AETNA/US HEALTHCARE
Industry: Managed care company
DescriptionAetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance plans and related services, such as medical, pharmaceutical, dental, behavioral ... Customer service: 1 (800) 872-3862 Headquarters: Hartford, CT CEO: Mark Bertolini (Nov 29, 2010–) Parent organization: CVS Health Number of employees: 49,828 (2017) Subsidiaries: Coventry Health Care, Aetna International Inc.,
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AETNA/US HEALTHCARE Employees
Global Software Resources September 2011 - Present
The Restoration Studio May 2005 - September 2011
Charon Planning May 2004 - May 2005
Aetna April 2002 - May 2004
Aetna/US Healthcare January 1996 - April 2002
Skills
Smart Metering, Smart Grid, Electrical Industry, Business Analysis, Technical Writing, Quality Auditing, IT Audit, Process Improvement, Data Analysis, Project Management, BMC Remedy, ITIL, Change Management, Oracle Applications, SharePoint, Executive Reporting, Team Building, Training Delivery, Team Leadership, Supervisory Experience, Direct Sales, Product Marketing, Provider Network..., Ticketing Systems, Medical Terminology, Medical Billing, Medical Coding, Health Insurance, Life Insurance, Dental Insurance, Pharmacy Benefit..., Utilization Management, Customer Service, Claims Resolution, New Business Development, Professional Mentoring, Medical Underwriting, HMO, Website Development, Website Promotion, JavaScript, Website Creation, SQL, Office Management, Microsoft Office, Visio, National Honor Society, Cpr Certified, Management, Integration
Education
Temple University
Health Information Management and Business Administration
Palisades High School
Bottom Line Solutions (BLSolutions, LLC) January 2002 - Present
AmSurg February 2005 - September 2007
ENVOY/WebMD, Emdeon (now Change Healthcare) December 1999 - September 2001
ENVOY/WebMD, Emdeon (now Change Healthcare) November 1997 - December 1999
Aetna/US Healthcare October 1994 - October 1997
Skills
Leadership, Strategic Planning, Healthcare, Hospitals, Mergers, Operations Management, CRM, New Business Development, Strategy, Business Development, Account Management, Management, Start-ups, Sales Operations, SaaS, Healthcare Management, Surgery, Mergers & Acquisitions
Education
Bloomsburg University of Pennsylvania
Bachelor's Degree, Business Administration
Health Advocate December 2003 - Present
Aetna September 1998 - January 2002
Aetna/US Healthcare 1988 - 1998
Skills
Health Insurance, Strategic Planning, Insurance, Sales, Healthcare, Employee Benefits, Managed Care, Leadership, Account Management, Team Building
Education
Loyola University Maryland 1984 — 1988
BBA, Marketing
Hilltop Home for Children September 2014 - Present
Total Wellness Health September 2014 - Present
Occuvax September 2014 - Present
Wake Technical Community College September 2011 - May 2013
Wake County Public Schools August 2008 - June 2009
Aetna/US Healthcare September 1997 - July 1998
Health Power HMO October 1996 - September 1997
United Healthcare January 1996 - October 1996
Integra Group April 1993 - January 1996
University Health Plan June 1990 - April 1993
Skills
Healthcare, Healthcare Management, Blood Glucose, Blood Pressure, Bloodborne Pathogens, Patient Safety, Safe Patient Handling, Managed Care, Customer Service, Hospitals, Nursing, Teaching, Pediatrics, Medicine, Medicaid, Critical Care, Quality Improvement
Education
Chamberlain School of Nursing 2014 — 2016
Bachelor's Degree, Nursing
Wake Technical Community College 2009 — 2013
ASN, Registered Nursing, 2.89
University of Cincinnati 1990 — 1990
Business Administration
University of Findlay 1989 — 1990
Business Administration
Bowling Green State University 1982 — 1986
ASBA, Business Administration
Findlay Senior High School 1978 — 1981
Sickler, Tarpey & Associates May 2012 - July 2015
The Pennsylvania State University August 2007 - May 2012
Sparks Business Institute January 2011 - April 2011
The Children's Place October 2006 - October 2010
Penn State Altoona August 2009 - December 2009
Kits International September 2004 - April 2005
Robert Half International September 2003 - September 2004
Progressive Auto Insurance October 2000 - April 2003
