AmeriChoice Company
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AmeriChoice Employees
SSMCreative April 2014 - Present
SSMCreative March 2014 - Present
americhoice October 2007 - July 2013
Skills
Managed Care, Healthcare, Account Management, Management, Customer Service, Strategic Planning, Building Relationships, Health Insurance, Healthcare Industry, Insurance, Direct Sales, Leadership, Medicare, Healthcare Information..., Contract Negotiation, Team Building, Healthcare Management, Medicaid
Education
University of Delaware 1985 — 1989
BA, Political Science and Government
Upper Perkiomen High School 1981 — 1985
SEEKING PERM LOCAL OFFERS FOR EMPLOYMENT April 2011 - Present
Maricopa Integrated Health System January 2011 - April 2011
CNSI September 2010 - January 2011
Genesis Health Care Consulting April 2010 - September 2010
AmeriChoice September 2009 - April 2010
McKesson May 2008 - December 2008
Magellan Health Services August 2007 - May 2008
McAllister Consulting June 2004 - August 2007
Medical Business Technology March 2002 - June 2004
Healthcare Concepts January 2000 - January 2002
Skills
SNOMED, Clinical documentation, ICD-10, LOINC, UMLS, PMBOK, MS Project, Medicaid, Compliance, Project Management, Contract Management, Revenue Cycle Management, Quality Reviews, Research, CDM, Appeals, Medicare, EHR, HIM, Auditing, Coding Standards, Proposal Writing, Management Consulting, Cross-functional Team..., CPOE, CAC, NCPDP, RxNorm, NDC, E-prescribing, EMR, Statistics, Microsoft Office, Financial Modeling, Health Care Fraud, SDLC, Performance Improvement, Data Analysis, eMAR, value based purchasing, HIPAA, Physician Coding, Health Information..., Hospital Revenue Cycle, MDS 3.0, DRG, Ambulatory, Managed Care, Epic Systems, HL7
Education
Maricopa Community Colleges 2012 — 2013
Certs and Degree, HIT/EHR/INFORMATICS
DeVry University 2010 — 2013
RHIA in process, Health Information/Medical Records Administration/Administrator
University of Phoenix Las Vegas 1995 — 1996
Bachelors Health Administration, Health/Health Care Administration/Management
University of Phoenix-Northern Nevada Campus 1995 — 1996
Health Administration, multiple classes towards BHA
UCSF 1984 — 1985
Certification, Tumor Registry International
University of Nevada- Reno 1972 — 1974
AAS, Nursing
Truckee Meadows Community College 1972 — 1973
AAS, Nursing
Camp Kue Hospital 1971 — 1971
CNA, nursing education
Kadena Business School 1970 — 1971
Business miscellaneous, Business Administration and Management, General
University of Maryland Far East Division 1970 — 1971
Bachelor of Business Administration (BBA), multiple business classes
Cognizant Technology Solutions June 2012 - Present
UnitedHealth Group September 2010 - May 2012
Cognizant Technology Solutions July 2005 - September 2010
AmeriChoice August 2008 - June 2010
Skills
Project Management, Resource Management, Healthcare Information..., Medicaid Managed Care, Business Analysis, Databases, Requirements Analysis, Management, SDLC, SQL, Testing, Microsoft SQL Server, PMP, Software Project..., Requirements Gathering, Vendor Management, Quality Center, Business Intelligence, PMO
Education
University of Madras 1997 — 2001
Bachelor of Engineering (B.E.), Computer Science
Anna University
M.E, Computer Science and Engineering
FindLaw, a Thomson Reuters business July 2011 - Present
Soucheray Enterprises Inc. 1975 - Present
New Perspective Senior Living January 2011 - July 2011
AmeriChoice 2009 - 2010
Leukemia and Lymphoma Society 2007 - 2010
Apple Store, Mall of America 2008 - 2009
Archdiocese of Saint Paul and Minneapolis November 2002 - December 2007
Net Perceptions, Inc. August 2000 - May 2001
UnitedHealthcare August 1997 - August 2000
Associated Press Broadcast August 1979 - August 1997
Skills
Writing - AP Style, Editing - AP Style, Broadcast Journalism, Brand Communication, Online Communications, Media Relations, Writing, Social Media, Editing, Ap Style, Integrated Marketing, Blogging, Internal Communications, Newsletters, Strategic Communications, Crisis Communications, Broadcast, News Writing, Online Journalism, Journalism, Public Speaking, Publishing, AP Style, Corporate Communications, Copy Editing, Fundraising, Storytelling, Public Relations, Marketing Communications, Press Releases, Web Content, Content Strategy, Brand Development, Content Development, Speech Writing, Marketing, Creative Writing, Copywriting, Publicity, Newspapers, Leadership, Social Media Marketing, Editorial, Proofreading, Web Content Management, Publications, New Media, Facebook, Feature Articles, Social Networking
Education
ICLM - Archdiocese of Saint Paul/Mpls. 2000 — 2001
University of Minnesota-Twin Cities 1975 — 1978
BA, Journalism
University of St. Thomas 1973 — 1975
Mass Communications
Chapman University - World Campus Afloat 1972 — 1972
