Aetna Company
Industry: Managed care company
DescriptionAetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance plans and related services, such as medical, pharmaceutical, dental, behavioral ... Headquarters: Hartford, Connecticut, United States CEO: Mark Bertolini (Nov 29, 2010–) Parent organization: CVS Health Revenue: 60.54 billion USD (2017) Number of employees: 49,828 (2017) Subsidiaries: Coventry Health Care, Aetna International Inc.,
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16,414 Aetna employees in database. Find out everything there's to know about Aetna 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.
Aetna Employees
Medicity August 2013 - August 2015
Aetna February 2012 - August 2013
Aetna May 2009 - July 2012
Blue Cross Blue Shield of Massachusetts November 2008 - May 2009
Blue Cross Blue Shield of Massachusetts November 2007 - November 2008
Blue Cross Blue Shield of Massachussetts February 2005 - November 2007
Hillsoborough County School System July 2002 - June 2004
NCO Financial Services May 1995 - January 1999
Education
Yale University - Yale School of Management
MBA
University of South Florida
MHA, Health Policy and Management
University of South Florida
BA, Political Science
AEGIAS Inc. September 2015 - Present
BlueCross BlueShield of Tennessee April 2015 - September 2015
Delta Dental December 2013 - April 2015
Colonial Life June 2012 - December 2013
Aetna August 2010 - June 2012
Atlanta Life General Agency 2001 - 2002
PCA 1995 - 1996
Wellpoint Anthem 1991 - 1994
Skills
Managed Care, Health Insurance, Strategic Planning, Microsoft Office, Account Management, Insurance, Sales, Term Life Insurance, Disability Insurance, Accident, Employee Benefits, Life Insurance, Health Savings Accounts, Team Building, Process Improvement, Brokers, Recruiting, Training, Claim, Critical Illness, Medicare, Group Insurance
Education
University of South Carolina-Columbia
Bachelor of Business Administration (B.B.A.), Finance, Marketing
Guardian Life June 2013 - Present
NorthStar Solution Group, LLC August 2010 - Present
HOLLINGSWORTH CONSULTING INCORPORATED, LLC January 2009 - August 2010
Aetna May 2010 - June 2010
Dorman Products March 2009 - June 2009
Quest Diagnostics June 2005 - January 2009
United Health Care July 2002 - June 2005
Unisys January 2002 - July 2002
Cisco Systems July 1999 - January 2002
Skills
Project Portfolio..., Resource Management, Leadership, Governance, Vendor Management, PMP, Program Management, SDLC, Cross-functional Team..., IT Strategy, Process Improvement, PMO, Business Analysis, Project Management, Software Project..., Requirements Analysis, Call Centers, Disaster Recovery, Enterprise Software, CRM, Business Intelligence
Education
www.scrumalliance.org 2006 — 2006
CSM, Agile
Project Management Institue (PMI) 2002 — 2002
Project Management Professional (PMP), PMP
University of South Florida 1989 — 1992
BS, Electrical Engineering
University of South Florida 1989 — 1992
Bachelor of Science (BS), Electrical and Electronics Engineering
MetLife June 2012 - Present
Aetna May 2008 - May 2012
Target May 2007 - July 2007
Skills
Insurance, Software Documentation, Claim, Analysis, Life Insurance, Medicare, Claims Handling, Claims Resolution, Training, Call Centers, Claims Management, Claim Investigation, Health Insurance, Communication, Business, Medicaid, HIPAA, Long-term Care, Process Improvement, Microsoft Office, Trainer
Education
University of South Florida 2005 — 2007
Bachelor's of Science, Business Administration and Management, General
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2009 - December 2013
Coventry Health Care January 2009 - September 2009
Skills
Health Insurance, Insurance, Medicare/Medicaid..., Subject Matter Experts, Hospital Reimbursement, Financial Analysis, Fee Schedules, Business Process..., Business Analysis, Managed Care, Access, Microsoft Excel, SharePoint, Microsoft Office, Databases, Provider Relations, Medicaid, Contract Management, Contractual Agreements, Healthcare Analytics, InfoPath Forms, Claim Investigation, Contract Coordinator, Contract Implementation..., Ambulatory Surgery, Rate Management, Discrepancy Resolution, Pivot Tables, Medical Coding, Medical/Surgical, Ancillary Contract..., Healthcare Reimbursement, PowerPoint, Online Research, Contract Negotiation, Claim, Customer Service, Healthcare, Medicare, HIPAA, Process Improvement
Education
University of South Florida 2005 — 2008
Bachelor of Business Administration (BBA), Finance, Marketing
Rock Valley College 2004 — 2005
Associate of Arts (AA), General Studies
University of South Florida
Bachelor of Science (B.S.)
