Amerigroup Company
Industry: Health insurance company
DescriptionAmerigroup is a United States health insurance and managed health care provider. Amerigroup covers 7.7 million seniors, people with disabilities, low-income families and other state and federally ... Headquarters: Virginia Beach, Virginia, United States Number of employees: 7,080 (12/31/2012) Founder: Jeff McWaters Founded: 9 December 1994 Parent organizations: Anthem, ATH Holding Company, LLC Subsidiaries: AMERIGROUP New York, LLC,
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Amerigroup Employees
Amerigroup October 2015 - Present
Amerigroup August 2005 - Present
Boys & Girls Clubs of Metro Atlanta November 1998 - August 2005
Skills
Marketing, Marketing Strategy, Marketing Communications, Product Marketing, Marketing Management, Healthcare, Brand Awareness, Corporate Branding, Brand Loyalty, Sales Management, proces, Problem Solving, Collaborative Problem..., College Teaching, Strategic Planning, Customer Service, Consumer Behaviour, Marketing Activation, Event Management, Coordinating Events, Strategic Communications, Public Relations, Non-profit..., Public Administration, Managed Care, Community Development, Integrated Marketing, Media Relations, Corporate Communications, Strategy, Advertising, Nonprofits, Brand Development, Internal Communications, Press Releases, Social Media Marketing, Direct Marketing, Brand Management, Community Outreach, Budgets, Event Planning, Management, Public Speaking, Program Management, Leadership, Team Building, Social Media, Leadership Development
Education
Keller Graduate School 2003 — 2004
MBA, Public Adminstration
Savannah State University 1994 — 1997
Bachelor of Science (B.S.)
Amerigroup September 2012 - Present
Celgene March 2010 - September 2012
Skills
Pega PRPC, Weblogic Administration, Java, SQL, HTML, Integration, Pegasystems PRPC, Oracle, Unix Shell Scripting, PL/SQL, SDLC, SOA
Education
State University of New York at New Paltz 2006 — 2008
Master's degree, Electrical and Computer Science engineering
U.S. Coast Guard August 2014 - Present
Goldbelt Falcon, LLC August 2014 - Present
Pillich Consulting July 2011 - July 2014
Amerigroup September 2013 - February 2014
Lyft 2014 - 2014
Gannett Media Technologies International February 2013 - August 2013
GE Energy July 2011 - January 2013
Triangle Productions 2010 - 2013
Liberty Tax Service January 2008 - April 2011
Universal American 2010 - 2011
Skills
Software Documentation, Technical Writing, Training, Content Management, Microsoft Office, Technical Documentation, Customer Service, Testing, Proposal Writing, Public Relations, Editing, Visio, Quality Assurance, Usability, Team Leadership, Management, Marketing, Event Planning, Marketing Communications, Online Help, HTML, SnagIt, Analysis, Media Relations, Leadership, Adobe Acrobat, SharePoint
Education
College of William and Mary 1979 — 1981
BA, Economics, Computer Science
State University of New York College at Fredonia 1976 — 1978
Computer and Information Science, Business and Economics
Higher Horizons Head Start April 2010 - Present
Amerigroup June 2005 - December 2009
WellPoint January 2000 - May 2005
Education
Strayer University (VA) 1996 — 2001
Bachelor of Science (B.S.), International Business
Strayer University-Virginia
Bachelor of Science (BS), International Business
Amerigroup March 2009 - Present
Amerigroup December 2007 - March 2009
Amerigroup March 2003 - December 2007
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, Teaching, HTML, Team Building, Community Outreach, Event Planning, Healthcare, Coaching, Leadership, Leadership Development, Public Speaking, Nonprofits, Social Media, Strategic Planning, Training, Social Networking
Education
Texas Southern University 1981 — 1983
Social Work, 3.5
Scion Dental September 2014 - Present
Amerigroup January 2013 - September 2014
Joseph M. Still Burn Center May 2012 - January 2013
Southeast Community Care September 2009 - March 2012
Humana Military Healthcare Services June 2004 - August 2009
Skills
Credentialing, Provider Relations, Physicians, Medical Records, Claim, Insurance, Analysis, HEDIS, Invoicing, Healthcare, Hospitals, Data Entry, Medicare, Health Insurance, Healthcare Management, HIPAA, Managed Care, Employee Benefits, Medicaid, Public Speaking
Education
Southern Wesleyan University 2012 — 2012
Voorhees College 2008 — 2012
Bachelor of Science (BS), Organizational Management
Amerigroup January 2015 - Present
Carson Tahoe Regional Healthcare April 2013 - January 2015
Saint Mary's Health Plans July 2011 - April 2013
Blue Cross Blue Shield of North Carolina May 2005 - May 2011
Passport Health Plan May 2003 - November 2004
Renown Health September 1998 - April 2003
Skills
Healthcare, Hospitals, Process Improvement, HIPAA, Healthcare Information..., Healthcare Management, Revenue Cycle, Medicaid, Policy, Medicare, Managed Care, EHR, Software Documentation, Healthcare Consulting, Health Insurance
Education
Campolindo High School
Saint Mary's College of California
Bachelor of Arts (B.A.), Political Science/Communications
Amerigroup January 2012 - Present
tarrant county college 2011 - Present
2010- 2011 June 2010 - July 2011
Universal Recycling Tech. January 2009 - May 2010
National Presort Inc. January 2007 - February 2008
Skills
Accounting, Customer Satisfaction, Customer Service, Hospitals, Insurance, Interviews, Invoicing, Logistics, Management, Process Scheduler, Sales, Shipping, Telephone Skills
Education
Tarrant County College 2006 — 2012
Business Administration and Management, General
ZeOmega October 2014 - Present
Amerigroup March 2014 - September 2014
MultiCare Health System June 2012 - February 2014
Community Health Plan of Washington April 2011 - June 2012
Community Health Plan of Washington October 2007 - June 2012
Seattle Children's August 2002 - June 2007
Skills
Healthcare, Healthcare Management, Hospitals, Nursing
Education
Seattle Pacific University 1997 — 2002
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Puyallup High School 1994 — 1997
Norfolk Public Schools September 2014 - Present
Allied Technology December 2011 - April 2013
Amerigroup May 2011 - November 2011
Union Plaza Care Center November 2009 - May 2010
Children's Hospital of The King's Daughters February 2009 - November 2009
Children's Specialty Group March 2006 - May 2008
Caroline's Floral and Gift Boutique May 1999 - March 2006
Skills
Microsoft Office, Customer-focused Service, Accurate Data Entry, Active Security..., Administrative..., Team-spirited, Professional..., Technical Writing, Security Clearance, Expense Reports, Travel Arrangements, Spreadsheets, Administrative..., Medical Records, Filing, Editing, DoD, Switchboard Operator, Government Contracting, Access, Data Entry, Human Resources, Administrative...
Education
Regent University 2014 — 2016
Bachelor of Arts (B.A.), Elementary Education and Teaching
Tidewater Community College 2011 — 2013
Associate of Science (A.S.), Social Sciences, 3.7
Granby High School 1995 — 1999
High School Diploma, General Studies
Amerigroup January 2013 - Present
University Physician Associates March 2012 - December 2012
Dr. Eric Carlson, DMD, MD – Externship January 2012 - March 2012
Humana August 2001 - September 2011
Skills
Billing & Coding, Medical Administravie..., Supervisory Skills, Staff Supervision, Insurance Claims, Mailroom, Customer Service, Microsoft Office, Lotus Notes, CMS, Data Entry, General Office Duties, Kronos, Medical Terminology, Medical Technology, Medical Billing, Document Scanning, Medisoft, ICD-9, CPT, Excel, Office Management, Leadership, Microsoft Excel
Education
Tennessee Technology Center at Knoxville 2011 — 2012
Certification, Medical Office Assistant/Specialist, 94
Fresenius Medical Care July 2015 - Present
M2G Med-Management Group November 2012 - June 2015
Amerigroup October 2010 - December 2012
Heads up hair styling center March 2001 - October 2010
Skills
Healthcare, Sales Management, Customer Service, Pharmaceutical Sales, Pharmaceutical Industry, Sales Operations, Product Launch, Cross-functional Team..., Sales Effectiveness, Marketing Strategy, Market Development, Managed Care, Employee Training, Time Management, Leadership, Hospitals, Strategic Planning, Process Improvement, Microsoft Excel, Healthcare Information..., Training, Team Building, Program Management, Project Management
Education
Tennessee Technological University 1991 — 1992
cosmotology, Cosmetology, Barber/Styling, and Nail Instructor
McGavock High school 1988 — 1991
High school deploma, Required
Custom Craft Lens Service April 2013 - Present
Amerigroup February 2015 - May 2015
Eye Level Learning April 2014 - September 2014
Optometrist Vision inside Walmart January 2011 - September 2011
Physical Therapy May 2010 - September 2010
Optometrist Vision Center March 2009 - August 2010
Skills
Microsoft Office, Microsoft Word, Customer Service, Teaching, Teamwork, Social Networking, Editing, Time Management, Event Management, Higher Education, English, Volunteer Management, Healthcare, Visio, Macess, Access, Microsoft Excel, Project Coordination, Events Coordination, Leadership, PowerPoint, Public Speaking, Research
Education
Rutgers University-New Brunswick 2011 — 2015
Bachelors Public Health, Public Health
Parsippany hills high school 2008 — 2011
Amerigroup June 2013 - Present
Skills
Printers, Customer Satisfaction, Troubleshooting, Customer Service, Call Center, Photocopier, Account Management, Technical Support, Computer Hardware, Scanners, Variable Data Printing, Digital Printing, Sales, Microsoft Office, Windows 7
Education
Texas A&M University-Commerce 2007 — 2009
Business, Management, Marketing, and Related Support Services
David W. Carter High School 2003 — 2007
Diploma
Amerigroup February 2015 - Present
Aetna August 2013 - February 2015
San Jacinto River Authority March 2012 - August 2013
Brown & Gay Engineers, Inc. October 2011 - March 2012
Blu Moon Photography January 2008 - October 2011
Woodforest National Bank December 2006 - January 2008
Wall Homes December 2004 - January 2006
Skills
Marketing, Purchasing, Event Management, Training, Program Management, Customer Service, Budgets, Microsoft Office, Microsoft Excel, Inventory Management, Contract Negotiation, Invoicing, Project Management, Advertising, Account Management, Microsoft Word
Education
Sam Houston State University 2004 — 2009
BBA, Business
Amerigroup September 2012 - Present
Anthem September 2012 - Present
Lower West Side Household Services Corp. January 2009 - June 2009
Meadowbrook HealthCare August 2008 - December 2008
SUNY Child Care Center at Sibley January 2008 - May 2008
2006- 2007 June 2006 - August 2007
SUNY Child Care Center February 2007 - April 2007
2003-2004St. Patrick's Nursing Home September 2003 - January 2004
Skills
Spanish, Healthcare, Case Management, Medicaid, Software Documentation, Data Entry, HIPAA, Medicare, Insurance, Outlook, Healthcare Management, Managed Care, Community Outreach, Customer Service, Health Education, Behavioral Health
Education
State University of New York College at Plattsburgh 2004 — 2008
BS, Human Development and Family Relations- Child Care Management Concentration
State University of New York College at Plattsburgh 2004 — 2008
B.S, Human Development and Family Relations Dec 2008 Child Care Management concentration
Anthem June 2015 - Present
Anthem May 2014 - June 2015
Amerigroup May 2013 - May 2014
Amerigroup March 1999 - May 2013
Skills
Healthcare Management, Healthcare, Healthcare Information..., Medicaid, Hospitals, Medicare, HIPAA, Managed Care, EHR, Physician Relations, Healthcare Industry, Healthcare Consulting, EMR, Epic Systems, Process Improvement, Strategic Planning, Project Management, Training, Visio, Program Management
Education
Johnson & Wales University, Charleston, SC 1992 — 1995
BS Hotel Restaurant Institutional Management, Hotel-Restaurant Management and Business
St. John's University 1991 — 1992
Studies in Business Management, Business Administration and Management, General
Amerigroup June 2012 - February 2015
Seattle Girls' School March 2011 - June 2012
Temple Beth Am October 2007 - June 2010
Lindal Cedar Homes October 2006 - September 2007
Washington Mutual Bank September 2004 - February 2006
King County Prosecuting Attorney's Office June 1996 - June 2001
Skills
Non-profits, Customer Service, Microsoft Office, Event Planning, Healthcare, Administrative..., Outlook, Office Administration, Volunteer Management, Community Outreach, Public Speaking, Program Facilitation, Microsoft Excel, Social Media, Health Insurance, Recruiting, PowerPoint, Office Management, Budgets, Administration, Access, Microsoft Word, Training, Leadership, Nonprofits, Public Relations, Policy, Editing, Administrative..., Data Entry, Event Management, Marketing, Filing, Spreadsheets
Education
Seattle Central Community College 2000 — 2001
African-American/Black Studies
Seattle Vocational Institute 1996 — 1997
Medical Office Administration, Medical Residency Programs - Subspecialty Certificates
National Broadcasting School 1988 — 1989
Radio and Television Broadcasting Technology/Technician
Amerigroup June 2014 - Present
Molina Healthcare May 2002 - June 2014
Glacier Bay Catamarans 2000 - 2002
Campbell Soup Company 1997 - 2000
Skills
Healthcare, Medicaid, Provider Relations, Managed Care, Healthcare Industry, HMO
Education
Shoreline Community College
Associate's degree
Optum July 2012 - Present
U.S Dept Health and Human Services - CMS January 2011 - June 2012
U.S. Dept. of Health and Human Services May 2010 - December 2010
Amerigroup August 2008 - April 2010
Maryland Public Service Commission March 2007 - July 2008
Amerigroup June 2004 - February 2007
Maryland Insurance Administration June 1997 - May 2003
Skills
Healthcare, Government
Education
Rutgers University School of Law - Camden 1981 — 1985
J.D.
