Aetna Better Health
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Aetna Better Health Employees
Employee
Years
Job
Industry
Natalie Howard-Smith Natalie Howard-Smith's Aetna Better Health Experience August 2014 - Present
Job Case Manager Coordinator at Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health August 2014 - Present
Centers For New Horizons 2011 - Present
YMCA April 2010 - December 2010
Ada S. McKinley Community Services, Inc October 2008 - March 2010
Skills
Teaching, Customer Service, Team Building, Team Leadership, Motivated self-starter, Caring, Social Services, Crisis Intervention, Case Managment, Research, Management, Mental Health, Program Development, Data Entry, Nonprofits, Volunteer Management, Conflict Resolution, Case Management, Community Outreach, Public Speaking
Education
University of Phoenix 2012 — 2014
Master of Business Administration (M.B.A.), Human Resources Management/Personnel Administration, General
Southern Illinois University, Carbondale 2004 — 2006
Bachelor's degree, Early Childhood Education/Child and Family Services
Aetna Better Health August 2014 - Present
Centers For New Horizons 2011 - Present
YMCA April 2010 - December 2010
Ada S. McKinley Community Services, Inc October 2008 - March 2010
Skills
Teaching, Customer Service, Team Building, Team Leadership, Motivated self-starter, Caring, Social Services, Crisis Intervention, Case Managment, Research, Management, Mental Health, Program Development, Data Entry, Nonprofits, Volunteer Management, Conflict Resolution, Case Management, Community Outreach, Public Speaking
Education
University of Phoenix 2012 — 2014
Master of Business Administration (M.B.A.), Human Resources Management/Personnel Administration, General
Southern Illinois University, Carbondale 2004 — 2006
Bachelor's degree, Early Childhood Education/Child and Family Services
Jenny Houng, BSN Jenny Houng, BSN's Aetna Better Health Experience December 2013 - Present
Job Clinical Care Manager at Aetna
Industry Hospital & Health Care
Experience
Aetna Better Health December 2013 - Present
Access Staffing June 2013 - November 2013
Blue Leaf Group November 2012 - June 2013
Skills
MLTC, Home Care, Public Health, Healthcare Management, Nursing Homes, EMR, Nursing, Healthcare, BCLS, Disease Management, Nursing Education, Patient Advocacy, Registered Nurses, Health Education, HIPAA, Utilization Management, Medication..., Medicaid, Medicare
Education
Kaplan University 2013 — 2014
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Nassau Community College 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse
Aetna Better Health December 2013 - Present
Access Staffing June 2013 - November 2013
Blue Leaf Group November 2012 - June 2013
Skills
MLTC, Home Care, Public Health, Healthcare Management, Nursing Homes, EMR, Nursing, Healthcare, BCLS, Disease Management, Nursing Education, Patient Advocacy, Registered Nurses, Health Education, HIPAA, Utilization Management, Medication..., Medicaid, Medicare
Education
Kaplan University 2013 — 2014
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Nassau Community College 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse
Bruce Himelstein Bruce Himelstein's Aetna Better Health Experience June 2015 - Present
Job Illinois Chief Medical Officer, Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health June 2015 - Present
WellCare Health Plans April 2014 - June 2015
WellCare October 2013 - April 2014
Chapters Health System August 2012 - October 2013
Managed Health Services - Centene Corporation January 2010 - July 2011
Wheaton Franciscan Healthcare 2008 - 2010
Wheaton Franciscan Healthcare 2007 - 2010
Shafi Medical Center 2006 - 2007
VNA Hospice of Greater Milwaukee 2002 - 2006
Children's Hospital of Wisconsin 2001 - 2006
Skills
Healthcare Management, Healthcare, Hospitals, Pediatrics, EMR, Managed Care, Inpatient, HIPAA, Palliative Care, Medicare, Utilization Management, Patient Safety, Critical Care, EHR, Acute Care, Nursing, Utilization Review, Nursing Education, Medical/Surgical, Hospice, Medicaid Managed Care, Medicare/Medicaid..., Leadership, Strategic Planning, Clinical Research, Healthcare Information..., Quality Improvement
Education
University of South Florida
Executive MBA
New York University School of Medicine 1983 — 1987
Doctor of Medicine (MD)
Harvard University 1979 — 1983
Bachelor's degree, Chemistry, Cum Laude
Aetna Better Health June 2015 - Present
WellCare Health Plans April 2014 - June 2015
WellCare October 2013 - April 2014
Chapters Health System August 2012 - October 2013
Managed Health Services - Centene Corporation January 2010 - July 2011
Wheaton Franciscan Healthcare 2008 - 2010
Wheaton Franciscan Healthcare 2007 - 2010
Shafi Medical Center 2006 - 2007
VNA Hospice of Greater Milwaukee 2002 - 2006
Children's Hospital of Wisconsin 2001 - 2006
Skills
Healthcare Management, Healthcare, Hospitals, Pediatrics, EMR, Managed Care, Inpatient, HIPAA, Palliative Care, Medicare, Utilization Management, Patient Safety, Critical Care, EHR, Acute Care, Nursing, Utilization Review, Nursing Education, Medical/Surgical, Hospice, Medicaid Managed Care, Medicare/Medicaid..., Leadership, Strategic Planning, Clinical Research, Healthcare Information..., Quality Improvement
Education
University of South Florida
Executive MBA
New York University School of Medicine 1983 — 1987
Doctor of Medicine (MD)
Harvard University 1979 — 1983
Bachelor's degree, Chemistry, Cum Laude
Susan (Hakala) Strange Susan (Hakala) Strange's Aetna Better Health Experience March 2011 - Present
Job CSADC, ICCS, LCSW Behavioral Health Professional. Licensed Real Estate Managing Broker
Industry Mental Health Care
Experience
Aetna Better Health March 2011 - Present
Susan M Strange 2012 - Present
Anchor Staffing February 2008 - March 2011
Coldwell Banker Residential Brokerage November 2003 - January 2009
University of Phoenix November 2007 - February 2008
Coldwater Creek 2007 - 2007
Coldwater Creek 2007 - 2007
Celebration Bowling At Libertyville Lanes July 1999 - May 2003
ValueOptions June 1989 - July 1999
Comprehensive Care Corporation 1983 - 1986
Skills
Utilization Management, Behavioral Health, Motivational..., Psychotherapy, Social Services, Policy, Mental Health Counseling, Group Therapy, Program Development, Leadership, Crisis Intervention, Research, Leadership Development, Medicare, CBT, Fundraising, Healthcare, Adolescents, Higher Education, Counseling Psychology, Coaching, Healthcare Management, Home Care, Hospitals, Process Improvement, Clinical Research, Management, Provider Relations, Health Policy, Treatment, Staff Development, Program Management
Education
California Southern University 2011 — 2015
PsyD Candidate, Industrial/Organizational Psychology
University of Wisconsin-Milwaukee 1979 — 1980
Masters, Social Work
Northern Illinois University 1974 — 1977
Bachelors, Sociology
Aetna Better Health March 2011 - Present
Susan M Strange 2012 - Present
Anchor Staffing February 2008 - March 2011
Coldwell Banker Residential Brokerage November 2003 - January 2009
University of Phoenix November 2007 - February 2008
Coldwater Creek 2007 - 2007
Coldwater Creek 2007 - 2007
Celebration Bowling At Libertyville Lanes July 1999 - May 2003
ValueOptions June 1989 - July 1999
Comprehensive Care Corporation 1983 - 1986
Skills
Utilization Management, Behavioral Health, Motivational..., Psychotherapy, Social Services, Policy, Mental Health Counseling, Group Therapy, Program Development, Leadership, Crisis Intervention, Research, Leadership Development, Medicare, CBT, Fundraising, Healthcare, Adolescents, Higher Education, Counseling Psychology, Coaching, Healthcare Management, Home Care, Hospitals, Process Improvement, Clinical Research, Management, Provider Relations, Health Policy, Treatment, Staff Development, Program Management
Education
California Southern University 2011 — 2015
PsyD Candidate, Industrial/Organizational Psychology
University of Wisconsin-Milwaukee 1979 — 1980
Masters, Social Work
Northern Illinois University 1974 — 1977
Bachelors, Sociology
Kirsten K. Lavin, LCSW Kirsten K. Lavin, LCSW's Aetna Better Health Experience December 2011 - July 2013
Job Medical Social Worker
Industry Hospital & Health Care
Experience
Advocate Lutheran General Hospital July 2013 - Present
Advocate Lutheran General Hospital March 2013 - July 2013
Aetna Better Health December 2011 - July 2013
Aetna Better Health July 2011 - February 2012
Maricopa Integrated Health System September 2007 - April 2011
Value Options October 2004 - September 2007
Midtown Community Mental Health Center January 2003 - September 2004
Beacon of Hope Hospice November 2000 - May 2002
Northwest Health Care Center September 1999 - April 2000
The Abington of Glenview January 1998 - September 1999
Skills
Case Management Services, Patient Advocacy, Strong interpersonal..., Strong documentation..., Mental Health Counseling, Knowledge of community..., Managed Care, Case Managment, Treatment, Crisis Intervention, Psychotherapy, Grief Counseling, Medical Social Work, Healthcare, Mental Health, Clinical Research, Medicaid, Hospitals, Medicare, Behavioral Health, Case Management, Elder Care, Utilization Management
Education
University of Illinois at Urbana-Champaign 1997 — 1999
Masters Degree, Social Work
Winona State University 1993 — 1997
Bachelors Degree, Social Work
Resurrection High School 1989 — 1993
High School
Advocate Lutheran General Hospital July 2013 - Present
Advocate Lutheran General Hospital March 2013 - July 2013
Aetna Better Health December 2011 - July 2013
Aetna Better Health July 2011 - February 2012
Maricopa Integrated Health System September 2007 - April 2011
Value Options October 2004 - September 2007
Midtown Community Mental Health Center January 2003 - September 2004
Beacon of Hope Hospice November 2000 - May 2002
Northwest Health Care Center September 1999 - April 2000
The Abington of Glenview January 1998 - September 1999
Skills
Case Management Services, Patient Advocacy, Strong interpersonal..., Strong documentation..., Mental Health Counseling, Knowledge of community..., Managed Care, Case Managment, Treatment, Crisis Intervention, Psychotherapy, Grief Counseling, Medical Social Work, Healthcare, Mental Health, Clinical Research, Medicaid, Hospitals, Medicare, Behavioral Health, Case Management, Elder Care, Utilization Management
Education
University of Illinois at Urbana-Champaign 1997 — 1999
Masters Degree, Social Work
Winona State University 1993 — 1997
Bachelors Degree, Social Work
Resurrection High School 1989 — 1993
High School
Kim Pestour, RN, MS's Aetna Better Health Experience April 2014 - August 2014
Job Performance Improvement / Medical Review Unit Manager @ Catholic Home Care
Industry Hospital & Health Care
Experience
Catholic Home Care June 2015 - Present
Peconic Bay Medical Center and Health System August 2014 - June 2015
Aetna Better Health April 2014 - August 2014
Aetna Better Health July 2013 - April 2014
Lutheran Long Term Home Health Care Program February 2004 - July 2013
Our Lady of Consolation LTHHCP January 1999 - February 2004
Skills
Home Care, Healthcare Management, Nursing, Healthcare, Hospitals, Wound Care, Managed Care, Disease Management, Medicare, Medicaid, Patient Advocacy, Patient Safety, EMR, Nursing Education, Nursing Management, Telehealth..., Legal Nurse Consulting..., Software Documentation, Clinical Research
Education
Bellevue University 2003 — 2005
MSHA, Health Care Administration, 4.0
Adelphi University 1980 — 1983
BS, Nursing
Catholic Home Care June 2015 - Present
Peconic Bay Medical Center and Health System August 2014 - June 2015
Aetna Better Health April 2014 - August 2014
Aetna Better Health July 2013 - April 2014
Lutheran Long Term Home Health Care Program February 2004 - July 2013
Our Lady of Consolation LTHHCP January 1999 - February 2004
Skills
Home Care, Healthcare Management, Nursing, Healthcare, Hospitals, Wound Care, Managed Care, Disease Management, Medicare, Medicaid, Patient Advocacy, Patient Safety, EMR, Nursing Education, Nursing Management, Telehealth..., Legal Nurse Consulting..., Software Documentation, Clinical Research
Education
Bellevue University 2003 — 2005
MSHA, Health Care Administration, 4.0
Adelphi University 1980 — 1983
BS, Nursing
Samantha Pollick Samantha Pollick's Aetna Better Health Experience June 2012 - August 2012
Job Client Relationship Specialist at Vanguard
Industry Financial Services
Experience
Vanguard June 2013 - Present
Bowers Advisory Group, LLC September 2012 - May 2013
Aetna Better Health June 2012 - August 2012
Norristown Municipal Authority May 2010 - January 2012
All Things Bridal February 2009 - January 2012
