Aetna Behavioral Health
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Aetna Behavioral Health Employees
Aetna Behavioral Health July 2005 - July 2015
Horizon Health January 2001 - July 2005
Skills
Healthcare, Social Services, Project Execution, Mental Health Counseling, Group Therapy, Psychology, Life Coaching, Interdisciplinary..., Quality Management, Quality Auditing, Report Writing, Psychological Assessment, Risk Assessment, Project Management, Case Managment, Mental Health, Utilization Management, Behavioral Health, Provider Relations, Psychotherapy, Program Development, Motivational..., Health Policy, Crisis Intervention, Health Insurance, Healthcare Management, Interventions, Medicare, Managed Care, Treatment, Clinical Research, Disease Management, HIPAA, Medicaid, Clinical Supervision, Hospitals, Case Management, Patient Advocacy, Employee Benefits, HMO, Customer Service, Process Improvement, Training
Education
Temple University 1994 — 1996
MSW, Social Work
Framingham State College 1990 — 1993
BA, Psychology and English
Lumeris September 2014 - Present
Aetna 2010 - 2014
Aetna 2008 - 2010
Aetna Behavioral Health 2006 - 2008
Magellan Behavioral Health 1998 - 2005
UMDNJ 1998 - 2000
Skills
Instructional Design, Performance Consulting, Clinical Supervision, Training Delivery, Curriculum Design, Compliance, Motivational..., Healthcare, Performance Management, Training, Healthcare Management, Behavioral Health, Case Managment, Coaching, Employee Benefits, Leadership Development, Health Insurance, Leadership, Community Outreach, Medicare, Conflict Resolution, Managed Care, Disease Management, Utilization Management, Hospitals, HIPAA, Psychotherapy, Program Development, Healthcare Information..., Quality Improvement, Insurance, Strategy, Provider Relations, Policy, Workshop Facilitation, Performance Improvement, Healthcare Consulting, Program Management, Physicians, Management Consulting, EAP, Management, Organizational..., Healthcare Industry, Executive Coaching, Change Management, Culture Change, Employee Engagement, Process Improvement, Case Management
Education
Drexel University - College of Business and Administration 2012 — 2014
MBA, Healthcare Management
Rutgers, The State University of New Jersey-New Brunswick
MSW, Social Work - Administration, Policy & Planning
Rutgers, The State University of New Jersey-New Brunswick
BSW, Social Work - Clinical
East High School August 2014 - Present
Utah Retirement Systems June 2012 - Present
Send Out Cards April 2012 - June 2012
TD Ameritrade 2010 - 2012
Investools January 2008 - October 2010
Aetna Behavioral Health June 2007 - October 2010
Skills
PowerPoint, Research, Photoshop, Teaching, Customer Retention, Call Center, Public Speaking, Process Improvement, Sales, Leadership, Team Building, Management, Team Leadership, Time Management, Training, Business Development, Coaching, Customer Service, Strategic Planning
Education
University of Utah 2000 — 2003
Bachelor of Science (B.S.), Human Development & Family Studies
Los Angeles Harbor College 1999 — 2000
Associates of Art, General Studies
eBay Inc January 2013 - Present
eBay, Inc March 2012 - Present
eBay, Inc. October 2005 - Present
eBay, Inc July 1999 - Present
Aetna/Magellan Behavior Health contract January 1995 - January 1999
Aetna Behavioral Health January 1993 - January 1995
Choctaw Nation Health Authority March 1986 - October 1988
Skills
Lexis Nexis research, Internet Fraud research, Billing Systems, Fraud Prevention, Fraud Investigations, Fraud, Data Analysis, People Management, Banking, SAS, Online Fraud, Customer Experience, Financial Analysis, Payment Card Processing, E-commerce, KYC, Online Advertising, Data Entry, Credit Cards, Payments, CRM, AML, Social Media, Analytics, Quality Assurance, Leadership, Process Improvement, Training, Forecasting, Teamwork, Marketing, Management, Account Management, Competitive Analysis, Financial Risk, Databases, Business Development, Team Building, Analysis, Policy, Fraud Detection, Cross-functional Team..., Customer Satisfaction, E-payments, Call Center, Team Leadership, Outlook, Customer Service, Vendor Management, Call Centers
Education
ITT Technical Institute-Murray 2010 — 2012
Associate, Criminal Justice
Texas College of Medical and Dental Careers 1984 — 1985
Dental Assistant, Dental Assisting
Eastern Oklahoma State College 1982 — 1984
Brigham Young University 1981 — 1984
Hewlett-Packard September 2013 - Present
BioClinica June 2007 - September 2011
Aetna Behavioral Health April 1998 - June 2006
WILLIAM MORROW & CO January 1990 - January 1993
William Morrow &Co. May 1990 - May 1991
Skills