Eagleton Institute of Politics - Rutgers University 1983 — 1984
M.A. Public Policy
Gettysburg College 1977 — 1981
MediCopy Services, Inc. August 2014 - Present
HCA November 2012 - August 2014
Amerigroup November 2011 - November 2012
Skills
Project Management, Team Building, Microsoft Office, EMR Training, Administration, People Development, Customer Service, Hospitals
Education
Tennessee State University 2006 — 2011
Bachelor of Science (B.S.), Health/Health Care Administration and Planning
Amerigroup September 2015 - Present
Unemployed April 2015 - Present
Sentara Healthcare September 2012 - April 2015
Sentara Healthcare November 2007 - September 2012
Skills
Network Engineering, Programming, Network Security, Technical Analysis, CCNA, A+ Certified, MCDST, HP APS, CompTIA Network+..., Windows Server, Web Design, VMware, Windows & Mac operating..., Visual C++, Visual Basic, Perl Script, HTML, Lisp, Microsoft SQL Server, SQL, ActionScript, Visual C#, Intrusion Detection, Host Intrusion..., Black Box Testing, White Box Testing, Ethical Hacker, Penetration Testing, Software Documentation, Technical Documentation, Servers, Windows XP, Windows 7, Technical Support, Firewalls, Software Installation, HP, Perl, Troubleshooting, Active Directory, Networking, Security, System Administration, Network Administration, Operating Systems, Windows, Laptops, Computer Hardware
Education
Tidewater Community College 2011 — 2011
N/A, MCITP 2008
Tennessee Technological University 2000 — 2000
N/A, Computer Science
Pegasystems November 2014 - Present
VieBridge Inc. April 2013 - September 2014
Express Scripts October 2012 - March 2013
Amerigroup April 2011 - August 2012
Piedmont Healthcare April 2009 - January 2011
Skills
Healthcare Information..., Software Project..., Requirements Gathering, Requirements Analysis, SOP, SDLC, Agile & Waterfall..., Systems Analysis, Data Analysis, Gap Analysis, Business Process..., Quality Assurance, Software Documentation, Test Planning, System Integration..., System Testing, User Acceptance Testing, Test Management, SQL, Regression Testing, Visio, Data Mapping, ICD-10, ICD-9, MMIS, SharePoint, Management
Education
Richland College 1999 — 2000
PMHS
Amerigroup May 2014 - Present
Clayton County Public School September 2011 - May 2014
Atlanta Metropolitan College 2008 - 2011
Atlanta Metropolitan College 2008 - 2011
Clayton County Public School August 2007 - June 2010
Boys and Girls Club 2000 - 2006
Skills
Public Speaking, Community Outreach, Teaching, Staff Development, Fundraising, Event Planning, Program Development, Youth Development, Non-profits, Research, Leadership Development, Grant Writing, Coaching, Youth Mentoring, Career Counseling, Workshop Facilitation, Customer Service, Curriculum Development, Microsoft Office, Higher Education, Curriculum Design, Tutoring, Leadership, Admissions, Data Analysis, Nonprofits, PowerPoint, Program Evaluation, Qualitative Research, Social Media, Volunteer Management, Conflict Resolution, Educational Technology, Student Development, Adult Education, Educational Leadership, Training
Education
Argosy University Atlanta 2011 — 2013
Doctor of Education (Ed.D.), Educational Leadership and Administration, General
Argosy University Atlanta 2009 — 2011
Education Specialist (Ed.S.), Educational Leadership and Administration, General
Argosy University Atlanta 2007 — 2009
MAEd., Instructional Leadership
Savannah State University 1996 — 2000
Amerigroup August 2015 - Present
Cognizant Technology Solutions December 2006 - Present
United Health Group 2010 - July 2015
Sallie Mae 2009 - 2010
HealthPlan Services 2006 - 2009
Hewlette Packard April 2006 - December 2006
Valuesource Technology (P) Ltd (Now part of Cognizant Technology Solutions) April 2005 - March 2006
Infinite Computer Solutions August 2003 - March 2005
IBM Global Process Services August 2003 - March 2005
Skills
Healthcare, Requirements Analysis, Supply Chain Management, Software Development, Data Conversion, Software Project..., JCL, DB2/SQL, DB2, VaGen, COBOL, WTX, VSAM, C, Production Support, Student Loans, Application Development, Data Migration, Conversions, Trizetto Facets, Sybase, Technical Writing, Technical Analysis, SDLC, Technical Presentations, System Analysis, Business Analyst, IBM Mainframe
Education
M.P.C.T. Gwalior. 1998 — 2002
Computer Science
Rajiv Gandhi Prodyogiki Vishwavidyalaya
St Pauls School, Gwalior
Unemployed - seeking work Administrative Functional Support 2AMSEC LLC, A Subsidiary of Huntington Ingalls IndustriesMarch 2014 - July 2015
Amerigroup June 2013 - January 2014
Green Mountain Coffee Roasters January 2013 - April 2013
CSC October 2010 - September 2011
John Q. Hammons Hotels & Resorts April 2010 - October 2010
City of Norfolk 2000 - 2007
Skills
Administrative Duties, HR Policies, Administrative Support, Benefits Administration, Recruiting, Administrative Work, Administrative..., Training, Strategic Planning, Program Management, Time Management, Interviews, Performance Management, Employee Training, Management, Employee Benefits, Human Resources
Education
Strayer University 2011 — 2015
Associate’s Degree, Business Administration and Management, General, 3.1
Strayer University 2005 — 2015
Bachelor’s Degree, Business Administration and Management, Human Resources, 3.0
Penn National Gaming March 2011 - Present
Advance Auto Parts October 2006 - March 2011
Amerigroup March 2006 - October 2006
Direct Holdings dba as Lillian Vernon and Time Life April 2004 - March 2006
ValueOptions August 1999 - May 2004
Ticketmaster 1998 - 1999
Valley Rich Dairy 1997 - 1998
Drake Extrusion 1997 - 1997
Skills
Business Intelligence, Data Warehousing, Data Warehouse..., Analytics, ETL, Dashboard, Data Governance, Teradata, Business Intelligence..., CRM, SQL, Data Modeling, Big Data, Project Management, Predictive Analytics, Database Admin, OLAP, Database Marketing, Data Analysis, Vendor Management, Database Design, Project Portfolio..., Team Building, Data Management, Customer Analytics, Performance Management, Change Management, Budgets, Requirements Management, Integration, Strategy, IT Strategy, KPI Dashboards, Customer Segmentation..., Leadership, Public Speaking, Decision Analysis, Salesforce.com, Database Management, Metadata Management, Financials, Accounting, Purchasing Negotiation, Data Strategies, Cross-functional Team..., Management, Business Analysis, Program Management, Customer Analysis, Data Analytics
Education
Center For Creative Leadership 2015 — 2015
Leadership Development Program (LDP)
Center For Creative Leadership 2011 — 2011
Maximizing Your Leadership Potential (MLP)
University of Virginia 2007 — 2008
MS, in the Management of Information Technology (MSMIT)
Roanoke College 1995 — 1997
BBA, Concentration in Finance
Zondervan Publishers 2012 - Present
Regent University 2014 - Present
Christian Methodist Episcopal Church 1999 - 2013
Children's Hospital of Michigan 2001 - 2001
Botsford General Hospital 1999 - 2001
Amerigroup 1998 - 1999
Skills
Copywriting, Social Media, Public Relations, Editing, Copy Editing, Blogging, Email Marketing, Public Speaking, Social Networking, Proofreading, Event Planning, Social Media Marketing, Newsletters, Fundraising, Nonprofits, Community Outreach, Team Building, Marketing, Customer Service, Leadership, Event Management
Education
Regent University 2014 — 2016
Master of Arts (M.A.), Cinema & TV--Scriptwriting
The University of Texas at Arlington 1992 — 1999
B.A., Communication
Amerigroup April 2013 - Present
Skills
Microsoft Window..., Scanner programs, BOL,..., EXPERTISE ON FOLLOWING..., Administration, Customer Service, Leadership, Navy, Security Clearance, Training, Documentation, Employee Benefits, Security
Education
University of Phoenix 2015 — 2017
Master's Degree, Business Administration, Management and Operations
Saint Leo University 2013 — 2014
Bachelor's Degree, Health/Health Care Administration/Management
Saint Leo University 2012 — 2013
Bachelor's Degree, Business Administration and Management, General
Saint Leo University 2011 — 2012
Associate's Degree, Liberal Arts and Sciences/Liberal Studies
Anthem Inc. August 2013 - Present
General Dynamics Information Technology February 2013 - July 2013
Amerigroup April 2010 - February 2013
Amerigroup October 2006 - April 2010
Amerigroup 2002 - 2006
Skills
Healthcare, Data Analysis, Analysis, Data Mining, SQL, FWA, Fraud Investigations, Fraud Prevention, Access, Fraud, Policy, SDLC, HIPAA, Risk Management, Training, Managed Care, Claim, Auditing, Management, Healthcare Information..., Medicaid, Strategy, Medicare, Internal Audit
Education
Old Dominion University - College of Business and Public Administration 2003 — 2007
Bachelor of Science in Business Administration, Information Technology
MBO Partners January 2014 - Present
J Aquino Consulting and Coaching LLC October 2013 - Present
Amerigroup March 2013 - November 2013
Amerigroup March 2006 - March 2013
The Child Center of NY 2007 - 2009
North Shore Long Island Jewish Health System 2003 - 2006
Memorial Sloan-Kettering Cancer Center 1999 - 2001
Skills