Aetna/US Healthcare January 1998 - May 2000
Signet Bank August 1995 - August 1997
Skills
Word, Customer Service, Excel, Event Planning, PowerPoint, Writing, Research, Editing, Facebook, Customer Relations, Time Management, Public Speaking, Teamwork, Accounting, Problem Solving, Data Entry, Retail, Administrative Support, Market Research, Accounts Receivable, Insurance, Payroll, Microsoft Excel, Leadership, Training, Sales, Coaching, Invoicing, Employee Benefits, Account Reconciliation, Outlook, Analysis, Access, QuickBooks, Inventory Management, Microsoft Office, Budgets, Financial Analysis, Social Networking, General Ledger, Management, Customer Satisfaction, Team Leadership, Entrepreneurship, Team Building, Nonprofits, Supervisory Skills, Data Analysis, Employee Relations, Microsoft Word
Education
Penn State University 2007 — 2012
Bachelor of Science degree, Business
George Mason University 1992 — 1994
Arcadia University October 2000 - Present
Aetna/US Healthcare September 1999 - October 2000
The TASA Group, Inc. October 1997 - September 1999
Prudential Healthcare October 1994 - September 1997
Acme Markets November 1976 - September 1994
Skills
Microsoft Office, GMail, PowerPoint, Time Management, Microsoft Excel, Competative Edge..., Microsoft Word, Data Entry, Invoicing, Windows, Access, Outlook, Management, Higher Education, Event Planning, Research, Parking Management, CCure, Golf Cart Safety..., Harassment Training, CPR Certified, Campus Security Act &..., FEMA Emergency..., Child Abuse Prevention, Customer Service, ABC/WIBC Mixed League..., Child Abuse Clearance
Education
Arcadia University 2000 — 2010
Lansdale Catholic High School 1974 — 1977
Diploma, Business
Mount Carmel Health System January 2015 - Present
Molina Healthcare February 2014 - January 2015
MEDLAB October 2011 - December 2013
Humana March 2008 - October 2011
Humana March 2008 - October 2011
Sedgwick CMS March 1998 - February 2008
Comp Management Health Systems March 1998 - January 2006
Aetna/US Healthcare December 1994 - October 1997
Drake Center Inc October 1991 - August 1994
Clermont Nursing Center March 1985 - October 1991
Skills
20 years of management, Leadership skills, Managed Care, Case Management, Utilization Management, Compliance, Workers Compensation, Healthcare Management, Nursing, Strategic Planning, Medicare, Customer Relations, Health Insurance, Process Improvement, Hiring, Healthcare, Insurance, Claims, Leadership Development, Problem Solving, Operations Management, Change Management, HIPAA, Health, Customer Service, Analysis, Business Process..., Case Managment, Coaching, Team Building, Leadership, Clinical Research, Quality Improvement, Inpatient, Medicaid, Hospitals, Policy, Patient Safety, Utilization Review, Training, Critical Care, Disease Management, Claim, Home Care, Elder Care, Long-term Care, EMR, Healthcare Information..., Provider Relations, Revenue Cycle
Education
Excelsior 2009 — 2011
BLS, Completing Masters in Health Care Administration
Excelsior College 2009 — 2011
MSN - Excelsior College Alumni, Health Systems Administration, 4.0
Excelsior College 2004 — 2008
BS of Liberal Arts, Excelsior MSN Program - Administrative Management
ASN Excelsior College 1990 — 1992
Registered Nurse, Nursing
Teva Pharmaceuticals August 2014 - Present
Aetna 2013 - 2014
Aetna 2009 - 2014
Aetna 2000 - 2013
Aetna June 1996 - January 2000
Aetna/US Healthcare 1993 - 1996
Skills
ClearQuest, Troubleshooting, Quality Center, RQM, Agile Methodologies, Software Documentation, Rational Team Concert, Microsoft Office, RTC, QuickBase, RRC, ReqPro, Administrative..., Administration, Visio, Customer Lifecycle..., CLM Tool Administration, Tools Support, Regression Testing, HP Quality Center, Ariba, Common Sense, Business Analysis, Project Management, SDLC, Program Management, Requirements Analysis, Vendor Management, IT Strategy, Process Improvement, Administrative..., Software Project..., Management, Requirements Gathering
Education
Montgomery County Community College 2001 — 2003
Information Technology
Upper Moreland High School 1980 — 1984
High School
Inovalon April 2010 - Present
Health Benchmarks, Inc. 2003 - 2005
Dimensional Insight, Inc. 1996 - 2003
Aetna/US Healthcare 1990 - 1996
USQA/US Healthcare 1990 - 1996
