XLHealth Company
Industry: Company
DescriptionFounded: 1997 Parent organization: United HealthCare Services, Inc. Subsidiaries: Care Improvement Plus South Central Insurance Company,
XLHealth List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at XLHealth. You can filter them based on skills, years of employment, job, education, department, and prior employment.
XLHealth Salaries. You can even request information on how much does XLHealth pay if you want to. Learn about salaries, pros and cons of working for XLHealth directly from the past employees.
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XLHealth Employees
Teleflex Incorporated November 2014 - Present
Teleflex July 2010 - Present
Teleflex July 2010 - January 2012
Reading Health System February 2010 - July 2010
Deloitte Consulting January 2008 - June 2009
XLHealth July 2006 - January 2008
Symphony Health Services October 2002 - July 2006
Skills
Talent Management, Applicant Tracking..., Interviews, Employee Relations, Human Resources, Performance Management, Recruiting, Employee Benefits, HRIS, Onboarding, Talent Acquisition, Personnel Management, SDLC, Leadership, College Recruiting, Deferred Compensation
Education
Elizabethtown College 1998 — 2002
Bachelor of Business Administration (B.B.A.), Human Resources Management and Services
Gorman Health Group April 2015 - Present
Peoples Health June 2012 - December 2013
HealthSpring, Inc. June 2008 - July 2010
XLHealth October 2006 - June 2008
Skills
Managed Care, Health Insurance, Medicaid, Insurance, Medicare
Education
Furman University 1980 — 1984
Bachelor's degree, Business Administration and Management, General
PopHealthCare September 2014 - Present
AmpliPHY Physician Services November 2012 - February 2014
UnitedHealth Group September 2010 - November 2012
UnitedHealtcare September 2009 - September 2010
Medical Peace November 2008 - July 2009
INSPIRIS February 2008 - October 2008
XLHealth 2007 - 2008
Delta Health Care Management 1998 - 2000
Midwestern University, Phoenix, AZ 1996 - 1998
Comphealth 1996 - 1996
Skills
Managed Care, Healthcare, Hospitals, Recruiting, Clinical Research, Business Development, Network Development, New Business Development, Provider Relations, Management, Start-ups, Budgets, Healthcare Management, Healthcare Information..., Physicians, HIPAA, Marketing, Contract Management, Employee Benefits, Health Insurance, Strategic Planning, Team Building, Medicare, Program Development, Training, Medicaid, Interviews, Healthcare Industry, Executive Management, Healthcare Consulting
Education
University of Phoenix 1998 — 2000
MBA, Business
Murray State University 1978 — 1981
B.S., Psychology
United Healthcare September 2015 - Present
HighPoint Global, LLC May 2014 - August 2015
HighPoint Global, LLC April 2013 - May 2014
Briljent May 2011 - April 2013
General Dynamics Information Technology June 2010 - May 2011
XLHealth August 2007 - August 2009
Bravo Health September 2006 - August 2007
TrailBlazer Health Enterprises, LLC July 1999 - March 2003
Skills
Medicare Part D, Creative Problem Solving, Analysis, Communication, Medicare Prescription..., Medicare Advantage, Microsoft Excel, Microsoft Office, Microsoft Word, Mac OS, Microsoft Visio, Visio, Training, Research, Policy Analysis, Technical Writing, HIPAA, Health Policy, Program Management, Leadership, Medicare, Needs Analysis, Process Improvement, Team Building, Management, Coaching, Policy, Medicaid, Healthcare, Healthcare Information..., Business Process..., Government, Pharmacy Benefit..., Software Documentation
Education
University of Baltimore
UnitedHealth Group March 2014 - Present
Our Task, Inc June 2014 - June 2014
XLHealth July 2013 - March 2014
XLHealth February 2013 - July 2013
Johns Hopkins Hospital 2010 - 2013
Maryland Department of Human Resources February 2010 - February 2011
The Community School February 2009 - July 2009
Skills
Research, Healthcare, Data Analysis, Urban Planning, Program Evaluation, Social Services, Public Speaking, Public Health, Community Outreach, Program Development, Qualitative Research, Environmental Policy, Nonprofits, SPSS, Grant Writing, Policy, Analysis, Land Use Planning, Process Improvement, Medicare, Climate Change, Environmental Justice, Hazard Mitigation, FACETS, Proposal Writing, Disaster Response, Emergency Services, Management, Leadership, Customer Service
Education
Towson University 2012 — 2014
Master of Arts (M.A.), Geography and Environmental Planning, GPA 3.6
Towson University 2008 — 2012
Bachelor of Science (B.Sc.), Social Sciences
Prometric 2014 - Present
BSC America 2013 - 2014
XLHealth November 2009 - March 2013
Abilities Network April 2007 - November 2009
Skills
Payroll, Accounts Payable, Expense Reports, Payroll Taxes, Payroll Services, Multi-state Payroll..., Ceridian Payroll System, Concur, Microsoft Office, Benefits Administration, ADP Payroll
Education
American InterContinental University
Finance, General
Perryville High School
General Studies
Allegheny General Hospital July 2014 - Present
Allegheny General Hospital July 2013 - Present
Indian Health Service January 2013 - February 2013
Western Psychiatric Institute & Clinic November 2012 - December 2012
University of Pittsburgh Medical Center Senior Care Shadyside June 2012 - July 2012
Cleveland Clinic May 2012 - June 2012
University of Pittsburgh Medical Center June 2011 - February 2012
XLHealth May 2010 - August 2010
The Johns Hopkins Outpatient Pharmacy May 2009 - August 2009
Skills
Patient Education, Medication..., Pharmaceutical Care, Cpr Certified, Certified Immunizer, Medicare, Disease Management, Medicare Part D, Pharmacy Practice
Education
University of Pittsburgh 2009 — 2013
Pharm.D., Pharmacy
University of Pittsburgh 2007 — 2011
Bachelor of Science (B.S.), Pharmaceutical Sciences
Maryland Food Bank March 2015 - Present
RemediRx May 2013 - November 2014
XLHealth August 2009 - April 2013
US Foods October 2003 - July 2009
Host Hotels & Resorts March 1999 - October 2003
WMF Group August 1997 - March 1999
KPMG US August 1995 - August 1997
KPMG US August 1989 - August 1995
Skills
Sarbanes-Oxley Act, Financial Reporting, Financial Analysis, Sarbanes-Oxley, Auditing, Accounting, SEC filings, Financial Modeling, Forecasting, Internal Audit, Process Improvement, Mergers & Acquisitions, US GAAP, Internal Controls, Due Diligence
Education
Loyola College in Maryland 1994 — 1996
Master of Business Administration (M.B.A.), Finance
University of Richmond 1985 — 1989
Bachelor of Science (B.S.), Accounting
Loyola High School 1981 — 1985
XLHealth August 2012 - Present
The Johnson Center for Child Health and Development September 2007 - December 2012
Cardiovascular Consultants January 2007 - August 2007
Fresno Heart Hospital 2003 - 2007
St. Agnes Medical Center 2001 - 2003
Intermountain Healthcare 1998 - 2000
LDS Hospital, Intermountain Healthcare 1995 - 1998
Skills
BLS, Nursing Practice, Nursing, Nurse Practitioners, Critical Care, ICU, Patient Education, EMR, Physicals, Hospitals
Education
California State University-Fresno 2002 — 2006
MSN, Family Nurse Practitioner
University of Utah 1998 — 2001
RN to BSN, Nursing
Salt Lake Community College 1995 — 1998
ADN, AS Health Sciences, Registered Nursing/Registered Nurse
And So It Is... July 2011 - Present
Fairy Fresh Farm February 2011 - Present
Errands Plus, LLC February 2011 - Present
New Windsor State Bank May 2000 - October 2011
XLHealth October 2007 - July 2011
Skills
Reiki Master Teacher, Amadeus Practioner, Spiritual Teacher, Banking and Finance, Social Media Marketing, Event Management, Reiki, Personal Development, Public Speaking, Workshops, Coaching, Strategic Planning, Meditation, Entrepreneurship, Healing, Customer Service, Risk Management, Microsoft Office, Microsoft Excel, Management, Process Improvement, Event Planning, Microsoft Word, Teaching, Leadership, Small Business, Social Networking, Marketing
Education
Mount Saint Mary's College
Bachelor of Arts (B.A.), Business Administration and Management, General
Walgreens May 2013 - Present
ACPE 1998 - Present
Johns Hopkins University Carey Business School December 2011 - January 2015
Ameritox September 2008 - April 2013
XLHealth April 2005 - September 2008
Interactive Forums - IFI Health Solutions January 2001 - April 2005
Skills
Managed Care, Healthcare, Healthcare Management, Clinical Research, Disease Management, Medicare, Healthcare Consulting, Hospitals, Physicians, Medicine, Health Policy, Diabetes, EMR, Utilization Management, Pain Management, Medical Education, Pharmaceutical Industry, Public Health, Quality Improvement, Strategy, Patient Safety, Digital Health, Specialty Laboratory..., Clinical Trials
Education
University of Washington, Michael G. Foster School of Business 1987 — 1989
MBA, Management
University of Pennsylvania School of Medicine 1979 — 1983
MD, Medicine
Penn State University 1975 — 1979
Bachelor of Arts (B.A.), Liberal Arts and Sciences/Liberal Studies, Summa Cum Laude
Johns Hopkins Bloomberg School of Public Health August 2015 - Present
Johns Hopkins Bloomberg School of Public Health March 2013 - August 2015
Independent Contractor December 2012 - February 2013
Hospitality Solutions, LLC June 2012 - December 2012
Christian Appalachian Project March 2011 - April 2012
Lutheran Immigration and Refugee Service August 2008 - December 2010
Spectrum K12 (Formerly 4GL Schools) October 2005 - August 2008
Needles Law/Chesapeake Interlink October 2004 - October 2005
XLHealth August 2004 - October 2004
Spectrum K12 (Formerly 4GL Schools) December 2002 - August 2004
Skills
Data Analysis, Nursing, Managed Care, Microsoft Excel, Microsoft Word, Software Project..., Microsoft SQL Server, Access Database, Phase II Clinical Trials, Cold Chain Management, Informed Consent, Vaccine Administration, Vaccine Storage, Nasopharyngeal Swabs, Technical Writing, HEDIS, Help Desk Support, Sybase, Utilization Review, Trauma Nursing, Post Anesthesia Care
Education
University of Delaware 2012 — 2012
RN Refresher Course, 100%, including medication dose testing and clinical hours
The Community College of Baltimore County 1986 — 1987
Associate of Arts, Registered Nursing
University of Maryland University College
Software Courses, 4.0
Perform Group LLC April 2013 - Present
Perform Group LLC December 2010 - April 2013
XLHealth May 2009 - December 2010
Bank of America June 2000 - April 2009
Skills
Customer Service, Process Improvement, Project Management, Coaching, Call Center, Training, Account Management, Team Building, Management, Strategic Planning, Cross-functional Team..., Operations Management, Analysis, Sales
Education
University of Delaware 1996 — 2000
BS, Physical Education Studies
UBC - An Express Scripts Company May 2015 - Present
XLHealth September 2012 - May 2015
Health First September 2010 - August 2012
Amerigroup Corporation February 2000 - September 2009
Skills
SQL Server 2005/2008, SQL Server Reporting..., Cobol, Amisys/Amisys Advance, Supertool, Oracle SQL Developer, Facets, sql server 2012, Healthcare, SSRS, Microsoft SQL Server, .NET, SQL, Windows Server, COBOL, Visio, Stored Procedures, Software Documentation, SharePoint, Systems Analysis, SDLC, Database Design, Process Improvement, Business Intelligence, SSIS, Data Analysis, Oracle
Education
New Horizons 2010 — 2010
Microsoft Web Developer tract
University of Central Florida 1991 — 1994
incomplete, Electrical, Electronic and Communications Engineering Technology/Technician
Brevard Community College 1988 — 1991
Associate of Arts (AA), Information Technology
Stryker April 2014 - Present
Mercy Medical Center, Baltimore, MD March 2007 - April 2014
Golden Key Group, LLC and Maxim Staffing Solutions July 2006 - February 2007
XLHealth November 2005 - June 2006
Faux Finishes November 2003 - November 2005
RealMed April 2003 - October 2003
CareFirst BlueCross BlueShield - Potomac Physicians June 1988 - April 2003
CareFirst BlueCross BlueShield June 1988 - April 2003
Skills
Healthcare Management, Healthcare, Nursing, Patient Safety, Managed Care, Medicaid, Utilization Management, Healthcare Information..., EMR, EHR, HIPAA, Case Managment, Project Management, Health Insurance, Hospital Program..., Hospitals, Medicine, Case Management
Education
Drexel University 2013 — 2016
Health Sevices Administration Degree, Health Services Administration, 4.0
Maryland General Hospital School of Nursing
Registered Nurse
