOPMENT GROUP, INC. 1995 - 2000
CHAMPION MORTGAGE CORPORATION 1994 - 1997
PFIZER, INC. 1985 - 1994
Skills
Healthcare, Managed Care, Hospitals, Physician Relations, Healthcare Management, EMR, Management, Healthcare Consulting, Healthcare Information..., Healthcare Industry, Medicare, Start-ups, Marketing, Leadership, Marketing Strategy, Medicaid, Revenue Cycle, EHR, HIPAA, Process Improvement, Home Care, Utilization Management, Patient Safety, Team Building, Practice Management, Strategic Planning, Leadership Development, Sales Operations, Competitive Analysis, Contract Negotiation, Account Management, New Business Development, Medicine, Clinical Research, Patient Advocacy, Informatics, Epic Systems, Certified Management..., Operations Governance, Project & Program..., Negotiations, Recruiting, Risk Management, Cost & Budget Control, Process Optimization..., P&L, Physicians, Negotiation
Education
Benedictine University 2013 — 2016
Masters, International Public Health/International Health
Benedictine University 2013 — 2016
MBA, Business Administration, Management and Operations
DePaul University 1981 — 1985
Bachelor of Science, Biology/Biological Sciences, General
Albert G. Lane Technical High School 1976 — 1980
MERRILLBROWN, LLC 2013 - Present
WELLCARE HEALTH PLANS 2012 - Present
GREEN HARMONY GLOBAL, INC. 2011 - Present
PRESENCE HEALTH – HEALOGICS, INC. 2010 - 2012
AMEDISYS HOME HEALTH & HOSPICE SERVICES 2007 - 2010
PHYSICIANS MEDICAL GROUP, INC. 1994 - 2007
WORSHIP PUBLISHING, INC. 1999 - 2002
MIDWEST COMMUNITY DEVELOPMENT GROUP, INC. 1995 - 2000
CHAMPION MORTGAGE CORPORATION 1994 - 1997
PFIZER, INC. 1985 - 1994
Skills
Healthcare, Managed Care, Hospitals, Physician Relations, Healthcare Management, EMR, Management, Healthcare Consulting, Healthcare Information..., Healthcare Industry, Medicare, Start-ups, Marketing, Leadership, Marketing Strategy, Medicaid, Revenue Cycle, EHR, HIPAA, Process Improvement, Home Care, Utilization Management, Patient Safety, Team Building, Practice Management, Strategic Planning, Leadership Development, Sales Operations, Competitive Analysis, Contract Negotiation, Account Management, New Business Development, Medicine, Clinical Research, Patient Advocacy, Informatics, Epic Systems, Certified Management..., Operations Governance, Project & Program..., Negotiations, Recruiting, Risk Management, Cost & Budget Control, Process Optimization..., P&L, Physicians, Negotiation
Education
Benedictine University 2013 — 2016
Masters, International Public Health/International Health
Benedictine University 2013 — 2016
MBA, Business Administration, Management and Operations
DePaul University 1981 — 1985
Bachelor of Science, Biology/Biological Sciences, General
Albert G. Lane Technical High School 1976 — 1980
David Sand, MD, MBA's WellCare Health Plans Experience June 2014 - Present
Job Illinois State Medical Director, WellCare Insurance Company
Industry Hospital & Health Care
Experience
WellCare Health Plans June 2014 - Present
Hearing Healthcare Management May 2000 - July 2014
Fidelis Care New York January 2013 - May 2014
CarePoint Advantage June 2012 - December 2012
Health Management Systems, Inc. April 2009 - June 2012
Permedion January 2005 - March 2009
Skills
Healthcare, Utilization Management, Policy, Medicare, Healthcare IT, Medical Management, Patient Safety, Healthcare Management, Managed Care, Healthcare Consulting, Quality Management, Data Analysis, Strategic Planning, Board Certified, Clinical, Insurance, Medicaid, Surgery, Care Management, Public Health, Compliance, Clinical Research, Healthcare Information..., Disease Management, Credentialing, Management, HEDIS, Health Policy, Medicine
Education
Regis University 2001 — 2003
Master of Business Administration (MBA), Health/Health Care Administration/Management
Brown Medical School 1975 — 1982
MD
WellCare Health Plans June 2014 - Present
Hearing Healthcare Management May 2000 - July 2014
Fidelis Care New York January 2013 - May 2014
CarePoint Advantage June 2012 - December 2012
Health Management Systems, Inc. April 2009 - June 2012
Permedion January 2005 - March 2009
Skills
Healthcare, Utilization Management, Policy, Medicare, Healthcare IT, Medical Management, Patient Safety, Healthcare Management, Managed Care, Healthcare Consulting, Quality Management, Data Analysis, Strategic Planning, Board Certified, Clinical, Insurance, Medicaid, Surgery, Care Management, Public Health, Compliance, Clinical Research, Healthcare Information..., Disease Management, Credentialing, Management, HEDIS, Health Policy, Medicine
Education
Regis University 2001 — 2003
Master of Business Administration (MBA), Health/Health Care Administration/Management
Brown Medical School 1975 — 1982
MD
Peggy Bostelman's WellCare Health Plans Experience July 2015 - Present
Job
Industry Hospital & Health Care
Experience
WellCare Health Plans July 2015 - Present
Humana June 2013 - Present
Humana July 2011 - June 2013
Humana June 2009 - July 2011
ResCare October 2008 - March 2009
Sallie Mae January 2006 - May 2006
Sallie Mae March 2005 - January 2006
Sallie Mae May 2000 - March 2005
USA Group November 1997 - May 2000
Intermountain Administrators August 1995 - August 1997
Skills
CPC-A, HEDIS Consultant, Process Improvement, Business Analysis, Software Documentation, Disaster Recovery, Data Analysis, HEDIS, Claims Management, Claim Investigation, Claims Resolution, Claims Investigations, Training, Benefits Administration, Storage Management, Technical Support, Systems Programming, ITIL
Education
Anderson University 2003 — 2005
MBA
Indiana University-Purdue University at Indianapolis 1998 — 2003
B.S.
WellCare Health Plans July 2015 - Present
Humana June 2013 - Present
Humana July 2011 - June 2013
Humana June 2009 - July 2011
ResCare October 2008 - March 2009
Sallie Mae January 2006 - May 2006
Sallie Mae March 2005 - January 2006
Sallie Mae May 2000 - March 2005
USA Group November 1997 - May 2000
Intermountain Administrators August 1995 - August 1997
Skills
CPC-A, HEDIS Consultant, Process Improvement, Business Analysis, Software Documentation, Disaster Recovery, Data Analysis, HEDIS, Claims Management, Claim Investigation, Claims Resolution, Claims Investigations, Training, Benefits Administration, Storage Management, Technical Support, Systems Programming, ITIL
Education
Anderson University 2003 — 2005
MBA
Indiana University-Purdue University at Indianapolis 1998 — 2003
B.S.
Pamala Deitrich's WellCare Health Plans Experience January 2015 - Present
Job GC at WellCare Health Plans
Industry Accounting
Experience
WellCare Health Plans January 2015 - Present
BayCare Health System June 2014 - September 2014
CTS March 2013 - April 2014
TRC Staffing Services October 2012 - October 2012
Metlife - Corporate Headquarters September 2011 - February 2012
Sykes Enterprises August 2009 - November 2010
K-Force November 2007 - August 2009
United Rentals March 2007 - November 2007
Skills
Microsoft Office, Lawson, Oracle, PeopleSoft, Mark View, Excel, PowerPoint, Word, Access, JD Edwards, Financial Accounting, Bookkeeping, QuickBooks, QuickBooks Pro Advisor, Certified QuickBooks..., Invoicing, Payroll, Accounts Receivable, Microsoft Excel, Accounts Payable, General Ledger, Microsoft Word, Account Reconciliation
Education
Liberty Tax 2015 — 2015
Cert, Tax Law/Taxation
Intuit
Certification, Certified QuickBooks Pro Advisor, 95%
American Institute of Professional Bookkeepers 2011 — 2012
Certificate, Bookkeeping
National Bookkeeping Association
Accounting Technology/Technician and Bookkeeping
Ashworth College 2014 — 2016
Associate's Degree, Accounting
WellCare Health Plans January 2015 - Present
BayCare Health System June 2014 - September 2014
CTS March 2013 - April 2014
TRC Staffing Services October 2012 - October 2012
Metlife - Corporate Headquarters September 2011 - February 2012
Sykes Enterprises August 2009 - November 2010
K-Force November 2007 - August 2009
United Rentals March 2007 - November 2007
Skills
Microsoft Office, Lawson, Oracle, PeopleSoft, Mark View, Excel, PowerPoint, Word, Access, JD Edwards, Financial Accounting, Bookkeeping, QuickBooks, QuickBooks Pro Advisor, Certified QuickBooks..., Invoicing, Payroll, Accounts Receivable, Microsoft Excel, Accounts Payable, General Ledger, Microsoft Word, Account Reconciliation
Education
Liberty Tax 2015 — 2015
Cert, Tax Law/Taxation
Intuit
Certification, Certified QuickBooks Pro Advisor, 95%
American Institute of Professional Bookkeepers 2011 — 2012
Certificate, Bookkeeping
National Bookkeeping Association
Accounting Technology/Technician and Bookkeeping
Ashworth College 2014 — 2016
Associate's Degree, Accounting
Julia Colon Julia Colon's WellCare Health Plans Experience April 2005 - March 2006
Job Experience Case Manager, Patient Advocate,Customer Service, Payroll, Benefit's, Human Resource Specialist & Manager
Industry Hospital & Health Care
Experience
Humana November 2009 - December 2014
Humana Care August 2008 - November 2009
Ybor City Healthcare & Rehab September 2007 - June 2009
Green Ribbon Health LLC December 2007 - August 2008
Adecco/ Care Centrix December 2006 - April 2007
WellCare Health Plans April 2005 - March 2006
Tampa General Hospital November 2003 - November 2004
Jordon River Center (Boys Group Home) April 2003 - November 2003
Reliable Employment Services November 1992 - March 2003
Jobs For Progress March 1990 - March 1992
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Outlook
Education
Ashford University 2010 — 2012
Bachelor's degree, Health & Human Service (Minor in Health Care Administration), GPA 3.83
Keiser University-Tampa 2008 — 2010
Associate of Arts (A.A.), Business Administration, GPA 3.13
U.S. Career Institute 2004 — 2005
Certificate, Medical Claims & Billing Specialist
Humana November 2009 - December 2014
Humana Care August 2008 - November 2009
Ybor City Healthcare & Rehab September 2007 - June 2009
Green Ribbon Health LLC December 2007 - August 2008
Adecco/ Care Centrix December 2006 - April 2007
WellCare Health Plans April 2005 - March 2006
Tampa General Hospital November 2003 - November 2004
Jordon River Center (Boys Group Home) April 2003 - November 2003
Reliable Employment Services November 1992 - March 2003
Jobs For Progress March 1990 - March 1992
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Outlook
Education
Ashford University 2010 — 2012
Bachelor's degree, Health & Human Service (Minor in Health Care Administration), GPA 3.83
Keiser University-Tampa 2008 — 2010
Associate of Arts (A.A.), Business Administration, GPA 3.13
U.S. Career Institute 2004 — 2005
Certificate, Medical Claims & Billing Specialist
Gina Dalessandro Gina Dalessandro's WellCare Health Plans Experience April 2014 - August 2015
Job Faculty at Jersey College
Industry Higher Education
Experience
Jersey College August 2015 - Present
WellCare Health Plans April 2014 - August 2015
Treasure Coast Community Health, Inc. August 2011 - April 2014
St Lucie Medical Center August 2004 - June 2011
Deleware Valley Institute of Fertility and Genetics September 2001 - August 2004
MCP Hahnemann Division of Reproductive Endocrinology September 1999 - September 2001
Frankford Hospital Torresdale Division January 1991 - September 1999
Coram Healthcare January 1998 - July 1998
Skilled Nursing, Inc. Staffing and Search January 1997 - January 1998
Skills
Healthcare, Management, Nursing, Clinical Research, Hospitals, Leadership, HIPAA, Healthcare Information..., EHR, Nursing Education, BLS, Quality Improvement, Nonprofits, Acute Care, Healthcare Management, Case Managment, Critical Care, Inpatient, EMR, Managed Care, Process Improvement, Physicians, Medicare, Team Building, Case Management
Education
Jacksonville University 2014 — 2016
Master of Science Nursing, MSN - Leadership in Healthcare
Thomas Jefferson University
Bachelor's Degree, Nursing
Aria Health School of Nursing
Diploma, Nursing
Penn State University
Associate of Arts, Liberal Arts
Bristol Central High School
High School
Jersey College August 2015 - Present
WellCare Health Plans April 2014 - August 2015
Treasure Coast Community Health, Inc. August 2011 - April 2014
St Lucie Medical Center August 2004 - June 2011
Deleware Valley Institute of Fertility and Genetics September 2001 - August 2004
MCP Hahnemann Division of Reproductive Endocrinology September 1999 - September 2001
Frankford Hospital Torresdale Division January 1991 - September 1999
Coram Healthcare January 1998 - July 1998
Skilled Nursing, Inc. Staffing and Search January 1997 - January 1998
Skills
Healthcare, Management, Nursing, Clinical Research, Hospitals, Leadership, HIPAA, Healthcare Information..., EHR, Nursing Education, BLS, Quality Improvement, Nonprofits, Acute Care, Healthcare Management, Case Managment, Critical Care, Inpatient, EMR, Managed Care, Process Improvement, Physicians, Medicare, Team Building, Case Management
Education
Jacksonville University 2014 — 2016
Master of Science Nursing, MSN - Leadership in Healthcare
Thomas Jefferson University
Bachelor's Degree, Nursing
Aria Health School of Nursing
Diploma, Nursing
Penn State University
Associate of Arts, Liberal Arts
Bristol Central High School
High School
Joan Nickerson's WellCare Health Plans Experience February 2014 - Present
Job Medical Disease Manager at WellCare Health Plans
Industry
Experience
WellCare Health Plans February 2014 - Present
Education
St Margaret School of Nursing 1993 — 1994
Registered Nurse, Registered Nursing/Registered Nurse, 3.0 GPA
WellCare Health Plans February 2014 - Present
Education
St Margaret School of Nursing 1993 — 1994
Registered Nurse, Registered Nursing/Registered Nurse, 3.0 GPA
Jennifer Quesada Jennifer Quesada's WellCare Health Plans Experience October 2006 - April 2009
Job Stay at Home Mom/Writer
Industry Food & Beverages
Experience
Stay at Home Mom/Writer June 2015 - Present
Sweet Pie-fection October 2012 - February 2015
MedCare Pharmacy February 2010 - September 2011
WellCare Health Plans October 2006 - April 2009
George Weston Bakeries 2001 - 2004
ABN AMRO Bank N.V. 1997 - 2001
Skills
Entrepreneurship, Marketing Strategy, Start-ups, Social Media Marketing, Business Strategy, New Business Development, Marketing, Social Media, Online Marketing, Food, Online Advertising, Product Development, Management, Strategic Planning, Sales Management, Customer Service, Access
Education
Everest Institute-Hialeah 2009 — 2010
Registered, Pharmacy Technician/Assistant
First Baptist School of Hialeah 1985 — 1994
High School Diploma, Business Administration and Management, General
Stay at Home Mom/Writer June 2015 - Present
Sweet Pie-fection October 2012 - February 2015
MedCare Pharmacy February 2010 - September 2011
WellCare Health Plans October 2006 - April 2009
George Weston Bakeries 2001 - 2004
ABN AMRO Bank N.V. 1997 - 2001
Skills
Entrepreneurship, Marketing Strategy, Start-ups, Social Media Marketing, Business Strategy, New Business Development, Marketing, Social Media, Online Marketing, Food, Online Advertising, Product Development, Management, Strategic Planning, Sales Management, Customer Service, Access
Education
Everest Institute-Hialeah 2009 — 2010
Registered, Pharmacy Technician/Assistant
First Baptist School of Hialeah 1985 — 1994
High School Diploma, Business Administration and Management, General
Nerys Hernandez Nerys Hernandez's WellCare Health Plans Experience March 2014 - Present
Job Clinical Case Manager at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans March 2014 - Present
Total Home Health 2011 - 2013
BayCare Health System January 2003 - February 2005
Skills
Hospitals, Patient Safety, Nursing, Acute Care, Patient Education, BLS
Education
Western Governors University 2015 — 2017
BSN, Nursing Administration
Jersey College 2012 — 2013
Associate of Science (A.S.), Registered Nursing/Registered Nurse
D G Erwin Technical Center 1998 — 1999
Practical Nurse, Nursing Practice
WellCare Health Plans March 2014 - Present
Total Home Health 2011 - 2013
BayCare Health System January 2003 - February 2005
Skills
Hospitals, Patient Safety, Nursing, Acute Care, Patient Education, BLS
Education
Western Governors University 2015 — 2017
BSN, Nursing Administration
Jersey College 2012 — 2013
Associate of Science (A.S.), Registered Nursing/Registered Nurse
D G Erwin Technical Center 1998 — 1999
Practical Nurse, Nursing Practice
Marcella Ramirez Marcella Ramirez's WellCare Health Plans Experience April 2015 - Present
Job Director, Risk Provider ManagementFL
Industry Medical Practice
Experience
WellCare Health Plans April 2015 - Present
FPG Healthcare ACO July 2012 - April 2015
Family Physicians Group March 2004 - April 2015
John Peter Smith Hospital June 2003 - February 2004
Skills
Managed Care, Healthcare, Healthcare Management, Public Health, Spanish, Analytics, Medicare, Medicare Advantage, Preventive Medicine, Organizational..., Disease Management, Medicaid, Revenue Cycle, Team Building, Quality Assurance, Quality Management, Physicians, HIPAA, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Hospitals
Education
University of South Florida 2005 — 2007
Master of Public Health (MPH), Epidemiology
University of South Florida
Public Health Policy and Programs, Certificate
Universidad de Cartagena 2000 — 2001
Healthcare Management, Specialist
Universidad del Rosario 1989 — 1994
Physician and Surgeon, MD
WellCare Health Plans April 2015 - Present
FPG Healthcare ACO July 2012 - April 2015
Family Physicians Group March 2004 - April 2015
John Peter Smith Hospital June 2003 - February 2004
Skills
Managed Care, Healthcare, Healthcare Management, Public Health, Spanish, Analytics, Medicare, Medicare Advantage, Preventive Medicine, Organizational..., Disease Management, Medicaid, Revenue Cycle, Team Building, Quality Assurance, Quality Management, Physicians, HIPAA, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Hospitals
Education
University of South Florida 2005 — 2007
Master of Public Health (MPH), Epidemiology
University of South Florida
Public Health Policy and Programs, Certificate
Universidad de Cartagena 2000 — 2001
Healthcare Management, Specialist
Universidad del Rosario 1989 — 1994
Physician and Surgeon, MD
Donny Luna's WellCare Health Plans Experience February 2013 - Present
Job Health insurance at WellCare
Industry Insurance
Experience
WellCare Health Plans February 2013 - Present
Skills
Customer Service, Leadership, Healthcare, Insurance, Team Building, Outlook, Microsoft Excel, New Business Development
Education
Borough of Manhattan Community College
Associate's degree, Business Administration and Management, General
WellCare Health Plans February 2013 - Present
Skills
Customer Service, Leadership, Healthcare, Insurance, Team Building, Outlook, Microsoft Excel, New Business Development
Education
Borough of Manhattan Community College
Associate's degree, Business Administration and Management, General
Parul Rustagi, MBA, Scrum Master's WellCare Health Plans Experience April 2014 - August 2015
Job Senior Business Intelligence Consultant/ Scrum master Agile implementations at Syniverse
Industry Information Technology and Services
Experience
Syniverse September 2015 - Present
WellCare Health Plans April 2014 - August 2015
Syniverse 2015 - 2015
Helios (formerly Progressive Medical & PMSI) May 2012 - November 2013
WellCare Health Plans December 2011 - May 2012
CareFirst BlueCross BlueShield 2009 - 2011
Skills
Business Analysis, Management, SDLC, Requirements Analysis, Vendor Management, Process Improvement, Requirements Gathering, Visio, SQL, Program Management, Software Project..., Team Management, Technical Documentation, Scrum, Agile Methodologies
Education
Amity Business School
IBS Hyderabad
Master of Business Administration (M.B.A.)
