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
Harris County Public Health & Environmental Services August 2015 - Present
Kingwood Medical Center December 2014 - Present
Aetna April 2014 - September 2014
United Airlines January 2006 - October 2011
Skills
HIPAA, Medical Terminology, Customer Service, Human Resources, Medical Billing, Customer Satisfaction, Invoicing, Medical Coding, Data Entry, Medicare, Employee Benefits, Telephone Skills, Analysis, Office Management, Medical Office, 10 Key, Microsoft Excel, Health Insurance, Appointment Scheduling, Administrative..., Insurance, Healthcare, Microsoft Office, Insurance Verification, Process Insurance claims, Submit claims, Prepare claims, Procedure Scheduling, Medical Transcription, PowerPoint, Claims generation, Leadership, Employee Training, Interviews, Educational Leadership, Administrative...
Education
Lamar University 2014 — 2015
Business Administration
Houston Community College 2012 — 2012
Certificate, Administrative Medical Assisting, Medical Billing, Medical Coding, Medical Terminology
Ramapo College of New Jersey 2001 — 2005
Social Work
Malcolm X Shabazz High School 1998 — 2001
High School, General Studies, 3.32
Transocean December 2013 - Present
Transocean September 2012 - December 2013
Transocean November 2009 - September 2012
Aetna September 2003 - December 2008
US Navy Reserve December 1999 - March 2004
Aetna May 2003 - August 2003
United States Navy September 1995 - September 1999
Skills
Process Improvement, Analysis, Business Process..., Cross-functional Team..., Business Analysis, Process Engineering, Strategic Planning, Team Building, Offshore Oil & Gas, Offshore Operations, Offshore Drilling, Drilling, Inspection, Petroleum, Preventive Maintenance, Dynamic Positioning, Navigation, Oil/Gas, Deepwater, Oil, STCW, Supervisory Skills, HUET, Oilfield, Maritime, Rig, GMDSS, Seamanship, Permit to Work, Risk Assessment, Oil & Gas
Education
University of Connecticut 2000 — 2003
Bachelor of Science, Management Information Systems
Houston Community College 2007 — 2009
AS, Process Piping Design Specialization
Memorial Hermann Health System March 2014 - Present
Baylor College of Medicine November 2012 - June 2013
Aetna August 2011 - November 2012
Citi Financial June 2010 - July 2011
Santandar Consumer USA July 2006 - May 2010
Deluxe Laboratories March 2002 - June 2006
Skills
Microsoft Word, Microsoft Excel, ProComm Plus, Firefox ,, Ten Key by Touch, Word Processing, 35 wpm, Switchboard, AS400, Outlook, Customer Service, Collections, Data Entry, Account Management, Epic Systems
Education
Houston Community College 2013 — 2013
Medical Administrative/Executive Assistant and Medical Secretary
National Education Center
Tarrant County Community College
Medical Administrative/Executive Assistant and Medical Secretary
Aetna May 2000 - April 2014
Veeder-Root January 1998 - May 2000
Ames Corporate Office March 1997 - October 1998
Par Microsystems Corp. February 1994 - March 1997
Aetna April 1985 - June 1992
Aetna September 1981 - April 1985
Skills
Health Insurance, Insurance, Underwriting, Claim, Property & Casualty..., Disability Insurance, Brokers, Life Insurance, Commercial Insurance, Employee Benefits, Medicare, General Insurance, Claims Management, Term Life Insurance, Workers Compensation, Managed Care, Liability, Health Savings Accounts, Casualty, Reinsurance
Education
New England Technical Institute, New Britain, CT 1992 — 1994
Certification, Electronic Technology & Alarm System
Hudson Valley Community College 1976 — 1978
Associate's degree, Business Administration, Management and Operations
Red Hot Yoga July 2014 - Present
Self- Employed April 2013 - Present
Aetna June 2011 - Present
Atlanta Hot Yoga April 2013 - July 2014
Skills
Fitness, Yoga, Strength Training, Healing, Sports, Training, Athletics, Weight, Teaching, Endurance, Fitness Training, Pilates, Wellness, Wellness Coaching
Education
Red Hot Yoga 2014 — 2014
E-RYT 500, Yoga Teacher Training/Yoga Therapy
Atlanta Hot Yoga 2012 — 2013
E-RYT 200, Yoga Teacher Training/Yoga Therapy
American Aerobic Association International & International Sports Medicine Association 2013 — 2013
Phase II- Master Personal Fitness Trainer Certification
American Aerobic Association International & International Sports Medicine Association 2011 — 2011
Personal Fitness Trainer Certification
Howard University
Bachelor of Business Administration (B.B.A.), International Business, Spanish
Travelers April 2015 - Present
Travelers August 2013 - April 2015
Travelers March 2009 - August 2013
Price Chopper Supermarkets June 2002 - June 2013
Aetna October 2008 - March 2009
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Phone Etiquette, Email, Customer Service, Compliance, Training, Access, Call Centers, Commercial Insurance, General Insurance, Insurance, Property, Telephone Skills, Underwriting, Time Management, Workers Compensation
Education
The College of Saint Rose 2006 — 2008
Bachelor of Arts (BA), Mathematics, 3.86
Hudson Valley Community College 2004 — 2006
Associate of Science (A.S.), Mathematics, 3.89
Aetna September 2007 - Present
The Hartford 2005 - September 2007
Prudential Financial 1998 - 2004
Skills
Disability Insurance, Life Insurance, Term Life Insurance, Employee Benefits, Account Management, Brokers, Health Savings Accounts, Management, Insurance, Underwriting, Health Insurance
Education
Holy Family University 2003 — 2009
M.S., Human Resources Management
Holy Family University 1996 — 2000
B.A, Management-Marketing
Aetna March 2011 - Present
Aetna January 2005 - March 2011
Aetna June 2004 - January 2005
UnitedHealth Group May 2003 - October 2003
Skills
Sales, Training, Education, Leadership, Analytical Skills, Data Analysis, Project Management, Account Management, Customer Service, Troubleshooting, Problem Solving, Oral & Written..., Active Team Player, Life & Health Insurance..., Insurance, Health Insurance, SDLC
Education
Hofstra University 2003 — 2006
Bachelor of Science (B.S.), Professional Studies
Nova Southeastern University 2006 — 2007
Health Law
Aetna May 2013 - Present
Coventry Health Care (Acquired by Aetna) August 2005 - May 2013
Harte-Hanks April 2005 - August 2005
AT&T September 1998 - March 2005
Hyundai January 1995 - August 1997
Education
New Jersey Institute of Technology 1997 — 1998
Master Degree
Hongik University 1989 — 1994
Bachelor
USI Southwest July 2015 - Present
USI Southwest April 2014 - July 2015
Alliant Insurance Services July 2013 - April 2014
Alliant Insurance Services December 2012 - July 2013
Arthur J. Gallagher & Co. May 2008 - November 2012
The Steves Financial Group October 2005 - May 2008
Aetna 1992 - 2002
Skills
Training, Insurance, Customer Service, Life Insurance, Health Insurance, COBRA, Employee Benefits, Disability Insurance, Health Savings Accounts, Sales Management, Team Building, Benefits Administration, Brokers, Leadership, Human Resources, Workers Compensation, Long-term Care, Underwriting, Term Life Insurance, Self-funded, Commercial Insurance, Flexible Spending..., Group Insurance, Group Medical, Medicare
Education
Houston Community College 1994 — 1996
Associate of Arts (A.A.)
