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
Aetna May 1999 - July 2011
Aetna June 1997 - March 1999
Aetna January 1996 - June 1997
Skills
Health Insurance, Managed Care, Employee Benefits, Self-funded, Health Savings Accounts, Insurance, Underwriting, Medicare, HMO, Disability Insurance, Strategic Planning, Account Management, Leadership, CRM, Healthcare, Process Improvement, New Business Development, Selling, Analysis, Business Planning, Forecasting, Health Care Reform
Education
University of Washington, Michael G. Foster School of Business 2007 — 2009
Executive MBA
Oregon State University 1985 — 1989
BA
University of Oregon 1984 — 1985
Corvallis High School
Worthington Industries December 2014 - Present
Worthington Industries October 2011 - December 2014
Worthington Industries July 2010 - September 2011
Specialized Promotions Network August 2009 - May 2011
Specialized Promotions Network August 2009 - October 2009
Aetna May 2008 - August 2008
Skills
Microsoft Excel, Customer Service, Program Management, Access, Cross-functional Team..., Data Analysis, Databases, Process Improvement, Leadership
Education
Ohio Wesleyan University 2005 — 2009
Bachelor's, Economics-Management with Minor in Quantitative Psychology
Ohio Wesleyan University 2005 — 2009
Bachelor of Arts, Economics with Management; Psychology
Portsmouth High School 2001 — 2005
Aetna June 1997 - Present
Summa Health System June 1990 - May 1997
Skills
Home Care, Healthcare, Inpatient, Medical/Surgical, Medicare, Management, Case Management, ICU, Medical-Surgical, Hospitals, Disease Management, Nursing, HIPAA, Utilization Management, Managed Care, Customer Service, Medicaid, Healthcare Management, Patient Advocacy, Acute Care, Quality Improvement, Critical Care, Insurance, Utilization Review, Medicine, Long-term Care, Health Education, Mental Health, PPO, Certified Case Manager, Provider Relations, CCM, Medical Terminology, Medical Case Management, Cost Savings, Subject Matter Experts, Teamwork, Appeals, End-of-life, Hospice & Palliative..., Motivational..., Reporting & Analysis, Telephone Skills
Education
The University of Akron 1987 — 1991
Bachelor's degree, Registered Nursing/Registered Nurse
Ohio University 1986 — 1987
Broadcast Journalism
Firestone High School 1983 — 1986
College/University Preparatory and Advanced High School/Secondary Diploma Program
Myriad Genetics 2004 - Present
Myriad Genetics September 2000 - May 2004
Aetna 1998 - 2000
Education
Ohio University 1994 — 1998
BS, Health Services Administration & Business
AnesthesiaOS January 2015 - Present
Kinnser Software April 2014 - December 2014
Kinnser Software January 2013 - April 2014
Kinnser Software December 2011 - January 2013
Aetna February 2010 - December 2011
The Austin Diagnostic Clinic March 2009 - January 2010
Norman Vision Source March 2007 - February 2009
Insurance Solutions by Irwin Agency January 2003 - August 2006
Skills
Healthcare, Customer Service, Research, Health Insurance, PowerPoint, Microsoft Office, Insurance, Strategic Planning, Outlook, Microsoft Excel, Marketing, Microsoft Word, Recruiting, Account Management, Team Leadership, Project Management, New Business Development, Salesforce.com, Project Coordination, Marketing Strategy, Medicare, HIPAA, Team Building, Business Development, Time Management, Selling, Sales Process, Sales Operations, Sales, Process Improvement, Leadership, Cross-functional Team..., Program Management, Strategy, Coaching, Managed Care, Start-ups, Healthcare Industry, Management, Healthcare Information..., SaaS, EMR, Public Speaking, Consulting, Lead Generation, CRM, Healthcare Management
Education
Texas State University-San Marcos 2009 — 2012
Master of Healthcare Administration, MHA
University of Oklahoma 2007 — 2009
Post, baccalaureate Studies in Sciences and Allied Health
Oklahoma State University 2003 — 2007
Bachelor's in Business Administration, Marketing and Management
Summa Health System July 2014 - Present
Aetna June 2013 - June 2014
Akron General Medical Center June 2012 - February 2013
Akron General Medical Center October 2001 - March 2012
Skills
Hospitals, BLS, Nursing, Inpatient, Healthcare Management, Healthcare, EMR, Critical Care, ACLS, Medical Terminology, Medical/Surgical, Clinical Research, Acute Care, Cpr Certified
Education
Oral Roberts University
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
The University of Akron
Aetna November 2014 - Present
Fiserv October 2014 - November 2014
Queen Creek Unified School District July 2014 - October 2014
Legacy Traditional Schools January 2014 - May 2014
Insight January 2011 - January 2014
Edward Jones July 2010 - January 2011
Edward Jones 2006 - 2008
Blue Shield of California 1986 - 2003
Skills
Training, Applicant Tracking..., Coaching, Team Leadership, Cross-functional Team..., New Business Development, Sales Process, Customer Service, Salesforce.com, Leadership, Recruiting, Cold Calling, Leadership Development, Direct Sales, Curriculum Design, Team Building, Sales, Management, Business Development, Account Management, Employee Training, Performance Management, CRM, Call Centers, Human Resources, Talent Acquisition, Customer Retention, Employee Relations
Education
Ottawa University
Bachelor of Arts, Elementary Education
Arthur J. Gallagher & Co. January 2014 - Present
Gallagher Benefit Services July 2003 - January 2014
Aetna December 1995 - December 2002
P.P.O.M September 1989 - June 1995
Skills
Health Insurance, Insurance, Claim, Brokers, Medicare, Disability Insurance, Underwriting, Managed Care, COBRA, Employee Benefits, Health Policy, Accident, Reinsurance, Life Insurance, Term Life Insurance, HIPAA, Benefits Administration, Workers Compensation, Customer Service
Education
Oklahoma City University 2007 — 2011
BA, Organizational Communication
Cass Technical High School 1982 — 1986
High School Diploma, Business Administration and Management, General
Takeda Oncology March 2015 - Present
Allergan May 2008 - March 2015
Pfizer December 2000 - April 2008
VHA Inc. July 1998 - December 2000
Aetna May 1997 - July 1998
Henry Ford Health System January 1994 - April 1997
Anthony M. Franco Inc. 1990 - 1994
Hermanoff & Associates September 1988 - February 1990
Skills
Managed Care, Market Access, Sales Effectiveness, Diabetes, Cardiology, Dermatology, Healthcare, Strategic Planning, Endocrinology, Rheumatology, Hospital Sales, Public Relations, Marketing, Marketing Strategy, Crisis Communications
Education
Ohio University 1984 — 1987
BSJ, Marketing, Journalism
Aetna January 2013 - March 2014
Tuality Healthcare November 2004 - September 2012
Tuality Healthcare March 1993 - November 2005
McMinville Hospital September 1991 - September 1993
Skills
Utilization Management, Case Managment, Hospitals, Medical/Surgical, Case Management, Nursing, Healthcare, Critical Care, Inpatient, JCAHO, Physicians, Medicine, HIPAA, Rehabilitation, Acute Care, Healthcare Management, Disease Management, Medical-Surgical, ICU, Utilization Review, Cerner, EMR, Medicare, Patient Advocacy, EHR, BLS, Patient Safety, Relief Nursing..., Instructor PCC Reentry..., Virtual Case Management..., HEDIS
Education
Oregon Health and Science University 1988 — 1991
BSN, Registered Nursing/Registered Nurse
CCMC
Certified Case Manager (CCM), Nurse Case Manager
Aetna September 2014 - Present
UnitedHealth Group April 2011 - September 2014
Willowbrook Home Health May 2010 - April 2011
WellPoint February 2009 - April 2010
Universal Home Health November 2005 - May 2008
Oklahoma Heart Hospital July 2004 - November 2005
Deaconess Hospital February 1998 - July 2004
Central Oklahoma Care at Home August 1996 - January 1998
University of Oklahoma Health Sciences Center August 1995 - August 1996
Skills
Nursing, Healthcare, EMR, Clinical Research, Home Care, Case Management, Disease Management, ICU, Medical Coding, Surgery
Education
Oklahoma State University 1992 — 1995
ADN, Nursing, 3.504
University of Central Oklahoma 1986 — 1988
n/a, marketing, education, general studies, 3.7
UnitedHealth Group Field Care ManagerHumanaJuly 2014 - April 2015
Aetna April 2013 - June 2014
Bayada 2008 - 2013
Northwest Medical Center July 2004 - July 2006
Advocate Health Care January 1998 - July 2004
Skills
Hospitals, Case Management, Utilization Management, Disease Management, Medical/Surgical, Clinical Research, Medical Records, Orthopedic, EMR, Medicine, Emergency Room, PALS, Utilization Review, Medicare, Medical Case Management, Medicaid, Managed Care, HEDIS, NCQA, Legal Nurse Consulting, Risk Management
Education
Olivet Nazarene University
Master of Business Administration (M.B.A.)
