Aetna Health Plans
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Aetna Health Plans Employees
Vantage Data Designs September 2011 - Present
Chiron Corporation June 2000 - May 2001
Ilex Oncology, Inc. April 1999 - October 1999
Southwestern Bell Mobile Systems December 1996 - March 1998
Aetna Health Plans October 1995 - April 1996
Harris Methodist Health Plan April 1995 - August 1995
PPD 1993 - 1994
Harris Methodist Health Plan November 1992 - March 1993
PPD June 1992 - September 1992
Tennessee Valley Authority August 1991 - May 1992
Skills
SAS, Databases, Microsoft Office, Windows, Microsoft Excel, Data Management, Clinical Trials, SAS Base, SAS Programming
Education
The University of Texas at Arlington
Bachelor of Science (BS), Experimental Psychology
Intel Corporation October 2014 - Present
McAfee. Part of Intel Security August 2011 - October 2014
McAfee. Part of Intel Security August 2006 - August 2011
Recursion Software, Inc. February 2006 - August 2006
Interphase Corporation March 2002 - November 2005
Texas Instruments, Frito-Lay 2001 - 2002
Scient Corporation 1999 - 2001
Verizon 1997 - 1999
UBM plc 1994 - 1997
Aetna Health Plans 1989 - 1994
Skills
Lead Generation, Product Marketing, Product Management, Online Marketing, Marketing Automation, Marketing, Enterprise Software, Online Advertising, Start-ups, Marketing Strategy, Demand Generation, Management, Strategy, Go-to-market Strategy, SaaS
Education
University of North Texas 1990 — 1994
MBA, Marketing
University of North Texas 1984 — 1988
BFA, Communications Design
Middlesex Hospital February 2014 - Present
Saint Francis Care February 2012 - Present
Hospital of Saint Raphael December 2005 - February 2012
Aetna Health Plans 2001 - 2005
Blue Cross Blue Shield 1994 - 2001
The Hospital of Central Connecticut 1989 - 1994
Skills
Healthcare Management, Medical/Surgical, ICU, Utilization Review, Utilization Management, Certified Case Manager, Disease Management, Medical Case Management, Nursing, Home Care, Medicare, Case Managment, Patient Advocacy, Managed Care, Medicaid, Nursing Education, Acute Care, Inpatient, Healthcare, Patient Education, Medication..., Case Management, Hospitals, Medical-Surgical
Education
University of Massachusetts Boston 1986 — 1990
BSN, nursing
Fairview Health Services May 2015 - Present
Fairview Health Services August 2013 - Present
Fairview Health Services November 2010 - August 2013
Comprehensive Care Services August 2009 - August 2010
Comprehensive Care Services January 2007 - August 2009
FirstPlan Health Plan and Clinics 2004 - 2007
Blue Cross and Blue Shield of Minnesota 2004 - 2006
Blue Cross Blue Shield of Minnesota 2001 - 2004
Blue Cross Blue Shield of Minnesota 1995 - 2001
Aetna Health Plans March 1994 - August 1995
Skills
Strategic Planning, Business, Performance Improvement, Product Development, Marketing Strategy, Team Leadership, Strategy, Strategic Partnerships, Business Strategy, Program Management, Integrated Marketing, Account Management, Marketing Communications, Business Development, CRM, Management, Management Consulting, Healthcare, Marketing, Business Planning, Team Building, Marketing Management, Product Launch, Sales, Managed Care
Education
University of St. Thomas - Opus College of Business 1985 — 1988
M.B.A., Marketing
University of Minnesota-Twin Cities 1974 — 1978
B.S., Education, Psychology
Totem Solutions May 2004 - Present
Humana 2002 - 2004
Aetna Health Plans 1997 - 2002
Johnson & Higgins 1992 - 1997
Skills
Benefits, Employee Benefits, Health Care Reform..., Health Savings Accounts, Strategic Partnerships, Disability Insurance, Insurance, Customer Service, Health Insurance, Human Resources, Management, Training, New Business Development, Strategic Planning, Sales Process, Sales, Medicare, Project Management, Marketing, Benefits Administration
Education
University of Georgia - Terry College of Business 1988 — 1992
BBA, Risk Management & Insurance
Peachtree High School 1988 — 1992
Bachelor of Business Administration (BBA), Risk Management & Insurance
ColorWerx January 2001 - Present
Emtec Inc. June 2012 - March 2015
Ethx August 2000 - June 2012
Sloans Lake Managed Care April 1999 - August 2000
ComCoTec June 1994 - July 1998
Cigna HealthCare of California May 1993 - May 1994
Aetna Health Plans January 1990 - October 1992
CIGNA Systems April 1988 - December 1989
Skills
Microsoft SQL Server, Visual Basic, C#, Crystal Reports, Access, .NET, Illustrator, Visual Studio, InstallShield, Showcase Query, Paradox, Camtasia, SSRS, SSIS, XML, Databases
Education
University of North Texas 1980 — 1985
Bachelor of Music, Jazz Studies
Coloplast December 2013 - Present
Coloplast April 2010 - December 2013
Merck (Schering-Plough Pharmaceuticals) December 1999 - March 2010
Aetna Health Plans 1997 - 1999
Skills
Sales Management, Pharmaceutical Sales, Urology, Medical Devices, Product Launch, Leadership, Cardiology, Sales, Sales Operations, Market Development, Disposables, Surgeons, Sales Force Development
Education
Shippensburg University of Pennsylvania 1994 — 1997
BSBA, Marketing
Things Remembered June 2014 - Present
Things Remembered February 2014 - June 2014
Phyl's Academy Preparatory School December 2012 - October 2013
Art Institute of California- Sacramento January 2011 - June 2012
JPMorgan Chase August 2005 - June 2010
Delta Health Systems 2002 - July 2005
Aetna Health Plans 1993 - 2001
Education
The Art Institute of California-Sacramento 2011 — 2013
Associate's degree, Baking and Pastry Arts/Baker/Pastry Chef
Woodruff Cosemtology 1991 — 1993
Cosmetology, Cosmetology/Cosmetologist, General
Vocational 1986 — 1988
certificate, Medical Office
County of Santa Clara March 2015 - Present
University of California February 2013 - March 2015
Presbyterian Health Plan 2008 - 2013
Tatum LLC 2004 - 2008
Vivius Inc. 2001 - 2004
Medical Alliance Partnership 1995 - 2000
Premier, Inc. 1992 - 1994
United Healthcare 1989 - 1991
Aetna Health Plans 1987 - 1990
American MedCenters, Inc. (acquired into Partners/Aetna) 1985 - 1987
Skills
Health Insurance, Managed Care, Healthcare Information..., Healthcare Management, Health Policy, Underwriting, Reinsurance, Valuation, Financial Analysis, Strategic Planning, Process Improvement, Financial Modeling, Insurance, Healthcare
Education
The University of Chicago Booth School of Business 1980 — 1984
MBA
Stanford University 1975 — 1979
BA
Hinsdale Central High School, IL 1971 — 1975
DEDON August 2015 - Present
Southwest Guilford High School April 2012 - June 2015
SHRM 2009 - 2015
SHRM 2009 - 2015
Robert Half Finance & Accounting (Bindagrapics Inc.) August 2011 - April 2012
Guilford County Schools December 2008 - April 2012
Aetna Health Plans June 2008 - December 2008
XO Communications February 2007 - February 2008
The Flooring Solutions October 2005 - December 2006
VERISIGN January 2004 - October 2005
Skills
Employee Relations, Customer Service, Accounting, A, Administration, Accounts Payable, Data Entry, Event Planning, System Administration, Benefits Administration, Microsoft Office, Teaching, Employee Benefits, Interviews, Administrative..., Office Management, Time Management, Process Improvement, Analysis, Management, Software Documentation, Program Management, Microsoft Excel
Education
Strayer University-North Carolina 2012 — 2015
Master of Business Administration (MBA), Human Resources Management and Services, 3.3
Strayer University 2010 — 2012
Bachelor, Business Administration/Human Resources
Strayer University 2008 — 2010
Associates, Accounting
Humana January 2011 - Present
Humana May 2008 - January 2011
Banner Health March 2004 - January 2008
Comcast 2004 - 2005
Cox Communications June 1994 - November 2002
Aetna Health Plans January 1991 - June 1994
American Airlines January 1990 - December 1991
Jostens 1986 - 1990
CIGNA 1981 - 1986
Skills
Organizational..., Talent Management, Leadership Development, Organizational..., Performance Management, Employee Relations, Succession Planning, Employee Engagement, Organizational Design, Workforce Planning, Coaching, Executive Coaching, Change Management, Onboarding, Culture Change, Leadership, Training, Recruiting, Human Resources, Strategy, Management, Team Building, Program Management, Consulting, Executive Development, HR Consulting, Workshop Facilitation, Mergers & Acquisitions, Instructional Design, Employee Benefits, Personnel Management
Education
University of North Texas 1984 — 1985
University of Minnesota-Twin Cities 1969 — 1973
Education
The Guardian Life Insurance Company of America April 2012 - Present
Hartford December 2007 - April 2012
Sun Life Financial 2004 - 2007
Prudential Financial 2002 - 2004
Aetna Health Plans 1999 - 2002
Prudential Financial November 1986 - August 1999
Skills
Employee Benefits, Disability Insurance, Health Insurance, Life Insurance, Benefits Administration, Insurance, Underwriting, Term Life Insurance, Long-term Care, Dentistry, Brokers, 401k, Fixed Annuities, Group Insurance, Health Savings Accounts, Critical Illness, FMLA
Education
Southwestern College of Business
Certificate of Accounting, Accounting
Thomas More College
Manatt Health Solutions July 2014 - Present
TruLogix Analytics, Inc. April 2013 - Present
Ascension June 2013 - July 2014
DiscoveryTel International 2005 - May 2013
The Rendon Group 2001 - 2005
FundsXpress 1998 - 2001
Logical Design Solutions 1997 - 1998
Aetna Health Plans 1993 - 1996
U.S. Food & Drug Administration 1992 - 1993
U.S. Securities & Exchange Commission 1991 - 1992
Skills
Strategic Communications, Public Affairs, Media Relations, Message Development, Event Management, Corporate Communications, Leadership, Crisis Management, Community Development, Political Communication, Reputation Management, Policy, Strategic Partnerships, Government, Start-ups, Digital Media, Marketing Strategy, Management, Strategy, Communication Training, Spokesperson, Campaigns, Communications Planning, International Relations, Crisis Communications, Public Relations, Event Planning, Marketing Communications, Politics
Education
The University of Texas at Austin 1976 — 1980
BJ, Communications
Comfort Sleep - Center for Diagnosis of Sleep Disorders August 2011 - Present
Comfort Sleep - Center for Diagnosis of Sleep Disorders January 2011 - July 2011
Sanofi-Aventis Pharmaceuticals February 2005 - December 2010
Pfizer Pharmaceuticals November 1998 - February 2005
Aetna Health Plans September 1996 - November 1998
Skills
Sales Operations, Product Marketing, Endocrinology, Sales Management, Diabetes, Marketing Strategy, Sales, Marketing, Pulmonology, Cardiology, Neurology, Urology, Management, Medical Devices, Product Launch, Pharmaceutical Sales, Sales Effectiveness, Managed Care, Rheumatology, Nephrology, Allergy, Pharmaceutical Industry, OB/GYN, Healthcare, Orthopedic, Oncology, Sales Force Development, Hospital Sales, Surgeons, Internal Medicine, Hospitals, Dermatology, Gastroenterology, Capital Equipment, Market Development, Infectious Diseases, Surgery, Clinical Research, Psychiatry, Operating Room, Pediatrics, Pain Management, Osteoporosis, Disposables, Medicine, Physicians, Selling Skills, ENT, Hardware Diagnostics, Hypertension
Education
University of North Carolina at Greensboro 1985 — 1989
BS, Human Environmental Sciences
Blue Cross Blue Shield of Florida July 1999 - Present
Aetna Health Plans 1988 - 1997
Peer Review Organization of Florida 1987 - 1988
Skills
Case Management, Disease Management, Transplant Case..., Care Coordination, Microsoft Office, Windows, SharePoint, Excel, PowerPoint, Microsoft Office..., Microsoft Office Live..., Patient Advocacy, Internet Research, Community Resource..., Health and Wellness...
