AdvanceMed Company
Industry: Company
DescriptionFounded: 1997 Parent organizations: Computer Sciences Corporation, NCI, Inc.
AdvanceMed List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at AdvanceMed. You can filter them based on skills, years of employment, job, education, department, and prior employment.
AdvanceMed Salaries. You can even request information on how much does AdvanceMed pay if you want to. Learn about salaries, pros and cons of working for AdvanceMed directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
52 AdvanceMed employees in database. Find out everything there's to know about AdvanceMed 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.
AdvanceMed Employees
Employee
Years
Job
Industry
Linda Pence Linda Pence's AdvanceMed Experience 2000 - 2001
Job
Industry Information Technology and Services
Experience
SCIO Health Analytics July 2013 - Present
SCIO Health Analytics April 2008 - Present
Wood Connection, LLC May 1996 - Present
ACS, Inc October 2006 - March 2008
ACS 2004 - 2006
ACS 2002 - 2004
Bluegrass Family Health 2002 - 2002
AdvanceMed 2000 - 2001
Advantage Care 1993 - 2000
Lexington Clinic October 1989 - 1995
Skills
BPO, Process Improvement, Vendor Management, Healthcare Information..., HIPAA, Business Analysis, Program Management, Healthcare Management, Healthcare, Call Center, Outsourcing, Software Documentation, Call Centers, Training, SharePoint, Visio, Business Development, Leadership, Team Building, Business Process..., Medicaid, Insurance, Business Intelligence, Data Analysis, CRM, SDLC, Analysis, Project Management, Cross-functional Team..., Sales, Quality Assurance, Management, Strategic Planning, Account Management, Change Management, Requirements Analysis, Customer Service, New Business Development
Education
Eastern Kentucky University
Paralegal
University of Kentucky
SCIO Health Analytics July 2013 - Present
SCIO Health Analytics April 2008 - Present
Wood Connection, LLC May 1996 - Present
ACS, Inc October 2006 - March 2008
ACS 2004 - 2006
ACS 2002 - 2004
Bluegrass Family Health 2002 - 2002
AdvanceMed 2000 - 2001
Advantage Care 1993 - 2000
Lexington Clinic October 1989 - 1995
Skills
BPO, Process Improvement, Vendor Management, Healthcare Information..., HIPAA, Business Analysis, Program Management, Healthcare Management, Healthcare, Call Center, Outsourcing, Software Documentation, Call Centers, Training, SharePoint, Visio, Business Development, Leadership, Team Building, Business Process..., Medicaid, Insurance, Business Intelligence, Data Analysis, CRM, SDLC, Analysis, Project Management, Cross-functional Team..., Sales, Quality Assurance, Management, Strategic Planning, Account Management, Change Management, Requirements Analysis, Customer Service, New Business Development
Education
Eastern Kentucky University
Paralegal
University of Kentucky
Liz Mayer, RHIA's AdvanceMed Experience January 2015 - Present
Job Healthcare Fraud Investigator
Industry Hospital & Health Care
Experience
AdvanceMed January 2015 - Present
Health Care Compliance Consulting July 2014 - December 2014
HCI Care Services May 2007 - June 2014
Skills
Home Care, Healthcare Management, Healthcare, Nonprofits, Leadership, Leadership Development, Public Speaking, Medicare, Elder Care, EHR, Microsoft Office, Management, Healthcare Information..., HIPAA, Hospitals, Healthcare Consulting
Education
Des Moines University 2012 — 2016
Currently pursuing Masters Degree, Health Care Administration
Stephens College 1990 — 1995
Bachelor of Science, Health Information Management
AdvanceMed January 2015 - Present
Health Care Compliance Consulting July 2014 - December 2014
HCI Care Services May 2007 - June 2014
Skills
Home Care, Healthcare Management, Healthcare, Nonprofits, Leadership, Leadership Development, Public Speaking, Medicare, Elder Care, EHR, Microsoft Office, Management, Healthcare Information..., HIPAA, Hospitals, Healthcare Consulting
Education
Des Moines University 2012 — 2016
Currently pursuing Masters Degree, Health Care Administration
Stephens College 1990 — 1995
Bachelor of Science, Health Information Management
D. Bart Masters D. Bart Masters's AdvanceMed Experience August 2010 - April 2011
Job Manager, Statistical Analysis at Emdeon
Industry Hospital & Health Care
Experience
Emdeon June 2013 - Present
Emdeon April 2011 - June 2013
CGS Administrators, LLC March 2012 - October 2012
AdvanceMed August 2010 - April 2011
Vanderbilt Biomedical Optics Lab August 2008 - August 2010
Vanderbilt University School of Engineering September 2008 - December 2009
T.U.N.L. May 2007 - August 2007
Vista Engineering Technologies LLC May 2006 - August 2006
Skills
SAS Certified Advanced..., R, Biostatistics, Statistical Modeling, Medicare, Medicaid, Matlab, SQL, SAS, Data Analysis, Analysis, Data Mining, Analytics, SAS programming, Statistics, Public Speaking, Management
Education
Vanderbilt University 2008 — 2010
M.S.
Samford University 2004 — 2008
B.S.
Emdeon June 2013 - Present
Emdeon April 2011 - June 2013
CGS Administrators, LLC March 2012 - October 2012
AdvanceMed August 2010 - April 2011
Vanderbilt Biomedical Optics Lab August 2008 - August 2010
Vanderbilt University School of Engineering September 2008 - December 2009
T.U.N.L. May 2007 - August 2007
Vista Engineering Technologies LLC May 2006 - August 2006
Skills
SAS Certified Advanced..., R, Biostatistics, Statistical Modeling, Medicare, Medicaid, Matlab, SQL, SAS, Data Analysis, Analysis, Data Mining, Analytics, SAS programming, Statistics, Public Speaking, Management
Education
Vanderbilt University 2008 — 2010
M.S.
Samford University 2004 — 2008
B.S.
Bin Zhou Bin Zhou's AdvanceMed Experience December 2009 - June 2011
Job Senior Consultant at Travelers
Industry Insurance
Experience
Travelers June 2012 - Present
NCI Information Systems, Inc. June 2011 - August 2012
AdvanceMed December 2009 - June 2011
Cornell Institute for Social and Economic Research November 2008 - August 2009
Skills
SAS, Statistics, Economics, Data Mining, Microsoft Produts, Data Driven Marketing, Data Analysis, Statistical Modeling, Research, Analytics, Analysis, Databases, SQL, SAS programming, Marketing, Predictive Modeling, VBA, SPSS, R, Predictive Analytics, SAS Programming
Education
Cornell University 2008 — 2009
MPS, Applied Statistics
University of Connecticut 2007 — 2008
MS, Agricultural and Resource Economics
Nanjing Agricultural University 2001 — 2007
BA+MA, Agricultural Economics and Management
Travelers June 2012 - Present
NCI Information Systems, Inc. June 2011 - August 2012
AdvanceMed December 2009 - June 2011
Cornell Institute for Social and Economic Research November 2008 - August 2009
Skills
SAS, Statistics, Economics, Data Mining, Microsoft Produts, Data Driven Marketing, Data Analysis, Statistical Modeling, Research, Analytics, Analysis, Databases, SQL, SAS programming, Marketing, Predictive Modeling, VBA, SPSS, R, Predictive Analytics, SAS Programming
Education
Cornell University 2008 — 2009
MPS, Applied Statistics
University of Connecticut 2007 — 2008
MS, Agricultural and Resource Economics
Nanjing Agricultural University 2001 — 2007
BA+MA, Agricultural Economics and Management
Glynis Knibb's AdvanceMed Experience April 2004 - June 2004
Job Technical Training Instructor at Philips Healthcare
Industry Information Technology and Services
Experience
Philips Healthcare March 2015 - Present
Philips Healthcare August 2013 - March 2015
University Healthcare - Berkeley Medical Center September 2004 - August 2013
AdvanceMed April 2004 - June 2004
Maxim Healthcare Services September 2003 - April 2004
TeamStaff Rx March 1998 - September 2003
Skills
Medical Imaging, Radiologic Technology, HTML, PHP, CSS, Epic Systems, Radiology, Imaging Services, VB.NET, Meditech, EHR, PACS, Healthcare Information..., EMR, Dreamweaver, CIIP (Certified Imaging..., Philips iSite PACS, EPIC Radiant, MySQL, Hospitals, SQL, Radiography, Fluoroscopy, C-arm, RIS, DICOM, Clinical Research, HIPAA, HL7, Software Documentation, Healthcare, IHE, Surgery, Informatics, Troubleshooting, Microsoft Office, Customer Service, Technical Support, Microsoft Excel
