Aetna Health Plans
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Aetna Health Plans Employees
eBay Enterprise November 2013 - Present
Duke Energy Corporation February 2013 - November 2013
PNC Financial Service Group 2010 - August 2012
Citi Cards 2005 - 2010
Citi Cards 2001 - 2005
Sprint PCS 2001 - 2001
Aetna Health Plans 1996 - 2001
Skills
Leadership Development, Performance Management, Operations Management, Strategic Planning, Strategic Thinking, Executive Management, Banking, Project Management, Key Performance..., Business Process..., Workforce Planning, Workforce Management, Data Analysis, Change Management, Call Centers, Analysis, Vendor Management, Cross-functional Team..., Management, Human Resources, Leadership
Education
Liberty University
Master of Business Administration (M.B.A.), Leadership
Liberty University
BS, Psychology
Nationwide Insurance July 2000 - Present
CIGNA Healthcare May 1998 - March 2000
New England Financial March 1998 - June 1998
Aetna Health Plans May 1997 - May 1998
Bowne December 1993 - May 1997
Skills
Legal Liability, Insurance, Umbrella Insurance, Health Insurance, Commercial Insurance, Property & Casualty..., Small Business, Life Insurance, Employee Benefits, Long-term Care, Workers Compensation, Underwriting, Estate Planning, Risk Management, General Insurance, Homeowners, Term Life Insurance, Customer Service, Whole Life
Education
Mercer University - Stetson School of Business and Economics 1995 — 1997
M.S., Healthcare Policy & Administration
Mercer University - Stetson School of Business and Economics 1989 — 1993
BBA, Marketing
Northside High School 1985 — 1989
High School Diploma
Cigna Healthcare October 2013 - Present
Wholesale Alliance LLC, Pharmacy First November 2012 - October 2013
Medco Health Solutions January 2007 - August 2012
Medco 2003 - 2007
Medco 2000 - 2003
Systemed 1994 - 2001
Aetna Health Plans 1988 - 1994
Skills
Physicians, Healthcare Industry, Medicare Part D, Pharmacy Benefit..., Managed Care, Medicaid, Healthcare, Medicare, Health Policy, Pharmacy, Healthcare Management, HIPAA, Clinical Research, Pharmacy Automation, Manage Client..., Oncology, Account Management, Pharmacists, Health Insurance, Client Development, Pharmaceutical Industry, Medicaid Managed Care, Disease Management, Utilization Management, Cardiology, Home Infusion, Pharmaceutics, Healthcare Consulting, Pharmaceutical Sales, Diabetes, Healthcare Information..., Hospitals, Neurology
Education
Minnesota State University, Moorhead 1981 — 1985
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
TrackMaven June 2015 - Present
BroadSoft November 2012 - May 2015
Spirent Communications March 2009 - October 2012
NextPoint Networks, Inc. (fka NexTone) 2005 - December 2008
Visual Networks March 2001 - November 2005
AMISYS / McKessonHBOC February 1995 - August 2000
AMISYS 1993 - 1995
Aetna Health Plans 1985 - 1993
Skills
Sales Operations, CRM, Business Analysis, Go-to-market Strategy, Management, Change Management, Sales, Leadership, Start-ups
Education
Grambling State University 1981 — 1985
Bachelor of Science (BS), Business Administration and Management, General
Aetna August 2012 - Present
Aetna August 2011 - March 2013
Aetna Health Plans February 2009 - September 2011
CIGNA 2006 - 2008
Skills
Healthcare, Medicaid, Program Management, Management, Strategy, Business Process, Utilization Management, Health Insurance, Medicare, Process Improvement, Managed Care, Strategic Planning, Business Intelligence, HIPAA, Team Building, Customer Service, Team Leadership, Finance, Marketing, Public Speaking, Microsoft SQL Server, Event Planning, Disability Insurance, Employee Benefits, Community Outreach, Business Analysis
Education
The University of Akron 1988 — 1998
B.A, Business, Org. Communication, Public Relations
Missouri State University 1992 — 1993
Business, Org. Communication, Public Relations
University of Chicago Medical Center 2006 - Present
University of Chicago Medical Center 2002 - 2005
American Health Partnership 2002 - 2002
Aetna Health Plans 2001 - 2002
Unicare Health Plans 1999 - 2001
Methodist Hospital 1995 - 2001
Rush University Medical Center 1996 - 1999
Skills
Licensed RN in Illinois..., ACLS & PALS Certified, ACLS, ICU
Education
Purdue University
Bachelor of Science, Nursing
Cargill November 2014 - Present
CDI October 2011 - May 2014
Wells Fargo (contractor through LogiSolve) April 2010 - October 2011
Wolters Kluwer Financial Services May 2009 - February 2010
Ameriprise Financial, Inc. December 2005 - January 2008
American Express January 1997 - December 2005
UnitedHealth Group February 1992 - December 1996
Aetna Health Plans 1992 - 1994
Skills
Resource Management, Business Analysis, SDLC, Vendor Management, CRM, PMO, Business Process, Visio, Data Warehousing, Training, Quality Assurance, User Acceptance Testing, Software Documentation, SharePoint, Leadership, Project Delivery, Management, Team Leadership, Six Sigma, Analysis, Software Development, PMP, Project Portfolio..., Business Requirements
Education
Macalester College
Macalester College
BA, Biology
Arthur J. Gallagher & Co. August 2007 - Present
NetVU April 2011 - Present
BenefitPoint January 2006 - May 2007
AMS Services January 2006 - April 2007
Corporate Synergies August 2005 - December 2005
Aetna Health Plans January 2000 - October 2003
Skills
Excel, Word, Business Intelligence, BenefitPoint, Training & Development, Sales Support, Business Analysis, Account Management, Sales Operations, Microsoft Excel, Training, Insurance, Program Management, Selling, Employee Benefits, Employee Training, Project Management, Leadership, Management, Customer Service, Sales, Microsoft Word, Process Improvement, Health Insurance
Education
Lincoln University 1982 — 1986
Bachelor of Arts (B.A.), Communications
Temple University 1984 — 1985
Journalism
Anthem Blue Cross March 2006 - Present
Sutter Health October 2004 - June 2005
Sutter Health February 2002 - October 2004
Insurance Staffing Consultants January 2001 - February 2002
Workforce Medical Center, Inc June 1999 - October 2000
Fremont Compensation October 1996 - June 1999
Fremont Compensation June 1995 - October 1996
Aetna Health Plans March 1992 - June 1995
Skills
Managed Care, PPO, Utilization Management, Healthcare Industry, HMO, Contract Negotiation, Ambulatory Surgery, Capitation, Workers' Compensation..., Claim, Healthcare, Provider Relations, Employee Benefits, Hospitals, Risk Management, Medicaid, Medicare, Health Insurance, Insurance, Process Improvement, Network Development, HIPAA, Workers Compensation, Claims Management, Healthcare Consulting
Education
IEA - Insurance Education Association 1995 — 1999
WCCP, Workers Compensation
State of California - Department of Industrial Relations 1997 — 1998
SIP, Self Insured Certification
Heald College 1989 — 1991
AA, Computer Science
Examiner.com April 2011 - Present
www.toyparker.com (Live Wire Productions Plus) January 1998 - Present
Hendrick Automotive Group June 2011 - August 2012
CIGNA Healthcare March 2003 - August 2005
Aetna July 2000 - January 2002
Aetna Health Plans January 1999 - July 2000
WFMY - 2 August 1998 - December 1998
Fox-8 WGHP News September 1995 - July 1998
ABC WTVD -11 June 1994 - June 1995
WSMY-AM May 1993 - August 1993
Skills
Project Coordination, Business Development, Public Speaking, Public Relations, Marketing Communications, Problem Solving, Workflow Solutions, Workflow Analysis, Corporate Branding, Corporate Communications, Quality Assurance, Training & Development, Event Marketing, Event Management, Editing, Corporate Events, Event Planning, Organizational..., Strategic Planning, Marketing Strategy, Research, Video Production, Journalism, Social Media Marketing, Time Management, Training, Leadership, Social Media, Management, Recruiting, Fundraising, Television, Advertising, Interviews, Radio, Digital Marketing, Social Networking, Integrated Marketing, Broadcast, Blogging, Press Releases, Storytelling, Facebook, Online Marketing, Copywriting, Media Relations, Voice Over, Video, Marketing
Education
MBA (Management Concentration)at Strayer University
North Carolina Agricultural and Technical State University 1992 — 1998
BA, Mass Communications
Merck January 2013 - Present
Aetna Health Plans May 2011 - December 2012
Aetna July 2007 - May 2011
Aetna January 2003 - July 2007
Aetna July 2001 - December 2002
The Rock School 2000 - 2001
Merion Publications May 1999 - September 2000
Education
La Salle University 2001 — 2004
MA, Professional Communication
Lafayette College 1995 — 1999
BA, History
Gwynedd Mercy Academy 1991 — 1995
High School
Indian River Medical Center (IRMC) 2015 - Present
MCKEE Botanical Gardens, Inc. April 2015 - Present
Bank of America September 2003 - February 2015
Bank of America 1996 - September 2011
Fleet Boston Financial 1996 - November 2003
Aetna Health Plans September 1993 - September 1996
Keane, Inc 1977 - 1991
ADVO 1987 - 1989
Skills
Data Modeling, SDLC, Data Warehousing, Master Data Management, Business Intelligence, Databases, Business Analysis, Data Integration, ETL, Enterprise Architecture, Requirements Analysis, Teradata, Software Project..., IT Strategy, Strategy, Enterprise Software, Data Governance, Requirements Gathering, Data Quality, Data Warehouse..., Solution Architecture, Database Design, Integration, SOA
Education
King's College 1966 — 1970
BS
Rensselaer Polytechnic Institute
Master of Science (MS)
MIT 1998 — 2001
Post Grad Course
Blue Shield of California July 2015 - Present
Blue Shield of California December 2013 - Present
Aetna April 2011 - November 2013
Perspectives of Differences Diversity Training and Consultation for Health Professionals January 2000 - December 2011
Aetna, INC. July 2010 - May 2011
UnitedHealth Group October 2009 - July 2010
Aetna Health Plans October 2003 - October 2009
San Francisco Health Services Board June 1999 - June 2004
Health Plan of San Mateo June 2001 - October 2003
Community Health Network, SF Dept Pub Health January 1998 - June 2001
Skills
Leadership, Team Building, Strategic Partnerships, Health Policy, Spokesperson, Health access, Wellness Strategies, Clinical Monitoring, Full project lifecycle..., Strategic Communications, Operating Budgets, Grantsmanship, Cost Control, Case Managment, Chronic Care Management, Disease Management, Medicare and Medicaid..., System Development, Resource Development, Staff Development, Performance Management, Benefits Negotiation, Risk Assessment, Risk Management, Quality Management, Healthcare Management, Managed Care, Healthcare Industry, Internal Medicine, Hospitals, Healthcare, EHR, Management, Analysis, Healthcare Information...
Education
Harvard Medical School
MD
University of California, Berkeley
MPH
University of California, Irvine
B.S.