Leadership, Coaching, Healthcare Management, Healthcare Consulting, Management, Public Speaking, Case Management Services, Cross-functional Team..., Medicaid Managed Care, Medicaid, Managed Care, Healthcare, Transition Management, Presentations, Collaboration, Executive Coaching, Team Building, Strategy Implementation, Process Improvement, Management Development, Case Management, Leadership Development, Strategic Planning, Training
Education
Stony Brook University
Master's degree, Social Work
State University of New York College at Old Westbury
Bachelor of Arts (B.A.), Psychology
Savannah State University Office AssistantAngela K. Crowell MDAugust 2013 - May 2015
Active Learning Center May 2009 - August 2013
Amerigroup May 2008 - October 2009
The Community Foundation for Greater Atlanta June 2006 - August 2006
Skills
Marketing, Global Marketing, Marketing Communications, Marketing Research, Social Media Marketing, Market Research, Marketing Strategy, Direct Marketing, Social Media, Event Planning, Online Advertising, Brand Awareness, Event Management, Market Planning, Social Networking, Brand Development, Consumer Behaviour, PowerPoint, Sales, Strategic Planning, Blogging, Advertising, Public Relations, Nonprofits, Community Outreach, International Business, Retail Marketing, Precision Tree, Risk Assessment, Buyer Education
Education
Savannah State University 2007 — 2015
Marketing
Savannah State University 2008 — 2014
Bachelor of Business Administration (B.B.A.), Marketing
Cenpatico February 2012 - Present
Amerigroup January 2011 - January 2012
Amerigroup April 2003 - January 2011
Skills
Microsoft Excel, PowerPoint, Outlook, HTML, Negotiation, Emptoris, CRM, Trainer, Project Management, SharePoint, Visio, Facets, Portico, TeamTrack, Amisys, Colt, PeopleSoft, Analysis
Education
Saint Leo University 2009 — 2011
Bachelor of Arts (B.A.), Business Administration and Management, General
Tidewater Community College
Amerigroup March 2014 - Present
Amerigroup January 2013 - March 2014
NASBA December 2004 - August 2012
Delvin Farms 2010 - 2011
Skills
Customer Service, Microsoft Excel, Sales, Microsoft Word, Process Improvement, Microsoft Office, PowerPoint, Strategic Planning, Accounting, Research, Leadership, Public Speaking, Financial Analysis, Team Building
Education
University of Washington 2014 — 2016
Bachelor's Degree, Speech and Hearing Sciences
Seattle Central Community College 2012 — 2014
Associate of Arts (A.A.)
Amerigroup Corporation August 2010 - Present
Amerigroup May 2002 - August 2010
Blue Cross Blue Shield of Kansas City 1995 - 1999
CHCP 1984 - 1995
Skills
Cross-functional Team..., Project Management, Healthcare Information..., Health Policy, Business Process..., Six Sigma, Healthcare Consulting, Leadership, Healthcare Management, Clinical Research, Disease Management, Hospitals, Healthcare, Credentialing, Medicaid, HMO, Provider Relations, Utilization Management, Healthcare Industry, Health Insurance, Quality Improvement, Network Development, Physician Relations, HIPAA
Education
Rensselaer Polytechnic Institute at Hartford 1991 — 1995
MS, Management - Health Care
Saint Anselm College 1967 — 1971
BSN, Nursing
Metro Access January 2012 - Present
Amerigroup October 2011 - December 2012
Association of American Medical Colleges (AAMC) January 2000 - January 2010
Skills
Photoshop
Education
Crossland High School
Strayer University
Business Administration and Management, General
B2B Solutions January 2015 - Present
Performance Tuning Corp October 2011 - December 2014
Principle Solutions Group November 2011 - November 2012
Amerigroup Corporation April 2008 - October 2010
Gannett Media Technology International (GMTI) January 2007 - April 2008
Amerigroup June 2006 - December 2006
Zel Technologies February 2004 - April 2005
Verizon 1998 - 2003
Skills
Database Design, SSIS, Databases, Database Administration, Microsoft SQL Server, ETL, Performance Tuning, Disaster Recovery, SSRS, T-SQL, SharePoint, Replication, Systems Analysis, Stored Procedures, High Availability, Project Management, Access, SQL Tuning, Servers, SDLC
Education
Strome College of Business 1992 — 1996
BSBA, MIS
Amerigroup September 2004 - Present
Houston ISD September 1997 - May 2004
Skills
Case Managment, Patient Advocacy, Transitional Care, Subject Matter Experts, Problem Solving..., Social Services, Behavioral Health, Group Therapy, PowerPoint, Microsoft Excel, Team Leadership, Interdisciplinary..., Benefit Cost Analysis, Mental Health, Medicare/Medicaid..., Medicare Advantage, Health Risk Assessments, Integrated Case..., Medical Social Work, Crisis Intervention, Motivational..., Healthcare, Healthcare Management, Care Planning, Gerontology
Education
University of Houston 1993 — 1995
Masters, Social Work
Texas A&M University
Bachelor of Applied Science (B.A.Sc.)
MajestaCare October 2013 - Present
Carilion Clinic January 2012 - October 2013
Amerigroup June 2012 - September 2012
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java, Team Building, Project Management, Social Media
Education
Virginia Western Community College 1995 — 1998
Associate in Applied Science, Registered Nursing/Registered Nurse
Radford University 1981 — 1985
Bachelor of Science (B.S.), Business Administration and Management, General
MAXIMUS November 2013 - Present
Centers Plan for Healthy Living October 2012 - June 2013
Amerigroup May 2012 - October 2012
Health Plus October 2011 - October 2012
Health Plus April 2009 - October 2011
Skills
Customer Satisfaction, Coaching, Customer Service, Microsoft Office, Training Manuals, Avaya, CMS, Health Insurance, Reference Manuals, Visio, Quality Auditing, Presentation Development, Multitasker, Bilingual, Computer Literate, Presentation Preparation, Drafting Policies, Productivity &..., Call Center, Six Sigma, Management, Reporting Metrics, Productivity Coaching, Quality Oriented, Psychology, Call Centers, Managed Care, Policy Writing, NICE Call Recording, Insurance, Healthcare Industry, PPO, Credentialing, Team Building, Healthcare, Training
Education
St. John's University 2003 — 2007
Bachelor of Arts, Psychology
Amerigroup January 2015 - Present
HireRight August 2014 - December 2014
The Home Depot August 2013 - April 2014
Skills
Customer Satisfaction, Customer Service, Leadership, Merchandising, Microsoft Office, Microsoft Word, PowerPoint, Public Speaking, Sales, Sales Management, Time Management, Social Networking, Event Planning, Microsoft Excel, Social Media, Research, Teamwork
Education
Tennessee State University 2008 — 2013
Bachelor's Degree, Criminal Justice/Law Enforcement Administration
Amerigroup February 2014 - Present
CareCentrix July 2011 - February 2014
All Children's Hospital April 2010 - January 2011
Albany Medical Center February 2008 - April 2010
Skills
Healthcare Information..., Wellness Coaching, Lifestyle Coaching, Public Speaking, Technical Writing, Report Writing, Teaching, Training, Hospitals, Healthcare Management, Case Managment, Healthcare, Utilization Management, Home Care, Health Care Systems, Clinical Research, Medicaid, HIPAA, Nursing, EHR, Mental Health
Education
Memorial Hospital School of Nursing 2005 — 2007
ADN, Nursing-RN
State University of New York Empire State College 1994 — 1998
Bachelor's degree, English Language and Literature/Letters
Amerigroup January 2015 - Present
Blue Cross Blue Shield of Georgia October 2007 - Present
Blue Cross Blue Shield of Georgia July 2006 - October 2007
Blue Cross Blue Shield of Georgia August 1999 - July 2006
Skills
Microsoft Office, Windows Server, PowerPoint, Internet, Typing, 10 Key, Microsoft Windows 98, Policy, Invoicing, Management, Health Insurance, Insurance, Claim, Access, Training, Medicare, Medicaid, Managed Care, HIPAA, Healthcare, Provider Relations
Education
Saint Leo University
Bachelor's Degree, Business Administration, Management and Operations
Anthem May 2014 - Present
Altegra Health January 2013 - Present
Centerlight March 2013 - April 2014
Complexcare Solutions March 2012 - April 2013
Amerigroup March 2009 - January 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, Medicare, Training, Medicaid, Clinical Research, Process Improvement, Quality Assurance, Healthcare, Managed Care, Strategic Planning, Recruiting, Employee Relations, Software Documentation, Management, Policy, Quality Management, Auditing, Insurance, HEDIS, Healthcare Management, HIPAA
Education
Adelphi University Garden City New York
BSN, Registered Nursing/Registered Nurse
Holy Family high school
Holy Family high school
Suffolk County Community College
ServiceSource April 2014 - Present
Amerigroup February 2013 - April 2014
Gap Inc./Old Navy September 2007 - November 2012
City of Gary Parks Department June 2008 - August 2008
Skills
Customer Service, Microsoft Office, Microsoft Excel, Data Entry, Sales, Visual Merchandising, Logistics, Enrollment Services, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Health Insurance, Medicaid, Provider Relations, SAP, Oracle, Retail Sales, Consignment, SAP CRM, CRM
Education
Tennessee State University 2006 — 2012
Bachelor of Science (B.S.), Interdisciplinary Studies
Portage High School 2002 — 2006
General Education Diploma
Amerigroup November 2013 - Present
Maxim Healthcare Services February 2013 - Present
Attentive Home Health December 2011 - November 2012
Nurse Finders April 2005 - April 2012
Baron HR 2012 - 2012
Bluebonnet Home Health April 2011 - July 2011
John Peter Smith Hospital August 2006 - February 2011
JPS Health Network June 2006 - February 2011
