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
Anthem, Inc. January 2015 - Present
Oncology Convergence, Inc. 2013 - 2014
Amerigroup November 2012 - November 2013
Xerox February 2012 - November 2012
Community Health Systems June 2011 - February 2012
Skills
Healthcare Information..., Data Analysis, EHR, HIPAA, Healthcare Management, Informatics, Process Improvement, Software Documentation
Education
The University of New Mexico
Bachelor of Business Administration (B.B.A.), Management Information Systems
Jordan Health Services July 2015 - Present
Caregiver Support Systems, LLC September 2013 - March 2014
Amerigroup March 2013 - August 2013
Superior Health Plan March 2012 - January 2013
UT Southwestern Medical Center June 2010 - August 2011
UT Southwestern Medical Center at Dallas March 2001 - May 2010
UnitedHealthcare March 1997 - September 1999
Baylor University Medical Center October 1986 - April 1996
Dallas Rehabilitation Center March 1986 - October 1986
Charlton Medical February 1985 - October 1985
Skills
Nursing, Nurses, Med/Surg, Acute Care, Home Care, Inpatient, Medical/Surgical, Wound Care, Telemetry, ACLS, Critical Care, Health Promotion, Nursing Education, Healthcare, Neurology, Diabetes, Clinical Research, Psychiatry, Medicare, Surgery, Patient Safety, Medicine, Patient Education, Quality Improvement, Health Education, Physicians, Medication..., Public Health, Palliative Care, Healthcare Management, Nursing Care, Patient Advocacy, Disease Management, EMR, IV, BLS, Hospitals, Medicaid
Education
University of Texas @ Arlington 1980 — 1984
BSN, Nursing
The University of Texas at Arlington
BSN, Registered Nursing/Registered Nurse
East Texas State University
B.S., Vocational Home Economics
North Texas State University
M.S., Child Development, Family relations, Kindergarten Certificate
WellMed Medical Management February 2014 - Present
Amerigroup November 2012 - December 2013
San Antonio Food Bank October 2011 - November 2012
Unico Communications, Inc November 2010 - June 2011
Americus Diamond October 2006 - July 2010
Bromley Communications June 2008 - August 2008
Skills
CRM, Community Outreach, Customer Service, Event Management, Event Planning, Facebook, Fundraising, Graphic Design, Leadership, Marketing, Networking, Nonprofits, Program Development, Public Relations, Public Speaking, Publicity, Recruiting, Research, Sales, Social Media, Social Media Marketing, Social Networking, Sponsorship, Strategic Communications, Strategic Planning, Team Building, Team Leadership, Budgets, Technical Writing, Training
Education
The University of Texas at San Antonio 2007 — 2011
Bacherlor's, Spanish
The University of Texas at San Antonio 2007 — 2010
Bachelor's, Communications with a concentration in Public Relations
Universidad de Granada 2009 — 2009
Spanish
Northwest Vista College 2004 — 2007
Associate's Degree, Science and Arts
WellPoint June 2013 - Present
Hidenwood Pharmacy June 2012 - Present
Amerigroup June 2012 - June 2013
Lifetime Health April 2010 - April 2011
Kenmore Mercy Hospital April 2009 - April 2011
Skills
Pharmacy, Medication Therapy..., Clinical Pharmacy, Disease Management, Medicare, Pharmacueticals, Pharmacists, Pharmacy Automation, Managed Care, Pharmacy Benefit..., Patient Education, Clinical Research, Healthcare, Healthcare Management, Medicare Part D, Community Pharmacy, Patient Counseling
Education
University at Buffalo 2006 — 2012
Doctor of Pharmacy (PharmD), Pharmacy
Orchard Park High School 2002 — 2006
Advanced Regents Diploma
Schreiber LLC February 2011 - Present
Vulcan Industrial Contractors December 2008 - February 2011
Bennett Building November 1999 - November 2008
Kim Austin - CPA February 1999 - November 1999
Amerigroup June 1996 - January 1999
Skills
QuickBooks, Accounting, Accounts Payable, Payroll, Budgets, Financial Reporting, Account Reconciliation, General Ledger, Accounts Receivable, Financial Accounting, Bookkeeping, Journal Entries, Bank Reconciliation, Accruals, Financial Statements, Tax Preparation, GAAP, Sales Tax, Peachtree, Fixed Assets, Payroll Taxes, Timberline Accounting, Financial Audits, Microsoft Excel, Notary Public, Invoicing, Auditing, Tax, Employee Benefits, Microsoft Word, Customer Service, Microsoft Office
Education
University of Alabama at Birmingham 2013 — 2017
Bachelor of Applied Science (B.A.Sc.), Accounting
Commonwealth College, Va Beach VA 1990 — 1991
Associates Degree / Accounting, Accounting
Amerigroup December 2014 - Present
DialAmerica September 2013 - September 2014
American HomePatient 2012 - 2012
Foot Solutions 2011 - 2012
US Census Bureau 2010 - 2010
Skills
Microsoft Word, PowerPoint, Customer Service, Leadership, Microsoft Excel, Sales, Marketing, Public Speaking
Education
Morehead State University 2011 — 2014
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
University of Kentucky 2006 — 2009
Bachelor of Business Administration (BBA), Management
DuPont Manual High School 2000 — 2004
College/University Preparatory and Advanced High School/Secondary Diploma Program
Gold Key Resorts / Professional Hospitality Resources (PHR) Hotels & Resorts April 2014 - Present
Amerigroup April 2011 - November 2013
Amerigroup May 2009 - April 2011
Skills
Financial Analysis, Finance, Cash Management, Treasury Management, Investments, Investor Relations, Bank Reconciliation, Bloomberg Terminal, ICMS, iWork, Department Budgeting, Cash Flow Forecasting, Budgets, Accounting, Cash Flow
Education
University of Delaware 2005 — 2009
Bachelor's degree, Finance, General
UnitedHealth Group March 2015 - Present
Amerigroup November 2013 - March 2015
MyHealth Network August 2012 - November 2013
Kentucky Spirit Health Plan (Centene) September 2011 - August 2012
Peach State Health Plan (Centene) February 2011 - September 2011
Peach State Health Plan (Centene) August 2007 - February 2011
Peach State Health Plan (Centene) January 2006 - August 2007
United Way of Central Georgia January 2000 - January 2006
Secure Health Plan of GA November 1998 - January 2000
Aetna March 1992 - July 1997
Skills
Management, Network Development, Provider Relations, Credentialing, Claim, Medicaid, Medicare, PPO, Healthcare, Strategic Planning, Health Policy, Healthcare Industry, Health Insurance, Physicians, HMO, Insurance, Medicaid Managed Care, HEDIS, Physician Relations, Provider Network..., Medicare/Medicaid..., Healthcare Reimbursement, Health Plan Operations, HIPAA, Medical Billing, Revenue Cycle Management
Education
Western Governors University 2013 — 2015
Bachelor of Applied Science (B.A.Sc.), Business Administration and Management, General
University of Phoenix 2010 — 2012
Associate of Arts (AA), Healthcare Administration
Louise S. McGehee School May 2015 - Present
Carrere Insurance June 2014 - April 2015
Point Funding LLC June 2014 - April 2015
Northwestern Mutual September 2013 - May 2014
Amerigroup February 2012 - September 2013
Coventry Health Care October 2011 - January 2012
Coventry Health Care July 2010 - October 2011
Skills
Personal Financial..., Life Insurance, Disability Insurance, Long Term Care Insurance, Retirement Planning, Consulting, Strategic Planning, Creative Problem Solving, Product Knowledge, Critical Thinking, Manage Client..., Ethical Decision Making, Marketing, Customer Service, Direct Sales
Education
University of Alabama 2006 — 2010
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
Academy of the Sacred Heart 1991 — 2006
New York Life Insurance Company April 2015 - Present
Washington National Insurance Company January 2015 - June 2015
The Grant Group, LLC January 2009 - January 2015
Doctors Community Hospital November 2012 - December 2013
Dimensions Healthcare System November 2008 - May 2012
DC Primary Care Association October 2006 - October 2008
Amerigroup 2002 - 2005
Capital Community Health Plan November 1998 - July 2000
Skills
Cost Analysis, Database Development, Financial Reporting, Financial Modeling, Financial Management, Decision Support, Compliance, Healthcare, Financial Analysis, Access, Strategic Planning, Program Management, Business Planning, Process Improvement, Excel, Data Analysis, Cost Accounting, PowerPoint, Non-profits, Performance Improvement, Microsoft Office, Management Consulting, Healthcare Management, Managerial Finance, Training, Medicaid, Team Building, Nonprofits, Microsoft Excel, Databases, Managed Care, Cost Benefit, Auditing, Leadership, Hospitals, Policy, Proposal Writing, Finance, Healthcare Consulting, Budgets, Strategy, Revenue Cycle, Accounting, Healthcare Information..., Management, Analysis, Project Management, Healthcare Industry, HIPAA, Informatics