Access, Some SQL Query Language, Crystal Reporting, PowerPoint, Outlook, Excel, Word, Visio, Requirements Analysis, Project Planning, Data Management, Technical Writing, Pharmaceutical Industry, Medical Devices, Clinical Trials, Healthcare Information..., Account Management, Requirements Gathering, Business Process, Microsoft Office, Database Administration, Cross-functional Team..., Healthcare, Customer Service, SharePoint, Document Management, Program Management, Microsoft Excel, Business Analysis, Information Management, Insurance, Software Project..., Software Documentation, Quality Assurance, Crystal Reports, Vendor Management, Training, Process Improvement, Microsoft Word, Databases, Business Intelligence, Product Management, HTML, MS Project, Windows, Analysis, SDLC, Data Analysis, Project Management, Change Management
Education
Lutheran Theological Seminary at Philadelphia 1993 — 1997
Master of Divinity, Theology, 3.8
Upsala College 1981 — 1986
B.A., English
Intermountain Homecare February 1998 - July 2014
Aetna Behavioral Health March 2006 - March 2011
Intermountain Healthcare 1998 - 2011
USSWLHC 1999 - 2009
Intermountain Healthcare February 1998 - February 2004
Community Nursing Services August 1994 - January 1998
Skills
Crisis Intervention, Mental Health, Grant Writing, Social Services, Adolescents, Psychotherapy, Treatment, Mental Health Counseling, Training, Case Managment, Home Care, Family Therapy, Program Development, Case Management, Therapists, Group Therapy, Psychology, Grief Counseling, Medical Social Work
Education
Yeshiva University 1985 — 1987
MSW, Social Casework
Texas Tech University 1965 — 1971
BA, Theatre Arts
Hockaday School 1961 — 1965
Preparatory School Diploma
Aetna Behavioral Health March 2015 - Present
Aetna Behavioral Health April 2012 - March 2015
National Accounting & Management LLC May 2008 - March 2012
Medical Interventions of Central Florida May 2010 - December 2010
Cleartel Communications June 2006 - March 2008
Skills
Microsoft Excel, Spanish, Payroll, Outlook, Research, QuickBooks, Microsoft Word, File Management, PowerPoint, Process Scheduler, Data Analysis, Customer Service, Health Insurance, Windows, Administrative..., Office Administration, Human Resources, Management, Access, Administrative...
Education
University of Central Florida 2011 — 2014
Masters, Health Services Administration
University of Central Florida 2004 — 2008
Bachelor of Science, Health Sciences Pre-Clinical Allied Health
University of Central Florida 2004 — 2008
Bachelor of Science, Health Services Administration
Aetna Behavioral Health October 2000 - Present
Magellan Health Services June 1997 - October 2000
Skills
Mental Health, Human Resources, Case Managment, Healthcare, Employee Benefits, Behavioral Health, HMO, Managed Care, Health Insurance, Public Speaking
Education
Temple University - Fox School of Business and Management 1991 — 1995
Master of Business Administration (MBA), Health/Health Care Administration/Management
Temple University 1984 — 1988
Bachelor of Arts (B.A.), Psychology
Cottonwood Treatment Center April 2013 - Present
Odyssey Charter School October 2011 - Present
Self employed March 2000 - Present
Legacy Preparatory Academy Elemetary August 2012 - April 2013
Salt Lake Behavioral Health May 2011 - April 2013
Salt Lake Behavioral Health May 2011 - October 2011
Aetna Behavioral Health January 2006 - November 2010
Magellan Behavioral Health March 2001 - December 2005
BENCHMARK BEHAVIORAL HEALTH January 1995 - January 2001
Skills
English, Social Sciences, Behavioral Health, Group Therapy, Family Therapy, Crisis Intervention, Psychotherapy, Therapists, Public Speaking, Microsoft Office, Psychology, Treatment, Clinical Research
Education
University of Phoenix, Salt Lake Campus
Masters; endorsements, Counseling; Guidance Counseling, Social Sciences; English. CACTUS; 11640
Weber State University 1997 — 1999
Endorsement in Special Education and Comprehensive Guidance and Counseling, Education, 4.0
University of Arkansas
Masters of Education, curriculum and instruction
University of Arkansas 1991 — 1992
Teacher Certification, Secondary
California State University-San Bernardino 1989 — 1991
Bachelor of Arts, Social Science
California State University
B.A, Social Science
ActiveHealth Management- Aetna 2012 - Present
National Care Management- Aetna 2009 - 2012
Aetna Behavioral Health 2006 - 2009
Magellan Health Services 1998 - 2005
Magellan Health Services 1996 - 1998
Magellan Health Services 1994 - 1996
Human Affairs International 1988 - 1994
Institute of Living 1987 - 1988
Rutgers Community Health Plan 1985 - 1987
New Bedford Area Center for Human Services 1984 - 1985
Skills
Managed Care, Healthcare, Health Insurance, Healthcare Management, Process Improvement, Program Management, Leadership, Disease Management
Education
Rhode Island College
Syracuse University
University of Utah
MBA Candidate
Aloha Behavioral Consultants, Inc. January 2006 - Present
Aetna Behavioral Health July 2003 - August 2006
Skills
Adolescents, Group Therapy, Mental Health, Case Management, Clinical Research, Treatment, Interventions, Therapists, Public Speaking, Life Transitions, Social Services, Leadership, Leadership Development, Healthcare