North Hills Hospital June 2005 - August 2006
Spectrum Healthcare Resources November 2003 - June 2005
Education
University of Texas at Tyler 1999 — 2001
BSN
University of Texas at Tyler 1999 — 2001
BSN Program
University of Tulsa Tulsa 1997 — 1998
Texas Christian University 1995 — 1996
Eastfield Community College Mesquite 1994 — 1996
Associates
Lakeview Centennial High School 1983 — 1985
Diploma
Disability Services of the Southwest/Lifespan Home health February 2014 - April 2015
Amerigroup October 2012 - February 2014
Superior Health Plan February 2008 - June 2012
Skills
Case Management, Clinical Research, Healthcare, Medicaid, Mental Health, Social Services, Volunteer Management, Team Building, Healthcare Management, Home Care, Leadership, Public Speaking, Strategic Planning, Hospitals, Customer Service, Pediatrics, Training, Marketing, Medicare, Management
Education
St Philip's College 1996 — 2001
Associate of Arts and Sciences (AAS), Sociology
Amerigroup August 2014 - Present
Amerigroup July 2013 - August 2014
Amerigroup July 2012 - July 2013
Amerigroup October 2011 - July 2012
Xerox (Affiliated Computer Services) May 2011 - October 2011
Tennessee Department of Intellectual and Developmental Disabilities October 2004 - July 2010
Skills
Medicaid, Medicare, Managed Care, HIPAA, Healthcare, Analysis, Healthcare Management, Health Insurance, HMO, Health Policy
Education
Tennessee State University 2004 — 2006
Master of Public Administration (MPA), Certificate in Health Administration & Planning
Tennessee State University 1998 — 2002
Bachelor of Science (BS), Criminal Justice and Corrections
Community Health Network of Connecticut, Inc. July 2014 - Present
Blue Cross Blue Shield of Michigan May 2013 - July 2014
WellPoint February 2012 - May 2013
Amerigroup November 2011 - February 2012
PROFESSIONAL EDUCATIONAL SERVICES GROUP March 2010 - June 2011
ANN ARBOR PUBLIC SCHOOLS January 2001 - April 2011
PEROT SYSTEMS August 2008 - March 2009
UNIVERSITY OF MICHIGAN August 2005 - July 2006
UNIVERSITY OF MICHIGAN August 2004 - June 2006
Quality Healthcare Providers, PC August 2001 - July 2003
Skills
Community Outreach, Teaching, Public Speaking, Project Management, Healthcare, Leadership
Education
University of Toledo 2011 — 2013
Master of Business Administration (MBA), Finance, General
Texas A&M University System Health Science Center 2008 — 2010
Doctor of Medicine (MD)
University of Michigan 2001 — 2010
Bachelor of Science (BS), Biology, General
Humana January 2013 - Present
AvMed Health Plans June 2004 - January 2013
Amerigroup May 2003 - June 2004
Humana October 1989 - May 2003
Skills
Health Insurance, Insurance, Medicare, HMO, Sales, Process Improvement, Strategic Planning, Healthcare, Life Insurance, Medicaid, Managed Care, Account Management, Employee Benefits, Cold Calling, Sales Management, Health Policy, Contract Negotiation, Disability Insurance, Leadership, New Business Development, Public Speaking, Management, Long-term Care, Provider Relations, Health Savings Accounts, Marketing, Medicare Part D
Education
State University of New York College at Cortland 1985 — 1989
BS, Economics
Catholic Charities of Orange County/The Recovery Center April 2015 - Present
Amerigroup Corporation July 2011 - April 2015
Amerigroup November 2012 - March 2013
New York City Department of Education October 2009 - December 2010
Salvation Army Preventive Services February 2009 - June 2009
Salvation Army Adult Rehabilitation Center September 2006 - February 2009
Skills
Spanish, Nursing, Case Management, Case Managment, Program Development, Healthcare, Teaching, Mental Health, Public Health, Clinical Research, Training, Non-profits, Social Services, Community Outreach, Public Speaking, Event Planning, Research, Hospitals, Staff Development, Program Evaluation, Volunteer Management, Nonprofits, Microsoft Word, Leadership Development, Treatment, Crisis Intervention, Nursing Education, Adolescents, Medical/Surgical, Patient Safety, BLS, Motivational..., Psychology, Healthcare Information..., Healthcare Management, Policy, Supervisory Skills, Managed Care, Software Documentation, Patient Advocacy, Health Education, Conflict Resolution, Long Term Acute Care, Behavioral Health, Counseling Psychology, Healthcare Consulting, HIPAA, Mental Health Counseling, Psychotherapy, Therapists
Education
State University of New York Empire State College 2009 — 2010
M.A.-T, Teaching
Laboure College 1984 — 1986
Associates, Nursing
University of Hartford 1979 — 1981
B.A., Foreign Language and Literature (Spanish)
Saint Thomas Seminary 1977 — 1979
A.A., Liberal Arts
St. Matthew 1969 — 1973
Amerigroup July 2015 - Present
Amerigroup July 2015 - Present
Skills
Universities, Community Outreach, Non-profits, Higher Education, Grant Writing, Curriculum Design, Curriculum Development, Intercultural..., Public Speaking, Event Planning, Research, Public Relations, Event Management, Editing, Leadership Development, Organizational..., Workforce Development, Youth Programs, Consulting, Project Management, Youth Engagement, Nonprofits, Volunteer Management, Program Development, Fundraising, Leadership, Staff Development, Training, Adult Education, Student Affairs, Workshop Facilitation, Program Evaluation, Motivational Speaking, Student Development, Team Building, Diversity Training, Student Leadership, Community Organizing, Cultural Diversity, Community Development, Grants, Workshops, Strategic Communications, Cultural Awareness, Qualitative Research, Employee Training, Teacher Training, Tutoring, Entrepreneurship, Career Counseling
Education
Webster University 2007 — 2009
MA, Organizational Leadership & Management
Southern Illinois University, Carbondale 2002 — 2007
Bachelor of Applied Science (B.A.Sc.), Workforce Development and Training
EXPLORE Inc April 2008 - Present
Elk River Guest Ranch September 2007 - April 2008
David F Davis MD FACC October 2005 - September 2007
AMERIGROUP 2003 - 2005
Dallas Stars Hockey Club 1999 - 2003
Education
Texas A&M University 1994 — 1998
Dresser-Rand Company June 2014 - Present
Rolyn Companies Inc. July 2010 - November 2013
Amerigroup April 2008 - May 2010
Sandor D. Krauss P.C. July 2006 - April 2008
Navaretta and Howard May 2005 - July 2006
Skills
Office Management, Managerial Finance, Commercial Real Estate, Financial Analysis, Regulatory Requirements, Accounts Payable, Accounts Receivable, Legal Compliance, Project Management, Corporate Law, Microsoft Excel, Microsoft Word, Construction Accounting, Construction Management, Customer Service, PowerPoint, Research, Project Coordination, Strategic Planning, Budgets, Negotiation, Real Estate Contracts, Real Estate Transactions, Loan Closings, Notary Public, Microsoft Office, Invoice Processing, Timberline Accounting, QuickBooks, Legal, OSHA Certified, Legal Contract Review, Xactimate, Management, Training, Project Planning, Invoicing, Problem Solving, Leadership, Contract Negotiation, Contract Management, Process Scheduler, Outlook, Analysis
Education
Strayer University (VA) 2008 — 2010
Master's degree, Finance, General
St. John's University 2003 — 2006
Bachelor's degree, Criminal Justice and Corrections
Centene Corporation March 2013 - October 2014
Sunflower Staffing June 2011 - March 2013
Amerigroup September 2007 - March 2013
Impact Miami May 2007 - July 2010
American Eldercare December 2004 - September 2007
Skills
Marketing Communications, Medicare, Medicaid Managed Care, Medicaid, Medical Terminology, Medicare/Medicaid..., Product Marketing, Chambers of Commerce, Product Development, Product Launch, Experience Working with..., Elder Care, Administrative..., Administrative..., Community Outreach, Customer Service, Healthcare, Management, Public Speaking, Sales, Team Building, Training
Education
University of Phoenix 2009 — 2010
Master of Business Administration (MBA), Business/Commerce, General
University of Florida 2001 — 2002
Bachelor's Degree, Criminology
University of Puerto Rico-Cayey 1996 — 2000
Bachelor's Degree, Sociology
Seminole State College of Florida
Associate of Science (A.S.), Nursing
Amerigroup September 2014 - Present
Singlepoint Care Network March 2014 - September 2014
East Tremont Medical Center April 2011 - March 2014
New York Presbyterian Hospital May 2012 - August 2012
Apple January 2006 - January 2009
Skills
ACLS, Medical-Surgical, Case Management, Nursing, Healthcare, Hospitals, Operating Room, BLS, FIDA, Patient Safety, Medical/Surgical, Inpatient, Customer Service, Cpr Certified, Healthcare Information..., iLife, EMR, OS X, iOS, Technology, Apple, Windows, iPhone Support, Macintosh Applications, Macintosh hardware, Customer Product..., Healthcare Management, Medicaid, HIPAA, Medical Terminology, Leadership, Patient Education, Home Care, Patient Advocacy
Education
Rutgers, The State University of New Jersey-Newark 2005 — 2010
Bachelors in the Science of Nursing, Nursing
Molina Healthcare December 2011 - September 2014
Amerigroup 2009 - 2011
UT Southwestern 2007 - 2009
UnitedHealth Care 2002 - 2007
Skills
Medicaid, Medicare, Medical Terminology, Microsoft Office, Microsoft Excel, Microsoft Word, Healthcare, Customer Service, Managed Care, Health Insurance, Analysis, Insurance, Software Documentation, Claim, Employee Benefits, HIPAA, Healthcare Information...