The Institute of Chartered Accountants of India
Master's degree
Syniverse September 2015 - Present
WellCare Health Plans April 2014 - August 2015
Syniverse 2015 - 2015
Helios (formerly Progressive Medical & PMSI) May 2012 - November 2013
WellCare Health Plans December 2011 - May 2012
CareFirst BlueCross BlueShield 2009 - 2011
Skills
Business Analysis, Management, SDLC, Requirements Analysis, Vendor Management, Process Improvement, Requirements Gathering, Visio, SQL, Program Management, Software Project..., Team Management, Technical Documentation, Scrum, Agile Methodologies
Education
Amity Business School
IBS Hyderabad
Master of Business Administration (M.B.A.)
The Institute of Chartered Accountants of India
Master's degree
Carmelo Papa's WellCare Health Plans Experience July 2011 - January 2013
Job Operations at AvPORTS
Industry Airlines/Aviation
Experience
AvPORTS May 2014 - Present
Piedmont January 2013 - May 2014
Star Process Service April 1996 - June 2013
WellCare Health Plans July 2011 - January 2013
Fidelis Care June 2006 - January 2008
Skills
Management, Marketing, Security Operations, Property Damage, Airlines, Aircraft, Health Insurance, Accident Insurance, Sales, Customer Service, Managed Care, Microsoft Word
Education
Sage College 1999 — 2002
Computer/Information Technology Administration and Management
AvPORTS May 2014 - Present
Piedmont January 2013 - May 2014
Star Process Service April 1996 - June 2013
WellCare Health Plans July 2011 - January 2013
Fidelis Care June 2006 - January 2008
Skills
Management, Marketing, Security Operations, Property Damage, Airlines, Aircraft, Health Insurance, Accident Insurance, Sales, Customer Service, Managed Care, Microsoft Word
Education
Sage College 1999 — 2002
Computer/Information Technology Administration and Management
Valerie Kogan Valerie Kogan's WellCare Health Plans Experience 2009 - 2010
Job Director, Account Management at EPAM Systems
Industry Information Technology and Services
Experience
EPAM Systems September 2015 - Present
Rohde & Schwarz January 2013 - July 2015
SwissQual July 2011 - July 2015
A.RUSTEL May 2010 - July 2011
WellCare Health Plans 2009 - 2010
BST Global 2004 - 2006
Certive 2001 - 2002
LiveCapital, acquired by Dun & Bradstreet 1999 - 2001
Intuit 1998 - 1999
Skills
Project Management, Business Development, Telecommunications, Team Leadership, Leadership, Start-ups, Management, Pre-sales, Operations Management, Strategic Partnerships, Product Management, Cross-functional Team..., Wireless, Networking, Program Management, Software Development, Mobile Communications, Quality Assurance, Integration, Strategy, CRM, Customer Support, Quality Management, Customer Service, Entrepreneurship, High Performance Teams, Building High..., IT Management, IT Service Management, Software Project..., Account Management
Education
Edinburgh Business School 2014 — 2016
Master of Business Administration (M.B.A.)
EPAM Systems September 2015 - Present
Rohde & Schwarz January 2013 - July 2015
SwissQual July 2011 - July 2015
A.RUSTEL May 2010 - July 2011
WellCare Health Plans 2009 - 2010
BST Global 2004 - 2006
Certive 2001 - 2002
LiveCapital, acquired by Dun & Bradstreet 1999 - 2001
Intuit 1998 - 1999
Skills
Project Management, Business Development, Telecommunications, Team Leadership, Leadership, Start-ups, Management, Pre-sales, Operations Management, Strategic Partnerships, Product Management, Cross-functional Team..., Wireless, Networking, Program Management, Software Development, Mobile Communications, Quality Assurance, Integration, Strategy, CRM, Customer Support, Quality Management, Customer Service, Entrepreneurship, High Performance Teams, Building High..., IT Management, IT Service Management, Software Project..., Account Management
Education
Edinburgh Business School 2014 — 2016
Master of Business Administration (M.B.A.)
Brooks Davis Brooks Davis's WellCare Health Plans Experience November 2006 - August 2009
Job LSP at Allstate
Industry Information Technology and Services
Experience
Allstate April 2014 - Present
MAXIMUS October 2014 - February 2015
Staffing Now, Inc December 2013 - September 2014
Ivan’s Services May 2011 - September 2013
Independent Life & Health Insurance Professional August 2009 - May 2011
WellCare Health Plans November 2006 - August 2009
Verizon Wireless August 1997 - June 2005
Skills
Troubleshooting, Technical Support, Windows 7, Management, XP, Data Entry, Customer Service, Insurance, Employee Benefits, Marketing, Sales Operations, Training, Health Insurance, Selling, Call Centers, Microsoft Excel, Filing, Customer Retention, Team Leadership, Mentoring, Leadership, Administration
Education
Florida Metropolitan University 1999 — 2003
Bachelor of Business Administration (B.B.A.)
Florida Metropolitan University 1997 — 2001
Bachelor of Business Administration (B.B.A.), Business Administration
Golconda US Job Corps 1995 — 1996
Business Office Skills Training, Administrative Assistant
Mishawaka High School 1989 — 1993
High School
42
Successfully graduated from High School
Allstate April 2014 - Present
MAXIMUS October 2014 - February 2015
Staffing Now, Inc December 2013 - September 2014
Ivan’s Services May 2011 - September 2013
Independent Life & Health Insurance Professional August 2009 - May 2011
WellCare Health Plans November 2006 - August 2009
Verizon Wireless August 1997 - June 2005
Skills
Troubleshooting, Technical Support, Windows 7, Management, XP, Data Entry, Customer Service, Insurance, Employee Benefits, Marketing, Sales Operations, Training, Health Insurance, Selling, Call Centers, Microsoft Excel, Filing, Customer Retention, Team Leadership, Mentoring, Leadership, Administration
Education
Florida Metropolitan University 1999 — 2003
Bachelor of Business Administration (B.B.A.)
Florida Metropolitan University 1997 — 2001
Bachelor of Business Administration (B.B.A.), Business Administration
Golconda US Job Corps 1995 — 1996
Business Office Skills Training, Administrative Assistant
Mishawaka High School 1989 — 1993
High School
42
Successfully graduated from High School
Richard Ehrhardt, LMHC, NCC Richard Ehrhardt, LMHC, NCC's WellCare Health Plans Experience June 2014 - Present
Job Behavioral Health Care Manager at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans June 2014 - Present
Turning Point of Tampa August 2013 - June 2014
Camelot Community Care, Inc. August 2012 - August 2013
Northside Mental Health Center March 2010 - July 2013
Metropolitan Ministries January 2008 - December 2008
Skills
Behavioral Health, Mental Health, Healthcare, Management, Case Management, Psychotherapy, Crisis Intervention, Group Therapy, Social Services, Mental Health Counseling, Family Therapy, CBT, Motivational..., Insurance, Managed Care, Treatment, Leadership, Psychology, Medicaid, Adolescents, Customer Service
Education
Argosy University 2006 — 2010
Master of Arts (M.A.), Mental health counseling
University of South Florida 2003 — 2006
Bachelor of Arts (B.A.), Psychology
State University of New York College at Buffalo 2000 — 2003
WellCare Health Plans June 2014 - Present
Turning Point of Tampa August 2013 - June 2014
Camelot Community Care, Inc. August 2012 - August 2013
Northside Mental Health Center March 2010 - July 2013
Metropolitan Ministries January 2008 - December 2008
Skills
Behavioral Health, Mental Health, Healthcare, Management, Case Management, Psychotherapy, Crisis Intervention, Group Therapy, Social Services, Mental Health Counseling, Family Therapy, CBT, Motivational..., Insurance, Managed Care, Treatment, Leadership, Psychology, Medicaid, Adolescents, Customer Service
Education
Argosy University 2006 — 2010
Master of Arts (M.A.), Mental health counseling
University of South Florida 2003 — 2006
Bachelor of Arts (B.A.), Psychology
State University of New York College at Buffalo 2000 — 2003
Milna Thomas Milna Thomas's WellCare Health Plans Experience April 2015 - Present
Job SENIOR NETWORK MANAGER
Industry Hospital & Health Care
Experience
WellCare Health Plans April 2015 - Present
Skills
CONTRACT NEGOTATION AND..., WORKS INDEPENDENTLY AND..., IMPLENTATION OF NEW..., TARGETS ACHIEVED UNDER..., RELATIONSHIPS WITH..., Mental Health, Healthcare Management, Case Management, Behavioral Health, Social Services, Healthcare, HIPAA, Medicare, Hospitals
Education
Adelphi University
Master of Social Work (MSW), Social Work
City University of New York-Hunter College
Bachelor of Arts (B.A.), Psychology
New York University
Master of Public Health (MPH)
WellCare Health Plans April 2015 - Present
Skills
CONTRACT NEGOTATION AND..., WORKS INDEPENDENTLY AND..., IMPLENTATION OF NEW..., TARGETS ACHIEVED UNDER..., RELATIONSHIPS WITH..., Mental Health, Healthcare Management, Case Management, Behavioral Health, Social Services, Healthcare, HIPAA, Medicare, Hospitals
Education
Adelphi University
Master of Social Work (MSW), Social Work
City University of New York-Hunter College
Bachelor of Arts (B.A.), Psychology
New York University
Master of Public Health (MPH)
Kelly Fairfield Kelly Fairfield's WellCare Health Plans Experience May 2015 - Present
Job IT Professional
Industry Information Technology and Services
Experience
WellCare Health Plans May 2015 - Present
Skills
Quality Assurance, SDLC, Testing, Visio, Software Documentation, Test Planning, Business Analysis, Software Quality..., Quality Center, System Testing, SQL, Requirements Analysis, User Acceptance Testing, Process Improvement, Vendor Management, Software Development, Requirements Gathering, Project Management, SharePoint, Integration, Microsoft SQL Server, Product Management, Waterfall, PMP, Data Analysis, Software Project..., HP Quality Center, Product Development, Scripting, Mainframe, Management, Information Technology, People-oriented, People Skills, Supervisory Skills, Project Coordination, Hospitality, Leadership
Education
American InterContinental University 2005 — 2006
Bachelor of Business Administration (BBA)
University of Phoenix 2002 — 2003
Bachelor's Degree
ALBANY Center for Real Estate Education 1995 — 1995
Sales License
Mildred Elley Business School 1994 — 1995
Associate's Degree
The Stratford Business School 1984 — 1986
Associate's Degree
Rensselaer High 1976 — 1978
High School
WellCare Health Plans May 2015 - Present
Skills
Quality Assurance, SDLC, Testing, Visio, Software Documentation, Test Planning, Business Analysis, Software Quality..., Quality Center, System Testing, SQL, Requirements Analysis, User Acceptance Testing, Process Improvement, Vendor Management, Software Development, Requirements Gathering, Project Management, SharePoint, Integration, Microsoft SQL Server, Product Management, Waterfall, PMP, Data Analysis, Software Project..., HP Quality Center, Product Development, Scripting, Mainframe, Management, Information Technology, People-oriented, People Skills, Supervisory Skills, Project Coordination, Hospitality, Leadership
Education
American InterContinental University 2005 — 2006
Bachelor of Business Administration (BBA)
University of Phoenix 2002 — 2003
Bachelor's Degree
ALBANY Center for Real Estate Education 1995 — 1995
Sales License
Mildred Elley Business School 1994 — 1995
Associate's Degree
The Stratford Business School 1984 — 1986
Associate's Degree
Rensselaer High 1976 — 1978
High School
Cynthia Sicardo-Lopez Cynthia Sicardo-Lopez's WellCare Health Plans Experience December 2011 - June 2012
Job Customer Service Representative at VF Imagewear
Industry Insurance
Experience
VF Imagewear September 2014 - Present
Invest Financial July 2012 - September 2014
WellCare Health Plans December 2011 - June 2012
State Farm Insurance Companies May 2006 - December 2011
Education
Ashford University 2010 — 2012
Bachelor of Arts (B.A.), Operations Management and Supervision
Walter L. Sickles High School
VF Imagewear September 2014 - Present
Invest Financial July 2012 - September 2014
WellCare Health Plans December 2011 - June 2012
State Farm Insurance Companies May 2006 - December 2011
Education
Ashford University 2010 — 2012
Bachelor of Arts (B.A.), Operations Management and Supervision
Walter L. Sickles High School
Rajkumar Jayabalan's WellCare Health Plans Experience August 2015 - Present
Job Lead Software Engineer at WellCare Health Plans
Industry Information Technology and Services
Experience
WellCare Health Plans August 2015 - Present
WellCare December 2012 - August 2015
Wells Fargo via Diaspark Inc October 2011 - December 2012
Bank of America April 2008 - October 2011
USAA for Tata Consultancy Services Limited January 2006 - April 2008
Tata Consultancy Services January 2006 - February 2006
Skills
Web Services, Java Enterprise Edition, SOA, Core Java, SQL, EJB, JSP, Websphere, Spring, Struts, Design Patterns, J2EE, Weblogic, DB2, Hibernate, VSS, Requirements Analysis, Servlets, MyBatis, Apache CXF, Axis2, Ruby, .NET, Oracle, Oracle Spatial, Apache chemistry, Software Development
Education
Anna University 2001 — 2005
B.E, Computer Science, 72
WellCare Health Plans August 2015 - Present
WellCare December 2012 - August 2015
Wells Fargo via Diaspark Inc October 2011 - December 2012
Bank of America April 2008 - October 2011
USAA for Tata Consultancy Services Limited January 2006 - April 2008
Tata Consultancy Services January 2006 - February 2006
Skills
Web Services, Java Enterprise Edition, SOA, Core Java, SQL, EJB, JSP, Websphere, Spring, Struts, Design Patterns, J2EE, Weblogic, DB2, Hibernate, VSS, Requirements Analysis, Servlets, MyBatis, Apache CXF, Axis2, Ruby, .NET, Oracle, Oracle Spatial, Apache chemistry, Software Development
Education
Anna University 2001 — 2005
B.E, Computer Science, 72
David Van Meter's WellCare Health Plans Experience March 2014 - Present
Job Director, State Operations at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans March 2014 - Present
WellCare November 2012 - January 2014
Star Health Plan March 2012 - October 2012
Apeldoorn June 1997 - October 2012
International Medical Development August 1996 - June 1997
Florida Hospital Healthcare Sysyem January 1994 - August 1996