Lavender Cottage Antiques March 2012 - Present
Aetna September 2000 - May 2011
Education
University of Houston 1985 — 1987
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Hollins University
Bachelor's Degree, Statistics
Boca Executive Realty Naples October 2012 - Present
Aetna October 1984 - September 2008
Skills
Real Estate, Residential Homes, Underwriting, National Association of..., Insurance, Customer Service, Investments, Commercial Real Estate, First Time Home Buyers, Short Sales, Sellers, Listings, Foreclosures, FHA, Investment Properties, Buyer Representation
Education
Fisher Jr College (Boston)
Business, Management, Marketing, and Related Support Services
Holyoke Community College
Graphic Design
Dallas Regional Medical Center June 2012 - Present
Epic MedStaff October 2010 - June 2011
Aetna March 2006 - December 2009
Skills
Texas LVN license on..., basic computer skills, Hospitals, Healthcare, Home Care, Inpatient, Medical Records, Nursing, Healthcare Management, HIPAA, Case Managment, Clinical Research, EMR, EHR, CPOE, Medicine, Ambulatory, Cpr Certified, Healthcare Consulting, Documentations, Patient Safety, Medical Terminology, Medicaid, Healthcare Information..., Medicare, Physicians, Wound Care, Health Information..., Utilization Review, Epic Systems, Medication..., Informatics, Telemetry, BLS, Utilization Management, Medical/Surgical, Managed Care, HMO, Patient Advocacy, Health Insurance, HL7, Access, Vital Signs, Documentation, Software Documentation
Education
Western Governors University 2013 — 2017
Bachelor's degree, Healthcare Informatics
Houston Community College 1995 — 1996
General, LVN
Forney High School 1984 — 1988
General, High School Diploma
MD Anderson Cancer Center January 2004 - Present
Gentiva Health Services July 2002 - December 2003
Aetna July 1998 - June 2002
Skills
Word, Excel, Access,..., MedSolutions, A.I.M.,..., Healthcare, Microsoft Office, Hospitals, Customer Service, Microsoft Excel, Strategic Planning, Healthcare Management, Microsoft Word, Clinical Research, Project Management, Public Speaking, Medical Records, Insurance, Patient Advocacy, Home Care, Cpr Certified, Invoicing, Healthcare Information..., EMR, CPR Certified, HIPAA
Education
Houston Community College 1992 — 1995
none, Studies in Healthcare
Leominster High School 1973 — 1976
High School Diploma, Distributive Education
Aetna September 2001 - Present
Rosenbluth Travel December 1999 - August 2001
Maritz Travel Company February 1991 - December 1999
Trans World Airlines February 1986 - February 1990
Santa Anita Travel July 1981 - June 1985
Skills
Provider Relations, Insurance, Claim, Health Insurance, Employee Benefits, Time Management, Training, Team Building, Medicare, Customer Service, Data Entry, Call Centers, Process Improvement, HIPAA, Public Speaking
Education
SST Travel School 1980 — 1980
Certifcate, Travel Agent, 99.9
Houghton College 1978 — 1979
Bachelor of Arts (BA), Spanish
Lehigh County Community College 1975 — 1977
Associate of Arts (AA), Spanish
General Mills December 2012 - Present
Mercer January 1998 - December 2012
Aetna July 1993 - January 1998
Aetna July 1993 - January 1998
Skills
Benefit Program..., Health care benefits, Vendor Management, Health Insurance, Benefits Administration, COBRA, Employee Engagement, HR Consulting, Insurance, Disability Insurance, Employee Benefits Design, Employee Benefits, Healthcare, Leadership, Management, Strategy
Education
Hope College 1989 — 1993
BA, Management and Economics
Doane Academy September 2015 - Present
Colegio Episcopal de Panama February 2013 - August 2015
Aetna October 2009 - February 2013
Aetna October 2002 - September 2006
Skills
Health Savings Accounts, Insurance, Health Insurance, Managed Care, Employee Benefits, Medicare, Healthcare, Process Improvement, Leadership, Sales, Call Centers, Sales Operations, Customer Service, Project Management, Coaching, Teaching
Education
Walden University 2013 — 2015
Master's degree, Educational Leadership and Administration, General
Hood College 1989 — 1994
BA, Communication Arts
Balboa High School 1988 — 1989
High School Degree
Colegio Episcopal de Panama 1977 — 1988
College preparatory private school
Travelers October 2014 - Present
Bay Path University October 2013 - August 2014
Aetna September 2008 - September 2013
EUREST SERVICES/AETNA January 2008 - January 2008
Kelly Services January 2006 - January 2008
Wesleyan University 2003 - 2006
The Hartford Courant 2001 - 2003
Sony Music Entertainment January 1998 - January 2001
Skills
Marketing, Event Planning, Budgets, Event Management, Account Management, Marketing Communications, CRM, Marketing Management, Leadership, Sales, Marketing Strategy, Business Development, Microsoft Word, Product Marketing, Microsoft Office, Entertainment, Music Industry, Strategic Communications, Creative Writing, Microsoft Excel, Product Development, Promotions, Presentations, Product Management, Social Media Marketing, Social Networking, Online Marketing, Networking, Business Networking, PowerPoint, Google Chrome, Internet Explorer, Analysis, Time Management, Program Management, Social Media, Strategic Planning, Public Speaking, Customer Service, Management, Advertising
Education
The University of Connecticut 2011 — 2013
Executive Master of Business Administration, Marketing, 3.8
Howard University 1994 — 1998
Bachelor of Arts, Communications/Marketing
Aetna July 2013 - Present
AmerisourceBergen February 2007 - July 2013
Del Laboratories June 2006 - February 2007
NBTY January 2002 - March 2006
European American Bank May 2000 - August 2000
Skills
QuarkXPress, InDesign, Illustrator, Advertising, Graphic Design, Promotions, Packaging, Print Production, Photoshop, Adobe Creative Suite, Mac, Brochures, Production, Logo Design, Creative Direction, Copywriting, Direct Mail, Brand Development, Layout, Art Direction, Illustration, Dreamweaver, Posters, Catalogs, Adobe Acrobat, Microsoft Office, Graphics, Marketing Communications, Corporate Identity, Typography, Pre-press, Performing Arts, Music, Songwriting, Guitarist, Live Shows, Lyrics, Album Design, Mac OS X, Photography, Digital Imaging, Retouching, Extensis Suitcase, Font Management, Proofreading, Copy Editing, Guitar, Trade Show Coordination, Promotional Material..., Event Planning
Education
Hofstra University 1997 — 2001
Bachelor of Arts, Fine Arts with specialization in Design
ACTS Retirement-Life Communities, Inc. November 2008 - September 2013
Aetna April 2007 - April 2008
Skills
Palliative Care, Quality Improvement, Direct Patient Care, Patient Advocacy, Cpr Certified
Education
La Salle University 2012 — 2015
MSN, AGNP
Holy Family University 1980 — 1984
BSN, Registered Nursing/Registered Nurse
Aetna July 2013 - Present
National Black MBA Association 2009 - 2014
Ally Financial December 2012 - June 2013
NMR Consulting November 2008 - September 2010
Cisco Systems June 2010 - August 2010
ENTERPRISE RENT-A-CAR May 2008 - November 2008
CHUBB & SON INC. November 2005 - January 2008
Skills
Risk Management, Analysis, Strategic Planning, Problem Solving, Negotiation, Public Speaking, Process Improvement, Account Management, Cross-functional Team..., Sales, New Business Development, Business Strategy, Business Process..., Contract Management, Team Building
Education
Howard University 2009 — 2012
MBA, Management
Temple University - Fox School of Business and Management 2001 — 2005
BBA, Risk Management Insurance
UMES
Aetna August 1998 - Present
Skills
Health Insurance, Insurance, HMO, Provider Relations, Call Center, Claims Resolution, Claim, Employee Benefits, Customer Service, Managed Care, HIPAA, Brokers
Education
Houston Baptist University
Aetna September 2012 - Present
CVS Health October 2010 - September 2012
CHRISTUS Health May 2009 - January 2010
Methodist Healthcare System July 2006 - January 2009
MD Anderson Cancer Center November 2003 - July 2006
Skills
Pharmacy, Pharmacy Benefit..., Clinical Research, Compounding, Management, Healthcare, Research, Customer Service, Training, Outlook, Microsoft Excel, Medicare Part D, Pharmacueticals, Microsoft Office, Team Building, Employee Training, Leadership, Inventory Management, Team Leadership, SharePoint, Analysis, Medication Therapy..., Pharmacy Automation, Quality Assurance, Supervisory Skills
Education
Northwest Vista College 2012 — 2015
Associate's Degree, Business Administration and Management, General
University of the Incarnate Word 2006 — 2009
Pre-Pharmacy Studies
Houston Community College 2002 — 2003
ASHP Certificate, Pharmacy Technician/Assistant
MAXIMUS October 2015 - Present
MAXIMUS July 2014 - October 2015
MAXIMUS June 2013 - July 2014
AppleOne November 2012 - March 2013
Wellpoint June 2007 - August 2012
Aetna June 2006 - June 2007
Skills
Medicare, Claim, HIPAA, Managed Care, PPO, Call Center, HMO, Provider Relations, Employee Benefits, Claims Resolution, Medicaid, Medical Billing, Analysis, Customer Service, Call Centers, Insurance, Management, Microsoft Office, Team Building, Training
Education
Hudson Valley Community College
Early Childhood Education
USA1 Real Estate May 2015 - Present
Aetna April 1998 - Present
Independent Stylist July 1985 - December 2014
Mount Carmel Health System 1993 - 1998
Skills
Managed Care, Customer Service, Insurance, Process Improvement, Medicare, Business Analysis, Analytics, Data Analysis, Claim, Access, Requirements Gathering, Requirements Analysis, Vendor Management, SQL, Healthcare Information..., Microsoft Excel, Crystal Reports, Data Management, Consulting, Data Warehousing, SAS programming, SQL DB2, Contract Management, Collections, Claim Investigation, Access Database, Microsoft Word, Auditing, Medical Coding, Medical Billing, Spreadsheets, Data Mining, Health Insurance, Leadership, Strategic Planning, HIPAA, Healthcare, Team Building, Strategy, Program Management, MS Excel Pivot Tables, Query Writing, Database Queries
Education
Hondros College 2014 — 2014
Real Estate Salesperson, Real Estate
Ohio State School of Cosmetology-Columbus 1984 — 1985
Managing Cosmetology, Gold Stylist
Watkins Memorial High School 1980 — 1984
Aetna March 2014 - Present
Aetna July 2012 - March 2014
Abington School District 2009 - 2012
Holy Redeemer Health System 1999 - 2008
Skills
Case Management, Healthcare, Nursing, Rehabilitation, Treatment, Disease Management, Medicare, Orthopedic, Inpatient, Health Insurance, Medical-Surgical, Hospitals, Managed Care, Orthopedics
Education
Holy Family University 1993 — 1996
BSN, Registered Nursing/Registered Nurse
La Salle University 1980 — 1984
Bachelor of Arts (B.A.), Russian Language and Literature
Allergan June 2015 - Present
ENT and Allergy Associates June 2014 - June 2015
ENT and Allergy Associates October 2011 - June 2014
WIN Healthcare – Obstetrics and Infertility management provider June 2010 - October 2011
Aetna October 2009 - May 2010
Courtyard by Marriott June 2009 - May 2010
IFC Films September 2008 - November 2008
Skills
Customer Service, Data Entry, Filing, Marketing, Editing, Quality Control, Outlook, Microsoft Excel, PowerPoint, Microsoft Word, Access, File Management, Fax, Microsoft Office, Process Scheduler, Salesforce.com, B2B Marketing, Avid Xpress, Social Media, Social Media Marketing, Facebook, Social Networking, Management, Public Speaking, Time Management, Event Management, Healthcare, Public Relations, Event Planning, Advertising, Writing, Press Releases, Marketing Strategy, Sales, Email Marketing, Leadership, Sponsorship, Direct Mail, Online Advertising, Digital Media, Marketing Communications
Education
Hofstra University 2005 — 2009
BA, Radio, TV, Film
Windsor High School 2001 — 2005
Diploma, General Education
Independence Blue Cross May 2014 - Present
Aetna March 2013 - March 2014
Penn Medicine (University of Pennsylvania Health System) May 2010 - March 2013
Abington Memorial Hospital April 2005 - May 2010
Skills
Healthcare, Home Care, Treatment, Medicare, ICU, Nursing, BLS, Inpatient, Medical/Surgical, Acute Care, Critical Care, ACLS, Clinical Research, Medical-Surgical, Hospitals, EMR
Education
Holy Family University 1999 — 2003
Bachelor's Degree, Registered Nursing/Registered Nurse
Archbishop Ryan
Archbishop Ryan
Kelsey-Seybold Clinic April 2011 - Present
Kelsey-Seybold Clinic April 2004 - April 2011
Aetna May 1998 - August 2001
Skills
Medicare, Revenue Cycle, Medical Billing, Medical Coding, Medicaid, HCPCS, ICD-9, CPT, Healthcare, Epic Systems, Managed Care, Claim, HIPAA