Education
University of Hawaii at Manoa 1994 — 1995
Master of Social Work (MSW)
Weber State University 1987 — 1992
BS in Sociology and Social Work
Aetna Behavioral Health November 2012 - Present
Austin Travis County Integral Care August 2007 - August 2012
San Marcos Treatment Center April 2004 - July 2007
St. John’s Episcopal Hospital, Community Mental Health Center September 1999 - October 2003
St. John’s Episcopal Hospital, Ocean House Adult Home August 1998 - September 1999
Bellmore-Merrick School District @ Merrick Avenue Junior High School, August 1997 - June 1998
Nassau County Department of Social Services, Adult Foster Homes Unit, September 1995 - May 1996
Skills
CBT, Social Services, Inpatient, Behavioral Health, Group Therapy, Crisis Intervention, Case Management, Mental Health, Clinical Supervision, Cognitive Behavioral..., Clinical Research, Texas State Licensed..., Texas Board Approved..., Sixteen years..., Mental Health Counseling, Psychotherapy, Adolescents, Family Therapy
Education
Adelphi University 1995 — 1998
Master of, Social Work
State University of New York at Stony Brook 1992 — 1994
Bachelor of Arts (B.A.), Psychology
Employee Assistance Research Foundation April 2011 - April 2014
Mensante LLC November 2012 - February 2014
Optum Behavioral Health August 2011 - December 2012
Aetna Behavioral Health November 2006 - July 2011
Integrated Human Solutions, Inc February 2000 - November 2006
Federal Occupational Health (FOH) 2000 - 2006
Mobil Oil 1989 - 2000
Skills
Plannning, Leadership Development, Team Leadership, Human Resources, Risk Management, Quality Assurance, Behavioral Health, Change Management, Healthcare, EAP, Program Management, Management, Mental Health, Strategy, Organizational..., Strategic Planning, Leadership, Training, Managed Care, Mergers & Acquisitions, Psychotherapy, Employee Benefits, Entrepreneurship, Coaching, Budgets, Vendor Management, Team Building, Conflict Resolution, Workshop Facilitation, Crisis Management, Program Development, Executive Management, Integration, Management Consulting, Executive Coaching, Strategic Thinking, Competitive Analysis, Consulting, Project Planning, Organizational Design, Nonprofits, Employee Training, Operations Management, Disease Management, Project Management, Process Improvement, Sales, Organizational..., Performance Management, Policy
Education
Nova Southeastern University 2002 — 2007
Ed.D.
Wayne State University 1979 — 1981
MA
University of Michigan-Dearborn 1970 — 1974
BA
Adoption ARC May 2010 - March 2012
Aetna Behavioral Health August 2006 - August 2008
Greater Philadelphia Health Action, Inc. 2001 - 2006
Skills
Mental Health, Public Speaking, Customer Service, Healthcare, Microsoft Office
Education
Saint Joseph's University 2004 — 2008
Master of Science (M.S.), Health Education?Health Administration
University of Pittsburgh 1995 — 1999
Bachelor of Science (BS), Psychology
Aetna Behavioral Health November 2013 - Present
Health Advocate October 2012 - November 2013
ComPsych August 2007 - October 2012
Esis, Inc. March 2003 - August 2007
Kemper Insurance June 2001 - March 2003
Skills
Account Management, Employee Benefits, Insurance, Strategic Planning, Sales, Customer Service, Healthcare, Public Speaking, Event Planning, Social Media, Marketing, Benefits Administration, Onboarding, Salesforce.com, Health Insurance, Strategic Partnerships, Claim, Leadership, Recruiting, Training, Managed Care
Education
Monmouth College 1997 — 2001
BA, English
Saint Xavier University 2002 — 2005
MBA, Management
Saint Xavier University 2002 — 2005
MPH, Public Health
Aetna Behavioral Health November 2003 - Present
Schaller Anderson, Inc. November 2003 - June 2008
CIGNA Behavioral Health 1991 - 1999
Education
Arizona State University 1986 — 1987
Connecticut College July 2012 - Present
American Psychological Association 1999 - Present
Yale University School of Medicine July 2011 - June 2012
University of Missouri July 2009 - June 2011
University of Missouri's Green Meadows Adult Psychiatry Clinic August 2007 - July 2009
University of Missouri's Wellness Resource Center August 2006 - August 2007
Aetna Behavioral Health January 2006 - July 2006
Magellan Behavioral Health September 2000 - December 2005
Central Utah Counseling Center March 1997 - August 2000
Salt Lake Community College September 1995 - March 1997
Skills
Psychotherapy, Multicultural, Substance Abuse, Mental Health, Advocacy, Higher Education, Training & Development, Counseling, Masculinity, Research, Behavioral Health, Therapists, Adolescents, Group Therapy, Family Therapy, Crisis Intervention, Psychological Assessment, CBT, Motivational..., Addiction Recovery, College Teaching, Program Evaluation, Health Psychology, Counseling Psychology, Treatment, Clinical Psychology
Education
University of Missouri-Columbia 2006 — 2013
PhD
Brigham Young University 1987 — 1990
M.S.