Education
St. Petersburg College
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse
WellPoint July 2014 - Present
Virginia Oncology Associates December 2008 - July 2014
Aetna Health Plans May 1994 - May 2004
Skills
Medicaid, HIPAA, Managed Care, Insurance, Customer Service, Patient Advocacy, ICD-9, Microsoft Office, Process Improvement, Medicare, Healthcare, Claim, Healthcare Information..., Health Policy, Healthcare Industry, Medical Billing, HMO, PPO, Medical Terminology, Call Centers, Health Insurance, Business Analysis, Project Management
Education
Strayer University
Business Administration and Management, General
University of Delaware - Lerner College of Business and Economics
Business Administration and Management, General
Tabor Children's Services July 2013 - Present
NorthEast Treatment Centers May 2000 - July 2013
Community Behavioral Health September 1996 - April 2000
Independence Blue Cross 1994 - 1996
Keystone Health Plan East 1991 - 1994
Aetna Health Plans 1989 - 1991
AHMAC Corporation 1986 - 1988
Laventhol & Horwath 1983 - 1986
General Electric 1978 - 1981
Skills
Budgets, Recruiting, Financial Analysis, Accounting, Healthcare, Employee Benefits, Non-profits, Strategic Planning, Insurance, Policy, Process Improvement, Leadership, Healthcare Management, Mergers, Employee Relations, Operations Management, Program Development, Public Speaking, Fundraising, Executive Management
Education
University of Pennsylvania - The Wharton School 1981 — 1983
MBA, Health Care Administration
University of Pennsylvania 1974 — 1978
B.A., Economics
Catholic Health Partners December 2012 - Present
Mercy Health Partners January 2011 - December 2012
ROCKY MOUNTAIN CANCER CENTERS October 2008 - December 2010
Kaiser Permanente November 2004 - September 2008
Kaiser Permanente October 2002 - September 2008
Kaiser Permanente November 2002 - November 2004
Aetna Health Plans April 2000 - October 2002
AETNA, INC January 2000 - January 2002
CARDIOLOGY CONSORTIUM OF MICHIGAN January 1997 - January 1998
CIGNA HEALTHCARE OF COLORADO, INC January 1996 - January 1997
Skills
Managed Care, Revenue Cycle, Provider Relations, Healthcare, Healthcare Management, Medicaid, Analysis, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Hospitals, Physicians, Process Improvement, Program Management, Health Insurance, Leadership
Education
University of Colorado Denver 1991 — 1995
MBA/MSHA, Business and Healthcare
University of Colorado
Master of Science, Health Administration (MSHA)
University of Colorado
Master of Business Administration (MBA)
University of Colorado
Bachelor of Arts, Biology
Choice of Kindness Catering January 1994 - Present
Aetna Health Plans January 1990 - April 1994
Family Service Center January 1982 - December 1986
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, Public Speaking, Budgets, Strategic Planning, Marketing Operations, Community Education, Management Development, Leadership Development, Insurance, Marketing, Change Management, Human Resources, Marketing Strategy, Leadership, Team Building, Training, Event Planning, Management, Sales, Social Networking, Coaching
Education
University of St. Thomas (TX) 1978 — 1980
Master of Business Administration (M.B.A.), International Business
University of Houston 1972 — 1974
Master of Social Work (M.S.W.), Social Work
Century 21 Tim Gauntt Co 2013 - Present
AutoPages Magazine February 2012 - Present
New Auto Magazine February 2009 - June 2012
AutoTrader.com September 2006 - February 2009
Auto Trader Magazine September 2006 - January 2009
HouseWarmers, HEB January 2004 - September 2006
Thrifty Nickel Newspaper February 2003 - January 2004
Aetna Health Plans February 1989 - September 1993
Skills
Advertising, Sales, Sales Process, Salesforce.com, Management, Pricing, Selling, Customer Service, Online Advertising, Automotive, Magazines, Customer Retention, Account Management, Advertising Sales, CRM
Education
Texas Christian University 1985 — 1988
Bachelor of Science, Radio/TV/Film
Little Buffalo Technology Services 1995 - Present
Aetna Health Plans 1992 - 1995
Aetna Health Plans 1988 - 1992
Central Bucks School District 1981 - 1983
Skills
Editing, Curriculum Development
Education
Shippensburg University of Pennsylvania 1996 — 2000
M.Ed., Educational Administration & Foundations
Shippensburg University of Pennsylvania
B.S.Ed., Communication Arts
Anthem October 2010 - Present
Canopy Financial 2008 - 2010
Fiserv January 2008 - October 2008
CareSource Management Group October 2004 - August 2007
Premera Blue Cross & Fidelis Care 2003 - 2004
Coventry Health Care 2001 - 2003
Arthur Andersen - Business Consulting 1998 - 2000
Aetna Health Plans 1991 - 1997
Skills
Information Management, Master Data Management, Predictive Analytics, Portfolio Management, Integration, Program Management, Solution Architecture, Strategy, Requirements Gathering, Project Management, Leadership, Business Process, Strategic Planning, Cross-functional Team..., SDLC, Enterprise Software, Business Process..., Governance, Vendor Management, Process Improvement, Requirements Analysis, PMP, PMO, Management, Business Analysis, Quality Assurance, Team Building, Executive Management, Budgets, Healthcare
Education
University of Missouri-Columbia 1982 — 1986
BS, Electrical Engineering, Computer Engineering
Yale University
MBA, Management
Integrated Health Center November 2008 - Present
United Behavioral Health August 2006 - March 2008
Aetna Health Plans August 2005 - August 2006
Border Area Mental Health Services, Inc. September 2004 - July 2005
Spokane Tribe of Indians October 2000 - March 2001
Skills
Adolescents, Mental Health, Treatment, Psychotherapy, Public Speaking, Clinical Research, Case Management, Case Managment, Community Outreach, Stress, Disease Management, Anger Management, Healthcare, Training, Coaching, Utilization Management, Chemical Dependency, Leadership, Therapists, Symphony Member, Choir Member, Violin Teacher
Education
University of North Texas 1993 — 1995
M.A., English, ESL, linguistics
West Texas A&M University 1983 — 1985
M.Ed in Professional Counseling, Mental Health Counseling/Counselor
West Texas A&M University 1981 — 1983
B.MusEd, Instrumental Music
Corporate Contract Services September 1997 - Present
Independent Consultant June 1992 - September 1997
Aetna Health Plans 1994 - 1995
Ernst & Young 1992 - 1994
Amex February 1989 - June 1992
Skills
Strategic Planning, Project Management, Team Building, Security, Budgets, Customer Service, Technical Support, Software Development, Business Development, Program Management, Management, Vendor Management, Process Improvement, Software Documentation, Change Management, Windows, Negotiation, IT Management, Leadership Development, Integration, Business Process..., New Business Development, Contract Negotiation, Entrepreneurship, Telecommunications, Business Intelligence, Marketing, Business Analysis, Operations Management, Strategy, Coaching, SAP, Account Management, Start-ups, Public Speaking, Product Management, Business Planning, Healthcare, Leadership, Sales, Sales Management, Oracle, Marketing Strategy, Data Center, Cross-functional Team..., Business Strategy, Access, Quality Assurance, HTML, Team Leadership
Education
University of Minnesota-Twin Cities 1981 — 1983
Bachelor of Science
Jordan High School
John C. Roseman Jr., DPM August 2013 - November 2014
Ultimate Medical Academy Student April 2012 - May 2013
Marquis Mobility and Healthcare September 2010 - February 2011
American Medical Response January 1995 - January 2010
STERLING INC January 1993 - August 1995
AETNA HEALTH PLANS January 1992 - January 1993
Skills
Customer Service, Microsoft Excel, Accounts Receivable, Microsoft Office, Microsoft Word, Outlook, Healthcare, Sales, PowerPoint, Negotiation, Process Improvement, Accounts Payable, Medical Devices, Account Management, Medical Terminology, Medical Billing, HIPAA, ICD-9-CM, ICD-9, HCPCS
Education
UMA online classes 2012 — 2012
associates degree Medical billing and coding, Medical billing and coding, 3.0
Stark State College of Technology 2011 — 2012
Ellet High School 1982 — 1985
High School diploma, Marketing and Distributive Education
Ellet High School 1982 — 1985
Marketing and Distributive Education, Marketing and Distributive Education
Chicago Regional Council of Carpenters Benefit Funds February 2013 - Present
Mercer October 2004 - February 2013
ADP January 2001 - January 2003
ADP January 1999 - January 2001
ADP January 1997 - January 1999
B.L.U. Benefits August 1996 - January 1997
Aetna Health Plans January 1992 - January 1993
Aetna January 1992 - January 1993
EAGLE INDUSTRIES January 1990 - January 1992
ARTHUR ANDERSEN & CO January 1986 - January 1990
Skills
Employee Data Management, Employee Benefits, Benefits Administration, Benefits Vendor..., Benefits Design, Project Management, Plan Design, Benefits, Health, Insurance, Open Enrollment, Offshore Outsourcing, H&W Communications, Defined Benefit, Software Documentation, Business Planning, Databases, Management, Program Management, Deferred Compensation, Leadership
Education
University of Illinois at Urbana-Champaign 1995 — 1996
Bachelor of Arts, Cultural Anthropology
University of Illinois at Urbana-Champaign
B.A, Anthropology
Prattford98 LLC December 2009 - Present
Cigna April 2005 - April 2009
Definity Health July 2000 - April 2005
Aetna Health Plans June 1969 - June 2000
Aetna 1969 - 2000
Skills
Recruiting, Sales, Employee Benefits, Sales Management, Managed Care, Strategy, Strategic Planning, Insurance, Leadership, Account Management, Selling, Training, Coaching, Process Improvement, Team Building, Healthcare, Health Insurance
Education
The University of North Dakota 1965 — 1969
BA, Economics
cavalier high school
cavalier high school
Sutton Frost Cary LLP August 2001 - Present
Aetna Health Plans January 1989 - January 1998
Skills
CPA, Corporate Tax, General Ledger, Accounting, Tax Advisory, Tax Accounting, Tax, Financial Accounting, Tax Returns, Income Tax, Partnership Taxation, Tax Preparation, Financial Reporting, Auditing
Education
The University of Texas at Arlington 1983 — 1985
Reicher Catholic High School
Impresa Inc. December 2012 - Present
Arbitron, Inc. April 1989 - September 2010
Aetna Health Plans January 1995 - February 1996
Skills
Customer Insight, Marketing Research, Advertising Research, Data Analysis, Strategic Planning, Marketing Strategy, Quantitative Research, Salesforce.com, Project Management, Competitive Analysis, Process Improvement, Qualitative Research, Account Management, Program Management, Development & delivery..., Analytics, Marketing Communications
Education
University of Maryland University College
Bachelor's degree, Communications w/marketing concentration
Stein Mart August 2010 - Present
Winn Dixie Stores May 2006 - July 2010
Winn Dixie Stores March 2002 - May 2006
Winn Dixie Stores October 2001 - March 2002
Aetna Health Plans June 1996 - October 2001
Education
University of North Florida 1992 — 1996
Bachelor of Business Administration, Accounting
AbbVie January 2013 - Present
Abbott February 2010 - December 2012
Solvay Pharmaceuticals April 1999 - February 2010
Guardian Life Insurance November 1998 - March 1999
Aetna Health Plans May 1997 - October 1998
Enterprise Rent-A-Car 1992 - 1997
Skills
Pharmaceutical Sales, Urology, Endocrinology, Cardiology, Oncology, Primary Care Physicians, HIV, Hypertension, Neurology, Sales Force Development, Hospital Sales, Pharmaceutical Industry, Gastroenterology, Rheumatology, Managed Care, Pulmonology
Education
Tennessee Technological University 1988 — 1992
BS, Business Management
Cigna February 2014 - Present
Cigna December 2011 - February 2014
Cigna November 2010 - November 2011
UnitedHealth Group November 2009 - October 2010
The Hartford October 2008 - March 2009
UnitedHealthcare 2008 - 2008
UnitedHealthcare 2001 - 2007
CIGNA 2000 - 2001
AMS Services, Inc 1997 - 2000
Aetna Health Plans 1993 - 1997
Skills
Business Analysis, Process Improvement, Business Requirements, Mentoring, Team Leadership, Problem Solving, Coaching, Business Process, Requirements Gathering, SDLC, Visio, Systems Analysis, MS Project, Project Planning, Resource Management, Healthcare, Data Modeling, SharePoint, Documentation, Metrics, Vendor Relations, Analysis, Software Documentation, Management, Leadership