Education
Houston Community College
University of Utah Hospitals and Clinics November 2014 - Present
Aetna December 2013 - November 2014
Coventry Health Care June 2007 - December 2013
CHG Healthcare Services March 2004 - June 2007
Skills
Medicare, Managed Care, JCAHO, Credentialing, Medical Staff..., Medicaid, Healthcare Consulting, Provider Relations, Management, Physician Relations, HIPAA, Quality Improvement, Healthcare Industry, Healthcare Management, Health Education, Healthcare, CPCS, Department..., Supervisory Skills, Communication, TDI, DNV, ISO 9001
Education
University of Utah 2001 — 2007
Bachelor of Science (B.S.), Public Health Education and Promotion
Honolulu Community College 2002 — 2003
Cam El-Farouki State Farm Agency 2010 - Present
State Farm Insurance November 2007 - December 2009
PNC August 2007 - November 2007
Chris Grimes State Farm Agency May 2004 - July 2007
Aetna February 2002 - April 2004
Skills
Disability Insurance, Fixed Annuities, Health Insurance, Insurance, Life Insurance, Mutual Funds, Property, Term Life Insurance, Umbrella Insurance, Financial Services, Homeowners, Renters, Long-term Care
Education
Indiana University of Pennsylvania 1993 — 1996
B.S., Finance
Howard Community College 1991 — 1993
Associate of Arts (AA), Business Administration and Management, General
MDeverywhere Inc. May 2011 - August 2014
Advanced Health Management Services, Inc. October 2001 - May 2011
Aetna December 1997 - October 2001
Beth Israel PHO June 1995 - December 1997
HIP February 1993 - June 1995
Empire Blue Cross Blue Shield 1988 - 1993
Skills
Managed Care, Credentialing, Physician Relations, Healthcare Management, Healthcare, Hospitals, NCQA, Leadership, Provider Enrollment, Healthcare Consulting, Provider Relations, Physicians, Medicaid, Practice Management, HIPAA, Healthcare Industry
Education
Hofstra University
Master's degree, Health/Health Care Administration/Management
Investment firm June 2008 - Present
name withheld September 2004 - March 2008
Aetna 1997 - 2004
Arthur Andersen LLP 1992 - 1995
Skills
Internal Audit, Financial Analysis, Sarbanes-Oxley Act, Accounting, Auditing, Financial Risk, Internal Controls, Finance, Microsoft Excel, Account Reconciliation, Enterprise Risk..., Financial Reporting
Education
Howard University 1988 — 1992
BBA, Accounting
Cheltenham High School
ReMax Neighborhood Properties March 2013 - Present
Paramount Medical Group 2002 - 2012
Saint Barnabas Health System January 2000 - January 2002
Aetna 1989 - 1998
Skills
Healthcare Management, Public Speaking, Negotiation, Strategic Planning, Business Development, Management, Real Estate Transactions, Buyers, First Time Home Sellers, First Time Home Buyers, Rental Real Estate, Finance, Marketing, Healthcare Reimbursement, Sales, Fundraising, Leadership
Education
American School of Business 2013 — 2013
Real Estate Salesperson, Real Estate
Hofstra University
BA, Psychology
Aetna April 2012 - Present
Aetna July 2006 - April 2012
US Army August 2002 - July 2006
US Army March 2003 - May 2004
Skills
Health Insurance, Managed Care, Account Management, Employee Benefits, Strategic Planning, Leadership, Process Improvement, Disability Insurance, Project Management, Medicare, Insurance, Program Management, Team Leadership, Benefits Administration, Underwriting, Health Policy, Healthcare, Dentistry, Claim, Public Speaking, HMO, PPO, Health Savings Accounts, COBRA, Life Insurance, Brokers, Group Medical, Flexible Spending...
Education
Hofstra University 1998 — 2002
Ash Brokerage June 2013 - Present
Ash Brokerage January 2011 - June 2013
Ash Brokerage November 2009 - January 2011
Aetna August 2008 - October 2009
Lincoln Financial Group July 2007 - May 2008
Lincoln Financial Group July 2006 - July 2007
Skills
Underwriting, Life Insurance, Fixed Annuities, Risk Management, Strategic Financial..., Employee Benefits, Process Improvement, Term Life Insurance, Retirement Planning, Analysis, Universal Life, Financial Services, Mutual Funds, Whole Life, Policy Review, Auditing, Buy-sell Agreements, Retirement, Health Insurance, Financial Planners, Disability Insurance, Long Term Care Insurance, Long-term Care, Brokers, Sales, Insurance, Customer Service
Education
Indiana Institute of Technology 2010 — 2014
Master of Business Administration (M.B.A.), Business Management
Huntington College 2002 — 2006
B.S., Business Management
Homestead High School 1999 — 2002
Wells Fargo August 1989 - Present
Land O'Lakes April 1985 - August 1989
Aetna January 1981 - April 1985
Skills
401k, Financial Services, Retirement, Investments, Relationship Management, Mergers, Strategic Planning, Process Improvement, Change Management, Employee Benefits, Deferred Compensation, Team Building
Education
Hope College 1979 — 1981
Bachelors, Business Administration & Psychology
Northwestern University 1977 — 1979
Engineering
University of Pennsylvania - The Wharton School
CEBS, Employee Benefits
Sears Holdings Corporation May 2012 - Present
Sears Holdings Corporation June 2013 - October 2013
Sears Holdings Corporation September 2010 - May 2012
Sears Holdings Corporation July 2008 - July 2011
Victoria's Secret September 2006 - June 2008
Aetna June 2007 - August 2007
Corporate Executive Board September 2004 - August 2006
Skills
Marketing, Project Management, Marketing Research, User Experience, Advertising, Social Media, Social Media Marketing, Marketing Communications, Direct Mail, Retail, Email Marketing, Marketing Strategy, Management, Brand Management, Leadership, Digital Marketing, Newsletters, Brand Development, Creative Direction, Strategic Planning
Education
Howard University 2006 — 2008
Master, Business Administration; Marketing
Ohio University 2000 — 2004
B.S., Visual Communications; Journalism
Aetna January 2008 - March 2014
Pennsylvania Mentor 2003 - 2008
Skills
Quality Assurance, Medicare, Process Improvement, Medicaid, Health Insurance, Quality Management, Managed Care, Insurance, Quality Auditing, Program Management, Change Management, Training, Healthcare
Education
Howard University 1968 — 1970
Social Work
Virginia Union University 1964 — 1968
BA, Sociology
Plan B Properties September 1994 - Present
Wells Fargo Consumer Lending Learning & Development Group 2012 - 2013
Volunteer June 2011 - May 2012
Travelers 2008 - 2011
Aetna 1998 - 2008
McDonald's 1984 - 1990
Skills
Instructional Design, InfoPath, Image Editing, Microsoft Technologies, Adult Education, E-learning, ADDIE, Problem Solving, Instructor-led Training, Performance Consulting, Blended Learning, Needs Analysis, SnagIt, Curriculum Development, Leadership Development, Mentoring, Training Delivery, Blended Learning..., Web-based Training, E-learning Development, Coaching, Online Training, Process Improvement, Curriculum Design, Performance Improvement, PowerPoint, Performance Management, Customer Service, Change Management, Outlook, Learning Management, Visio, Distance Learning, SharePoint, Analysis, Word, Microsoft Office, Customer Relations, Classroom Instruction, Organizational..., Technical Training, Software Training, Captivate, Hands-on Training, E-Learning, Classroom, Training Facilitation, Training, Workshop Facilitation, Employee Training
Education
Holyoke Community College
Apac August 2013 - Present
UnitedHealth Group December 2008 - August 2012
UnitedHealth Group August 2007 - December 2008
Aetna March 2007 - August 2007
Humana July 2005 - November 2006
Oxford Health Plans October 1997 - May 2005
Visiting Nurse Service of New York August 1993 - August 1997
Skills
Community Outreach, Performance Management, Call Center..., Situational Leadership, Team Leadership, Organizational..., Product Management, Customer Service, English, Medicare Prescription..., Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets, Sales Management, Direct Sales, Employee Recognition, Workers Compensation, HR Policies, Product Development, Project Management, Benefits Administration, Legal Compliance, Community Engagement, Production..., Retention Strategies, Diversity & Inclusion..., Microsoft Office, Medicare Advantage, Medicare Part D, New Business Development, PowerPoint, Microsoft Excel, Recruiting, Nursing Homes, Microsoft Word, Team Building, Sales, Leadership, Health Insurance
Education
Strayer University-Florida 2012 — 2014
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Hudson County Community College 1993 — 1997
Associate of Arts and Sciences (AAS), Health/Health Care Administration/Management
Just the Thing April 2002 - Present
Microgenics January 1994 - April 1995
Abbott Laboratories August 1992 - December 1993
Aetna July 1989 - August 1992
Southwestern Company May 1987 - August 1988
Skills
Home Staging, window treatment design, Interior Design
Education
Hope College 1985 — 1989
BA, Psychology, religion
Graebel Vanlines Holdings, LLC. April 2015 - Present
ANA Consulting Associates, LLC. 2010 - Present
Graebel Moving & Storage 2014 - 2015
Graebel Moving & Storage 2014 - 2015
Aetna May 2013 - March 2014
Core Solutions, LLC a company of Patriarch Partners, LLC, NY January 2011 - May 2013
Atmos Energy December 2009 - January 2011
Towers Perrin July 1994 - November 2009
Wyatt Consulting April 1990 - July 1994
Reliance Insurance March 1973 - April 1990
Skills
Risk Financing, Claims Management, Captives, Risk Management..., Contract Review, Litigation Management, General Liability, Enterprise Risk..., Property & Casualty..., D&O, Professional Liability, Risk Mitigation, Workers Compensation, Claims, Liability, Insurance, Risk Management, General Insurance, Casualty, Commercial Insurance, Legal Liability, Claim, Contract Management, Reinsurance, Brokers, Underwriting, Financial Risk, Risk Analysis, Risk Assessment, Health Insurance, Life Insurance, Actuarial Science, Mergers & Acquisitions, Employment Practices..., Commercial Lines, Leadership, Employee Benefits, Disability Insurance, Management, Medicare, Executive Management, Operational Risk..., Defined Benefit, Financial Services, Strategic Planning, Retirement, Claim Investigation, Benefits Administration, Excess, Managed Care
Education
Hofstra University
BA, Psychology
Aetna May 2015 - August 2015
Applebee's May 2014 - January 2015
Skills
Microsoft Office, Customer Service, Microsoft Excel, Management, Microsoft Word, PowerPoint, Public Speaking, Research, Project Management, Leadership, Microsoft Access, Access, Data Entry
Education
Howard University 2014 — 2018
Bachelor’s Degree, Accounting
Anthem February 2014 - Present
Archcare March 2012 - January 2014
CIGNA Healthcare January 2009 - October 2013
Aetna January 1999 - January 2009
Catholic Medical Center January 1998 - January 1999
Vytra Health Plans January 1997 - January 1998
Columbia University Medical Center January 1996 - January 1997
Equitable Life January 1994 - January 1995
Skills
Healthcare Information..., Healthcare, Healthcare Management, HIPAA, EHR, Health Insurance, Access, Disaster Recovery, Data Warehousing, Leadership, Analysis, Hospitals, Medicare, Clinical Research, Databases, Quality Assurance, Program Management, IT Management, EMR, SDLC, Business Analysis, Informatics, Data Analysis, Testing
Education
Hofstra University 1994 — 1996
Masters, Health Administration
St. John's University 1990 — 1994
Bachelor of Arts, Marketing
Aetna August 2015 - Present
Aetna August 2014 - August 2015
Mulcahy's Pub and Concert Hall May 2012 - August 2015
Registered Broker-Dealer May 2012 - August 2012
Education
Quinnipiac University 2010 — 2014
Bachelor of Mathematics
Richmond American International University in London 2013 — 2013
Hofstra University 2011 — 2011
Sanford H. Calhoun High School 2006 — 2010
Aetna June 2012 - Present
Standard Insurance Company March 2003 - June 2012
Standard Insurance Company 2003 - 2007
Unum August 2000 - October 2002
Unum May 1999 - August 2000
Unum October 1998 - May 1999
Unum 1994 - 1998
Unum 1990 - 1994
Skills
Employee Benefits, Disability Insurance, Long-term Care, Claim, Life Insurance, Health Insurance, Insurance
Education
Husson University 1994 — 1996
MBA, Business Administration
Aetna August 2015 - Present
Dixon Hughes Goodman LLP January 2015 - April 2015
EY June 2014 - July 2014
Mitchell & Titus, LLP March 2014 - May 2014
Skills
QuickBooks, Accounting, Microsoft Office, Microsoft Excel, Customer Service, Hospitality, Time Management, Outlook, Analysis, Passion for Helping...