Law Office of Kellam T. Parks, PLLC December 2011 - Present
State Farm September 2009 - June 2011
Colonial Properties Trust July 2004 - September 2008
WorldStrides August 2002 - January 2004
QualChoice August 1997 - January 2000
Aetna Health Plans January 1987 - September 1990
Skills
Social Media Marketing, Customer Service, Team Management, Marketing Strategy, Creditors' Rights, Negotiation, Public Speaking, Leases, Inspiring People, Strategic Planning, Editing, Marketing, Fundraising, Scrapbooking, Painting, Love to Cook, Creative Writing, Sales, Budgets, Management, Leadership, Start-ups, Training
Education
Virginia Wesleyan College 1989 — 1991
Old Dominion University 1977 — 1978
BASF 2012 - Present
IEEE Standards Association 2008 - 2010
IEEE Standards Association 2001 - 2008
Aetna Health Plans 1997 - 2001
Horizon Blue Cross Blue Shield of New Jersey 1993 - 1997
Horizon Blue Cross Blue Shield of New Jersey 1987 - 1993
Skills
Strategy, Market Analysis, Market Research, Cross-functional Team..., Marketing, Leadership, Management, Analysis, Marketing Strategy, Competitive Intelligence, Training, Strategic Planning, Marketing Communications, Project Management, Social Media Marketing, Competitive Analysis
Education
Monmouth University
MBA, Finance
Syracuse University - Martin J. Whitman School of Management
BS, Marketing and Consumer Studies - dual major
Appen February 2014 - Present
Appen June 2013 - February 2014
SFL3 LLC 2013 - 2013
The Mercuri Group LLC February 2009 - 2013
TrueBlue Inc. September 2004 - February 2009
The Mercuri Group Inc. January 1995 - September 2004
Aetna Health Plans January 1990 - May 1995
Skills
Sales Coach, Organizational Change, Executive Coaching, Human Capital Management, Executive Search, Succession Planning, Employee Engagement, Talent Assessment, Organizational..., Organizational..., Talent Development, Sales, Change Management, Personnel Management, Talent Management, Training, Leadership, Management, Team Building, Coaching, Operations Management, Recruiting, Team Leadership, Talent Acquisition, Sales Management, Business Development, Employee Relations, Strategic Planning, Human Resources, Employee Benefits, Leadership Development, Applicant Tracking..., Consulting, Sourcing, Performance Management, Technical Recruiting, Interviews, Temporary Placement, Staffing Services, Onboarding, Internet Recruiting, Temporary Staffing, College Recruiting, Employee Training, Hiring, Cold Calling, Workforce Planning, Permanent Placement, Benefits Negotiation, Resume Writing
Education
Kennedy Western University 1984 — 1988
Doctor of Philosophy (PhD), Business Administration, Management and Operations
University of North Carolina at Chapel Hill
Bachelor of Arts (B.A.), English
BSK Associates Engineers & Laboratories March 2014 - Present
Trihydro Corporation 2010 - 2014
Kleinfelder 1998 - 2010
JAMS 1996 - 1998
Aetna Health Plans 1991 - 1996
Renaissance Rehabilitation Hospital 1988 - 1991
Baton Rouge General Medical Center 1983 - 1988
Skills
Public speaking, client..., Environmental Consulting, Business Development, EHS, Remediation, Proposal Writing, Environmental..., Business Planning, RCRA, Public Relations, Marketing, Marketing Management, Petroleum, New Business Development, Marketing Strategy, Program Management, Management, Strategic Planning, Corporate Communications, Product Management, Media Relations, Strategy, Soil, Marketing Communications, Leadership, CRM, Public Speaking, Environmental Awareness
Education
Louisiana State University and Agricultural and Mechanical College 1978 — 1982
Bachelor's degree, Journalism, Magma Cum Laude
LW Higgins High School, Greater New Orleans Metro Area 1974 — 1978
High School Diploma, College Prep Studies
Swedish Medical Center May 2013 - Present
Swedish Medical Center September 2010 - May 2013
Swedish Medical Center August 2008 - September 2010
Swedish Medical Center September 2006 - August 2008
Swedish Medical Center June 2004 - September 2006
Aetna Health Plans May 1999 - September 2003
University Place Care Center August 1997 - May 1999
Skills
Nursing, Critical Care, Hospitals, General Surgery, Surgery, Transplant, BLS, Acute Care, Inpatient, Epic Systems, ACLS, PALS, Orthopedic, Patient Education, Operating Room, Healthcare, Orthopedics
Education
University of Washington 2003 — 2005
Bachelor of Science, Nursing
Idaho State University 1995 — 1997
MPT, Physical Therapy
University of Idaho 1990 — 1994
Bachelor of Science, Psychology
Sharp HealthCare November 2002 - Present
Westcoast Eyecare Associates 1997 - 2001
Aetna Health Plans 1993 - 1995
Skills
Medical Records, Healthcare, Insurance, Medicine, Medical Coding, Treatment, HIPAA, Medical Terminology, Medical Billing, Health Insurance, Healthcare Information..., Special Occasion Baking, Creative Desserts, Management, Hospitals, ICD-9, Prior Authorization, HMO, PPO, Medicare Advantage, Medicaid Managed Care
Education
Edutek-Professional Institute 1996 — 1997
Board Certified Optician and Ophthalmic Tech, OPTICIAN/OPHTHALMIC ASSISTANT
Grossmont College 1989 — 1991
MEDICAL OFFICE MANAGEMENT
Colonial Life December 2005 - Present
United Healthcare 2004 - 2005
CompBenefits Corp. 1999 - 2004
Prudential Healthcare 1997 - 1999
Aetna Health Plans 1993 - 1997
US Army October 1987 - April 1991
Skills
Marketing Communications, Health Insurance, Employee Benefits, Disability Insurance, Insurance, Life Insurance, Term Life Insurance, Brokers, Health Savings Accounts, Long-term Care, Managed Care, Account Management, Underwriting, Sales Management, Cafeteria Plans, Benefits Administration, Sales, Accident, Critical Illness, Whole Life, Umbrella Insurance, Sales Operations, Leadership, Medicare, Team Building, Fixed Annuities, Voluntary Employee..., Long Term Care Insurance, Universal Life, Workers Compensation, Commercial Insurance, Property & Casualty..., Accident Insurance, General Insurance, 401k, Dentistry, Group Insurance, Flexible Spending..., Retirement, Claim, Professional Liability, Group Medical, Legal Liability, COBRA, Casualty, Commercial Lines
Education
North Carolina State University 1991 — 1993
Economics and Business Management, Economics and Business Management
East Bladen High 1983 — 1986
High School Diploma
Women's Health USA January 2009 - Present
Women's Health USA August 2004 - December 2008
Court Square Data Group March 2002 - August 2004
Pharmedica Communications April 2001 - January 2002
Familymeds April 1996 - April 2001
Aetna Health Plans September 1993 - March 1996
Roncalli Health Care Management May 1992 - August 1993
Arthur Andersen & Co. July 1985 - April 1992
Skills
Strategic Planning, Healthcare, Process Improvement, Management, Leadership
Education
Isenberg School of Management, UMass Amherst 1983 — 1985
BSBA, Business Administration
Aetna Health Plans, Inc 2004 - 2010
Aetna Health Plans, Inc 2002 - 2004
Aetna Health Plans, Inc. 1998 - 2002
Aetna Health Plans 1996 - 1998
AETNA HEALTH PLANS, INC 1993 - 1996
Education
Walden University 2009 — 2011
Masters of Science, Instructional Design and Technology
Metropolitan State University of Denver 1987 — 1991
BS, Mathematics/Secondary Education
Aetna November 2010 - Present
Aetna Health Plans January 2006 - November 2010
Aetna Health Plans July 2002 - January 2006
Aetna May 2001 - July 2002
Aetna May 1999 - May 2001
Health Partners of Philadelphia January 1998 - May 1999
Health Partners of Philadelphia January 1997 - January 1998
Health Partners of Philadelphia January 1994 - December 1996
Skills
Managed Care
Education
Abington Memorial Hospital Dixon School of Nursing 2013 — 2015
RN
Pennsylvania State University-Great Valley Graduate Center
MS, Health Care Administration
Penn State University 1988 — 1992
BS, Rehabilitation Services Education
University of Minnesota October 2011 - Present
Analysts International Corporation (AIC) April 2002 - September 2009
Analysts International Corporation (AIC) April 1998 - April 2002
John Alden Life Insurance Co. May 1997 - April 1998
Aetna Health Plans January 1997 - May 1997
Aetna Health Plans November 1995 - January 1997
Information Providers Inc. June 1994 - November 1995
Skills
Billing, Administration, Customer Relations, Accounts Receivable, Accounts Payable, Data Entry, System Administration, Invoicing, Customer Service, Payroll, Accounting, Training, Analysis, Outlook, Microsoft Excel, Adobe Acrobat, Public Speaking, Auditing, Access, Management
Education
University of Minnesota-Twin Cities 1991 — 1994
BA, Political Science
Macalester College 1989 — 1991
Biology
The Loft Literary Center
Playwriting and Screenwriting
Guthrie Theater
Acting
Summit Medical Group August 2012 - January 2014
Healthways March 2010 - December 2011
Nationwide Better Health June 2008 - May 2010
Weight Loss and Wellness Center for Women November 2006 - April 2009
Insights In Healthcare January 2007 - May 2008
Health Management Corporation January 2001 - January 2005
HealthKeepers - Division of Trigon (later acquired by Anthem, now merged with WellPoint January 1999 - January 2001
Healthcare Services January 1997 - January 1999
Prudential Health Care January 1996 - January 1997
Aetna Health Plans January 1993 - January 1996
Skills
Disease Management, Healthcare, Utilization Management, Medicine, Hospitals, Quality Improvement, Physicians, Clinical Research, Medicare, Healthcare Management, Health Education, Medicaid, Internal Medicine, Physician Relations, Healthcare Consulting, Program Management, EHR, Case Managment, HIPAA, Healthcare Information..., HEDIS, Patient Safety, Healthcare Industry, Public Health, EMR, Strategic Planning, Management, Utilization Review, Clinical Trials, Population Health, Process Improvement, Data Analysis, Informatics, Health Promotion, Wellness Coaching, Managed Care, Health Management, Training, NCQA, Wellness, Home Care, Health Policy, Health Insurance, Cross-functional Team..., Change Management, Cardiology, Leadership, Nutrition, Behavior Change, Website Development
Education
Georgetown University
B. S, Biology/Pre-Med
Georgetown University School of Medicine
M. D, Medicine
Artisan Advantage January 2007 - Present
SendOutCards March 2009 - April 2012
Aetna Health Plans 2001 - 2003
Aetna US Healthcare 1999 - 2001
Aetna US Healthcare 1996 - 1999
U.S. Property and Appraisal Services 1993 - 1996
U.S. Property & Appraisal Services 1993 - 1996
U.S. Property & Appraisal Services 1992 - 1996
Skills
Marketing, Blogging, Social Media, Customer Retention, Coaching, Strategy, Marketing Communications, Leadership, Social Networking, Social Media Marketing, Time Management, Online Marketing, Public Relations, Marketing Strategy, Online Advertising, Web Design, Advertising, Small Business, Direct Marketing, Email Marketing
Education
Penn State University - University Park 1986 — 1990
Bachelor of Arts, Communications
Baldwin High School 1982 — 1986
Blue Cross Blue Shield of Massachusetts 2004 - 2010
Harvard Pilgrim Health Care 2001 - 2004
Aetna Health Plans 1995 - 2001
Aetna 1991 - 1995
Aetna 1988 - 1991
Aetna 1985 - 1988
Skills
Risk Management, Regulatory Rate Filings, Settlements, Actuarial
Education
University of New Hampshire 1981 — 1984
MS, Mathematics
Providence College 1977 — 1981
BA, Mathematics
Trinity High School
Judge Asset Management, LLC February 2011 - July 2014
Aetna March 2003 - April 2010
Aetna 2001 - 2003
Aetna 1998 - 2001
Aetna 1995 - 1998
Aetna Health Plans 1990 - 1995
Skills
Health Insurance, Customer Service, Employee Benefits, Microsoft Office, Human Resources, Sales, Strategy, Long-term Care, Training, Team Building, Health Savings Accounts
Education
Stautzenberger College 2010 — 2011
Diploma, Medical Administrative Technology
Henry Ford Community College
Associates, Business Administration
The Lewin Group May 2014 - Present
Mercer 2010 - 2014
Aetna Health Plans 2007 - 2010
WellPoint Companies 1995 - 2007
Novalis Corporation 1993 - 1998
Skills
Risk Management, Pricing, Product Development, Medicare, Medicaid, Actuarial Science, Health Insurance, Employee Benefits, Insurance, Underwriting, Reinsurance, Managed Care, Process Improvement, Data Analysis, Financial Reporting, Financial Analysis, Analysis, Financial Modeling, Healthcare, Strategic Financial..., Enterprise Risk..., Business Analysis, Access, Defined Benefit, Medicare Part D, Leadership
Education
Karnatak University
BSc., Physics & Mathematics
Karnatak University
BEd., Education
Stony Brook University
MS, Urban & Policy Sciences
Anthem, Inc. September 2014 - Present
Anthem, Inc. April 2010 - September 2014
Centene Corporation November 2003 - February 2010
AmeriChoice 2003 - 2003
Aetna Health Plans 2001 - 2001
Education
Rutgers University-New Brunswick
Bachelors in Science
ZeOmega July 2013 - Present
Blue Cross and Blue Shield of Louisiana July 2009 - July 2013
Self April 2009 - June 2009
Nurtur Health October 2007 - August 2008
AirLogix, Inc. August 1998 - October 2007
System Health Providers, Inc. May 1997 - August 1998
Aetna Health Plans March 1996 - May 1997
Henry Ford Health System May 1989 - February 1996
Skills
Disease Management, Healthcare, Managed Care, Clinical Research, Data Analysis, Informatics, Healthcare Information..., Healthcare Management, Wellness, Medicare, Program Management, Medicaid, Health Insurance, Leadership, Hospitals, HIPAA, Healthcare Consulting, EHR, Medicine, Analysis, Public Speaking, EMR, Health, Healthcare Industry, Analytics, Health Policy, Quality Improvement, Network Development, PPO, Provider Relations, Health Information..., HMO, Utilization Management, Pharmacy Benefit..., Insurance, Process Improvement, Physicians, Policy, Revenue Cycle
Education
University of Michigan - School of Public Health 1986 — 1989
M.H.S.A.
Michigan State University 1982 — 1983
B.A.
