Amerigroup Corporation
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 Corporation Employees
Georgia Department of Human Resources August 2014 - Present
Sunshine State Health Plan September 2013 - June 2014
Amerigroup Corporation February 2010 - September 2013
Skills
Case Management, Medicaid, Social Services, Healthcare, Healthcare Management, Managed Care, Elderly and Disabled, Event Planning, Public Speaking
Education
University of Central Florida 2000 — 2004
Bachelor's Degree, Social Work
University of Central Florida 2000 — 2004
Bachelor of Social Work, Social Work
Anthem, Inc. July 2011 - September 2015
CareMore Health Plan July 2011 - August 2012
Amerigroup Corporation January 2007 - July 2011
Cognizant Technology Solutions March 2003 - December 2006
California Software August 2000 - February 2002
MM Imagine Technologies Private Limited July 1998 - March 2000
Skills
Trizetto Facets..., Trizetto NetworX Pricer, Trizetto NetworX Modeler, Trizetto Workflow, Trizetto HIPPA Gateway..., Trizetto Facets Letter..., Trizetto Facets..., WebSphere Application..., WebSphere Network..., IBM HTTP Server, Ingenix/Optum WebStrat, Ingenix/Optum..., McKesson Integration..., McKesson ClaimsXten, McKesson ClaimCheck, Ingenix/Optum EASYGroup, Trizetto Configuration..., Cisco TIDAL Enterprise..., Microsoft SQL Server, Oracle, VBScript, Visual Basic, Microsoft Certified..., Business Objects, Business Objects Data..., Visio, SDLC, Requirements Gathering, Requirements Analysis, Troubleshooting, PMP, Business Analysis, Software Project..., SQL, Healthcare Information..., Leadership, Crystal Reports, System Administration, SharePoint, Data Warehousing
Education
University of Madras 1994 — 1998
Bachelor of Engineering, Computer Science and Engineering
Santhome Higher Secondary School, Chennai, IN.
Availity May 2012 - Present
Availity June 2010 - May 2012
Availity July 2008 - June 2010
Coventry Health Care March 2005 - July 2008
Amerigroup Corporation October 2003 - January 2005
Skills
Healthcare Information..., Salesforce.com, WebEx, Market Development, New Markets Development, Building Relationships, Problem Solving, Process Improvement, HIPAA, Strategic Planning, Presentations, Presentation Development, Leadership, Team Leadership, Teamwork, Team Management, Provider Relations, Provider Network..., Provider Education, Sales Operations, Account Management, Strategy, Cross-functional Team..., EHR, Managed Care, Business Analysis, EDI, Healthcare Industry, Practice Management, Revenue Cycle Management, Healthcare
Education
University of North Texas 1999 — 2001
Bachelor's Of Science, Social Services
Anthem May 2014 - Present
WellPoint December 2012 - May 2014
Amerigroup Corporation October 1999 - December 2012
The SSI Group, Inc. 1996 - 1999
Skills
Healthcare Information..., Medicaid, Medicaid Managed Care, Integration, HIPAA, Business Analysis, Systems Analysis, Process Improvement, Technical Documentation, Software Documentation, Requirements Gathering, Business Requirements, Data Warehousing, Software Implementation, SDLC, Program Management, Healthcare
Education
University of California, San Diego 2013 — 2015
Certificate in Technical Communications, Professional, Technical, Business, and Scientific Writing
University of Illinois at Urbana-Champaign 1984 — 1989
Bachelor of Science (BS), Mathematics and Education
University of Alabama at Birmingham 1993 — 1995
Master of Science (MS), Computer Science
Amerigroup Corporation SurveyorAAAHCMarch 2009 - Present
Skills
Healthcare Management, Managed Care, Healthcare Industry, Health Policy, Informatics, Patient Safety, Physicians, Nursing, Clinical Research, Medicaid, Hospitals, Healthcare Consulting, HIPAA, Public Health, Physician Relations, Healthcare Information..., Quality Improvement, Home Care, Strategic Planning, EMR, Utilization Management, Executive Management, Healthcare, Medicare, Performance Improvement, EHR, Practice Management, Medicine, Disease Management, Case Managment, Accreditation, JCAHO, Epic Systems, Acute Care, Inpatient, Credentialing, Health Insurance, Long-term Care, Provider Relations, Revenue Cycle, Health Information..., HMO, NCQA, Medical Home
Education
University of Denver College of Law 1990 — 1993
Doctor of Law (JD)
University of Minnesota Medical School 1967 — 1970
Doctor of Medicine (MD)
Health Street January 2010 - Present
Mobile Health 2008 - 2009
Amerigroup Corporation 2006 - 2007
Amerigroup Corporation 2004 - 2007
Affinity Health Plan 1994 - 2004
Education
University of Michigan - School of Public Health 1992 — 1994
Masters of Health Services Administration, Business, Healthcare
University of Michigan 1987 — 1991
Emdeon March 2014 - Present
WellPoint, Inc. 2012 - 2014
Amerigroup Corporation 2009 - 2012
Genworth Financial 2006 - 2009
Genworth Financial 2000 - 2006
GE Financial 1999 - 2000
GE Capital 1998 - 1999
Fifth Third Bank 1996 - 1998
Bank One 1991 - 1995
Skills
Leadership, Talent Management, Change Management, Succession Planning, Strategy, Organizational..., Human Resources, Process Improvement, Management, Talent Acquisition, Training, Performance Management, Strategic Planning, Onboarding, Program Management, Team Building
Education
University of Maryland College Park
Bachelor of Science, Business Management
University of Virginia
Concentrated studies in Advanced Leadership and Advanced Strategy
Ultimate Medical Academy Online January 2013 - Present
Ultimate Medical Academy Online December 2009 - January 2013
AMERIGROUP Corporation February 2003 - March 2009
Skills
Training, Management, Program Management, E-Learning, Teaching, Onboarding, Adult Education, Higher Education, Distance Learning, Admissions, Student Affairs, Instructional Design
Education
University of Phoenix 2011 — 2012
Masters, Business Administration
University of Phoenix 2005 — 2010
Bachelor Science, Business Management
New York Life Insurance Company March 2011 - Present
Amerigroup Corporation June 2010 - February 2011
AOM Healthcare Solutions 2005 - 2009
Owens & Minor 2005 - 2009
Capital One 1998 - 2005
Capital One Financial 1998 - 2005
Skills
Coaching, Training, Talent Management, Call Centers, Leadership, Organizational..., Sales, Customer Service, Customer Retention, Business Planning, Performance Management, Employee Relations, Recruiting, Process Improvement, Employee Engagement, Team Building, Leadership Development, Employee Training, Management, Vendor Management, Change Management, Onboarding, Hiring, Interviews, Team Leadership
Education
University of Phoenix 2002 — 2005
Bachelor of Business Management, Business
David's Financial Corp. April 2010 - Present
Amerigroup Corporation January 2007 - June 2009
Amerigroup Corporation 2007 - 2009
Skills
Marketing Strategy, Marketing Management, Market Planning, Marketing Budget..., Partnership Marketing, Product Development, Brand Loyalty, Brand Management, Rebranding, Employer Branding, Building Brand Awareness, Building High..., Driving Sales..., Facilities Management, Salesforce Training, Sales Hiring, Business Development, Strategic Partnerships, Product Management, New Business Development, Competitive Analysis, Strategy, Entrepreneurship, Management, Executive Management, Start-ups, Product Marketing, Leadership, Account Management, Business Strategy, Business Planning, P&L Management, Cross-functional Team..., E-commerce, Marketing, Direct Marketing, Brand Development, CRM, Lead Generation, Customer Acquisition, Analytics, Market Research, Digital Marketing, Email Marketing, Customer Retention, Integrated Marketing, B2B, Salesforce.com
Education
Universidad Iberomericana 2001 — 2005
BA, Marketing
Amerigroup Corporation December 2012 - Present
Park West Care Center, Seattle May 2012 - September 2012
Overlake Hospital February 2004 - May 2012
Skills
Healthcare, Healthcare Management, Medicaid, Medicare, Managed Care, Hospitals, HIPAA, Healthcare Information..., Nursing, Mental Health, Social Services, Home Care, Utilization Management, Clinical Research, EMR, Patient Safety, Utilization Review, EHR, Medical Terminology, Process Improvement
Education
University of Montana-Helena College of Technology 1996 — 1997
Certificate, Practical Nursing, Vocational Nursing and Nursing Assistants
Moses Lake High School 1989 — 1992
Diploma, General Studies
Amerigroup Corporation June 2000 - Present
Skills
Software Documentation, Visio, Technical Writing, SharePoint, Editing, Healthcare, Healthcare Information..., Captivate, Newsletters, Adobe Acrobat, Technical Documentation, Quality Assurance, Program Management, Process Improvement, Microsoft Excel, Leadership, Customer Service, Business Analysis, Analysis
Education
Tidewater Community College 2000 — 2003
Bayside High School 1998 — 2000
Amerigroup Corporation June 2009 - May 2013
Zale Corporation January 2008 - February 2009
Acxiom March 2007 - December 2007
AFMC November 2006 - March 2007
Southwest Research Institute August 2004 - November 2006
Skills
Access, Program Management, Analytics, Analysis, Data Analysis, CRM, SAS, Management, Project Management, SPSS, SAS programming, Customer Service, Strategic Planning, Microsoft Excel, Forecasting, SAS Programming
Education
University of Arkansas at Little Rock 2002 — 2004
Masters Degree, Applied Math/Statistics
University of Arkansas at Pine Bluff 1997 — 2002
Bachelor Of Science, Math
Applied Information Sciences December 2010 - Present
Merkle February 2013 - November 2013
Amerigroup Corporation July 2009 - December 2010
TeleTracking Technologies 2008 - October 2009
ServiceLink June 2006 - October 2008
United Toll Systems January 2005 - January 2006
Medtronic, Inc 2006 - 2006
Deloitte & Touche 2006 - 2006
Skills
Business Intelligence, Project Planning, Data Warehouse..., ETL, Data Warehousing, Microsoft SQL Server, Agile Methodologies, Database Design, SDLC, SSRS, SSIS, C#, Integration, SOA, Data Modeling
Education
University of Maryland - Robert H. Smith School of Business 2011 — 2013
MBA, Marketing and Strategy
University of South Alabama 2002 — 2004
M.S., Computer & Information Sciences
Visvesvaraya Technological University 1998 — 2002
B.E., Computer Science and Engineering
Amerigroup Corporation August 2012 - Present
Xerox September 2011 - August 2012
Mercer October 2007 - June 2010
Skills
Customer Service, Training, Team Building, Insurance, Employee Benefits, Health Insurance, Microsoft Excel, Leadership, Sales, PowerPoint, Access, Benefits Administration, Claim, HIPAA, Management, Recruiting, Research, Microsoft Word, Strategic Planning
Education
University of Phoenix 2000 — 2002
Associate's degree, Health Services Administration, 3.75
Eldorado High School
General
Hudson River Health Care October 2012 - May 2013
Amerigroup Corporation 2010 - 2011
MAXIMUS August 2008 - August 2009
Wells Fargo November 2005 - May 2007
Skills
Healthcare
Education
Malcarne Contracting 2014 — 2014
BPI State License received 5/30/2014, Building Science Principles and Building Analyst Training
UCLA 2005 — 2008
Physics, Linguistics, 3.8
Village Academy of Washington DC June 2012 - Present
Contractor with DOD Physical Disabiltiy Board August 2011 - April 2012
Vecna Technologies August 2009 - March 2011
Vecna Technologies August 2008 - March 2011
Navy Bureau Medicine/Surgery Department August 2008 - September 2009
Amerigroup Corporation January 2007 - August 2008
Howard University, FPP July 2003 - June 2006
Johns Hopkins Community Physician February 1997 - July 2003
Skills
Customer Service..., Management of..., Developing DBMS Queries, IDX Systems, MS Project, MS Office, HIPAA, Testing, Microsoft Office, Employee Benefits, Management, Process Improvement, Healthcare, Leadership
Education
University of Maryland College Park
Mathematics & Paralegal
Leaders in Healthcare Operations & Business Compliance 2012 - Present
United Healthcare June 2008 - Present
Amerigroup Corporation 2006 - 2008
Amerigroup Corporation 2005 - 2006
Amerigroup Corporation 2004 - 2005
Skills
Fraud Investigation, Compliance, Health Care Fraud, Medicare Part D, Claims Management, Medicaid Managed Care, HIPAA, AML Business Compliance, Pharmacy Benefit..., Agile Project Management, Training and Development, Six Sigma, Medical Compliance, Aggregate Spend, Management, Leadership, Access, Healthcare, Training, Negotiation, Process Improvement, Organizational..., Medicare, Talent Management, Business Process...