Public/Private Ventures 1986 - 1990
Skills
Start-ups, Project Management, Business Development, Analytics, Management, Product Development, Leadership, Business Intelligence, Cross-functional Team..., Strategy, International Business, Coaching, Mentoring, Data Driven Solutions, Operations Management, Creative Problem Solving, Negotiation, Health Economics, Health Outcomes Research, Communication, Statistics, Strategic Partnerships, Business Analysis, Software Development, Data Analysis, Program Management, Process Improvement, Vendor Management
Education
University of Pennsylvania 1980 — 1986
MA, Economics
Purdue University 1977 — 1980
BS, Economics
Graphix by Design August 1998 - Present
Georgia Bankers Association February 1998 - August 1998
AETNA\US HealthCare November 1997 - January 1998
Sales Technologies August 1997 - November 1997
Oppenheimer & Co., Inc April 1997 - August 1997
Harvey A. Brown February 1997 - April 1997
Federal Reserve Bank September 1996 - February 1997
British Telecom. July 1995 - January 1996
GE Exchange. August 1993 - January 1994
DeVRY Institute of Technology August 1991 - July 1993
Skills
Network Administration, Database Administration, Software Project..., Process Engineering, ISO, Definity, Cisco Routers, Hardware Architecture, Hardware Support, Hardware Diagnostics, Windows 7, Microsoft SQL Server, Server Administration, Website Development, Technical Support, Statistical Data..., AutoCAD Mechanical, Bloomberg Terminal, Financial Analysis, Financial Reporting, Digital Marketing, Troubleshooting, TCP/IP, Hardware, Software Development, Software Installation, Networking, Management, Process Improvement, Customer Service, Microsoft Office, Telecommunications, Training
Education
DeVry University-Georgia 1991 — 1993
Computer and Information Sciences and Support Services
Atlanta College of Medical 1984 — 1986
Medical Technology
Air Force Technical Academy 1980 — 1981
POS / Supply
Independence Blue Cross January 2008 - March 2011
Independence Blue Cross January 2008 - March 2011
USA3000 Airlines January 2007 - January 2008
USA3000 Airlines January 2007 - January 2008
Comcast Cable January 2006 - January 2007
COMCAST CABLE COMPANY January 2006 - January 2007
CIGNA Tel-Drug September 2001 - January 2006
CIGNA Teldrug January 2001 - January 2006
GMAC MORTGAGE CORPORATION January 1999 - January 2001
AETNA/US HEALTHCARE January 1998 - January 1999
Education
Community College of Philadelphia
Associate, Computer information systems
Community College of Philadelphia
of Associate Degree, Computer Information Systems
Thomson Reuters October 2014 - Present
Thomson Reuters June 2008 - October 2014
ThomsonReuters (Scientifc) December 2007 - June 2008
ThomsonReuters (Scientific) August 2004 - December 2007
Drexel University January 2001 - January 2003
Accenture January 1998 - January 2001
Aetna/US Healthcare January 1987 - January 1998
Aetna-US Healthcare 1987 - 1998
Crum & Forster Insurance Company January 1982 - January 1987
Skills
Content Management, Research, Workshop Facilitation, Database Administration, Academia, Software Documentation, Customer Service, Technical Support, Government, PowerPoint, Microsoft Word, Microsoft Excel, Access, Journals, Management, Strategy, Salesforce.com, Databases, Marketing Strategy, Project Management, Publishing, Social Media, Editing, Copy Editing, Strategic Planning, Mentoring
Education
Drexel University 2001 — 2003
Masters of Science, Library & Information Sciences2003
St. Joseph University 1995 — 1997
Masters, Business Administration
La Salle University 1978 — 1982
Bachelor, Personnel/Labor Relations
Cecilian Academy 1974 — 1978
high school
Merck May 2014 - Present
Campbell Soup August 2010 - December 2013
Campbell Soup March 2006 - August 2010
Campbell Soup September 2002 - March 2006
SAP 1997 - 2002
Aetna/US Healthcare September 1990 - October 1997
Skills
Succession Planning, Talent Management, Change Management, Human Resources, Culture and Engagement, Coaching, Employee Relations, Recruiting, Performance Management, Talent Acquisition, Personnel Management, HRIS, Negotiation, Leadership Development, Team Leadership, Onboarding, Building Relationships, Employee Engagement, Organizational...