Western Medical Management 1996 - 1996
AT&T Microelectronica Espana 1993 - 1994
Florida Hospital July 1990 - December 1993
Skills
Management Consulting, Marketing Strategy, Strategic Leadership, Executive Development, Invention, Product Innovation, Golf, Healthcare, Writing, Creative Writing, Graphic Design, Strategic Planning, Instructional Design, Golf Instruction, Contract Negotiation, Legal Affairs, Mechanism Design, Usability Testing, HMO, Managed Care, Change Management, Physician Network..., Network Development, Hospitals, Provider Network..., Business Strategy, Business Development, Healthcare Management, Business Planning, Physicians, Medicaid, Medicaid Managed Care, Leadership, Management, Process Improvement, Training
Education
Rollins College - Crummer Graduate School of Business 1991 — 1994
MBA, International Business
Southern Adventist University 1986 — 1990
BA, Accounting, Business Management
Ball State University 1984 — 1985
Transfered, Business
WellCare Health Plans March 2014 - Present
WellCare November 2012 - January 2014
Star Health Plan March 2012 - October 2012
Apeldoorn June 1997 - October 2012
International Medical Development August 1996 - June 1997
Florida Hospital Healthcare Sysyem January 1994 - August 1996
Western Medical Management 1996 - 1996
AT&T Microelectronica Espana 1993 - 1994
Florida Hospital July 1990 - December 1993
Skills
Management Consulting, Marketing Strategy, Strategic Leadership, Executive Development, Invention, Product Innovation, Golf, Healthcare, Writing, Creative Writing, Graphic Design, Strategic Planning, Instructional Design, Golf Instruction, Contract Negotiation, Legal Affairs, Mechanism Design, Usability Testing, HMO, Managed Care, Change Management, Physician Network..., Network Development, Hospitals, Provider Network..., Business Strategy, Business Development, Healthcare Management, Business Planning, Physicians, Medicaid, Medicaid Managed Care, Leadership, Management, Process Improvement, Training
Education
Rollins College - Crummer Graduate School of Business 1991 — 1994
MBA, International Business
Southern Adventist University 1986 — 1990
BA, Accounting, Business Management
Ball State University 1984 — 1985
Transfered, Business
Angelique Lenox Angelique Lenox's WellCare Health Plans Experience August 2014 - July 2015
Job Senior Account Executive at WTTATV & News Channel 8
Industry Marketing and Advertising
Experience
WTTA-TV, Great 38 & WFLA-TV, News Channel 8 July 2015 - Present
WellCare Health Plans August 2014 - July 2015
Clear Channel Media &Entertainment September 2011 - April 2014
WTMP RADIO 2010 - 2011
Maximum Exposure Modeling and Talent Management 2008 - 2010
Compass Communications & Marketing 2008 - 2010
WESH-TV 2007 - 2008
WMOR-TV 32 2001 - 2007
Skills
Radio, Broadcast Television, Media Planning, Media Buying, Copywriting, Advertising, Social Media Marketing, Acting, Voice Over, Voice Acting, Public Relations, Media Coaching, Presentation Coaching, Facebook, Twitter, New Media, Advertising Sales, Publicity, Creative Direction, Entertainment, Digital Media, Marketing Communications, Sponsorship, Television, Media Relations, Broadcast, Radio Advertising, Social Networking, Video Production, Integrated Marketing, Radio Broadcasting, Content Strategy, Radio Host, Radio Producing, Marketing, Social Media, Marketing Strategy, Online Advertising, Event Management, Press Releases, Direct Marketing, Event Planning, Online Marketing, Digital Marketing, Strategic Planning, Public Speaking, Email Marketing, New Business Development, Customer Service, Leadership
Education
Argosy University 2014 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
San Diego State University-California State University 1995 — 1997
Bachelor of Arts (BA), Speech Communication and Rhetoric
Palomar College 1992 — 1994
Associate of Science (A.S.), Accounting and Business/Management
William Penn Senior HS
Diploma
WTTA-TV, Great 38 & WFLA-TV, News Channel 8 July 2015 - Present
WellCare Health Plans August 2014 - July 2015
Clear Channel Media &Entertainment September 2011 - April 2014
WTMP RADIO 2010 - 2011
Maximum Exposure Modeling and Talent Management 2008 - 2010
Compass Communications & Marketing 2008 - 2010
WESH-TV 2007 - 2008
WMOR-TV 32 2001 - 2007
Skills
Radio, Broadcast Television, Media Planning, Media Buying, Copywriting, Advertising, Social Media Marketing, Acting, Voice Over, Voice Acting, Public Relations, Media Coaching, Presentation Coaching, Facebook, Twitter, New Media, Advertising Sales, Publicity, Creative Direction, Entertainment, Digital Media, Marketing Communications, Sponsorship, Television, Media Relations, Broadcast, Radio Advertising, Social Networking, Video Production, Integrated Marketing, Radio Broadcasting, Content Strategy, Radio Host, Radio Producing, Marketing, Social Media, Marketing Strategy, Online Advertising, Event Management, Press Releases, Direct Marketing, Event Planning, Online Marketing, Digital Marketing, Strategic Planning, Public Speaking, Email Marketing, New Business Development, Customer Service, Leadership
Education
Argosy University 2014 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
San Diego State University-California State University 1995 — 1997
Bachelor of Arts (BA), Speech Communication and Rhetoric
Palomar College 1992 — 1994
Associate of Science (A.S.), Accounting and Business/Management
William Penn Senior HS
Diploma
Antionette Lewis Antionette Lewis's WellCare Health Plans Experience July 2010 - January 2014
Job Sales
Industry Human Resources
Experience
Independent Broker August 2014 - Present
Self-employed April 2009 - Present
WellCare Health Plans July 2010 - January 2014
Skills
Management, Customer Service, Microsoft Office, Leadership, Training, Strategic Planning, Recruiting, Project Management, Human Resources, Team Building, Microsoft Excel
Education
Alabama Agricultural and Mechanical University 1996 — 1997
Master of Science, Human Resources
Oakwood College 1989 — 1995
Bachelor of Science Degree, Business Managment
Independent Broker August 2014 - Present
Self-employed April 2009 - Present
WellCare Health Plans July 2010 - January 2014
Skills
Management, Customer Service, Microsoft Office, Leadership, Training, Strategic Planning, Recruiting, Project Management, Human Resources, Team Building, Microsoft Excel
Education
Alabama Agricultural and Mechanical University 1996 — 1997
Master of Science, Human Resources
Oakwood College 1989 — 1995
Bachelor of Science Degree, Business Managment
Shiji Kuruvilla Shiji Kuruvilla's WellCare Health Plans Experience September 2014 - Present
Job Lead Big Data Administrator at WellCare Health Plans
Industry Information Technology and Services
Experience
WellCare Health Plans September 2014 - Present
WellCare April 2011 - Present
Travelers August 2007 - April 2011
Cognizant Technology Solutions August 2007 - May 2010
IncuBIT, LLC July 2006 - July 2007
Tata Consultancy Services (at American Express) 2001 - 2006
Skills
Data Warehousing, Data Modeling, Big Data, Replication Technologies, Hadoop, Greenplum, Databases, Solution Architecture, SDLC, SQL, Microsoft SQL Server, Informatica, Requirements Analysis, Database Design, ETL, PL/SQL, SSIS, DB2, Business Analysis, Enterprise Architecture, Business Intelligence, Oracle, SOA, Software Project..., Vendor Management, Visio, Tableau
Education
Electronic Research and Development Center of India 2000 — 2001
Diploma in Information Technology, Information Technology
Rajiv Gandhi Institute Of Technology 1996 — 2000
Engineer's Degree, First Class
WellCare Health Plans September 2014 - Present
WellCare April 2011 - Present
Travelers August 2007 - April 2011
Cognizant Technology Solutions August 2007 - May 2010
IncuBIT, LLC July 2006 - July 2007
Tata Consultancy Services (at American Express) 2001 - 2006
Skills
Data Warehousing, Data Modeling, Big Data, Replication Technologies, Hadoop, Greenplum, Databases, Solution Architecture, SDLC, SQL, Microsoft SQL Server, Informatica, Requirements Analysis, Database Design, ETL, PL/SQL, SSIS, DB2, Business Analysis, Enterprise Architecture, Business Intelligence, Oracle, SOA, Software Project..., Vendor Management, Visio, Tableau
Education
Electronic Research and Development Center of India 2000 — 2001
Diploma in Information Technology, Information Technology
Rajiv Gandhi Institute Of Technology 1996 — 2000
Engineer's Degree, First Class
Bob Champagne's WellCare Health Plans Experience August 2015 - Present
Job Director, Pharmacy Benefit Relations at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans August 2015 - Present
WellCare Health Plans May 2013 - August 2015
PharMerica September 2009 - May 2013
CVS Health January 2009 - September 2009
Skills
Pharmacy Benefit..., Pharmaceutical Industry, Health Insurance, Healthcare Management, Healthcare Information..., Management, Operations Management, Claims Management, Department Budgeting, Business Process..., Process Improvement, Leadership, Managed Care, Medicaid, Medicare, Healthcare Industry, Cross-functional Team..., Strategic Planning, Team Building
Education
Boston University 1996 — 2000
Bachelor of Arts (B.A.), Political Science and Government
WellCare Health Plans August 2015 - Present
WellCare Health Plans May 2013 - August 2015
PharMerica September 2009 - May 2013
CVS Health January 2009 - September 2009
Skills
Pharmacy Benefit..., Pharmaceutical Industry, Health Insurance, Healthcare Management, Healthcare Information..., Management, Operations Management, Claims Management, Department Budgeting, Business Process..., Process Improvement, Leadership, Managed Care, Medicaid, Medicare, Healthcare Industry, Cross-functional Team..., Strategic Planning, Team Building
Education
Boston University 1996 — 2000
Bachelor of Arts (B.A.), Political Science and Government
Debbie Moorhead's WellCare Health Plans Experience September 2014 - Present
Job Director, Clincal Program Management at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2014 - Present
Aetna January 2013 - September 2014
March of Dimes 2010 - 2014
Humana December 2003 - October 2012
Skills
Team Leadership, Service Delivery, Product Development, Strategic Planning, Team Building, Health Promotion, Wellness, Quality Improvement, Health Policy, Management, Medicare, Healthcare Management, Disease Management, Case Managment, Managed Care, Strategy, Nursing, Business Analysis, Cross-functional Team..., Training, Change Management, Hospitals, Data Analysis, Leadership, HIPAA, Vendor Management, Marketing, Healthcare Consulting, Medicaid, Customer Satisfaction, Project Management, Case Management, Healthcare Industry, Employee Benefits, Business Process..., Leadership Development, Healthcare Information..., Program Management, Insurance, Public Speaking, Coaching, Customer Service
Education
Bellarmine University 1990 — 1994
Masters in Business Administration, Marketing concentration
University of Kentucky 1980 — 1982
Bachelor of Science, Nursing
WellCare Health Plans September 2014 - Present
Aetna January 2013 - September 2014
March of Dimes 2010 - 2014
Humana December 2003 - October 2012
Skills
Team Leadership, Service Delivery, Product Development, Strategic Planning, Team Building, Health Promotion, Wellness, Quality Improvement, Health Policy, Management, Medicare, Healthcare Management, Disease Management, Case Managment, Managed Care, Strategy, Nursing, Business Analysis, Cross-functional Team..., Training, Change Management, Hospitals, Data Analysis, Leadership, HIPAA, Vendor Management, Marketing, Healthcare Consulting, Medicaid, Customer Satisfaction, Project Management, Case Management, Healthcare Industry, Employee Benefits, Business Process..., Leadership Development, Healthcare Information..., Program Management, Insurance, Public Speaking, Coaching, Customer Service
Education
Bellarmine University 1990 — 1994
Masters in Business Administration, Marketing concentration
University of Kentucky 1980 — 1982
Bachelor of Science, Nursing
Paul Rogers, PMP, CSM's WellCare Health Plans Experience April 2015 - Present
Job Program Manager | Thought Leader | Catalyst for Change
Industry Financial Services
Experience
WellCare Health Plans April 2015 - Present
Skills
SDLC, Vendor Management, IT Strategy, Project Management, Product Management, Process Improvement, PMP, CRM, Integration, Business Analysis, Visio, Software Development, Management, Project Portfolio..., SharePoint, PMO, Project Planning, Strategy, Program Management, Agile Project Management, MS Project, Software Project..., Analysis, Portfolio Management, Databases, Analytics, Enterprise Architecture, Business Process..., Marketing, Scrum, Consulting, Financial Services, Pragmatic Marketing..., Financial Analysis, Equities, Project Server, Organization &..., Certified ScrumMaster, Leadership, Resource Management, Business Requirements, IT Management, Business Intelligence, Agile Methodologies, Microsoft Project
Education
Ball State University 2000 — 2002
Master of Science (M.S.)
Ball State University 2000 — 2002
Master of Science (M.S.)
Youngstown State University 1992 — 1997
Bachelor of Arts (B.A.)
WellCare Health Plans April 2015 - Present
Skills
SDLC, Vendor Management, IT Strategy, Project Management, Product Management, Process Improvement, PMP, CRM, Integration, Business Analysis, Visio, Software Development, Management, Project Portfolio..., SharePoint, PMO, Project Planning, Strategy, Program Management, Agile Project Management, MS Project, Software Project..., Analysis, Portfolio Management, Databases, Analytics, Enterprise Architecture, Business Process..., Marketing, Scrum, Consulting, Financial Services, Pragmatic Marketing..., Financial Analysis, Equities, Project Server, Organization &..., Certified ScrumMaster, Leadership, Resource Management, Business Requirements, IT Management, Business Intelligence, Agile Methodologies, Microsoft Project
Education
Ball State University 2000 — 2002
Master of Science (M.S.)