Education
University of Maryland University College 2012 — 2016
Master's degree
Virginia Polytechnic Institute and State University 1980 — 1985
B. S.
Prominence health a CHI Company September 2015 - Present
Health Services Agency September 2014 - September 2015
Meridian Health Plan March 2013 - September 2014
WellPoint May 2012 - March 2013
Amerigroup September 2007 - January 2012
WellCare 2000 - 2007
Skills
Insurance, Employee Benefits, Dental, Customer Service, Health Insurance, Sales, Medicaid, Managed Care, Training, Medicare, Dentistry, HIPAA, Disability Insurance, Healthcare, Sales Management, Life Insurance, HMO, Healthcare Industry, Provider Relations, Medicare Part D, Term Life Insurance, Customer Retention, Disease Management, Health Savings Accounts, Pharmacy Benefit..., Long-term Care, Health Policy, Claim, Healthcare Consulting, Call Centers, Health Care Reform, Brokers, PPO, Network Development, Revenue Cycle, Medicare/Medicaid..., Healthcare Information..., EHR, Physician Relations, Workers Compensation, Pharmacy, Credentialing, Underwriting, Executive Management, Physicians, Benefits Administration, Utilization Management, Healthcare Management, Process Improvement, Hospitals
Education
University of Phoenix 2009 — 2010
Masters of Management, Business Administration and Management, General
University of Phoenix 2008 — 2009
Masters of Business Administration, MBA
University of Phoenix 2004 — 2012
BSBF, Finance
Amerigroup April 2014 - Present
Medical Mutual of Ohio September 2004 - July 2013
1st Medical Network September 1999 - August 2004
South Georgia Health Partners August 1997 - September 1999
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Access, Contract Negotiation, Contract Management, Network Development, Provider Relations, Teaching, Data Analysis, Public Speaking, Healthcare Management, Managed Care, Financial Analysis, Employee Benefits Design, PPO, Healthcare Industry, Healthcare, Analysis, Insurance, Health Insurance
Education
The University of Georgia
Bachelor of Science (B.S.), Biology, General
Amerigroup Corporation 2009 - Present
Amerigroup 2007 - 2009
Skills
Microsoft Excel, Medicaid, Physician Relations, Healthcare Industry, Healthcare Information..., Managed Care, Software Documentation, Healthcare Management, Utilization Management, Medicare, Health Information..., Case Managment, Hospitals, Health Policy, Healthcare, Nursing, HIPAA, HMO, Process Improvement, Healthcare Consulting, Disease Management, Program Development, EMR, Behavioral Health, Public Health, Social Services, Mental Health, Home Care
Education
Texas Woman's University 2007 — 2009
Master of Business Administration (MBA)
Anthem, Inc. August 2013 - Present
Xerox/Lockheed Martin July 2011 - May 2013
Amerigroup 2013 - 2013
Beach Kids Pediactrics July 2011 - 2013
Affiliated Computer Services 2011 - 2011
Skills
Clinical Services, Vital Signs, Electronic Submissions, Phlebotomy, EKG, Rx wrtiing, Venipuncture, Medical Billing, Microsoft Office, data entry 35wpm, Urinalysis, Health Insurance, Project Management, Logistics, Team Leadership, Microsoft SQL Server, Customer Service, Account Reconciliation, Retirement Benefits, Sales Management, Medicare, Administrative..., Defined Benefit, Employee Benefits, PowerPoint, Cold Calling
Education
Tidewater Community College 2009 — 2010
Computer and Information Sciences, General
Everest Institute 2007 — 2008
Allied Health and Medical Assisting Services
Amerigroup January 2014 - Present
National Cancer Institute July 2012 - December 2013
The University of Texas at El Paso June 2011 - May 2012
The University of Texas at El Paso August 2011 - November 2011
El Paso City Department of Public Health June 2011 - September 2011
Pan American Health Organization July 2010 - November 2010
Hispanic Health Disparities Research Center August 2009 - May 2010
Skills
Public Health, Program Development, Health Education, Community Health, Global Health, Research, Health Promotion, Program Evaluation, Data Analysis, Literature Reviews, SPSS, Social Media, Health Disparities, Health Communication, Prevention, Qualitative Research, Health Equity, Health Communications, Scientific Writing, Technical Writing, HTML, CSS, Health Program Planning, Nutrition, Publications, Healthcare, Community Mental Health, Medicaid Managed Care, Grant Writing
Education
The University of Texas at El Paso 2010 — 2012
Master of Public Health (MPH), Health Disparities
ACEC Life/Health Trust November 2014 - Present
Amerigroup January 2014 - November 2014
LHP Hospital Group February 2009 - April 2013
USPI January 2008 - December 2008
Triad Hospitals, Inc. May 1999 - December 2007
Skills
Process Improvement, Healthcare, Accounting, Medicare, Budgets, Healthcare Management, Forecasting, Strategic Planning, HIPAA, Financial Analysis, Healthcare Information..., Hospitals, Revenue Cycle, Medicaid, Financial Reporting, Variance Analysis, Financial Modeling, Sarbanes-Oxley Act, Leadership, Analysis, Mergers & Acquisitions, Executive Management, Healthcare Consulting, Revenue Cycle Management, Physicians, Healthcare Industry, Finance
Education
University of Nebraska at Omaha 1994 — 1995
Bachelor of Science (B.S.), Finance, General
University of Nebraska-Lincoln 1991 — 1994
GEICO June 2014 - July 2014
Amerigroup October 2013 - December 2013
Registrar Corp June 2012 - January 2013
TeleVideo Productions June 2010 - March 2011
Skills
Spanish, English, FDA, Portuguese, Analysis, Registration, Medical Devices, Policy, Microsoft Office, Research, International Trade, Writing
Education
The College of William and Mary 2012 — 2015
Bachelor of Arts (BA), Political Science and Government
The College of William and Mary - The Mason School of Business 2012 — 2015
Bachelor of Business Administration (BBA), Business Analytics
Tidewater Community College 2007 — 2009
Associate of Science (AS), Social Sciences
US Attorney's Office / Middle District of Florida August 2014 - Present
Forfeiture Support Associates, LLC September 2012 - August 2014
Amerigroup November 2011 - September 2012
Office of the Attorney General, Florida December 2006 - November 2011
Skills
Health Care Fraud, Medicaid, Fraud, Background Checks, Private Investigations, Medicare, AHFI, Criminal Investigations, Evidence, Interrogation, Surveillance, Criminal Justice, Policy, Police
Education
University of Florida
Bachelor of Arts (B.A.), Criminology
Amerigroup Community Care 2005 - Present
Amerigroup 2005 - July 2013
Wellpoint-Anthem 1979 - 2004
Skills
Microsoft Office, Customer Service, Hospitals, Microsoft Excel, Strategic Planning, Microsoft Word, Healthcare Management, PowerPoint, Clinical Research, Project Management, Research, Public Speaking, Healthcare Information..., Process Improvement, Change Management, Nursing, Team Building, Social Media, Budgets, Event Planning, Managed Care, Healthcare Industry, Medicaid, Insurance, Policy, Health Insurance, Provider Relations, Management, Community Development, Medicare, Medicaid Managed Care, Community Outreach, Lean Six Sigma White..., Training, Presentations, Singing, Marketing Strategy, Marketing Communications, Travel Management, Business Networking, Provider Network..., Retention Strategies, Musicians, Cultural Diversity, Nonprofits, Business Analysis, Case Managment, Network Development, HIPAA, Physicians
Education
University of Cincinnati 1977 — 1979
Associate's degree, Social Sciences
Amerigroup September 2014 - Present
U.S. Department of Veterans Affairs April 2013 - Present
United Behavioral Health March 2009 - April 2013
Humana - US Army July 2008 - March 2009
Secure Relationships, LLC December 2005 - July 2008
DeRidder Addictive Disorders Clinic November 1997 - August 1999
Skills
Mental Health, Crisis Intervention, Group Therapy, Case Management, Clinical Site Management, Clinical Supervision, Family Therapy, Mental Health Counseling, Social Services, CBT, Motivational..., Behavioral Health, Post Traumatic Stress, Treatment, Marriage Counselor, Medicaid Managed Care, Medicare Managed Care, Substance Abuse..., Telecommuting, Interventions
Education
University of Houston, Victoria 2009 — 2011
Master of Business Administration (MBA), Business Administration and Management, General
University of Louisiana at Monroe 1999 — 2001
Master of Arts (MA), Marriage and Family Therapy/Counseling
Amerigroup Corp August 2013 - Present
Amerigroup June 2013 - August 2013
Amerigroup Corporation April 2009 - June 2013
Summerlin Health & Life January 2005 - March 2009
Skills
ICD-9, Medical Records, EMR, CPT, Provider Relations, EHR, Training, Customer Service, Leadership, Strategic Planning
Education
University of Phoenix 2015 — 2017
Master of Business Administration (MBA), Health/Health Care Administration/Management
University of Phoenix 2012 — 2014
Bachelors, Health care administration/ health information systems
University of Phoenix 2011 — 2012
Associate's degree, Health/Health Care Administration/Management
CAVU Healthcare Systems October 2014 - Present
Amerigroup November 2012 - October 2014
SEIU July 2011 - November 2012
Skills
Management, Marketing, Non-profit Boards, Sales, Medicaid Managed Care, Networking, Health Insurance, Managed Care, Hospitals, Healthcare, Real Estate, Community Organizing, Community Outreach, Team Building, B2B, Faith-based, Health Care Systems, Healthcare Industry, Medicaid, Provider Relations, Health Policy, Leadership, Case Managment, Public Speaking, Event Planning, Nonprofits, Fundraising, Strategic Planning, Program Management, Volunteer Management, Public Relations, Customer Service, Training, Community Development, Social Networking, Leadership Development, Coaching, Government, Research, Event Management, Healthcare Management, Case Management, Health Care Reform, Physician Relations, Social Services, HMO, Program Development, Policy
Education
University of Phoenix 2010 — 2014
Bachelor of Science (BS), Marketing
University Maryland Europe 1991 — 1994
Associate's degree, Business Administration and Management, General
Desert High School 1985 — 1987
Diploma
Edgren High School 1981 — 1985
Dunbar Armored 2009 - Present
Amerigroup January 2009 - August 2009
YMCA March 2007 - June 2008
Skills
Jack of many trades, Security, Administartion, Driving Efficiency, Superior Work Ethic, Independent Projects, Independent Thinking, Multi-tasked, Multi-skilled, Dreamweaver, Professional Organizing, Focused Execution
Education
Tidewater Community College 2003 — 2006
General, General Studies
Amerigroup August 2014 - Present
University of Maryland Medical Center 2010 - 2014
University of Maryland Medical Center 2008 - 2010
R. Adams Cowley Shock Trauma 2006 - 2008
Skills
Trauma, Neurology, Perioperative Nursing, Informatics, Healthcare, Clinical Research, ACLS, ICU, BLS, Inpatient, Patient Safety, Nursing, Patient Education, PALS, Emergency Medicine, General Surgery, EMR, Surgery, Nursing Education, Patient Advocacy, Hospitals, IV, Medication..., Treatment, Cerner, JCAHO, Registered Nurses, Public Health, CPOE, Quality Improvement, Phlebotomy, Emergency Nursing, Acute Care, Cardiology, Critical Care, Wound Care, Healthcare Management, EKG, Direct Patient Care, Vital Signs, Physician Relations, Quality Patient Care, Medical Terminology, Medical Records, BCLS, Post Anesthesia Care, Cpr Certified, Pediatrics, Customer Service
Education
University of Maryland University College 2014 — 2017
Masters in Healthcare Administration, Health/Health Care Administration/Management
St Mary's Ecumenical Institute 2013 — 2014
Master's Certificate Faith Community Nursing, Faith Community Nursing
Towson University 2004 — 2006
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Towson University 1999 — 2003
Bachelor of Science (BS), Athletic Training/Trainer
Javelin October 2014 - Present
Grace Covenant Church July 2013 - October 2014
King’s Park International Church January 2012 - June 2013
Martin for Chief Justice February 2013 - May 2013
Every Nation Ministries May 2011 - June 2012
King's Park International Church January 2011 - January 2012
Campus Harvest November 2010 - April 2011
Amerigroup June 2010 - July 2010
Skills
Social Media, Blogging, Photoshop, WordPress, Editing, New Media, Social Media Marketing, Web Design, Illustrator, CSS, HTML, Marketing Strategy, Content Strategy, Web Content, Digital Media, Strategic Communications, Email Marketing
Education
University of North Carolina at Chapel Hill 2006 — 2010
Bachelor of Arts (B.A.), Journalism & Mass Communication
Amerigroup October 2014 - Present
Robinson Insurance Agency May 1996 - October 2014
Skills
Property & Casualty..., Life Insurance, Health Insurance, Retirement Planning, Public Sector, Employee Benefits, Disability Insurance, Term Life Insurance, Accident, Fixed Annuities, Whole Life, Universal Life, Critical Illness, Medicare, Retirement, Commercial Lines, Small Business, Long Term Care Insurance, Health Savings Accounts, Long-term Care, Insurance, Commercial Insurance, General Insurance, Brokers, Workers Compensation, 401k, Professional Liability, Underwriting, Homeowners, Claim
Education
University of Phoenix 2006 — 2007
Insurance and Finance
Melrose High 1977 — 1980
Diploma, College Prepatory
Amerigroup August 2012 - Present
AppleOne May 2012 - August 2012
Verizon June 2009 - June 2011
ACS Systech Integrators 2011 - 2011
Alltel October 2006 - June 2009
Upstream Travel February 2004 - October 2006
Cox Communications November 2001 - February 2004
Skills
Typing, data entry, Outstanding Customer..., Microsoft Office, Windows 7, ISDN, LAN/WAN, Outlook, Tax Jurisdiction look up, RTB System
Education
Tidewater Community College 2004 — 2015
Business Administration and Management, General, 3.0
Lake Taylor Hospital 1989 — 1989
Certified Nursing Assistance, Occupational and Environmental Health Nursing, 4.0
Alliance group March 2012 - Present
WellCare November 2005 - October 2011
Amerigroup August 2003 - October 2005
Skills
Insurance, Life Insurance, Health Insurance, Employee Benefits, Property & Casualty..., Leadership, Marketing Strategy, Underwriting, Community Development, Medicaid, Medicare, Sales
Education
Ultimate Medical Academy 2013 — 2013
Diploma, medical billing and coding
Amerigroup Director of CredentialingWindsor Health PlanJune 2011 - January 2013
Windsor Health Plan January 2008 - June 2011
Windsor Health Plan July 2007 - January 2008
Windsor Health Plan July 2006 - July 2007
Windsor HomeCare Network September 2004 - July 2006
Tennessee Orthopaedic Alliance 1996 - 1999
Skills
Credentialing, Process Improvement, Accreditation, Quality Assurance, JCAHO, Hospitals, NCQA, Managed Care
Education
Trevecca Nazarene University 1994 — 1995
Bachelor, Science Management and Human Relations
Synthesis Health Systems March 2015 - Present
HighPoint Solutions May 2014 - January 2015
UnitedHealth Group October 2011 - December 2013
MCG - Formerly Milliman Care Guidelines May 2007 - June 2009
TriZetto Corporation December 2001 - May 2007
Amerigroup 1999 - 2001
Oxford Health Plans 1994 - 1999
Skills
Naturopathy, Healthcare Information..., Managed Care, Healthcare Consulting, Strategic Planning, Management, Quality Assurance, Healthcare, Wellness, Nutrition, Business Analysis, Integrative Medicine, Disease Management, Health & Wellness, Preventative Medicine, Medicine, Cross-functional Team..., Case Management Software, Software Product..., CVICU Nursing, Utilization Management, Business Strategy, Medical Case Management, Business Process..., Lifestyle Counseling, Product Portfolio..., Cerner Power Chart EMR, Facets, CareAdvance Enterprise, Product Development, Botanical Medicine, McKesson Interqual, Product Lifecycle...