Education
La Salle University
BS, Human Resources
AIDSNET 1999 - Present
Pozitively Healthy 2013 - Present
Aetna/US Healthcare 1997 - 1999
Columbia University Mailman School of Public Health 1988 - 1995
American Red Cross Greater New York 1985 - 1988
Skills
Research, Teaching, Public Speaking, Strategic Planning, Budgets, Negotiation, Ryan White Part B, Grant Writing, Fundraising, Case Management, Grants, Healthcare, Clinical Research, Group Therapy, Prevention, Clinical Supervision, Community Outreach, Program Development, Nonprofits
Education
Columbia University Mailman School of Public Health 1994 — 1996
Master of Public Health (MPH), Medical Ethics
Baruch College, City University of New York (CUNY)
Bachelor of Science (BS), Philosophy, Graduated with honors
Queensborough Community College
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse, Magna cum laude
inVentiv Health June 2014 - Present
Astellas Pharma June 2005 - Present
Fujisawa January 2002 - September 2005
Bioglan AB March 2000 - January 2002
Aetna/US Healthcare January 1997 - March 2000
The Prudential July 1991 - January 1997
The Wagner Smith Company 1989 - 1991
Automation Accessories 1985 - 1989
GrayBar Electric Corporation 1983 - 1985
Skills
Sales, Strategic Planning, Territory..., Relationship Marketing, Result Oriented, Selling Skills, New Business Development, New product launch, Sales and territory..., Entrepreneurship, Sales Operations, Sales Process, Pharmaceutical Sales, Managed Care, Product Launch, Sales Presentations, Hospital Sales
Education
Miami University 1979 — 1983
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services
Centerville High School 1975 — 1979
High School Diploma
USI Insurance Services February 2012 - Present
The CIP Group 2001 - February 2012
Aetna US Healthcare 1999 - 2001
Aetna/US Healthcare 1993 - 1999
US Healthcare 1989 - February 1993
Skills
Health Insurance, Employee Benefits, Managed Care, Negotiation, Benefit Cost Analysis, Strategic Planning, Employee Wellness..., Voluntary Employee..., Sales, COBRA, Account Management, Leadership, Brokers, Insurance, Disability Insurance, New Business Development, Management, Underwriting, Benefits Administration, Life Insurance, Health Savings Accounts, Strategy
Education
Chapman Institute 2013 — 2013
Certified Wellness Program Coordinator, Worksite Wellness certification
Simmons College 1982 — 1986
BA, Management
Peabody Veterans Memorial High School 1978 — 1982
LifeCell Corporation July 2011 - Present
Teva Pharmaceuticals USA December 2009 - June 2011
Computer Design and Integration July 2004 - October 2009
Technodyne May 2009 - June 2009
Perfect Access Speer-A Kapln Professional Company March 1999 - March 2004
Executive Education Institute January 1997 - January 1999
Aetna/US Healthcare January 1996 - January 1997
Skills
Vendor Management, Project Management, Training, Data Center, Pharmaceutical Industry, Microsoft Office, Sales, Management, Software Documentation, Disaster Recovery, Professional Services, Cloud Computing, Customer Service, GMP, SOP, Process Improvement, Program Management
Education
County College of Morris 1992 — 1993
Business Management
Cedar Grove High School 1989 — 1992
GED
LONGEVITY BENEFITS, INC January 1999 - Present
AETNA/US HEALTHCARE February 1996 - January 2001
HORIZON BLUE CROSS AND BLUE SHIELD January 1998 - January 1999
MULLER DATA INCORPORATED March 1995 - April 1997
Merrill Lynch July 1994 - February 1995
Skills
Strategic Consulting, Marketing ROI, Sales Management, Legal Matters, Negotiation, Health Insurance, Employee Benefits, Consultative Selling, Healthcare, Insurance, Medicare, Strategic Partnerships, New Business Development, Contract Negotiations, Benefits, P&L Management, Claims, Compliance, Strategy Development, Strategic Planning, Managed Care, Start-ups, Account Management, Competitive Analysis, Health, Team Building, Business Strategy, Thought Leadership, Building Relationships, Health Plans, Strategic Thinking, Team Leadership, Profit & Loss Management, Healthcare Industry, Health Policy, Contract Negotiation, Business Development, Leadership, Marketing Strategy, Business Planning, Management, Marketing, Process Improvement, Coaching, Sales, Direct Sales, Product Development, Sales Operations, Budgets, Social Networking