ArrMaz January 2014 - Present
Aetna May 2013 - January 2014
Coventry Health Care May 2012 - April 2013
The Tampa Tribune January 1998 - January 2011
The Tampa Tribune January 1995 - January 1998
The Tampa Tribune January 1994 - January 1995
Skills
PeopleSoft, Microsoft Office, Employee Relations, Executive Compensation, Organizational Design, Organizational..., Benefits Administration, Executive Pay, Personnel Management, Human Resources, Training, Management, Leadership, Employee Handbooks, Customer Service, Interviews, Talent Acquisition, Compensation & Benefit, Payroll, SPHR, Sales, Policy, Employee Benefits, Recruiting, Coaching, HRIS, Succession Planning, Deferred Compensation, Workforce Planning, FMLA, Hiring, New Hire Orientations, Performance Management, Onboarding, Employee Engagement, Talent Management, Affirmative Action, Workers Compensation, Leadership Development, Job Descriptions, Applicant Tracking..., HR Policies, ADP Payroll, Kronos, Internal Communications, College Recruiting, Taleo, Employee Training, Legal Compliance, Conflict Resolution
Education
University of South Florida
Bachelor of Arts (BA), English Education
JTRB, Inc March 2010 - Present
Aetna January 1996 - August 2014
Florida Army National Guard June 1987 - May 2008
Skills
Health Insurance, Customer Service, Management, Microsoft Excel, Operations Management, Visio, Microsoft Office, Claims Management, Call Center, Business Analysis, Change Management, Insurance, Customer Satisfaction, Outlook, Access, Provider Relations, Vendor Management, Software Documentation, Data Entry, Analysis, Claims Resolution, Account Management, Process Improvement, Health Savings Accounts, Team Building, Business Process..., Sales Management, Time Management, Leadership, Life Insurance, Underwriting, System Administration, Team Leadership, Teamwork, Medicaid, Sales, Training, Project Management, Employee Benefits, Data Analysis, Budgets, Call Centers, Risk Management, Disability Insurance, Healthcare, HMO, Medicare, Claim, Managed Care, Employee Relations
Education
University of South Florida 1994 — 2001
Bachelor of Science (BS)
Hillsborough Community College 1987 — 1992
Associate of Arts (AA)
Blue Cross Blue Shield of NC April 2013 - Present
Modis June 2012 - February 2013
Spherion September 2011 - June 2012
MBI Financial Staffing, Inc. April 2010 - March 2011
Aetna February 2008 - October 2009
BlueCross BlueShield of SC January 2001 - February 2008
Unum January 1993 - November 2000
Various Insurance Companies May 1991 - January 1993
Policy Management Systems, Corp June 1987 - April 1991
Sunrise Software, Inc June 1985 - May 1987
Skills
Project Management, Six Sigma, Business Process Mapping, Business Analysis, Team Leadership, Account Management, Business Process, Business Process..., Operations Management, Training
Education
University of South Carolina-Columbia 1981 — 1985
Bachelor of Science (BS), Business Administration
Kaiser Permanente March 2014 - Present
Kaiser Foundation Health Plan 2000 - Present
Aetna 1995 - 2000
Skills
Health Insurance, Insurance, Claim, Employee Benefits, Healthcare, Customer Service, Leadership, Disability Insurance, Strategic Planning, Brokers, Long-term Care, Training, Medicare, Sales
Education
University of Southern California 1989 — 1992
BA, Political Science and International Relations
University of Southern California
La Rebelde Winery January 2012 - Present
Aetna April 2008 - January 2013
Unum 2002 - 2005
Safeguard Health Plans 1996 - 2002
Skills
Insurance, Disability Insurance, Dentistry, Health Insurance, Employee Benefits, Account Management, Winemaking, Managed Care, Sales, Medicare, Brokers, Health Savings Accounts
Education
University of Southern California
Consumers' Choice Health Plan November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care 2012 - December 2013
Absolute Total Care 2007 - 2012
Palmetto GBA 2004 - 2007
Palmetto GBA 1997 - 2004
Skills
Provider Relations, Managed Care, Healthcare, Network Development, Medicaid, Healthcare Management, Customer Service, Medicare, Hospitals, Public Speaking, HMO, PPO, Medicaid Managed Care, Contract Negotiation, Software Documentation, Insurance, HIPAA, Health Insurance, Claim, Training, Claims Resolution, Provider Network..., Provider Education, Healthcare Industry