Magellan Health Services June 2012 - Present
XLHealth August 2008 - May 2012
American Radiology Services February 1998 - June 2008
Skills
Healthcare, Healthcare Management, Strategic Planning, Risk Management, Insurance, Medicare, Financial Analysis, Payroll, Accounts Receivable, Employee Relations, Health Insurance, Managed Care, Sarbanes-Oxley
Education
Cornell University 1988 — 1992
Bachelor of Science
Frontpoint August 2012 - Present
Rosetta Stone March 2010 - August 2012
XLHealth April 2006 - March 2010
Houlihan Lokey May 2004 - December 2005
Quest Diagnostics October 2001 - May 2004
Deutsche Banc Alex. Brown, Inc. July 1999 - October 2001
Skills
Forecasting, Business Analysis, Risk Management, Strategic Financial..., Strategy, Financial Reporting, Growth Management, Team Building, Financial Analysis, Valuation, Analysis, Business Planning, Due Diligence, Project Management, Management, Mergers & Acquisitions, Financial Modeling, Analytics, Vendor Management, Mergers, Process Improvement, Budgets, Finance, Competitive Analysis, Business Intelligence, Corporate Finance, Variance Analysis, Financial Planning
Education
Bucknell University 1995 — 1999
Bachelor of Science and Bachelor of Arts, Civil Engineering and Economics
Integra LifeSciences April 2009 - Present
Les Mills 2004 - August 2008
XLHealth November 2005 - March 2008
Johnson & Johnson April 2001 - August 2004
Skills
Marketing, Orthopedic, Sales, Healthcare, Surgery, Sales Operations, Leadership, Managed Care, Orthopedics, Customer Service
Education
East Tennessee State University 1995 — 2000
BS, Mass Communications, Applied Human Sciences, University Honors Program Scholar
Humana February 2014 - August 2015
Total eMedical, Inc. February 2013 - February 2014
1saleaday.com September 2012 - February 2013
XLHealth February 2010 - June 2012
Kirkland's Home March 2006 - January 2009
AT&T, Nationwide October 2006 - November 2006
Liberty Medical Supply January 2002 - January 2006
Martin Memorial Health Systems September 2000 - July 2002
Skills
Microsoft Office, Microsoft Excel, Microsoft Office..., Outlook, PowerPoint, Instructional Design, Training Delivery, Instructor-led Training, Management, Quality Assurance, Internal Audit, Provider Relations, Provider Network..., Provider Enrollment, HR Policies, Procedure Development, Procedure Creation, Human Resources, Human Rights, Interviews, Board of Director..., Contract Management, Interdepartmental..., Medical Terminology, Project Management, Viseo, Time Management, Budget Monitoring, Reducing Operating Costs, Medicare/Medicaid..., CMS, HIPAA, Regulatory Affairs, OnBase, Salesforce.com, Salesforce Training, 501c3, Workflow Management, Presenter, Job Coaching, Staffing Analysis, Operations Management, Networking, Hiring Employees, Medicare, Team Building, Training, Healthcare, Hiring, Leadership
Education
Indian River State College 1999 — 2005
Accounting
Johnson & Wales University 1998 — 1999
Accounting
Salisbury Management, Inc October 2009 - Present
XLHealth September 2007 - January 2010
Magellan Health Services January 2001 - January 2004
NeighborCare, Inc January 1999 - January 2001
NeighborCare Inc January 1998 - January 1999
NeighborCare Inc January 1997 - January 1998
Montgomery, Smith and Assoc. January 1992 - January 1997
AEW Division January 1988 - January 1990
CS2 for AWACS January 1987 - January 1988
Skills
Financial Reporting, Analysis, Financial Analysis, Budgets, Forecasting, Finance, Management, Financial Modeling, Access, Process Improvement, Accounts Receivable, Strategic Financial..., Sarbanes-Oxley Act, Financial Planning, Sarbanes-Oxley, Account Reconciliation, Variance Analysis, Leadership
Education
Loyola University Maryland 1988 — 1995
MBA, Finance
Howard Community College 2010 — 2011
Accounting
Lehigh University 1983 — 1987
BS, Finance
Manasquan High School
Geisinger Health Plan December 2014 - Present
Geisinger Health Plan January 2012 - Present
Geisinger Health Plan August 2010 - January 2012
HealthAmerica February 2008 - August 2010
HealthAmerica December 2006 - February 2008
XLHealth January 2004 - December 2005
MAMSI February 2003 - January 2004
Kaiser Permanente of the Mid Atlantic March 2002 - February 2003
Sierra Military Health Services August 2000 - March 2002
Aetna January 1999 - January 2000
Skills
Medicare, Managed Care, Medicaid, Network Development, Healthcare, HMO, PPO, Healthcare Industry, Hospitals, Disease Management, Health Policy, Insurance, Provider Relations, Claim, Employee Benefits, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Information..., Healthcare Management, Management, Physicians, Revenue Cycle, Utilization Management
Education
Coastal Carolina University 1996 — 2000
BA, Sociology
Group Benefit Services September 2014 - Present
Zenith American Solutions March 2011 - June 2014
XLHealth June 2007 - April 2009
American Financial & Insurance Srvs January 2000 - June 2007
Skills
Insurance, Health Insurance, Claim, Employee Benefits, Medicare, Pensions, PPO, HMO, Defined Benefit, Process Improvement, ERISA, Pension Administration, Benefits Administration, HIPAA, Financial Reporting, Eligibility
Education
San Jacinto College
Certificate of Achievement, Cosmetology/Cosmetologist, General
The Community College of Baltimore County
Certificate of Achievement, Medical/Clinical Assistant
Healthcare Strategies February 2012 - February 2015
The MIL Corporation 2011 - 2011
XLHealth 2008 - 2011
Skills
SDLC, Data Warehousing, ETL, Visio, Data Modeling, Database Design, SharePoint, Business Intelligence, Requirements Analysis, Business Requirements, Systems Analysis, Project Management, Data Analysis, Business Analysis
Education
Francis Marion University 1996 — 2000
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Infosys November 2012 - Present
IHS December 2010 - November 2012
XLHealth June 2008 - December 2010
Skills
XML, Cognos, Requirements Analysis, Microsoft SQL Server, Informatica, Oracle, SSRS, SQL, DB2 9.1, Healthcare Information..., Application Architecture
Education
Anna University 2004 — 2008
Bachelor of Engineering (BE), Electrical, Electronics and Communications Engineering, A
Modis December 2013 - June 2014
FileONE October 2010 - August 2013
Railinc May 2010 - August 2010
General Parts International, Inc. (CARQUEST/WORLDPAC) July 2007 - March 2010
XLHealth March 2007 - July 2007
GEICO July 2006 - January 2007
JPMorgan Chase November 2005 - February 2006
IBM December 2000 - November 2005
Alabanza Corporation March 2000 - September 2000
Skills
Testing, Performance Testing, Software Quality..., Requirements Analysis, Test Automation, SQL, Defect Tracking, Agile, Quality Assurance, SDLC, Automation, LoadRunner, Regression Testing, SQL Server, Quality Center, Test Planning, Documentation, Agile Methodologies, Troubleshooting, .NET, XML, User Acceptance Testing, QTP, Java, HP Quality Center
Education
Texas Christian University 1988 — 1989
Master of Theological Studies, Theology, Social Ethics
Texas Christian University 1984 — 1987
B.A., Religious Studies/Political Science
XLHealth September 2010 - Present
XLHealth 2009 - 2011
Skills
Claim, Insurance, Health Insurance, Medicare, Managed Care, Medicaid, Provider Relations, Claims Resolution, HIPAA, Employee Benefits, Risk Management, HMO, Claims Management, Long-term Care, PPO, Process Improvement
Education
Morgan State University 1993 — 1997
Bachelor of Science (BS), Mass Communication/Media Studies
Randallstown Senior High School 1989 — 1993
Endurance Recruiting September 2012 - Present
XLHealth April 2012 - September 2012
Hospice Compassus September 2011 - March 2012
Cigna August 2007 - October 2010
Emdeon March 2005 - August 2007
Dell, Inc. July 1999 - March 2005
Education
Trevecca Nazarene University 2001 — 2002
BA, HR
XLHealth December 2010 - Present
EmblemHealth February 1994 - August 2010
PricewaterhouseCoopers 1989 - 1994
Empire Blue Cross 1984 - 1989
Skills
Actuarial Science, Actuaries, Claim, Data Analysis, Data Warehousing, Employee Benefits, Executive Management, Financial Analysis, Financial Modeling, HIPAA, Financial Reporting, Health Insurance, Healthcare, Health Policy, Healthcare Industry, Insurance, Leadership, Managed Care, Medicaid, Medicare, Process Improvement, Reinsurance, Risk Management, Underwriting
Education
Queens College 1970 — 1975
BA, Mathematics
Bronx High School of Science 1967 — 1970
Exelon December 2013 - Present
Constellation Energy July 2007 - Present
Community College of Baltimore County 2003 - Present
Constellation Energy March 2006 - July 2007
XLHealth June 2005 - March 2006
VISICU January 2002 - June 2005
ProDev Solutions October 2000 - December 2001
Skills
PL/SQL, Oracle SQL, SQL, Data Modeling, Data Warehouse..., ETL, Teradata, BTEQ, FastLoad, Python, SQL*Plus, Oracle, SDLC, Data Warehousing, Quality Assurance, Performance Tuning, Database Design, Enterprise Architecture, Microsoft SQL Server, SSIS, Visio
Education
University of Maryland University College 1996 — 1999
M.S., Conservation and Development
Loyola University Maryland 1993 — 1996
B.S., Biology, Ecology and Evolution
Harford Community College 1992 — 1993
Biology
Fallston High School 1988 — 1992
XLHealth August 2009 - Present
Keystone Mercy Health Plan March 2007 - August 2009
Quest Diagnostics November 1999 - March 2007
Education
Morgan State University 1994 — 1998
Amsted Industries Incorporated October 2014 - Present
Amsted Industries Incorporated February 2013 - Present
Baltimore Aircoil Company January 2013 - Present
XLHealth June 2007 - August 2008
Robert Half Finance & Accounting January 2007 - May 2007
Robert Half International, Inc. 2007 - 2007
D.A. Davidson & Co. September 2001 - December 2006
Skills
PeopleSoft, Process Improvement, Recruiting, Sarbanes-Oxley Act, Microsoft Excel, General Ledger, Accounting, Financial Reporting, Accounts Payable, Budgets, Deferred Compensation, Human Resources, Employee Benefits, Auditing, Payroll
Education
University of Great Falls 1996 — 2001
B.S/Assoc, Accounting/Computer Systems Integration
HappCo, LLC August 2015 - Present
GeoSpatial Agriculture Solutions, LLC December 2014 - Present
Think Tank Logistics June 2015 - July 2015
Trifecta Global Infrastructure Solutions, Ltd. April 2007 - October 2014
Spectrum K12 School Solutions, Inc. January 1997 - February 2006
4GL School Solutions 1997 - 2006
XLHealth November 2001 - July 2004
Skills
Entrepreneurship, Change Management, Business Development, Start-ups, Business Strategy, Business Analysis, Software Development, New Business Development, Management Consulting, Business Planning, Data Driven Outcomes, Disease Management, GIS, Workflow Automation, SaaS, Individualized..., Special Education, Infrastructure, Environmental Monitoring, Patient Outcomes, Public Speaking, Cloud Computing, Program Management, Project Management, Business, Business Process..., Organizational..., Strategic Planning, Integration, Consulting, Strategic Partnerships, Enterprise Software, Analysis, Executive Management, Sales, Strategy, Training, Management, Coaching, Software Project..., Leadership, Healthcare, Product Development, Product Management, Business Process, Team Building, Venture Capital, Executive Coaching, Team Leadership, Leadership Development
Education
University of Santa Monica 1986 — 1987
MA, Applied Psychology
Harvard University 1969 — 1973
BA, Cultural Anthropology, Jungian Psychology
Lewis Energy Group September 2011 - Present
XLHealth January 2010 - August 2011
Accenture July 2007 - January 2010
Kinetic Concepts June 2000 - June 2007
West Corporation March 1995 - June 2000
Skills
Talent Acquisition, Employment Law, Employee Relations, Policy, EEOC, Applicant Tracking..., OFCCP, Outsourcing, Leadership, Onboarding, Temporary Placement, College Recruiting, Hiring, New Hire Orientations, Recruiting, Human Resources, Project Management, Marketing, Technical Recruiting, Deferred Compensation, Internet Recruiting, Management, Talent Management, Screening Resumes, Customer Service, Staffing Services, Performance Management, Time Management, Project Planning, Organizational..., HRIS, Workforce Planning, Interviews, Sourcing, Succession Planning, HR Policies, Benefits Administration, Taleo
Education
The University of Texas at San Antonio
Bachelor of Business Administration, Personnel/Human Resources
St. Phillip's College
AAS, Business Admin.