UnitedHealth Group (Optum) August 2015 - Present
eBay Enterprise October 2012 - July 2015
Independence Blue Cross August 2011 - October 2012
IMS Health November 2010 - August 2011
Lockheed Martin August 2003 - November 2010
Lockheed Martin January 2001 - October 2003
Merck & Co. Inc. / Rhone-Poulanc Rhorer Inc. January 1996 - March 2000
Aetna Health Plans June 1994 - January 1996
Aon June 1991 - June 1994
Asplundh Tree Expert Co. November 1987 - June 1991
Skills
Program Management, Software Project..., Process Improvement, Technical Management, Portfolio Management, Strategic Planning, PMO, Best Practice, Vendor Management, Resource Management, Outsourcing Management, Requirements Management, Results Oriented, Risk Assessment, SDLC, Six Sigma, Scrum, Risk Management, Software Development, Customer Service, Agile Methodologies, Project Management, Project Planning, Management Consulting, E-commerce, Lessons Learned, Kaizen, CMMI, Lean Initiatives, Risk Mitigation, Problem Solving, Strategy Development, Process Engineering, Iterative, Waterfall, Data Warehousing, Business Intelligence, Software Design, Software Implementation, Mentoring, Hiring, Healthcare IT, Earned Value Management, Negotiation, IT Management, SharePoint, CRM, MS Project, ITIL, Strategy
Education
La Salle University - School of Business Administration 1993 — 1997
MBA, Management
Temple University - Fox School of Business and Management 1983 — 1987
BBA, Computer & Information Science
Robin Lackner Consulting, LLC December 2010 - Present
Domestic Abuse Project January 2011 - November 2012
Center for Victims of Torture September 2010 - May 2012
Lincoln International Charter School August 2008 - August 2010
St. Jude Medical 2000 - September 2009
United Health Care 1998 - 1999
HealthPartners 1992 - 1998
Aetna Health Plans 1990 - 1992
Minnesota Department of Health 1987 - 1990
Skills
Grant Writing, Capacity Building, Program Development, Program Management, Compliance, Writing, Research, White Papers, Non-profits, Organizational...
Education
Macalester College
BA, English
University of Chicago
MA, Social Work/Social Welfare Studies
University of Minnesota Law School
JD
J. HILBURN MEN'S CLOTHIER February 2013 - Present
McDaniel Callahan Real Estate Team September 2012 - Present
Alburger Basso DeGrosz November 1995 - January 2000
Aetna Health Plans June 1985 - September 1995
Skills
Real Estate Transactions, Employee Benefits, Relocation, Investment Properties, Real Estate, Fashion, Sellers, Apparel, Short Sales, First Time Home Buyers, Strategic Planning, Time Management, Luxury, Listings, Retail, Textiles, E-commerce, Public Speaking, Marketing, Leadership, Customer Service, New Business Development, Sales
Education
Occidental College 1981 — 1985
BA - Political Science
ClickDimensions July 2015 - Present
Jumbo's LLC October 2014 - Present
Arvig August 2013 - July 2015
Atlas Business Solutions, Inc. September 2012 - May 2013
Microsoft March 2011 - August 2012
SEI LLC June 2003 - January 2011
Basin Electric Power Cooperative May 1999 - June 2003
Dairy Queen - Mandan, ND November 1998 - July 2000
Aetna Health Plans March 1998 - January 1999
Ontrack Data 1996 - 1998
Skills
Account Management, Solution Selling, Lead Generation, Project Management, CRM, Sales Management, Process Improvement, Salesforce.com, Strategic Planning, Partner Management, Cloud Computing, Business Intelligence, Thought Leadership, Team Leadership, Enterprise Software, Sales, Microsoft CRM, Call Centers, Program Management, Management, Leadership, SaaS, Consulting, Professional Services, Strategic Partnerships, Business Development, Sales Process
Education
University of Phoenix 2000 — 2003
B.S., Marketing
Minot State University 2000 — 2001
N/A, Business Management
The University of North Dakota 1986 — 1990
English, Secondary Education
Starbuck High School 1981 — 1986
Diploma
Aetna Health Plans Senior Health Counsel & Deputy Health Policy DirectorU.S. Senate Health, Education, Labor & Pensions CommitteeJanuary 2005 - January 2008
U.S. Senate Special Committee on Aging March 2001 - December 2004
U.S. Department of Health and Human Services July 2002 - February 2003
Epstein, Becker & Green January 1997 - January 2000
Skills
Litigation, Legal Writing, Insurance, Public Policy, Legal Research, Corporate Governance, Health Policy, Internal Communications, Employment Law, Analysis
Education
Georgetown University Law Center
J.D., Law
Stanford University
B.A., History
Edina Family Physicians, an affiliate of Allina Health January 2015 - Present
Alexandria Clinic, a Service of Douglas County Hospital May 2013 - December 2014
Children's Hospitals and Clinics of Minnesota September 2012 - May 2013
Midwest ENT Specialists & Midwest Surgery Center June 1998 - May 2012
PreferredOne May 1995 - June 1998
HealthPartners, Inc. January 1992 - June 1995
Aetna Health Plans June 1990 - January 1992
Aetna Health Plans January 1984 - May 1990
Skills
Healthcare Management, Healthcare, Strategic Planning, Employee Relations, Financial Management, Managerial Finance, Physicians, Leadership, Healthcare Consulting, HIPAA, EHR, Revenue Cycle, Practice Management, EMR, Budgets, Physician Relations, Credentialing, Medicare, Revenue Cycle Management, Medicaid, Healthcare Industry, Healthcare Information..., Hospitals, Managed Care, Medical Billing, Medical Terminology
Education
Minnesota State University, Moorhead 1980 — 1983
BS, Accounting
Willmar Area Vocational-Technical Institute 1977 — 1979
Associate's degree, Accounting
Warrick Services LLC 2014 - Present
Warrick Services Consulting, LLC January 2001 - January 2014
ST MATTHEW'S EPISCOPAL CHURCH 2013 - 2013
JDRF 2009 - 2013
Aetna Health Plans January 1990 - December 2000
Skills
Executive Level, Budget Analysis, Business Development, Strategic Planning, Health Insurance, Cross-Functional Team..., Innovative Solutions, Mentoring, Talent Acquisition, Medicare, Compliance, Federal Regulations, Accreditation, Physician Recruitment, Physician Practice..., Needs Analysis, Product Management, Managing High..., RFP, Trend Research, Training &..., Cross-functional Team..., Training
Education
Midland Lutheran College 1970 — 1974
BS in BA, General Business
Catamaran RX November 2014 - Present
American Express OPEN April 2012 - October 2014
IncentOne November 2011 - January 2012
Accredo Health Group 2008 - 2011
CVS Caremark 1992 - 2007
Aetna Health Plans 1989 - 1992
Skills
Customer Retention, Strategic Planning, Account Management, Selling, Leadership, Marketing Strategy, Hospitals, Contract Negotiation, CRM, Cross-functional Team..., Healthcare, Key Account Management, Managed Care, Management, Medicare, Sales Operations, Strategy
Education
Nova Southeastern University
MBA, Business Administration
University of Wisconsin-Madison
BBA, Business Administration
Microsoft November 2011 - Present
Lisa Duplessie Consulting August 2010 - Present
FLIR Systems September 2010 - February 2011
Regence BlueCross BlueShield of Oregon July 2007 - August 2010
Regence BlueCross BlueShield of Oregon August 2000 - July 2007
Regence BlueCross BlueShield of Oregon August 1997 - August 2000
Aetna Health Plans 1990 - 1997
Skills
Proposal Management, Business Planning, Technical Writing, Proposal Writing, Project Management, RFP, Leadership, Business Development, Management, Training, PMP, Business Strategy, Strategic Planning, Team Leadership, Cloud Computing, Team Building, Cross-functional Team..., Process Improvement, Marketing Communications, Consulting, Strategy, Analysis, Program Management
Education
Portland Community College 2000 — 2008
seeking, Management
Reed College 1983 — 1985
General Studies
Holly Scanlan Foundation August 2015 - Present
Teva Pharmaceuticals May 2011 - Present
Novartis Pharmaceuticals Corporation October 1999 - February 2011
Aetna Health Plans March 1982 - October 1999
Skills
Pharmaceutical Sales, Cardiology, Product Launch, Sales, Neurology, Gastroenterology, Managed Care, Sales Effectiveness, Pulmonology, Pharmaceutical Industry, Sales Force Development
Education
Post University 2009 — 2011
MBA, Marketing
Post University 1983 — 1992
BS, Business Management
Pulaski High School 1977 — 1980
PruittHealth April 2013 - Present
Managed Health Care Consulting Services, Inc. September 1998 - Present
WellCare 2004 - 2006
Principal Health Care of Georgia February 1996 - August 1998
Aetna Health Plans January 1994 - January 1996
Skills
Managed Care, Medicare, Network Development, Medicaid, Strategy and Employer..., HIPAA, PPO, Health Insurance, Provider Relations, HMO, Hospitals, Strategy, Healthcare Management, Healthcare Consulting, Healthcare Information..., Physicians, Healthcare, Healthcare Industry, Health Policy, Credentialing, Revenue Cycle, Strategic Planning, EMR, EHR, Team Building, Clinical Research, Practice Management, Claim, Start-ups, Medicine, Leadership, Physician Relations, Coaching, Process Improvement, Quality Improvement, Medical Billing, Medical Coding, Contract Negotiation, Informatics, Provider Network..., Marketing, Program Development, Insurance, Contract Management, Talent Management, Pharmacy Benefit..., Nursing, Performance Improvement, Medical Records, HL7
Education
University of Wisconsin-Madison 1980 — 1983
M.A., Health Care Communications
University of Iowa 1978 — 1980
MS, Preventive and Community Health/Communications
Marquette University 1974 — 1978
Bachelor of Science
Georgia State University - J. Mack Robinson College of Business
Integrated Healthcare Association October 2007 - Present
Kaiser Foundation Health Plan 2004 - 2007
CareScience (now part of Premier, Inc.) 2000 - 2004
Aetna 1997 - 2000
Aetna Health Plans 1994 - 1997
Skills
Healthcare Information..., Managed Care, Strategy, Healthcare Management, Hospitals, Healthcare Consulting, Healthcare, Human Resources, Strategic Planning, Marketing, EMR, Healthcare Industry, Program Management
Education
Notre Dame de Namur University
B.S., Business Administration
United Healthcare January 2009 - Present
William Raveis Real Estate October 2004 - Present
United Healthcare September 2001 - October 2004
Aetna Health Plans September 1995 - October 2001
Education
Rensselaer Polytechnic Institute at Hartford 1990 — 1994
M.S. Management, Finance
BYELORUSSIAN POLITECHNICAL INSTITUTE, Minsk, 1983 — 1988
B.S. Mechanical Engineering, Heating, Ventilation & Air Conditioning
Wellness & Prevention, Inc., a Johnson & Johnson Company August 2011 - October 2012
Johnson & Johnson, Diabetes Franchise, SymCare Personalized Health Solutions May 2009 - June 2010
Santarus, Inc. May 2008 - May 2009
Publicis Managed Markets August 2006 - May 2008
UCB January 2005 - September 2006
Ranbaxy USA January 2004 - January 2005
Pharmacia January 1999 - July 2003
Stuart Disease Management a division of Zeneca, Inc. April 1997 - December 1998
Integrated Therapeutics Group at Schering Plough December 1995 - April 1997
Aetna Health Plans July 1988 - December 1995
Skills
Allergy, Urology, Dermatology, Consultative Selling, Disease Management, Team Building, Contract Negotiation, Asthma, Arthritis, Managed Care, Pharmaceutical Sales, Healthcare, Diabetes, Cardiology, Neurology, Account Management, Product Launches, Infectious Diseases, Biotechnology, Gastroenterology, Cross-functional Team..., Contract Negotiations, Strategic Planning, Reimbursement, Biologics, Selling, Pharmaceutical Industry, Clinical Research, Product Launch, Managed Markets, Rheumatology, Endocrinology, Therapeutic Areas, Pharmacy, Oncology, Market Access
Education
Georgetown University
BSN
Rutgers University-New Brunswick 2013 — 2013
Mini MBA Program
The Collegiate School, St. Catherine's School, Henrico County Public Schools January 2009 - Present
Aetna Health Plans September 1989 - May 1992
Resource Opportunities Inc. June 1988 - July 1989
Skills
Medical Case..., CPR and First Aid..., Health Insurance, Case Management, Registered Nurses, Managed Care, Nursing
Education
Medical College of Va/VCU 1983 — 1985
BSN, Nursing
Lynchburg College 1981 — 1983
Pre Nursing
Oklahoma Department of Commerce August 1997 - Present
Aetna Health Plans July 1990 - August 1997
Abacus II Computers April 1987 - May 1990
Chim Tech/21st Century Chimney Sweeps November 1977 - April 1987
Skills
Business Analysis, Databases, Training, Project Planning, Program Management, Marketing Strategy, New Business Development, PL/SQL, Project Management, Business Development, Management, Data Analysis, Customer Service, Strategic Planning, Telecommunications, Business Strategy, Analysis, CRM, Government, Change Management, Social Media
Education
Kent State University 1971 — 1974
Industrial Arts
Travelers February 2011 - Present
Berkana Web Solutions April 2007 - December 2014
Beazley February 2009 - December 2009
The Hartford May 2000 - December 2005
Aetna Health Plans May 1989 - May 2000
Skills
Requirements Analysis, Information Architecture, Requirements Gathering, Usability Testing, Heuristic Evaluation, SDLC, Web Applications, Web Design, Testing, Quality Assurance, SharePoint, Software Documentation, Integration, Management, Project Planning, Business Requirements, Scrum, User Acceptance Testing, Systems Analysis, Business Process, Agile Methodologies