Education
University of Maryland University College 2011 — 2015
Digital Media and Web Technology
Hagerstown Community College 2008 — 2011
Web Design/Development
Hagerstown Community College 1994 — 1996
AAS, Radiology
Philips Healthcare March 2015 - Present
Philips Healthcare August 2013 - March 2015
University Healthcare - Berkeley Medical Center September 2004 - August 2013
AdvanceMed April 2004 - June 2004
Maxim Healthcare Services September 2003 - April 2004
TeamStaff Rx March 1998 - September 2003
Skills
Medical Imaging, Radiologic Technology, HTML, PHP, CSS, Epic Systems, Radiology, Imaging Services, VB.NET, Meditech, EHR, PACS, Healthcare Information..., EMR, Dreamweaver, CIIP (Certified Imaging..., Philips iSite PACS, EPIC Radiant, MySQL, Hospitals, SQL, Radiography, Fluoroscopy, C-arm, RIS, DICOM, Clinical Research, HIPAA, HL7, Software Documentation, Healthcare, IHE, Surgery, Informatics, Troubleshooting, Microsoft Office, Customer Service, Technical Support, Microsoft Excel
Education
University of Maryland University College 2011 — 2015
Digital Media and Web Technology
Hagerstown Community College 2008 — 2011
Web Design/Development
Hagerstown Community College 1994 — 1996
AAS, Radiology
David Schaefer David Schaefer's AdvanceMed Experience 2000 - 2003
Job Vice President
Industry Computer Software
Experience
QualMetrix February 2014 - Present
Truven Health Analytics (formerly Thomson Reuters Healthcare) June 2006 - February 2014
Salem Health Solutions 2005 - 2006
Solucient 2004 - 2005
AdvanceMed 2000 - 2003
The MedStat Group 1997 - 1999
The Codman Research Group 1996 - 1997
HCIA 1989 - 1996
Skills
Analytics, Healthcare, Account Management, Business Intelligence, SaaS, Strategic Partnerships, New Business Development, Cross-functional Team..., Informatics, Business Development, Product Management, Sales Management, Strategic Planning, Business Strategy, Team Building, Performance Improvement, Channel Partners, Strategy, Selling, Sales, Enterprise Software, CRM, Product Marketing, Lead Generation, Direct Sales, Sales Process, Professional Services
Education
Northern Illinois University
MBA, Marketing
University of Wisconsin-Whitewater
B.B.A., Marketing
QualMetrix February 2014 - Present
Truven Health Analytics (formerly Thomson Reuters Healthcare) June 2006 - February 2014
Salem Health Solutions 2005 - 2006
Solucient 2004 - 2005
AdvanceMed 2000 - 2003
The MedStat Group 1997 - 1999
The Codman Research Group 1996 - 1997
HCIA 1989 - 1996
Skills
Analytics, Healthcare, Account Management, Business Intelligence, SaaS, Strategic Partnerships, New Business Development, Cross-functional Team..., Informatics, Business Development, Product Management, Sales Management, Strategic Planning, Business Strategy, Team Building, Performance Improvement, Channel Partners, Strategy, Selling, Sales, Enterprise Software, CRM, Product Marketing, Lead Generation, Direct Sales, Sales Process, Professional Services
Education
Northern Illinois University
MBA, Marketing
University of Wisconsin-Whitewater
B.B.A., Marketing
Jacob Gray Jacob Gray's AdvanceMed Experience April 2015 - Present
Job Project Manager at AdvanceMed, Inc
Industry Hospital & Health Care
Experience
AdvanceMed April 2015 - Present
AdvanceMed January 2012 - March 2015
AdvanceMed May 2009 - December 2011
AdvanceMed January 2007 - April 2009
Tennessee Voices for Children December 2005 - December 2006
Middle Tennessee State University October 2004 - December 2006
Skills
Analytics, SAS Base, SAS E-Miner, Statistics, Project Management, Client Relations Skills, Proposal Writing, New Business Development, Public Speaking, Healthcare, Fraud Detection, ICD-9, HCPCS, CPT, Microsoft Excel, PowerPoint, Technical Writing, Medicaid, SAS, Client Relations, Analysis, Program Management, Data Analysis, Access, Process Improvement, Databases, SQL
Education
Middle Tennessee State University 2004 — 2006
Master's Degree, Quantitative Psychology
Middle Tennessee State University 2000 — 2003
Bachelor of Science (B.S.), Psychology
Volunteer State Community College 1997 — 2000
Associate of Science (A.S.), Psychology
AdvanceMed April 2015 - Present
AdvanceMed January 2012 - March 2015
AdvanceMed May 2009 - December 2011
AdvanceMed January 2007 - April 2009
Tennessee Voices for Children December 2005 - December 2006
Middle Tennessee State University October 2004 - December 2006
Skills
Analytics, SAS Base, SAS E-Miner, Statistics, Project Management, Client Relations Skills, Proposal Writing, New Business Development, Public Speaking, Healthcare, Fraud Detection, ICD-9, HCPCS, CPT, Microsoft Excel, PowerPoint, Technical Writing, Medicaid, SAS, Client Relations, Analysis, Program Management, Data Analysis, Access, Process Improvement, Databases, SQL
Education
Middle Tennessee State University 2004 — 2006
Master's Degree, Quantitative Psychology
Middle Tennessee State University 2000 — 2003
Bachelor of Science (B.S.), Psychology
Volunteer State Community College 1997 — 2000
Associate of Science (A.S.), Psychology
Sara Fensterer-Price RHIA, CTR, CCS Sara Fensterer-Price RHIA, CTR, CCS's AdvanceMed Experience November 2011 - Present
Job Coding & Oncology Data Management
Industry Hospital & Health Care
Experience
AdvanceMed November 2011 - Present
.... August 2000 - Present
Kforce Inc. June 2011 - June 2012
Pyramid Healthcare Solutions February 2011 - September 2011
On Assignment May 2010 - January 2011
Healthport LLC June 2007 - May 2010
Health Information Partners January 2007 - June 2007
Reflectx Services April 2005 - December 2006
Kforce Inc. May 2003 - March 2005
LexiCode Corporation April 1995 - May 2003
Skills
Healthcare Consulting, Health Information..., Medical Coding, Physicians, Cerner, Inpatient, Healthcare, CPT, Accreditation, Clinical Research, Health Information..., Healthcare Information..., EHR, Medical Billing, HIPAA, ICD-9, ICD-10, Cancer Registry, Practice Management, DRG, CPOE, Hospitals, Documentations, Abstracting, Oncology, Medicare, Medicaid, EMR, Informatics, Epic Systems, Meditech, Medical Records, Healthcare Management, Medical Terminology, Training
Education
Emory University
Bachelor of Medical Science, Health Information/Medical Records Administration/Administrator
SUNY Oswego
AdvanceMed November 2011 - Present
.... August 2000 - Present
Kforce Inc. June 2011 - June 2012
Pyramid Healthcare Solutions February 2011 - September 2011
On Assignment May 2010 - January 2011
Healthport LLC June 2007 - May 2010
Health Information Partners January 2007 - June 2007
Reflectx Services April 2005 - December 2006
Kforce Inc. May 2003 - March 2005
LexiCode Corporation April 1995 - May 2003
Skills
Healthcare Consulting, Health Information..., Medical Coding, Physicians, Cerner, Inpatient, Healthcare, CPT, Accreditation, Clinical Research, Health Information..., Healthcare Information..., EHR, Medical Billing, HIPAA, ICD-9, ICD-10, Cancer Registry, Practice Management, DRG, CPOE, Hospitals, Documentations, Abstracting, Oncology, Medicare, Medicaid, EMR, Informatics, Epic Systems, Meditech, Medical Records, Healthcare Management, Medical Terminology, Training
Education
Emory University
Bachelor of Medical Science, Health Information/Medical Records Administration/Administrator
SUNY Oswego
Joel Hammerman Joel Hammerman's AdvanceMed Experience January 2003 - February 2005
Job Senior Technical Writer at Message Systems
Industry Information Technology and Services
Experience
Message Systems September 2014 - Present
Maricom, a CSC company June 2010 - August 2014
Baltimore Examiner December 2009 - September 2010
Lockheed Martin Information Technology May 2009 - June 2010
General Physics Corporation February 2009 - April 2009
Legg Mason February 2005 - December 2008
AdvanceMed January 2003 - February 2005
Unwired Express November 2000 - September 2002
ATSG July 1995 - November 2000
Sylvan Learning Centers July 1994 - July 1995
Skills