Ball State University 2000 — 2002
Master of Science (M.S.)
Youngstown State University 1992 — 1997
Bachelor of Arts (B.A.)
Ina Cotton Ina Cotton's WellCare Health Plans Experience February 2015 - Present
Job (ACE) Administrative Coordinator Extraordinaire
Industry Research
Experience
WellCare Health Plans February 2015 - Present
Kaiser Permanente May 2014 - February 2015
Southern California Edison April 2006 - May 2013
Thinque Systems November 2000 - July 2005
City of South El Monte March 1998 - November 1999
City of Alhambra June 1996 - March 1998
Skills
Coordinate across..., Manage and prioritize..., Develop and implement..., Demand Response, Energy, Data Analysis, Project Management, Renewable Energy, Analysis, Sustainability, Business Process..., Smart Metering, Process Improvement, Program Management, Access, MS Project, Visio, PMO, Training, Contract Management, Management, Policy, Project Planning, Budgets, Software Documentation, Requirements Gathering, Risk Management, Vendor Management, Business Process, Cross-functional Team..., Business Analysis, Project Delivery, Change Management, Team Leadership, SAP, Microsoft Project
Education
California State Polytechnic University-Pomona 1994 — 1995
Master's candidate, Urban Planning
University of the Philippines 1978 — 1982
B.S., Psychology
WellCare Health Plans February 2015 - Present
Kaiser Permanente May 2014 - February 2015
Southern California Edison April 2006 - May 2013
Thinque Systems November 2000 - July 2005
City of South El Monte March 1998 - November 1999
City of Alhambra June 1996 - March 1998
Skills
Coordinate across..., Manage and prioritize..., Develop and implement..., Demand Response, Energy, Data Analysis, Project Management, Renewable Energy, Analysis, Sustainability, Business Process..., Smart Metering, Process Improvement, Program Management, Access, MS Project, Visio, PMO, Training, Contract Management, Management, Policy, Project Planning, Budgets, Software Documentation, Requirements Gathering, Risk Management, Vendor Management, Business Process, Cross-functional Team..., Business Analysis, Project Delivery, Change Management, Team Leadership, SAP, Microsoft Project
Education
California State Polytechnic University-Pomona 1994 — 1995
Master's candidate, Urban Planning
University of the Philippines 1978 — 1982
B.S., Psychology
Amer Kunwar Amer Kunwar's WellCare Health Plans Experience May 2012 - Present
Job Business Systems Analyst Lead at WellCare Health Plans
Industry Information Technology and Services
Experience
WellCare Health Plans May 2012 - Present
WellCare Health Plans January 2012 - May 2012
Highmark Blue Shield January 2010 - December 2011
Humana March 2008 - December 2009
Skills
SDLC, Microsoft Office, Microsoft SQL Server, Software Project..., SQL, Database Queries, Oracle Database, PL/SQL, ETL Tools, Informatica, Healthcare Information..., Software Development, Business Analysis, Project Management, Business Intelligence, Requirements Analysis, Oracle, HTML, Integration, Databases, HEDIS, Microsoft Excel, Microsoft Word, Greenplum, Hadoop, Microsoft Project, SQL Server Management..., Quality Assurance, User Acceptance Testing, EDI, Master Data Management, Provider Performance, Pay for Performance, Care Gap, Clinical Data Management
Education
Bellevue University
Bachelor’s Degree, B.S. in Accounting Information Systems
WellCare Health Plans May 2012 - Present
WellCare Health Plans January 2012 - May 2012
Highmark Blue Shield January 2010 - December 2011
Humana March 2008 - December 2009
Skills
SDLC, Microsoft Office, Microsoft SQL Server, Software Project..., SQL, Database Queries, Oracle Database, PL/SQL, ETL Tools, Informatica, Healthcare Information..., Software Development, Business Analysis, Project Management, Business Intelligence, Requirements Analysis, Oracle, HTML, Integration, Databases, HEDIS, Microsoft Excel, Microsoft Word, Greenplum, Hadoop, Microsoft Project, SQL Server Management..., Quality Assurance, User Acceptance Testing, EDI, Master Data Management, Provider Performance, Pay for Performance, Care Gap, Clinical Data Management
Education
Bellevue University
Bachelor’s Degree, B.S. in Accounting Information Systems
Robert Williams, MBA/PMP's WellCare Health Plans Experience July 2003 - May 2005
Job President/CEO at First Row Ventures and goPMO
Industry Computer Software
Experience
goPMO October 2006 - Present
First Row Ventures, Inc. October 2006 - Present
MediaDyme July 2007 - September 2011
WellCare Healthplans May 2005 - October 2006
WellCare Health Plans July 2003 - May 2005
Sutter Health 1997 - 2003
Select Homes International 1999 - 2000
Lumedx 1995 - 1997
US Army 1989 - 1991
Skills
Cross-functional Team..., Start-ups, IT Strategy, Leadership, Business Process..., Strategic Planning, Integration, Project Portfolio..., Strategy, Enterprise Software, Product Development, E-commerce, Business Analysis, Project Management, Requirements Analysis, Project Planning, Business Development, Program Management, PMP, PMO, Healthcare Information..., Process Improvement, Analytics, Healthcare, Marketing, Business Planning, HIPAA, Budgets, Vendor Management, Executive Management, Business Intelligence, CRM
Education
University of California, Davis - Graduate School of Management 1998 — 2001
MBA
California State University-Bakersfield 1991 — 1995
Bachelor of Science (BS)
goPMO October 2006 - Present
First Row Ventures, Inc. October 2006 - Present
MediaDyme July 2007 - September 2011
WellCare Healthplans May 2005 - October 2006
WellCare Health Plans July 2003 - May 2005
Sutter Health 1997 - 2003
Select Homes International 1999 - 2000
Lumedx 1995 - 1997
US Army 1989 - 1991
Skills
Cross-functional Team..., Start-ups, IT Strategy, Leadership, Business Process..., Strategic Planning, Integration, Project Portfolio..., Strategy, Enterprise Software, Product Development, E-commerce, Business Analysis, Project Management, Requirements Analysis, Project Planning, Business Development, Program Management, PMP, PMO, Healthcare Information..., Process Improvement, Analytics, Healthcare, Marketing, Business Planning, HIPAA, Budgets, Vendor Management, Executive Management, Business Intelligence, CRM
Education
University of California, Davis - Graduate School of Management 1998 — 2001
MBA
California State University-Bakersfield 1991 — 1995
Bachelor of Science (BS)
Diana Dover's WellCare Health Plans Experience June 2014 - Present
Job Results Driven Healthcare Account Manager
Industry Insurance
Experience
WellCare Health Plans June 2014 - Present
Infinite Beacon Light Inc. November 2013 - Present
Healthfirst February 2014 - June 2014
Healthfirst June 2011 - February 2014
Dover Insurance & Financial Services, Inc. May 2011 - February 2014
New York City Police Department May 2009 - June 2011
Atlantis Health Plan September 2007 - April 2010
Affinity Health Plan July 2005 - April 2007
Skills
Client Service Oriented, Customer Retention, Insurance, Event Planning, Account Management, Problem Solving, Interdepartmental..., Work Well Independently, Team-oriented, Disability Insurance, Managed Care, Human Resources, Health Insurance, Training, Business Development, Management, Customer Service
Education
Grand Canyon University 2014 — 2015
Master of Business Administration (M.B.A.), Strategic Human Resource Management
Technical Institute of America 2013 — 2013
Project Management Certificate Course
Baruch College, City University of New York (CUNY) 2005 — 2010
BBA, Human Resource Management
WellCare Health Plans June 2014 - Present
Infinite Beacon Light Inc. November 2013 - Present
Healthfirst February 2014 - June 2014
Healthfirst June 2011 - February 2014
Dover Insurance & Financial Services, Inc. May 2011 - February 2014
New York City Police Department May 2009 - June 2011
Atlantis Health Plan September 2007 - April 2010
Affinity Health Plan July 2005 - April 2007
Skills
Client Service Oriented, Customer Retention, Insurance, Event Planning, Account Management, Problem Solving, Interdepartmental..., Work Well Independently, Team-oriented, Disability Insurance, Managed Care, Human Resources, Health Insurance, Training, Business Development, Management, Customer Service
Education
Grand Canyon University 2014 — 2015
Master of Business Administration (M.B.A.), Strategic Human Resource Management
Technical Institute of America 2013 — 2013
Project Management Certificate Course
Baruch College, City University of New York (CUNY) 2005 — 2010
BBA, Human Resource Management
Nancy Westbrook's WellCare Health Plans Experience May 2006 - July 2011
Job VP of Utilization Management
Industry Insurance
Experience
Carecentrix July 2012 - Present
CareCentrix, Ancillary benefits manager January 2012 - October 2012
WellCare Health Plans, Inc. July 2011 - September 2011
WellCare Health Plans May 2006 - July 2011
WellCare June 2008 - August 2009
Gentiva Health Services May 1999 - February 2006
Shands Homecare 1995 - 1999
Skills
Certified in Health..., Health Policy, Managed Care, Medicare, Health Care Compliance, Medicaid, Disease Management, Utilization Management, Healthcare, Home Care, Medical Compliance, Cross-functional Team..., HIPAA, Clinical Research, Health Insurance, Healthcare Management
Education
Emory University 1978 — 1979
Master of Medical Science, Clinical Nutrition with Education minor
Florida State University
Bachelor of Science, Clinical Nutrition/Dietetics
Massachusetts General Hospital Dietetic Internship
Dietetics and Clinical Nutrition Services
Carecentrix July 2012 - Present
CareCentrix, Ancillary benefits manager January 2012 - October 2012
WellCare Health Plans, Inc. July 2011 - September 2011
WellCare Health Plans May 2006 - July 2011
WellCare June 2008 - August 2009
Gentiva Health Services May 1999 - February 2006
Shands Homecare 1995 - 1999
Skills
Certified in Health..., Health Policy, Managed Care, Medicare, Health Care Compliance, Medicaid, Disease Management, Utilization Management, Healthcare, Home Care, Medical Compliance, Cross-functional Team..., HIPAA, Clinical Research, Health Insurance, Healthcare Management
Education
Emory University 1978 — 1979
Master of Medical Science, Clinical Nutrition with Education minor
Florida State University
Bachelor of Science, Clinical Nutrition/Dietetics
Massachusetts General Hospital Dietetic Internship
Dietetics and Clinical Nutrition Services
William Winn's WellCare Health Plans Experience September 2012 - Present
Job Director Medicare Corporate Compliance at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2012 - Present
Jackson Health System / JMH Health Plan November 2005 - August 2012
Southern Winds Hospital 1999 - 2005
Skills
Medicare, Medicaid, Managed Care, Healthcare Management, Healthcare IT, Healthcare Information..., EHR, Nursing, Hospitals, Provider Relations, HIPAA, Healthcare, Health Insurance, Health Policy, Revenue Cycle, Quality Improvement, Physician Relations, Credentialing, Disease Management
Education
St. Thomas University 1993 — 1995
Masters Business Management, Health/Health Care Administration/Management
Barry University 1988 — 1990
Bachelor's degree, Registered Nursing/Registered Nurse
WellCare Health Plans September 2012 - Present
Jackson Health System / JMH Health Plan November 2005 - August 2012
Southern Winds Hospital 1999 - 2005
Skills
Medicare, Medicaid, Managed Care, Healthcare Management, Healthcare IT, Healthcare Information..., EHR, Nursing, Hospitals, Provider Relations, HIPAA, Healthcare, Health Insurance, Health Policy, Revenue Cycle, Quality Improvement, Physician Relations, Credentialing, Disease Management
Education
St. Thomas University 1993 — 1995
Masters Business Management, Health/Health Care Administration/Management
Barry University 1988 — 1990
Bachelor's degree, Registered Nursing/Registered Nurse
Marion Corbet's WellCare Health Plans Experience 2004 - 2007
Job Owner Diversified Management Group LLC
Industry Hospital & Health Care
Experience
Diversified Management Group LLC October 2007 - Present
Exeter Health Center 2015 - 2015
Refuah Health Center 2005 - 2014
Refuah Health Center 2005 - 2014
WeCare of New York IPA 2007 - 2011
Touchstone Health 2008 - 2010
Emblem Health 2008 - 2009
Live Out Loud 2007 - 2009
Comprehensive Care Management, Corp. 2008 - 2008
WellCare Health Plans 2004 - 2007
Skills
Medicaid, Medicare, Managed Care, Healthcare, Health Policy, Network Development, Provider Relations, HIPAA, Insurance, Health Insurance, Healthcare Management, Process Improvement, Informatics, Team Building, Employee Relations, Physicians, Program Management, Claim, Hospitals, Healthcare Consulting, Management, Home Care, Healthcare Industry, Revenue Cycle, Employee Benefits, EHR, Healthcare Information..., Credentialing, Performance Improvement, Practice Management, Strategic Planning, Leadership, EMR, Physician Relations, Consulting, Quality Improvement
Education
Kaplan College-Columbus
Diversified Management Group LLC October 2007 - Present
Exeter Health Center 2015 - 2015
Refuah Health Center 2005 - 2014
Refuah Health Center 2005 - 2014
WeCare of New York IPA 2007 - 2011
Touchstone Health 2008 - 2010
Emblem Health 2008 - 2009
Live Out Loud 2007 - 2009
Comprehensive Care Management, Corp. 2008 - 2008
WellCare Health Plans 2004 - 2007
Skills
Medicaid, Medicare, Managed Care, Healthcare, Health Policy, Network Development, Provider Relations, HIPAA, Insurance, Health Insurance, Healthcare Management, Process Improvement, Informatics, Team Building, Employee Relations, Physicians, Program Management, Claim, Hospitals, Healthcare Consulting, Management, Home Care, Healthcare Industry, Revenue Cycle, Employee Benefits, EHR, Healthcare Information..., Credentialing, Performance Improvement, Practice Management, Strategic Planning, Leadership, EMR, Physician Relations, Consulting, Quality Improvement
Education
Kaplan College-Columbus
Jack Bevilacqua, CHC, CHPC's WellCare Health Plans Experience September 2014 - Present
Job at
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2014 - Present
WellCare December 2012 - Present
Cure on Wheels 2008 - Present
Self-employed April 2012 - June 2014
Traditions Management January 2011 - April 2012
Abrahamson & Uiterwyk July 2010 - January 2011
Wilkes & McHugh, P.A. March 1999 - April 2010
Skills