Education
Richland College 2005 — 2007
Junior League Of Baton Rouge June 2015 - Present
Amerigroup November 2014 - Present
Amerigroup December 2011 - Present
Cumulus Media December 2006 - Present
City Hall Fellows August 2010 - October 2011
Baton Rouge Black Chamber of Commerce November 2006 - July 2010
Skills
Public Relations, Press Releases, Nonprofits, Community Outreach, Community Development, Salesforce.com, Fundraising, Media Relations, Program Development, Marketing Strategy, Volunteer Management, Newsletters, Public Speaking, Social Media, Managed Care, Leadership, Marketing
Education
University of Phoenix 1997 — 2000
Master of Business Administration (MBA)
Southern University and Agricultural and Mechanical College at Baton Rouge 1990 — 1992
Master's Degree, Communications
Southern University and Agricultural and Mechanical College at Baton Rouge 1986 — 1990
Bachelor of Arts (B.A.), Broadcast Journalism
Sea Shore Realty July 2015 - Present
Specialty Foods Group, Inc. February 2007 - August 2014
Amerigroup August 1998 - September 2006
Gravity Works, Inc. February 1992 - June 1997
Skills
Analysis, Strategic Planning, Manufacturing, Problem Solving, Management, Leadership, Strategy, Marketing, Sales, Process Improvement, Product Development, Budgets, Competitive Analysis, Marketing Strategy, Financial Analysis, Microsoft Office, Data Mining, Training, Business Development, PowerPoint, Entrepreneurship, Healthcare, Project Management
Education
San Jose State University 1986 — 1989
State of Tennessee April 2015 - Present
State of Tennessee October 2014 - April 2015
Amerigroup March 2013 - May 2014
Humana November 2008 - August 2012
Judah Feeding Program May 2009 - August 2011
CIGNA Healthcare May 1998 - November 2008
Skills
Corporate Communications, Customer Presentations, Customer Relations, Customer Satisfaction, Claims Resolution, Supervisory Experience, Healthcare, Employee Benefits, Underwriting, Customer Retention, Training, Insurance, Health Insurance, Medicare, Physicians, Medicaid, HIPAA, Healthcare Industry, Credentialing, Leadership Development, Provider Relations, Long-term Care, PPO, Physician Relations, Healthcare Management, Hospitals, Customer Service, Human Resources, Recruiting, Network Development
Education
University of Phoenix 2010 — 2012
Master's degree, Health/Health Care Administration/Management
Tennessee State University
Bachelor of Science (B.S.), Liberal Arts and Sciences/Liberal Studies
Amerigroup October 2014 - Present
Express Scripts May 2014 - October 2014
Debra F. Fink DMD, MS, PC May 2012 - May 2014
Walgreens December 2011 - May 2012
Walgreens January 2010 - December 2011
Skills
Office Management, Administrative..., Data Entry, Outlook, Microsoft Word, Microsoft Office, Customer Service, Microsoft Excel, PowerPoint, Office Administration, Medical Terminology, Healthcare, Invoicing, Accounts Receivable, Leadership, Time Management, Management, Training, Customer Satisfaction
Education
Southern New Hampshire University 2015 — 2017
Master's degree, Health/Health Care Administration/Management
Southeast Missouri State University 2005 — 2011
Bachelor of Science (B.S.), Early Childhood Education and Teaching
Department of Veterans Affairs July 2013 - Present
Novant Health September 2007 - July 2013
Novant Health September 2007 - April 2009
Lash Group November 2006 - February 2007
Amerigroup June 2005 - August 2006
Camp Lejuene Naval Hospital May 2002 - May 2003
Amerigroup February 2001 - September 2001
Sentara Healthcare October 1998 - January 2001
ATT/Federal Express Project January 1997 - December 1997
US Navy May 1991 - May 1995
Skills
Epic Systems, ICD-9, CPT, CPOE, Clerical Skills, Patient Safety, Phone Etiquette, Revenue Cycle, Highly detail oriented, HIPAA, Interpersonal..., Organization &..., Internet Explorer, Oral & Written..., Appointment Scheduling, Close Attention to..., Provider Relations, HCPCS, File Management, Documentations
Education
Webster University 2003 — 2005
Master of Arts, Health Services Management
Southern Illinois University, Carbondale 1995 — 2000
Bachelor of Science, Health Care Management
Anthem, Inc. October 2011 - Present
Amerigroup December 2010 - October 2011
Amerigroup January 2010 - December 2010
Amerigroup Corporation July 2008 - December 2009
Amerigroup Corporation November 2006 - June 2008
Northrop Grumman August 2005 - November 2006
Amerigroup Corporation February 2004 - August 2005
Amerigroup Corporation January 2001 - February 2004
Frederick B. Hill & Company October 1998 - December 2000
Chesapeake Redevelopment and Housing Authority June 1998 - September 1998
Skills
IT Project Management, Risk Management, Financial Analysis, Program Management, SOX, Risk Assessment, PMP, Project Portfolio..., Project Management, Sarbanes-Oxley Act, Requirements Gathering, MS Project, Data Analysis, Business Analysis, Requirements Analysis, Healthcare Information..., Software Documentation, SharePoint, Testing, Process Improvement, HIPAA, Change Management, Analysis, Cross-functional Team..., PMO, Strategy, Management, Leadership, Project Planning, Training, Disaster Recovery
Education
Strome College of Business 1994 — 1998
Bachelor of Science, Business Administration; fields of; Accounting and Information Systems
Amerigroup November 2012 - Present
New Orleans Redevelopment Authority December 2010 - November 2012
New Orleans Redevelopment Authority November 2007 - December 2010
University of Phoenix January 1999 - September 2002
Skills
Financial Reporting, Sarbanes-Oxley Act, Accounting, Financial Analysis, Internal Controls, Auditing, General Ledger, Variance Analysis, GAAP, Accounts Receivable, Cost Accounting, Account Reconciliation, Sarbanes-Oxley, Fixed Assets, SEC filings, Budgets, Management
Education
University of Phoenix 1999 — 2001
MBA, Business
Southern University at New Orleans 1995 — 1997
Bachelor's Degree, Accounting
Colonial Williamsburg Foundation May 2013 - May 2015
Marilyn Johnson Marketing & Public Relations March 2013 - May 2013
Virginia Stage Company November 2009 - April 2013
Johnson Creative, Inc. August 2008 - November 2009
AMERIGROUP 2003 - July 2008
Johnson Creative, Inc. 2000 - 2003
Group III Communications 1994 - 2000
Lawler Ballard/Earle Palmer Brown 1991 - 1994
Skills
Event Planning, Social Media, Public Relations, Copywriting, Non-profits, Marketing Communications, Fundraising, Volunteer Management, Public Speaking, Graphic Design, Advertising, Newsletters, Event Management, Press Releases, Creative Direction, Nonprofits, Social Media Marketing, Publicity, Media Relations
Education
Strayer University 2008 — 2010
BBA, Business/Marketing Concentration
Virginia Commonwealth University 1984 — 1988
Amerigroup November 2014 - Present
Mental Health Association of Essex County September 2012 - October 2014
Mental Health Association of Essex County September 2011 - September 2012
Skills
Crisis Intervention, Case Managment, Group Therapy, Social Services, Mental Health Counseling, Motivational..., Mental Health, Adolescents, CBT, Behavioral Health, Psychotherapy, Family Therapy, Anger Management, Substance Use Disorders, Case Management, Dual Diagnosis
Education
Rutgers University 2011 — 2013
Master of Social Work (MSW), Social Work
Rutgers University 2006 — 2011
Bachelor's degree, Psychology
Amerigroup December 2013 - May 2015
Amerigroup April 2012 - December 2013
Amerigroup March 2006 - April 2012
Amerigroup November 2004 - March 2006
Amerigroup March 2003 - November 2004
Amerigroup April 2002 - March 2003
Amerigroup July 2001 - March 2002
Amerigroup May 2000 - June 2001
Wachovia, A Wells Fargo Company September 1995 - October 1999
SunTrust Bank June 1994 - June 1995
Skills
Software Documentation, Access, Leadership, HIPAA, Insurance, Training, Management, Healthcare, Medicaid, Hospitals, Claim, Quality Assurance
Education
Strayer University 2004 — 2012
Associates, Accounting
Amerigroup November 2011 - Present
General Dynamics Information Technology October 2006 - November 2011
ArtFX Screenprinting April 2003 - October 2006
Skills
Dreamweaver, Adobe Acrobat, Flash, Instructional Design, Needs Analysis, Web Design, Blended Learning, Instructor-led Training, Photoshop, Captivate, Articulate Storyline, Multimedia Development, Crazytalk Animator, Camtasia, Graphic Design, SharePoint, Adobe Fireworks, ADDIE, Graphics
Education
American Military University 2011 — 2012
Instructional Design
Radford University 1998 — 2002
BFA, Graphic Design
Bishop Sullivan Catholic High School 1993 — 1998
OptumInsight, a division of UnitedHealth Group June 2014 - Present
UnitedHealth Group December 2012 - June 2014
UnitedHealth Group March 2011 - December 2012
Aetna September 2009 - March 2011
Universal Health Care August 2008 - February 2009
MultiPlan October 2007 - August 2008
Amerigroup August 2005 - July 2007
CarePlus Health Plan, a subsidiary of Amerigroup December 2003 - August 2005
Skills
Network Development, Provider Relations, Managed Care, Medicaid, Credentialing, Medicare, Health Insurance, Healthcare, HMO, Claim, PPO, Utilization Management, Medicare Part D, Insurance, Pharmacy Benefit..., Hospitals, Claims Resolution, NCQA, Customer Service, Certified Case Manager, Contract Negotiation, Contract Management, Contract Recruitment, Provider Education, Provider Network..., Physician Relations, Physician Network..., Access, Healthcare Management, Healthcare Industry, Health Policy, Employee Benefits, Physicians, HIPAA
Education
Stony Brook University 1997 — 2002
Amerigroup August 2011 - Present
Maxim 2011 - 2011
HCA Centennial Women's Hospital May 1997 - October 2010
Metro Nashville General Hospital January 1995 - May 1997
Metro Nashville General Hospital October 1986 - December 1994
Education
Tennessee State University 1983 — 1985
ASN, Nursing
Vanderbilt University 1975 — 1979
B.A., History
Amerigroup October 2012 - Present
T-Mobile April 2012 - September 2012
Neebo May 2010 - February 2012
Skills
Marketing, Social Media, Marketing Communications, Market Research, Social Media Marketing, Online Advertising, Public Relations, Event Management, Photoshop, Editing, Social Networking, Corporate Communications, Facebook, Advertising, Digital Marketing, Creative Strategy, Brand Development, Email Marketing, Marketing Strategy, Blogging, Media Relations, SEO, Graphic Design, Customer Service, Strategic Planning, Management, Web Design, Business Strategy, Online Marketing, Direct Marketing, Internal Communications, Strategic Communications, Marketing Research, Sales
Education
Ludwig-Maximilians Universität München 2014 — 2014
Strategic Management, Marketing Operations
Saint Leo University 2011 — 2012
Master of Business Administration (MBA), Marketing
Universidad Nacional Federico Villarreal 2002 — 2006
Bs Communications, Advertising
Amerigroup August 2015 - Present