Software Documentation, Visio, Technical Writing, SharePoint, Requirements Analysis, SDLC, Team Leadership, Microsoft Word, Technical Documentation, Management, Quality Assurance, Business Analysis, Editing, Testing, Microsoft Excel, MS Project, Project Planning, Training, Leadership, Access, Business Requirements, PowerPoint, Photoshop, Alfresco, HTML, CSS, Disaster Recovery, Databases, Program Management
Education
University of Baltimore 1992 — 1994
M.A., Publications Design
University of Maryland Baltimore County 1982 — 1986
B.S., Information Systems Management
Message Systems September 2014 - Present
Maricom, a CSC company June 2010 - August 2014
Baltimore Examiner December 2009 - September 2010
Lockheed Martin Information Technology May 2009 - June 2010
General Physics Corporation February 2009 - April 2009
Legg Mason February 2005 - December 2008
AdvanceMed January 2003 - February 2005
Unwired Express November 2000 - September 2002
ATSG July 1995 - November 2000
Sylvan Learning Centers July 1994 - July 1995
Skills
Software Documentation, Visio, Technical Writing, SharePoint, Requirements Analysis, SDLC, Team Leadership, Microsoft Word, Technical Documentation, Management, Quality Assurance, Business Analysis, Editing, Testing, Microsoft Excel, MS Project, Project Planning, Training, Leadership, Access, Business Requirements, PowerPoint, Photoshop, Alfresco, HTML, CSS, Disaster Recovery, Databases, Program Management
Education
University of Baltimore 1992 — 1994
M.A., Publications Design
University of Maryland Baltimore County 1982 — 1986
B.S., Information Systems Management
Meghan Craft's AdvanceMed Experience 2004 - 2007
Job TO FFS
Industry Insurance
Experience
SafeGuard Services (A HP company) February 2009 - Present
TrustSolutions LLC 2007 - 2009
AdvanceMed 2004 - 2007
Omega Insurance Services January 2002 - January 2004
State of Florida January 1994 - January 2002
Juvenile Alternative Services Program January 1990 - January 1992
Skills
Fraud, Private Investigations, Internal Investigations, Investigation, Homeland Security, Background Checks, Physical Security, Security Management, Evidence, Risk Assessment, Computer Forensics, Crisis Management, Criminal Investigations, Interrogation
Education
University of Central Florida
Bachelors, Criminal Justice
SafeGuard Services (A HP company) February 2009 - Present
TrustSolutions LLC 2007 - 2009
AdvanceMed 2004 - 2007
Omega Insurance Services January 2002 - January 2004
State of Florida January 1994 - January 2002
Juvenile Alternative Services Program January 1990 - January 1992
Skills
Fraud, Private Investigations, Internal Investigations, Investigation, Homeland Security, Background Checks, Physical Security, Security Management, Evidence, Risk Assessment, Computer Forensics, Crisis Management, Criminal Investigations, Interrogation
Education
University of Central Florida
Bachelors, Criminal Justice
Matthew Zurad Matthew Zurad's AdvanceMed Experience May 2000 - May 2006
Job Business Advisor Enterprise Intelligence at McKesson
Industry Hospital & Health Care
Experience
McKesson January 2012 - Present
McKesson April 2010 - January 2012
Healthcare Information Technology Consulting November 2008 - April 2010
Cincinnati Children's Hospital Medical Center June 2006 - November 2008
AdvanceMed May 2000 - May 2006
Skills
EHR, Balanced Scorecard, Process Improvement, Program Management, Strategy, Leadership, Training, SDLC, Business Development, Government, Team Leadership, Business Intelligence, Public Speaking, Change Management, Proposal Writing, Management Consulting, Negotiation, Business Process..., Healthcare Management, Business Analysis, Team Building
Education
University of Maryland College Park 1995 — 1998
MA, Organizational Communication
Virginia Polytechnic Institute and State University 1989 — 1993
BS, Engineering
Loyola Blakefield 1985 — 1989
McKesson January 2012 - Present
McKesson April 2010 - January 2012
Healthcare Information Technology Consulting November 2008 - April 2010
Cincinnati Children's Hospital Medical Center June 2006 - November 2008
AdvanceMed May 2000 - May 2006
Skills
EHR, Balanced Scorecard, Process Improvement, Program Management, Strategy, Leadership, Training, SDLC, Business Development, Government, Team Leadership, Business Intelligence, Public Speaking, Change Management, Proposal Writing, Management Consulting, Negotiation, Business Process..., Healthcare Management, Business Analysis, Team Building
Education
University of Maryland College Park 1995 — 1998
MA, Organizational Communication
Virginia Polytechnic Institute and State University 1989 — 1993
BS, Engineering
Loyola Blakefield 1985 — 1989
Cora Yao Cora Yao's AdvanceMed Experience January 2005 - August 2009
Job Chairperson of Area Congregations Together (ACT)
Industry Hospital & Health Care
Experience
Area Congregations Together 2013 - Present
City of Ithaca Redistricting Committee 2011 - 2012
AdvanceMed January 2005 - August 2009
CareFirst BC BS October 1983 - April 2002
Skills
Health Insurance, Healthcare, Nursing, Non-profits, Investigation, Healthcare Information..., Community Outreach, Process Improvement, Strategic Planning, Public Speaking, Staff Development, Nonprofits, Healthcare Management, Program Development, Policy, Grant Writing, Psychotherapy, Leadership, Leadership Development, Training, Hospitals, Team Building, Teaching, Utilization Management, Fundraising, Case Managment, Volunteer Management, Research, Home Care, Case Management, Critical Thinking, Disease Management, Grants, Inpatient, Medicaid, Medical/Surgical, Community Health, Critical Care, Nursing Education, Patient Advocacy, Quality Improvement, Medical-Surgical
Education
The Catholic University of America 1977 — 1979
MSN, Nursing
Area Congregations Together 2013 - Present
City of Ithaca Redistricting Committee 2011 - 2012
AdvanceMed January 2005 - August 2009
CareFirst BC BS October 1983 - April 2002
Skills
Health Insurance, Healthcare, Nursing, Non-profits, Investigation, Healthcare Information..., Community Outreach, Process Improvement, Strategic Planning, Public Speaking, Staff Development, Nonprofits, Healthcare Management, Program Development, Policy, Grant Writing, Psychotherapy, Leadership, Leadership Development, Training, Hospitals, Team Building, Teaching, Utilization Management, Fundraising, Case Managment, Volunteer Management, Research, Home Care, Case Management, Critical Thinking, Disease Management, Grants, Inpatient, Medicaid, Medical/Surgical, Community Health, Critical Care, Nursing Education, Patient Advocacy, Quality Improvement, Medical-Surgical
Education
The Catholic University of America 1977 — 1979
MSN, Nursing
Carla Engle Carla Engle's AdvanceMed Experience 2003 - 2006
Job Experienced healthcare product manager, compliance officer, and sales professional
Industry Hospital & Health Care
Experience
Emdeon January 2012 - February 2014
Firstsource Solutions, USA January 2011 - December 2011
RACMonitor April 2009 - March 2011
MediRegs March 2009 - November 2010
Wolters Kluwer Health May 2008 - March 2009
Cymetrix February 2006 - January 2008
Medical Reimbursements of America 2005 - 2006
AdvanceMed 2003 - 2006
HCA 2000 - 2003
Skills
Medicare, Medicaid, Fraud, Revenue Cycle, Medicaid Eligibility, HIPAA, Healthcare IT, Healthcare, Compliance, Hospitals, Healthcare Management, Healthcare Industry, Revenue Cycle Management, Healthcare Consulting, Business Development, Meditech, Process Improvement, Healthcare Information..., Managed Care, EHR, Leadership, Practice Management, Management, EMR, Big Data, Data Analytics, Healthcare Analytics, Health Information..., Software Implementation, Health Policy, Data Analysis, Informatics, Health Insurance, Medical Billing, Product Management, Health Information..., Medical Compliance, Software Documentation, Salesforce.com, Clinical Research, SaaS, Performance Improvement, Marketing, Consulting, Quality Improvement, Radiology, HIT, Solution Selling, Strategic Planning, Sales
Education
University of Phoenix 2005 — 2006
MBA, Healthcare Administration