Education
Requirements and Solution Analysis 2010 — 2010
Level 2 Certification, Business systems requirements and Agile Inspection
Best Practices for Optimizing the Requirements Process 2009 — 2009
Requirements Process
Cracking the Code on Requirements Definition 2009 — 2009
Requirements Definition
United Leadership Academy 2007 — 2007
Internal Education, UnitedHealthcare
Six Sigma Green Belt Trained 2006 — 2006
Green Belt Trained, Internal Education, UnitedHealthcare
Project Management 2001 — 2001
Certificate, Systemation
Southern Connecticut State University 1971 — 1974
BS, Secondary Education: English; Psychology Minor
Wagner College 1969 — 1971
Caliber Home Loans June 2015 - Present
GE Capital January 2015 - Present
Hewlett-Packard March 2013 - October 2013
Targetbase August 2012 - December 2012
BenefitMall January 2009 - June 2009
LifeSynch/Humana January 2009 - February 2009
Nurtur Health, Inc. January 2007 - November 2008
Fannie Mae Foundation 2006 - 2007
Tricenturion January 2004 - June 2006
Aetna Health Plans August 1999 - January 2003
Skills
Data Warehousing, PL/SQL, Analysis, SQL, Data Analysis, Healthcare, SAS, Project Management, Unix, Database Design, Microsoft Excel, Microsoft SQL Server, Medicaid, Medicare, Statistics, Business Intelligence, Business Analysis, Access
Education
Texas A&M University 1990 — 1994
The University of Texas at Arlington 1982 — 1985
Bachelor of Science (B.S.), Economics
CIGNA Healthcare November 2008 - Present
CIGNA Healthcare March 2006 - October 2008
Aetna Health Plans August 1999 - February 2006
Prudential Healthcare October 1997 - July 1999
Skills
Health Insurance, Managed Care, Insurance, Employee Benefits, Medicare, Healthcare, Health Savings Accounts, Underwriting, Disability Insurance, Strategic Planning, Leadership, Process Improvement, Disease Management, National Accounts, Benefits Administration, HIPAA, Account Management, Brokers, Team Building, Claim, Management
Education
Texas Tech University
Marketing and Communications
OptumHealth December 2011 - Present
ikaSystems July 2011 - December 2011
OptumHealth January 2008 - July 2011
Ingenix 2006 - 2008
United Healthcare 2005 - 2006
Ajilon 2005 - 2005
Best Buy March 1998 - October 2002
United Healthcare November 1995 - March 1998
Aetna Health Plans 1993 - 1995
CIGNA Behavioral Health 1991 - 1993
Skills
System Development, Vendor Management, Retail, Leadership, Management, Project Management, Enterprise Software, Team Management, Marketing, Budgets, Healthcare, Cross-functional Team..., Business Analysis, Process Improvement, CRM, Strategy, Program Management
Education
University of Minnesota - Carlson School of Management 1988 — 1990
MBA
University of Minnesota - Carlson School of Management 1984 — 1988
BS
Polysciences, Inc. April 2015 - Present
Polysciences, Inc. February 2011 - April 2015
Aetna Health Plans September 2010 - February 2011
Noral Group International May 2009 - August 2009
Skills
Marketing Communications, Google Adwords, Email Marketing, Web Content Optimization, Market Research, Social Media Marketing, Marketing, Advertising, FileMaker, Adobe Indesign, HTML scripting, Search Engine Ranking, Google Analytics, Event Planning, InDesign, Public Relations, Microsoft Excel, SEO, Marketing Strategy
Education
Towson University 2006 — 2010
Bachelor’s Degree, Mass Communications & Political Science; Concentration: Advertising
le Club de la Retraite June 2015 - Present
Express Scripts November 2012 - June 2015
Ernst & Young October 2010 - October 2012
UnitedHealth Group October 2009 - July 2010
Deloitte Consulting August 2007 - March 2009
Accenture June 2005 - August 2007
Capgemini Ernst & Young June 2000 - June 2005
HCSC/BCBSTX 1994 - 2000
Heritage Southwest 1993 - 1994
Aetna Health Plans 1989 - 1992
Skills
Management Consulting, Managed Care, Strategy, Project Management, Process Improvement, Change Management, Healthcare, Medicare, Requirements Analysis, Acquisition Integration, Strategic Planning, Start-ups, Performance Improvement, Integration, Training, Business Process..., Customer Service, PMO, Pharmacy Benefit..., Enrollment Management, Product Development, Requirements Gathering, Capitation, Medicaid Managed Care, Claim, Claims, Marketing Communications, Training Program..., Systems Configuration, Research, Pattern Recognition, Solution Design, Organizing, Tactical Planning, Process Mapping, Health Plan Operations, Regulatory Compliance, TRICARE, Medicare Advantage, Operating Model Design, Benchmarking, Reengineering, Operational Audit, Business Readiness, Contract Administration, Root Cause Analysis, Pega PRPC, Private Exchanges, Medicare Agent...
Education
University of North Texas
M.S., Information Science
University of Minnesota-Twin Cities
B.A., Anthropology
HCSC dba Blue Cross Blue Shield of Texas 2013 - Present
HCSC dba Blue Cross Blue Shield of Texas 2012 - 2013
HCSC dba Blue Cross Blue Shield of Texas 2011 - 2012
HCSC dba Blue Cross Blue Shield of Texas 2000 - 2011
Blue Cross Blue Shield of Texas 1998 - 1999
Blue Cross Blue Shield of Texas 1992 - 1998
Aetna Health Plans 1989 - 1992
Consumer Health Services 1987 - 1989
The Richards Group 1986 - 1987
Skills
Management, Process Improvement, Product Management, Marketing, Business Analysis, Strategic Planning, Sales, Strategy, Cross-functional Team..., Analysis, Vendor Management, Program Management, Project Management, Leadership, Health Insurance
Education
The University of Texas at Austin - Graduate School, The Red McCombs School of Business
M.B.A., Marketing Administration
The University of Texas at Austin - The Red McCombs School of Business
B.B.A., International Business
The University of Texas at Austin College of Liberal Arts
B.A., French Literature
Aetna August 2011 - Present
Aetna Health Plans January 2005 - August 2011
Education
University of Connecticut 1989 — 1991
BA, Political Science
Skip's Voice September 2010 - Present
GPOD AUDIO PRODUCTION May 2001 - Present
The McIntrye Company April 1997 - May 2000
Aetna Health Plans 1995 - 1997
Interlink Medical Systems March 1990 - August 1995
Community Mutual Blue Cross and Blue Shield March 1985 - October 1989
Skills
Commercials, Sound, Television, Voice Over, Voice Acting, Radio, Audio Editing, Film, Acting, Entertainment, Video Editing, Video, Film Production, Audio Engineering, Screenwriting, Sound Design, Singing, Video Production, Broadcast, Comedy, Radio Producing, Radio Broadcasting, Recording, Documentaries, Music, Audio Books, Theatre, Post Production, Producing, Radio Host, Pro Tools, Directing, Radio Advertising, Media Production, Podcasting, Multimedia, Adobe Audition, Audio Post Production, Web Video, New Media
Education
The Ohio State University 1968 — 1973
BS, Marketing Communications
Women Presidents Educational Organization March 2011 - Present
Frenkel Benefits LLC April 2006 - February 2010
Aetna Health Plans May 1998 - April 2006
Vytra Health Plans May 1994 - April 1998
Allstate July 1980 - March 1994
Education
State University of New York College at Potsdam
BA, Mathematics & Education k-12
Sanford Rose Associates 2001 - Present
Talent Zoo January 1997 - December 2001
Aetna Health Plans December 1991 - May 1997
Fristoe & Carleton September 1995 - January 1997
Skills
Talent Acquisition, Executive Search, Power Plants, Applicant Tracking..., Nuclear, Finance, Engineering, Technical Recruiting, Sourcing, Recruiting, College Recruiting, Internet Recruiting, Contract Recruitment, Process Improvement, Talent Management, Onboarding, Leadership, Energy, Interviews, Staffing Services, Temporary Placement, Benefits Negotiation, Human Resources, Training, Screening, Team Building, Operations Management, Employee Relations, Succession Planning, Screening Resumes, HRIS, Resume Writing, HR Consulting, Hiring, Personnel Management
Education
The University of Akron
Anthem, Inc. May 2012 - Present
Independent June 2014 - September 2014
Amerigroup Washington, Inc. May 2012 - May 2014
CIGNA Healthcare April 2010 - May 2012
Premera Blue Cross 2006 - April 2010
Regence Blue Shield December 2002 - February 2006
Aetna Health Plans September 1999 - December 2002
SOS International October 1997 - June 1999
QualMed Washington Health Plan - Bellevue WA February 1994 - February 1997
Providence Health Plans in Washington 1990 - 1993
Skills
Managed Care, Provider Relations, Medicare, Medicaid, Healthcare, Health Insurance, Utilization Management, PPO, Health Policy, Healthcare Industry, Network Development, Physicians, Leadership, Hospitals, HMO, Customer Service, Insurance, Contract Negotiation, Program Management, HIPAA, Strategic Planning, Cross-functional Team..., Management, Government Healthcare, TRICARE, Veterans Healthcare, Accountablle Care..., Patient Centered..., Evidence Based Design
Education
Seattle University
Bachelor of Science (BSc)
Seattle University
State Firefighters' and Fire Marshals' Association January 2007 - Present
Travis County ESD #6/Lake Travis Fire and Rescue August 1999 - July 2006
Aetna Health Plans June 1993 - December 1995
City of Dalworthington Gardens February 1992 - June 1993
Skills
Budgets, Public Relations, Customer Service, Microsoft Office, iMIS, Fire Safety, Training, Supervisory Skills, Operations Management, Policy, Account Management, Sales, Leadership, Public Safety, Microsoft Excel, Government, Fire Protection, Administration, Sales Management, Leadership Development, Management, Team Leadership, Microsoft Word, Organizational..., Process Improvement, New Product Ideas, Conventions and Trade..., Informz Email Marketinig, Marketing Strategy, Business Strategy, Selling
Education
FEMA Emergency Management Institute 2006 — 2006
Certificate of Completion
TEEX DHS WMD Campus 2006 — 2006
Certificate of Completion
State Fire Marshal’s Office 2004 — 2006
Certificate of Completion
Travis County ESD #6/Lake Travis Fire Rescue 2005 — 2005
Certificate of Completion
Austin College, Sherman, TX 1990 — 1992
BA, Business Administration
The University of Texas at Arlington 1988 — 1989
Psychology
Self employed January 2015 - Present
Correctional Health Partners February 2010 - December 2014
Physician Health Partners September 2002 - January 2010
Aetna Health Plans October 1999 - September 2002
Exempla Healthcare May 1995 - August 1999
Skills
Lean Transformation, Correctional Medicine, Nursing, Healthcare Management, Disease Management, Quality Management, Certified Correctional..., Quality Improvement, Cross-functional Team..., Case Management, Case Managment, Corrections, Team Leadership, Employee Management, Utilization Management, Healthcare executive, Healthcare, Clinical Research, Managed Care, Healthcare Information..., Leadership, Medicare, Hospitals, Medicaid, HIPAA
Education
University of Phoenix 1994 — 1997
BSN, Nursing
St. Petersburg College 1980 — 1982
ADN, Nursing
Mutual of Omaha February 2014 - Present
DICK'S Sporting Goods 2014 - Present
Mutual of Omaha February 2010 - February 2014
LabCorp January 2008 - October 2009
Town North Bank March 2001 - July 2004
Family HealthCare Center 2000 - 2001
Aetna Health Plans September 1996 - May 2000
Skills
Insurance, Call Center, Customer Service, Software Documentation, Employee Benefits, Microsoft Excel, Team Building, PowerPoint, Claim, Sales, Recruiting, Employee Relations, Underwriting, Call Centers, Management, Sales Management, Analysis, Disability Insurance, Health Insurance, Training, Process Improvement
Education
Bellevue University 2015 — 2016
Master's degree, Organizational Performance
Bellevue University 2012 — 2014
Bachelor of Science (B.S.), Business Administration and Management, General
University of North Texas 1990 — 1994
Biochemistry
Babson College July 2014 - Present
American University January 2006 - June 2014
American University March 2001 - December 2005
Professional Resource Services, Inc. June 1998 - March 2001
University of Michigan August 1996 - May 1998
Aetna Health Plans June 1992 - August 1996
Education
University of Pennsylvania
Doctor of Education (Ed.D.)