OW Holmes
Bachelor of Business Administration (B.B.A.), Human Resources Management/Personnel Administration, General
Clark Construction Group, LLC September 2012 - Present
XLHealth October 2009 - September 2012
MV Transportation February 2006 - October 2009
Skills
PowerPoint, Microsoft Office, HRIS, Customer Service, Benefits Administration, Human Resources, Employee Benefits, Payroll, Microsoft Word, Microsoft Excel, Employee Relations, Training, Process Improvement, Budgets, Strategic Planning, Leadership, Project Management
Education
University of Maryland College Park 2002 — 2005
Bachelor's Degree, Economics
AA llc April 2006 - Present
Johns Hopkins Hospital August 2011 - July 2013
XLHealth February 2006 - August 2011
Skills
HIPAA, Healthcare, Healthcare Management, EMR, Customer Service, Managed Care, Microsoft Office, Team Building
Education
Aviation Institute of Maintenance-Manassas 2012 — 2014
Joppatowne High School
SFP CAPITAL PARTNERS LLC January 2013 - Present
SFP Enterprises Helen J . Serini Foundation October 2011 - Present
XLHealth January 2000 - February 2011
Doctors health system January 1995 - January 1998
Venable LLP January 1986 - 1995
Skills
Venture Capital, Private Equity, Securities, Philanthropy, Sailing, Investment Properties, Investments, Corporate Finance, Fundraising, Nonprofits, Strategic Planning, Entrepreneurship, Start-ups, Business Strategy, Public Speaking, Social Entrepreneurship, Board Development, Marketing Strategy, Leadership Development, Community Outreach, Mergers, Public Policy, Business Planning, New Business Development, Marketing, Charities, Executive Management, Media Relations, Corporate Social..., Strategy, Public Relations
Education
The Catholic University of America 1980 — 1983
Doctor of Law (JD)
University of Maryland College Park 1977 — 1980
Bachelor of Arts (BA), Politics & Philosphy
Innovation Pavilion Vice PresidentChronic Disease SpecialistsMarch 2013 - December 2014
Kissing Camels Surgery Center December 2009 - January 2011
CodeOne, Inc. 2006 - 2009
XLHealth 1996 - 2000
PacifiCare Health Systems 1992 - 1995
Lincoln National 1985 - 1992
Skills
Medicare, Customer Service, Medicaid, Healthcare Industry, Managed Care, Healthcare Management, Hospitals, Health Insurance, Healthcare Information..., Healthcare Consulting, HIPAA, Revenue Cycle, EHR, Physician Relations, Quality Improvement, Provider Relations, Disease Management, EMR
Education
Assumption College
Bachelor of Arts (B.A.)
East Carolina University
Master of Business Administration (MBA)
PwC August 2013 - Present
The University of Texas at Austin August 2012 - May 2013
Deloitte June 2012 - August 2012
XLHealth June 2010 - August 2010
XLHealth June 2009 - August 2009
Skills
Data Analysis, Enterprise Risk..., PowerPoint, Research, Statistics, Financial Analysis, Economics, Accounting, Access, Auditing, Financial Accounting, Finance, Financial Modeling, Financial Reporting, Sarbanes-Oxley Act
Education
The University of Texas at Austin 2010 — 2013
Master of Professional Accounting, Financial Reporting and Assurance, 4.0
The University of Texas at Austin 2008 — 2013
Bachelor of Business Administration (B.B.A.), Accounting, Business Honors Program, 3.9
Parish
Dark eFfectX August 2004 - Present
UnitedHealth Group August 2011 - Present
XLHealth October 2010 - July 2011
Transcom North America October 2009 - September 2010
JHT Productions January 2009 - October 2009
American Express TRS January 2006 - December 2008
Navigant/SATO Travel June 2001 - August 2005
Skills
Visio, HIPAA, Insurance, SharePoint, Process Improvement, Customer Service, Microsoft Office, Lotus Notes, Outlook, Training, Project Management, Data Analysis, Microsoft Excel, Information Technology, Troubleshooting, Databases, Security
Education
Texas State University 1996 — 2000
Mass Communications
Judson Sr High School 1992 — 1996
High School Diploma/GED, Mathematics and Science
Capital One August 2015 - Present
Air Products March 2014 - August 2015
Air Products June 2013 - March 2014
Cisco Systems June 2012 - August 2012
CSC March 2009 - August 2011
Accenture May 2008 - February 2009
DCWASA May 2006 - August 2006
XLHealth April 2005 - August 2005
Skills
Project Management, Leadership, Microsoft Excel, Program Management, Financial Modeling, Engineering, Analysis, Strategy, Management, Integration
Education
Darden Business School 2011 — 2013
MBA, Corporate Finance
University of Michigan 2003 — 2007
BS, Mechanical Engineering
Banneker 1999 — 2003
High School diploma
University of Puerto Rico School of Pharmacy June 2013 - Present
XLHealth/UnitedHealth Group June 2012 - May 2013
XLHealth April 2011 - June 2012
XLHealth August 2010 - April 2011
St. Rita's Medical Center July 2009 - June 2010
Physician’s Free Clinic June 2005 - June 2009
CVS Caremark Corporation June 2005 - June 2007
Ohio Northern University Drug Information Center September 2004 - March 2007
Skills
Medication Therapy..., Ambulatory Care, Emergency Medicine, Rheumatoid Arthritis, Diabetes, Clinical Research, Healthcare, Managed Care, Healthcare Management, Immunization, Clinical Pharmacy, Pharmacy Benefit..., Medicare Part D, Public Health, Teacher Training, Internal Medicine, Pain Management, Clinical Pharmacology, Pharmacokinetics, Pharmacology, Anticoagulation, Patient Counseling, Pharmacy Practice, Utilization Management, Community Pharmacy, Disease Management, Asthma, COPD, Immunizations, Teaching Experience, Pharmacists, Pharmacy, Patient Safety
Education
Ohio Northern University 2004 — 2009
Pharm.D., Pharmacy
Marriott International July 2013 - Present
Marriott International February 2012 - July 2013
XLHealth August 2011 - February 2012
Guggenheim Partners October 2010 - August 2011
A.B. Freeman School of Business July 2009 - June 2011
BNP Paribas June 2010 - August 2010
PricewaterhouseCoopers April 2007 - April 2009
Declaration Management & Research August 2004 - March 2007
Skills
Investments, Banking, Due Diligence, Fixed Income, Funding, Financial Modeling, Excel, Financial Analysis, Budgeting, PowerPoint, Bloomberg, Microsoft Excel, Budgets, Portfolio Management, Risk Management, Finance, Analysis, Investment Banking, Credit, Strategy, Asset Management, Management, Valuation, Strategic Planning, Business Analysis
Education
Tulane University - A.B. Freeman School of Business 2009 — 2011
MBA, Finance
Dartmouth College 2000 — 2004
BA, Economics modified with Computer Science
Giardina & Bella Associates January 2009 - Present
Bella & Giardina Associates November 2008 - Present
MAMSI 2009 - 2010
MedAssurant May 2008 - November 2008
Americhoice October 2007 - March 2008
XLHealth September 2005 - October 2007
UnitedHealth Group 1998 - 2002
UnitedHealthcare 1998 - 2002
Skills
NCQA, Managed Care, Disease Management, Medicaid, HEDIS, Medicare, HIPAA, Healthcare Industry, Health Policy, Healthcare Consulting, Healthcare, Credentialing, EMR, Clinical Research, Accreditation, Process Improvement, Healthcare Management, Utilization Management, Quality Improvement, Program Management, Health Insurance, Hospitals, Informatics, EHR, Patient Safety, Nursing, Healthcare Information..., Revenue Cycle, Leadership, Performance Improvement, Policy, Quality Assurance, Physician Relations, Epic Systems, Health Information..., Case Management, Medicine, Case Managment
Education
Long Island University, Brooklyn Campus 1967 — 1970
Bachelor of Science, Nursing Administration
Hicksville High School
Independence Blue Cross February 2014 - Present
Blue Cross Blue Shield of Delaware July 2009 - February 2014
XLHealth January 2008 - July 2010
HealthMarkets September 2002 - December 2007
TeleTech June 2000 - September 2002
Skills
Contract Management, Process Improvement, Insurance, Call Center, Healthcare, Vendor Management, Operations Management, Strategic Planning, Customer Service, Project Management, Team Building, Access, Training, Call Centers, Data Analysis, Leadership, Business Analysis, Software Documentation, Customer Satisfaction, Analysis, Business Process..., Management
Education
Point Park University 1994 — 1998
BS, Legal Studies
Bishop Canevin High School 1979 — 1983
Lorna Hospice July 2012 - Present
XLHealth January 2008 - June 2011
Skills
Finance, Accounting, Entrepreneurship, Entrepreneurship..., Entrepreneurship..., Investment Banking, Healthcare Management, Start-ups, Mergers & Acquisitions
Education
University of Alabama 1999 — 2002
Bachelor of Business Administration (B.B.A.), Banking, Corporate, Finance, and Securities Law
Medisolv, Inc. August 2013 - Present
Gorman Health Group September 2012 - Present
XLHealth August 2011 - May 2012
XLHealth June 2007 - July 2011
XLHealth November 2005 - June 2007
Johns Hopkins Healthcare 2001 - 2005
Skills
Medicare Advantage, Healthcare Management, Healthcare Information..., Clinical Development, Medicaid Managed Care, Disease Management, Healthcare, Leadership, Health Insurance, Nursing, Medicare, Health Policy, Healthcare Consulting, Healthcare Industry, HIPAA, Process Improvement, Clinical Research, Managed Care
Education
University of Maryland Baltimore 1987 — 1989
Bachelor's degree, Nursing
University of Maryland College Park 1981 — 1984
Bachelor's degree, Biology
Jones Lang LaSalle October 2012 - Present
XLHealth August 2010 - October 2012
Aerotek February 2010 - August 2010
Arlene Wright Littlefield Educational Services March 2009 - February 2010
Beaty Palmer Architects June 2006 - August 2008
Woodside Homes November 2004 - December 2005
CompUSA October 1999 - December 2001
Crowley ISD @ North Crowley High School January 1999 - October 1999
Skills
Customer Service, Budgets, Microsoft Office, Healthcare, Training, Access, Microsoft Excel, Microsoft Word, Telephone Skills, Lotus Notes, Invoicing, Insurance
Education
Kaplan College 2004 — 2006
Associates in Applied Science, Paralegal Studies
San Antonio College 1996 — 1997
Associates, Applied Science; Accounting Technology
Douglas MacArthur High School 1992 — 1996
Diploma
World Financial Group 2013 - Present
XLHealth 2010 - 2013
BlueCross BlueShield of SC November 2007 - March 2010
Education
Benedict College 2000 — 2005
BS, Mass Communication
Full Sail University
National Post-Acute Healthcare January 2014 - Present
UnitedHealthcare May 2012 - April 2013
XLHealth July 2008 - April 2012
XLHealth August 2005 - July 2008
Independent Consultant 2001 - 2005
Arthur Anderson 1998 - 2000
Skills
Health Insurance, Business Management, Provider Relations, Nurse Practitioners, Physician Network..., Provider Network..., Network Development, Disease Management, Medicare, Managed Care, Healthcare Management, Healthcare, Management, Healthcare Industry, Brand Development
Education
Johns Hopkins School of Public Health 2000 — 2002
PhD, Health Services Research (ABD)
Johns Hopkins School of Public Health 1996 — 1998
MHA, Health Care Finance & Management
St. Olaf College 1982 — 1986
BA, Economics & Business Management
New York-Presbyterian Hospital 2015 - Present
New York-Presbyterian Hospital 2011 - 2015
Medassurant 2008 - 2011
XLHealth 2005 - 2008
Ryan-NENA Community Health Center 2002 - 2005
The Brooklyn Hospital Center 1997 - 2002
Skills
Certified Diabetes..., Certified Chronic Care..., Healthcare, Nursing, Hospitals, Patient Education, Healthcare Management, BLS, Chronic Care Management, Disease Management, Healthcare Information...