Education
University of Bridgeport 2009 — 2013
Doctor of Naturopathic Medicine (ND), Natural Medicine, 3.78 GPA
Academy for Healthcare Management 2003 — 2003
Professional Certification, Health/Health Care Administration/Management
West Chester University of Pennsylvania 1976 — 1980
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Amerigroup April 2014 - Present
Amerigroup July 2013 - Present
Ramos Health Plans February 2012 - July 2013
Golden Key Federal Credit Union October 2010 - February 2012
The University of Texas at El Paso February 2009 - October 2010
Golden Key Federal Credit Union April 2007 - December 2008
The Reyes and Reyes Law Firm November 2003 - April 2007
Skills
Bilingual, Self-driven, Dependable Team Player, Exceptionally well..., Customer Service, Team-oriented, Goal Oriented, Telephone Skills, Critical Thinking, Spanish-speaking, Employee Benefits, Spanish, Accounting, Insurance, Leadership, Health Insurance, Teamwork
Education
Park University 2011 — 2013
Bachelor's Degree, Health/Health Care Administration/Management, Senior
The University of Texas at El Paso 2003 — 2010
Bachelor of Business Administration (B.B.A.), International Business, Graduated
Amerigroup November 2013 - Present
Skills
Case Management, Community Outreach, Customer Service, HIPAA
Education
The University of Texas at Arlington
Master of Social Work (MSW)
Anthem, Inc. July 2014 - Present
WellPoint January 2014 - Present
Amerigroup March 2010 - January 2014
Amerigroup Corporation March 2006 - March 2010
Amerigroup Corporation March 2004 - March 2006
Marsh September 2001 - March 2004
marsh 2000 - 2004
us naval support activity la maddalena 1996 - 2000
Skills
Health Policy, Managed Care, Business Strategy, Marketing Strategy, Direct Marketing, Medicare, Healthcare Industry, Healthcare, Business Development, Employee Benefits, Fundraising, Healthcare Consulting, Healthcare Information..., Marketing, Provider Relations
Education
University of Maryland College Park 1990 — 1994
Business, Marketing
MNSHS 1986 — 1990
Amerigroup Corporation July 2011 - Present
AMERIGROUP February 2010 - July 2011
EDS June 2003 - September 2009
ExcellerateHRO June 2003 - September 2009
Towers Perrin 2003 - 2005
Mellon HR Solutions May 1999 - April 2003
PricewaterhouseCoopers 1999 - 2001
Kwasha Lipton June 1993 - November 1998
Kwasha Lipton 1993 - 1998
Skills
Change Management, Project Management, Employee Relations, Account Management, Analysis, Business Process..., Business Analysis, CRM, Call Centers, Coaching, Leadership, Management, Outsourcing, Performance Management, Process Improvement, Program Management, Requirements Analysis, SDLC, Service Delivery, Team Leadership, Vendor Management
Education
The College of New Jersey 1989 — 1993
OptumInsight April 2012 - Present
Arcadia University August 1993 - Present
Pro-life speaker for feminist for life and independently in the black community 2006 - 2013
Strategies for Health Care Excellence August 2008 - April 2012
Feminist for Life 2007 - 2009
AMERIGROUP April 2005 - June 2008
AmeriHealth Mercy January 2001 - May 2005
New Jersey Division of Medical Assistance and Health Services 1995 - 1998
Health Partners 1993 - 1995
Skills
Business Development, Motivational Speaking, Healthcare, Managed Care, Medicaid, Medicare, Health Policy, Strategic Planning, Healthcare Information..., Healthcare Consulting, Healthcare Industry, Healthcare Management, Performance Improvement, Policy, Policy Analysis, Program Development, Strategy, Training, CRM, Management, Public Speaking
Education
University of Michigan Institute of Gerontology 1980 — 1982
Certified Specialist in Aging, Gerontology
University of Michigan School of Public Health 1980 — 1982
MHSA, Health care administration
The Johns Hopkins University 1976 — 1980
BA, History of Science
Amerigroup January 2014 - Present
FirstCare Health Plans December 2007 - January 2014
FirstCare Health Plans June 2007 - December 2007
FirstCare Health Plans January 2007 - June 2007
FirstCare Health Plans February 2006 - January 2007
FirstCare Health Plans January 2005 - February 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets, Microsoft Access, Salesforce.com, ServiceNow, Amisys, Facets, GeoNetworks, HealthRules, Access, Health Insurance, Insurance, Process Improvement, Healthcare, HIPAA
Education
Texas Woman's University 2014 — 2014
Master of Business Administration (MBA)
Texas Tech University 2001 — 2004
Bachelor of Business Administration (B.B.A.), Finance and Marketing
Amerigroup December 2013 - Present
H&M May 2012 - December 2013
Skills
Visual Merchandising, Customer Service, Teamwork, Microsoft Office, Coaching, Cashiering, Sales, Window Displays, Retail Sales
Education
Tidewater Community College 2010 — 2013
Associate of Science (A.S.), Social Sciences
Everest Community College 2005 — 2006
Medical/Clinical Assistant
WorldVentures June 2014 - Present
Amerigroup September 2013 - Present
The Montrose Center January 2010 - September 2013
Breast Cancer Resource Center June 2007 - April 2008
Skills
Community Outreach, HIV prevention, Mental Health, Public Health, Disease Prevention, Health Promotion, Overall Wellness, Program Evaluation, Preventive Medicine, Training, Health Education, Wellness, Nonprofits, Health Equity, Public Health Education, Community Organizing, Community Health, Prevention, Employee Wellness, Curriculum Design, Health Literacy, Public Speaking, Adolescent Health, Health Advocacy, Smoking Cessation, Teaching, Health Program Planning, Volunteer Management, Motivational..., Program Development, Crisis Intervention
Education
Walden University 2010 — 2012
Master of Public Health, Public Health
The University of New Mexico 2003 — 2008
Bachelor of Science, Community Health Education
Amerigroup January 2013 - Present
Apex Technology Systems, Inc. September 2012 - January 2013
KForce Government Services March 2010 - October 2012
KForce Government Services March 2009 - May 2010
CBN December 2007 - April 2008
Compass Technology 2004 - 2008
Compass Technology Management November 2006 - December 2007
Compass Technology Management July 2004 - November 2005
MILVETS Systems Technology, Inc. April 2004 - July 2004
MILVETS Systems Technology, Inc. September 2003 - April 2004
Skills
Active Directory, Troubleshooting, Security, Servers, Windows Server, DNS, Microsoft Exchange, System Administration, Group Policy, Security+, VMware, DHCP, Disaster Recovery, Operating Systems, Computer Security, XP, Blackberry Enterprise..., Virtualization, Networking, Network Administration, Network Security, Windows, SharePoint, TCP/IP, Technical Support, Computer Hardware, Hardware, Microsoft Certified..., CompTIA, Citrix, Databases, Powershell, Windows 7, Blackberry, IIS
Education
Tidewater Community College 1998 — 1998
Certificate, Windows NT System Administration
Tidewater Community College 1983 — 1984
Architectural Engineering
Amerigroup January 2012 - Present
Providence Memorial Hospital June 2011 - February 2012
Verde Realty December 2005 - December 2010
Southwest Credit June 2002 - October 2005
G.P. Graham Capital Management Group February 2000 - June 2002
Stanton January 1999 - January 2000
G.P. Graham & Associates Financial Services August 1987 - November 1990
Skills
Accounting, Accounts Payable, Asset Management, Recruiting
Education
University of Phoenix 2008 — 2010
MBA, Business Administration
University of Phoenix 2006 — 2008
Bachelors, Business Management
Pima College
Amerigroup March 2013 - Present
Amerigroup June 2008 - March 2013
Affinity Health Plan 2007 - 2008
Columbia University Medical Center 2005 - 2007
Skills
Medicare, Credentialing, Healthcare Information..., Clinical Research, Healthcare Management, Data Analysis, Hospitals, Nursing, Managed Care, Analysis, Quality Improvement, Medical Terminology, HIPAA, Management, Software Documentation, Medical Coding, Strategic Planning, Revenue Cycle, Performance Improvement, Health Insurance, Healthcare Industry, Process Improvement, Provider Relations, Health Policy, Healthcare Consulting, Medicaid, Insurance, Disease Management, Program Management, Patient Safety, Team Building, Medicine, Healthcare, Utilization Management, Home Care, Physicians, Physician Relations, Informatics
Education
Universidad Nacional de Córdoba 1996 — 2002
Doctor, General Practitioner
Network Health WI October 2014 - Present
Self May 2012 - October 2014
STAR Health Plan January 2012 - December 2012
ORBIS LifeFitness January 2007 - December 2011
SageView Advisory Group August 2008 - August 2009
Amerigroup June 2005 - December 2006
Ingenix 1998 - June 2005
Reden & Anders November 1994 - June 2005
Mercer Human Resource Consulting February 1989 - October 1994
Alexander Consulting Group 1987 - February 1989
Skills
Medicaid Managed Care, Hospitals, Healthcare Consulting, Start-ups, Strategy, Medicaid, Forecasting, Health Insurance, Healthcare, Managed Care, Healthcare Management, Healthcare Information..., Health Policy, Medicare, HIPAA, Strategic Planning, Employee Benefits, Insurance, Analytics, Mergers, Actuarial Consulting, Actuarial Science, Competitive Analysis, Finance, Healthcare Industry, Leadership, Management, Management Consulting, Mergers & Acquisitions, Process Improvement, Consulting, HMO
Education
University of Massachusetts, Amherst 1979 — 1981
Bachelor of Arts, Economics
University of Rochester 1977 — 1979
N.A., Economics
Amerigroup April 2014 - Present
S.O.M.E. December 2009 - Present
Howard Community College November 2012 - April 2014
Howard County Health Department June 2013 - October 2013
Howard Community College August 2010 - October 2012
International Relief and Development (IRD) January 2012 - May 2012
Howard University Hospital September 2009 - March 2010
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Research, Microsoft Word, Public Speaking, Customer Service, Social Media, Teamwork, English, Photoshop, Event Planning, HTML, Windows, Data Analysis, Public Relations, Community Outreach, Java, Policy Analysis, Editing, Team Leadership, Access, Program Management, Proposal Writing
Education
University of Baltimore 2015 — 2017
Master of Public Administration (M.P.A.), Health Care Policy and Administration
University of Maryland College Park 2008 — 2012
Bachelor's degree, Public Health
TeamHealth 2014 - Present
TeamHealth 2013 - 2014
TeamHealth 2011 - 2013
Achieve Rehab and Nursing 2009 - 2011
Amerigroup 2007 - 2009
Riviera Palms Nursing and Rehab Center 2006 - 2007
Winship Green Nursing Center 2003 - 2006
Skills
Hospitals, Healthcare, Training, Program Management, Office Administration, Social Services, HIPAA, Healthcare Management, Physician Relations, Medical Terminology, EMR, Process Improvement, Program Analysis, Building Relationships, Communication, Follow-through Skills, Microsoft Office, Microsoft CRM, Elder Care, Meditech, Project Management
Education
Strayer University-Florida 2006 — 2008
Master of Health Services Administration, Health/Health Care Administration/Management
University of Nebraska at Omaha 1999 — 2001
Bachelor of Science (B.S.), Social Work
BlueCross BlueShield of Tennessee November 2014 - Present
Amerigroup July 2014 - November 2014
BlueCross BlueShield of Tennessee January 2001 - July 2014
Skills
Claim, Customer Service, HIPAA, Health Insurance, Insurance, Medicaid, Outlook, Medicare, Process Improvement, Healthcare, Leadership, Business Analysis, Managed Care
Education
The University of Tennessee at Chattanooga 1991 — 1999
Bachelor's degree, Economics/Business
Dell September 2013 - June 2014
Value Options February 2013 - August 2013
Amerigroup June 2011 - February 2013
Amerigroup October 2007 - June 2011
PALS Programs 1994 - 1995
PALS Programs 1994 - 1995
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, Data Entry
Education
Tidewater Community College 1994 — 1997
Amerigroup January 2012 - Present
Education
Texas Tech University 1980 — 1983
Bachelor of Business Administration (B.B.A.), Marketing