Education
University of South Florida
BA, Psychology
Academy for Healthcare Management 2008 — 2008
Professional, Academy for Healthcare Management, Managed Care, 90
Telics February 2013 - May 2014
Time Warner Cable June 2011 - January 2013
Time Warner Cable February 2005 - March 2011
Select Medical/Novacare March 2002 - March 2004
Downslam.com April 2000 - September 2001
Aetna/US Healthcare January 1999 - April 2000
Universal Technical Institute May 1998 - January 1999
Aetna, Inc April 1993 - October 1996
Litchfield Theaters November 1992 - April 1993
Skills
Bentley Microstation, Microsoft Office, AutoCAD, Salesforce.com, ICOMS, Google Maps, Access Database
Education
University of North Carolina at Greensboro 1988 — 1992
Bachelor of Arts, Urban Planning
Ortho-McNeil Pharmaceutical June 2008 - Present
Ortho-McNeil Pharmaceutical June 2005 - May 2008
Janssen Pharmaceutica January 2001 - May 2005
Janssen Pharmaceutica June 1999 - December 2000
Aetna/US Healthcare 1996 - 1999
US Healthcare 1992 - 1996
Skills
Pharmaceutical Sales, Gastroenterology, Urology, Infection, Pharmaceutical Industry, Orthopedic, Product Launch, Neurology, Managed Care, Medical Devices, Hospitals, Healthcare
Education
Queens College
The TASA Group, Inc. April 2013 - Present
US Beef May 2012 - January 2013
Scatton Manufacturing January 1998 - January 2011
Aetna/US Healthcare April 1996 - August 1998
Aetna/US Healthcare March 1993 - April 1996
Aetna/US Healthcare August 1989 - March 1993
Skills
New Business Development, Account Management, Customer Service, Sales, Strategic Planning, Team Building, Management, Sales Operations, Contract Negotiation, Sales Management, Microsoft Excel, Microsoft Word, Outlook
Education
La Salle University
Bachelor of Science, Business Administration
Montgomery County Community College
Marketing and sales tactics
North Penn High School
MagnaCare January 2003 - Present
Multiplan January 2000 - December 2002
Empire Blue Cross Blue Sheild 1996 - 2000
Aetna/US Healthcare 1990 - 1996
Skills
Managed Care, Insurance, Health Insurance, Strategic Planning, Healthcare Information..., Contract Negotiation, Sales, Negotiation, Process Improvement
Education
Rutgers, The State University of New Jersey-Newark 1984 — 1988
Bachelor of Arts (B.A.), Economics
EMC CORPORATION September 2008 - August 2012
INTELLITECH SOLUTIONS August 2007 - September 2008
QUATRO SYSTEMS, INC September 2006 - May 2007
CANON TECHNOLOGY SOLUTIONS June 1999 - August 2006
CPL, Computers for the Professional, LTD April 1998 - June 1999
AETNA/US HEALTHCARE January 1996 - April 1998
Philadelphia International Airport September 1993 - December 1995
Skills
Foreign Language -..., Adobe Acrobat Pro, Catalyst, DMS (Document..., Microsoft Excel, Microsoft Word, Microsoft Exchange, PowerPoint, QuickBooks, Quote Desk, Oracle Applications, SFDC (Salesforce.com), SalesLogix, Tech Buyer/Owl Pro, ON-TRACK, TRAQ
Education
Temple University
Bachelor of Business Administration (BBA), Marketing
Pennco Tech-Bristol
Associates Degree, Electronic Engineering
Spring Garden College
Accounting and Computer Courses
American Reading Company January 2006 - April 2015
American Reading Company November 2002 - April 2015
Aetna/US Healthcare January 1997 - January 2002
Numonics Corporation January 1978 - November 1986
US Navy November 1973 - November 1977
Skills
Recruiting, Leadership, Mentoring, Microsoft Access, Microsoft Excel, Financial Reporting, SalesLogix, Crystal Reports, Data Analysis, Human Resources, Time Management, Training, Public Speaking, Event Planning, Strategic Planning, Microsoft Office, Mentoring Of Staff, Research, PowerPoint, Microsoft Word, Program Development, Sage, MAS500, Semi-pro Baseball Umpire, PIAA HS Baseball Umpire, Coaching, Team Building