Healthcare, HIPAA, Medical Compliance, Auditing, Policy, Employment Law, Medicare, Project Management, Risk Assessment, Team Building, Employee Benefits, Health Insurance, Process Improvement, EMR, Healthcare Information..., Medicaid, Managed Care, Healthcare Management, Internal Investigations, Legal Compliance, Privacy Law
Education
University of South Florida - College of Business Administration 2006 — 2008
MSM, Management/Leadership & Organizational Effectiveness
Bridgewater State College 1993 — 1997
BA, English/Secondary Education
Boston College 1988 — 1990
Political Science
Apponequet High School
WellCare Health Plans September 2014 - Present
WellCare December 2012 - Present
Cure on Wheels 2008 - Present
Self-employed April 2012 - June 2014
Traditions Management January 2011 - April 2012
Abrahamson & Uiterwyk July 2010 - January 2011
Wilkes & McHugh, P.A. March 1999 - April 2010
Skills
Healthcare, HIPAA, Medical Compliance, Auditing, Policy, Employment Law, Medicare, Project Management, Risk Assessment, Team Building, Employee Benefits, Health Insurance, Process Improvement, EMR, Healthcare Information..., Medicaid, Managed Care, Healthcare Management, Internal Investigations, Legal Compliance, Privacy Law
Education
University of South Florida - College of Business Administration 2006 — 2008
MSM, Management/Leadership & Organizational Effectiveness
Bridgewater State College 1993 — 1997
BA, English/Secondary Education
Boston College 1988 — 1990
Political Science
Apponequet High School
Bret Skonicki's WellCare Health Plans Experience May 2014 - Present
Job Senior Executive Financial & Operational Leadership
Industry Financial Services
Experience
WellCare Health Plans May 2014 - Present
WellCare Health Plans 2014 - 2015
MarineMax May 2006 - May 2013
MarineMax 2005 - July 2006
New York Life Insurance Company 2004 - 2005
Eckerd Corporation 1999 - 2004
Skills
Certified Public..., Accounting, Analysis, Budgets, CPA, Competitive Analysis, Forecasting, Leadership, Logistics, Marketing, Financial Analysis, Marketing Strategy, Negotiation, New Business Development, Pricing, Process Improvement, Program Management, Retail, Sales, Social Networking, Strategic Financial..., Strategic Planning, Strategy, Finance, Contract Negotiation, Inventory Management, Employee Benefits, Employee Relations
Education
Benedictine University 1981 — 1984
Bachelor of Arts in Accounting
WellCare Health Plans May 2014 - Present
WellCare Health Plans 2014 - 2015
MarineMax May 2006 - May 2013
MarineMax 2005 - July 2006
New York Life Insurance Company 2004 - 2005
Eckerd Corporation 1999 - 2004
Skills
Certified Public..., Accounting, Analysis, Budgets, CPA, Competitive Analysis, Forecasting, Leadership, Logistics, Marketing, Financial Analysis, Marketing Strategy, Negotiation, New Business Development, Pricing, Process Improvement, Program Management, Retail, Sales, Social Networking, Strategic Financial..., Strategic Planning, Strategy, Finance, Contract Negotiation, Inventory Management, Employee Benefits, Employee Relations
Education
Benedictine University 1981 — 1984
Bachelor of Arts in Accounting
Sheryl Prather's WellCare Health Plans Experience June 2005 - February 2008
Job Health & Community Outreach Specialist
Industry Hospital & Health Care
Experience
Signature Resource Group, LLC November 2007 - Present
DirectBuy, Inc. December 2008 - December 2010
WellCare Health Plans June 2005 - February 2008
Citizen's For Environmental Justice, Inc./ The Harambee House, Inc, January 1993 - December 1997
Skills
Community Outreach, Community Health, Community Development, Public Speaking, Health Education, Public Health, Strategic Planning, Management, Leadership, Project Management, Healthcare, Team Building, Event Management, Event Planning, DOT Compliance, Compliance Management, Community Organizing, Travel Planning, Customer Service, Microsoft Excel, Product Marketing, Microsoft Word, Brand Awareness, Branding & Identity
Education
Armstrong State University 2005 — 2005
Health Science certificate, Health Services/Allied Health/Health Sciences, General
Savannah State University 1990 — 1993
Mass Communications
University of West Georgia 1988 — 1990
Mass Communications
St. Vincent's Academy
Signature Resource Group, LLC November 2007 - Present
DirectBuy, Inc. December 2008 - December 2010
WellCare Health Plans June 2005 - February 2008
Citizen's For Environmental Justice, Inc./ The Harambee House, Inc, January 1993 - December 1997
Skills
Community Outreach, Community Health, Community Development, Public Speaking, Health Education, Public Health, Strategic Planning, Management, Leadership, Project Management, Healthcare, Team Building, Event Management, Event Planning, DOT Compliance, Compliance Management, Community Organizing, Travel Planning, Customer Service, Microsoft Excel, Product Marketing, Microsoft Word, Brand Awareness, Branding & Identity
Education
Armstrong State University 2005 — 2005
Health Science certificate, Health Services/Allied Health/Health Sciences, General
Savannah State University 1990 — 1993
Mass Communications
University of West Georgia 1988 — 1990
Mass Communications
St. Vincent's Academy
Manny Jimenez's WellCare Health Plans Experience August 2014 - Present
Job Senior Manager of Network Management at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans August 2014 - Present
Humana January 2007 - August 2014
Empire Blue Cross Blue Shield August 2005 - January 2007
Queens College February 2005 - May 2006
Aetna November 2003 - July 2005
Practice Management Consulting April 2003 - November 2003
HIP March 2001 - March 2003
Aetna, INC. February 1997 - March 2001
Practice Management Services February 1996 - February 1997
Vytra Health Plans July 1995 - February 1996
Skills
Provider Relations, Healthcare Consulting, Managed Care, Marketing, Healthcare, Medicare, Healthcare Management, Medicaid, Business Development, Health Insurance, Hospitals, Medical Billing, Healthcare Industry, Insurance, Contract Negotiation, HIPAA, Network Development, Management, Claim, Health Policy, Home Care, Program Management, Policy, Physicians, Sales Operations, Credentialing, PPO, HMO, Practice Management, Utilization Management, Disease Management, Employee Benefits, Revenue Cycle, Quality Improvement, Physician Relations, Medicare Part D, EMR, Healthcare Information..., EHR, Pharmacy Benefit..., Informatics, Medical Coding, Long-term Care, Medicaid Managed Care, Provider Network..., NCQA, Performance Improvement, JCAHO, Data Analysis, Revenue Cycle Management
Education
Pace University - Lubin School of Business 1993 — 2000
MBA, Organizational Behavior
Baruch College, City University of New York (CUNY) 1987 — 1992
BBA, Human Resource Management
Florida International University 1984 — 1987
WellCare Health Plans August 2014 - Present
Humana January 2007 - August 2014
Empire Blue Cross Blue Shield August 2005 - January 2007
Queens College February 2005 - May 2006
Aetna November 2003 - July 2005
Practice Management Consulting April 2003 - November 2003
HIP March 2001 - March 2003
Aetna, INC. February 1997 - March 2001
Practice Management Services February 1996 - February 1997
Vytra Health Plans July 1995 - February 1996
Skills
Provider Relations, Healthcare Consulting, Managed Care, Marketing, Healthcare, Medicare, Healthcare Management, Medicaid, Business Development, Health Insurance, Hospitals, Medical Billing, Healthcare Industry, Insurance, Contract Negotiation, HIPAA, Network Development, Management, Claim, Health Policy, Home Care, Program Management, Policy, Physicians, Sales Operations, Credentialing, PPO, HMO, Practice Management, Utilization Management, Disease Management, Employee Benefits, Revenue Cycle, Quality Improvement, Physician Relations, Medicare Part D, EMR, Healthcare Information..., EHR, Pharmacy Benefit..., Informatics, Medical Coding, Long-term Care, Medicaid Managed Care, Provider Network..., NCQA, Performance Improvement, JCAHO, Data Analysis, Revenue Cycle Management
Education
Pace University - Lubin School of Business 1993 — 2000
MBA, Organizational Behavior
Baruch College, City University of New York (CUNY) 1987 — 1992
BBA, Human Resource Management
Florida International University 1984 — 1987
Desiree Duncan's WellCare Health Plans Experience 2003 - 2006
Job Experienced Senior Healthcare Business Analyst
Industry Information Services
Experience
Dell April 2008 - Present
Walgreens Health Initiatives September 2006 - March 2008
WellCare Health Plans 2003 - 2006
Getronics 2001 - 2003
Skills
Business Analysis, Process Improvement, Business Requirements, Call Centers, Requirements Analysis, Visio, Business Process..., SDLC, Software Documentation, Vendor Management, Health Insurance..., PMP, Program Management, Change Management, Data Warehousing, Integration, Business Intelligence, Analytics, Membership, Requirements Gathering, Management, HIPAA, MS Project, SQL, Project Management, SharePoint, Business Process, Disaster Recovery, Data Analysis, Cross-functional Team..., Compliance, Healthcare Information..., Software Project...
Education
Ball State University 1983 — 1987
BS, Educations, Minor Computer Science
Dell April 2008 - Present
Walgreens Health Initiatives September 2006 - March 2008
WellCare Health Plans 2003 - 2006
Getronics 2001 - 2003
Skills
Business Analysis, Process Improvement, Business Requirements, Call Centers, Requirements Analysis, Visio, Business Process..., SDLC, Software Documentation, Vendor Management, Health Insurance..., PMP, Program Management, Change Management, Data Warehousing, Integration, Business Intelligence, Analytics, Membership, Requirements Gathering, Management, HIPAA, MS Project, SQL, Project Management, SharePoint, Business Process, Disaster Recovery, Data Analysis, Cross-functional Team..., Compliance, Healthcare Information..., Software Project...
Education
Ball State University 1983 — 1987
BS, Educations, Minor Computer Science
Judy Hooper's WellCare Health Plans Experience April 2010 - Present
Job Manager, Accounts Payable at WellCare Health Plans
Industry Health, Wellness and Fitness
Experience
Wellcare Health Plans April 2010 - Present
WellCare Health Plans April 2005 - April 2010
Skills
Accounts Payable, Microsoft Excel, Accounting, Customer Service, Team Building, Microsoft Office, Budgets, Process Improvement, Account Reconciliation, Microsoft Word, Accounts Receivable, Outlook
Education
Arizona State University 1976 — 1980
Bachelor's degree, Biology, General
Wellcare Health Plans April 2010 - Present
WellCare Health Plans April 2005 - April 2010
Skills
Accounts Payable, Microsoft Excel, Accounting, Customer Service, Team Building, Microsoft Office, Budgets, Process Improvement, Account Reconciliation, Microsoft Word, Accounts Receivable, Outlook
Education
Arizona State University 1976 — 1980
Bachelor's degree, Biology, General
Prakasha Chandran Ponnuswamy's WellCare Health Plans Experience July 2015 - Present
Job Senior Software Engineer at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans July 2015 - Present
Tata Consultancy Services October 2012 - June 2015
Tata Consultancy Services May 2008 - October 2012
Tata Consultancy Services January 2006 - May 2008
Skills
Java Enterprise Edition, JSP, Web Services, JavaScript, Servlets, JDBC, Core Java, Hibernate, EJB, Spring MVC, JUnit, Requirements Gathering, Requirements Analysis, DB2, Agile Methodologies, AngularJS, Java, SQL
Education
Bharathiar University 2000 — 2005
M.Sc, Software Engineering
WellCare Health Plans July 2015 - Present
Tata Consultancy Services October 2012 - June 2015
Tata Consultancy Services May 2008 - October 2012
Tata Consultancy Services January 2006 - May 2008
Skills
Java Enterprise Edition, JSP, Web Services, JavaScript, Servlets, JDBC, Core Java, Hibernate, EJB, Spring MVC, JUnit, Requirements Gathering, Requirements Analysis, DB2, Agile Methodologies, AngularJS, Java, SQL
Education
Bharathiar University 2000 — 2005
M.Sc, Software Engineering
David Hall PMP, CHC's WellCare Health Plans Experience June 2005 - October 2009
Job Sr. Project Manager at Optum
Industry Hospital & Health Care
Experience
Optum Payment Integrity PMO September 2013 - Present
HMS FEDERAL DBA INTEGRIGUARD December 2010 - March 2013
WELLCARE HEALTH PLANS June 2005 - October 2009
ROCKY MOUNTAIN HEALTH PLANS May 2001 - May 2005
COMMUNITYCARE MANAGED HEALTH PLANS OF OKLAHOMA, INC. February 1995 - April 2001
Jane Phillips Medical Center January 1994 - December 1994
Skills
Project Management, Strategic Financial..., Operations Management, Risk Management, Managed Care, Medicaid, Medicare, Healthcare, HIPAA, Health Insurance, Process Improvement, Healthcare Management, Revenue Cycle, Insurance, Data Analysis, Policy, Healthcare Industry, Analysis, Access, Leadership, Program Management, Budgets, Financial Analysis, Software Documentation, Cross-functional Team..., Hospitals, Healthcare Information..., Project Planning, Auditing, Six Sigma, EHR, Management, Training, Business Analysis, PMO, Visio, Team Building, SDLC
Education
Trinity University 1992 — 1994
MS, Health Administration
Austin College 1989 — 1992
BA, Liberal Arts
Oxford College of Emory University
Optum Payment Integrity PMO September 2013 - Present
HMS FEDERAL DBA INTEGRIGUARD December 2010 - March 2013
WELLCARE HEALTH PLANS June 2005 - October 2009
ROCKY MOUNTAIN HEALTH PLANS May 2001 - May 2005
COMMUNITYCARE MANAGED HEALTH PLANS OF OKLAHOMA, INC. February 1995 - April 2001
Jane Phillips Medical Center January 1994 - December 1994
Skills
Project Management, Strategic Financial..., Operations Management, Risk Management, Managed Care, Medicaid, Medicare, Healthcare, HIPAA, Health Insurance, Process Improvement, Healthcare Management, Revenue Cycle, Insurance, Data Analysis, Policy, Healthcare Industry, Analysis, Access, Leadership, Program Management, Budgets, Financial Analysis, Software Documentation, Cross-functional Team..., Hospitals, Healthcare Information..., Project Planning, Auditing, Six Sigma, EHR, Management, Training, Business Analysis, PMO, Visio, Team Building, SDLC
Education
Trinity University 1992 — 1994
MS, Health Administration
Austin College 1989 — 1992
BA, Liberal Arts
Oxford College of Emory University
Cyndi Baily's WellCare Health Plans Experience August 2012 - November 2012
Job Senior Vice President and Chief Compliance Officer at WellCare Health Plans, Inc.