Education
Excelsior College 2013 — 2015
Master of Science in Nursing, Nursing Education
University of Pennsylvania
Bachelor of Science in Nursing, Nursing
Miner Corporation November 2014 - Present
Molina Healthcare January 2012 - October 2014
XLHealth November 2009 - February 2010
Group Dental Service, Inc. February 2007 - October 2009
Skills
Analysis, Management, Training, Business Process, Quality Assurance, Healthcare, Business Intelligence, Project Management, Process Improvement, Microsoft Office, HIPAA, Start-ups, Quality Control, Employee Benefits, Data Analysis, Business Analysis, Microsoft Excel, Strategic Planning, SDLC, Leadership, Visio, Program Management, Software Documentation
Education
Texas A&M University 2001 — 2006
Bachelor, Systems Management
Texas A&M University
Bachelor of Science (BS), Agriculture, Agriculture Operations, and Related Sciences
Optum April 2014 - Present
UnitedHealthcare April 2012 - Present
XLHealth January 2011 - Present
UnitedHealth Group 1998 - 2010
Skills
Disease Management, Managed Care, Provider Relations, Hospitals, Home Care, Medicaid, Medicare, Utilization Management, Health Insurance, Healthcare Management, Clinical Research, Healthcare, Quality Improvement, Healthcare Consulting, Healthcare Industry
Education
University of Maryland Baltimore
Masters of Science, Nursing
University of South Carolina-Columbia 1990 — 1994
BSN, Nursing
University of Pennsylvania - The Wharton School
Executive Education
XLHealth August 2007 - Present
UPMC 2006 - 2007
Union Memorial Hospital 2005 - 2006
Skills
Healthcare, Managed Care, Hospitals, Medicare, Healthcare Information..., Medication Therapy..., HIPAA, Medicaid, Disease Management, Pharmacists
Education
Duquesne University 1996 — 2001
Doctor of Pharmacy (Pharm.D.)
Indiana Area High School
The University of Maryland Medical System March 2015 - Present
UnitedHealth Group 2012 - March 2015
XLHealth 2008 - 2012
Skills
Accounting, Analysis, Financial Analysis, Management, Microsoft Excel, Microsoft Word
Education
Roanoke College 2004 — 2008
Bachelor of Business Administration (B.B.A.), Accounting
KPIT July 2012 - Present
XLHealth July 2010 - June 2012
Microsoft Corporation June 2009 - July 2010
Skills
Microsoft SQL Server, SSIS, SSRS, SSAS 2012, MDX, Data Warehousing, Database Design, Data Modeling, ETL, Power View, C#, SQL, Oracle, QlikView Development, Business Intelligence, Business Analysis, Solution Architecture, Vertica, Tableau, Requirements Gathering, Data Migration, BIML(Business..., Hadoop -Sqoop, Hive, Apache Pig
Education
Jawaharlal Nehru Technological University 2003 — 2007
B-Tech(Computer Science), Computers
Nalanda Intermediate College 2001 — 2003
Intermediate Board, MPC
Sri Krishnaveni Talent School
SSC
Harte Hanks September 2014 - Present
Lippincott Williams and Wilkins June 2012 - July 2014
XLHealth November 2009 - June 2012
XLHealth March 2008 - November 2009
XLHealth June 2007 - March 2008
Vector Corporation November 2005 - January 2006
Skills
Salesforce.com, Vendor Management, Management, Project Management, Microsoft Office, CRM Integration, Sales Compensation, Sales Analysis, Sage CRM, Call Center Development, Sales Support Tools, Customer Service, Data Mining, Team Leadership, Employee Management, Process Improvement, Social Media, Forecasting, CRM, Sales Operations, Team Management
Education
Salisbury University
BS, Business Administration
Severna Park High School
High School Diploma
Verizon Wireless 2014 - Present
Medical University of South Carolina March 2014 - August 2014
XLHealth November 2013 - February 2014
Braniac's Computer Consulting February 2010 - September 2013
A1 Mobile Locksmith February 2009 - March 2012
Department of Family, Morale, Welfare, and Recreation October 2005 - February 2009
Skills
Troubleshooting, Security, Software Documentation, Access, Windows, Hardware, Budgets, Account Management, Strategic Planning, Inventory Management, Mobile Devices, Network Administration, Network Security, Wireless Networking, Epic Systems, OpTime, Microsoft Technologies, System Administration
Education
University of Maryland University College 2015 — 2017
Master of Science in Information Technology, Infomation Assurance
University of Maryland University College 2004 — 2010
Bachelor of Science, Information Systems Management, 3.22
UnitedHealth Group February 2012 - Present
XLHealth June 2006 - February 2012
iProcess Online, Inc. December 2004 - June 2006
Comcast Cable July 2001 - December 2004
Skills
Medicare, Healthcare, Health Insurance, Healthcare Management, Process Improvement, Navision, Account Reconciliation, Accounts Payable, Accounts Receivable, Financial Audits, Financial Analysis, Financial Reporting, Financial Accounting, Financial Forecasting, Management, Sage FAS, Business Objects, jet reports, Oracle, Great Plains Software, Statutory Accounting, naic filings, Risk Based Bapital, Premium Deficiency..., Compulsory Surplus, US GAAP reporting, General Ledger, Accounting, Auditing, Fixed Assets, Finance, GAAP
Education
University of Baltimore 2001 — 2003
BS, Business Administration with a specialty in Accounting
Dundalk Community College 1997 — 2000
AA, Business Administration
Roosevelt Union Free School District October 2014 - Present
COMFORCE January 2014 - May 2014
xG Health Solutions April 2013 - August 2013
XLHealth February 2012 - January 2013
DESIGN BUILD RECRUITMENT February 2011 - April 2012
Moodlerooms, Inc. September 2010 - February 2011
TechUSA June 2010 - September 2010
Vantige, Inc September 2009 - May 2010
TechLink Systems December 2008 - May 2009
Aerotek Engineering June 1999 - December 2008
Education
University at Albany, SUNY 1994 — 1999
BS, Sociology
Heart to Heart Hospice January 2014 - Present
Odyssey Hospice - Willowbrook June 2008 - January 2014
Tomball Regional Hospital May 2006 - November 2010
Memorial Hermann Hospital - Northwest May 1997 - August 2007
XLHealth February 2005 - May 2006
Memorial Hermann Continuing Care Hospital April 2003 - February 2005
Cypress Creek EMS 1991 - 2004
Select Specialty Hospital August 2001 - April 2003
Steak and Ale 1990 - 1997
Skills
Hospitals, Critical Care, Nursing, ACLS, Healthcare, BLS, Case Managment, Home Care, EMR, Public Speaking, Medical/Surgical, Customer Service, Patient Education, Medical Terminology, Emergency Medicine, Inpatient, Medicare, Managed Care, Healthcare Management, Palliative Care, Wound Care, Disease Management, Healthcare Information..., Cpr Certified, Treatment, Nursing Care, ICU, Clinical Research
Education
The University of Texas Medical Branch at Galveston 2012 — 2014
Master's degree, Family Practice Nurse/Nursing
The University of Texas Medical Branch at Galveston 2000 — 2001
Bachelor Degree, Nursing
Houston Baptist University 1994 — 1997
Associate Degree, Nursing
North Harris College 1990 — 1993
Pre-Nursing
Superior HealthPlan August 2013 - Present
Coventry Health Care September 2011 - August 2013
Superior HealthPlan December 2010 - September 2011
Molina Healthcare October 2007 - November 2010
TCMA January 2007 - September 2007
XLHealth August 2005 - December 2006
Hope Hospice July 2004 - July 2005
XLHealth August 1998 - July 2004
Skills
Medicare, Medicaid, Managed Care, Provider Relations, Network Development, Healthcare Management, HIPAA, Healthcare, Healthcare Industry, Health Insurance, Health Policy, HMO, Healthcare Information..., Hospitals, Healthcare Consulting, Revenue Cycle, PPO, Utilization Management, EMR, Insurance, Contract Negotiation, Contract Management, Medicare Advantage, Credentialing, Physician Relations, Disease Management, Physicians, Medicare Part D, Pharmacy Benefit..., EHR, Medical Billing, Claim, Practice Management, Revenue Cycle Management, Long-term Care, Informatics, Home Care, Medicaid Managed Care, Nursing, Claims Resolution, Accreditation, CPT, Provider Network..., Strategic Planning, Process Improvement
Education
Our Lady of the Lake University 1995 — 1997
MBA, Business, Management
Texas State University 1992 — 1995
BS, Healthcare Administration
UnitedHealth Group June 2012 - Present
XLHealth August 2010 - June 2012
Target February 2010 - June 2012
Department of Veterans Affairs July 2009 - June 2010
Skills
Pharmacy, Clinical Research, Informatics, Cardiology, Internal Medicine, Leadership, Management, Pharmacy Benefit..., Medication Therapy..., Pharmacists, Managed Care, Healthcare, Medicare Part D, Pharmacy Automation, Hospitals
Education
University of Pittsburgh 2005 — 2009
Doctor of Pharmacy (PharmD.), Pharmacy
XLHealth October 2011 - Present
Bravo Health October 2008 - Present
HealthSpring October 2008 - October 2011
Skills
Medicare
Education
Suffolk University Law School 1995 — 1998
J.D.