Education
Howard University 2011 — 2015
Bachelor’s Degree, Accounting, 3.61
Aetna April 2015 - Present
Aetna 2012 - Present
Abington Memorial Hospital 2004 - 2012
Skills
Healthcare, Hospitals, Medicare, Patient Advocacy, Patient Safety, Case Management, Nursing Education, Patient Education, HIPAA, Registered Nurses, Direct Patient Care, Nursing Care, Disease Management, Nursing, Utilization Management, Managed Care, Medication..., Home Care, Medical-Surgical
Education
Holy Family University 2001 — 2005
Bachelor's degree, Registered Nursing/Registered Nurse
Erickson Retirement Communities May 2008 - Present
NeighborCare November 2002 - May 2008
Aetna January 1998 - February 2002
Skills
Training, Quality Assurance, Medicare, Software Documentation, Insurance, Medicaid, Process Improvement, PeopleSoft, Auditing, Customer Service, Microsoft Office
Education
Marymount International School of Rome 1987 — 1990
Hammond High School
Howard Community College
UUP June 2011 - Present
Rensselaer Polytechnic Institute September 2011 - February 2012
Regeneron Pharmaceuticals September 2010 - March 2011
Aetna November 2002 - February 2010
Aetna August 1992 - November 2002
Continental Express June 1988 - April 1993
Skills
Microsoft Excel, Process Improvement, Research, Logistics, Employee Benefits, Microsoft Office, Analysis, Public Speaking, Access, Team Building, Forecasting, Change Management, Inventory Control, Human Resources, Teamwork, Customer Service, Vendor Management, Operations Management, Leadership, Data Analysis, Employee Relations
Education
The College of Saint Rose 2004 — 2007
Master of Business Administration (MBA), Human Resources Management/Personnel Administration, General
Hudson Valley Community College 2001 — 2004
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Chacon Autos November 2014 - Present
Mac Haik Automotive Group May 2013 - August 2013
Chacon Autos December 2004 - February 2012
Aetna October 2001 - December 2003
Skills
Sales Management, Sales Operations, Account Management, Sales, Sales Process, New Business Development, Direct Sales, Customer Satisfaction, Customer Service, Customer Retention, Automotive Sales..., Customer Experience, Customer Oriented, Automotive, Used Car Sales, Time Management, Lead Generation, Cold Calling, Purchasing, Inventory Management
Education
Houston Community College 2013 — 2015
Randolph AFB High School 1994 — 1998
Aetna September 2007 - Present
Aetna September 1996 - April 2001
Nazareth Hospital,Phila.Pa September 1986 - September 1996
Skills
Medicare, Cardiology, Managed Care, Nursing, Healthcare, Utilization Management, Customer Service, Insurance, Management, HIPAA, Patient Advocacy, Health Insurance, Disease Management, Medicaid, Case Management
Education
Holy Family University 1989 — 1990
BSN, Obtained BSN- formerly achieved RN from diploma school, A
Holy Family University,Abington memorial Hospital School of Nursing
BSN, Registered Nursing/Registered Nurse
Prudential Financial July 2014 - Present
University of Connecticut September 2013 - Present
Phoenix Life Insurance Company October 2013 - June 2014
Phoenix Life Insurance Company October 2005 - September 2013
ING December 2000 - October 2005
Aetna August 1985 - December 2000
Skills
Actuarial Science, Reinsurance, ALM, Life Insurance, Fixed Annuities, Insurance, Financial Reporting, GAAP, Health Insurance, Retirement, Actuarial Consulting, Financial Analysis, Pensions, Analysis, Term Life Insurance, Enterprise Risk..., Prophet, Variable Annuities, Financial Risk, Defined Benefit
Education
Holy Apostles College and Seminary 2001 — 2011
Master of Arts (M.A.), Moral Theology
Southern Connecticut State University 1980 — 1984
Bachelor of Science (BS), Mathematics
Deloitte January 2014 - Present
European Bank for Reconstruction and Development (EBRD) January 2013 - May 2013
Aetna October 2010 - July 2011
Aetna February 2009 - October 2010
Citizens Bank January 2004 - July 2007
Education
Hult International Business School
MBA, Finance
The University of Connecticut
Bachelor, Economics
CVS Health May 2015 - Present
CVS Health September 2013 - May 2015
Aetna May 2006 - September 2012
Merced Street September 2005 - May 2006
Skills
SDLC, Insurance, Health Insurance
Education
Humboldt State University
Bachelor of Arts (B.A.), Political Science, minor in Public Relations
CoreSource, A Trustmark Company May 2014 - Present
Blue Cross & Blue Shield of Rhode Island May 2012 - April 2014
Blue Cross Blue Shield of Rhode Island August 2011 - May 2012
Willis July 2010 - June 2011
Humana March 2003 - July 2010
Aetna January 1990 - March 2003
Skills
Dental, Insurance, Health Insurance, Strategic Planning, Employee Benefits, Dentistry, Medicare, Brokers, Strategy, Sales, Healthcare Industry, Leadership, Management, New Business Development, Healthcare, Managed Care, Executive Management, Risk Management
Education
Hofstra University 1985 — 1989
International Business
Aprima Medical Software, Inc. September 2014 - Present
McKesson October 2013 - September 2014
McKesson September 2012 - October 2013
Aetna August 2007 - September 2012
Skills
Microsoft Excel, Accounting, Microsoft Office, Customer Service, Microsoft Word, PowerPoint, Accounts Receivable, Accounts Payable, Financial Reporting, Outlook, Account Reconciliation, Insurance, Employee Benefits, Invoicing, Medical Billing
Education
American Institute 2006 — 2007
Diploma, Medical billing and coding specialist, 3.5
Howard College 1994 — 1997
Pre-Nursing Studies
Lake View High School 1990 — 1994
High School diploma, General Studies
MassMutual Financial Group January 2009 - Present
Travelers July 1992 - December 2008
Aetna June 1982 - July 1992
Skills
Financial Services, Insurance, Portfolio Management, Risk Management, Computer Science, Business Analysis, SDLC, Vendor Management, Requirements Analysis, IT Management, Business Process..., IT Strategy, Process Improvement, Project Portfolio..., Requirements Gathering
Education
Holyoke Community College 1980 — 1982
Associate's degree, Computer Science
Aetna June 2007 - Present
Skills
Process Improvement, Claim, Customer Satisfaction, Teamwork, Health Insurance, HMO, Provider Relations, Medical Billing, Medical Coding, Health Policy, Outlook, Healthcare, 10 Key, Data Entry, Medical Terminology, CPT, ICD-9, Insurance, Medicaid, Medicare, Accounts Receivable
Education
Houston Community College 2004 — 2006
Medical Insurance Coding Specialist/Coder
Texas Southern University 1999 — 2001
Anthem / WellPoint June 2013 - Present
PricewaterhouseCoopers 2007 - June 2013
Aetna 2012 - 2012
WellPoint 2012 - 2012
Harvard Pilgrim Health Care 2012 - 2012
Excellus BCBS 2012 - 2012
EmblemHealth 2011 - 2011
Independent Health 2011 - 2011
Express Scripts 2011 - 2011
Pfizer 2009 - 2009
Skills
Compliance, Business Process..., Health Insurance, Revenue Cycle, SDLC, Hospitals, Vendor Management, Management Consulting, Insurance, Auditing, Internal Audit, Project Management, Strategy, Access
Education
Hofstra University 2004 — 2007
MBA, Health Services Management
Siena College 2001 — 2004
BA
The London School of Economics and Political Science (LSE) 2003 — 2003
Certificate of Completion, Economics and Foreign Policy Analysis
RJ Carignan Insurance Company July 2015 - Present
Allstate May 1997 - July 2015
Aetna January 1991 - April 1997
Skills
Office Management, Administrative..., Outlook, Data Entry, Property & Casualty..., Customer Service, Insurance, Commercial Insurance, Umbrella Insurance, Microsoft Word, Health Insurance, General Insurance, Microsoft Excel, Microsoft Office, Casualty, Life Insurance, PowerPoint, Term Life Insurance, Liability, Claim, Underwriting, Claims Management
Education
Hudson Valley Community College 1990 — 1993
Associate of Arts (A.A.)