University of Michigan
Master of Arts (MA)
The University of Connecticut 1988 — 1992
Bachelor of Science (BS)
Vann Enrollment Services August 2014 - Present
Vann Enrollment Services November 2012 - Present
Humana March 2011 - July 2012
Coventry Health Care of Georgia June 2008 - March 2011
Amerigroup Community Care June 2006 - June 2008
NHC Healthcare of November 2004 - June 2006
Aetna, Inc April 2004 - August 2004
Aetna, Inc August 2003 - April 2004
Aetna-US Healthcare March 1996 - October 2002
Aetna Health Plans January 1993 - January 1996
Skills
Medicare, Medicaid, Pharmacy Benefit..., Claim, HIPAA, Healthcare Consulting, Health Insurance, Ancillary Benefits, Sales&Marketing, Enrollment Services, Healthcare Management, Provider Relations, HMO, Employee Benefits, Disability Insurance, Health Savings Accounts, Brokers, PPO, Underwriting, Group Medical, Commercial Insurance, Sales
Education
University of Georgia - Terry College of Business 1973 — 1976
BBA, Marketing
University of Mississippi 1972 — 1973
OnLegacy September 2015 - Present
iGrow Network June 2015 - Present
Opportunity Launch June 2015 - Present
AKDHC January 2012 - Present
Cigna Onsite September 2011 - December 2011
UnitedHealthcare January 2009 - July 2011
Aetna Health Plans February 2004 - January 2009
Health Choice Arizona August 2003 - February 2004
QMed Inc August 2002 - August 2003
Healthways June 2001 - October 2002
Skills
Microsoft Office, Disease Management, Case Management, Managed Care, Health, Healthcare, Medicaid, Care Management, Nursing, Health Insurance, Wellness, Pediatrics, Medicare, Case Managment, Team Building, Social Media, Customer Service, Public Speaking, Leadership, Social Media Marketing, Management, Marketing, Social Networking
Education
Thomas Jefferson University 1972 — 1973
Diploma, Practical Nursing
Northeast High 1969 — 1972
Diploma, Commercial-Acade
A&A Consulting Inc. 2005 - Present
Youngs Market Company February 2012 - March 2015
Salem Statesman Journal May 2006 - May 2012
UnitedHealthcare November 2006 - November 2007
Aetna Health Plans November 1994 - May 1996
Blue Cross and Blue Shield of Maryland March 1990 - June 1993
Skills
Sales, Brand Management..., Insurance, Event Planning, Time Management, Sales, Management, Strategic Planning, Purchasing, Team Building, Social Media, Wine, Strategy, Hospitality, Brand Development, Healthcare, Microsoft Excel, Advertising, Beer, Income Statement, Marketing Communications, Financial Analysis, Beverage Industry, Business Strategy, Promotions, Access, Food Pairing, Risk Management, Forecasting, Sales Management, Merchandising, Marketing Strategy, Wineries, Budgets, Pricing, Winemaking, Food & Beverage, Leadership, Customer Satisfaction, Product Development, Marketing, Inventory Management, Finance, Retail, Key Account Development, Wine Tasting, Brand Management, Account Management, Portfolio Management, Business Development, Social Media Marketing
Education
University of California, Los Angeles 2013 — 2015
Social Media and Web Analytics - Marketing, Social Media and Web Analytics
Westminster College 1994 — 1996
MBA, Healthcare Administraation
International Sommelier Guild
Certified Sommelier
Northwest Viticulture Center
Winemaking, Enology and Viticulture
University of Baltimore
B.S., Finance
Wells Fargo Business Payroll Services December 2012 - Present
Wells Fargo Business Payroll Services April 2010 - December 2012
Wells Fargo Business Payroll Services September 2005 - April 2010
ADP September 2004 - September 2005
ADP August 2000 - September 2004
ADP September 1998 - August 2000
ADP February 1998 - September 1998
ADP November 1996 - February 1998
Aetna Health Plans July 1995 - November 1996
Skills
Payroll, HRIS, Project Management, Product Management, Technical Leadership, Management, Enterprise Software, Customer Retention, Business Process..., Process Improvement, Training, Software Documentation, Change Management, Leadership, Account Management, Requirements Analysis, ERP, Integration, Customer Service, Budgets, Business Development, Banking, Strategic Planning, Team Leadership, Insurance, Call Centers
Education
University of Minnesota-Twin Cities 1991 — 1995
B.A, Speech-Communications
USAA June 1998 - Present
Aetna Health Plans 1995 - 1997
Skills
Subrogation, Investigation, Background Checks, Property Damage, Internal Investigations, Litigation Management, General Insurance, Claim Investigation, Criminal Investigations, Insurance Law, Underwriting, Risk Assessment, Claim
Education
Texas State University
Business
Kaiser Permanente October 2012 - Present
Kaiser Permanente June 2005 - September 2012
San Diego Association of Health Underwriters 2003 - 2011
Aetna Health Plans June 1998 - June 2005
Inland Empire Association of Health Underwriters 1998 - 2003
Skills
Non-profits, Marketing Communications, Health Insurance, Competitive Analysis, Underwriting, Strategic Planning, Leadership, Brokers, Sales Force Development, Territory Management
Education
University of California, Riverside 1994 — 1998
Qlik April 2015 - Present
Shire Pharmaceuticals March 2013 - December 2013
ePharmaSolutions July 2012 - March 2013
Pfizer October 2009 - October 2011
Wyeth Pharmaceuticals January 2005 - October 2009
Wyeth Pharmaceuticals May 2001 - December 2004
Wyeth Pharmaceuticals April 1997 - April 2001
Aetna Health Plans October 1995 - April 1997
Skills
R&D, Information Management, Pharmaceuticals, GxP, Change Control, Document Management, Documentum, Cross-functional Team..., SDLC, Business Analysis, Vendor Management, Project Management, Pharmaceutical Industry, Requirements Analysis, Software Documentation, Strategic Planning, Business Process, Strategy, IT Strategy, Visio, Integration, Requirements Gathering, Enterprise Architecture, Data Center, Management, GMP, Leadership, Software Development
Education
Saint Joseph's University 1990 — 1999
BS, Management Information systems
Atlas Roofing Corporation February 2013 - Present
Aquilex Corporation August 2011 - March 2012
Rollins Inc. June 2010 - August 2011
Kimberly-Clark September 2005 - February 2009
General Electric December 1998 - September 2005
Travelers January 1997 - December 1998
Aetna Health Plans February 1996 - January 1997
Prudential Health Care System September 1993 - January 1996
Aetna Health Plans August 1989 - September 1993
CIGNA Healthcare February 1987 - August 1989
Skills
Talent Management, Succession Planning, Human Resources, Personnel Management, Strategic Planning, Leadership, Talent Acquisition, Strategy, Mergers, Performance Management, Employee Engagement, Deferred Compensation, Employee Relations, Program Management, Organizational..., Labor Relations, Organizational Design, HR Consulting, Organizational..., Coaching, Recruiting, HR Policies, Team Building, Employee Benefits, Onboarding, HRIS, Business Strategy, Executive Coaching, Acquisition Integration, Applicant Tracking..., Management Consulting, Employee Training, Compensation & Benefit, Policy, Interviews, Executive Pay, Workforce Planning, Career Development, Process Improvement, Temporary Placement, Employment Law, Leadership Development, Sourcing, Executive Search, Technical Recruiting, Training, Job Evaluation, Employer Branding, Benefits Administration, HR Transformation
Education
University of Connecticut 1978 — 1982
BA, Economics
Walgreens August 2012 - Present
Palatine Park District August 2011 - Present
Palatine Park District January 2010 - Present
ADP August 2004 - September 2012
Village of Hoffman Estates June 2010 - October 2010
Village of Hoffman Estates July 2009 - September 2009
Focal Communications 2000 - 2003
CGI August 1998 - July 2000
Walgreens March 1996 - August 1998
Aetna Health Plans August 1995 - March 1996
Skills
Football, Training, Project Management, Coaching, Business Analysis, Human Resources, Leadership, Process Improvement, Program Management, SDLC, Vendor Management
Education
University of Illinois at Chicago 1990 — 1995
ba, communications
Lemont Township HS
University of Illinois at Chicago
Nationwide Childrens Hospital Director, Utilization ManagementMolina Healthcare of Ohio2005 - 2007
Aetna Health Plans 2000 - 2004
Prudential Healthcare 1994 - 2000
Education
University of Michigan 1973 — 1976
BSN, Nursing
21st Century Oncology 2007 - Present
Advance Design Interactive January 2000 - November 2006
JeffCARE, Inc. September 1997 - December 1999
HIP of Pennsylvania July 1995 - September 1997
Aetna Health Plans August 1994 - July 1995
Travelers Insurance Company / Managed Care Consultants January 1987 - June 1994
Skills
Managed Care, Physicians, Hospitals, Provider Relations, Healthcare
Education
The George Washington University 1983 — 1985
Masters Of Health Services Administration
University of Pittsburgh 1974 — 1978
BA
San Diego County Office of Education August 2013 - Present
San Diego Unified January 2002 - August 2013
Aetna Health Plans 1998 - 2001
Prudential Healthcare 1998 - 1999
Skills
Microsoft Office, Word, Excel, OneNote, Outlook, Pages, Keynote, PowerPoint, Training & Development, Instructional Design, Classroom Instruction, Differentiated..., Universal Design, Training Delivery, Teacher Training, Language Teaching, Web 2.0, Performance Analysis, Web Design, Instructional Technology, Employee Training, Classroom, Educational Technology
Education
San Diego State University 2009 — 2011
Master's degree, Educational/Instructional Technology
University of California, Santa Cruz 1993 — 1997
BA, Language Studies
Gloria Nilson & Co. Real Estate June 2014 - Present
CBIZ EAO February 2014 - Present
Sotheby's Intl. Realty - Ward Wight August 2008 - June 2014
Coldwell Banker Residential Brokerage November 2002 - August 2008
Aetna Health Plans March 1998 - April 2001
Mathew Thornton Heath Plan (BCBS) July 1996 - January 1998
Prudential Healthcare June 1992 - July 1996
Prudential Healthcare November 1987 - June 1992
Webcraft Printing & Tech June 1984 - September 1987
Skills
Negotiation, Marketing, New Home Sales, Real Estate, Selling, Investment Properties, Residential Homes, Waterfront, Vacation Homes, Buyers, New Homes, Referrals, Real Estate Transactions, Property, Investors, Seller Representation, Real Property
Education
The College of New Jersey 1980 — 1984
Bachelor, Business, Marketing
CareCore National 2012 - 2014
Tufts Health Plan 2008 - 2012
Tufts Health Plan 2006 - 2008
Tufts Health Plan 1997 - 2006
Aetna Health Plans 1993 - 1997
Skills
Managed Care, Healthcare, Healthcare Management, Medicare, Health Insurance, Vendor Management, Contract Negotiation, Contract Management, Program Management, Pharmacy, Strategic Planning, Leadership, Management, Strategy, Analysis, Hospitals, Project Management, Budgets, Performance Management, Employee Benefits, Training, Healthcare Information..., Team Leadership, Process Improvement, HIPAA, Healthcare Consulting, Healthcare Industry, Data Analysis, Informatics, Insurance, Cross-functional Team..., Team Building
Education
Tufts University
Bachelor of Science (BS), Psychology, Premedical Studies
Harvard University Extension School
Graduate Certificate in Applied Science, Computer Science
State of New Jersey Assistant Division DirectorState of NJ Department of Health and Human Services2004 - Present
Aetna Health Plans April 1990 - November 1996
CIGNA Healthcare April 1985 - April 1990
Education
University of Pennsylvania - The Wharton School 1973 — 1981
Glassman & Associates January 2014 - Present
Metro Plus Health Plan June 2008 - December 2013
Adaptis Inc. January 2005 - April 2008
Saint Vincent Catholic Medical Centers 2000 - 2005
ST VINCENT CATHOLIC MEDICAL CENTERS 2000 - 2004
George Washington University 1998 - 2000
Amerihealth Insurance Plans 1995 - 2000
AmeriHealth Insurance Co of NJ 1995 - 1997
Empire BCBS 1993 - 1995
Aetna Health Plans 1990 - 1993
Skills
Medicare, Healthcare Information..., Managed Care, Healthcare, EHR, Team Building, Hospitals, Clinical Research, Disease Management, Strategic Planning, Medicaid, Employee Benefits, Change Management, Home Care, Leadership, Healthcare Industry, Healthcare Consulting, Healthcare Management, Revenue Cycle, Informatics, Insurance, Health Insurance, Process Improvement, Provider Relations, Medical Billing, Health Policy, Utilization Management, EMR, Quality Improvement, HIPAA, Program Management, Customer Service, Physician Relations, Policy, Patient Safety, Medicine, HMO, Credentialing, Physicians, Medical Compliance, Revenue Cycle Management, Network Development, Long-term Care, Practice Management, Performance Improvement, Nursing, Business Development, Case Management, Public Health, HL7
Education
The George Washington University - School of Business
MBA, Health Care Administration
New York University - Leonard N. Stern School of Business
BS, Management & Finance
NottLimited, LLC October 2004 - Present
SolutionsIQ February 1996 - March 2008
Aetna Health Plans June 1993 - February 1996
EDS 1990 - 1993
Education
University of Delaware
Cigna March 2014 - Present
CIGNA HealthCare August 2002 - Present
Aetna Health Plans September 1999 - December 2000
Prudential Healthcare July 1994 - August 1999
Skills
Managed Care, Health Insurance, Provider Relations, Network Development, Physician Relations, Medicare, PPO, Healthcare Industry, Healthcare Consulting, Insurance
Education
Stanford University
Bachelor of Arts (B.A.)