Education
Johnson and Wales University
International Baking and Pastry Arts
Gastrointestinal Associates September 2015 - Present
Avila University 2015 - Present
University of Kansas Medical Center, KU Alzheimer's Disease Center April 2012 - September 2015
Avila University 2011 - 2013
Endoscopic Imaging Center 2006 - 2011
University of Kansas School of Nursing July 2010 - December 2010
University of Kansas School of Nursing August 2009 - June 2010
Aetna Health Plans February 2010 - May 2010
PeopleLink Corporate Solutions Pvt Ltd January 2006 - May 2006
Outcomes, Inc. 2004 - 2005
Education
University of Kansas 2008 — 2011
MSN, Nursing Education
Medical College of Georgia at Georgia Regents University 1985 — 1988
BSN, Nursing
The University of Georgia 1983 — 1986
Pre-Nursing
Timberline Healthcare Consulting, Inc 2011 - Present
Spectrum Administrators, Inc 2003 - 2011
The Loomis Company May 1998 - April 2002
Medaphis Physicians Services Corporation December 1996 - January 1998
Aetna Health Plans January 1995 - May 1996
Independence Blue Cross 1992 - 1994
CIGNA Corporation 1982 - 1992
Skills
Insurance, Employee Benefits, Claims, Benefits, Health Insurance, Dental Insurance, Disability Insurance, New Business Development, Group Benefits, Benefits Administration, Claim, Underwriting, Human Resources, Property & Casualty..., Reinsurance, Managed Care, Healthcare, Medicare, HIPAA, Health Savings Accounts, Sales, Training, Management, Medicaid, Brokers, Workers Compensation, Long-term Care, Life Insurance, Customer Retention, Accident, COBRA, CRM, Fixed Annuities, Professional Liability, Commercial Insurance, Group Insurance, Legal Liability, Term Life Insurance, Whole Life, Casualty, 401k, Insurance Brokerage, Critical Illness, Claims Management, Self-funded, Long Term Care Insurance, Liability
Education
Lebanon Valley College
Harazti and Associates January 2008 - July 2008
Aetna Health Plans February 1996 - December 2007
Bryman College January 2006 - June 2007
Skills
Medical Billing, EHR, 10 Key, Microsoft Excel, Windows Vista, Microsoft Office Xp, CPT, HIPAA, ICD-9, Medical Coding, Medical Terminology, Health Insurance
Education
Riverside City College 2009 — 2010
Sciences
University of Phoenix 2002 — 2008
BS Business Management
West Coast University 2000 — 2002
Associated Financial Group August 2010 - Present
The Horton Group January 2009 - October 2009
The Horton Group January 2008 - December 2008
HCSC 2004 - 2007
AETNA, INC January 1999 - January 2003
Aetna Health Plans 1999 - 2003
Adelman Travel Group January 1998 - January 1999
Education
Wayne State University 1992 — 1994
Accounting
Oakland Community College
General Studies
Wayne State University
Hussey Medical Billing June 2003 - Present
Medical Billing Enterprises June 2003 - Present
Prudential Insurance October 1998 - May 2003
Aetna Health Plans January 1989 - May 1998
Skills
Insurance, Medical Billing, Claim, Health Insurance, Customer Service, Healthcare, Medicare, Microsoft Excel, Employee Benefits, Microsoft Office, Microsoft Word, Workers Compensation, Strategic Planning, Accounts Receivable, Outlook, HIPAA
Education
Grossmont College
Pfizer May 1998 - July 2015
Pfizer October 1994 - May 1998
PCS Health Systems February 1991 - October 1994
Aetna Health Plans November 1989 - October 1991
Erickson Lakeville Drug October 1989 - September 1991
Buena Vista University August 1987 - July 1989
Iowa Pharmacists Association July 1987 - July 1989
North Iowa Area Community College June 1984 - July 1989
Self-Employed: Independent Pharmacy Services Provider June 1984 - July 1989
Floyd County Memorial Hospital June 1984 - September 1986
Skills
Pharmacists, Pharmacy, Managed Care, Pharmaceutical Industry, Healthcare, Pharmacokinetics, Outcomes Research, Team Leadership, Therapeutics
Education
University of Minnesota-Twin Cities 1980 — 1984
Doctor of Pharmacy (PharmD), Pharmacy
Minnesota State University, Mankato 1978 — 1980
Pre-Pharmacy Studies
Target Inc October 2012 - Present
Anglo Gold Ashanti Cripple Creek February 2006 - September 2012
Jonny Nolon Casino September 2005 - February 2006
Aetna Health Plans January 1990 - July 2005
Education
Alan Hancock JC
Business/Commerce, General
Grossmont College
Drama and Dramatics/Theatre Arts, General, A
Lompoc High School
Business/Commerce, General
Anthem, Inc. July 2013 - Present
Georgia Department of Community Health November 2009 - July 2013
Children's Medical Services July 2008 - November 2009
Bibb County Board of Education September 2007 - June 2008
The Medical Center of Central Georgia January 2000 - September 2007
The Medical Center of Central Georgia April 2002 - November 2002
Charter Behavioral Health Hospital July 1999 - December 1999
The Medical Center of Central Georgia August 1998 - July 1999
Aetna Health Plans March 1984 - August 1997
Skills
Nursing, Hospitals, Healthcare, Nursing Education, PALS, BLS, Case Managment, Medication..., Critical Care, December, 2014, CCM..., Healthcare Information...
Education
Loyola University New Orleans 2008 — 2010
Master of Science in Nursing, Health Care Systems Management
Georgia College and State University 2005 — 2005
Bachelor of Science, Nursing
Middle Georgia State University 1996 — 1998
Associate of Science, Nursing
Woodruff-Sawyer & Co July 2014 - Present
Lockton Companies May 2007 - July 2014
Mercer Health & Benefits 2002 - 2007
The Kooper Group 1997 - 2002
Aetna Health Plans 1995 - 1997
Skills
Employee Benefits, Healthcare, Health Savings Accounts, Insurance, Health Insurance, Disability Insurance, Property & Casualty..., Benefits Administration, Underwriting, Claims Management, Brokers, Workers Compensation, Wellness, Leadership, Health Care Reform, Process Improvement, Defined Benefit, Managed Care, Life Insurance, Reinsurance, COBRA, Claim, Liability, Executive Pay, Commercial Insurance
Education
Mount Saint Mary's University 1991 — 1995
Bachel of Science, Business & Finance
Mount St. Mary's University 1991 — 1995
Bachelor’s Degree, Business & Finance
Baird & Warner February 2014 - Present
CME Group October 2011 - February 2014
Aetna Health Plans September 2006 - August 2011
National Accounts September 2006 - August 2011
CORSOLUTIONS, INC/Acquired by Matria Health Care September 2004 - September 2006
SAND RIDGE SECURE TREATMENT CENTER January 2001 - January 2004
Chicago Tribune Media Group September 1995 - August 2001
CHICAGO TRIBUNE January 1995 - January 2001
Skills
Administrative..., Outlook, Human Resources, Leadership, Budgets, Event Management, Management, Microsoft Excel, Spreadsheets, Forecasting, Team Building, Microsoft Word, Microsoft Office, Access, PowerPoint, Customer Service, Accounts Payable, QuickBooks, CRM, Lotus Notes, Training, Insurance, Risk Management, Time Management
Education
Northeastern Illinois University
Carl Schurz
PcNetworkPro, Inc. February 2008 - Present
Saint-Gobain 2008 - Present
Prudential Fox Roach January 1997 - January 2008
Aetna Health Plans January 1992 - December 2006
Skills
VMware, Windows Server, Active Directory, Servers, VDI, Troubleshooting
Education
Penn State University 1987 — 1991
Bachelor of Science (B.S.), Quantitative Business Analysis, 3.8
United Healthcare July 2004 - Present
Oxford Health Plans March 1992 - July 2004
Aetna Health Plans June 1986 - 1992
Skills
Health Insurance, Insurance, Underwriting, Employee Benefits, Managed Care, Health Savings Accounts, Medicare, Claim, Provider Relations, Health Policy, Financial Analysis, Healthcare, Strategic Planning, Brokers, Term Life Insurance, Benefits Administration, HMO, Workers Compensation, Disability Insurance, Leadership, Medicaid, Group Insurance, Network Development, Actuarial Science, Account Management, Fixed Annuities, Disease Management, Commercial Insurance, Healthcare Industry, COBRA, HIPAA, PPO, Reinsurance, Healthcare Consulting, Claims Management, Long-term Care, Executive Management, Health Care Reform, Life Insurance, Medicare Part D, Dentistry, Self-funded, Employee Wellness
Education
Sacred Heart University 1981 — 1986
BS, Finance, Economics
Paychex September 2012 - Present
Humana, Inc October 2011 - November 2012
Humana, Inc November 2007 - October 2011
Humana October 2003 - November 2007
Aetna Health Plans February 2000 - October 2003
Prudential Insurance 1986 - 1997
Skills
Strategic Planning, Managed Care, Strategy, Health Insurance, Sales, Medicare, Health Savings Accounts, Leadership, Disability Insurance, Underwriting, Employee Benefits, Healthcare, Life Insurance, Sales Management, Long-term Care, Selling, Management, Insurance, Brokers, Training, Customer Retention, Account Management, Accident, Whole Life, Benefits Administration, Fixed Annuities, Term Life Insurance, COBRA
Education
Ohio University 1982 — 1986
BBA, Dual Majors - Management and Pre-Law Minor - Psycology
Ohio University 1982 — 1986
BBA, Management and Pre- Law
European Wax Center May 2011 - Present
Beach Bum Tanning August 2002 - December 2012
Frank Crystal & Company September 2001 - August 2002
Aetna Health Plans February 1996 - February 2001
Skills
Sales Management, Inventory Management, Marketing, Visual Merchandising, Brokers, Waxing, Customer Service, Sales, Retail, Merchandising, Event Planning, Social Networking, Salesforce.com, Microsoft Word, Direct Sales, Microsoft Excel, Microsoft Office, New Business Development, Entrepreneurship, Sales Operations, Training, Franchising
Education
Hofstra University 1991 — 1995
BA, Marketing
Standard Insurance Company May 2005 - Present
Standard Insurance Company April 2003 - May 2005
Standard Insurance Company June 1996 - April 2003
Kooler Design Studio May 1992 - March 1996
Aetna Health Plans October 1992 - March 1993
Health/Medical Network of Colorado Springs, Colorado June 1989 - May 1992
Colorado Insurance Center, Inc. October 1988 - June 1989
ING/Voya (formerly known as Northwestern National Life Insurance) January 1984 - October 1987
Skills
Contract Negotiation, Customer Relations, Documentation, Document Drafting, Disability Insurance, Eye For Detail, Insurance Claims, Life Insurance, Mentoring, Organizing, Quality Assurance, Special Projects, System Testing, Underwriting, Sales Presentations, Customer Presentations, Training Presentations, Standards Development, Common Sense, Self-directed, Public Speaking, Insurance, Customer Service, Employee Benefits, Process Improvement, Training, Sales, Software Documentation, Analysis, Benefits Administration, Outlook, Leadership, Reinsurance, Time Management, Access, Managed Care, Policy, Claim
Education
Minnesota State University, Moorhead 1980 — 1984
B.S., Business Administration, Music Theory
Burnsville Senior High School 1978 — 1980
Asplund Therapeutic Massage 2005 - Present
Cromwell School System September 2008 - June 2011
Schaller Acura 2003 - 2004
Pharos Software, LLC 2000 - 2003
Aetna Retirement Services 1995 - 1998
Aetna Health Plans 1992 - 1995
Manchester Area Conference of Churches 1990 - 1992
Skills
Self Starter, Inside Sales, Creative Problem Solving, Relationship Cultivation, Staffing Industry, Contract Writing, Contract Management, Decision Making, Education, Customer Relations, Customer Focus, Customer Service, Customer Satisfaction, Compliance Management, Team Building, Industrial Sector, Recruiting, Insurance, Back Pain, Swedish, Leadership Development
Education
Connecticut Center for Massage Therapy 2004 — 2005
Licensed Massage Therapist, Massage Therapy
University of Connecticut 1988 — 1990
Bachelor of Arts, Sociology
University of Edinburgh, Endinburg, Scotland 1987 — 1988
Political Science, Sociology, Demography
Hobart and William Smith Colleges 1985 — 1987
Political Science, Sociology
South Windsor High School
Lentech, Inc September 2015 - Present
Lentech, Inc. July 2015 - September 2015
Akimeka, LLC November 2009 - January 2015
MedImpact March 2007 - July 2009
Hospira October 2004 - March 2007
SAIC June 2003 - June 2004
Aetna Health Plans November 1982 - August 1995
Skills
Testing, Web Applications, Medical Devices, Software Quality..., Quality Assurance, SDLC, Quality Center, System Testing, Requirements Analysis, VBScript, Usability Testing, Software Documentation, Visio, Unix, Technical Writing, Perl, Test Planning, Agile Methodologies, SQL, Regression Testing, Software Development, Test Management, Software Engineering, Test Cases, User Acceptance Testing, Scrum, PL/SQL, Integration, Eclipse, Black Box Testing, Technical Documentation, Validation, SharePoint, QTP, Databases, Oracle, JIRA, Requirements Gathering, Software Project..., XML, Test Automation, Linux
Education
University of Wisconsin-Parkside
BS, Geoscience
MiraCosta College 1996 — 1998
AA, General Studies
MEDecision January 2007 - Present
Aetna Health Plans 2000 - 2007
BCBS Utica Watertown 1994 - 1998
Skills