Liberal High School 1980 — 1983
Emdeon January 2012 - February 2014
Firstsource Solutions, USA January 2011 - December 2011
RACMonitor April 2009 - March 2011
MediRegs March 2009 - November 2010
Wolters Kluwer Health May 2008 - March 2009
Cymetrix February 2006 - January 2008
Medical Reimbursements of America 2005 - 2006
AdvanceMed 2003 - 2006
HCA 2000 - 2003
Skills
Medicare, Medicaid, Fraud, Revenue Cycle, Medicaid Eligibility, HIPAA, Healthcare IT, Healthcare, Compliance, Hospitals, Healthcare Management, Healthcare Industry, Revenue Cycle Management, Healthcare Consulting, Business Development, Meditech, Process Improvement, Healthcare Information..., Managed Care, EHR, Leadership, Practice Management, Management, EMR, Big Data, Data Analytics, Healthcare Analytics, Health Information..., Software Implementation, Health Policy, Data Analysis, Informatics, Health Insurance, Medical Billing, Product Management, Health Information..., Medical Compliance, Software Documentation, Salesforce.com, Clinical Research, SaaS, Performance Improvement, Marketing, Consulting, Quality Improvement, Radiology, HIT, Solution Selling, Strategic Planning, Sales
Education
University of Phoenix 2005 — 2006
MBA, Healthcare Administration
Liberal High School 1980 — 1983
Ben Denny Ben Denny's AdvanceMed Experience October 2012 - November 2013
Job Healthcare Economics Consultant at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group November 2013 - Present
AdvanceMed October 2012 - November 2013
AdvanceMed September 2011 - September 2012
AdvanceMed June 2011 - August 2011
AdvanceMed August 2010 - May 2011
Middle Tennessee State University August 2008 - May 2010
Healthways June 2009 - December 2009
Rutherford County, TN March 2009 - May 2009
Davidson County Sheriff's Office February 2009 - May 2009
Rivendell Behavioral Health Services January 2007 - August 2008
Skills
SAS, Data Analysis, SPSS, SAS programming, Statistics, Microsoft Excel, SQL, Job Analysis, Medicaid, Training, Health Care Systems, Access, Statistical Modeling, Data Mining, Research
Education
Middle Tennessee State University 2008 — 2010
M.A., Quantitative Psychology
Western Kentucky University 2003 — 2007
B.A., Psychology, Sociology
UnitedHealth Group November 2013 - Present
AdvanceMed October 2012 - November 2013
AdvanceMed September 2011 - September 2012
AdvanceMed June 2011 - August 2011
AdvanceMed August 2010 - May 2011
Middle Tennessee State University August 2008 - May 2010
Healthways June 2009 - December 2009
Rutherford County, TN March 2009 - May 2009
Davidson County Sheriff's Office February 2009 - May 2009
Rivendell Behavioral Health Services January 2007 - August 2008
Skills
SAS, Data Analysis, SPSS, SAS programming, Statistics, Microsoft Excel, SQL, Job Analysis, Medicaid, Training, Health Care Systems, Access, Statistical Modeling, Data Mining, Research
Education
Middle Tennessee State University 2008 — 2010
M.A., Quantitative Psychology
Western Kentucky University 2003 — 2007
B.A., Psychology, Sociology
Karen Dowdy Karen Dowdy's AdvanceMed Experience October 2010 - Present
Job Fraud Investigator/Program Integrity Supervisor
Industry Law Enforcement
Experience
AdvanceMed October 2010 - Present
Dick Broadcasting Company, Inc. 1999 - 2000
Sleep Number by Select Comfort 1997 - 1999
Skills
Fraud, Investigation, Fraud Detection, Data Analysis, Leadership, Criminal Justice, Customer Service, Risk Assessment, Sales, Investigative Research, Claim, Insurance, Health Care Fraud, Background Checks, Evidence, Policy, Criminal Investigations, Government, Claim Investigation, Medicare, Conducting Interviews, Interviewing Skills, Interviews
Education
Middle Tennessee State University
Bachelor's degree, Criminal Justice/Psychology/English
AdvanceMed October 2010 - Present
Dick Broadcasting Company, Inc. 1999 - 2000
Sleep Number by Select Comfort 1997 - 1999
Skills
Fraud, Investigation, Fraud Detection, Data Analysis, Leadership, Criminal Justice, Customer Service, Risk Assessment, Sales, Investigative Research, Claim, Insurance, Health Care Fraud, Background Checks, Evidence, Policy, Criminal Investigations, Government, Claim Investigation, Medicare, Conducting Interviews, Interviewing Skills, Interviews
Education
Middle Tennessee State University
Bachelor's degree, Criminal Justice/Psychology/English
ALISON VOGT's AdvanceMed Experience January 2015 - Present
Job Lead Claims Review Analyst at NCI, Inc.
Industry Information Technology and Services
Experience
AdvanceMed January 2015 - Present
Skills
Leadership, Management, Microsoft Office, Research, Clinical Trials, Project Management, Customer Service, Regulatory Affairs
Education
East Carolina University
AdvanceMed January 2015 - Present
Skills
Leadership, Management, Microsoft Office, Research, Clinical Trials, Project Management, Customer Service, Regulatory Affairs
Education
East Carolina University
Lori Napier Lori Napier's AdvanceMed Experience 2005 - February 2012
Job Senior Data Analyst at AdvanceMed, an NCI Company
Industry Information Services
Experience
AdvanceMed, an NCI Company September 2015 - Present
OhioHealth Group October 2013 - Present
Fairfield Medical Center February 2012 - October 2013
AdvanceMed 2005 - February 2012
NCI Information Systems, Inc. 2005 - February 2012
Quantum Health June 2002 - February 2005
Mount Carmel Health System December 1999 - June 2002
American Health Holding May 1999 - December 1999
CNA Health Partners Inc. September 1994 - May 1999
Skills
Data Mining, Access, Statistics, Excel, Data Analysis, Data Modeling, Data Quality, Medicare, SQL, Healthcare Information..., Microsoft Excel, Predictive Modeling, SAS, Analysis, Healthcare, Program Management, Project Management, Healthcare Management, HIPAA, Process Improvement, Management
Education
The Ohio State University 1990 — 1994
Bachelor of Science in Business Administration (BSBA), Management Information Systems (MIS)
AdvanceMed, an NCI Company September 2015 - Present
OhioHealth Group October 2013 - Present
Fairfield Medical Center February 2012 - October 2013
AdvanceMed 2005 - February 2012
NCI Information Systems, Inc. 2005 - February 2012
Quantum Health June 2002 - February 2005
Mount Carmel Health System December 1999 - June 2002
American Health Holding May 1999 - December 1999
CNA Health Partners Inc. September 1994 - May 1999
Skills
Data Mining, Access, Statistics, Excel, Data Analysis, Data Modeling, Data Quality, Medicare, SQL, Healthcare Information..., Microsoft Excel, Predictive Modeling, SAS, Analysis, Healthcare, Program Management, Project Management, Healthcare Management, HIPAA, Process Improvement, Management
Education
The Ohio State University 1990 — 1994
Bachelor of Science in Business Administration (BSBA), Management Information Systems (MIS)
Aran Canes Aran Canes's AdvanceMed Experience February 2010 - October 2012
Job Sr. Analytic Consultant at Cigna
Industry Hospital & Health Care
Experience
Cigna June 2014 - Present
Liberty Healthcare Solutions July 2013 - June 2014
HMS October 2012 - July 2013
AdvanceMed February 2010 - October 2012
U.S. Department of Justice April 2006 - August 2008
Glassman Oliver October 2001 - August 2003
Skills
SAS, SQL, Statistics, Fraud Analysis, Stata, R, Data Analysis, SAS programming, Quantitative Analytics, Data Collection, Quantitative Research, Data Mining, Policy Analysis, Qualitative Research, Report Writing, Analysis, Research, Statistical Software, Program Evaluation, Databases, Statistical Modeling, Microsoft SQL Server, Predictive Modeling, Business Intelligence, Predictive Analytics, Medicaid Managed Care, Medicaid, Data Warehousing, Fraud, SAS Certified Base..., Visual Basic, Economics, Construction Claims..., SAS Programming
Education
University of Maryland College Park 2008 — 2010
Master's degree, Economics
University of Virginia 1995 — 1998
BA, Physics
Cigna June 2014 - Present
Liberty Healthcare Solutions July 2013 - June 2014
HMS October 2012 - July 2013
AdvanceMed February 2010 - October 2012