UnitedHealth Group December 2004 - Present
Definity Health December 2000 - December 2004
Aetna Health Plans March 1996 - January 2000
J&H 1993 - 1996
Skills
Health Insurance, Strategic Planning, Managed Care, Employee Benefits, Insurance, Healthcare, Leadership, Process Improvement, Strategy
Education
University of Pittsburgh
Bachelor's Degree, Economics, Business and Accounting
Health Plan Systems Inc. January 1988 - Present
New York Medical Management Inc. January 1990 - Present
Atlantic Medical Associates IPA 2005 - 2013
Medical Club of Brooklyn 2003 - 2005
Aetna Health Plans July 1987 - June 1998
The Brooklyn Hospital Center May 1994 - August 1996
Brooklyn Physicians IPA 1986 - 1995
Long Island College Hospital July 1985 - June 1987
Skills
Medical Review, Healthcare Consulting, Healthcare, Healthcare Information..., Healthcare Management, Informatics, Hospitals, EMR, EHR, HIPAA, Medicine, Health Insurance, Physicians, Clinical Research, Healthcare Industry, Health Policy, Medicare, Medical Coding, Insurance, Management, Executive Management, Revenue Cycle, Policy, Strategic Planning, Leadership, Medical Billing, Team Building, Practice Management, Program Management, Business Planning, Process Improvement, Medicaid, Public Health, Orthopedic, Surgery, Start-ups, Health Information..., Consulting, Employee Benefits, Mergers & Acquisitions, Management Consulting, Strategy
Education
Wagner College 1994 — 1996
MBA
University of Madras 1960 — 1966
M.D., Medicine
IDentity Theft 911 August 2013 - Present
Chesapeake Insurance Advisors, Inc. January 2012 - August 2013
PPI Solutions 2004 - 2012
BenefitPort MidAtlantic 1999 - 2002
Association Plan Concepts, Inc. 1996 - 1999
Aetna Health Plans 1991 - 1996
Medigroup HMO, a subsidiary of Blue Cross Blue Shield of NJ 1985 - 1991
Education
University of Maryland Baltimore County 1978 — 1982
B.A., Health Science Policy
Gov. Thomas Johnson HS 1974 — 1978
EGAL Corp. August 2012 - Present
Advanced Medical Systems, Inc 1980 - Present
HealthNet May 2009 - August 2012
Aetna Health Plans 2007 - 2009
PacifiCare of Colorado 2000 - 2003
Education
1957 — 1962
US Oncology (a subsidiary of McKesson Corp.) April 2001 - Present
Aetna Health Plans July 1999 - April 2001
Jenkens & Gilchrist August 1993 - July 1999
Skills
Joint Ventures, Health Law, Healthcare, Managed Care, Medicaid, HIPAA, Oncology, Medicare, Medical Compliance, Hospitals
Education
Southern Methodist University Dedman School of Law 1990 — 1993
JD, Law
Texas Tech University 1980 — 1983
BS, International Trade
Annese Piazza & Associates Employee Benefit Specialists 2001 - Present
Aetna Health Plans 1994 - 2001
Aetna Inc. 1994 - 2001
Skills
Leadership Development, Small Business, Disability Insurance, Public Speaking, Strategic Planning
Education
University of Port Elizabeth 1986 — 1987
HDE, Education
University of the Western Cape/Universiteit van Wes-Kaapland 1983 — 1987
Bachelor of Arts, Psychology, English
CIT July 2013 - Present
District of Columbia Human Resources February 2013 - June 2013
Perkins Williamson Associates January 2011 - February 2013
Marriott International September 2009 - December 2010
Marriott International September 2008 - August 2009
Marriott International October 2007 - September 2008
Bowne & Co. Inc 2004 - 2007
Citigroup 2000 - 2004
Aetna Health Plans 1994 - 1996
Skills
Management, Onboarding, Leadership, Personnel Management, Succession Planning, Recruiting, Employee Relations, Human Resources, Project Management, Strategy, Program Management, Mergers & Acquisitions, Team Building, Employee Engagement, Performance Management, Employee Training, Talent Management, Labor Relations, Leadership Development, Organizational Design, Employee Benefits, Training, Deferred Compensation, Talent Acquisition, Change Management, Organizational..., Workforce Planning, Process Improvement, HRIS, Strategic Planning, HR Policies, Organizational..., Benefits Administration, Consulting, Coaching, Strategic HR
Education
University of Michigan - Stephen M. Ross School of Business 1989 — 1991
MBA, Organizational Behavior and Human Resources Management
University of Southern California 1983 — 1985
B.S., Public Administration
CIGNA Healthcare December 2013 - Present
CIGNA 2002 - December 2013
Great-West Healthcare May 2003 - June 2008
Aetna Health Plans April 1990 - December 2001
Skills
Microsoft Access, Relational Databases, Quality Management, Analysis, Quality Improvement, Data Analysis, Process Improvement, Access, SQL
Education
University of Arizona 1974 — 1981
MA, Russian
Rust Insurance Agency, LLC November 1994 - Present
Aetna Health Plans June 1986 - November 1994
Education
Strome College of Business 1983 — 1986
Business Management, Marketing/Business
Grand Rounds, Inc. 2015 - 2015
Buck Consultants at Xerox 2014 - 2015
Buck Consultants at Xerox 2014 - 2015
Buck Consultants at Xerox 2014 - 2015
Paychex Insurance Agency November 2011 - September 2014
Aetna February 2010 - September 2011
Aetna Global Benefits June 2002 - February 2010
Aetna Health Plans June 2002 - February 2010
Skills
Vendor Management, Insurance, New Business Development, Sales, Account Management, Product Development, Health Insurance, Management, Leadership, Marketing Strategy, Healthcare, Employee Benefits, Customer Satisfaction, Human Resources, Strategy, Sales Management, Business Development, Selling, Team Building
Education
The University of Memphis 1984 — 1989
Marketing, Business
Enrichment Financial Coaching February 2001 - Present
Enrichment Financial Coaching February 2001 - Present
WellPoint/HMC January 2010 - June 2013
Diva Zone Magazine 2008 - July 2010
Aetna Health Plans November 2008 - December 2009
North Fulton Regional Hospital April 2002 - April 2008
Southshore Hospital February 1994 - July 2000
Skills
Insurance, Strategic Financial..., Strategy, Training, Investments, Coaching, Finance, Leadership, Management, Budgets, Program Management, Managerial Finance, Portfolio Management, Mutual Funds, Small Business, Estate Planning
Education
Western New England University 1983 — 1985
MBA, Management & Finance
University of Massachusetts, Amherst 1971 — 1975
BSN, Nursing
Holmes Murphy & Associates February 2014 - Present
Cigna November 2008 - February 2014
RedBrick Health July 2007 - October 2008
Aetna July 2005 - May 2007
Aetna October 2000 - July 2005
Aetna US Healthcare 1997 - 2000
Aetna Health Plans June 1992 - October 1997
Aetna Life & Casualty June 1990 - June 1992
Skills
Health Insurance, Account Management, Managed Care, Process Improvement, Insurance, Strategic Planning, Team Building, Vendor Management, Employee Benefits, Contract Negotiation, Customer Service, Sales, Leadership, Healthcare
Education
Texas Christian University 1986 — 1989
Bachelor of Science (BS), Broadcast Journalism
Free agent September 2014 - Present
Humana October 2008 - September 2014
KPMG July 2007 - September 2008
ConnectiCare June 1999 - March 2007
Oxford Health Plans March 1994 - June 1999
Aetna Health Plans January 1990 - March 1994
Blue Cross & Blue Shield of Connecticut July 1987 - January 1990
Travelers Insurance June 1984 - July 1987
Skills
Actuarial Science, Insurance, Health Insurance, Medicare, Employee Benefits, Reinsurance, Managed Care, Underwriting, Risk Management, Data Analysis, Process Improvement, Management, Healthcare, Strategic Planning, Leadership, Analysis, Medicaid, Financial Analysis, Brokers, Claim
Education
The University of Connecticut School of Business 1989 — 1993
MBA, Health Systems Management
University of Connecticut 1982 — 1984
BA, Mathematics/Actuarial Science
Temple University 1980 — 1982
Actuarial Science
UnitedHealth Group August 2011 - Present
Emblem Healthcare April 2010 - August 2011
Health Net of the Northeast July 2004 - April 2010
Health Net 2004 - April 2010
Aetna Health Plans February 1992 - July 2004
Aetna 1992 - 2004
US Healthcare 1992 - 2004
Education
University of Missouri-Columbia 1967 — 1972
Bachelor of Arts, History
APS Healthcare DirectorBlue Cross and Blue Shield1998 - 2005
Aetna Health Plans 1993 - 1998
The Hartford Insurance Group 1990 - 1993
Education
Seton Hall University
MBA
Cigna 2010 - Present
Aetna Health Plans May 2009 - June 2010
IBM January 2000 - April 2009
FlexiInternational Software 1998 - 2000
Analytica of Branford 1994 - 1998
Independent Consulting 1993 - 1994
Fingermatrix 1988 - 1992
Datac Computer Systems 1986 - 1986
Skills
Enterprise Architecture, Integration, Business Intelligence, SOA, Architecture, Solution Architecture, SaaS, Business Process, Application Architecture, DB2, IT Strategy, Web Applications, SDLC, Cloud Computing, Agile Methodologies, Data Warehousing, Requirements Analysis, EAI, IT Management, Software Project..., Enterprise Software, Software Development, Web Services, Java Enterprise Edition, Agile Project Management, System Architecture, Architectures, Oracle, Data Modeling
Education
University of Bridgeport
Master of Science (MSc), Computer Science, 4.0
University of Limerick 1984 — 1988
B.Eng, Electronic Engineering, Upper Honours
Engility Corporation August 2015 - Present
Ceridian March 2011 - Present
Ceridian March 2009 - March 2011
Mantucket Capital January 2007 - June 2008
Bridgehealth 2007 - 2008
Cox Communications May 2003 - May 2006
Aetna Health Plans January 2002 - March 2006
Insite Events August 2002 - August 2004
Island View RTC/Oakley School May 1996 - December 2002
Skills
Strategic Planning, Healthcare, Contract Negotiation, Business Development, Leadership, Team Building, Management, Microsoft Office, Public Speaking, Psychology, Business Planning, Coaching, Leadership Development, Training, Marketing, Organizational..., Program Management, Strategy, Team Leadership
Education
University of Denver - Daniels College of Business 2006 — 2008
MBA, General
University of Denver - Sturm College of Law 2005 — 2008
Law, Law
University of Utah
MSW, Social Work
University of Utah
BA, Political Science
Aetna Health Plans January 2014 - May 2015
Health America February 2011 - December 2013
Blue Shield of California April 2008 - 2010
Health Net 1993 - 2008
Skills
Provider Relations, Case Managment, Hospitals, Medicare, Management, Managed Care, Utilization Management, Training, Healthcare, Health Policy, Disease Management, Healthcare Management, Claim, HIPAA, Healthcare Consulting, Medicaid, Health Insurance, HMO, Quality Improvement, Healthcare Information..., Healthcare Industry, HEDIS, Credentialing, Utilization Review, Physician Relations, NCQA, Revenue Cycle, Case Management
Education
University of Phoenix 2003 — 2005
MBA, Health Care Management
University of Phoenix
MBA, Health/Health Care Administration/Management
Northwestern Medicine October 2013 - Present
Presence Health August 2012 - October 2013
Surgical Care Affiliates July 2009 - August 2012
Centegra Health System April 1998 - May 2009
Centegra Health System January 1998 - January 2009
ASC Network Corporation September 1996 - March 1998
ASC NETWORK CORPORATION January 1996 - January 1998
AETNA HEALTH CARE January 1993 - January 1996
WYATT COMPANY January 1989 - January 1993
Aetna Health Plans 1989 - 1993
Skills
Managed Care, Network Development, Strategic Planning, Physician Relations, Provider Relations, Medicare, Healthcare Management, Revenue Cycle, Hospitals, Healthcare, Medicaid, Healthcare Industry, Health Insurance, Physicians, PPO, HMO, Workers Compensation, Medicaid Managed Care, Healthcare Consulting, Contract Negotiation, Health Policy
Education
University of Illinois at Chicago 1983 — 1985
MBA, Marketing & Finance
University of Illinois at Chicago 1979 — 1983
BS, Mgmt
Aetna Health Plans November 2007 - Present
Medical and Pharmaceutical Reserves March 1997 - Present
Education
Methodist Hospital School of Nursing 1981 — 1984
RN Diploma, Nursing
Texas Tech University 1981 — 1984
Aetna Health Plans
Skills
Provider Relations, Health Insurance, Managed Care, Network Development, Healthcare Consulting, Healthcare Management, Medicaid Managed Care, Healthcare, Medicare, Credentialing, HMO, Health Policy, Disease Management, Healthcare Industry, PPO, Medicaid, Provider Network...