Lisa Magoulas November 2013 - Present
The Hartford 2013 - 2013
The Hartford July 2010 - July 2011
The Hartford February 2008 - July 2010
Aetna July 2007 - February 2008
Aetna July 2005 - July 2006
Aetna January 2004 - July 2005
Aetna June 2003 - January 2004
Aetna May 2001 - June 2003
Aetna September 1997 - May 2001
Skills
SDLC, Business Analysis, Business Process, Program Management, Change Management, Project Management, Integration, Software Documentation, Management, Leadership, Vendor Management, IT Strategy, Process Improvement, Crisis Management, Nutritional Counseling, Testing, Software Project..., Team Leadership, Business Process..., Cooking, Implementation..., Project Portfolio..., Resource Management, Project Planning, Information Technology, Insurance, Budgets, Risk Management, IT Management, Holistic Life Coaching, Fitness, Vegetarian Cooking, Troubleshooting, Pre-sales, Disaster Recovery, Vegetarian Nutrition, Personal Development, Food, Food Safety, Food Preparation, Catering, Food Industry, Food Quality, Recipes, Recipe Development, Recipe Testing, Food Safety Management..., Serve Safe Certified, Serve Safe Manager, Great Cook
Education
Rouxbe 2014 — 2014
Certificate, Certification, Plant Based Cooking
Institute for Integrative Nutrition 2013 — 2014
Certification, Holistic Health Coach
Porter and Chester Institute 1995 — 1997
Certificate, Computer Electronics
Holyoke Community College 1980 — 1982
Music Education
Agawam High School
Cognizant Technology Solutions November 2014 - Present
Cigna March 2014 - November 2014
Aetna August 2007 - March 2014
BiLinguis, Inc. 2003 - 2007
Cablevision 2001 - 2003
Broadform 2000 - 2001
Verizon Enterprise Solutions 1986 - 2000
NYNEX 1986 - 2000
Bell Atlantic Internetworking & Multimedia Solutions 1986 - 2000
Skills
Integration, Agile Methodologies, Testing, Vendor Management, Software Development, Scrum, Quality Assurance, SOA, Databases, Product Management, Data Center, Project Planning, Management, Analysis, Architectures, Servers, Networking, Test Strategy, Budgets, Integration Testing, Telecommunications, Cloud Computing, SDLC, Leadership, IT Strategy, Business Intelligence, Data Warehousing, Solution Architecture
Education
New York University
Master's degree, Interactive Telecommunications, 4.0
Long Island University, C.W. Post Campus
Master of Business Administration (MBA), International Business, 4.0
Hofstra University
Bachelor of Science (BS), Computer Science, 3.85
Aetna October 2010 - Present
Aetna August 1986 - Present
Prudential Financial/Healthcare August 1986 - January 1998
Skills
Technical Writing, Process Improvement, Insurance, Communication Skills, Health Insurance, Corporate Training, Enterprise Architecture, SDLC, HIPAA, Leadership, Requirements Gathering, Software Documentation, Training, Technical Support, Troubleshooting, Networking
Education
Huntington College 1974 — 1977
Associate's degree, Accounting, Accounting and Computer Science
Texas Department of Criminal Justice - Office of the Inspector General January 2014 - Present
Aetna October 2012 - January 2014
CTI October 2011 - March 2012
Harris County Sheriff's Office February 2008 - August 2011
KBR May 2005 - September 2007
GPISD Transportation Department July 1993 - April 2005
Skills
SOW, Logistics, Emergency Management, Security Clearance, Logistics Management, Operations Management, Policy, Project Planning, Team Leadership, Distribution Center..., Process Scheduler, Materials Management, Government, Contract Management, Supply, Microsoft Office, Document Management, Military, Leadership, Analysis, Process Improvement, Training, Management, Supply Chain Management
Education
University of Houston-Clear Lake 1999 — 2000
Certified, Administrative Executive Secretary
Houston Community College
Associate of Arts and Sciences (A.A.S.), LOGISTICS AND GLOBAL SUPPLY CHAIN MANAGEMENT, 3.46
Aetna May 2012 - Present
EMPIRE BLUE CROSS BLUE SHIELD August 2006 - June 2012
St. Peter's Hospital October 2004 - August 2006
VA Medical Center January 2004 - October 2004
VA Medical Center July 2001 - December 2003
US Army October 1993 - July 2001
US Army August 1989 - October 1993
Army National Guard June 1985 - August 1989
Skills
Nursing, ACLS, Hospitals, Clinical, Home Care, CCM, Utilization Management, Utilization Review, EMR, Wound Care, HIPAA, Patient Safety, BLS, Medical Terminology, Healthcare Consulting, Health Policy, Medical Records, EHR, Medication..., Health Promotion, Informatics, Physician Relations, Orthopedic, Healthcare Information..., Managed Care, Disease Management, Rehabilitation, Medical/Surgical, Case Management, Inpatient, Clinical Research, Medical-Surgical
Education
The Sage Colleges - Russell Sage College 2001 — 2003
BS, Nursing
Anne Arundel Community College 1998 — 1999
Sciences
Mount Saint Mary College 1996 — 1997
Nursing
U.S. Army Licensed Practical Nurse Program 1992 — 1993
Nursing-Vocational
Hudson Valley Community College 1987 — 1989
AS, Liberal Arts
Hudson Valley Community College 1987 — 1989
AS, Liberal Arts
Fort Sam Houston 1986 — 1986
Medic
Aetna March 2012 - Present
CIGNA Healthcare April 2009 - April 2012
American Express May 2008 - August 2008
APCO Worldwide June 2007 - August 2007
Intersections, Inc. May 2003 - May 2007
Education
Howard University 2006 — 2008
MBA, Marketing
Virginia Polytechnic Institute and State University 1999 — 2003
B.S., Marketing
Virginia Polytechnic Institute and State University - Pamplin College of Business 1999 — 2003
Bachelor's degree, Marketing
Deloitte Consulting, LLP October 2014 - Present
GENPACT August 2011 - October 2014
Allstate September 2008 - July 2011
KPMG June 2007 - June 2008
Ernst & Young May 2006 - August 2006
GENEX Services May 2004 - June 2005
Aetna June 2002 - July 2003
Heller Financial May 2001 - August 2001
Skills
Business Process, Process Improvement, Business Process..., ITIL, Six Sigma, Change Management, Management, Visio, Project Management, Risk Management, IT Management, Process Management, Project Portfolio..., Management Consulting, Strategy, Program Management, SDLC, Leadership, IT Strategy, Building Relationships, Scrum, PMP, PMO, Business Transformation, Thought Leadership, COBIT, Requirements Gathering, Consulting, Mentoring, IT Risk Management, Business Process Design, Governance, Business Requirements, MS Project, Agile Scrum, IT Enabled Business..., Operational Excellence, Microsoft Office, PowerPoint, Microsoft Excel
Education
Howard University 2005 — 2007
MBA
Howard University 1998 — 2002
BBA
Endurance November 2013 - Present
Torus Insurance August 2009 - November 2013
Travelers April 2005 - August 2009
XL Insurance September 2003 - April 2005
American International Group September 2000 - September 2003
Reliance National December 1997 - September 2000
Crum & Forster June 1993 - December 1997
Aetna June 1991 - June 1993
Skills
Underwriting, Casualty, Umbrella Insurance, Excess, Liability Analysis, Commercial Insurance, General Insurance, CPCU, Property & Casualty..., Liability, Insurance, Reinsurance, Legal Liability, Brokers, Claim, Professional Liability, Commercial Lines, Employment Practices..., Casualty Insurance
Education
Hofstra University 1986 — 1990
BBA, Management
LHS
LHS
LHS
LHS
Aetna January 2015 - Present
Abington Memorial Hospital February 2013 - November 2014
Thomas Jefferson University Hospitals May 2011 - January 2013
Thomas Jefferson University Hospitals March 2008 - May 2011
Thomas Jefferson University Hospital 2006 - 2007
Skills
Nursing, BLS, Acute Care, Telemetry, Inpatient, Hospitals, Patient Safety, Medical/Surgical, Nursing Education, Healthcare, IV, BCLS, Patient Advocacy, Medication..., HIPAA, Registered Nurses, Nursing Management, Patient Education, Pediatric Nursing, Wound Care, Nursing Process, Nursing Care, Nursing Documentation, Direct Patient Care, EKG, Disease Management, Quality Improvement, Trach Care, Pediatrics, Quality Patient Care, Phlebotomy, Central Lines, EMR, Vital Signs, Palliative Care, Cardiac Care, Cardiac Monitoring, Therapeutic..., Chest Tubes, Infection Control, JCAHO, Triage, Community Health, Trauma Nursing, Utilization Management, Utilization Review, Healthcare Management, Clinical Research, Medical-Surgical, Post Anesthesia Care
Education
Holy Family University 2004 — 2007
Bachelor's of Nursing, Registered Nursing/Registered Nurse
Holy Family University
Bachelors of Nursing, Registered Nursing/Registered Nurse
Self-employed January 2011 - Present
The Cancer Support Community Pasadena January 2010 - Present
Hearing Loss Association of Los Angeles (HLA-LA) April 2006 - September 2010
L.A. Care Health Plan August 2002 - February 2006
Aetna 2000 - 2002
ArtSupport 1995 - 1999
Arts Resources & Technical Services (ARTS, Inc.) 1996 - 1998
Downtown Arts Development Association (DADA) 1995 - 1997
Bilingual Foundation of the Arts 1993 - 1995
Theatre Corporation of America 1992 - 1993
Education
Hood College
B.A., Psychology, with additional studies in Sociology and Journalism
Tyler Technologies June 2013 - Present
Four Winds Hospital July 2014 - May 2015
Travelers Insurance September 2004 - June 2012
Travelers Insurance April 2003 - September 2004
Aetna August 2002 - April 2003
MetLife 1992 - 1994
Skills
Technical Support, Computer Software..., Computer Hardware..., Microsoft SQL Server, SQL, Cloud Computing, Windows 7, Process Improvement, Time Management, Analysis, Software Documentation, Microsoft Office, Access, Microsoft Excel, Windows Server, Active Directory, Help Desk Support, Customer Service, Leadership, Call Centers, Troubleshooting, Microsoft Exchange, Visio
Education
Schenectady County Community College 2012 — 2013
Computer Desktop Support -- Help Desk, A+, Internetworking, C#, 4.0
Hudson Valley Community College 1985 — 1987
Data Processing
Mizuho Bank April 2015 - Present