Industry Hospital & Health Care
Experience
Association of Corporate Counsel 2015 - 2015
Association of Corporate Counsel 2015 - 2015
WellCare Health Plans, Inc. October 2013 - May 2014
Alere Toxicology 2014 - 2014
WellCare Health Plans, Inc. November 2012 - October 2013
WellCare Health Plans August 2012 - November 2012
PNNL 2011 - 2012
King Abdullah University of Scientce and Technology 2009 - 2011
Baylor College of Medicine January 1998 - September 2009
Fulbright & Jaworski 1993 - 1998
Skills
Litigation, Compliance, Contract Negotiation, Research, Corporate Governance, Risk Management, Licensing, Commercial Litigation, Contract Management, Governance, Intellectual Property, Privacy, Healthcare, Non-profits, Joint Ventures, Privacy Law, Mergers & Acquisitions, Government, Due Diligence, Policy, Corporate Law, Nonprofits, Health Law, Medicare, Legal Research, Private Investigations, Negotiation, Legal Compliance, Medicaid, Medical Compliance
Education
University of Houston Law Center 1990 — 1993
Doctor of Law (J.D.), cum laude
Allegheny College 1981 — 1985
BS, Biology
Association of Corporate Counsel 2015 - 2015
Association of Corporate Counsel 2015 - 2015
WellCare Health Plans, Inc. October 2013 - May 2014
Alere Toxicology 2014 - 2014
WellCare Health Plans, Inc. November 2012 - October 2013
WellCare Health Plans August 2012 - November 2012
PNNL 2011 - 2012
King Abdullah University of Scientce and Technology 2009 - 2011
Baylor College of Medicine January 1998 - September 2009
Fulbright & Jaworski 1993 - 1998
Skills
Litigation, Compliance, Contract Negotiation, Research, Corporate Governance, Risk Management, Licensing, Commercial Litigation, Contract Management, Governance, Intellectual Property, Privacy, Healthcare, Non-profits, Joint Ventures, Privacy Law, Mergers & Acquisitions, Government, Due Diligence, Policy, Corporate Law, Nonprofits, Health Law, Medicare, Legal Research, Private Investigations, Negotiation, Legal Compliance, Medicaid, Medical Compliance
Education
University of Houston Law Center 1990 — 1993
Doctor of Law (J.D.), cum laude
Allegheny College 1981 — 1985
BS, Biology
Kenneth Burdick's WellCare Health Plans Experience June 2014 - Present
Job Chief Executive Officer at WellCare
Industry Insurance
Experience
WellCare Health Plans June 2014 - Present
WellCare Health Plans January 2014 - Present
Preferred Homecare November 2009 - February 2014
Blue Cross and Blue Shield of Minnesota 2012 - 2012
Coventry Health Care, Inc. 2010 - 2012
Connextions, Inc 2010 - August 2011
Greater Twin Cities and Greater Phoenix United Way 2002 - 2010
UnitedHealth Group 1993 - 2009
UnitedHealthcare 2006 - 2008
CIGNA 1980 - 1993
Skills
Managed Care, Healthcare, Medicare, Health Insurance, Strategic Planning, Insurance, Health Policy, Medicaid, Employee Benefits, Team Building, Public Speaking, Mergers, Executive Management, Change Management, Non-profits, Program Management, Leadership, Leadership Development, Community Outreach, Policy, Marketing, Mergers & Acquisitions, Healthcare Industry
Education
The University of Connecticut School of Law 1981 — 1985
JD, Law
Amherst College 1976 — 1980
BA, American Studies
Amherst College 1976 — 1980
Bachelor's degree
Amherst College 1976 — 1980
Bachelor's degree, American/United States Studies/Civilization
WellCare Health Plans June 2014 - Present
WellCare Health Plans January 2014 - Present
Preferred Homecare November 2009 - February 2014
Blue Cross and Blue Shield of Minnesota 2012 - 2012
Coventry Health Care, Inc. 2010 - 2012
Connextions, Inc 2010 - August 2011
Greater Twin Cities and Greater Phoenix United Way 2002 - 2010
UnitedHealth Group 1993 - 2009
UnitedHealthcare 2006 - 2008
CIGNA 1980 - 1993
Skills
Managed Care, Healthcare, Medicare, Health Insurance, Strategic Planning, Insurance, Health Policy, Medicaid, Employee Benefits, Team Building, Public Speaking, Mergers, Executive Management, Change Management, Non-profits, Program Management, Leadership, Leadership Development, Community Outreach, Policy, Marketing, Mergers & Acquisitions, Healthcare Industry
Education
The University of Connecticut School of Law 1981 — 1985
JD, Law
Amherst College 1976 — 1980
BA, American Studies
Amherst College 1976 — 1980
Bachelor's degree
Amherst College 1976 — 1980
Bachelor's degree, American/United States Studies/Civilization
Janet F's WellCare Health Plans Experience January 2004 - May 2009
Job Administrative & HR Specialist at Leapdoctor.com
Industry Executive Office
Experience
Leapdoctor.com October 2014 - Present
Freedom Health Group Inc June 2009 - October 2014
WellCare Health Plans January 2004 - May 2009
Capital One January 1998 - January 2004
PharMerica February 1997 - November 1998
Skills
Paraprofessional, Executive..., QuickBooks, Administrative..., Human Resources, Project Management, Veterinary Medicine, Animal Hospice, Hospice & Palliative..., Health Insurance, Utilization Review, Medical Terminology, Medicare, Open Enrollment, Internal Audit, Medicaid, Business Travel, Event Planning, Microsoft Office, Customer Service, Sales, Insurance, Managed Care, Access, Data Analysis, Process Improvement
Education
Bel-Rea Institute of Animal Technology
Bachelor of Science (B.S.) - Seeking, Pre-Veterinary Studies
Hillsborough Community College 1990 — 1994
Civil Engineering
Leto High School 1987 — 1989
High School, Graduated
Leto High School 1987 — 1988
Associate's Degree, Early Childhood Education and Teaching, Graduated & Certified w/ HRS
Leapdoctor.com October 2014 - Present
Freedom Health Group Inc June 2009 - October 2014
WellCare Health Plans January 2004 - May 2009
Capital One January 1998 - January 2004
PharMerica February 1997 - November 1998
Skills
Paraprofessional, Executive..., QuickBooks, Administrative..., Human Resources, Project Management, Veterinary Medicine, Animal Hospice, Hospice & Palliative..., Health Insurance, Utilization Review, Medical Terminology, Medicare, Open Enrollment, Internal Audit, Medicaid, Business Travel, Event Planning, Microsoft Office, Customer Service, Sales, Insurance, Managed Care, Access, Data Analysis, Process Improvement
Education
Bel-Rea Institute of Animal Technology
Bachelor of Science (B.S.) - Seeking, Pre-Veterinary Studies
Hillsborough Community College 1990 — 1994
Civil Engineering
Leto High School 1987 — 1989
High School, Graduated
Leto High School 1987 — 1988
Associate's Degree, Early Childhood Education and Teaching, Graduated & Certified w/ HRS
Marketa Wills, MD, MBA's WellCare Health Plans Experience August 2015 - Present
Job Compassionate Healthcare Leader
Industry Hospital & Health Care
Experience
WellCare Health Plans August 2015 - Present
UnitedHealthcare August 2012 - July 2015
The University of Texas Health Science Center at Houston October 2011 - July 2012
Memorial Hermann Healthcare System December 2009 - September 2010
McKinsey & Company June 2006 - August 2009
Massachusetts General Hospital July 2001 - June 2004
Skills
Healthcare, Clinical Research, Healthcare Management, Hospitals, Healthcare Information..., Medicine, Research, Public Health, Medical Education, EMR, Healthcare Consulting, Neuroscience, Informatics, Mental Health, Psychotherapy, Public Speaking, Internal Medicine, Epidemiology, Program Development, Health Policy, Community Outreach, EHR, Treatment, Managed Care
Education
Brown University
AB, Pre-medicine, Sociology
University of Pennsylvania School of Medicine
MD, Medicine
Wharton School, University of Pennsylvania
MBA, Finance & Healthcare Management
WellCare Health Plans August 2015 - Present
UnitedHealthcare August 2012 - July 2015
The University of Texas Health Science Center at Houston October 2011 - July 2012
Memorial Hermann Healthcare System December 2009 - September 2010
McKinsey & Company June 2006 - August 2009
Massachusetts General Hospital July 2001 - June 2004
Skills
Healthcare, Clinical Research, Healthcare Management, Hospitals, Healthcare Information..., Medicine, Research, Public Health, Medical Education, EMR, Healthcare Consulting, Neuroscience, Informatics, Mental Health, Psychotherapy, Public Speaking, Internal Medicine, Epidemiology, Program Development, Health Policy, Community Outreach, EHR, Treatment, Managed Care
Education
Brown University
AB, Pre-medicine, Sociology
University of Pennsylvania School of Medicine
MD, Medicine
Wharton School, University of Pennsylvania
MBA, Finance & Healthcare Management
Brenda J Ross's WellCare Health Plans Experience April 2012 - Present
Job Humana Market PointNW Indiana
Industry Insurance
Experience
Tennessee State University Alumni Association - Chicago Chapter October 2013 - Present
Wellcare Health Plans April 2012 - Present
Columbian Financial Group November 2010 - December 2011
WellCare 2007 - 2009
Skills
Customer Service, Sales, Public Speaking, Direct Sales, Strategic Planning, Event Planning, Selling, Negotiation, Coaching, Outlook, Insurance, Small Business, Marketing, Marketing Strategy, Healthcare, Recruiting, Contract Negotiation, Competitive Analysis, Lead Generation, Sales Management, Cross-functional Team..., Cold Calling, Training, Leadership, Team Building, Account Management, Management, Long-term Care, Customer Retention, Employee Benefits, Customer Satisfaction, Business Development, Budgets, Call Centers, Managed Care, CRM, Leadership Development, Networking, Medicare, Sales Operations, Salesforce.com, New Business Development, Team Leadership
Education
American InterContinental University 2011 — 2014
Master of Arts (M.A.), In progress
Tennessee State University 1980 — 1984
BS, Speech Communications & Theatre
Tennessee State University Alumni Association - Chicago Chapter October 2013 - Present
Wellcare Health Plans April 2012 - Present
Columbian Financial Group November 2010 - December 2011
WellCare 2007 - 2009
Skills
Customer Service, Sales, Public Speaking, Direct Sales, Strategic Planning, Event Planning, Selling, Negotiation, Coaching, Outlook, Insurance, Small Business, Marketing, Marketing Strategy, Healthcare, Recruiting, Contract Negotiation, Competitive Analysis, Lead Generation, Sales Management, Cross-functional Team..., Cold Calling, Training, Leadership, Team Building, Account Management, Management, Long-term Care, Customer Retention, Employee Benefits, Customer Satisfaction, Business Development, Budgets, Call Centers, Managed Care, CRM, Leadership Development, Networking, Medicare, Sales Operations, Salesforce.com, New Business Development, Team Leadership
Education
American InterContinental University 2011 — 2014
Master of Arts (M.A.), In progress
Tennessee State University 1980 — 1984
BS, Speech Communications & Theatre
Rosemarie Stern, R.N., CCM's WellCare Health Plans Experience October 2014 - Present
Job Quality Improvement Specialist at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans October 2014 - Present
UnitedHealth Group April 2013 - September 2014
United Health Group Community and State June 2011 - April 2013
Health Net April 2006 - September 2010
Horizon Blue Cross Blue Shield of New Jersey November 2000 - April 2006
Pediatric Specialties, Hackensack NJ June 1991 - April 2000
Skills
Medicare, Disease Management, Nursing, Medicaid, Long-term Care, Case Managment, Healthcare Management, Health Insurance, Clinical Research, Healthcare, Managed Care, Case Management, HIPAA, NCQA, Quality Improvement, Utilization Review, Utilization Management, Home Care
Education
Bergen Community College 1987 — 1990
AAS, Nursing
WellCare Health Plans October 2014 - Present
UnitedHealth Group April 2013 - September 2014
United Health Group Community and State June 2011 - April 2013
Health Net April 2006 - September 2010
Horizon Blue Cross Blue Shield of New Jersey November 2000 - April 2006
Pediatric Specialties, Hackensack NJ June 1991 - April 2000
Skills
Medicare, Disease Management, Nursing, Medicaid, Long-term Care, Case Managment, Healthcare Management, Health Insurance, Clinical Research, Healthcare, Managed Care, Case Management, HIPAA, NCQA, Quality Improvement, Utilization Review, Utilization Management, Home Care
Education
Bergen Community College 1987 — 1990
AAS, Nursing
Gaetan Policard's WellCare Health Plans Experience June 2014 - Present
Job Insurance & Investment Consultant / Owner Protech IT LLC
Industry Music
Experience
WellCare Health Plans June 2014 - Present
The Senior Advisor Corporation April 2014 - Present
Protech IT LLC July 2013 - Present
Juice Electronics April 2013 - Present
1&1 Theory July 2012 - Present
Slimline 2012 - April 2014
New Horizons Community Mental Health Center May 2011 - January 2014
VOLUME STUDIOS June 2008 - July 2011
Interval International November 2004 - July 2009
Skills
Music Production, Music, Online Marketing, Web Design, Recording, Customer Service, Microsoft Office, Marketing, Business Strategy, Sound Mixing, Computer Repair, Executive Management, Photoshop, Small Business, Artwork, New Business Development, Electronics Repair, Pharmaceutical Sales, Sales Presentations, Sales Management, Direct Sales, E-commerce SEO, Web Analytics, Website Development, Data Analysis, Database Administration, Market Research, Google Adwords, Life & Health Insurance..., Indexed Annuities, Fixed Annuities, Life Insurance, Medicare Advantage, Medicare Prescription..., Marketing Strategy, Networking
Education
Bryant University 2001 — 2004
Bachelor of Business Administration (B.B.A.), Computer and Information Systems Security/Information Assurance
WellCare Health Plans June 2014 - Present
The Senior Advisor Corporation April 2014 - Present
Protech IT LLC July 2013 - Present
Juice Electronics April 2013 - Present
1&1 Theory July 2012 - Present
Slimline 2012 - April 2014
New Horizons Community Mental Health Center May 2011 - January 2014
VOLUME STUDIOS June 2008 - July 2011
Interval International November 2004 - July 2009
Skills
Music Production, Music, Online Marketing, Web Design, Recording, Customer Service, Microsoft Office, Marketing, Business Strategy, Sound Mixing, Computer Repair, Executive Management, Photoshop, Small Business, Artwork, New Business Development, Electronics Repair, Pharmaceutical Sales, Sales Presentations, Sales Management, Direct Sales, E-commerce SEO, Web Analytics, Website Development, Data Analysis, Database Administration, Market Research, Google Adwords, Life & Health Insurance..., Indexed Annuities, Fixed Annuities, Life Insurance, Medicare Advantage, Medicare Prescription..., Marketing Strategy, Networking
Education
Bryant University 2001 — 2004
Bachelor of Business Administration (B.B.A.), Computer and Information Systems Security/Information Assurance
Pam Cullum, RN, CCM's WellCare Health Plans Experience July 2014 - Present
Job Clinical Hedis Practice Advisor at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans July 2014 - Present
WellCare Health Plans October 2007 - Present
Skills
Home Care, Healthcare Management, Medicare, Hospitals, Medicaid, Referrals, Team Building, Real Estate, Public Speaking, HIPAA, Customer Service, Selling, Strategic Planning, Sellers, Microsoft Office, Elder Care, Healthcare Consulting, Case Managment, Case Management, Patient Safety, Insurance, Utilization Management, Patient Advocacy, Physician Relations, Quality Improvement, Healthcare, Managed Care, Healthcare Information...
Education
Armstrong State University
Nursing
WellCare Health Plans July 2014 - Present
WellCare Health Plans October 2007 - Present
Skills
Home Care, Healthcare Management, Medicare, Hospitals, Medicaid, Referrals, Team Building, Real Estate, Public Speaking, HIPAA, Customer Service, Selling, Strategic Planning, Sellers, Microsoft Office, Elder Care, Healthcare Consulting, Case Managment, Case Management, Patient Safety, Insurance, Utilization Management, Patient Advocacy, Physician Relations, Quality Improvement, Healthcare, Managed Care, Healthcare Information...
Education
Armstrong State University
Nursing
Angela Washington's WellCare Health Plans Experience December 2012 - October 2013
Job PM Retired
Industry Information Technology and Services
Experience
WellCare Health Plans December 2012 - October 2013
Kelly IT Resources February 2012 - December 2012
CG CREATIVE GROUP January 2010 - February 2012
National Systems Consulting L.P. April 2009 - January 2010
PRESIDENTIAL CAMPAIGN January 2008 - April 2009
AETEA Information Technology October 2007 - December 2007
Bank of America February 1997 - June 2006
TECHNOLOGY SERVICES SOLUTIONS January 1995 - December 1996
IBM August 1983 - May 1993
Skills
Program Management, Team Building, Risk Mitigation, User Acceptance Testing, WBS, Process Improvement, Negotiation, Project Planning, E-commerce, PMO, SDLC, Clarity, Risk Management, Analysis, Strategy, Business Analysis, Project Management
Education
Santa Fe College 2012 — 2012
HIT Program - Implementation Manager, HIT PRO Certification, Healthcare Information Technology
Columbia University - Fu Foundation School of Engineering and Applied Science 1981 — 1983
BS, Industrial Engineering
Arcadia University 1978 — 1981
BA, Mathematics
WellCare Health Plans December 2012 - October 2013
Kelly IT Resources February 2012 - December 2012
CG CREATIVE GROUP January 2010 - February 2012
National Systems Consulting L.P. April 2009 - January 2010
PRESIDENTIAL CAMPAIGN January 2008 - April 2009
AETEA Information Technology October 2007 - December 2007
Bank of America February 1997 - June 2006
TECHNOLOGY SERVICES SOLUTIONS January 1995 - December 1996
IBM August 1983 - May 1993
Skills
Program Management, Team Building, Risk Mitigation, User Acceptance Testing, WBS, Process Improvement, Negotiation, Project Planning, E-commerce, PMO, SDLC, Clarity, Risk Management, Analysis, Strategy, Business Analysis, Project Management
Education
Santa Fe College 2012 — 2012
HIT Program - Implementation Manager, HIT PRO Certification, Healthcare Information Technology
Columbia University - Fu Foundation School of Engineering and Applied Science 1981 — 1983
BS, Industrial Engineering
Arcadia University 1978 — 1981
BA, Mathematics
Prettie Roy's WellCare Health Plans Experience July 2013 - February 2015
Job Senior QA at Health Integrated, Inc.