Education
Wissahickon High School 1971 — 1973
U.S. Navy Medical Corps School 1974 — 1974
Hospital Corpsman, Nursing & Emergency Medicine
U.S. Navy 1973 — 1977
Respiratory Therapy Technician
Montgomery County Community College
Secondary Education and Teaching
WellNow, LLC October 2005 - Present
Model Consulting, Inc. July 1997 - February 2015
AETNA 1996 - 1997
Aetna/US Healthcare 1990 - 1997
Skills
Health Insurance, Employee Benefits, Health Savings Accounts, Disability Insurance, Insurance, Public Speaking, Managed Care, Healthcare, Wellness, Medicare, Brokers, Sales, Employee Wellness, Term Life Insurance, Life Insurance, Workers Compensation, Long-term Care, Leadership
Education
Pennsylvania State University 1985 — 1989
BS Finance & Spanish
Comcast Xfinity Digital Voice 2012 - Present
UTStarcom Inc January 2003 - May 2010
3Com Corporation January 1996 - January 2003
Aetna/US Healthcare January 1990 - January 1996
GPU Service Corporation January 1985 - January 1990
Mutual of Omaha Insurance Company January 1982 - January 1985
United States Air Force January 1974 - January 1982
Skills
Softswitch, VoIP, IP, Wireless, Mobile IP, Solaris, Veritas Cluster Server, Veritas Volume Manager, Router Configuration
Education
College of St Mary's
Bachelor of Science, Computer Information Management
Community College of the Air Force 1976 — 1980
Associates of Science, computer Information Technology
De Lage Landen September 2012 - Present
Quest Diagnostics 2011 - 2012
Shire Pharmaceuticals 2009 - 2011
Applied Clinical Intelligence 2008 - 2009
Merck 1997 - 2007
Aetna/US Healthcare 1996 - 1997
Gandalf 1994 - 1996
Computer Hardware Companies 1990 - 1994
Education
DeSales University
Master of Business Administration (M.B.A.), Computer Information Systems
Eastern University
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Pennco Technical Institute
Associate's degree, Computer Engineering
Counterpoint Software, Inc May 2003 - Present
Everfast, Inc October 2002 - May 2003
Innovative Software Design, Inc May 2002 - October 2002
ReturnCentral, Inc. February 2000 - May 2002
Essential Technologies October 1998 - February 2000
Aetna/US Healthcare March 1997 - October 1998
US Healthcare October 1995 - March 1997
Philadelphia Gas Works (PGW) October 1984 - October 1995
Skills
SDLC, IT Strategy, Vendor Management, Enterprise Architecture, E-commerce, IT Management, Business Intelligence, Information Technology, Software Development, Software Project..., Integration, Enterprise Software, Cloud Computing, Disaster Recovery, SaaS, Business Analysis
Education
La Salle University
Meridian Health September 2013 - Present
Coventry Healthcare August 2011 - June 2013
Aetna/US Healthcare 1985 - 2000
Skills
Managed Care, Healthcare, Healthcare Management, Insurance, Healthcare Information..., Process Improvement, Employee Benefits, Strategic Planning, Health Insurance, Medicare, Leadership, Medicaid
Education
NYU Stern School of Business 1988 — 1990
Master of Business Administration (MBA)
DeSales University 1973 — 1977
other
City of Hope April 2012 - Present
O'Connor Hospital March 2010 - March 2012
Performant Financial Corporation January 2011 - November 2011
Palo Alto Medical Foundation October 2008 - March 2010
Eclipsys Corporation-El Camino Hospital May 2008 - October 2008
Banner Health System/Baywood Campus May 2006 - May 2008
American Family Insurance National Headquarters August 2003 - May 2006
Northland Healthcare Alliance September 2001 - August 2003
BlueCross-BlueShield North Dakota May 1999 - June 2000
Aetna/US Healthcare August 1989 - May 1999
Skills