University of Massachusetts, Amherst 1989 — 1993
B.A.
WHOOP January 2014 - Present
Phi Iota Alpha Fraternity June 2003 - July 2014
Telcare February 2010 - January 2014
Treacy Ventures March 2009 - January 2010
Allied Capital October 2005 - August 2008
XLHealth January 2004 - September 2005
Initiative for Competitive Inner City March 2001 - August 2001
Stonegate Partners December 2000 - February 2001
Gen3 Partners September 1999 - September 2000
Cambridge Strategic Management Group June 1997 - August 1998
Skills
Venture Capital, Private Equity, Entrepreneurship, Management Consulting, Healthcare, Financial Modeling, Mergers, Due Diligence, Start-ups, Business Strategy, Corporate Development, Valuation, Strategy, Mergers & Acquisitions, Strategic Planning, Finance, Business Planning, Investments, Operations Management, Portfolio Management
Education
Harvard Business School 2001 — 2003
MBA
Harvard University 1995 — 1999
BA
CareFirst BlueCross BlueShield September 2014 - Present
Kaiser Permanente January 2014 - July 2014
Catholic Health Initiatives July 2013 - December 2013
State of Colorado January 2009 - November 2013
UnitedHealth Group March 2011 - June 2013
PMP Consultants Inc August 2006 - June 2013
Lovelace Health System January 2011 - March 2011
Christiana Care Health System October 2010 - December 2010
Johns Hopkins Hospital November 2009 - October 2010
XLHealth April 2009 - October 2009
Skills
Program Management, Software Documentation, SDLC, Process Improvement, Requirements Analysis, SharePoint, Quality Assurance, Business Process, Strategy, CRM, Project Management, Team Leadership, PMO, Change Management, Healthcare, Requirements Gathering, Training, HIPAA, Management Consulting, Project Portfolio..., Visio, Policy, Business Analysis, Vendor Management, Testing, Six Sigma, Proposal Writing, Strategic Planning, PMP, Business Process..., Integration, Business Requirements, Team Building, Problem Solving, Governance, MS Project, Recruiting, Resource Management, Product Management, ITIL, Consulting, Contract Management, Customer Relations, Insurance, Mentoring, Business Management, Epic, Documentation, Budgeting, Leadership
Education
Harvard School of Public Health 2010 — 2012
Health Care Leadership Strategy
Villanova University 2010 — 2010
CSSBB, Six Sigma
Boston University 2006 — 2010
Master of Science, Project Management
Stanford University 2006 — 2006
Stanford Certified Project Manager (SCPM)
DeVry University 1989 — 1993
Bachelor of Science, Computer Information Systems
Montclair High School
Diploma
UnitedHealth Group November 2012 - Present
UnitedHealth Group June 2012 - November 2012
XLHealth December 2010 - June 2012
Bluestone Recoveries International July 2008 - December 2010
Bierman, Geesing, Ward and Wood January 2007 - July 2008
Skills
Human Resources, Management, Healthcare Management, Program Management, Microsoft Office, Microsoft Excel, Microsoft Word, Windows & Mac operating..., Legal Assistant, Analysis, Performance Management, Process Improvement, Customer Service
Education
University of Maryland University College 2008 — 2010
Masters of Science, Human Resources Management and Services
University of Maryland College Park 2001 — 2005
Bachelor of Arts (B.A.), Criminology and Criminal Justice
L Russell Consulting LLC January 2015 - Present
UnitedHealthcare June 2012 - April 2013
XLHealth Corporation January 2011 - June 2012
XLHealth November 2008 - January 2011
XLHealth Corporation August 2005 - November 2008
Johns Hopkins HealthCare 1999 - 2005
Johns Hopkins Bayview Medical Center 1996 - 1999
Upper Chesapeake Health System 1992 - 1996
Skills
Utilization Management, Disease Management, Medicaid, Clinical Research, HEDIS, Quality, Medicare, Care Management, Managed Care, health care policy, Healthcare, NCQA, Case Management, Health Care Systems, Case Managment, Healthcare Management, Hospitals, Provider Relations, EMR, Nursing, Healthcare Consulting, Physicians, Quality Improvement, Network Development, HMO, Health Policy, HIPAA, Healthcare Industry, Cardiology, Inpatient
Education
Central Michigan University
MS, Health Care Administration
Notre Dame of Maryland University
BSN, Nursing
South Nassau Communities Hospital August 2014 - Present
Hospice Care Network November 2007 - August 2014
XLHealth December 2005 - October 2007
South Nassau Communities Hospital December 1999 - December 2005
Skills
Nursing, Healthcare, Palliative Care, Managed Care, Wound Care, Disease Management, Medical/Surgical, Emergency Room, Utilization Management, Healthcare Management, Healthcare Information..., Hospitals, Case Managment, Cpr Certified, Surgery, Diabetes, Home Care, Inpatient, Case Management, Medical-Surgical
Education
Molloy College 2014 — 2019
Bachelor's Degree, Nursing Science
Nassau Community College 1988 — 1990
Associate of Science (A.S.), Registered Nursing/Registered Nurse
UnitedHealth Group, WellMed, Optum October 2012 - Present
Touch of the Masters Hand February 2007 - Present
University of Phoenix February 2009 - August 2013
Aerotek March 2012 - October 2012
XLHealth January 2012 - August 2012
Skills
Healthcare, Customer Service, HIPAA, Health Insurance, Medical Terminology, ICD-9, Recruiting, Healthcare Information..., Access, Medical Coding, Hospitals, EHR, Claim, Insurance, Medical Records, Training, Healthcare Management, Public Speaking, Medicare, Team Building, Leadership, Invoicing
Education
University of Phoenix 2011 — 2013
Bachelor of Science (BS), Health/Health Care Administration/Management Information Technology, 3.69
University of Phoenix 2009 — 2011
Associate of Arts (AA), Health Care Administration-Medical Records, 3.83
Cigna-HealthSpring October 2009 - Present
Harry Burstyn & Associates June 1985 - Present
KAISER PERMANENTE January 2001 - March 2006
XLHealth 2005 - 2006
Old Mutual 1996 - 2000
Skills
Health Insurance, Long-term Care, Disability Insurance, Medicare, Health Savings Accounts, Insurance, Employee Benefits, Healthcare, Life Insurance, Leadership, Sales, Managed Care, Brokers, Strategic Planning, 401k, Fixed Annuities, Sales Management, Benefits Administration, Medicare Part D, Small Business, Underwriting, Cold Calling, Workers Compensation, Retirement Planning, Marketing, Account Management, Term Life Insurance, Team Building, Strategy, Retirement, Health Care Reform, Succession Planning, Health Policy, Strategic Financial..., Customer Retention, Training, Human Resources, Executive Management, Recruiting, Financial Services, Networking, Onboarding, Applicant Tracking..., Call Centers, Talent Acquisition, Financial Planning
Education
Towson University 1981 — 1985
B.A., Communications, Business Administration
Social Security Administration September 2014 - Present
IT Concepts, Inc/Northrop Grumman April 2012 - September 2014
XLHealth October 2010 - April 2012
XLHealth June 2007 - October 2010
Skills
Business Analysis, Business Process..., Business Requirements, Functional Requirements, Software Documentation, Data Analysis, Requirements Analysis, SDLC, Project Management, User Acceptance Testing, Visio, Document Management, Technical Writing, Active Directory, Training, Requirements Gathering, Application Lifecycle..., Vendor Management, Troubleshooting, Leadership, Testing, Quality Assurance, SharePoint, Business Intelligence, Disaster Recovery, Healthcare Information..., Healthcare, Change Management, Process Improvement, Integration
Education
University of Baltimore 2008 — 2010
Bachelor of Science, Business Administration, Management
UnitedHealth Group August 2011 - Present
XLHealth September 2009 - August 2011
Keystone First March 2007 - August 2009
Quest Diagnostics November 1999 - March 2007
Skills
Data Analysis, Business Intelligence, Access, Data Modeling, ETL, SDLC, Microsoft SQL Server, Business Process, Business Objects, SharePoint, Crystal Reports, Analysis, PL/SQL, Process Improvement, SSIS, SSRS, Java, JavaScript, OLAP, HTML, Salesforce.com, User Acceptance Testing, Microstrategy, Dashboard, Business Intelligence..., PHP, CSS, C, Databases, Green Belt, Agile Methodologies
Education
Morgan State University
Business Administration and Management, General
Villanova University
Management Information Systems, General
Careticker January 2015 - Present
Mach Health Care Strategies, LLC August 2014 - Present
The John A. Hartford Foundation June 2011 - Present
Univita Health Inc March 2011 - July 2014
XLHealth July 2009 - February 2011
UnitedHealth Group March 1996 - June 2009
U.S. Department of Veterans Affairs August 1986 - February 1996
Minneapolis Internists, P.A. July 1984 - July 1986
Skills
Managed Care, Healthcare Management, Medicaid, Healthcare, Clinical Research, Healthcare Information..., Medicare, Home Care, Strategic Planning, Medicine
Education
University of Minnesota-Twin Cities 1981 — 1984
University of Minnesota Medical School 1977 — 1981
MD
University of St. Thomas 1972 — 1976
BA
XLHealth July 2008 - Present
Amerigroup September 2006 - July 2008
Alternative Behavioral Services 2005 - 2006
Bankers Life & Casualty 2005 - 2005
Sentara Healthcare 1991 - 2004
Skills
Project Management, Health Insurance, Medicare, HIPAA, Process Improvement, Healthcare, Medicaid, Managed Care, Visio, Vendor Management, Healthcare Information..., SharePoint, Software Documentation, Customer Service, SDLC, Healthcare Management, Data Analysis, Business Analysis, Healthcare Industry
Education
University of North Carolina at Greensboro 1979 — 1983
BA
Mount Carmel Health System November 2013 - Present
Mount Carmel Health System December 2009 - November 2013
XLHealth January 2006 - December 2009
XLHealth July 2005 - December 2005
Organized Living June 2004 - May 2005
Education
Keller Graduate School of Management
Master
Ohio Dominican University
Bachelor
FrontPoint Security October 2012 - Present
Rosetta Stone April 2012 - October 2012
XLHealth September 2008 - April 2012
White Peak Capital, LLC September 2007 - September 2008
PENTA Advisory Services LLC July 2006 - October 2007
Skills
Financial Modeling, Financial Analysis, Mergers, Valuation, Risk Management, Business Analysis, Insurance, Corporate Finance, Forecasting, Bloomberg, Analysis, Investments, Equities, Data Analysis, Investment Banking
Education
University of Maryland - Robert H. Smith School of Business 2003 — 2006
Finance, Economics
XLHealth August 2013 - Present
TESSCO Technologies August 2010 - November 2012
UPS April 2008 - October 2010
TESSCO January 2007 - April 2008
Thomson Prometric November 2004 - December 2006
NSWC Dahlgren February 2003 - October 2003
NSWC Dahlgren October 2000 - February 2003
Skills
Testing, Quality Assurance, Software Quality..., Requirements Analysis, Test Automation, Agile Methodologies, Program Management, Software Development, SQL, E-commerce, Quality Center, SDLC, Process Improvement, Integration Testing, Test Planning, Web Services, Visio, Regression Testing, Troubleshooting, System Testing, QTP, Software Engineering, XML, Manual Testing, Software Documentation, Analysis, HTML, User Acceptance Testing, Databases, JavaScript, Test Cases, Integration, TFS, Oracle, SharePoint, Microsoft SQL Server, Scrum, Performance Testing, Defect Tracking
Education
Mary Washington College 1999 — 2002
Computer Science
Pinnacol Assurance June 2015 - Present
IQNavigator January 2012 - May 2015
Demata Group, Ltd April 2002 - November 2014
IQNavigator June 2011 - January 2012
Staples April 2009 - June 2011
Highmark Blue Shield September 2006 - February 2008
XLHealth 2004 - 2006
Wachovia 2002 - 2004
Crawford Advisors, LLC 2000 - 2004
Skills
Business Intelligence, SDLC, Data Warehousing, SQL, ETL, Data Modeling, Database Design, Microsoft SQL Server, SSIS, Data Integration, Databases, SSRS, Crystal Reports, Requirements Gathering, T-SQL, Business Analysis
Education
University of Pittsburgh 1992 — 1994
Computer Science Engineering
Northrop Grumman Corporation December 2014 - Present
Netvision Resources Inc, June 2014 - December 2014
United Healthcare 2009 - May 2014
XLHealth July 2008 - August 2009
Kennedy Krieger Institute March 2007 - June 2008
Skills
Healthcare Management, Healthcare Information..., Healthcare Analytics, Health Insurance, HIPAA, Medicare, Software Documentation, Medicaid, Managed Care, Healthcare, Access, Process Improvement, Customer Service, Microsoft Excel, Medical Coding, Data Analysis, Medical Terminology, Microsoft Office, PowerPoint, Hospitals, SharePoint, Web Support, Subject Matter Experts, Workforce Management, Quality Assurance, Cognos ReportNet, Business Objects
Education
Morgan State University 1996 — 2002
Accounting
Riverside Health, Inc. April 2014 - Present
Coventry Health Care March 2012 - April 2014
Paragon Technology Group January 2011 - March 2012
XLHealth October 2006 - January 2011
XLHealth October 2005 - October 2006
Johns Hopkins Hospital October 2004 - October 2005
Elder Health, Inc 2000 - 2004
Skills
Managed Care, Medicaid, Medicare, Healthcare, Process Improvement, Healthcare Industry, HIPAA, Healthcare Management, Healthcare Information..., SDLC, Vendor Management, Health Insurance, Business Analysis, Health Policy, Quality Improvement, Data Analysis, Strategy, Hospitals, Program Management, SharePoint, Visio, Management, Leadership, Healthcare Consulting, Disease Management, Software Documentation, Medicare Part D, Provider Relations, Insurance, Pharmacy Benefit...