Amerigroup June 2014 - Present
Belrose Pharma Inc. May 2013 - June 2014
National Executive Service Corps January 2013 - May 2013
Simhardi Gupta M.D. June 2012 - April 2013
The Tutoring Center May 2010 - June 2012
Skills
Microsoft Office, SPSS, Public Speaking, Public Health Education, EHR, Research, Market Research, Data Analysis, Healthcare, Statistics, Nonprofits, Databases, Microsoft Excel, Microsoft Word, PowerPoint
Education
Rutgers, The State University of New Jersey-New Brunswick 2009 — 2013
Bachelor of Science (BS), Public Health
Amerigroup June 2015 - Present
United Healthcare December 2009 - June 2015
Choice Solutions Group October 2008 - December 2009
Care Access Health Plans April 2005 - October 2008
National Healthcare Staffing 2002 - 2005
Preferred Healthcare Staffing 2000 - 2002
Humana 1997 - 2000
Physician Corporation of America 1992 - 1997
Skills
Negotiation, Medicaid, Sales Management, Access, Life Insurance, Time Management, Market Planning, Long-term Care, Strategic Partnerships, Insurance, Strategy, Human Resources, Healthcare Industry, Call Centers, Account Management, Management Consulting, Hospitals, Healthcare Information..., Consulting, HIPAA, Sales, Recruiting, Outsourcing, Team Building, Employee Benefits, Executive Coaching, Health Insurance, Employee Training, Market Research, Marketing Strategy, Disability Insurance, Business Development, Provider Relations, New Business Development, Leadership, Process Improvement, HMO, Managed Care, Succession Planning, PPO, Product Development, Healthcare Consulting, Medicare, Health Policy, Management, Marketing, Healthcare Management, Strategic Planning, Customer Service, Healthcare
Education
St. Thomas University 2014 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
University of South Florida 1986 — 1988
Finance / Economics
Hillsborough Community College 1985 — 1986
Associate of Arts (AA), Business Administration and Management, General
St. Thomas University
Bachelor of Arts (B.A.),, Business Administration and Management, General
Community Health Alliance July 2015 - Present
Going My Way Travel March 2014 - Present
Community Health Alliance November 2013 - June 2015
Amerigroup January 2009 - November 2013
Amerigroup 2009 - 2013
HMC January 2007 - November 2008
Skills
Nursing, BLS, Inpatient, Acute Care, Hospitals, Meditech, Healthcare Management, Healthcare, EMR, Disease Management, Utilization Management, Healthcare Information..., Managed Care, HIPAA, Medicare, Nursing Education, Home Care, ACLS, Patient Advocacy, Case Management, Medicaid, Customer Service, Patient Safety, Medical-Surgical
Education
Tennessee State University 1996 — 2001
Bachelor of Science Nursing, Registered Nursing/Registered Nurse
Anthem March 2010 - Present
Anthem March 2010 - Present
Jefferson Lab July 2008 - April 2010
Amerigroup July 2007 - July 2008
Northrop Grumman February 2001 - July 2007
Skills
Performance Management, Microsoft SQL Server, Oracle, Databases, Access, Data Analysis, Visual Basic, T-SQL, Testing, Analysis, SSRS, Programming, Enterprise Architecture, Process Improvement, Visio, SDLC, Data Management, SharePoint, Business Analysis, Six Sigma, Program Management, Business Intelligence
Education
Saint Leo University 2009 — 2014
MBA, Management
Strayer University 2002 — 2008
BS, Computer Information System
Strayer University 2002 — 2003
AS, Business Administration
Amerigroup July 2006 - Present
HealthSouth 2001 - 2006
Firstcare 1996 - 2001
Education
St. Edward's University 1999 — 2000
Bachelor of Business Administration (BBA)
The University of Texas at Austin 1986 — 1989
Anthem,Inc. July 2014 - Present
Virginia Premier Health Plan, Inc. August 2013 - July 2014
Coventry Health Care, Inc. June 2012 - August 2013
Coventry Health Care, Inc. October 2010 - June 2012
Amerigroup March 2007 - October 2010
Aveta Health Plan August 2006 - December 2006
PwC January 2005 - August 2006
UnitedHealthcare December 2000 - January 2005
Medica 1998 - 1999
Harris Methodist Health Plan 1994 - 1997
Skills
Compliance, Medicare, Medicare Part D, Medicaid, Managed Care, Health Policy, HIPAA, Provider Relations, Healthcare Industry, Medical Compliance, Healthcare Consulting, Process Improvement, Utilization Management, Healthcare Management, Revenue Cycle, Health Insurance, Healthcare Information..., Network Development, Cross-functional Team..., Healthcare, Credentialing, Physicians, Pharmacy Benefit..., Physician Relations, EHR, HMO, Medical Coding, Claim, Practice Management, Health Information..., Hospitals, PPO
Education
Austin Community College
Associates Degree, Technical Writing
Somerville High School
Southwest Texas State University
Masters Degree, Public Administration
Accenture April 2014 - Present
Accenture April 2010 - Present
AXIOM Systems, Inc. April 2002 - April 2010
Amerigroup 2002 - 2008
Perot Systems 1996 - 2002
Aetna Healthcare 1986 - 1996
Skills
HIPAA, Healthcare Information..., Healthcare, Process Improvement, SDLC, Visio, Resource Management, Requirements Gathering, Business Analysis, Software Documentation, IT Strategy, Program Management, Change Management, Requirements Analysis, Consulting
Education
Texas A&M University 1981 — 1985
Bachelor's Degree, Economics
Westerville North High School 1978 — 1981
Diploma, General Studies
Amerigroup 2006 - Present
AMSEC LLC 1997 - 2006
RemTech Services Inc November 1996 - June 1997
PRC October 1996 - June 1997
United States Air Force February 1973 - October 1996
Education
Saint Leo University 1997 — 2000
University of Hawaii at Manoa 1978 — 1980
Computer Science
University of Maryland University College 1974 — 1976
Psychology
Amerigroup September 2012 - Present
CareFirst BlueCross BlueShield February 2012 - July 2012
Health Care Service Corporation November 2009 - July 2011
Parks Associates May 2008 - August 2008
Texas Scottish Rite Hospital for Children 2005 - 2007
Texas Scottish Rite Hospital for Children 2003 - 2005
UT Southwestern Medical Center at Dallas 1999 - 2003
Education
Southern Methodist University - Cox School of Business 2007 — 2009
Texas Christian University 1995 — 1999
BS, Biology
Nasdaq January 2015 - March 2015
UnitedHealth Group August 2014 - September 2014
Horizon BC/BS October 2012 - August 2013
NYC Dept of Consumer Affairs May 2011 - June 2011
Amerigroup December 2010 - May 2011
QBE the Americas February 2010 - June 2010
Social Research Foundation June 2009 - January 2010
Consultant September 2008 - February 2009
SIMHS 1985 - 2008
Skills
Data Analysis, Testing, Quality Assurance, Project Management, Vendor Management, Business Analysis, Consulting, Team Leadership, Microsoft Excel, SDLC, Requirements Analysis, Data Modeling, Business Intelligence, Team Building, Visio, Management, SharePoint
Education
Richard Stockton College of New Jersey 1973 — 1978
BS, MATH Computer Science
Independent Health December 2012 - Present
Meritain Health February 2007 - December 2012
Amerigroup September 2002 - February 2007
HealthNow New York Inc. April 2000 - August 2002
Skills
Health Insurance, Employee Benefits, Actuarial Science, Informatics, Insurance, Managed Care, Healthcare, Health Policy, Claim, Process Improvement, Medicaid, HIPAA, Healthcare Information..., Strategic Planning, Data Analysis, Underwriting, Risk Management, Healthcare Consulting, Access, Reinsurance, Cross-functional Team..., Project Management, Healthcare Analytics, Disease Management, Health Savings Accounts
Education
Rochester Institute of Technology 1995 — 1999
Bachelor of Arts (BA), Applied Mathematics
TMG Health July 2014 - Present
Amerigroup Corporation July 2013 - May 2014
Amerigroup Corporation June 2012 - June 2013
Amerigroup May 2011 - June 2012
Amerigroup Corporation February 2010 - April 2011
Amerigroup Corporation November 2007 - January 2010
Health Now, Blue Cross Blue Shield August 2005 - October 2007
Health Now, Blue Cross, Blue Shield February 2003 - July 2005
Health Now, Blue Cross Blue Shield April 1998 - January 2003
Skills
HIPAA, Healthcare, EDI, Visio, Data Analysis, Medicaid, Process Improvement, Software Documentation, Access, Business Analysis, Health Policy, Healthcare Information..., Leadership, Medicare, Training, Project Management
Education
State University of New York College at Buffalo 1988 — 1993
Bachelor of Science (BS), Economics
Emdeon September 2013 - Present
IBM July 2013 - September 2013
IBM May 2012 - July 2013
i Health Technologies October 2008 - May 2012
The TriZetto Group 2007 - 2008
GHI 2005 - 2007
AMERIGROUP April 2006 - December 2006
Health Net August 2000 - March 2006
Skills
Fraud, Health, Data Analysis, Risk Assessment, Healthcare, Analysis, Compliance, Audit, Excel, Financial Analysis, Public Speaking, Microsoft Office, Access, Word, Negotiation, PowerPoint, Business Analysis, Auditing, Fraud Detection, ACFE, Forensic Services, Forensic Consulting, Identity Fraud, Insurance Fraud, Claims Investigations, Investigative Services, Microsoft Excel, Brazilian Jiu-Jitsu, HIPAA, Business Analytics, Risk Management, Business Continuity, Leadership, Insurance, Business Process, Program Management, Business Process..., Predictive Analytics, Enterprise Risk..., Business Intelligence, IT Strategy, Microsoft Word, SDLC
Education
Rutgers, The State University of New Jersey-New Brunswick 1990 — 1993
Bachelor of Science (BS), Administration of Justice
Amerigroup May 2013 - Present
Humana Health Plans August 2006 - May 2013
Humana Health Plans August 1997 - July 2006
Skills
Medicare, Contract Negotiation, Training, Customer Service, Physicians, Leadership, Healthcare, Credentialing, Medicaid, Physician Relations, Strategic Planning
Education
Harold Washington College 1988 — 1990
AA, Business Management
Roosevelt University
TEKsystems March 2015 - July 2015
Verisk Health April 2014 - November 2014
HighPoint Solutions August 2013 - November 2013
NTT DATA February 2012 - August 2013
Amerigroup August 2007 - January 2012
UnitedHealthcare 2005 - 2006
UnitedHealth Group and MEDCO 2003 - 2004
Prudential Financial 2000 - September 2003
HealthSouth 1999 - 2000
Horizon BCBS 1982 - 1996
Skills
Requirements Gathering, Business Analysis, Business Requirements, SDLC, Software Documentation, Analysis, Training, Business Process, Systems Analysis, User Acceptance Testing, Project Management, Access, Vendor Management, Agile Methodologies, Testing, Business Process..., HIPAA, Healthcare, Healthcare Information..., Visio, Medicare, Requirements Analysis, Waterfall, Healthcare IT, Facets, Insurance, SharePoint, Data Analysis, Medicaid, Health Insurance, Documentation, Compliance, Software Implementation, NASCO, ETL, ICD-10, SQL, Use Case, Healthcare consulting, HealthRules, Tirzetto Medicare..., Healthcare Reform, User stories, BluePrint, RRC, Insurance Claims, Medicare Advantage, Medical Background, Medical Biling, Agile & Waterfall...