Informatics, Ambulatory, Clinical Informatics, Nursing, Clinical, Hospitals, Healthcare, EMR, Healthcare Information..., Healthcare IT, Healthcare Management, Health, Inpatient, Patient Safety, EHR, Strategic Planning, Analysis, Medical Informatics, Customer Service, Compliance, Managed Care, Process Improvement, Documentation, Administration, Change Management, Order Entry, Team Building, Program Development, Revenue Cycle, Problem Solving, Integration, Customer Relations, Utilization Management, Billing, Microsoft Office, HIPAA, Policy, ICU, Pediatrics, Disease Management, Quality Management, Critical Care, Legal -Medical..., Federal Grant..., Innovation Management, RAC CMS, Medicare, Medicaid, Allscripts/EPIC/QuadraMe..., Medicine
Education
A C-PM Master's- University of Madison School of Business 2006 — 2007
Masters Certificate, Project Management
Minot State University
Bachelor's Degree, Registered Nursing/Registered Nurse
HIMSS Member: current
ANIA& Board member ANIA SOCAL Chapter
Change Management Program 2006 — 2006
Excellence in Leadership Managment Program
Fraud Claims Specialist
Legal Nurse Consultant
Hurricanes Volleyball Club 2007 - Present
Aetna/US Healthcare 1996 - 1998
Mecklenburg Dialysis Center 1991 - 1994
Education
Appalachian State University 1987 — 1990
BS, Healthcare Administration
University of UNC at Charlotte 1986 — 1987
Business, Business
BCBSRI March 2015 - Present
BCBSRI June 2013 - March 2015
BCBSRI January 2013 - June 2013
BCBSRI 2009 - 2012
BCBSRI 2008 - 2009
BCBSRI 2006 - 2007
BCBSRI 2003 - 2005
BCBSRI 1997 - 2003
Aetna/US Healthcare 1992 - 1997
Skills
Health Insurance, Employee Benefits, Managed Care, HMO, Medicare, Leadership, Medicare Part D, Health Savings Accounts, Insurance, Disability Insurance, Process Improvement, Account Management, Strategic Planning, Small Business, Public Speaking, Brokers, Sales, Management, Sales Operations, Training, Sales Presentations, Marketing Strategy, Analysis, Business Strategy, Program Management, Health Care Reform, Healthcare, Life Insurance, Medicaid, Health Policy, Underwriting, Long-term Care
Education
University of Rhode Island 1986 — 1989
Bachelor of Science (B.S.), Communicative Disorders
United Concordia February 2003 - February 2013
Aetna, Inc. 1997 - 2003
Aetna/US Healthcare 1997 - 2003
Skills
Sales, Benefits Administration, Marketing, Insurance, Health Insurance, Employee Benefits, Management, Brokers, Health Savings Accounts, Account Management, New Business Development, Risk Management, Life Insurance, Team Building, Process Improvement, Disability Insurance, Recruiting, Medicare, HIPAA, Term Life Insurance, Managed Care, Healthcare, Underwriting, Claim, COBRA, Workers Compensation, Customer Service, Sales Management, Property & Casualty..., Direct Sales, Long-term Care, Leadership, Relationship Management, Strategic Planning, Salesforce.com, Dentistry
Education
Villanova University 2014 — 2015
Masters Certificate, Organizational Leadership
Bloomsburg University of Pennsylvania 1992 — 1996
BAA, Psychology
Mount Saint Joseph Academy 1988 — 1992
Coventry Healthcare 1997 - 2001
Aetna/US Healthcare November 1994 - November 1996
Education
Kennesaw State University - Michael J. Coles College of Business 1992 — 1994
BA, Marketing
Medica July 2009 - Present
Medica 2000 - 2009
HealthPartners September 1998 - June 2000
Aetna/Us Healthcare February 1989 - September 1998
Skills
Claims, Health Insurance, Healthcare, Auditing, Administration, claims processor, claims adjudication, prepaid and post paid..., Hospital Contract..., Wide range of knowledge..., Healthcare Fraud..., Claim
Education
Augustana University (SD) 1983 — 1987
BA, Business Admin
Horizon Casualty Services/Horizon Blue Cross/Blue Shield December 2006 - Present
Aetna April 2003 - October 2006
Aetna 1991 - 2006
Aetna/US Healthcare April 1997 - April 2003
Aetna/US Healthcare September 1995 - April 1997
US Healthcare May 1993 - September 1995
US Healthcare June 1992 - May 1993
US Healthcare January 1991 - May 1992
Skills
Provider Relations
Education
Seton Hall University 1995 — 1995
Public Administration program; Healthcare
Montclair State University
Bachelor of Arts, English
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
Fesnak and Associates, LLP June 2006 - April 2009