International Studies, Liberal Arts
St. Thomas Academy
Americhoice January 2009 - Present
UNK July 2005 - July 2008
Education
University of Nebraska at Kearney 2000 — 2005
Superior HealthPlan, Inc./Centene Corp. January 2014 - Present
Centene Corporation July 2006 - Present
Americhoice 2005 - 2006
UHC 2001 - 2006
Evercare 2001 - 2006
UnitedHealth Group 2001 - 2006
BlueCross BlueShield of Texas 1997 - 2001
Managed care solutions 1996 - 2001
Skills
Managed Care, Medicaid, Hospitals, Medicare, Healthcare, Provider Relations, Disease Management, Healthcare Management, Health Policy, Healthcare Industry, Healthcare Information..., Strategic Planning, Executive Management, Process Improvement, Physician Relations, Utilization Management, Team Building, Healthcare Consulting, HMO, Credentialing, Physicians, Network Development, HIPAA, Health Insurance, Quality Improvement, Revenue Cycle, EHR, EMR, Leadership
Education
University of North Texas 1978 — 1980
Bachelor of Science (BS)
University of North Texas
AmeriChoice PrincipalCarol Rohn Associates, LLCFebruary 2003 - April 2007
Education
University of Baltimore
MBA, Healthcare Administration
EchoStar Corporation (Hughes Network Systems) April 2013 - Present
UnitedHealth Group - XLHealth subsidary April 2011 - April 2013
Resources Global Professionals August 2009 - March 2011
US Foodservice November 2000 - July 2009
AmeriChoice August 1999 - November 2000
Coventry Health Care February 1998 - August 1999
Skills
Sarbanes-Oxley Act, Internal Audit, Internal Controls, Auditing, Accounting, Financial Reporting, Financial Analysis, Enterprise Risk..., IT Audit, Financial Accounting, GAAP, Sarbanes-Oxley, Business Process..., General Ledger, PeopleSoft, Audit Command Language, Finance, Analysis, Variance Analysis
Education
University of Maryland College Park 1993 — 1997
Bachelor of Science (BS), Finance
iN2STEM Solutions, Inc. February 2014 - Present
Independent Consulting February 2013 - Present
Sustainable Development International Inc. (SDII) February 2013 - Present
Dynamic Research Corporation (DRC) November 2011 - February 2013
High Performance Technologies, Inc. May 2010 - November 2011
FDA 2009 - 2010
HPTi 2007 - 2010
Americhoice September 2005 - November 2006
Sierra Military Health Services March 1998 - May 2005
The Segal Company February 1996 - March 1998
Skills
PMP, SDLC, Management, PMO, Program Management, Business Process..., Business Analysis, Business Intelligence, Business Process, Change Management, Consulting, Data Analysis, Enterprise Architecture, Governance, IT Management, IT Strategy, ITIL, Integration, Knowledge Management, MS Project, Management Consulting, Process Improvement, Project Management, Project Planning, Project Portfolio..., Requirements Analysis, Requirements Gathering, SharePoint, Software Project..., Strategy, Team Leadership, Vendor Management
Education
University of Maryland College Park 2000 — 2002
MBA, Finance
Rutgers University 1986 — 1988
MA (ABT), Economics
Cuttington University 1980 — 1983
BSc, Economics
Cathedral Elementary School
Cathedral Elementary School
Hopkins ElderPlus December 2012 - Present
Rhadar Managed Care Consulting June 2012 - Present
LIFE at Home February 2009 - May 2012
INSPIRIS March 2006 - December 2008
AmeriChoice July 2004 - May 2006
Geriatrix of New York February 2003 - July 2004
Health Partners of Phildelphia June 1996 - November 2002
Northeast Health 1993 - 1996
Cost Containment Corpration April 1989 - December 1992
AHMAC/Freedom Healthcare 1983 - 1988
Skills
Managed Care, Disease Management, Healthcare Management, Medicare, Medicaid, Healthcare
Education
The University of Western Australia
BA Hons, Urban and Regional Planning
PharmMD February 2009 - Present
SJM Enterprises January 2004 - Present
Walgreens February 2003 - Present
Coventry Health Care June 2007 - February 2009
AmeriChoice June 2005 - June 2007
Cypress Care January 2005 - June 2005
HealthTrans 2003 - 2005
MIM Health Plans June 1999 - June 2003
Eagle Managed Care 1996 - 1999
Prudential Pharmacy Management January 1995 - May 1996
Skills
Managed Care, Workers Compensation, Pharmacy, Medicare Part D, Patient Counseling, Patient Outcomes, Pharmacists, Pharmacy Benefit..., Medication Therapy..., Medicaid, Medicare, Clinical Research, Utilization Management, Healthcare, Pharmacy Automation, Medicine, Disease Management, Pharmacology, Pharmaceutical Industry, Cardiology, Pharmacy Practice, Healthcare Management, Patient Education, Community Pharmacy, Diabetes, Patient Safety, Healthcare Industry, Informatics, Healthcare Consulting, Pharmacoeconomics, Pharmaceutics, Clinical Pharmacy, Clinical Pharmacology, Claims, Health Policy, Healthcare Information..., Immunization, HIPAA, Certified in..., Health Insurance, Oncology, Pharmacueticals, Certified in...