Product Management, Healthcare Information..., Process Improvement, Program Management, Account Management, Strategic Planning, Healthcare Management, Management, Strategy, Business Analysis, Managed Care, Healthcare, Product Marketing, Hospitals, Sales, SDLC, Integration, Cross-functional Team..., HIPAA, Healthcare Consulting, Healthcare Industry, Medicare, Health Information..., Medicaid
Education
Marywood University
Navigant Consulting Limited January 2013 - Present
Health Inventures. 2011 - January 2013
FTI Consulting March 2009 - December 2010
FTI Consulting 2009 - 2009
Aetna Health Plans February 2001 - June 2005
Aetna 2001 - 2005
Arthur Andersen 1996 - 2001
Arthur Andersen Business Consulting 1996 - 2001
Skills
Clinical Research, Medicine, Managed Care, Hospitals, Physicians, Healthcare Management, Leadership, Healthcare, Healthcare Consulting, Management, Performance Improvement, Consulting, Healthcare Information..., Revenue Cycle, Leadership Development, Informatics
Education
New York University School of Medicine 1974 — 1978
MD
Shell Energy North America April 2012 - Present
Shell April 2001 - Present
Aetna Health Plans February 1997 - February 2001
Skills
Endur, Trading System, Business Analysis, Openlink, Trading, Requirements Analysis
Education
Houston Baptist University 1993 — 1997
BBA, Computer Information Systems
Humedica February 2015 - Present
Beacon Health Strategies June 2014 - January 2015
Beacon Health Strategies June 2013 - May 2014
Beacon Health Strategies May 2010 - May 2013
Aetna Health Plans August 2006 - May 2010
Aetna Health Plans June 2004 - July 2006
Skills
Healthcare, Health Insurance, Hospitals, Insurance, Process Improvement, Managed Care, Medicaid, Strategic Planning, Employee Benefits, Medicare, HIPAA, Disease Management, Healthcare Information..., Healthcare Industry, Team Leadership, Provider Relations, Healthcare Management, Health Savings Accounts, Data Analysis, EHR, Software Documentation, Management, Analytics
Education
Southern Connecticut State University 2004 — 2006
MBA, General
Providence College 1998 — 2001
Bachelor of Science, Management/Marketing
Aetna Health Plans December 2007 - Present
Nexera, Inc. April 2006 - April 2007
Greater New York Hospital Association 2006 - 2007
Atlantis Health Plan December 2003 - November 2005
Mastercare Inc October 1997 - February 2003
Coinmach Corporation 1996 - 1997
Porta 1995 - 1996
Skills
Managed Care, Team Building, Project Management, Provider Relations, Medicare, Healthcare, Medicine, SDLC, Microsoft Office, Change Management, Contract Negotiation, Recruiting, Vendor Management, Cross-functional Team..., Pricing, Visio, Management, Insurance, Business Analysis, Employee Benefits, Process Improvement, Supply Chain Management, Strategic Planning, Risk Management, Healthcare Information..., Negotiation, Databases, Medicaid, Supply Chain, Hospitals, Analysis, HIPAA, HMO, Claim, Health Policy, Physicians, Healthcare Management, Consulting, PPO, Health Insurance, Customer Service, Networking, Program Management, Business Process..., Access, Data Analysis, Policy, Network Development, Healthcare Industry, Leadership
Education
Roselle Catholic high school 1960 — 2011
Rutgers, The State University of New Jersey-Newark 1999 — 2005
MBA
Rutgers University 2000 — 2003
MBA
Wellesley College 1990 — 1994
BA
Universidad de Córdoba 1993 — 1993
Wells Fargo Insurance Services USA, Inc. August 2006 - Present
Humana 2005 - 2006
Aetna Health Plans May 1999 - October 2005
Radix Health Connection December 1997 - June 1999
The Care Group, Inc September 1996 - November 1997
Aetna US Healthcare June 1994 - August 1996
Skills
Strategic Planning, Sales, Strategy, Business Development, Health Insurance, Start-ups, Employee Benefits, Executive Management, Insurance, New Business Development, Sales Operations, Leadership, Account Management, Mergers & Acquisitions, Healthcare, Sales Management
Education
Grand Canyon University 2006 — 2009
MBA
University of Pittsburgh 1981 — 1985
Health Plan of San Joaquin January 2012 - Present
The Regence Group June 2011 - September 2011
The Regence Group November 2003 - April 2011
Providence Health Plans May 1999 - November 2003
First Dental Health September 1996 - May 1999
Aetna Health Plans 1993 - 1996
Education
University of California, San Diego 1983 — 1991
PhD, Computer Science, Software Engineering
Naval Postgraduate School 1979 — 1980
MS, Computer Science
Humboldt State University 1969 — 1974
BA, Mathematics, Spanish, Russian
Certifi, Inc. June 2004 - Present
eBenX 1997 - 2005
SHPS, Inc 1995 - 2004
SHPS/eBenX/Arbor Associates 1995 - 2003
Aetna Health Plans 1988 - 1996
Skills
Healthcare, Health Insurance, Strategic Planning, Managed Care, Employee Benefits, Solution Selling, Process Improvement, Insurance, Account Management, Executive Management, Team Building, Customer Service, Sales, Healthcare Information..., Leadership, Medicare, Cross-functional Team..., Vendor Management, Strategy
Education
Gustavus Adolphus College 1983 — 1986
2012 November 2011 - Present
Scott & White Health Plan September 2008 - September 2010
Centene Corporation August 2007 - March 2008
WellPoint July 2005 - November 2006
MedCost, LLC December 2002 - July 2005
MedAdmin Solutions, Inc 1996 - 2001
Aetna Health Plans 1989 - 1996
Education
Queens University of Charlotte 1967 — 1969
Optum November 2011 - Present
OptumHealth September 2008 - November 2011
UnitedHealthcare May 2005 - July 2007
UnitedHealth Group May 1997 - July 2007
UnitedHealthcare August 2004 - April 2005
UnitedHealthcare August 2001 - August 2004
UnitedHealthcare May 1997 - August 2001
Marsh June 1993 - May 1997
Aetna Health Plans January 1985 - April 1993
Skills
Sales Management, Leadership, Account Management, Strategy, Team Building, Health Insurance, Insurance, Employee Benefits, Change Management, Strategic Planning, Management, Leadership Development, Coaching, Healthcare, Customer-focused Service, Event Planning, Team Leadership, Marketing, Operations Management, Organizational..., Training, Sales, New Business Development, Customer Retention, Public Speaking, CRM, Fundraising, Managed Care, Medicare, Process Improvement, Program Management, Employee Engagement, Customer Satisfaction, Business Strategy, Cross-functional Team..., Disease Management, Health Policy, Executive Management, HMO, Provider Relations, Network Development, Medicaid, Health Savings Accounts
Education
University of Hartford 1979 — 1982
Bachelor's degree, Music and Business
Rensselaer Polytechnic Institute at Hartford 1982 — 1984
DaVita RX November 2001 - Present
Aetna Health Plans July 1994 - June 2001
Skills
Managed Care, Medicare, Medicaid, Healthcare, Healthcare Management, Revenue Cycle, Hospitals, HIPAA, Provider Relations, Healthcare Consulting, Network Development, Contract Negotiation, Physician Relations, Strategic Planning, Process Improvement, Health Insurance, Practice Management, HMO, Healthcare Industry, Nursing, Medical Compliance, Physicians, Insurance, Medical Billing, Disease Management, EHR, Health Policy, Home Care, Credentialing
Education
Our Lady of the Lake University 2001 — 2003
MBA, Management
California State University Dominguez Hills 1984 — 1988
Bachelor of Science (BS), Business Administration
SBHS
Retired April 2015 - Present
Integrys Energy Group February 2004 - March 2015
Budget Group Inc. July 1999 - February 2004
United Healthcare May 1998 - May 1999
USF&G Corporation December 1996 - May 1998
Aetna Health Plans March 1995 - November 1996
Watosn Wyatt November 1993 - November 1994
Aetna Life & Casualty February 1972 - October 1993
Skills
Employee Benefits, Deferred Compensation, Benefits Administration, Human Resources, Succession Planning, Employee Relations, PeopleSoft, Labor Relations, Onboarding, Talent Management, HRIS, Management, Performance Management, Personnel Management
Education
Lyndon State College 1969 — 1972
BA, History
Northwestern Mutual September 2009 - Present
Thermo Fisher Scientific September 2000 - September 2009
Aetna Health Plans September 1981 - September 1999
Skills
Administrative Support, Office Management, Outlook, PowerPoint, Word, Excel, Expenses, Lotus Notes, Event Planning, Microsoft Office, Administration, Scheduling, Prioritization, Telephone Skills, Typing, New Hire Orientation, Time Management, Coordination, Benefits Administration, Visio, Microsoft Office 2007, PeopleSoft, Payroll, Event Management, Conferences, Adobe Acrobat, Onboarding, ADP, Teamwork, Budgeting, Supervisory Skills, Administrative...
Education
Marquette University
Certificate, Business Management/College of Professional Studies
Society of Human Resources Managers
Certificate, Essentials of HR Management
Aetna September 2015 - Present
Aetna October 2011 - August 2015
Aetna January 2010 - October 2011
Aetna August 2008 - July 2010
Aetna August 1999 - October 2009
aetna 1999 - 2008
Aetna Health Plans March 2001 - November 2004
Skills
Medicare, Health Insurance, Managed Care, Insurance, Medicaid, Brokers, Claim, Employee Benefits, Leadership, Healthcare, Team Building, Underwriting, Executive Management, Strategic Planning, Business Strategy, HIPAA, HMO, Business Planning, Provider Relations, Healthcare Industry, Network Development, Process Improvement, Long-term Care
Education
Neumann University 1988 — 1992
BS, Accounting
Harvard Pilgrim Health Care June 2013 - Present
Harvard Pilgrim Health Care October 2012 - June 2013
Beacon Health Strategies June 2011 - June 2012
UnitedHealthcare September 2010 - June 2011
Sleep HealthCenters October 2006 - August 2010
UnitedHealthcare May 2005 - October 2006
Health Connecticut LLC August 1998 - April 2005
Aetna Health Plans 1994 - 1996
Skills
Managed Care, Medicare, Network Development, Medicaid, Provider Relations, Healthcare, Healthcare Management, HIPAA, Health Insurance, Hospitals, Healthcare Information..., Revenue Cycle, Physicians, Credentialing, EHR, Contract Negotiation, Medicine, Medical Devices, Clinical Research, Practice Management, CPT, Healthcare Industry, Physician Relations, Healthcare Consulting, EMR, PPO
Education
University of Hartford 2001 — 2002
MBA, Health Care
Mount Holyoke College 1990 — 1994
BA, Sociology
UnitedHealth Group August 2012 - Present
UnitedHealth Group June 2011 - August 2012
Ingenix March 2010 - May 2011
Aetna Health Plans November 2008 - February 2010
Aetna Better Health November 2008 - February 2010
Ingenix 2007 - November 2008
Insurity August 2007 - December 2007
UnitedHealth Group 2005 - 2007
Skills
Process Improvement, Business Analysis, Insurance, Business Process..., Healthcare, HIPAA, Strategic Planning, Program Management, Project Management, Healthcare Information..., Vendor Management, Change Management, Analysis, SDLC, Health Insurance, Medicaid, Cross-functional Team..., Management Consulting, Managed Care, Team Leadership, Business Intelligence, Data Analysis, Executive Management, Healthcare Industry, Outsourcing, Product Management, Leadership, Project Portfolio..., Strategy, Team Building, Strategic Partnerships, Visio
Education
Quinnipiac University - School of Business 2007 — 2011
MBA/MHA, Compliance Certificate
Quinnipiac University School of Law 2003 — 2006
JD, Law
James Madison University 2000 — 2003
James Madison University 2000 — 2003
Wethersfield High School
Cummins Inc October 2004 - Present
EDS, an HP company September 1994 - September 2004
Aetna Health Plans November 1974 - February 1993
Skills
Managed Care, Medicaid, Disease Management, Vendor Management, Employee Engagement, Health Insurance, Business Analysis, Strategy, Program Management, Business Planning, Management, Benefits Administration
Education
Hope College 1968 — 1972
Bachelor of Arts (BA)
CSAA Insurance Group, a AAA Insurer January 2014 - Present
Beyer & Kelley Project Professionals June 2013 - December 2013
Mirion Technologies, Inc February 2010 - April 2013
PMI Mortgage Insurance Co. 2004 - 2010
Bay Medical Management, LLC 1996 - 2004
FHP (TakeCare, Inc) 1993 - 1995
Aetna Health Plans 1992 - 1993
St. Rose Hospital 1990 - 1992
Ernst & Young 1986 - 1990
Skills
Financial Reporting, Financial Analysis
Education
Golden Gate University 1984 — 1985
University of California, Davis 1974 — 1976
Bachelor of Science, Consumer Food Science
WellCare Health Plans April 2014 - Present
WellCare Health Plans February 2013 - Present
WellCare Health Plans, Inc. August 2008 - Present
WellCare March 2008 - July 2008
WellCare September 2005 - March 2008
Aetna Health Plans October 2003 - September 2005
Aetna 2003 - 2005
PacifiCare June 2001 - October 2003
Cyntergy Corporation September 1994 - 2001
Skills
Medicare, Medicare Part D, Medicaid, Managed Care, Health Insurance, Provider Relations, Healthcare Industry, HIPAA, HMO, Healthcare, Auditing, Health Policy, Financial Reporting, Invoicing, Claim, Healthcare Management, Process Improvement, Leadership, Strategic Planning
Education
Radford University 1992 — 1994
BBA
Aetna Health Plans December 1997 - Present
United Healthcare July 2003 - July 2005
GHI July 1995 - December 1997
Prudential Healthcare March 1994 - July 1995
Skills