Education
Webster University 1998 — 2000
Master of Business Administration (MBA)
University of South Carolina-Columbia 1988 — 1993
Bachelor of Arts (BA)
Aetna Vice President of Sales and ServiceAetna Health PlansJanuary 1987 - Present
Skills
Sales, Health Insurance, Insurance, Health Savings Accounts, Managed Care, Underwriting, Disability Insurance, Medicare, Employee Benefits, Brokers, Account Management, Risk Management, Healthcare, Strategic Planning, Life Insurance, HMO, Leadership, Team Building, Sales Management, Claim
Education
University of South Florida - College of Business Administration 1983 — 1986
Bachelor of Science (B.S.), Finance
Everrock Insurance Services 2010 - 2011
Cosmos America Insurance Services 2009 - 2010
Lockton Insurance Brokers 2005 - 2008
Marsh 2000 - 2005
Aon Risk Services 1998 - 2000
Aetna 1995 - 1998
Pacific Mutual 1992 - 1995
Skills
Property & Casualty..., Insurance, Contract Negotiation, Commercial Insurance, Brokers
Education
University of Southern California
BS, Business Administration
BitTitan May 2015 - Present
Fujitsu Technology Solutions December 2014 - May 2015
Aetna March 2013 - December 2014
Globanet October 2012 - March 2013
Globanet September 2011 - October 2012
Aetna March 2009 - September 2011
Fidelity Investments June 2008 - February 2009
Symantec May 2006 - January 2008
Connextions / Connextions Health February 2006 - April 2006
Seminole County Government March 2005 - February 2006
Skills
Enterprise Vault, Microsoft Exchange, SharePoint, Microsoft SQL Server, Active Directory, Troubleshooting, Citrix, Blackberry Enterprise..., Data Migration, Email Archiving, Software Installation, Netbackup, Backup Exec, Disaster Recovery, VMware, Virtualization, Storage, Windows Server, NetApp, Security, VPN, Network Security, Software Documentation, Servers, Group Policy, Cisco Technologies
Education
University of South Florida
Bachelor of Science, Psychology
Aetna June 2012 - Present
WellCare Health Plans October 2000 - March 2012
Blue Cross & Blue Shield October 1998 - October 2000
Skills
Managed Care, Medicaid, Credentialing, Provider Relations, Software Documentation, Healthcare, Policy, Physicians, Accreditation, Analysis, Auditing, Management, Access, Medicare, Leadership, Internal Audit, Insurance, Healthcare Management, Healthcare Information..., Health Insurance, HIPAA, Healthcare Consulting, Practice Management, Outlook, Process Improvement, Training, Employee Benefits, EMR, EHR, Customer Service
Education
University of South Florida 2003 — 2006
B.S, Finance
Hillsborough Community College 1996 — 1998
A.A, Liberal Studies
Hillsborough Community College
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
University of South Florida
Bachelor's degree, Finance, General
Bristol-Myers Squibb July 2015 - Present
WellCare August 2013 - June 2015
Aetna May 2012 - June 2013
Florida Department of Health December 2009 - May 2012
Haas, Lewis, DiFiore & Amos, P.A. December 2005 - February 2009
Firestone December 2003 - September 2005
Skills
Business Intelligence..., Analysis, Microsoft Excel, SQL, SQL Server Reporting..., Microsoft Visual Studio..., SAS, Databases, Business Analysis, Tableau, Microsoft Office, Database Administration, Project Management, Visio, Database Design, Customer Service, Microsoft SQL Server, Windows 7, Healthcare, Analytics, Relational Databases, Process Improvement, SSIS, Vendor Management, Business Process..., Toad, Software Development, SAS programming, Data Modeling, Financial Reporting, Cognos, OS X, Team Leadership, Business Objects, Training, Linux System..., Android SDK, SAP BI, QuickBooks, Management, MS Integration Services, Business Intelligence, SharePoint, Data Visualization, Dashboard Metrics, KPI Dashboards, Service Level Management, Access, Data Analysis, Software Documentation
Education
University of South Florida - College of Business Administration 2009 — 2012
Bachelor of Science (B.S.), Management Information Systems, 3.0
Jacob Faturechi Insurance 2012 - Present
Aetna 2013 - Present
CIGNA 2013 - Present
Anthem 2013 - Present
Covered California October 2013 - Present