Emil's Restaurant August 2005 - August 2009
Skills
Excel, Word, Microsoft Office, Customer Relations, Customer Service, Administration, Retail, Microsoft Excel, System Administration, Microsoft Word, Time Management, Finance, PowerPoint, Sales, Analysis, Event Planning, Access, CRM, Teamwork
Education
Shippensburg University of Pennsylvania 2009 — 2013
AACSB Bachelor of Science (BS), Finance and Personal Finance Planning
University of Reading 2010 — 2011
Bachelor of Science, International Business
Vanguard June 2013 - Present
Bowers Advisory Group, LLC September 2012 - May 2013
Aetna Better Health June 2012 - August 2012
Norristown Municipal Authority May 2010 - January 2012
All Things Bridal February 2009 - January 2012
Emil's Restaurant August 2005 - August 2009
Skills
Excel, Word, Microsoft Office, Customer Relations, Customer Service, Administration, Retail, Microsoft Excel, System Administration, Microsoft Word, Time Management, Finance, PowerPoint, Sales, Analysis, Event Planning, Access, CRM, Teamwork
Education
Shippensburg University of Pennsylvania 2009 — 2013
AACSB Bachelor of Science (BS), Finance and Personal Finance Planning
University of Reading 2010 — 2011
Bachelor of Science, International Business
Edgar Narvaez Edgar Narvaez's Aetna Better Health Experience February 2012 - Present
Job Client Service Advisor / Transportation Coordinator at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health February 2012 - Present
local 32 BJ Funds 2005 - 2008
Skills
Health Insurance, Insurance, Training, Customer Service, Data Entry, Policy, Claims Management, Medicaid Managed Care, Call Centers, Start-ups, General Insurance, Employee Benefits, Benefits Administration, Underwriting, Claim, Brokers, Software Documentation, Outlook, Medicaid, Microsoft Excel, Healthcare, Leadership, Management
Education
Mercy College
Aetna Better Health February 2012 - Present
local 32 BJ Funds 2005 - 2008
Skills
Health Insurance, Insurance, Training, Customer Service, Data Entry, Policy, Claims Management, Medicaid Managed Care, Call Centers, Start-ups, General Insurance, Employee Benefits, Benefits Administration, Underwriting, Claim, Brokers, Software Documentation, Outlook, Medicaid, Microsoft Excel, Healthcare, Leadership, Management
Education
Mercy College
Kathryn Biang Kathryn Biang's Aetna Better Health Experience July 2014 - Present
Job Case Management Coordinator at Aetna Better Health of Illinois
Industry Health, Wellness and Fitness
Experience
Aetna Better Health July 2014 - Present
Catholic Charities Chicago January 2014 - July 2014
Nicasa September 2013 - January 2014
Camp Jorn YMCA June 2006 - August 2012
Waukegan Park District September 2007 - August 2009
Skills
Public Health, Health Education, Public Speaking, Nutrition, Community Health, Nutrition Education, Health Promotion, Grant Writing, Microsoft Excel
Education
Northern Michigan University 2008 — 2013
B.S., Community Health Education
Aetna Better Health July 2014 - Present
Catholic Charities Chicago January 2014 - July 2014
Nicasa September 2013 - January 2014
Camp Jorn YMCA June 2006 - August 2012
Waukegan Park District September 2007 - August 2009
Skills
Public Health, Health Education, Public Speaking, Nutrition, Community Health, Nutrition Education, Health Promotion, Grant Writing, Microsoft Excel
Education
Northern Michigan University 2008 — 2013
B.S., Community Health Education
Elizabeth Malczon Elizabeth Malczon's Aetna Better Health Experience December 2008 - April 2010
Job Case Management Nurse at Middlesex Hospital
Industry Hospital & Health Care
Experience
Middlesex Hospital May 2010 - Present
Aetna Better Health December 2008 - April 2010
Middlesex Hospital January 2004 - November 2008
Skills
Patient Advocacy, Home Care, Palliative Care, Acute Care, Case Managment, Healthcare, Medical/Surgical, Inpatient, Disease Management, Critical Care, Patient Safety, Patient Education
Education
University of Scranton 1990 — 1994
BSN, Nursing
Middlesex Hospital May 2010 - Present
Aetna Better Health December 2008 - April 2010
Middlesex Hospital January 2004 - November 2008
Skills
Patient Advocacy, Home Care, Palliative Care, Acute Care, Case Managment, Healthcare, Medical/Surgical, Inpatient, Disease Management, Critical Care, Patient Safety, Patient Education
Education
University of Scranton 1990 — 1994
BSN, Nursing
Davis Loretta's Aetna Better Health Experience September 2012 - Present
Job Licensed Insurance Agent at Insphere Insurance Solutions
Industry Insurance
Experience
Insphere Insurance Solutions June 2015 - Present
AmeriLife and Health Services March 2014 - Present
Aetna Better Health September 2012 - Present
Apple November 2011 - June 2012
Micromass Communications 1998 - 2008
Skills
Licensed Life Insurance..., Quality Auditing, Data Quality, Databases, Data Modeling, Call Centers, Customer Service, Forms Development, SQL*Plus, Oracle PL/SQL..., Health Insurance, Quality Assurance, Technical Support, Data Entry, Access, Employee Benefits, Insurance, Leadership, Life Insurance, Management, Microsoft Office, Strategic Planning, Team Building
Education
Strayer University-North Carolina 2013 — 2015
Bachelor's degree, Information Technology
Burlington County College
Computer Science
Wake Technical Community College
Associate of Science (AS), Data Modeling/Warehousing and Database Administration
Insphere Insurance Solutions June 2015 - Present
AmeriLife and Health Services March 2014 - Present
Aetna Better Health September 2012 - Present
Apple November 2011 - June 2012
Micromass Communications 1998 - 2008
Skills
Licensed Life Insurance..., Quality Auditing, Data Quality, Databases, Data Modeling, Call Centers, Customer Service, Forms Development, SQL*Plus, Oracle PL/SQL..., Health Insurance, Quality Assurance, Technical Support, Data Entry, Access, Employee Benefits, Insurance, Leadership, Life Insurance, Management, Microsoft Office, Strategic Planning, Team Building
Education
Strayer University-North Carolina 2013 — 2015
Bachelor's degree, Information Technology
Burlington County College
Computer Science
Wake Technical Community College
Associate of Science (AS), Data Modeling/Warehousing and Database Administration
Judy Schumacher, CADC, LCPC Judy Schumacher, CADC, LCPC's Aetna Better Health Experience January 2014 - Present
Job Clinical Supervisor at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health January 2014 - Present
Aetna Better Health April 2011 - January 2014
Alexian Brothers Behavioral Health Hospital January 2008 - September 2009
Alexian Brothers Behavioral Health Hospital July 2004 - January 2008
The Women's Treatment Center June 2003 - September 2004
Skills
Care Management, Counseling Psychology, Substance Use Disorders, Mental Health, Assessment Skills, Crisis Management, Motivational..., Fine Art, Abstract Paintings, Figure Painting, Acrylic Painting, Oil Painting, Group Therapy, Treatment, Microsoft Office, Psychology, Healthcare Management, Managed Care, Crisis Intervention, Mental Health Counseling, Healthcare, Medicaid, Clinical Research, CBT, Psychotherapy, Adolescents, Behavioral Health, Social Services, Hospitals, Case Managment, Therapists, Case Management, Inpatient, Utilization Management, Family Therapy, Program Development
Education
Adler School of Professional Psychology 2000 — 2002
Master of Arts (M.A.), Counseling Psychology
St. Xavier University
Bachelor of Arts (B.A.), Fine/Studio Arts, General
Aetna Better Health January 2014 - Present
Aetna Better Health April 2011 - January 2014
Alexian Brothers Behavioral Health Hospital January 2008 - September 2009
Alexian Brothers Behavioral Health Hospital July 2004 - January 2008
The Women's Treatment Center June 2003 - September 2004
Skills
Care Management, Counseling Psychology, Substance Use Disorders, Mental Health, Assessment Skills, Crisis Management, Motivational..., Fine Art, Abstract Paintings, Figure Painting, Acrylic Painting, Oil Painting, Group Therapy, Treatment, Microsoft Office, Psychology, Healthcare Management, Managed Care, Crisis Intervention, Mental Health Counseling, Healthcare, Medicaid, Clinical Research, CBT, Psychotherapy, Adolescents, Behavioral Health, Social Services, Hospitals, Case Managment, Therapists, Case Management, Inpatient, Utilization Management, Family Therapy, Program Development
Education
Adler School of Professional Psychology 2000 — 2002
Master of Arts (M.A.), Counseling Psychology
St. Xavier University
Bachelor of Arts (B.A.), Fine/Studio Arts, General
Rita F. Paradis, MPH, BS, RN Rita F. Paradis, MPH, BS, RN's Aetna Better Health Experience 2008 - 2011
Job Director of Integrated Care at Clifford Beers Guidance Clinic
Industry Hospital & Health Care
Experience
Clifford Beers Guidance Clinic 2015 - Present
DaVita HealthCare Partners, Inc. 2014 - 2014
Independent 2012 - 2014
Telligen/IFMC 2011 - 2011
Aetna Better Health 2008 - 2011
Aetna 2006 - 2008
CT Technical High School System 2004 - 2005
BeneCare Dental Plans 2003 - 2004
Community Health Network of CT Inc 1999 - 2003
SCSU 1999 - 1999
Skills
Managed Care, Healthcare, Medicaid, Medicare, Health Policy, Hospitals, Healthcare Industry, Healthcare Management, Provider Relations, Credentialing, Insurance, Health Insurance, HIPAA, EHR, Healthcare Information..., Physicians, Strategy, Strategic Planning, Policy, Healthcare Consulting, Disease Management, Leadership, Quality Improvement, Revenue Cycle, Health, Non-profits, Network Development, Informatics, Health Information..., Public Relations, Government Programs, Physician Relations, Public Health, Nonprofits, Clinical Research, Process Improvement, Program Management, Health Promotion, Community Outreach, Business Development, Negotiation, Medicaid Managed Care, Health Care Reform, Provider Education, Medical Cost Containment, HMO, Patient Advocacy, Cross-functional Team..., Ambulatory, EMR
Education
SCSU 1990 — 1993
MPH, Public Health/Health Promotion
CCSU
Initial Education Certificate
Charter Oak State College
BS, Human Services/Health Studies
Massachusetts General Hospital & Harvard University
Adult Nurse Practitioner, Adult Medicine
UCONN
Certificate, Executive Managed Care
Waterbury Hospital School of Nursing
RN, Nursing
SHS
Clifford Beers Guidance Clinic 2015 - Present
DaVita HealthCare Partners, Inc. 2014 - 2014
Independent 2012 - 2014
Telligen/IFMC 2011 - 2011
Aetna Better Health 2008 - 2011
Aetna 2006 - 2008
CT Technical High School System 2004 - 2005
BeneCare Dental Plans 2003 - 2004
Community Health Network of CT Inc 1999 - 2003
SCSU 1999 - 1999
Skills
Managed Care, Healthcare, Medicaid, Medicare, Health Policy, Hospitals, Healthcare Industry, Healthcare Management, Provider Relations, Credentialing, Insurance, Health Insurance, HIPAA, EHR, Healthcare Information..., Physicians, Strategy, Strategic Planning, Policy, Healthcare Consulting, Disease Management, Leadership, Quality Improvement, Revenue Cycle, Health, Non-profits, Network Development, Informatics, Health Information..., Public Relations, Government Programs, Physician Relations, Public Health, Nonprofits, Clinical Research, Process Improvement, Program Management, Health Promotion, Community Outreach, Business Development, Negotiation, Medicaid Managed Care, Health Care Reform, Provider Education, Medical Cost Containment, HMO, Patient Advocacy, Cross-functional Team..., Ambulatory, EMR
Education
SCSU 1990 — 1993
MPH, Public Health/Health Promotion
CCSU
Initial Education Certificate
Charter Oak State College
BS, Human Services/Health Studies
Massachusetts General Hospital & Harvard University
Adult Nurse Practitioner, Adult Medicine
UCONN
Certificate, Executive Managed Care
Waterbury Hospital School of Nursing
RN, Nursing
SHS
Byrd Helen Byrd Helen's Aetna Better Health Experience July 2011 - Present
Job FUNDING SPECIALIST at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health July 2011 - Present
Education
Miller-Motte College-Raleigh 2009 — 2010
Bachelor's degree, Accounting and Finance, (:
North Carolina State University 2008 — 2009
Associate's degree, Accounting
Aetna Better Health July 2011 - Present
Education
Miller-Motte College-Raleigh 2009 — 2010
Bachelor's degree, Accounting and Finance, (:
North Carolina State University 2008 — 2009
Associate's degree, Accounting
Stephanie Warner- Caiazzo Stephanie Warner- Caiazzo's Aetna Better Health Experience February 2010 - Present
Job PA Network Manager at Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health February 2010 - Present
Magellan Health Services July 2001 - December 2009
Keystone Mercy Health Plan 1992 - July 2001
Keystone Mercy Health plan 1992 - 2001
Skills
Medicaid, Provider Relations, Hospitals, HMO, Provider Contracting, Network Development, Health Insurance, Healthcare, Credentialing, Health Plans, Contract Negotiation, Contract Management, Negotiation, Behavioral Health, Problem Solving, Claims, Managed Care, Service Provider..., Healthcare Information..., Physicians, Revenue Cycle, PPO, EHR, Healthcare Industry, Medical Billing, Utilization Management, Medicaid Managed Care, Healthcare Consulting, Disease Management, HIPAA, Physician Relations, Medicare Part D, Healthcare Management, Medical Compliance, Pharmacy Benefit..., Quality Improvement, Medicine, Practice Management, Provider Network..., Claims Management, Medical Terminology, Health Policy, Claim, Home Care, Training & Development, Strategic Communications, Revenue & Profit Growth, Strategic Planning
Education
Gwynedd Mercy University 1990 — 1991
St. Francis University 1986 — 1987
Aetna Better Health February 2010 - Present
Magellan Health Services July 2001 - December 2009
Keystone Mercy Health Plan 1992 - July 2001
Keystone Mercy Health plan 1992 - 2001
Skills
Medicaid, Provider Relations, Hospitals, HMO, Provider Contracting, Network Development, Health Insurance, Healthcare, Credentialing, Health Plans, Contract Negotiation, Contract Management, Negotiation, Behavioral Health, Problem Solving, Claims, Managed Care, Service Provider..., Healthcare Information..., Physicians, Revenue Cycle, PPO, EHR, Healthcare Industry, Medical Billing, Utilization Management, Medicaid Managed Care, Healthcare Consulting, Disease Management, HIPAA, Physician Relations, Medicare Part D, Healthcare Management, Medical Compliance, Pharmacy Benefit..., Quality Improvement, Medicine, Practice Management, Provider Network..., Claims Management, Medical Terminology, Health Policy, Claim, Home Care, Training & Development, Strategic Communications, Revenue & Profit Growth, Strategic Planning
Education
Gwynedd Mercy University 1990 — 1991
St. Francis University 1986 — 1987
Dawn Antolini Dawn Antolini's Aetna Better Health Experience July 2009 - December 2011
Job Referrals Coordinator II at AIG Health Direct Inc
Industry Insurance
Experience
Health Direct Inc December 2012 - Present
Aetna Better Health July 2009 - December 2011
Community Health Network of Connecticut October 1998 - July 2009
Skills
Data Analysis, Policy Analysis, Customer Relations, Follow-up, Setting Priorities, Corrections, Auditing, Clinical Research, Complaint Handling, Decision Making Skills, Team Motivator, Staff Training, Listening Skills, Conflict Resolution, Customer Service, Excel, Call Center, Healthcare, Problem Solving, Research, Team Building, Billing, Critical Thinking, Negotiation, Team Leadership, Time Management, Word, Customer Satisfaction, Analysis, Teamwork, Planning, Telephone Skills, Hospitals, Multitasker, Meeting Deadlines, Health, Insurance, Documentation, Microsoft Excel, Medicaid, Health Insurance, Managed Care
Education
Middlesex Community College 1983 — 1985
Health Direct Inc December 2012 - Present
Aetna Better Health July 2009 - December 2011
Community Health Network of Connecticut October 1998 - July 2009
Skills
Data Analysis, Policy Analysis, Customer Relations, Follow-up, Setting Priorities, Corrections, Auditing, Clinical Research, Complaint Handling, Decision Making Skills, Team Motivator, Staff Training, Listening Skills, Conflict Resolution, Customer Service, Excel, Call Center, Healthcare, Problem Solving, Research, Team Building, Billing, Critical Thinking, Negotiation, Team Leadership, Time Management, Word, Customer Satisfaction, Analysis, Teamwork, Planning, Telephone Skills, Hospitals, Multitasker, Meeting Deadlines, Health, Insurance, Documentation, Microsoft Excel, Medicaid, Health Insurance, Managed Care
Education
Middlesex Community College 1983 — 1985
Micah G. Shapiro, LSW Micah G. Shapiro, LSW's Aetna Better Health Experience November 2014 - Present
Job Care Management Coordinator at Aetna Better Health
Industry Mental Health Care
Experience
Aetna Better Health November 2014 - Present
Living Letters October 2010 - Present
Heartland Alliance for Human Needs & Human Rights September 2013 - June 2014
Ezra Multi-Service Center October 2012 - June 2013
University of Chicago Press June 2012 - January 2013
Practice Management Systems, LLC January 2012 - April 2012
Zavteq, Inc August 2011 - December 2011
Kickstand Espresso Bar, Noble Tree Coffee & Tea, Cafe University January 2011 - July 2011
Fiedler Hillel at Northwestern University March 2008 - December 2008
Fiedler Hillel at Northwestern University June 2008 - September 2008
Skills
Customer Service, Calligraphy, Teaching, Case Management, Social Media, Community Outreach, Hebrew, Microsoft Word, Written Communication, Psychotherapy, Team projects, Meeting Deadlines, Mindfulness-based..., Psychodynamic..., Psychoanalytic..., Acceptance & Commitment..., Behavioral Health, Meditation, Yoga, Couples Counseling, Post Traumatic Stress, Trauma Therapy, Sexual Trauma, Cognitive Therapy, Narrative Therapy, Motivational..., Family Therapy, Social Services, Group Therapy, Mindfulness, Therapists, Individual Counselling, Mental Health, Psychology, Treatment
Education
The University of Chicago 2012 — 2014
Master of Social Work (MSW), Clinical/Medical Social Work
Northwestern University 2007 — 2009
B.A., English, Creative Writing
Boston University 2005 — 2007
Candidate for Bachelor of Arts, English
Aetna Better Health November 2014 - Present
Living Letters October 2010 - Present
Heartland Alliance for Human Needs & Human Rights September 2013 - June 2014
Ezra Multi-Service Center October 2012 - June 2013
University of Chicago Press June 2012 - January 2013
Practice Management Systems, LLC January 2012 - April 2012
Zavteq, Inc August 2011 - December 2011
Kickstand Espresso Bar, Noble Tree Coffee & Tea, Cafe University January 2011 - July 2011
Fiedler Hillel at Northwestern University March 2008 - December 2008
Fiedler Hillel at Northwestern University June 2008 - September 2008
Skills
Customer Service, Calligraphy, Teaching, Case Management, Social Media, Community Outreach, Hebrew, Microsoft Word, Written Communication, Psychotherapy, Team projects, Meeting Deadlines, Mindfulness-based..., Psychodynamic..., Psychoanalytic..., Acceptance & Commitment..., Behavioral Health, Meditation, Yoga, Couples Counseling, Post Traumatic Stress, Trauma Therapy, Sexual Trauma, Cognitive Therapy, Narrative Therapy, Motivational..., Family Therapy, Social Services, Group Therapy, Mindfulness, Therapists, Individual Counselling, Mental Health, Psychology, Treatment
Education
The University of Chicago 2012 — 2014
Master of Social Work (MSW), Clinical/Medical Social Work
Northwestern University 2007 — 2009
B.A., English, Creative Writing
Boston University 2005 — 2007
Candidate for Bachelor of Arts, English
Brian Liebel Brian Liebel's Aetna Better Health Experience January 2011 - February 2012
Job Health Services Administrator at UConn/CMHC
Industry Hospital & Health Care
Experience
U-Conn/CMHC March 2012 - Present
Aetna Better Health January 2011 - February 2012
Hampden County Sheriff's Department February 2007 - October 2010
BMC HealthNet Plan March 2002 - February 2007
United Healthcare June 1999 - March 2002
Skills
Provider Relations, Behavioral Health, Data Analysis, Managed Care, Utilization Management, Medicaid, Health, Care Management, Network Development, Case Management, Healthcare, Mental Health, Administration, Provider Contracting, Health Insurance, Supervisory Skills, Healthcare Management, Clinical, Program Development, Team Building, Customer Relations, Hospitals, Coaching, Insurance, Strategic Planning, Budgeting, Medical Management, Nursing, Negotiation, Contract Negotiation, Mentoring, Treatment, Leadership, Health Policy, HIPAA, Clinical Research, Medicare
Education
Western New England University 2001 — 2007
MBA, Healthcare
American International College 1994 — 1997
BS/BSN, Nursing/ Psych.
East Longmeadow High
U-Conn/CMHC March 2012 - Present
Aetna Better Health January 2011 - February 2012
Hampden County Sheriff's Department February 2007 - October 2010
BMC HealthNet Plan March 2002 - February 2007
United Healthcare June 1999 - March 2002
Skills
Provider Relations, Behavioral Health, Data Analysis, Managed Care, Utilization Management, Medicaid, Health, Care Management, Network Development, Case Management, Healthcare, Mental Health, Administration, Provider Contracting, Health Insurance, Supervisory Skills, Healthcare Management, Clinical, Program Development, Team Building, Customer Relations, Hospitals, Coaching, Insurance, Strategic Planning, Budgeting, Medical Management, Nursing, Negotiation, Contract Negotiation, Mentoring, Treatment, Leadership, Health Policy, HIPAA, Clinical Research, Medicare
Education
Western New England University 2001 — 2007
MBA, Healthcare
American International College 1994 — 1997
BS/BSN, Nursing/ Psych.
East Longmeadow High
Brandon Landis Brandon Landis's Aetna Better Health Experience May 2013 - August 2013
Job 2015 MAcc Candidate, Fox School of Business Temple University
Industry Accounting
Experience
Wouch, Maloney & Co., LLP February 2015 - April 2015
Earl-Bowl Lanes September 2009 - February 2015
Wouch, Maloney & Co., LLP February 2014 - April 2014
Aria Health November 2013 - February 2014
Aetna Better Health May 2013 - August 2013
Skills
Accounting, Accounts Receivable, Data Entry, Accounts Payable, Financial Reporting, Bowling, POM-QM for Windows, Customer Service, Works well with a team, Work Well Independently, Multi Tasking, Meet Deadlines, Oral & Written..., Close Attention to..., High Organizational..., Learning Quickly, Highly responsible, Highly Dedicated, QNXT, Adobe Acrobat, Great Plains Software, CCH ProSystem fx, Microsoft Office
Education
Temple University - Fox School of Business and Management 2014 — 2015
Master of Accountancy, Accounting, 3.64
Temple University - Fox School of Business & Management 2012 — 2014
BBA, Accounting, 3.88
Montgomery County Community College 2009 — 2012
Associate's degree, Business Administration
Wouch, Maloney & Co., LLP February 2015 - April 2015
Earl-Bowl Lanes September 2009 - February 2015
Wouch, Maloney & Co., LLP February 2014 - April 2014
Aria Health November 2013 - February 2014
Aetna Better Health May 2013 - August 2013
Skills
Accounting, Accounts Receivable, Data Entry, Accounts Payable, Financial Reporting, Bowling, POM-QM for Windows, Customer Service, Works well with a team, Work Well Independently, Multi Tasking, Meet Deadlines, Oral & Written..., Close Attention to..., High Organizational..., Learning Quickly, Highly responsible, Highly Dedicated, QNXT, Adobe Acrobat, Great Plains Software, CCH ProSystem fx, Microsoft Office
Education
Temple University - Fox School of Business and Management 2014 — 2015
Master of Accountancy, Accounting, 3.64
Temple University - Fox School of Business & Management 2012 — 2014
BBA, Accounting, 3.88
Montgomery County Community College 2009 — 2012
Associate's degree, Business Administration
Michelle Mittleman-Horner Michelle Mittleman-Horner's Aetna Better Health Experience June 2014 - Present
Job Director, Network Management at Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health June 2014 - Present
Aetna Better Health July 2011 - Present
Planned Parenthood of Illinois September 2009 - May 2010
Loyola University Health System February 2005 - December 2009
HARMONY HEALTH PLAN OF ILLINOIS April 2003 - February 2005
METLIFE INSURANCE COMPANY - NATIONAL SERVICE CENTER January 2001 - January 2002
EVANSTON NORTHWESTERN HEALTHCARE CORP January 1997 - January 2001
HUMANA, INC January 1995 - January 1997
AMERICAN IMAGING MANAGEMENT (FORMERLY MEDICON, INC January 1994 - January 1995
CONSERVCO January 1990 - January 1993
Skills
Managed Care, Network Development, Provider Relations, Hospitals, Healthcare, Leadership, Health Policy, Medicare, Healthcare Industry, HIPAA, Credentialing, PPO, Healthcare Information..., Performance Improvement, Medicaid, Healthcare Management, Medicine, HMO, Revenue Cycle, Patient Safety, Process Improvement, Health Insurance, Healthcare Consulting
Education
University of St. Francis 1996 — 1999
M.S, Health Services Administration
University of Illinois at Urbana-Champaign
B.S, Health Planning and Administration
Aetna Better Health June 2014 - Present
Aetna Better Health July 2011 - Present
Planned Parenthood of Illinois September 2009 - May 2010
Loyola University Health System February 2005 - December 2009
HARMONY HEALTH PLAN OF ILLINOIS April 2003 - February 2005
METLIFE INSURANCE COMPANY - NATIONAL SERVICE CENTER January 2001 - January 2002
EVANSTON NORTHWESTERN HEALTHCARE CORP January 1997 - January 2001
HUMANA, INC January 1995 - January 1997
AMERICAN IMAGING MANAGEMENT (FORMERLY MEDICON, INC January 1994 - January 1995
CONSERVCO January 1990 - January 1993
Skills
Managed Care, Network Development, Provider Relations, Hospitals, Healthcare, Leadership, Health Policy, Medicare, Healthcare Industry, HIPAA, Credentialing, PPO, Healthcare Information..., Performance Improvement, Medicaid, Healthcare Management, Medicine, HMO, Revenue Cycle, Patient Safety, Process Improvement, Health Insurance, Healthcare Consulting
Education
University of St. Francis 1996 — 1999
M.S, Health Services Administration
University of Illinois at Urbana-Champaign
B.S, Health Planning and Administration
Rose Boscarino-Light's Aetna Better Health Experience January 2011 - Present
Job Privacy and Security Manager at Aetna
Industry Insurance
Experience
Aetna January 2013 - Present
Aetna Better Health January 2011 - Present
Community Health Network of CT January 2000 - January 2011
Community Health Network of Connecticut January 2004 - June 2008
Community Health Network of Connecticut January 2002 - December 2003
Community Health Network of Connecticut January 2000 - December 2001
Kindercare Learning Centers 1998 - 2000
Skills
Medicaid, Medicare, Managed Care, Health Insurance, Healthcare, HIPAA, Network Development, Utilization Management, Hospitals, Healthcare Management, Disease Management, Process Improvement, Provider Relations, Credentialing, HMO, Insurance, Medicaid Managed Care, Health Policy, Medicare Part D, HEDIS, Software Documentation, Analysis, Physician Relations, Microsoft Excel, Contract Negotiation, Strategic Planning, Leadership, Visio, Customer Service, Access, Outlook, Policy, Business Analysis, Data Analysis, Claim, Team Building, Healthcare Information..., Health Care Reform, Medical Compliance, Physicians, Quality Improvement, EHR, Healthcare Consulting, Claims Management, EMR, Vendor Management, Business Process..., Employee Benefits, Healthcare Industry, PPO
Education
Assumption College 1992 — 1996
Bachelors, English, Elementary Education
Aetna January 2013 - Present
Aetna Better Health January 2011 - Present
Community Health Network of CT January 2000 - January 2011
Community Health Network of Connecticut January 2004 - June 2008
Community Health Network of Connecticut January 2002 - December 2003
Community Health Network of Connecticut January 2000 - December 2001
Kindercare Learning Centers 1998 - 2000
Skills
Medicaid, Medicare, Managed Care, Health Insurance, Healthcare, HIPAA, Network Development, Utilization Management, Hospitals, Healthcare Management, Disease Management, Process Improvement, Provider Relations, Credentialing, HMO, Insurance, Medicaid Managed Care, Health Policy, Medicare Part D, HEDIS, Software Documentation, Analysis, Physician Relations, Microsoft Excel, Contract Negotiation, Strategic Planning, Leadership, Visio, Customer Service, Access, Outlook, Policy, Business Analysis, Data Analysis, Claim, Team Building, Healthcare Information..., Health Care Reform, Medical Compliance, Physicians, Quality Improvement, EHR, Healthcare Consulting, Claims Management, EMR, Vendor Management, Business Process..., Employee Benefits, Healthcare Industry, PPO
Education
Assumption College 1992 — 1996
Bachelors, English, Elementary Education
Bryan Hodges, MAUM, MA Bryan Hodges, MAUM, MA's Aetna Better Health Experience 2012 - 2013
Job Chaplain at Sanctuary Hospice Chicago
Industry Hospital & Health Care
Experience
Services Unlimited Inc. June 2004 - Present
First Hospice October 2011 - November 2013
Aetna Better Health 2012 - 2013
Aetna Better Health Chicago 2012 - 2013
VITAS Innovative Hospice Care November 2007 - July 2010
Unity Hospice July 2004 - August 2006
Vally Kingdom Ministries International October 1999 - June 2003
Skills
Public speaking,..., Public Speaking, Sales, Evangelism, Research, Customer Service, Management, Microsoft Office, Teaching, Team Building, Microsoft Word, Strategic Planning, Financial Services, Leadership Development, Training, PowerPoint, Delegation, Men's Ministry, Microsoft Excel, Leadership, Fundraising, Theology, Community Outreach, Nonprofits, Event Planning
Education
Trinity Evangelical University 2001 — 2010
Master of Arts (M.A.), Religious Education
Chicago State University
Bachelor’s Degree, Social Sciences, 3.6
Services Unlimited Inc. June 2004 - Present
First Hospice October 2011 - November 2013
Aetna Better Health 2012 - 2013
Aetna Better Health Chicago 2012 - 2013
VITAS Innovative Hospice Care November 2007 - July 2010
Unity Hospice July 2004 - August 2006
Vally Kingdom Ministries International October 1999 - June 2003
Skills
Public speaking,..., Public Speaking, Sales, Evangelism, Research, Customer Service, Management, Microsoft Office, Teaching, Team Building, Microsoft Word, Strategic Planning, Financial Services, Leadership Development, Training, PowerPoint, Delegation, Men's Ministry, Microsoft Excel, Leadership, Fundraising, Theology, Community Outreach, Nonprofits, Event Planning
Education
Trinity Evangelical University 2001 — 2010
Master of Arts (M.A.), Religious Education
Chicago State University
Bachelor’s Degree, Social Sciences, 3.6
Katherine Genao's Aetna Better Health Experience January 2013 - May 2014
Job Service Coordinator at Healthfirst
Industry Hospital & Health Care
Experience
Healthfirst February 2015 - Present
Personal Touch Home Health Care Services Inc. May 2014 - September 2014
Cobble Hill Health Center January 2013 - May 2014
Aetna Better Health January 2013 - May 2014
Pachulski Stang Ziehl & Jones LLP July 2012 - December 2012
Macy's November 2011 - January 2012
University of Richmond October 2008 - May 2011
University of Richmond August 2008 - May 2011
University of Richmond August 2009 - January 2011
University of Richmond September 2007 - May 2008
Skills
Event Planning, PowerPoint, Data Entry, Analysis, Retail, Time Management, Management, Teamwork, Healthcare, English, Inventory Management, Spanish, Microsoft Office, Microsoft Excel, Organization &..., Customer Service, Customer Oriented, Customer Satisfaction, Filing, Medicare, Medicaid Managed Care, Social Media, Social Networking, Microsoft Word, Home Care, Managed Care, Vendor Relationships, Outlook, Insurance, Health Insurance, Account Management, Windows
Education
University of Richmond 2007 — 2011
Bachelor of Arts, Political Science
The School for International Studies 2003 — 2007
Advanced Regents Diploma
Healthfirst February 2015 - Present
Personal Touch Home Health Care Services Inc. May 2014 - September 2014
Cobble Hill Health Center January 2013 - May 2014
Aetna Better Health January 2013 - May 2014
Pachulski Stang Ziehl & Jones LLP July 2012 - December 2012
Macy's November 2011 - January 2012
University of Richmond October 2008 - May 2011
University of Richmond August 2008 - May 2011
University of Richmond August 2009 - January 2011
University of Richmond September 2007 - May 2008
Skills
Event Planning, PowerPoint, Data Entry, Analysis, Retail, Time Management, Management, Teamwork, Healthcare, English, Inventory Management, Spanish, Microsoft Office, Microsoft Excel, Organization &..., Customer Service, Customer Oriented, Customer Satisfaction, Filing, Medicare, Medicaid Managed Care, Social Media, Social Networking, Microsoft Word, Home Care, Managed Care, Vendor Relationships, Outlook, Insurance, Health Insurance, Account Management, Windows
Education
University of Richmond 2007 — 2011
Bachelor of Arts, Political Science
The School for International Studies 2003 — 2007
Advanced Regents Diploma
Christopher Di Giovanni Christopher Di Giovanni's Aetna Better Health Experience January 2013 - May 2013
Job Marketing Liaison at MJM Health Inc.
Industry Individual & Family Services
Experience
MJM Health Inc. August 2015 - Present
Residential Home Health July 2014 - Present
Du Page County Community Services August 2014 - April 2015
Aetna Better Health January 2013 - May 2013
Centene Corporation October 2011 - January 2013
Kenneth Young Center May 2011 - August 2011
Southern Will County Cooperative August 2005 - December 2006
Skills
Motivational..., Crisis Intervention, Behavioral Health, Case Managment, Community Outreach, Group Therapy, Social Services, Child Welfare, Mental Health, Program Development, Developmental..., Youth Development, Interventions, Program Evaluation, Adolescents, Case Management, Healthcare, Student Counseling, Team Building, Training, Microsoft Word, PowerPoint, Public Speaking
Education
Dominican University 2014 — 2015
Master of Social Work (MSW), Social Work
Lewis University 2013 — 2014
15 Graduate Credit Hours, Education and Organizational Leadership
Aurora University 2009 — 2011
BSW, Social Work
MJM Health Inc. August 2015 - Present
Residential Home Health July 2014 - Present
Du Page County Community Services August 2014 - April 2015
Aetna Better Health January 2013 - May 2013
Centene Corporation October 2011 - January 2013
Kenneth Young Center May 2011 - August 2011
Southern Will County Cooperative August 2005 - December 2006
Skills
Motivational..., Crisis Intervention, Behavioral Health, Case Managment, Community Outreach, Group Therapy, Social Services, Child Welfare, Mental Health, Program Development, Developmental..., Youth Development, Interventions, Program Evaluation, Adolescents, Case Management, Healthcare, Student Counseling, Team Building, Training, Microsoft Word, PowerPoint, Public Speaking
Education
Dominican University 2014 — 2015
Master of Social Work (MSW), Social Work
Lewis University 2013 — 2014
15 Graduate Credit Hours, Education and Organizational Leadership
Aurora University 2009 — 2011
BSW, Social Work
samantha manzanet samantha manzanet's Aetna Better Health Experience February 2013 - Present
Job Pre enrollment eligibility consultant electronic at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health February 2013 - Present
Skills
Health Insurance, Insurance, Employee Benefits, Underwriting, General Insurance, Disability Insurance, Change Management, SDLC, Reinsurance, Benefits Administration, Business Analysis, Vendor Management, Customer Service, Strategic Planning, Account Management, Health Savings Accounts
Education
Patten University 2015 — 2019
Bachelor's Degree, Business Administration and Management, General
CUNY New York City College of Technology 2008 — 2009
Bachelor's Degree, Graphic Arts and advertisment
Aetna Better Health February 2013 - Present
Skills
Health Insurance, Insurance, Employee Benefits, Underwriting, General Insurance, Disability Insurance, Change Management, SDLC, Reinsurance, Benefits Administration, Business Analysis, Vendor Management, Customer Service, Strategic Planning, Account Management, Health Savings Accounts
Education
Patten University 2015 — 2019
Bachelor's Degree, Business Administration and Management, General
CUNY New York City College of Technology 2008 — 2009
Bachelor's Degree, Graphic Arts and advertisment
Christine Bucheit Christine Bucheit's Aetna Better Health Experience October 2014 - Present
Job Prevention and Wellness Coordinator at Aetna
Industry Health, Wellness and Fitness
Experience
Aetna Better Health October 2014 - Present
ComPsych June 2013 - October 2014
ComPsych May 2013 - December 2013
ComPsych November 2012 - June 2013
Northwestern University 2012 - 2013
ComPsych August 2011 - November 2012
Literacy Volunteers of Illinois August 2010 - August 2011
Teen Living Programs February 2010 - August 2010
Creative Marketing Associates, Inc. February 2010 - August 2010
Open Books September 2009 - December 2009
Skills
Editing, Leadership, Non-profits, Public Health, FMLA, Fundraising, Nonprofits, Event Planning, Program Management, Microsoft Office, Public Relations, Event Management, Leave of Absence..., Employee Wellness...
Education
University of Illinois at Chicago 2011 — 2014
Master of Public Health (MPH), Community Health Sciences, Health Policy and Administration
The University of New Mexico 2004 — 2008
BA, English, Anthropology
Aetna Better Health October 2014 - Present
ComPsych June 2013 - October 2014
ComPsych May 2013 - December 2013
ComPsych November 2012 - June 2013
Northwestern University 2012 - 2013
ComPsych August 2011 - November 2012
Literacy Volunteers of Illinois August 2010 - August 2011
Teen Living Programs February 2010 - August 2010
Creative Marketing Associates, Inc. February 2010 - August 2010
Open Books September 2009 - December 2009
Skills
Editing, Leadership, Non-profits, Public Health, FMLA, Fundraising, Nonprofits, Event Planning, Program Management, Microsoft Office, Public Relations, Event Management, Leave of Absence..., Employee Wellness...
Education
University of Illinois at Chicago 2011 — 2014
Master of Public Health (MPH), Community Health Sciences, Health Policy and Administration
The University of New Mexico 2004 — 2008
BA, English, Anthropology
Paula Lesmerises's Aetna Better Health Experience Prior authorization/utilizationAetna and DelmarvaMay 2002 - June 2012
Job Aetna Better Health Utilization Management at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health Prior authorization/utilizationAetna and DelmarvaMay 2002 - June 2012
Presidential Oaks & Starr Farm nursing homes January 1996 - April 2004
Skills
Utilization Review, Durable Medical..., Psychiatric nursing, Medical Imaging, Team Leadership, Medicaid, Provider Relations, Utilization Management, HMO, Managed Care, Disease Management, Nursing, Medical Terminology, Hospitals, Healthcare, Medicare, HIPAA, Healthcare Industry, ICD-9
Education
SUNY Albany 1987 — 1989
Bachelor's degree, Mental Health Counseling/Counselor
NH Hospital School of Nursing 1962 — 1965
Registered Nursing/Registered Nurse
Aetna Better Health Prior authorization/utilizationAetna and DelmarvaMay 2002 - June 2012
Presidential Oaks & Starr Farm nursing homes January 1996 - April 2004
Skills
Utilization Review, Durable Medical..., Psychiatric nursing, Medical Imaging, Team Leadership, Medicaid, Provider Relations, Utilization Management, HMO, Managed Care, Disease Management, Nursing, Medical Terminology, Hospitals, Healthcare, Medicare, HIPAA, Healthcare Industry, ICD-9
Education
SUNY Albany 1987 — 1989
Bachelor's degree, Mental Health Counseling/Counselor
NH Hospital School of Nursing 1962 — 1965
Registered Nursing/Registered Nurse
Ateeka Poole Ateeka Poole's Aetna Better Health Experience November 2013 - Present
Job
Industry Hospital & Health Care
Experience
Aetna Better Health November 2013 - Present
Vermont Managed Care; Fletcher Allen Health Care April 2012 - November 2013
University College London February 2011 - November 2011
Northwestern Memorial Hospital August 2008 - November 2010
Friends Hospital June 2006 - August 2008
University of Pennsylvania Health System 2005 - 2005
Skills
Nursing, Event Planning, Research, Medicine, Clinical Trials, Clinical Research, Hospitals, Inpatient, Patient Safety, Patient Advocacy, Critical Care, Healthcare Management, Acute Care, Healthcare, Public Speaking, Registered Nurses
Education
Gwynedd Mercy University 2003 — 2006
Associates in Nursing, Nursing
Richmond, The American International University in London 1992 — 1996
BA Degree in both Sociology & Anthropology, Major: Sociology & Anthropology; Minor: Psychology, Cum Laude
Aetna Better Health November 2013 - Present
Vermont Managed Care; Fletcher Allen Health Care April 2012 - November 2013
University College London February 2011 - November 2011
Northwestern Memorial Hospital August 2008 - November 2010
Friends Hospital June 2006 - August 2008
University of Pennsylvania Health System 2005 - 2005
Skills
Nursing, Event Planning, Research, Medicine, Clinical Trials, Clinical Research, Hospitals, Inpatient, Patient Safety, Patient Advocacy, Critical Care, Healthcare Management, Acute Care, Healthcare, Public Speaking, Registered Nurses
Education
Gwynedd Mercy University 2003 — 2006
Associates in Nursing, Nursing
Richmond, The American International University in London 1992 — 1996
BA Degree in both Sociology & Anthropology, Major: Sociology & Anthropology; Minor: Psychology, Cum Laude
Marianne Marino Marianne Marino's Aetna Better Health Experience July 2011 - March 2013
Job Healthcare Utilization Case Manager
Industry Hospital & Health Care
Experience
Aetna Better Health July 2011 - March 2013
Sedgwick CMS March 2005 - July 2011
UNICARE HEALTH PLANS January 1997 - January 2005
SAINT JOSEPH MEDICAL CENTER March 1996 - November 1996
SAINT VINCENT HEALTH CENTERS January 1994 - January 1995
Skills
Team Building, Team Leadership, Healthcare, Case Managment, Utilization Management, Healthcare Management, Nursing, Workers Compensation, Hospitals, Insurance, Training, Employee Training, Managed Care, Social Services, Medicaid, HMO, Health Insurance, Medicare, Medicaid Managed Care, Health Plan Operations, Certified Case Manager, Medical Cost Containment, Microsoft Office, Medical Case Management, Healthcare Consulting, Disease Management, NCQA, P4P, Population Health, Utilization Review, Medical Necessity, Healthcare Utilization, Provider Relations, Quality Improvement..., Process Improvement..., Implementation..., DRG, ICD-9-CM, Pre-certification, Integrated Care, Evidence-based..., Leadership, Leading Meetings, Leading Diverse Teams, Increasing Operational..., Team Performance, Mentoring Of Staff, HIPAA, Case Management, Physicians
Education
Gannon University
Bachelor of Science Degree, Nursing
Aetna Better Health July 2011 - March 2013
Sedgwick CMS March 2005 - July 2011
UNICARE HEALTH PLANS January 1997 - January 2005
SAINT JOSEPH MEDICAL CENTER March 1996 - November 1996
SAINT VINCENT HEALTH CENTERS January 1994 - January 1995
Skills
Team Building, Team Leadership, Healthcare, Case Managment, Utilization Management, Healthcare Management, Nursing, Workers Compensation, Hospitals, Insurance, Training, Employee Training, Managed Care, Social Services, Medicaid, HMO, Health Insurance, Medicare, Medicaid Managed Care, Health Plan Operations, Certified Case Manager, Medical Cost Containment, Microsoft Office, Medical Case Management, Healthcare Consulting, Disease Management, NCQA, P4P, Population Health, Utilization Review, Medical Necessity, Healthcare Utilization, Provider Relations, Quality Improvement..., Process Improvement..., Implementation..., DRG, ICD-9-CM, Pre-certification, Integrated Care, Evidence-based..., Leadership, Leading Meetings, Leading Diverse Teams, Increasing Operational..., Team Performance, Mentoring Of Staff, HIPAA, Case Management, Physicians
Education
Gannon University
Bachelor of Science Degree, Nursing
Shakeitha Moore Shakeitha Moore's Aetna Better Health Experience November 2013 - January 2015
Job Student at Kaplan University
Industry Hospital & Health Care
Experience
Aetna Better Health November 2013 - January 2015
Wellpoint July 2008 - November 2012
Dovenmuehle Mortgage, Inc. January 2006 - July 2008
Skills
Provider Relations, Service Providers, Health Insurance, Customer Service, Customer Relations, Customer Engagement, Accounts Payable, Accounts Receivable, Medicaid, Medicare, Healthcare, HIPAA, Healthcare Industry
Education
Kaplan University 2015 — 2016
Bachelor’s Degree, Business Administration and Management, General
South Shore High School 1988 — 1992
Diploma, All General Studies
Aetna Better Health November 2013 - January 2015
Wellpoint July 2008 - November 2012
Dovenmuehle Mortgage, Inc. January 2006 - July 2008
Skills
Provider Relations, Service Providers, Health Insurance, Customer Service, Customer Relations, Customer Engagement, Accounts Payable, Accounts Receivable, Medicaid, Medicare, Healthcare, HIPAA, Healthcare Industry
Education
Kaplan University 2015 — 2016
Bachelor’s Degree, Business Administration and Management, General
South Shore High School 1988 — 1992
Diploma, All General Studies
MaryAnn Budoris MaryAnn Budoris's Aetna Better Health Experience July 1995 - 1997
Job Cleveland Clinic Medical Secretary
Industry Marketing and Advertising
Experience
Cleveland Clinic Foundation / Randstad January 2000 - Present
Cigna Health Benefits July 1997 - July 1999
Aetna Better Health July 1995 - 1997
Kaiser Permanente August 1982 - May 1995
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, Research, Teamwork, Social Media, Public Speaking, English, Windows, Event Planning, Time Management, Team Leadership, Leadership, PowerPoint, Budgets, Social Networking, Outlook, Editing, Team Building
Education
A.D. Banker & Company 1999 — 1999
Licentiate degree HMO, Life, Accident, Health and Variable Series 7 (LA&H) renewal
Hondros College 1995 — 1995
Licentiate degree HMO, Life, Accident, Health and Variable Series 7 (LA&H), Health/Health Care Administration/Management
Cuyahoga Community College 1984 — 1986
Associate's degree 2 years completion, Business Administration and Management, General, 4.0 Honors History and English
Cleveland Clinic Foundation / Randstad January 2000 - Present
Cigna Health Benefits July 1997 - July 1999
Aetna Better Health July 1995 - 1997
Kaiser Permanente August 1982 - May 1995
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, Research, Teamwork, Social Media, Public Speaking, English, Windows, Event Planning, Time Management, Team Leadership, Leadership, PowerPoint, Budgets, Social Networking, Outlook, Editing, Team Building
Education
A.D. Banker & Company 1999 — 1999
Licentiate degree HMO, Life, Accident, Health and Variable Series 7 (LA&H) renewal
Hondros College 1995 — 1995
Licentiate degree HMO, Life, Accident, Health and Variable Series 7 (LA&H), Health/Health Care Administration/Management
Cuyahoga Community College 1984 — 1986
Associate's degree 2 years completion, Business Administration and Management, General, 4.0 Honors History and English
Melissa Corona Reilly's Aetna Better Health Experience November 2008 - February 2010
Job Sr. Director, Alliance Management at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group August 2012 - Present
UnitedHealth Group June 2011 - August 2012
Ingenix March 2010 - May 2011
Aetna Health Plans November 2008 - February 2010
Aetna Better Health November 2008 - February 2010
Ingenix 2007 - November 2008
Insurity August 2007 - December 2007
UnitedHealth Group 2005 - 2007
Skills
Process Improvement, Business Analysis, Insurance, Business Process..., Healthcare, HIPAA, Strategic Planning, Program Management, Project Management, Healthcare Information..., Vendor Management, Change Management, Analysis, SDLC, Health Insurance, Medicaid, Cross-functional Team..., Management Consulting, Managed Care, Team Leadership, Business Intelligence, Data Analysis, Executive Management, Healthcare Industry, Outsourcing, Product Management, Leadership, Project Portfolio..., Strategy, Team Building, Strategic Partnerships, Visio
Education
Quinnipiac University - School of Business 2007 — 2011
MBA/MHA, Compliance Certificate
Quinnipiac University School of Law 2003 — 2006
JD, Law
James Madison University 2000 — 2003
James Madison University 2000 — 2003
Wethersfield High School
UnitedHealth Group August 2012 - Present
UnitedHealth Group June 2011 - August 2012
Ingenix March 2010 - May 2011
Aetna Health Plans November 2008 - February 2010
Aetna Better Health November 2008 - February 2010
Ingenix 2007 - November 2008
Insurity August 2007 - December 2007
UnitedHealth Group 2005 - 2007
Skills
Process Improvement, Business Analysis, Insurance, Business Process..., Healthcare, HIPAA, Strategic Planning, Program Management, Project Management, Healthcare Information..., Vendor Management, Change Management, Analysis, SDLC, Health Insurance, Medicaid, Cross-functional Team..., Management Consulting, Managed Care, Team Leadership, Business Intelligence, Data Analysis, Executive Management, Healthcare Industry, Outsourcing, Product Management, Leadership, Project Portfolio..., Strategy, Team Building, Strategic Partnerships, Visio
Education
Quinnipiac University - School of Business 2007 — 2011
MBA/MHA, Compliance Certificate
Quinnipiac University School of Law 2003 — 2006
JD, Law
James Madison University 2000 — 2003
James Madison University 2000 — 2003
Wethersfield High School
William Gerardi's Aetna Better Health Experience January 2012 - July 2014
Job Senior Vice President Health Management and Chief Medical Officer at Blue Cross and Blue Shield of Minnesota
Industry Insurance
Experience
Blue Cross and Blue Shield of Minnesota August 2014 - Present
Aetna Better Health January 2012 - July 2014
Resolution Health Inc / Wellpoint 2009 - 2011
Health Care Service Corporation December 2002 - August 2009
Florida Blue 1997 - 2000
Skills
Disease Management, Utilization Management, Health Policy, Managed Care, Medicare, Medicaid, Healthcare, Healthcare Management, Health Insurance, Healthcare Information..., Pharmacy Benefit..., Hospitals, Network Development, HIPAA, Informatics, Healthcare Consulting, Healthcare Industry, Public Health, NCQA, Provider Relations, Physicians, EHR, Quality Improvement, HEDIS, EMR, Internal Medicine, Medical Education, Physician Relations, Clinical Research, Revenue Cycle, Patient Safety, HMO, Health Information..., PPO, Health Care Reform, Medicine
Education
University of Pennsylvania - The Wharton School 1989 — 1991
MBA, Health Care, Finance
Georgetown University
BS, Biology
Georgetown University School of Medicine
MD, Medicine
Blue Cross and Blue Shield of Minnesota August 2014 - Present
Aetna Better Health January 2012 - July 2014
Resolution Health Inc / Wellpoint 2009 - 2011
Health Care Service Corporation December 2002 - August 2009
Florida Blue 1997 - 2000
Skills
Disease Management, Utilization Management, Health Policy, Managed Care, Medicare, Medicaid, Healthcare, Healthcare Management, Health Insurance, Healthcare Information..., Pharmacy Benefit..., Hospitals, Network Development, HIPAA, Informatics, Healthcare Consulting, Healthcare Industry, Public Health, NCQA, Provider Relations, Physicians, EHR, Quality Improvement, HEDIS, EMR, Internal Medicine, Medical Education, Physician Relations, Clinical Research, Revenue Cycle, Patient Safety, HMO, Health Information..., PPO, Health Care Reform, Medicine
Education
University of Pennsylvania - The Wharton School 1989 — 1991
MBA, Health Care, Finance
Georgetown University
BS, Biology
Georgetown University School of Medicine
MD, Medicine
Jill Morrison, LCSW's Aetna Better Health Experience July 2014 - Present
Job Manager, Clinical Health Services
Industry Health, Wellness and Fitness
Experience
Aetna Better Health July 2014 - Present
Aetna Better Health September 2013 - July 2014
Aetna Better Health April 2011 - September 2013
PLOWS Council on Aging August 2005 - March 2011
Oak Lawn Family Services August 2004 - August 2005
Information Resouces, Inc. February 2001 - August 2004
Skills
Family Therapy, Non-profits, Program Development, Community Outreach, Program Evaluation, Program Management, Healthcare, Mental Health, Crisis Intervention, Medicaid, Treatment, Healthcare Management, Strategic Planning, Managed Care, Medicare, Behavioral Health, Microsoft Office, Microsoft Excel, Motivational..., Microsoft Word, HMO, Case Managment, Social Services, Home Care, Disease Management, Patient Advocacy, Provider Relations, Health Insurance, Medicare Part D, Interventions, Training, Psychotherapy, Nonprofits, Utilization Management
Education
University of Illinois at Chicago 2004 — 2006
MSW, Social Work (Community and Administrative Practice)
Northern Illinois University 1996 — 2000
BS, Marketing
Aetna Better Health July 2014 - Present
Aetna Better Health September 2013 - July 2014
Aetna Better Health April 2011 - September 2013
PLOWS Council on Aging August 2005 - March 2011
Oak Lawn Family Services August 2004 - August 2005
Information Resouces, Inc. February 2001 - August 2004
Skills
Family Therapy, Non-profits, Program Development, Community Outreach, Program Evaluation, Program Management, Healthcare, Mental Health, Crisis Intervention, Medicaid, Treatment, Healthcare Management, Strategic Planning, Managed Care, Medicare, Behavioral Health, Microsoft Office, Microsoft Excel, Motivational..., Microsoft Word, HMO, Case Managment, Social Services, Home Care, Disease Management, Patient Advocacy, Provider Relations, Health Insurance, Medicare Part D, Interventions, Training, Psychotherapy, Nonprofits, Utilization Management
Education
University of Illinois at Chicago 2004 — 2006
MSW, Social Work (Community and Administrative Practice)
Northern Illinois University 1996 — 2000
BS, Marketing
Ron Austin's Aetna Better Health Experience September 2013 - Present
Job Vice President, Medical Management
Industry Insurance
Experience
Aetna Better Health September 2013 - Present
HCSC - BCBSIL September 2008 - June 2013
United Healthcare 2004 - 2008
Amerigroup 2000 - 2004
BCBSMI 1985 - 1999
Skills
Health Insurance, Medicaid, Managed Care, Medicare, Health Policy, Healthcare Management, Disease Management, Utilization Management, Healthcare Consulting, Healthcare Industry, Healthcare, Insurance, Hospitals, CRM, HIPAA, Provider Relations, Network Development, Quality Improvement, Healthcare Information..., EHR, Informatics, EMR
Education
St. Clair Co. College 1977 — 1979
AD, Nursing - RN
Spring Arbor University
BA, Health Care Management
Aetna Better Health September 2013 - Present
HCSC - BCBSIL September 2008 - June 2013
United Healthcare 2004 - 2008
Amerigroup 2000 - 2004
BCBSMI 1985 - 1999
Skills
Health Insurance, Medicaid, Managed Care, Medicare, Health Policy, Healthcare Management, Disease Management, Utilization Management, Healthcare Consulting, Healthcare Industry, Healthcare, Insurance, Hospitals, CRM, HIPAA, Provider Relations, Network Development, Quality Improvement, Healthcare Information..., EHR, Informatics, EMR
Education
St. Clair Co. College 1977 — 1979
AD, Nursing - RN
Spring Arbor University
BA, Health Care Management
Beverly Maison's Aetna Better Health Experience April 2011 - March 2013
Job at
Industry Insurance
Experience
Tenet Healthcare March 2015 - Present
Fidelis Care New York April 2013 - Present
Aetna Better Health April 2011 - March 2013
Aetna Better Health 2010 - April 2011
United Health Care January 2009 - October 2010
United Healthcare 2006 - 2009
Value Options of Arizona 2005 - 2006
Aetna/Schaller Anderson 2000 - 2004
Centura Health 1998 - 2000
First Down 1984 - 1993
Skills
Certified Public..., Changemasters Executive..., Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Long Term Care, Operations Management, Long-term Care, Case Managment, Health Policy, Leadership, Process Improvement, Medicare, Healthcare Consulting, HIPAA, Home Care, Healthcare Information..., Behavioral Health, Insurance, Disease Management, Healthcare Industry, Provider Relations
Education
Michigan State University 1977 — 1981
BA, Finance, Accounting, Business
Tenet Healthcare March 2015 - Present
Fidelis Care New York April 2013 - Present
Aetna Better Health April 2011 - March 2013
Aetna Better Health 2010 - April 2011
United Health Care January 2009 - October 2010
United Healthcare 2006 - 2009
Value Options of Arizona 2005 - 2006
Aetna/Schaller Anderson 2000 - 2004
Centura Health 1998 - 2000
First Down 1984 - 1993
Skills
Certified Public..., Changemasters Executive..., Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Long Term Care, Operations Management, Long-term Care, Case Managment, Health Policy, Leadership, Process Improvement, Medicare, Healthcare Consulting, HIPAA, Home Care, Healthcare Information..., Behavioral Health, Insurance, Disease Management, Healthcare Industry, Provider Relations
Education
Michigan State University 1977 — 1981
BA, Finance, Accounting, Business
Chris Lesicko's Aetna Better Health Experience October 2012 - Present
Job Director of Medical Management Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health October 2012 - Present
New Courtland January 2005 - August 2012
Skills
Public Health
Education
Drexel University 2008 — 2010
Executive MBA, Business
Aetna Better Health October 2012 - Present
New Courtland January 2005 - August 2012
Skills
Public Health
Education
Drexel University 2008 — 2010
Executive MBA, Business
Jennifer Sengsingkeo's Aetna Better Health Experience December 2008 - December 2010
Job Manager at PwC
Industry Management Consulting
Experience
PwC Consulting January 2013 - Present
OptumInsight December 2010 - January 2013
Aetna Better Health December 2008 - December 2010
Aetna December 2008 - December 2010
Veterans Administration September 2008 - November 2008
Hospital of Saint Raphael January 2008 - May 2008
Quinnipiac University 2003 - 2008
Skills
Medicaid, Healthcare, Healthcare Management, Project Management, Medicare, Managed Care, Health Insurance, Business Analysis, Strategic Planning, Process Improvement, SharePoint, Healthcare Consulting
Education
Quinnipiac University 2006 — 2008
Masters, Business Administration in Health Care Management
Quinnipiac University - School of Business 2006 — 2008
Certificate, Health Care Compliance
PwC Consulting January 2013 - Present
OptumInsight December 2010 - January 2013
Aetna Better Health December 2008 - December 2010
Aetna December 2008 - December 2010
Veterans Administration September 2008 - November 2008
Hospital of Saint Raphael January 2008 - May 2008
Quinnipiac University 2003 - 2008
Skills
Medicaid, Healthcare, Healthcare Management, Project Management, Medicare, Managed Care, Health Insurance, Business Analysis, Strategic Planning, Process Improvement, SharePoint, Healthcare Consulting
Education
Quinnipiac University 2006 — 2008
Masters, Business Administration in Health Care Management
Quinnipiac University - School of Business 2006 — 2008
Certificate, Health Care Compliance
Nicole Borreli's Aetna Better Health Experience June 2015 - Present
Job Community Development Consultant at Aetna Better Health
Industry Nonprofit Organization Management
Experience
Aetna Better Health June 2015 - Present
Senior Life York 2014 - Present
Latino Connections January 2013 - Present
Highmark Blue Shield July 2003 - December 2013
Highmark Blue Shield December 1998 - July 2003
Skills
Health Insurance, Insurance, Employee Benefits, Health Savings Accounts, Brokers, Managed Care, Underwriting, Medicare, Disability Insurance, Account Management, Salesforce.com, Customer Service, Life Insurance, Health Care Reform, Training, Non-profit Leadership, Non-profit Volunteer, Strategy, Community Organizing, Community Outreach, Generating Revenue, Leadership
Education
Fordham University 1994 — 1998
Bachelor's degree
Harrisburg Area Community College
Aetna Better Health June 2015 - Present
Senior Life York 2014 - Present
Latino Connections January 2013 - Present
Highmark Blue Shield July 2003 - December 2013
Highmark Blue Shield December 1998 - July 2003
Skills
Health Insurance, Insurance, Employee Benefits, Health Savings Accounts, Brokers, Managed Care, Underwriting, Medicare, Disability Insurance, Account Management, Salesforce.com, Customer Service, Life Insurance, Health Care Reform, Training, Non-profit Leadership, Non-profit Volunteer, Strategy, Community Organizing, Community Outreach, Generating Revenue, Leadership
Education
Fordham University 1994 — 1998
Bachelor's degree
Harrisburg Area Community College
Michele Packard's Aetna Better Health Experience January 2014 - Present
Job Clinical Care Manager at Aetna Better Health
Industry Hospital & Health Care
Experience
Aetna Better Health January 2014 - Present
Rush University Medical Center Health and Aging June 2009 - January 2014
Education
The University of Chicago 2007 — 2009
MA, Social Work
The University of Chicago
MBA, Operations and Policy
University of Notre Dame 1971 — 1975
BBA, Accounting
Aetna Better Health January 2014 - Present
Rush University Medical Center Health and Aging June 2009 - January 2014
Education
The University of Chicago 2007 — 2009
MA, Social Work
The University of Chicago
MBA, Operations and Policy
University of Notre Dame 1971 — 1975
BBA, Accounting
Jacqueline Kowalewski's Aetna Better Health Experience 2011 - 2012
Job Senior Director, Clinical Operations @ Blue Cross Blue Shield of Illinois
Industry Government Administration
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas February 2014 - August 2015
Fidelis SeniorCare Inc 2012 - 2014
Aetna Better Health 2011 - 2012
eQ Health Solutions 2007 - 2011
Blue Cross Blue Shield of Illinois 2002 - 2007
Pacificare of Nevada 1999 - 2002
United Healthcare-Illinois 1996 - 1998
Rush Prudential Healthplans 1993 - 1996
Caremark 1990 - 1992
Skills
Managed Care, Healthcare Management, Medicaid, Case Management, Healthcare, Clinical Operations, Project Management, Case Managment, Organizational..., Operating Budgets, Budget Monitoring, Medicare, Claims Management, Enrollment Management, Operational Strategy, Strategic Planning, Medicare Advantage, Quality Management, Accreditation, Pharmacy Benefit..., Provider Relations, Utilization Management, HIPAA, Healthcare Information..., Health Insurance, Hospitals, Health Policy, Quality Improvement, Healthcare Industry, Physician Relations, Nursing, Revenue Cycle, Informatics, Physicians, Epic Systems, EHR, Inpatient, EMR, Home Care, Leadership, JCAHO, Clinical Research, Patient Safety, Credentialing, Public Health, Performance Improvement, Patient Advocacy, Meditech, Elder Care, Program Management
Education
Loyola University Chicago School of Law 1988 — 1990
MJ, Health Law
Loyola University Chicago 1982 — 1985
BSN, Nursing
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas February 2014 - August 2015
Fidelis SeniorCare Inc 2012 - 2014
Aetna Better Health 2011 - 2012
eQ Health Solutions 2007 - 2011
Blue Cross Blue Shield of Illinois 2002 - 2007
Pacificare of Nevada 1999 - 2002
United Healthcare-Illinois 1996 - 1998
Rush Prudential Healthplans 1993 - 1996
Caremark 1990 - 1992
Skills
Managed Care, Healthcare Management, Medicaid, Case Management, Healthcare, Clinical Operations, Project Management, Case Managment, Organizational..., Operating Budgets, Budget Monitoring, Medicare, Claims Management, Enrollment Management, Operational Strategy, Strategic Planning, Medicare Advantage, Quality Management, Accreditation, Pharmacy Benefit..., Provider Relations, Utilization Management, HIPAA, Healthcare Information..., Health Insurance, Hospitals, Health Policy, Quality Improvement, Healthcare Industry, Physician Relations, Nursing, Revenue Cycle, Informatics, Physicians, Epic Systems, EHR, Inpatient, EMR, Home Care, Leadership, JCAHO, Clinical Research, Patient Safety, Credentialing, Public Health, Performance Improvement, Patient Advocacy, Meditech, Elder Care, Program Management
Education
Loyola University Chicago School of Law 1988 — 1990
MJ, Health Law
Loyola University Chicago 1982 — 1985
BSN, Nursing
William H Finck's Aetna Better Health Experience 2009 - 2011
Job Chairman at The Leapfrog Group
Industry Hospital & Health Care
Experience
The Leapfrog Group June 2013 - Present
WHF Healthcare, L.L.C. January 2009 - Present
Carlisle & Associates January 2010 - January 2013
Aetna Better Health 2009 - 2011
The Leapfrog Group 2005 - 2010
WHF Healthcare 2009 - 2009
The Leapfrog Group 2009 - 2009
Horizon Blue Cross Blue Shield of NJ 2004 - 2009
Empire Blue Cross Blue Shield 2000 - 2004
Skills
Medicare, Health Policy, Managed Care, Healthcare, Medicaid, Healthcare Consulting, Healthcare Information..., Physicians, Utilization Management, Strategy, HIPAA, Provider Relations, Credentialing, PPO, Network Development, Hospitals, Medical Billing, Data Analysis, Informatics, Healthcare Industry, Patient Safety, Healthcare Management, EHR, Health Insurance, Revenue Cycle, Practice Management
Education
Temple University - Fox School of Business and Management 1972 — 1977
MBA, Healthcare Administration
The Leapfrog Group June 2013 - Present
WHF Healthcare, L.L.C. January 2009 - Present
Carlisle & Associates January 2010 - January 2013
Aetna Better Health 2009 - 2011
The Leapfrog Group 2005 - 2010
WHF Healthcare 2009 - 2009
The Leapfrog Group 2009 - 2009
Horizon Blue Cross Blue Shield of NJ 2004 - 2009
Empire Blue Cross Blue Shield 2000 - 2004
Skills
Medicare, Health Policy, Managed Care, Healthcare, Medicaid, Healthcare Consulting, Healthcare Information..., Physicians, Utilization Management, Strategy, HIPAA, Provider Relations, Credentialing, PPO, Network Development, Hospitals, Medical Billing, Data Analysis, Informatics, Healthcare Industry, Patient Safety, Healthcare Management, EHR, Health Insurance, Revenue Cycle, Practice Management
Education
Temple University - Fox School of Business and Management 1972 — 1977
MBA, Healthcare Administration
Yolanda Abdullah's Aetna Better Health Experience April 2011 - September 2012
Job Clinical Interactive Specialist at RSA Medical
Industry Medical Practice
Experience
RSA Medical November 2014 - Present
Livery Of Love October 2012 - November 2014
AETNA BETTER HEALTH April 2011 - September 2012
ACE October 2006 - March 2010
Allstate May 2006 - October 2006
Skills
Insurance, Claim, Data Entry, Customer Service, Claims Management, Leadership, Certified Coding..., Call Centers, Microsoft Excel, Team Building, Microsoft Office, Health Insurance, Property & Casualty...
Education
South University 2013 — 2016
Associate's Degree, Paralegal Studies, 3.8 GPA
South University-Savannah Online 2013 — 2016
Paralegal Studies, 3.8 GPA
Southern New Hampshire University 2003 — 2003
Certificate, Community Development Financial Institute (Online) Manchester, NH
RSA Medical November 2014 - Present
Livery Of Love October 2012 - November 2014
AETNA BETTER HEALTH April 2011 - September 2012
ACE October 2006 - March 2010
Allstate May 2006 - October 2006
Skills
Insurance, Claim, Data Entry, Customer Service, Claims Management, Leadership, Certified Coding..., Call Centers, Microsoft Excel, Team Building, Microsoft Office, Health Insurance, Property & Casualty...
Education
South University 2013 — 2016
Associate's Degree, Paralegal Studies, 3.8 GPA
South University-Savannah Online 2013 — 2016
Paralegal Studies, 3.8 GPA
Southern New Hampshire University 2003 — 2003
Certificate, Community Development Financial Institute (Online) Manchester, NH
Laura Mesmer's Aetna Better Health Experience November 2014 - Present
Job Manager, Clinical Services
Industry Hospital & Health Care
Experience
Aetna Better Health November 2014 - Present
Aetna June 2014 - November 2014
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas 2013 - 2014
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2010 - July 2013
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2007 - April 2010
Chicago Health System 1999 - 2007
MacNeal Hospital 1989 - 2007
Skills
Nursing, Healthcare Management, Hospitals, Physician Relations, Medicare, Healthcare Information..., Inpatient, Acute Care, Patient Safety, Medical/Surgical, EMR, Patient Advocacy, HEDIS, Quality Improvement, Utilization Management, Medical-Surgical, Case Management, Managed Care, Disease Management
Education
Spertus Institute of Jewish Studies 2008 — 2011
Master of Science (MS), Non-profit Mgmnt
Governors State University 2007 — 2008
BA, Independent Learning-Health Care Admin
Aetna Better Health November 2014 - Present
Aetna June 2014 - November 2014
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas 2013 - 2014
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2010 - July 2013
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas May 2007 - April 2010
Chicago Health System 1999 - 2007
MacNeal Hospital 1989 - 2007
Skills
Nursing, Healthcare Management, Hospitals, Physician Relations, Medicare, Healthcare Information..., Inpatient, Acute Care, Patient Safety, Medical/Surgical, EMR, Patient Advocacy, HEDIS, Quality Improvement, Utilization Management, Medical-Surgical, Case Management, Managed Care, Disease Management
Education
Spertus Institute of Jewish Studies 2008 — 2011
Master of Science (MS), Non-profit Mgmnt
Governors State University 2007 — 2008
BA, Independent Learning-Health Care Admin
Julie Clarke-Bell RN,BSN,MPA's Aetna Better Health Experience February 2014 - Present
Job Utilization Management Nurse Consultant at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health February 2014 - Present
College of Lake County January 2004 - Present
Trustmark Insurance Company March 2010 - January 2014
WellPoint Insurance Company August 2007 - March 2010
Cancer Treatment Centers of America March 2007 - September 2007
American Home Health May 2004 - April 2007
Lutheran General Hospital March 2002 - December 2003
Affiliated Oral Maxillofacial Surgeons August 2001 - February 2002
Balmoral Care Center May 1999 - December 2001
Highland Park Hospital March 1989 - May 1999
Skills
Customer Service, Staff Development, Wellness, Nursing, Wound Care, BLS, Program Development, Public Speaking, Community Outreach, Clinical Research, Microsoft Office, Surgery, Leadership Development, Time Management, Post Anesthesia Care, Home Care, Healthcare, Project Management, Microsoft Excel, Strategic Planning, ACLS, Cpr Certified, Event Planning, Coaching, Quality Assurance, Team Building, Disease Management, Management, Social Networking, Health Education, Nonprofits, Inpatient, Research, Pediatrics, Windows, Adult Education, Fundraising, Healthcare Management, Spanish, Leadership, Teaching, Medication..., Case Managment, EMR, Process Improvement, Hospitals, Program Management, Registered Nurses, Medical/Surgical, Patient Advocacy
Education
Roosevelt University 1987 — 1989
Master's Degree in Public Administration, Nursing
Alverno College 1971 — 1975
Bachelors of Science, Nursing
Aetna Better Health February 2014 - Present
College of Lake County January 2004 - Present
Trustmark Insurance Company March 2010 - January 2014
WellPoint Insurance Company August 2007 - March 2010
Cancer Treatment Centers of America March 2007 - September 2007
American Home Health May 2004 - April 2007
Lutheran General Hospital March 2002 - December 2003
Affiliated Oral Maxillofacial Surgeons August 2001 - February 2002
Balmoral Care Center May 1999 - December 2001
Highland Park Hospital March 1989 - May 1999
Skills
Customer Service, Staff Development, Wellness, Nursing, Wound Care, BLS, Program Development, Public Speaking, Community Outreach, Clinical Research, Microsoft Office, Surgery, Leadership Development, Time Management, Post Anesthesia Care, Home Care, Healthcare, Project Management, Microsoft Excel, Strategic Planning, ACLS, Cpr Certified, Event Planning, Coaching, Quality Assurance, Team Building, Disease Management, Management, Social Networking, Health Education, Nonprofits, Inpatient, Research, Pediatrics, Windows, Adult Education, Fundraising, Healthcare Management, Spanish, Leadership, Teaching, Medication..., Case Managment, EMR, Process Improvement, Hospitals, Program Management, Registered Nurses, Medical/Surgical, Patient Advocacy
Education
Roosevelt University 1987 — 1989
Master's Degree in Public Administration, Nursing
Alverno College 1971 — 1975
Bachelors of Science, Nursing
Kimberly Sizemore's Aetna Better Health Experience September 2013 - Present
Job at Aetna Better Health
Industry Insurance
Experience
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 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
Annette Farrell's Aetna Better Health Experience January 2010 - March 2012
Job Manager Health Services at CignaHealthSpring
Industry Insurance
Experience
Cigna-HealthSpring March 2012 - Present
Aetna Better Health January 2010 - March 2012
Independence Blue Cross 1993 - 2009
Independence Bue Cross June 2001 - November 2003
Independence Blue Cross March 1993 - June 2001
Physicians Plus Insurance Corporation August 1990 - March 1993
Skills
Healthcare, Appeals, Property & Casualty..., Insurance, Health Insurance, Claim, Policy, Workers Compensation, Human Resources, Recruiting, Employee Training, Budgets, Quality Assurance, Negotiation, Auditing, Hospitals, Utilization Management, Liability, Managed Care, Medicare, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Process Improvement, Medical Billing, Training, Access, Contract Negotiation, PPO, Provider Relations, HMO, Disease Management, Network Development, Health Policy, Healthcare Industry, Credentialing, Medicare Part D
Education
Philadelphia College of Osteopathic Medicine 2001 — 2003
Masters of Science, Organizational Development and Leadership
LaSalle University
B.A., Sociology
Cigna-HealthSpring March 2012 - Present
Aetna Better Health January 2010 - March 2012
Independence Blue Cross 1993 - 2009
Independence Bue Cross June 2001 - November 2003
Independence Blue Cross March 1993 - June 2001
Physicians Plus Insurance Corporation August 1990 - March 1993
Skills
Healthcare, Appeals, Property & Casualty..., Insurance, Health Insurance, Claim, Policy, Workers Compensation, Human Resources, Recruiting, Employee Training, Budgets, Quality Assurance, Negotiation, Auditing, Hospitals, Utilization Management, Liability, Managed Care, Medicare, Medicaid, HIPAA, Healthcare Information..., Healthcare Consulting, Process Improvement, Medical Billing, Training, Access, Contract Negotiation, PPO, Provider Relations, HMO, Disease Management, Network Development, Health Policy, Healthcare Industry, Credentialing, Medicare Part D
Education
Philadelphia College of Osteopathic Medicine 2001 — 2003
Masters of Science, Organizational Development and Leadership
LaSalle University
B.A., Sociology
Dana Kafenshtok's Aetna Better Health Experience April 2011 - October 2011
Job Retirement Solutions Advisors, LLC.
Industry Financial Services
Experience
Retirement Solutions Advisors, LLC. October 2011 - Present
Aetna Better Health April 2011 - October 2011
ComPsych November 2008 - March 2011
Education
University of Illinois at Chicago 2006 — 2007
Masters, Social Work
Illinois State University 2000 — 2004
Bachelor, Social Work
Retirement Solutions Advisors, LLC. October 2011 - Present
Aetna Better Health April 2011 - October 2011
ComPsych November 2008 - March 2011
Education
University of Illinois at Chicago 2006 — 2007
Masters, Social Work
Illinois State University 2000 — 2004
Bachelor, Social Work
Pat Powers's Aetna Better Health Experience May 2011 - June 2012
Job Principal at SEKAL Consulting
Industry Insurance
Experience
SEKAL Consulting April 2015 - Present
Louisiana Health Cooperative, Inc. (LAHC) January 2014 - Present
Powers Consulting Company, LLC June 2012 - September 2012
Aetna Better Health May 2011 - June 2012
SEKAL Property Management January 2010 - May 2011
Powers Consulting Company October 1999 - May 2011
MD HealthShares Corporation February 1998 - September 1999
ManagedComp January 1995 - February 1998
General Health System 1981 - 1994
Skills
Health Insurance, Managed Care, Medicaid, Health Policy, Healthcare, Insurance, Hospitals, Physicians, HMO, Workers Compensation, Strategic Planning, Healthcare Consulting, Revenue Cycle, Long-term Care, Physician Relations, Policy, Provider Relations, Healthcare Information..., HIPAA, Healthcare Management, Healthcare Industry, Employee Benefits, Health Care Reform, Practice Management, Strategy, Management, Medical Billing, Executive Management, Medicare Part D, Disease Management, Claim, Claims Management, Disability Insurance, Brokers, Property, Revenue Cycle Management, Professional Liability, Reinsurance, Home Care, Leadership, Informatics, Employee Wellness, Exit Strategies, Legal Liability, EHR, Small Business, Medicare, Commercial Lines, Retirement, CEOs
Education
Louisiana State University 1975 — 1978
B.A., Accounting
SEKAL Consulting April 2015 - Present
Louisiana Health Cooperative, Inc. (LAHC) January 2014 - Present
Powers Consulting Company, LLC June 2012 - September 2012
Aetna Better Health May 2011 - June 2012
SEKAL Property Management January 2010 - May 2011
Powers Consulting Company October 1999 - May 2011
MD HealthShares Corporation February 1998 - September 1999
ManagedComp January 1995 - February 1998
General Health System 1981 - 1994
Skills
Health Insurance, Managed Care, Medicaid, Health Policy, Healthcare, Insurance, Hospitals, Physicians, HMO, Workers Compensation, Strategic Planning, Healthcare Consulting, Revenue Cycle, Long-term Care, Physician Relations, Policy, Provider Relations, Healthcare Information..., HIPAA, Healthcare Management, Healthcare Industry, Employee Benefits, Health Care Reform, Practice Management, Strategy, Management, Medical Billing, Executive Management, Medicare Part D, Disease Management, Claim, Claims Management, Disability Insurance, Brokers, Property, Revenue Cycle Management, Professional Liability, Reinsurance, Home Care, Leadership, Informatics, Employee Wellness, Exit Strategies, Legal Liability, EHR, Small Business, Medicare, Commercial Lines, Retirement, CEOs
Education
Louisiana State University 1975 — 1978
B.A., Accounting
Nerlene Dossous's Aetna Better Health Experience 2011 - 2011
Job Primary Nurse Case Manager at Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas
Industry Higher Education
Experience
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas December 2011 - Present
Aetna Better Health 2011 - 2011
Governors State University 2010 - 2011
Ada S Mckinley 2008 - 2009
Skills
Mental Health, Community Outreach, Treatment, Non-profits, Community Health, Healthcare, Public Health, Teaching, Nursing Education, Case Management, Health Promotion, Hospitals, Nonprofits, Health Education, Nursing, Utilization Review, Customer Service, Microsoft Excel, Microsoft Office
Education
Saint Xavier University 2002 — 2006
BSN, Nursing
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas December 2011 - Present
Aetna Better Health 2011 - 2011
Governors State University 2010 - 2011
Ada S Mckinley 2008 - 2009
Skills
Mental Health, Community Outreach, Treatment, Non-profits, Community Health, Healthcare, Public Health, Teaching, Nursing Education, Case Management, Health Promotion, Hospitals, Nonprofits, Health Education, Nursing, Utilization Review, Customer Service, Microsoft Excel, Microsoft Office
Education
Saint Xavier University 2002 — 2006
BSN, Nursing
Dawn Clement's Aetna Better Health Experience April 2012 - Present
Job Making a Difference!!
Industry Insurance
Experience
Aetna Better Health April 2012 - Present
Aetna, INC. December 2008 - April 2012
Aetna May 2006 - December 2008
Skills
Health Insurance, Claim, Marketing, Customer Service, Commercial Insurance, Healthcare, Insurance, Marketing Communications, Medicare, Marketing Strategy, Team Building, Medicaid, Public Speaking, Provider Relations, Health Policy, Medicare Part D, HIPAA, Call Centers, Healthcare Industry, Budgets, CPT, HMO, Healthcare Reimbursement
Education
Temple University 2001 — 2005
BBA, Marketing
Aetna Better Health April 2012 - Present
Aetna, INC. December 2008 - April 2012
Aetna May 2006 - December 2008
Skills
Health Insurance, Claim, Marketing, Customer Service, Commercial Insurance, Healthcare, Insurance, Marketing Communications, Medicare, Marketing Strategy, Team Building, Medicaid, Public Speaking, Provider Relations, Health Policy, Medicare Part D, HIPAA, Call Centers, Healthcare Industry, Budgets, CPT, HMO, Healthcare Reimbursement
Education
Temple University 2001 — 2005
BBA, Marketing
Katie Gilbert, LISW's Aetna Better Health Experience April 2011 - December 2011
Job Behavioral Health Care Coordinator at Quantum Health
Industry Health, Wellness and Fitness
Experience
Quantum Health June 2013 - Present
APS Healthcare April 2013 - June 2013
CuraLinc Healthcare December 2011 - February 2013
Aetna Better Health April 2011 - December 2011
University of Chicago Hospitals March 2010 - March 2011
Heartland Human Care Services August 2007 - January 2010
Skills
Mental Health, Case Managment, Healthcare, Behavioral Health, Disease Management, Utilization Management, Psychology, Crisis Intervention, Medicaid, Case Management, Health Promotion, Motivational..., Psychotherapy, Public Speaking, Social Services, Treatment, Nonprofits
Education
Loyola University of Chicago 2005 — 2007
MSW, Social Work
John Carroll University 2001 — 2005
BA, Sociology
Walsh Jesuit
Quantum Health June 2013 - Present
APS Healthcare April 2013 - June 2013
CuraLinc Healthcare December 2011 - February 2013
Aetna Better Health April 2011 - December 2011
University of Chicago Hospitals March 2010 - March 2011
Heartland Human Care Services August 2007 - January 2010
Skills
Mental Health, Case Managment, Healthcare, Behavioral Health, Disease Management, Utilization Management, Psychology, Crisis Intervention, Medicaid, Case Management, Health Promotion, Motivational..., Psychotherapy, Public Speaking, Social Services, Treatment, Nonprofits
Education
Loyola University of Chicago 2005 — 2007
MSW, Social Work
John Carroll University 2001 — 2005
BA, Sociology
Walsh Jesuit
Minerva Hartwig's Aetna Better Health Experience April 2011 - Present
Job Account Representative
Industry Medical Practice
Experience
Aetna Better Health April 2011 - Present
Skills
Outlook, Development Of Employees, Customer Satisfaction, Forecasting, Customer Service, Sales Force Development, Team Building, Sales Operations
Education
Governors State University
Bachelor, Business Administration
Aetna Better Health April 2011 - Present
Skills
Outlook, Development Of Employees, Customer Satisfaction, Forecasting, Customer Service, Sales Force Development, Team Building, Sales Operations
Education
Governors State University
Bachelor, Business Administration
samantha Poulis's Aetna Better Health Experience February 2012 - Present
Job Registered Nurse at NY Methodist Hospital
Industry Hospital & Health Care
Experience
Aetna Better Health February 2012 - Present
CareManagers Inc May 2010 - Present
New York Methodist Hospital February 2010 - Present
Personalized Home Care, Ltd October 2009 - Present
NY Methodist Hospital February 2010 - October 2012
Education
Central Michigan University
M.S.A
New Jersey City University
B.S, Nursing
Aetna Better Health February 2012 - Present
CareManagers Inc May 2010 - Present
New York Methodist Hospital February 2010 - Present
Personalized Home Care, Ltd October 2009 - Present
NY Methodist Hospital February 2010 - October 2012
Education
Central Michigan University
M.S.A
New Jersey City University
B.S, Nursing
Robin Zappitielli's Aetna Better Health Experience December 2014 - Present
Job Manager Clinical Health Services
Industry Insurance
Experience
Aetna Better Health December 2014 - Present
Amerihealth NJ February 2012 - Present
AmeriHealth Insurance Co of NJ February 2012 - June 2014
AmeriHealth Insurance Co of NJ March 2009 - February 2012
Skills
Case Management,..., Strategic Planning, Utilization Management, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Research, Windows, Outlook, Teaching, HTML, Public Speaking, Budgets, Sharepoint, HIPAA, Managed Care, Healthcare, Healthcare Management, Medicare, Process Improvement, Hospitals, Healthcare Information..., Medicaid, Nursing
Education
New York University 1980 — 1983
Master's Degree, Nursing Administration, 3.91
City University of New York-Hunter College 1971 — 1975
Bachelor's Degree, Registered Nursing, 3.5
Aetna Better Health December 2014 - Present
Amerihealth NJ February 2012 - Present
AmeriHealth Insurance Co of NJ February 2012 - June 2014
AmeriHealth Insurance Co of NJ March 2009 - February 2012
Skills
Case Management,..., Strategic Planning, Utilization Management, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Research, Windows, Outlook, Teaching, HTML, Public Speaking, Budgets, Sharepoint, HIPAA, Managed Care, Healthcare, Healthcare Management, Medicare, Process Improvement, Hospitals, Healthcare Information..., Medicaid, Nursing
Education
New York University 1980 — 1983
Master's Degree, Nursing Administration, 3.91
City University of New York-Hunter College 1971 — 1975
Bachelor's Degree, Registered Nursing, 3.5
Peter Prizio's Aetna Better Health Experience July 2008 - March 2012
Job
Industry Insurance
Experience
COMMUNITY HEALTH NETWORK OF CONNECTICUT January 2012 - April 2012
AETNA BETTER HEALTH July 2008 - March 2012
CVS/PHARMACY January 2003 - July 2008
TCT ENTERPRISES/WILD ENTERPRISES August 2001 - December 2002
Platinum Associates February 2001 - August 2001
Central Connecticut State University July 2000 - December 2000
TOWNE PHARMACY September 1990 - July 2000
Skills
Sales, Call Center, Project Management, Claims Handling, Supervisory Experience, Inventory Management, Data Entry, Corporate Training, Campaign Management, Interviewing Skills, Fundraising, Advertising, Retail Marketing, Customer Service, Marketing, Microsoft Excel, Microsoft Word, Microsoft Office
Education
Central Connecticut State University 1993 — 2000
Bachelor of Science, Marketing
Southern New Hampshire University 1992 — 1993
Manchester Community College 1990 — 1992
COMMUNITY HEALTH NETWORK OF CONNECTICUT January 2012 - April 2012
AETNA BETTER HEALTH July 2008 - March 2012
CVS/PHARMACY January 2003 - July 2008
TCT ENTERPRISES/WILD ENTERPRISES August 2001 - December 2002
Platinum Associates February 2001 - August 2001
Central Connecticut State University July 2000 - December 2000
TOWNE PHARMACY September 1990 - July 2000
Skills
Sales, Call Center, Project Management, Claims Handling, Supervisory Experience, Inventory Management, Data Entry, Corporate Training, Campaign Management, Interviewing Skills, Fundraising, Advertising, Retail Marketing, Customer Service, Marketing, Microsoft Excel, Microsoft Word, Microsoft Office
Education
Central Connecticut State University 1993 — 2000
Bachelor of Science, Marketing
Southern New Hampshire University 1992 — 1993
Manchester Community College 1990 — 1992
Eloise Tolley's Aetna Better Health Experience September 2010 - February 2011
Job Consumer Services Professional
Industry Consumer Services
Experience
Apppleone 2012 - Present
Aetna Better Health September 2010 - February 2011
PharmaCare August 2009 - January 2010
Skills
Typing, Data Entry, Word Processing, Account Reconciliation, Customer Service, Pharmaceutical Industry
Education
Paradise Valley Community College 2010 — 2013
Associate of Arts (A.A.), Communications
Apppleone 2012 - Present
Aetna Better Health September 2010 - February 2011
PharmaCare August 2009 - January 2010
Skills
Typing, Data Entry, Word Processing, Account Reconciliation, Customer Service, Pharmaceutical Industry
Education
Paradise Valley Community College 2010 — 2013
Associate of Arts (A.A.), Communications
Sanjoy Musunuri's Aetna Better Health Experience December 2012 - September 2014
Job SVP at naviHealth, Inc.
Industry Hospital & Health Care
Experience
naviHealth, Inc. September 2014 - Present
Aetna Better Health December 2012 - September 2014
WellCare Health Plan 2011 - 2012
WellCare Health Plan 2010 - 2011
WellCare Health Plan 2009 - 2010
WellCare Health Plan 2008 - 2009
WellCare Health Plan 2006 - 2008
Humana Health Plan 2003 - 2005
Advocate Health Care 1998 - 2003
Skills
Medicare, Public Speaking, Strategic Planning, Team Building, Non-profits, Leadership, Health Insurance, Community Outreach, Salesforce.com, Health Care Reform, Healthcare Reimbursement, Medicaid Managed Care, Medicare Advantage, Home and Community..., Long Term Care Programs, Sales & Marketing...
Education
Boston University 1993 — 1995
Master of Business Administration (MBA), Health/Health Care Administration/Management
Boston University 1987 — 1991
Bachelor of Arts (B.A.), Biology, General
naviHealth, Inc. September 2014 - Present
Aetna Better Health December 2012 - September 2014
WellCare Health Plan 2011 - 2012
WellCare Health Plan 2010 - 2011
WellCare Health Plan 2009 - 2010
WellCare Health Plan 2008 - 2009
WellCare Health Plan 2006 - 2008
Humana Health Plan 2003 - 2005
Advocate Health Care 1998 - 2003
Skills
Medicare, Public Speaking, Strategic Planning, Team Building, Non-profits, Leadership, Health Insurance, Community Outreach, Salesforce.com, Health Care Reform, Healthcare Reimbursement, Medicaid Managed Care, Medicare Advantage, Home and Community..., Long Term Care Programs, Sales & Marketing...
Education
Boston University 1993 — 1995
Master of Business Administration (MBA), Health/Health Care Administration/Management
Boston University 1987 — 1991
Bachelor of Arts (B.A.), Biology, General
Diann Lenker's Aetna Better Health Experience May 2015 - Present
Job Network Manager at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health May 2015 - Present
Aetna Better Health October 2014 - May 2015
Aetna January 2014 - October 2014
HealthAmerica February 2009 - December 2013
Physiotherapy Associates March 2007 - February 2009
UnitedHealthcare November 2005 - February 2007
Skills
Healthcare, Medicare, Health Insurance, Provider Relations, PPO, Managed Care, Sales, Medicaid, Claim, Insurance, Network Development, Healthcare Management, Customer Service, Credentialing, Healthcare Industry, HIPAA
Education
Lebanon Valley College 1987 — 1991
BS, International Business & German
Aetna Better Health May 2015 - Present
Aetna Better Health October 2014 - May 2015
Aetna January 2014 - October 2014
HealthAmerica February 2009 - December 2013
Physiotherapy Associates March 2007 - February 2009
UnitedHealthcare November 2005 - February 2007
Skills
Healthcare, Medicare, Health Insurance, Provider Relations, PPO, Managed Care, Sales, Medicaid, Claim, Insurance, Network Development, Healthcare Management, Customer Service, Credentialing, Healthcare Industry, HIPAA
Education
Lebanon Valley College 1987 — 1991
BS, International Business & German
Pierre Rowen's Aetna Better Health Experience November 2014 - March 2015
Job Supervisor at Neumann Family Services
Industry Mental Health Care
Experience
48 Ward Office, City of Chicago March 2015 - Present
New Pathways, LLC August 2014 - Present
Aetna Better Health November 2014 - March 2015
Neumann Family Services 2015 - 2015
RIC 2009 - 2015
Thresholds September 2013 - June 2014
Care for Real April 2012 - May 2013
Northwestern Memorial Hospital September 2012 - April 2013
Blue Cross Blue Shield of Illinois August 2002 - September 2011
City of Seattle, Mayor's Office March 1997 - November 2001
Skills
Program Evaluation, Healthcare Management, Research, Policy, Mental Health, Mindfulness, Post Traumatic Stress, Community Outreach, Yoga, Social Services, Program Development, Case Management, Psychotherapy, Motivational..., Behavioral Health, Nonprofits, Public Speaking, Grant Writing, Fundraising, Volunteer Management
Education
The University of Chicago 2011 — 2014
A.M., Social Work and Graduate Program in Health Administration and Policy
University of California, Los Angeles 1991 — 1994
M.U.P, Urban Planning and Policy - Luskin School of Public Affairs
McGill University 1987 — 1990
B.A., Urban Geography and GIS
48 Ward Office, City of Chicago March 2015 - Present
New Pathways, LLC August 2014 - Present
Aetna Better Health November 2014 - March 2015
Neumann Family Services 2015 - 2015
RIC 2009 - 2015
Thresholds September 2013 - June 2014
Care for Real April 2012 - May 2013
Northwestern Memorial Hospital September 2012 - April 2013
Blue Cross Blue Shield of Illinois August 2002 - September 2011
City of Seattle, Mayor's Office March 1997 - November 2001
Skills
Program Evaluation, Healthcare Management, Research, Policy, Mental Health, Mindfulness, Post Traumatic Stress, Community Outreach, Yoga, Social Services, Program Development, Case Management, Psychotherapy, Motivational..., Behavioral Health, Nonprofits, Public Speaking, Grant Writing, Fundraising, Volunteer Management
Education
The University of Chicago 2011 — 2014
A.M., Social Work and Graduate Program in Health Administration and Policy
University of California, Los Angeles 1991 — 1994
M.U.P, Urban Planning and Policy - Luskin School of Public Affairs
McGill University 1987 — 1990
B.A., Urban Geography and GIS
Doris Anderson's Aetna Better Health Experience November 2009 - May 2014
Job Quality Coordinator/Medicare Team at CVS Caremark Corporation
Industry Insurance
Experience
CVS Caremark Corporation May 2014 - Present
Aetna Better Health November 2009 - May 2014
Aetna November 2003 - January 2011
Skills
Employee Benefits, Health Insurance, Claim, Insurance, Claims Management, Claims Handling, Medicare, Call Centers, Medicaid, Process Improvement, Benefits Administration, Managed Care, Provider Relations
Education
Des Moines Area Community College 1977 — 1977
GED classes
CVS Caremark Corporation May 2014 - Present
Aetna Better Health November 2009 - May 2014
Aetna November 2003 - January 2011
Skills
Employee Benefits, Health Insurance, Claim, Insurance, Claims Management, Claims Handling, Medicare, Call Centers, Medicaid, Process Improvement, Benefits Administration, Managed Care, Provider Relations
Education
Des Moines Area Community College 1977 — 1977
GED classes
Holloman Torran's Aetna Better Health Experience Customer Care AssociateXerox$
Job CUSTOMER SERVICE REPERSENTITIVE at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health Customer Care AssociateXerox$
Skills
Customer Service, Plant Maintenance, Microsoft Excel, Insurance, Process Improvement, Account Management, Business Analysis, Employee Benefits, Underwriting, Healthcare, Outlook, Claim, Health Insurance
Education
Elizabeth City State University 2002 — 2005
High School, Business Administration and Management, General, Sophmore
Hertford County High School 1998 — 2002
High School
Aetna Better Health Customer Care AssociateXerox$
Skills
Customer Service, Plant Maintenance, Microsoft Excel, Insurance, Process Improvement, Account Management, Business Analysis, Employee Benefits, Underwriting, Healthcare, Outlook, Claim, Health Insurance
Education
Elizabeth City State University 2002 — 2005
High School, Business Administration and Management, General, Sophmore
Hertford County High School 1998 — 2002
High School
Judy Cleary's Aetna Better Health Experience August 2000 - Present
Job Sr. Administrative Assistant at Aetna Better Health
Industry Insurance
Experience
Aetna Better Health August 2000 - Present
Education
Mitchell Technical Institute 1973 — 1974
Secretarial Science, Administrative Assistant and Secretarial Science, General
Huron Senior High, South Dakota 1969 — 1973
High school diploma, Regular/General High School/Secondary Diploma Program
Aetna Better Health August 2000 - Present
Education
Mitchell Technical Institute 1973 — 1974
Secretarial Science, Administrative Assistant and Secretarial Science, General
Huron Senior High, South Dakota 1969 — 1973
High school diploma, Regular/General High School/Secondary Diploma Program