Barclays Investment Bank July 2013 - April 2015
Societe Generale Corporate & Investment Banking May 2011 - June 2013
McGraw-Hill February 2009 - May 2011
AIG March 2006 - February 2009
Citi Habitats May 2003 - March 2006
Aetna June 2001 - August 2001
Skills
SPHR, Performance Management, Talent Management, Onboarding, Human Resources, Succession Planning, Employee Relations, Organizational..., Deferred Compensation, Leadership, Talent Acquisition, Employee Engagement, HRIS, Workforce Planning
Education
Hofstra University
Masters, Industrial/Organizational Psychology
University of Rhode Island
B.A., Psychology
Frontier Communications October 2014 - Present
AT & T April 2008 - October 2014
SBC 2000 - 2002
Aetna 1990 - 1991
Skills
Competitive Analysis, Telecommunications, Vendor Management, Marketing, Operations Management, Mobile Devices, Cross-functional Team..., Account Management, Project Management, Unified Communications, Sales, Call Center, Integration, Leadership, Strategic Planning, Wireless, Security, Negotiation, Business Analysis, VoIP, Team Building, Management, Contract Negotiation, Program Management, Troubleshooting, PMP, Strategic Partnerships, Product Development, Process Improvement, Product Marketing, Customer Satisfaction, Team Leadership, Cloud Computing, Sales Management, Solution Selling, Customer Experience, Project Planning, Call Centers, Training, Product Management, Direct Sales, Customer Retention, Sales Operations, Strategy
Education
University of New Haven 1986 — 1990
Bachelor's degree, Business Administration and Management, General
Howard University 1981 — 1983
business
Marsh & McLennan Agency Michigan July 2015 - Present
Marsh & McLennan Agency Michigan July 2012 - July 2015
FAR Therapeutic and Performing Arts 2012 - 2015
FAR Therapeutic and Performing Arts 2012 - 2015
McGraw Wentworth, a Marsh & McLennan Agency LLC company June 2005 - July 2012
Watson Wyatt & Company January 2003 - June 2006
Towers Perrin January 2001 - January 2003
Aetna January 1993 - January 2001
Skills
Employee Benefits, COBRA, Training, Leadership, Health Insurance, Benefits Administration, Strategic Planning, Onboarding, Health Care Reform, Disability Insurance, Management, Health Savings Accounts, Insurance, Healthcare, CRM, Business Planning, Underwriting, Life Insurance, Managed Care, Human Resources
Education
Michigan State University - The Eli Broad Graduate School of Management 2002 — 2004
Master of Business Administration (M.B.A.), Integrative Management
Hope College 1989 — 1992
B.S., Business Administration
UnitedHealthCare June 2006 - Present
The First Cathedral January 2004 - Present
Aetna 1980 - 2003
Skills
Process Improvement, Public Speaking, Healthcare, Insurance, Health Insurance, Customer Service, Microsoft Office, Team Building, Event Planning, Managed Care, Leadership, Analysis, Strategic Planning, Policy, Training, Access, Program Management, Coaching, Software Documentation, Data Analysis, Project Planning, Medicare, Microsoft Excel, Business Analysis, Editing, Nonprofits, Team Leadership, Cross-functional Team..., Proposal Writing, Outlook, Management, Operations Management, Program Development, Visio, Organizational..., Change Management, PowerPoint, Vendor Management, Leadership Development, Marketing, Staff Development, Account Management, Healthcare Management, HIPAA, Project Management, Fundraising
Education
Howard University 1972 — 1978
Communications
Aetna December 2013 - Present
Coventry Health Care October 2008 - Present
Wolters Kluwer January 2001 - March 2008
Wolters Kluwer January 1996 - December 2000
Wolters Kluwer August 1986 - December 1995
The Coastal Corporation February 1985 - August 1986
Skills
Program Management, Cross-functional Team..., Visio, Software Development, Strategy, Project Management, Management, Outsourcing, Data Warehousing, Budgets, Business Requirements, Vendor Management, SharePoint, Business Intelligence, Business Analysis, Call Centers, Process Improvement, Requirements Gathering, Analysis, Strategic Planning, SDLC, Leadership, Project Planning, Requirements Analysis, E-commerce, IT Strategy, IT Management, Integration, Software Project..., ERP, Business Process, Databases, Business Process..., PMO, Software Documentation, Agile Project Management
Education
Houston Baptist University 1980 — 1985
Bachelor of Science, Computer Information Systems, Management
Aetna Project AssistantNYS Department of Labor1989 - 1995
Education
Shaker High School 1984 — 1989
Business, Business
Hudson Valley Community College
Aetna June 2015 - Present
Aetna November 2013 - Present
Aetna January 2005 - November 2013
AG Communication Systems and Isola January 1997 - 2005
UnitedHealth Group January 1995 - January 1997
Peat Marwick January 1992 - August 1994
MetLife May 1988 - December 1991
Skills
Health Insurance, Healthcare, Managed Care, Employee Benefits, Insurance, Health Savings Accounts, Benefits Administration, Strategic Planning, HIPAA, HRIS
Education
Hofstra University 1985 — 1988
Bachelor of Business Administration (BBA), Finance, General
Hofstra University
Aetna February 2007 - Present
Alliance Work Partners, Workers Assistance Program July 2002 - February 2007
The Oaks Treatment Center, Psychiatric Solutions June 2000 - July 2002
CRI May 1999 - May 2000
Plan 21 January 1997 - May 1999
Skills
EAP, Mental Health, Psychology, Behavioral Health, Clinical Research, Crisis Intervention, Treatment, Account Management, Crisis, Customer Service, Organizational..., Training, Strategy, Program Development, Therapists, Group Therapy, CBT, Counseling Psychology, Leadership Development, Psychotherapy, Social Services, Stress Management, Case Managment, Public Speaking, Case Management, Nonprofits, Recruiting, Managed Care, Healthcare, Family Therapy, Stress, Wellness, Conflict Resolution, HMO
Education
Houston Baptist University 1996 — 1998
MA, Psychology
Texas A&M University 1992 — 1996
BA, Psychology
Aetna July 2013 - Present
Aetna July 2013 - Present
Aetna 2009 - July 2013
Cooley Dickinson Hospital 2006 - 2008
MassMutual 1999 - 2006
MassMutual 1999 - 2006
MassMutual 1996 - 1999
Skills
Sales, Team Building, Leadership, Strategic Planning, Employee Benefits, Insurance, Training, Strategy, Management, Process Improvement, Account Management, Retirement, Disability Insurance, Analysis
Education
University of Massachusetts at Amherst - Isenberg School of Management 1998 — 2002
MBA, Business Administration
Western New England University
BSBA, Business
Holyoke Community College
AS, Computer Information Systems
Gateway Regional H.S.
Aetna May 2004 - Present
Skills
Analysis, Financial Analysis, Insurance
Education
Howard University
Master of Business Administration (MBA), Business
University of Pittsburgh 1989 — 1992
Bachelor of Arts (B.A.), Economics
Aetna November 2010 - Present
SAIC May 2010 - January 2011
SAIC October 2005 - March 2010
R.R. Donnelley May 1996 - July 2005
Business Records Corporation Consulting September 1993 - May 1996
New York Life Insurance Company 1991 - 1993
Metropolitan Life 1988 - 1991
Skills
ITIL, Process Improvement, Requirements Analysis, SDLC, Software Project..., Vendor Management, Business Analysis, Integration, SharePoint, Software Documentation
Education
Hofstra University
B.S., Computer Science
Aetna September 2013 - Present
Coventry Health Care, an Aetna Company June 2012 - September 2013
WellPoint, Inc. July 2009 - June 2012
Health Management Corporation/Wellpoint June 2008 - July 2009
Blue Cross Blue Shield of Georgia/Wellpoint February 2006 - June 2008
The Southeast Permanente Medical Group (Kaiser Permanente) 2004 - 2006
Southeast Permanente Medical Group (Kaiser Permanente) 2003 - 2006
Southeast Permanente Medical Group (Kaiser Permanente) 1999 - 2006
Southeast Permanente Medical Group (Kasier Permanente) 1990 - 2006
Southeast Permanente Medical Group (Kaiser Permanente) 2000 - 2003
Skills
Utilization Management, Disease Management, Case Management, Network Administration, Clinical, Medical Management, Care Management, Managed Care, Healthcare, Healthcare Management, Health Insurance, Health, Strategic Planning, Internal Medicine, Clinical Research, Case Managment, Management, Health Education, HMO, Hospitals, Diabetes, Quality Improvement, Health Policy, Critical Care, Medicine, Medicaid, Medicare, Public Health, Provider Relations, Physicians, HEDIS, Healthcare Consulting, Inpatient, HIPAA, Network Development, Healthcare Industry, Board Certified, Physician Relations, Informatics, NCQA, EMR, EHR, PPO, Medical Education, Utilization Review, Medicaid Managed Care, Pharmacy Benefit..., Pharmacy, Medical Coding, Health Care Reform
Education
University of California, Irvine - The Paul Merage School of Business 1997 — 1999
MBA, Healthcare Management
University of California, Los Angeles 1985 — 1987
Fellowship, Pulmonary Critical Care
Kaiser Foundation Hospital San Franciso 1981 — 1984
Residency, Internal Medicine
Howard University College of Medicine 1980 — 1981
Internship, Family Practice
Stanford University School of Medicine 1976 — 1980
MD, Medicine
University of California, San Diego 1972 — 1976
BA, Biology
Crenshaw High School
Aetna April 2014 - Present
Aetna January 2011 - Present
Aetna December 2009 - January 2011
Aetna September 2004 - December 2009
Skills
Data Analysis, Requirements Gathering, Visio, Analytics, Business Requirements, Process Improvement, Customer Relationships, Short Term Disability, FMLA, CRM, Coaching, Disability Insurance, Account Management, Claim, Leadership
Education
Hofstra University 1991 — 1995
Bachelor of Science, Athletic Training/Sports Medicine
UnitedHealth Group October 2010 - Present
UnitedHealth Group September 2004 - October 2010
UnitedHealth Group April 2002 - August 2004
Aetna April 2000 - April 2002
Aetna September 1997 - April 2000