Kaiser Permanente 2012 - Present
Aflac 2012 - Present
Blue Shield of California 2012 - Present
Skills
Social Media, PowerPoint, Marketing Strategy, Event Management, Project Management, Microsoft Office, Insurance, Employee Benefits, Health Care Reform, Valuable Articles, Collectibles, Risk Management, Leadership, Strategic Planning, Account Management, Marketing, Sales, Customer Service
Education
University of Southern California
Van Nuys High School
Aetna February 2013 - Present
CIGNA March 2011 - February 2013
CIGNA April 1996 - February 2011
MetLife October 1991 - March 1996
Skills
Insurance, Health Insurance, Employee Benefits, Healthcare, Team Building, Public Speaking, Wellness, Strategic Planning, Process Improvement, Customer Service, Managed Care, Vendor Management, Life Insurance, Benefits Administration, Account Management, Coaching, Sales, Underwriting, Employee Wellness, Management, Sales Management, Risk Management, Medicare, Business Development, Marketing, New Business Development, Health Savings Accounts, Disability Insurance, Health Care Reform, Dentistry, HMO, Brokers, Long-term Care, Claim, Health Policy, Healthcare Industry, PPO, Disease Management, Employee Wellness...
Education
University of South Florida
The Hartford August 2010 - Present
Aetna March 2005 - August 2010
CIGNA July 2001 - March 2005
Skills
Employee Benefits, Health Insurance, Disability Insurance, Life Insurance, Change Management, Timely Decision Making, Hiring Employees, Underwriting, Strategy, Coaching, Sales, Marketing, Brokers, Insurance, Leadership
Education
University of South Carolina-Columbia 1995 — 1999
Bachelor of Science (BS), Hotel, Restaurant and Tourism Administration
Towers Watson January 2007 - Present
Watson Wyatt October 2002 - December 2006
Mercer Human Resource Consulting 1999 - 2002
Aetna 1996 - 2000
Skills
Health Care Reform, Onsite Health, Pricing Strategy, Employee Wellness..., Population Health, Vendor Management, Employee Engagement, Vendor Negotiations, Medical Underwriting, Health & Welfare..., Actuarial Science, Employee Benefits, Defined Benefit, Negotiation, ERISA, HR Consulting, Executive Pay, Health Insurance
Education
University of South Florida
Bachelor's degree
OPTUM- United Health Group June 2014 - Present
WellCare Health Plans April 2009 - October 2013
Aetna March 2008 - April 2009
Skills
HEDIS, Network Development, Medicare STARS, Medicare/Medicaid..., Physician Network..., Ryan White PAC, Medicaid, Managed Care, Health Policy, HIPAA, Healthcare Consulting, NCQA, Provider Education
Education
University of South Florida 1999 — 2004
Bachelors, Business, Management, Marketing, and Related Support Services
Tampa Catholic High
CVS Caremark Corporation January 2012 - July 2013
Aetna November 2012 - June 2013
WakeMed April 2009 - August 2011
Victoria's Secret February 2009 - March 2009
Palmetto Health May 2006 - January 2009
Skills
Desktop Computers, Microsoft Office, Web Design, Organizational Learning, Cooking, Problem Solving, Home Shopping, Customer Service, Highly detail oriented, Sales
Education
University of South Carolina-Columbia 2004 — 2008
Bachelor's degree, Biology/Biological Sciences, General
Humana January 2008 - Present
Humana February 2004 - January 2008
Health Plan Services March 2000 - January 2004
Aetna April 1993 - February 2000
Skills
Insurance, Health Insurance, Sales, Sales Presentations, B2B, Life Insurance, Call Centers, Customer Service, Disability Insurance, Lead Generation, Marketing, Term Life Insurance, Marketing Strategy, Brokers, Managed Care, Competitive Analysis, General Insurance, Business Planning, Fixed Annuities, Sales Operations, Direct Sales
Education
Hillsborough High School
High School Diploma
Hilsborough Community College
Associate of Arts (A.A.), Business Administration and Management, General
University of South Florida
Business Administration and Management, General
Kennedy Wilson January 2015 - Present
Willis August 2005 - Present
Marsh & McLennan Companies, Inc. July 1997 - August 2005
Johnson & Higgins 1988 - 1997
Aetna June 1986 - 1988
Skills