Education
Syracuse University 1976 — 1980
BA
Aetna September 2012 - Present
Aetna Health Plans April 2006 - September 2012
Education
The College of New Jersey 1987 — 1991
B.S., Sports Administration
St. Joseph's University
Master's degree, Health/Health Care Administration/Management, 4.0
Florida Blue June 2012 - Present
MultiPlan June 2011 - June 2012
MultiPlan December 2009 - July 2011
CIGNA Healthcare April 2008 - January 2011
Great-West 2003 - April 2008
Aetna Health Plans June 1999 - August 2003
Aetna December 1996 - June 1999
Aetna June 1994 - December 1996
Kaiser Permanente June 1992 - June 1994
Scripps June 1985 - June 1992
Skills
Healthcare, Contract Negotiation, Hospitals, Network Development, Strategic Planning, Policy, Change Management, Negotiation, Process Improvement, Operations Management, Managed Care, Program Management, Budgeting
Education
University of San Diego 1981 — 1985
MBA, Finance
University of San Diego 1977 — 1981
BS, Economics
Humana 2006 - Present
Amerigroup Corporation 2002 - 2006
Aetna Health Plans 1999 - 2002
Prudential Insurance 1992 - 1999
Education
Landmark Education 2002 — 2010
University of Houston 1990 — 1992
Bachlor, Finance
Boca Raton Regional Hospital April 2014 - Present
Aetna Health Plans November 2004 - March 2014
Skills
Network Development, PPO, Managed Care, Medicaid, Medicare, Health Insurance, Pharmacy Benefit..., Medicare Part D, Health Policy, Disease Management, HIPAA, Provider Relations, Claim, Healthcare Consulting, Insurance, HMO, Medical Compliance, Healthcare Management, Healthcare, Healthcare Information...
Education
Syracuse University 1976 — 1980
HealthSpan (Formerly Kaiser Permanente) October 2013 - Present
Kaiser Permanente August 2011 - September 2013
The Gateway Group December 2010 - June 2011
Marymount Hospital October 1996 - December 2010
Cleveland Clinic/Marymount October 1996 - December 2010
Cleveland Clinic/Marymount October 1996 - December 2010
Aetna Health Plans 1995 - 1996
Mt. Sinai Medical Center 1988 - 1995
Mt. Sinai Health Care System 1981 - 1995
Mt. Sinai Medical Center Cleveland OH 1981 - 1988
Skills
Practice Management, Hospitals, Healthcare Management, Managed Care, Revenue Cycle, Strategic Planning, Medicaid, EMR, Healthcare, Healthcare Information..., HIPAA, Ambulatory, Epic Systems, Physicians, Medicare, Healthcare Consulting
Education
Saint Joseph's College 1991 — 1993
Master of Science, Health Service Adminstration
St. Joseph's College 1982 — 1987
BS, Health Care Administration
Huron Rd Hospital School of Professional Nursing 1975 — 1979
RN, nursing
Retired 2010 - Present
Connecticare 2008 - 2010
Health Net of the Northeast 2006 - 2008
Anthem 2003 - 2006
CIGNA Healthcare 2000 - 2002
Aetna Health Plans 1980 - 1999
Skills
Health Insurance, Managed Care, Insurance, Underwriting, Medicare, Medicaid, Health Savings Accounts, Employee Benefits, Disability Insurance, HIPAA, Provider Relations, Health Policy, Healthcare, Disease Management
Education
University of Hartford
BS, Economics/Finance
Magellan Health Services 1997 - 2000
Aetna Health Plans 1995 - 1998
Human Affairs Alaska April 1985 - April 1995
Skills
Leadership Development, Coaching, Public Speaking, E-Learning, Organizational..., Executive Coaching, Training, Management, Performance Management, Management Consulting, Team Building, Organizational..., Employee Benefits, Human Resources, Employee Relations, Talent Management, Workshop Facilitation, Social Media, Leadership, Performance Appraisal, Business Development, Change Management, Strategic Planning, Customer Service, Succession Planning
Education
University of Alaska Fairbanks
Western Governors University March 2010 - Present
Aetna Health Plans October 2008 - July 2010
Utah Career College November 2005 - June 2008
StatStaffing 2008 - 2008
Skills
Nursing, Program Management, Nursing Education, Microsoft Excel, Adult Education, Patient Safety, Acute Care, Patient Education, Healthcare, Medical/Surgical
Education
University of Phoenix 2005 — 2007
MSN, Nursing
Weber State University 2003 — 2005
BSN, Nursing
Tyler Technologies, Inc November 2006 - Present
Aetna 1989 - 1994
Aetna Health Plans 1989 - 1994
Education
The University of Texas at Dallas
Bachelor of Science, Computer Science
The Wright Group January 2002 - Present
The Wright Group 2001 - Present
Second National Bank 1999 - 2001
Aetna Health Plans 1992 - 1995
Skills
Public Speaking, Strategic Planning, Customer Service, Non-profits, Event Planning, Microsoft Office, Public Relations, Coaching, Project Management, Team Building, Fundraising, New Business Development, Nonprofits, Management, Government, Grants, Program Management
Education
The University of Akron 2006 — 2014
Bachelor of Business Administration (B.B.A.), Accounting and Finance, 2.8
State of West Virginia September 2008 - Present
AB&C Group April 2004 - March 2008
Affiliated Computer Services Inc. January 2000 - March 2004
TEKsystems November 1999 - December 2000
Aetna Health Plans May 1994 - October 1999
NCSI September 1991 - April 1994
Skills
VB.NET, Microsoft SQL Server, SQL, Oracle, Java, JavaScript, iReport, Crystal Reports, HTML, Windows, Microsoft Office, Requirements Analysis, Business Analysis, Troubleshooting, HP3000, Cognos, COBOL, RPG II, Fortran, Pascal, Ecometry
Education
University of Maryland College Park 1985 — 1990
Bachelor of Science (BS), Computer Science
Aetna April 2014 - Present
Zeal for Life April 2011 - Present
Aetna Health Plans October 2008 - April 2014
Scottsdale Elem Schools July 2003 - June 2006
Skills
Healthcare, Managed Care, Health Insurance, Medicare, HIPAA, Medicaid, Healthcare Management, Insurance, Employee Benefits, Hospitals, Healthcare Information..., Nursing, Utilization Management, Provider Relations, Disease Management, Customer Service, Case Managment, Claim, Process Improvement, Medical Terminology, Case Management
Education
University of KS Medical Center 1987 — 1991
BSN
University of Kansas 1987 — 1991
BSN, Nursing and Human Behavior
Dynavax Technologies August 2012 - Present
The Permanente Medical Group January 2012 - July 2012
Xoma October 2008 - January 2012
Advance Research Associates January 2006 - October 2008
Advance Research Associates May 2000 - December 2005
PM Squared April 1998 - January 1999
Aetna Health Plans April 1996 - March 1998
Aetna Health Plans November 1995 - April 1996
Resource Biometrics June 1994 - October 1995
Aetna Health Plans May 1990 - November 1993
Skills
Clinical Trials, SAS programming, Clinical Data Management, Data Management, Clinical Research, Data Analysis, CRO, Clinical Development, Validation, Pharmaceutical Industry, Statistics, Biotechnology, SQL, FDA
Education
University of California, Los Angeles 1984 — 1986
MA, Economics
University of California, Santa Cruz 1972 — 1977
BA, Environmental Studies and Economics
American Psychiatric Association May 2011 - Present
Greg Kyser MD LLC January 2004 - Present
Tennessee Psychiatric Association January 1996 - Present
parthenon pavilion January 1994 - December 2013
Clinical Research Associates, Inc 1994 - 2010
2004 Certified Medical Impairment Rating Physician January 1994 - January 2004
Aetna Health Plans January 1993 - January 1998
Behavioral Management Program for Chronic Pain January 1992 - January 1994
Dede Wallace Mental Health Center January 1989 - January 1993
Tennessee State Prison January 1989 - January 1991
Skills
Psychiatry, Treatment, Board Certified, Adolescents, Mental Health, Behavioral Health, Clinical Research, Crisis Intervention, Neuroscience, Program Development, Public Policy, Medical Education, Forensic Psychiatry
Education
Vanderbilt University School of Medicine 1987 — 1991
md, Psychiatry
University of Arkansas for Medical Sciences, College of Medicine 1983 — 1987
md, medicine
Trinity University 1981 — 1983
MA, Clinical Psychiatry
University of Arkansas 1976 — 1981
BA, Psychology
Ross Consulting June 2006 - Present
Meridian Health Care Management 1996 - 2006
Meridian Health Care Consulting 1995 - 1996
Tenet Healthcare 1992 - 1995
Aetna Health Plans 1989 - 1992
Skills
Managed Care, Contract Negotiation, Healthcare Industry, Health Insurance, Medicare, Hospitals, Change Management, Health Policy, Healthcare, Healthcare Information..., HIPAA, Healthcare Management, Medicaid, EMR, Healthcare Consulting, Physicians, Provider Relations, EHR, Epic Systems, Revenue Cycle, Physician Relations, Quality Improvement
Education
University of California, Los Angeles
BS, Microbiology
University of California, Los Angeles - Fielding School of Public Health
MPH, Public Health - Epidemiology
Texas A&M University-Corpus Christi January 2005 - Present
Aetna Health Plans 1983 - 2002
Education
Seton Hall University
BS
Purdue Pharma L.P. July 2009 - Present
inVentiv Health February 2009 - July 2009
Schering Plough March 2006 - November 2008
Boehringer Ingelheim Pharmaceuticals March 1999 - March 2006
Medaphis Physician Services December 1995 - March 1999
Aetna Health Plans June 1994 - December 1995
Skills
Neurology, Urology, Pulmonology, Pharmaceutical Industry, Pharmaceutical Sales, Managed Care, Rheumatology, Hospital Sales
Education
San Diego State University-California State University 1992 — 1994
MPH, Health Services Administration
San Diego State University-California State University 1986 — 1991
BS, Health Science / Biology minor
WellPoint June 2014 - Present
Elderplan May 2010 - June 2014
Affinity Health Plan 2008 - May 2010
State of New Jersey March 2004 - September 2008
United Health Care 2001 - 2003
Aetna Health Plans 1990 - 1996
Skills
Computer Network..., Healthcare Information..., Hospitals, Medicare, Medicaid, Claim, Home Care, Provider Relations, Health Policy, EMR, Access, Healthcare Industry, EHR, Medical Billing, Case Managment, Utilization Management, Revenue Cycle, Disease Management, Process Improvement, Vendor Management
Education
University of Pennsylvania 1973 — 1981
M.S., Wharton Undergrad
Lincoln High School 1963 — 1968
Mercer September 2008 - Present
Wells Fargo Insurance Services February 2006 - September 2008
Aetna, INC. May 2002 - February 2006
Horizon Blue Cross Blue Shield of New Jersey February 1995 - May 2002
Aetna Health Plans October 1993 - February 1995
Skills
Employee Benefits, Health Insurance, Health Savings Accounts, Insurance, Underwriting, Benefits Administration, Disability Insurance, Brokers, HRIS, Managed Care, Strategic Planning, Life Insurance, Health Care Reform, Term Life Insurance, Relationship Management
Education
Seton Hall University
B.S., Management
Jefferson Township High School 1977 — 1981
Aetna Health Plans August 2007 - Present
Prudential Financial May 2002 - August 2007
Skills
Leadership, Claim, Vendor Management, Training, Selling, Health Care Reform, Property & Casualty..., Public Speaking, Workers Compensation, Salesforce.com, Customer Service, Process Improvement, Sales, Health Insurance, Healthcare, Term Life Insurance, Human Resources, Medicare Part D, Executive Management, Commercial Insurance, Budgets, Strategy, Business Development, Team Building, Medicaid, Insurance, Disability Insurance
Education
Shippensburg University of Pennsylvania 1978 — 1982
BSBA, Buiness Administration/Marketing