Centene Corporation November 2014 - Present
HealthSmart February 2014 - November 2014
Currently looking October 2013 - January 2014
Amerigroup November 2009 - October 2013
Amerigroup Corporation October 2011 - September 2012
Skills
Medicaid, Medicare, Provider Relations, Healthcare Industry, Healthcare, Healthcare Management, Network Development, Health Insurance, Revenue Cycle, Healthcare Consulting, HMO, Health Policy, Hospitals, PPO, Contract Negotiation, Physician Relations, Physicians, Claim, Analysis, Utilization Management, Managed Care, Medical Compliance, Healthcare Reimbursement, Revenue Cycle Management, Medical Billing, Practice Management, Claims Resolution, Medicaid Managed Care, Insurance, Health Care Reform, Performance Improvement, CPT, Medicine, Health Information..., Executive Management, Inpatient, Accountable Care, Policy, Employee Benefits, Healthcare Information..., Home Care, Quality Improvement, ICD-9, Long-term Care, Medicare/Medicaid..., ICD-10, Medical Terminology, Health Plan Operations, Provider Network..., Healthcare Analytics
Education
Texas Tech University 1991 — 1995
Bachelor of Business Administration (BBA), Finance, General
Amerigroup December 2011 - Present
Pinnacle Health March 2010 - December 2011
Select Medical Corp May 2006 - January 2007
PDI, Inc. August 2004 - December 2005
PHCS August 1994 - July 1997
Skills
Cold Calling, Managed Care Contracting, Strategic Planning, Sales and Marketing, Medicare, Managed Care, Public Speaking, Healthcare, Practice Management, Healthcare Management, Hospitals, Healthcare Information..., OB/GYN, Process Improvement, Team Building, Urology, Network Development, Provider Relations, Customer Service, Clinical Research, Medicaid, Home Care, Physicians, Cardiology
Education
University of Cincinnati
MSHP/A, Health Administration
Wittenberg University
BA
Amerigroup Corporation February 2009 - Present
Amerigroup February 2009 - October 2012
Amerigroup Corporation 2009 - 2012
Greenville Hospital/LHS September 2004 - November 2008
Blue Cross August 2002 - July 2004
Focus Management June 1996 - July 2002
Skills
Clerical Skills, Data Entry, Call Center, Microsoft Word, Microsoft Office, EMR, Medisoft, Oracle HR, Internet, Outlook, Medical Billing, Medical Coding, Workers Compensation, Microsoft Excel, ASP, COBOL, Windows, WinForms, EDI, Lotus Notes, Logistics Management, Health Insurance, Insurance Adjusting
Education
University of Phoenix 2007 — 2009
Associate's degree, Health/Health Care Administration/Management
Ferris High School 1993 — 1996
High School Diploma, Business Management
Anthem, Inc. June 2011 - Present
Amerigroup April 2010 - June 2011
Amerigroup December 2006 - April 2010
Amerigroup February 2006 - December 2006
The Ballentine April 2004 - February 2006
Skills
Healthcare, Hospitals, Medicaid, Nursing, Visio, Healthcare Information..., Software Documentation, Healthcare Industry, Health Insurance, Healthcare Consulting, Medical Coding, EHR, Managed Care, Medical Billing, EMR, HIPAA, Healthcare Management, Medicare, Revenue Cycle, Process Improvement, Utilization Management, Medical Terminology
Education
Tidewater Community College 2002 — 2010
Associate of Science (A.S.), Science
Tidewater Tech-Trades 2002 — 2004
Practical Nursing, Practical Nursing, Vocational Nursing and Nursing Assistants
Piedmont Healthcare June 2012 - Present
Amerigroup 2000 - 2009
Skills
Informatics, Meditech, Microsoft Office, Hospitals, Ambulatory, HIPAA, Revenue Cycle, Medical Imaging, EHR, EMR, PowerPoint, Critical Care, CPOE, Public Health, Clinical Research, Medicaid, Healthcare Management, Healthcare, Nursing, Epic Systems, Data Analysis, Customer Service, IRB, Research, Cerner, Medical Terminology, Healthcare Information..., HL7, Ambulatory Care, Microsoft Excel, Healthcare Consulting, Inpatient
Education
University of Phoenix 2012 — 2016
Bachelor's degree, Health/Health Care Administration/Management, 3.84
Amerigroup March 2014 - Present
Coventry Health Care, an Aetna Company July 2012 - February 2014
Apria Healthcare April 2011 - July 2012
Ericsson September 2009 - August 2010
Sprint 2005 - 2009
Sprint LTD - KS June 1999 - June 2005
Skills
Data Analysis, VoIP, SDLC, Management, Software Documentation, Program Management, Networking, Switches, Budgets, Vendor Management, Troubleshooting, Telecommunications, Integration, Testing, Project Management, Cross-functional Team..., Team Leadership, Process Improvement, Microsoft Excel, PMP
Education
Right Management
The Ohio State University
Journaliam
NHV Marketing Consultants December 2009 - Present
A&M Industrial January 2012 - June 2014
Amerigroup Corporation February 2006 - 2009
Amerigroup February 2006 - 2008
Boys & Girls Clubs of America January 2000 - June 2004
Doctors and Designers September 1996 - November 1998
The Travelers Insurance Company. CCHI April 1990 - September 1996
Xerox August 1988 - April 1990
Skills
Marketing Strategy, Marketing, Management, Marketing Management, Strategy, Program Management, Managed Care, Leadership, Sales, Budgets, Training, Selling, Newsletters, Social Media, Brand Development, Integrated Marketing, New Business Development, Strategic Planning, Account Management, Social Media Marketing, Consultative Selling, Patient and employee..., Integrated Marketing..., Email Marketing
Education
University of Maryland College Park
B.S., Business, Management, Marketing
Amerigroup April 2013 - Present
Fairway Market November 2011 - April 2013
Skills
Medicaid, Managed Care, Healthcare Management, Healthcare Information..., Healthcare, HIPAA
Education
Universidad Dominicana O&M
Licenciado en Sistemas y Procedimientos, Informática (IT)
Amerigroup December 2014 - Present
Amerigroup January 2014 - December 2014
Amerigroup December 2012 - January 2014
Skills
Social Media, Medicare, Healthcare, Disease Management, Leadership, Event Management
Education
The University of Texas at Austin 1988 — 1991
Master of Social Work (MSW), Interpersonal Relationships Skills
The University of Texas at Austin
Bachelor's degree, Psychology
The University of Texas at Austin
Bachelor of Science (BS), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
VerifPoint December 2014 - Present
Specialists On Call, Inc. July 2013 - October 2014
Certified Consultant May 2006 - October 2014
Sentara Healthcare July 2012 - July 2013
Advanced Orthopaedic Centers - Richmond, VA January 2011 - May 2012
WellPoint June 2009 - November 2010
Amerigroup January 2009 - June 2009
Bon Secours Health System April 2008 - January 2009
The Therapy Network November 2006 - March 2008
ValueOptions, Inc.® August 1998 - May 2006
Skills
Medical Staff..., JCAHO, DNV, NCQA, AAAHC, Quantity Surveying, Project Management, Program Management, Facilities Management, Operational Excellence, Database Administration, Accounts Payable, Payroll, Contract Management, Publications, Grant Writing, Delegation, Auditing, Property, Budget Proposals, Product Development, Strategic Planning, Newsletters, Employee Training, Mass Hiring, Document Management, Maintenance Management, People Development, Performance Improvement, Quality Assurance, Recruiting, Policy Analysis, Time Management, Profit/Loss..., EMR, Hospitals, Healthcare Management, Nursing, Patient Safety, Healthcare, Managed Care, Physicians, Healthcare Information..., Physician Relations, HIPAA
Education
University of Louisiana at Monroe
Business/Commerce, General
Amerigroup 2014 - Present
UnitedHealth Group 2012 - 2014
ValueOptions 2010 - 2012
Skills
Healthcare, Social Services, Mental Health, Utilization Management, Utilization Review, Crisis Intervention, Case Management, Risk Assessment, Psychological Assessment, Mental Health Counseling, Strategic Planning
Education
University of North Texas 1992 — 2001
Master of Education (M.Ed.), Counselor Education/School Counseling and Guidance Services
WellCare Health Plans April 2015 - Present
UnitedHealth Group May 2014 - April 2015
Amerigroup January 2012 - May 2013
Allied Waste April 2011 - October 2011
N.E.W. Customer Service Companies, Inc October 2008 - December 2010
AT&T August 2005 - July 2008
Skills
Medicaid, Health Insurance, Advanced computer..., Medicare, Healthcare, Managed Care, HIPAA, Case Management, Healthcare Management, Utilization Management, Disease Management, Provider Relations, Insurance, Outlook, Healthcare Information..., Data Entry, Customer Service, Administrative..., Medical Terminology, Nursing, Employee Benefits, Microsoft Office, Access, Sales, Training, Leadership, Management, Team Building, Public Speaking
Education
University of Phoenix 2012 — 2016
Bachelor's degree, Business, Management, Marketing, and Related Support Services
University of Phoenix 2012 — 2015
Bachelor's Degree, Criminal Justice/Law Enforcement Administration, Junior
Accolite / CMG Inc. February 2012 - Present
Health Management Associates, Inc. March 2012 - March 2014
Amerigroup March 2011 - February 2014
Centers for Medicare & Medicaid Services October 2011 - March 2012
CareFirst BlueCross BlueShield February 2010 - September 2011
Cloudkick, Inc. April 2008 - January 2010
Dell October 2005 - March 2008
Microlog Corporation October 2002 - September 2005
Visionael September 1999 - September 2002
IBM October 1996 - September 1999
Skills
Healthcare Information..., Healthcare, Vendor Management, Informatics, Healthcare Management, Medical Devices, Hardware Diagnostics, HIPAA, Project Management, EMR, Management, Product Launch, Infectious Diseases, Business Analysis, Software Documentation, ETL, HL7, Business Intelligence, EDI, Cerner, Epic Systems, McKesson STAR, IT Strategy, Software Development, Software Implementation, Professional Services, IT Audit, IT-SOX Compliance, Offshore Management, Budget Management, Gap Analysis, Negotiation, Cross-functional Team..., Data Integration, Product Lifecycle..., Release Management, SaaS, Cloud Computing, Microsoft Office, Marketing Strategy, Marketing Communications, Product Marketing, Sales Management, Sales Presentations, Disaster Recovery, SDLC, Agile & Waterfall..., Business Process..., Trade Show Exhibitor, Functional Requirements
Education
Vanderbilt University - Owen Graduate School of Management 2015 — 2018
Master of Business Administration (M.B.A.), Pending
University of Baltimore Merrick School of Business 1989 — 1992
Bachelor of Applied Science (B.A.Sc.), Computer Information Systems, 3.99 Cum Laude
Amerigroup August 2015 - Present
Bronx-Lebanon Hospital Center August 2014 - July 2015
Friends of the Children-Boston August 2013 - May 2014
Friends of the Children-Boston April 2013 - August 2013
North Suffolk Mental Health Association August 2012 - April 2013
North Suffolk Mental Health Association August 2010 - August 2012
Boston Children's Hospital September 2009 - May 2010
Barry L. Price Rehabilitation Center December 2008 - June 2009
Barry L. Price Rehabilitation Center September 2007 - June 2009
Dare Family Services September 2008 - May 2009
Skills
Social Work, Psychotherapy, Case Management, Child Development, Child Therapy, Adolescent Therapy, Family Therapy, Care Coordination, Student Supervision, Clinical Documentation, Organization Skills, Time Management, Patient Advocacy, Child Advocacy, Crisis Intervention, Crisis Management
Education
Wheelock College 2007 — 2010
Master’s Degree, Master of Social Work
University at Buffalo 2003 — 2007
Bachelor’s Degree, Social Sciences - Legal Studies Concentration
Self-Employed November 2013 - Present
Amerigroup April 2013 - Present
Self-Employed October 2007 - Present
Austin Travis County Integral Care February 2011 - February 2013
Austin Travis County Integral Care January 2009 - September 2010
Communities In Schools of Central Texas August 2004 - December 2007
Communities In Schools of Central Texas October 2003 - August 2004
Seton Healthcare Family September 2003 - December 2003
Seton Medical Center January 2003 - May 2003
LifeWorks September 2001 - May 2002
Skills
Crisis Intervention, Foster/Adoption Home...
Education
The University of Texas at Austin 2001 — 2003
Master’s Degree, Clinical Social Work, 4.0 grade average
The University of Texas at Austin 1997 — 2000
Bachelor’s Degree, Psychology, 3.82 grade average
Ferguson Enterprises March 2015 - August 2015
POWTEC Solutions March 2015 - May 2015
Amerigroup November 2014 - February 2015
Canon CITS October 2012 - November 2014
US Army August 2012 - August 2014
Canon USA October 2012 - September 2013
Virginia Army National Guard August 2006 - August 2012
Newport News Shipbuilding, A Division of Huntington Ingalls Industries May 2008 - September 2010
GameStop April 2005 - August 2007
Skills
Security, Special Operations, Leadership, Process Scheduler, Security Clearance, Military, Active DoD Secret..., Analysis, Reconnaissance, Management, Operations Management, Human Resources, Government, Computer Security, Military Experience, Military Operations, Weapons, Facilities Management, Intelligence Analysis, Intelligence, Command, DoD, Military Training, National Security, Operational Planning, Army, Physical Security, Security Operations, Personal Security, COMSEC, SIGINT, Personnel Supervision, Tactics, Mac OS, Windows 8, Windows 7, Linux, Red Hat Linux, IT Operations, Information Technology, Network Administration, Wireless Networking, Troubleshooting, Software Installation, Technical Support, Hardware, Operating Systems, Customer Service
Education
Thomas Nelson Community College 2006 — 2007
Phoebus High School 2002 — 2006
HS Diploma, General Studies
Anthem, Inc. February 2015 - Present
Healthplus Amerigroup, a Wellpoint Co. October 2011 - February 2015
Amerigroup June 2009 - October 2011
Amerigroup October 2006 - June 2009
QVC November 2005 - June 2009
Panasonic June 2002 - July 2004
Skills
Medical Records, Claims Resolution, Provider Relations, Customer Service, Claim Investigation, Medical Billing, Medical Coding, Educational Leadership, Insurance, Analysis, Claims Management, Technical Support, Microsoft Excel, Microsoft Word, PowerPoint, English, Research, Outlook, Medical Terminology, Health Insurance, Medicaid Managed Care, Presentation Skills, Healthcare, HIPAA, Process Improvement
Education
University of Phoenix 2014 — 2016
Bachelor's Degree, Business Administration, Management and Operations, 3.45
Tidewater Community College
Associate of Applied Science Degree: Health Information Management, Health Information/Medical Records Technology/Technician, CUM GPA 3.106
Advanced Pharmacy June 2014 - Present
Amerigroup December 2013 - Present
Texas Campaign for the Environment October 2013 - November 2013
Skills
Molecular Biology, Microsoft Office, Gram Staining, communication relation, Public Speaking, Time Management, Microsoft Excel
Education
The University of Texas at San Antonio 2006 — 2012
Bachelor of Science (B.S.), Biology, General
WellPoint March 2014 - Present
EdR Collegiate Housing January 2014 - March 2014
Education Realty Trust October 2011 - December 2013
. September 2010 - October 2011
Amerigroup (Now part of WellPoint, Inc) February 2010 - September 2010
Amerigroup Corporation May 2009 - February 2010
Amerigroup Corporation November 2007 - May 2009
Amerigroup November 2006 - May 2009
ACH Food Companies November 2005 - November 2006
Helena Chemical Company January 2003 - October 2005
Skills
SQL, Microsoft Excel, SharePoint, Data Analysis, Certified Fraud Examiner, Accounting, Healthcare, Internal Controls, Internal Audit, Fraud, Certified Public..., Certified Internal..., SQL Report Writing, SQL Server Management..., Customer Service, SSRS, Auditing, Software Documentation, Finance, Analysis, Sarbanes-Oxley Act, CPA, Access, Financial Statements, Business Analysis, Financial Analysis, Financial Reporting
Education
University of Mississippi 2000 — 2003
BAA, Accountancy
Kinetic Concepts November 2012 - Present
Amerigroup April 2012 - November 2012
Cox Communications December 2008 - April 2012
Cox Communications January 2006 - December 2008
Education
University of Phoenix 2011 — 2015
Bachelor of Arts (BA), Information Technology
Health Integrated, Inc. March 2015 - Present
Self Employed February 2015 - Present
HPH Hospice October 2013 - January 2015
Amerigroup April 2013 - October 2013
Health Integrated, Inc. August 2012 - April 2013
HPH Hospice August 2007 - August 2012
New Tampa Counseling and Mediation, Inc. 2004 - 2005
Eastover Psychological and Psychiatric Group 1999 - 2001
Magellan Behavioral Health 1998 - 1999
Psychiatric Management Resources 1998 - 1998
Skills
Mental Health, Case Managment, Psychotherapy, Behavioral Health, Case Management, Crisis Intervention, Group Therapy, Family Therapy, Mental Health Counseling, Solution Focused, Adolescents, Clinical Supervision, Healthcare, Grief Counseling, Treatment, Therapists, Social Services, Managed Care, Psychiatry, Life Transitions, CBT, Program Development, Chemical Dependency, Inpatient, Home Care, Hospitals, Medical Social Work, Motivational..., Utilization Management, Clinical Research, Psychology, Nonprofits, Counseling Psychology, EMDR
Education
The University of Georgia
Master of Social Work (MSW), Social Work
The University of Georgia
Bachelor of Arts (BA), English Language and Literature/Letters
Anthem, Inc. January 2013 - Present
AMERIGROUP June 2003 - January 2013
Health Resources and Services Administration Bureau of Primary Health Care February 1998 - June 2003
Substance Abuse and Mental Health Services Administration March 1994 - February 1998
Centers for Disease Control and Prevention November 1993 - February 1994
United States Senate February 1993 - November 1993
Centers for Disease Control July 1991 - January 1993
Skills
Health Policy, Policy, Legislative Relations, Medicaid, Medicare, Legislation, Program Management, Coalitions, Managed Care, Provider Relations, Health Insurance, Healthcare Consulting, Healthcare
Education
University of Georgia 1989 — 1991
MPA, Finance and Health Policy
University of North Carolina at Chapel Hill 1985 — 1989
B.A., Public Policy and Sociology
Anthem November 2014 - Present
Medpedia, Inc. 2009 - Present
WellPoint, Amerigroup Division, Maryland January 2013 - October 2014
AmeriGroup May 2007 - December 2012
United Behavioral Health 2005 - 2007
United Health Group 2005 - 2007
PacifiCare Behavioral Health 2003 - 2007
PacifiCare 2003 - 2005
APS Healthcare 2000 - 2003
ValueOptions 1996 - 2000
Skills
Medicaid, Medicare, Behavior Change, Disease Management, Healthcare, Behavioral Health, Health Home..., Case Managment, Managed Care, Healthcare Management, Health, Hospitals, Utilization Management, Health Policy, Clinical Research, Healthcare Information..., HIPAA, Management, Physicians, Healthcare Consulting, Mental Health, Provider Relations, Policy, Health Insurance, Healthcare Industry, Case Management, Public Health
Education
Yeshiva University 1978 — 1984
PhD, Psychology
University of Michigan 1972 — 1976
B.A., Psychology
Self-employed August 2012 - Present
Amerigroup January 2005 - Present
Mount Washington Pediatric Hospital March 2003 - December 2004
Progressive Nursing Staffers October 1999 - December 2004
Greater Baltimore Medical Center January 1995 - October 1999
University of Maryland Medical Center January 1993 - January 1995
Skills
Nursing Management, Bikram Yoga, Hatha Yoga, Horticulture, Cleaning, Women's Health, Rehabilitation, Critical Care, Registered Nurses, Wellness, Healthcare, Hospitals, Nursing, Healthcare Management, Holistic Health, EMR, BLS, Team Building, Nutrition
Education
University of Maryland Baltimore 1993 — 1999
BSN MS, Registered Nursing/Registered Nurse
XLHealth July 2008 - Present
Amerigroup September 2006 - July 2008
Alternative Behavioral Services 2005 - 2006
Bankers Life & Casualty 2005 - 2005
Sentara Healthcare 1991 - 2004
Skills
Project Management, Health Insurance, Medicare, HIPAA, Process Improvement, Healthcare, Medicaid, Managed Care, Visio, Vendor Management, Healthcare Information..., SharePoint, Software Documentation, Customer Service, SDLC, Healthcare Management, Data Analysis, Business Analysis, Healthcare Industry
Education
University of North Carolina at Greensboro 1979 — 1983
BA
Blue Cross and Blue Shield of North Carolina December 2013 - Present
ScottMadden, Inc. August 2008 - December 2013
AMERIGROUP Corporation 2004 - 2006
Amerigroup 2002 - 2004
Skills
Project Management, Cross-functional Team..., Competitive Analysis, Data Analysis, Analysis, Marketing Strategy, Benchmarking, Market Research, Talent Management, Valuation, Project Planning, Business Development, Market Analysis, Risk Management, Budgets, Operations Management, Shared Services, Microsoft Excel, IT Strategy, Forecasting
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 2006 — 2008
Master of Business Administration (M.B.A.)
University of Illinois at Urbana-Champaign
Bachelor of Science (BS)
Liberty Health Advantage HMO June 2012 - January 2013
Fidelis Care New York July 2010 - June 2012
Amerigroup May 2008 - December 2009
Southern New York Association November 2004 - May 2006
Health Force March 1993 - May 1998
Skills
Medicare, HIPAA, Medicaid, Managed Care, Healthcare Management, Healthcare, Utilization Review, Medicaid Managed Care, Health Care Compliance, Healthcare Industry, Regulations, Regulatory Affairs, Policy, Provider Relations, Quality Management, HEDIS/QARR, Utilization Management
Education
Touro College Jacob D. Fuchsberg Law Center 1998 — 2002
JD
Pacific Western University 1985 — 1987
BSN
Mt Vernon Hospital School of Nursing 1969 — 1972
Nursing
AMERIGROUP June 2000 - Present
Education
Tidewater Community College
Amerigroup February 2015 - Present
United Behavioral Health 2007 - September 2014
DAPA August 2005 - November 2007
Skills
Motivational..., Mental Health, Public Speaking, Clinical Research, Behavioral Health, Treatment, Crisis Intervention, Microsoft Office, Group Therapy, Case Management, Psychotherapy, CBT, Mental Health Counseling, Adolescents, Self-esteem, Social Services, Counseling Psychology, Family Therapy, Psychological Assessment, Teaching, Clinical Supervision, Psychology
Education
University of Houston 2003 — 2005
masters in counseling, educational psychology
The University of Texas at Austin 1999 — 2002
Bachelor's Degree, liberal arts, psychology & spanish
Retina Institute of California April 2015 - Present
Amerigroup January 2014 - April 2015
Sound Physicians June 2013 - August 2013
Sound Physicians April 2011 - June 2013
Children's University Medical Group/UW Physicians Compliance Program September 2008 - March 2011
IPC The Hospitalist Company January 2008 - September 2008
Physiotherapy Associates March 2006 - December 2007
Regence Blue Cross BlueShield October 2002 - March 2006
US Navy, Naval Hospital December 1993 - December 1999
Skills
Internal Investigations, Risk Management, Risk Assessment, Policy, Leadership, Software Documentation, Management, Healthcare Management, Healthcare, Healthcare Consulting, Hospitals, Medicare, HIPAA, Managed Care, Medicaid, Physicians, Revenue Cycle, Physician Relations, Healthcare Information..., Healthcare Industry, Practice Management, EMR, EHR, Medical Billing, Medical Coding, Clinical Research, Medical Compliance, JCAHO, Utilization Management, Credentialing, Quality Improvement, CPT, Informatics, Health Information..., Patient Safety, Health Policy, Provider Relations, Performance Improvement, ICD-9, Inpatient, Medical Terminology, Revenue Cycle Management, Medical Records
Education
Edinburgh Business School, Heriot-Watt University
M.B.A, Program
University of Maryland University College
Bachelor of Science (B.S.), Management
Molina Healthcare December 2012 - Present
OptumHealth August 2011 - December 2012
AMERIGROUP December 2008 - October 2011
WATSON WYATT WORLDWIDE June 2007 - September 2008
Mercer Human Resource Consulting April 2005 - June 2007
Erie Community College September 2004 - March 2005
Skills
Insurance, Pricing, SQL, Marketing, Teaching, Quality Control, Customer Service, Profit, File Management, Maple, Actuarial Science
Education
The University of Connecticut 2002 — 2004
M.S, Actuarial Science
University at Buffalo 1995 — 1999
B.S., Applied Mathematics
Amerigroup May 2012 - Present
Blue Cross Blue Shield of Louisiana August 2005 - May 2012
Skills
Health Insurance, Managed Care, Network Development, Medicare, Medicaid, Provider Relations, HIPAA
Education
The University of Texas Medical Branch at Galveston 1993 — 1995
Bachelor's degree, Healthcare Administration
Division of Public Health Senior Care AdvocateUHG M&V ProgramOctober 2013 - Present
UnitedHealth Group October 2013 - Present
Amerigroup 2012 - Present
WellStar Health System 2011 - Present
Skills
Mental Health, Psychotherapy, Family Therapy, Group Therapy, Adults, Clinical Supervision, Adolescents, Social Services, Counseling Psychology, Treatment, Behavioral Health, Life Transitions
Education
University of Michigan 2001 — 2003
Master of Social Work (MSW)
Tuskegee University
Bachelor of Arts (B.A.)
Amerigroup Corporation November 2012 - Present
Amerigroup April 2008 - November 2012
EDS June 2001 - February 2008
CMSS Architects, PC April 2001 - June 2001
Hilton Airport June 2000 - February 2001
Price Home January 1998 - June 2000
Skills
PeopleSoft, Customer Service, Outlook, Recruiting, Human Resources, Microsoft Excel, Organizational..., Management, Visio, Interviews, Onboarding
Education
Stratford Career Institute
Business Management
Tidewater Community College
Amerigroup December 2011 - December 2012
Amerigroup December 2010 - December 2011
Optima Health September 2010 - December 2010
Optima Health Inc August 2007 - September 2010
Northrop Grumman Newport News March 2006 - August 2007
Northrop Grumman Newport News July 2003 - March 2006
Skills
Budgets, Analysis, Leadership, Management, Project Planning
Education
The College of William and Mary - The Mason School of Business 2008 — 2011
MBA, Business
Virginia Polytechnic Institute and State University - Pamplin College of Business 1998 — 2002
B.S., Finance
Amerigroup October 2012 - Present
Coalition for Independence January 2009 - October 2012
UPS July 2008 - February 2009
Education
The University of Kansas 1994 — 1996
Batchelors, Social Work
University of Kansas 1994 — 1996
Bachelor of Science (BS), Social Work
Amerigroup March 2012 - Present
WellCare Health Plans October 2010 - March 2012
Simply Healthcare Plans November 2009 - March 2012
WellCare Health Plans March 2006 - November 2009
Skills
Network Development, Provider Relations, Provider Contracting, HMO, Medicaid, Healthcare, Medicare, Hospital Contracting, PPO, Healthcare Consulting, Revenue Cycle, Healthcare Management, Credentialing, Physician Relations, Medical Billing, Healthcare Industry, Health Insurance, HIPAA, Managed Care, Medicare Part D, Long-term Care, Healthcare Information...
Education
University of Phoenix 1999 — 2003
BSHCS, Healtcare Management
University of Phoenix 1999 — 2003
Health/Health Care Administration/Management
District of Columbia Department of Human Services November 2013 - Present
Healthy Babies Project May 2008 - November 2013
American Lung Association of DC January 2004 - April 2008
Amerigroup 2003 - 2003
Louisville Metro Government January 2000 - December 2002
Jefferson County Health Department 1997 - 2000
Skills
Community Outreach, Public Relations, Non-profits, Public Speaking, Fundraising, Nonprofits, Social Media, Program Development, Health Education, Project Management, Event Planning, Press Releases, Healthcare, Mental Health, Marketing Communications, PowerPoint, Microsoft Office, Management, Case Managment, Grant Writing, Customer Service, Microsoft Excel, Research, Teaching, Training, Leadership Development, Staff Development, Volunteer Management
Education
University of Kentucky 1995 — 1997
M.A., Health Communications
Paine College 1987 — 1991
B.A., Mass Communications
Amerigroup July 2014 - Present
Windsor Health Plan September 2012 - May 2014
Windsor Health Plan February 2011 - September 2012
Windsor Health Plan June 2010 - February 2011
HEOPS, Inc October 2008 - May 2010
Coventry Health Care February 2006 - September 2008
Skills
Credentialing, Medicaid, NCQA, Medicare, Managed Care, Healthcare, HMO, Healthcare Management, HIPAA, PPO, Utilization Review, Health Policy, JCAHO, Appointment Scheduling, Health Insurance, Physician Liason, Physicians, Provider Relations, Team Building, Utilization Management, Data Entry
Education
University of Alabama 2001 — 2004
BS, Healthcare Management
Amerigroup Community Care June 2012 - Present
Amerigroup Corporation April 2009 - June 2012
Amerigroup Community Care January 2009 - June 2012
Amerigroup December 2007 - April 2009
Amerigroup Community Care December 2007 - April 2009
Schaller Anderson of Tennessee May 2005 - September 2007
TENNCARE - Office of General October 1999 - May 2005
KIMBERLY GOLDEN January 1995 - January 1999
HIGH TECH REHABILITATION January 1993 - January 1995
Skills
Soft Skills, Behavioral Training, Instructional Design, Coaching, Training Analysis, Training, Health Insurance, Process Improvement, Management, Medicare, Program Management, Public Speaking, Team Building, HIPAA, Healthcare Management, Leadership, Medicaid, Software Documentation
Education
University of Phoenix
Master of Science (M.S.), Health Administration/Health Education
Amerigroup August 2010 - Present
JAFRA Consulting August 2001 - Present
Skills
Skin Care, Cosmetics, Spa, Makeup Artistry, Selling, Beauty Industry, Wellness, Microsoft Word, Data Entry, Customer Service, Customer Satisfaction, Customer Retention, Office Administration, Telephone Skills, Coordinating Special..., Facets, Medicaid Managed Care, Flmmis, Long-term Care, Typing
Education
University of Phoenix 2012 — 2014
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management, 3.5
Amerigroup April 2013 - Present
Amerigroup Corporation July 2009 - March 2013
Amerigroup Corporation August 2009 - February 2011
Prescriptoin Solutions June 2009 - June 2009
Thornburg Mortgage April 2005 - June 2009
State of New Mexico June 2005 - June 2008
Lovelace Health Plan April 2004 - April 2005
American Red Cross Grand Canyon Chapter 1999 - 2004
UnitedHealthcare 1999 - 2004
UnitedHealth Group 1995 - 2004
Education
University of Phoenix 2002 — 2004
Healthcare Administration
Amerigroup June 2014 - Present
Amerigroup Corporation August 2012 - June 2014
Peach State Health Plan September 2008 - August 2012
Superior Health Plan June 2006 - September 2008
Skills
Medicaid, Healthcare Management, Healthcare, Managed Care, Medicare, Strategic Planning, Microsoft Office, Microsoft Excel, Community Outreach, PPO, Network Development, HMO, Provider Relations, Credentialing, Medicaid Managed Care, Provider Network..., Healthcare Industry, Physicians, Medicare/Medicaid..., Healthcare Reimbursement, Provider Education, Provider Networks, Amisys
Education
University of Missouri-Columbia 2004 — 2006
MHA, Healthcare Administration
University of Alabama 2000 — 2004
Bachelor's degree, Healthcare Management
Amerigroup September 2012 - Present
Spherion Professional Services December 2007 - June 2010
Maryland Physicians Care November 2005 - September 2007
Family Health Centers of Baltimore March 2005 - November 2005
Care Resources, Inc October 2002 - March 2005
NRI Staffing Resources April 2004 - September 2004
TheraCom, Inc May 2002 - October 2002
Greenbelt Endoscopy Center April 2001 - March 2002
Prudential Healthcare June 1998 - December 2000
Maryland Physicians Care October 1997 - June 1998
Skills
Medical Coding, Clinical Research, Nursing, Medical Records, Case Managment, Epic Systems, Medicaid, Software Documentation, Home Care, Inpatient, Medicine, CPT, Pediatrics, ICD-9, Training, Insurance, Customer Service
Education
University of Phoenix 2009 — 2011
Associate, Psychology
Johnston School of Pratical Nursing 1989 — 1991
Nursing
Community College of Baltimore 1986 — 1988
Nursing
Baltimore City College Highschool 1982 — 1986
Diploma, College Prep
Amerigroup September 2013 - Present
APS Healthcare 2009 - July 2013
Sierra Vista Hospital October 2000 - December 2009
Skills
Behavioral Health, Mental Health, Case Managment, Policy, Leadership Development, Managed Care, Medicare, Medicaid, Healthcare, Disease Management, Case Management, Utilization Management, Quality Improvement, HIPAA, Hospitals, Healthcare Management
Education
Yeshiva University 1995 — 1997
Masters, Social Work
The University of South Dakota 1988 — 1992
Bachelor, Social Work
Amerigroup March 2014 - Present
Anthem January 2008 - March 2014
Anthem August 2002 - December 2007
Trigon Healthcare Inc January 1997 - July 2002
Blue Cross Blue Shield of Virginia January 1994 - December 1996
Blue Cross Blue Shield of Virginia October 1990 - December 1993
Skills
Health Insurance, Insurance, Medicare, Health Policy, Requirements Gathering, Project Management, Program Development, Program Management, Team Leadership, Leadership, Performance Metrics, Healthcare Information...
Education
Richmond School of Professional & Continuing Studies 1995 — 2000
University of Richmond 1985 — 1989
Bachelor's Degree, International/Global Studies
Amerigroup Corporation June 2011 - Present
Amerigroup June 2003 - June 2011
Amerigroup Corporation January 2007 - September 2009
K. Dane Mills, Atty June 1999 - March 2003
Damuth Trane June 1978 - March 1999
Education
Tidewater Community College
Business
AmeriGroup February 2013 - Present
Federal Bureau of Investigation July 1998 - January 2013
Skills
Criminal Investigations, Interrogation, Counterintelligence, Enforcement, Evidence, Federal Law Enforcement, Criminal Justice, Private Investigations, Internal Investigations, Hostage Negotiator, Firearms, Counterterrorism
Education
The University of Texas at Dallas 1978 — 1980
Master's degree, Accounting
The University of Texas at Austin 1974 — 1978
Bachelor of Business Administration (BBA), Finance, General
Amerigroup September 2013 - Present
OptumHealth September 2003 - August 2013
Dell H Braunsdorf, MD, PA, General Psychiatry January 1997 - February 2004
Gulf Coast Center, TX Mental Health & Mental Retardation Agency, Galveston & Brazoria Counties April 1994 - January 1997
UTMB 1990 - 1995
Skills
Patient Care, Clinical Diagnostics..., Clinical education of..., Clinical Liason to..., General Communication -..., Clinical Research, Behavioral Health, Treatment, Communication, Adolescents, Interpersonal..., Managed Care, Medical-Behavioral..., Disease Management, Healthcare, Medicare, Psychiatry, Mental Health, Psychotherapy, Case Managment, Cross-functional Team..., Medicaid Managed Care, Medicaid, Therapists, Wellness, Clinical Supervision, Health Policy, Healthcare Consulting, Hospitals, Inpatient, Medicine, Physicians, Prevention, Quality Improvement, Utilization Management, Healthcare Management, HIPAA, Case Management, Healthcare Industry, Healthcare Information..., Home Care
Education
The University of Texas Medical Branch at Galveston 1985 — 1989
MD, Medicine, and General Psychiatry Residency
University of Houston 1978 — 1980
Bachelor of Sciences, Cum Laude, Environmental Management
Eiland Enterprises LLC December 2010 - Present
Amerigroup July 2014 - January 2015
Universal American October 2012 - January 2014
Extend Health August 2012 - December 2012
Wells Fargo January 2011 - June 2012
Regions Financial Corporation April 2008 - December 2010
Wachovia Securities Financial Network September 2005 - March 2008
Skills
Insurance, Sales, Customer Service, Microsoft Office, Coaching, Microsoft Excel, Team Building, Small Business, Sales Management, Entrepreneurship, Public Speaking, Marketing, Investments, Business Strategy, Social Media, Recruiting, Leadership, Negotiation, Customer Satisfaction, Management, Employee Benefits
Education
University of Phoenix 2010 — 2015
Bachelor's Degree, Health Care Administration
University of Phoenix 2010 — 2012
Associate's Degree, Health Care Administration
Anthem, Inc. January 2014 - Present
Amerigroup August 2013 - January 2014
Amerigroup Corporation June 2010 - August 2013
Amerigroup Corporation April 2007 - June 2010
Amerigroup Corporation September 2006 - April 2007
Blue Cross Blue Shield of Tennessee March 2001 - September 2006
Skills
Medicaid, Medicare, Health Insurance, Auditing, Certified Fraud Examiner, Claim, Claim Investigation, Fraud, HIPAA, HMO, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Management, Insurance, Managed Care, Medical Coding, Medical Compliance, Network Development, Process Improvement, Claims Management, Provider Relations
Education
The University of Tennessee at Chattanooga 1996 — 2000
B.S., Accounting & Finance
Anthem August 2014 - Present
Amerigroup March 2013 - August 2014
Amerigroup Corporation August 2012 - March 2013
Sheraton April 2011 - August 2012
VCU USCA March 2008 - June 2009
Skills
Hospitality, Hospitality Industry, Customer Service, Front Office, Hotels, Microsoft Word, Telephone Skills, Process Scheduler, Outlook, Microsoft Office, Teamwork, Time Management, Data Entry, Microsoft Excel, Call Centers
Education
University of Phoenix 2014 — 2016
Health/Health Care Administration/Management
Tidewater Community College 2009 — 2010
Amerigroup October 2012 - Present
Education
Utah State University 1982 — 1986
Bachelor of Arts (B.A.), Social Work
University of Arizona
Master's degree, Rehabilitation counseling
Amerigroup November 2012 - Present
Kansas Governors Commission for Autism 2010 - Present
Fort Hays State University August 2011 - August 2014
KIPBS June 2004 - August 2014
Integrated Behavioral Technologies May 2011 - November 2012
CLO May 1995 - May 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Outlook, Strategic Planning, Event Planning, Budgets, Administrative..., Team Building, Negotiation, Office Management, Project Management, Business Strategy, Research, Event Management, Data Entry, Public Speaking, New Business Development
Education
University of Kansas 2005 — 2012
Doctor of Philosophy (Ph.D.), Education/Teaching of Individuals in Early Childhood Special Education Programs
University of Kansas 1991 — 1994
Master of Arts (M.A.), Human Development and Family Life
O'Fallon Township High
AmeriHealth Administrators March 2014 - Present
McKesson 2014 - 2014
McKesson 2014 - 2014
HealthNow New York Inc. 2013 - 2014
EmblemHealth 2009 - 2013
EmblemHealth 2009 - 2013
CareFirst BlueCross BlueShield January 2007 - December 2008
Affinity Health Plan January 2005 - August 2006
Amerigroup August 2003 - December 2004
Skills
Requirements Analysis, Agile Methodologies, Software Project..., SDLC, Business Analysis, Microsoft SQL Server, SQL, Affordable Health Care, Provider Network..., Product Development, Benefit Configuration, JIRA, Claims Management, Trizetto NetworX..., Trizetto Facets..., ICD-10, Kanban, Scrum, RUP
Education
University of Bridgeport 2005 — 2007
Master of Business Administration (M.B.A.), Finance and Financial Management Services, 3.6
Grady Health System April 2014 - Present
OccuVax September 2013 - Present
Amerigroup September 2010 - April 2012
WellStar Health System August 2009 - September 2010
WellPoint November 2008 - May 2009
United Health Group November 2007 - March 2008
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas June 2006 - June 2007
Loma Linda University Medical Center September 2002 - April 2006
Skills
Nursing, Healthcare, Nursing Education, Case Managment, Behavioral Health, Staff Development, Health Education, Medication..., Nursing Documentation, Inpatient, Acute Care, Ambulatory Care, Nursing Care, Mental Health Care, Mental Health Assessment, Mental Health Treatment, Psychiatric Care, Geriatric Psychiatry, Child Psychiatry, Child Mental Health, Adolescent Psychiatry, Chemical Dependency, Utilization Management, Utilization Review, Medical Review, Medical Case Management, Managed Care, Medicaid Managed Care
Education
University of Phoenix 2009 — 2012
Master of Science, Nursing
California State University of Fullerton 2002 — 2006
Bachelor of Science Degree, Nursing
San Bernardino Valley College 2000 — 2002
Associate of Science Degree, Nursing
Amerigroup November 2010 - January 2015
The Capital Group Companies Inc. March 1999 - July 2010
Lillian Vernon March 1988 - April 1999
Skills
Project Management, Process Improvement, Facilities Management, Process Engineering, Management, Leadership, Customer Service, Operations Management, Contract Management, Procurement, Inventory Management
Education
Tidewater Community College 2002 — 2004
AAS, Industrial Management, 4.0
Amerigroup Corporation October 2009 - Present
Amerigroup March 2008 - October 2009
Great West Healthcare January 2004 - December 2007
Skills
Strategic Planning, Market Research, Marketing Strategy, Team Building, Contract Negotiation, Customer Service, Business Strategy, Management, Business Development, Social Media Marketing, Business Planning, Change Management, Program Management, New Business Development, Team Leadership
Education
University of Hartford
University of South Florida
BS, Marketing
Amerigroup April 2013 - Present
Amerigroup Corporation September 2011 - April 2013
Patient Account Services March 2010 - September 2011
Aetna December 2000 - February 2010
Education
University of New Orleans 1989 — 1992
Bachelor of Science (B.S.), Education
CHI St. Luke's Health January 2014 - Present
Amerigroup June 2012 - January 2014
The Home Depot August 2003 - June 2012
Skills
Management, Training, Recruiting, Customer Service, Operations Management, Human Resources, Leadership, Inventory Management, Performance Management, Interviews, Employee Relations, Employee Benefits, HRIS, Onboarding, Succession Planning, Organizational..., New Hire Orientations, Policy, Hiring, Performance Appraisal, FMLA, Grievances, HR Policies, Team Building, Employee Engagement, Conflict Resolution, Employee Training
Education
University of Phoenix 2011 — 2013
Master of Business Administration (MBA), Business Administration and Management, General
University of Phoenix 2003 — 2007
Bachelor of Science (B.S.), Criminal Justice
WellPoint December 2012 - Present
Amerigroup March 2002 - December 2012
Skills
Marketing, Analytics, Marketing Strategy, Direct Marketing, Marketing Management, Brand Management, Competitive Analysis, Strategy, Strategic Planning, Integrated Marketing, Cross-functional Team..., Product Marketing, Product Management, Business Development, Digital Marketing, Market Planning
Education
The College of William and Mary 1999 — 2001
Master of Business Administration (M.B.A.), Marketing
SUNY at Buffalo 1984 — 1988
Bachelor of Science (BS), Mechanical Engineering
Self 2011 - Present
Jean Joseph Darbouze Foundation December 2008 - Present
Amerigroup 2010 - 2014
University of Maryland Alumni Association 2007 - 2009
Foreign Service Institute Department of State 2005 - 2006
St. Luke's House 2003 - 2006
Skills
Community Outreach, Psychotherapy, Healthcare, Interventions, Marketing, Government, Access, French, Small Business, Administrative..., Case Management, Program Development, Social Services, Program Evaluation, Nonprofits
Education
University of Maryland Baltimore County
Bachelor's degree, Social Work
Amerigroup Real Solutions October 2014 - Present
Amerigroup Real Solutions February 2010 - October 2014
Amerigroup April 2007 - February 2010
Intercede Health March 2004 - March 2007
Skills
Medicaid, Healthcare, Hospitals, Managed Care, HIPAA, Medical Terminology, Social Services, Mental Health, Medical Records, Adults, Process Improvement, Crisis Intervention, Software Documentation, Access, Data Entry, Medicare/Medicaid..., Medicare Advantage, Medicaid Managed Care
Education
Universidad Nacional Autónoma de México 1992 — 1996
Register Nurse
UnitedHealth Group August 2014 - Present
Innovative Health Solutions, Inc. January 2007 - Present
Amerigroup August 2012 - August 2014
CHAP (Community Health Accreditation Program) November 2010 - November 2011
UnitedHealthcare January 2008 - November 2010
NCQA June 2006 - March 2008
Skills
NCQA, Quality Management, Accreditation, Medicaid, Managed Care, HEDIS, Medicare, Six Sigma, Strategic Planning, Healthcare, Healthcare Management, Compliance, Process Improvement, Program Development, Requirements Analysis, Policy, Quality Assurance, Analysis, Utilization Management, Auditing, Research, Disease Management