Education
U of Maryland Pharmacy Grad School 1983 — 1985
Master of Science (M.S.), Pharmacy Administration and Pharmacy Policy and Regulatory Affairs
University of Iowa 1972 — 1976
B.S.Pharm, Pharmacy
UnitedHealthcare June 2011 - Present
UnitedHealthcare Community & State June 2011 - Present
AmeriChoice September 2009 - June 2011
United Health Group - Ovations 2007 - September 2009
Ernst & Young February 2006 - April 2007
Gorman Health Group June 2004 - January 2006
UnitedHealth Group 2002 - 2004
UnitedHealth Group 1997 - 2002
Skills
Healthcare, Managed Care, Compliance, Program Management, Problem Solving, Analysis, Vendor Relations, Cross-functional Team..., Team Building, Healthcare Industry, Account Management, Team Leadership, Auditing, Strategic Planning, Change Management, Policy, Health Policy
Education
University of Minnesota-Twin Cities 1990 — 1993
BS, Human Resource Development, Speech Communications
AmeriChoice Executive Director, OperationsUnitedHealthcare Community & State2011 - Present
UTMB Health Plans, Inc. February 2000 - April 2007
MacGregor Medical Association 1989 - 2000
Education
The University of Texas at Austin 1979 — 1982
Devlin Consulting Group November 2009 - Present
Coventry Health Care November 2007 - March 2010
AmeriChoice December 2006 - November 2007
United Health Group July 2004 - December 2006
United Healthcare January 2001 - July 2004
UnitedHealthCare of the Midlands, Omaha, NE February 1996 - January 2004
Skills
Health Plans, Managed Care, Healthcare, Medicaid, Contract Negotiations, Strategic Planning, Data Analysis, Operations Management, Financial Management, Financial Analysis, Financial Planning, Financial Accounting, Management Consulting, Network Development, Contract Negotiation, Claims, Team Building, Financial Reporting, Medicare, Provider Contracting, Healthcare Industry, Healthcare Management, Healthcare Consulting, HMO, Process Improvement, Provider Relations, Executive Management, Cost Containment, Compliance, Insurance, Credentialing, HIPAA, P&L Management, Forecasting, PPO, Medicare Part D, Contract Management, Budgeting, Vendor Management, Strategy Development, Business Planning, Change Management, Medical Cost Containment, Health Policy, Claim, Budgets, Analysis, Management, Program Management, Start-ups
Education
University of Nebraska at Omaha 1990 — 1993
MBA, Business Administration
Lincoln School Of Commerce 1981 — 1984
Associates Degrees in Accounting and Business Administration, Accounting and Business Management
UnitedHealthcare May 2011 - Present
United Health Group 2010 - Present
Americhoice January 2009 - January 2010
United Health Care June 2006 - January 2009
Skills
Healthcare, Managed Care, Medicare, HIPAA, Provider Relations, Medicaid, Healthcare Management, Network Development, Health Insurance, HMO, Healthcare Industry
Education
University of Northern Iowa
BA, Speech, Public Relations
Pnc Bank Corp December 2014 - Present
BMPC April 2014 - November 2014
Computer Aid, Inc. consulting to Federated Investors July 2013 - April 2014
NHS, Inc February 2013 - July 2013
SDLC Partners, L.P. consulting to Highmark April 2012 - February 2013
PLS Logistics September 2011 - April 2012
UnitedHealth Group July 2010 - September 2011
AmeriChoice July 2008 - June 2010
Unison Healthplan January 2006 - July 2008
Equitable Gas October 2004 - January 2006
Skills
Scrum, Waterfall,..., IT Governance, Change..., Scrum, Process Improvement, Change Management, Waterfall, Process Management, Project Management, PMP, Cross-functional Team..., Resource Management, Project Portfolio..., Management, IT Management, Leadership, Governance, Project Planning, SDLC, Agile Project Management, Agile Methodologies, PMO, SharePoint, MS Project, Quality Assurance, Software Documentation, Business Intelligence, ITIL, Requirements Gathering, Testing, Team Leadership, Software Project..., User Acceptance Testing, Databases, Visio, Oracle, Microsoft SQL Server, Integration, Requirements Analysis, Vendor Management, Strategy, Business Analysis, IT Strategy, Microsoft Project
Education
University of Phoenix 2000 — 2002
Master of Science, Information Systems
Villanova University 2009 — 2009
Masters Certificate, Project Management