Education
Seton Hall University
Aetna Better Health September 2013 - Present
HCSC - BCBSIL September 2008 - June 2013
United Healthcare 2004 - 2008
Amerigroup 2000 - 2004
BCBSMI 1985 - 1999
Skills
Health Insurance, Medicaid, Managed Care, Medicare, Health Policy, Healthcare Management, Disease Management, Utilization Management, Healthcare Consulting, Healthcare Industry, Healthcare, Insurance, Hospitals, CRM, HIPAA, Provider Relations, Network Development, Quality Improvement, Healthcare Information..., EHR, Informatics, EMR
Education
St. Clair Co. College 1977 — 1979
AD, Nursing - RN
Spring Arbor University
BA, Health Care Management
Amerigroup September 2011 - Present
Austin Peay State University January 2011 - Present
Disability Law & Advocacy Center of Tennessee (DLAC) July 2011 - September 2015
Mental Health Cooperative, Inc April 2007 - September 2011
Centre Pointe Health and Rehab Center April 2005 - April 2007
Heritage Health Care Center 2003 - 2005
Skills
Healthcare, Behavioral Health, Training, Program Management, Medicaid, Non-profits, Community Outreach, Fundraising, Leadership Development, Case Managment, Program Development, Healthcare Management, Medicare, Managed Care, Volunteer Management, Organizational..., Grant Writing, Social Services, Public Speaking, Mental Health, Leadership, Strategic Planning, Hospitals, Nonprofits, Program Evaluation, Community Development, Policy Analysis, Health Policy, Public Policy, Policy, Staff Development, Event Planning, Data Analysis, Quality Improvement, Healthcare Consulting, Clinical Research, Disease Management, Grants, HIPAA, Board Development, Healthcare Information..., Utilization Management, Physicians, Team Building, Higher Education, Coaching, Healthcare Industry, Case Management, EMR, Public Relations
Education
Tennessee State University 2010 — 2016
PhD, Public Administration
Florida A&M University 1999 — 2004
BSW, MSW, Social Work Administration
Amerigroup January 2013 - Present
OptumHealth September 2011 - November 2012
United Behavioral Health September 2005 - September 2011
KBR, Inc. 2004 - 2005
Kellogg Brown and Root pty ltd 1999 - 2002
MHMRA of Harris County February 1994 - April 1999
Skills
EAP, Healthcare, Managed Care, Behavioral Health, Case Managment, Utilization Management, Healthcare Management, Psychotherapy, Mental Health, Clinical Research, Medicare, Disease Management, Medicaid, Treatment, Psychology, Group Therapy, Quality Improvement, Mental Health Counseling, HIPAA, Social Services, Provider Relations, Clinical Supervision, Crisis Intervention, Program Development, Adolescents, Medicaid Managed Care, Inpatient, NCQA, Utilization Review, Healthcare Industry, Policy, Team Leadership, Healthcare Consulting, Chemical Dependency, Therapeutic Listening, Cross-functional Team..., Family Therapy, HMO, Health Policy, HEDIS, Anger Management, Therapists, CBT, Network Development, Motivational..., Physician Relations, Hospitals, Physicians, PPO, Home Care
Education
Stephen F. Austin State University 1991 — 1993
M.Ed., Counseling
Stephen F. Austin State University 1987 — 1991
B.S, Sociology\Biology
Amerigroup August 2014 - Present
Lone Star Circle of Care November 2013 - August 2014
Bluebonnet Trails Community Services April 2010 - October 2013
Emerald City Austin dba / Cielo Star July 2007 - June 2011
Alex King Insurance Agency / Farmers Insurance February 2009 - November 2010
Harte-Hanks, Inc. November 2007 - April 2009
Harris County Hospital District - Ben Taub General Hospital November 2004 - August 2005
MHMRA of Harris County October 2001 - October 2004
Skills
Social Services, Foster Care, Medicaid Managed Care, Property & Casualty..., Health Insurance, Demand Generation, Social Media Marketing, Medicare, Social Security..., Long-term Care, Culinary Skills, Customer Service, Account Management, Microsoft Office, Program Management, Program Development, Data Analysis, Community Outreach, Salesforce.com, Training, Marketing, Direct Marketing, Nonprofits, Leadership, Healthcare, Sales, Team Building, Research
Education
University of Houston-Clear Lake 1998 — 2000
Industrial Organizational Psychology
Texas A&M International University 1994 — 1997
BA, Psychology and Sociology
Texas Culinary Academy
Amerigroup July 2013 - Present
Amerigroup March 2006 - June 2013
Kelsey-Seybold Medical Group September 2000 - September 2005
AmeriHealth of Texas July 1997 - September 2000
Prudential HealthCare October 1994 - July 1997
MetLife HealthCare October 1988 - October 1994
Skills
Managed Care, Provider Relations, Credentialing, Medicaid, Revenue Cycle, HMO, Healthcare Industry, Medicare, Healthcare Information..., Healthcare, Healthcare Management, HIPAA, Network Development, Physician Relations, PPO, Health Insurance, Hospitals, Healthcare Consulting
Education
Sam Houston State University 1985 — 1988
BBA, Marketing
Amerigroup Corporation January 2015 - Present
Nerium International April 2013 - Present
Amerigroup February 2009 - Present
Skills
Case Managment, Medicaid, Utilization Management, Healthcare, Healthcare Management, Managed Care, Disease Management, Home Care, Nursing, Hospitals, Case Management, Patient Advocacy, Elder Care, Customer Service, HIPAA, Team Building
Education
Southwestern Adventist University
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Accenture November 2013 - Present
Self-Employed December 2012 - November 2013
Amerigroup Corporation January 2012 - November 2012
Amerigroup November 2010 - November 2012
URAC December 2009 - November 2010
URAC November 2007 - November 2009
URAC March 1999 - September 2007
Skills
Certified Professional..., Certified Professional...
Education
Strayer University 2004 — 2008
MPA, Public Administration
Radford University 1977 — 1981
BSN, Nursing
Common Ground Community February 2015 - Present
Common Ground Community July 2013 - Present
Common Ground Community January 2013 - July 2013
Amerigroup January 2012 - November 2012
Planned Parenthood New York City, Inc. June 2011 - September 2011
SUNY Upstate Medical University August 2010 - June 2011
Simpson Thacher & Bartlett LLP September 2005 - August 2009
The MCA of New York, Inc. September 2006 - June 2007
Jeanne Brutman, Financial Advocate and Strategist September 2005 - June 2006
Skills
Administrative..., Bilingual, Customer Service, Call Center, Claim, Critical Thinking, Customer Satisfaction, Customer Experience, Customer Oriented, Data Entry, Google Docs, Microsoft Excel, EDI, Effectiveness, Fax, Copying, Positivity, Multi Tasking, Organization, Fast-paced, Communication, Adobe Acrobat, PowerPoint, Microsoft Office, Microsoft Word, Outlook Express, Outlook, Typing, Medicaid, Medicare Advantage, Claims Resolution, Claims Handling, Claims Investigations, Health Insurance, Secretarial Skills, Phone Skills, Phone Etiquette, Multi-line Phone, Peer Tutoring, Time Management, Mac, PC, Telephone Skills, Data Analysis, Call Centers, Program Development, Management, Fundraising, Grant Writing, Blogging
Education
Syracuse University 2008 — 2011
Bachelor of Arts (BA), Sociology and Women and Gender Studies and Spanish
St. Michael Academy 2004 — 2007
H.S. Diploma
Self Employed July 2015 - Present
Neighborhood Health Plan March 2010 - July 2015
Boston Seaport Toastmasters, Toastmasters International July 2014 - June 2015
HealthMarkets August 2007 - November 2008
Kaiser Permanente June 2006 - August 2007
AMERIGROUP March 2005 - April 2006
Anthem/Wellpoint December 2003 - March 2005
Oxford Health Plans March 2002 - December 2003
Oxford Health Plans (now United Healthcare) May 1999 - December 2003
United Healthcare 1998 - 1999
Skills
Process Improvement, Performance Management, Data Analysis, Leadership, Management, Strategic Planning, Team Building, Training, Healthcare, Medicaid, Risk Management, Software Documentation, Managed Care, HIPAA, Insurance, Medicare, Health Insurance, Policy
Education
Quantum Success Coaching Academy 2015 — 2016
Life Coach Certification
Keveny Memorial Academy 1972 — 1976
Southern New Hampshire University
Pursuing BA, Creative Writing major
Casey's Art January 2011 - Present
Amerigroup January 2006 - April 2009
Skills
Managed Care, Diabetes, Microsoft Office, Healthcare, Leadership Development, Pharmaceutical Industry, Informatics, Research, Hospitals, Pharmacy, Pharmaceutical Sales, Healthcare Management, Pharmacists, Pharmacy Benefit...