Education
University of Maryland University College 2009 — 2013
Master's Healthcare Administration, Healthcare/Business Management
University of Baltimore 2006 — 2008
Bachelor of Science (B.S.), Health/Health Care Administration/Management
Order of the Eastern Star November 2013 - Present
AMERIGROUP September 2008 - February 2014
CHS, inc September 2007 - September 2008
Multiplan Inc September 2004 - August 2007
American Psych System Healthcare July 2003 - August 2004
Dental Benefits Providers August 2000 - August 2002
Claims Administration Corporation 1985 - 1995
Skills
Facets, Provider Relations, Recruiting, Community Outreach, Healthcare, Team Building, Medicare, Public Speaking, Microsoft Office, Medicaid, Credentialing, Managed Care, Health Insurance, Insurance, Healthcare Management, Network Development, Provider Education, Medicaid Managed Care, Provider Network..., Physician Relations, Claim, Physicians, Physician Network..., Behavioral Health, Medicare/Medicaid..., Hospitals
Education
Graduate of Towson University 1981 — 1985
Bachelor of Science, Psychology/ Business Administration
Towson University 1981 — 1985
Bachelor of Business Administration (BBA), Psychology
Virginia Commonwealth University September 2015 - Present
SHOCKOE.COM Enterprise Mobile Solutions April 2015 - Present
Nudge, LLC November 2014 - Present
Virginia Commonwealth University June 2014 - September 2015
Amerigroup June 2013 - August 2013
Skills
Microsoft Office, Creative Writing, Project Management, Technical Writing, Computer Science, Programming, Game Programming, Game Design, Visual Arts, Fine Art, Oil Painting, Photoshop, Unity3D, Java, JavaScript
Education
Virginia Commonwealth University 2012 — 2016
Bachelor of Science (B.S.), Business Administration and Management, Computer Science, 3.79
Tidewater Community College 2011 — 2012
Studio Arts, 3.65
Amerigroup September 2013 - Present
Amerigroup October 2010 - September 2013
HealthSouth June 2009 - March 2010
Baptist Health South Florida February 2007 - May 2009
Self Employed/ Marketing Firm February 2001 - August 2006
Skills
Managed Care, Provider Relations, Healthcare, Hospitals, Medicaid, Physician Practice..., Network Development, Elder Care, Marketing, HMO, Long-term Care, Public Relations, Medicaid Managed Care, Healthcare Industry, Healthcare Management, Physicians
Education
University of Phoenix 2008 — 2009
Master, Business Administration
University of Miami 1998 — 2002
Bachelor of Science, Business and Communications; Economics and Public Relations
Miami-Dade Community College 1996 — 1998
Associate, Liberal Arts
Amerigroup October 2014 - Present
UnitedHealthcare July 2006 - October 2014
Amerigroup November 1996 - April 2006
Skills
Medicare, Medicaid
Education
Mary Washington College 1992 — 1996
Bachelor of Science, Biology
Amerigroup December 2010 - Present
Amerigroup Corporation June 2010 - December 2010
Skills
Network Development, Managed Care, Medicaid, HMO, Medicare, Government Programs, Health Plans, Healthcare Management, Healthcare, Health Insurance, Healthcare Industry, Long-term Care, Compliance, Long Term Care, Utilization Management, HIPAA, Provider Relations, Revenue Cycle, Elder Care, Health Policy, Case Managment, PPO, Quality Improvement, Physicians, Healthcare Information..., Medicare Part D
Education
University of Iowa 1990 — 1992
MHA, Hospital and Health Administration
University of Iowa - Henry B. Tippie College of Business 1990 — 1992
1992, MBA
Memorial Hermann Health System January 2013 - Present
Amerigroup December 2011 - Present
Multipla Consulting & Training March 2011 - December 2011
West Jefferson Medical Center September 2010 - March 2011
First Group August 2008 - May 2010
Skills
Medical Terminology, Health Insurance, Logistics
Education
University of Phoenix 2006 — 2007
Health Services/Allied Health/Health Sciences, General
Delgado Community College
Health Information
Amerigroup June 2012 - Present
Peachford Behavioral Health May 2009 - June 2012
Northwest Georgia Regional Hospital September 2009 - December 2009
Peachford Behavioral Health August 2008 - April 2009
Gaines Elementary School January 2008 - May 2008
Education
The University of Georgia 2007 — 2009
Master of Social Work (M.S.W.)
The University of Georgia 2003 — 2007
Bachelor of Science (B.S.), Psychology
Amerigroup February 2007 - Present
Skills
Microsoft Office, Event Management, Microsoft Excel, Social Media, Editing, Outlook, Public Speaking, Budgets, Office Management, Team Building, PowerPoint, Microsoft Word, Administrative..., Access, Event Planning
Education
Tidewater Community College 1991 — 1995
Associate's degree, Business Administration and Management, General
Amerigroup March 2012 - Present
iHealth Technologies December 2008 - March 2012
Optima Health 2007 - 2009
Skills
Financial Reporting, Financial Analysis
Education
The University of Georgia 1993 — 1997
Bachelor of Business Administration, Finance
Amerigroup October 2012 - Present
communityworks inc. May 2010 - October 2012
Skills
Healthcare, Social Services, Case Managment, Public Speaking, Customer Service, Team Building, Adolescents, Microsoft Office, Sales, Research, Microsoft Excel, Program Development
Education
University of Kansas
Master of Social Work (MSW)
UnitedHealth Group December 2013 - Present
american eldercare August 2012 - Present
Aging Wisely, LLC October 2011 - August 2012
Centene Corporation February 2010 - October 2011
Amerigroup January 2007 - September 2009
Amerigroup December 2004 - January 2007
Habana Health Care Center June 2004 - December 2004
Carrollwood Care Center April 2002 - October 2003
Skills
Certified Care Manager
Education
University of South Florida 2002 — 2004
Master of Arts (M.A.), Gerontology
University of Florida
Bachelor of Arts, Sociology
FW Springstead High School 1991 — 1995
High School Diploma
Bon Secours Health System May 2015 - Present
Amerigroup August 2013 - February 2014
Bon Secours Health System August 2012 - August 2013
Bon Secours Health System March 2010 - August 2012
Portsmouth Cardiology April 2007 - March 2010
Skills
HIPAA, Medical Billing, EMR, Epic Systems, Medicare, Healthcare, Medical Terminology, Medicaid, Athena, Health Insurance, Invoicing, Medical Records
Education
Tidewater Community College 2000 — 2001
Woodrow Wilson High School 1996 — 2000
US Department of Health and Human Services August 2010 - Present
Washington Adventist Hospital February 1995 - Present
Amerigroup November 1999 - August 2010
American Preferred Provider Plan March 1996 - October 1999
Humana September 1984 - January 1996
Skills
Managed Care, Quality Management, Customer Service, HEDIS, Nursing Management, Account Management, External Audit, Supervisory Experience, Clinical Supervision, Code Review
Education
The Catholic University of America 1991 — 1994
MSN, Nursing Administration
Wheeling Jesuit University 1976 — 1981
BSN, Registered Nursing/Registered Nurse
Health Central Hospital March 2013 - Present
Simply Health Care Plans September 2011 - August 2012
Amerigroup September 2008 - November 2011
Amerigroup September 2007 - November 2008
Amerigroup March 2007 - September 2007
Skills
Healthcare, Provider Relations, Contract Negotiation, Event Planning, Project Management, Community Relations..., Microsoft Excel, PowerPoint, Clinical Research, Microsoft Word
Education
University of Central Florida 2004 — 2006
Master of Science (MS), Health Services Administration
Florida Agricultural & Mechanical University 1999 — 2004
Bachelor of Science (BS), Health Care Management
Amerigroup April 2015 - Present
Education
The University of Memphis 1990 — 1992
Master of Business Administration (MBA), Health Care Economics
University of Arkansas
BS, Industrial Engineering
Amerigroup April 2012 - Present
Galen College of Nursing April 2009 - April 2012
Cincinnati Children's Hospital Medical Center September 2004 - September 2008
Skills
Psychiatric Nursing, Pediatrics, Behavioral Health
Education
University of Phoenix 2008 — 2010
Master's degree, Nursing Science
University of Phoenix 2006 — 2008
Bachelor's degree, Nursing Science
University of Cincinnati 1997 — 2002
Associate's degree, Registered Nursing/Registered Nurse
Amerigroup
Skills
Managed Care, Healthcare Management, Medicaid, Nursing
Education
University of Detroit Mercy 1983 — 1985
Master's Degree, Health Services Administration
TJX March 2012 - Present
Amerigroup August 2011 - February 2012
Skills
SDLC, Agile & Waterfall..., Test Planning, Requirements Analysis, Regression Testing, Functional Testing, User Acceptance Testing, Quality Center, QTP, MKS Integrity, Microsoft SQL Server, HTML, Windows Server, VBScript, Oracle, C++ Language, HP QTP, HP Quality Center
Education
University of New Orleans 2006 — 2010
Bachelor of Engineering (BEng), Electrical and Electronics Engineering
Faneuil Inc October 2014 - Present
Faneuil Inc January 2014 - Present
Amerigroup January 2013 - January 2014
Capital Group/Randstand January 2012 - January 2013
Verizon January 2008 - January 2010
Sprint Nextel (Digicom) January 2006 - January 2008
Thomas Nelson Community College September 2004 - October 2005
Education
University of Phoenix
Associate, Applied Science, Business Administration
Coventery Cares of Michigan July 2010 - October 2013
CoventryCares of Michigan July 2010 - October 2013
Amerigroup March 2003 - July 2010
Alexian Brothers Health Providers July 1996 - January 2001
Skills
Health Insurance, Management, Strategic Planning, Healthcare Industry, Customer Service, Medicare, Healthcare, Medicaid
Education
University of Denver 1965 — 1969
Bachelor's Degree, Finance and Financial Management Services, 3.0
University of Denver - Daniels College of Business 1965 — 1969
BSBA, Marketing & Finance
PinPoint Staffing August 2014 - March 2015
Alorica March 2014 - December 2014
Amerigroup August 2013 - April 2014
Boys & Girls Clubs of America February 2011 - August 2013
Kohl's Department Stores July 2012 - December 2012
JCPenney October 2010 - August 2011
TJ Maxx October 2008 - September 2010
Education
Tidewater Community College 2011 — 2013
Nursing Education
WellPoint September 2012 - Present
Amerigroup June 2011 - September 2012
Education
Tidewater Community College
Emdeon April 2014 - Present
Amerigroup January 2010 - April 2014
Genworth Financial May 2006 - December 2009
Education
The University of Georgia 2000 — 2002
Master of Business Administration (MBA), Human Resources Management and Services
University of Florida 1993 — 1997
Bachelor's degree, Psychology
Cigna-HealthSpring June 2013 - Present
Healthcare Staffing & Consultants,LLC December 2013 - March 2014
Amerigroup 2010 - 2013
Skills
Behavioral Health, Case Management, Mental Health, Psychotherapy, Crisis Intervention, Treatment, Medical Social Work, Motivational..., Medicaid, Healthcare, Social Services, Group Therapy, Clinical Research
Education
The University of Texas at Arlington 2005 — 2006
Master of Social Work (MSW), Direct Practice in Mental Health
Tarleton State University, Killeen Texas
Bachelor of Science (BS), Social Work