Amerigroup Community Care
Industry: Company
DescriptionFounded: 1995 Parent organization: Amerigroup Subsidiary: Healthplus Phsp, Inc
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Amerigroup Community Care Employees
St. Jude Medical 2014 - Present
Midtown Urology May 2011 - June 2014
Dendreon Corporation May 2012 - May 2013
Midtown Urology June 2009 - May 2011
Amerigroup Community Care July 2008 - December 2008
Dana-Farber Cancer Institute 2004 - 2007
Dana-Farber Cancer Institute June 2006 - October 2006
Skills
Public Health, Clinical Research, Hospitals, Data Analysis, Analysis, Grant Writing, Community Outreach, Nonprofits, Healthcare Management, EMR, Healthcare, Grants, PowerPoint, Microsoft Word, Microsoft Office, Microsoft Excel, Patient Safety, Public Speaking, Customer Service, Research, Health Equity, Program Evaluation, Leadership, Epidemiology, SPSS, Health Promotion, Access, Statistics, Quality Improvement, Clinical Trials, Health Education, Medicine, Community Health, Health Communication, Data Collection, Qualitative Research, Data Entry, Volunteer Management, Prevention, Program Development, EDC, ICH-GCP, Marketing, Sales, UROLOGY, Data A, Clinical Monitoring
Education
Boston University - School of Public Health 2006 — 2007
Master, Public Health; Health Policy and Management
Tufts University 2000 — 2004
BA, Child Development and Community Health
The Society of Clinical Research Associates
Certified Clinical Research Professional, Clinical Research
MedTexx Medical Corporation - National Certification & Training Agency
PhlebotomistCertification, Allied Health
Friends of Bellevue 2012 - Present
Top Echelon Management 2011 - 2011
Macy's Logistics Distribution Operations 2010 - 2010
United Healthcare Network Services - Brentwood, Tennessee 2008 - 2008
The Little Clinic 2008 - 2008
Amerigroup Community Care 2007 - 2007
Tennessee Healthcare Network 2007 - 2007
Aetna Workers' Comp Access 2004 - 2006
Rehability Health Services 1994 - 2004
Skills
Project and Program..., Visio, New Business Development, Strategic Planning, Cost / Benefit Analyst, Managed Care Subject..., Due Diligence Business..., Soft Skill Leadership..., Sales and Marketing..., Business Requirements..., Health Care Reform..., Affordable Care Act..., Health Insurance..., RFP and RFI Program..., Leadership, Analytics, Healthcare Industry, Insurance, Healthcare Information..., Insurance Exchange..., Employee Benefits, Analysis, Marketing, Strategy, Sales Operations, Sales, Healthcare Consulting, Start-ups, Sales Process, Physicians, HIPAA, Strategic Partnerships, Vendor Management, CRM, Mergers & Acquisitions, Cross-functional Team..., Integration, Business Strategy, Executive Management, Program Management, Process Improvement, Business Process, Network Development, Business Planning, Product Development, Microsoft Office, Provider Relations, Customer Satisfaction, Revenue Cycle, SharePoint
Education
The University of Tennessee at Chattanooga
Bachelor's Degree, Business/Managerial Economics
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
Joanne Varadi, LCSW September 2014 - Present
Bay Pines VAHCS February 2013 - July 2014
Comprehensive Behavioral Care (CompCare) February 2011 - June 2012
Amerigroup Community Care April 2009 - January 2011
Clinical Social Worker in Private Practice August 2007 - April 2009
Health Integrated April 2006 - July 2007
Health Integrated July 2005 - April 2006
St. Francis Hospital Outpatient Mental Health Clinic 2002 - 2003
Skills
Mental Health, Therapists, Group Therapy, Family Therapy, Behavioral Health, CBT, Adolescents, Mental Health Counseling, Psychotherapy, Motivational..., Adults, Case Managment, Treatment, Utilization Management, Medicaid Managed Care, Quality Improvement..., Quality Improvement..., NCQA, URAC, Managed Care, Psychological Assessment, HIPAA, Utilization Review, Medicaid, Case Management, Clinical Supervision, Healthcare, Interventions
Education
SUNY Albany 2002 — 2004
Master of Social Work (MSW)
SUNY New Paltz 1996 — 2000
Bachelor of Arts (BA), Psychology
Rhinebeck Central Schools
Amerigroup Community Care November 2006 - Present
Amerigroup Corporation 2006 - Present
Tennessee Christian Medical Center 1996 - 2006
Vanderbilt University Medical Center 1991 - 1996
Skills
Healthcare Management, Medicaid, Healthcare, Outlook, Medicare, Managed Care, Physician Relations, Healthcare Information..., HIPAA, Health Insurance, Office Management, Physicians, Provider Relations, EMR
Education
Liberty University 2005 — 2011
Bachelor's degree, Psychology
CSC-RISKMASTER September 2014 - Present
G-Txcel April 2013 - August 2014
CSC August 2010 - January 2013
CSC January 2010 - August 2010
CSC March 2008 - January 2010
AMERIGROUP Community Care May 2007 - December 2007