Education
University of Maryland College Park
Bachelor of Science (B.S.), Finance/Computer Science
St.Petersburg College
Certification, Internet / Cyber Security
ABS Technology Architects April 2011 - Present
Framing Success March 2011 - April 2011
Amerigroup Corporation February 2007 - October 2010
Summit Group of Virginia April 2005 - February 2007
Summit Group of Virginia April 2005 - February 2007
WVEC Channel 13 News January 2001 - January 2004
Flexible Benefit Administrators, Inc January 2001 - December 2001
Skills
Salesforce.com, Strategic Planning, Project Management, Project Planning, Customer Service, Social Media, Event Planning, Microsoft Office, Networking, Program Management, Process Improvement, Microsoft Excel, Public Relations, Sales, Contract Negotiation, Management, Marketing, Leadership, Training, SharePoint, Marketing Communications, Marketing Strategy, Strategic Partnerships, Social Media Marketing, PowerPoint, Event Management, Account Management, Team Leadership, Customer Satisfaction, Team Building, New Business Development, Budgets, Research, Social Networking, Security, Change Management, Business Development, Public Speaking, Newsletters, Fundraising, Vendor Management, Analysis, Coaching, Advertising, Operations Management, Outlook, Proposal Writing, Corporate Communications, Sales Management, Teamwork
Education
Virginia Wesleyan College 2002 — 2004
Bachelor of Arts, Journalism, Film; Public Relations and Advertising/Marketing, Mass Communications Research
Tidewater Community College 1999 — 2002
Associates, General Studies
Governor's School for the Arts 1993 — 1997
Highschool Diploma, Dance
Anthem, Inc. May 2013 - Present
Amerigroup Corporation October 2012 - May 2013
OptumInsight October 2007 - May 2012
UnitedHealthcare May 2006 - October 2007
UnitedHealthcare March 2004 - May 2006
UnitedHealthcare May 2001 - March 2004
Physicians Health Plan of South Carolina July 2000 - April 2001
UnitedHealthcare January 1998 - July 2000
UnitedHealthcare July 1992 - January 1998
Arthur Andersen July 1990 - July 1992
Skills
Financial management, Strategic and..., Financial and..., Product pricing, Healthcare analytics, Medical expense..., Network development, Provider contract..., Risk share..., Acquisition integration, Strategic business..., Outsourced health plan..., Product development and..., Team building,..., Client relationship..., International...
Education
University of North Carolina at Greensboro
Bachelor of Science, Accounting
PRA Group (Nasdaq: PRAA) January 2015 - Present
Amerigroup Corporation February 2009 - August 2010
Belk February 2008 - August 2008
Capgemini June 2001 - January 2007
KeyCorp May 2000 - August 2000
Skills
Workday, PeopleSoft, Business Analysis, HRIS, Process Improvement, Business Process, Project Management, Software Documentation, Human Resources, Training, Analysis, SDLC, Benefits Administration, PeopleTools, Management, Access, Recruiting, Vendor Management, Visio, Performance Management, Program Management, Outsourcing, Business Process..., Testing, User Acceptance Testing, Integration, Employee Benefits, Personnel Management, Consulting, Change Management, Requirements Analysis, ERP, Business Requirements, SharePoint, Leadership, Management Consulting
Education
Miami University - Richard T. Farmer School of Business 1997 — 2001
BSBA, Management Information Systems
University of North Carolina at Charlotte 2008 — 2008
Business Analysis
US Department of Health and Human Services October 2012 - Present
Amerigroup Corporation October 2010 - October 2012
Glenridge Healthcare June 2009 - October 2010
Comprehensive Health Management March 2008 - May 2009
Kaplan Professional Publishing November 2002 - April 2008
Kaplan Financial and Kaplan Professional Publishing 2002 - 2007
Education
Troy University
Masters, Business Management/Healthcare
University of Illinois at Chicago
Bachelors, Sociology, Communications
University of South Florida
Masters, Health Administration and Information Systems
Apex Systems, Inc. April 2014 - July 2015
Collabera, Inc. January 2012 - January 2014
Southside Business Technology Center December 2008 - November 2011
SRI Consulting September 2006 - October 2008
Nelnet Business Solutions February 2006 - August 2006
Amerigroup Corporation March 2002 - August 2005
Telefonica March 2000 - September 2001
Booz Allen Hamilton February 1999 - March 2001
Florida Insurance representing Florida Blue (Blue Cross/Blue Shield) 1993 - 1999
Skills
Certificate -- Lean Six..., Certificate -- Project..., Certificate -- Non..., Business Process, IT Strategy, Cross-functional Team..., Six Sigma, Project Management, Software Documentation, Management Consulting, Business Process..., Non-profits, Strategic Planning, Project Planning, Program Management, Consulting, PMO, Economic Development, PMP, Business Process..., Process Improvement, Leadership, Operations Management, Nonprofits, Project Portfolio..., SDLC, Vendor Management, Integration, Policy, ERP, Management, Strategy, Training, Business Analysis, Public Speaking
Education
University of South Florida 1997 — 1999
MSEM
University of Florida 1986 — 1993
Bachelor of Science
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
Alexandria Consulting January 2015 - Present
The University of Alabama at Birmingham February 2011 - September 2014
Centene Corporation November 2007 - September 2008
Amerigroup Corporation September 2003 - October 2007
Ochsner Clinic Foundation October 2001 - August 2003
Baptist Health System December 1995 - October 2001
Skills
Requirements Gathering, Writing, Documentation, Analysis, Managed Care, Requirements Analysis, Testing, Healthcare IT, Process Improvement, Problem Solving, Business Analysis, Microsoft Office, Healthcare Management, Customer Relations, Process Engineering, Insurance, PowerPoint, Visio, Hospitals, Word, Research, Access, Healthcare, Excel, Software Documentation, Healthcare Information..., HIPAA
Education
University of Alabama at Birmingham 1994 — 1994
Master's, Business
University of Alabama 1984 — 1989
BS, Business
emids October 2012 - Present
Benevino Vineyards 2001 - Present
Virginia Vineyards Association 2012 - 2014
VitalSpring Technologies August 2004 - October 2012
Amerigroup Corporation March 2004 - March 2004
U. S. Navy 1971 - 1976
Skills
Benchmarking, Decision Support, Data Mining, Modeling, Contract Negotiation, Project Management, Business Intelligence, Re-engineering, Business Development, Program Management, Analytics, Process Improvement, Strategy, Strategic Partnerships
Education
US Naval Academy
University of Pennsylvania - The Wharton School
MBA, Finance and Management
Altegra Health April 2015 - Present
Strategic Advsior to Private Equity & Healthcare Services Companies 2013 - Present
Amerigroup Corporation 2002 - 2013
Amerigroup Corporation 2012 - 2012
Envest Capital Advisors 2000 - 2002
PricewaterhouseCoopers Securities 1993 - 2000
Roll and Ross Asset Management 1992 - 1992
Dean Witter 1989 - 1991
Skills
Mergers, Sales, Acquisitions, Divestitures, Joint Ventures, Start-ups, Business Development, Strategic Planning, Financial Modeling, Business Strategy, Financial Analysis, Business Planning, Healthcare, Strategic Partnerships, Corporate Development, Executive Management, Corporate Finance, Management Consulting, New Business Development, Acquisition Integration, Investment Banking, Health Insurance, Managed Care, Mergers & Acquisitions, Finance, Negotiation, Process Improvement, Venture Capital, Management, Strategy, Budgets, Private Equity, Investments, Analysis, Leadership, Forecasting, Due Diligence, Valuation, Accounting, Recruiting, Entrepreneurship, Financial Services, Competitive Analysis, Financial Structuring, M&A experience, Restructuring, Managerial Finance, Insurance, LBO, Strategic Financial...