U.S. Department of Justice April 2006 - August 2008
Glassman Oliver October 2001 - August 2003
Skills
SAS, SQL, Statistics, Fraud Analysis, Stata, R, Data Analysis, SAS programming, Quantitative Analytics, Data Collection, Quantitative Research, Data Mining, Policy Analysis, Qualitative Research, Report Writing, Analysis, Research, Statistical Software, Program Evaluation, Databases, Statistical Modeling, Microsoft SQL Server, Predictive Modeling, Business Intelligence, Predictive Analytics, Medicaid Managed Care, Medicaid, Data Warehousing, Fraud, SAS Certified Base..., Visual Basic, Economics, Construction Claims..., SAS Programming
Education
University of Maryland College Park 2008 — 2010
Master's degree, Economics
University of Virginia 1995 — 1998
BA, Physics
Andrea Buckley Andrea Buckley's AdvanceMed Experience April 2010 - Present
Job Medical Review Specialist
Industry Hospital & Health Care
Experience
AdvanceMed April 2010 - Present
United States Army Reserve April 2011 - May 2013
Virginia Premier Health Plan, Inc. November 2009 - April 2010
Care Advantage, Inc. March 2009 - November 2009
Hospice of Virginia January 2009 - March 2009
St. Francis Medical Center June 2008 - January 2009
Henrico Doctors Hospital October 2007 - April 2008
Retreat Hospital January 2007 - September 2007
St. Francis Medical Center August 2005 - February 2007
St. Mary's Hospital February 2004 - November 2005
Skills
Nursing, Healthcare, Case Management, Disease Management, Home Care, Managed Care, Medical-Surgical, Nursing Care, Registered Nurses, Medical Records, Medicine
Education
Virginia Nursing
BSN
Adelphi University 1997 — 1999
Bachelor's, Nursing
New York State Nursing
AdvanceMed April 2010 - Present
United States Army Reserve April 2011 - May 2013
Virginia Premier Health Plan, Inc. November 2009 - April 2010
Care Advantage, Inc. March 2009 - November 2009
Hospice of Virginia January 2009 - March 2009
St. Francis Medical Center June 2008 - January 2009
Henrico Doctors Hospital October 2007 - April 2008
Retreat Hospital January 2007 - September 2007
St. Francis Medical Center August 2005 - February 2007
St. Mary's Hospital February 2004 - November 2005
Skills
Nursing, Healthcare, Case Management, Disease Management, Home Care, Managed Care, Medical-Surgical, Nursing Care, Registered Nurses, Medical Records, Medicine
Education
Virginia Nursing
BSN
Adelphi University 1997 — 1999
Bachelor's, Nursing
New York State Nursing
Michele Pollet Michele Pollet's AdvanceMed Experience October 2010 - March 2012
Job Special Claims Investigator
Industry Insurance
Experience
Great American Insurance March 2012 - Present
AdvanceMed October 2010 - March 2012
Pinellas County Sheriff's Office June 2004 - July 2010
Skills
Fraud, Investigation, Training, Intelligence, Intelligence Analysis, Law Enforcement
Education
University of South Florida 2007 — 2008
Master’s Degree, Criminal Justice/Law Enforcement Administration, 3.97
University of South Florida 2000 — 2004
Bachelor’s Degree, Criminology, 3.5
Great American Insurance March 2012 - Present
AdvanceMed October 2010 - March 2012
Pinellas County Sheriff's Office June 2004 - July 2010
Skills
Fraud, Investigation, Training, Intelligence, Intelligence Analysis, Law Enforcement
Education
University of South Florida 2007 — 2008
Master’s Degree, Criminal Justice/Law Enforcement Administration, 3.97
University of South Florida 2000 — 2004
Bachelor’s Degree, Criminology, 3.5
Emilie Fix's AdvanceMed Experience June 2015 - Present
Job PI Analyst at AdvanceMed
Industry Government Administration
Experience
AdvanceMed June 2015 - Present
IntegriGuard April 2003 - June 2012
Skills
Government, Fraud, Risk Assessment, Medicaid, Private Investigations, Analysis, HIPAA, Insurance, Policy, Software Documentation
Education
University of Nebraska at Omaha 2000 — 2002
AdvanceMed June 2015 - Present
IntegriGuard April 2003 - June 2012
Skills
Government, Fraud, Risk Assessment, Medicaid, Private Investigations, Analysis, HIPAA, Insurance, Policy, Software Documentation
Education
University of Nebraska at Omaha 2000 — 2002
Anna Sands's AdvanceMed Experience 2006 - Present
Job Operations Supervisor at AdvanceMed
Industry Government Administration
Experience
TOPZ Frozen Yogurt Cafe July 2015 - Present
AdvanceMed 2006 - Present
AdvanceMed 2004 - Present
AdvanceMed 2012 - July 2015
Skills
Training, Policy, Research, Public Speaking, Data Analysis, Analysis, Government, Software Documentation, Program Management, PowerPoint, Healthcare, Microsoft Office, Strategic Planning, Cross-functional Team..., Leadership Development, Customer-focused Service
Education
Trevecca Nazarene University
Bachelor of Science, Management and Human Relations
TOPZ Frozen Yogurt Cafe July 2015 - Present
AdvanceMed 2006 - Present
AdvanceMed 2004 - Present
AdvanceMed 2012 - July 2015
Skills
Training, Policy, Research, Public Speaking, Data Analysis, Analysis, Government, Software Documentation, Program Management, PowerPoint, Healthcare, Microsoft Office, Strategic Planning, Cross-functional Team..., Leadership Development, Customer-focused Service
Education
Trevecca Nazarene University
Bachelor of Science, Management and Human Relations
Amber Pettus's AdvanceMed Experience 2008 - Present
Job Project Coordinator and Visionary Entertainment Professional
Industry Entertainment
Experience
AdvanceMed 2008 - Present
Country Music Hall of Fame & Museum 2008 - 2009
State of Tennessee Department of Safety 2007 - 2008
Artist Development Network 2005 - 2007
Universal South Records 2004 - 2005
Education
Belmont University 2004 — 2007
BBA, Music Business, Audio Engineering Technology and Production
Jacksonville State University 2002 — 2004
Music Performance, Art, Business
AdvanceMed 2008 - Present
Country Music Hall of Fame & Museum 2008 - 2009
State of Tennessee Department of Safety 2007 - 2008
Artist Development Network 2005 - 2007
Universal South Records 2004 - 2005
Education
Belmont University 2004 — 2007
BBA, Music Business, Audio Engineering Technology and Production
Jacksonville State University 2002 — 2004
Music Performance, Art, Business
Becky Clearwater's AdvanceMed Experience May 2013 - Present
Job Manager of Training and Appeals at AdvanceMed
Industry Hospital & Health Care
Experience
AdvanceMed May 2013 - Present
Skills
Medicare, Healthcare Information..., Healthcare, Strategic Planning, Team Building, Public Speaking, Healthcare Management, Data Analysis
Education
Western University of Health Sciences
Doctor of Physical Therapy
California State University-Northridge 1982 — 1985
Masters, Epidemiology
AdvanceMed May 2013 - Present
Skills
Medicare, Healthcare Information..., Healthcare, Strategic Planning, Team Building, Public Speaking, Healthcare Management, Data Analysis
Education
Western University of Health Sciences
Doctor of Physical Therapy
California State University-Northridge 1982 — 1985
Masters, Epidemiology
Paul Elstein's AdvanceMed Experience June 2012 - December 2012
Job Medicare Subject Matter Expert
Industry Hospital & Health Care
Experience
AdvanceMed June 2012 - December 2012
CSC December 2010 - July 2012
CGI Federal December 2009 - December 2010
Computer Sciences Corporation April 2005 - December 2009
Centers for Medicare&Medicaid Services 1970 - 2003
Skills
Healthcare, Process Improvement, Managed Care, Medicare, Requirements Analysis, SDLC, Proposal Writing, Policy, Leadership, Government, Program Management, Training, Business Process..., Management Consulting, Business Development, PMP, Integration, PMO, Governance, IT Strategy, Business Process
Education
University of Maryland College Park 1967 — 1970
PHD, Government
City University of New York-Brooklyn College 1961 — 1965
BA, Political Science
City University of New York-Brooklyn College 1961 — 1965
Bachelor of Arts (B.A.), Political Science and Government
James Madison High School 1958 — 1961
AdvanceMed June 2012 - December 2012
CSC December 2010 - July 2012
CGI Federal December 2009 - December 2010
Computer Sciences Corporation April 2005 - December 2009