Internal Revenue Service September 1991 - September 1997
Skills
Health Insurance, Medicare, Managed Care, Process Improvement, Medicaid, Healthcare, Healthcare Management, Program Management
Education
Howard University 1998 — 2000
Master of Business Administration (M.B.A.), Health Services Administration
University of Maryland College Park 1990 — 1996
Bachelor of Science (BS), Business Management
Aetna September 2007 - Present
Coventry Health Care, an Aetna Company September 2007 - June 2013
SelecTransportation Resourses, LLC June 2006 - September 2007
Selec Transportation Resources June 2006 - August 2007
HP September 1999 - June 2006
Hewlett-Packard September 1999 - June 2006
Sapphire Technology (formerly New Boston System) June 1997 - September 1999
US NAVY January 1984 - January 1990
Skills
Active Directory, Windows Server, Servers, VMware, Technical Support, Troubleshooting, Microsoft Exchange, Hardware, SharePoint, DNS, VPN, DHCP, TCP/IP, Citrix, Strategic Planning, Project Planning, Process Improvement, Business Process..., Problem Solving, Windows 7
Education
Warren National University formally Kennedy-Western University 2003 — 2008
BS, Management Information Systems; Information Systems
•Warren National University formally Kennedy-Western University 2003 — 2008
BA, Management Information Systems
Houston Community College 1997 — 1997
General Studies
University of Houston
General Studies
Aetna November 2008 - Present
Guardian September 1988 - November 2008
The Franklin Mint March 1988 - September 1988
Schering Corporation November 1985 - March 1988
Columbia University May 1983 - August 1985
Skills
VB.NET, SQL Server 2005/2000, Visual Studio, Microsoft SQL Server, Insurance, Analysis, Microsoft Excel, Microsoft Office, Database Design, .NET, Databases, Visual Basic, C#, Programming, WinForms, Stored Procedures, SQL
Education
Houghton College 1980 — 1983
BA, Communications/Political Science
Houghton College 1980 — 1983
Degree:Bachelor of Arts, Communications
John Brown University 1979 — 1980
Communications
Aetna August 2004 - Present
Abington Hospital Home Care March 2002 - August 2004
Thomas Jefferson University Hospital February 2000 - March 2002
Holy Redeemer Health System May 1999 - February 2000
Temple University Hospital July 1997 - May 1999
Skills
Medicare, Health Insurance, Healthcare, Utilization Management, Nursing, Treatment, Medicine, Management, Case Managment, Healthcare Management, Utilization Review, Patient Advocacy, HIPAA, Home Care, Medical Terminology, Cpr Certified, Managed Care, Acute Care, Hospitals, Hospice, Chronic Care Management, Medication Adherence, Mail Order Pharmacy, Specialty Pharma, Medical/Surgical, Cardiac Monitoring, Cardiac Care, Ventricular Assist..., Home Health Agencies, Negative Pressure Wound..., Diabetic Foot Care, Pressure Ulcers, Ostomy Care, Glucose Meters, Continuous Glucose..., Type 1 Diabetes, Insulin Pumps, Insulin Resistance, Type 2 Diabetes, Hypoglycemia, Diabetes Management, Disease Management, Oncology
Education
Holy Family University 1992 — 1996
BSN, Nursing
Temple University 1986 — 1990
BA, Communications
Brandon Consulting Group, LLC March 2011 - May 2014
Temple University Health System 2000 - 2003
Aetna/Magellan/Human Affairs International 1993 - 1997
Aetna 1988 - 1993
Independence Blue Cross 1984 - 1986
Independence Blue Cross 1981 - 1984
Skills
Microsoft Word, Microsoft Excel, Financial Analysis, Crisis Communications, Healthcare, Strategic Planning, Leadership, Policy, Access, Managed Care, Management, Public Speaking, Insurance, Physicians, Hospitals, Healthcare Information..., Process Improvement, Nonprofits, Provider Relations
Education
Howard University
Bachelor of Science (B.S.), Consumer Ed and Marketing
Aetna April 2015 - Present
Accretive Health April 2010 - November 2014
Blue Cross Blue Shield Association August 2008 - November 2009
CIGNA Healthcare 2005 - 2009
Skills
Healthcare, Healthcare Information..., Healthcare Management, Case Managment, Health Insurance, Medicare, Managed Care, Hospitals, HIPAA, Disease Management, Team Building, Leadership, Quality Improvement, Healthcare Industry, Physicians, Healthcare Consulting, Case Management, Utilization Management, Medicine, Health Policy, Management, Provider Relations
Education
Medical College of Wisconsin 1981 — 1985
Doctor of Medicine (M.D.), Medicine
Roosevelt University 2002 — 2004
Master of Business Administration (M.B.A.), Healthcare Administration, 3.8
Howard University 1975 — 1979
Bachelor's Degree, Pharmaceutical Science and Pharmacology
Solutions Management, Inc. February 2015 - Present
Solutions Management, Inc. August 2013 - January 2015
Aetna October 2008 - July 2013
LaBranche & Co. January 1998 - January 2007
Skills
Managed Care, Negotiation, Contract Negotiation, Health Insurance, Insurance, Network Development, Employee Benefits, Securities, Strategic Planning, Process Improvement, Healthcare Management, Trading, Equities, Vendor Management, Healthcare, Provider Relations, Performance Improvement, Employee Relations, Team Building, Management, Business Development, Sales, Contract Management, Sales Management, Leadership, Operations Management, Quality Improvement, Cross-functional Team..., Business Strategy
Education
Hofstra University 1993 — 1997
BBA
St. Francis Preparatory 1989 — 1993
Sheridan Healthcorp September 2005 - February 2015
Sheridan Healthcorp 2005 - February 2015
AETNA 1990 - 2009
AETNA 1990 - 2009
UNITED 1990 - 2009
UNITED 1990 - 2009
North Broward Hospital District 2003 - 2005
Prudential Insurance 1988 - 2000
Skills
Microsoft Office, Billing, Excel, Customer Service, Compliance, Healthcare, Healthcare Management, PowerPoint, Auditing, Process Improvement, Outlook, Customer Relations, Word, Microsoft Excel, Microsoft Word, Credentialing, Hospitals, Provider Relations, Managed Care, Software Documentation, System Administration, HIPAA, Invoicing, NCQA, Healthcare Information..., Physicians, Physician Relations, Clinical Research, JCAHO, EMR, Medicaid, Medical Billing, Revenue Cycle, Medical Coding, Medical Terminology, CPT, Medicare, ICD-9, Patient Safety, EHR, Meditech, Medical Records, Practice Management, Pediatrics, Nursing, Epic Systems, Healthcare Consulting, Medicine, Inpatient, Informatics
Education
Sacred Heart University 1976 — 1979
Houston Baptist University
Graves & Co. December 2009 - May 2015
Angels Bamboo Flooring March 2005 - July 2010
Alpha Circuit Corporation November 2001 - March 2005
Aetna January 1992 - October 2001
Skills
Sales, Executive Positions, Management, Projects, Natural Gas, Research, Due Diligence, Project Planning, Leadership, Business Development, Procurement, Strategic Planning, Budgets, Contract Negotiation, Cross-functional Team..., Negotiation, Analysis, Microsoft Office, Customer Service, Forecasting, Team Building, Mergers & Acquisitions, Change Management, Manufacturing, Team Leadership
Education
Houston Community College 1990 — 1992
Business Administration and Management, General
Kingwood High School
Chubb June 2004 - Present
AIG June 2000 - June 2004
Fireman's Fund Insurance Company 1996 - 1998
Aetna 1988 - 1993
Skills
Underwriting, Excess, Commercial Lines..., Umbrella Insurance, Commercial Insurance, Liability, Risk Management, Professional Liability, Employment Practices..., Insurance, General Insurance, Inland Marine, Surety Bonds, Excess & Surplus Lines, D&O, Reinsurance, Workers Compensation, Liability Analysis, Claim, Employee Benefits, Brokers, Claims Management, Financial Risk, Insurance Brokerage, Directors & Officers..., Homeowners, Leadership
Education
Hofstra University 1993 — 1994
MA, Education
St. John's University, The Peter J. Tobin College of Business 1984 — 1988
BS, Finance
TSG Financial, LLC April 2015 - Present
Aetna April 2012 - April 2015
Bankers Life and Casualty August 2010 - February 2011
WRHU January 2010 - August 2010
WRHU September 2009 - August 2010
Wild by Nature Market June 2008 - July 2008
Hofstra University Special Collections October 2006 - August 2007
Hofstra University Special Collections October 2006 - August 2007
Pritchard Industries June 2006 - August 2006
Pritchard Industries June 2006 - August 2006
Skills
Microsoft Office, Public Speaking, Bilingual Communications, HIPAA, Employee Benefits, Benefits Administration, Teamwork, Typing, Medicare, CMS
Education
Hofstra University 2006 — 2010
Communication, Audio Radio
Hofstra University 2006 — 2010
BA, Audio Radio; creative writing, 3.0
Aetna November 2011 - Present
Planet Fitness January 2009 - November 2011
Connecticut Center for Primary Care January 2011 - May 2011
Pfizer May 2010 - September 2010
Skills
Outlook, PowerPoint, Word, Excel, Access
Education
The University of Connecticut School of Business 2009 — 2011
Bachelor of Science, Business; Health Care Mangement
Holyoke Community College 2007 — 2009
Associates of Science, Business Administration
ICON plc August 2014 - Present
Executive Health Resources September 2011 - June 2014
Aetna October 2010 - September 2011
Aria Health 1989 - 2010
Skills
Critical Care, Nursing Education, ACLS, BLS, Telemetry, Nursing, Hospitals, Healthcare, Patient Education, EMR, Acute Care, Inpatient, Healthcare Management, Medical-Surgical, Medication..., Clinical Research, IV
Education
Holy Family University 1987 — 1992
BSN, Nursing
Archbishop Ryan High School 1983 — 1987
Aetna June 2014 - Present
KBlount Photography August 2011 - Present
KBlount Photography 2011 - Present
St. Luke's Houston, Texas September 2013 - January 2014
Coventry Health Care, an Aetna Company September 2012 - August 2013
LiVTEL April 2012 - September 2012
CVS Caremark Corporation December 2006 - August 2010
Skills