Education
UCLA Anderson School of Management 1991 — 1993
MBA, Finance
University of Virginia 1985 — 1989
Bachelor of Science (BS), Finance
BlueCross BlueShield of SC July 2012 - April 2015
Carolina Medical Homes, LLC October 2010 - July 2012
Centene Corporation August 2009 - October 2010
Amerigroup Corporation January 2009 - August 2009
Amerigroup Corporation February 2004 - January 2009
Childrenfirst Home Healthcare 2002 - 2004
Aetna July 2001 - October 2002
Health Net January 1994 - May 2001
Skills
Staff Management, Issues Management, Network Development, Medicaid Managed Care, Provider Relations, Cross-functional Team..., Project Implementation, Medicaid, Healthplan Operations, Credentialing, Managed Care, Long Term Care Diversion, Claims Administration, Management, NCQA, HMO, PPO, Healthcare, Health Insurance, Healthcare Industry, Leadership, Process Improvement, Medicare, Insurance, Healthcare Management, Claim, Utilization Management, HIPAA, Home Care, Physician Relations, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Disease Management
Education
University of Central Missouri
English/ 2ndary Education
Hook Law Center March 2015 - Present
Wolcott Rivers Gates September 2012 - March 2015
City of Norfolk May 2011 - August 2011
Amerigroup Corporation June 2010 - August 2010
Bob McDonnell for Governor July 2009 - August 2009
Rob Wittman for Congress July 2008 - December 2008
Skills
Legal Research, Litigation, Research, Public Speaking, Community Outreach, Legal Writing, Policy Analysis, Fundraising, Non-profits, Civil Litigation, Westlaw, Editing, Appeals, Government, Event Planning, Mediation, Public Policy, Courts, Microsoft Office, Legislative Relations, Corporate Law, Lexis, Nonprofits
Education
University of South Carolina School of Law 2009 — 2012
Juris Doctorate
University of Mary Washington 2004 — 2008
BA, History
Norfolk Academy 1999 — 2004
Amerigroup Corporation 1999 - Present
Skills
Medicaid, Managed Care, Medicare, Health Insurance, Provider Relations, Healthcare Industry, Health Policy, HIPAA, Healthcare Information..., Healthcare Consulting, Healthcare, HMO, Disease Management, Financial Modeling, Revenue Cycle
Education
University of North Texas 1990 — 1993
BA, Political Science
Anthem, Inc. August 2014 - Present
Anthem, Inc. December 2013 - Present
Amerigroup Corporation December 2010 - December 2013
Amerigroup Corporation February 2008 - December 2010
Amerigroup Corporation June 2007 - February 2008
Amerigroup Corporation February 2006 - June 2007
Amerigroup Corporation November 2004 - February 2006
Amerigroup Corporation July 2002 - November 2004
LAKE TAYLOR TRANSITIONAL HOSPITAL March 2001 - July 2002
EURE PROFESSIONAL STAFFING October 2000 - February 2001
Skills
Process Improvement, Leadership, Cross-functional Team..., Training, Program Management, Management, Software Documentation, Healthcare, Performance Management, Analysis, Project Planning, Coaching, Call Centers, Access, Policy
Education
AAPC 2011 — 2011
Certified Professional Coder
Horizon Career College 1997 — 1998
Licensed Practical Nursing
Tidewater Community College
Business Administration
Houston Solari Hospice Care January 2010 - Present
Amerigroup Corporation April 1996 - August 2009
Evercare tx 1988 - 1996
Education
University of Houston 1981 — 1983
MSW, Social Work
ValueOptions, Inc. April 2014 - October 2014
ValueOptions, Inc.® May 2013 - April 2014
Amerigroup Corporation November 2012 - February 2013
For Rent Media Solutions 2011 - 2012
Welch Copywriting & Editing January 2007 - October 2011
Hampton Roads Health Journal, Williamsburg, VA February 2008 - November 2009
Association for Professionals in Infection Control and Epidemiology (APIC) December 2001 - December 2004
Skills
Copywriting, Editing, Internal Communications, Blogging, Corporate Communications, Press Releases, Media Relations, Strategic Planning, Newsletters, B2B Marketing, Creative Writer, Marketing Communications, Stylistic Editing, Collateral Writing, Website Writing, Company Brochures, Healthcare Industry, Entrepreneurship, Press Kits, SEO copywriting, Script-writing, Ghostwriting, Managerial, Marketing Event Planning, Copy Editing, Flyers, Commercial Copy, Analytic Problem Solving, B2C marketing, Content Writing, Web Content, Proofreading, Advertising, Public Relations
Education
University of Central Florida 1990 — 1995
B.A., Print Communications
LB&Chapin December 2011 - Present
Amerigroup Corporation August 2005 - June 2007
Skills
Public Speaking, Event Planning, Non-profits, Community Outreach, Fundraising, Social Media, Editing, Research, Public Relations, Newsletters, Press Releases, Blogging, Marketing, Proposal Writing, Copywriting
Education
Union Presbyterian Seminary 2012 — 2016
MA, christian education
The College of William and Mary 1999 — 2003
Bachelor of Arts, Religious Studies
ZIM Intergrated Shipping Service LTD June 2014 - Present
ZIM Intergrated Shipping Service LTD July 2011 - June 2014
ZIM Intergrated Shipping Service LTD September 2010 - November 2011
Nauticus November 2009 - August 2010
Amerigroup Corporation February 2010 - May 2010
Otto Design and Marketing September 2009 - December 2009
Skills
Negotiation, Management, International Shipping, Budgets, New Business Development, Marketing, Sales, Analysis
Education
William & Mary 2004 — 2009
BBA, Marketing
University of Alabama 2003 — 2004
Norfolk Academy 1997 — 2003
Good Shepherd Hospice January 2013 - Present
Reliant North Houston Hospital April 2012 - January 2013
Compassionate Care Hospice 2003 - 2011
Compassionate Care Hospice 2009 - 2010
Heartland Home Health and Hospice January 2001 - January 2003
Amerigroup Corporation January 1998 - January 2001
Odyssey Healthcare January 1998 - January 1999
VITAS Innovative Hospice Care January 1997 - January 1998
Skills
Home Care, Case Managment, Hospitals, Medicaid, Healthcare, Elder Care, Clinical Research, Healthcare Management, Healthcare Industry, Medicare, Case Management, Long-term Care, Managed Care, Physician Relations, Nursing, Healthcare Consulting
Education
University of Houston
M.S.W., Social Work
Catholic Charities of Southwestern Ohio September 2013 - Present
Programs, Education, Advocacy, Resources (PEAR) August 2007 - Present
Amerigroup Corporation April 2012 - June 2012
Union Institute & University November 2008 - June 2011
Wyoming Youth Services July 2005 - July 2006
Skills
facilitator, Training & Development, Education, Government Agencies, Grant Writing, Resume Writing, Fundraising, Organizational..., Executive Coaching, Curriculum Development, Event Planning
Education
University of Cincinnati 1986 — 1988
Masters Social Work, school social work, families and children, prevention education
Virginia Commonwealth University 1978 — 1982
Bachelor of Science Degree, Early Childhood and Elementary Education
Corinthian Colleges Inc. 2010 - Present
Amerigroup Corporation 2004 - 2009
Burson-Marsteller 2001 - 2004
Cisco Systems Inc. 1999 - 2001
Burson-Marsteller 1998 - 1999
U.S. News and World Report 1997 - 1998
The Washington Post 1987 - 1997
Skills
Media Relations, Crisis Communications, Public Relations, Internal Communications, Storytelling, Communication Training, Feature Articles, Public Affairs, New Media
Education
Northwestern University
Masters of Science, Journalism
University of North Carolina at Chapel Hill
Bachelor of Arts, Journalism
BlueCross BlueShield Tennessee January 2014 - July 2015
Blue Cross Blue Shield Tennessee October 2009 - January 2014
Desoto Family Medical Center July 1998 - September 2009
Amerigroup Corporation 2006 - October 2008
Skills
Medicaid, Utilization Management, Medicine, Utilization Review, Healthcare, EMR, Disease Management, Family Medicine, Long-term Care, Medical Review, Primary Health Care, Healthcare Management, Primary Care Physicians, Medical Practice..., Quality Improvement, Health Services Research, Hospitals, Health Insurance, Medical Peer Review, UR, Subject Matter Experts, Peer-to-peer, Medical Directors, Medical Necessity, Leadership, Clinical Research, Managed Care, Medical Policy..., Practice Management
Education
University of Tennessee-Health Science Center College of Medicine 1989 — 1992
Intership/Residency, Family Medicine
University of Mississippi Medical Center 1985 — 1989
MD, Medicine
University of Mississippi School of Medicine 1985 — 1989
MD, Medicine
Tougaloo College 1977 — 1981
BS, Chemistry
BlueCross BlueShield of Tennessee January 2013 - Present
Amerigroup Corporation August 2011 - January 2013
Quorum Health Resources August 2010 - June 2011
United Healthcare September 2002 - March 2010
CIGNA Healthcare March 1997 - September 2002
West Tennessee Healthcare May 1993 - February 1996
Deaconess Health System September 1985 - September 1992
George S Olive CPA's August 1983 - August 1985
Skills
PPO, Medicaid, Managed Care, Provider Relations, Network Development
Education
University of Evansville 1987 — 1990
MBA, Business
University of Southern Indiana 1980 — 1983
BS, Accounting
Xerox June 2010 - Present
Beacon Health Strategies May 2008 - June 2010
Amerigroup Corporation February 2007 - April 2008
Whitman-Walker Clinic September 1994 - June 2006
Skills
Healthcare, Medicaid, Medicare, Healthcare Management, Healthcare Information..., HIPAA, Managed Care, Non-profits, Mental Health, Behavioral Health, Social Services, Health Policy, Policy, Nonprofits, Leadership, Clinical Research, Data Analysis, Strategic Planning, Health Insurance, Employee Benefits, Software Documentation, Healthcare Industry, Budgets, Operations Management, Analysis, Process Improvement, Hospitals, Program Development, Case Management, Program Management, Revenue Cycle, Healthcare Consulting, Quality Improvement, EHR, Management, Vendor Management, Strategy
Education
Virginia Commonwealth University 1991 — 1994
MSW, Social Work
Gallaudet University 1983 — 1985
MA, Counseling with Deaf Children
University of Colorado Boulder 1977 — 1982
Bachelor of Arts (BA), Anthropology
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
