Arcadian Health Plan
Industry: Company
DescriptionFounded: 1996 Parent organization: Arcadian Management Services, Inc. Subsidiaries: Southeast Community Care, Humana Regional Health Plan, Inc.
Arcadian Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Arcadian Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Arcadian Health Plan Employees
Employee
Years
Job
Industry
Rebecca Burt McAuliffe Rebecca Burt McAuliffe's Arcadian Health Plan Experience March 2011 - March 2013
Job Project Management and Operations Director at RJC Construction a new Joint Venture
Industry Real Estate
Experience
RJC Construction a new Joint Venture March 2013 - Present
Arcadian Health Plan March 2011 - March 2013
Consulting 2004 - 2011
Creative-i Advertising and Interactive Media 2001 - 2004
iXL 1998 - 2001
Ikonic Interactive/US Web 1997 - 1998
Visible Interactive 1995 - 1997
Skills
Healthcare, Vendor Management, Process Improvement, Business Process..., Cross-functional Team..., Strategic Planning, Project Management, Program Management, Data Analysis, Healthcare Management, Business Analysis, Access, Managed Care, Budgets, Medicare, Team Building, Leadership, E-commerce, Business Process, Management, Sales, Risk Management, Executive Management, Marketing Strategy, Policy
Education
Trinity College-Hartford 1988 — 1992
Bachelor of Arts (BA), Liberal Arts and Sciences, General Studies and Humanities
University of London 1991 — 1991
Menlo Atherton High School
RJC Construction a new Joint Venture March 2013 - Present
Arcadian Health Plan March 2011 - March 2013
Consulting 2004 - 2011
Creative-i Advertising and Interactive Media 2001 - 2004
iXL 1998 - 2001
Ikonic Interactive/US Web 1997 - 1998
Visible Interactive 1995 - 1997
Skills
Healthcare, Vendor Management, Process Improvement, Business Process..., Cross-functional Team..., Strategic Planning, Project Management, Program Management, Data Analysis, Healthcare Management, Business Analysis, Access, Managed Care, Budgets, Medicare, Team Building, Leadership, E-commerce, Business Process, Management, Sales, Risk Management, Executive Management, Marketing Strategy, Policy
Education
Trinity College-Hartford 1988 — 1992
Bachelor of Arts (BA), Liberal Arts and Sciences, General Studies and Humanities
University of London 1991 — 1991
Menlo Atherton High School
Nikki East Nikki East's Arcadian Health Plan Experience August 2011 - February 2012
Job Compliance Manager at CignaHealthSpring
Industry Hospital & Health Care
Experience
Cigna-HealthSpring February 2012 - Present
Arcadian Health Plan August 2011 - February 2012
Arcadian Health Plan November 2010 - August 2011
Arcadian Health Plan June 2008 - November 2010
Arcadian Health Plan October 2007 - June 2008
COPELAND GROUP June 2005 - October 2007
Skills
Team Building, HIPAA, Management, Managed Care, Healthcare Industry, Project Management, Medicare, Medicare Part D, Salesforce.com, Auditing
Education
Kilgore College 2001 — 2003
Sam Houston State University
Cigna-HealthSpring February 2012 - Present
Arcadian Health Plan August 2011 - February 2012
Arcadian Health Plan November 2010 - August 2011
Arcadian Health Plan June 2008 - November 2010
Arcadian Health Plan October 2007 - June 2008
COPELAND GROUP June 2005 - October 2007
Skills
Team Building, HIPAA, Management, Managed Care, Healthcare Industry, Project Management, Medicare, Medicare Part D, Salesforce.com, Auditing
Education
Kilgore College 2001 — 2003
Sam Houston State University
Shawn Cunningham's Arcadian Health Plan Experience April 2011 - August 2011
Job Sales Analyst at Wells Fargo
Industry Financial Services
Experience
Wells Fargo September 2014 - Present
Wells Fargo November 2012 - May 2014
The Disney Store July 2012 - November 2012
Non-Profit School May 2012 - May 2012
Nestle S.A. April 2012 - April 2012
Ca. State Bar November 2011 - February 2012
Arcadian Health Plan April 2011 - August 2011
The Orchestras of Pasadena September 2007 - July 2008
Wells Fargo August 2005 - September 2007
Skills
Tableau, Proactive doer, Microsoft Access, Salesforce.com, Reporting & Analysis, Data Analysis, ArcGIS, Technical Writing, Database Queries, GUI development, SharePoint, Microsoft Excel, Cognos, Microsoft Office, Pivot Tables, Outlook, Visio, GIS, Microsoft Powerpoint, Travel Arrangements, Microsoft Outlook, Geography, Microsoft Visio, Expense Reports, Personnel Management, Personnel Supervision, Report Writing, Workflow Diagrams, Invoicing, Geographic Information..., Cartography, Remote Sensing, ENVI, Microsoft Publisher, Business Analysis, Quality Auditing, Expense Management, Access, Databases, Analysis, Business Intelligence, Data Management
Education
UCLA 2008 — 2010
Bachelor of Arts (B.A.), Geography and Geospatial Information Systems and Technologies
Pasadena City College 2001 — 2004
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Wells Fargo September 2014 - Present
Wells Fargo November 2012 - May 2014
The Disney Store July 2012 - November 2012
Non-Profit School May 2012 - May 2012
Nestle S.A. April 2012 - April 2012
Ca. State Bar November 2011 - February 2012
Arcadian Health Plan April 2011 - August 2011
The Orchestras of Pasadena September 2007 - July 2008
Wells Fargo August 2005 - September 2007
Skills