Property & Casualty..., Underwriting, Brokers, Commercial Insurance, Professional Liability, Employment Practices..., Casualty, D&O, Liability, Captives, Reinsurance, Insurance, Legal Liability, Workers Compensation, General Insurance
Education
University of Southern California 1982 — 1986
Bachelor of Science, Public Administration
Aetna September 2013 - Present
Aetna September 2013 - April 2014
HSCSN September 2009 - September 2013
HSCSN September 2009 - June 2011
WellCare 2007 - 2009
Tampa General Hospital May 2002 - May 2007
Cydcor 2003 - 2003
Sacino's Formalwear June 1998 - June 2002
World Financial Group (WFG) 2002 - 2002
Prudential Financial 2001 - 2001
Skills
Managed Care, Contract Negotiation, Medicaid, Healthcare, Network Development, Provider Relations, Process Improvement, Team Building, Hospitals, Negotiation, Strategic Planning, Compliance, Medicare, Provider Contracting, Public Relations, PPO, Data Analysis, Credentialing, Health Policy, HMO, Leadership, Healthcare Industry, Utilization Management, Healthcare Consulting, Physicians, Revenue Cycle
Education
University of Tampa - John H. Sykes College of Business 2009 — 2011
MBA, Business
University of South Florida 1998 — 2003
BA
Humana December 2014 - Present
Humana January 2013 - December 2014
Aetna February 2007 - December 2012
Delta Dental 2006 - 2007
MetLife 1999 - 2005
Unum 1997 - 1999
Skills
Employee Benefits, Health Insurance, Disability Insurance, Insurance, Life Insurance, Brokers, Leadership, Underwriting, Health Savings Accounts, Sales, Benefits Administration
Education
University of South Florida 1990 — 1995
BS, Business Management
Brandon Senior High School 1987 — 1990
Colleg Prep
Aetna March 2011 - Present
Sunera LLC 2009 - 2011
Laboratory Data Systems 2008 - 2009
The Oracle - University of South Florida January 2007 - August 2008
United Fire Protection, Inc June 2004 - January 2007
ECI Home Improvement 2002 - 2004
Education
University of South Florida 2007 — 2008
MBA, Master's of Business Administration
USI Insurance Services September 2015 - Present
Fortun Insurance October 2013 - September 2015
Interactive Insurance Group 2006 - October 2013
HCC Medical Insurance Services 2008 - 2010
Humana Dental & Vision (CompBenefits Dental & Vision) 2003 - 2007
Aetna 1997 - 2003
UnitedHealth Group 1991 - 1997
United States Marine Corps 1981 - 1987
Skills
Property & Casualty..., Insurance, Workers Compensation, Health Insurance, Sales, Disability Insurance, Life Insurance, Employee Benefits, Underwriting, Professional Liability, Leadership, Term Life Insurance, Real Estate, Title Insurance, Training, Self-funded, Group Benefits, General Insurance, Fixed Annuities, COBRA, International Health..., Sales Management, Medicare, Commercial Insurance, Real Estate Transactions, Legal Liability, Presentations, Public Speaking, Retirement, Small Business, Management, Mortgage Lending, Executive Management, Marketing Strategy, Dental Insurance, Umbrella Insurance, Health Care Reform, Talent Acquisition, Managed Care, Agent Development, Real Estate License, Risk Management, Medicare Part D, Sales Presentations, Excess & Surplus Lines, Employee Training, Broker Agent Relations, Vision Benefits, Training & Development, Communication Skills
Education
University of South Florida - College of Business Administration 1986 — 1990
BA, International Studies/Economics
UNITED STATES MARINE CORPS 1981 — 1987
Paris Island, South Carolina, Infantry
Miami Dade College 2006 — 2007
Title Insurance License, Title Insurance License
Gold Coast School of Insurance 2006 — 2007
Insurance License, Life and Health, Property and Casualty, Surplus Lines
Gold Coast School of Real Estate 2005 — 2006
Real Estate Associate, Real Estate Associate
Memorial High School 1977 — 1981
College Preparatory, College Introductory Courses
Aetna June 2013 - Present
Coventry Health Care November 2007 - May 2013
Blue Shield of California December 2003 - January 2007
Health Net March 1999 - December 2002
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Insurance, Healthcare, Employee Benefits, HIPAA, Strategic Planning, Process Improvement, Team Building, Healthcare Information..., HMO, Underwriting, Claim, Healthcare Management, Vendor Management, Contract Negotiation, Change Management, Business Process...