Free Medical Clinic of Darlington County August 2004 - February 2007
New Life Rescue Ministries March 2003 - July 2004
Washington Mutual September 2001 - February 2003
Skills
Design, Speech Writing, Creative Writing, PowerPoint, Excel, Writing, Insurance, Event Management, Scheduling, Public Speaking, Analysis, Customer Service, Customer Relations, Microsoft Office, Word, Event Planning, Research, Marketing Strategy, Customer Satisfaction, Editing, Microsoft Excel, Microsoft Word, Process Scheduler, Business Analysis, Visio, Software Documentation, Vendor Management, Program Management, Project Planning, Budgets, Recruiting, Time Management, Marketing, Project Management, Market Analysis, Data Analysis, Training, Sales, Management, Fundraising, Process Improvement, Business Planning
Education
Capella University 2009 — 2010
Completed some Masters coursework, Industrial and Organizational Psychology
Cornell College, Mt 1985 — 1989
Bachelor's Degree, Music performance and composition
ResCare March 2011 - September 2012
Amerigroup Community Care April 2007 - July 2009
Neighborhood Health Providers August 2006 - March 2007
CityWide Industries August 2004 - July 2006
Teletech July 2002 - December 2002
East Coast Magazines Sales May 2001 - March 2002
Pittmon Enterprise October 1992 - April 2001
New York City Human Resource Administration July 1990 - September 1991
Skills
Microsoft Word, Microsoft Office, PowerPoint, Customer Service, Marketing Strategy, Recruiting, Marketing, Strategic Planning, Sales, Training, Sales Management, Sales Operations
Education
DeVry University 2010 — 2013
Bachelor's of Professional Studies, CIS:Web Development and Administration
State University of Buffalo/EOC 2003 — 2004
Certificate of completion, Computer Repair
Amerigroup Corporation November 2001 - Present
AMERIGROUP Community Care 2001 - Present
United Health Care 1995 - 2001
Skills
Utilization Management, Disease Management, Medicaid, Managed Care, Healthcare Management, Medical Management, Case Management, Healthcare, Care Management, Quality Management, Process Improvement, Pharmacy Benefit..., Health Insurance, Case Managment, HIPAA, Management, Healthcare Consulting, Medicare, Healthcare Information..., Provider Relations, Healthcare Industry, Hospitals, Quality Improvement, Revenue Cycle, Health Policy
Education
Virginia Commonwealth University 1988 — 1990
BSN, Nursing
Temple University 1985 — 1988
science
Visit Tybee March 2014 - Present
L&R Group of Companies 2010 - 2014
AmeriGroup Community Care 2009 - 2010
L&R Group of Companies 2007 - 2009
Atlanta Business Chronicle 2007 - 2007
Georgia Aquarium 2005 - 2007
Marietta Visitors Bureau 2003 - 2005
Skills
Public Relations, Event Planning, Event Management, Marketing, Email Marketing, Corporate Branding, Sales, Press Releases, Media Relations, Social Media, Newsletters, Leadership, Trade Shows, Online Advertising, Customer Engagement, Customer Satisfaction
Education
Georgia State University 2001 — 2003
BA, Public Relations, Marketing
Middle Georgia College 1999 — 2001
AA, Arts
Amerigroup Community Care April 2008 - Present
Education
Ocean County College
Associates in Science
Jay Automotive Group n/aOutreach/ Marketing ConsultantJay Automotive GroupApril 2012 - Present
Amerigroup Community Care December 2011 - February 2012
MAXIMUS January 2006 - March 2011
Skills
Community Outreach, Social Media Marketing, Marketing Communications, Social Media, Marketing, Advertising, Public Relations, Marketing Strategy, Email Marketing, Digital Marketing, Event Planning, Online Advertising, Facebook, Newsletters, Copywriting, Public Speaking, Management, Nonprofits, Leadership
Education
Troy State University 2000 — 2005
Bachelor's degree, Social Psychology/Sociology, nobodies business!!!
Ohio Northern University 1985 — 1987
Associate's degree, Business Administration/Computer Science
HealthEd Group July 2011 - Present
Atlantis Healthcare January 2013 - March 2014
The Scienomics Group January 2012 - May 2012
AMERIGROUP Community Care July 2006 - January 2011
The Segal Company August 2000 - July 2004
Skills
Health Education, Public Health, Health Promotion, Health Communication, Health Psychology, Health Literacy, Patient Education, Patient Education..., Strategic Planning, Literature Reviews, Needs Analysis, Online Research, Focus Groups, Conducting Interviews, Public Speaking, Customer Insight, Survey Design, Report Writing, Community Outreach, Presentations, Microsoft Excel, PowerPoint, Program Development
Education
New York University 2004 — 2006
MPH, Community Health
Cornell University 1996 — 2000
Bachelor's degree, Industrial and Labor Relations
Private Practice May 2013 - Present
Phoenix House April 2011 - July 2011
Phoenix House Substance Abuse Center April 2011 - July 2011
Staten Island LGBT center September 2010 - December 2010
Saint Vincent Catholic Medical Centers September 2009 - May 2010
Saint Vincent Catholic Medical Center September 2009 - May 2010
JCCB June 2009 - August 2009
Amerigroup Community Care May 2007 - June 2008
Prime Care June 2005 - April 2007
College of Staten Island, City University of New York September 2000 - June 2003
Skills
Psychotherapy, Mental Health, Counseling, Treatment, Psychology, Groups, Group Therapy, Adolescents, Mental Health Counseling, Crisis Intervention, Adults, Counselling, Anger Management, Clinical, Research, PowerPoint, Microsoft Office, Customer Service, Word, Excel, Healthcare
Education
Long Island University, Brooklyn Campus 2007 — 2011
Master of Science (M.S.), Mental Health Counseling
City University of New York-College of Staten Island 2000 — 2005
Bachelor of Arts (B.A.), Psychology
KSGW Architects,LLC January 2008 - April 2009
Amerigroup Community Care August 2005 - June 2007
Cuyahoga County Dept. of Children and Family Services September 1996 - April 2005
Cuyahoga County Juvenile Correctional Facility December 1995 - May 1996
Kaiser Permanente (Satellite Employment Services) February 1994 - December 1995
Warrensville Developmental Center October 1991 - January 1994
Skills
Training, Natural Disasters, Government, Disaster Response, Program Development, Leadership, Project Management, Project Planning, Event Planning, Nonprofits, Fundraising, Budgets, Emergency Management, Disaster Recovery, Volunteer Management
Education
University of Maryland University College 2011 — 2014
M.S. in Management, Emergency Management
Bowling Green State University 1986 — 1990
Bachelor of Arts, Psychology
high school 1982 — 1986
Amerigroup August 2014 - Present
Amerigroup Community Care April 2007 - Present
Cumberland Mental Health April 2006 - April 2007
Alabama A&M University August 2004 - August 2005
Hillside Hospital May 2001 - September 2003
Skills
Skilled strategic..., Excellent leadership..., Very detail oriented, Leadership, Recruiting, Public Speaking, Leadership Development, Community Outreach, Healthcare, Healthcare Industry, Event Management, Training, Medicaid, Event Planning, HIPAA, Fundraising, Public Health, Project Management, Clinical Research, Case Managment, Microsoft Office, Research, Managed Care, Healthcare Management, Teaching, Program Evaluation, Program Development, Health Insurance, Mental Health, Disease Management, Utilization Management, Policy, Provider Relations, Medicare, Strategic Planning, Program Management, Health Policy, Health Education, Healthcare Information..., Social Services, Hospitals, Quality Improvement
Education
Tennessee State UniversityAlabama A&M University 2008 — 2010
Master's of Education2010Bachelor's of Science2004, Leadership; Human
Tennessee State University 2007 — 2009
Master of Education (MEd), Educational Leadership and Administration, General
Alabama Agricultural and Mechanical University 1999 — 2004
Bachelor of Applied Science (B.A.Sc.)
McIntosh High School 1995 — 1999
The Children's Guild September 2014 - January 2015
Maryland Chapter American Academy of Pediatrics December 2013 - May 2014
WellPoint June 2013 - August 2013
LightGrid, LLC May 2012 - June 2013
Amerigroup Community Care June 2011 - August 2011
Schrader Acres Assistant Living Center June 2008 - August 2010
Skills
Human Resources, Data Entry, PowerPoint, Time Management, Microsoft Office, Microsoft Excel, Salesforce.com, Access, Macess, Organizational..., Receptionist Duties, Microsoft, Word, Punctual, TN Tracker, Healthcare, Research, Policy, Outlook, Leadership, Healthcare Management, Customer Service, Event Planning, Social Media, Community Outreach, Lean Six Sigma, Integration, Solution Implementation, SharePoint, Business Ethics, Team Leadership
Education
University of Maryland Baltimore County 2010 — 2014
B.A., Health Administration, 3.4
PRGX November 2012 - May 2014
Coventry Health Care of Georgia November 2007 - May 2012
Amerigroup Community Care January 2006 - November 2007
Piedmont Healthcare May 2001 - August 2005
PROMINA Health System January 2000 - May 2001
Promina June 1998 - January 2000
Promina November 1996 - May 1997
UNITED Healthcare of Georgia May 1995 - September 1996
United Healthcare of Georgia May 1994 - May 1995
Prognosys March 1993 - March 1994
Skills
Managed Care, Healthcare, HMO, Medicare, Medicaid, Process Improvement, Insurance, Hospitals, Network Development, Leadership, Healthcare Management, Health Insurance, Health Policy, Revenue Cycle, Healthcare Consulting, Analytics, Healthcare Industry, Management, Provider Relations, Budgets, Excel Proficiency, Microsoft Office, Performance Improvement, Practice Management, Recovery Auditing, PPO, Training, Access, Collaborative Problem...
Education
Purdue University 2012 — 2012
Green Belt, Lean Six Sigma
Emory University 1990 — 1992
Masters; Masters, Business Administration; Public Health
Lee University 1986 — 1989
Bachelors of Science, Business Administration, 3.8
Blackwell Health Source February 2013 - Present
Cambia Health Solutions June 2013 - December 2014
AMERIGROUP Community Care August 2002 - November 2012
Amerigroup Corporation 2002 - November 2012
APS Healthcare September 1997 - August 2002
Rosewood Medical Center 1993 - 1997
Skills
Medicaid, Healthcare Management, Managed Care, Medicare, Healthcare, HIPAA, Hospitals, Utilization Management, Disease Management, Provider Relations, Health Policy, Case Managment, HMO, Healthcare Consulting, Dual Eligibles, Behavioral Health, Mental Health, Inpatient, Healthcare Industry, Policy, Case Management, Nursing
Education
University of Pennsylvania 1985 — 1986
MSN, Psychiatric Mental Health Nursing
Rutgers University School of Nursing 1979 — 1983
BS, Nursing
Prince International Corporation October 2014 - Present
PEMCO US Inc July 2011 - September 2014
Art Clem Enterprises April 2011 - July 2011
Pemco Corporation February 2011 - April 2011
Amerigroup Community Care October 2010 - February 2011
Bell LLC December 2000 - August 2010
Florida Department of Environmental Protection March 2000 - December 2000
Thompson Publishing Group September 1998 - March 2000
Skills
Vendor Management, IT Management, Project Management, SAP, Help Desk Support, Business Intelligence, Microsoft SQL Server, IT Operations, Windows Server, Cisco Technologies, Troubleshooting, Technical Support, Databases, Access, Hardware, Networking, Software Installation, Management, Windows, Disaster Recovery, Integration, Training, Oracle, Unix, Network Administration
Education
Saint Leo University 2000 — 2007
MBA, Specialization in Information Security Management
Saint Leo University 2000 — 2007
Bachelor of Science, Information Systems
Vann Enrollment Services August 2014 - Present
Vann Enrollment Services November 2012 - Present
Humana March 2011 - July 2012
Coventry Health Care of Georgia June 2008 - March 2011
Amerigroup Community Care June 2006 - June 2008
NHC Healthcare of November 2004 - June 2006
Aetna, Inc April 2004 - August 2004
Aetna, Inc August 2003 - April 2004
Aetna-US Healthcare March 1996 - October 2002
Aetna Health Plans January 1993 - January 1996
Skills
Medicare, Medicaid, Pharmacy Benefit..., Claim, HIPAA, Healthcare Consulting, Health Insurance, Ancillary Benefits, Sales&Marketing, Enrollment Services, Healthcare Management, Provider Relations, HMO, Employee Benefits, Disability Insurance, Health Savings Accounts, Brokers, PPO, Underwriting, Group Medical, Commercial Insurance, Sales
Education
University of Georgia - Terry College of Business 1973 — 1976
BBA, Marketing
University of Mississippi 1972 — 1973
Acadia Healthcare March 2015 - Present
Optum/UHG July 2014 - Present
Fresenius Medical Care January 2013 - July 2014
Hewlett-Packard April 2012 - January 2013
HealthSpring August 2011 - March 2012
Healthways April 2011 - August 2011
Healthways January 2009 - April 2011
Healthways October 2008 - January 2009
Amerigroup Community Care March 2007 - October 2008
Cigna Medicare April 2005 - May 2006
Skills
•MS SQL Server..., PL/SQL, T-SQL, Microsoft Office, Microsoft Access, COBOL, Crystal Reports, SQL Server, Word, Excel, SSRS, Windows, PowerPoint, Outlook, Business Objects, Stored Procedures, Oracle SQL, Oil Painting, Drawing, Microsoft SQL Server, Microsoft Excel, Troubleshooting, Software Documentation, Management, SQL, Business Intelligence, Access, Process Improvement, Business Analysis, Leadership, Databases, Visio, Data Analysis
Education
University of Phoenix 2013 — 2015
Master's degree, Healthcare Informatics
Middle Tennessee State University 1997 — 2009
Bachelor of Science, Computer Information Systems Minor in Art
E-One June 2015 - Present
Milling Technologies, Inc. January 2014 - April 2015
Cutrale Citrus Juices USA, Inc October 2008 - January 2014
Amerigroup Community Care March 2008 - September 2008
United States Marine Corps June 1987 - January 2008
Skills
Training, Policy, Accident Investigation, Leadership, Team Building, Supervisory Skills, Operations Management, HAZWOPER, Safety Management..., Risk Management, Process Improvement, Logistics, Safety Training, Industrial Safety, Customer Service, Emergency Management, Team Leadership, Military, Transportation, Human Resources, Strategic Planning, Hazard Recognition, Budgets, Management, Workplace Safety, Security Clearance, DoD, Hazardous Materials, Industrial Sector, Auditing, Safety, Occupational Health, OSHA, Leadership Development, Industrial Hygiene, Microsoft Word, Program Management, EHS, Military Operations, Construction Safety, Contract Management, Outlook, Government, Inventory Management, Fire Safety, Investigation, Inspection, OSHA 10, Hazardous Waste..., OSHA Trainer
Education
Columbia Southern University 2015 — 2017
Bachelor of Science (B.S.), Occupational Safety and Health
Leesburg High School 1983 — 1987
Diploma, Vocational
University of South Florida
Professional Certificate, OSHA - General Industry
Cigna-HealthSpring December 2010 - Present
Cigna-HealthSpring-HEALTHSPRING December 2010 - Present
AMERIGROUP COMMUNITY CARE March 2010 - December 2010
HEALTH RESEARCH INSIGHTS, INC January 2003 - January 2010
CIGNA HEALTHCARE OF TN, AR, KY January 2002 - January 2003
XANTUS HEALTHPLAN OF TENNESSEE January 2000 - January 2002
UNITED HEALHCARE OF ALABAMA January 1996 - January 2000
PRUDENTIAL OF SAN ANTONIO January 1995 - January 1996
STATE OF TENNESSEE MEDICAID & TENNCARE PROGRAM January 1992 - January 1995
MILLER MEDICAL GROUP January 1983 - January 1992
Education
AFB Medical Center 1977 — 1979
Pediatric Residency
University of Tennessee-Health Science Center 1973 — 1976
Medical Degree
Tennessee Technological University 1970 — 1973
Bachelor's Degree, Pre-Med: Completed in 3 years
Howell Consulting Group, LLC July 2015 - Present
Universal American November 2009 - March 2014
Amerigroup Corporation March 2000 - September 2009
Amerigroup Community Care March 2000 - September 2009
Skills
Marketing, Leadership, Community Outreach, Marketing Communications, Marketing Strategy, Business Planning, Advertising, Healthcare, Direct Marketing, Strategic Planning, Managed Care, Insurance, Medicare, Public Relations, Health Insurance, Medicaid, Provider/Physician..., Complaint Handling and..., Employee Training, Manage Client..., Designing Marketing..., Focus group and Market..., Nonprofits, Event Planning, Community Development, Business Relationship..., Cross-functional Team..., Process Improvement
Education
Texas Southern University
Master of Science Degree, Health Education
Texas Southern University 1988 — 1993
Bachelor of Science and Master of Science, Health Care Administration and Health Education
James Madison High School 1984 — 1987
Couls Consulting DBA Hewitt Financial January 2012 - Present
Africa Health Innovations April 2011 - Present
AFG January 2010 - Present
Couls Consulting January 2010 - Present
Affinity Health Plan August 2007 - October 2009
Affinity Health Plan August 2007 - October 2009
Amerigroup Corporation July 2006 - August 2007
AMERIGROUP Community Care July 2006 - August 2007
Amerigroup Corporation January 2005 - June 2006
AMERIGROUP Corp January 2005 - June 2006
Skills
Strategic Planning, Insurance, Managed Care, Healthcare, Marketing, Marketing Strategy, Leadership, Management, Sales, Training, Microsoft Excel, Team Building, Microsoft Office, Leadership Development, Team Leadership, Account Management, Customer Service, Program Management, Sales Management, Selling, Public Speaking, Coaching, Health Insurance, Community Outreach, Proposal Writing, Business Planning, Policy, Sales Operations, Analysis, New Business Development, Employee Benefits, Business Strategy, Recruiting, Contract Negotiation, Management Consulting, Teamwork, Budgets, Business Development, Process Improvement, Strategy, Small Business, Risk Management, Data Analysis, Performance Management, Change Management, Medicaid, Operations Management, Project Management, Business Analysis
Education
NY State Medicaid Training Institute
University of Paris I: Panthéon-Sorbonne 1992 — 1995
Masters/ABD, Socio-Anthropology
University of Paris I (Pantheon-Sorbonne)
DEA, History
Amerigroup Real Solutions June 2009 - Present
Amerigroup March 2007 - Present
AMERIGROUP Community Care March 2007 - June 2009
Centennial Medical Center, Nashville, TN May 2006 - March 2007
Tennessee Christian Medical Center, Madison TN January 2005 - May 2006
PDI-In-Service February 2004 - January 2006
Gambro Hemodialysis Nurse- PRN January 2004 - January 2005
Tennessee Christian Hospital November 2003 - January 2005
St Thomas Hospital March 1998 - September 2003
Favorite Nurses Agency for Critical Care Nurses January 1996 - December 1999
Skills
Case Managment, Disease Management, Medicaid, Utilization Management, Medicare, Managed Care, Certified Case Manager, Palliative Care, Home Care, Patient Advocacy, Utilization Review, Healthcare Management, Case Management, Nursing, Elder Care, Medical Case Management, Healthcare, Hospitals, Quality Improvement, HIPAA
Education
Aquinas College 2013 — 2015
BSN, Registered Nursing/Registered Nurse
University of Tennessee-Knoxville 1992 — 1992
Certiifed Critial Care Nurse, Critical Care Nursing
Volunteer State Community College 1987 — 1990
Associate's Degree, Registered Nurse
Computer Training Institute 1984 — 1985
Certified Computer Programmer, Computer Programming
Southern Huntingdon Co. High School
UnitedHealth Group 2014 - Present
Amerigroup 2012 - 2014
Amerigroup Community Care 2007 - 2012
UnitedHealth Group 2002 - 2006
CIGNA Healthcare 2000 - 2002
Skills
Project Management, Recruiting, Training, Medicare, Medicaid, Claims Management, Leadership Development, Provider Relations, Strategic Planning, Process Improvement, Healthcare Management, Healthcare
Education
Florida Agricultural and Mechanical University 1996 — 2000
Bachelor of Science (B.S.), Health Care Management, 3.31
AMERIGROUP Community Care June 2001 - Present
Avondale Mills September 1994 - May 2001
National Urban League April 1986 - February 1991
Skills
Managed Care, Healthcare, Healthcare Management, Medicaid, Strategic Planning, Software Documentation, Health Insurance, HIPAA, Community Outreach, Customer Service, Fundraising, Health Policy, Hospitals, Healthcare Information..., Medicare, Nonprofits, Insurance, Account Management, Data Analysis, Event Planning, Program Development, Process Improvement, Cross-functional Team..., Leadership, Home Care, Team Building
Education
Felician College 2009 — 2011
MBA, Innovation & Entrepreneurship
City University of New York-Baruch College 1989 — 1992
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Amerigroup Community Care Network Reimbursement SpecialistAnthem2010 - Present
Skills
Managed Care, Healthcare, HIPAA, Medicare, Hospitals, Health Insurance, Process Improvement
Education
Johnson & Wales University 2002 — 2006
Amerigroup Corporation August 2012 - Present
Amerigroup Community Care June 2011 - August 2012
Amerigroup November 2006 - June 2011
ACS Healthcare Solutions 2000 - 2004
Skills
Utilization Management, Pharmacy Benefit..., Managed Care, Medicaid, Healthcare Management, Healthcare, Clinical Research, Medicare Part D, Health Policy, Medicare, Hospitals, Informatics, Process Improvement, Disease Management, Pharmacy, Pharmacists, Healthcare Information..., Clinical Pharmacy, Pharmacy Automation
Education
Mercer University 1994 — 1998
Doctor of Pharmacy (Pharm.D.), Pharmacy
Clark Atlanta University 1989 — 1991
Master of Business Administration (MBA), Marketing/Finance
Alabama A&M University 1982 — 1986
Bachelor of Science (BS), Zoology/Chemistry
Centene Corporation (Sunshine State Health) September 2013 - Present
Amerigroup Community Care 2006 - August 2013
Youth Co-Op, Inc. 2003 - 2006
Douglas Gardens Community Mental Health Center at The Miami Jewish Home and Hospital 1999 - 2003
Skills
Psychotherapy, Young Adults, Case Managment, Alzheimer's disease, Mental Health, Elder Care, Medical Social Work, Social Services, Behavioral Health, Community Outreach, Medicaid, Crisis Intervention, Motivational..., Program Development, Public Speaking, Social Media
Education
Florida International University
Heathplus Amerigroup, a WellPoint company January 2014 - Present
Amerigroup Community Care 2007 - December 2013
Touchstone Health July 2006 - August 2007
Amerigroup Community Care February 2000 - July 2006
Skills
Health Policy, Managed Care, Healthcare Management, Medicaid, Quality Improvement, Utilization Management, Pharmacy, Healthcare, Medicare, Disease Management, Medicine, Non-profits, Hospitals, Healthcare Industry, Provider Relations, Healthcare Consulting, Nonprofits, Quality Management
Education
University of Medicine and Dentistry of New Jersey -New Jersey Medical School 1998 — 2000
Dept of family medicine, post doc, primary care health services reasearch fellow
University of Medicine and Dentistry of New Jersey -Robert Wood Johnson Medical School
School of public health, MPH, Family Health
University of the Punjab, Fatima Jinnah Medical College, Lahore, Pakistan 1976 — 1981
MD
Gateway Health April 2015 - Present
Evergreen Health Cooperative March 2013 - December 2014
Affinity Health Plan, Inc March 2011 - March 2013
Kaiser Permanente August 2008 - May 2010
AMERIGROUP Community Care of Washington DC November 2007 - August 2008
AMERIGROUP Community Care January 2007 - August 2008
UnitedHealthcare February 1996 - January 2007
MID ATLANTIC MEDICAL SERVICES, INC January 2001 - January 2004
UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC January 1995 - January 2001
Skills
Provider Relations, Medicaid, Network Development, Managed Care, Medicare, Health Policy, HMO, Health Insurance, Healthcare Industry, Healthcare Management, HIPAA, Healthcare Consulting, Healthcare, Credentialing, PPO, Employee Benefits, Hospitals, Insurance, Physicians, Process Improvement, Strategic Planning
Education
University of Maryland Baltimore County 1989 — 1992
B.A., Health Science and Policy, Health Services Administration Concentration
University of Maryland
BA, Health Science and Policy, Health Services Administration
LJS Healthcare Consulting LLC April 2009 - Present
Amerigroup Corporation October 1999 - March 2009
AMERIGROUP Community Care January 2007 - May 2008
Amerigroup Corporation May 2005 - January 2007
Amerigroup Corporation March 2002 - May 2005
Amerigroup Corporation October 1999 - March 2002
QualMed 1993 - 1999
Omni Health Care 1991 - 1993
KPMG 1986 - 1991
Skills
Managed Care, Internal Audit, Management Consulting, Program Management, Accounting, Medicaid, Medicare, Health Plans, HMO, Health Policy, Process Improvement, Healthcare Consulting, Mergers & Acquisitions, Healthcare, Strategic Planning, Business Process..., Healthcare Information..., HIPAA, Healthcare Management, Management, Healthcare Industry, Leadership, Executive Management, Budgets, Risk Management, Integration, Health Insurance, Disease Management, Claim, Physician Relations
Education
San Diego State University-California State University 1982 — 1986
Bachelor of Science, Accounting
Amerigroup January 2012 - Present
AMERIGROUP Community Care 2009 - 2011
AMERIGROUP Community Care 2006 - 2009
AMERIGROUP Community Care 2006 - 2009
St. David's HealthCare-- North Austin Medical Center 2004 - 2006
EDS--National Heritage Insurance Company 2001 - 2004
Cross Country TravCorps 1993 - 2001
Children's Hospital of New Orleans 1992 - 1993
Skills
Pediatrics, Nursing, Healthcare, Utilization Management, Home Care, Inpatient, Orthopedic, Medical Records, Surgery, Diabetes, Utilization Review, Infectious Diseases, Managed Care, Healthcare Management, Medicaid, Ambulatory Care, Case Managment, Pediatric Nursing, HIPAA, Elder Care, Medicaid Managed Care, Health Insurance