Sales, Negotiation, Health Insurance, Insurance, Employee Benefits, Disability Insurance, Managed Care, Health Savings Accounts, Medicare, Underwriting, Brokers, Life Insurance, Account Management, Claim, Benefits Administration, Commercial Insurance, Salesforce.com, Health Care Reform, COBRA, Market Planning
Education
Hampton University 1987 — 1992
Bachelor of Arts (BA)
Accreditation Council for Graduate Medical Education (ACGME) April 2012 - Present
ACGME November 2008 - March 2012
Accreditation Council for Graduate Medical Education February 2007 - November 2008
Aetna Health Plans September 1999 - February 2007
Education
Loyola University Chicago School of Law
Medical University of South Carolina
Aetna Health Plans 1983 - Present
Aetna February 1983 - October 2011
Skills
HIPAA, IT Strategy, Enterprise Architecture
Education
Manchester Community College 1972 — 1978
Fairfax County Government October 2010 - Present
US Navy Reserve May 1988 - July 2015
Schwartz Consulting July 2005 - July 2013
Allbritton Communication Company November 2000 - July 2005
Advanced Bioresearch Associates 1997 - 2000
Cox Communications 1996 - 1997
Aetna Health Plans 1995 - 1996
Skills
Employee Relations, Organizational..., Workforce Planning, Employee Benefits, Policy, Leadership Development, Talent Management, Personnel Management, Change Management, Military, Performance Management, Government, Leadership, Human Resources, Team Building, Executive Coaching, Program Management, Recruiting, Training, HR Policies, Employee Training, Management, Benefits Administration
Education
Golden Gate University
MS, Human Resources
Temple University
BBA, Human Resources Management
Aetna Health Plans 2004 - Present
Aetna Health Plans January 2007 - January 2010
Value Options 1999 - June 2004
Foundation Health 1995 - 2000
MHN June 1994 - June 1999
Skills
Sales Management, Account Management, Health Insurance, Managed Care, Employee Benefits, CRM, Healthcare, Strategy, Sales, Selling, Leadership, Strategic Planning, Marketing Strategy, New Business Development, Team Building, Insurance, Process Improvement, Medicare, Business Development, Direct Sales, Marketing, Customer Service, Strategic Partnerships, Leadership Development
Education
John Carroll University 1980 — 1984
BS, Psychology/Education/Business
Alliance Brokerage Corp August 2014 - Present
Gary Wood Associates December 2008 - August 2014
Frank Crystal & Company April 2006 - December 2008
BWD Agency Inc. May 2003 - December 2005
Aetna Health Plans March 2001 - December 2002
Aetna 1999 - 2002
Aetna Health Plans October 2000 - March 2001
Aetna Health Plans August 1999 - October 2000
Sanus/NYLCare Health Plans March 1997 - August 1999
Sanus/NYLCare Health Plans May 1996 - March 1997
Skills
Brokers, Employee Benefits, Dental, Benefits, Health Insurance, Insurance, Claim, Dentistry, Management, Whole Life, Insurance Brokerage, General Insurance, Casualty, Health Care Reform, Medicare, Leadership, Health Savings Accounts, Human Resources, Group Insurance, Flexible Spending..., COBRA, Healthcare, Managed Care, 401k, New Business Development, Customer Service, Claims Management, HMO, Term Life Insurance, PPO, Small Business, Customer Retention, Disability Insurance, Underwriting, Group Medical, Account Management, Critical Illness, Long-term Care, Accident, Reinsurance, Life Insurance, Benefits Administration, Self-funded, Sales
Education
Queens College 1989 — 1993
St. Francis Prep
St. Francis Prep
St. Francis Prep
St. Francis Prep
Holy Redeemer Health System January 2015 - Present
Holy Redeemer Home Care & Hospice 2011 - Present
Holy Redeemer Health System October 2008 - September 2011
Bravo Health July 2003 - December 2009
Aetna Health Plans 1989 - 2001
Aetna US Healthcare 1989 - 2001
US Healthcare, Inc 1989 - 2001
Skills
Managed Care, Medicare, Medicaid, Network Development, Home Care, Healthcare, Strategic Negotiations, home car, Financial Analysis, Healthcare Management, Management, Healthcare Consulting, Healthcare Information..., Insurance, Health Insurance, HIPAA, Healthcare Industry, Physician Relations, EHR, Provider Relations, Health Policy, Revenue Cycle, Disease Management, Quality Improvement, HMO, Informatics, PPO, EMR, Practice Management, Physicians, Hospitals, Performance Improvement, Medicare Part D, Utilization Management, Pharmacy Benefit..., Patient Safety, Long-term Care, Epic Systems, Medicine, Nursing, Medical Billing, Credentialing
Education
La Salle University - School of Business Administration 1986 — 1992
MBA, Finance
Slippery Rock University of Pennsylvania 1981 — 1985
BS, Business Administration
Novation November 2013 - Present
Premier, Inc. August 2008 - November 2013
Cardinal Health May 2007 - July 2008
St. Luke's Episcopal Health System July 2005 - May 2007
Trinity Mother Frances Health System November 2003 - June 2005
East Texas Medical Center September 2001 - May 2005
The Texas Recruiters November 1998 - September 2001
Sun Healthcare Group November 1996 - November 1998
Aetna Health Plans 1994 - 1996
Wal-Mart Pharmacy 1989 - 1995
Skills
Data Analysis, Contract Negotiation, Contract Management, Supply Chain Management, Purchasing, Inventory Management, Process Improvement, Healthcare, Excel, Budgeting, Word, Contract Negotiations, Microsoft Office, PowerPoint, Outlook, Supply Chain, Negotiation, Administration, Team Building, Analysis, Pharmacy, Budgets, Management, Microsoft Word, Pharmacists, Managed Care, Microsoft Excel, Healthcare Management, Healthcare Industry, Hospitals, Healthcare Consulting, Group Purchasing, Healthcare Information..., Product Development, HIPAA
Education
Regis University 2000 — 2002
BS, Business Administration
University of Texas at Tyler 1998 — 1999
Business Adminstration
Stephen F. Austin State University 1997 — 1998
Math/Science
Trinity Valley Community College 1990 — 1993
AA, Science/Math
Tannen Healthcare Consulting, LTD. August 2006 - Present
Horizon NJ Health January 2006 - August 2006
Aetna Health Plans 1999 - 2006
Aetna February 1999 - December 2005
Long Island College Hospital September 1989 - June 1999
Education
LIU Brooklyn 1961 — 1965
Cigna November 2000 - Present
Cleveland Health Network May 1999 - November 2000
Fairview Health System November 1996 - May 1999
Aetna Health Plans January 1995 - November 1996
MetLife January 1988 - January 1995
Skills
Managed Care, Network Development, Hospitals, Healthcare, Provider Relations, Medicaid, Medicare
Education
Kent State University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Marketing
Retired and enjoying Life. May 2015 - Present
The Urban League of Portland September 2012 - May 2015
Cambia Health Solutions (Formerly The Regence Group) November 2005 - August 2012
Magellan Behavioral Health March 1999 - November 2005
Aetna Retirement Services May 1997 - March 1999
Aetna Health Plans February 1995 - October 1996
Aetna Life and Casualty Company 1991 - 1995
Aetna Behavioral Health Care March 1988 - November 1991
Human Affairs International January 1984 - April 1988
Skills
Account Management, Healthcare Management, Community Development, Foundation Management, Health Insurance, Public Speaking, Team Building, Leadership, Coaching, Community Outreach, Non-profits, Team Leadership, Leadership Development, Fundraising, Program Development, Nonprofits, Workshop Facilitation, Public Relations, Policy, Volunteer Management, Marketing, Recruiting, Social Networking, Event Planning, Non-profit..., Strategic Partnerships, Social Media, Program Evaluation, Event Management, Organizational..., Strategy, Executive Management, Analysis, Performance Management, Data Analysis, Research, Management, Philanthropy, Strategic Communications, Grants
Education
Bryn Mawr College, Graduate School of Social Work and Social Research 1973 — 1975
MSS, Social Work
Lewis University 1967 — 1972
Bachelor of Arts (B.A.), Sociology
Harvard Pilgrim Healthcare SalesHarvard Pilgrim Health Care2004 - Present
Aetna 1999 - 2005
Mazonson LLC 2003 - 2004
Aetna Health Plans 1999 - 2003
Blue Cross Blue Shield of MA 1978 - 1998
Blue Cross Blue Shield of Massachusetts 1978 - 1998
Blue Cross and Blue Shield 1978 - 1997
Skills
Health Insurance, Health Savings Accounts, Employee Benefits, Insurance, Managed Care, Health Care Reform, Sales, Workers Compensation, Sales Management, Healthcare, Medicare, Disability Insurance, Benefits Administration, HIPAA, Underwriting, Brokers, Selling
Education
Ripon College 1970 — 1974
Ripon College
Aetna Health Plans November 2003 - Present
Aetna September 1985 - Present
Skills
Leadership, Business Process..., Business Analysis, Coaching, Healthcare, Process Improvement, Cross-functional Team..., Microsoft Office, Microsoft Excel, Microsoft Word, Negotiation, Outlook, Team Building
Education
Middlesex Community College
Business/Commerce, General
inVentiv Health March 2015 - Present
Horizon Healthcare Initiatives November 2010 - June 2012
Pfizer Pharmaceuticals 1996 - 2008
The HMO Group 1992 - 1996
Aetna Health Plans 1987 - 1991
Skills
Pharmaceuticals, Managed Care, Disease Management, Strategic Planning, Product Management, Team Leadership, Pharmaceutical Industry, Project Management, Leadership, Process Improvement, Cross-functional Team..., Healthcare, Strategy, Marketing, Management, Program Management, Insurance, Training, Health Insurance, Team Building, Marketing Strategy, Product Launch
Education
Rutgers University
Bachelor's degree, English major/ Business minor
Rutgers University
Bachelor's degree, English/Business
Tek Systems June 2001 - Present
Ford Motor Company 2001 - Present
Architel System Corp. 1999 - 2001
Aetna Health Plans June 1998 - January 1999
Skills
Software Quality..., Requirements Analysis, Testing Effort..., Test Planning, Testing, SDLC, HP Quality Center, Agile Methodologies, Test Automation, SQL, Oracle SQL Developer, Microsoft SQL Server, SOAP UI
Education
Gubkin Russian State University of Oil and Gas (former Moscow State Academy of Oil and Gas) 1975 — 1980
Master of Computer Engineering (MEng)
H&B Consulting Associates June 2010 - Present
NEOISCEBS January 2013 - December 2013
Aon December 2006 - June 2010
Aetna 2004 - 2006
Definity Health 2001 - 2004
Aetna Health Plans 1977 - 2001
Skills
Health Insurance, Benefits Administration, Employee Benefits
Education
Ohio Wesleyan University 1973 — 1977
BA, Chemistry
Buck Consultants April 2014 - Present
UnitedHealthcare May 2012 - November 2013
United Health Group January 2011 - May 2012
United Healthcare 2009 - 2010
AvMed Health Plans December 2008 - October 2009
Bravo August 2006 - April 2008
Aetna Health Plans May 1997 - February 2004
Skills
Managed Care, Medicare, Health Insurance, Medicaid Managed Care, Medicaid, Sales Management, Forecasting, Business Development, Marketing Strategy, Leadership Development, Sales, Insurance, Account Management, Employee Benefits, HMO, Healthcare, Long-term Care, Management, Network Development, Sales Operations, Selling, Strategic Planning, Team Building, Leadership
Education
Penn State University 1988 — 1992
BA, Business, Communications
Humana, Inc 2011 - Present
Aetna 2008 - 2011
Aetna Health Plans 2000 - 2008
Aetna and Prudential Healthcare 1998 - 2000
Prudential Financial 1989 - 2000
Skills
Insurance, Underwriting, Medicare, Health Insurance, Health Savings Accounts, Employee Benefits, Brokers, Disability Insurance, Managed Care, Management, Claim, Account Management, Whole Life, Life Insurance, HMO, Term Life Insurance, COBRA, PPO, Claims Management, Property & Casualty..., Health Care Reform, Medicare Part D, Health Policy, Benefits Administration, Leadership, Customer Retention, Sales, Marketing, Business Development, Sales Operations, Group Insurance, Commercial Insurance, Reinsurance, Accident, Medicare Advantage, Long-term Care, Provider Relations, Critical Illness, Team Building, Team Leadership, Strategy, Strategic Planning
Education
Georgia State University
BA, Economics
Aetna October 1989 - Present
Aetna October 1989 - Present
Aetna Health Plans October 1989 - Present
Aetna October 1989 - Present
Aetna October 1989 - Present
Education
Baltimore School of Reflexology 2004 — 2004
Certification, Reflexology
Montgomery County Community College 2002 — 2004
AA, Physical Education and Health
National Academy of Massage Therapy and Healing Techniques 2003 — 2003
Certification, Massage Therapy
Temple University 1985 — 1987
BS, Psychology
Montgomery County Community College 1983 — 1985
AA, Liberal Arts
Nantucket Cottage Hospital July 2015 - Present
Nantucket Cottage Hospital July 2012 - Present
HES 2007 - Present
WellCare 2002 - Present
D2Hawkeye January 2006 - December 2007
IntelliClaim January 1999 - February 2005
Oxford Health Plans September 1997 - November 1998
Aetna Health Plans 1992 - 1996
Lincoln National Group 1988 - 1992
Skills
Managed Care, Medicare, Medicaid, Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Industry, Healthcare Management, HIPAA, Health Policy, Health Insurance, Strategic Planning, Revenue Cycle, Process Improvement, Hospitals, EHR, Informatics, Physicians, Leadership, Executive Management
Education
Loyola University Chicago 1979 — 1984
Doctor of Law (J.D.)