Industry Information Technology and Services
Experience
Health Integrated, Inc. May 2015 - Present
WellCare Health Plans July 2013 - February 2015
WellCare November 2011 - June 2012
IBM Global Services June 2010 - May 2011
Hewlett-Packard June 2006 - June 2010
Education
Anna University
Health Integrated, Inc. May 2015 - Present
WellCare Health Plans July 2013 - February 2015
WellCare November 2011 - June 2012
IBM Global Services June 2010 - May 2011
Hewlett-Packard June 2006 - June 2010
Education
Anna University
Laurence MacKenzie's WellCare Health Plans Experience May 2014 - Present
Job Operations Data Analyst at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans May 2014 - Present
Convergys (formerly Stream Global Services) November 2009 - May 2014
Pharmaceutical Strategies, Inc. August 2009 - October 2009
Walgreens Pharmacy April 2005 - March 2009
Lifco Hydraulics Ltd. November 1994 - July 2004
Skills
C#, Call Centers, Customer Satisfaction, Customer Service, BPO, Technical Support, Troubleshooting, Process Improvement, Data Analysis, Computer Hardware, Time Management, Access, Microsoft Excel, Software Documentation, Microsoft Office, Teamwork, Lotus Notes, Outlook, Reporting & Analysis, PHP, MySQL, Business Analysis, Project Management, Business Objects, Avaya, Operations Management, Data Warehousing, MySQLi, Professional Writing, Offshore Outsourcing, Microsoft SQL Server, SQL Server Management..., Outsourcing, Business Process..., Management, Vendor Management, Performance Management, Team Leadership, CRM, Team Building, Training, Customer Experience
Education
Brock University 1996 — 2000
BCB, Computing and Business
WellCare Health Plans May 2014 - Present
Convergys (formerly Stream Global Services) November 2009 - May 2014
Pharmaceutical Strategies, Inc. August 2009 - October 2009
Walgreens Pharmacy April 2005 - March 2009
Lifco Hydraulics Ltd. November 1994 - July 2004
Skills
C#, Call Centers, Customer Satisfaction, Customer Service, BPO, Technical Support, Troubleshooting, Process Improvement, Data Analysis, Computer Hardware, Time Management, Access, Microsoft Excel, Software Documentation, Microsoft Office, Teamwork, Lotus Notes, Outlook, Reporting & Analysis, PHP, MySQL, Business Analysis, Project Management, Business Objects, Avaya, Operations Management, Data Warehousing, MySQLi, Professional Writing, Offshore Outsourcing, Microsoft SQL Server, SQL Server Management..., Outsourcing, Business Process..., Management, Vendor Management, Performance Management, Team Leadership, CRM, Team Building, Training, Customer Experience
Education
Brock University 1996 — 2000
BCB, Computing and Business
NAVYA BELLAMKONDA's WellCare Health Plans Experience August 2015 - Present
Job Project Server / SharePoint Administrator and Developer
Industry Information Technology and Services
Experience
WellCare Health Plans August 2015 - Present
WellCare Health Plans February 2014 - August 2015
LCEC June 2011 - January 2014
University of South Florida February 2011 - June 2011
University of South Florida August 2010 - May 2011
Florida Covering Kids and Families August 2010 - February 2011
University of South Florida August 2009 - May 2010
Skills
ASP.NET, Blogging, C, C++, CMS, ColdFusion, Dreamweaver, HTML + CSS, JavaScript, Joomla, Microsoft Office, Oracle SQL, Photoshop, SharePoint, SQL Server 2005/2000, User Interface Design, Web Design, Web Development, Wordpress, Project Server, HTML, Oracle, PL/SQL, Access, SQL, WordPress, Visio, Web Services, CSS, Visual Studio, jQuery, Databases, AJAX, Database Design, Web Applications, MySQL, Microsoft SQL Server, Weblogic, SSRS, SDLC, HTML 5, Linux, PHP, Testing, IIS, VB.NET, T-SQL, Apache, Unix, C#
Education
University of South Florida - College of Business Administration 2009 — 2011
MS in, Management Information systems
Nagarjuna University 2004 — 2008
Bachelor of Technology, biotechnology
St.Theresas High School 1990 — 2002
High School Degree
WellCare Health Plans August 2015 - Present
WellCare Health Plans February 2014 - August 2015
LCEC June 2011 - January 2014
University of South Florida February 2011 - June 2011
University of South Florida August 2010 - May 2011
Florida Covering Kids and Families August 2010 - February 2011
University of South Florida August 2009 - May 2010
Skills
ASP.NET, Blogging, C, C++, CMS, ColdFusion, Dreamweaver, HTML + CSS, JavaScript, Joomla, Microsoft Office, Oracle SQL, Photoshop, SharePoint, SQL Server 2005/2000, User Interface Design, Web Design, Web Development, Wordpress, Project Server, HTML, Oracle, PL/SQL, Access, SQL, WordPress, Visio, Web Services, CSS, Visual Studio, jQuery, Databases, AJAX, Database Design, Web Applications, MySQL, Microsoft SQL Server, Weblogic, SSRS, SDLC, HTML 5, Linux, PHP, Testing, IIS, VB.NET, T-SQL, Apache, Unix, C#
Education
University of South Florida - College of Business Administration 2009 — 2011
MS in, Management Information systems
Nagarjuna University 2004 — 2008
Bachelor of Technology, biotechnology
St.Theresas High School 1990 — 2002
High School Degree
Mari Belfance's WellCare Health Plans Experience September 2008 - August 2010
Job Pharmaceuticals Professional
Industry Pharmaceuticals
Experience
Wellcare Upstate New York September 2008 - August 2010
Wellcare Health Plans September 2008 - August 2010
Education
Bryant & Stratton College 2008 — 2008
Coding Class
The Sage Colleges - Russell Sage College 1989 — 1991
BS, Political Science/Public Administration
Wellcare Upstate New York September 2008 - August 2010
Wellcare Health Plans September 2008 - August 2010
Education
Bryant & Stratton College 2008 — 2008
Coding Class
The Sage Colleges - Russell Sage College 1989 — 1991
BS, Political Science/Public Administration
Philip Stalas's WellCare Health Plans Experience November 2014 - Present
Job Senior Director State Pharmacy Performance at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans November 2014 - Present
WellCare June 2010 - November 2014
Eckerd 1993 - 2004
Eckerd 1989 - 1993
Skills
Pharmacy Automation, Pharmacy Benefit..., Pharmacy, Medicare Part D, Managed Care, Pharmacists, Medication Therapy..., Healthcare, Medicare, Compounding, Disease Management, Healthcare Management, HIPAA, Pharmaceutical Industry, Utilization Management, Inventory Control, Operations Management, Inventory Management, Process Improvement, Customer Service
Education
Butler University 1976 — 1981
BS, Pharmacy
WellCare Health Plans November 2014 - Present
WellCare June 2010 - November 2014
Eckerd 1993 - 2004
Eckerd 1989 - 1993
Skills
Pharmacy Automation, Pharmacy Benefit..., Pharmacy, Medicare Part D, Managed Care, Pharmacists, Medication Therapy..., Healthcare, Medicare, Compounding, Disease Management, Healthcare Management, HIPAA, Pharmaceutical Industry, Utilization Management, Inventory Control, Operations Management, Inventory Management, Process Improvement, Customer Service
Education
Butler University 1976 — 1981
BS, Pharmacy
Nicole Graves RN's WellCare Health Plans Experience June 2014 - December 2014
Job Professional Nurses Association Founder
Industry Hospital & Health Care
Experience
Founder Professional Nurses Association January 2015 - Present
RxCrossroads February 2013 - Present
Strokesters Stroke Support June 2012 - Present
WellCare Health Plans June 2014 - December 2014
Fort Hays January 2011 - December 2013
Brightstar March 2013 - August 2013
AllMedicalPersonnel December 2012 - January 2013
Palliative Care Liason April 2008 - February 2011
Florida Hospital Tampa October 2007 - October 2008
Benefis Healthcare August 2004 - December 2007
Skills
Nursing Education, Nursing, ICU, Palliative Care, Emergency Nursing, ACLS, Hospitals, Pediatrics, Healthcare, Home Care, Patient Safety, Patient Advocacy, Acute Care, Medical Records, Healthcare Management, Healthcare Information..., Emergency Room, Medicine, Critical Care, Clinical Research, BLS, Medicare, Long-term Care, Medical Terminology, Managed Care, HIPAA, Medicaid, Patient Education, Infection Control, Home Infusion, EMR, Physician Relations, Healthcare Industry, Healthcare Consulting, Nursing Care, EHR, Disease Management, Informatics, Health Education, Wound Care, Quality Improvement, Compassion, Orthopedic, Case Management, Team Building, Strategic Planning, Registered Nurses
Education
Fort Hays State University 2011 — 2015
Master of Science (MS), Nursing
Angelo State University 1993 — 1995
Nursing
Angelo State University 1993 — 1995
Associate's in Applied Sciences - Nursing
Southern Illinois University
Bachelor of Applied Science (B.A.Sc.), Biology/Biological Sciences, General
Angelo State University
Associate of Applied Science degree
Founder Professional Nurses Association January 2015 - Present
RxCrossroads February 2013 - Present
Strokesters Stroke Support June 2012 - Present
WellCare Health Plans June 2014 - December 2014
Fort Hays January 2011 - December 2013
Brightstar March 2013 - August 2013
AllMedicalPersonnel December 2012 - January 2013
Palliative Care Liason April 2008 - February 2011
Florida Hospital Tampa October 2007 - October 2008
Benefis Healthcare August 2004 - December 2007
Skills
Nursing Education, Nursing, ICU, Palliative Care, Emergency Nursing, ACLS, Hospitals, Pediatrics, Healthcare, Home Care, Patient Safety, Patient Advocacy, Acute Care, Medical Records, Healthcare Management, Healthcare Information..., Emergency Room, Medicine, Critical Care, Clinical Research, BLS, Medicare, Long-term Care, Medical Terminology, Managed Care, HIPAA, Medicaid, Patient Education, Infection Control, Home Infusion, EMR, Physician Relations, Healthcare Industry, Healthcare Consulting, Nursing Care, EHR, Disease Management, Informatics, Health Education, Wound Care, Quality Improvement, Compassion, Orthopedic, Case Management, Team Building, Strategic Planning, Registered Nurses
Education
Fort Hays State University 2011 — 2015
Master of Science (MS), Nursing
Angelo State University 1993 — 1995
Nursing
Angelo State University 1993 — 1995
Associate's in Applied Sciences - Nursing
Southern Illinois University
Bachelor of Applied Science (B.A.Sc.), Biology/Biological Sciences, General
Angelo State University
Associate of Applied Science degree
Maxibel Silverio's WellCare Health Plans Experience June 2014 - Present
Job Healthcare Provider
Industry Consumer Services
Experience
WellCare Health Plans June 2014 - Present
UnitedHeath Group 2012 - June 2014
Self Employed 1997 - 2012
Skills
Healthcare, Customer Service, Skin Care, Beauty Industry, Retail, Medicare, Cosmetics, Makeup Artistry, Spa, Small Business, Management
Education
Central Florida Institute 2008 — 2011
Associate of Science (A.S.), Cardiovascular Technology/Technologist
Broward College
WellCare Health Plans June 2014 - Present
UnitedHeath Group 2012 - June 2014
Self Employed 1997 - 2012
Skills
Healthcare, Customer Service, Skin Care, Beauty Industry, Retail, Medicare, Cosmetics, Makeup Artistry, Spa, Small Business, Management
Education
Central Florida Institute 2008 — 2011
Associate of Science (A.S.), Cardiovascular Technology/Technologist
Broward College
Holly Lozano's WellCare Health Plans Experience August 2014 - Present
Job Registered Nurse, Experienced Case Manager, Medical Chart Reviewer and HEDIS Abstractor
Industry Hospital & Health Care
Experience
WellCare Health Plans August 2014 - Present
Global TPA ( Freedom, Optimum, Americas First Choice (NC, SC), Easy Choice of NY & Harvard Pilgrim) May 2013 - June 2014
Global TPA February 2013 - May 2013
Self Employed- Nursing March 2010 - September 2012
Skills
PowerPoint, Customer Service, Microsoft Word, Microsoft Office, Research, Microsoft Excel, Nursing, Patient Education, Patient Advocacy, HEDIS, Disease Management, Case Managment, Process Improvement, Quality Auditing, Process Optimization, Patient Safety, Direct Patient Care, Quality Patient Care, Patient Outcomes, Abstraction, Patient Support, Event Planning, Public Speaking, Case Management, HIPAA, Health Insurance, Medicaid, Healthcare Management, Medicare
Education
St. Petersburg College 2014 — 2015
Bachelor's Degree, Bachelor of Science in Nursing
St. Petersburg College 2011 — 2012
Associate's Degree, Nursing Science, Principal's Honor Roll
D G Erwin Technical Center 2010 — 2011
Licensed Practical Nurse Certification, Nursing/ LPN, Honors
Bunker Hill Community College 1999 — 2001
Associate's Degree, Associate of Arts, Honor Roll
WellCare Health Plans August 2014 - Present
Global TPA ( Freedom, Optimum, Americas First Choice (NC, SC), Easy Choice of NY & Harvard Pilgrim) May 2013 - June 2014
Global TPA February 2013 - May 2013
Self Employed- Nursing March 2010 - September 2012
Skills
PowerPoint, Customer Service, Microsoft Word, Microsoft Office, Research, Microsoft Excel, Nursing, Patient Education, Patient Advocacy, HEDIS, Disease Management, Case Managment, Process Improvement, Quality Auditing, Process Optimization, Patient Safety, Direct Patient Care, Quality Patient Care, Patient Outcomes, Abstraction, Patient Support, Event Planning, Public Speaking, Case Management, HIPAA, Health Insurance, Medicaid, Healthcare Management, Medicare
Education
St. Petersburg College 2014 — 2015
Bachelor's Degree, Bachelor of Science in Nursing
St. Petersburg College 2011 — 2012
Associate's Degree, Nursing Science, Principal's Honor Roll
D G Erwin Technical Center 2010 — 2011
Licensed Practical Nurse Certification, Nursing/ LPN, Honors
Bunker Hill Community College 1999 — 2001
Associate's Degree, Associate of Arts, Honor Roll
Bishal Sinha's WellCare Health Plans Experience January 2012 - Present
Job Oracle devloper
Industry Information Technology and Services
Experience
Wellcare Health plans January 2012 - Present
WellCare Health Plans 2011 - 2014
Wellcare health plan 2011 - 2013
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, C, Operating Systems, Programming, Windows, Technical Writing, English, UML, Databases, SQL, SDLC, Requirements Analysis, Business Process, Visio
Education
Arizona State University
Master's degree
Wellcare Health plans January 2012 - Present
WellCare Health Plans 2011 - 2014
Wellcare health plan 2011 - 2013
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Research, C, Operating Systems, Programming, Windows, Technical Writing, English, UML, Databases, SQL, SDLC, Requirements Analysis, Business Process, Visio
Education
Arizona State University
Master's degree
Frederick Chism's WellCare Health Plans Experience January 2010 - July 2015
Job Director of Network Management
Industry Insurance
Experience
WellCare Health Plans January 2010 - July 2015
WellCare Health Plans August 2008 - January 2010
WellCare Health Plans January 2008 - August 2008
Unison Health Plan of Tennessee, Inc. June 2006 - January 2008
Accredo Health Group September 2003 - June 2006
Skills
Leadership, Customer Service, Health Insurance, Medicare, Provider Relations, Process Improvement, HMO, Access, Healthcare, Healthcare Management, Managed Care, Medicare Part D, NCQA, PPO, Payer Relations, Medicaid, Medicare/Medicaid..., Health Policy, HIPAA, Insurance, Training, Healthcare Industry, Network Development, Strategic Planning, Management
Education
Arkansas State University 1998 — 2003
Bachelor of Science (B.S.), Psychology
WellCare Health Plans January 2010 - July 2015
WellCare Health Plans August 2008 - January 2010
WellCare Health Plans January 2008 - August 2008
Unison Health Plan of Tennessee, Inc. June 2006 - January 2008
Accredo Health Group September 2003 - June 2006
Skills
Leadership, Customer Service, Health Insurance, Medicare, Provider Relations, Process Improvement, HMO, Access, Healthcare, Healthcare Management, Managed Care, Medicare Part D, NCQA, PPO, Payer Relations, Medicaid, Medicare/Medicaid..., Health Policy, HIPAA, Insurance, Training, Healthcare Industry, Network Development, Strategic Planning, Management
Education
Arkansas State University 1998 — 2003
Bachelor of Science (B.S.), Psychology
Kelly Winters's WellCare Health Plans Experience April 2012 - Present
Job Sr. Manager, Correspondence at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans April 2012 - Present
WellCare Health Plans November 2011 - March 2012
Skills
Healthcare Management, Medicare, Managed Care, Healthcare, Medicaid, HIPAA, Provider Relations, Claim, Healthcare Information..., Medical Billing, Health Insurance, PPO, Healthcare Industry
Education
Armstrong Atlantic State University
Master's Health Science, Health/Health Care Administration/Management
WellCare Health Plans April 2012 - Present
WellCare Health Plans November 2011 - March 2012
Skills
Healthcare Management, Medicare, Managed Care, Healthcare, Medicaid, HIPAA, Provider Relations, Claim, Healthcare Information..., Medical Billing, Health Insurance, PPO, Healthcare Industry
Education
Armstrong Atlantic State University
Master's Health Science, Health/Health Care Administration/Management
Junelle Adams's WellCare Health Plans Experience 2006 - 2012
Job claims Analyst Workers Compensation Travelers Insurance
Industry Insurance
Experience
Travelers February 2014 - January 2015
Freedom Health December 2012 - November 2013
WellCare Health Plans 2006 - 2012
WellCare Health Plans July 2008 - January 2010
WellCare Health Plans June 2006 - July 2008
Skills
Analysis, Auditing, Claim, Data Entry, Databases, Employee Benefits, Insurance, Management, Medicaid, Medical Billing, Medicare, Team Building, Process Improvement, Workers Compensation, Microsoft Excel, Microsoft Word, Medical Terminology, Medical Coding, Provider Relations, CPT, CMS, ICD-9, ICD-9-CM, Insurance Claims, Health Insurance, Invoicing
Education
Brewster Technical Center
Gaither High School
Concorde Career Institute
Travelers February 2014 - January 2015
Freedom Health December 2012 - November 2013
WellCare Health Plans 2006 - 2012
WellCare Health Plans July 2008 - January 2010
WellCare Health Plans June 2006 - July 2008
Skills
Analysis, Auditing, Claim, Data Entry, Databases, Employee Benefits, Insurance, Management, Medicaid, Medical Billing, Medicare, Team Building, Process Improvement, Workers Compensation, Microsoft Excel, Microsoft Word, Medical Terminology, Medical Coding, Provider Relations, CPT, CMS, ICD-9, ICD-9-CM, Insurance Claims, Health Insurance, Invoicing
Education
Brewster Technical Center
Gaither High School
Concorde Career Institute
Anrae Finney's WellCare Health Plans Experience April 2014 - Present
Job Utilization Management Nurse
Industry Insurance
Experience
WellCare Health Plans April 2014 - Present
Suncrest Private Care October 2013 - March 2014
Complete Express Care 2012 - 2013
SunCrest Home Health (Private Duty) October 2011 - August 2012
Skills
Healthcare, Medicare, Medical Records, Data Entry, Healthcare Management, Home Care, Utilization Management, HIPAA, Medical Terminology, Medicaid, Nursing, Team Building
Education
Excelsior 2013 — 2016
Associate's Degree of Nursing, Registered Nurse
Tennessee Technology Center at Shelbyville 2008 — 2009
LPN, Licensed Practical/Vocational Nurse Training
WellCare Health Plans April 2014 - Present
Suncrest Private Care October 2013 - March 2014
Complete Express Care 2012 - 2013
SunCrest Home Health (Private Duty) October 2011 - August 2012
Skills
Healthcare, Medicare, Medical Records, Data Entry, Healthcare Management, Home Care, Utilization Management, HIPAA, Medical Terminology, Medicaid, Nursing, Team Building
Education
Excelsior 2013 — 2016
Associate's Degree of Nursing, Registered Nurse
Tennessee Technology Center at Shelbyville 2008 — 2009
LPN, Licensed Practical/Vocational Nurse Training
Kiara Jones's WellCare Health Plans Experience February 2011 - August 2012
Job Resident Specialist at Balfour Beatty Capital Group
Industry Construction
Experience
Balfour Beatty Capital Group March 2013 - Present
WellCare Health Plans February 2011 - August 2012
Skills
Process Scheduler, Property Management, Construction, Microsoft Office, Renovation, Submittals, Residential Homes, Budgets, Contract Management, LEED, Project Management, Contract Negotiation, Primavera P6, Construction Management, Project Planning, Facilities Management, Change Orders, Value Engineering
Education
Aiken Technical College 2011 — 2015
Pre-Nursing(ADN), Registered Nursing/Registered Nurse
Evans High School 2006 — 2010
High School Diploma!