Northern Illinois University
Bachelors Degree in Nursing
Viscent Orthopedic Solutions January 2009 - Present
Team Medical Inc d/b/a The Brace Place April 2007 - January 2009
Deaconess Hospital August 2006 - March 2007
Valir Health July 2005 - August 2006
Team Medical Inc d/b/a The Brace Place February 2002 - July 2005
OrthoRehab October 2001 - February 2002
Dean A. McGee Eye Institute April 2000 - October 2001
DaVita October 1997 - April 2000
Aetna May 1994 - September 1997
Skills
Medical Devices, Medical Billing, Process Improvement, Healthcare, Budgets, GAAP, Accounts Receivable, Customer Service, Project Management, QuickBooks, Accounts Payable, Microsoft Excel, Acquisitions, Operations Management, Business Relationship..., Strategic Planning, Management, Leadership, Orthopedic, Start-ups, Capital Equipment, Sales Operations, Hospitals, Professional Mentoring, Orthopedics
Education
Oklahoma City University 2000 — 2002
Business Management
Oklahoma City Community College 1999 — 2000
Business Management
Aetna October 2012 - Present
Deloitte November 2010 - March 2012
AIG November 2007 - August 2010
Community Trust Credit Union September 2006 - September 2007
North Shore Trust February 2005 - September 2006
Lake View Insurance November 2003 - December 2004
Canadian Health Care Management June 2002 - October 2003
Bank of Montreal April 2001 - May 2002
Skills
Requirements Analysis, SDLC, Business Process..., Requirements Gathering, Business Analysis, Software Project..., User Acceptance Testing, Visio, SharePoint, Data Warehousing, Business Process, Systems Analysis, PMO, IT Strategy, Business Requirements
Education
Oklahoma City University 2006 — 2007
Master of Business Administration (MBA)
Felbry College School of Nursing August 2011 - Present
Wheeling Hospital July 2012 - December 2012
Felbry College August 2011 - June 2012
Aetna August 2008 - November 2011
Vitas Hospice November 2010 - August 2011
Mt. Carmel St. Ann's Hospital August 2004 - August 2008
Skills
Nursing, Inpatient, Public Speaking, Customer Service, Hospitals, Healthcare, PowerPoint, Disease Management, Managed Care, Microsoft Excel, BLS, Clinical Research, Patient Advocacy, Critical Care, Patient Safety
Education
Ohio University 2012 — 2014
Masters of Nursing, Family Nurse Practitioner
University of Phoenix 2008 — 2010
Bachelor's of Science, Registered Nursing/Registered Nurse
Columbus State Community College 2001 — 2004
Associates Degree, Nursing
Aetna December 2013 - Present
Cenpatico January 2007 - December 2013
QualChoice (Cleveland) 2001 - 2007
Crossroads of Lake County 1991 - 2001
First City Recovery Center 1984 - 1991
Skills
Behavioral Health, Adolescents, Chemical Dependency, Healthcare, Program Development, Managed Care, Case Management Services, Client Counseling, Medicaid, Community Mental Health, Nonprofits, Customer Service, Microsoft Office, Teaching, Public Speaking, Community Outreach, Research, Editing, Event Planning, Community Theatre, Dialect Coaching, Theatrical Production, Fundraising, Case Managment, Mental Health, Therapists
Education
Ohio University 1982 — 1984
M.Ed., Community Counseling
Ohio University 1978 — 1982
Bachelor's degree, Communications
Aetna August 2015 - Present
UnitedHealth Group February 2015 - July 2015
Syntel October 2010 - February 2015
YASH Technologies August 2007 - September 2010
Skills
Java, Java Enterprise Edition, Big Data, Hadoop, MapReduce, Apache Pig, Hive, HBase, Oozie, Unix, Scala, Apache Spark, Apache Storm, Spring Framework, Hibernate, SOA, SOAP, Core Java, RESTful WebServices, Spring MVC, Servlets, JSP, jQuery, Amazon EC2, Oracle SQL Developer, PL/SQL, SQL, Web Services, MongoDB, Agile Methodologies, Healthcare, Retail
Education
Osmania University
Master's degree, Computer Science
Osmania University
Bachelor's Degree, Computer Science
Twisted Texan Consulting Services, LLC October 2008 - Present
Amberton University January 2012 - February 2014
Healthways April 2007 - October 2008
Healthways (formerly Axia Health Management) June 2004 - April 2007
United Healthcare 2002 - 2004
AmCare Health Insurance Plans 2001 - 2002
Aetna 1997 - 2001
NYLCare January 1997 - 2000
SelectCare of Oregon & Washington June 1992 - December 1996
Skills
Marketing, CRM, Executive Management, Healthcare, Managed Care, Strategic Planning, Insurance, Medicare, Cross-functional Team..., Process Improvement, Contract Negotiation, Employee Benefits, Health Insurance, Sales, Public Speaking, Account Management, Team Building, Leadership, Project Management, HIPAA, Marketing Strategy, Hospitals, Budgets, Recruiting, Sales Management, Time Management, Customer Service, Management, Strategy, Salesforce.com, Program Management, Leadership Development, Human Resources, Customer Retention, Start-ups, Team Management, New Business Development, Team Leadership, Mergers & Acquisitions, Training, Community Outreach, Coaching, Organizational..., Data Analysis, Analysis, Nonprofits, Finance, Staff Development, Business Development
Education
Oregon State University
BA, Art - Painting
Willamette University - Atkinson Graduate School of Management
MBA, Business
Aetna February 2015 - Present
Western Arizona Regional Medical Center September 2014 - December 2014
Kroger June 2005 - June 2014
Worthington Industries November 2012 - October 2013
Medco Health Solutions June 2011 - September 2011
Skills
Patient Counseling, Community Pharmacy, Clinical Pharmacy, Patient Safety, Patient Education, Pharmacy Practice, Pharmacy, Medication Therapy..., Immunization, Compounding, Pharmacy Automation, Pharmacy Benefit..., Certified Immunizer, Pharmacists, Managed Care, Pharmaceutical Industry
Education
The Ohio State University 2010 — 2014
Doctor of Pharmacy (Pharm.D.)
Otterbein College 2006 — 2010
Bachelor of Science (BS), Chemistry
Aetna June 2014 - Present
One Church Triumphant of Columbus October 2011 - Present
State Farm Insurance 2006 - February 2014
New Covenant Believers' Church January 2000 - December 2006
Bank One November 1990 - January 2000
Skills
Public Speaking, Community Outreach, Preaching, Teaching, Public Relations, Leadership Development, Youth Ministry, Non-profits, Customer Service, Coaching, Event Planning, Team Building, Fundraising, Leadership, Conflict Resolution, Volunteer Management, Microsoft Office, Insurance, Social Media, Social Networking, Event Management, Sales, Training, Community Development, Grant Writing, Change Management, Organizational..., Program Development, Strategic Planning, Marketing, Editing, Newsletters, Church Events, Marketing Communications, Workshop Facilitation, Creative Writing, Supervisory Skills, Employee Training, Press Releases, Career Counseling, Employee Relations, Facebook, Entrepreneurship, Project Management, Small Business, Staff Development, Microsoft Word, Nonprofits, Call Centers, Program Management
Education
Otterbein College 2008 — 2010
BA, Organizational Communication
Cognizant Technology Solutions July 2014 - Present
Cognizant Technology Solutions January 2008 - Present
Aetna May 2006 - Present
Cognizant Tech solutions May 2009 - June 2014
Cognizant Technology Solutions September 2006 - April 2009
Cognizant Technology Solutions May 2004 - August 2006
Aetna May 2004 - April 2006
Cognizant Technology Solutions September 2002 - April 2004
Codelinks Data Services Pvt. Ltd. September 2000 - August 2002
Skills
Requirements Analysis, Requirements Gathering, SDLC, Management, Process Improvement, Quality Assurance, Business Analysis, Agile Methodologies, Resource Management, Team Management, SQL, Healthcare Information..., Manage Client..., Portfolio Management, IBM Mainframe, REXX, PMP, Business Intelligence, Project Management, Software Project..., Python, Data Science, Global Delivery
Education
Osmania University 1997 — 2000
Masters in Computer Applications, Computer Science, Distinction
Aurora degree College 1994 — 1997
Bachelor of Commerce (B.Com.), Accounting and Finance
Ameritas June 2008 - Present
Sedgwick CMS 2007 - 2008
Broadspire 2004 - 2007
Aetna 1998 - 2007
Kemper Insurance 1998 - 2004
WellPoint 1997 - 1998
MetLife 1996 - 1997
United Wisconsin Group 1994 - 1996
CNA Insurance 1982 - 1994
Skills
Claims, Claims Management, Insurance, Budgeting, Operations Management, Disability Insurance, Product Development, Reinsurance, Claim, Budgets, Disabilities, Underwriting, Commercial Insurance, Professional Liability, Property & Casualty..., Liability, Casualty, Workers Compensation, Long-term Care, Medicare, Risk Management, Brokers, Claim Investigation, Fixed Annuities, Term Life Insurance, Litigation Management, Managed Care, Insurance Brokerage, Financial Risk, Retirement Planning, Health Savings Accounts, 401k, Long Term Care Insurance, HMO, Commercial Lines, Liability Analysis, Retirement, Series 6, Leadership, Life Insurance, General Insurance, Whole Life, Legal Liability, Subrogation, Health Insurance, Accident
Education
Olivet Nazarene University 1978 — 1980
BS, Business Administration
Aetna July 2015 - Present
CVS Health August 2014 - September 2014
Kaiser Permanente for Rose International 2012 - May 2014
Kelly Services for Nike World Head Quarter April 2012 - May 2012
Rose International for Kaiser Permanente, NFS - Honolulu December 2011 - March 2012
Energy Innovations International May 2010 - December 2011
Lemke, Chinen, and Tanaka, CPA Inc. November 2007 - May 2010
Tetra Pak Technical Service, Middle East March 2001 - December 2006
Tetra Pak Gulf August 1998 - March 2001
Skills
Process Improvement, Strategic Planning, Microsoft Excel, Customer Service, Project Management, Training, Microsoft Office, Team Building, Leadership, Team Leadership, Program Management, Loans, Lean Six Sigma, Budgets, Human Resources, PMP
Education
Villanova University 2013 — 2014
Master Certificate in Six Sigma - Healthcare
Oregon Health and Science University 2011 — 2011
Medical Terminology & Pharmacotherapy
University of Phoenix
MBA, Master of Business Administration
Aetna Health Insurance July 2012 - Present
Aetna October 2007 - July 2012
Mount Carmel East Hospital January 2003 - September 2007
Franklin County Animal Shelter March 1987 - August 1998
Education
Columbus Technical Institute 1986 — 1987
Associate of applied science, Veterinary Technology
Ohio University 1982 — 1984
Zoology
Aetna January 2015 - Present
The School District of Palm Beach County, FL October 2005 - January 2015
Florida Atlantic University January 2003 - October 2005
Johnson & Johnson April 2000 - January 2003
Skills
Health Promotion, Health Education, Program Evaluation, Public Speaking, Program Development, Adult Education, Grant Writing, Community Outreach, Public Health, Behavior Change, Community Health, Event Planning, Research, Prevention, Health Communication, CHES, Wellness Coaching, Volunteer Management, Exercise Physiology, Wellness
Education
University of Cincinnati 1998 — 2000
Master of Education (M.Ed.), Health Promotion and Exercise Science
Ohio University 1994 — 1998
Bachelor's of Science (B.S), Community Health and Preventive Medicine