Education
University of Baltimore 2005 — 2007
MS, Healthcare Administration
University of Baltimore 1998 — 2000
BS, Business Administration, Specialty Finance
University of Maryland Medical System March 2011 - Present
XLHealth April 2010 - January 2011
Aetna January 2006 - November 2009
Aetna January 1998 - January 2006
Aetna, INC. March 1996 - January 1999
Aetna, INC. November 1994 - March 1996
HCIA 1990 - 1994
Skills
Employee Relations, Health Insurance, Managed Care, Medicare, Healthcare, Insurance, Management, Training, Negotiation, Strategic Planning, Project Management, Auditing, Quality Assurance, Hospitals, HIPAA, Strategy, Healthcare Industry, EHR, Medicaid, Health Policy, Medical Compliance, Healthcare Information..., Leadership
Education
Towson University 1986 — 1987
Psychology
Essex Community College 1982 — 1985
Parkville Senior High 1979 — 1982
United HealthCare / Optum IT May 2014 - Present
United HealthCare July 2012 - May 2014
XLHealth September 2006 - July 2012
Catalyst Rx 2004 - 2006
Digex 1999 - 2004
Skills
Cisco Technologies, VoIP, Project Management, Avaya, Cisco VoIP, Avaya IP Telephony, Healthcare, Information Technology..., Cisco IP Telephony..., IT Leadership, Solution Implementation, Enterprise Architecture..., Infrastructure Capacity..., Voice Technology, Enterprise Voice, Voice Networking, Network Infrastructure...
Education
University of Phoenix 2012 — 2014
Doctor of Information Systems, Organizational Leadership / Information Systems & Technology
University of Phoenix
Master of Information System Management (MIS), Information Systems
University of Maryland Baltimore County
Bachelors of Science (BS), Information Systems Management
WR Grace July 2012 - Present
Discovery Communications August 2010 - June 2012
XLHealth August 2008 - July 2010
Constellation Energy June 2005 - August 2008
Skills
Forecasting, Finance, Financial Reporting, Analysis, Financial Forecasting, Financial Modeling, SAP, Financial Analysis, Corporate Finance, Valuation, Budgets, Portfolio Management, Business Development, Process Improvement, Credit Risk, Risk Management, Strategic Financial..., Project Management, Managerial Finance, Financial Planning
Education
Carnegie Mellon University 2003 — 2005
Master of Business Administration (M.B.A.), Finance, accounting, operations
University of Iowa 1997 — 2000
Master of Arts (MA), MIS & Chemistry
Nankai University
Bachelor of Science (B.S.), Chemistry
XLHealth June 2012 - Present
XLHealth November 2009 - June 2012
AXIOM Systems, Inc. November 1998 - December 2009
Hewlett-Packard 1987 - 1998
FBI 1985 - 1987
Skills
Business Analysis, Consulting, HIPAA, HP, Healthcare Information..., Insurance, Integration, Medicare, Microsoft SQL Server, Requirements Analysis, Requirements Gathering, SDLC, SharePoint, Vendor Management, Visio, Process Improvement, Software Documentation
Education
Susquehanna University 1981 — 1985
BA, Computer Science, Mathematics, Acturial Science
Cigna-HealthSpring October 2014 - Present
SolarCity May 2009 - September 2014
KTB Media February 2006 - April 2009
XLHealth 2006 - 2008
XL Health January 2004 - January 2006
Education
Towson University
Business
Health Resource Advisors, Inc. 2007 - Present
XLHealth March 2004 - November 2007
Phoenix Healthcare Consulting February 2003 - July 2004
Skills
Medicare, Medicaid, Managed Care, Health Insurance, CRM, Data Analysis, Health Policy, Insurance, Healthcare, HIPAA, Healthcare Consulting, Healthcare Management, Employee Benefits, Long-term Care, Healthcare Information...
Education
University of Maryland - Robert H. Smith School of Business 1999 — 2003
Bachelor of Science (BS), Finance, General Business
UnitedHealth Group February 2011 - Present
XLHealth February 2011 - January 2012
Charmer Sunbelt Group March 2009 - February 2011
T Rowe Price November 2008 - March 2009
SAIC June 2008 - November 2008
Constellation Energy 2006 - 2008
LCG Technologies, Corp. 2006 - 2007
Archdiocese of Baltimore 2001 - 2002
Education
Guilford Technical Community College 1996 — 1997
The Ohio State University 1983 — 1987
XLHealth February 2008 - Present
Skills
Medicare, Managed Care, Health Insurance, Medicaid, HIPAA, Healthcare, Insurance, Healthcare Management, Software Documentation, Access, Strategic Planning, Data Analysis, Outlook, Policy
Education
University of Maryland Baltimore County 1993 — 1999
Bachelor of Arts (B.A.), Biopsychology
Gateway Health January 2015 - Present
Gateway Health December 2011 - January 2015
Aegis Healthcare Holdings, Inc 2009 - 2011
XLHealth January 2005 - January 2009
Elder Health 2002 - 2005
Skills
Medicaid, Process Improvement, Medicare, Strategic Planning, Managed Care, Healthcare Management, Healthcare, People Skills, Disease Management, New Business Development, Healthcare Information..., Healthcare Consulting, Healthcare Industry, HIPAA, Hospitals, Management
Education
University of Benin
University of Virginia
MBA
WithinME MD Wellness Clinic January 2013 - Present
XLHealth September 2012 - Present
Institute of Health Careers February 2010 - Present
Doc Popcorn December 2010 - January 2013
AGELESS, M.D. LLC April 2012 - December 2012
Devin James Group May 2011 - April 2012
Barrington Medical January 2007 - March 2010
Community Memorial Healthcenter March 2006 - September 2008
Saint Paul's College - Department of Health Sciences January 2007 - May 2008
Virginia State University July 2005 - July 2006
Skills
Healthcare, Clinical, Hospitals, Health, Surgery, Strategic Planning, Research, Administration, Healthcare Management, Teaching, Process Improvement, Change Management, New Business Development, Organizational..., Budgeting, Public Relations, Leadership Development, Negotiation, Problem Solving, Public Health, Business Strategy, Marketing Strategy, Cross-functional Team...