Education
Louisiana State University Health Sciences Center 1988 — 1992
BSN, Nursing
Louisiana State University 1986 — 1988
pre Nursing
Mount Carmel Academy
HS Diploma
JCM Global August 2012 - Present
Sequence LLC May 2012 - August 2012
BMM Compliance April 2010 - November 2011
AMERIGROUP COMMUNITY CARE January 2009 - April 2010
International Game Technology (IGT) February 2003 - January 2009
ACRES GAMING February 2003 - January 2009
INTERNATIONAL GAMING TECHNOLOGY February 2003 - January 2009
H.E.B. Grocery Company September 2001 - November 2002
Skills
Licensing, Compliance, Regulatory Liaison, Human Resources, System Administration, Regulations, Software Documentation, Project Management, Business Planning, Microsoft Office, Administrative..., Customer Service, Budgets, Management, Purchasing, Employee Relations, Marketing, Microsoft Excel, Team Building, PowerPoint, Training, New Hire Orientations, Strategic Planning, Operations Management, Team Leadership, Leadership, Business Development, Personnel Management, Negotiation, Sales, Process Improvement, Recruiting, Account Management, Coaching, Analysis, Strategy, Start-ups, Performance Management, New Business Development, Organizational..., Vendor Management, Administration, Hiring, Contract Negotiation, Employee Training, Leadership Development, Payroll, Onboarding, Teamwork, Program Management
Education
Uiversity of Phoenix 2005 — 2009
BSBM, Business Management
San Antonio College
Seminars
University of Phoenix
Bachelor of Science Degree, Business Management (2008)
McLane Company, Inc. September 2013 - Present
Con-way, Inc. April 2012 - September 2013
Kaiser Permanente October 2010 - April 2012
National City Bank September 2009 - September 2010
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas March 2009 - August 2009
Federal Reserve Bank of Kansas City February 2008 - December 2008
Amerigroup Community Care August 2007 - December 2007
ABN AMRO Bank N.V. March 2006 - April 2007
HSBC Global Technology India May 2003 - December 2005
Skills
PeopleSoft, PeopleCode, PeopleTools, Integration tools, App.Engine, SQR, SQL, Component Interface, Oracle, DB2 9.1, Microsoft SQL Server, IBM Mainframe, TSO, ISPF, JCL, COBOL
Education
Jawaharlal Nehru Technological University 1999 — 2003
Bachelor's degree
AMERIGROUP Community Care August 2010 - Present
Education
Notre Dame of Maryland University
BA, Communications
The Johns Hopkins University
MA, Organizational Development/Strategic Human Resources
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
Neighborhood Improvement Project dba/ Medical Associates Plus July 2013 - Present
The Augusta Partnership for Children INC December 2012 - July 2013
Virginia College March 2012 - November 2012
Virginia College June 2009 - February 2012
Amerigroup Community Care June 2006 - June 2009
Skills
Teaching, Hiring, Event Planning, Career Services, Employee Relations, Lifestyle Coaching, Career Counseling, Public Speaking, Training, Career Development, Coaching, Nonprofits, Customer Service, Community Outreach, Human Resources, Higher Education, Leadership, Leadership Development, Management
Education
Troy University 2015 — 2017
Master's degree, Management & Leadership, 3.0
Voorhees College 2002 — 2007
Bachelor's degree, Business, Management, Minor in Human Resources, 3.5
Epic Health Services, Inc. July 2012 - Present
University of Texas Southwestern November 2009 - June 2012
Amerigroup Community Care April 2007 - November 2009
Christus Spohn Hospital March 2005 - April 2007
Best Buy June 2000 - March 2005
Skills
Contract Negotiation, EMR, HIPAA, Healthcare, Healthcare Management, Human Resources, Managed Care, Management, Project Management, Recruiting, Strategic Planning, Training
Education
University of Houston Clear 2007 — 2009
MBA, Healthcare Admin and Human Resources
Texas A&M University 2000 — 2007
BBA, Business Administration and Human Resources
Tarrant County College
Tarrant County College
Texas A&M University
MS Ed, Masters, Secondary Education
Wellcare Health Plan March 2012 - Present
amerigroup community care June 2000 - December 2011
NY AmeriCorp/Health Plus September 1995 - September 1997
Skills
Health Insurance, Healthcare Management, Health, Microsoft Office, Excel, Word, Outlook, Medicare, Managed Care, Medicaid, Employee Relations, Microsoft Excel, Supervisory Skills, Insurance, HIPAA, Microsoft Word, Hospitals, Home Care, Provider Relations, Credentialing, Health Policy, HMO, Healthcare Industry, Long-term Care, Provider Network..., Network Development, Revenue Cycle, Medicaid Managed Care, Utilization Management, Disease Management, Medical Billing
Education
Kingsborough Community College 1979 — 1980
Washington Irving 1974 — 1976
Modern Woodmen of America October 2012 - October 2013
DeShurko Investments & 401 Advisor LLC October 2011 - August 2012
Employee Benefit Specialist September 2009 - October 2011
Amerigroup Community Care September 2007 - September 2009
Ohio Health and Life Insurance February 2006 - August 2007
Brower Insurance Agency September 2004 - January 2006
McGohan Brabender March 1997 - August 2004
Northwestern Mutual May 1994 - March 1997