Buckeye Health Plan May 2013 - Present
Devola Volunteer Fire Company July 2011 - Present
Amedisys December 2011 - April 2013
Care Support of America January 2011 - February 2012
Alere, Inc. July 2010 - December 2010
Aetna July 2010 - December 2010
Bohecker College March 2009 - May 2010
Care Support of America 2006 - 2009
HCR ManorCare March 2004 - October 2004
Lutheran Social Services of Central Ohio August 2003 - March 2004
Skills
Utilization Management, Legal Nurse Consulting, Nursing, Disease Management, Healthcare, Medicaid, Healthcare Management
Education
Otterbein College 1996 — 2000
BSN, Nursing Science
Canyon College 2007 — 2008
Certificate in Case Management, Case Management
Emergency Training Academy of Southern Ohio 2013 — 2013
Volunteer Fire Fighter, Successfully Completed
Washington State Community College 2012 — 2012
EMT B, EMS
Gruppo Marcucci July 2015 - Present
CMC Advisory Group January 2010 - June 2015
Aetna 2007 - 2010
CIGNA Healthcare 2005 - 2007
CIGNA Healthcare 1998 - 2007
Skills
Health Savings Accounts, Employee Benefits, Health Insurance, Strategic Partnerships, Insurance, Healthcare, Brokers, Disability Insurance, Underwriting, Medicare, Strategic Planning, Term Life Insurance, Managed Care
Education
Otterbein University 1994 — 1998
B.A., Business
Pickerington High School 1987 — 1990
Aetna January 2015 - Present
Strategic Solutions Group LLC April 2012 - December 2014
Excelsior Benefits August 2010 - April 2012
Principal Financial Group May 2005 - July 2010
PacifiCare Health Systems 2002 - 2005
Bank One 1998 - 2002
Skills
Health Insurance, Insurance, Employee Benefits, Disability Insurance, 401k, Account Management, New Business Development, Life Insurance, Sales Management, Sales, Strategic Planning, Marketing, Retirement, Health Savings Accounts, Underwriting, Selling, Term Life Insurance, Direct Sales, Customer Service, Retirement Planning, Benefits Administration, Small Business, Business Planning, Human Resources, Business Strategy, Cold Calling, Health Care Reform
Education
Oral Roberts University 1981 — 1985
Business, Marketing
Memorial High School 1979 — 1981
General education
Aetna August 2015 - Present
Internal Revenue Service May 2009 - August 2009
Rose State College February 2008 - January 2009
Sgt Grit April 2007 - February 2008
ARINC August 2007 - November 2007
Education
University of Tulsa 2009 — 2010
Masters, Computer Science
Oklahoma State University 2006 — 2009
BIT, Computer Science
Rose State College 2005 — 2008
AAS, Cyber Security
Aetna September 2013 - Present
Lifewell Behavioral Wellness, Inc. November 2010 - September 2013
Choices Network of Arizona November 2008 - October 2010
NAMI July 2006 - September 2009
Skills
Behavioral Health, Career Counseling, Counseling Psychology, Vocational..., Psychoeducation, Wellness Coaching, Instructional Design, Training Delivery, Training Facilitation, Curriculum Design, Curriculum Development, Community Engagement, Clinical Psychology, Family Services, Mentoring, Events Coordination, Parent Education, Transition Management, Substance Abuse..., Developmental..., Community Mental Health, Mental Health Counseling, Crisis Intervention, Wellness Prevention and..., Integrated Care, Holistic Health, Adult Education, Adult Learning Theory, Early Childhood..., Developmental Psychology, Learning Theory, Clinical Research, Financial Coaching, Problem Solving, Public Speaking, Public Health, Presentations, Transitional Aged Youth, Community Outreach, Outreach and Engagement, Clinical Documentation, Increase Productivity, Health Promotion, Psychology
Education
University of Phoenix 2011 — 2013
Master's degree, Psychology
Ottawa University
Master's degree, Counseling Psychology
University of Phoenix
Bachelor of Science (B.S.), Psychology
Scottsdale Community College
Associate of Arts (A.A.), Psychology
Aetna March 2012 - Present
Providence Health and Services August 2010 - February 2012
The Regence Group 2000 - 2010
Skills
Medicare, Managed Care, Insurance, Health Insurance, Medicaid
Education
University of Portland 1993 — 1994
MBA
Oregon State University 1983 — 1987
BS, Accounting
Lakeridge High School 1979 — 1983
IEDSS/ICES FSSA State of Indiana June 2011 - Present
Progressive Medical, Inc. January 2011 - June 2011
JPMorgan Chase December 2009 - December 2010
DHS, State of Michigan April 2009 - December 2009
Aetna April 2008 - April 2009
Abercrombie & Fitch February 2007 - April 2008
The Columbus Dispatch October 2006 - January 2007
IBM September 2004 - September 2006
Wipro Infotech February 2003 - September 2004
HCL Technologies November 2001 - February 2003
Skills
Java Enterprise Edition, SDLC, Java, AJAX, JSP, Servlets, Struts, SQL, Spring, WebSphere Application..., Tomcat, EJB, Agile Methodologies, PL/SQL, XML, Oracle, Core Java, JDBC, JBoss Application Server, Web Services, J2EE Application..., JSON, CVS, Groovy, Unix, Oracle Application..., Linux, jQuery, Microsoft SQL Server, Data Structures, JavaSE, Eclipse, RAD, Corticon, Mule ESB, HornetQ, JavaScript, MySQL, Grails, Oracle SQL, Scala, Android SDK, Scrum, Sun Certified Java..., Hibernate 3.1, JSF, CSS, Test Driven Development, JAXB, Netrics
Education
Pune University 1998 — 2001
Master of Computer Applications (MCA)
Osmania University 1995 — 1998
Bachelor's degree, Accounting and Computer Science
St Thomas Research Institute; St Thomas West Hospital August 2012 - Present
doTERRA February 2013 - Present
Vanderbilt University Medical Center June 2011 - February 2013
Arbonne International August 2007 - December 2009
Keller Williams Realty November 2002 - October 2009
Provider Support Group, LLC 1994 - 1999
Aetna 1990 - 1994
National Claims Review 1989 - 1990
St Thomas Hospital 1987 - 1989
West Jefferson Medical Center 1983 - 1987
Skills
Entrepreneurship, Leadership, Nutrition, Customer Service, Wellness, Healthcare, Marketing, Training, Public Speaking, Time Management, Nonprofits, Small Business, Coaching, Sales, Team Building, Social Media, Event Planning, Social Networking, Fundraising, Leadership Development, Strategic Planning, Contract Negotiation, Social Media Marketing, Aromatherapy, Clinical Research, Clinical Trials, Quality Management, Project Management
Education
Riverside Hospital School of Professional Nursing 1978 — 1981
R.N.
Old Dominion University 1976 — 1978
Menchville High School 1973 — 1976
Aetna March 2014 - Present
University of Arizona Black Alumni Association - Phoenix Chapter Board Member January 2008 - Present
Choices Network of Arizona March 2009 - March 2014
Southwest Behavioral Health Services November 2006 - January 2009
Skills
Business, Leadership, Healthcare Management, Mental Health Care, Social Networking, Non-profits, Fundraising, Volunteering, Scholarship, Adolescents, Strategic Planning, Management, Hospitals, Conflict Resolution, Public Speaking, Coaching, Mental Health, Recruiting, Behavioral Health, Organizational..., Leadership Development, Program Development, Event Planning, Clinical Research, Community Development, Data Analysis, Grant Writing, Managed Care, Staff Development, Strategy, Teaching, Team Building, Training, Volunteer Management
Education
Ottawa University 2010 — 2012
Master of Business Administration (MBA), Business Administration and Leadership
University of Arizona 1999 — 2004
BA, Sociology
ADP May 2014 - Present
MoneyGram International January 2012 - May 2014
Creel General, LLC April 2006 - December 2013
Sapient December 1997 - April 2006
EXOR Technologies, Inc May 1994 - December 1997
DSC Communications August 1993 - May 1994
Self Employed, Contract Financial Services November 1992 - August 1993
Aetna August 1990 - November 1992
Ernst & Young July 1985 - August 1990
Skills
Vendor Management, Business Development, Project Planning, Enterprise Architecture, Strategy, Sales, Strategic Partnerships, Leadership, Business Process, Management, Cross-functional Team..., Mergers & Acquisitions, Enterprise Software, ERP, Risk Management, IT Strategy
Education
Oklahoma State University 1981 — 1985
BS, Accounting and Information Systems
The Lehman Company & McCormick-Benefits June 2012 - Present
Aetna February 2002 - February 2012
Prudential Healthcare February 1993 - February 2002
Prudential Healthcare February 1991 - February 1993
Prudential Healthcare December 1983 - February 1991
Skills
Health Insurance, Managed Care, Employee Benefits, Medicare, Insurance, Health Savings Accounts, Disability Insurance, HMO, Underwriting, Health Policy, Account Management, Brokers, Healthcare, Medicaid, COBRA, Health Care Reform
Education
Oklahoma State University 1979 — 1983
Bachelor of Business Administration (BBA), Finance, Insurance and Economics
JRL Professional Consulting LLC September 2014 - Present
Global Indemnity Group December 2011 - September 2014
Towers Watson June 1996 - November 2011
Aetna June 1983 - April 1996
Skills
Economic Capital, Actuarial Science, Actuaries, Enterprise Risk..., Reinsurance, Property & Casualty..., Casualty, Insurance, Risk Management, Underwriting, Solvency II, General Insurance, Financial Risk, Commercial Insurance, Liability, Workers Compensation, Professional Liability
Education
Ohio Wesleyan University 1979 — 1983
BA, Math & Computer Science
St. John's High School 1976 — 1979
Aetna-Accountable Care Solutions January 2014 - Present
Aetna - Accountable Care Solutions November 2012 - December 2013
Aetna February 2012 - November 2012
Healthcare Performance Partners, a MedAssets Company July 2010 - February 2012
Broadlane - The Preference Group June 2004 - July 2010
Parkland Hospital January 2001 - June 2004
Deloitte January 1999 - December 2000
Ernst & Young September 1989 - December 1998
Skills
Healthcare, Healthcare Consulting, Supply Chain, Management Consulting, Process Improvement, Team Building, Insurance, Disease Management, Practice Management, Performance Improvement, Hospitals, Business Development, Training, Healthcare Information..., Management, Contract Negotiation, Strategic Planning, Leadership, Business Process, Quality Management, Informatics, Physician Relations, EMR, Analysis, Managed Care, Healthcare Industry, Physicians, Cross-functional Team..., Medicaid, Quality Improvement, Executive Management, Revenue Cycle, Consulting, Mergers & Acquisitions, Data Analysis, Business Process..., Operations Management, Leading Change, Business Analysis, Change Management, Leadership Development, Operational Excellence, Program Management, Accountable Care, Product Development, Medicare, Business Strategy, Strategy, Revenue Cycle Management, Vendor Management
Education
Oral Roberts University 1985 — 1987
MBA(MHA), Healthcare Administration
Oklahoma State University 1979 — 1983
BSBA, Accounting, Administration
Aetna August 2010 - Present
The Hartford October 2007 - August 2010
Chase April 2006 - September 2007
Skills
QTP, Rational Clear Quest, Oracle, Microsoft Access, PPM, Remedy Software, Mainframe Testing, PL/SQL, Rumba, SDLC, STLC, EDI, Claims Handling, WinRunner, LoadRunner, Test Director, Rational Clear Case, RTC, Agile Methodologies, ITG, QB, Toad, SQL Navigator, Microsoft SQL Server, DB2, Java, Visual Basic, HTML, DHTML, JIRA, Windows, Unix, DOS, IVR, P&C, SRST, Certified Scrum Master..., Mobile Applications, SoapUI, ClearQuest, Scrum