University of Michigan 1974 — 1976
MHSA
Harvard University 1969 — 1973
A.B.
Jorgensen, YMCA of Greater Fort Wayne April 2010 - Present
Jorgensen YMCA of Greater Fort Wayne, Indiana October 2005 - Present
Aetna 1994 - 1997
Aetna Health Plans 1991 - 1994
Education
Purdue University Calumet 1982 — 1991
International Studies, Spanish and Communication
Bishop Noll Institute 1978 — 1982
High School Diploma, College Preparatory
Indiana Harbor Catholic Elementary School 1976 — 1978
Jr. High School
Washington Elementary School 1974 — 1975
Elementary School, Elementary School Education
Lincoln Elementary School 1968 — 1973
Elementary School, Elementary School Education
Health Equity Vice President, Product SpecialistHealth AdvocateJuly 2010 - Present
AllOne Health February 2008 - July 2010
Coventry Health Care November 2004 - September 2007
United Health Care 2002 - 2004
Aetna 1996 - 2002
Aetna Health Plans 1996 - 2002
USHealthcare 1987 - 2002
Skills
Managed Care, Insurance, Medicare, Health Savings Accounts, Medicaid, Disease Management, Leadership, Customer Service, Marketing, HIPAA, Benefits Administration, Business Development
Education
Kutztown University of Pennsylvania 1974 — 1978
BS, Secondary Education
Harvard Pilgrim Health Care February 1997 - Present
C.M. Smith Agency, Inc. April 2005 - October 2005
The Segal Company September 2001 - August 2003
Aetna Health Plans July 1993 - January 1997
Travelers February 1990 - June 1993
Connecticut National Bank 1988 - 1990
Skills
Underwriting, Healthcare, Health Insurance, Insurance, Managed Care, Financial Analysis, Negotiation, Employee Benefits, Marketing, Data Analysis, Medicaid, Health Care Reform
Education
Northeastern University School of Law 1998 — 2001
JD
University of Connecticut 1985 — 1988
BA, Communication Sciences
WellPoint January 2010 - Present
Anthem January 2005 - Present
WellPoint 2000 - Present
WellPoint 2010 - 2010
Anthem May 2002 - January 2005
Anthem July 2000 - May 2002
Anthem February 1997 - May 2002
Aetna Health Plans May 1995 - February 1997
Massachusetts Health Research Institute January 1994 - April 1995
Massachusetts Health Research Institute September 1992 - January 1994
Education
Project Management Institute 2005 — 2005
PMP
University of Connecticut 1990 — 1992
MBA, Business Administration, Health Care Management
Ithaca College 1986 — 1990
BS, Administration of Health Services
GlaxoSmithKline August 2013 - Present
ICON plc April 2013 - August 2013
ICON Clinical Research July 2012 - April 2013
Pfizer Pharmaceuticals January 2011 - June 2012
Pfizer October 2009 - July 2010
Wyeth Pharmaceuticals September 2008 - October 2009
Wyeth Pharmaceuticals February 2004 - September 2008
Wyeth Pharmaceuticals July 2001 - February 2004
Aetna Health Plans 2001 - 2001
Merck & Co. (Kelly Services) 1999 - 1999
Skills
Pharmaceutical Industry, Outlook, 21 CFR Part 11, Regulatory Affairs, FDA, Trademarks, Proofreading, Highly detail oriented, Meet Deadlines, Collaboration, Compliance, Quality Assurance, Consistency, Flexibility, Documentum, Document Review, Project Coordination, Cross-functional Team..., Pharmaceutics, Regulatory Requirements, Therapeutic Areas, Biopharmaceuticals, Clinical Development, Regulatory Submissions, CTMS, GLP, GxP, GCP, Medical Writing, Pharmacovigilance, Document Management, Software Documentation, Data Management, Clinical Data Management, CRO, Computer System..., EDC, Protocol, ICH-GCP, CAPA, Technology Transfer, Drug Development, Infectious Diseases, Neurology, Pharmacology, Rheumatology
Education
Ursinus College 2004 — 2008
BBA, Management
Villanova University 2012 — 2013
Project Management
Villanova University 2010 — 2010
Certificate, Paralegal Studies
Montgomery County Community College
AGS, General Studies
Penn State University
Paralegal Certificate
PMA Insurance Group 1997 - Present
Villanova Rehabilitation 1991 - 1996
Aetna Health Plans 1989 - 1991
Worldwide Rehabilitation Consultants 1987 - 1989
Thomas Jefferson University 1977 - 1987
Education
Rutgers University – Camden 1974 — 1977
BSN, Nursing
Advantedge Healthcare Solutions April 2012 - Present
Healthcare Information Services April 2010 - April 2012
SSC 2005 - January 2010
Aetna Health Plans 1999 - 2000
NCQA 1995 - 1998
Skills
Healthcare Management, Revenue Cycle, Managed Care, Healthcare Information..., Medical Billing, EHR, HIPAA, Healthcare, Healthcare Consulting, Revenue Cycle Management, EMR, Strategic Planning, Hospitals
Education
Rush University 1989 — 1991
MS, Health Systems Management
University of Illinois at Urbana-Champaign 1985 — 1989
BS, Business
McAuley
Concur Technologies January 2013 - Present
Concur Technologies 2012 - Present
Concur Technologies 2006 - January 2012
Outtask 2003 - 2006
Outtask 2000 - 2003
Beloit Corporation 1997 - 2000
Aetna Health Plans 1990 - 1997
Skills
Microsoft SQL Server, SaaS, Enterprise Software, Salesforce.com, Software Implementation, Cloud Computing, Business Analysis, CRM, Business Intelligence, Software Project..., Integration, Vendor Management, Requirements Analysis, ERP, Professional Services, Agile Methodologies, SDLC
Education
Illinois Wesleyan University 1984 — 1988
BA, French, history
American Specialty Health September 1994 - Present
Aetna Health Plans 1990 - 1994
Private Chiropractic Health Care Practice 1983 - 1994
Skills
Healthcare Management, Managed Care, Utilization Management, Management, Disease Management, Team Building, Healthcare, Quality Improvement, Health Insurance, Accreditation, Wellness Coaching, Medicine, Wellness, Drug Development, Public Speaking, Fitness, Health Education, Chiropractic, Health Promotion, Strategic Planning, Health Policy, Employee Wellness, Nutrition, Prevention, Public Health
Education
National University of Health Sciences
Alvernia University 2004 - Present
Albright College January 1998 - September 2004
Aetna Health Plans June 1994 - August 1997
Skills
Databases, Management, Higher Education, Help Desk Support, Account Management, Microsoft Office, SharePoint, Public Speaking, Data Analysis, Customer Service
Education
The Pennsylvania State University 1979 — 1981
Bachelor of Arts (B.A.), English Language and Literature/Letters
Keystone College 1976 — 1978
Associate of Science (A.S.), Business/Commerce, General
Benefits Network, Inc. August 2008 - Present
COGCare September 2010 - Present
Employers Medical Access Partnership (E.MAP) July 2000 - Present
Regional Employers Health Alliance (REHA) September 1998 - Present
HealthAmerica March 1990 - November 1997
Aetna Health Plans June 1986 - March 1991
Akron General Medical Center May 1979 - May 1985
Skills
Affordable Care Act..., Creative Self-Funding, Healthcare Consortiums, Health Insurance, Agency Acquisition, Insurance, Healthcare Reform, Employee Benefits, Medical Cost Containment, Medicare, Marketing, Disability Insurance, Career Path Development, Health Policy, Retirement Planning, Health Savings Accounts, Property & Casualty..., Brokers, PPO, Health Care Reform, Managed Care, The Affordable Care Act, Sales, Medicare Advantage Plans, High Level Benefits..., Community Service, Charity, Superior Leadership, Team Building, Account Management, Leadership, Management
Education
Kent State University 1974 — 1979
BA, Journalism - Public Relations, Art Minor
Versatility Claims Resource, Inc December 1997 - Present
Aetna Health Plans February 1991 - April 1996
Skills
Claim, Employee Benefits, Insurance, Healthcare, Payments, Medicare, Invoicing, Customer Service, Health Insurance, Credentialing, Employee Training, Provider Education, Workers' Compensation..., Healthcare Management, Insurance Billing, Management, Workers Compensation, Healthcare Industry, Underwriting, Leadership
Education
Northern Arizona University-The W. A. Franke College of Business 1986 — 1989
BSBA, Business Management
Aetna Health Plans 1998 - Present
Aetna Life Insurance Company 1995 - 1997
Aetna 1992 - 1995
Medical Society of the State of New York 1991 - 1992
American Cancer Society 1989 - 1991
American Cancer Society 1987 - 1989
Skills
Customer Service, Health Insurance, Healthcare, Provider Relations, HIPAA, Medicare, Insurance, Strategic Planning, Network Development, Medicaid, Process Improvement, Managed Care, Healthcare Management, Credentialing, Healthcare Industry, Health Policy, HMO
Education
Ithaca College 1984 — 1987
Bachelor's degree, Community Health Education, 3.5
CIGNA Healthcare November 2011 - Present
Mutual of Omaha June 2009 - October 2010
HM Insurance Group June 1999 - June 2009
Aetna Health Plans January 1997 - June 1999
Nabisco Biscuit Company May 1995 - January 1997
Skills
Health Insurance, Account Management, Insurance, Term Life Insurance, Employee Benefits, Life Insurance, Disability Insurance, Self-funded, Business Development, New Business Development, Brokers
Education
Kent State University 1991 — 1995
BBA, Marketing
Partners in Care, Corp. June 2013 - June 2014
Medecision May 2010 - June 2013
Medecision November 2008 - May 2010
Horizon Blue Cross Blue Shield of NJ August 1996 - November 2008
CareAdvantage, Inc. August 1996 - August 2002
St. Peter's University Hospital September 1993 - September 1996
Middlesex County Vocational And Technical School August 1988 - September 1995
Aetna Health Plans 1989 - 1993
Robert Wood Johnson University Hospital, JFK Medical Center and Others May 1980 - September 1990
Skills
Utilization Management, Disease Management, Care Management, Managed Care, Healthcare Management, Healthcare, Nursing, Clinical, Process Improvement, Quality Management, Quality Assurance, Compliance, Six Sigma, Health, Business Process..., Mentoring, Team Building, Data Analysis, Change Management, Healthcare IT, Case Management, Healthcare Information..., Clinical Research, Case Managment, Medicaid, Health Insurance, Vendor Management, EHR, Healthcare Consulting, HIPAA, Leadership, Healthcare Industry, Training, Software Documentation, Medicare, EMR, Informatics, Inpatient, Revenue Cycle, Hospitals
Education
University of Phoenix 2005 — 2006
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Middlesex County College 1985 — 1987
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
The College of New Jersey 1979 — 1982
Nursing Science
Humana Military Healthcare Services Health Care Finder-Right of First RefusalHumana Military Healthcare ServicesOctober 2005 - Present
County of Riverside June 2000 - June 2005
Aetna Health Plans November 1993 - November 1997
Blue Shield March 1985 - July 1993
Education
Riverside City College
none, Nursing
Humana February 2007 - July 2015
Aetna Health Plans 2000 - October 2006
Convergys 1999 - 2000
Prudential Healthcare December 1998 - 2000
Skills
Microsoft Office, Lotus Notes, Healthcare, Customer Service, SQL, SharePoint, Visio, Team Building, Databases, Access, Microsoft Excel, PowerPoint, Microsoft Word, Outlook, Troubleshooting, Windows, Database Administration, Managed Care, Analysis
Education
Jamestown Community College 1992 — 1995
Computer Science, Computer Science
Chubb May 2000 - Present
MedSpan Health Options 1996 - 2000
Aetna Health Plans 1989 - 1996
Skills
Marketing Strategy, Marketing, Insurance, Integrated Marketing..., Strategic Creative..., Multi-media Marketing..., Digital Marketing, Strategic Planning, Strategic Brand..., Social Media Marketing, D, Executive Communications, Internal & External..., Property & Casualty...