Education
University of Medicine and Dentistry of New Jersey 1996 — 2001
General Surgery Resident
Wayne State University School of Medicine 1992 — 1996
MD
Hampton University 1987 — 1991
BS, Biology
ShapeUp, Inc. October 2015 - Present
ShapeUp, INC June 2012 - September 2015
WebMD September 2010 - June 2012
Alere Health, LLC 2007 - 2010
McKesson Health Solutions 2006 - 2007
XLHealth 2006 - 2006
XLHealth Corp 2004 - 2006
Caremark 2000 - 2004
Skills
Disease Management, Managed Care, Medicare, Healthcare, Health Insurance, Healthcare Industry, Utilization Management, Healthcare Information..., Healthcare Management, Pharmacy Benefit..., Clinical Research, HIPAA, Team Building, Informatics, Medicaid, Health Policy, Healthcare Consulting, Nursing, Hospitals, Physicians, EMR
Education
Salve Regina University
MS, Health Services Administration
University of Rhode Island
BS, Registered Nurse
Under Armour January 2012 - Present
TESSCO Technologies August 2007 - January 2012
XLHealth April 2006 - August 2007
Fieldstone Mortgage Company October 2002 - April 2006
Skills
HRIS, Policy, Performance Management, Compliance, Employment Law, Employee Benefits, Management, Leadership, Benefits Administration
Education
Towson University 1998 — 2001
B.S., Psychology
Goucher College 1996 — 1998
Gorman Health Group March 2013 - Present
Integra ServiceConnect, LLC July 2013 - August 2014
Magellan Health Services October 2009 - December 2012
XLHealth October 2005 - April 2009
APS Healthcare March 2002 - May 2003
Aon September 2000 - March 2002
Centris Group June 1996 - September 2000
American Biodyne / Merit Behavioral 1989 - 1995
Skills
Managed Care, Healthcare Information..., Process Improvement, HIPAA, Medicaid, Health Insurance, Medicare, Healthcare Industry, Strategic Planning, Healthcare Management, Healthcare
Education
Indiana University Bloomington 1979 — 1984
Bachelor of Science (Business Administration) & MBA, Finance, Marketing
XLHealth May 2006 - Present
Education
University of Maryland University College
Bachelor's Degree, Communications Studies
T.Domers MD, PC 2011 - Present
Gentiva Health Services September 2013 - Present
XLHealth 2011 - Present
Bon Secours Health System October 2008 - July 2011
Spartanburg Regional Healthcare System May 2003 - May 2005
University of Nebraska Medical Center 1999 - 2003
Wooster Community Hospital 1998 - 1999
Education
University of Nebraska-Lincoln 2000 — 2002
MBA
Summa Health System 1995 — 1998
Emergency Medicine residency
Wright State University Boonshoft School of Medicine 1991 — 1994
MD
Baldwin Wallace University 1986 — 1990
BS/ BA, Biology/ Psychology
nhs
HealthSpring October 2009 - Present
Bravo Health October 2008 - October 2009
XLHealth May 2005 - October 2008
Americhoice April 2003 - May 2005
HCIA August 1998 - April 2002
Education
Salisbury University 1994 — 1998
BS, Management Information Systems
OnPoint Partners May 2015 - Present
Glenridge HealthCare Solutions July 2013 - April 2015
Molina Healthcare February 2013 - July 2013
Molina Healthcare November 2011 - January 2013
WELLCARE HEALTH PLANS, INC September 2009 - November 2011
XLHealth May 2008 - September 2009
Heritage Health Systems November 2006 - May 2008
MERCY HEALTH PLANS July 2003 - November 2006
Skills
Contract Management, Customer Relations, Time Management, Research, Provider Relations, Managed Care, Medicare, Network Development, Medicaid, Credentialing, Health Insurance, Healthcare, HIPAA, Customer Service, Insurance, Recruiting, Management, Healthcare Industry, Healthcare Consulting, Healthcare Management, Team Building, Contract Negotiation, Hospitals, Health Policy, Leadership, Marketing, Strategic Planning, Process Improvement, Revenue Cycle, Medicare Part D, Disease Management, Negotiation, Utilization Management, Strategy, HMO, Claim, Healthcare Information..., Policy, Project Management, Pharmacy Benefit..., Physician Relations, Physicians, Claims Resolution, Medical Billing, Quality Improvement, Medical Coding, Medical Compliance, EHR, Sales Operations, Healthcare Reimbursement
Education
University of Phoenix 2006 — 2008
Master of Business Administration (M.B.A.), Business
Lindenwood University 2004 — 2006
Bachelor of Business Administration (BBA), Business Administration and Management, General
Florida Blue January 2013 - Present
XLHealth June 2011 - January 2013
Humana September 2008 - May 2011
Unum January 2007 - August 2008
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Access, Microsoft SQL Server, VBA, SAS, Mandarin, Cantonese, English, Piano
Education
Georgia State University - J. Mack Robinson College of Business 2005 — 2006
Master's degree, Actuarial Science
The Hong Kong University of Science and Technology 1997 — 2000
Bachelor of Business Administration (BBA), Accounting
Software Process Technologies, Inc. March 2010 - Present
UMMS September 2009 - March 2010
Erickson Retirement Communities 2008 - September 2009
XLHealth March 2005 - October 2008
Solucient 1994 - 2001
Solucient / HCIA 1994 - 2001
Skills
Integration, Project Management, Requirements Analysis, Enterprise Software, SDLC, Program Management, XML, Software Development, SQL, Business Intelligence, Agile Methodologies, Business Analysis, Data Warehousing
Education
Loyola College 1987 — 1991
BS, Computer Science
Hartman Executive Advisors June 2015 - Present
Trinity Health (HQ Michigan) July 2006 - June 2015
Hartman Executive Advisors 2015 - 2015
Hartman Executive Advisors 2015 - 2015
Johns Hopkins Hospital April 2005 - July 2006
XLHealth 2005 - 2006
Quality IT Partners, Inc. January 2002 - April 2005
University of Maryland Medical Center 2001 - 2002
T Rowe Price 2000 - 2001
Standard Technology Inc. September 2000 - December 2000
Skills
Project Management, Informatics, Accountable Care..., EHR, Healthcare Industry, Health Information..., Clinical Data Management, Healthcare Information..., Health Information..., Healthcare Consulting, Healthcare Management, Meditech, Cerner, Eclipsys, HIPAA, CPOE, Ambulatory, Physician Relations, Hospitals, Acute Care, Long-term Care, Behavioral Health, Home Care, Operating Room, Telehealth, Disease Management, Chronic Care Management, Clinical transformation, Full SDLC, IT Management, Integration, Requirements Analysis, Software Implementation, Nursing, Quality Improvement, Analytics, Patient Safety, Clinical Decision..., PMO, Program Management, Leadership, Change Management, Web Content, Web Project Management, Clinical Research, Bar code medication..., Medicare, Health Insurance, Medicaid, EMR
Education
Stevenson University 1992 — 1996
Bachelor of Science (BS), Nursing
The Johns Hopkins University - Carey Business School 1980 — 1983
Bachelor of Science (BS), Life Sciences
Goucher College 1973 — 1976
Biology
The Catholic High School of Baltimore 1971 — 1973
High school diploma, College preparatory
Sovereign Risk Solutions July 2015 - Present
Coventry Health Care, an Aetna Company May 2012 - July 2015
XLHealth September 2011 - May 2012
Taylor Benefits Group January 2011 - September 2011
Kaiser Permanente June 2007 - January 2011
Skills
Medicare, Health Insurance, Medicaid, Employee Benefits, Insurance, Healthcare, Managed Care, Disability Insurance, Health Savings Accounts, HIPAA, Sales, Brokers, Life Insurance, Term Life Insurance, Workers Compensation
Education
Herzing University-Atlanta 2001 — 2004
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services, A
None March 2013 - Present
XLHealth February 2010 - March 2013
University of Maryland University College May 2009 - April 2010
Provident Bank October 2006 - May 2009
REI Systems, Inc February 1999 - July 2005
REI Systems, Inc 2001 - 2004
Skills
Visio, Business Analysis, Software Documentation, Disaster Recovery, Databases, SQL, Process Improvement, Project Management, Data Analysis, Program Management, Requirements Analysis, Oracle
Education
University of Maryland University College 1999 — 2001
BS, Programming, Data Base Admin and Design
American University 1969 — 1970
Data Processing Systems
Grove City College 1961 — 1965
AB, Psychology
XLHealth, a UnitedHealthcare Company July 2012 - Present
XLHealth January 2012 - July 2012
XLHealth July 2010 - February 2012
XLHealth January 2009 - June 2010
XLHealth January 2008 - January 2009
XLHealth 2006 - 2008
UnitedHealthcare 2004 - 2006
American WholeHealth Inc. 2001 - 2004
Skills
Managed Care, Healthcare Industry, Medicaid, Medicare, Health Insurance, Provider Relations, Health Policy, Healthcare Information..., Process Improvement, HIPAA, Vendor Management, Healthcare Management, Visio, Disease Management, Utilization Management, Network Development, Healthcare, HMO, Quality Improvement, Insurance, Claim, Medicare Part D, Resource Management, Strategic Planning, Analysis, Program Implementation, Strategic Policy..., Project Management, Staff Management, Staff Development, Procurement, Purchasing, Quality Assurance, Employee Morale, Oral & Written..., Off-shore Team..., Process Improvement..., Legal Compliance, EHR, Policy, Management, Morale
Education
Lakeland College 1995 — 2000
Writing, Communications
Cognizant Technology Solutions October 2014 - Present
Syntel July 2014 - September 2014
GalaxE.Solutions March 2013 - February 2014
Catalyst Solutions, Inc July 2012 - September 2012
H/P Technologies, Inc. November 2011 - July 2012
Catalyst Solutions April 2011 - November 2011
HP Technologies February 2011 - April 2011
The Ascendant Group September 2009 - February 2011
XLHealth April 2009 - August 2009
Universal American Corp. July 2007 - February 2009
Skills
Business Analysis, SDLC, Requirements Gathering, HIPAA, Healthcare Information..., Data Analysis, Requirements Analysis, Data Warehousing, Process Improvement, Healthcare, Visio, Medicare
Education
Western Illinois University
Illinois Central College
Centers for Medicare & Medicaid Services October 2009 - Present
Bravo Health December 2007 - October 2009
MedAssurant April 2007 - December 2007
XLHealth April 2004 - April 2007
Centers for Medicare & Medicaid Services January 2001 - April 2004
Education
Cleveland State University
MA
The Ohio State University
B.A.
Advanced Health Collaborative January 2015 - Present
BBYO 2015 - 2015
BBYO 2015 - 2015
Robb Cohen Health Care Consulting 1998 - December 2014
Robb Cohen Health Care Consulting 1998 - December 2014
XLHealth November 2003 - December 2012
Phoenix Healthcare Consulting September 1998 - October 2003
Skills
Medicaid, Provider Relations, Healthcare, Medicare, Managed Care, Healthcare Information..., Disease Management, Hospitals, Health Policy, Health Insurance, HIPAA, Physicians, Healthcare Industry, Software Documentation, Governmental Affairs, Process Improvement, Business Strategy, Utilization Management, Healthcare Consulting, Network Development, Physician Relations, Credentialing, Quality Improvement, Revenue Cycle, Pharmacy Benefit..., Healthcare Management, EHR, Insurance, Home Care, Long-term Care, Informatics
Education
University of Pennsylvania - The Wharton School 1990 — 1992
MBA, Finance, Health Care Management
University of Maryalnd 1981 — 1985
Bachelor's Degree, Business Administration, Finance
Delaware Physicians Care, An Aetna Medicaid Plan August 2010 - Present
XLHealth January 2007 - June 2010
XLHealth December 2005 - January 2007
Coventry Health Care February 2005 - December 2005
Coventry Health Care December 2003 - February 2005
Coventry Health Care March 2003 - December 2003
UnitedHealthcare April 2002 - March 2003
UnitedHealthcare April 2001 - April 2002
UnitedHealthcare March 2000 - April 2001
UnitedHealthcare December 1998 - March 2000
Skills
Medicare, Healthcare, Process Improvement, Medicaid, Provider Relations, Business Analysis, Managed Care, HEDIS, Software Documentation, Health Policy, HIPAA
Education
Anne Arundel Community College
Associate's Degree, Business Management
XLHealth December 2012 - January 2014
Aditya Birla Minacs November 2010 - June 2011
Acrodelon April 2008 - July 2010
Dimensions Cyber Tech May 2006 - March 2008
Skills
AJAX, JavaScript, XML, Java, Microsoft SQL Server, .NET, SQL, Linux, HTML, ASP.NET, JSP, CSS, SSIS, SSRS, HTML 5
Education
Bharathidasan University 2001 — 2004
Master of Computer Applications (M.C.A.), Computer Science, First Class
Mahatma Gandhi University 1998 — 2001
B.C.A., Computer Science, First Class
Mahatma Gandhi University 1997 — 1998
Pre - Degree - Science Group, Mathematics, Physics, Chemistry, First Class
Holy Family Girls High School, Angamaly, Kerala, INDIA 1995 — 1996
Matriculation, Matriculation, Distinction
UnitedHealth Group December 2011 - Present
DC Chartered Health June 2009 - December 2011
XLHealth September 2008 - June 2009
CareFirst BlueCross BlueShield September 2005 - August 2008
CareFirst BlueCross BlueShield May 2003 - September 2005
Skills
Data Analysis, Business Analysis, Health Insurance, Medicare, Medicaid, Managed Care, Microsoft SQL Server, SharePoint, Microsoft Office, Leadership, Healthcare Information..., EHR, Software Documentation, HIPAA, Healthcare Management
Education
University of Maryland University College 2001 — 2009
Master of Business Administration (M.B.A.)