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
Anthem, Inc. October 2014 - Present
Perfectly Posh September 2013 - Present
Amerigroup Corporation/Wellpoint October 2007 - October 2014
Amerigroup Corporation September 2006 - October 2007
ValueOptions, Inc. July 2003 - September 2006
ValueOptions April 2001 - July 2003
ValueOptions March 1998 - April 2001
Skills
Provider Contracting, Credentialing, Regulatory Affairs, Project Management, Public Speaking, Provider Relations, Policy Writing, Staff Training, Staff Development, Employee Relations, Vendor Management, Change Management, Network Development, HIPAA, Medicaid, Healthcare Management, Contract Negotiations, Process Improvement, Operations Management, Team Leadership, Quality Assurance, NCQA, Medicare, Managed Care, PPO, Policy, Hospitals, Contract Negotiation, Healthcare, JCAHO, Health Policy, HMO, Software Documentation, Healthcare Industry, Leadership, Healthcare Consulting, Accreditation, Program Management, Management, Medicaid Managed Care, Physician Relations, Strategic Planning, Team Building, Analysis
Education
University of Colorado at Colorado Springs
Business Administration
Yosi, Inc April 2014 - Present
CMO - The Care Management Company of Montefiore Medical Center May 2012 - April 2014
Care To Care LLC October 2009 - May 2012
Amerigroup Corporation January 2007 - October 2009
United Health Group June 2005 - January 2007
Skills
Healthcare Management, Strategic Planning, Performance Management, Managed Care, Financial Planning, Health Economics, Strategic Financial..., Provider Relations, Process Improvement, EMR, Leadership, Hospitals, Medicare, Healthcare Information..., Team Building, Healthcare Industry, Medicaid, Quality Improvement, Healthcare Consulting, Informatics, Revenue Cycle, Health Policy, Physicians, Disease Management, HMO, Credentialing
Education
University of Medicine and Dentistry of New Jersey 2003 — 2005
M.S., Healthcare Informatics
West Virginia University Institute of Technology 2000 — 2002
Florida Hospital October 2014 - Present
Absolute Realty Group September 2012 - Present
Florida Healthcare Plus July 2012 - October 2014
CuraScript, Inc. An Express Scripts Co. December 2011 - June 2012
Blue Cross Blue Shield of Florida May 2011 - December 2011
Coventry Health Care November 2010 - May 2011
Amerigroup Corporation March 2010 - May 2010
United Healthcare March 1989 - March 2010
Skills
Medicaid, Healthcare, Claim, Hospitals, Managed Care, Health Insurance, Insurance, Customer Service, Contract Negotiation, Social Media, Mental Health, HIPAA, Social Media Marketing, Medicare Part D, Healthcare Industry, Provider Relations, Credentialing, Medical Billing, Health Policy, Pharmacy, HMO, Utilization Management, Healthcare Consulting, Workers Compensation, Physician Relations, PPO, Healthcare Management, Disease Management, CPT, Physicians, Medicaid Managed Care, Network Development, ICD-9, Pharmacy Benefit..., Revenue Cycle, EHR, Policy, Medical Compliance, HEDIS, Medical Coding, Practice Management, Quality Improvement, Healthcare Analytics, Healthcare Reimbursement, Medical Records, JCAHO, Revenue Cycle Management, Medicare/Medicaid..., Claims Resolution, NCQA
Education
Universidad del Turabo 1978 — 1981
NA, Psychology/Sociology
MAXIMUS April 2015 - Present
MAXIMUS October 2013 - April 2015
Amerigroup Corporation July 2012 - July 2013
Skills
Customer Service, Data Analysis, HIPAA, Healthcare, Healthcare Management, Leadership, Medicare, Microsoft Excel, Process Improvement, Strategic Planning, Training, Team Building, Policy, Healthcare Information..., Managed Care
Education
University of Baltimore
Business Administration and Management, General
Anthem, Inc. September 2015 - Present
Anthem, Inc. November 2014 - September 2015
WellPoint July 2014 - November 2014
WellPoint, Medicaid Business Unit December 2012 - July 2014
Amerigroup Corporation May 2011 - December 2012
Amerigroup Corporation June 2009 - May 2011
Skills
Strategic Planning, Managed Care, Process Improvement, Project Management, Data Analysis, Healthcare, Microsoft Office, Visio, Customer Service, Microsoft Excel, Business Analysis, Leadership, PowerPoint, Six Sigma, Management, Negotiation, Cross-functional Team..., New Business Development, Training, Strategy, Quality Assurance
Education
University of Florida 2008 — 2009
Master of Arts, International Business
University of Florida 2005 — 2008
Bachelor of Arts, Political Science and Business Administration
WellCare Health Plans September 2015 - Present
Acclaris 2013 - May 2015
VALA Solutions/CACI Inc July 2008 - June 2013
Amerigroup Corporation April 2006 - July 2008
Accenture 2004 - 2005
Concentra, Inc 2004 - 2005
WellCare 2002 - 2003
Edix 2001 - 2002
HealthPlan Services April 1998 - May 2001
Vytra 1993 - 1998
Skills
Claims Management, Customer Service, Call Center, Cost Containment, Enrollment Management, Eligibility, Medicare, Medicaid, Front End Operations, Third Party..., Outsourcing Management, Outsourcing, Insurance Claims, Software Development, Agile Project Management, Project Portfolio..., Offshore Project..., Configuration Management, System Configuration, Six Sigma, lean six sigma, Business Process..., Budget Management, Quality Management, Front-end, Project Management, Insurance, Budgets, Program Management, Call Centers, Training, Leadership, Analysis, Change Management, Management Consulting, Process Improvement, Managed Care, Team Building, Vendor Management, Cost Accounting, Strategy, Employee Benefits, Recruiting, Management, Cross-functional Team..., Business Process, Requirements Analysis, Business Analysis, Risk Management, Executive Management
Education
University of Connecticut 1977 — 1981
Bachelor of Arts, Philosophy, Business, English
Windsor High School 1974 — 1977
High School, College Prep
Children's Medical Center July 2015 - Present
Children's Medical Center March 2014 - Present
Molina Healthcare July 2013 - March 2014
Molina Healthcare October 2011 - July 2013
Amerigroup Corporation March 2001 - October 2011
Skills
Bilingual Proficiency, Call Center Operations, People Leadership, Management, Change Management, Green Belt, Virtual Management, Medicaid Managed Care, Medicare Advantage, Call Center, Leadership, Call Centers, Credentialing, Healthcare, Managed Care, Provider Relations, Hospitals, Process Improvement, Healthcare Industry, Health Policy, HMO, HIPAA, Health Insurance, Medicaid, Medicare
Education
Villanova University
Masters Certificate in Organizational Leadership
University of Puerto Rico 1992 — 1996
Business Administration and Sociology
Wilmington Treatment Center-A Division of Acadia January 2015 - Present
Amerigroup Corporation-A WellPoint Subsidiary January 2013 - May 2014
Amerigroup Corporation October 2011 - January 2013
Arundel Lodge, Inc. January 2010 - October 2011
Skills
Case Managment, Behavioral Health, Social Services, Crisis Intervention, Mental Health, Adolescents, Case Management, Community Outreach, Mental Health Counseling, Healthcare, Community Development, Leadership, Program Development, Treatment, Marketing, Program Management
Education
University of Maryland University College 2013 — 2014
Master's Degree, Healthcare Administration
University of Maryland University College 2004 — 2007
Bachelor's degree, Psychology
Cigna-HealthSpring March 2014 - Present
RediClinic March 2014 - August 2014
Internal Medicine and Pediatric Associates January 2000 - March 2014
Amerigroup Corporation August 2004 - April 2009
Baylor-Methodist Primary Care Associates January 2000 - January 2004
Departments of Internal Medicine and Pediatrics at Baylor College of Medicine June 1996 - July 2000
Skills
Hospitals, Healthcare Management, Case Management, Clinical Research, Medicine, Pediatrics, Healthcare, Leadership, Managed Care, Physicians, Strategic Planning, Board Certified, Healthcare Information..., Inpatient, Quality Improvement
Education
University of Houston, C.T. Bauer College of Business 2005 — 2007
MBA
University of Houston, C.T. Bauer College of Business 2005 — 2007
MBA
MD, University of Cincinnati College of Medicine 1987 — 1992
MD
The Ohio State University 1983 — 1987
BS
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
Anthem November 2014 - Present
Crayotivity, LLC May 2014 - Present
WellPoint April 2013 - November 2014
Amerigroup Corporation December 2010 - March 2013
Intrepid Learning Solutions March 2010 - December 2010
Rapid e-Learning, LLC May 2005 - December 2010
Aetna February 2007 - February 2010
Creative Marks November 2003 - February 2007
Intrepid Learning Solutions 2003 - 2007
Federal Express Corporation October 1996 - November 2003
Skills
Instructional Design, E-learning, Rapid e-Learning, Mobile Learning, Social Learning, Storyboarding, Story Structure, Multimedia Storytelling, Instructional Technology, ILT, Blended Learning, WBT, Distance Learning, Web-based Training, Instructor-led Training, Online Training, Training & Development, Technical Architecture, Software Training, Learning Technology, Learning Theory, Collaborative Learning, Leadership Development, Team Leadership, Workplace Learning, Blended Learning..., Articulate, Captivate, Storyline, Raptivity, Camtasia, Character Animation, Audio Editing, Graphic Design, User Interface Design, E-learning Development, e-Learning Consulting, E-Learning, Training, Employee Training, Performance Consulting, Learning Management..., Needs Analysis, E-Learning Consulting, SCORM, Flash, Articulate Studio
Education
University of Arkansas 1993 — 1995
MEd, Educational Technology
Western Carolina University 1983 — 1986
BA, English, Business
WellPoint - Amerigroup Corporation January 2013 - Present
Wellpoint - Amerigroup Corporation September 2011 - January 2013
Amerigroup Corporation July 2005 - September 2011
Amerigroup Corporation April 2002 - July 2005
Skills
Medicaid, Medicare, Quality Assurance, Provider Relations, HMO, Managed Care, Management, Healthcare, Health Policy, HIPAA, Provider Contracting, Microsoft Office, Excel, Customer Service, Bilingual-English/Spanis...