Centers for Medicare&Medicaid Services 1970 - 2003
Skills
Healthcare, Process Improvement, Managed Care, Medicare, Requirements Analysis, SDLC, Proposal Writing, Policy, Leadership, Government, Program Management, Training, Business Process..., Management Consulting, Business Development, PMP, Integration, PMO, Governance, IT Strategy, Business Process
Education
University of Maryland College Park 1967 — 1970
PHD, Government
City University of New York-Brooklyn College 1961 — 1965
BA, Political Science
City University of New York-Brooklyn College 1961 — 1965
Bachelor of Arts (B.A.), Political Science and Government
James Madison High School 1958 — 1961
Vicki Shepard's AdvanceMed Experience June 2008 - June 2012
Job Health Care Fraud Advisor
Industry Hospital & Health Care
Experience
AdvanceMed June 2008 - June 2012
U.S. Department of Health, Office of Inspector General September 1986 - September 2006
U.S. Army, Military Police Corps April 1974 - September 2000
Skills
Fraud, Medicaid, Policy, Public Policy, Program Management, Government, Medicare, Healthcare, Emergency Management, Government Contracting, Private Investigations, Criminal Justice, Intelligence Analysis, Criminal Law, Team Building, Process Improvement, Homeland Security, Investigation
Education
University of Denver - Sturm College of Law 1982 — 1986
Doctor of Law (J.D.), Law
Henderson State University
Bachelor of Science (BS), Education
Webster University
Master of Arts (M.A.), Human Relations
AdvanceMed June 2008 - June 2012
U.S. Department of Health, Office of Inspector General September 1986 - September 2006
U.S. Army, Military Police Corps April 1974 - September 2000
Skills
Fraud, Medicaid, Policy, Public Policy, Program Management, Government, Medicare, Healthcare, Emergency Management, Government Contracting, Private Investigations, Criminal Justice, Intelligence Analysis, Criminal Law, Team Building, Process Improvement, Homeland Security, Investigation
Education
University of Denver - Sturm College of Law 1982 — 1986
Doctor of Law (J.D.), Law
Henderson State University
Bachelor of Science (BS), Education
Webster University
Master of Arts (M.A.), Human Relations
Tammee Young's AdvanceMed Experience November 2002 - June 2003
Job Health Insurance Specialist at Government
Industry Health, Wellness and Fitness
Experience
Government November 2004 - Present
CMS 2004 - Present
AdvanceMed a CSC Company July 2003 - November 2004
AdvanceMed November 2002 - June 2003
BCE Emergis May 1999 - November 2002
BCE emergis 2002 - 2002
UPUP/Coventry/AHP June 1996 - May 1999
CAC January 1990 - December 1995
W. Bell & Company September 1984 - June 1990
EDS September 1986 - January 1990
Skills
Process Improvement, Strategic Planning, Business Analysis, Team Building, Training, Quality Assurance, Customer Service
Education
Montgomery College 2000 — 2003
Business
Government November 2004 - Present
CMS 2004 - Present
AdvanceMed a CSC Company July 2003 - November 2004
AdvanceMed November 2002 - June 2003
BCE Emergis May 1999 - November 2002
BCE emergis 2002 - 2002
UPUP/Coventry/AHP June 1996 - May 1999
CAC January 1990 - December 1995
W. Bell & Company September 1984 - June 1990
EDS September 1986 - January 1990
Skills
Process Improvement, Strategic Planning, Business Analysis, Team Building, Training, Quality Assurance, Customer Service
Education
Montgomery College 2000 — 2003
Business
Robin Price's AdvanceMed Experience November 2005 - August 2007
Job Senior Program Manager at Leidos Health
Industry Management Consulting
Experience
Independent Consultant / Contractor November 2014 - Present
Leidos Health July 2012 - November 2014
MEDPROTECT LLC (an SAIC Company) July 2013 - January 2014
MEDPROTECT LLC (an SAIC Company) August 2007 - July 2012
AdvanceMed November 2005 - August 2007
CSC May 2002 - October 2005
CSC 1998 - 2001
Skills
SDLC, PMP, Program Management, Project Portfolio..., Requirements Analysis, IT Strategy, Software Project..., Enterprise Architecture, Requirements Gathering, Integration, Vendor Management, Agile Project Management, Business Analysis, Business Process..., Business Process, ITIL, Process Improvement, Project Management, Management, Strategic Planning
Education
The Johns Hopkins University 1996 — 1998
Master's degree, Business Management
University of Maryland Baltimore County
Bachelor of Arts (B.A.), Health Science and Policy
Catonsville Community College
Associate's degree, Registered Nursing/Registered Nurse
Independent Consultant / Contractor November 2014 - Present
Leidos Health July 2012 - November 2014
MEDPROTECT LLC (an SAIC Company) July 2013 - January 2014
MEDPROTECT LLC (an SAIC Company) August 2007 - July 2012
AdvanceMed November 2005 - August 2007
CSC May 2002 - October 2005
CSC 1998 - 2001
Skills
SDLC, PMP, Program Management, Project Portfolio..., Requirements Analysis, IT Strategy, Software Project..., Enterprise Architecture, Requirements Gathering, Integration, Vendor Management, Agile Project Management, Business Analysis, Business Process..., Business Process, ITIL, Process Improvement, Project Management, Management, Strategic Planning
Education
The Johns Hopkins University 1996 — 1998
Master's degree, Business Management
University of Maryland Baltimore County
Bachelor of Arts (B.A.), Health Science and Policy
Catonsville Community College
Associate's degree, Registered Nursing/Registered Nurse
Debbi Stainer's AdvanceMed Experience July 2002 - Present
Job Experienced Health Care Fraud Investigator/Supervisor
Industry Security and Investigations
Experience
AdvanceMed July 2002 - Present
AdvanceMed Corp July 2002 - Present
Nationwide Insurance Co May 1994 - June 2002
Skills
Customer Service, Medicare, Security, Policy, Software Documentation, Public Speaking, Data Analysis, Microsoft Excel, Fraud, Strategic Planning, Program Management, Quality Assurance, Interviews, Nursing
Education
Franklin University 1978 — 1979
Business Management
AdvanceMed July 2002 - Present
AdvanceMed Corp July 2002 - Present
Nationwide Insurance Co May 1994 - June 2002
Skills
Customer Service, Medicare, Security, Policy, Software Documentation, Public Speaking, Data Analysis, Microsoft Excel, Fraud, Strategic Planning, Program Management, Quality Assurance, Interviews, Nursing
Education
Franklin University 1978 — 1979
Business Management
Angela Newton, CFE's AdvanceMed Experience May 2014 - Present
Job Program Integrity Manager at AdvanceMed Corp
Industry Government Administration
Experience
AdvanceMed May 2014 - Present
AdvanceMed October 2012 - May 2014
AdvanceMed October 2010 - October 2012
AdvanceMed June 2003 - October 2010
AdminaStar Federal October 2001 - June 2003
Anthem October 1994 - September 2001
Skills
Strategic Planning, Quality Assurance, Data Analysis, Outlook, Fraud, Managed Care, Medicare, Healthcare, Private Investigations, Microsoft Excel, Policy, Medicaid, Insurance, HIPAA, Risk Assessment, Investigation, Risk Management, Certified Fraud Examiner, Health Insurance, Government, Healthcare Information..., Criminal Investigations, Fraud Detection, Program Management, Criminal Justice, Leadership, Auditing, Internal Investigations, Analysis, Access, Background Checks, Public Speaking, Process Improvement, Budgets, Employee Benefits, Evidence, Claim, Data Mining, Health Care Fraud, Project Management, Interrogation, Enforcement, Management
Education
Indiana Wesleyan University 2009 — 2013
Bachelor of Science, Criminal Justice, Magna Cum Laude
AdvanceMed May 2014 - Present
AdvanceMed October 2012 - May 2014
AdvanceMed October 2010 - October 2012
AdvanceMed June 2003 - October 2010
AdminaStar Federal October 2001 - June 2003
Anthem October 1994 - September 2001
Skills
Strategic Planning, Quality Assurance, Data Analysis, Outlook, Fraud, Managed Care, Medicare, Healthcare, Private Investigations, Microsoft Excel, Policy, Medicaid, Insurance, HIPAA, Risk Assessment, Investigation, Risk Management, Certified Fraud Examiner, Health Insurance, Government, Healthcare Information..., Criminal Investigations, Fraud Detection, Program Management, Criminal Justice, Leadership, Auditing, Internal Investigations, Analysis, Access, Background Checks, Public Speaking, Process Improvement, Budgets, Employee Benefits, Evidence, Claim, Data Mining, Health Care Fraud, Project Management, Interrogation, Enforcement, Management