Tableau, Proactive doer, Microsoft Access, Salesforce.com, Reporting & Analysis, Data Analysis, ArcGIS, Technical Writing, Database Queries, GUI development, SharePoint, Microsoft Excel, Cognos, Microsoft Office, Pivot Tables, Outlook, Visio, GIS, Microsoft Powerpoint, Travel Arrangements, Microsoft Outlook, Geography, Microsoft Visio, Expense Reports, Personnel Management, Personnel Supervision, Report Writing, Workflow Diagrams, Invoicing, Geographic Information..., Cartography, Remote Sensing, ENVI, Microsoft Publisher, Business Analysis, Quality Auditing, Expense Management, Access, Databases, Analysis, Business Intelligence, Data Management
Education
UCLA 2008 — 2010
Bachelor of Arts (B.A.), Geography and Geospatial Information Systems and Technologies
Pasadena City College 2001 — 2004
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Julio Felix Julio Felix's Arcadian Health Plan Experience October 2007 - December 2012
Job PROVIDER RELATIONS REPRESENTATIVE at MCCI MEDICAL GROUP
Industry Hospital & Health Care
Experience
MCCI MEDICAL GROUP March 2013 - Present
Arcadian Health Plan October 2007 - December 2012
Neighborhood Health Providers March 2005 - October 2007
TOUCH STONE INC December 2004 - March 2005
WELLCARE HEALTH PLAN May 2004 - December 2004
EXIT REALTY NOW February 2003 - May 2004
AMERICHOICE INC December 2001 - February 2003
HEALTH FIRST HEALTH PLAN January 2000 - December 2001
Skills
Proficient at Microsoft..., Managed Care, Medicare, Medicaid, Provider Relations, Healthcare Management, Healthcare, HIPAA, Network Development, Hospitals, Utilization Management, Healthcare Information..., Credentialing, Physician Relations, Health Policy, HMO, Medicare Part D, Healthcare Industry, Healthcare Consulting, Health Insurance
Education
Laguardia Community College 1984 — 1986
Associate's degree, Business Administration and Management, General
MCCI MEDICAL GROUP March 2013 - Present
Arcadian Health Plan October 2007 - December 2012
Neighborhood Health Providers March 2005 - October 2007
TOUCH STONE INC December 2004 - March 2005
WELLCARE HEALTH PLAN May 2004 - December 2004
EXIT REALTY NOW February 2003 - May 2004
AMERICHOICE INC December 2001 - February 2003
HEALTH FIRST HEALTH PLAN January 2000 - December 2001
Skills
Proficient at Microsoft..., Managed Care, Medicare, Medicaid, Provider Relations, Healthcare Management, Healthcare, HIPAA, Network Development, Hospitals, Utilization Management, Healthcare Information..., Credentialing, Physician Relations, Health Policy, HMO, Medicare Part D, Healthcare Industry, Healthcare Consulting, Health Insurance
Education
Laguardia Community College 1984 — 1986
Associate's degree, Business Administration and Management, General
Khadine Kelly Khadine Kelly's Arcadian Health Plan Experience January 2009 - July 2011
Job Medical Informatics Reporting Analyst at AltaMed Health Services
Industry Hospital & Health Care
Experience
AltaMed Health Services July 2011 - Present
Arcadian Health Plan January 2009 - July 2011
Skills
Healthcare Information..., Health Policy, Healthcare Consulting, HIPAA, Healthcare Industry, Medicaid, Healthcare Management, Financial Modeling, Access, SSIS, VBA, Analysis, Financial Analysis, Microsoft SQL Server, SSRS
Education
Florida Atlantic University 2006 — 2008
Bachelor of Arts (B.A.), Sociolgy
AltaMed Health Services July 2011 - Present
Arcadian Health Plan January 2009 - July 2011
Skills
Healthcare Information..., Health Policy, Healthcare Consulting, HIPAA, Healthcare Industry, Medicaid, Healthcare Management, Financial Modeling, Access, SSIS, VBA, Analysis, Financial Analysis, Microsoft SQL Server, SSRS
Education
Florida Atlantic University 2006 — 2008
Bachelor of Arts (B.A.), Sociolgy
Oliver Kris Lattimore Oliver Kris Lattimore's Arcadian Health Plan Experience January 2005 - June 2007
Job Washington Health Benefit Exchange/ Agent Broker Manager
Industry Insurance
Experience
Washington State Health Benefit Exchange February 2013 - Present
Untied States Army Reserve July 2011 - July 2013
Essence Healthcare August 2008 - January 2013
Community Health Plan of Wa June 2007 - July 2008
Arcadian Health Plan January 2005 - June 2007
Skills
Program Management, Army, Leadership, Operational Planning, Healthcare, Command, Team Building, Managed Care, Military Operations, Health Insurance, Military, Security Clearance, National Security, Afghanistan, Military Experience, Intelligence Analysis, Counterinsurgency, Force Protection, Defense, Interagency Coordination, Top Secret, Intelligence, Counterterrorism, Health Insurance..., Military Training, Tactics
Education
Eastern Washington University 1981 — 1985
B.A., History
Washington State Health Benefit Exchange February 2013 - Present
Untied States Army Reserve July 2011 - July 2013
Essence Healthcare August 2008 - January 2013
Community Health Plan of Wa June 2007 - July 2008
Arcadian Health Plan January 2005 - June 2007
Skills
Program Management, Army, Leadership, Operational Planning, Healthcare, Command, Team Building, Managed Care, Military Operations, Health Insurance, Military, Security Clearance, National Security, Afghanistan, Military Experience, Intelligence Analysis, Counterinsurgency, Force Protection, Defense, Interagency Coordination, Top Secret, Intelligence, Counterterrorism, Health Insurance..., Military Training, Tactics
Education
Eastern Washington University 1981 — 1985
B.A., History
Doug MacKay Doug MacKay's Arcadian Health Plan Experience January 2009 - December 2009
Job Analyst/Programmer Hoag Hospital Clinical Data/Insurance/CMS (CDC)NHSN Compliances/Meaningful Use **dmk1gor@gmail.com
Industry Information Technology and Services
Experience
Hoag Hospital September 2015 - Present
Hoag Hospital January 2010 - Present
Hoag Memorial Hospital January 2010 - Present
Hoag Memorial Hospital Presbyterian January 2010 - Present
Arcadian Health Plan January 2009 - December 2009
Skills
Crystal Reports, Oracle SQL, C#, Excel VBA, Access, Intersystems Cache, IBM DB2, SQL 2005/2008, Crystal Enterprise XI, SSIS, SSAS, SSRS, TSQL Expert, PL/SQL, Allscripts Sunrise..., Amelior ED Manager, T-SQL, SQL, Sunrise Clinical Manager, Centralized Patient..., SQL 2012, Java, EMR, Microsoft SQL Server, Integration, Healthcare Information..., Visual Studio, EHR, HL7, Oracle SQL Developer, VBA
Education
Azusa Pacific University 1995 — 1997
BS CIS, Information Data
Fullerton College A.S
Associate of Arts and Sciences (A.A.S.), Electrical and Electronics Engineering
University of California, Irvine 2012 — 2013
UC Irvine Business Intelligence and Data Warehouse certificate, Business Intelligence and Data Warehouse
Hoag Hospital September 2015 - Present
Hoag Hospital January 2010 - Present
Hoag Memorial Hospital January 2010 - Present
Hoag Memorial Hospital Presbyterian January 2010 - Present
Arcadian Health Plan January 2009 - December 2009
Skills
Crystal Reports, Oracle SQL, C#, Excel VBA, Access, Intersystems Cache, IBM DB2, SQL 2005/2008, Crystal Enterprise XI, SSIS, SSAS, SSRS, TSQL Expert, PL/SQL, Allscripts Sunrise..., Amelior ED Manager, T-SQL, SQL, Sunrise Clinical Manager, Centralized Patient..., SQL 2012, Java, EMR, Microsoft SQL Server, Integration, Healthcare Information..., Visual Studio, EHR, HL7, Oracle SQL Developer, VBA
Education
Azusa Pacific University 1995 — 1997
BS CIS, Information Data
Fullerton College A.S
Associate of Arts and Sciences (A.A.S.), Electrical and Electronics Engineering
University of California, Irvine 2012 — 2013
UC Irvine Business Intelligence and Data Warehouse certificate, Business Intelligence and Data Warehouse
Steven Mesita's Arcadian Health Plan Experience August 2009 - October 2009
Job Ayana Retail
Industry Real Estate
Experience
Ayana Retail August 2013 - Present
Saint Mary's College of California East Bay Alumni Chapter February 2012 - Present
Main Street Property Services, Inc. February 2010 - August 2013
Arcadian Health Plan August 2009 - October 2009
Wells Fargo Bank June 2008 - August 2008
United Mortgage and Realty January 2007 - August 2007
Wells Fargo Bank February 2005 - May 2006
The Athlete's Foot July 2003 - March 2005
Skills
Merchandising, Consulting, Redevelopment, Real Estate, Retail, Real Estate Development, Negotiation, Business Development, Investments, Budgets, Sales, Strategic Planning, Contract Negotiation, Marketing, Market Research, Management, Social Media Marketing, Start-ups, Trade Shows
Education
Saint Mary's College of California 2007 — 2009
B.S, Business Administration
St. Mary's College of California 2007 — 2009
bs, Business/Commerce, General
Ayana Retail August 2013 - Present
Saint Mary's College of California East Bay Alumni Chapter February 2012 - Present
Main Street Property Services, Inc. February 2010 - August 2013
Arcadian Health Plan August 2009 - October 2009
Wells Fargo Bank June 2008 - August 2008
United Mortgage and Realty January 2007 - August 2007
Wells Fargo Bank February 2005 - May 2006
The Athlete's Foot July 2003 - March 2005
Skills
Merchandising, Consulting, Redevelopment, Real Estate, Retail, Real Estate Development, Negotiation, Business Development, Investments, Budgets, Sales, Strategic Planning, Contract Negotiation, Marketing, Market Research, Management, Social Media Marketing, Start-ups, Trade Shows
Education
Saint Mary's College of California 2007 — 2009
B.S, Business Administration
St. Mary's College of California 2007 — 2009
bs, Business/Commerce, General
Beatrice Solano Beatrice Solano's Arcadian Health Plan Experience 2007 - 2012
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Arcadian Health Plan 2007 - 2012
Michaels Arts & Crafts June 1995 - October 2007
Skills
•Effective staff coach, •Talented interviewer, •Strategic planning..., •Planning and..., •Analytical thinker, •Accomplished leader
Education
El Paso Community College 2007 — 2010
Business Administration and Management, General
Arcadian Health Plan 2007 - 2012
Michaels Arts & Crafts June 1995 - October 2007
Skills
•Effective staff coach, •Talented interviewer, •Strategic planning..., •Planning and..., •Analytical thinker, •Accomplished leader
Education
El Paso Community College 2007 — 2010
Business Administration and Management, General
Lorenza Aquino Lorenza Aquino's Arcadian Health Plan Experience March 2007 - Present
Job Revenue Recovery Supervisor at Humana/Arcadian Health Plan
Industry Hospital & Health Care
Experience
Arcadian Health Plan March 2007 - Present
Arcadian Management Services 2003 - 2007
Manila Water Company, Incorporated 2000 - 2003
Skills
Auditing, Bookkeeping, Peachtree Accounting, Crystal Reports, EZCAP, SAP, Microsoft Excel, Microsoft Word, Access, Data Analysis, Health Policy, Hospitals, Cross-functional Team..., Financial Analysis, Claim
Education
University of the East
BS in Business Administration-Major in Accounting
Manuel L. Quezon University
BS in Commerce-Major in Banking & Finance
Arcadian Health Plan March 2007 - Present
Arcadian Management Services 2003 - 2007
Manila Water Company, Incorporated 2000 - 2003
Skills
Auditing, Bookkeeping, Peachtree Accounting, Crystal Reports, EZCAP, SAP, Microsoft Excel, Microsoft Word, Access, Data Analysis, Health Policy, Hospitals, Cross-functional Team..., Financial Analysis, Claim
Education
University of the East
BS in Business Administration-Major in Accounting
Manuel L. Quezon University
BS in Commerce-Major in Banking & Finance
Hope Sevin Hope Sevin's Arcadian Health Plan Experience December 2008 - October 2009
Job Independent Life and Health Insurance Agent
Industry Insurance
Experience
National Association Management Group, LLC May 2012 - March 2014
ARS Planning and Advisory Services December 2009 - May 2012
Arcadian Health Plan December 2008 - October 2009
Kaiser Permanente IT April 2005 - June 2008
Kaiser Foundation Health Plan September 1999 - April 2005
Skills
Strategic Planning, Managed Care, Healthcare, Team Building, Account Management, Sales, Data Analysis, HIPAA, Medicare, Microsoft Office, Outlook, Public Speaking, New Business Development, Microsoft Excel, Financial Services, Customer Service, Benefit Cost Analysis, Epic Systems, EMR Training, Consulting, Learning Management..., Web-based Software..., Health Insurance, Life Insurance, EHR, Healthcare Information..., EMR, Training, Trade Show Exhibitor, Release of Information, Operating Budgets, Event Management, Healthcare Consulting, Management, Insurance, Event Planning, Budgets
Education
Kennesaw State University 1997 — 2003
Early Childhood Education and Teaching
National Association Management Group, LLC May 2012 - March 2014
ARS Planning and Advisory Services December 2009 - May 2012
Arcadian Health Plan December 2008 - October 2009
Kaiser Permanente IT April 2005 - June 2008
Kaiser Foundation Health Plan September 1999 - April 2005
Skills
Strategic Planning, Managed Care, Healthcare, Team Building, Account Management, Sales, Data Analysis, HIPAA, Medicare, Microsoft Office, Outlook, Public Speaking, New Business Development, Microsoft Excel, Financial Services, Customer Service, Benefit Cost Analysis, Epic Systems, EMR Training, Consulting, Learning Management..., Web-based Software..., Health Insurance, Life Insurance, EHR, Healthcare Information..., EMR, Training, Trade Show Exhibitor, Release of Information, Operating Budgets, Event Management, Healthcare Consulting, Management, Insurance, Event Planning, Budgets
Education
Kennesaw State University 1997 — 2003
Early Childhood Education and Teaching
Austin J. Williams II's Arcadian Health Plan Experience June 2010 - August 2011
Job Systems Engineer at Parsons
Industry Information Technology and Services
Experience
Parsons August 2011 - Present
Arcadian Health Plan June 2010 - August 2011
Arcadian Management Services January 2008 - June 2010
Murrieta Sound & Picture Company/Mark Audio Video January 2002 - December 2008
Pizza Factory January 2005 - April 2008
Skills
Active Directory, Microsoft Exchange, Windows Server, Project Management, Software Documentation, Visio, Security, Troubleshooting, Networking, Leadership, Software Development, Telecommunications, Network Administration, Management, Training, Windows, Strategy, Access, IT Management, Vendor Management, Disaster Recovery, Customer Service, ITIL, Process Improvement, Windows 7, Integration, Technical Support, Software Installation
Education
Azusa Pacific University 2010 — 2012
Bachelor, Management of Information Systems
ITT Technical Institute 2006 — 2007
Associate Degree, Information Technology - Computer Networking Systems
Parsons August 2011 - Present
Arcadian Health Plan June 2010 - August 2011
Arcadian Management Services January 2008 - June 2010
Murrieta Sound & Picture Company/Mark Audio Video January 2002 - December 2008
Pizza Factory January 2005 - April 2008
Skills
Active Directory, Microsoft Exchange, Windows Server, Project Management, Software Documentation, Visio, Security, Troubleshooting, Networking, Leadership, Software Development, Telecommunications, Network Administration, Management, Training, Windows, Strategy, Access, IT Management, Vendor Management, Disaster Recovery, Customer Service, ITIL, Process Improvement, Windows 7, Integration, Technical Support, Software Installation
Education
Azusa Pacific University 2010 — 2012
Bachelor, Management of Information Systems
ITT Technical Institute 2006 — 2007
Associate Degree, Information Technology - Computer Networking Systems
Virginia Barajas's Arcadian Health Plan Experience February 2010 - June 2012
Job SSA/CFS IPT at County of Orange
Industry Government Administration
Experience
County of Orange October 2013 - Present
Humana July 2012 - November 2012
Arcadian Health Plan February 2010 - June 2012
Skills
Government..., Document Review, Data Entry, Medical Records, Clerical Skills, Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, Office Administration, Animals, Animal Work, Mathematics, Organization, Problem Solving, Editing, Teamwork, Computer Proficiency, Sports Nutrition, Fast Learner, Data Analysis, Communication Skills, Outlook, Open Minded, Blogging, Writing, Reviews, Medical Office, Health Insurance, Research, Credentialing, Database Administration, Multi Tasking, Online Research, Online Journalism, Podcasting, Electronic Filing, Filing, Typing, Ethics, Flexible Schedule, Critical Thinking, Film Criticism, Video Games, Game Testing
Education
Cerritos College 2013 — 2013
General Office Occupations and Clerical Services
Mt. San Antonio College 2011 — 2012
Medical Billing Certificate, Medical Informatics
California High School 2002 — 2006
County of Orange October 2013 - Present
Humana July 2012 - November 2012
Arcadian Health Plan February 2010 - June 2012
Skills
Government..., Document Review, Data Entry, Medical Records, Clerical Skills, Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, Office Administration, Animals, Animal Work, Mathematics, Organization, Problem Solving, Editing, Teamwork, Computer Proficiency, Sports Nutrition, Fast Learner, Data Analysis, Communication Skills, Outlook, Open Minded, Blogging, Writing, Reviews, Medical Office, Health Insurance, Research, Credentialing, Database Administration, Multi Tasking, Online Research, Online Journalism, Podcasting, Electronic Filing, Filing, Typing, Ethics, Flexible Schedule, Critical Thinking, Film Criticism, Video Games, Game Testing
Education
Cerritos College 2013 — 2013
General Office Occupations and Clerical Services
Mt. San Antonio College 2011 — 2012
Medical Billing Certificate, Medical Informatics
California High School 2002 — 2006
Charles Sheppard Charles Sheppard's Arcadian Health Plan Experience October 2009 - March 2012
Job Business Professional
Industry
Experience
WellCare Health Plans March 2014 - Present
Humana April 2012 - December 2012
Arcadian Health Plan October 2009 - March 2012
Sage 1996 - 2009
Rentronics Rent To Own 1991 - 1996
Skills
Public Speaking, Customer Service, Research, Management, Budgets, Communication, Negotiation, Employee Management, Employee Training, Team Building, Conflict Resolution, Leadership, Business Unit Start-up, Business Development, Sales Management, Healthcare Information..., Computers, Adaptability, Managed Care, Microsoft Excel, PowerPoint, Microsoft Word, Microsoft Office, Business Analysis, Strategic Planning, Process Improvement
Education
The University of Texas at Austin
Economics
Monsignor Kelly High School
WellCare Health Plans March 2014 - Present
Humana April 2012 - December 2012
Arcadian Health Plan October 2009 - March 2012
Sage 1996 - 2009
Rentronics Rent To Own 1991 - 1996
Skills
Public Speaking, Customer Service, Research, Management, Budgets, Communication, Negotiation, Employee Management, Employee Training, Team Building, Conflict Resolution, Leadership, Business Unit Start-up, Business Development, Sales Management, Healthcare Information..., Computers, Adaptability, Managed Care, Microsoft Excel, PowerPoint, Microsoft Word, Microsoft Office, Business Analysis, Strategic Planning, Process Improvement
Education
The University of Texas at Austin
Economics
Monsignor Kelly High School
Marisol Herrera's Arcadian Health Plan Experience July 2009 - March 2011
Job Marketing Project Manager at Kaiser Permanente
Industry Marketing and Advertising
Experience
Kaiser Permanente January 2014 - Present
Safeway October 2012 - January 2014
Wells Fargo March 2011 - August 2012
Arcadian Health Plan July 2009 - March 2011
Kelly Lux State Farm Agency September 2002 - June 2009
Education
California State University-East Bay
Bachelor of Science, Business Administration; Marketing, 2007
Kaiser Permanente January 2014 - Present
Safeway October 2012 - January 2014
Wells Fargo March 2011 - August 2012
Arcadian Health Plan July 2009 - March 2011
Kelly Lux State Farm Agency September 2002 - June 2009
Education
California State University-East Bay
Bachelor of Science, Business Administration; Marketing, 2007
Parth Savla Parth Savla's Arcadian Health Plan Experience February 2009 - June 2009
Job Strategic Consultant & Inspiration Creator
Industry Nonprofit Organization Management
Experience
JAINA: Federation of Jain Associations in North America September 2012 - Present
Truvizon November 2009 - Present
Global Educational Leadership September 2009 - Present
Skybird Tours and Travel March 2014 - July 2014
Andin, A Berkshire Hathaway Company (Richline Group) February 2010 - December 2010
Arcadian Health Plan February 2009 - June 2009
American Access Care, LLC October 2005 - January 2009
Young Jains of America August 2007 - August 2008
Lanier Worldwide, Inc. December 2004 - October 2005
Family Promise September 2000 - September 2003
Skills
Leadership, Web Design, Graphic Design, Social Media Marketing, Marketing Strategy, Business Planning, Consulting, Strategic Planning, Marketing, Editing, Research, Project Management, Marketing Communications, Microsoft Office, New Business Development, Team Building, Sales, Public Speaking, Listening to customers, Social Media, CRM, Management, Training
Education
Landmark Education 2003 — 2013
Landmark Education Graduate, Former Introduction Leader, Self Expression & Leadership Program Leader Coach
California Institute of Integral Studies 2008 — 2009
BA, Integrative Studies
Drew University 1999 — 2002
BA, Anthropology & Religious Studies
JAINA: Federation of Jain Associations in North America September 2012 - Present
Truvizon November 2009 - Present
Global Educational Leadership September 2009 - Present
Skybird Tours and Travel March 2014 - July 2014
Andin, A Berkshire Hathaway Company (Richline Group) February 2010 - December 2010
Arcadian Health Plan February 2009 - June 2009
American Access Care, LLC October 2005 - January 2009
Young Jains of America August 2007 - August 2008
Lanier Worldwide, Inc. December 2004 - October 2005
Family Promise September 2000 - September 2003
Skills
Leadership, Web Design, Graphic Design, Social Media Marketing, Marketing Strategy, Business Planning, Consulting, Strategic Planning, Marketing, Editing, Research, Project Management, Marketing Communications, Microsoft Office, New Business Development, Team Building, Sales, Public Speaking, Listening to customers, Social Media, CRM, Management, Training
Education
Landmark Education 2003 — 2013
Landmark Education Graduate, Former Introduction Leader, Self Expression & Leadership Program Leader Coach
California Institute of Integral Studies 2008 — 2009
BA, Integrative Studies
Drew University 1999 — 2002
BA, Anthropology & Religious Studies
Amy Egger Amy Egger's Arcadian Health Plan Experience December 2008 - February 2013
Job Program Director of Advanced Wound Care & Hyperbaric Center at Healogics (formerly Accelecare Wound Centers, Inc)
Industry Hospital & Health Care
Experience
Healogics, Inc. April 2014 - Present
WEX Inc. February 2013 - March 2014
Arcadian Health Plan December 2008 - February 2013
Ocean Dental January 2007 - December 2008
Ocean Dental January 2007 - December 2008
Skills
Medicaid, Provider Relations, Medicare, Healthcare, Sales, Salesforce.com, Insurance, Management, Managed Care, Hospitals, Customer Service, Healthcare Industry, Analysis, Network Development, PPO, Provider Education, Physician Relations, Budgets, Health Insurance, Conflict Resolution, Contract Management, Microsoft Office, HIPAA, Contract Negotiation, Medical Compliance, Healthcare Compliance, Healthcare Management, Strategic Planning
Education
Oklahoma State University 2003 — 2008
Bachelor of Science, Agricultural Communications
Northeastern Oklahoma A&M 2000 — 2003
Associate’s Degree, Agriculture
Healogics, Inc. April 2014 - Present
WEX Inc. February 2013 - March 2014
Arcadian Health Plan December 2008 - February 2013
Ocean Dental January 2007 - December 2008
Ocean Dental January 2007 - December 2008
Skills
Medicaid, Provider Relations, Medicare, Healthcare, Sales, Salesforce.com, Insurance, Management, Managed Care, Hospitals, Customer Service, Healthcare Industry, Analysis, Network Development, PPO, Provider Education, Physician Relations, Budgets, Health Insurance, Conflict Resolution, Contract Management, Microsoft Office, HIPAA, Contract Negotiation, Medical Compliance, Healthcare Compliance, Healthcare Management, Strategic Planning
Education
Oklahoma State University 2003 — 2008
Bachelor of Science, Agricultural Communications
Northeastern Oklahoma A&M 2000 — 2003
Associate’s Degree, Agriculture
Diane Beaupre Diane Beaupre's Arcadian Health Plan Experience June 2010 - April 2012
Job Resource Specialist MSW, LCSW at Humana
Industry Insurance
Experience
Humana January 2013 - Present
Humana April 2012 - December 2012
Arcadian Health Plan June 2010 - April 2012
Whittier Rehabilitation Hospital January 2003 - June 2010
Whitter Home Health Care October 1999 - December 2009
Consultant March 2000 - February 2003
Skills
Case Management, Medicare, Managed Care, Healthcare, Healthcare Management, Health, Healthcare Industry, Social Services, Mental Health, Counseling, Coordination, Discharge Planning, Outlook, Counselling, PowerPoint, Word, Medicaid, Disease, Home Care, Utilization Management, Medicaid Managed Care, Progress Notes, HIPAA, Gerontology, Case Management Services, Intakes, Medical Case Management, Psychosocial..., Medical Social Work, Psychosocial, Support Groups, Grief Counseling, Elder Care, Patient Advocacy, Service Coordination, Solution Focused, Case Managment, Long-term Care, Microsoft Word, Inpatient, Biopsychosocial..., Counseling Psychology, Crisis Intervention, Disease Management, Behavioral Health, Health Insurance, Health Promotion, DSM-IV, Hospitals, Psychotherapy
Education
University of New England 1994 — 1997
MSW, Social Work
University of New England 1977 — 1981
BA, Human Services
Biddeford High School 1973 — 1977
College Prep
Humana January 2013 - Present
Humana April 2012 - December 2012
Arcadian Health Plan June 2010 - April 2012
Whittier Rehabilitation Hospital January 2003 - June 2010
Whitter Home Health Care October 1999 - December 2009
Consultant March 2000 - February 2003
Skills
Case Management, Medicare, Managed Care, Healthcare, Healthcare Management, Health, Healthcare Industry, Social Services, Mental Health, Counseling, Coordination, Discharge Planning, Outlook, Counselling, PowerPoint, Word, Medicaid, Disease, Home Care, Utilization Management, Medicaid Managed Care, Progress Notes, HIPAA, Gerontology, Case Management Services, Intakes, Medical Case Management, Psychosocial..., Medical Social Work, Psychosocial, Support Groups, Grief Counseling, Elder Care, Patient Advocacy, Service Coordination, Solution Focused, Case Managment, Long-term Care, Microsoft Word, Inpatient, Biopsychosocial..., Counseling Psychology, Crisis Intervention, Disease Management, Behavioral Health, Health Insurance, Health Promotion, DSM-IV, Hospitals, Psychotherapy
Education
University of New England 1994 — 1997
MSW, Social Work
University of New England 1977 — 1981
BA, Human Services
Biddeford High School 1973 — 1977
College Prep
Dan Salo Dan Salo's Arcadian Health Plan Experience 2006 - 2012
Job Director of Marketing & Retention, Duals at CareMore Health Plan
Industry Hospital & Health Care
Experience
Optimal Health & Weight Loss August 2014 - Present
CareMore Health Plan October 2013 - Present
MediMedi Marketing May 2006 - June 2013
Arcadian Health Plan 2006 - 2012
PacifiCare Health Systems 2003 - 2006
PacifiCare Health Systems 2000 - 2003
PacifiCare Health Systems 1995 - 2000
Allergan 1990 - 1993
Allergan 1988 - 1991
Allergan 1985 - 1988
Skills
Product Management, Dual Eligible Special..., Dual Eligible Market, Cross-functional Team..., Medicare, Medicaid, Multicultural Marketing, Marketing Communications, Marketing, Managed Care, Project Planning, Product Development, Problem Solving, Medicaid Managed Care, Strategic Planning, Corporate Events, Event Management, Training, Virtual Teams, Project Team Management, Health Care Reform, Affordable Care Act, Leadership, Management, Healthcare, Strategy, Health Insurance, Team Building, Insurance, Process Improvement
Education
San Diego State University-California State University 1976 — 1979
BS, Business Administration - Marketing
UCLA - Health Care Management Certificate Program 2012 — 2013
Optimal Health & Weight Loss August 2014 - Present
CareMore Health Plan October 2013 - Present
MediMedi Marketing May 2006 - June 2013
Arcadian Health Plan 2006 - 2012
PacifiCare Health Systems 2003 - 2006
PacifiCare Health Systems 2000 - 2003
PacifiCare Health Systems 1995 - 2000
Allergan 1990 - 1993
Allergan 1988 - 1991
Allergan 1985 - 1988
Skills
Product Management, Dual Eligible Special..., Dual Eligible Market, Cross-functional Team..., Medicare, Medicaid, Multicultural Marketing, Marketing Communications, Marketing, Managed Care, Project Planning, Product Development, Problem Solving, Medicaid Managed Care, Strategic Planning, Corporate Events, Event Management, Training, Virtual Teams, Project Team Management, Health Care Reform, Affordable Care Act, Leadership, Management, Healthcare, Strategy, Health Insurance, Team Building, Insurance, Process Improvement
Education
San Diego State University-California State University 1976 — 1979
BS, Business Administration - Marketing
UCLA - Health Care Management Certificate Program 2012 — 2013
Blanca Trevizo Blanca Trevizo's Arcadian Health Plan Experience December 2009 - September 2012
Job Retention Manager
Industry Hospital & Health Care
Experience
Molina Healthcare December 2014 - Present
Molina Healthcare October 2013 - December 2014
Humana Health Plan July 2012 - October 2013
Arcadian Health Plan December 2009 - September 2012
Arcadian Health Plan November 2006 - December 2009
United Health Care October 2004 - November 2006
Inter-Community IPA 2002 - 2004
Alejandro M. Sánchez, M.D. January 2000 - January 2002
Cedar-Sinai Comprehensive Cancer Center January 1998 - January 2000
Skills
Provider Relations, Managed Care, HMO, Client Liaison, Medicare, Healthcare, Health Insurance, HIPAA, Healthcare Management, Hospitals, Medicaid, Leadership, Medical Coding, Network Development, Physicians, Training, Utilization Management, Healthcare Industry, Process Improvement, Customer Service, Management
Education
Train The Trainer 2008 — 2008
Certification as a Trainer
Founder's Circle at Molina Healthcare
Spirit Award
Spirit Award
Brookhaven Community College
Molina Healthcare December 2014 - Present
Molina Healthcare October 2013 - December 2014
Humana Health Plan July 2012 - October 2013
Arcadian Health Plan December 2009 - September 2012
Arcadian Health Plan November 2006 - December 2009
United Health Care October 2004 - November 2006
Inter-Community IPA 2002 - 2004
Alejandro M. Sánchez, M.D. January 2000 - January 2002
Cedar-Sinai Comprehensive Cancer Center January 1998 - January 2000
Skills
Provider Relations, Managed Care, HMO, Client Liaison, Medicare, Healthcare, Health Insurance, HIPAA, Healthcare Management, Hospitals, Medicaid, Leadership, Medical Coding, Network Development, Physicians, Training, Utilization Management, Healthcare Industry, Process Improvement, Customer Service, Management
Education
Train The Trainer 2008 — 2008
Certification as a Trainer
Founder's Circle at Molina Healthcare
Spirit Award
Spirit Award
Brookhaven Community College
Felicia Wong Felicia Wong's Arcadian Health Plan Experience January 2010 - September 2012
Job New Hire Coordinator at CVHCare
Industry Hospital & Health Care
Experience
CVHCare 2013 - Present
Arcadian Health Plan January 2010 - September 2012
Arcadian Health Plan, Inc January 2010 - September 2012
Skills
HRIS, Employee Benefits, Human Resources, Interviews, Leadership, Onboarding
Education
University of California, Davis
Bachelor of Arts (B.A.), Psychology
CVHCare 2013 - Present
Arcadian Health Plan January 2010 - September 2012
Arcadian Health Plan, Inc January 2010 - September 2012
Skills
HRIS, Employee Benefits, Human Resources, Interviews, Leadership, Onboarding
Education
University of California, Davis
Bachelor of Arts (B.A.), Psychology
Rachael (Davidson) Rudd Rachael (Davidson) Rudd's Arcadian Health Plan Experience January 2006 - September 2007
Job Senior Director of State Operations at Easy Choice Health Plan, A WellCare Company
Industry Hospital & Health Care
Experience
Easy Choice Health Plan, A WellCare Company February 2014 - Present
Easy Choice Health Plan, A Wellcare Company June 2013 - February 2014
Easy Choice Health Plan April 2012 - June 2013
Easy Choice Health Plan October 2009 - April 2012
Easy Choice Health Plan September 2007 - October 2009
Arcadian Health Plan January 2006 - September 2007
Arcadian Health Plan December 2003 - January 2006
Arcadian Health Plan August 2003 - December 2003
Arcadian Management Services March 2003 - August 2003
Islander Gifts August 1999 - October 2002
Skills
Medicare, Managed Care, HIPAA, Healthcare Industry, Healthcare Management, Health Insurance, HMO, Medicare Part D, Network Development, Health Policy, Healthcare, Process Improvement, Medicaid, Healthcare Consulting, Claim, Medicare/Medicaid..., Insurance, Customer Service
Education
California State University-San Bernardino 1999 — 2003
Bachelors, Health Care Administration & Planning
Easy Choice Health Plan, A WellCare Company February 2014 - Present
Easy Choice Health Plan, A Wellcare Company June 2013 - February 2014
Easy Choice Health Plan April 2012 - June 2013
Easy Choice Health Plan October 2009 - April 2012
Easy Choice Health Plan September 2007 - October 2009
Arcadian Health Plan January 2006 - September 2007
Arcadian Health Plan December 2003 - January 2006