Education
Universidad del Sagrado Corazón
Transportation Management
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
Habitat for Humanity of South Hampton Roads November 2014 - Present
The Virginia Symphony July 2002 - November 2014
IntraNexus June 2001 - February 2002
Amerigroup Corporation July 1997 - June 2001
Starwood Hotels & Resorts Worldwide, Inc. January 1993 - April 1997
Skills
Microsoft Office, Social Media Marketing, Management, Budgets, Volunteer Management, Public Relations, Team Building, Event Planning, Healthcare Information..., Non-profits, Entrepreneurship, Data Analysis, Business Strategy, Business Analysis, Forecasting, Marketing, Project Management, Public Speaking, Grants, Project Planning, Analysis, Process Improvement, Program Management, Leadership Development, Finance, Nonprofits, Grant Writing, Strategic Planning, Fundraising, Leadership, Operations Management, Customer Service, International Operations, Mergers, Change Management, Business Development, Turn Around Management
Education
University of Houston
Bachelors Degree, Business Administration
Amerigroup Corporation May 2011 - Present
Amerigroup Corporation May 2010 - April 2011
Amerigroup Corporation August 2007 - June 2010
Skills
SharePoint Designer
Education
University of Alaska Fairbanks 1971 — 1973
Inova Health System August 2014 - Present
Inova Health System August 2014 - Present
CTGHS April 2013 - Present
HCTec Partners May 2014 - August 2014
Tampa General Hospital August 2010 - April 2013
Sentara Healthcare April 2008 - August 2010
Amerigroup Corporation April 2007 - April 2008
Urology of Virginia February 2005 - April 2007
Walgreens Pharmacy March 2002 - February 2005
Skills
Epic Systems, Healthcare, SQL, HL7, Ambulatory Care, Databases, Healthcare Information..., Access, Crystal Reports, HIPAA, OTTR Administrator, Microsoft SQL Server, Troubleshooting, Clinical Research, Software Documentation, Epic Ambulatory certfied, ITIL Certified, EMR, EHR, CPOE, Informatics, Ambulatory, Visio
Education
University of Phoenix 2008 — 2011
Bachelors of Health Administration, Health Informatics
Certified Pharmacy Technician 2003 — 2008
Amerigroup Development and Training Courses 2007 — 2007
Webster College 2002 — 2003
Registered Medical Assistant
South Florida Community College 2001 — 2002
Prerequistes, Bachelor of Science
Epic Ambulatory Certification
Epic HOD Certification
ITIL Certification
OTTR Administrator II
Lockheed Martin January 2014 - Present
Lockheed Martin May 2011 - December 2013
UCF June 2010 - May 2011
UCF Department of Housing and Residence Life August 2009 - June 2010
Mosaic Wealth Management Group May 2008 - August 2008
Amerigroup Corporation January 2008 - May 2008
UCF Orientation Services August 2006 - August 2007
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Event Planning, Public Speaking, Research, Social Media, Customer Service, Data Analysis, Microsoft Word, Outlook, Leadership, Marketing, Leadership Development, Team Leadership, Analysis, Team Building
Education
University of Central Florida 2009 — 2011
Masters, Business Administration
University of Central Florida 2005 — 2009
Bachelor of Science, Business Administration; Finance
HealthSpring 2011 - Present
Greater Nashville Area 2007 - Present
Amerigroup Corporation 2009 - 2010
Baptist Hospital 2007 - 2008
BE Smith March 2007 - May 2007
Healthways 2005 - 2007
Skyline Medical Center (HCA) February 2005 - October 2005
Regional Medical Center Bayonet Point (HCA) 2002 - 2004
UAB Hospital 1996 - 2002
Veterans Health Administration 1989 - 1996
Skills
Hospitals, Healthcare Management, Healthcare, Nursing, Managed Care, Utilization Management, Clinical Research, Disease Management, Medicare, JCAHO, Case Management, Acute Care, Case Managment, Healthcare Consulting, Healthcare Information..., Medicaid, Critical Care
Education
Troy University 2000 — 2001
MBA, Healthcare Administration
Troy University
MSN, Nursing Administration
University of Alabama at Birmingham
BSN, Nursing
CaffeinatedCreations August 2012 - Present
Magenic April 2012 - Present
Amerigroup Corporation May 2011 - March 2012
Productive Edge, LLC. November 2009 - July 2011
Dell April 2007 - November 2009
Transamerica Corporation October 2006 - April 2007
Microsoft January 2006 - October 2006
Premier, Inc. September 2005 - January 2006
Rowe International August 2005 - September 2005
Pokertek October 2004 - July 2005
Skills
SQL Server, .NET, ASP.NET, C#, XML, Server Architecture, T-SQL, SQL, Software Development, HTML, Web Services, Visual Studio, Windows, Databases, Business Intelligence, Database Design, SSRS, Architecture, Web Applications, Linux, IIS, SOA, AJAX, SharePoint, Web Development, Microsoft SQL Server, Software Project..., JavaScript, Mobile Applications, WCF, REST, TFS, Enterprise Software, Visio, Agile Methodologies, Scrum, ASP.NET MVC, WPF, Requirements Gathering, Testing, Enterprise Architecture, Agile Project Management, Design Patterns, SDLC, LINQ, SSIS, VB.NET, Oracle, Software Design, Object Oriented Design
Education
University of Mississippi 1989 — 1991
MBA
University of Mississippi 1987 — 1989
BS
Amerigroup Corporation June 2008 - Present
AMERIGROUP Corporation June 2006 - June 2008
Applied Marine Technology, Inc. January 2003 - October 2005
Intermedia August 2001 - December 2002
Intermedia/Worldcom October 1999 - August 2001
Equifax August 1998 - October 1999
The Alexander Group May 1997 - August 1999
Miller Brewing Company May 1996 - August 1996
KPMG June 1994 - August 1995
KPMG January 1992 - June 1994
Skills
Product Management, Process Improvement, Project Management, Marketing, Budgets, Advertising, Research, Requirements Management, Healthcare, Strategic Planning, Managed Care, Medicaid, Medicare, Program Management, Analytics, Marketing Strategy, Salesforce.com, Healthcare Industry, Business Development, Cross-functional Team...
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1995 — 1997
MBA, Marketing, General Management
William & Mary 1985 — 1989
BS, Computer Science
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)
Amerigroup Corporation May 2012 - Present
Marriott Business Services November 2010 - May 2012
Cariten HealthCare August 1996 - September 2011
Cigna (formerly Healthsource, TN) March 1995 - August 1996
Skills
CRM, Budgets, Integration, Project Planning, Healthcare, Marketing, Contract Management, Employee Benefits, Customer Service, Call Centers, Auditing, Medicaid, Medicare, Managed Care, HIPAA, Provider Relations, Healthcare Information..., Healthcare Management, Healthcare Consulting
Education
Tusculum College 2002 — 2004
BS
CentroNia September 2011 - Present
United Healthcare April 2011 - September 2011
Amerigroup Corporation February 2009 - September 2011
D.C. LEARNs August 2005 - January 2009
2004 AIRLINES REPORTING CORPORATION October 2002 - August 2004
Inlingua August 2002 - September 2002
Samsung Electronics Latin America March 2000 - August 2000
CELMEC, S.A., April 1999 - February 2000
NTN SUDAMERICANA, S.A. April 1998 - January 1999
Sony Corporation of Panama 1988 - 1994
Skills
Fundraising, Program Development, Non-profits, Customer Relations, Supervisory Skills, Bilingual-Spanish, Marketing Management, Community Outreach, Spanish, Marketing, Strategic Planning, Customer Service, Nonprofits, Management, Program Management, Government, Teaching, Training, Proposal Writing, Public Speaking, Research, Community Development, Policy, Recruiting, Event Planning, Business Development, Sales, Time Management, Public Relations
Education
Strayer University 2009 — 2009
MBA
Universidad de Panamá 1988 — 1998
BACHELOR OF SCIENCE, ECONOMICS
Escuela Profesional Isabel Herrera O 1985 — 1987
High School Diploma, Bilingual Accounting
STRAYER UNIVERSITY
MBA, MARKETING; 2011
Anthem November 2014 - Present
Amerigroup Corporation September 2009 - October 2014
HealthNow New York Inc. September 2007 - November 2009
HealthNow Inc May 2005 - September 2007
HealthNow Inc. April 2001 - May 2005
Skills
Pega, Data Warehousing, Business Intelligence, Data Analysis, Business Analysis, Cognos, Analysis, SDLC, Business Intelligence..., Testing, Health Insurance, Software Documentation, Leadership, Process Improvement, Requirements Gathering, Visio, Requirements Analysis, Management, Business Requirements
Education
State University of New York at Buffalo 1994 — 1998
Bachelors, Economics & Psychology
Centene Corporation December 2012 - Present
Bridgeway Health Solutions, a Centene Company March 2006 - December 2012
Centene Corporation December 2003 - March 2006
Amerigroup Corporation August 1997 - December 2003
Skills
Product Development, Medicaid, Medicare, Long-term Care, Managed Care, Utilization Management, Program Management, Healthcare, Healthcare Consulting, Healthcare Industry, Health Insurance, Elder Care, Provider Relations, HMO, Health Policy, Case Managment, EMR, Healthcare Management, Quality Improvement, Pharmacy, Team Building, Leadership, Process Improvement, Pharmacy Benefit..., Medical Compliance, Physicians, Network Development, Accreditation, Disease Management, EHR, Home Care, Informatics, Practice Management, Credentialing, Medicaid Managed Care, Case Management, Medical Billing, Medical Coding, Performance Improvement
Education
University of Illinois at Urbana-Champaign 1973 — 1977
Bachelor of Science (BS), Finance and Financial Management Services
Sacred Heart Health System August 2013 - Present
IMS Expert Services April 2013 - August 2013
HSN July 2012 - April 2013
Vista Equity Partners, Vitera Healthcare Solutions & SumTotal Systems April 2010 - July 2012
Coca-Cola Enterprises June 2009 - April 2010
Amerigroup Corporation February 2008 - February 2009
USF December 2005 - February 2008
Granite Services March 2005 - December 2005
University of Florida June 2002 - March 2005
Skills
Employee Relations, Cold Calling, Applicant Tracking..., Talent Acquisition, Technical Recruiting, SaaS, Talent Management, Recruiting, Organizational..., Salesforce.com, Onboarding, Screening Resumes, Leadership Development, Coaching, Benefits Administration, Career Development, Screening, Employee Benefits, Performance Management, Employee Engagement, Career Counseling, Deferred Compensation, Workforce Planning, New Hire Orientations, Payroll, Vendor Management, Resume Writing, Human Resources, Succession Planning, HR Consulting, Internet Recruiting, Performance Appraisal, Contract Recruitment, Personnel Management, Executive Search, Sourcing, Management, Temporary Placement, HRIS, Employee Training, Benefits Negotiation, Staffing Services, HR Policies, College Recruiting, Permanent Placement, Recruitment Advertising, Taleo, Interviews, Training, Temporary Staffing