Education
Osmania University 2001 — 2003
Master of Science (M.S.), Physics, First
Osmania University 1999 — 2001
Bachelor of Education (B.Ed.), Physical Sciences, First
Osmania University 1996 — 1999
Bachelor of Science (B.Sc.), Mathematics and Computer Science, First
Aetna June 2015 - Present
Ralph and Luci Schey Sales Centre April 2014 - May 2015
Sales Competition Team September 2013 - May 2015
Tom James Company June 2014 - August 2014
Ohio University May 2014 - June 2014
Ohio University January 2013 - May 2013
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, Social Media, Teamwork, Public Speaking, Team Leadership, Sales, Sales Process, Time Management, Social Networking, Recruiting
Education
Ohio University 2011 — 2015
Bachelor of Business Administration (BBA), Major:Marketing, Minor:Finance, 3.58/4.0
Ohio University 2011 — 2015
Real Estate License
Ohio University 2011 — 2015
Sales Certificate
The Ralph and Lucy Schey Sales Centre 2011 — 2015
Professional Sales Certificate, Sales
Indian Hill High School 2007 — 2011
Clinical Financial Services March 2014 - Present
ReSearch Pharmaceutical Services April 2012 - December 2013
GlaxoSmithKline September 2011 - April 2012
Auxilium Pharmaceuticals March 2010 - September 2011
Pfizer October 2009 - March 2010
Wyeth Pharmaceuticals July 2009 - October 2009
sanofi-aventis 2006 - 2008
Beckett & Lee January 2006 - June 2006
Aetna 1999 - 2006
Aetna 1998 - 1999
Skills
Oncology, Pharmaceutical Industry, Clinical Development, Biotechnology, FDA, CTMS, Clinical Trials, Managed Care, Project Management, Clinical Research, Therapeutic Areas, Sop, Pharmaceutical Sales, Regulatory Affairs, Infectious Diseases, CRO
Education
Ohio University 1987 — 1989
BA, Telecommunications, English
Saint Bonaventure University 1984 — 1986
Mass Communication/Media Studies
Ealing College, London England
Study Abroad
Aetna July 2015 - Present
The Next Level Athletic Performance Center May 2014 - July 2015
The Sport and Speed Institute 2013 - January 2014
Headfirst Summer Camps June 2011 - August 2013
Skills
PowerPoint, Event Planning, Social Media, Editing, Microsoft Excel, Microsoft Word, Community Outreach, Teaching, Facebook, Leadership, Social Networking, Sports, Microsoft Office, Sports Marketing, Social Media Marketing, Event Management
Education
Ohio Wesleyan University 2009 — 2013
Bachelor of Arts (B.A.), Health and Human Kinetics, Sports Management
Langley High School 2007 — 2009
Aetna September 2014 - Present
VA Clinic October 2012 - August 2014
Mt Carmel St. Ann's hospital February 2011 - October 2012
Licking Memorial 2006 - 2011
Education
Ohio University
BS, Nursing Science, 3.5
Ohio University BSN
Aetna July 2014 - Present
Pacific Resources Benefits Advisors January 2013 - July 2014
Liberty Mutual Insurance 1999 - 2012
Liberty Mutual Insurance 1996 - 1999
Clark Bardes 1995 - 1996
Liberty Mutual Insurance 1994 - 1995
Standard Insurance Company 1989 - 1994
Standard Insurance Company 1987 - 1989
KXMB TV 1985 - 1987
Skills
Process Improvement, New Business Development, Sales Presentations, Employee Benefits, FMLA, Plan Implementation, Project Coordination, Training, Insurance, Disability Insurance, Underwriting, Term Life Insurance, Sales, Human Resources, Accident, Voluntary Employee..., Health Insurance, Claim, Life Insurance, Commercial Insurance, Benefits Administration, Legal Liability, Analysis, Claims Management, Brokers, Customer Retention, Account Management, Health Savings Accounts, Group Insurance, Customer Service
Education
University of Pennsylvania - The Wharton School 1991 — 1996
CEBS, Employee Benefits
Oregon State University 1982 — 1985
Speech Communications, Broadcast media
Portland State University 1981 — 1982
Honors Program
Deloitte October 2013 - Present
Aetna February 2013 - September 2013
Cognizant Technology Solutions March 2010 - September 2013
Kaiser Permanente IT December 2010 - February 2013
Mphasis June 2009 - March 2010
Mahindra Satyam June 2008 - May 2009
Mahindra Satyam August 2005 - June 2008
Skills
Gap Analysis, Business Analysis, Use Case, Requirements Gathering, SDLC, Requirements Analysis, Business Requirements, User Acceptance Testing, Business Process Design, Testing, Pre-sales, Global Delivery, Business Process, Visio, Requirements Management, Solution Architecture, Functional..., Service Oriented..., UML, IBM Rational Tools, Quality Center, Process Consulting, Business Process..., Process Flow Charts, Sequence Diagrams, Project Management, Business Process..., Business Development, RFP Design, RFP Generation, RFI, Program Implementation, Client Interfacing..., Direct Client..., Software Project..., Management Consulting, Consulting, PMP, Analysis
Education
Stanford University 2012 — 2012
Business Fundamentals Program, Business Administration and Management, General
Academy for Healthcare and Management (AHM) 2007 — 2008
PAHM, Professional of Academy for Healthcare Management
American Institute for Chartered Property Casualty Underwriters (AICPCU) 2006 — 2007
Certified in General Insurance, P & C Insurance
Satyam Computer Services Ltd. 2005 — 2006
MBA, Business Management Program, A+
Osmania University 2001 — 2005
B.E, Electrical And Electronics
Aetna October 2013 - Present
Riverside Methodist Hospital February 2013 - October 2013
State of Ohio September 2008 - February 2013
The Melting Pot Restaurants August 2005 - September 2008
The Ohio State University September 2007 - March 2008
OhioHealth March 2007 - March 2008
Skills
Project Management, Microsoft Office, Policy, Government, Policy Analysis, Case Managment, Insurance, Public Policy, Public Speaking, Customer Service, Claims Management, HIPAA, Research, Claim, Multitasking Skills, Organization &..., Independent Thinking, Critical Thinking, Education, Training, Leadership, Clinical Research, Nursing, EMR, Medical Records, Medical Terminology, Case Management, Medical/Surgical
Education
The Ohio State University 2014 — 2017
Master’s Degree, Family Practice Nurse/Nursing, 4.0
Ohio University 2012 — 2014
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Columbus State Community College 2008 — 2012
Associate, Registered Nurse
The Ohio State University 2005 — 2008
Bachelor of Arts, Psychology
Aetna August 2013 - January 2014
Various contracting & volunteering opportunities. February 2010 - July 2013
Aetna, INC. October 2006 - February 2010
Aetna, INC. December 2002 - September 2006
Aetna, INC. November 1994 - November 2002
Skills
Brokers, Risk Management, Employee Benefits, Claims Management, Dental Insurance, Pharmacy Benefit..., HMO, PPO, Problem Solving, Customer Service, E-Learning, Financial Risk, Key Account Management, Underwriting, Stop Loss, Rate Management, ASC, Strategic Planning, Management
Education
Vanguard University of Southern California 1989 — 1992
BS, FINANCE, 3.1
Oklahoma State University 1986 — 1988
Aetna
Skills
Health Insurance, Insurance, Claim, Underwriting, Customer Service
Education
Oklahoma City University 1958 — 1962
Bachelor of Arts (B.A.), History/Political Science
Aetna November 2013 - Present
Riverside Methodist Hospital February 2011 - Present
Ohio Health February 2011 - July 2013
Bethesda North Hospital, Cincinnati October 2010 - February 2011
The Ohio State University Medical Center August 2009 - August 2010
Mount Carmel Health System April 2005 - July 2010
Skills
Nursing, BLS, ACLS, Inpatient, Critical Care, Hospitals, Acute Care, Healthcare, Healthcare Management, ICU, Telemetry, Patient Education, Medication..., Patient Advocacy, Cpr Certified, Home Care, IV, Emergency Room, EKG, Direct Patient Care, Emergency Nursing
Education
Ohio University-Zanesville Campus 1986 — 1998
RN, Associates Degree
Muskingum Area Joint Vocational School 1983 — 1984
LPN
Travelers July 2007 - April 2013
Travelers Insurance July 2006 - April 2013
HR XCEL October 2001 - July 2006
Aetna 1983 - 1994
Skills
Benefits Administration, Workers Compensation, Employee Benefits, Human Resources, Commercial Insurance, Property & Casualty..., Deferred Compensation, Insurance, Underwriting, Training, Health Insurance, FMLA, Strategic Planning, Management, Applicant Tracking..., Disability Insurance, Leadership, Organizational..., Recruiting, General Insurance, Succession Planning
Education
Ohio University
BA, Psychology and English
Lima Shawnee
BA, Psychology
WellPoint March 2011 - Present
Aetna August 2000 - September 2007
AT&T August 1997 - May 2000
Skills
Customer Service, Claim, Health Insurance, Insurance, Claims Management, Medicare
Education
University of Phoenix 2011 — 2012
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Old Dominion University 2008 — 2010
Bachelor of Science (BS), Business Administration and Management, General
Aetna August 2015 - Present
Express Scripts June 2014 - July 2015
Skills
Healthcare, Customer Service, HIPAA, Outlook, Research, Data Entry
Education
Orlando Tech
Accounting
Valencia College
Associate's degree, Registered Nursing/Registered Nurse
Aetna August 2013 - Present
Agile-1 May 2013 - July 2013
Retronix Semiconductor May 2012 - March 2013
Axion 2009 - 2012
Skills
Recruiting, Sales,..., Compliance paperwork,..., Applicant Tracking..., Internet Recruiting, Talent Acquisition, Technical Recruiting, Staffing Services, Temporary Staffing, Contract Recruitment, College Recruiting, Permanent Placement, Executive Search, Sourcing, Benefits Negotiation, Recruiting, Temporary Placement, Onboarding, Hiring, Cold Calling, Taleo, Screening Resumes, Interviews
Education
Orange Coast College 1985 — 1987
Aetna July 2014 - Present
Aetna July 2011 - July 2014
Progressive Medical, Inc. April 2007 - July 2011
Rolls-Royce Energy March 2005 - April 2007
Rolls-Royce Energy November 2002 - March 2005
Rolls-Royce Energy December 1999 - September 2002
Skills
Leadership, Agile Methodologies, Microsoft SQL Server, Process Improvement, Process Excellence, Project Management, Program Management, SDLC, Business Analysis, PMP, CRM, Strategic Planning, Management, Vendor Management, Cross-functional Team..., Change Management
Education
Otterbein University 2007 — 2009
MBA
The Ohio State University Fisher College of Business 2002 — 2005
Bachelors of Science in Business Administration, Management and Information Systems
Aetna December 2013 - May 2015
Aetna October 2012 - December 2013
McKesson Specialty Health 2011 - 2012
US Oncology 2010 - 2011
US Oncology 2008 - 2010
US Oncology 2007 - 2008
US Oncology 2005 - 2007
Skills
Healthcare, Strategic Planning, Marketing Strategy, Salesforce.com, Marketing, Healthcare Information..., Business Development, Project Management, Account Management, New Business Development, Healthcare Management, Budgets, Training, Team Building, Cross-functional Team..., Management, Managed Care, Leadership, CRM
Education
Oral Roberts University 2000 — 2004
Bachelor of Science (B.S.)