American Red Cross June 1992 - May 1994
Butler County Department of Job and Family Services October 1987 - September 1991
Skills
Employee Benefits, Health Insurance, Insurance, Disability Insurance, Long-term Care, Life Insurance, Medicare, Term Life Insurance, Human Resources, Benefits Administration, Office Administration, Computer Proficiency, Marketing Communications, Communication Skills, Microsoft Word, Microsoft Excel, Microsoft Office, Microsoft Office 2007, Data Entry, Health Savings Accounts, Retirement Planning, Fixed Annuities, Retirement, 401k, Sales, Strategic Financial..., Recruiting, Nonprofits, Training, System Administration, Management, Critical Illness, Marketing, IRAs, Account Management, Customer Service, Employee Relations, Leadership, Team Building, Proposal Writing, Time Management, Program Management, Finance, Strategy, Small Business, Coaching, New Business Development, Networking, Customer Retention, Long Term Care Insurance
Education
University of Pennsylvania - The Wharton School
Masters - CEBS Program, CEBS
Dale Carnegie 2001 — 2001
Certificate, Selling Skills and Sales Operations
Hondros College 1997 — 1997
Certificate, Ohio Health & Life License
Miami University-Oxford, OH 1994 — 1996
B.S., Business
Kettering College of Medical Arts 1991 — 1993
Associates, Nursing
Miami University-Oxford, OH 1982 — 1984
A.S, Systems Analyst
Lemon Monroe High School 1979 — 1982
Degree, College Pre
Amerigroup Community Care Operations Analyst IAmerigroup2004 - 2011
Skills
Process Improvement, Healthcare, Project Management, Visio, HIPAA, Healthcare Management, Health Insurance, Healthcare Information..., Managed Care, Healthcare Industry, Healthcare Consulting, Hospitals, Medicare, Medicaid
Education
Brown Mackie College-Atlanta 2013 — 2015
Associate's Degree, Health/Health Care Administration/Management
Amerigroup Community Care 2002 - 2009
Bauer Compressor Manufacturing December 1995 - August 2000
Children's Hospital of the Kings Daughters April 1995 - March 2000
Skills
Data Entry, Customer Support, Microsoft Office XP, Knowledge Base - CMS,...
Education
Tidewater Community College 2010 — 2011
Certificate, Health Information Technology
Maury High School 1966 — 1969
High School, General
Amerigroup Community Care December 2010 - Present
Blue Cross and Blue Shield Association November 2004 - September 2007
Concentra Integrated Services February 2003 - July 2004
Education
Illinois State University
Bachelor's degree, Sociology
Montgomery College
Associate of Arts (A.A.), Registered Nursing/Registered Nurse
Amerigroup Community Care Family Nurse PractitionerPrimary Care and Hope ClinicMay 2013 - Present
Skills
Quality Management, Healthcare, Medicare, Managed Care, Medicaid, Health Insurance, HIPAA, Visio, Healthcare Management, Software Documentation, Healthcare Information..., Insurance, SharePoint, Microsoft Office, Process Improvement, Strategic Planning, Project Management, Public Relations, Customer Service, Public Speaking
Education
University of Alabama in Huntsville
Family Nurse Practitioner
Trevecca Nazarene University
Doctor of Education (Ed.D.) in Leadership and Professional Practice
Union University
Master's in Nursing Education (MSN)
Union University
Bachelor of Science in Nursing (BSN)
Kaplan University
Certificate in Case Management
Department of Health Care Finance January 2012 - Present
AmeriGroup Community care May 2005 - August 2008
World Vision DC May 2000 - April 2005
National Presbyterian Church November 1994 - May 2000
Skills
Public Speaking, Community Outreach, Drama, Program Development, Program Management, Health Promotion, Marketing, Vocalist, Choir Director, Networking, Event Planning, Wedding Planning, Clinical Research, Event Management
Education
North Carolina School of the Arts 1985 — 1988
Voice Major
McKinley Tech Senior High 1979 — 1982
Diploma
Amerigroup Community Care 2006 - 2013
Humana,Inc. 2002 - 2006
Humana, Inc. 2001 - 2002
Humana, Inc./ChoiceCare 1995 - 2001
Humana, Inc./ChoiceCare 1992 - 1995
Skills
Managed Care, Medicaid, Provider Relations, Network Development, Hospitals, Medicare, HIPAA, Health Policy, Healthcare Management, Healthcare Industry, Healthcare Consulting, HMO, Credentialing, Physician Relations, Healthcare, Hospital Contracting, Health Insurance, Utilization Management, Medical Billing, PPO, Revenue Cycle, Physicians, ICD-9, Nursing, Healthcare Information..., Quality Improvement, Behavioral Health, Disease Management, Medicaid Managed Care, NCQA, Patient Advocacy, HEDIS, JCAHO, Utilization Review, Medical Compliance, Medicare/Medicaid..., Medicare Part D, Claims Resolution
Education
Spelman College
Bachelor of Arts, Psychology
Goodwill Industries of New Mexico July 2012 - Present
Goodwill Industries of New Mexico April 2010 - July 2012
Amerigroup Community Care June 2007 - March 2010
Education
New Mexico Highlands University 1982 — 1987
Master's degree, Counseling Psychology
Maryland Spca May 2011 - Present
AMERIGROUP Community Care 2002 - 2010
Magellan Behavioral Health 2001 - 2002
Skills
Management, Customer Service, Leadership, Team Building, Strategic Planning, Training, Coaching, Recruiting, Microsoft Office, Change Management
Education
Adelphi University
Master of Business Administration (M.B.A.)