Education
University of Florida 1999 — 2002
Bachelor's degree, Human Resources Development
Amerigroup Corporation January 2011 - Present
Amerigroup Corporation May 2005 - January 2011
CMSS Architects PC September 2000 - April 2005
Cardinal Office Systems March 1998 - August 2000
Skills
Construction Management, Furniture, SketchUp, Space-planning, Interior Design, Submittals, Space planning, Budgets, Project Management, Project Coordination, Corporate Real Estate, Architectural Design, Facilities Management, Interior Architecture, Design Research, AutoCAD, Move Management, Contract Negotiation, Location Intelligence, Renovation, Real Estate Development, Construction, LEED, Leases, Sustainability, Space Planning, Contract Management
Education
University of Kentucky 1994 — 1999
BA, Interior Design
Anthem, Inc. July 2013 - Present
Amerigroup Corporation January 2008 - July 2013
National Underground Railroad Freedom Center November 2004 - February 2007
Anthem August 1997 - June 2004
Anthem March 1996 - August 1997
Education
University of Cincinnati 1989 — 2000
AMERIGROUP Corporation March 2015 - Present
Skills
Healthcare Information..., Process Improvement, Visio, Business Analysis, SDLC, Requirements Gathering, Requirements Analysis, Business Requirements, Project Management, Business Process, Analysis, Integration, Software Implementation, Systems Analysis, Software Project..., Program Management, Healthcare, Software Documentation, Medicaid, SharePoint, Managed Care, Leadership, Management, HIPAA
Education
University of Massachusetts Dartmouth 1986 — 1990
Anthem, Inc. July 2015 - Present
Anthem, Inc. June 2012 - July 2015
Amerigroup Corporation May 2009 - June 2012
Aetna March 2007 - May 2009
State of Maryland 2006 - 2007
Allstate 2002 - 2006
Skills
Medicaid, Healthcare Management, Insurance, Auditing, Data Analysis, Healthcare, Fraud, Managed Care, Medical Compliance, Medicaid Managed Care, Process Improvement, Analysis, Claim Investigation, Training, Leadership, Outlook, Team Building, Microsoft Excel, PowerPoint, Public Speaking
Education
Saint Joseph's University 2008 — 2013
Master of Science (M.S.), Healthcare Administration, 3.9
Towson University 1996 — 2000
Bachelor of Science (B.S.), Criminal Justice and Corrections
WellPoint January 2014 - Present
Amerigroup Corporation June 2012 - Present
Sentara February 2010 - April 2012
SENTARA CORPORATION April 2002 - April 2012
Sentara Healthcare April 2002 - February 2010
Optima Health April 2002 - February 2010
BON SECOURS OF HAMPTON ROADS - MARYVIEW MEDICAL CENTER November 2001 - April 2002
Decision Support/ Patient Financial Services March 2000 - October 2001
New Hanover Regional Medical Center September 1992 - October 2001
NEW HANOVER HEALTH NETWORK January 1994 - January 2001
Skills
Project Management, Healthcare Information..., Hospitals, Budgets, Management, Analysis, Training, Team Building, Strategic Planning
Education
Pega Academy 2012 — 2012
Business Architect Essentials
University of North Carolina at Wilmington 1989 — 1993
Bachelor of Science (BS), Finance, General
University of North Carolina at Wilmington 1989 — 1992
BACHELOR OF SCIENCE, FINANCE
Amerigroup Corporation March 2012 - Present
Amerigroup Corporation January 2007 - March 2012
Circuit City August 2006 - December 2006
Strategic Staffing Solutions March 2004 - August 2006
Xperts, Inc. 2002 - 2003
Hall Kinion 1998 - 2001
Ablest Staffing November 1995 - May 1998
CES Security December 1993 - October 1995
Skills
Contract Negotiation, Staffing Services, Technical Recruiting, Full-cycle Recruiting, Talent Acquisition, Social Networking, SDLC, Training, Sourcing, Recruiting, Healthcare, Interviews, Process Improvement, Vendor Management, Applicant Tracking..., Employee Benefits, Human Resources, Internet Recruiting, Screening Resumes, Account Management, Cold Calling, Employee Relations, Program Management, Consulting, Screening, Coaching, Project Management, College Recruiting, Talent Management, Change Management, Executive Search, Business Analysis, Management, Benefits Negotiation, Information Technology, CRM, Temporary Placement, Temporary Staffing, Hiring, Contract Recruitment, Onboarding, Leadership, Performance Management, PeopleSoft, HRIS, Employee Training, Benefits Administration, Resource Management, Resume Writing, Staff Augmentation
Education
Towson University 1987 — 1991
Bachelors, Education
WellCare Health Plans 2010 - Present
Amerigroup Corporation April 2006 - 2008
Beth Abraham Family of Health Services 2005 - 2006
Skills
HIPAA, Healthcare, Healthcare Management, Healthcare Information..., Medicaid, Medicare, Hospitals, Managed Care, Medical Terminology, EMR, Nursing, Home Care, Healthcare Industry, Utilization Management, Disease Management, Provider Relations, Health Policy, Long-term Care, Health Insurance, HEDIS, ICD-9, Medicaid Managed Care, NCQA, Case Management, Quality Improvement, Health Education
Education
Troy State University 1990 — 1992
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
Amerigroup Corporation November 2011 - March 2012
Tre Metis Corporation 2008 - December 2011
Foundational Health Centers July 2011 - September 2011
Florida Healthcare Plus, Inc June 2011 - August 2011
Citrus Health Care 2008 - 2010
Physicians United Plan November 2005 - June 2008
RECC Holdings 2007 - 2008
CareOne Health Plans 2005 - 2005
WellCare 1998 - 2005
WellCare 1998 - 2005
Skills
Regulatory Affairs, Medicare, Managed Care, Physician Network..., Medicaid, Contract Negotiation, IPAs, Ancillary Services, Provider Relations, Microsoft Word, Microsoft Excel, Outlook, Provider Network..., PowerPoint, MSOs, Long-term Care, PPO, HMO, Privacy Law, Training, Healthcare Industry, Management, Insurance, HIPAA, Leadership, Network Development, Healthcare, Healthcare Consulting, Healthcare Management, Health Insurance, Executive Management, Physicians, Healthcare Information..., Hospitals, Revenue Cycle, Policy, Employee Benefits, Health Policy, Provider Contracting, Compliance, Long Term Care, Privacy, Notary Public, Government Liaison, Utilization Management, Claim, Program Management, Medicare Part D, Disease Management, Physician Relations
Education
Troy University
Hillsborough Community College
Associate of Arts (A.A.)
Amerigroup Corporation 2003 - 2006
Skills
Utilization Management, Case Management, Nursing, Medicaid, Managed Care, Disease Management, Clinical, Hospitals, Medical Management
Education
University of Arizona
Kaiser Permanente October 2012 - Present
Delmarva Foundation February 2011 - September 2012
Navigant November 2009 - January 2011
Amerigroup Corporation June 2009 - November 2009
UnitedHealth Group April 2008 - April 2009
Schaller Anderson, Maryland Physicians care September 2004 - April 2008
Howard County General Hospital January 2000 - January 2003
FPA Medical Management, Inc January 1997 - January 1999
R.N January 1994 - January 1996
Skills
Case Managment, Case Management, Healthcare, Hospitals, Clinical Research, Epic Systems, Healthcare Management, Home Care, Customer Service, Inpatient, Medicaid, Nursing, Medicare
Education
Tuskegee University 1979 — 1986
BSN, Nursing
Humana 2006 - Present
Amerigroup Corporation 2002 - 2006
Aetna Health Plans 1999 - 2002
Prudential Insurance 1992 - 1999
Education
Landmark Education 2002 — 2010
University of Houston 1990 — 1992
Bachlor, Finance
WellPoint April 2012 - Present
Anthem June 2007 - Present
Amerigroup Corporation June 2007 - March 2012
Harris Connect March 2005 - June 2007
Skills
Medicaid Managed Care, HTML 5, Social Media, SharePoint, Writing, Outlook, Web Content Management, Data Analysis, User Experience, Content Management, SharePoint Designer, Editing
Education
Mary Washington College 1986 — 1990
Bachelor of Arts (B.A.), Creative Writing
University of Mary Washington 1986 — 1990
Bachelor of Arts (B.A.), English
Health Data Specialists, LLC Case Mangement Review NurseIMXNovember 2008 - Present
Amerigroup Corporation 2008 - 2010
Education
Triton-College
Blue Cross Blue Shield of Michigan January 2015 - Present
BCBSNC September 2013 - Present
Blue Cross Blue Shield of North Carolina March 2009 - June 2013
BCBSNC March 2009 - June 2013
Amerigroup Corporation February 2007 - March 2009
Skills
Medicare, Health Insurance, Insurance, Managed Care, Provider Relations, Employee Benefits, Sales Operations, Health Savings Accounts
Education
University of Michigan-Flint 1984 — 1986
Health/Health Care Administration/Management
Williams Baptist College 1975 — 1977
Business Administration and Management, General
Anthem, Inc. April 2013 - Present
Amerigroup Corporation July 2011 - March 2013
Celerity March 2011 - July 2011
Advanced Health Media November 2009 - February 2011
Ford Motor Credit Company August 2003 - June 2009
Skills
Project Management, Business Analysis, Business Development, SDLC, Requirements Analysis, SQL, Visio, Management, Microsoft SQL Server, Software Project..., Agile Methodologies, Requirements Gathering, Business Intelligence, Software Development, Vendor Management, Process Improvement, Integration, SharePoint, Enterprise Architecture, Program Management, PMP, Business Process..., Databases, IT Strategy
Education
University of Illinois at Urbana-Champaign 1999 — 2003
Bachelor of Science, Computer Science
Crystal Palate August 2013 - Present
Consultant August 2012 - Present
Amerigroup Corporation May 2011 - August 2012
Office of U.S. Representative Scott Rigell January 2011 - April 2011
Rigell for Congress September 2010 - December 2010
McKenna Long & Aldridge LLP February 2010 - September 2010
McDonnell for Governor May 2009 - January 2010
WVIR-TV May 2006 - May 2009
WMBB 2004 - 2006
WESH TV 2001 - 2004
Skills
Media Relations, Public Relations, Social Media, Editing, Press Releases, Strategic Communications, Journalism, Crisis Communications, Public Policy, Fundraising, Public Speaking, Nonprofits, Blogging, Corporate Communications, Politics
Education
Court of Master Sommeliers
Certified Sommelier
University of Central Florida
B.A.
Wine & Spirit Education Trust
Advanced
Cyber Resource Group October 2008 - Present
Amerigroup Corporation May 2007 - October 2008
ObjectWin Technology, Inc. October 2006 - May 2007
Cognizant Technology Solutions 2001 - 2006
Skills
Microsoft SQL Server, Oracle SQL, C#, VB.NET, SSIS, SSRS, Crystal Reports, Tidal Enterprise..., Informatica, EDI, ICD-9, ICD-10, Healthcare, Healthcare Information..., Sybase, Java, XML, XSD, XSLT, COBOL, JCL, SAS, VSS, MS Project, Requirements Analysis, SQL, SDLC, Requirements Gathering, Oracle, PL/SQL, SOA, ETL
Education
University of Madras 1997 — 2001
B.E, Instrumentation and Control Engg
WellPoint April 2013 - Present
Amerigroup Corporation December 2011 - April 2013
Amerigroup Corporation April 2006 - December 2011
Skills
Medical Coding
Education
University of Florida 2012 — 2014
Master's degree, Pharmacoeconomics - Completed Summer 2014
University of Houston
Bachelor of Science (B.S.), Pharmacy
L-3 Integrated Systems Group June 2015 - Present
L-3 Integrated Systems Group January 2013 - June 2015
L-3 Integrated Systems Group April 2012 - January 2013
BAE Systems May 2010 - May 2012
Consultant 2000 - 2010
BlueCross BlueShield of Tennessee May 2008 - November 2009
Amerigroup Corporation 2007 - 2008
CIGNA Government Services 2005 - 2005
CPAmerica International 1999 - 2005
Skills
Government Contracting, Proposal Writing, Defense, Healthcare, Government, DoD, Army, Earned Value Management, Process Improvement, Analysis, Business Development, Security Clearance, Project Planning, Military, Aerospace, Systems Engineering
Education
University of Florida 1995 — 1999
English, Technical Writing
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
WellCare November 2007 - February 2009
Amerigroup Corporation July 2005 - October 2007
GENEX Services, Inc. July 2002 - June 2005
Sheakley Unicomp February 2001 - May 2002
UnitedHealth Group March 1993 - April 2000
Education
University of Cincinnati College of Business
Business/Marketing
Clemson University October 2013 - Present
Itechture LLC August 2012 - Present
Wake Forest University October 2011 - May 2013
ERP Analysts July 2008 - December 2012
Navy Federal Credit Union October 2011 - March 2012
Amerigroup Corporation March 2011 - September 2011
MBTA April 2010 - April 2011
MBTA January 2010 - April 2010
Agrex, Inc. May 2009 - March 2010
Salem State College June 2008 - February 2009
Skills
PeopleSoft, ERP, Requirements Gathering, Oracle Applications, Business Analysis, Business Intelligence, Business Process, Oracle E-Business Suite, PeopleTools, SQR, Integration, Performance Tuning, Requirements Analysis, Technical Recruiting, Crystal Reports, Oracle, CRM, HRIS, SQL, Benefits Negotiation, Production Support, PeopleCode, PL/SQL, DB2, XML Publisher, Systems Analysis
Education
University of Madras 1998 — 2002
B.E, Computer Science Engineering, Computer Science Engineering
Oracle University
PeopleSoft General Ledger, Account Payable, Purchasing, Billing, Account Receivable
Amerigroup Corporation May 2010 - Present
American Eldercare, Inc. 2007 - 2010
Skills
Case Managment, Home Care, Medicare, Behavioral Health, Care Planning, Healthcare, Social Services, Medicaid, Elder Care, Gerontology, Utilization Management, Medical Social Work, Crisis Intervention, Mental Health, Long-term Care, Nursing, Hospitals, Community Outreach, Healthcare Management, Patient Advocacy, Alzheimer's disease, Disease Management, Managed Care, Case Management, Treatment, Quality Improvement, Palliative Care, Alzheimer's Disease
Education
University of Illinois at Urbana-Champaign
BA, Psychology
Amerigroup Corporation February 2006 - Present
Amerigroup Corporation October 2009 - June 2011
COVENTRY HEALTHCARE OF GEORGIA June 2005 - February 2006
CIGNA HEALTHCARE OF GEORGIA January 1999 - January 2003
Skills
Provider Relations, Network Development, Provider Contracting, Credentialing, Medicaid, Managed Care, Healthcare Management, Claims, Medicare, Healthcare, Health Insurance
Education
University of Phoenix 2003 — 2007
Healthcare
University of Phoenix
University of Phoenix
WellCare Health Plans May 2013 - Present
JSA Healthcare Corporation April 2012 - July 2012
Beacom Health Solutions October 2010 - April 2012
Citrus Health Care August 2008 - June 2011
Amerigroup Corporation November 2006 - July 2007
Hillsborough County Health Department January 2004 - November 2006
Skills
Medicare, HIPAA, Health Insurance, Claim, Medicaid, Insurance, Quality Assurance, Healthcare, Claims Management, Employee Benefits, Invoicing, Access, Call Center, Microsoft Office, Microsoft Excel, PowerPoint, Visio, Ika, Facets, Health Trio, Care, Wages, Fiscally Responsible, Business Service..., Business Development, Commercial Insurance, Commercial Management, Auditing, Accounting, Qnext, Trizetto Healthcare..., Accounts Receivable, Accounts Payable, Claim Investigation, Claims Resolution, Corporate Fraud..., Claims Handling, Budget, Operations Management, Managed Care, Provider Relations, HMO, Training, Healthcare Industry, Credentialing, Medicare Part D, Medicaid Managed Care, Medical Coding, Policy, Network Development
Education
Universidad del Turabo 2010 — 2015
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Antilles Scholl of Technical Careers 1987 — 1989
Asociate, Pharmacy Technician
San Juan City College 1984 — 1987
Asociate, Electronic Engineering Technician
TriZetto Corporation July 2013 - Present
TriZetto Corporation January 2012 - Present
Medical Data Express, LLC January 2008 - December 2011
Amerigroup Corporation May 2005 - December 2007
Wellpoint Anthem October 2003 - May 2005
WellPoint 1999 - 2003
WellPoint December 1989 - June 1998
Skills
Healthcare Information...
Education
University of Cincinnati-Raymond Walters College 1990 — 1998
Associates of Applied Business, Computer Support Technology
Health First / Neighborhood Health Providers August 2011 - July 2013
Amerigroup Corporation January 2004 - February 2009
Amerigroup Corporation January 2001 - February 2009
CarePlus Health Plan 2001 - January 2004
Empire Club 1999 - January 2001
Skills
Strategic Planning, Team Building, Health Insurance, Medicaid, Leadership, Insurance, Marketing, Healthcare Industry, Public Relations, Management, Long-term Care, Customer Service, Process Improvement, HIPAA, Executive Management, Public Speaking, Microsoft Word, Health Policy, Network Development, Business Development, Sales Presentations, Training, Sales, Nonprofits, Account Management, Marketing Communications, Healthcare Consulting, Recruiting, Provider Relations, Coaching, Sales Management, Customer Retention, Budgets, Employee Relations, Program Development, Data Analysis, Supervisory Skills, Leadership Development, Applicant Tracking...
Education
Universidad Autónoma de Santo Domingo 1981 — 1984
Economics, Economics
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
Anthem July 2013 - March 2015
Amerigroup Corporation March 2011 - July 2013
STOP AIDS 2008 - March 2011
Little Company of Mary San Pedro 2006 - 2007
TriHealth 2001 - 2006
Skills
Nursing, Social Work, Management, Case Management Services, Behavioral Health, Geriatric Nursing, Psychiatric Nursing, Medicaid
Education
GHS
University of Cincinnati
Master of Social Work (MSW), Social Work
University of Cincinnati
Bachelor of Arts (B.A.), psychology
Wright State University
BSN, Registered Nursing/Registered Nurse
Anthem July 2013 - Present
Amerigroup Corporation July 2011 - July 2013
Maersk Line 2006 - 2008
PricewaterhouseCoopers 2005 - 2006
Educational Testing Service (ETS) 2004 - 2005
The New York Times 2000 - 2004
Skills
PeopleSoft, HRIS, PeopleTools, SQR, SDLC, Business Analysis, ERP, Requirements Gathering, Crystal Reports, Systems Analysis, Software Implementation, Performance Tuning, Documentation, Application Development, Software Development, Software Documentation, Program Management, Process Improvement, Business Process..., SQL, MS Project, Analysis, Vendor Management, SharePoint, Databases, Requirements Analysis, Oracle, PeopleCode, COBOL, Data Conversion, Testing, User Acceptance Testing, Visio, Business Intelligence, Business Process, Integration, Quality Assurance, Financials, PL/SQL, Software Project..., Data Modeling, Microsoft SQL Server, Oracle E-Business Suite, Access, PeopleSoft Financial, Data Warehousing, Payroll, Production Support
Education
University of Maryland College Park 1983 — 1985
Information Services
UnitedHealth Group June 2015 - Present
Park Slope Center for Mental Health December 2014 - March 2015
VNSNY July 2013 - November 2013
Amerigroup Corporation July 2009 - July 2013
New York-Presbyterian Community Health Plan November 2005 - July 2009
Skills
Quality Management, Medicaid, Medicare, Healthcare Management, Managed Care, HIPAA, Healthcare, Healthcare Information..., Healthcare Consulting, Healthcare Industry, Hospitals, EMR, Health Policy, Revenue Cycle, Health Insurance, Provider Relations, Utilization Management, Home Care, Physician Relations, Microsoft Office, Microsoft Excel, Disease Management, HMO, Informatics, Customer Service
Education
University of Nebraska-Lincoln 2015 — 2019
Master's degree, Social Work
University of Nebraska at Omaha
Master of Social Work (MSW), Social Work
Amerigroup Corporation August 2012 - Present
Amerigroup Corporation August 2012 - Present
Multi-Color Corporation May 2008 - August 2012
Dr. Margie Corney July 2009 - August 2009
Hardees May 2006 - September 2006
Skills
Customer Service, First Aid, Microsoft Excel, Microsoft Office, PowerPoint, Photoshop, Microsoft Word, Team Building, Troubleshooting
Education
Tidewater Community College 2010 — 2011
Registered Nursing
Corinthian College 2008 — 2009
Accredited Diploma, Medical Assistant
Gardner Skelton PLLC August 2013 - Present
Heather Cook Skelton, PA 1999 - Present
Amerigroup Corporation 1996 - 1998
Skills
Healthcare, Managed Care, Contract Negotiation, Compliance, Medicare, Employment Law, Health Law, Health Care Law, HIPAA
Education
Tulane University Law School 1992 — 1995
JD
University of North Carolina at Chapel Hill 1989 — 1992
BS, Business
Amerigroup Corporation November 2010 - Present
Amerigroup Corporation March 2007 - November 2010
Skills
Healthcare Management, Medicaid, Healthcare, Managed Care, Claim, Health Insurance, Healthcare Consulting, Claims Management, HIPAA, Healthcare Industry, HMO, Medicare, Revenue Cycle, Health Policy, EHR, Physician Relations, Medical Compliance
Education
University of Nevada-Reno 1975 — 1996
Bachelor of Business Administration (BBA), Economics
Humana January 2013 - Present
Humana April 2010 - December 2012
TEKsystems January 2009 - April 2010
TekSystems March 2008 - October 2008
Apex Systems May 2006 - March 2008
Humana 2008 - 2008
Catalyst Search October 2005 - April 2006
Amerigroup Corporation 2005 - 2006
Kennedy Covington November 1997 - October 2004
Skills
SharePoint, Information Security, Microsoft SQL Server, Requirements Gathering, Servers, Databases, Business Analysis, Security
Education
University of Louisville
WellPoint March 2012 - Present
Amerigroup Corporation April 2011 - Present
RDI Marketing Services March 2010 - December 2010
Hearing Services LLC January 2009 - March 2010
BCBG Max Azria November 2007 - November 2008
Skills
Microsoft Office, Access, Word, Windows, PowerPoint, Excel, Outlook, Internet Explorer, Flash Media, Visio, SharePoint, Healthcare, Marketing, Project Management, Process Improvement, Team Building, Event Planning, Project Planning, Microsoft Excel, Customer Service, Strategic Planning, Sales, Microsoft Word
Education
University of Cincinnati
Bachelor, Business Administration; Marketing
Amerigroup Corporation January 2005 - Present
Houston Livestock Show and Rodeo 1994 - Present
Education
Aurther B. Ancker Memorial School of Nursing
Diploma, Registered Nurse
University of Houston
M.S. O.E., Training and Development
University of Houston
B.S.Technology, Technical Education
Amerigroup Corporation March 2011 - December 2012
Skills
Data Analysis, Insurance, Statistics, Finance, Spanish, Actuarial Science, Microsoft Excel, Financial Analysis, Financial Modeling, Analysis, Statistical Modeling, Stata
Education
University of Minnesota-Twin Cities 2005 — 2009
Bachelors, Actuarial Science, Finance, Risk Management, Int'l Business
Johns Hopkins HealthCare April 2011 - Present
Amerigroup Corporation April 2006 - April 2011
Skills
Data Analysis, Health Policy, Healthcare Information..., Healthcare, Medicaid, Healthcare Consulting, SAS, Managed Care, Healthcare Management, HIPAA, Healthcare Industry, Medicare, Hospitals, Clinical Research
Education
University of Maryland College Park
Bachelor's of Science, Economics
University of Maryland School of Nursing
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
Amerigroup Corporation March 2011 - Present
Pioneer Behavioral Health December 2008 - July 2010
Sierra Health Services October 2006 - September 2008
Schadler Kramer Group December 2004 - October 2006
Skills
Managed Care, Medicaid, Provider Relations, Healthcare, HIPAA, Health Insurance, Healthcare Industry, Healthcare Consulting
Education
University of Nevada-Las Vegas 1999 — 2003
BA, Communications Studies - Minor, Marketing
XEROX July 2012 - Present
Amerigroup Corporation March 2006 - April 2011
Levenger 2004 - 2006
WOOD GROUP TURBOPOWER 2002 - 2003
STEARNS WEAVER MILLER 2001 - 2002
MOTOROLA/SUNBEAM LATIN January 1999 - January 2001
LT. GOVERNOR OF U.S. VIRGIN ISLANDS, COMMISSIONER OF INSURANCE 1999 - 2001
Skills
Accounting, Forecasting, Budgets, Process Improvement, Financial Reporting, Leadership, Finance, General Ledger
Education
University of Maryland University College 2009 — 2011
Phd, Management
St. Thomas, Virgin Islands
Bachelor of Arts, Accounting
University of DeVry-Keller Graduate School of Management
M.B.A
University of Maryland, University
PhD; Doctorate, Management
Amerigroup Corporation May 2008 - Present
Health Plus May 2008 - April 2012
Touro College February 2006 - September 2009
Touro College September 2003 - January 2006
Skills
Data Entry, Healthcare, Quality Assurance, PowerPoint, Access, Outlook, Strong written, verbal..., Type 45-50wpm, Microsoft Office, HIPAA, Health Insurance, Managed Care
Education
Touro College 2006 — 2008
Associates, Computer Science
New
2003 Associates, Computer Science
TCG April 2014 - Present
Amerigroup Corporation April 2012 - Present
Genworth Financial June 2011 - April 2012
ACS XEROX Company July 2010 - May 2011
FEI Systems February 2006 - July 2010
Vigna Solutions July 2003 - February 2006
Skills
ASP.NET, C#, WCF, Web Services, SAML 2.0, LINQ, NHibernate, Silverlight, ASP.NET MVC, Microsoft SQL Server, Oracle, SSIS, TFS, Active Reports, Crystal Reports, FACETS Extensions, Design Patterns, IIS, .NET, Agile Methodologies, SDLC, ADO.NET, AJAX
Education
University of North Texas 2000 — 2003
Masters, computer Sciences
DST Systems April 2012 - Present
Mphasis February 2010 - March 2012
Amerigroup Corporation 2009 - 2010
Skills
Data Warehousing, Informatica, ETL, Integration, Data Modeling, Agile Methodologies, SDLC, Oracle, Requirements Analysis, SQL, PL/SQL, Business Intelligence, Analysis, Requirements Gathering, Performance Tuning, DB2, Software Project..., Microsoft SQL Server, Unix, Databases, Shell Scripting, sqoop, Infosphere BigInsights, Hive
Education
University of Houston 2006 — 2008
Masters of Science
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
Amerigroup Corporation
Skills
Nonprofits, Managed Care, Social Services, Utilization Management, Medicaid, Healthcare, Case Management, Nursing, Crisis Intervention, Program Development, Medicare, Disease Management, Home Care, Healthcare Management, Team Building, Case Managment
Education
St Joseph's Hospital School of Nursing 1981 — 1985
Diploma, Registered Nursing/Registered Nurse
University of Illinois at Chicago 1971 — 1974
Liberal Arts and Sciences/Liberal Studies
Hyde Park High School 1967 — 1971
high school
Amerigroup Corporation August 2012 - Present
Education
Virginia State University 1979 — 1983
BS, Management
University of Maryland College Park
MS, Healthcare Administration
Amerigroup Corporation December 2005 - Present
Well Point, Inc December 2005 - Present
Skills
Medicaid Managed Care, Durable Medical...
Education
Union County College
LPN, NURSING
Amerigroup Corporation July 2010 - Present
The Contract Companies October 1997 - October 2007
Education
Towson University 1985 — 1990
BS, Mass Comm & Speech
Baltimore Lutheran High School 1979 — 1985
Diploma, College Prep
Amerigroup Corporation November 2010 - Present
Skills
Medicaid, Provider Relations, Healthcare, HIPAA, Healthcare Information..., Medicare, Managed Care, Healthcare Management, Network Development, HMO, Hospitals, PPO
Education
University of Phoenix 2011 — 2012
Master Health Care Administration
University of Phoenix 2009 — 2010
Master of Science in Nursing
Wayland Baptist University 2006 — 2008
Bachelor of Science in Nursing
Amerigroup Corporation February 2010 - Present
Florida Department of Children and Families January 2006 - February 2010
Boulevard Manor Nursing and Rehab September 2004 - November 2005
Skills
Computers, Excel, Able To Multi-task, Social Services, Case Managment, Medicaid, Crisis Intervention
Education
University of Central Florida 2000 — 2004
Bachelor's degree, Social Work
Amerigroup Corporation January 2007 - Present
WellPoint January 2007 - Present
Texas Medicaid & Healthcare Partnership September 2002 - January 2007
Medical Center of Arlington September 1997 - September 2002
Skills
Healthcare, Treatment, Training, Strategic Planning, Process Improvement, Customer Service, Team Building, Community Outreach, Microsoft Excel, Public Speaking, Leadership
Education
University of Arkansas at Little Rock 1995 — 1997
Associate's degree, Registered Nursing/Registered Nurse
University of Arksansas at Pine Bluff 1990 — 1995
Independent Consultant January 2012 - Present
Amerigroup Corporation October 2006 - August 2011
Maryland General Hospital August 2004 - February 2006
Compass Development, L.L.C. February 2003 - July 2004
Horizon Health December 2001 - January 2003
Sheppard Pratt April 1998 - December 2001
Prince George’s County Health Department December 1987 - November 1997
Skills
Healthcare Operations, Business Development, Strategic Planning, Market Analysis, Development of Strategy, Marketing Strategy, Program Management, Customer Service, Staff Supervision, Medicare, Medicaid, Operations Management, Strategy Implementation, Outreach Services, Community Outreach, Management Consulting, Healthcare Consulting, Strategic Consulting, Development & delivery..., Patient Recruitment
Education
University of Maryland Baltimore County
Bachelor of Arts (B.A.), Psychology
Coventry Health Care July 2010 - Present
Amerigroup Corporation March 2003 - July 2010
Alexian Brothers Health Plan July 1994 - January 2002
Education
University of Denver 1965 — 1969
BSBA, Finance, General
Horace Greeley High School 1961 — 1965
College Prep
Cigna January 2012 - Present
NORTH CYPRESS MEDICAL CENTER January 2007 - December 2011
AMERIGROUP CORPORATION March 2005 - January 2007
CYPRESS FAIRBANKS MEDICAL CENTER, August 2001 - February 2005
CYPRESS FAIRBANKS MEDICAL CENTER October 1998 - August 2001
Skills
Corporate Wellness, Cardiac Rehabilitation, Health Promotion, Customer Centric..., Bilingual Communications, Health Service..., Health Education, Wellness Coaching, Customer Satisfaction, Customer Engagement, Microsoft Office, Microsoft Excel, Microsoft Word, Outlook, Community Outreach, Concur, Operations Management, CPR Certified, Biometric Screenings, Exercise Physiology, Exercise Prescription, Nutrition Education, Weight Loss Coaching, Lync, BLS Instruction, Disease Management, Adult Education
Education
University of New Orleans 1995 — 1998
Master of Education (M.Ed.), Human Performance and Health Promotion-Exercise Physiology
University of Puerto Rico-Rio Piedras 1990 — 1995
Bachelor of Arts (B.A.), Secondary Education and Teaching