Aetna September 2014 - Present
Aetna July 2014 - September 2014
Ohio University January 2012 - May 2014
Sheerer Image Photography 2011 - 2014
The J.M. Smucker Company May 2013 - August 2013
Ohio University January 2012 - May 2013
UPS December 2011 - December 2011
Malley's Chocolates December 2011 - December 2011
FirstEnergy June 2011 - August 2011
Skills
Adobe Creative Suite, Microsoft Word, Microsoft Excel, Microsoft Office, Facebook, Event Planning, Public Speaking, InDesign, Social Media, Photoshop, Customer Service, Social Networking, Newsletters, Blogging
Education
Ohio University 2010 — 2014
Bachelor's Degree, Marketing (BBA), Information Graphics and Publication Design (BSVC), Sales Certificate
Universidad de Salamanca 2012 — 2012
Spanish Language
Medina High School 2006 — 2010
Aetna May 2015 - Present
Anthem, Inc. June 2012 - May 2015
Aetna November 2002 - June 2012
Health Net July 2007 - January 2009
Aetna November 2002 - July 2007
Skills
Managed Care, Health Insurance, Medicare, HIPAA, Insurance, Medicaid, Data Analysis, Healthcare Information..., Data Modeling, Business Intelligence, Access, Healthcare Industry, Healthcare, Analytics, Data Mining, Risk Management, Financial Analysis, Visio
Education
University of Hartford 1999 — 2001
MBA, MIS
Middle East Technical University 1993 — 1998
Bachelor science, Statistics
Aetna October 2007 - Present
Select Specialty Hospital 2001 - 2007
Central Ohio Area Agency on Aging August 1997 - December 2001
Skills
Select Specialty,..., Hospitals, Home Health Agencies, Healthcare, Utilization Management, Medicare, Nursing, HIPAA, Healthcare Management, Managed Care, Disease Management, Inpatient, Teaching
Education
Ohio University 1983 — 1987
Bachelor's degree, Elementary Education and Teaching
Ohio University 1972 — 1974
Bachelor's degree in Education, Registered Nursing/Registered Nurse
Aetna December 2014 - Present
Whole Foods Market October 2013 - October 2014
Live Healthy Appalachia August 2012 - June 2013
Athens County Children Services August 2011 - June 2012
Miami Valley Regional Planning Commission June 2010 - August 2010
Rural Action June 2009 - August 2009
Skills
Volunteer Management, Teaching, Editing, Grants, PowerPoint, Curriculum Design, Public Health, Classroom, Lesson Planning, Nonprofits, Community Outreach, Fundraising, Program Development, Public Speaking, Event Planning, Grant Writing, ArcGIS
Education
Ohio University 2007 — 2011
Bachelor's of Science in Urban Planning, Geography, Environmental Studies
Troy High School
Troy High School
Diacare Diabetes Centers LLC December 2012 - Present
Janus Benefit Solutions May 2012 - Present
National Care Network (Acquired by MultiPlan) June 2004 - December 2011
Texas Imaging June 2003 - June 2004
North Texas Healthcare Network (Acquired by Healthsmart) June 1995 - June 2003
Harris Methodist Health Plans January 1995 - June 1995
Travelers Health Network 1991 - 1995
Aetna 1991 - 1991
Hunt Petroleum Corporation 1987 - 1991
Skills
Microsoft Dynamics, Microsoft Office, Quickbooks, ADP Payroll, Exponent HR Payroll, Apple, Great Plains Software, Payroll Administration, Financial Reporting, Financial Analysis, Proformas, Budgeting, Forecasting, Internal Audit, Facilities Management, Statutory Reporting, Contract Review, Cost Reduction, Healthcare, Contract Management, Payroll, Budgets
Education
Oklahoma State University 1984 — 1987
BS BA, Accounting
Aetna November 2004 - Present
NADP January 2013 - Present
American Dental Association February 2012 - Present
California Association of Dental Plans 2002 - Present
Charles D. Stewart, DMD August 1983 - Present
National Association of Dental Plans November 2010 - January 2013
American Dental Association September 2010 - September 2011
WellPoint May 1997 - November 2004
WellPoint/Anthem 1997 - 2004
Skills
Dentistry, Insurance, Organizational..., Healthcare Management, HIPAA, Code Review, Quality Assurance, Medicare, Management, Practice Management, Health Insurance, Healthcare, Policy, Utilization Management, Medicaid, Health Policy, Treatment, Managed Care, Customer Service, Clinical Research, Public Health, Team Building, Quality Management, Executive Management, Surgery, Medical Devices, Leadership, Employee Benefits, Healthcare Information..., Public Speaking, Provider Relations, Training, Network Development, Strategic Planning, Claim, HMO, Healthcare Industry, Hospitals, Aesthetics, Healthcare Consulting, Teaching, Lecturing, Crowns, Business Strategy, Periodontics, Literature Reviews, Policy Writing
Education
Oral Roberts University 1979 — 1983
DMD, Dentistry
University of Southern California 1975 — 1979
Psychology/Biology
Home Chief Financial Officer - Parallon Business Performance Group - Dallas Shared ServicesParallon Business SolutionsAugust 2000 - December 2013
Conroe Regional Medical Center May 1997 - May 2000
Northwest Hospital May 1993 - May 1997
Epic Healthcare January 1992 - May 1993
Aetna May 1988 - December 1991
Skills
Revenue Cycle, Team Building, Managed Care, Healthcare Information..., Healthcare Management, Budgets, Healthcare Consulting, Healthcare, Process Improvement, Hospitals, Physician Relations, HIPAA, Medicare, Physicians, Revenue Cycle Management
Education
Sam Houston State University 1998 — 2000
Masters of Business Administration, Finance
Oklahoma State University 1983 — 1987
Bachelor of Science, Accounting
State of Ohio, Bureau of Workers' Compensation April 2015 - Present
State of Ohio, Bureau of Workers' Compensation September 2014 - April 2015
The Ohio State University Wexner Medical Center May 2014 - August 2014
Nardone Law Group September 2013 - May 2014
Aetna May 2013 - August 2013
Sheryl Gordon McCloud for Supreme Court May 2012 - August 2012
Suttell & Hammer, P.S. November 2010 - August 2012
Skills
Research, PowerPoint, Event Planning, Legal Research, Microsoft Word, Legal Assistance, Fundraising, Public Speaking, Microsoft Office, Electronic court filing, LexisNexis, Microsoft Excel, Electronic Filing, Accurint, Data Entry, Proofreading, Courts, File Management, French, Legal Writing, Community Outreach, Westlaw, Social Media, Visio, Business Process Mapping, Microsoft Project, Project Management
Education
The Ohio State University Moritz College of Law 2012 — 2016
Doctor of Law (JD), Top 50%
Ohio State University College of Public Health 2013 — 2016
Master of Health Administration, Health Services Management & Policy
Otterbein College 2006 — 2010
BA, International Studies, History, French, Cum Laude with Departmental Honors
Diane Rinehard November 2012 - Present
Duke University Medical Center; PRMO - Patient Revenue Management Organization August 2006 - October 2012
Carilion Clinic 2000 - 2006
Carilion Health Plans 1993 - 2000
Aetna 1987 - 1992
Sovran Bank, NA 1973 - 1984
Skills
Healthcare, Revenue Cycle, Process Improvement, Managed Care, Contract Negotiation, Contract Management, Health Insurance, Strategic Planning, Healthcare Reimbursement, Provider Enrollment, Denials, Medicaid, Medicare, HIPPA, Compliance, Credentialing, Employee Benefits, Change Management, Provider Relations, HIPAA, Hospitals, Medical Billing, Network Development, Budgets, Financial Analysis, Forecasting, Healthcare Management, EHR
Education
Virginia Tech
Master of Science (MS), Education, Health Promotion
Old Dominion University
BS, Business Administration
Aetna 2013 - Present
FIS 2009 - 2013
Northwestern University 2007 - 2009
Orbitz Worldwide 2004 - 2008
Chase March 2002 - December 2003
Procter & Gamble February 2000 - March 2002
DuPont July 1998 - November 1999
Skills
E-commerce, PeopleSoft, SaaS, Enterprise Architecture, Product Management, Project Management, Team Management, Team Leadership, SDLC, Requirements Analysis, Enterprise Software, SharePoint, Business Analysis, SOA, Integration
Education
Xavier University 2000 — 2001
MBA, Management Information Systems, General
Osmania University 1992 — 1996
Bachelor of Engineering, Mechanical, Computers
Milliman May 2006 - Present
Aetna Global Benefits January 2001 - May 2006
Aetna January 1999 - December 2000
Aetna August 1995 - January 1999
Skills
Actuarial Science, Health Insurance, Actuaries, Medicare, Actuarial Consulting, Underwriting, Team Building, Pricing, Leadership
Education
Oregon State University 1991 — 1995
Scappoose High School 1988 — 1991
GED
CVS Health April 2014 - Present
Hyperion admin group November 2008 - Present
GE November 2013 - April 2014
Marsh & McLennan Companies, Inc. February 2013 - November 2013
Midstates Petroleum Company LLC November 2012 - February 2013
Fred Hutchinson Cancer Research Center August 2012 - December 2012
Univar January 2012 - August 2012
Amazon September 2011 - January 2012
Aetna August 2010 - September 2011
Hanger Orthopedic Group September 2006 - July 2010
Skills
SQL Server, VBScript, Teradata, Datastage, Planning, SAP BPC, Project Planning, Microsoft SQL Server, Essbase, Hyperion Financial..., Maxl scripts, SAP HANA, Oracle, Business Intelligence, ETL, Financial Reporting, Hyperion Planning, Hadoop, Big Data, MapReduce, SDLC, Requirements Gathering, Data Warehousing, Visual Basic 5.0/6.0, .NET, ASP, PHP, MySQL, Digital Marketing, Media Production, Website Promotion, OBIEE, Integration, Enterprise Architecture, Data Migration, Hyperion Enterprise, Access, SQL, Hyperion