Education
Indiana Wesleyan University 2009 — 2013
Bachelor of Science, Criminal Justice, Magna Cum Laude
Kellie McDaniel's AdvanceMed Experience November 2005 - May 2007
Job Manager, Medicaid Special Investigations Unit at WellPoint/Amerigroup Corporation
Industry Hospital & Health Care
Experience
Amerigroup Corporation September 2011 - Present
Amerigroup Corporation May 2007 - May 2010
AdvanceMed November 2005 - May 2007
Skills
Critical Care, Six Sigma, Medicaid, Home Care, Health Policy, Medicare, Medicine, Managed Care, Healthcare Management, Access, Clinical Research, Medicaid Managed Care, Hospitals, Healthcare Information..., Public Health, Provider Relations, Utilization Management, Employee Benefits, HIPAA, Healthcare
Education
Cumberland University 1999 — 2002
BSN, Nursing
University of Tennessee at Martin 1990 — 1992
AD, Business
Amerigroup Corporation September 2011 - Present
Amerigroup Corporation May 2007 - May 2010
AdvanceMed November 2005 - May 2007
Skills
Critical Care, Six Sigma, Medicaid, Home Care, Health Policy, Medicare, Medicine, Managed Care, Healthcare Management, Access, Clinical Research, Medicaid Managed Care, Hospitals, Healthcare Information..., Public Health, Provider Relations, Utilization Management, Employee Benefits, HIPAA, Healthcare
Education
Cumberland University 1999 — 2002
BSN, Nursing
University of Tennessee at Martin 1990 — 1992
AD, Business
Joey Haas's AdvanceMed Experience January 2010 - July 2012
Job at CGS
Industry Information Technology and Services
Experience
CGS October 2013 - Present
HMS July 2013 - October 2013
Sarah Cannon Research Institute July 2012 - June 2013
AdvanceMed January 2010 - July 2012
Healthways, Inc. 2007 - 2009
Skills
SAS, SAS programming, Predictive Modeling, Statistics, Data Analysis, Data Mining, Statistical Modeling, SPSS, Access, Healthcare Information..., Medicaid, Predictive Analytics, Business Intelligence, Databases, Logistic Regression, SQL, Statistical Programming
Education
Middle Tennessee State University 2005 — 2009
MA, Quantitative Psychology
Middle Tennessee State University 2000 — 2005
BS, Psychology
CGS October 2013 - Present
HMS July 2013 - October 2013
Sarah Cannon Research Institute July 2012 - June 2013
AdvanceMed January 2010 - July 2012
Healthways, Inc. 2007 - 2009
Skills
SAS, SAS programming, Predictive Modeling, Statistics, Data Analysis, Data Mining, Statistical Modeling, SPSS, Access, Healthcare Information..., Medicaid, Predictive Analytics, Business Intelligence, Databases, Logistic Regression, SQL, Statistical Programming
Education
Middle Tennessee State University 2005 — 2009
MA, Quantitative Psychology
Middle Tennessee State University 2000 — 2005
BS, Psychology
Carolyn Clark's AdvanceMed Experience March 2010 - November 2012
Job Senior Application Developer at CignaHealthSpring via Rezult Technology
Industry Information Technology and Services
Experience
Cigna-HealthSpring via RezultTechnology April 2015 - Present
Cigna-HealthSpring December 2012 - Present
AdvanceMed. March 2010 - November 2012
AdvanceMed/NCI Inc March 2010 - November 2012
Robert Half Management Resources March 2008 - March 2010
AIM Healthcare August 2006 - March 2008
LBMC March 2006 - July 2007
Louisiana Pacific Corporation July 2005 - March 2006
Dolphin Medical Inc May 2002 - March 2004
IEC/Flextronics International September 2001 - May 2002
Skills
Policy, Research, Analysis, Healthcare, Databases, Access, Microsoft SQL Server, Strategic Planning, Data Analysis, SQL, Business Analysis, Business Intelligence, Data Mining, SAS, SAS programming, Quality Assurance, Process Improvement, SAS Programming
Education
Middle Tennessee State University
Aeronautics/Aviation/Aerospace Science and Technology, General
Cigna-HealthSpring via RezultTechnology April 2015 - Present
Cigna-HealthSpring December 2012 - Present
AdvanceMed. March 2010 - November 2012
AdvanceMed/NCI Inc March 2010 - November 2012
Robert Half Management Resources March 2008 - March 2010
AIM Healthcare August 2006 - March 2008
LBMC March 2006 - July 2007
Louisiana Pacific Corporation July 2005 - March 2006
Dolphin Medical Inc May 2002 - March 2004
IEC/Flextronics International September 2001 - May 2002
Skills
Policy, Research, Analysis, Healthcare, Databases, Access, Microsoft SQL Server, Strategic Planning, Data Analysis, SQL, Business Analysis, Business Intelligence, Data Mining, SAS, SAS programming, Quality Assurance, Process Improvement, SAS Programming
Education
Middle Tennessee State University
Aeronautics/Aviation/Aerospace Science and Technology, General
Eduardo David Perez's AdvanceMed Experience September 2002 - November 2012
Job at
Industry Insurance
Experience
Cigna January 2014 - Present
AdvanceMed NCI April 2011 - January 2014
AdvanceMed September 2002 - November 2012
TrailBlazer Health Enterprises 2000 - 2002
UnitedHealth Group January 1998 - April 2000
Travelers July 1994 - April 1998
Skills
Medicare, Healthcare, Medicine, Public Speaking, Microsoft Excel
Education
Virginia Commonwealth University School of Medicine 1988 — 1990
Geriatrics, Geriatric Fellowship
Loyola University of Chicago 1977 — 1980
Doctor of Medicine (MD), Medicine
University of Notre Dame 1973 — 1977
Bachelor of Science (BS), Pre-Medicine/Pre-Medical Studies, Cum Laude
Cigna January 2014 - Present
AdvanceMed NCI April 2011 - January 2014
AdvanceMed September 2002 - November 2012
TrailBlazer Health Enterprises 2000 - 2002
UnitedHealth Group January 1998 - April 2000
Travelers July 1994 - April 1998
Skills
Medicare, Healthcare, Medicine, Public Speaking, Microsoft Excel
Education
Virginia Commonwealth University School of Medicine 1988 — 1990
Geriatrics, Geriatric Fellowship
Loyola University of Chicago 1977 — 1980
Doctor of Medicine (MD), Medicine
University of Notre Dame 1973 — 1977
Bachelor of Science (BS), Pre-Medicine/Pre-Medical Studies, Cum Laude
Sam Trenchi's AdvanceMed Experience December 2009 - February 2011
Job Local Engagement Manager at Fireball Whisky
Industry Law Practice
Experience
Satoshi Fantasy September 2015 - Present
Hoover Realty, LLC April 2015 - Present
Fireball Whisky December 2014 - Present
Trenchi Law November 2013 - Present
Michael D. Ponce & Associates PLLC January 2013 - November 2013
East Nashville Legal January 2012 - January 2013
Haas & Devine, PLC May 2011 - October 2011
AdvanceMed December 2009 - February 2011
ACLU of Arkansas August 2008 - November 2008
Clinton Foundation August 2008 - November 2008
Skills
Immigration Law, Research, Depositions, Legal Issues, Personal Injury..., Eminent Domain, medicare, Networking, Social Networking, Community Engagement, Negotiation, International Relations, U.S. Immigration, Investigation
Education
University of Arkansas at Little Rock, William H. Bowen School of Law 2005 — 2008
J.D.
Belmont University 1998 — 2003
B.A., Philosophy
Lingnan University 2002 — 2002
Study Abroad
University of Illinois at Chicago 2001 — 2001
Anthropology
Satoshi Fantasy September 2015 - Present
Hoover Realty, LLC April 2015 - Present
Fireball Whisky December 2014 - Present
Trenchi Law November 2013 - Present
Michael D. Ponce & Associates PLLC January 2013 - November 2013
East Nashville Legal January 2012 - January 2013
Haas & Devine, PLC May 2011 - October 2011
AdvanceMed December 2009 - February 2011
ACLU of Arkansas August 2008 - November 2008
Clinton Foundation August 2008 - November 2008
Skills
Immigration Law, Research, Depositions, Legal Issues, Personal Injury..., Eminent Domain, medicare, Networking, Social Networking, Community Engagement, Negotiation, International Relations, U.S. Immigration, Investigation
Education
University of Arkansas at Little Rock, William H. Bowen School of Law 2005 — 2008
J.D.
