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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Aetna Employees
Aetna 2014 - Present
Aetna 2007 - 2014
CSC 2000 - 2007
Oracle 1996 - 1999
Accenture 1995 - 1996
Moody's Investors Service 1992 - 1995
Skills
Finance, Financial Analysis, Financial Modeling, Insurance, Financial Planning, Risk Management, Financial Reporting, Business Analysis, Internal Controls, Forecasting, Process Improvement, Analysis, Accounting, Business Process..., Business Planning, Business Strategy, Cost Accounting, Management Accounting, Communication, Microsoft Excel, PowerPoint, Access, Hyperion, Oracle, SAP
Education
Hampden-Sydney College 1988 — 1992
BA, Management Economics
United Guaranty Corporation February 2012 - Present
The OSP Band (Old School Players) March 2011 - Present
Soloh Music 2010 - Present
Aetna July 2008 - December 2011
Barn Dinner Theater December 2008 - December 2010
Skills
Singing, Writing, Acting, Dancing, Voice Acting, Customer Service, Performing, Process Improvement, Underwriting, Film, Data Entry, Sound, Creative Writing, Leadership, Small Business, Entertainment, Management, Insurance, Social Networking, Dance, Event Management, Marketing, Employee Benefits, Creative Direction, Theatre, Songwriting, Time Management, Fundraising, Concerts, Music Production, Recording, Music, Public Speaking, Event Planning, Outlook, Call Centers, Band, Sales, Music Industry, Composition, Record Labels
Education
Guilford College 2012 — 2014
Forensic Accounting, Accounting
Guilford Technical Community College 2009 — 2012
Associates, Accounting
Aetna Middle Market and Public Sector October 2011 - January 2014
Aetna 2003 - January 2014
UnitedHealthcare 2000 - 2003
The TPA 1999 - 2000
Prudential Healthcare 1996 - 1999
Prudential Healthcare 1995 - 1996
Prudential Healthcare 1995 - 1995
Prudential Healthcare 1993 - 1994
Skills
Health Savings Accounts, Business Planning, Health Insurance, Sales, Insurance, Disability Insurance, Employee Benefits, Brokers, Medicare, Managed Care, Account Management, Healthcare, Underwriting, COBRA, Life Insurance, Term Life Insurance, Long-term Care, Group Insurance, Self-funded, Selling
Education
Grove City College 1983 — 1987
B.A., Business Administraton
Stanford University Graduate School of Business
Financial Management for Non-Financial Managers
University of Michigan Business School Executive Course
Project Management
UnitedHealth Group July 2004 - November 2012
Aetna June 1996 - June 2004
Skills
Customer Service, Microsoft Office, Microsoft Word, Public Speaking, Microsoft Excel, Team Building, Research, Budgets, Event Management, Marketing, PowerPoint, Educational Leadership, Project Management, Performance Development, Coaching
Education
Guilford Technical Community College 2010 — 2011
Healthcare Management and Business Administration
Hillside High School 1984 — 1988
HS Diploma, Art/Art Studies, General
Piedmont Senior Care July 2014 - Present
Aetna 2008 - 2011
Skills
Medicare, Health Insurance, Claim, Customer Service, General Insurance, HIPAA, Insurance, Property, Team Building
Education
Guilford Technical Community College 2007 — 2013
AAS, Medical Office Administration, Health/Health Care Administration/Management
Wake County Public School System January 2008 - Present
Frances S. Holland August 2001 - January 2015
Aetna October 1981 - October 1993
Skills
Accounting, Bookkeeping, Oral & Written..., Supervisory Skills, Insurance, Commercial Insurance, Microsoft Word, Microsoft Excel, Microsoft Publisher, Outlook, Organization, Professional..., Risk Management, Management, Training, QuickBooks, Accounts Receivable, Accounts Payable, Microsoft Office, Leadership, Customer Service
Education
Guilford College 1973 — 1977
Bachelor of Science (B.S.), Psychology
American Institute of Chartered Property Casualty Underwriters 1979 — 1993
CPCU, Insurance
North Carolina State University 2002 — 2003
Accounting
Wake Technical Community College 2000 — 2004
Accounting and Business/Management
Aetna 2005 - Present
Doylestown Hospital October 2001 - March 2002
Skills
SDLC, Business Analysis, Vendor Management, Requirements Analysis, Visio, Process Improvement, Requirements Gathering
Education
Gwynedd-Mercy College 1995 — 1997
ASN, Nursing
Saint Joseph's University 1986 — 1990
BS, Computer Science
Aetna June 2015 - Present
North Carolina Court Kings Basketball 2010 - Present
Healthcare Insurance October 1994 - June 2015
Skills
Leadership, Customer Service, Nonprofits, Microsoft Office, Team Leadership, Team Building, Social Networking
Education
Guilford Technical Community College
Associate's degree, Paralegal Studies
Medtronic, Inc November 1997 - Present
Aetna November 1994 - November 1997
Harris Corporation July 1991 - November 1994
Skills
Global Organizational..., Strategic Human..., Program Management, People Management, Talent Management, Employee Relations, Sales Human Resource..., Operations Human..., Hamline Athletic...
Education
University of Minnesota - Carlson School of Management 1989 — 1991
Master of Arts, Industrial Relations
Hamline University 1985 — 1989
Bachelor of Arts, Psychology, Management Minor
Aetna December 2014 - Present
Aetna January 2014 - December 2014
Aetna July 2013 - December 2013
Hamilton College September 2012 - April 2013
Historic New England May 2012 - August 2012
Legal Sea Foods May 2012 - August 2012
Hamilton College September 2011 - April 2012
Commonwealth of Massachusetts May 2010 - August 2010
Skills
Research, Sales, Public Speaking, Negotiation, Editing, Statistical Data..., Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, Fundraising, History, Networking, Salesforce.com, PowerPoint, Social Networking, Facebook
Education
Hamilton College 2009 — 2013
Bachelor of Arts (BA), History and Mathematics
Walden Security November 2013 - Present
Halls Pine Straw March 2007 - August 2012
Chasers Beach Club 2005 - 2011
Security Forces Inc. 2000 - 2002
TYCO - Typewriter Inspection Company 1997 - 2000
Doncaster at Tanner Companies 1987 - 1990
US Navy 1976 - 1980
North Carolina National Guard August 1974 - October 1976
Greensboro Magazine April 1974 - March 1976
Aetna 1973 - 1976
Skills
New Business Development, Web Design, Marketing Strategy, Team Leadership, Team Building, Customer Experience, Leadership, Microsoft Office, Microsoft Excel, Customer Insight, PowerPoint, Marketing, Call Centers, Social Media, Business Development, Account Management, Analytics, Training, Market Analysis, Team Management, Marketing Research, Competitive Analysis, Databases, Market Research, Management, Security, Access Control, Physical Security, Security Training, Security Operations, Corporate Security, Contract Negotiation, Security Clearance, Telecommunications, CCTV, Leadership Development, Military, Surveillance, Direct Sales, Army, Asset Protection, Social Networking, Protection, Crisis Management, Troubleshooting, Emergency Management, First Aid, Personal Protection, Security Awareness, Navy
Education
Naval Aerospace Medical Institute 1976 — 1977
Certified, Aerospace Physiology and Medicine
Great Lakes Naval Hospital Corps 1976 — 1976
Certified Hospital Corpsman, Medical Assistant/Paramedic, 4.0
Guilford Technical Community College 1973 — 1975
Associate of Science (A.S.), Business Administration, 3.8
Erickson Living June 2015 - Present
Aetna January 2014 - June 2015
Coventry Health Care August 2008 - December 2013
Coventry Health Care, Inc. January 2005 - July 2008
Skills
PeopleSoft, PeopleTools, Oracle SQL, Quest Stat, Unix Operating Systems, SQR, Weblogic, Oracle, Requirements Analysis, Requirements Gathering, SQL, Business Process, IT Strategy, Business Intelligence, Application Architecture, Integration, Databases, System Administration, Unix, Software Project..., Software Documentation, Solution Architecture, Software Development, Business Process..., IT Management, Active Directory, ERP, Information Technology
Education
Towson University 1990 — 1992
Bachelor of Science (B.S.), Computer Science
Hagerstown Community College 1988 — 1990
Associate of Arts (A.A.), Computer Science
Aetna October 2010 - Present
Aetna January 2009 - September 2010
Aetna January 2005 - December 2008
United Behavioral Health August 1998 - December 2004
The Westmeade Center March 1996 - June 1998
Eastern State School and Hospital 1984 - 1996
Skills
Insurance, Project Management, Risk Management, Mental Health, Substance Use Disorders, Managed Care, Internal and External..., Healthcare, Behavioral Health, Hospitals, Treatment, Utilization Management, Clinical Research, Disease Management, Psychotherapy, Leadership, HIPAA, Healthcare Information...
Education
Gwynedd-Mercy College
Bachelor of Science (BSc), Registered Nursing/Registered Nurse
Aetna May 2004 - Present
UPMC September 1998 - August 2002
Skills
Business Analysis, Requirements Analysis, Business Process..., Competitive Analysis, IT Solutions, Web Applications, Web Content, Web Content Management, Technical Writing
Education
Grove City College 2000 — 2004
B.S., Computer Information Systems
Coram Speciality Infusion Services December 2013 - Present
Aetna July 2010 - August 2013
ActiveHealth Management February 2006 - July 2010
ActiveHealth Management January 2004 - February 2006
Intersections Inc. December 2003 - April 2005
AmeriDebt, INC. July 2000 - October 2003
The World Bank July 1998 - July 2000
Skills
Strong communication,..., Proven problem solving..., Proven leadership..., Ability to work..., Technical, analytic,..., Highly skilled in time..., Continuous Process..., Research, Data Analysis, Consulting, Compliance, Quality Auditing, Quality Management, quality monitoring and..., Conflict Resolution, compliant resolution, call quality auditing -..., Written & Oral..., Video Conferencing, Microsoft Office, Microsoft Excel, Microsoft Word, Visio, Cross-functional Team..., Teamwork, Telecommuting, Performance Management, Performance Improvement, Six Sigma, Customer Oriented, Customer Retention, Customer Service, Customer Satisfaction, Communicating clearly, Quality Assurance, Coaching, Process Improvement, Program Management
Education
Humboldt State University 1997 — 1999
Master of Science (M.S.), Environmental Engineering Technology/Environmental Technology
Gubkin Russian State University of Oil and Gas (former Moscow State Academy of Oil and Gas) 1991 — 1996
Master of Science (M.S.), Petrochemical Engineering; Major: Technology of Organic Substances
Volvo Trucks July 2009 - Present
Volvo Trucks July 2008 - Present
Aetna January 1998 - July 2007
Skills
Microsoft Excel, Outlook, Process Improvement, Customer Service, Budgets, Microsoft Office, Finance, Training, Management, Team Building, Invoicing, Leadership, Account Reconciliation, SAP, Accounts Receivable, Microsoft Word, Analysis, Customer Satisfaction, Accounting, Research, Inventory Management
Education
Guilford Technical Community College 2012 — 2015
Associates, Accounting
UNC Greensboro 1987 — 1991
BA, Human Development & Family Studies
Aetna May 2012 - Present
Aetna July 2009 - Present
Aetna 2004 - 2009
Skills
Health Insurance, Insurance, Managed Care, Strategic Planning, Project Management, Identifying Process..., Cross-Functional Team..., Program..., Provider..., Project Tracking &..., Internal/External..., Operational Analysis, Healthcare, Business Development, Access, Analysis, Networking, HMO, Sales, Team Facilitation, HIPAA, Health Policy, Process Improvement, Employee Benefits, Leadership, Management
Education
Hampton University 1986 — 1990
Bachelor of Arts (B.A.), Mass Communication/Media Studies
Aetna October 2012 - Present
USI Insurance Services LLC June 2008 - September 2012
Aon Consulting, Inc October 2004 - May 2008
MAMSI/ Alliance PPO June 2002 - October 2004
CIGNA Group Insurance 1999 - 2001
NYLCare Health Plans 1990 - 1999
Skills
Cost Management, Disability Insurance, Risk Management, Leadership, Insurance, Health Insurance, Workers Compensation, Benefits Administration, Underwriting, Life Insurance, Financial Services, Team Building, Strategy, Long-term Care, Business Development, Strategic Planning, Management, Marketing
Education
Hampton University 1977 — 1981
BA, English
Hampton University 1977 — 1981
Bachelor of Arts (BA), English Language and Literature, General
Aetna June 2015 - Present
Aetna September 2013 - June 2015
Voices of Leadership Toastmasters January 2013 - October 2013
Aetna October 2011 - January 2013
Aetna September 2009 - October 2011
Zoom Apparel Inc. July 2008 - July 2009
EmbroidMe October 2004 - June 2008
Dominion Freight Line February 2004 - October 2004
Sealy August 2003 - February 2004
Skills
Public Speaking, Microsoft Office, Outlook, Excel, Oracle Portal, Corel Draw, PowerPoint, Toastmasters, Direct Marketing, Social Networking, Six Sigma, Yellow Belt, Healthcare, Customer Service, Leadership, Sales
Education
Guilford College 1998 — 2003
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Aetna April 2014 - Present
Aetna September 2012 - April 2014
Aetna July 2011 - September 2012
Aetna December 2007 - July 2011
North Penn School District June 2005 - January 2007
Skills
Account Management, Project Managment, Leadership, Customer Service, Team Oriented, Classroom Instruction, Corporate Fundraising, Advanced IT/Computer..., Strategic Planning, Marketing Strategy, Business Development, Profit Optimization, Communications and..., Business Relationship..., Client Relationship..., Quality Control, Problem Solving, Process Improvement, Implementing Processes, Event Planning, Insurance, Employee Training, Health Insurance, Employee Benefits, Leadership Development, Marketing, Coaching, Fundraising, Training, Vendor Management, Project Management, CRM, Brokers, Health Savings Accounts, Disability Insurance, Business Planning, Medicare, Provider Relations, Managed Care, HMO, Program Management, PPO
Education
West Chester University of Pennsylvania 2008 — 2010
Master of Arts (MA), Reading Literacy, 4.0
Gwynedd-Mercy College 2000 — 2005
B.A., History, Secondary Education
Aetna September 2011 - Present
Aetna February 2004 - September 2011
Aetna May 2000 - February 2004
Aetna October 1997 - May 2000
Skills
Business Analysis, Software Documentation, Project Management, Insurance, HIPAA, Vendor Management, Healthcare, Process Improvement, Employee Benefits, SDLC, Customer Service, Resource Management, Data Analysis, Project Portfolio..., Microsoft Office, Cross-functional Team...
Education
Gwynedd-Mercy College 1990 — 1994
B.S., Business Education
IMS Health November 2011 - Present
Aetna January 2011 - November 2011
Education
Gwynedd-Mercy College
Bachelor's degree
St. Joseph's University
Aetna December 2013 - Present
Coventry Health Care October 2012 - December 2013
Public Consulting Group January 2011 - October 2012
SuperMedia LLC November 1992 - September 2009
Skills
Customer Service, Leadership, Recruiting, Human Resources, Microsoft Excel, Management, Microsoft Office, Time Management, Process Improvement, PowerPoint, Microsoft Word, Employee Benefits, Software Documentation, Talent Management, Insurance, Outlook, Advertising, Event Planning, Organization, Team Building, Sales Management, PeopleSoft, Excel, Access, Word, Administration, Problem Solving, Customer Relations, Documentation, Inventory Management, Data Entry, Teamwork, Windows, Social Media, Telephone Skills, Scheduling, Database Administration, Spreadsheets, Quality Assurance
Education
Harrisburg Area Community College 1980 — 1982
Certificate in Word Processing, Clerical
CD East High School 1977 — 1980
Diploma, business/general
Aetna July 2012 - Present
Prudential Fox Roach Realtors December 2006 - Present
Independence Blue Cross October 2008 - May 2012
Aetna March 1995 - December 2006
Education
Saint Joseph's University 2004 — 2006
EMBA, Business
Gwynedd Mercy University 1992 — 1994
BA, Psychology/Sociology
Souderton Area High School 1964 — 1967
Diploma, Academic
Aetna December 2014 - Present
Antioch Baptist Church April 2010 - Present
Second Liberty Baptist Church June 2012 - Present
Virginia Premier Health Plan, Inc. June 2014 - December 2014
Virginia Premier Health Plan, Inc. January 2013 - June 2014
AgilQuest January 2008 - January 2013
First Gravel Hill Baptist Church April 2007 - September 2011
Capital One January 2005 - January 2007
Mundin Enterprises January 2004 - January 2007
Land America July 2002 - November 2002
Skills
Help Desk Support, Change Management, VPN, SQL, Microsoft SQL Server, SQL Server Management..., Visual Studio, SSIS, Windows Server, Active Directory, Microsoft Office, Norton Ghost, BMC Remedy, Citrix, XP, Blackberry, Python
Education
United States Marine Corps 2006 — 2007
Hampton University 1998 — 2002
BS, Computer Science
Heritage High School 1992 — 1996
High School
Aquent Studios July 2014 - Present
GMAC ResCap September 2013 - July 2014
Foster + Redmond 2013 - 2013
Aetna October 2009 - November 2012
Aetna December 2008 - October 2009
Aetna March 2005 - December 2008
Univest September 2001 - March 2005
Skills
Filemaker Pro, MS Office Suite, Progect Management, Microsoft Office, Budgeting, Purchasing, Customer Relations, Social Media, Project Management, Customer Service, Database Administration, Budgets, Databases, FileMaker, Marketing Communications, Office Management, Microsoft Office 2007, Office 2010, Brand Awareness, Ariba, Oracle Applications, SharePoint, Multi Tasking, Forward Thinking, Vendor Management, Operations Management, Training, Troubleshooting, User Experience, Advertising, Marketing, Integrated Marketing, Druple, WordPress, Content Management, Web Content, Digital Asset Management, Data Analysis, Small Business, Web Commerce, Social Media Marketing, Strategic Planning, Project Coordination, Proposal Writing, Sales, Email Marketing, Insurance, Access, Visio, PowerPoint
Education
Gwynedd-Mercy College 2004 — 2006
Bachelor of Science (BS), Business Administration, Management and Operations
Gwynedd Mercy University 1997 — 2001
B.A., English/Lit
Wissahickon High School 1993 — 1997
Wissahickon High School
Canopy Partners March 2015 - Present
Aetna January 2014 - February 2015
Wake Forest Baptist Health June 2012 - January 2014
UnitedHealth Group August 2006 - June 2012
NCO Group November 2001 - November 2006
Skills
Six Sigma, Proficient Typing Skills, Microsoft Office, Medical Billing, Health Insurance, Healthcare Management, Medical Coding, Medical Terminology, Human Physiology, Medicare, Medicaid, Medicare/Medicaid..., Employee Benefits, Communication Skills, Problem Solving, Customer Escalation..., HIPAA, Self-starter, Self-driven, Great Motivator, Insurance, Customer Service, Training, Healthcare, Microsoft Excel, Data Entry, Invoicing, Leadership, Management, Process Improvement, Outlook, Microsoft Word, Healthcare Information..., Managed Care
Education
Ultimate Medical Academy 2015 — 2017
Healthcare Management
Guilford Technical Community College 2013 — 2013
Medical Insurance Coding Specialist/Coder
North Carolina Agricultural and Technical State University 2000 — 2002
Mathematics, 3.2
Lumeris August 2014 - Present
Merck April 2011 - August 2014
Merck & Co., Inc. - Vaccines June 2007 - April 2011
The Children's Hospital of Philadelphia January 2002 - June 2007
Aetna January 2000 - January 2002
The Childrens Hospital of Philadelphia June 1989 - February 2000
Skills
Hospitals, Pediatrics, Vaccines, Healthcare, Leadership, Nursing, Managed Care, Healthcare Management, Business Acumen, Account Management, Patient Safety, Critical Care, Case Managment, Healthcare Information..., Public Health, EMR, Disease Management, Acute Care, Process Improvement, Patient Advocacy, Utilization Management, HIPAA, Patient Outcomes, Healthcare Consulting, Patient Education, Epic Systems, Utilization Review, Training, Evidence-based Medicine, Quality Improvement, HEDIS, Inpatient, Clinical Research, Peer Leadership, Coaching, Pharmaceutical Sales, Neurology, Diabetes, Oncology, Cross-functional Team..., Informatics, Endocrinology, Clinical Trials, Pharmaceutical Industry, Medicine, Case Management
Education
Gwynedd Mercy University 2008 — 2010
MS, Management
Gwynedd Mercy University 1999 — 2001
BSN, Nursing
Aetna October 2013 - Present
St. Luke's Hospital February 2012 - Present
Lehigh Valley Health Network 2007 - Present
Education
Gwynedd-Mercy College 1986 — 1990
BSN
The Green House Cleaning Service May 2013 - Present
Aetna March 2012 - June 2013
CBC House Cleaning Services July 2008 - March 2012
Citcards November 2004 - July 2008
AT&T Wireless Services August 2000 - February 2001
Skills
Green Cleaning, Green Living, Professional Services
Education
Guilford Technical Community College
Aetna September 2008 - Present
Advanced Home Care May 2007 - September 2008
Skills
Health Insurance, Insurance, Call Centers, Claim, Medicare, Customer Service, Underwriting, Employee Benefits, Data Entry, Outlook, HIPAA, Process Improvement, Property & Casualty..., Customer Satisfaction, Access
Education
Guilford Technical Community College 2012 — 2013
Associate of Arts and Sciences (A.A.S.), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Toys R Us May 2008 - Present
Toys R Us May 2008 - May 2010
Plaza Salon May 2008 - May 2010
Mid-Atlantic Property Management Corporation August 2007 - May 2008
Aetna November 2001 - August 2007
Hair Time and Nail Studio October 2002 - April 2004
bebe stores December 1999 - July 2001
Skills
Employee Benefits, Risk Management, Workers Compensation, Liability, Microsoft Excel, Leadership, Legal Liability, Retail, Claims Management, Administrative..., Auditing, Beauty Industry, Skin Care, Disability Insurance, Property & Casualty..., Medicare, Sales, Customer Service, Microsoft Word, Strategic Planning, Microsoft Office, Team Building, Management, Training
Education
DeRielle Academy of Beauty and Design 1994 — 1995
License, Aesthetician/Esthetician and Skin Care Specialist
HACC, Central Pennsylvania's Community College
Child Care/Business
Aetna May 2011 - Present
Alere Health, LLC June 2009 - May 2011
Arista Marketing Associates May 2008 - March 2009
Alliance Healthcare Information 2006 - 2008
Abington Memorial Hospital 1990 - 1998
Skills
Hospitals, Healthcare, Pharmaceutical Sales, Case Managment, Disease Management, Cardiology, Utilization Management
Education
Gwynedd Mercy University 1983 — 1987
MSN, Nursing
Bishop McDevitt High School 1979 — 1983
HIgh School Diploma, General Studies
Aetna April 2013 - Present
Take Shape For Life February 2010 - Present
Grand View Hospital March 2001 - June 2015
Accolade, Inc. January 2013 - April 2013
Skills
Health, Healthcare, Wellness, Coaching, Nursing, Critical Care, Treatment, Clinical Research, Surgery, Hospitals, Patient Advocacy, Healthcare Management
Education
Allegheny University
BSN, Nursing
Gwynedd-Mercy College
Associate of Science, Registered Nursing/Registered Nurse
Aetna June 2015 - Present
The Home Depot February 2006 - Present
Aetna November 2012 - June 2015
Coventry Health Care, an Aetna Company August 2009 - November 2012
Media Play June 2002 - January 2006
Skills
Information Technology, Computer Maintenance, Computer Hardware, Software Installation, Computer Hardware..., Microsoft Office, Health Insurance, Insurance Claims, Data Analysis, Customer Service, Data Entry, Home Improvement, Consumer Electronics, Media & Entertainment, Forklift Operation, Employee Benefits, Phone Etiquette
Education
Harrisburg Area Community College
Associate of Arts (AA) Degree, Computer Information Systems
Central Dauphin Senior High School 2000 — 2004
High School DIploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Musician April 2014 - Present
Independent Singer/Songwriter July 2005 - Present
Hettinger, Inc. January 2013 - November 2013
Independent Research Group, Inc. June 2005 - December 2012
Aetna March 2009 - June 2011
Merrymead Farms May 1999 - June 2005
Skills
Teamwork, Customer Satisfaction, Networking, Public Speaking, Customer Service, Microsoft Office, Inventory Management, Accounting, Human Resources, Sales, PowerPoint, Time Management, Stock Control, Public Relations, Marketing, Leadership, Purchasing, Logistics, Vendor Relationships, Outlook, Microsoft Word, Budgets, Microsoft Excel, Social Networking
Education
Gwynedd-Mercy College 2006 — 2008
Bachelor of Science, Business Administrations with Organizational Management
Lansdale School of Business 2005 — 2006
Business Law
Montgomery County Community College 2001 — 2004
Associate of Science (A.S.), Business Administration and Management
Lansdale Catholic High School 1998 — 2001
Seven Stone June 2015 - Present
Georgia Department of Economic Development February 2009 - June 2015
Aetna December 2007 - December 2008
Peachtree Communities February 2005 - December 2007
Education
Gwinnett Technical College
MLS Training Institute
Real Estate
Aetna Senior Compliance ConsultantAetnaMay 2015 - Present
Meritain Health January 2014 - May 2015
New River Medical Center July 2012 - August 2012
Ecolab January 2012 - June 2012
Skills
Legal Research, Legal Writing, Legal Compliance, Health Care Compliance, Research, Health Care Regulation, Legal Issues, Life & Health Insurance..., Regulatory Compliance, Project Oversight, Anti-fraud, Writing, FDA Medical Device..., European Medical Device..., Health Law, Management, Policy
Education
Hamline University School of Law 2010 — 2013
Juris Doctor (J.D.), Health Law, Health Care Compliance
University of Wisconsin-River Falls 2007 — 2009
Bachelors of Arts, History, Philosophy
Aetna March 2015 - Present
HealthAmerica, a(n) Aetna Company May 2012 - Present
Brown & Brown/Alpha Benefits Division September 2006 - May 2012
HealthAmerica October 1997 - September 2006
MAMSI February 1997 - October 1997
Skills
Health Insurance, Brokers, Start-ups, Insurance, Health Savings Accounts, Disability Insurance, Employee Benefits, Medicare, Term Life Insurance, Account Management, Benefits Administration, Managed Care, Claim
Education
Harrisburg Area Community College
Business Administration, HealthCare Mgmt
Aetna August 2014 - Present
Aetna September 2012 - August 2014
Aetna June 2010 - September 2012
Aetna August 2008 - June 2010
Graduate Hospital - Tenet September 2002 - August 2008
Graduate Hospital, Tenet September 2001 - September 2002
Graduate Hospital, Tenet September 2000 - September 2001
Skills
Healthcare, Hospitals, Leadership, Training, Team Building, Healthcare Information..., Insurance, Health Savings Accounts, EHR, EMR, Operations Management, Medicare Part D, Health Policy, Claim, Healthcare Industry, Healthcare Consulting, Claims Management, Health Care Reform, Policy, Provider Relations, Clinical Research, HIPAA, Health Insurance, Managed Care, Medicare, Process Improvement, Management, Customer Service, Analysis, Microsoft Office, Healthcare Management, Strategic Planning, Microsoft Excel, Medicaid, Program Management, Performance Management, Project Management, Outlook, Data Analysis, Account Management, Call Centers, PowerPoint, Research
Education
Walden University
Doctor of Philosophy (PhD), Public Health Policy
Eastern University
Master of Business Administration (MBA), Health/Health Care Administration/Management
Gwynedd Mercy University
Bachelor of Business Administration (BBA), Organizational Management
Aetna January 1999 - Present
Aetna January 1999 - Present
Aetna January 2000 - January 2001
Aetna January 1999 - January 2000
American Express June 1989 - April 1998
Education
Guilford College 2011 — 2013
Psychology
Guilford Technical Community College 1989 — 1991
College Transfer courses
Marshall University 1981 — 1982
General Studies
Nicholas County High School 1979 — 1981
Jafra Cosmetics March 2011 - Present
Various Dentists 1980 - 1999
Aetna 1988 - 1991
Skills
Cosmetics, Skin Care, Beauty
Education
Guilford Technical Community College 1980 — 1981
diploma & certification, Dental assisting
. November 2010 - Present
Aetna May 2003 - November 2010
Skills
Health Insurance, Insurance, Medicare, Marketing, Employee Benefits, Outlook, Fitness, Data Analysis, Training, Project Management, Leadership, Management, Process Improvement, Team Building, Vendor Management, Healthcare Management, Case Management, Managed Care, Strategy, Healthcare Information..., Healthcare, Program Management, Cross-functional Team..., Strategic Planning
Education
Gwynedd Mercy University 1996 — 1999
Bachelor of Science, Education
Kayo Bracey & The Takeoff Team January 2015 - Present
Kayo Bracey & The Takeoff Team April 2012 - Present
KAYO BRACEY & THE TAKEOFF TEAM (Lucky 64 Eleven C Corporation) April 2011 - Present
1510 Big Weal Gospel 1510weal.com February 2014 - September 2014
CVS February 2014 - May 2014
SRSMOTORSPORTS.COM March 2013 - May 2013
Aetna Healthcare May 2008 - July 2011
Aetna 2009 - 2011
Aetna 2009 - 2011
Skills
Clerical Skills, Social Networking, Business Networking, Development Of..., Coordinating Events, Strategic Financial..., Social Media Marketing, Marketing Research, Operating Budgets, Digital Marketing, Customer Service, A&R, Budgets, Record Labels, Marketing Communications, Online Marketing, Publicity, Process Improvement, Sound, Acting, Retail, Facebook, New Media, Digital Media, Email Marketing, Radio, Advertising, Press Releases, Voice Over, New Business Development, Talent Management, Copy Editing, Photography, Music Publishing, Brand Awareness, Content Strategy, Music Licensing, Distribution Strategies, Entrepreneurship, Relationship Marketing, Audio Engineering, Audio Editing, Composition, Logic Pro, Studio Recording, Pro Tools, Blogging, Sound Design, Songs, Audio Post Production
Education
Guilford Technical Community College 2013 — 2016
Associate's degree in the Music Business, Arts, Entertainment, and Media Management
North Carolina Agricultural and Technical State University 2005 — 2007
Transfer student, Business Adminstration
Winston-Salem State University 2004 — 2005
Transfer Student, Undergraduate Studies
Guilford Technical Community College
Entertainment Technologies: Artist Management, Music Management
Aetna November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care, an Aetna Company November 2012 - January 2014
The Children's Garden January 2012 - November 2012
United Concordia 2007 - 2012
Capital Blue Cross 2005 - 2007
Keystone Health Plan Central 1996 - 2005
Skills
Adobe Acrobat, HIPAA, Healthcare, Brokers, Spreadsheets, Health Insurance, Dental Insurance, Microsoft Office, Microsoft Excel, Microsoft Access, Microsoft Word, Outlook, GeoNetworks, Directory Expert, Salesforce Training, PageMaker, Team Player, Broker..., Broker Commission, Data Analysis, Provider Relations, SharePoint, Managed Care, Telephone Skills, Access, Data Entry, Process Improvement, Insurance, Employee Benefits, Medicare
Education
Harrisburg Area Community College 2012 — 2013
CDA - Child Development Associate, Early Childhood Education and Teaching
Harrisburg Area Community College 1989 — 1992
Associate of Arts (AA), Business Studies
UnitedHealth Group July 2015 - Present
Lincoln Financial Group August 2014 - May 2015
Blue Cross Blue Shield of NC April 2013 - July 2014
Aetna 2000 - 2010
Skills
Medicare, Insurance, Claim, Employee Benefits, HMO, Call Center, Customer Service, Health Insurance, Management, Healthcare Industry, Property & Casualty..., PPO, Commercial Insurance, Claims Management, Provider Relations, Claims Resolution, General Insurance, Managed Care, Group Insurance, Claim Investigation, Licensed Property &..., Network Development, Medicare Part D, Commercial Lines, Casualty, Claims Handling, Renewals, HIPAA, Team Building, Leadership, Process Improvement, Customer Retention, Call Centers, Outlook, Microsoft Excel
Education
Guilford Technical Community College 2014 — 2017
Associate of Science (AS), Computer/Information Technology Administration and Management
University of North Carolina at Greensboro 1993 — 1997
Bachelor of Science (B.S.), Business, Management, Marketing, and Related Support Services
Aetna August 2014 - Present
University of Minnesota Physicians January 2011 - August 2014
RiverSide Electronics, Ltd. June 2010 - January 2011
Chris Jensen Health and Rehabilitation Center September 2009 - May 2010
Skills
Healthcare, Medical Terminology, Critical Thinking, Epic Systems, Epic, Microsoft Office, Microsoft Excel, PowerPoint, Customer Service, Medical Records, Data Entry, Highly detail oriented, Problem Solving, Communication Skills, Software Documentation
Education
Hamline University 2013 — 2015
Master of Business Administration (M.B.A.)
University of Minnesota-Duluth 2006 — 2010
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Paycation 2013 - Present
UnitedHealthcare December 2004 - March 2014
Aetna September 1997 - November 2004
Skills
Insurance, Life Insurance, Term Life Insurance, Customer Service, Claim, Training, Team Building, Medicare, Public Speaking, Health Insurance, Claims Management, Underwriting, General Insurance, Employee Benefits, Call Centers, Claims Handling, Coaching, Commercial Lines, Healthcare, Leadership, Managed Care, Microsoft Excel, Outlook
Education
University of Phoenix
Bachelor of Science (BS), Health/Health Care Administration/Management
University of Phoenix 2007 — 2009
Associate of Arts (A.A.), Business Management
Guilford College
Community Health Systems August 2013 - Present
Aetna August 2012 - July 2013
Community Health Systems June 2007 - July 2012
Merck & Co., Inc. 1998 - 2006
Skills
Hospitals, Healthcare, Nursing, Supervisory Skills, Case Management, Clinical, Occupational Health, Health, Acute Care, Surgery, Cpr Certified, Home Care, Managed Care, Patient Advocacy, Medical/Surgical, Medicare, ACLS, Inpatient, Patient Education, Disease Management, PALS, Ambulatory, HIPAA, Case Managment, Wound Care
Education
Gwynedd-Mercy College 1990 — 1994
Bachelor of Science, Nursing
Gwynedd-Mercy College 1988 — 1990
Associate of Science (AS), Registered Nursing/Registered Nurse
Aetna April 2014 - Present
Coventry Health Care November 2003 - April 2014
Keystone Health Plan Central July 2001 - November 2003
Skills
Insurance, Health Insurance, General Insurance, SAS, Actuaries, VBA, Financial Risk, Brokers, Liability
Education
Lebanon Valley College 1999 — 2001
Bachelor of Science (B.S.), Mathematics
Harrisburg Area Community College 1997 — 1999
Associate of Science (A.S.), Actuarial Science
Aetna February 2015 - Present
Aetna Insurance February 2013 - February 2015
Greenville Health System May 2012 - February 2013
Peak Health December 2002 - May 2012
Greenville Hospital System March 2008 - November 2011
Skills
Nursing, Stress Management, Home Care, Mental Health, Medical/Surgical, Wellness Coaching, Prevention, Wellness, Nutrition, Healthcare, Cpr Certified, Pediatrics, Lifestyle, Health Promotion, Fitness, Medical-Surgical, Hospitals, CPR Certified
Education
Liberty University 2012 — 2014
BSN, Registered Nursing/Registered Nurse
Gulf Coast Community College 1977 — 1980
AS/AA, Nursing
Mosley High
Aetna 1990 - Present
Forsyth Technical Community Coll September 2001 - Present
Skills
Healthcare, Microsoft Office, Customer Service, Hospitals, Microsoft Excel, HIPAA, Nursing, Medicare, Strategic Planning, Public Speaking, Insurance, Leadership
Education
University of Phoenix 2013 — 2015
Master's Health Administration
Guilford Technical Community College 1997 — 2000
Nursing
North Carolina Agricultural and Technical State University 1981 — 1985
Bachelor's degree, Industrial Technology/Electronics
Walt Disney World May 2015 - Present
University of Phoenix January 2005 - Present
Walt Disney World November 2009 - May 2015
Walt Disney World Co. April 2008 - November 2009
Walt Disney World Co. December 1997 - April 2008
Aetna June 1990 - July 1997
Skills
Staff Development, Leadership Development, Mentoring, Organizational..., Public Speaking, Claim, Customer Service, Strategic Planning, Training, Leadership, Teaching, Program Management, Human Resources, Coaching, Team Building, Policy, Management, Employee Training, Recruiting, Conflict Resolution, Workshop Facilitation, Nonprofits, Employee Relations, Team Leadership, Strategy
Education
Webster University 1999 — 2001
MBA, Business Administration and Management, General
Hampton University 1987 — 1990
Bachelor of Science, Marketing
University of Phoenix
Master of Business Administration (MBA)
Lincoln Financial Group April 2010 - Present
Aetna November 2007 - December 2008
Netkey 2001 - 2004
Gerber Technology 1997 - 2000
Cadkey 1990 - 1993
Skills
Agile Methodologies, WCF, C#, Requirements Analysis, Software Development, Web Services, SDLC, SQL, ASP.NET, JavaScript, Microsoft SQL Server, Scrum, SOA, Project Management, .NET, Web Applications
Education
Rensselaer Polytechnic Institute at Hartford 1991 — 1994
Gubkin Russian State University of Oil and Gas 1982 — 1987
BS, Applied Math
Aetna December 2013 - Present
UMR, a UnitedHealthcare Company August 2010 - December 2013
UnitedHealthcare January 2008 - February 2011
UnitedHealthcare May 2006 - January 2008
Skills
Health Insurance, Employee Benefits, Underwriting, Insurance, Managed Care, Account Management, Claim, Medicare, Brokers, Process Improvement, Risk Management, Strategic Planning, Health Savings Accounts, Customer Service, Forecasting, Workers Compensation, Health Policy, Sales, HIPAA, Training
Education
Gustavus Adolphus College 1999 — 2003
B.S., Mathematics & Economics
North Highland May 2015 - Present
CertusBank March 2013 - May 2014
TalentQuest October 2012 - March 2013
Aetna August 2010 - January 2012
AmeriChoice-UnitedHealth Group April 2009 - August 2010
Nationwide Financial January 2005 - March 2008
CIGNA Healthcare August 2002 - January 2005
Assurant Solutions March 1996 - September 2001
NationsBank March 1989 - March 1996
Skills
Leadership, Strategy, Strategic Planning, Management, Business Development, Cross-functional Team..., New Business Development, Marketing, Change Management, Sales Management, Executive Management, CRM, Sales, Consulting, Business Planning, Team Building, Public Speaking, Business Strategy, Marketing Strategy, Leadership Development, Advertising, Account Management, Income Statement, Budgets, Sales Operations, Insurance, Talent Management, Mergers & Acquisitions, Integrated Marketing, Public Relations, Training, Profit and Loss..., Multi channel..., Performance Coaching;..., Mergers, Large Group Facilitation
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1982 — 1984
Master of Business Administration (M.B.A.), Marketing
Guilford College 1978 — 1982
BA, Economics
Tias Business School, University of Navarra
Executive Program, Business Strategy and E-Commerce
First Citizens Bank April 2011 - Present
CIGNA Healthcare March 2009 - April 2011
Aetna January 2008 - December 2008
Fannie Mae July 2007 - December 2007
JPMorgan Chase November 2003 - June 2007
Trinuc Inc 2003 - 2004
GMAC 2003 - 2003
Skills
Pentaho, SAS programming, Mainframe, Datastage, ETL, Ab Initio, Data Migration, Enterprise Architecture, Software Development, Data Warehousing, DB2, SDLC, Teradata, Data Modeling, Unix Shell Scripting
Education
University of Illinois Springfield 2002 — 2003
Masters, Computer Science
Gulbarga University 1993 — 1997
REC,Bhalki,Bachelors, Electronics & Communication
Aetna February 2015 - Present
Aetna April 2014 - January 2015
Aetna June 2013 - March 2014
Coventry Health Care, an Aetna Company October 2011 - May 2013
Coventry Health Care, an Aetna Company February 2007 - October 2011
Coventry Health Care, an Aetna Company January 2004 - February 2007
Coventry Health Care, an Aetna Company October 1998 - January 2004
Comfort Care Home Health Services, LLC August 1996 - 2000
Edgewater Psychiatric Center May 1995 - 2000
Coventry Health Care, an Aetna Company September 1997 - October 1998
Skills
Disease Management, Medicaid, Medicare, Healthcare, Managed Care, Health Insurance, HMO, Network Development, Provider Relations, HIPAA, Healthcare Information..., Medicare Part D, Process Improvement, Employee Benefits, Health Policy, Customer Service, Insurance, Vendor Management, Pharmacy Benefit..., Cross-functional Team..., Healthcare Industry, Program Management, Leadership
Education
Harrisburg Area Community College 1993 — 1995
Associate Degree Nursing, Registered Nursing/Registered Nurse
Rosemont College 1987 — 1991
Bachelor of Science (B.S.), Business Administration and Management, General
Pennsylvania State University-Penn State Harrisburg
Master's Degree, Health/Health Care Administration/Management - Candidate
The Hartford February 2014 - Present
The Hartford February 2014 - Present
Aetna January 2012 - February 2014
Aetna June 2006 - January 2012
Skills
Insurance, Underwriting, Brokers, Employee Benefits, Leadership, Health Insurance, Claim, Commercial Insurance, General Insurance, Reinsurance, Life Insurance, Disability Insurance, Claims Management, Medicare, Risk Management
Education
The University of Connecticut School of Business 2005 — 2011
MBA, Healthcare Management
Hamilton College 1999 — 2003
Avon Old Farms 1996 — 1999
H.S.
Aetna August 2003 - Present
Aetna 2003 - 2008
Education
Millersville University of Pennsylvania 1999 — 2002
HACC, Central Pennsylvania's Community College 1996 — 2000
Aetna February 2012 - Present
Aetna May 2003 - February 2012
Ernst & Young 1996 - 2003
Arthur Andersen 1994 - 1996
Skills
Insurance, Healthcare, Compliance, Tax, Accounting, Risk Management, Income Tax, GAAP, Auditing, Tax Accounting, Financial Reporting, Corporate Tax, Internal Controls, Sarbanes-Oxley Act, US GAAP, SEC filings, Sarbanes-Oxley, SOX 404, CPA, Mergers & Acquisitions
Education
University of Hartford 2004 — 2005
MS, Accounting
Hamilton College 1990 — 1994
BA, Mathematics
CareDx, Inc (formerly XDx) April 2007 - Present
Johns Hopkins Hospital, Baltimore, MD 2003 - March 2007
Aetna 1993 - 2003
University of Pennsylvania Health Syst 1989 - 1993
Skills
Strategy, Lifesciences, Oncology, Biotechnology, Healthcare Reimbursement, Medical Billing, Cross-functional Team..., Medical Devices, Infectious Diseases, Commercialization, Immunology, Pharmaceutical Industry, Clinical Development, Biopharmaceuticals
Education
Gwynedd-Mercy College
Master of Science in Nursing Oncology, Oncology and Cancer Biology
Saint Joseph's University
Master's degree in Healthcare Administration
Anthem, Inc. February 2015 - Present
Independent January 2014 - Present
Surescripts March 2013 - November 2013
Aetna 2010 - 2013
Comprehensive Health Services, Inc. 2006 - 2009
MultiPlan 2002 - 2006
APS Healthcare, a subsidiary of Universal American 2001 - 2002
Commonwealth of Virginia 1999 - 2001
Mercy Health Plan 1997 - 1999
Oxford Health Plans, a UnitedHealthcare Company 1992 - 1997
Skills
Process Improvement, Leadership, HIPAA, Managed Care, Healthcare Management, Healthcare Information..., Training, Project Management, Cross-functional Team..., Provider Relations, Medicare, Medicaid, Strategic Planning, Program Management, Performance Management, Call Centers, Team Building, Practice Management, Policy, Public Health, Customer Service, Operations Management, Cross Functional Team..., Claims Management, Claims Resolution, Contract Negotiation, Emotional Intelligence, Data Analysis, Healthcare Consulting, Vendor Management, Performance Improvement, Change Management, EHR
Education
University of Phoenix 2014 — 2016
Master of Business Administration (M.B.A.), Healthcare Administration and Project Management
Hampton University
Bachelor's Degree, Marketing/Finance
Aetna July 2012 - Present
NORC at the University of Chicago December 2011 - Present
Jump Street Arts July 2008 - July 2012
American Cancer Society February 2004 - July 2008
Skills
Research, Policy Analysis, Community Outreach, Program Development, Program Evaluation, Fundraising, Grant Writing, Volunteer Management, Teaching, Microsoft Office, Non-profits, Healthcare, Public Health, Public Policy, Editing, Program Management, Proposal Writing, Project Management, Grants, Event Planning, Public Speaking, Strategic Planning, Social Media
Education
HACC, Central Pennsylvania's Community College
Aetna June 2015 - Present
TheraCare December 2014 - August 2015
American Cancer Society May 2014 - December 2014
NextWave Advocacy, LLC January 2013 - May 2014
Saint Vincents Hospital May 1995 - March 2001
Skills
Community Outreach, Boolean Logic, Kenexa, Brass Ring, LinkedIn Recruiter, Writing, Editing
Education
Fordham University Graduate School of Social Service
Master of Social Work (MSW), Social Work
Guilford College 1988 — 1992
Bachelor of Science (B.S.), Psychology
Aetna January 2009 - Present
BlueCross BlueShield of IL March 2006 - December 2008
Ajilon 2006 - 2008
Chase September 2005 - March 2006
AT&T (SBC communication) July 2004 - August 2005
Defence Research and Development Organisation 1999 - 2004
Skills
Struts, Hibernate, Web Applications, Spring, Weblogic, Software Development, SOA, Core Java, J2EE Application..., Websphere, SDLC, Oracle, Tomcat, Web Services, XML, Design Patterns, Enterprise Architecture, .NET, UML, PL/SQL, AJAX, Databases, Mobile application..., Android SDK, Objective-C, weblogic portal, Maven, Mobile Applications, EJB, JDBC, JSP, JavaScript, JMS, Microsoft SQL Server, HTML 5, JBoss Application Server, SOAP, Java Enterprise Edition
Education
Guru Nanak Dev University 1994 — 1998
Bachelors of technology, Computer Software and Engineering
Aetna February 2010 - Present
Aetna February 2008 - January 2010
Aetna January 2006 - February 2008
Aetna September 2003 - January 2006
Aetna February 2003 - September 2003
Aetna August 2002 - February 2003
Education
Grove City College
NATC November 2008 - October 2009
ANEK Software Consultants, Inc January 2001 - January 2007
Kenon Consulting January 1987 - January 2000
Aetna 1975 - 1977
Education
Gwinnett Technical College
Computer Science
Aetna July 1996 - Present
Skills
Medicare, Network Development, HMO, PPO, Managed Care, Insurance, Claim, Utilization Management, Health Policy, HIPAA, Employee Benefits
Education
Archbishop Ryan
Gwynedd-Mercy College
Bachelor of Science (BS), Business Administration/Health Care Administration
Travelers April 2012 - Present
Travelers September 1995 - April 2012
Travelers February 1990 - September 1995
Aetna August 1987 - February 1990
Skills
Property & Casualty..., Requirements Gathering, Business Analysis, Business Process..., Insurance, Process Improvement, Commercial Insurance, Risk Management, Liability, Reinsurance, Casualty Insurance, General Insurance, Workers Compensation
Education
Hamilton College 1982 — 1986
BA, Psychology
Aetna January 2014 - Present
Coventry Health Care 2007 - December 2013
Coventry Health Care 2006 - 2008
ITxM 2001 - 2006
Skills
ETL, Business Intelligence, Informatica, SQL, Data Warehousing, Microsoft SQL Server, Oracle, Databases, Data Analysis, OLAP, Business Analysis, Cognos, Data Modeling, SDLC, Database Design, Visio, Data Warehouse..., Data Marts, Unix, Software Project..., Netezza, Data Architecture, Agile Methodologies, SharePoint, Database Administration, Analytics, Cubes
Education
Grove City College 1997 — 2001
BS, Computer Information Systems
Gwynedd Mercy University August 2010 - Present
IWCO Direct 2006 - March 2015
IWCO Direct 2006 - March 2015
The John Maxwell Company 2014 - 2015
The John Maxwell Company 2014 - 2015
H&R Block January 1997 - April 2012
Transcontinental Direct 2003 - 2006
Aetna 2000 - 2002
Telerx Inc 1994 - 2000
Prudential Insurance 1992 - 1993
Skills
Customer Service, Leadership, Direct Marketing, Process Improvement, State Politics, Operations Management, Business Analysis, Team Building, Management, Account Management, Direct Mail, Team Leadership, Vendor Management, Cross-functional Team..., Time Management, CRM, Call Centers, Project Management, Program Management, Strategic Planning, Training, Change Management, Microsoft Office, Analysis
Education
Gwynedd Mercy University
Master of Science (MS), Business Management
Gwynedd Mercy University
Master of Business Administration (MBA), Business Adninistration and Strategic Leadership
Gwynedd Mercy University
Bachelor of Science, Business Administration and Management, General
Aetna August 2010 - Present
Aetna 2003 - 2009
Prudential Insurance 1972 - 2003
Education
Gwynedd Mercy University
BS, Computer Science
Aetna September 2008 - Present
Accordant Health Services November 2005 - September 2008
Skills
Access, Healthcare, Healthcare Information..., Healthcare Management, Customer Service, Health Insurance, Microsoft Word, Microsoft Excel, Travel Arrangements, Editing, Software Documentation, Managed Care, Process Improvement, Research, Event Management, Hospitals, HIPAA, Newsletters, PowerPoint, XP, Project Management, System Administration, Process Scheduler, Microsoft Office, Outlook, Data Entry, Event Planning
Education
Guilford Technical Community College 2000 — 2002
Certificate, Medical Coding and Billing
Aetna August 1994 - Present
Skills
Enterprise Risk..., Sarbanes-Oxley Act, Accounting, Process Improvement, Financial Analysis, Strategic Planning, Leadership, Business Process..., Healthcare, Health Insurance
Education
Gwynedd Mercy University 1980 — 1993
BS, Accounting
Saint Joseph's University 1989 — 1991
MBA, Financial Management
Aetna May 2011 - Present
Aetna June 2009 - June 2011
Karr Barth Benefits Group April 2005 - January 2009
Skills
Health Insurance, Provider Relations, Insurance, Claim, Medicare Part D, Medicaid, Medicare, HMO, Managed Care, Claims Resolution, Employee Benefits, HIPAA, PPO, Data Entry, Open Enrollment
Education
Gwynedd Mercy University 2014 — 2016
Master's Degree, Masters in Healthcare Administration
Peirce College 2011 — 2014
Bachelor’s Degree, Business Mngt/Minor Healthcare Administration
Aetna May 2013 - Present
HealthAmerica April 2007 - May 2013
LifeCare Management Services 2004 - 2007
UPMC Mercy 2002 - 2004
UPMC Health System 1997 - 2002
Highmark Blue Cross Blue Shield 1985 - 1997
Skills
Provider Relations, Network Development, PPO, HMO, Medicare, Managed Care, Health Insurance, Medicaid, Insurance, Health Policy, HIPAA, Healthcare Industry, Healthcare, Claim, Healthcare Management, Credentialing, Process Improvement, Strategic Planning, Hospitals, Healthcare Consulting, Contract Negotiation, EMR, Physicians, EHR
Education
Grove City College
Bachelor of Arts (B.A.), Accounting
University of Pittsburgh - Joseph M. Katz Graduate School of Business
Master of Business Administration (MBA), Business Administration and Management, General
Aetna December 2013 - Present
Coventry HealthAmerica April 2011 - December 2013
HealthAmerica December 2005 - April 2011
HealthAmerica 2001 - 2008
HealthAmerica 1996 - 2001
Skills
Strategic Planning, Strategic Technology..., Vendor Implementation..., Business Process..., Technology Needs..., Operations Management, Sales Operations, Database Design and..., Marketing, Healthcare, Medicare, Budgets, Process Improvement, Management, Managed Care, Business Process, Finance, Health Insurance, Medicaid, Provider Relations, Employee Benefits, Medicare Part D, Insurance
Education
Harrisburg Area Community College 1983 — 1985
Liberal Arts
BCBSNC January 2012 - Present
Aetna September 2008 - March 2011
High Point Regional Health System September 2001 - August 2008
Skills
Service Excellence, RNC, Registered Nurses, Obstetrics, Antenatal, Neonatology, Postpartum, PACU, Gynecology, Nursing Education, Supervisory Management, Utilization Management, Medical Review, Health Education, Healthcare Management, Medicare/Medicaid..., Claims Review, Six Sigma, Case Management, Discharge Planning, Microsoft Office 2007, Excel, PowerPoint, Photoshop Elements, Customer Service, Medical Coding, CPT, HCPCS, ICD-9, milliman care guidelines, Cpr Certified, Photography, Market Planning, Eye For Detail, High Energy, Teamwork, Mentoring, Youth Mentoring, Christianity, Web Design, Motivational..., Organizational..., Internet Explorer, Claim Analysis, Social Media, Integrity, Claims Resolution, Holistic Health, Alternative Medicine, Quality Improvement
Education
Guilford Technical Community College 1989 — 1991
Associates Degree, Nursing
Aetna December 2013 - March 2014
Coventry Health Care August 2007 - December 2013
PHICO Insurance 1976 - 2007
Skills
Subpoenas, Legal Research, Corporate licenses, Insurance, Corporate Governance, Legal Documents, Legal Assistance, Health Insurance, Employee Benefits, Property & Casualty..., Healthcare, Medicare, Litigation Support, Legal Writing, Meeting Planning
Education
Harrisburg Area Community College 2008 — 2011
Asssociate Degree, Paralegal Studies
Valley Medical Oncology Consultants March 2013 - Present
Medac, Inc and KAM Technologies January 2012 - December 2012
UroMed August 2009 - March 2011
Aetna October 2000 - November 2005
Skills
Healthcare, Medicare, Medicaid, Managed Care, Budget, Medical Billing, HIPAA, CPT, Insurance, HCPCS, Health Insurance, ICD-9
Education
Mission College 2012 — 2016
Associate's degree, Business Administration and Management, with focus on Hotel hospitality, and Accounting
Guilford Technical Community College 2001 — 2001
Medical Admin
Aetna June 2012 - Present
Coventry Health Care November 1999 - June 2012
Pinnacle Heatlh System November 1998 - February 2000
Skills
Medicare, Medicaid, Health Policy, HMO, Managed Care, Nursing, Utilization Management, Disease Management, Provider Relations, Medical Terminology, PPO, CPT, Healthcare, Medical Billing, Network Development, Hospitals, Employee Benefits, HIPAA, HCPCS, Healthcare Consulting, Process Improvement, Medical Coding, Credentialing
Education
University of Phoenix 2011 — 2014
Bachelor's degree, Health/Health Care Administration/Management
Harrisburg Area Community College 1993 — 1997
RN, Associates in Nursing
The Academy of Medical Arts and Business 1987 — 1988
CRMA, Medical Assistant
DST Health Solutions October 2014 - Present
Aetna April 2013 - October 2014
Coventry Health Care December 2012 - April 2013
Coventry Healthcare June 2012 - December 2012
Coventry Healthcare August 2011 - June 2012
Coventry Healthcare January 2010 - January 2011
Coventry Healthcare January 2006 - January 2010
Coventry Healthcare January 2005 - January 2006
Coventry Health Care May 2000 - November 2005
HealthSouth Rehab Hospital January 1994 - January 1997
Skills
SOX, Audit, Internal Controls, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Office..., Medicare Part D, Medicare Advantage, CMS, Quality Auditing, External Audit, Medicare Secondary Payor, Supervisory Experience, Auditing, Data Analysis, Cross-functional Team..., Sarbanes-Oxley Act, Medicare, Process Improvement, HIPAA, Policy, Training, Analysis, Software Documentation, Leadership, Health Insurance, Insurance, Managed Care, Business Analysis, Vendor Management, Management
Education
HACC, Central Pennsylvania's Community College 1996 — 1997
English and Psychology
Aetna January 2001 - Present
Education
Gwynedd-Mercy College 1996 — 1997
B.S., Elementary Education
Drexel University - College of Business and Administration
UPMC Health Plan January 2011 - Present
Gateway Health System January 2001 - October 2010
Gateway Health System May 2007 - January 2008
Gateway Health System February 2006 - May 2007
Gateway Health System January 2003 - February 2006
Gateway Health System January 2001 - January 2003
Health Systems Alliance February 1999 - January 2001
UPMC Health Plan 1998 - 1999
Aetna 1995 - 1998
Skills
SDLC, Medicaid, Managed Care, HIPAA, Data Analysis, Healthcare Information..., Project Management, Regulatory Requirements, Medicare, Appeals, Project Planning, Analysis, Healthcare, Employee Benefits, Leadership, Training, Cross-functional Team..., Management, Health Insurance, Insurance, Process Improvement, Healthcare Industry, Policy, Provider Relations, Claim, Access, Healthcare Management, Medicare Part D, Visio, Software Documentation, Budgets, HMO, Business Analysis, Business Requirements, Vendor Management, NCQA, Disaster Recovery, Requirements Gathering, Business Intelligence, Program Management, Strategic Planning, Health Policy, Team Building, Customer Service, Healthcare Consulting, Hospitals, SharePoint, Microsoft Excel, Requirements Analysis