Balfour Beatty Capital Group March 2013 - Present
WellCare Health Plans February 2011 - August 2012
Skills
Process Scheduler, Property Management, Construction, Microsoft Office, Renovation, Submittals, Residential Homes, Budgets, Contract Management, LEED, Project Management, Contract Negotiation, Primavera P6, Construction Management, Project Planning, Facilities Management, Change Orders, Value Engineering
Education
Aiken Technical College 2011 — 2015
Pre-Nursing(ADN), Registered Nursing/Registered Nurse
Evans High School 2006 — 2010
High School Diploma!
Yliana Diaz's WellCare Health Plans Experience March 2008 - November 2011
Job Assistant Property Manager at FirstService
Industry
Experience
First Service Residential April 2012 - Present
WellCare Health Plans March 2008 - November 2011
Education
Bergen Community College 1993 — 1998
Computer/Information Technology Administration and Management
First Service Residential April 2012 - Present
WellCare Health Plans March 2008 - November 2011
Education
Bergen Community College 1993 — 1998
Computer/Information Technology Administration and Management
Kasundra Brown's WellCare Health Plans Experience July 2011 - Present
Job Marketing Outreach Specialist at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans July 2011 - Present
Advantage Senior Advisory October 2006 - February 2008
Education
Berklee College of Music 1981 — 1984
Music Production and Audio Engineering
WellCare Health Plans July 2011 - Present
Advantage Senior Advisory October 2006 - February 2008
Education
Berklee College of Music 1981 — 1984
Music Production and Audio Engineering
Robert E. John's WellCare Health Plans Experience September 2014 - Present
Job Corporate Learning & Development Specialist at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans September 2014 - Present
Anthem, Inc. December 2013 - September 2014
Cognosante April 2012 - December 2013
Verizon Wireless November 1999 - September 2009
Skills
Process Improvement, Business Process, SDLC, Requirements Analysis, Program Management, Change Management, Corporate Training, Medicare, Training, Integration
Education
Norfolk State University 1990 — 1993
Bachelor of Applied Science (B.A.Sc.), Pre-Medicine/Pre-Medical Studies
Queensborough Community College 1986 — 1988
Associate of Arts and Sciences (A.A.S.), Biology, General
Bryant and Stratton College 2001 — 2003
PMI Certification, Project Management
Ultimate Medical Academy 2012 — 2013
Associate of Science (A.S.), Medical Insurance Specialist/ Billing and Coding
WellCare Health Plans September 2014 - Present
Anthem, Inc. December 2013 - September 2014
Cognosante April 2012 - December 2013
Verizon Wireless November 1999 - September 2009
Skills
Process Improvement, Business Process, SDLC, Requirements Analysis, Program Management, Change Management, Corporate Training, Medicare, Training, Integration
Education
Norfolk State University 1990 — 1993
Bachelor of Applied Science (B.A.Sc.), Pre-Medicine/Pre-Medical Studies
Queensborough Community College 1986 — 1988
Associate of Arts and Sciences (A.A.S.), Biology, General
Bryant and Stratton College 2001 — 2003
PMI Certification, Project Management
Ultimate Medical Academy 2012 — 2013
Associate of Science (A.S.), Medical Insurance Specialist/ Billing and Coding
Anna Cheek's WellCare Health Plans Experience 2012 - 2014
Job Registared Nurse at WellCare
Industry Insurance
Experience
WellCare March 2012 - Present
WellCare Health Plans 2012 - 2014
WellCare Health Plans 2012 - 2014
Education
Keller Graduate School of Management of DeVry University
Master of Business Administration (MBA), Business Administration and Management, General, A+
Brenau University
Bachelor of Science (BS), Registered Nursing/Registered Nurse, A
WellCare March 2012 - Present
WellCare Health Plans 2012 - 2014
WellCare Health Plans 2012 - 2014
Education
Keller Graduate School of Management of DeVry University
Master of Business Administration (MBA), Business Administration and Management, General, A+
Brenau University
Bachelor of Science (BS), Registered Nursing/Registered Nurse, A
Ruth Ann Drake's WellCare Health Plans Experience January 2014 - Present
Job Quality Specialist at WellCare
Industry Insurance
Experience
WellCare Health Plans January 2014 - Present
Windsor Health Plan October 2006 - January 2014
HMC October 2002 - October 2006
Skills
Medicare, Medicaid, Health Insurance, HMO, Managed Care, Health Policy, Disease Management, HEDIS, Healthcare Industry, Healthcare Management, Insurance, Healthcare Consulting, Provider Relations, HIPPA, Public Health, School Health, EPSDT
Education
Aquinas College
BSN, Nursing
Baptist Hospital School of Nursing
Diploma, Nursing, Top 5% of class
University of Tennessee
BS, Child Development, Graduated Cum Laude
WellCare Health Plans January 2014 - Present
Windsor Health Plan October 2006 - January 2014
HMC October 2002 - October 2006
Skills
Medicare, Medicaid, Health Insurance, HMO, Managed Care, Health Policy, Disease Management, HEDIS, Healthcare Industry, Healthcare Management, Insurance, Healthcare Consulting, Provider Relations, HIPPA, Public Health, School Health, EPSDT
Education
Aquinas College
BSN, Nursing
Baptist Hospital School of Nursing
Diploma, Nursing, Top 5% of class
University of Tennessee
BS, Child Development, Graduated Cum Laude
Victoria McGuire's WellCare Health Plans Experience October 2013 - Present
Job
Industry Health, Wellness and Fitness
Experience
WellCare Health Plans October 2013 - Present
Lakeshore Heartland January 2007 - August 2013
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java
Education
Tennessee Technology Center at Hohenwald 1990 — 1991
Licensed Practical Nurse
WellCare Health Plans October 2013 - Present
Lakeshore Heartland January 2007 - August 2013
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java
Education
Tennessee Technology Center at Hohenwald 1990 — 1991
Licensed Practical Nurse
Dougherty Michael's WellCare Health Plans Experience July 2014 - Present
Job Senior Director of Strategic Initiatives at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans July 2014 - Present
WellCare Health Plans October 2011 - July 2014
Hewlett-Packard 1986 - 2011
Skills
Process Improvement, SDLC, Business Analysis
Education
California Polytechnic State University-San Luis Obispo 1982 — 1986
Bachelor's degree, Business Administration - Management Information Systems
WellCare Health Plans July 2014 - Present
WellCare Health Plans October 2011 - July 2014
Hewlett-Packard 1986 - 2011
Skills
Process Improvement, SDLC, Business Analysis
Education
California Polytechnic State University-San Luis Obispo 1982 — 1986
Bachelor's degree, Business Administration - Management Information Systems
Scott Loveless's WellCare Health Plans Experience September 2008 - November 2009
Job Law Practice Professional
Industry Law Practice
Experience
Western Washington Law Group June 2014 - Present
Community Health Plan January 2010 - March 2014
WellCare Health Plans September 2008 - November 2009
Dignity Health/St.Mary's Medical Center January 2007 - December 2007
Peoples Health Network January 2004 - October 2006
Ochsner Health Plan (now Humana Health Benefit of Louisiana) June 1999 - January 2004
Orleans Parish Medical Society, Centralized Credentials Verification Program July 1998 - June 1999
Apex Healthcare May 1996 - June 1998
Illusions September 1995 - April 1996
Books A Million March 1994 - August 1995
Education
Auburn University 1990 — 1994
Bachelor's Degree, Criminal Justice/Pre-Law
John Carroll High School 1986 — 1990
High School
Western Washington Law Group June 2014 - Present
Community Health Plan January 2010 - March 2014
WellCare Health Plans September 2008 - November 2009
Dignity Health/St.Mary's Medical Center January 2007 - December 2007
Peoples Health Network January 2004 - October 2006
Ochsner Health Plan (now Humana Health Benefit of Louisiana) June 1999 - January 2004
Orleans Parish Medical Society, Centralized Credentials Verification Program July 1998 - June 1999
Apex Healthcare May 1996 - June 1998
Illusions September 1995 - April 1996
Books A Million March 1994 - August 1995
Education
Auburn University 1990 — 1994
Bachelor's Degree, Criminal Justice/Pre-Law
John Carroll High School 1986 — 1990
High School
Kelly Melton's WellCare Health Plans Experience January 2010 - March 2014
Job Account Representative at IU Health
Industry Hospital & Health Care
Experience
IU Health September 2014 - Present
Zotec Partners April 2014 - August 2014
WellCare Health Plans January 2010 - March 2014
Saint Vincent July 2000 - August 2006
Skills
Microsoft Word, Microsoft Excel, Invoicing, Medical Records, Access, Insurance, Customer Service, Fax, Healthcare, Outlook, Data Entry, Team Building
Education
Harrison College-Anderson 2008 — 2008
Associate's degree, Medical Insurance Specialist/Medical Biller
Harrison College
Associate's degree, Medical Billing
IU Health September 2014 - Present
Zotec Partners April 2014 - August 2014
WellCare Health Plans January 2010 - March 2014
Saint Vincent July 2000 - August 2006
Skills
Microsoft Word, Microsoft Excel, Invoicing, Medical Records, Access, Insurance, Customer Service, Fax, Healthcare, Outlook, Data Entry, Team Building
Education
Harrison College-Anderson 2008 — 2008
Associate's degree, Medical Insurance Specialist/Medical Biller
Harrison College
Associate's degree, Medical Billing
Crystal Corley's WellCare Health Plans Experience April 2013 - April 2014
Job Medicare Sales Representative at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group May 2014 - Present
UnitedHealth Group August 2009 - Present
WellCare Health Plans April 2013 - April 2014
Affinity Health Plan August 1996 - December 2008
Skills
Public Health Education, Health Insurance, Life Insurance, Home Staging, Real Estate Staging, Sales Motivation, Medicare, Sales, Healthcare, Insurance, Team Building, Managed Care
Education
Berkshire Community College
Entrepreneurial and Small Business Operations
State University of New York at New Paltz
UnitedHealth Group May 2014 - Present
UnitedHealth Group August 2009 - Present
WellCare Health Plans April 2013 - April 2014
Affinity Health Plan August 1996 - December 2008
Skills
Public Health Education, Health Insurance, Life Insurance, Home Staging, Real Estate Staging, Sales Motivation, Medicare, Sales, Healthcare, Insurance, Team Building, Managed Care
Education
Berkshire Community College
Entrepreneurial and Small Business Operations
State University of New York at New Paltz
sultana parvin's WellCare Health Plans Experience January 2010 - March 2011
Job Sr. Business Analyst at The Brooklyn Hospital Center
Industry
Experience
The Brooklyn Hospital Center January 2014 - Present
Henry J. Carter Hospital October 2012 - December 2013
Affinity Health Plan April 2011 - September 2012
WellCare Health Plans January 2010 - March 2011
Gwinnett Medical Center November 2008 - December 2009
Mercy Philadelphia Hospital January 2008 - October 2008
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Northern University, Bangladesh 2003 — 2006
Management and Finance
The Brooklyn Hospital Center January 2014 - Present
Henry J. Carter Hospital October 2012 - December 2013
Affinity Health Plan April 2011 - September 2012
WellCare Health Plans January 2010 - March 2011
Gwinnett Medical Center November 2008 - December 2009
Mercy Philadelphia Hospital January 2008 - October 2008
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Northern University, Bangladesh 2003 — 2006
Management and Finance
Kaiser Permanente
Cardinal Health
Mayo Clinic
HCA
Baxter Healthcare
Providence Health & Services
Fresenius Medical Care
Carolinas Healthcare System