Education
Osmania University 1995 — 1998
Bachelors Electronics, Electronics, Maths, Physics
Infosys March 2000 - Present
Infosys Technologies Ltd March 2000 - Present
Aetna 2004 - 2005
Aetna 2004 - 2005
Aetna 2004 - 2005
Aetna 2004 - 2005
Skills
SDLC, Global Delivery, Software Project..., Pre-sales, SOA, Requirements Analysis, Business Analysis, Program Management, IT Strategy, PL/SQL, Requirements Gathering, Project Governance, Transition Management, Test Management, Testing, TCoE, People Management, Team Mentoring, HP Quality Center
Education
Orissa University of Agriculture and Technology 1993 — 1997
Bachelor of Technology (B.Tech.), Mechanical Engineering
College of Basic Science & Humanities, BBSR 1990 — 1992
12th Std, Physics, Chemistry & Maths
Toll Brothers, Inc. May 2007 - Present
UCLA Medical Group January 2005 - January 2007
Health Net January 2004 - January 2005
Aetna November 1997 - January 2004
Skills
First Time Home Buyers, Investment Properties
Education
University of South Carolina-Columbia 1989 — 1993
BA, Hotel/Restaurant Management
Old Dominion University 1987 — 1989
WT Woodson HS 1985 — 1987
First Colonial HS 1984 — 1985
Aetna October 2013 - Present
Aetna February 2012 - October 2013
Wellpoint, Inc. October 2009 - February 2012
WellPoint, Inc. March 2007 - October 2009
WellPoint May 2005 - March 2007
WellPoint September 2002 - May 2005
Cooper Research February 2001 - September 2002
Self Employed August 2000 - February 2001
AAOS 1998 - 2000
American Academy of Orthopeadic Surgeons (AAOS) March 1997 - November 1998
Skills
Healthcare, Segmentation, Medicare, Competitive Intelligence, Strategic Planning, Process Improvement, Managed Care, Health Insurance, Cross-functional Team..., Vendor Management, Project Management, Analytics, Data Analysis, Market Research, Marketing Strategy, Business Analysis, Competitive Analysis, Insurance, Project Portfolio..., Business Intelligence, Business Process..., Marketing Research
Education
Ohio University 1993 — 1994
MA, Sociology
Ohio University 1989 — 1993
BA, Sociology
Florida Power & Light January 2013 - Present
Aetna May 2012 - December 2013
Fidelity Investments October 2011 - June 2012
Litton Loan Servicing 2008 - 2011
Virtusa February 2007 - December 2007
Virtusa February 2007 - December 2007
Skills
PL/SQL, Oracle, Data Warehousing, Databases, Database Design, ETL, SQL, Data Modeling, SDLC, Microsoft SQL Server, Unix Shell Scripting, SSIS
Education
Osmania University 1998 — 2003
Master of Computer Applications (M.C.A.)
Travelers 2014 - Present
Cincinnati Financial Corporation July 2013 - 2014
CNA Insurance 2011 - 2013
Chubb Insurance June 2007 - July 2011
Barnes Distribution 2001 - 2006
American Greetings 1997 - 2001
Kemper Ins. 1991 - 1997
Aetna 1987 - 1991
Skills
Occupational Health, EHS, Safety Management..., Risk Management, Industrial Hygiene, Workers Compensation, Process Improvement, Risk Assessment, Fire Safety, Industrial Safety, Construction Safety, Process Safety, Risk Analytics, Loss Prevention..., Loss Control, HPR Property, Risk Control, Ergonomics, Regulatory Compliance, Behavior Based Safety, Root Cause Analysis, Project Management, Training, Mergers & Acquisitions, Environmental Compliance, Emergency Management, Fire Protection, Accident Investigation, Continuous Improvement, Hazard Recognition, Employee Benefits, Operations Management, Environmental Awareness, Investigation, Performance Management, Hazard Analysis, Property & Casualty...
Education
The University of Akron 1986 — 1987
Fire Science Engineering
Ohio University 1984 — 1985
Aetna CEOPapke Empire2001 - 2013
Education
Ohio Wesleyan University 1989 — 1993
City of Portland, Maine March 2013 - September 2014
Aetna July 2007 - December 2012
Aetna July 2005 - July 2007
US Navy 1985 - 2006
MIT Lincoln Laboratory June 2004 - July 2005
Skills
IT Strategy, HIPAA, Information Security, Enterprise Architecture, SDLC, Information Technology, Network Security, Computer Security, IT Operations, Business Requirements, Business Analysis, IT Service Management, System Administration, Architecture, Windows Server, Requirements Analysis, Project Portfolio..., Solution Architecture, SharePoint, Business Continuity, Vendor Management, Networking, Information Security..., Disaster Recovery, IT Management, Process Improvement, Servers, CISSP, Data Center, Vulnerability Assessment, Security, DLP
Education
Old Dominion University
Bachelor of Science (BS), Geology/Earth Science Education
Syracuse University
XL Group September 2013 - Present
Hess Corporation October 2010 - September 2013
Aetna July 2009 - September 2010
Lehman Brothers October 2003 - June 2009
Watson Wyatt June 1999 - October 2003
Aon Consulting August 1995 - June 1999
Skills
Executive Pay, Talent Management, Deferred Compensation, Succession Planning, Organizational Design, Compensation, Employee Benefits, PeopleSoft, Workforce Planning, Employee Relations, Mergers & Acquisitions, Personnel Management, Human Resources, Performance Management, Change Management, Talent Acquisition, Employee Engagement, HRIS, Onboarding, Applicant Tracking...
Education
Oregon State University 1994 — 1997
MS, Economics
University of Washington 1985 — 1990
BA, History, Economics
Cognizant Technology Solutions November 2013 - Present
Cognizant Technology Solutions July 2005 - Present
CTS 2005 - Present
Molina Healthcare 2010 - 2013
Molina Healthcare 2010 - 2012
Molina Healthcare 2010 - 2011
Aetna, INC. 1998 - 2010
Aetna 1998 - 2005
Skills
SDLC, PMP, Business Development, IT Strategy, Vendor Management, Business Analysis, CRM, Software Project..., Requirements Analysis, Management, Business Intelligence, Pre-sales, Program Management, Outsourcing, Business Process, Business Process...
Education
Villanova University 1990 — 1994
Osmania University 1986 — 1990
BCHE, Chemical Engineering
Infosys July 2012 - Present
Infosys January 2006 - Present
Aetna 2006 - 2008
Infosys 2000 - 2003
Skills
Global Delivery, SDLC, Software Project..., Requirements Analysis, Project Delivery, Program Management, Agile Methodologies, Pre-sales, Project Management, Testing, Quality Assurance
Education
Osmania University 1995 — 1999
Bachelor of Engineering (B.E.), Electrical, Electronics and Communications Engineering
HAL High School, Hyderabad 1980 — 1992
Anthem, Inc. November 2005 - Present
Anthem BCBS January 2001 - November 2005
Aetna July 1999 - January 2001
Education
Ohio University 1995 — 1999
B.S, Health Service Administration
Sisters of Providence Health System September 1993 - July 1997
Aetna September 1989 - July 1992
Skills
Public Speaking, Strategic Planning, Event Planning, Coaching, Team Building, Healthcare, Microsoft Office, Microsoft Excel, Microsoft Word, Research
Education
Oklahoma Christian University 1980 — 1983
Biology, General
Vanguard March 2014 - Present
IBC June 2012 - February 2014
CIGNA June 2012 - November 2012
Aetna April 2010 - May 2012
Compass Group September 2009 - March 2010
Gordon Food Service January 2009 - July 2009
Verizon May 2007 - November 2008
AT & T June 2003 - December 2006
Skills
Data Warehousing, SDLC, Requirements Analysis, ETL, Enterprise Architecture, Business Analysis, Solution Architecture, DB2, Business Intelligence, Data Modeling, Oracle, Agile Methodologies, Unix, Business Requirements, Data Warehouse..., PL/SQL
Education
Osmania University 1995 — 1998
Master of Computer Applications (M.C.A.), Computer Sciience
Osmania University 1992 — 1995
Bachelor of Sciences, Mathematics And Physics
Shelton Public Schools July 2014 - Present
Blum Shapiro Consulting January 2013 - June 2014
Blum Shapiro Consulting January 2007 - December 2012
Scully & Wolf, LLP May 1995 - December 2006
Aetna January 1991 - April 1995
Skills
Internal Controls, US GAAP, Financial Reporting, Accounting, Business Analysis, Auditing, CPA, Financial Analysis, GAAP, Sarbanes-Oxley Act, Microsoft Excel, Financial Accounting, Tax
Education
Ohio University 1985 — 1988
Accounting, MIS
University of Connecticut 1983 — 1985
Economics
H&B Consulting Associates June 2010 - Present
NEOISCEBS January 2013 - December 2013
Aon December 2006 - June 2010
Aetna 2004 - 2006
Definity Health 2001 - 2004
Aetna Health Plans 1977 - 2001
Skills
Health Insurance, Benefits Administration, Employee Benefits
Education
Ohio Wesleyan University 1973 — 1977
BA, Chemistry
FedEx Services September 2014 - Present
Apple February 2014 - Present
Wipro Technologies July 2013 - December 2013
Starbucks February 2013 - June 2013
Accenture April 2012 - November 2012
Savannah River Nuclear Solutions, (srs.gov) January 2012 - March 2012
Hilton Worldwide February 2011 - November 2011
Aetna February 2009 - October 2010
Merrill Lynch June 2006 - January 2009
Novo Nordisk A/S February 2004 - May 2006
Skills
SDLC, Requirements Gathering, Hyperion Planning, Essbase, Quality Center, PL/SQL, Oracle SQL Developer, Oracle E-Business Suite, Oracle, Data Warehousing
Education
Oracle University Certification 2009 — 2009
Certificate, Oracle Hyperion Essbase 9.3 Certified Expert
Certified Associate of All India Institute of Bankers, India
CAIIB, Fin.of Foreign trade, Adv. Acctg & Banking etc.