Education
Grove City College 1991 — 1995
BA, Psychology
Wissahickon High School 1988 — 1990
Providence Church Of God In Christ 2006 - Present
Aetna February 1994 - Present
Education
Guilford Technical Community College 1998 — 2001
Associates, Accounting
Prentiss High School
Aetna May 2013 - Present
HealthAmerica May 2007 - May 2013
HealthAmerica June 2004 - May 2007
NCAS Pennsylvania June 1999 - June 2004
Skills
Financial Analysis, Brokers, Microsoft Excel, Microsoft Word, Microsoft Access, Project Planning, Health Insurance, Broker Commissions, Appointment/Licensing, Data Reconciliation, Accounts Payable, Accounts Receivable, Collections, 1099 Preparation, PeopleSoft, Management, Managed Care, Access, HMO, Provider Relations, Insurance
Education
Harrisburg Area Community College
Associates, Business Administration
Penn State University
B.S., Accounting
Aetna May 2013 - Present
Coventry Health Care April 2006 - May 2013
IFMC August 2003 - April 2006
Ciber April 1996 - July 2003
Highmark April 1994 - April 1996
Skills
Cognos, Data Warehousing, Data Modeling, ETL, Business Intelligence, Microsoft SQL Server, SQL, Oracle, Data Analysis, SAS
Education
Penn State University 1992 — 1993
Bachelor of Science, Computer Science
Harrisburg Area Community College 1990 — 1991
Associate's degree, Mathematics and Computer Science
Computer School of Technology 1988 — 1989
Diploma, Computer Programming
Patriot News July 2013 - Present
Aetna May 2013 - Present
HealthAmerica August 2009 - March 2014
Skills
Business Analysis, Process Improvement, Insurance, Visio, Data Warehousing, Business Intelligence, SQL, Access, Data Analysis, Business Process, Project Management, Business Process..., Change Management, Vendor Management, Analysis
Education
York Technical Institute 1994 — 1995
Diploma, Computerized Accounting
Harrisburg Area Community College
Aetna October 2013 - Present
Coventry Health Care May 2007 - October 2013
Danka Office Imaging June 2003 - May 2007
Skills
Corporate Communications, Intranet, Internal Communications, Microsoft Excel, Access, SharePoint, Newsletters, Microsoft Office, Software Documentation, Requirements Gathering, Outlook, Content Management, Analysis, Process Improvement, Media Relations, Strategic Communications, Health Insurance, Impromptu, Reporting & Analysis, Databases, Marketing Communications, Business Analysis, Social Media, Editing, Data Analysis, Call Centers, Project Management
Education
Stanly Community College 2002 — 2002
Internet Technologies, 4.0
Guilford Technical Community College 2000 — 2001
Information Systems and Network Administration / Internet Technologies, 3.74/4.0
Aetna October 2008 - Present
Aetna January 2006 - October 2008
Aetna January 1996 - January 2006
Sparrow Hospital August 1992 - January 1995
Morton Plant Hospital September 1979 - August 1992
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Hospitals, ICU, Utilization Management, Medical/Surgical, Clinical Research
Education
Gwynedd Mercy University
BSN, Nursing Science
Mount Aloysius College
Associates Degree, Registered Nursing/Registered Nurse
Aetna January 2003 - Present
Skills
Insurance, Risk Management, Management, Process Improvement, Customer Service, Leadership, Health Insurance, Project Management, Business Analysis, Training, Event Planning, Event Management, Fundraising, Donor Solicitation, Fundraising Campaign...
Education
La Salle University 2002 — 2005
Master of Business Administration (M.B.A.), Business Administration and Management, General
Gwynedd Mercy University 1999 — 2002
Bachelor’s Degree, Business Administration, Management and Operations, Concentration in Marketing
CVCC Center for Information Assurance August 2011 - Present
CIGNA Healthcare February 1997 - August 2004
Aetna March 1980 - February 1998
American Express October 1990 - September 1994
Skills
Microsoft Word, Outlook, Microsoft Office, Microsoft Excel, 10 Key, File Management, Administrative..., PowerPoint, Critical Thinking, Process Scheduler, Time Management, Higher Education, QuickBooks, Data Entry
Education
Catawba Valley Community College 2004 — 2006
Medical Transcription
Guilford Technical Community College 1981 — 1982
Computer Science- Cobalt Language, B
Randolph Community College 1973 — 1975
Legal Assistant/Paralegal
Aetna September 2014 - Present
Fresiunus medical September 2013 - September 2014
WellSpan Health June 2010 - September 2013
Roundtop Mountain Resort December 2001 - March 2012
Holy Spirit Hospital March 2008 - July 2009
Skills
Customer Service, Health Insurance, Office Equipment, Microsoft Office 2007, Fax, Copies, Medical Terminology, Medicaid, Cashiering, Teaching, Human Resources, Business
Education
York College of Pennsylvania 2009 — 2013
Harrisburg Area Community College 2004 — 2008
Associate's degree, Business Studies
Aetna June 2007 - Present
Gmac Mortgage Corporation 1996 - 2005
Education
Gwynedd Mercy University
Bachelor of Science (BS)
Aetna May 1997 - Present
Clairmont Paciello & Co. January 1986 - May 1997
Skills
Project Management, Leadership, Process Improvement, Strategic Planning, Customer Service, Business Analysis, Financial Analysis, Microsoft Excel, Microsoft Office, Accounting
Education
Bishop Kenrick
Gwynedd Mercy University
Bachelor of Science (B.S.), Accounting
Aetna April 2012 - Present
PHEAA August 2008 - June 2012
Education
Harrisburg Area Community College 2012 — 2014
Healthcare Management Associates Degree, Healthcare
Harrisburg Area Community College 2005 — 2007
Police Schience Associates Degree, Criminal Justice
Central Dauphin Highschool 2000 — 2004
Diploma, College Prep
CVS Caremark Corporation January 2011 - Present
Aetna March 2007 - December 2010
Aetna July 2001 - March 2007
Aetna November 1997 - June 2001
Aetna October 1995 - October 1997
Aetna February 1984 - September 1995
Education
Hamline University 1979 — 1983
Bachelor's degree, Psychology
Detroit Lakes High School 1977 — 1979
Diploma
Aetna March 2011 - Present
Aetna April 2009 - February 2011
Aetna January 2007 - March 2009
Ajilon April 1999 - January 2007
Hewlett-Packard August 1998 - April 1999
Commonwealth of Pennsylvania - Pennsylvania State Police February 1990 - August 1998
Skills
Health Insurance, SDLC, Requirements Gathering, Business Requirements, Business Analysis, Visio, Claim, Medicare, Process Improvement, Requirements Analysis
Education
Harrisburg Area Community College 1983 — 1986
Associate's degree, Computer Science
Harrisburg Area Community College 1983 — 1986
Associate's degree, Engineering
Aetna January 2010 - Present
HealthAmerica April 2003 - December 2009
Capital BlueCross June 1993 - March 2003
Skills
Business Analysis, Data Warehousing, Visio, Business Intelligence, ETL, Business Objects, Requirements Gathering, Crystal Reports, SDLC, Business Requirements, Database Design, Systems Analysis, Data Integration, DB2, Data Modeling, SSIS, Health Insurance, Managed Care, Medicare
Education
Harrisburg Area Community College
Computer Science
Pennsylvania State University-Penn State Harrisburg
Information Systems
Aetna September 2005 - Present
Skills
Insurance, DB2, Business Analysis, SDLC
Education
Grove City College 1994 — 1998
Bachelor's degree, Mathematics and Computer Science
Aetna xxxxxxxx1999 - 2013
Skills
photograoher
Education
Guilford Technical Community College 1990 — 1991
Photography, Photograohy