HIPAA, Social Media, Strategic Planning, Customer Service, Payroll, Health Insurance, Data Analysis, Marketing Strategy, Medical Terminology, Healthcare Management, Medicare, Start-ups, New Business Development, Coaching, Social Media Marketing, Business Strategy, Marketing, Online Marketing, Advertising, Sales Management, Team Building, Graphic Design, Management, FMLA
Education
Texas Southern University 2014 — 2016
Master of Public Administration (MPA), H
Texas Southern University 2008 — 2011
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Houston Community College
Keystone Care April 2014 - March 2015
Aetna May 2013 - March 2014
Penn Care at Home May 1998 - February 2013
Hospital home Care of Greater Philadelphia March 1995 - May 1998
Presbyterian Medical Center June 1992 - December 1994
Skills
Nursing, BLS, Home Care, Critical Care, ACLS, Acute Care, Hospitals, Patient Advocacy, Medicare, ICU, Inpatient, Utilization Management, EMR, Wound Care, Disease Management, Health Education, PALS, Medicine, EHR, Public Health, Cpr Certified, Long-term Care, Managed Care, Elder Care, Physician Relations, Informatics, Healthcare Information..., Nursing Management, HIPAA, Orthopedic, IV, Registered Nurses, Palliative Care, EKG, Medication..., Medicaid, Healthcare Consulting, Utilization Review, Provider Relations, Direct Patient Care, Cerner, Nursing Care, Quality Patient Care, Community Health, CPOE
Education
Holy Family College 1994 — 1998
Bachelor's of Science, Nursng
Hahnemann University 1990 — 1992
Associate's degree, Registered Nursing/Registered Nurse
Wells Fargo November 2006 - Present
Aetna March 2005 - November 2006
Deloitte February 2003 - March 2005
Education
University of Hartford 2003 — 2005
Master of Science in Accounting and Taxation (MSAT)
Western New England College 2001 — 2003
Bachelor of Science, Accounting
Holyoke Community College 1999 — 2001
Associate's degree, Accounting
Aetna August 1993 - Present
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Huntington University 1978 — 1986
Bachelor of Music, Bachelor's Degree
Aetna September 2000 - Present
The Texas Medical Center March 1992 - September 2000
Skills
Healthcare, Customer Service, Microsoft Office, Health Insurance, Medicare, Managed Care, Insurance, Provider Relations, Medicaid, Employee Benefits, Teaching, HIPAA, HMO, Utilization Management, Network Development, Nursing, Elder Care, Healthcare Management, Long-term Care, Healthcare Industry, ICD-9, Patient Advocacy, CPT, Health Policy
Education
Evan E. Worthing Sr. High
Houston Community College
Aetna July 2013 - Present
Delaware Hospice, Inc. February 2012 - August 2013
Dover Behavioral Health Systems March 2010 - May 2012
Education
Howard University 2002 — 2004
Master of Social Work (MSW)
The University of Georgia 1995 — 1999
Bachelor of Social Work (BSW)
Travelers August 2015 - Present
Aetna January 2015 - July 2015
Aetna September 2011 - December 2014
Westover Air Reserve Base July 2008 - May 2011
Atalasoft, a Kofax Company October 2008 - June 2009
Baystate Dental Pc. June 2008 - August 2008
EclecTechs/Ashton Services January 2006 - July 2008
Eclectechs September 2005 - December 2006
Skills
Linux, VMware, Hardware, Servers, Windows Server, HTML, Windows, Technical Support, Software Documentation, Hyper-V, OS X, SharePoint, Operating Systems, Object Oriented Design, TCP/IP, COBOL, Computer Hardware, Virtualization, Network Security, Troubleshooting, Java, JCL, JavaScript, Windows XP
Education
Westfield State University 2009 — 2011
Bachelor of Science, Computer Information Systems, 3.3
Holyoke Community College 2006 — 2009
Associate of Science, Computer Information Systems; Computer Information Systems, 3.6
Holyoke Community College 2006 — 2009
Certificate, Computer and Information Systems Security/Information Assurance, 3.6
Aetna June 2015 - Present
Ministry of Education for the State of Israel August 2013 - July 2014
Weitz & Luxenberg, P.C. August 2011 - May 2012
Long Island Real Estate Group February 2012 - March 2012
Live Nation January 2011 - May 2011
Education
University of California, Berkeley - School of Law 2014 — 2017
Doctor of Law (JD)
Hofstra University 2009 — 2013
Bachelor of Business Administration (B.B.A.), Legal Studies in Business
Hofstra University 2009 — 2013
Bachelor of Arts (B.A.), Music
Countryside Dental March 2013 - Present
CMH Dental Van 2012 - 2012
Aetna October 2007 - October 2008
Certified Marketing June 2004 - October 2008
Skills
Baking, Customer Service, Telephone Skills, Time Management, Cpr Certified, Microsoft Word, PowerPoint, Teamwork, Hospitals, Healthcare, Treatment, Medical Terminology, Public Health, CPR Certified
Education
Hudson Valley Community College 2011 — 2012
Certificate, Dental Assistant Program
W.C. Bryant H.S.
High School diploma
Aetna August 2006 - Present
CorVel Corporation September 2001 - August 2006
ValueOptions December 1999 - September 2001
Skills
Provider Contracting, Managed Care, Provider Relations, PPO, Healthcare Management, Network Development, Utilization Management, Health Insurance, HMO, Claims, HIPAA, Healthcare, Credentialing, Health Plans, Insurance, Billing, Compliance, Hospitals, Health, Policy, Case Management, Process Improvement, Care Management, Claim, Healthcare Industry, Employee Benefits, Health Policy, Healthcare Consulting, Physician Relations, Workers Compensation
Education
Manfred School of Real Estate 2000 — 2000
Real Estate Manager
Hudson Valley Community College 1991 — 1993
Business Administration
Aetna September 2014 - Present
UnitedHealth Group July 2013 - September 2014
Carroll Hospital Center April 2011 - June 2013
Carroll Hospital Center 2007 - 2011
Carroll Hospital Center 2004 - 2007
HealthCare Strategies 2002 - 2004
Northwest Hospital 1997 - 2002
Skills
Hospitals, Healthcare, Healthcare Management, Healthcare Information..., Inpatient, Nursing, Revenue Cycle, Utilization Review, Certified Case Manager, Utilization Management, Medical/Surgical, Acute Care, Quality Improvement, Case Managment, Disease Management, Medicaid, Patient Advocacy, Nursing Education, Medicare, Managed Care, ACLS, Critical Care, Physician Relations, EMR, Healthcare Consulting, EHR, HIPAA, Case Management
Education
Howard Community College 1992 — 1996
ADN, Nursing
Texas Attorney General April 2003 - Present
Aetna May 1997 - November 2002
Education
University of Houston-Downtown 2008 — 2012
Bachelor of Science (B.S.), Criminal Justice
Houston Community College 1991 — 2008
Associate of Applied Science, Legal Assistant/Paralegal
Maryland Physicians Care September 2006 - Present
Aetna September 2006 - Present
Maryland Physicians Care 2013 - 2013
Skills
Utilization Management, Insurance, Nursing, Customer Service, Microsoft Office, Microsoft Excel, Microsoft Word, Risk Management, Health Insurance, Business Analysis, PowerPoint, General Insurance, Commercial Insurance, Quality Management, Claims Resolution, Claims Investigations, Reports, QNXT, Discharges, Medical Case Management, Utilization Review, HMO, Provider Relations, Medicaid
Education
Howard Community College 1990 — 1996
Associate of Arts (AA), Registered Nursing/Registered Nurse
Aetna Global Benefits September 2010 - Present
Aetna September 2007 - July 2010
Aetna Life Insurance Company December 2003 - September 2007
Noble Hospital July 2002 - December 2003
Cigna July 2000 - December 2003
The Home Depot 1999 - 2001
Skills
Insurance, Health Insurance, Business Process..., Claim, Business Analysis, Microsoft SQL Server, Vendor Management, Claims Management, General Insurance, Call Centers, Leadership, Analysis, Training, Access, Business Process, Workers Compensation, Customer Service
Education
Holyoke Community College 2001 — 2008
Associate's degree, General Sciences
Windsor Locks High School 1984 — 1987
Diploma, General Studies
Memorial Hermann Health System October 2004 - Present
Aetna November 1998 - November 2001
Lasermedics?Henley Healthcare October 1995 - July 1997
Skills
Administrative..., Customer Service, Data Entry, Filing, Ten Key, Supervisory Skills, Supervising
Education
University of Houston-Downtown 1998 — 2004
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Houston Community College 1987 — 1994
Associate of Arts and Sciences (A.A.S.), Mechanical Engineering
Aetna 2008 - Present
Aetna 1999 - 2008
Education
Holy Family University
Consolidated Health Plans February 2014 - Present
Aetna 1992 - 2000
Mt St Vincent 1989 - 1992
Education
Holyoke Community College 1973 — 1976
Associate of Science (AS), Registered Nursing/Registered Nurse
University of Massachusetts Dartmouth
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Aetna 1997 - 2000
Jardine Group Services 1996 - 1997
MetLife April 1995 - April 1996
Travelers 1994 - April 1995
Travelers January 1990 - 1993
C.W. Rickels Enterprises, Ltd June 1979 - February 1986
Education
The Sage Colleges - Russell Sage College 1976 — 1978
Associate’s Degree, Legal Assistant/Paralegal, 3.9 GPA
Hudson Valley Community College 1974 — 1975
Registered Nursing/Registered Nurse, 3.5 GPA Completed Two Semesters
Cohoes High School 1969 — 1973
High School, NYS Regents College Prep, B+ Rank 22/273
Aetna May 2013 - Present
UnitedHealth Group February 2011 - April 2013
Shell January 2009 - December 2009
Skills
Computer Proficiency, Bilingual, Microsoft Office, IDX, SQL Navigator, SAP, Claims Handling, Claims Resolution, Medical Terminology, Medical Billing, CPT, ICD-9, Appeals, Grievances, Lubricants, Lotus Notes, RightFax, Webmail, Sir Q, Purchase Contracts, Contracts Administrators, Account Management, Training, Customer Service, Escalations Management, Escalation Resolution, Purchasing, Purchase Orders, Data Entry, Logistics
Education
Houston Community College
Westover Golf Course Pro Shop August 2015 - Present
Orchards Golf Club June 2015 - Present
United States Postal Service November 2014 - December 2014
Aetna June 2005 - October 2014
Education
Holyoke Community College 1982 — 1983
None, Accounting