Education
Northwestern University - Kellogg School of Management 1996 — 1996
Executive Program: Consumer Marketing Strategy
University of Connecticut 1981 — 1984
Master of Science, Biobehavioral Sciences
University of Maryland College Park 1978 — 1981
Bachelor of Arts, Social Sciences
L&W Engineering March 2015 - Present
Ohio Basketball 2013 - 2015
Petros Homes Inc 2005 - 2013
Anchor Tool and Die November 2002 - February 2004
Anchor Tool and Die July 1994 - November 2002
Anchor Tool and Die April 1996 - July 1997
Aetna Health Plans May 1995 - March 1996
Skills
Talent Acquisition, Onboarding, New Hire Orientations, College Recruiting, Strategic Planning, Process Improvement, Benefits Administration, Workforce Planning, Succession Planning, HRIS, Continuous Improvement, Employee Relations, Employee Benefits, Management, Marketing, Team Building, Human Resources, Customer Service, Leadership, Event Planning, Public Speaking, Recruiting, Sales, Training, Time Management, Organization Skills, Coaching, Hiring, Organizational..., HR Policies
Education
Miami University 1991 — 1995
Bachelor of Arts (BA), Communications and Organizational Behavior
Strongsville High School
Strongsville High School
NYS Department of Health October 2014 - Present
New York Presbyterian Hospital 2010 - 2014
APS Healthcare 2009 - 2010
VNS CHOICE 2000 - 2009
Aetna Health Plans 1993 - 1997
NYC Health & Hospitals Corporation 1987 - 1993
Skills
Managed Care, Medicare, Healthcare, Medicaid, Disease Management, Executive Management, Health Policy, Long-term Care, Behavioral Health, Healthcare Consulting, Medicaid Managed Care, Program Management, Healthcare Industry, HIPAA, Healthcare Management, Healthcare Information..., Hospitals
Education
Oberlin College
BA
University of California, Berkeley
MPH
Wagner JHS
Wagner JHS
Cincinnati Eye Institute 2006 - Present
Cincinnati Childrens Hospital Medical Center 1999 - 2006
Aetna Health Plans 1995 - 1999
Skills
Performance Management, Training, Call Centers, Coaching, Management, Customer Service, Interviews, Healthcare, Team Building, Analysis, EMR, Supervisory Skills, Administration, Process Improvement, Leadership
Education
College of Mount St. Joseph 1994 — 2006
BA, Liberal Arts
Ethicon, Inc June 2011 - Present
Garretson Firm Resolution Group, Inc. August 2006 - June 2011
Great American Financial Resources August 2005 - August 2006
Ethicon Endo-Surgery February 2000 - June 2005
Anthem November 1996 - February 2000
Aetna Health Plans February 1995 - November 1996
Skills
cognos, Data Analysis, Data Management, Business Analysis, Project Management, SharePoint, Databases, Medical Devices, SAS, Microsoft Office, Microsoft Excel, Healthcare, Training, Visio, Business Intelligence, Database Design, Microsoft SQL Server, Access, Toad, SYNYGY, Clinical Trials, Clinical Research, Hospitals, Cognos, Clinical Development, Pharmaceutical Industry, Software Documentation, Data Warehousing, Cross-functional Team..., EDC, Requirements Gathering, Data Quality, MS Project, FDA, SDLC, SAS programming, Clinical Data Management, CTMS, Integration, Analytics, CRO, GCP, Healthcare Information..., Business Process...
Education
Kalamazoo College
BA, Economics
Western Michigan University
MPA, Health Care
Medica July 2013 - Present
Blue Cross and Blue Shield of Minnesota December 2011 - July 2013
Medica September 2003 - December 2011
Aetna Health Plans 1998 - 2003
Prudential Healthcare 1985 - 2003
Prudential Healthcare 1985 - 1994
Skills
Medicare, Medicare Supplements, Medicare Part D, Medicaid, HMO, Government Programs, Regulatory Research, Benefits Communication, HIPAA, Insurance, Health Insurance, Managed Care, Process Improvement, Regulations, Provider Relations, Claim, Pharmacy Benefit..., Healthcare Information..., HEDIS, Health Policy, Long-term Care, Healthcare Management, Health Care Reform, Disability Insurance, Disease Management, Employee Benefits, Healthcare Industry, Healthcare, Visio
Education
Romeo High 1981 — 1983
Oakland University
Nursing
South Dakota State University
Nursing
Walgreens Optioncare Office Manager / HR DesigneeHCR ManorCare, Heartland Home Health, Hospice and I.V. CareAugust 2013 - July 2015
Apria Healthcare January 1997 - November 2012
Aetna Health Plans May 1993 - December 1996
Skills
Managed Care, Healthcare Management, Process Improvement, Software Documentation, Team Building, Management, Health Insurance, Accounts Receivable, Analysis, HMO, Medicare, Medicaid, HIPAA, Invoicing, Healthcare Industry, Healthcare Information..., Healthcare Consulting, Physician Relations, Healthcare
Education
Rasmussen College-Illinois 2012 — 2014
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Rock Valley College 1987 — 1990
Study Associate in Arts
Humana May 2015 - Present
Management and Network Services December 2013 - Present
Independent Contractor November 2012 - Present
Healthcare Solutions 2011 - 2012
Coalition America 2007 - 2011
MultiPlan 2004 - 2007
CIGNA Healthcare 1997 - 2002
AETNA Health Plans 1993 - 1995
Humana 1989 - 1993
Skills
Provider Relations, Medicare, Healthcare, Network Development, Hospitals, Credentialing, Managed Care, Insurance, Contract Management, Contract Negotiation, Health Insurance, Negotiation, Provider Contracting, Customer Relations, Microsoft Office, Contract Negotiations, PowerPoint, Team Building, Health, PPO, Customer Service, HMO, Healthcare Industry, Healthcare Information..., Practice Management, EMR, HIPAA, Claim, Training, Medicaid, Health Policy, Analysis, Healthcare Consulting, Revenue Cycle, Policy, Medical Billing, Physicians, Management, Healthcare Management, Physician Relations, Strategic Planning, Recruiting, Disease Management, Process Improvement, Quality Improvement, Revenue Cycle Management, EHR, Home Care, Utilization Management, Medical Coding
Education
Pacific Systems Computer Training Institute 2013 — 2014
SQL Server Data Base Administration, SQL Server 2012 Data Base Administration
Georgia State University - J. Mack Robinson College of Business 2011 — 2013
Executive Master's of Business Administration, Executive Management
Morehead State University 1983 — 1988
Bachelors, Business Administration
UnitedHealth Group July 1996 - Present
United Healthcare 1996 - 2014
Aetna Health Plans January 1992 - July 1996
Skills
Medicaid, Provider Relations, Health Insurance, HMO, Managed Care, Medicare, Insurance, Healthcare Industry, Process Improvement, Healthcare Management, Network Development, PPO, HIPAA, Healthcare Information..., Analysis, Financial Analysis, Healthcare
Education
La Salle University 1985 — 1996
MBA, Finance
Moda Health Previously ODS Companies October 2004 - June 2011
Willamette Dental 2002 - 2004
Aetna Health Plans 2000 - 2002
Skills
Healthcare, Health Insurance, Insurance, Claim, PowerPoint, Advertising, Sales, Employee Benefits, Social Media, Underwriting, Account Management, Strategic Planning, Marketing, Customer Service, Disability Insurance, Team Building, Managed Care, Brokers, Leadership, Health Savings Accounts
Education
Portland State University
Bachelor of Science (B.S.)
Centene Corporation March 2011 - Present
MultiPlan May 2000 - May 2010
St. Charles City-County Library District 2010 - 2010
MultiPlan, Inc March 2005 - September 2005
GROUP HEALTH PLANS January 1998 - January 2000
Aetna Health Plans September 1989 - December 1997
Education
Lindenwood University 1986 — 1989
Masters Studies, Business Administration
Southeast Missouri State University 1972 — 1976
Bachelor of Science Education, educaton
Hoag Hospital Registered NurseLa Veta Surgical Center2002 - 2012
Aetna Health Plans 2001 - 2002
St. Joseph Hospital 1996 - 2001
Skills
Utilization Management, Nursing, Case Management, Care Management, Disease Management
Education
Long Beach City College 1991 — 1995
ASN, Nursing
Massage By Nina SalesSearleJune 2000 - June 2001
Aetna Health Plans April 1996 - June 2000
Education
James Madison University 1990 — 1994
BS, Health Sciences
XO Communications March 2012 - Present
XO Communications January 2009 - March 2012
XO Communications July 2007 - January 2009
XO Communications November 1997 - August 2004
Aetna Health Plans January 1988 - November 1997
Skills
Telecommunications, MPLS, Co-location, T1, IP, Managed Services, Ethernet, VoIP, Call Centers, Telephony, Customer Retention, Provisioning, Cloud Computing, Fiber Optics, WAN, Internet Services, Metro Ethernet, Wireless, Unified Communications, SIP, Optical Fiber, Broadband, DWDM, LAN-WAN
Education
Penn State University 1985 — 1987
Associates
Presence Health Partners February 1995 - Present
Aetna Health Plans 1992 - 1995
First Health (fka) HealthCare Compare/Affordable Networks 1990 - 1992
HealthChicago 1984 - 1989
Skills
Physician Relations, Managed Care, Revenue Cycle, Provider Relations, Hospitals, Medicare, Healthcare Management, Home Care, Practice Management, Disease Management, Contract Negotiation, EHR, Case Managment, Healthcare Industry, Medical Billing, Physicians, EMR, Healthcare Information..., Health Insurance, Medicaid, Network Development, HMO, Utilization Management, HIPAA, Process Improvement, Healthcare, Informatics, Team Building, Epic Systems, Revenue Cycle Management, Health Policy, Healthcare Consulting, Claim, Ambulatory, Medical Coding, Patient Safety, Meditech
Education
North Central College
Bachelor of Arts, Marketing
Savory Sensations 2009 - Present
Caretaker 2007 - 2008
AT&T Services, Inc. 1997 - 2007
Aetna Health Plans 1995 - 1997
Independent IT Consultant/Contractor 1989 - 1995
UC San Diego 1988 - 1989
Skills
Project Management, Business Process, Management, Vendor Management, Consulting, Training, Testing, Change Management, Information Technology, Analysis
Education
National University
30 Post BA Hours completed, Elementary Education Credential Program
San Diego State University-California State University
Bachelor of Arts (BA), Social Sciences/Psychology
San Diego State University-California State University
Telecommunications Certificate Program
Visiting Nurse Home Care February 2013 - Present
Blue Cross and Blue Shield of RI January 2005 - November 2011
Blue Cross and Blue Shield of RI January 2002 - January 2005
Blue Cross and Blue Shield of RI January 1997 - January 2002
Aetna Health Plans January 1995 - January 1997
MetLife Insurance January 1995 - January 1996
Aetna Health Plans January 1987 - January 1995
Skills
Lotus Notes, Management, Health Insurance, Customer Service, Leadership, Microsoft Excel, Program Management, Team Building, Recruiting, Project Planning, Process Improvement, Marketing, Insurance, Healthcare, HIPAA, Employee Benefits, Coaching, Budgets, Analysis
Education
Katherine Gibbs School
Paralegal Certificate
Rhode Island College
Coursework towards a Major in Education and a Minor in Math
Hollywood Casino 1994 - 2012
Aetna Health Plans November 1985 - January 1994
Skills
Program Management, Risk Management, Management, Training, Casino, Gaming Industry, Employee Relations, Employee Benefits, Human Resources, Performance Management, Employee Engagement, Benefits Administration, Customer Service, Team Building, Hiring, Policy, Budgets, FMLA, Online Gambling, Payroll, Property
Education
University of Mississippi 2003 — 2003
Tort Law, B
Northwest Mississippi Community College 2000 — 2000
Human Resource Management, A
The University of Memphis 1999 — 1999
Interior Design/Decorating, Certificate
Millington Central 1972 — 1974
Diploma, Business
Ohio Education Association September 2005 - April 2012
Zoning, Public Works and Borough April 2000 - May 2005
City of Allentown September 1996 - March 2000
City of Allentown April 1995 - September 1996
Aetna Health Plans October 1994 - April 1995
City of Allentown March 1990 - September 1994
Self-Employed March 1987 - February 1990
Skills
Administrative..., Accounts Payable, Accounts Receivable, Data Entry, Cosmetology, Accounting, Medical Transcription, Advanced Microsoft..., Customer Service, Telephone Skills
Education
Lehigh Carbon Community College 2000 — 2002
Associates in Applied Science Degree, Accounting, 3.75
Allentown School of Cosmetology 1974 — 1975
Cosmetologist, Cosmetology/Cosmetologist, General
William Allen High School 1972 — 1975
Diploma, Business
At Home Professions - Medical
H & R Block Tax
Eggert's Door Systems January 2015 - Present
Boy Scouts of America October 2007 - Present
Blue Cross and Blue Shield of Minnesota November 2004 - Present
HealthPartners December 2001 - November 2004
HealthPartners November 1996 - December 2001
Aetna Health Plans August 1993 - November 1996
Travelers Medicare October 1986 - August 1993
Skills
Claim, Process Improvement, Medicare, Health Insurance, Cross-functional Team..., Leadership, Customer Service
Education
Normandale Community College
Business Administration and Management, General