Education
University of Southern California 1978 — 1982
Bachelor of Arts (B.A.)
Genentech November 2010 - Present
Genentech USA September 2009 - October 2010
AmerisourceBergen October 2007 - June 2008
Managed Care Network April 2006 - October 2007
Lash Group September 2002 - September 2007
Aetna 1997 - 2002
Skills
Oncology, Healthcare, Pharmaceutical Industry, Biotechnology, Managed Care, Pharmacy, Cross-functional Team..., Informatics, Clinical Research, Hospitals, Lifesciences, Pharmaceutical Sales, Market Access, Medicare
Education
University of South Carolina-Columbia
University of Washington
Alliant Insurance Services October 1987 - Present
Aetna March 1981 - October 1987
Aetna 1982 - 1987
Skills
Disability Insurance, Employee Benefits, Brokers, Health Savings Accounts, Insurance, Health Insurance, 401k, Underwriting, Life Insurance, Benefits Administration, Liability, Property & Casualty..., Long-term Care, Workers Compensation, Term Life Insurance, Professional Liability, Commercial Insurance, Claim, COBRA, Long Term Care Insurance, Group Insurance, Health Care Reform, Retirement, Legal Liability, Employment Practices..., Small Business, General Insurance, Human Resources, Global Health, Compensation & Benefit, Strategic Partnerships, Mergers & Acquisitions, Healthcare Reform..., Group Medical, D&O, Self-funded
Education
University of Southern California
Business
Washington State University
Business
Publix Super Markets April 2014 - Present
Publix Super Markets May 2013 - Present
Ceridian March 2013 - April 2013
Aetna August 2011 - October 2012
Aetna July 2007 - August 2011
Aetna August 2003 - July 2007
Aetna August 2001 - August 2003
Skills
Insurance, Vendor Management, Process Improvement, Claim, SDLC, Project Planning, Project Management, Customer Satisfaction, Business Analysis, HIPAA, OFAC, Foreign Exchange, Foreign Currency..., Foreign Currency, Benefit Cost Analysis, Business Process Mapping, Six Sigma, Business Relationship..., Requirements Analysis, Risk Management, Software Project..., PMO, Project Portfolio..., Employee Benefits, Business Requirements, Visio, Resource Management, Business Process..., User Acceptance Testing, Analysis, Training, Business Process, SharePoint, Health Insurance, Benefits Administration, Data Analysis, Project Delivery, Team Management, Business Process Design, Business Process...
Education
University of South Florida 2012 — 2014
Bachelor of Arts (B.A.), Management Information Systems
Hillsborough Community College 2009 — 2012
Associate of Arts (A.A.), Business Administration and Management
InScribe, LLC May 2013 - Present
South Sound Outreach September 2012 - Present
Scribes STAT February 2012 - May 2012
MSLA, A Medical Corporation October 2009 - June 2010
NHIC, Corp. 2003 - 2008
Aetna 1999 - 2003
Skills
Business Objects, EpicCare Inpatient, ASAP, Optesia (OpTime and..., Ambulatory, Beacon, Pediatrics, Medicare, Oncology, Epic Systems, Orthopedic, Data Analysis, Internal Medicine, Neurology, Underwriting, Medical Coding
Education
East Los Angeles College 2011 — 2011
Certificate of completion, Health IT Technical/Software Support Program
University of Southern California
BA/MA, Economics
Aetna April 1996 - Present
Skills
Managed Care, Health Insurance, Provider Relations, Credentialing, Healthcare Consulting, Medicare, Healthcare Industry, Medicaid, HMO, Healthcare, Network Development, HIPAA, Healthcare Management, PPO, Utilization Management, Revenue Cycle
Education
University of Southern California 1993 — 1995
MHA, Health Administration
Aon Risk Services August 2001 - Present
Answer Financial 1999 - 2000
FGW Insurances March 1976 - December 1996
Aetna 1964 - September 1974
Skills
Brokers, General Insurance, Insurance, Property & Casualty..., Fraud, Underwriting, Training, Claim
Education
University of Southern California
Stanford Health Care 2014 - Present
Aetna 2005 - 2014
West Coast Life 1999 - 2005
Skills
Health Insurance, Actuarial Science, Insurance, Reinsurance
Education
University of Southern California
Mathematics
Aetna January 2000 - Present
Skills
Insurance, Health Savings Accounts, Health Insurance, Leadership, Account Management, Brokers, Group Medical, Managed Care, Process Improvement, Strategic Planning, HMO
Education
University of Southern California 1979 — 1983