Cigna December 2012 - Present
Cigna June 2007 - December 2012
CIGNA Healthcare September 2001 - June 2007
Inova Health Systems 1999 - September 2001
Arthur Anderson Consulting 1997 - 1999
Aetna US Healthcare 1996 - 1997
Aetna Health Plans 1986 - 1996
Skills
Provider Relations, Managed Care, Contract Negotiation, Contract Management, Healthcare, Relationship Management, Project Management, Staff Management, Strategic Planning, Network Contracting
Education
Sweet Briar College 1982 — 1986
XMS Capital Partners February 2014 - Present
Charter Oak Partners January 2010 - January 2014
Aetna 2007 - October 2009
Charter Oak Partners 2002 - 2007
Paine Webber 1996 - 2002
UBS Investment Bank/PaineWebber Incorporated 1996 - 2002
UBS (formerly PaineWebber, Inc.) 1996 - 2002
UBS Financial Services 1996 - 2002
Aetna Health Plans 1993 - 1996
Aetna Inc. (Aetna International) 1991 - 1993
Skills
Alternative Investments
Education
University of Pennsylvania - The Wharton School 1984 — 1986
MBA, Finance
HIP Health Plans of NY / EmblemHealth February 2003 - Present
Lenox Hil January 1998 - January 2003
Brookdale Univesity Hospital & Med Ctr November 1995 - January 1998
Aetna Health Plans August 1993 - November 1995
Education
The New School 1979 — 1981
MPS, Healthcare Administration
St. Francis College 1973 — 1977
BS, Biology
St. Catherine of Alexandria 1958 — 1966
Grammar School
Aetna, Inc. August 2010 - Present
Aetna 1998 - Present
Aetna, INC. April 1982 - August 2010
Aetna Health Plans January 1998 - December 2008
Skills
Wellness, Customer Service, Fitness, Employee Benefits, Health Education, Insurance
Education
Southern Connecticut State University 1993 — 1997
MPH, Public Health
EyeMed Vision Care January 2014 - Present
EyeMed Vision Care June 2004 - Present
Luxottica - EyeMed June 2004 - May 2011
Aetna Health Plans October 1996 - 2001
New York Life January 1982 - June 1996
Skills
Insurance, Sales Management, Account Management, New Business Development, Team Building, hiring sales, Sales, Salesforce.com, Marketing Strategy, Retail, Direct Sales, Customer Retention, Customer Service, Leadership, Cross-functional Team..., Coaching, Management, Employee Benefits, Training, Marketing, Strategic Planning, Selling, Process Improvement, Strategy, Competitive Analysis, Health Insurance
Education
University of Denver 1968 — 1972
Philosophy & skiing, BA
Longmeadow High School 1964 — 1968
General Studies
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas May 2012 - Present
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas September 2011 - May 2012
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas January 2007 - September 2011
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas September 2001 - January 2007
Aetna Health Plans 2000 - 2001
Harris Methodist Health Plan/Pacificare 1998 - 2000
Harris Methodist Health Plan 1996 - 1998
Harris Methodist Health Plan 1995 - 1996
Harris Methodist Health Plan 1994 - 1995
Rhone-Poulenc Company 1992 - 1994
Skills
Medicare, Medicare Part D, Insurance, Health Insurance, Managed Care, Underwriting, Healthcare
Education
Texas Tech University 1990 — 1991
MBA
Texas A&M University 1985 — 1989
Bachelor of Science, Agriculture Economics
Aetna Health Plans Network Vice PresidentAetna1998 - 2009
Orlando Regional Healthcare 1994 - 1997
Education
University of Central Florida - College of Business Administration 1979 — 1982
Finance
Marshall & Sterling May 2009 - Present
JS Diamond Group, Inc. May 2001 - June 2009
Aetna Health Plans July 1998 - May 2001
US Army October 1991 - September 1994
Skills
Health Insurance, Employee Benefits, Insurance, Workers Compensation, Health Savings Accounts, Property & Casualty..., Disability Insurance, Brokers, Underwriting, Commercial Insurance, Professional Liability, COBRA, Umbrella Insurance, Strategic Planning, Claim, Long-term Care, Medicare, Risk Management, Sales, Term Life Insurance
Education
State University of New York College at Oneonta 1994 — 1998
BS, Sociology and Marketing
Hauppauge High School 1988 — 1991
American Century Investments 2015 - Present
American Century Investments 2007 - 2014
American Century Investments 2002 - 2007
American Century Investments 2000 - 2002
Aetna Health Plans 1996 - 2000
Aetna 1995 - 1996
Aetna 1992 - 1995
Aetna 1989 - 1993
Liberty Mutual Insurance 1987 - 1989
Eugene D. Brown Company 1985 - 1987
Skills
Sales, Marketing, Sales & Marketing..., Institutional..., Mutual Funds, Manage Client..., Retirement Planning, Business Planning, Staff Relations, Performance Measurement, Sales Management, Budget Process, Regulatory Guidelines, Compliance
Education
University of Missouri-Columbia 1980 — 1985
Bachelor of Science (BS)
First Data Corporation February 2012 - Present
Century Link May 2011 - September 2011
Maryland Motor Vehicle Administration October 2001 - June 2010
Spectera Inc. October 1981 - October 2001
Aetna Health Plans September 1991 - May 1993
Skills
Call Center, Operations Management, Performance Management, Customer Service, Process Improvement, Troubleshooting, Management, Account Management, Recruiting, Change Management, Team Building, Business Process..., BPO, Sales Management, Employee Relations
Education
University of North Carolina at Greensboro 1971 — 1973
BFA, Acting and Directing
ActiveHealth Management June 2010 - Present
Gerald J. Russo MD, PLLC 2000 - Present
Good Samaritan Hospital Medical Center 1996 - 2000
Aetna Health Plans 1995 - 1996
Empire Blue Cross Blue Shield 1994 - 1995
Winthrop-University Hospital 1991 - 1993
Skills
Healthcare, Case Management, Compliance, Disease Management, Medical Management, Medical Coding, Program Management, Case Managment, Managed Care, Management, Strategy, Healthcare Management, Medicaid, Healthcare Information..., EHR, Physicians, Medical Records, Medicine, Healthcare Consulting, Medicare
Education
State University of New York Downstate Medical Center College of Medicine 1974 — 1978
MD, Medicine
Aetna, Inc. January 2002 - May 2007
Healthnet June 2001 - December 2001
HResource One January 2001 - May 2001
Healthnet September 1999 - December 2000
Prudential Healthcare August 1996 - September 1999
Prudential Healthcare August 1996 - September 1999
Aetna Health Plans December 1993 - August 1996
Aetna Health Plans August 1987 - December 1993
Education
University of Richmond - Robins School of Business 1983 — 1987
B.S., Business Administration
Aetna Health Plans December 2002 - Present
Cigna Healthcare 1999 - 2002
Skills
Managed Care, Healthcare, Medicare, Utilization Management, HIPAA, Nursing, Disease Management, Medical Coding, Quality Improvement, ICD-9, CPT, Healthcare Industry, Healthcare Management, Medicaid, Provider Relations, Microsoft Excel
Education
The University of Texas at Austin
BSN
LOGICARE 1997 - Present
Aetna Health Plans 1995 - 1997
Education
University of Illinois at Urbana-Champaign 1970 — 1974
BA, Art
Page Southerland Page, Inc. January 2015 - Present
HOK February 1999 - January 2015
RBS Masonry 1994 - 1999
Aetna Health Plans 1990 - 1994
Skills
Microsoft Word, Microsoft Excel, Project Planning, Microsoft Office, PowerPoint, Research, Accounts Payable, Financial Reporting, Budgets, Invoicing, Contract Management, Project Management, Accounting, Financial Analysis, Analysis, Management, Payroll, Customer Service, Finance, Leadership
Education
Texas A&M University San Antonio 2009 — 2013
Master of Business Administration (M.B.A.), 3.6
Texas Woman's University 1985 — 1989
BBA, Finance
CIGNA Healthcare March 2013 - Present
Cleveland Clinic March 1998 - March 2013
Communication Office - Medina City Schools August 2011 - June 2012
Medina City Schools Foundation Board January 2011 - June 2011
Aetna/US Healthcare April 1996 - March 1998
Aetna Health Plans May 1995 - April 1996
Skills
Provider Relations, Medicare, Managed Care, Hospitals, Training & Development, Provider Contracting, Employee Benefits, HIPAA, Healthcare Management, Network Development, Physicians, Employee Training, PPO, Health Insurance, Healthcare, Revenue Cycle, Healthcare Information..., Healthcare Industry, Epic Systems, Credentialing, Health Policy, Medical Billing, Healthcare Consulting, Physician Relations, ICD-9, CPT, Disease Management, EHR
Education
The University of Akron 2008 — 2011
BA, Business and Organizational Communication
Kaiser Permanente Colorado March 2014 - Present
Kaiser Permanente December 1999 - March 2014
Rocky Mountain HMO July 1996 - December 1999
Aetna Health Plans August 1989 - June 1996
Skills
Health Insurance, Strategic Planning, Managed Care, Healthcare, Insurance, Employee Benefits, Account Management, Leadership, Medicare, Process Improvement, Healthcare Information..., Cross-functional Team..., Project Management, Team Leadership, Team Building, Customer Service, Business Development, Healthcare Industry, HIPAA, Marketing, Healthcare Consulting, Healthcare Management, Health Savings Accounts, Strategy, Sales, Underwriting, New Business Development, Benefits Administration, Coaching, Program Management, Sales Presentations, Management, Social Media, Salesforce.com, Contract Negotiation, Training, Internal Communications, Brokers, EMR, Public Speaking, Strategic Communications
Education
University of Connecticut 1984 — 1989
Bachelors of Science, Personnel Management
Community Blood Center Community Tissue Services September 1998 - Present
Episcopal Retirement Homes - Enriched Living June 1996 - August 1998
Aetna Health Plans 1993 - 1995
Skills
HRIS, Customer Service, Employee Relations, Onboarding, Leadership, Human Resources, Team Building, Healthcare, Process Improvement, Performance Management, Microsoft Excel, Recruiting, Deferred Compensation, Employee Benefits, Leadership Development, FMLA, New Hire Orientations, Talent Acquisition, Applicant Tracking..., Benefits Administration
Education
The Ohio State University Fisher College of Business 1988 — 1993
BSBA, Human Resources
Massachusetts Medical Society April 2001 - Present
Aetna Health Plans January 1998 - April 2001
Dedham Medical Associates January 1998 - January 2001
Education
Stonehill College 1993 — 1998
BA, Health Care Administration
Nassau Community College Senior ManagerCapgemini ConsultingJune 2001 - November 2003
Capgemini/Ernst and Young 1999 - 2003
Cap Gemini Ernst & Young 2000 - 2001
Ernst & Young 1997 - 2001
Aetna Health Plans June 1991 - January 1997
Education
University of Connecticut 1993 — 1997
Master of Business Administration, Business Administration
University of Vermont 1987 — 1991
Bachelor of Arts, Mathematics
Accountable Care Associates, Inc. August 2014 - January 2015
Verisk Health June 2014 - August 2014
Verisk Health July 2013 - June 2014
Genomic Health September 2010 - July 2013
GlaxoSmithKline July 2004 - June 2010
UnitedHealthcare 2000 - 2004
Prudential Healthcare 1996 - 2000
Aetna Health Plans 1993 - 1996
Birman and Associates, Inc. 1991 - 1993
Peer Review Systems, Inc. 1988 - 1991
Skills
Disease Management, Managed Care, Clinical Research, Health Policy, Healthcare, Medicine, Oncology, Pharmaceutical Industry, Medicaid, Hospitals, Cardiology, Medicare, Urology, Healthcare Management, Diabetes, Hardware Diagnostics, Informatics, Physicians, Health Insurance, Infectious Diseases