Richardson Electronics June 2004 - April 2006
Omnicare Clinical Research April 2002 - June 2003
Unisys May 2000 - March 2002
Aetna/US Healthcare December 1987 - April 2000
Education
Villanova University 2008 — 2009
Master Certificate in Human Resource Management
Montgomery County Community College 2006 — 2008
Associate in Science, Liberal Studies
Montgomery County Community College 1986 — 1988
Associate in Applied Science, Business Management
PGP Energy September 2009 - Present
PGP Overnight September 2003 - March 2015
GHI November 1998 - November 2003
Aetna/US Healthcare January 1987 - October 1998
Skills
Energy Procurement, Electric Procurement, Gas Procurement, Energy Industry, Renewable Energy, Energy Efficiency, Energy Management, Energy Policy, Electric Power, Natural Gas
Education
University of Scranton 1983 — 1987
Bachelors Degree, Marketing
Arrow Electronics December 2010 - Present
Anixter Fasteners August 2004 - August 2009
Anixter Fasteners / Distrubution Dynamics September 2001 - August 2004
Anixter / Dystribution Dynamics August 1998 - August 2001
Anixter / Distribution Dynamics November 1997 - August 1998
Aetna/US Healthcare June 1996 - November 1997
Skills
Purchasing, Inventory Management, Supply Chain, Sourcing, Manufacturing, Management, Logistics, Sales
Education
Minnesota State University, Mankato 1992 — 1995
Bachelors of Science, Marketing
California Polytechnic State University July 2011 - June 2015
University of Washington September 2007 - July 2011
UC Berkeley September 2006 - September 2007
Santa Clara University July 2004 - September 2006
Fresno State August 2002 - June 2004
California State University, Sacramento August 2001 - August 2002
Johnson Ranch Racquet Club May 2000 - August 2001
Aetna/US Healthcare February 1999 - May 2000
Aerotek June 1997 - February 1999
Skills
Business Development, Coaching, Community Outreach, Customer Service, Event Planning, Fundraising, Intercollegiate..., Leadership, Management, Marketing, Nonprofits, Public Relations, Public Speaking, SEO, Social Media, Salesforce.com, Sales, Social Media Marketing, Sports, Sports Management, Strategic Planning, Teaching, Team Building
Education
California State University-Sacramento
Bachelor of Science (BS), Business Administration
pediped footwear June 2008 - Present
Robeez Footwear 2004 - 2007
Donna Karan, Ralph Lauren, Cosmopolitan Cosmetics 2002 - 2004
Aetna/US Healthcare 1995 - 1997
Freeman Decorating 1991 - 1995
Skills
Account Management, Sales, Business Development, Marketing Strategy, Product Development, Product Marketing, Fashion, Retail, Merchandising, Brand Management, Footwear, Apparel, Marketing, New Business Development, Trade Shows
Education
Montclair State University 1986 — 1990
Bachelor of Science (BS)
Lynden Nursing Service September 2012 - October 2014
Caring People September 2011 - August 2012
Sunny Days 2007 - 2009
REGENT CARE 2004 - 2006
Aetna/US Healthcare 1999 - 2001
Aetna/US Healthcare 1998 - 2001
Hackensack University Medical Center January 1995 - January 1998
BRONX MUNICIPAL HOSPITAL CENTER January 1992 - January 1995
Skills
Marketing, Social..., Healthcare, Social Services, Team Building, Hospitals, Elder Care, Customer Service, Training
Education
Adelphi University 1992 — 1993
MSW, Social Work
Florida Atlantic University 1990 — 1992
Bachelor, Social Work
Jacobi Medical Center February 2003 - Present
Aetna/US Healthcare 1993 - 2002
Aetna/US Healthcare 1993 - 2002
Education
Brooklyn College 1970 — 1974
Bachelor of Arts Degree, Economics
Boston University 1969 — 1970
Clearview Printing Company, Inc. April 1997 - Present
Aetna/US Healthcare March 1995 - January 1997
Benefit Pathfinders August 1990 - December 1994
Education
Bucks County Community College
Philadelphia Health System August 2004 - Present
AIG April 1997 - October 2000
Aetna/US Healthcare September 1994 - September 1996
Education
East Stroudsburg University of Pennsylvania 1972 — 1975
Cheltenham High 1969 — 1972