Education
Shenandoah University 2007 — 2009
pharm. D., pharmacy
Texas Southern University
Bachelor of Science, Pharmacy
Amerigroup November 2013 - Present
Amerigroup November 2011 - Present
CVS Pharmacy October 2008 - July 2012
Capital Group February 2011 - June 2011
Manpower at Bank of America March 2010 - July 2010
Education
University at Albany, SUNY 2006 — 2009
B.A. in Computer Science, Computer Science minor in Mathematics
State University of New York - System 2003 — 2006
Associates, Computer Science
Amerigroup Corporation December 2010 - Present
Amerigroup 2009 - 2010
Amerigroup 2007 - 2009
Skills
Medicaid, Managed Care, Provider Relations, Medicare, Healthcare Management, Healthcare, HIPAA, Network Development, Health Policy, Marketing, Marketing Strategy, Provider Network..., Contract Negotiation, Contract Management, Account Management
Education
Texas A&M University 1999 — 2003
UnitedHealth Group January 2014 - Present
Coventry Health Care February 2013 - December 2013
Health Integrated January 2010 - February 2013
WELLCARE HEALTH PLANS December 2005 - December 2009
Amerigroup November 2003 - December 2005
Mariner Health Care July 2002 - October 2003
SABAL PALMS March 2000 - June 2002
ST. ANTHONY'S HOSPITAL July 1997 - February 2000
Skills
Case Management, Medicare, Healthcare, Clinical, Medicaid, Managed Care, Healthcare Management, Utilization Management, Health, PowerPoint, Word, Documentation, Excel, Administration, Microsoft Office, Public Speaking, Team Building, Strategic Planning, Policy, Problem Solving, Compliance, Call Center, Insurance, Outlook, Nursing, Health Insurance, Supervisory Skills, Mentoring, Program Development, Nurses, Care Management, Disease Management, HIPAA, Long Term Care, HMO, Case Managment, EHR, Provider Relations, Network Development, Long-term Care, Software Documentation, Clinical Research, Call Centers, Healthcare Information..., Quality Improvement, Utilization Review, JCAHO, Home Care
Education
University of Phoenix 2008 — 2010
BSN/Masters Degree, Registered Nursing/Registered Nurse
University of Phoenix 2007 — 2008
MBA, Business
University of Phoenix 2005 — 2007
Bachelor's degree, Health/Health Care Administration/Management, 4.0
St. Petersburg College 1993 — 1997
RN, Nursing
Horizon NJ Health March 2007 - Present
Horizon NJ Health March 2007 - Present
Horizon NJ Health November 2004 - March 2007
Horizon NJ Health 2004 - 2007
AmeriGroup January 2003 - January 2004
United Healthcare/ AmeriChoice January 2001 - January 2003
United Healthcare/ AmeriChoice January 2000 - January 2001
United Healthcare/ AmeriChoice January 1998 - January 2000
Skills
Managed Care, Medicaid, Healthcare, Medicare
Education
Seton Hall University 1990 — 1996
B.A., Psychology
Seton Hall UniversitySouth
B.A, Psychology
Seton Hall University
Graduate Certificate Program, Healthcare Administration and Management
Amerigroup September 2013 - Present
Amerigroup July 2011 - September 2013
Amerigroup July 2010 - July 2011
American HomePatient May 2009 - July 2010
American HomePatient March 2008 - May 2009
Sandhill Denture and Dental Center March 2005 - February 2008
Accenture February 2001 - August 2003
Sears Logistic Systems July 1996 - September 1997
Skills
Insurance, Healthcare, Medical Terminology, Long-term Care, Healthcare Management, Outlook, Microsoft Excel, Call Centers, Training, Medicare, HIPAA, Quality Assurance, Data Analysis, Analysis, Customer Service
Education
Saint Leo University 2007 — 2010
Masters, Criminal Justice
St. Petersburg College 2004 — 2007
Associates, Crime Scene Technology
De Vry Institute of Technology 1985 — 1988
Bachelor’s of Science Degree, Computer Information Systems granted
Amerigroup July 2013 - Present
Universal Healthcare October 2011 - April 2013
CieAura 2011 - 2013
Youngevity Distributer 2004 - 2013
Skills
Wellness, Entrepreneurship, Microsoft Office, Outlook, Accpac, QNXT, fortuna, Paychex, MMIS, Wordperfect
Education
Remington College-Tampa Campus 2005 — 2005
Business Information Systems
Columbus North High School
Diploma, Business
Amerigroup March 2014 - Present
WellPoint January 2013 - Present
WellPoint January 2012 - December 2012
Health Management Corporation May 2008 - October 2011
Skills
Disease Management, Managed Care, Nursing, Healthcare Management, Utilization Management, Health Education, Acute Care, Treatment, Case Management
Education
Metropolitan School of Theology 2013 — 2014
Master of Theology, Theology and Religious Vocations, Still attending
Western Governors University 2010 — 2011
BSN, Bacholor Of Science in Nursing
Americal Spirit School of Massage and Holistic Studies 2001 — 2002
Profession Esthetician Certification, Professional Esthetician, Top Grades
American Spirit School of Massage and Holistic Studies 1997 — 1998
Certification and Licensure in Professional Massage Therapy, Massage Therapy/Therapeutic Massage, Top Grades
Rappahannock Community College 1996 — 1998
General Studies, General Studies
Anthem, Inc. August 2014 - Present
Amerigroup April 2013 - Present
Amerigroup Corporation March 2010 - March 2013
Aetna 1999 - 2006
Skills
Medicaid, Managed Care, Network Development, Contract Negotiation, PPO, HMO, Medicare, Healthcare Industry, Health Insurance, Healthcare Management, Healthcare, Hospitals
Education
Texas Lutheran
Amerigroup Research AnalystDeloitteJuly 2014 - Present
Pepsi Beverages Company 2011 - 2012
Kraft Foods April 2011 - June 2011
Skills
Management, Process Improvement, Research, Leadership, Data Analysis, Analysis
Education
Rasmussen College-Minnesota
Criminalistics and Criminal Science
Walden University
Master of Social Work (M.S.W.)
Humana June 2013 - Present
Buckeye Community Health Plan February 2010 - June 2013
Amerigroup July 2009 - February 2010
Centerville LTC Pharmacy October 2000 - July 2009
Skills
Utilization Management, Managed Care, Healthcare, Disease Management, Nursing, Certified Case Manager, Home Care, Case Managment, Medicaid, Healthcare Management, Medicare, Hospitals, Mental Health, Case Management
Education
Sinclair Community College
Associate's degree, Registered Nursing/Registered Nurse
Wright State University
Bachelor of Science (B.S.), Organizational Leadership
Amerigroup
Skills
Customer Service, Strategic Planning, Sales, Process Improvement, Microsoft Excel, Team Building, Medicare, Outlook, Managed Care, Social Media
Education
Texas A&M University
Marketing
Hospice Advantage, LLC 2013 - Present
Amerigroup March 2006 - August 2009
Amerigroup November 2003 - March 2006
Harmony Health Plan January 1999 - November 2003
Skills
Business Strategy, Certified Professional..., Sales and Marketing..., Strategic Planning, New Market Development, Community Outreach, Healthcare Management, Business Development, Managed Care, Nonprofits, Team Building, Healthcare, Sales, Management, Program Development, Training, Marketing
Education
Southeast Missouri State University
Triumph Aerostructures - Vought Aircraft Division November 2007 - January 2015
Amerigroup August 2000 - November 2007
Sabre Holdings July 1998 - August 2000
Skills
Human Resources, PeopleSoft, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Visio, Concur, Facets, SAP, Access, MS Project, Amysis, Customer Service, Workers Compensation, Office Administration, Auditing, Appeals, Cost Management, MSDS, Ceridian Payroll System, Risktrac, Analysis, I-9 Compliance, FMLA, Employee Benefits, Management, Policy, Team Building, HRIS
Education
Tarrant County College
Still attending, Business Administration and Management, General
Sally Beauty Company November 2012 - September 2013
MDV Nash Finch June 2009 - March 2011
Amerigroup February 2008 - October 2008
Skills
Accounts Payable, Accounts Receivable, Bookkeeping, Bank/Account Recon., billing, Payments, Purchase Orders, Travel Arrangements, Sarbanes-Oxley, Sales, Sales/Use Tax, People Skills, PowerPoint, Microsoft Word, Microsoft Excel, Microsoft Office, AS 400, Lawson General Ledger, Outlook, Kronos, Auditing, Cost Accounting, Calculations
Education
Tidewater Community College
Medical Administrative Assistant, Medical Office Management/Administration
Strayer University (VA) 2006 — 2013
Pursing Associate Degree, Business Administration and Management, General
Tidewater Community College 1991 — 1993
Pursing Associate Degree, Accounting and Finance
Amerigroup January 2015 - Present
Strategic Staffing Solutions June 2014 - December 2014
Virgina Mason Medical Center November 2006 - August 2013
Skills
HTML, SQL, VB.NET, Business Analysis, Microsoft SQL Server, ASP.NET, VBA, Project Management, Microsoft Office, Healthcare Information..., Microsoft Excel, MS Excel Pivot Tables, Microsoft Word, MS Project, Data Analysis, Customer Service, Visio, Databases, SharePoint, Access, Process Improvement, Microsoft Project, Software Documentation, HEDIS, Healthcare Industry, Healthcare Reimbursement, Healthcare Improvement, Health Insurance
Education
Seattle Central Community College 2002 — 2004
Data Modeling/Warehousing and Database Administration
Amerigroup January 2011 - Present
Education
St. Petersburg College 2006 — 2013
In Progress, Registered Nursing/Registered Nurse
Firmenich February 2010 - Present
Amerigroup August 2007 - June 2008
Employers Association of NJ (EANJ) April 2005 - August 2007
Prudential Financial January 2001 - January 2005
Prudential Financial September 1998 - January 2001
Prudential Financial November 1996 - September 1998
Baxter International Inc. May 1992 - July 1996
Skills
SAP, Microsoft Office, PowerPoint, Human Resources, Training, Employee Relations, CRM, Interviews, Customer Service, Microsoft Excel, Administration, Employee Training, Employee Benefits, Administrative..., Sales, Process Improvement, Microsoft Word, Leadership
Education
Richard Stockton College of New Jersey 1986 — 1990
Bachelor of Arts (BA), Psychology
Amerigroup
Education
Strayer University (VA) 2010 — 2012
Master's degree, Accounting
Amerigroup Senior Business Information AnalystAnthemApril 2010 - Present
Education
Radford University - College of Business and Economics 2005 — 2009
Bachelor of Business Administration (B.B.A.), Finance, General
Amerigroup June 2014 - Present
Education
Randolph-Macon College 2011 — 2013
Amerigroup May 2015 - Present
UnitedHealth Group January 2012 - April 2015
Skills
Healthcare Information..., Healthcare, Healthcare Management, Hospitals, HIPAA, EMR, Managed Care, Medicare, Patient Safety, Process Improvement, Medical Terminology, Medicaid, Customer Service, Medicine, Inpatient
Education
Strayer University 2014 — 2016
Bachelor of Business Administration (B.B.A.), Health Services Administration
Sanford-Brown College-Houston 2012 — 2014
Associates of Applied Science (A.A.S), Health Services/Allied Health/Health Sciences, General
Sanford-Brown College-Houston 2009 — 2010
Technical Diploma, Medical Insurance Specialist/Medical Biller and coder
Humana July 2014 - Present
Amerigroup November 2012 - October 2013
Virginia Premier Health Plan, Inc. February 2008 - November 2012
Virginia Premier Health Plan, Inc. September 2003 - January 2008
Carilion Health Plans November 2001 - September 2003
Carilion St. Albans Hospital January 1994 - October 2001
Carilion St. Albans Hospital July 1987 - December 1993
Skills
Medicaid Managed Care, Quality Improvement, Utilization Management, Health Insurance, PowerPoint, Microsoft Excel, Microsoft Office, Microsoft Word, Customer Service, Healthcare, Medicaid, Medicare, Managed Care, Nursing, Hospitals, Case Management, Process Improvement, HIPAA, Disease Management
Education
Radford University 1982 — 1987
Bachelor of Science (BS), Registered Nursing/Registered Nurse