NIIT, Hyderabad - India
PGDCA, Computer Applications
NJIT, Newark, NJ
Certification, Web Authorship and Development
Osmania University
Master of Commerce, Adv. Acctg., Auditing, Business Law & IRPM
Towers Watson July 2011 - Present
Aetna May 1997 - July 2011
EmCare January 1994 - May 1997
Emcare 1994 - 1997
The Permanente Medical Group January 1992 - January 1994
Emergency Care, Inc July 1983 - January 1994
US Navy July 1978 - June 1981
Education
Amercian College of Physician Executives 1999 — 2011
CPE
Oklahoma State University 1985 — 1989
MBA, Business
Jacksonville Health Education Program 1981 — 1983
Residency, Emergency Medicine
Brackenridge Hospital, Austin, TX 1977 — 1978
Internship, Medicine
University of Oklahoma Health Sciences Center 1973 — 1977
MD, Medical
University of Oklahoma 1969 — 1973
BS, Zoology
UnitedHealth Group January 2014 - Present
Aetna March 2012 - November 2013
PHH Mortgage April 2011 - February 2012
TD Bank Group 2010 - 2011
Merrill Lynch March 2004 - December 2004
First Union National Bank 1997 - 1999
Broadway & Seymour 1994 - 1997
IBM 1993 - 1994
Skills
SDLC, SOA, Enterprise Architecture, Consulting, Vendor Management, Requirements Analysis, Business Analysis, Agile Methodologies, Software Project..., Business Intelligence, Solution Architecture, Software Development, Integration, IT Strategy
Education
University of South Carolina-Columbia 1991 — 1993
Masters, Computer Engineering
Osmania University 1987 — 1991
Bachelor of Engineering (B.E.), Electrical Engineering
Aetna June 2011 - Present
YMCA of Metro Atlanta 2004 - Present
Park Springs Communities March 2010 - June 2011
Family Ties, Inc. February 2002 - June 2011
Mayson Avenue Cooperative, LLC May 2007 - December 2008
Skills
Psychotherapy, Social Services, Mental Health, Wellness, Personal Training, Healthcare, Child Welfare, Nonprofits, Program Development, Community Outreach, Strategic Planning, Microsoft Office, Volunteer Management, Fundraising, Grant Writing, Community Development, Elder Care, Leadership, Higher Education
Education
Virginia Commonwealth University 1992 — 1994
MSW, Social Work
Ohio Wesleyan University 1983 — 1987
Bachelor's degree, Social Work
Safran Power USA December 2012 - Present
Rockwell Automation October 2006 - October 2012
HARCOURT EDUCATION 2004 - 2006
Aetna 2001 - 2004
Intel Corporation 1989 - 2001
Skills
Project Management, Program Management, Requirements Management, Estimating, Metrics, Microsoft Server..., Full Life Cycle..., Quality Management, Agile Methodologies, CMMI, Scrum, Application Lifecycle..., IBM Rational Tools, Portfolio Management, Organizational..., Process Improvement, PMO, PMP, Project Portfolio..., SDLC, Six Sigma, Software Project..., Continuous Improvement, Project Planning, Analysis, Management, Business Analysis, Product Development, Risk Management, Process Engineering, Engineering, Leadership
Education
Oregon Health and Science University 1998 — 2000
MS, Management in Science and Technology
University of Phoenix 1991 — 1994
BSBA, Business
Coventry Health Care October 2003 - Present
Aetna February 2007 - June 2010
Gallagher Woodsmall October 1996 - October 2003
Education
Ottawa University 2007 — 2012
Master of Business Administration (MBA), Business Administration and Management, General
University of Iowa 1991 — 1993
Bachelor of Arts (BA), Psychology
Aetna January 2015 - Present
Magellan Behavioral Health August 2008 - January 2015
Skills
Mental Health, Crisis Intervention, Mental Health Counseling, Group Therapy, Clinical Supervision, Case Management, Adolescents, Family Therapy, CBT, Psychotherapy, Motivational..., Social Services, Dual Diagnosis, Treatment
Education
Ohio University 1975 — 1980
BS, Human Services
Aetna March 1995 - Present
Skills
Strategic Planning, Software Development, SDLC, Project Portfolio..., Software Project..., Healthcare, Vendor Management, Change Management, Claim, Insurance, Leadership, Customer Service, Process Improvement, PMP, PMO
Education
Oklahoma State University 1980 — 1985
BS, Business Mgmt and Computing Science
Oklahoma Christian Schools 1977 — 1980
GMAC Insurance February 2010 - Present
RDG Technologies Inc., June 2006 - Present
GMAC Financial Services January 2009 - February 2010
Aetna August 2008 - December 2008
Citizens Bank February 2007 - July 2008
Skills
Datastage, Data Warehousing
Education
Osmania University 1999 — 2003
BE, EEE
Noridian Mutual Insurance April 2005 - May 2013
Regence BCBS July 1998 - April 2005
Aetna March 1972 - February 1998
Education
Oregon State University 1967 — 1971
Bachelor's degree, Business Administration and Management, General
Aetna 2013 - Present
Preferred Health Systems 1998 - 2013
Education
Oklahoma Baptist University 1989 — 1993
B.S., Mathematics
Aetna August 2015 - Present
Aetna Better Health September 2013 - Present
Coventry Health Care January 2012 - August 2013
Coventry Health Care January 2005 - January 2012
First Health November 2003 - September 2005
WinterBrook HealthCare Management May 1995 - October 2003
Skills
Insurance, Health Insurance, Medicare, Workers Compensation, Medicaid, Strategic Planning, Long-term Care, Network Development, Financial Analysis, PPO, Health Policy, Mergers, Healthcare Management, Leadership, Executive Management
Education
Oklahoma State University 1981 — 1984
BS, Finance
Aetna July 2014 - Present
Aetna March 2007 - July 2014
The Scott Fetzer Company September 2004 - March 2007
Watson Wyatt Worldwide July 2000 - September 2004
Greatlakes Underwriters, Inc. July 1998 - July 2000
Skills
Account Management, Strategic Planning, Process Improvement, Health Insurance, Employee Benefits, Insurance, Managed Care, Medicare, Brokers, Disability Insurance, Health Savings Accounts, Benefits Administration
Education
Ohio University 1994 — 1998
Bachelor of Applied Science (B.A.Sc.), Mathematics
Allstate Insurance Agency February 2014 - Present
Aetna June 2010 - November 2013
Foundation Strategies Inc. February 2008 - June 2010
UnitedHealthcare June 2006 - November 2007
UnitedHealthcare March 2005 - June 2006
General American Life 1998 - 2003
Skills
Team Building, Relationship Management, Staff Development, Competitive Analysis, New Business Development, Operations Management, Budget, Managed Care, Health Insurance, Medicare, Underwriting, Insurance, Employee Benefits, Health Savings Accounts, Account Management, Pharmacy Benefit..., Disease Management, Brokers, Healthcare, Vendor Management, Selling, Team Leadership, CRM, Management, Sales
Education
Oklahoma State University 1987 — 1991
Bachelors of Science, Business Administration
Aetna June 2014 - Present
Aetna March 2013 - Present
Aetna June 2010 - March 2013
Principal Financial Group October 2005 - March 2010
Skills
Employee Benefits, Health Insurance, Claim, Insurance, Medicare, Medicaid, Process Improvement, Underwriting, Benefits Administration, Outlook, Customer Service, Microsoft Excel, Life Insurance, Microsoft Office, Data Entry, Team Building
Education
Ohio University 1994 — 1999
Highmark Inc. August 2014 - Present
Aetna April 2013 - August 2014
South University July 2010 - April 2013
South University August 2009 - July 2010
Inn on Biltmore Estate July 2006 - July 2009
Skills
Microsoft Excel, Student Financial Aid, MySQL, SQL*Plus, Wordpress, E-commerce, Microsoft Office, HP Openview, Remedy Ticketing System, Netbackup, Symantec Backup, Spreadsheets, Excel Pivot, Macintosh Applications, Windows XP Pro, Windows 7, CampusVue, PowerPoint, BMC Patrol, WordPress, Servers, Microsoft Word, Customer Service
Education
South University 2010 — 2013
Bachelor of Science (B.S.), Information Technology, 3.97
Ohio Valley University 1996 — 1998
Associate of Arts, Liberal Arts and Sciences/Liberal Studies
UC Irvine May 2015 - Present
OHSU Oregon Health & Science University April 2014 - May 2015
Providence Health & Services June 2012 - April 2014
Providence Health & Services June 2011 - June 2012
Aetna August 2008 - June 2011
OHSU Foundation 2011 - 2011
Pioneer Pacific College September 2009 - July 2010
Healthcare at Foster Creek 2007 - 2007
Gearhart Fire 2001 - 2002
Skills
Healthcare, Medicare, Medical Billing, Employee Benefits, Customer Service, HIPAA, Healthcare Management, Process Improvement, Credentialing, FMLA, Data Analysis, Medicaid, Team Building, Healthcare Information..., Hospitals, Referrals, Prior Authorization, Managed Care, Medical Staff..., NCQA, Claims Management, Academic Appointments
Education
Oregon State University 2004 — 2007
Bachelors, Healthcare Administration
University of Oregon 2001 — 2002
Seaside High School 1997 — 2001
Aetna March 2014 - Present
Wipro Technologies December 2011 - Present
Apple February 2013 - March 2014
KONY Labs September 2010 - December 2011
CMC August 2006 - August 2010
Skills
Hibernate, Java Enterprise Edition, JSP, Core Java, Struts, Oracle, Servlets, Web Services, AJAX, J2EE Application..., JavaScript, Android, Spring, Tomcat, Java, SQL, Spring Framework, PL/SQL, XML, MySQL, Java(MultiThreading,Sock..., Kony IDE for Mobile..., Webservices, My SQL, Javascript,Web..., Unix, C, Apple Middleware..., Kony Products, iOS Development, Android Development, IOS Swift
Education
Osmania University 2004 — 2006
Master of Technology (MTech), Computer Science, First
Osmania University 2004 — 2006
Master of Technology (M.Tech.), Computer Science
GENBAND January 2011 - Present
Deltacom August 2010 - November 2010
Verizon Business February 2007 - July 2010
IBM-Lenovo November 2005 - February 2007
Aetna May 2004 - July 2005
Softquest Technologies September 2001 - April 2004
Yaska Technologies Pvt Ltd September 1999 - August 2001
Skills
Telecommunications, Unix, Software Development, Linux, Networking, SDLC, Agile Methodologies, Requirements Analysis, SQL, Software Project...