University of Maryland University College 2001 — 2009
Master of Science (MS), Health Services Administration
University of Maryland College Park 1996 — 1999
Bachelor of Arts (B.A.), Economics
XLHealth April 2012 - Present
Laramie Internal Medicine & Laramie Urgent Care June 2011 - March 2012
Rose Medical Center 2006 - 2011
Education
University of Colorado at Denver 2006 — 2010
MS Nursing, Family Nurse Practitioner
University of Michigan 1985 — 1987
MHSA, Health Administration
Grand Valley State University
BS, Nursing
MedAssist, a Firstsource company 2014 - Present
XLHealth 2008 - 2014
Amerigroup 2006 - 2008
Central Benefits 2004 - January 2006
TMG Health 2000 - 2004
QualChoice of VA 1998 - 2000
SMMI 1994 - 1998
Skills
Healthcare Information..., Visio, SDLC, Medicaid, Project Management, Business Analysis, HIPAA, Process Improvement, Medicare, Requirements Analysis, Vendor Management, Data Center, SharePoint, Disaster Recovery, Requirements Gathering, Program Management, Business Intelligence, Microsoft SQL Server, IT Management, Software Project..., Integration, PMO, Managed Care, Information Technology, Software Documentation, IT Strategy, Healthcare Industry, Business Process...
Education
James Madison University
BS, Information Systems
LeTourneau University
Master of Business Administration (M.B.A.)
Brandon Clay Enterprises January 1996 - Present
XLHealth November 2006 - May 2011
CIGNA Healthcare January 1998 - February 2000
Skills
Insurance, Health Insurance, Managed Care, Medicare, Business Analysis, Process Improvement, Healthcare, Medicaid, Strategic Planning, Team Building, Management, Dynamic Speaker, Published Author, Sales Leadership..., Sales Rep Training
Education
Georgia Institute of Technology 1986 — 1989
Jonesboro High School 1979 — 1982
High School, General with science and math focus
Kinslow Eye & Laser Center January 2015 - Present
XLHealth November 2008 - July 2012
Medical Center of South Arkansas November 1999 - October 2008
Skills
Provider Relations, Medicaid, HMO, Managed Care, PPO, Medicare, Provider Network..., NCQA, HEDIS, Credentialing, HIPAA, Healthcare Management, Health Policy, Medicare Part D, Healthcare, Health Insurance
Education
Southern Arkansas University
Bachelor of Business Administration (B.B.A.)
Strategy Management, LLC May 2009 - Present
XLHealth August 2004 - April 2009
Advance PCS January 2000 - July 2004
NYLCare March 1998 - December 1999
Foundation Health June 1986 - February 1998
Education
Duke University 1981 — 1983
MA, Public Policy
Duke University 1976 — 1980
BA, Anthropology
St Paul's School for Girls 1968 — 1976
XLHealth March 2010 - Present
Undisclosed March 2008 - March 2010
Thomson Financial December 2006 - December 2007
Electronic Data Systems March 2001 - August 2006
USI December 1999 - February 2001
Education
University of Maryland Baltimore 2009 — 2011
MS, Nursing Informatics
Montgomery College 2004 — 2007
AS, Nursing
University of Maryland University College 1998 — 2002
MS, Information Systems
The University of Hull 1996 — 1998
MA, Development Economics
Kwame Nkrumah' University of Science and Technology, Kumasi 1990 — 1994
BSc, Land Economy
UnitedHealth Group December 2014 - Present
UnitedHealthcare June 2013 - December 2014
UnitedHealthcare June 2012 - June 2013
XLHealth October 2011 - June 2012
Family Care of Easton January 2006 - October 2011
FAMILY CARE OF January 2006 - October 2011
Clinical Healthcare January 1994 - April 2011
TRED AVON PHYSICIANS January 2005 - November 2005
HEALTHMATTERS, LLC January 1998 - January 2005
Skills
Healthcare, Clinical Research, Healthcare Management, Nursing, Medicine, Infectious Diseases, Physicians, Internal Medicine, Community Outreach, ACLS, Healthcare Information..., Nurse Practitioners, Public Health, Treatment, Customer Service, Leadership, Public Speaking, Research, Teaching, Case Managment, Health Insurance, Hospitals, Primary Care, Acute Care, Disease Management, Managed Care, EMR
Education
University of Maryland Baltimore 1983 — 1985
MSN, Adult Primary Care, Nursing Administration
UNIVERSITY OF MARYLAND
MASTER OF SCIENCE; BACCALAUREATE OF SCIENCE, NURSING Adult Primary Care & Nursing Administration; NURSING
Sumner Medical Group, PLLC March 2014 - Present
United Healthcare Medicare & Retirement September 2012 - March 2014
XLHealth May 2006 - November 2012
PhyCor / NAMM 1996 - 2001
Sentara Healthcare 1991 - 1995
Skills
Medicare, Managed Care, Customer Service, Medicaid, Healthcare Industry, HIPAA, Provider Relations, HMO, Health Insurance, Healthcare Consulting, Compliance, Medicare Part D, Network Development, Healthcare, Insurance, Process Improvement
Education
Arkansas State University 1978 — 1981
B.S., Accounting
Arkansas State University
Bachelor of Science (BS), Accounting
Amerigroup February 2015 - Present
Parallon January 2015 - February 2015
Emdeon August 2011 - December 2014
XLHealth August 2008 - June 2011
Children's Healthcare of Atlanta December 2006 - August 2008
Skills
Utilization Management, Case Management, EHR, Healthcare Information..., HIPAA, Medicaid, Healthcare Industry, Process Improvement, Managed Care, Leadership, Healthcare Management, Disease Management, Medicare
Education
Excelsior College 2015 — 2017
Associate's degree, Registered Nursing/Registered Nurse
Borough of Manhattan Community College
Registered Nursing/Registered Nurse
WellCare June 2012 - Present
XLHealth September 2011 - Present
XLHealth April 2011 - September 2011
United Health Care November 2004 - April 2011
The Lady & Her Legacy Inc Non-Profit Org 2009 - 2011
Physio Sports Center January 1998 - August 2005
Skills
HIPAA, Health Insurance, Medicare, Managed Care, Healthcare, Medicaid, Provider Relations
Education
AHIIP 2011 — 2011
PAHM
City University of New York City College 1994 — 2001
Psychology
UnitedHealthcare February 2012 - Present
XLHealth September 2005 - February 2012
CIGNA Healthcare November 2000 - September 2005
Skills
Health Insurance, Medicare, Medicaid, Managed Care, Healthcare Management, Healthcare, Healthcare Information..., Insurance, Visio, Healthcare Industry, Process Improvement, Software Documentation, Data Analysis
Education
Tennessee State University 1982 — 1988
Bachelor of Science, Medical Records Administration
Tennessee State University 1982 — 1988
Bachelor of Applied Science (B.A.Sc.), Medical Records Administration
XLHealth July 2012 - Present
XL Health May 2011 - July 2012
Health Dialog July 2003 - May 2011
Skills
Disease Management, Utilization Management, Healthcare Management, Nursing, Managed Care, Medicare, Healthcare Information..., Healthcare, HIPAA, Health Education, Hospitals, EMR, Clinical Research, Public Health, Health Promotion
Education
UTEP 2008 — 2010
Bachelor's of science nursing, Registered Nursing/Registered Nurse
San Antonio College 1984 — 1988
Associate degree nursing, Registered Nursing/Registered Nurse
Center for Vein Restoration July 2013 - Present
XLHealth May 2011 - January 2012
Union Memorial Hospital May 1985 - May 2006
Skills
Healthcare, Medicare, Healthcare Management, Healthcare Information..., Hospitals, Disease Management, Clinical Research, Strategic Planning, Marketing Strategy, Healthcare Consulting, Team Building, Social Media, Medicine, EMR, Medicaid, Surgery, Managed Care, Public Speaking, Physicians, Cardiology, Medical Education, Leadership
Education
New York University School of Medicine 1973 — 1977
Doctor of Medicine (MD)
Harvard University 1969 — 1973
AB, Biochemistry
XLHealth November 2009 - Present
Coral Springs Medical Center October 2002 - November 2009
Skills
Medication Therapy..., Pharmacists
Education
University of Maryland Baltimore 1994 — 1998
PharmD, Pharmacy
Nyack High School 1986 — 1991
University of Florida
XLHealth September 2010 - December 2011
Sunbelt Staffing 2010 - 2011
Skills
House Calls Practitioner, Palliative Care, Clinical Experience, Disease Management, Disease Prevention, Diagnostics
Education
Coppin State University 1999 — 2001
MSN, Family Nurse Practitioner
Coppin State University 1993 — 1999
BSN, Nursing
XLHealth September 2011 - February 2013
Evercare, MidAtlantic July 2004 - September 2011
Education
University of Maryland Baltimore
Master of Science (MS), Science
Optum Global Solutions July 2015 - Present
UnitedHealth Group October 2013 - Present
Avesis August 2012 - October 2013
XLHealth July 2007 - August 2012
Skills
Microsoft Excel, Microsoft Word, SQL, Healthcare, SharePoint, Visio, Data Analysis, Managed Care, Analysis, Business Analysis, Process Improvement
Education
University of Maryland Baltimore County 2003 — 2006
Bachelor's degree, Financial Economics
Fresenius Medical Care December 2014 - Present
Fresenius Medical Care February 2012 - January 2015
XLHealth August 2010 - February 2012
Terumo BCT - CaridianBCT July 2007 - May 2009
Strategic Business Systems (SBS) February 2004 - April 2007
ExamOne, a Quest Diagnostics Company August 2002 - March 2003
Entex Information Services, Inc. November 1999 - April 2001
The Paper Solution August 1997 - October 1999
Skills
Healthcare, Healthcare Information..., HIPAA, Hospitals, EMR, Healthcare Management, Nursing, Process Improvement, Medicare, EHR, Software Documentation, HL7, SDLC, Inpatient, Medical Devices, Medicaid, Managed Care, Medical Billing
Education
University of Phoenix 2013 — 2014
Healthcare Administration, Health Care Administration
LeMoyne-Owen College 1991 — 1992
Business Administration and Management, General
University of Maryland School of Pharmacy August 2013 - Present
Anchor Pharmacy & Medical Supplies January 2009 - August 2013
XLHealth June 2007 - January 2009
Skills
Pharmacy, Medication Therapy..., Community Pharmacy, Patient Counseling, Clinical Research, Pharmacy Benefit..., Clinical Trials, Clinical Pharmacy, Pharmacology, Compounding, Managed Care, Pharmacy Practice
Education
University of Maryland School of Pharmacy 2001 — 2005
Doctor of Pharmacy (PharmD)
McDaniel College 1997 — 2001
Bachelor of Arts (B.A.), Biology, General
Broadmead, Inc. June 2014 - Present
Broadmead October 2011 - Present
XLHealth November 2010 - June 2011
Kernan Hospital October 2005 - January 2009
Skills
Microsoft Excel, English, Microsoft Word, Teaching, Public Speaking
Education
Penn State University 2014 — 2014
Informatics Certificate, Nursing Informatics
Chamberlain College of Nursing 2010 — 2012
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Baltimore City Community College 2007 — 2010
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Duke Energy Corporation August 2013 - Present
Florida Power & Light May 2008 - August 2013
XLHealth August 2006 - May 2008
KPMG US January 2006 - August 2006
Perdue Farms October 2004 - December 2005
Skills
CCNA, Checkpoint, Cisco Certified, Firewalls, Information Technology, Cisco Technologies, Enterprise Network..., Network Administration, Windows, Network Security, Disaster Recovery, VPN, Active Directory, Networking, Integration, Security, Troubleshooting, Vendor Management, Windows Server
Education
Salisbury University - Perdue School of Business
Bachelor of Science (BS), Management Information Systems