American University of Beirut 1983 — 1987
B.A.
Aetna Behavioral Health Negotiation of contracts for small and large behavioral health groups and hospitals. Recruitment of behavioral health groups and hospitals for both commercial and government products. Data analysis for both quality and risk management and development of remediation plans$
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, Project Management, Strategic Planning, PowerPoint, Property & Casualty..., Risk Management, Health Insurance, Business Analysis, Commercial Insurance, General Insurance
Education
East Stroudsburg University of Pennsylvania
Bachelor of Science (BS), Special Education and Teaching
East Stroudsburg University of Pennsylvania
Bachelor's degree, Political Science and Government
Northampton Community College
Associate's degree, Nursing
Aetna Behavioral Health May 2014 - Present
The Ohio State University Wexner Medical Center May 2004 - May 2014
The Buckeye Ranch May 1999 - May 2004
The Woods at Parkside March 1998 - May 1999
Skills
Crisis Intervention, Mental Health Counseling, Clinical Research, Mental Health, Group Therapy, Case Management, Behavioral Health, Psychotherapy, Program Development, Public Speaking
Education
Rutgers University-New Brunswick 1994 — 1997
Masters of Social Work, Clinical/Medical Social Work, 4.0
Thomas M. Cooley Law School 1991 — 1992
did not graduate, Juris Doctorate
Purdue University 1987 — 1990
Bachelor of Arts (B.A.), Law and Society, 5.8/6.0
Veteran owned & operated January 2015 - Present
United States Army Reserve January 1986 - Present
Department of Human Services December 2008 - January 2015
Community Behavioral Health August 2007 - December 2008
Aetna Behavioral Health August 2006 - August 2007
Georgia State Prison July 2004 - April 2005
Skills
Strategic Planning, Healthcare, Psychology, Leadership Development, Community Outreach, Policy, Behavioral Health, Research, Military, Customer Service, PowerPoint, Teaching, Defense, Team Leadership, Post Traumatic Stress, Program Development, Program Management, Leadership, Army, Public Speaking, Nonprofits, Security Clearance, Management, Government, Microsoft Office
Education
City University of New York-John Jay College of Criminal Justice 2001 — 2003
M.A., Forensic Psychology
Michigan State University 1987 — 1993
B.S., Chemical Engineering
Aetna Behavioral Health care managerAetna2001 - 2009
Education
University of Phoenix 1997 — 2000
M.C., Counseling
University of Arkansas 1991 — 1994
M.Ed, Curriculum and Instruction, English
UHS November 2014 - Present
SecurityMetrics October 2011 - Present
SecurityMetrics October 2010 - October 2011
Frontline Services 2008 - 2009
Aetna Behavioral Health 2007 - 2009
Utah Army National Guard 2001 - 2009
Maria Droste Services 2005 - 2006
Broadway Youth Shelter 2004 - 2005
Skills
Mental Health Counseling, Crisis Intervention, Somatic Psychology, DBT, Dance/Movement Therapy, Attachment Theory, Post Traumatic Stress, Expressive Arts Therapy, Play Therapy, EEG/Neurotherapy, Sand Tray, Somatics, developmental movement, Vulnerability Assessment, Computer Security, Computer Forensics, PCI DSS, Network Security, Security, Information Security..., Data Security, Firewalls
Education
Utah Valley University
Bachelor of Arts (B.A.), Behavioral Sciences
Naropa University
Master of Arts (M.A.), Somatic Counseling Psychology
Discover Bank January 2009 - Present
Aetna Behavioral Health September 2006 - October 2008
Zions First National Bank May 2004 - August 2006
Skills
Bilingual Spanish -..., Customer Service, Interpersonal..., Enjoy Working with..., Teamwork
Education
Eastern Oregon University 1991 — 1998
Bachelor of Arts (B.A.), Sociology and Anthropology