BS, Business
RainBo Logic February 2013 - Present
UnitedHealth Group June 2012 - February 2013
Aetna March 2011 - July 2012
QuieTrack Insurance Services October 2002 - November 2008
American PsychManagement & Value Behavioral Health 1986 - 1989
Skills
Process Improvement, SQL, Business Analysis, Data Analysis, Customer Service, Database Design, Team Management, Telecommunications, Access, Project Management, Microsoft Excel, VBA, Quality Assurance, Databases, Testing, Business Requirements, Leadership, Change Management, HTML, Analysis, Team Leadership, Management
Education
University of Southern California 1985 — 1986
Certificate in Computer Programming, Computer Science
USC 1984 — 1986
CCS, Computer Science
Metropolitan Life Insurance Company July 2006 - Present
UnitedHealth Group 2003 - 2005
Aetna 1997 - 2002
Skills
LOMA 280, LOMA 290, Analytics, SQL, Access, Health Insurance, Financial Risk, Microsoft Excel, Business Requirements
Education
University of South Florida 1996 — 2002
Bachelor of Science (BS), Business Administration, Management and Operations
Aetna June 2014 - Present
Coventry Health Care (Aetna) June 2012 - Present
Arcadian Health Plan February 2009 - June 2012
BlueCross BlueShield of SC February 2005 - February 2009
Skills
Account Management, Business Strategy, Contract Negotiation, Budgets, Coaching, Cross-functional Team..., Customer Retention, Customer Service, Data Analysis, Direct Sales, Employee Benefits, HIPAA, HMO, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Long-term Care, Managed Care, Management, Marketing, Marketing Strategy, Medicaid, Medicare, Medicare Part D, Microsoft Excel, Microsoft Office, Microsoft Word, Negotiation, New Business Development, Outlook, Process Improvement, Product Development, Project Management, Provider Relations, Public Speaking, Sales, Sales Management, Sales Operations, Salesforce.com, Strategic Planning, Team Building, Team Leadership, Training
Education
University of South Carolina-Columbia 1988 — 1993
BA, History Russian
University of South Carolina-Columbia 1988 — 1993
Bachelor of Arts (B.A.), History
Aetna August 2011 - Present
SRC an Aetna Company February 1991 - August 2011
Skills
Customer Service, Health Insurance, Healthcare, Employee Benefits, Claim, Benefits Administration, Training, Process Improvement, Medicare, Insurance
Education
University of South Carolina-Columbia
BA, English
School District of Hillsborough County August 2010 - Present
Houghton Mifflin Harcourt August 2007 - May 2008
Orange County Public Schools January 2006 - June 2007
School District of Hillsborough County December 2000 - December 2005
Aetna 1988 - 1997
Skills
Lesson Planning, Elementary Education, Educational Technology
Education
University of South Florida 1999 — 2000
BA, Elementary Education
Hillsborough Community College 1997 — 1999
Associate of Arts (AA), Elementary Education
Aetna May 2013 - Present
UCI Medical Affiliates July 2011 - May 2013
BellSouth/AT&T November 1974 - September 2009
AT&T November 1974 - September 2009
Skills
Customer Service, Customer Relations, Outlook, Excel, Word, Sales Support, Credentialing, Billing, Training Delivery, Direct Sales, Microsoft Excel, Microsoft Word, Sales Operations, Call Centers, Invoicing, Management, Hospitals, Insurance, Sales, Training, Healthcare
Education
University of South Carolina-Columbia 1972 — 1974
Associate, Business
Aetna January 2015 - Present
Aetna Life Insurance Company September 2000 - January 2015
State of Florida, Division of Vocational Rehabilitation (DVR) May 1997 - September 2000
Mental Health Care, Inc November 1995 - May 1996
Self-Reliance Independent Living Center January 1996 - January 1996
USF Crisis Helpline January 1994 - January 1996
Northside Mental Health Center May 1995 - November 1995
Skills
Vocational..., Career Counseling, Case Managment, Disabilities, Mental Health, Career Development, Training, Public Speaking
Education
University of South Florida 1995 — 1997
Master of Arts, Rehabilitation Counseling
University of South Florida 1991 — 1995
Bachelor of Arts, Psychology
Walmart January 2008 - Present
Aetna January 2006 - October 2011
Aetna January 2006 - October 2011
Skills