Belmont University 1998 — 2003
B.A., Philosophy
Lingnan University 2002 — 2002
Study Abroad
University of Illinois at Chicago 2001 — 2001
Anthropology
Paulita Lyons's AdvanceMed Experience 2011 - Present
Job Senior Fraud Analyst at AdvanceMed
Industry Legal Services
Experience
AdvanceMed 2011 - Present
Reminger Attorneys at Law January 2007 - August 2010
DELAWARE COUNTY PROSECUTOR'S OFFICE April 2006 - December 2006
State Farm Insurance May 2002 - September 2005
CRABBE BROWN & JAMES, LLP December 2000 - January 2002
Integrex January 1999 - December 2000
Owens Corning March 1997 - December 2000
Skills
Investigation, Workers Compensation, Government, Customer Service, Litigation Support, Training, Fraud, Trials, Microsoft Office, Civil Litigation, Legal Research, Medicare, Policy, Claim, Litigation, Criminal Justice, Enforcement, Claim Investigation, Criminal Investigations, Internal Investigations, Courts, Notary Public, Legal Writing, Criminal Law, Liability, Auditing
Education
Tiffin University 2009 — 2010
MSCJ, Criminal Justice
Franklin University
BSBA, Business Administration
Institute for Paralegal Education
Associate Degree, Paralegal
AdvanceMed 2011 - Present
Reminger Attorneys at Law January 2007 - August 2010
DELAWARE COUNTY PROSECUTOR'S OFFICE April 2006 - December 2006
State Farm Insurance May 2002 - September 2005
CRABBE BROWN & JAMES, LLP December 2000 - January 2002
Integrex January 1999 - December 2000
Owens Corning March 1997 - December 2000
Skills
Investigation, Workers Compensation, Government, Customer Service, Litigation Support, Training, Fraud, Trials, Microsoft Office, Civil Litigation, Legal Research, Medicare, Policy, Claim, Litigation, Criminal Justice, Enforcement, Claim Investigation, Criminal Investigations, Internal Investigations, Courts, Notary Public, Legal Writing, Criminal Law, Liability, Auditing
Education
Tiffin University 2009 — 2010
MSCJ, Criminal Justice
Franklin University
BSBA, Business Administration
Institute for Paralegal Education
Associate Degree, Paralegal
Sutasinee Thompson's AdvanceMed Experience June 2009 - January 2013
Job Statistical Research Specialist at State of Tennessee
Industry Hospital & Health Care
Experience
State of Tennessee September 2014 - Present
Ardent Health Services January 2013 - September 2014
AdvanceMed June 2009 - January 2013
Interiors International June 2008 - April 2009
Skills
Data Analysis, Microsoft Excel, SAS, Databases, Data Mining, SAS programming, Statistics, Healthcare, Healthcare Information..., Analysis, Outlook, SQL, Business Analysis, Analytics, Business Intelligence, Predictive Analytics, Microsoft SQL Server, Statistical Modeling, Visio, Visual Basic, Software Documentation, Access, Quality Assurance, Data Warehousing, VBA, Database Design, Crystal Reports, SAS Programming
Education
Middle Tennessee State University 2007 — 2008
Master, Computer Information System
Murray State University 2004 — 2006
Master, Management of Technology
Prince of Songkla University (Phuket) 1998 — 2000
Bachelor, Hotel and Tourism Management
State of Tennessee September 2014 - Present
Ardent Health Services January 2013 - September 2014
AdvanceMed June 2009 - January 2013
Interiors International June 2008 - April 2009
Skills
Data Analysis, Microsoft Excel, SAS, Databases, Data Mining, SAS programming, Statistics, Healthcare, Healthcare Information..., Analysis, Outlook, SQL, Business Analysis, Analytics, Business Intelligence, Predictive Analytics, Microsoft SQL Server, Statistical Modeling, Visio, Visual Basic, Software Documentation, Access, Quality Assurance, Data Warehousing, VBA, Database Design, Crystal Reports, SAS Programming
Education
Middle Tennessee State University 2007 — 2008
Master, Computer Information System
Murray State University 2004 — 2006
Master, Management of Technology
Prince of Songkla University (Phuket) 1998 — 2000
Bachelor, Hotel and Tourism Management
Mary Kay Kohut's AdvanceMed Experience November 2002 - June 2005
Job Vice President of Operations/Zone Program Integrity Director at AdvanceMed, an NCI Company
Industry Hospital & Health Care
Experience
AdvanceMed, an NCI Company February 2015 - Present
Delmarva Foundation July 2013 - February 2015
MEDPROTECT, LLC December 2012 - June 2013
MEDPROTECT LLC, an SAIC company April 2012 - December 2012
MEDPROTECT LLC, an SAIC Company February 2011 - June 2012
KePRO March 2007 - December 2010
AdvanceMed November 2002 - June 2005
Skills
Strategic Planning, Contract Management, Business Strategy, Managerial Finance, Quality Assurance, Customer Service, P&L Accountability, Leadership, Data Analysis, Staff Development, Operations Management, Program Management, Process Improvement, Healthcare Information..., Management Consulting, Business Process..., Government, Proposal Writing, Healthcare Management, Management
Education
Columbia Southern University 2002 — 2004
MBA, concentration in Project Management
Saint Joseph's College 1999 — 2001
Bachelor of Science., Liberal Studies/Health Care Management
AdvanceMed, an NCI Company February 2015 - Present
Delmarva Foundation July 2013 - February 2015
MEDPROTECT, LLC December 2012 - June 2013
MEDPROTECT LLC, an SAIC company April 2012 - December 2012
MEDPROTECT LLC, an SAIC Company February 2011 - June 2012
KePRO March 2007 - December 2010
AdvanceMed November 2002 - June 2005
Skills
Strategic Planning, Contract Management, Business Strategy, Managerial Finance, Quality Assurance, Customer Service, P&L Accountability, Leadership, Data Analysis, Staff Development, Operations Management, Program Management, Process Improvement, Healthcare Information..., Management Consulting, Business Process..., Government, Proposal Writing, Healthcare Management, Management
Education
Columbia Southern University 2002 — 2004
MBA, concentration in Project Management
Saint Joseph's College 1999 — 2001
Bachelor of Science., Liberal Studies/Health Care Management
Laura Schreck's AdvanceMed Experience April 2002 - Present
Job RN at AdvanceMed
Industry Medical Practice
Experience
AdvanceMed, NCI, INC April 2002 - Present
AdvanceMed April 2002 - Present
CSC 2004 - 2011
Gates McDonald September 1997 - April 2001
Central Benefits Insurance Company June 1996 - September 1997
Wendt Bristol June 1994 - September 1996
Amity Home Health July 1995 - July 1996
Skills
Nursing, Healthcare, HIPAA, Medicaid, Certified Case Manager..., Certified Professional..., Medicare, Home Care, Hospitals, Physicians, Cardiology, Managed Care, Management, Healthcare Management, EMR, Employee Benefits, Quality Assurance, Critical Care, Patient Safety
Education
Chamberlain College of Nursing-Addison Campus 2010 — 2011
BSN, Registered Nursing/Registered Nurse
Mount Vernon Nazarene University 2000 — 2002
BBA, Bachelor of Business Administration
Columbus State 1990 — 1994
Associate, Registered Nursing/Registered Nurse
Chamberlain College of Nursing
BSN, Registered Nursing/Registered Nurse
Grove City HS
AdvanceMed, NCI, INC April 2002 - Present
AdvanceMed April 2002 - Present
CSC 2004 - 2011
Gates McDonald September 1997 - April 2001
Central Benefits Insurance Company June 1996 - September 1997
Wendt Bristol June 1994 - September 1996
Amity Home Health July 1995 - July 1996
Skills
Nursing, Healthcare, HIPAA, Medicaid, Certified Case Manager..., Certified Professional..., Medicare, Home Care, Hospitals, Physicians, Cardiology, Managed Care, Management, Healthcare Management, EMR, Employee Benefits, Quality Assurance, Critical Care, Patient Safety
Education
Chamberlain College of Nursing-Addison Campus 2010 — 2011
BSN, Registered Nursing/Registered Nurse
Mount Vernon Nazarene University 2000 — 2002
BBA, Bachelor of Business Administration
Columbus State 1990 — 1994
Associate, Registered Nursing/Registered Nurse
Chamberlain College of Nursing
BSN, Registered Nursing/Registered Nurse
Grove City HS
Patricia Biggs's AdvanceMed Experience February 2011 - May 2013
Job Division Director at KY Dept Medicaid Services
Industry Program Development
Experience
KY Dept Medicaid Services November 2013 - Present
Commonwealth of Kentucky 2013 - Present
AdvanceMed February 2011 - May 2013
KY Medicaid May 2010 - January 2011
Skills
Healthcare, Medicare, Medicaid, Healthcare Information..., HIPAA
Education
Midway College 1978 — 1980
Associate's degree, Registered Nursing/Registered Nurse
KY Dept Medicaid Services November 2013 - Present
Commonwealth of Kentucky 2013 - Present
AdvanceMed February 2011 - May 2013
KY Medicaid May 2010 - January 2011
Skills
Healthcare, Medicare, Medicaid, Healthcare Information..., HIPAA
Education
Midway College 1978 — 1980
Associate's degree, Registered Nursing/Registered Nurse
Patricia Ernst-Becker's AdvanceMed Experience
Job Senior Advisory Specialist at AdvanceMed
Industry Government Administration
Experience
AdvanceMed
Skills
Policy, Process Improvement, Program Management, Leadership, Public Speaking
Education
Iowa State University - College of Business
Business - Finance
AdvanceMed
Skills
Policy, Process Improvement, Program Management, Leadership, Public Speaking
Education
Iowa State University - College of Business
Business - Finance
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY