Aetna Health Plans
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Aetna Health Plans Employees
Cambia Health Solutions January 2013 - Present
MultiCare Consulting Services August 2012 - January 2013
The Regence Group October 2010 - July 2012
Coopersmith Health Law Group January 2010 - October 2010
Regence BlueCross BlueShield July 2006 - January 2010
United Healthcare May 2005 - July 2006
Aetna Health Plans August 2002 - May 2005
Skills
Certified Professional..., Contract Negotiation, Customer Relations, Healthcare, Hospitals, HIPAA, Lean Manufacturing, Mentoring, Health Insurance, Healthcare Management, Healthcare Consulting, Healthcare Compliance, Lean Principles, Management, Managed Care, Medicaid, Customer Service, Employee Benefits, Revenue Cycle, Health Policy
Education
University of Washington, Michael G. Foster School of Business 2009 — 2012
MBA
Eastern Washington University 2000 — 2002
BA
Branch2 August 2015 - Present
MD Revolution January 2015 - Present
Aligns, Inc. September 2000 - Present
Union Village June 2012 - May 2014
ChapterHouse February 1997 - June 2000
USF&G 1995 - 1997
MassMutual Financial Group 1994 - 1995
Aetna Health Plans 1990 - 1994
Pitney Bowes 1988 - 1990
Skills
Strategy, Leadership, Executive Coaching, Organizational..., Management, Strategic Planning, Change Management, Talent Management, Management Consulting, Consulting, Venture Capital, Mergers & Acquisitions, Business Development, Human Resources, Workshop Facilitation, Entrepreneurship, Organizational Design, Leadership Development, Healthcare, Training, Team Building, 360 Feedback, Program Management, Process Improvement, Executive Management, Executive Development, Coaching, Organizational..., Culture Change, Career Development, Performance Management, Business Transformation, Performance Improvement, Business Process..., Employee Engagement, Succession Planning, Business Strategy, Start-ups, Management Development, Team Leadership, Cross-functional Team..., Mergers, Strategic Partnerships, Healthcare Management, New Business Development, Healthcare Information..., Talent Acquisition, Strategic Consulting, Acquisition Integration, Executive Onboarding
Education
University of Bridgeport 1979 — 1981
MS, Education Management
Central Connecticut State University 1972 — 1976
BS, Education
CVS Caremark Corporation November 2010 - Present
CVS Caremark April 2009 - November 2010
CVS Caremark 2006 - April 2009
Caremark 2004 - 2006
AdvancePCS 2002 - 2004
PCS Health Systems 1998 - 2002
PCS Health Systems 1996 - 1998
Aetna Health Plans 1994 - 1996
Skills
SAP, Pharmacy Benefit..., Enterprise Software, Process Improvement, Vendor Management, ERP, Managed Care, SDLC, Consulting, Finance, Program Management, Project Portfolio..., Cross-functional Team..., IT Strategy, Business Analysis
Education
Arizona State University - W. P. Carey School of Business 1994 — 1996
MBA, Supply Chain Mgt
Arizona State University - W. P. Carey School of Business 1994 — 1996
MHSA, Health Care Administration
Brigham Young University 1988 — 1994
BS, Finance
Yuba City High School 1981 — 1985
Excel Management Services January 2014 - Present
Care1st Health Plan - Yes, its all about you. March 2012 - January 2014
Humana/MD Care Health Plan January 2011 - March 2012
Molina Healthcare November 2009 - December 2010
Arcadian Health Plan & Management Services October 2003 - October 2009
Prospect Medical August 1998 - October 2003
Unihealth January 1994 - August 1998
Tenet Healthcare April 1991 - December 1994
Aetna Health Plans August 1989 - April 1991
Skills
Strategic Planning, Provider Relations, Business Planning, Managed Care, Medicare, Healthcare Management, Healthcare IT, Medicaid, Health Insurance, Process Improvement, Compliance, Mergers, Operations Management, Financial Analysis, Physician Relations, Healthcare, Health, Team Building, HIPAA, New Business Development, Policy, Change Management, Physician Recruitment, Financial Management, Leadership Development, Healthcare Information..., Healthcare Industry, Health Policy, HMO, Healthcare Consulting, Utilization Management, Medical Compliance, PPO, Employee Relations, Patient Safety, Strategy, EMR, Revenue Cycle, Quality Improvement, Disease Management, Employee Benefits, Physicians, Hospitals, Contract Negotiation, Network Development, Medicare Part D, EHR, Practice Management, Leadership, Executive Management
Education
California Coast University
Bachelor's degree, Health/Health Care Administration/Management
Stanford University
Strategic Decision and Risk Management
University of Chicago Graduate School of Business
Certificate, Business Administration and Management, General
University of San Francisco
Masters, Applied Business Process Management/Advanced Business Process Mgmt/Business Process Mgmt Design
University of Wisconsin-Milwaukee
Bachelor's degree, Biochemistry/Zoology
Aon - Health and Benefit April 2015 - Present
Aon - Health and Benefits November 2002 - September 2015
The Mahoney Group February 2001 - November 2002
Aetna Health Plans March 1994 - January 1999
Willis Corroon February 1992 - March 1994
Skills
Strategic Planning, Benefits, Health, Plan Design, Wellness, Employee Benefits, Human Resources, Recruiting, Business Planning, Employee Relations, Performance Management, New Business Development, Personnel Management, Risk Management, Organizational..., Coaching, Management Consulting, Underwriting, Leadership, Leadership Development, Insurance, Project Management, Mergers & Acquisitions, Sales, Benefits Administration, Talent Management, Health Insurance, Strategy
Education
Arizona State University 1992 — 1994
Central Pennsylvania Business College 1981 — 1983
Associate
CIGNA Healthcare January 2015 - Present
CIGNA Healthcare 2005 - December 2014
CIGNA Healthcare 2003 - 2005
CIGNA Healthcare 2001 - 2003
CIGNA Healthcare 1996 - 2001
Aetna Health Plans 1985 - 1996
Aetna Health Plans 1978 - 1985
Skills
Software Development, Management, Integration, SDLC, Project Management, PMP, Healthcare, Project Portfolio..., Program Management, Software Project..., Analysis, Employee Benefits, IT Strategy, Process Improvement, Disaster Recovery, Requirements Analysis, IT Management, Business Process, Visio, Data Center, Business Analysis, Resource Management, Business Intelligence, Cross-functional Team..., Vendor Management, Project Planning, Access, Data Warehousing, MS Project, Java
Education
Capella University 2009 — 2010
MS, Information Technology - Project Management
Charter Oak State College 2006 — 2008
BS, General Studies, Concentration on Leadership and Entrepreneurial Studies
Tunxis Community College 2004 — 2006
AS, General Studies
Project Management Institute 2003 — 2004
PMP, Project Management Professional
3Back
Certification, Agile ScrumMaster
Systemation
Certification, Advanced Project Management
Systemation
Certification, Project Management Practitioner
Wilson & Hampton Painting Contractors October 2008 - Present
Santé Health System 2002 - 2008
Aetna Health Plans 1989 - 2001
Skills
Contract Negotiation, Office Administration, Microsoft Office, Process Scheduler, Project Coordination, Contract Management, Human Resources, Administration, Procurement, Outlook, Budgets, Project Planning, Supervisory Skills, Office Management, Teamwork
Education
California State University-Fullerton 1977 — 1980
Bachelor of Business Administration (B.B.A.), Marketing/Marketing Management, General
UnitedHealthcare June 2010 - Present
UnitedHealthcare June 2005 - June 2010
UnitedHealthcare June 1998 - June 2005
eBenX (formerly Network Management Services) March 1997 - June 1998
Aetna Health Plans September 1989 - March 1997
Boy Scouts of America 1982 - 1989
Skills
Health Insurance, Underwriting, Data Analysis, Risk Management, Benefits Strategy, Employee Benefits, Insurance, Managed Care, Healthcare, Strategic Planning
Education
St. Cloud State University 1986 — 1989
B.S., Finance
Anoka Ramsey Community College 1983 — 1986
A.A., General Education
Coon Rapids High School 1980 — 1983
H.S. Diploma, General Education
University Hospitals 2008 - Present
University Hospitals Geauga Medical Center 2004 - 2008
UHHS Heather Hill Hospital 2001 - 2004
Aetna Health Plans 1994 - 2001
University Hospitals of Cleveland 1984 - 1994
St. Vincent Charity Hospital 1979 - 1983
St. Vincent Charity Hospital 1979 - 1983
Skills
Public Relations, Media Relations, Press Releases, Internal Communications, Marketing, Crisis Communications, Healthcare, Marketing Communications, Communication Training, Publications, Strategic Communications, Newsletters, Corporate Communications, Strategic Planning, Non-profits, Editing, Hospitals, Web Content, Speech Writing, Copywriting, Community Development, Publicity, Copy Editing, Nonprofits, Social Media, Feature Articles, Blogging, Journalism
Education
Leadership Geauga 2006 — 2007
Baldwin-Wallace College 1981 — 1983
MBA
Bowling Green State University 1973 — 1977
Journalism
Inova Health System April 2013 - Present
Inova Health System October 2012 - April 2013
Inova Health System May 2011 - October 2012
Rocky Run Family Medicine January 2006 - May 2011
PracticeXpert July 2002 - July 2005
Loudoun Medical Group May 2001 - July 2002
Inova Medical Group February 2000 - May 2001
Aetna Health Plans March 1999 - February 2000
PHP Healthcare Corporation October 1997 - November 1998
Newbridge Networks June 1993 - June 1997
Skills
Process Improvement, Healthcare, Process Scheduler, Practice Management, Medical Terminology, Customer Service, EMR, Healthcare Information..., Project Management, Cpr Certified, HIPAA, Revenue Cycle, Public Speaking, Office Management, Medical Billing, Centering Pregnancy, EpicCare Ambulatory, GE Healthcare PM and EMR, Hospitals, Physicians, Healthcare Management, Managed Care, Training, Credentialing, Ambulatory Care
Education
Drexel University - College of Business and Administration
Health/Health Care Administration/Management
Strayer University-Maryland 1993 — 1996
Business Administration
Northern Virginia Community College 1991 — 1993
Business Administration
Virginia Polytechnic Institute and State University 1990 — 1991
Biology
Veritude September 2011 - Present
Fidelity Investments March 2009 - November 2010
Fidelity Investments 2007 - December 2008
Fidelity Investments 2007 - 2007
Fidelity Investments 2004 - 2007
Fidelity Investments 2006 - 2006
Fidelity Investments 2003 - 2004
Fidelity Investments 1999 - 2003
HealthPlan Services 1997 - 1998
Aetna Health Plans 1990 - 1996
Education
Tahanto Regional High School 1984 — 1989
Bentley University
B.S.
Bentley University
A.S.
TrestleTree, LLC May 2015 - Present
Connexions Loyalty May 2014 - April 2015
Onlife Health February 2011 - May 2014
Virgin Pulse January 2007 - December 2010
UnitedHealthcare January 2002 - January 2007
Aetna Health Plans 1990 - 2002
US Healthcare 1985 - 1990
Metropolitan Life Insurance Company August 1983 - January 1989
Skills
Strategic Planning, Employee Benefits, Employee Wellness..., Corporations, Employee Wellness, Leadership, Managed Care, Healthcare, Start-ups, Health Insurance, Process Improvement, Marketing, Wellness, Health Policy, Management, Sales, Program Management, Fitness, Human Resources, Wellness Coaching, SaaS
Education
Bowdoin College
Bachelor of Science (BS), Government & Art History
St. Mark's School
CMKI and Berkshire Hathaway HomeServices (formerly Prudential Connecticut Realty) June 2010 - Present
The Hartford Insurance Company November 2008 - July 2009
The Hartford February 2001 - October 2008
Aetna International June 1998 - December 2000
Aetna US Healthcare / US Quality Algorithms April 1995 - June 1998
Aetna Health Plans 1992 - 1995
Aetna June 1990 - June 1992
CIGNA July 1982 - June 1990
Hitchcock Memorial Medical Center Arthritis Center November 1980 - June 1982
Georgetown University Center for Population Research & Population Reference Bureau September 1979 - August 1980
Skills
Insurance, Data Warehousing, Enterprise Architecture, Program Management, Business Intelligence, Strategic Planning, Business Analysis, Real Estate Economics, Real Estate, Real Estate Transactions, Economics, Demography, German, Spanish, Management Consulting, Business Strategy, Strategy, IT Strategy, Management, CRM, Enterprise Software, SDLC, Information Technology, Architecture, Project Portfolio..., Project Management, Leadership, Governance, Architectures
Education
Dartmouth College 1980 — 1982
MS
Georgetown University 1979 — 1980
MA
Pontificia Universidad Católica del Perú 1971 — 1976
BA
Technical University Munich 1968 — 1970
none
Intracoastal Realty February 2002 - Present
Intracoastal Realty 2002 - 2013
Aetna Health Plans January 2000 - August 2001
IBM December 1969 - December 1999
Skills
Real Estate, Relocation, Sellers, Buyers, Real Estate Transactions, Buyer Representation, Investment Properties, Property, Sales, Contract Negotiation, Customer Service, Residential Homes, Public Speaking, Relocation Buyers, New Home Sales, Negotiation, Public Relations, Brokerage, Leadership, National Association of..., Event Management, Investments, Process Management, Townhomes
Education
Fairleigh Dickinson University 1967 — 1970
BSBA, Marketing / Intl Business
Willis 2011 - Present
Corporate Synergies 2005 - 2011
Aetna Health Plans 2002 - 2005
Marsh & McLennan 2000 - 2002
Aetna Health Plans 1996 - 2000
Skills
Drive New Business..., Pipeline Management, Premium Negotiation, Contribution Analysis, Wellness Strategy, Plan Design Modeling, New Business Development, Disability Insurance, Negotiation, Insurance, Strategy, Healthcare, Employee Benefits, Health Insurance, Customer Retention, Sales Management, Account Management, Health Savings Accounts, Relationship Management, Managed Care, Brokers, Health Care Reform, Life Insurance, Underwriting, Sales, COBRA, 401k, Medicare, Long-term Care, Term Life Insurance, Property & Casualty..., Workers Compensation, Employee Wellness, Benefits Administration, ERISA, Claim, Commercial Insurance, Accident, Professional Liability, Employment Practices..., Fixed Annuities, Casualty
Education
Elon University 1991 — 1996
BS, Exercise Science
GNet Group August 2011 - Present
Amherst H Wilder Foundation 2006 - 2011
Amherst H Wilder Foundation 2001 - 2006
Amherst H Wilder Foundation 1997 - 2001
Amherst H Wilder Foundation 1995 - 1997
Aetna Health Plans 1994 - 1995
Exchange Data, Inc. 1990 - 1994
Skills
Project Management, Project Portfolio..., SDLC, Business Analysis, Project Planning, PMO, Integration, Strategic Planning, Program Management, Business Intelligence, SharePoint, Data Warehousing, IT Management, Nonprofits, Vendor Management, Non-profits, PMP, Strategy, Governance, Microsoft SQL Server, Enterprise Software, Agile Project Management, Requirements Gathering, Training, MS Project, Business Process..., Management, Public Speaking, Business Process, Resource Management, Visio, IT Strategy, Change Management, Process Improvement, Software Documentation, Enterprise Architecture, Software Project..., IT Governance, Business Alignment, JAD, Cross-team Collaboration, Business Continuity..., PeopleSoft Financial, Lawson HRIS, Lawson General Ledger, Cross-functional Team..., Software Development, ERP, Leadership
Education
University of Saint Thomas 2000 — 2002
California Lutheran University 1984 — 1988
BA
Kaiser Foundation Health Plan February 2005 - Present
Health Net February 2003 - February 2005
Aetna Health Plans June 1984 - February 2003
Skills
Medicaid, Healthcare, HMO, Revenue Cycle, HIPAA, Health Insurance, Medicare, Managed Care, Claim, Claims Management, Healthcare Information..., Analysis, Medical Billing, Epic Systems, Hospitals, Medical Terminology, Team Building, Healthcare Management, Inpatient, Data Analysis, Process Improvement, Healthcare Consulting, ICD-9, Employee Benefits, Medical Coding, Claims Resolution, Software Documentation, Access, EMR, CPT, EHR, Provider Relations, Insurance, Health Policy, Healthcare Industry, Data Entry, Health Education, Medical Compliance, HCPCS, Visio, Ambulatory, Workers Compensation, Utilization Management
Education
George Fox University 1980 — 1984
BS, Home Economics
Parkrose High School 1976 — 1980
GED
Merck April 2015 - Present
Merck June 2013 - March 2015
Merck November 2009 - May 2013
Merck June 2008 - October 2009
PricewaterhouseCoopers July 1995 - May 2008
Aetna Health Plans June 1994 - July 1995
Skills
Sarbanes-Oxley Act, Outsourcing, Process Improvement, Risk Management, Cross-functional Team..., Internal Controls, Business Process, Executive Management, Strategic Planning, Project Management, IT Audit, Management, Leadership, Shared Services, Auditing, Project Portfolio..., CRM, Business Planning, Forecasting, Managerial Finance, SAP, Financial Analysis, Strategy, Business Transformation, Financial Management..., Internal Audit, Budgets, Finance, Financial Reporting, Acquisition Integration, Integration, P&L Management, Project Planning, Business Process..., Restructuring, Team Building, Consulting, Mergers & Acquisitions, Management Consulting, Program Management, Enterprise Software, Sarbanes-Oxley, Consolidation, ERP, Change Management, Corporate Finance, Global Delivery
Education
Columbia University - Columbia Business School 2011 — 2013
Master of Business Administration (MBA)
London Business School 2011 — 2013
Master of Business Administration (MBA)
La Salle University 1991 — 1995
BS in BA, Finance / Accounting / MIS
LaSalle College High School 1987 — 1991
1991
Ethicon, Inc. October 2013 - Present
Ethicon June 2011 - September 2013
Ethicon Endo-Surgery January 2009 - August 2011
Ethicon Endo-Surgery March 2006 - December 2008
Ethicon Endo-Surgery, a Johnson & Johnson Company March 2003 - March 2006
Ethicon Endo-Surgery, a Johnson & Johnson Company July 2001 - March 2003
Ethicon Endo-Surgery, a Johnson & Johnson Company February 1999 - July 2001
Novartis November 1994 - November 1998
Aetna Health Plans January 1986 - November 1994
Education
Dickinson College
BA, Political Science
Raytheon October 2011 - Present
Affiliated Computer Services/Xerox April 2009 - October 2011
Fidelity September 1999 - March 2009
CIGNA 1997 - 1999
Aetna Health Plans 1988 - 1996
Education
Boston College 1984 — 1988
Bachelor of Arts (B.A.)
Rensselaer Polytechnic Institute - The Lally School of Management and Technology
MBA
Florida Health Connector, Inc. 2010 - Present
Sheffield Insurance, inc. 1990 - 2009
AETNA Health Plans 1991 - 1993
Skills
Health Insurance, Employee Benefits, Medicare, Benefits Administration, Marketing Communications, Insurance, Disability Insurance, Health, Group Insurance, Insurance Consulting, Licensed Life & Health..., Senior Products, Performance Management, Group Benefits, Group Medical, Compensation & Benefits..., Customer Service, Marketing, Sales, Life Insurance, Management, Long-term Care, Term Life Insurance, Brokers, Dentistry, Workers Compensation, Recruiting, Property & Casualty..., Whole Life, Commercial Insurance, Critical Illness, Umbrella Insurance, Marketing Strategy, Fixed Annuities, Claim, Underwriting, Homeowners, Renters
Education
Florida State University
BS, Professional Communication
UnitedHealthcare Retiree Solutions October 2012 - Present
United Retiree Solutions October 2011 - October 2012
Optum - Reporting & Insights June 2010 - July 2011
SLIA Employee Benefit Services October 2009 - June 2010
CIGNA Healthcare January 2001 - November 2008
CIGNA Healthcare January 2000 - January 2001
Aetna Health Plans January 1997 - November 1999
Aetna Health Plans September 1993 - December 1997
Skills
Medicare, Health Insurance, Employee Benefits, Customer Relations, Managed Care, Insurance, Leadership, Health Policy, Account Management, New Business Development, Brokers, Health Savings Accounts, Strategy, Customer Service, Management, Negotiation, Healthcare, Sales, Strategic Planning, Team Building, Marketing
Education
Albion College
BA, Economics and Management; History
Quest Diagnostics July 2010 - September 2011
Schering-Plough (acquired by Merck) June 2004 - March 2010
Warner Chilcott Laboratories January 2000 - January 2004
Aetna Health Plans January 1996 - January 2000
UHP Healthcare January 1984 - January 1996
Education
University of Phoenix 2004 — 2007
MBA, HEALTHCARE MANAGEMENT
California State University-Long Beach
B.A. Degree, Social Welfare
Amgen 2006 - Present
Pfizer 2004 - 2006
Bristol-Myers Squibb 2001 - 2004
Knoll Pharmaceuticals 1998 - 2001
Janssen 1996 - 1998
Aetna Health Plans 1993 - 1996
Skills
Outcomes Research, Health Economics, Epidemiology, Global Health, Health Research, Biotechnology, CRO, CTMS, Pharmaceutical Industry, Immunology, Infectious Diseases, Market Access, Clinical Trials, Oncology, Pharmacovigilance, Life Sciences, Biostatistics, Clinical Development, Drug Development, Pharmacoeconomics, Biopharmaceuticals, Clinical Research, Vaccines, Medical Writing, Regulatory Affairs, GCP, Health Policy, Informatics, Pharmacology, Diabetes, Medical Affairs, Lifesciences, HTA, Cancer
Education
Boston University
PhD, Epidemiology
Tulane University 1987 — 1991
MS, Mathematics
Aberystwyth University 1980 — 1983
BSc (hons), Mathematics and Statistics
BNY Mellon Alternative Investment Services August 2003 - Present
PGW, Philadelphia February 1998 - August 2002
Aetna Health Plans 1997 - 1998
CBSI 1996 - 1998
TCS 1993 - 1996
Skills
SDLC
Education
Dakota State University 2009 — 2013
D.Sc., MIS
Western Carolina University 2004 — 2007
MPM
West Chester University of Pennsylvania 2000 — 2002
MBA, Technology and E-Commerce
Manipal Institute of Technology 1991 — 1993
M.Tech., Computer Science and Engineering
Madurai Kamaraj University 1985 — 1989
BS, Computer Engineering
Bishop Corrie H.S.S
EPRI November 2013 - Present
Alpha Helix October 2012 - November 2013
Europa Sports Products September 2004 - February 2011
Wellpath Healthcare July 2001 - September 2004
Aetna Health Plans January 2002 - May 2003
Skills
Event Planning, Trade Show Coordination, SharePoint, Travel Management, Event Management, Event Marketing, Corporate Events, Social Media Marketing, Social Media, Marketing Communications, Contract Negotiation, Public Speaking, Market Planning, Trade Shows, Marketing Strategy, Leadership, Editing, Sales, Access, Recruiting, Team Building, Budgets, Facebook, Marketing, Creative Direction, Integrated Marketing, Project Management, Newsletters, Copywriting, Advertising, Adobe Creative Suite, Outlook, Email Marketing, Public Relations, Online Marketing, WordPress, Coordinating Events, B2B, Sales Management, Social Networking, Management, Strategy, Market Research, Fundraising, Corporate Branding, Google Analytics, PowerPoint, Account Management, Sponsorship, SEO
Education
East Carolina University 1992 — 1997
Art History
Marshall Air Systems May 2011 - Present
Brightgreen Home Loans March 2010 - February 2011
Brightgreen Home Loans August 2009 - March 2010
1st Metropolitan Mortgage February 2006 - August 2009
Ameritrust Mortgage April 2003 - January 2006
Equifirst Corporation February 2000 - March 2003
DMG Inc November 1995 - August 1999
Aetna Health Plans June 1993 - November 1995
Aetna Health Plans August 1990 - June 1993
Carolina Shipping Company April 1983 - February 1984
Education
California Coast University 1997 — 1997
B.S, Business Management
Catawba Valley Technical College 1979 — 1984
A. A. S, Industrial Management
Fieldale-Collinsville High School 1965 — 1971
Humana, Inc. September 2011 - Present
GlobalCare, Inc. June 2010 - September 2011
KAISER FOUNDATION HEALTH PLAN of OHIO, INC September 2002 - February 2010
KAISER FOUNDATION HEALTH PLAN of GA, INC February 2000 - September 2002
KAISER FOUNDATION HEALTH PLAN of GA, INC June 1996 - February 2000
PRINCIPAL HEALTH CARE OF GEORGIA January 1995 - June 1996
DENTAL CARE AFFILIATES, INC November 1992 - December 1994
AETNA HEALTH PLANS April 1987 - November 1992
HealthAmerica 1985 - 1986
HealthAmerica 1985 - 1986
Skills
Managed Care, Health Insurance, Healthcare, Medicare, Strategic Planning, Healthcare Management, Employee Benefits, Insurance, Hospitals, Sales, Leadership, Provider Relations, PPO
Education
Allegheny College 1974 — 1978
Bachelor of Science, Economics; business
Allegheny College 1974 — 1978
BS, Economics
UnitedHealth Group July 2011 - Present
KAISER PERMANENTE, MEDICA HEALTH PLANS January 2009 - July 2011
Health Partners January 2004 - December 2008
CIGNA Behavioral Health January 2000 - December 2003
Preferred One January 1999 - December 1999
Aetna Health Plans December 1996 - December 1999
Skills
Insurance, Employee Benefits, Underwriting, Claim, Process Improvement, Health Insurance, Managed Care, Healthcare, Data Analysis, Customer Service, Risk Management, Management, Health Care Reform, HIPAA, Policy, Analysis, Large Group Underwriting, ASO Underwriting, Long Term Care Insurance, Long Term Term Care..., Leadership, Dental and Vision..., Health Care Consulting, Strategic Problem Solver, Problem Solving
Education
Drew University 1900 — 1900
BA, Political Science with Honors, 3.5
New York University February 2013 - Present
Drumline Ventures June 2012 - December 2012
HomeShopr, Inc. September 2010 - September 2012
New York University September 2006 - December 2010
Grassroots Capital Strategies 2003 - 2006
Wasserstein Perella 2000 - 2003
Toronto Dominion Bank 1997 - 2000
Goldman Sachs June 1995 - September 1995
Aetna Health Plans 1992 - 1995
Aetna Health Plans 1990 - 1992
Skills
Start-ups, Entrepreneurship, Venture Capital, Leadership, Mergers & Acquisitions, Business Development, Strategic Planning, Product Development, Strategic Partnerships, Social Media, CRM, Due Diligence, Mergers, Marketing Strategy, Competitive Analysis, Public Speaking, New Business Development, Consumer Products, Marketing, Management, Analysis, Business Modeling, User Experience, Business Planning, Product Marketing, Financial Forecasting, Spreadsheets, Fundraising, Market Research, Business Strategy, Product Management, Consumer Insights, Brand Management, Brand Development, Integrated Marketing, Customer Insight, Being Badass, Cooks Chili
Education
Northwestern University - Kellogg School of Management 1994 — 1996
MBA
New York University 1993 — 1994
Non-Degree Student at SCPS
Dartmouth College 1983 — 1987
BA
Half Hollow Hills West High School 1980 — 1983
High School Diploma
HealthNEXT June 2008 - Present
AB3Health LLC December 2008 - Present
TRUVEN Health Analytics June 2012 - February 2013
Thomson Reuters and its Healthcare & Science Businesses January 2010 - June 2012
Walgreens Take Care Health Systems May 2008 - September 2009
I-trax (DMX:AMEX) May 2005 - May 2008
ACPE 2005 - 2008
General Electric September 2002 - May 2005
Aetna Health Plans 1996 - 2002
U S Healthcare 1990 - 1996
Skills
Disease Management, Quality Management, Emergency Management, Network Administration, Occupational Medicine, National Accounts, Travel Medicine, Managed Care, Wellness, Business, Healthcare Information..., Healthcare, Healthcare Management, Medicine, Hospitals, EMR, Clinical Research, Strategic Planning, Informatics, EHR, Strategy, Prevention, Public Health, Patient Safety, Internal Medicine, Start-ups, Health Policy, Board Certified, Healthcare Industry, Medicare, Medical Education, Health Insurance, Healthcare Consulting, Leadership, Population Health
Education
Drexel University College of Medicine 1973 — 1977
MD, Medicine
Bryant & Stratton College January 2012 - Present
Office of Human Affairs June 2008 - August 2012
Office of Human Affairs August 1998 - May 2008
Anthem Alliance February 1998 - May 1998
Network Long Distance February 1997 - February 1998
King Koil Mid-Atlantic July 1995 - November 1996
Paychex, Inc August 1994 - May 1995
Aetna Health Plans November 1993 - June 1994
United States Air Force April 1986 - January 1994
Skills
Benefits Administration, Exit Interviews, Payroll, Microsoft Office, New Hire Orientation, Benefits, Leaves Of Absence, FMLA, Open Enrollment, Orientation, Unemployment Claims, COBRA, Job Descriptions, Workers Compensation, Employee Relations, Teaching, Employee Benefits, Personnel Management, New Hire Orientations, Employment Law, Temporary Placement, Leadership, Policy, Management, Coaching, Interviews, Organizational..., Conflict Resolution
Education
Capella University 2013 — 2015
Doctor of Business Administration, Human Resources Management
Strayer University 2008 — 2010
M.B.A, Human Resources Management; Strategic Human Resource Management
Strayer University 2005 — 2007
B.B.A., Business Administration; Human Resource Management, Business Communications
Genomic Health February 2015 - Present
Genomic Health February 2013 - Present
Genomic Health September 2010 - February 2013
Genomic Health February 2007 - September 2010
Genomic Health June 2005 - February 2007
Apria Healthcare March 2002 - June 2005
pulseMD February 2000 - July 2001
PPMSI 1996 - 2000
Aetna Health Plans December 1989 - December 1995
Skills
Healthcare, Customer Service, People Management, Staff Development, Commercial Operation, Claims Management, Provider Relations, Compliance, Quality Operations, Coaching, Mentoring Of Staff, Urology, Management, Managed Care, Pharmaceutical Sales, Oncology, Biotechnology, Rheumatology, Endocrinology, Pharmaceutical Industry
Education
Worcester State College 1984 — 1987
MEd English literature
Fairleigh Dickinson University 1983 — 1984
Human Development
State University of New York College at Geneseo 1979 — 1983
Bachelor of Arts (B.A.), English Language and Literature, General
Horizon Blue Cross Blue Shield of New Jersey May 2014 - Present
Aetna September 2012 - March 2014
Horizon Blue Cross Blue Shield of New Jersey October 2010 - July 2012
The Sport and Spine Institute April 2009 - July 2010
LOG-NET, Inc. June 1996 - May 2009
Aetna Health Plans 1989 - 1996
Mutual of New York 1986 - 1989
Skills
Leadership, Program Management, Strategic Planning, Healthcare, Management, Business Analysis, Budgets, Customer Service, New Business Development, Executive Management, Human Resources, CRM, Health Insurance
Education
American University
BS, Nursing
San Joaquin Valley Rehabilitation Hospital May 2006 - Present
Vibra Healthcare; Ballard Rehabilitation Hospital January 2011 - October 2012
Santé Health System December 2000 - May 2006
Aetna Health Plans 1997 - 2000
Skills
Healthcare, Hospitals, Sales, Recruiting, Program Development, Marketing, Leadership
Education
California State University-Fresno 1987 — 1993
Bachelor of Arts, Communicative Disorders/Deaf Education
Cadence Physician Group / Cadence Health February 2011 - Present
Dupage Medical Group August 2003 - February 2011
Urology Associates of DuPage December 2000 - August 2003
Urology Associates of DuPage October 1999 - December 2000
Aetna Health Plans 1992 - 1997
Skills
Healthcare Management, Healthcare Information..., EHR, Healthcare, Team Building, Physicians, Budgets, Strategic Planning, Program Management, EMR, Revenue Cycle, Customer Service, Operations Management, Leadership, Human Resources, Physician Relations
Education
Blackburn College 1988 — 1992
Bachelors, Business Administration
United Healthcare November 2010 - Present
Aetna February 2010 - November 2010
Aetna, Inc September 2008 - February 2010
Aetna, Inc November 2005 - October 2007
Aetna, Inc May 2002 - November 2005
Aetna, Inc July 2000 - May 2002
Aetna US Healthcare December 1997 - July 2000
Hewitt Associates May 1995 - December 1997
Aetna US Healthcare April 1994 - May 1995
Aetna Health Plans October 1989 - April 1994
Skills
Creative Problem Solving, Sales Management, Presentation Coaching, Marketing Strategy, Thought Leadership, Situational Leadership, National Account Sales, Consultant Coordination, Relationship Marketing, Relationship Development, C-Suite Development, Sales Process, Value-based Selling, Product Strategy, Corporate Positioning, Selling, Sales Operations, National Accounts, Employee Benefits, Product Management, Insurance, Leadership, Strategy, Business Development, Health Insurance, Positioning, Value Based Selling, Management, Managed Care, Inter-personal, CRM, Strategic Planning, Sales, Integrated Marketing, Account Management
Education
College of the Holy Cross 1978 — 1982
BA, Economics
Barrington Junior Womens Club October 2011 - Present
Sully Birk November 2007 - Present
Graebel Companies May 2012 - November 2014
Improve-ization Job Search Circle January 2011 - May 2012
Almost Home Kids June 2011 - August 2011
USGreen Building Council February 2011 - May 2011
LorEnn's Hallmark May 2009 - April 2011
Aetna Health Plans September 2005 - October 2007
Trammell Crow/Office Team October 1999 - July 2003
Ameritech Cellular July 1999 - September 1999
Skills
Internal & External..., Customer Service, Vendor Management, Purchasing, Relocation Management, Employee Relations, Community Relations, Nortel Norstar, Office Furniture..., Day To Day Operations, Retail Manager, Event Planning, Real Estate, Inventory Management, Operations Management, AutoCAD, Social Media, Fundraising, Budgeting, Microsoft Office, Organizing, Independent Thinker, Attention To Detail, Thinking Outside The Box, Team Management, Facilities Management, Budgets
Education
College of Lake County
General Education and Fashion Merchandising
Harper College
General Education
Mac Murray College
General Education and Audiology
Molina Healthcare of Texas, Inc. August 2014 - Present
Molina Healthcare Inc. March 2012 - August 2014
Community First Health Plans March 1998 - March 2012
Health Net Federal Services January 1996 - March 1998
Aetna Health Plans August 1986 - January 1996
Skills
Managed Care, Medicaid, Medicare, Health Insurance, Utilization Management, Healthcare, HIPAA, Healthcare Information..., HMO, Healthcare Management, Hospitals, Disease Management, Provider Relations, Strategic Planning, Health Policy, Pharmacy Benefit..., Insurance, Healthcare Consulting, Account Management, Network Development, Program Management, EMR, Healthcare Industry, Informatics, Revenue Cycle, Physicians, Medicaid Managed Care, Medical Billing, Medicare Part D, Credentialing, Pharmacy, Revenue Cycle Management, Home Care, Process Improvement, Employee Benefits, Nursing, Leadership, Clinical Research, EHR, Practice Management, Physician Relations, Quality Improvement, PPO
Education
Trinity University 2012 — 2014
Master's of Science, Health/Health Care Administration/Management, Summa Cum Laude
East Carolina University 1977 — 1982
BSN, Nursing and Psychology
Visteon Corporation July 2014 - Present
Johnson Controls Automotive July 2011 - Present
Johnson Controls November 2008 - July 2011
Johnson Controls 2005 - November 2008
Haworth February 2001 - November 2005
Self-employed January 2000 - November 2005
The Iserv Co January 2000 - January 2001
Greenville Tool and Die December 1997 - January 2000
Blue Care Network January 1996 - November 1997
Aetna Health Plans January 1991 - December 1995
Skills
Windows, Requirements Analysis, Web Applications, Automotive, Microsoft SQL Server, Support Management, Global IT Operations, Computer Hardware, Global Cross-Functional..., Global Deployment, Databases, Troubleshooting, SQL Server, Servers, Operating Systems, HTML, SQL, Analysis, Access, Programming, Administration, Linux, Unix, Business Requirements, MySQL, Planning, Documentation, UNIX System V, Hands-on leader, IT Management, Process Improvement, Software Documentation, Management, Oracle, Project Planning, ERP, System Administration, Testing, Business Process, IIS, Visual Basic, Project Management, Data Warehousing, Leadership
Education
Ferris State University 1998 — 2000
Masters, Information Managment, 3.95
Davenport University 1995 — 1998
Bachelors of Information Systems Mgmt, Information Technology
Aetna October 1998 - Present
Aetna Life & Casualty October 1998 - Present
Aetna Health Plans October 1998 - Present
Skills
Network Development, Managed Care, HMO, Medicare, Credentialing, Medicaid, PPO, HIPAA, Health Insurance, Healthcare Management, Healthcare, Healthcare Information..., Hospitals, Health Policy, Healthcare Industry
Education
Eastern Michigan University 1993 — 1997
BS, Health Administration
Independent Contractor September 2015 - Present
Dasher, Inc. November 2011 - September 2015
Capital Area Intermediate Unit September 2010 - November 2011
Keystone Health Plan Central October 1998 - July 2001
Keystone Health Plan Central May 1997 - October 1998
Pennsylvania Blue Shield/Synertech May 1996 - May 1997
Capital Blue Cross August 1994 - May 1996
Aetna Health Plans November 1993 - August 1994
Pennsylvania Medical Society July 1990 - November 1993
Skills
Health Insurance, Marketing, Strategic Planning, Customer Service, Business Development, Management, Analysis, Data Analysis, Sales, CRM, Customer Retention, Selling, Healthcare, Recruiting, Event Management, Product Development, Insurance, Marketing Strategy, Time Management, Product Management, Networking, Marketing Communications
Education
Capital College, Pennsylvania State University 1994 — 1995
Earned 12 credits toward MBA, Business Administration and Management, General
Messiah College 1986 — 1990
B.S., Marketing
El Dorado High School 1983 — 1986
Redwine Development, LLC January 2011 - Present
Redwine Investment Trust Company December 2010 - Present
Kraunelis Insurance Agency, LLC 2007 - Present
American General 2008 - 2009
Mutual of Omaha 2005 - 2007
Aetna Health Plans 2003 - 2005
Darwin Partners 2002 - 2003
Click Benefit, Inc. 1999 - 2003
XML.org 2001 - 2002
Genesys Software Systems 2000 - 2001
Education
Bowdoin College 1981 — 1985
BA, Physics
Barrington High School 1978 — 1981
Sedgwick August 2013 - Present
Sedgwick CMS January 2010 - Present
WellPoint August 2003 - October 2010
Winstar Communications November 1998 - May 2002
Aetna Health Plans February 1990 - October 1997
Skills
Business Intelligence, Medicine, Process Improvement, Customer Service, Microsoft Office, Microsoft Excel, Coaching, Leadership Development, Strategic Planning, Team Leadership, Operations Management, Microsoft Word, PowerPoint, Six Sigma, Public Speaking, Event Planning, Healthcare, Insurance, Outlook, Data Entry, Claim, Troubleshooting, Human Resources, Employee Benefits, Medicare, Invoicing, Workers Compensation, Claim Investigation, Medicaid, HIPAA, Training, Analysis, Medical Billing, Access, Sales, Visio, Data Analysis, Management, Team Building
Education
Franklin University
BA/BS, Business Administration/HR Mgmt
Owens Community College
AA, Executive Secretarial Science
University of Toledo
College of Business, Business Administration
Pacific Partners Management Services, Inc.(PPMSI) June 2013 - Present
Accurate Solutions July 1994 - Present
Muir Medical Group IPA, Inc February 2010 - August 2011
Aetna Health Plans October 1991 - June 1994
INDUSTRIAL INDEMNITY March 1986 - November 1989
Skills
Billing Systems, Healthcare, Managed Care, Internal Controls, Financial Policies &..., Process Improvement, Accounting, Financial Reporting, Healthcare Information..., Auditing, Analysis, Financial Analysis, Variance Analysis, Revenue Cycle, Project Management, Policy, Leadership, Internal Audit, Management, Strategy, Business Planning, Finance, Financial Accounting, Budgets, GAAP, Financial Statements, Executive Management, Business Analysis
Education
California State University-Chico
Bachelor of Science, Business Administration; accounting
89 Degrees August 2015 - Present
Attleboro Farmers Market July 2011 - Present
Actionable Analytics April 2014 - August 2015
Vantage Deluxe World Travel May 2013 - March 2014
Destination XL Group April 2005 - May 2013
The Hartford April 2003 - April 2005
Retail Brand Alliance March 2001 - April 2003
Engineering Services and Products Company January 1999 - May 2001
ABB - Connecticut Valley Claims CVCSC 1996 - 1998
Aetna Health Plans 1995 - 1996
Skills
Segmentation, CRM, Loyalty Programs, Marketing Research, Strategy, Database Marketing, Multi-channel Marketing, Analytics, Direct Marketing, Brand Loyalty, Customer Analysis, Predictive Analytics, Email Marketing, Customer Acquisition, E-commerce, Customer Insight, Loyalty Marketing, Business Intelligence, Business Analytics, Predictive Modeling, SAS, Microsoft SQL Server, Marketing Strategy, Retail, Integrated Marketing, Direct Mail, Social Media Marketing, Marketing, SEM, Web Analytics, Customer Retention, Lead Generation, Marketing Automation, Data Analysis, B2B Marketing, Interactive Marketing, Web Marketing, Competitive Analysis, Advertising, Online Marketing, Relationship Marketing, ROMI, Cross-functional Team..., Mobile Marketing, Omniture, Marketing Analytics, Campaign Management, Digital Marketing, Data Mining, Leadership
Education
Western New England University 2000 — 2002
MBA, Marketing / IS
Eastern Connecticut State University 1991 — 1995
BS, Marketing
RHS 1986 — 1990
HS Diploma, General Studies
Stevens & Lee September 1997 - Present
Aetna Health Plans 1995 - 1997
Waldenbooks 1990 - 1995
Skills
Technical Support, Telecommunications, Windows 7, Operating Systems, Hardware, System Administration, Software Documentation, Active Directory
Education
Alvernia College
Bachelor of Arts (B.A.), Communications
Berks Technical Institute
Network and System Administration/Administrator
Siemens Training Center
Siemens 9751 System Administration
Bank of America January 2011 - Present
Bank of America March 2010 - December 2010
Bank of America 1998 - 2010
Aetna Health Plans 1997 - 1998
Skills
SAS, DB2, Data Warehousing, Project Management, Change Management, Teradata, Databases, Analysis, Analytics, Statistical Modeling, Business Analysis, Business Intelligence, Credit Cards, Software Development, Management, Oracle, SDLC, Leadership, Banking, Risk Management, Enterprise Architecture, Business Process..., Data Analysis, Vendor Management, Project Portfolio..., IT Strategy, Financial Services, Portfolio Management
Education
Aston University 1982 — 1983
MSc, Personnel Management
Connecticut College 1974 — 1977
BA, Psychology
Empire Realty Associates January 2012 - August 2015
Alain Pinel Realtors March 2005 - December 2011
Walnut Creek January 2005 - 2011
REALTOR® 2000 - February 2004
Sutro & Co. 1997 - August 1999
Prudential Healthcare 1996 - 1997
Aetna Health Plans 1995 - 1996
Aetna Life & Casualty 1991 - 1995
Skills
Real Estate, Marketing, Contract Negotiation, Corporate Relocation, luxury Home Sales, Sales, Coaching, Networking, Training, Business Planning, Business Development, Sellers, Management Consulting, Photography, Professional Mentoring, Educational Consulting
Education
Bentley University 1987 — 1991
BS, Accounting
Leading Real Estate Companies of the World (LREC)
Relocation Specialist Designation LRS, Relocation Specialist
Voya Financial February 2015 - Present
ING July 2002 - January 2015
Jackson National Life July 1997 - July 2002
Aetna Retirement Plans July 1996 - July 1997
Aetna Health Plans July 1995 - July 1996
Skills
Hedging, ALM, Financial Risk, Asset Managment, Actuarial Science, Pricing, Business Analysis, Capital Markets, Derivatives, Market Risk, Insurance, Financial Modeling, Risk Management, Asset Management, Economic Capital, Valuation
Education
Eastern Michigan University 1993 — 1995
BS, Actuarial Science and Economics
Michigan State University 1988 — 1992
BA, Finance
Healing Within - Acupuncture and Nutrition November 2013 - Present
Roseville Acupuncture and Massage January 2013 - November 2013
UCare Minnesota 1995 - 2003
Aetna Health Plans 1992 - 1995
Skills
Fitness, Cupping, Chinese Herbal Medicine, Traditional Chinese..., Allergy, Pain Management, Alternative Medicine, Nutrition, Wellness, Tui Na, Holistic Health, Acupuncture, Insomnia, Fertility, Digestive Disorders
Education
American Academy of Acupuncture and Oriental Medicine 2008 — 2012
Masters Degree, Acupuncture and Oriental Medicine
Global College of Natural Medicine 2005 — 2006
Nutritional Consultant Certificate
Iowa State University
Bachelor of Science
Aetna Health Plans
Skills
Business Analysis, Data Warehousing, Business Intelligence, Requirements Analysis, Analytics, ETL, Data Integration, Requirements Gathering, Software Project..., Business Process
Education
Yale School of Management 1988 — 1990
MBA, Marketing, Operations Research
Yale University 1973 — 1980
Ph.D., French
Duke University 1969 — 1973
BA, French, history
MedStar Georgetown University Hospital 2008 - Present
Kaiser Permanente 1983 - 2004
Ernst&Young 1996 - 1999
Aetna Health Plans 1994 - 1996
Blue Cross Blue Shield of the National Capital Area/Capital Care HMO 1990 - 1994
US Public Health Service---Indian Health Service 1977 - 1983
Skills
Medical Case Management, Utilization Review, Business Process..., Revenue Cycle, Performance Auditing, Managed Care, Compliance, Population Management, Medical Practice..., Medical Education, Quality Improvement, Strategic Planning, Health Care Insurance, Cross Functional Team..., Clinical Practice..., Medicine, Hospitals, Clinical Research, Healthcare
Education
Joan & Sanford I. Weill Medical College of Cornell University 1969 — 1974
Doctor of Medicine (M.D.), Honors in internal medicine, neurology, psychiatry
Fordham University 1965 — 1969
B.A., Philosophy, Graduated cum laude
AmeriHealth Insurance Co of NJ September 2014 - Present
AmeriHealth Insurance Co of NJ May 2011 - Present
AmeriHealth Insurance Co of NJ June 2007 - May 2011
HBS Consulting LLC February 2005 - June 2007
Aetna Health Plans June 1999 - February 2005
Aetna US Healthcare 1999 - 2005
Skills
Sales, Account Management, Managed Care, Health Insurance, Direct Sales, Disability Insurance, Medicare, Strategy, Employee Benefits, Insurance, Strategic Planning, Healthcare, Process Improvement, Health Savings Accounts, Long-term Care, Medicare Part D, Sales Operations, Customer Retention, Health Care Reform, Claim, HIPAA, Team Building, Medicaid, Workers Compensation, PPO, Life Insurance, HMO, Selling, COBRA, Sales Management, Brokers, Benefits Administration, Healthcare Information..., New Business Development, Leadership, Underwriting, Healthcare Management, Provider Relations, Self-funded, Cold Calling, Health Policy, Healthcare Consulting, Healthcare Industry, Open Enrollment
Education
Albright College 1995 — 1999
BS Marketing & Corporate Communications
Tatnall School Wilmington, DE 1982 — 1995
Moda Health, formerly ODS April 2011 - Present
State Farm Insurance January 2010 - November 2010
Benu August 2004 - February 2007
Aon Consulting August 2003 - July 2004
Aetna Health Plans October 1997 - March 2003
Prudential Insurance January 1990 - October 1997
Skills
Employee Benefits, Insurance, Account Management, Health Insurance, Disability Insurance, Claim, Medicare, Sales, Lead Generation, Long-term Care, Recruiting, Healthcare, Life Insurance, CRM, Term Life Insurance, COBRA, Property & Casualty..., Team Leadership, Risk Management, Marketing, Commercial Insurance, Dentistry, Customer Service, Sales Management, Workers Compensation, Brokers, Underwriting, Training, Health Savings Accounts, Selling, Benefits Administration, Leadership, Management, Cold Calling, Health Care Reform, Managed Care, Professional Liability
Education
California State University-Northridge 1983 — 1988
Bachelors, Psychology
Crespi Carmelite High School 1979 — 1983
General, General Studies
Hendrix Health Solutions March 2013 - Present
Roundstone June 2014 - December 2014
Aetna Health Plans June 2005 - April 2013
Aetna 2001 - June 2005
United Dental Care September 1998 - August 2001
UnitedHealth Group September 1995 - August 1998
Skills
Strategic Leadership, Strategy, Health Insurance, Managed Care, Leadership, Employee Benefits, Management, Health Policy, HMO, Business Development, Brokers, Underwriting, Strategic Planning, Marketing Strategy, Cross-functional Team..., PPO, Executive Management, Provider Relations, Health Care Reform, P&L Management, Claims Management, Insurance, Account Management, Medicare, Health Savings Accounts, Sales, Disability Insurance, Network Development, Healthcare, Customer Retention, COBRA
Education
Baldwin Wallace University 2013 — 2015
Candidate - Masters in Business Administration, Health Care
Whitman College 1981 — 1985
BA
Mt. Whitney High School 1977 — 1981
High School Diploma
HumanaOne (Humana Inc.) March 2012 - Present
Humana Inc. August 2003 - Present
University Physician Services - Wayne State University January 2001 - July 2003
Aetna Health Plans January 1988 - July 1997
Skills
Healthcare Management, Healthcare, Managed Care, Insurance, Medicare, Health Insurance, Contract Negotiation, Strategic Planning, Process Improvement, Team Building, Account Management, Change Management, New Business Development, Negotiation, Business Planning
Education
Central Michigan University 1989 — 1991
MSA, Administration
Eastern Michigan University 1983 — 1985
BS, Health Administration
sovrn Holdings, Inc. March 2015 - Present
Richard Price Design September 2014 - Present
ClickBridge September 2014 - Present
SEGRITY February 2015 - May 2015
Richard Price Design 2008 - September 2014
Ascend Interactive 1998 - 2007
Hitachi Software America August 1997 - November 1998
Information & Graphic Systems July 1995 - July 1997
Charles Schwab January 1993 - June 1993
Aetna Health Plans 1987 - 1992
Skills
User Experience, User Interface Design, Interaction Design, Information Architecture, E-commerce, Visual Design, Mobile Devices, Rapid Prototyping, Wireframes, Project Management, Product Management, Content Strategy, Service Design, Design Strategy, Branding, User Research, Animation & Motion..., HTML/CSS/JavaScript, ActionScript, Motion Design, Web Design, Illustrator, Graphic Design, Adobe Creative Suite, Management, Tableau
Education
Academy of Art University
BFA, Web Design & New Media
California State University-East Bay
BS, Computer Science
The Alliance Group, Inc. January 1997 - Present
People Partners, LLC October 2013 - Present
Aetna Health Plans September 1988 - September 1996
Skills
Employee Relations, Employee Benefits, Onboarding, Compliance Audits, Talent Acquisition, Talent Development, Workers Compensation, Management Consulting, Performance Management, Training & Development, Employee Handbooks, Employee Counseling, Leadership Development, Strategic Planning, Internal Communications, Policy/Procedure..., Payroll Administration, Team Leadership, Workforce Management, Compensation, Deferred Compensation, Talent Management, Employee Engagement, Human Resources, Strategy, Start-ups, Benefits Administration, Payroll, Succession Planning, Personnel Management, HRIS, Workforce Planning, Applicant Tracking..., College Recruiting, Compensation & Benefit, Strategic HR, HR Policies, Employee Training
Education
Chapman University 1997 — 1997
Human Resources Certification prep course
Oregon State University
Bachelor of Science
University of New Mexico Foundation April 2013 - Present
Reboot IT Now, LLC. October 2011 - March 2013
Gap Inc. October 2005 - June 2011
Caremark May 2002 - October 2005
EDS March 2001 - November 2001
GATX October 1996 - August 2000
Illinois Masonic Medical Center – Chicago, Illinois March 1996 - October 1996
Ameritech International – Chicago, Illinois July 1994 - February 1996
Aetna Health Plans July 1990 - March 1995
Skills
Change Management, CRM, Infrastructure, Vendor Relationships, Management, Application Support, Vendor Management, Process Improvement, Visio, Cross-functional Team..., Business Analysis, Program Management, Disaster Recovery, Team Building, IT Management, Project Management, IT Strategy, Requirements Analysis, Resource Management, Team Leadership, Software Documentation, Troubleshooting, Technical Support, ITIL Certified, Technical Leadership, Security, Integration, SharePoint, Training, Leadership, IT Operations, Networking, Business Process
Education
The University of Connecticut School of Business
BS, Marketing
Coventry High School
High School Diploma, College Prep
Mosaic Art School 2008 — 2008
Mosaic Art Classes
NESoL Language Institute 2000 — 2001
Spanish Language Immersion Course
Capella University 2011 — 2011
M.S., Industrial/Organizational Psychology
Father Flanagan's Boys' Home April 2001 - Present
Aetna Health Plans September 1994 - November 1999
California State University, Bakersfield August 1991 - June 1994
Skills
Psychometrics, Research, Multivariate Statistics, Portuguese, Research Design, SAS, SPSS, Report Writing, Psychology, Social Psychology, Statistics, Teaching, Grant Writing, Mental Health, Health Psychology, Public Speaking
Education
Brigham Young University 1975 — 1991
Ph.D., Organizational Social Psychology
MHM Services, Inc. June 2006 - Present
Aetna Health Plans June 1997 - March 2000
InPhyNet 1992 - 1997
Skills
Psychiatry, Mental Health, Behavioral Health, Adults, Treatment, Case Managment, Healthcare Management, Clinical Research, Healthcare, Psychotherapy, Psychopharmacology, Geriatric Psychiatry, Physicians, Psychology, Hospitals, Crisis Intervention, Adolescents, Board Certified, Medicine, Physician Relations, DBT, Social Services, Inpatient, Utilization Management, Medical Education
Education
Florida State University
B.S., English/Education
WellCare July 2013 - Present
Rural Clinical Medicine 2006 - 2015
Coventry Health Care May 2012 - June 2013
Express Scripts July 2010 - May 2012
Humana April 2009 - July 2010
Humana October 2005 - April 2009
Excellus BCBS April 2002 - September 2005
Aetna Health Plans August 1999 - December 2002
Kaiser Permanente NE and Susquehanna Regional PHO June 1997 - July 1999
United Medical Associates of United Health Services 1994 - 1999
Skills
Utilization Management, Disease Management, Pharmacy Benefit..., Managed Care, Medicaid, Healthcare Management, Healthcare, HEDIS, HMO, Provider Relations, Healthcare Industry, Health Policy, Physicians, Clinical Research, Medicare, HIPAA, Medicine, Network Development, Clinical Trials, Informatics, Family Medicine, Healthcare Consulting, Quality Improvement, EHR, Healthcare Information..., NCQA, Physician Relations, Population Health, Utilization Review
Education
Binghamton University - School of Management 1997 — 1998
MBA, Healthcare
Wilson Family Practice Residency, United Health Services Hospitals 1992 — 1994
Active Certification, American Board Family Medicine
CompuMail Corp. 1990 - Present
Aetna Health Plans 1986 - 1998
Skills
Marketing Strategy, Customer Service, Nonprofits, Contract Negotiation, Account Management, Marketing, Selling, Sales, Microsoft Office, Sales Management, Small Business, New Business Development, Strategic Planning
Education
Central Connecticut State University 1981 — 1985
Bachelor of Arts (B.A.), Communication, General
Walt Disney world College program
WellCare Health Plans May 2014 - Present
Concentra September 2006 - April 2014
NCQA 1996 - 2013
WellCare July 2007 - April 2010
Humana Military Healthcare Services 2002 - 2004
WellPoint 1996 - 2002
Aetna Health Plans 1993 - 1996
CIGNA Healthcare 1990 - 1993
Skills
Managed Care, Medical Management, Medicare, Healthcare Management, Utilization Management, Disease Management, Healthcare, Health, Clinical, Case Management, Health Insurance, Care Management, EMR, Quality Management, Public Health, Strategic Planning, Credentialing, Prevention, Wellness, Team Building, Process Improvement, Case Managment, Clinical Research, Management, Medicaid, Healthcare Industry, Medicine, Practice Management, EHR, Employee Benefits, Quality Improvement, Healthcare Information..., Health Policy, Family Medicine, NCQA, Physicians, HIPAA, Provider Relations, Physician Relations, Accreditation
Education
Universidad Autónoma de Nuevo León 1967 — 1973
M.D., Medicine (Physician)
Duke University School of Medicine
Family Med Residency, Residency in Family Medicine
University of San Francisco - School of Management
M.P.A., Health Services Administration
Harvard Medical School
Fellowship, Fellowship in Clinical Epidemiology
Harvard T.H. Chan School of Public Health
M.P.H., Epidemiology
The University of Texas at Austin
B.A., Microbiology
CIGNA Healthcare May 2010 - Present
CIGNA Healthcare September 2009 - May 2010
Pfizer April 2000 - June 2009
Northeast Utilities December 1998 - April 2000
ConnectiCare June 1997 - December 1998
CIGNA Healthcare January 1996 - June 1997
Aetna Health Plans June 1995 - December 1995
Connecticut Mutual Insurance February 1994 - June 1995
C.W. Costello & Associates / Covansys / CBSI 1991 - 1995
Sikorsky Aircraft August 1991 - February 1994
Skills
SDLC, Requirements Analysis, Integration, Business Intelligence, Data Warehousing, SharePoint, Business Analysis, Enterprise Architecture, SOA, Visio, Software Documentation, Software Development, Web Services, Leadership, Business Process, Software Project..., Requirements Gathering
Education
Rensselaer Polytechnic Institute at Hartford 1992 — 1994
MBA, Business
Central Connecticut State University 1985 — 1989
BS, Computer Science
C. M. Smith Agency, Inc. January 1998 - Present
Health Plans of America January 1997 - December 1997
Aetna Health Plans August 1988 - January 1997
Skills
Employee Engagement, Employee Wellness, Organizational..., Team Building, Coaching, Insurance, Benefits Administration, Management, Payroll, Employee Relations, Human Resources
Education
Colby Sawyer College 1979 — 1984
Bachelors, Business Administration
Conard High School 1977 — 1979
Roseman University of Health Sciences January 2015 - Present
UC Davis Medical Center October 2014 - December 2014
California Children's Health Initiatives September 2013 - December 2014
San Francisco Health Plan August 2011 - August 2013
Centene Corporation February 2009 - August 2011
Keller Williams Realty 2006 - 2011
The AmeriHealth Mercy Family of Companies d/b/a Pediatric Associates PSN January 2007 - January 2009
HAA Preferred Partners LLC May 2004 - April 2006
United Health Care January 2003 - May 2004
Aetna Health Plans August 1999 - December 2002
Skills
Leadership, Managed Care, Management, Integration, Process Improvement, Healthcare, EHR, Medicaid, Networking, Program Management, Project Management, HIPAA, Contract Negotiation, Cross-functional Team..., Provider Relations, Negotiation, Health Insurance, Medicare, Healthcare Management, Customer Service, Enterprise Software, Time Management, Business Development, Hospitals, Healthcare Information..., Logistics, Strategic Planning, Team Building, Insurance, Health Policy
Education
Roseman University of Health Sciences 2015 — 2016
Bachelor's Degree, Registered Nursing/Registered Nurse
Florida State University 1989 — 1994
BS, Biological Sciences
Quality Insights of Pennsylvania July 2015 - Present
PACT - Physician Engagement Assessment 2014 - June 2015
PMSCO Healthcare Consulting 1997 - June 2015
Aetna Health Plans 1990 - 1997
Skills
Healthcare Consulting, Healthcare, Hospitals, Healthcare Information..., Physicians, Healthcare Management, EMR, EHR, Medical Coding, Public Speaking, Medicare, Medical Records, Health Information..., Practice Management, Quality Improvement, Medicaid, Healthcare Industry, Medicine, Managed Care, Informatics, Health Policy, Project Management, Strategic Planning, Physician Alignment, Physician Relations
Education
Idaho State University 1988 — 1990
BBA, Business Administration, Management and Statistics
Franklin & Marshall College 1986 — 1988
Cigna May 2015 - Present
CIGNA (Consulting) September 2012 - April 2015
CIGNA (Consulting) September 2011 - October 2012
WellPoint August 2010 - November 2011
WellPoint July 2009 - September 2011
The Hartford October 2007 - July 2009
The Hartford July 2006 - September 2007
The Hartford July 2004 - July 2006
Aetna 1996 - 2005
Aetna Health Plans 2002 - 2004
Skills
Vendor Management, Strategy, SDLC, Business Process, Enterprise Architecture, Program Management, PMO, Process Improvement, Project Management, IT Strategy, Strategic Planning, Integration, Management, Requirements Analysis, Leadership, Health Insurance, Project Portfolio..., Resource Management, Business Process Design, Employee Benefits, Business Analysis, Enterprise Software, Business Process..., Healthcare Consulting, Business Strategy, Payors, Product Management, Product Development, Service Oriented..., Program Facilitation, Brainstorm Facilitation
Education
Boston University 1999 — 2000
Certificate, Project Management
Central Connecticut State University 1991 — 1996
BS, Management Info Systems
Briarwood College 1985 — 1987
Associate, Business Mgmt
Health Net, Inc. December 2002 - March 2013
Aetna Health Plans January 1980 - September 2001
Aetna, Inc. 1980 - 2001
Skills
Leadership Development, Process Improvement, Strategic Planning, Executive Development, Organization, Survey Design, Organizational..., Succession Planning, Talent Management, Organizational..., Performance Management, Organizational Design, Change Management, Workforce Planning, Training, Strategy, Onboarding, Deferred Compensation, Executive Coaching, Human Resources, Management Development, Employee Relations, Leadership, Program Management, College Recruiting, Applicant Tracking..., Strategic HR, Employee Engagement, Career Counseling, MBTI, Management, Labor Relations, HRIS, Talent Acquisition, Personnel Management, Employee Benefits, Career Development, Performance Improvement, Benefits Administration, New Hire Orientations, HR Consulting, Interviews, HR Policies, Recruiting, Culture Change, Employer Branding, Workshop Facilitation, Coaching, Conflict Resolution, Employee Training
Education
University of San Francisco 2000 — 2001
Masters, Organization Development & Human Resources
Cedarville University 1971 — 1975
BA, Psychology
Group Health Cooperative of Eau Claire January 2012 - Present
Augusta Area Nursing Home 2012 - 2013
Group Health Cooperative of Eau Claire December 1996 - December 2011
Group Health Cooperative of Eau Claire June 1994 - December 1996
Aetna Health Plans May 1988 - May 1994
Skills
Medicaid, Health Policy, Healthcare, Quality Improvement, HEDIS, Medicaid Managed Care, Leadership, Program Management, Case Managment, Contract Negotiation, Managed Care, Medicare, Healthcare Information..., Healthcare Management, Government, HIPAA, Health Insurance, Hospitals, Healthcare Industry, Healthcare Consulting
Education
Aurora University 1986 — 1988
B.S.
University of Illinois at Chicago
HealthCare Partners September 2012 - Present
Viant 2009 - August 2012
OCFMC 2002 - 2009
HFMA 2003 - 2008
PacifiCare Health Systems 1995 - 2002
PacifiCare 1995 - 2002
Aetna Health Plans 1991 - 1995
PPO Alliance 1986 - 1989
Skills
Network Development, Provider Relations, PPO, Managed Care, Medicare, Medicaid, HMO, Healthcare Industry, Health Insurance, HIPAA, Healthcare Consulting, Healthcare
Education
California State University-Fullerton 1970 — 1974
Bachelor of Arts (B.A.), Sociology, Minors in Math, History and English
Ethx June 2000 - Present
Hyperion Solutions / Oracle December 1992 - April 2000
Medtronic April 1991 - November 1992
Aetna Health Plans September 1988 - March 1991
Skills
Hyperion Enterprise, Hyperion, Consolidation, Financial Analysis, HFM, Finance, Project Management, Project Planning, Enterprise Software
Education
University of St. Thomas - Opus College of Business 1990 — 1992
MBA, Finance
Bethel University 1982 — 1986
BA, Accounting
Mercer Health and Benefits 2007 - May 2014
Aon Consulting January 2003 - August 2007
Aetna Health Plans August 1999 - December 2002
Prudential Healthcare January 1988 - August 1999
Skills
Retirement, Health Insurance, Insurance, Strategic Planning, Underwriting, Benefits Administration, Employee Engagement, Financial Analysis, Disability Insurance, Organizational Design, Talent Acquisition, Employee Benefits, Life Insurance, Risk Management, Defined Benefit, Actuarial Science, HR Consulting, Talent Management, Performance Management, Health Care Reform
Education
California State University-Northridge 1988 — 1990
BS, Business
MedSynergies September 2013 - Present
Sisters of Charity Leavenworth 2015 - 2015
Sisters of Charity Leavenworth 2015 - 2015
Sisters of Charity Leavenworth 2015 - 2015
Concentra May 2008 - August 2013
P2P Link July 2006 - May 2008
Healthaxis 1993 - 2006
Aetna Health Plans 1988 - 1993
Skills
Change Management, Process Improvement, Business Analysis, Software Development, Account Management, Team Leadership, Project Management, Project Planning, SDLC, PMP, Management, Training, Integration, Enterprise Software, Databases, Quality Assurance, Human Resources, Budgets, Leadership, Vendor Management, Software Documentation, Business Intelligence, Visio, Software Project..., Requirements Analysis, Analysis, Requirements Gathering, Business Process, ERP, SQL, IT Management, Software Implementation, Troubleshooting, Testing, Healthcare Information..., Business Requirements, Systems Analysis, Business Process..., Program Management, Agile Methodologies, Cross-functional Team...
Education
The University of Memphis 1972 — 1974
BA, English
Bluffton University 1970 — 1971
B.A., English - magna cum laude, English
Smithville High School 1966 — 1970
Speedway LLC October 2014 - Present
Hess Corporation August 1993 - Present
WorkOutWorld August 2007 - Present
Metuchen Edison YMCA December 2002 - Present
Aetna Health Plans September 1990 - 1993
Itabira International August 1973 - December 1977
Skills
Energy, Project Management, Expense Management, Telecom Expense..., Yoga Instructor, Contract Negotiation, Cross-functional Team..., Negotiation, Strategic Planning, Financial Analysis, Strategy, Analysis, Yoga, Budgets, Retail, Training, Coaching, Leadership, Petroleum, Project Planning, Contract Management, Team Building, Operations Management, Inventory Management, Supervisory Skills
Education
Middlesex County College 1993 — 1995
Paralegal Degree, Legal Assistant/Paralegal
City University of New York-Brooklyn College 1970 — 1973
Bachelor of Arts (B.A.), Romance Languages, Literatures, and Linguistics; Secondary Education
Citigroup September 1998 - Present
Southwest Airlines 1998 - 1999
Aetna Health Plans 1990 - 1998
E-Systems 1981 - 1984
JC Penney 1978 - 1981
Education
Dallas Baptist University 1987 — 1992
The Segal Company November 2002 - Present
OFJ / Hobbs Group December 1998 - August 2002
Marsh Inc. November 1998 - December 1999
UnitedHealth Group October 1997 - October 1998
Aetna Health Plans November 1989 - October 1997
Skills
Employee Benefits, ERISA, Health Insurance, Customer Service, Defined Benefit, Benefits Administration, Disability Insurance, Health Savings Accounts, Insurance, Pensions, 401k, Brokers, Life Insurance, Leadership, COBRA, Sales, Health Policy, New Business Development, Project Management, Workers Compensation, Risk Management, Account Management, Process Improvement
Education
Boston University 1999 — 2002
MBA, finance
Lawrence University 1986 — 1989
Bachelor of Arts (B.A.), Political Science and Government
Hartford Life Senior IT Business AnalystThe Hartford2000 - Present
Aetna Health Plans June 1998 - June 2000
Education
University of Hartford 1996 — 1998
Master's, Education
SUNY Polytechnic Institute 1987 — 1989
Bachelor, Medical Record Administration
Alfred State College - SUNY College of Technology 1985 — 1987
Associate, Medical Record Technology
Riverside Community College August 2011 - August 2012
Beech Street a Viant Network 2002 - 2007
Aetna Health Plans 2000 - 2001
BPS Healthcare 1997 - 2000
Skills
PPO, Network Development, HMO, Provider Relations, Customer Service, Managed Care, Outlook, PowerPoint, Healthcare, Microsoft Office, Microsoft Excel, Schedules, Time Management, Social Media, Event Management, Event Planning, Social Networking, Social Media Marketing, Culinary Skills
Education
Riverside Culinary Academy 2011 — 2012
Certificate in Culinary Arts, Culinary Arts/Chef Training
Dillard University 1984 — 1988
BA, Business Administration
Cathedral High School 1979 — 1982
High School Diploma, General Studies
Bonn International High School 1974 — 1978
Arch Re Facultative Underwriters Inc. April 2007 - Present
Gen Re February 1997 - April 2007
Aetna Health Plans March 1995 - February 1997
The American Board of Anesthesiology August 1993 - March 1995
Skills
Reinsurance, Executive Support, Meeting Planning, PowerPoint, Corporate Events, Insurance, Business Travel, Outlook, Marketing, General Insurance, Customer Service, Property & Casualty..., Negotiation, Budgets, Microsoft Excel, Team Building, Event Planning, Employee Benefits, Microsoft Word, Microsoft Office
Education
Central Connecticut State University 1988 — 1993
BS, Business Management/Human Resources
AmeriHealth Caritas January 2014 - Present
AmeriHealth Caritas April 2011 - Present
Amerihealth Mercy February 2006 - April 2011
The AmeriHealth Mercy Family of Companies May 2002 - February 2006
Prudential Healthcare August 1995 - July 2001
Aetna Health Plans August 1995 - July 2001
PECO Energy 1985 - 1994
Skills
HIPAA, Program Management, SDLC, CRM, PMO, Project Management, Leadership, Vendor Management, Healthcare Information..., Project Delivery, MS Project, Healthcare, Analysis, Visio, Process Improvement, Management, Data Warehousing, Project Portfolio..., Disaster Recovery, PMP, Business Analysis, Software Documentation, Requirements Gathering, Enterprise Architecture, Microsoft Project
Education
Chubb Technical School 1996 — 1999
Web Development, DB Programming
Cabrini College 1990 — 1996
Bachelor of Arts, Organizational Management
Rowan University
PayFlex Systems USA, Inc., an Aetna company July 2006 - Present
Mercer Health & Benefits September 2002 - June 2006
Aetna Health Plans May 1987 - September 2002
Skills
New Business Development, Marketing, Sales Management, Management, Event Planning, Account Management, Marketing Strategy, Health Insurance, Business Development, B2B, Insurance, Strategic Planning, Healthcare, Salesforce.com, Marketing Research, Marketing Communications
Education
Bryant University 1983 — 1987
BA, Marketing
Bentley College - Elkin B. McCallum Graduate School of Business
MBA, Marketing
CareFirst BlueCross BlueShield Senior Vice PresidentCareFirst BCBS2007 - Present
CareFirst 2007 - 2010
GHI March 2005 - April 2007
GHI 2005 - 2007
Group Health Incorporated (GHI) 2005 - 2007
Aetna Health Plans July 1999 - May 2005
New York Life January 1996 - July 1999
NYLCare 1996 - 1999
Prudential Insurance Company 1972 - 1996
Prudential Financial October 1972 - December 1995
Skills
Vendor Management, SDLC, IT Management, Enterprise Architecture, Program Management, Visio, Business Process..., HIPAA, Management, Data Warehousing, SharePoint, IT Strategy, Business Requirements, Business Analysis, Project Portfolio..., Insurance, Requirements Analysis, Integration, Process Improvement, PMO, Requirements Gathering, Project Management, Software Development, Business Intelligence, PMP, Software Project..., MS Project
Education
Fairleigh Dickinson University 1974 — 1977
MBA, Management
Upsala College 1968 — 1972
Newark Academy 1964 — 1968
HS
Aetna November 2011 - Present
Aetna Health Plans May 2003 - November 2011
Managed Health Network January 1999 - May 2003
Didi Hirsch Community Mental Health Center October 1993 - January 1999
Skills
Healthcare, Mental Health, Utilization Management, Counseling, Psychotherapy, Case Management, Behavioral Health, Managed Care, Treatment, Psychology, Family Therapy, Adults, Adolescents, Insurance, Health Insurance, Counselling, Couples, Crisis Intervention, Clinical, Healthcare Management, Social Services, Clinical Supervision, Health, Motivational..., Mental Health Counseling, Group Therapy, HIPAA, Therapists, Disease Management, Mindfulness, Grief Counseling, Life Transitions, Case Management Services, Utilization Review, Interventions, Anger Management, HMO, Plannning, CBT, Workshop Facilitation, Inpatient, Health Policy, Health Education, Prevention, Healthcare Industry, Self-esteem, EAP, Public Speaking, Stress Management, Case Managment
Education
California State University-Northridge 1987 — 1992
M.S., Educational Psychology Counseling
University of California, Los Angeles 1974 — 1978
B.S., Anthropology
Aetna August 2014 - Present
American Traffic Solutions June 2012 - June 2014
UnitedHealthcare Community Plan May 2010 - May 2012
Health Net May 2004 - May 2010
CIGNA Healthcare February 1997 - April 2004
Blue Cross Blue Shield of Arizona August 1995 - February 1997
Aetna Health Plans 1992 - 1995
Skills
Strategy, Marketing Strategy, Marketing, Leadership, Strategic Planning, Account Management, Cross-functional Team..., Business Development, Managed Care, Healthcare, Health Insurance, Product Marketing, Competitive Analysis, Process Improvement, Product Development, Market Research, Project Management, Budgets, Analysis, Team Building, Sales, Sales Operations, Market Planning, Program Management, Sales Management, Market Analysis, Executive Management, Contract Negotiation, Direct Sales, Insurance, CRM, New Business Development, Product Management, Salesforce.com, Vendor Management, Management, Start-ups, Marketing Communications, Integrated Marketing, Segmentation, Team Leadership, C Level Management
Education
Arizona State University 1985 — 1990
Bachelor of Applied Science, Marketing
Brown & Brown of Florida Inc. May 2015 - Present
Citrix December 2014 - April 2015
Miami Children's Hospital January 2011 - May 2014
AlphaStaff February 2007 - June 2010
Aetna Health Plans August 2005 - February 2007
Broadspire October 2001 - August 2005
T-Mobile 1998 - 2001
Skills
Human Resources, Employee Benefits, Employee Relations, FMLA, HRIS, Benefits Administration, Onboarding, Payroll, Performance Management, PeopleSoft, Talent Acquisition, Talent Management, HR Policies, Organizational..., ADP Payroll, Deferred Compensation, Leadership Development, Workers Compensation, Recruiting, New Hire Orientations, Customer Service, Applicant Tracking..., Employment Law, Succession Planning, Coaching, Administration, Leadership, Personnel Management, Employee Engagement, Management, Interviews, Employee Training, Workforce Planning, Hiring, Employee Handbooks, Job Descriptions, Career Development, EEOC, Process Improvement, Outlook, HIPAA, Team Leadership, HR Consulting, Labor Relations, Conflict Resolution, Training, Resume Writing, Team Building, Sales, Strategic Planning
Education
American InterContinental University 2005 — 2006
Bachelors, Business Administration
Broward Community College 2002 — 2004
Associate of Arts, Business Administration
Aetna Health Plans June 2004 - Present
Skills
Vocational..., Workers Compensation, Certified Case Manager, Disability Insurance, Disability Management, Case Managment, Program Development, Claims Management, Vocation, Medical Case Management, Job Search Strategies, Claim, Motivational..., Managed Care, Employee Benefits, Medicare, Disabilities, Case Management
Education
California State University-Sacramento 1981 — 1986
DMAA: The Care Continuum Alliance 2007 - 2009
American Diabetes Assn 2006 - 2009
LifeMasters Supported SelfCare 2007 - 2008
Darwin Professional Underwriters, Inc. 2006 - 2008
Aetna US Healthcare February 2001 - September 2005
Aetna Inc. 2001 - 2005
Aetna Health Plans 2001 - 2005
CIGNA Healthcare February 1996 - January 2001
CIGNA Healthcare 1996 - 2001
CIGNA 1996 - 2001
Education
University of California, San Francisco 1974 — 1976
Family Practice Residency
Columbia University College of Physicians and Surgeons 1967 — 1971
MD, Medicine
Yale University 1963 — 1967
BA, Psychology
FIS - Fidelity Information Services 2004 - Present
Aurum Technology 2003 - 2004
Cisco 1999 - 2003
Sterling Software 1998 - 1999
Aetna Health Plans 1996 - 1998
Unisys 1982 - 1996
Education
California State University-Sacramento 1981 — 1982
MBA, Business
California State University-Sacramento 1977 — 1980
BA, Business Admin.
Aetna Health Plans March 2004 - Present
Education
California State University-Northridge
CIGNA Healthcare March 2004 - Present
CKT HealthCare Consulting June 2001 - December 2003
Prudential Healthcare February 1998 - February 2001
Blue Cross Blue Shield of Maine March 1997 - February 1998
Aetna Health Plans February 1995 - March 1997
University of Chicago Health Plan December 1989 - March 1995
McDonnell Douglas Health Information Systems 1980 - 1989
Skills
HMO, Data Analysis, Hospitals, Health, Provider Contracting, Managed Care, Healthcare Management, Medicare, Claims, Healthcare, Metrics, Expenses, Billing, Network Development, Healthcare Consulting, PPO, Claim, Provider Relations, Health Insurance, HIPAA, Healthcare Industry, Health Policy, Invoicing, Revenue Cycle, Program Management
Education
Boston University Questrom School of Business 1973 — 1975
MBA, HealthCare Administration
Clark University 1968 — 1973
AB, Economics
Cleveland State University June 1999 - Present
Aetna Health Plans 1995 - 1998
Coopers & Lybrand 1989 - 1995
The Koptis Organization 1987 - 1989
Johnson & Higgins 1985 - 1987
Skills
Employee Benefits, Benefits Administration, Employee Relations, PeopleSoft, Insurance, Deferred Compensation, Customer Service, Human Resources
Education
Cleveland State University 2001 — 2006
Bachelors, Communications
University of Dayton 1980 — 1984
Associate of Business, Business
Humana June 2015 - Present
Humana October 2013 - June 2015
Humana March 2013 - October 2013
Highline Medical Services Organization July 2011 - March 2013
Health Integrated October 2010 - July 2011
Aetna Health Plans 1997 - 2002
Riverside Methodist Hospital May 1991 - October 1997
Education
Capital University Law School 1993 — 1997
Juris Doctor (J.D.)
Capital University 1986 — 1991
Bachelor's Degree, Registered Nursing/Registered Nurse
WellCare Health Plans September 2008 - Present
Physicians United Plan December 2006 - September 2008
United Health Group / Evercare October 2005 - November 2006
Greystone Healthcare Management, Inc. April 2002 - October 2005
Employer and Occupational Services (EOS) Healthnet January 2000 - November 2001
Concentra Managed Care, Inc. November 1998 - November 1999
Independent HealtCare Consultant April 1997 - October 1998
Aetna Health Plans September 1987 - April 1997
Av-Med Health Plan December 1985 - September 1987
Medical One, Inc. July 1983 - December 1985
Education
Eckerd College
Organizational Studies
HCR Strategy August 2010 - Present
Ceridian January 2009 - Present
Ceridian January 2003 - Present
Ceridian Benefits Services 2002 - 2009
Aetna Health Plans 1995 - 2001
Aetna/Definity January 1986 - January 1998
Skills
Benefits Administration, Sales, COBRA, Employee Benefits, New Business Development, Outsourcing, Marketing Strategy, Account Management, SaaS, HRIS, Insurance, Healthcare, Sales Process
Education
Ball State University 1979 — 1983
Bachelor’s Degree, Marketing, Criminal Justice
Centerlight Health System March 2015 - Present
H&R Block 1999 - Present
Aetna Health Plans January 2010 - 2014
Community Choice Health Plan February 2005 - December 2007
MagnaCare 1998 - 2004
Mayor's Office of Managed Care 1995 - 1998
NYC Health and Hospitals Corporation 1992 - 1995
Skills
Healthcare, Medicaid, Leadership, Managed Care, Policy, Health Policy, Management, Budgets, Regulatory Affairs, Regulatory Requirements, Project Management, Medicare, Microsoft Excel, HIPAA, Healthcare Consulting
Education
Loyola University Chicago School of Law 2013 — 2015
Master of Jurisprudence, Health Law
Long Island University 1982 — 1987
MS, Health Administration
City University of New York-Herbert H. Lehman College
Bachelor's degree, Accounting and Business/Management
Onyx Pharmaceuticals May 2013 - Present
Sanofi May 2011 - May 2013
Bayer HealthCare Pharmaceuticals September 2007 - May 2011
Medical Knowledge Group January 2006 - August 2007
Current Medical Directions May 2000 - October 2005
KPR 1995 - 2000
Aetna Health Plans 1993 - 1995
Mount Sinai Medical Center 1988 - 1992
Skills
Pharmaceutical Industry, Medical Affairs, Oncology, Medical Writing, Medical Education, Transplant, Medical Research, Pharmacy, Biotechnology, Infectious Diseases, Clinical Development, Clinical Trials, Drug Development, Clinical Research
Education
Albany College of Pharmacy of Union University
PharmD
New York University - Leonard N. Stern School of Business
MBA
University of Rhode Island
BS
Abbott Nutritional February 1994 - Present
Aetna Health Plans October 1992 - January 1994
Education
Bowling Green State University 1983 — 1988
BAS, Communications
Bristol-Myers Squibb April 2008 - Present
Aetna Health Plans March 1998 - November 2001
Education
Fairleigh Dickinson University 2000 — 2002
Masters, Public Administration
William Paterson University of New Jersey 1987 — 1991
BA, Communications
Johnson & Wales University 1985 — 1987
Fashion Merchandising
People's Trust Insurance Company October 2013 - Present
Mutual Of Enumclaw April 2010 - September 2013
Sentry Insurance September 2003 - March 2010
Royal & Sun Alliance April 1999 - August 2003
Royal & Sun Alliance May 1992 - March 1999
Aetna Health Plans May 1991 - April 1992
Education
Edgewood College 2005 — 2008
MBA, Quality/Process Improvement
University of Minnesota-Twin Cities 1987 — 1991
BA, Economics
Aetna July 2012 - Present
Aetna April 1998 - Present
American Marketing Association 2014 - 2015
Aetna 2014 - 2014
Aetna 2012 - 2013
Aetna 2003 - 2010
Aetna Health Plans March 2003 - October 2003
Aetna March 2002 - March 2003
Aetna 2001 - 2002
Aetna April 1999 - July 2001
Skills
Health Insurance, Employee Benefits, Process Improvement, Insurance, Healthcare, Marketing Strategy, Management, Customer Service, Team Management, Customer Satisfaction, Leadership, Program Management, Team Building, Training, Account Management, Vendor Management, Sales Process, Change Management, Strategic Planning, Business Analysis, Marketing, Entrepreneurship, Budgets, Strategy, Sales, Cross-functional Team..., Team Leadership, Business Development, CRM, Contract Negotiation, Coaching, New Business Development, Selling, Sales Management, Operations Management, Marketing Communications
Education
Albertus Magnus College 2011 — 2013
Bachelor's degree, Business Administration and Management, General
Community College of The Air Force 1982 — 1990
Airframe Mechanics and Aircraft Maintenance Technology/Technician
Lowell Senior High 1978 — 1981
ING August 2007 - Present
Voya Financial 2007 - Present
Aetna Health Plans January 1980 - March 2003
Aetna Life & Casualty January 1999 - June 2002
Skills
Process Improvement, Business Analysis, Quality Assurance, Call Centers, Change Management, Risk Management, Visio, Vendor Management
Education
Cambridge College 1990 — 1992
Master's Degree in Education - M.Ed, Integrated Studies in Education
Spring ISD August 2013 - June 2014
Property Professional Services February 2008 - July 2008
Auto Rail Services March 2002 - January 2003
Rash & Associates September 1997 - February 1999
Baylor University Medical Center May 1996 - September 1997
Aetna Health Plans April 1992 - May 1996
Employers CC January 1989 - April 1992
Skills
Teaching, Budgets, Microsoft Word, Invoicing, Microsoft Office, PowerPoint, Lesson Planning, Accounts Payable, Accounts Receivable, Editing, Account Reconciliation, Payroll, Microsoft Excel, Word, Excel, Accounting, Classroom Instruction, Budgeting, Supervisory Skills, Tutoring, K-12, Teamwork, Analysis, Quickbooks, Windows, Scheduling, Bank Reconciliation, SAP, Financial Analysis, Payroll Processing
Education
Dallas Baptist University 1986 — 1988
BBA, Accounting, 3.3
Houston Baptist University - College of Business and Economics 1983 — 1986
Bachelor of Business Administration (BBA), Accounting
Ingalls Health System/ Ingalls Memorial Hospital October 2008 - Present
Family Christian Health Center July 2011 - October 2012
Family Christian Health Center January 2010 - June 2011
Family Christian Health Center September 2008 - December 2009
Ingalls Health System/ Ingalls Memorial Hospital August 1997 - October 2008
Family Christian Health Center June 2006 - September 2008
Aetna Health Plans 1996 - 1997
Aetna Health Plans 1994 - 1996
Michael Reese Doctors Group, IPA 1989 - 1993
Maxicare Health Plans of the Midwest 1986 - 1989
Skills
Managed Care, Contract Negotiation, Negotiation, Hospitals, Board of Director..., Board Governance, Healthcare Management, Healthcare, Healthcare Industry, Network Development, Health Plan Operations, Provider Relations, Physician Relations, PPO, HMO, Health Insurance, Physicians, Healthcare Consulting, Practice Management, Medicare, Board of Directors, Medicaid, Health Policy, Medical Billing, Informatics, Disease Management, Utilization Management, Home Care
Education
Chicago State University 1979 — 1982
BA, Secondary Education
Welltok, Inc. October 2013 - Present
Welltok, Inc. January 2009 - October 2013
Metavante, PSI 2000 - 2006
Adept Computer Associates, Inc January 1990 - October 2000
Gartner Group 1996 - 2000
PM USA April 1994 - November 1996
Gartner Group 1993 - 1994
Aetna Health Plans April 1990 - December 1992
Trendware Corp July 1987 - June 1992
Softworks, Inc. October 1984 - July 1987
Skills
Agile Methodologies, Enterprise Software, Software Development, Product Management, Vendor Management, Process Improvement, Strategy, Cloud Computing, Management, XML, Consulting, IT Strategy, Project Management, Leadership
Education
Rensselaer Polytechnic Institute 1978 — 1981
MBA, Marketing & Strategic Planning
Worcester Polytechnic Institute 1974 — 1978
Florida Institute of Technology 1974 — 1975
The Gilbert High School 1970 — 1974
Kern Health Systems January 2015 - Present
Mercy Health Plans April 2008 - Present
Managed Care Systems, LP March 2010 - January 2015
Medical Associates Health Plans & Health Choices May 2000 - February 2008
Medical Associates Clinic, P.C. 2000 - 2008
Quality Care Network MSO July 1999 - May 2000
Presbyterian Health Plan November 1997 - July 1999
FHP of New Mexico, Inc October 1993 - November 1997
UltraLink July 1992 - October 1993
Aetna Health Plans March 1987 - July 1992
Skills
Network Development, Managed Care, Budgets, Medicaid, Provider Relations, PPO, Medicare, HMO, Sales, Strategy, Customer Service, Healthcare, Health Policy, Leadership, Marketing, Physicians, Process Improvement, Employee Benefits, Strategic Planning
Education
University of Phoenix
MBA, Business Administration and Management, General
Brigham Young University
B.S, Business Management
Travelers June 2014 - Present
Mass Mutual December 2008 - June 2014
The Hartford October 2004 - November 2008
Phoenix Life Insurance Company June 2000 - November 2003
Security Connecticut Life Insurance Company January 1996 - June 2000
Aetna Health Plans June 1995 - January 1996
Skills
Requirements Analysis, Business Analysis, Project Portfolio..., Project Management, SDLC, Process Improvement, Vendor Management, Insurance, Requirements Gathering, Business Requirements, PMP
Education
Central Connecticut State University
BA
University of New Haven
MA
Lockton Companies April 2001 - Present
Willis January 1997 - May 2001
Aetna Health Plans June 1990 - December 1996
Skills
Health Insurance, Employee Benefits, Brokers, Underwriting, Life Insurance, Disability Insurance, Reinsurance
Education
Drake University 1986 — 1990
Bachelor of Business Administration (B.B.A.), Business
Center High School 1982 — 1986
Blue Shield of California July 2015 - Present
Cigna July 2013 - June 2015
USI Insurance Services August 2012 - May 2013
Aetna November 2004 - February 2012
Aetna Health Plans August 2002 - November 2004
Watson Wyatt Worldwide June 2001 - July 2002
PacifiCare Health Systems June 2000 - June 2001
Prudential Healthcare July 1994 - June 2000
Prudential Insurance 1987 - 2000
Prudential Healthcare November 1987 - June 1994
Skills
Employee Benefits, Brokers, Insurance, Underwriting, Disability Insurance, Managed Care, Medicare, Strategic Planning, Health Savings Accounts, Account Management, Health Policy, Healthcare, Team Building, New Business Development, Customer Retention, Accident, Workers Compensation, Life Insurance, Sales, Benefits Administration, Human Resources, Management, Vendor Management, Self-funded, Health Care Reform, COBRA, Term Life Insurance, Claim, Group Insurance
Education
California State University-Northridge 1984 — 1985
BA, Urban Planning
UCLA 1977 — 1979
Environmental Science
XL Catlin October 2009 - Present
Aetna, INC. August 2001 - December 2008
Aetna, INC. October 1995 - August 2001
Aetna Health Plans June 1995 - October 1995
Skills
Access, Visio, Crystal Reports, Unix, Visual Studio, COBOL, VBScript, JavaScript, ASP, FrontPage, PHP, Sybase, HTML, SQR, Erwin, Lotus Domino, LotusScript, Microsoft Excel
Education
Central Connecticut State University
B.S., Management Information Systems
Anthem Blue Cross and Blue Shield May 2001 - April 2011
Mutual of Omaha September 1991 - January 2001
Aetna Health Plans August 1991 - August 1992
Interim Healthcare September 1990 - May 1991
Skills
Disease Management, Utilization Management, Healthcare, Health Promotion, Nursing, Claims review, Home Healthcare, Case Management, Home Care
Education
Andrews University 1982 — 1984
Certificate in Nursing Administration
Southern Adventist University 1973 — 1977
BSN, Nursing
Amity Regional High School 1970 — 1973
Diploma
Hewlett-Packard 2008 - Present
Exstream Software 2005 - 2008
Exstream Software 2003 - 2005
Vestcom Mid-Atlantic 2002 - 2003
Vestcom International 2001 - 2002
RR Donnelley Financial 1994 - 2001
Aetna Health Plans 1990 - 1994
Mobius Management Systems 1987 - 1990
Empire Blue Cross Blue Shield 1987 - 1987
Consolidated Edison of New York 1983 - 1987
Skills
Enterprise Software, Account Management, Professional Services, Salesforce.com, Partner Management, HP, Sales Management, Channel, Direct Sales, New Business Development, Product Management, Pre-sales, Complex Sales, Business Development, CRM, Product Marketing, CCM, HP Exstream, Business Relationship..., Product Development, Solution Selling, Sales Process, Business Alliances, Management, Cloud Computing, Key Account Management
Education
Colgate University
BA, Physical Sciences
Aetna Health Plans June 1987 - Present
Skills
Provider Relations, Health Insurance, Managed Care, Network Development, HMO, Medicare, PPO, Health Policy, Healthcare Industry
Education
DeSales University 1996 — 2002
MBA, Business Management
Pfizer October 2009 - Present
Wyeth April 2005 - October 2009
Wyeth January 2002 - April 2005
CIGNA Healthcare December 2000 - December 2001
Aetna Health Plans September 1995 - December 2000
The Children's Hospital of Philadelphia 1990 - 1994
Skills
Oncology, Gastroenterology, Hospitals, Infectious Diseases, Hospital Sales
Education
Bloomsburg University of Pennsylvania 1985 — 1989
BS, Accounting
Symantec May 2000 - October 2007
Aetna Health Plans September 1997 - April 2000
Education
California State University-Los Angeles
Computer Science
Torelli Realty April 2009 - Present
Aetna Health Plans July 1985 - May 2008
Skills
Residential Homes, Real Estate, Sellers, Home Staging, Investors, Townhomes, Luxury, Property, Single Family Homes, Short Sales, New Home Sales, Real Property, First Time Home Buyers, REO, Seniors, Buyers, Birthday Celebrations, Anniversaries
Education
Calvin College
GlaxoSmithKline Pharmaceuticals, Inc December 2000 - March 2009
GlaxoSmithKline 1992 - 2009
GlaxoSmithKline January 1999 - November 2000
GlaxoSmithKline December 1997 - July 1998
GlaxoSmithKline November 1996 - November 1997
Aetna Health Plans January 1994 - November 1996
Glaxo Pharmaceutical, Glaxo Inc January 1990 - January 1994
Knoll Pharmaceuticals January 1989 - January 1990
Knoll Pharmaceuticals January 1986 - January 1989
Lehigh Valley Health Network January 1985 - January 1986
Skills
Hospitals, Asthma, Strategic Planning, Clinical Research, Infectious Diseases, Pharmaceutical Industry, Neurology, Urology, Managed Care, Orthopedic, Pharmaceutical Sales, Nursing, Sales Operations, Cardiology
Education
Cedar Crest College
Bachelor of Science, Nursing
University of Maryland, College
athenahealth December 2013 - Present
Allscripts 2009 - 2013
McKesson Provider Technologies 1997 - 2009
UnitedHealthcare 1993 - 1997
Aetna Health Plans 1990 - 1993
Skills
Healthcare Information..., EHR, Selling, Healthcare, Revenue Cycle, Hospitals, Medicare, Practice Management, Ambulatory, Physicians, Medicaid, Software Documentation, Sales Operations, Health Information..., EMR, HL7, Healthcare Consulting, HIPAA, Salesforce.com, Sales, Software Implementation, Healthcare Industry, Informatics, CPOE, Training
Education
Drake University
BS, Business Administration and Marketing
SunGard K-12 Education April 2012 - Present
Tcoag US, Inc. May 2010 - December 2011
Trinity Biotech June 2004 - April 2010
Adaltis April 2000 - June 2004
Aetna Health Plans October 1993 - December 1995
Skills
Salesforce.com, Management, Sales Operations, Project Management, Sales Management, Sales, Customer Service, Financial Analysis, Account Management, Capital Equipment, Trade Shows, Medical Devices, Product Launch, CRM, Process Improvement, Cross-functional Team..., Sales Process, Marketing, Product Management, Business Development, Contract Negotiation, New Business Development, SaaS, Leadership, Sales Presentations, Product Marketing, Selling, Solution Selling, Customer Satisfaction, Marketing Strategy, Direct Sales
Education
Cedar Crest College 2012 — 2016
Bachelor's Degree, Business Administration, 3.55
Bloomsburg University of Pennsylvania 1990 — 1991
Business Management
Northampton Community College 1985 — 1987
Business Management
Open Door Ministry 2001 - 2005
Aetna Health Plans 1999 - 2001
Aetna Health Plans 1993 - 1999
Grady Memorial Hospital 1988 - 1993
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Public Speaking, Mac OS, Psychology
Education
The University of Alabama 2013 — 2014
Master's degree, Social Work
Alabama Agricultural and Mechanical University 2008 — 2011
Bachelor's degree, Social Work
H Councill Trenholm State Technical College 1982 — 1983
LPN, Licensed Practical/Vocational Nurse Training
NYC Health and Hospitals Corporation April 2014 - Present
SAVIOLA CONSULTING July 2011 - December 2013
Ceridian September 2005 - February 2008
e-peopleserve (Accenture & British Telecommunications) December 2000 - April 2002
Aetna Health Plans April 1999 - August 2000
AT&T February 1970 - December 1998
Skills
Leadership, Strategic Partnerships, Business Development, Relationship Management, Project Management, Consulting, Organizational Structure, Organization Srategy, Project Planning, Business Transformation, Organizational..., Staff Development, Organizational..., Strategic Planning, Organizational Design, Team Management, Leadership Development, Employee Engagement, Team Leadership, Executive Coaching, Change Management, New Business Development, Team Development, Team...
Education
American University 1994 — 1995
M.S., Organization Development
Pace University 1974 — 1981
B.A., English
WellPoint April 2007 - Present
Wellpoint 2000 - 2007
Aetna Health Plans 1988 - 1992
Partners National Health Plan 1988 - 1992
Skills
HMO, Provider Relations, Disease Management, Managed Care, Health Insurance P&L, Health Insurance
Education
Averett University 1993 — 1995
MBA, Business Administration and Management, General
Virginia Polytechnic Institute and State University 1971 — 1975
BS, Marketing Management
Mary Kay Inc. March 2007 - Present
Aetna Health Plans June 2005 - March 2012
Lexington Medical Center October 2001 - February 2005
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Disability Insurance, Health Savings Accounts, Claim, Underwriting, SDLC, Managed Care, Brokers, Provider Relations, Business Analysis, Life Insurance, Health Policy, HIPAA
Education
Fortis College-Columbia 2012 — 2014
Associates of Occupational Science, Medical Office Management/Administration
Coastal Carolina Community College 1997 — 1997
Certificate of Phlebotomy, Phlebotomy Technician/Phlebotomist
Kiernan Conn Associates LLC February 2010 - Present
BCBSNC 2014 - 2014
BCBSNC 2014 - 2014
BCBSNC 2014 - 2014
BCBSNC 2014 - 2014
Aetna Health Plans 2007 - 2010
Deloitte Consulting 1995 - 2009
Education
Darden Graduate School of Business Administration 1998 — 2000
MBA, General Management
Dartmouth College 1991 — 1995
BA, Chemistry, Psychology, Anthropology
National Labor Relations Board January 1992 - Present
National Labor Relations Board January 1992 - Present
NLRB 1992 - Present
Aetna Health Plans 1986 - July 1988
Education
DePaul University College of Law 1988 — 1991
J.D., labor law
University of Connecticut 1981 — 1983
B.A., Economics
Carleton College 1977 — 1978
Capital One November 2013 - Present
Capital One February 2010 - November 2013
Capgemini January 2010 - February 2010
Infosys Technologies Ltd August 2002 - January 2010
Aetna, INC. 2007 - 2010
Aetna Health Plans 2002 - 2010
Education
Anna University 2000 — 2002
M.E, Manufacturing Engineering
Bharathiar University 1996 — 2000
B.E, Mechanical Engineering
PatientSafe Solutions October 2015 - Present
Vree Health September 2013 - September 2015
Telerx October 2011 - September 2013
Aetna Health Plans January 2007 - December 2008
Skills
Program Management, Management, Call Centers, Customer Service, Healthcare, Account Management, CRM, Strategy, Team Building, Training, Process Improvement, Sales, Leadership, Salesforce.com, Vendor Management, Project Management, Strategic Planning, Managed Care, Change Management, Health Insurance, HIPAA, Coaching, Business Analysis, Cross-functional Team..., Medicare
Education
Boston University 1992 — 1994
BS, Hospitality
Health Plans Inc January 2007 - April 2010
Quest,Labcorp and Metpath January 2007 - April 2010
Group Insurance January 1999 - January 2006
Printing Industries of January 1996 - January 1998
Aetna Health Plans January 1994 - January 1996
Response International January 1991 - January 1994
Education
Berklee College of Music
Music Production and Engineering
Westwood High School Wash
High School Diploma
Akron City Hospital June 2014 - Present
Stanley Staffing February 2011 - June 2014
InfoCision Management Corporation December 2009 - February 2011
The Little Gym June 2001 - August 2009
Barrington Golf Club January 1998 - March 2001
Aetna Health Plans January 1996 - January 1998
Skills
Customer Service, Recruiting, Cold Calling, Team Building, Interviews, Applicant Tracking..., Human Resources, Management, Marketing, Leadership, Budgets, Training, Temporary Placement, Team Leadership, Resume Writing, Employee Benefits, Administrative..., Account Management, Sales, Hiring, Call Centers, Time Management
Education
Kent State University 1997 — 2001
Masters, Business Administration
Bowling Green State University 1990 — 1995
Bachelor of Science, Education, Exercise Science
Revere 1986 — 1990
High school diploma, College Prep
Aetna Health Plans January 2007 - Present
Curative Critical Care Systems December 2005 - January 2007
Paradigm Healthcare Development 2001 - 2006
Skills
Certified Case Manager, Case Managment, Medicaid, Managed Care, Healthcare, Health Insurance, Certified Pediatric..., Healthcare Consulting, Insurance, NCQA, Pediatrics, Patient Advocacy, Health Policy, Home Infusion, Physician Relations, Medical Case Management, ICU, Healthcare Management, Medical Terminology, Nursing, HIPAA, Health Education, Patient Safety, Home Care, Medical Coding, Wound Care, Medical Records, Medical/Surgical, Inpatient, Patient Education, Hospitals, Healthcare Information..., Quality Improvement, BLS, Medicine, IV, Acute Care, Medicaid Managed Care, Nursing Education, Critical Care, Long-term Care, HMO, HEDIS, Public Health, Behavioral Health, Medication..., ICD-9, Motivational..., Healthcare Industry, EMR
Education
West Suburban College of Nursing 1992 — 1994
BSN, Nursing Science
Oakton Community College 1989 — 1990
Associate Degreee in Nursing, Registered Nursing/Registered Nurse
Oakton Community College 1980 — 1982
Practical Nursing Certificate, Practical Nursing, Vocational Nursing and Nursing Assistants
Madonna High School 1973 — 1977
Diploma, General Studies
Aetna Health Plans July 2008 - Present
CVS/Caremark April 2006 - July 2008
PRC, LLC March 2001 - April 2006
Skills
Insurance, Leadership, Team Building, Health Insurance, Process Improvement, Customer Service, Underwriting, Claim, Employee Benefits, Healthcare, Microsoft Excel, Training, Microsoft Office, Program Management, Management, Strategic Planning
Education
Duquesne University 1993 — 1997
Bachelor of Business Administration (BBA), International Business / Finance, A
Duquesne University
International Business and Finance
Memorial Hermann Health Solutions September 2014 - Present
Universal American June 2011 - September 2014
Universal American March 2008 - June 2011
Coventry Health Care February 2004 - March 2008
Aetna Health Plans February 1997 - April 2003
Skills
Training, Software Documentation, Employee Benefits, Process Improvement, Customer Service, Policy, Insurance, Time Management, Call Centers, Employee Training, Medicare, HIPAA, Business Process..., Customer Experience, BPO, Medicare Part D, Claim, Managed Care, Program Management, Operations Management, Management
Education
Columbia Southern University 2012 — 2015
Human Resource Management/HPI
Langevin Learning Services
Training and Development
Prestige Health Choice May 2014 - April 2015
Clients Listed Below June 2013 - May 2014
Convey Health Solutions (formerly NationsHealth) April 2012 - October 2012
Computer Sciences Corporation September 2010 - August 2011
Aetna Health Plans August 2007 - February 2011
Convey Health Solutions (formerly NationsHealth) May 2005 - August 2007
Motorola November 2002 - May 2005
PNV November 1999 - November 2002
United States Marine Corps November 1995 - November 1999
Skills
Process Improvement, Quality Assurance, Quality Management, Operations Management, Healthcare Management, Healthcare IT, Call Center Management, Healthcare Information..., Performance Management, Call Centers, Call Center, Data Analysis, Team Building, HIPAA, Healthcare, Training, Health Insurance..., Affordable Care Act, Project Management, Business Analysis, Six Sigma, Operational Efficiency, Analysis, Change Management, Business Process..., Software Documentation, Leadership, Program Management, Management, Insurance, Integration, Strategic Planning, Vendor Management, Policy, Health Insurance, Troubleshooting, SharePoint, Visio, Access, Employee Benefits, SDLC, Managed Care, Requirements Gathering, Business Intelligence, CRM, Medicare, Veterans Administration, Coaching, Databases, Consulting
Education
Florida International University - College of Business 2015 — 2017
Master of Business Administration (M.B.A.)
American Intercontinental University 2006 — 2009
Bachelor, Business Administration 09/2009; Health Services Administration
LAPD October 2013 - Present
SPART*A: Service members, Partners, and Allies for Respect and Tolerance for All July 2013 - 2014
Federal Bureau of Investigation December 2010 - October 2013
Service Women's Action Network 2009 - 2010
LAPD 2006 - 2010
United States Marine Corps July 2003 - April 2008
Aetna Health Plans 2004 - 2005
United States Marine Corps October 1999 - July 2003
Skills
Crisis Communications, Photoshop, Adobe Creative Suite, Digital Photography, Photo Editing, Editing, Government Relations, InDesign, Layout, Team Leadership, Public Relations, Government, Public Speaking, Newspapers, Enforcement, Politics, Public Affairs, Crisis Management, Journalism, News Writing, Media Relations, Strategic Communications, Policy Analysis, Image Editing, Military, Lobbying, Spokesperson, Press Releases, Newsletters, Nonprofits, Publications, Copy Editing, Speech Writing, Investigative Reporting, National Security, Social Media, Public Policy, Military Affairs, Internal Communications, Law Enforcement, Management, Counterterrorism, Program Management, Leadership, Policy, Research, Strategic Planning, Community Outreach, Storytelling, Emergency Management
Education
Columbia University - Graduate School of Journalism 2003 — 2004
MS, Journalism
Defense Information School 2000 — 2000
Basic Public Affairs Officer Course
The Basic School 2000 — 2000
Marine Basic Officer Course
University of California, Los Angeles 1994 — 1999
BA, Anthropology and Political Science
Ascende September 2005 - Present
Aetna Health Plans 1993 - 2005
Prudential Insurance 1993 - 2000
CIGNA Healthcare 1991 - 1993
Massachusetts Mutual 1989 - 1991
BCBS National Capital Area 1986 - 1989
Skills
Insurance, Employee Benefits, Benefits Administration, Underwriting, 401k, Pensions, Human Resources, Health Insurance, HRIS, COBRA, Executive Pay, ERISA, Deferred Compensation, Disability Insurance, New Hire Orientations
Education
George Mason University
Pfizer February 2014 - Present
Pfizer January 2012 - February 2014
Pfizer 2011 - February 2012
Pfizer 2010 - 2011
Pfizer 2010 - 2010
Pfizer 2001 - 2009
Greenberg and Rapp Financial Group 1999 - 2001
Aetna Health Plans 1996 - 1999
Education
Colgate University 1992 — 1996
Bachelor of Arts, Economics
Aetna Health Plans
Skills
Medicare, HIPAA, Insurance, Health Insurance
Education
Delaware Technical and Community College-Terry
Medical Office Tech
Kaiser Permanente January 2009 - March 2010
Kaiser Permanente December 2006 - December 2008
Kaiser Permanente September 2003 - December 2006
Korak Staff Source January 2000 - September 2003
American Psych Systems March 1995 - December 1999
Aetna Health Plans June 1994 - February 1995
Osco Drugs August 1986 - June 1993
Skills
Quality Assurance, Change Management, Strategic Planning, Management, Leadership, Team Leadership, Training, Process Improvement, Employee Training, Healthcare, Team Management
Education
Bowie State University 1983 — 1986
Bachelors, Computer Science/Business Administration
Emeritus at Wayne Senior Living December 2011 - July 2012
Aetna Health Plans October 1992 - May 1999
Skills
Wellness, Nursing, Disease Management, Case Managment, Prevention, Healthcare, Healthcare Management, Health Education, Home Care
Education
Felician College 2008 — 2010
BSN, Nursing
Aetna Business Project Program Senior ManagerAetnaJanuary 2006 - Present
Aetna September 1999 - December 2005
Prudential HealthCare, Integrated Pharmacy Solutions March 1994 - August 1999
Prudential HealthCare, Integrated Pharmacy Solutions October 1992 - March 1994
Aetna Health Plans March 1989 - August 1992
Northrup King Company February 1988 - March 1989
General Homes Corporation September 1986 - January 1988
Quanex Corporation August 1983 - August 1986
Skills
Project Management, Program Management, Project Execution, Vendor Management, Portfolio Management, Client Relations Skills, Change Management, Stakeholder Engagement, Negotiator / Influencer, Problem Solver, Leadership, Healthcare, Effective Communicator, MS Project, Cross-functional Team..., Virtual Team Leadership, Requirements Gathering, Business Analysis, Highly Organized, Detail Oriented
Education
Baylor University
Bachelor of Business Administration (BBA), Information Systems / Management