Operations Management, Vendor Management, Cross-functional Team..., Change Management, Leadership, Resource Management, Management, Continuous Improvement, Budgets, Purchasing, Performance Management, Team Management, Team Leadership, Analysis, Recruiting, Employee Relations, Customer Service, Business Strategy, Retail, Training, Business Process..., Leadership Development, Customer Satisfaction, Inventory Management
Education
University of South Florida
Aetna March 2013 - Present
Crawford & Company May 2012 - November 2012
Progressive Insurance 1990 - 2010
Skills
Public Speaking, Medical Terminology, Litigation, Training, Claims Handling, Strategic Negotiations, Wordsmithing, Mentoring, Webinar Management, Mediation, Property & Casualty..., Claim, Insurance, Subrogation, Claims Management, Legal Liability, Liability, Property Damage, Casualty, Workers Compensation, Casualty Insurance
Education
University of South Florida 1989 — 1990
Political Science
Keller-Williams Real Estate March 2008 - February 2013
PM Press, Inc. 1979 - 1989
Warner-Lambert 1969 - 1979
Aetna March 1964 - May 1969
Skills
First Time Home Buyers, Medicare, New Business Development, Sales, Investment Properties, Leadership, Team Building, Account Management, Training, Management, Marketing, Marketing Strategy, Strategic Planning, Sales Management
Education
USC 1962 — 1963
BA English, Hard sciences, English
Active Health Management April 2014 - Present
Aetna October 2013 - April 2014
LifePath Hospice August 2010 - February 2013
District School Board of Pasco County August 2007 - February 2010
Education
University of South Florida
Bachelor of Arts (B.A.), Educaton
University of South Florida
Master of Arts (M.A.), Education
Aetna August 2011 - Present
Aetna February 2005 - August 2011
Prudential Healthcare 1994 - 1999
Skills
HMO, Network Development, Provider Relations, Medicare Part D, Medicare, Medicaid, Managed Care, Healthcare Industry, Insurance, Claim, Claims Management, Contract Negotiation, Credentialing, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, PPO, Physicians, Utilization Management, Vendor Relationships
Education
University of South Florida 1985 — 1989
Bachelor of Science, Business Management
Herricks High School 1981 — 1985
Aetna November 2005 - Present
Skills
SQL, Access
Education
University of South Carolina-Columbia 1980 — 1984
Bachelor's Degree, Business Administration - Management Science/Management Information Systems
University of South Carolina-Columbia 1980 — 1984
Business Administration - Managment Science/Management Information Systems
Blue Shield of California November 2011 - Present
Aetna January 2002 - April 2004
PacifiCare Health Systems December 1991 - June 1994
Education
University of Southern California
Bachelor of Applied Science (B.A.Sc.), Finance, General
American Red Cross September 1999 - Present
Aetna April 1973 - July 1992
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
University of South Florida
Associate of Science (A.S.), Business Administration and Management, General
Aetna April 2007 - November 2011
Palmetto GBA February 2005 - January 2007
Skills
Customer-focused Service, Typing, Health Insurance, Knowledge Organization, Multi-tasked, Multi-skilled, Microsoft Applications, Problem Solving
Education
University of South Carolina-Columbia 2001 — 2003
Renewal by Andersen February 2015 - Present
NESCOR 2014 - Present
Andersen Corporation February 2007 - Present
Aetna May 1995 - September 2000
Pitney Bowes January 1988 - June 1990
Skills
Business Strategy, Management, Management Consulting, Product Development, Vendor Management, Account Management, Budgets, Contract Negotiation, Customer Service, Sales, Strategic Planning, Team Building
Education
University of South Florida - College of Business Administration 1984 — 1987
Bachelor's degree, Marketing/Marketing Management, General
Humana Insurance January 2015 - Present
Active Health Management March 2014 - September 2014
Aetna October 2013 - March 2014
Town and Country Hospital February 2013 - July 2013
Skills
Medicare, Utilization Management, Health Insurance, Managed Care, HIPAA, Medicaid, Acute Care, Nursing, Home Care, Provider Relations, Case Management, Disease Management, Healthcare, Inpatient, Hospitals, Medicaid Managed Care, Patient Advocacy, Patient Safety
Education
University of South Florida 2005 — 2009
Master of Arts (M.A.), Varying Exceptionalities