Education
Osmania University 1997 — 1999
Masters in Computers Application, Computer Sciences
Osmania University 1994 — 1996
Bachelors in Computer Science, Computers, Maths and Physics
Aetna April 2015 - Present
EMSI December 2001 - Present
EMSI June 2011 - April 2015
Sleep Inn June 2000 - September 2001
Fremont 4 Theatre June 1998 - June 2000
Skills
Process Improvement, Microsoft Office, HIPAA, Team Building, Strategic Planning, Microsoft Word, Healthcare, Medical Terminology, Medical Records, Training, Budgets, Sales, Customer Retention, Medical Coding, Windows 7, Medical Billing, Lotus Notes, 10 Key, Customer Service, Account Management, Insurance, Leadership, Microsoft Excel, CPR Certified, Medicare/Medicaid..., Medicaid Managed Care, Health Insurance
Education
Omaha School of Massage and Healthcare of Herzing University 2011 — 2012
Diploma in Medical Billing and Coding, Medical Insurance Coding Specialist/Coder
Omaha School of Massage and Healthcare of Herzing University 2011 — 2012
Associate of Science (A.S.), Medical Insurance Specialist/Medical Biller, A
Omaha School of Massage and Healthcare of Herzing University 2011 — 2012
Associate of Science (A.S.), Medical Insurance Coding Specialist/Coder
Molina Healthcare 2011 - Present
Molina Healthcare 2008 - 2011
Molina Healthcare 2006 - 2008
Mount Carmel Health Plan 2005 - 2006
SummaCare Health Plan 1996 - 2005
QualChoice Health Plan 1995 - 1996
Aetna 1994 - 1995
Skills
Microsoft Office, Business Process, Strategic Planning, Process Improvement, Medicaid, Training, Healthcare, Network Development, HIPAA, SharePoint, Medicare, Operations Management, Program Management, Managed Care, Hospitals, Access, Provider Relations, Leadership, HMO, Project Management, Business Analysis, Data Analysis, Healthcare Management, Team Building, Government Procurement, Analysis, Health Insurance, Change Management
Education
Ohio University 1987 — 1991
Communications, BSC
BioRx December 2014 - Present
Coram November 2001 - December 2014
Coram Healthcare 2001 - December 2014
OptionCare August 2004 - March 2005
Aetna May 1996 - November 2001
Skills
Public Speaking, Pharmaceutical Industry, Managed Care, Healthcare, Hospitals, Medicare, Home Care, Strategic Planning, Healthcare Management, Customer Service, Oncology, Medicaid, Cardiology, Healthcare Industry
Education
Ohlone College
Associate's Degree, General Studies/ Medical Assistant
Aetna June 2014 - Present
LTCPCMS September 2013 - June 2014
RxConnex September 2013 - June 2014
Cardinal Health December 2012 - September 2013
Coventry Health Care January 2012 - December 2012
Powhatan Pharmacy 2003 - 2012
MIdlothian Apothecary, Inc. March 2002 - September 2003
Kmart Corporation April 1998 - March 2002
Skills
Customer Service, Microsoft Office, Interpersonal..., Volunteer Organization, Pharmacy, Data Entry, Medical Terminology, HIPAA, Managed Care, Phone Skills, Phone Etiquette, File Management, Clerical Skills, Healthcare, Cashiering, Pharmacy Automation, Medicare, Medical Billing, Outlook, Fax, Medicare Part D, Filing, Prescription, Pharmacy Benefit..., Pharmacy Technicians, Pharmacueticals, Compounding, Prior Authorization, Access, Dosage Calculations, Cpr Certified, Community Pharmacy, Medicare Prescription..., Prescription Drugs, QS1, 340B, Inpatient, Healthcare Industry, Health Insurance, Formulary, Inventory Management, Third Party Billing, Insurance, Telephone Skills, Clinical Pharmacy, Medication Therapy..., Claim, Interpersonal..., Ambulatory Care, Hospitals
Education
Old Dominion University 2008 — 2011
B.S, Professional Communications
John Tyler Community College 2001 — 2008
Associates, Arts and Sciences
Aetna May 2014 - Present
Grady Memorial Hospital August 2012 - May 2014
Grant Medical Center September 2006 - August 2012
Education
Ohio University
Bachelor of Nursing, Registered Nursing/Registered Nurse
Aetna August 2011 - Present
Skills
Fundraising, Community Development, Healthcare, Public Health, Health Education, Newsletters, Health Promotion, Wellness, Wellness Coaching, Nutritional Counseling, Community Outreach, Public Speaking
Education
The Ohio State University 2006 — 2007
MPH
Ohio Wesleyan University 2002 — 2006
BA
City of Sapulpa August 2002 - Present
RSA February 1995 - February 2002
Aetna June 1982 - November 1993
Skills
PHR, Information Technology, Human Resources, HR Transformation, Employee Relations, Onboarding
Education
Oklahoma State University
Tulsa Community College
AA, Liberal Arts
Aetna November 2014 - Present
Aetna November 2013 - October 2014
Aetna March 2013 - November 2013
Aetna May 2011 - February 2013
Aetna June 2009 - May 2011
Skills
Sales, Health Insurance, Disability Insurance, Insurance, Brokers, Underwriting, Employee Benefits, Health Savings Accounts, Claim, Life Insurance, Claims Management, Workers Compensation, Process Improvement, Term Life Insurance, Management, Group Insurance, Account Management, Managed Care
Education
Olivet College 1991 — 1995
Bachelor of Business Administration (B.B.A.), Insurance
UnitedHealth Group April 2010 - Present
Humana April 2005 - April 2010
Burns Consulting September 2004 - May 2005
Priortiy Health April 2002 - July 2004
Aetna November 2000 - April 2002
Physicians Health Plan of West Michigan - United Healthcare November 1997 - April 2000
Skills
Medicaid, Healthcare, Healthcare Information..., Insurance, Provider Network..., Provider Relations, Medicare/Medicaid..., Medicare Advantage
Education
Ohio University 1991 — 1996
Bachelor of Science, Health/Health Care Administration/Management
Ohio University 1991 — 1996
Bachelor of Science, Health/Health Care Administration/Management
Aetna inc January 2011 - December 2014
Aetna 2007 - 2011
Skills
Health Insurance, Provider Relations, Medicare, Network Development, Managed Care, Medicaid, HMO, HIPAA, Vendor Management, PPO, SDLC, Insurance, Disaster Recovery, Enterprise Architecture, IT Management, SharePoint, Visio, IT Strategy, Process Improvement, Claim, Healthcare, Employee Benefits, Strategic Planning, Leadership, Healthcare Industry
Education
Old Dominion University 1984 — 1989
Bachelor of Science (B.S.), Education
Aetna March 2004 - Present
Education
Oregon State University 2006 — 2009
Bachelors of Arts, Psychology
Fallon Health October 2012 - Present
Aetna March 2010 - October 2012
MassMutual Financial Group July 2008 - March 2010
ING September 2006 - July 2008
CIGNA Healthcare April 2002 - September 2006
Aetna November 2001 - April 2002
Capgemini August 2000 - October 2001
Education
Oklahoma State University 1998 — 2000
Master of Science (MS)
Sathyabama Engg College 1993 — 1997
Bachelor of Engineering (BE), Mechanical Engineering
Miyabi Corporation May 2012 - January 2013
Aetna July 2010 - April 2012
Mitsukoshi U.S.A. March 2006 - June 2010
Hilton Osaka December 2003 - March 2005
Skills
Certified Japanese..., Playing Piano, Playing...
Education
大阪大学 / Osaka University 2000 — 2004
Central and Northern European Studies, Bachelor of Arts (B.A.)
Aetna
Skills
Utilization Management, Psychotherapy, Mental Health Counseling, Hypnotherapy, Cognitive Behavioral..., Reiki, Managed Care
Education
Ottawa University-Phoenix
Master of Arts (MA), Counseling Psychology
Aetna December 2011 - 2014
Aetna 2007 - 2011
Skills
Insurance, Management, Leadership, Medicaid Managed Care, Strategic Planning, Team Building, Sales Management, Account Management, Financial Analysis, National Account..., Microsoft Office, Customer Service, Health Insurance, Marketing, Healthcare
Education
Old Dominion University 1984 — 1988
B.S Business
Aetna July 2014 - Present
Hamilton County ESC 2013 - June 2014
Education
Ohio University
Bachelor's Degree, Registered Nursing/Registered Nurse
Aetna 1995 - Present
McDonald's Corporation 1988 - 1994
Skills
Requirements Analysis, Testing, Project Management, Process Improvement, Integration, Web Services, Visio, Vendor Management, Solution Architecture, Leadership, Business Analysis, Customer Service, Strategic Planning, Team Building, Call Centers, Microsoft Office, Training, Troubleshooting, Management
Education
Ohio University 1990 — 1995
Bachelor of Science (BS), Communication Management
Aetna January 2013 - Present
Abington Memorial Hospital August 2009 - August 2013
Aria Health September 2007 - August 2009
Skills
Critical Care, Emergency Nursing, Case Managment, Utilization Management
Education
Thomas Jefferson University 2005 — 2007
Associate of Science (A.S.), Nursing
Ohio University
Bachelor's degree, Nursing
Aetna February 2013 - Present
Aetna July 2002 - Present
Cleveland Clinic July 2000 - June 2002
The MetroHealth System (Cleveland, OH) October 1998 - March 2000
Skills
Certified Case Manager, Bachelor of Science in..., Clinical Research, Case Management, Ambulatory, Healthcare, Nursing, HIPAA, Disease Management, Hospitals, Medicare, Managed Care, Acute Care, Patient Safety
Education
Ohio University 2012 — 2014
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Fairview Hospital School of Nursing 1988 — 1990
Diploma, Registered Nursing/Registered Nurse
Aetna November 2010 - Present
Aetna November 2006 - November 2010
Aetna September 2000 - November 2006
Starbucks April 2000 - September 2000
Buca di Beppo May 1999 - July 2000
Skills
Customer Service, Microsoft Excel, Microsoft Office, Health Insurance, Data Entry, Leadership, Training, Teamwork, Outlook, Insurance, Call Centers, Claim, Process Improvement, Team Building, Public Speaking, Strategic Planning, Telephone Skills, Project Management, HIPAA, Research, Business Analysis, Program Management, Software Documentation
Education
Ohio University 1997 — 1998
Pickerington High School 1993 — 1997
High School Diploma