Education
The Ohio State University College of Medicine 1986 — 1988
MS, Preventive Medicine
University of Kansas School of Medicine 1977 — 1980
MD
The University of Kansas 1974 — 1977
BS, Biology
Lawrence High 1971 — 1974
EmblemHealth May 2013 - Present
EmblemHealth June 2011 - May 2013
EmblemHealth October 2010 - June 2011
WELLPOINT - EMPIRE BLUECROSS BLUESHIELD August 2006 - October 2009
EMPIRE BLUECROSS BLUESHIELD December 2003 - August 2006
Aetna May 1999 - December 2003
AETNA US HEALTHCARE July 1997 - May 1999
Aetna Health Plans February 1995 - August 1997
ASSOCIATION PLAN CONCEPTS October 1993 - February 1995
Skills
Insurance, Healthcare, Benefits, Customer Relations, Underwriting, Business Development, Customer Service, Employee Benefits, Leadership
Education
University of Delaware 1990 — 1993
Masters of Public Administration, Specialization Urban Management
Washington College 1986 — 1989
B.A, Political Science
Southlake Women's Club Foundation June 2013 - Present
Southlake Women's Club June 2012 - May 2013
Southlake Women's Club June 2011 - May 2012
National Charity League, Southlake Chapter May 2011 - May 2012
Northwest High School August 1997 - May 2004
James Bowie High School August 1994 - May 1997
Aetna Health Plans August 1989 - March 1993
Skills
Public Speaking, Speech Writing, Strategic Planning, Non-profit..., Non-profit Events, Non-profit..., Resume Writing, Fundraising
Education
The University of Texas at Arlington 1993 — 1994
Teaching Certification
The University of Texas at Austin 1982 — 1988
Bachelor of Science, Organizational Communication
DentaQuest December 2013 - Present
Aetna Health Plans January 2004 - November 2013
CIGNA Healthcare January 1995 - January 2000
Skills
Provider Relations, Network Development, Managed Care, Health Insurance, Medicare, Medicaid, Health Policy, HIPAA, Healthcare Industry, Credentialing, Utilization Management, Insurance, Healthcare Information..., Regulations, Access, Healthcare, Disease Management, Healthcare Consulting, Leadership, Public Speaking, Healthcare Management, Training, Revenue Cycle, Provider Education, Dentistry, HMO, Health Care Reform, Practice Management, Workers Compensation, Quality Improvement, Outlook, Stop Loss, Disability Insurance, Claims Management, Strategic Leadership, Benefits Administration, New Business Development, Strategic Planning, Claim
Education
Saint Joseph's University
MHA, Health Administration
Advanatage Aviation Technologies January 2012 - Present
Omniflight March 2011 - February 2012
Heli-One January 2010 - March 2011
Heli-One October 2001 - August 2009
Aetna Health Plans February 1999 - September 2001
Rivera Finance January 1998 - January 1999
Pizza Hut June 1991 - January 1999
Education
The University of Texas at Arlington 2004 — 2004
Accounting
Gaylord Specialty Healthcare June 2010 - Present
CareCentrix January 1996 - December 2009
CareCentrix January 1996 - January 2009
CareCentrix January 1997 - January 2006
Gentive Health Services 1996 - 2006
CareCentrix January 1996 - January 1997
Aetna Health Plans January 1993 - January 1995
MetLife January 1989 - January 1992
Norwalk Hospital January 1977 - January 1989
Norwalk Hospital 1977 - 1988
Skills
Managed Care, Healthcare Management, Hospitals, Healthcare, Healthcare Industry, Case Managment, Acute Care, Utilization Management, Nursing, Medicare, Home Care, Human Resources, Clinical Research, Inpatient, Wound Care, HIPAA, Case Management, Disease Management, Healthcare Information..., EMR
Education
Western Connecticut State University 1989 — 1993
MASTER OF SCIENCE, ADMINISTRATION, HEALTH CARE ADMINISTRATION
University of Rhode Island 1971 — 1975
BSN, Nursing
University of Rhode Island
BACHELOR OF SCIENCE, NURSING
Aetna Health Plans May 2001 - Present
Santa Clara County IPA 1997 - 2001
Skills
Care Management, Medical Management, Managed Care, Nursing, Utilization Management, Disease Management, Healthcare Management, Medicare, Case Managment, Management, Leadership, Health Insurance, Medical/Surgical, Medicaid, Healthcare, Provider Relations, Health Policy, Workers Compensation, Utilization Review, Healthcare Consulting, Policy, Public Health, EMR, HMO, Home Care, Healthcare Information..., Insurance, Healthcare Industry, Patient Advocacy, Informatics, Hospitals, HIPAA, Employee Benefits, Nursing Management, Clinical Research, Claim, Case Management
Education
University of Michigan 1977 — 1981
BSN, Nursing
Alvarez & Marsal August 2013 - Present
OptumInsight March 2013 - August 2013
178 WATER STREET CONSULTING SERVICES LLC August 2012 - February 2013
Coventry Health Care June 2010 - August 2012
AETNA INC January 2004 - May 2010
Aetna US Healthcare January 1997 - January 2004
Aetna US Healthcare January 1996 - January 1997
Aetna Health Plans January 1993 - January 1996
Managed Care Systems January 1992 - January 1993
Aetna May 1989 - July 1992
Skills
Call Center, CRM, Budgets, Claim Investigation, Health Insurance, Process Improvement, Program Management, Insurance, Management, Outsourcing, Vendor Management, Leadership, Business Process..., Management Consulting, Performance Management, Project Management, Business Process, BPO, Team Building, Strategy, Customer Satisfaction, Team Leadership, Claim, Managed Care, Account Management, Change Management, Healthcare, Executive Management, Strategic Planning, Operations Management, Employee Benefits, Business Analysis, Cross-functional Team..., New Business Development, Call Centers, Data Analysis, Quality Management, Financial Analysis, Training, Human Resources, Risk Management, Mergers & Acquisitions, Operational Excellence, Analysis, Enterprise Software, Start-ups, Business Development, Contract Management, Performance Improvement, Consulting
Education
The University of Connecticut School of Business 1975 — 1979
Business, Industrial Engineering
Universsity of Connecticut
Aetna Health Plans
Skills
Employee Benefits, Insurance, Brokers, Medicare, Property & Casualty..., Claim, Managed Care, Life Insurance
Education
University of Massachusetts, Amherst
Bachelor’s Degree, English Honors
Allstate Benefits May 2013 - Present
The Jordan Group Insurance LLC November 2011 - April 2013
Aetna Health Plans February 2007 - October 2011
United Healthcare February 2006 - February 2007
Fidelity Health Plan November 2005 - February 2006
MAMSI April 1999 - November 2005
NYCare Health Plans of the Mid Atlantic August 1996 - April 1999
New York Life/HealthPlus April 1993 - July 1996
Skills
Health Insurance, Dental, Employee Benefits, Managed Care, Limited Benefit Plans, Voluntary Employee..., Life Insurance, Dentistry, Insurance, Disability Insurance, COBRA, Fixed Annuities, Account Management, Health Savings Accounts, Critical Illness, Sales, Underwriting, Long-term Care, Term Life Insurance, Brokers, Workers Compensation, Group Medical, 401k, Medicare, Health Care Reform, Group Insurance, Benefits Administration, Flexible Spending..., Accident
Education
Towson State College 1980 — 1982
BS, Marketing/Management
US Naval Academy 1977 — 1978
Optimetra, Inc. August 2009 - Present
Semantx, LLC 2000 - Present
Aetna Health Plans March 2002 - June 2009
Health Net September 1985 - July 1999
JRS Consulting 1976 - 1986
Kaiser Permanente 1982 - 1985
Creative Education Resources 1983 - 1984
CECST 1979 - 1982
Alameda Hospital 1966 - 1979
Skills
Proposal Writing, Healthcare, Medicaid, RFP, Process Improvement, Software Documentation, Medicare, Program Management, Healthcare Information..., Strategic Planning, Managed Care, Policy, Training, Leadership
Education
Saint Mary's College of California 1982 — 1984
BA, Health Services Administration
Bon Secours Hospital 1962 — 1965
RN, Nursing
SimplexGrinnell LP October 2008 - Present
SimplexGrinnell January 2005 - December 2008
Mahoney & Associates January 2003 - June 2004
Aetna Health Plans June 1996 - December 2002
US Healthcare September 1990 - June 1996
Education
University of Massachusetts, Amherst 1980 — 1983
School of Business Administration
Aetna 2011 - Present
Corporate Call Center, Inc. 2010 - 2011
Main Line Health September 2003 - July 2006
Aetna Health Plans July 1997 - September 2002
Aetna January 1995 - July 1997
Skills
Call Centers, Insurance, Program Management, Training, Sales, Call Center, Process Improvement, Team Building, Business Process..., Performance Management, Customer Service, Leadership, Managed Care, Coaching, Health Insurance, Vendor Management
Education
Temple University - Fox School of Business and Management 1988 — 1991
Rowan Literacy Council January 2015 - Present
BCBSNC May 2013 - April 2014
Community Care of Southern Piedmont, Inc. May 2000 - January 2013
Coventry Health Care August 1997 - May 2000
Aetna 1994 - 1998
Aetna Health Plans June 1986 - August 1997
Skills
Healthcare Management, Healthcare, Nursing, Hospitals, Healthcare Information..., Public Health, Managed Care, Program Development, EHR, Healthcare Consulting, Case Managment, Patient Safety, Informatics, Networking, Strategic Thinking, Strategic Partnerships, Collaborative Leadership, Microsoft Office, Quality Management, Community Outreach, Utilization Management, Disease Management
Education
UNC School of Public Health 2008 — 2009
Certificate in Public Health Leadership
University of North Carolina at Chapel Hill 1976 — 1980
BSN, Nursing
Barb McAfee, CPA 1996 - Present
Cooper Aerobics 1991 - 1995
Aetna Health Plans 1987 - 1991
Skills
Accounting, Financial Reporting, Auditing, GAAP, CPA, Internal Controls, Financial Accounting, General Ledger, Payroll, Consolidation
Education
Texas Tech University 1980 — 1984
Bachelor of Business Administration (BBA), Accounting and Finance
JJ Pearce High School 1976 — 1980
Arbonne Independent Consultant May 2004 - Present
Myer's Studebaker Parts September 1999 - Present
Staples May 1997 - May 1999
Zylinsky Insurance May 1995 - July 1997
Aetna Health Plans June 1992 - September 1994
UPS May 1989 - October 1992
United States Army October 1981 - June 1989
Education
Zane State College, Zanesville Campus 1997 — 1999
Computer and Information Sciences, General
University of North Carolina at Greensboro 1989 — 1992
Political Science and Government/Sociology
Academy of Health Services Command 1982 — 1982
Dental Assisting/Assistant
Fountain-Ft. Carson High School 1980 — 1982
High School
Fort Knox High School 1978 — 1980
EY May 2014 - June 2015
Curt Freeman, CPA January 1996 - May 2014
Business Records Corporation January 1994 - December 1995
Hanover Compressor Company April 1992 - December 1993
Aetna Health Plans July 1989 - December 1991
KPMG US January 1985 - July 1989
Skills
Accounting, Income Tax, Tax Accounting, Tax, Corporate Tax, Tax Preparation, Tax Returns, Partnership Taxation, Tax Research
Education
The University of Texas at Arlington 1983 — 1984
Master's Degree, Accounting
The University of Texas at Arlington 1979 — 1983
Bachelor's Degree, Accounting
Sanofi Pasteur June 1998 - Present
Aetna Health Plans November 1988 - August 1993
Ovest Marine (Marine Midland Bank) July 1985 - October 1988
Education
The College of New Rochelle 1981 — 1985
Bachelor’s Degree, Business/Commerce, General