Arcadian Health Plan August 2003 - December 2003
Arcadian Management Services March 2003 - August 2003
Islander Gifts August 1999 - October 2002
Skills
Medicare, Managed Care, HIPAA, Healthcare Industry, Healthcare Management, Health Insurance, HMO, Medicare Part D, Network Development, Health Policy, Healthcare, Process Improvement, Medicaid, Healthcare Consulting, Claim, Medicare/Medicaid..., Insurance, Customer Service
Education
California State University-San Bernardino 1999 — 2003
Bachelors, Health Care Administration & Planning
Raquel Rojo's Arcadian Health Plan Experience October 2006 - February 2009
Job Senior Payroll Associate at University of La Verne
Industry Human Resources
Experience
University of La Verne July 2013 - Present
Arcadian Health Plan (Humana) February 2009 - September 2012
Arcadian Health Plan October 2006 - February 2009
Arcadian Health Plan February 2004 - October 2006
Enki Health and Research Systems September 2001 - May 2003
Enki Health and Research Systems July 2000 - September 2001
Enki Health and Research Systems November 1998 - July 2000
Education
American Payroll Association
Fundamentals of Payroll - FPC
Citrus College
University of La Verne July 2013 - Present
Arcadian Health Plan (Humana) February 2009 - September 2012
Arcadian Health Plan October 2006 - February 2009
Arcadian Health Plan February 2004 - October 2006
Enki Health and Research Systems September 2001 - May 2003
Enki Health and Research Systems July 2000 - September 2001
Enki Health and Research Systems November 1998 - July 2000
Education
American Payroll Association
Fundamentals of Payroll - FPC
Citrus College
Christina DePalma Christina DePalma's Arcadian Health Plan Experience August 2010 - October 2011
Job Financial Services Professional
Industry Banking
Experience
Wedbush Securities July 2014 - June 2015
UBS June 2013 - April 2014
Stifel Financial Corp. October 2011 - March 2013
Arcadian Health Plan August 2010 - October 2011
Cornell University November 2009 - May 2010
Cornell University Hans Bethe House Council August 2008 - May 2010
Cornell University New Student Programs August 2008 - August 2009
Ace Landscaping Corporation May 2005 - August 2009
Capstone Business Credit, LLC May 2009 - July 2009
Marketing Plan Development and Team Building January 2008 - December 2008
Skills
Marketing, Leadership, Social Media, Management, Research, PowerPoint, Advertising, Microsoft Word, Microsoft Office, Customer Service, Fundraising, Nonprofits, Social Networking, Project Planning, Data Analysis, Event Planning, Training, Social Media Marketing, Business Strategy, Market Research, Marketing Communications
Education
Cornell University 2007 — 2010
Bachelor's Degree, Applied Economics and Management
Wedbush Securities July 2014 - June 2015
UBS June 2013 - April 2014
Stifel Financial Corp. October 2011 - March 2013
Arcadian Health Plan August 2010 - October 2011
Cornell University November 2009 - May 2010
Cornell University Hans Bethe House Council August 2008 - May 2010
Cornell University New Student Programs August 2008 - August 2009
Ace Landscaping Corporation May 2005 - August 2009
Capstone Business Credit, LLC May 2009 - July 2009
Marketing Plan Development and Team Building January 2008 - December 2008
Skills
Marketing, Leadership, Social Media, Management, Research, PowerPoint, Advertising, Microsoft Word, Microsoft Office, Customer Service, Fundraising, Nonprofits, Social Networking, Project Planning, Data Analysis, Event Planning, Training, Social Media Marketing, Business Strategy, Market Research, Marketing Communications
Education
Cornell University 2007 — 2010
Bachelor's Degree, Applied Economics and Management
Latasha Little Latasha Little's Arcadian Health Plan Experience October 2010 - November 2011
Job Owner of Divine Solutions Staffing Agency LLC.
Industry Staffing and Recruiting
Experience
Divine Solutions Staffing Agency November 2011 - Present
Arcadian Health Plan October 2010 - November 2011
Law Office of Chmari Anderson LLC May 2008 - December 2009
Law Office of Roslyn Dunlap June 2007 - May 2008
Skills
Customer Retention, Legal Support, Team Leadership, Data Entry, Software Documentation, Customer Service, Insurance, Process Scheduler, Access, Contract Negotiation, Healthcare, Microsoft Office, Leadership, Microsoft Word, Microsoft Excel, Training, PowerPoint
Education
Strayer University (VA) 2011 — 2013
B.S, Information Technology
Centura Institute 2007 — 2009
A.S, Paralegal Law
Divine Solutions Staffing Agency November 2011 - Present
Arcadian Health Plan October 2010 - November 2011
Law Office of Chmari Anderson LLC May 2008 - December 2009
Law Office of Roslyn Dunlap June 2007 - May 2008
Skills
Customer Retention, Legal Support, Team Leadership, Data Entry, Software Documentation, Customer Service, Insurance, Process Scheduler, Access, Contract Negotiation, Healthcare, Microsoft Office, Leadership, Microsoft Word, Microsoft Excel, Training, PowerPoint
Education
Strayer University (VA) 2011 — 2013
B.S, Information Technology
Centura Institute 2007 — 2009
A.S, Paralegal Law
Antoinette Lockhart Antoinette Lockhart's Arcadian Health Plan Experience October 2006 - December 2012
Job Regional Manager Provider Relations
Industry Insurance
Experience
Arcadian Health Plan October 2006 - December 2012
Trinity Mother Frances Health System January 2003 - August 2004
Sisters of Charity Health System June 1983 - September 2001
Education
Texas A&M University 1993 — 1996
BA, Business Administration
Juran Institute 1993 — 1994
Quality Improvement
Finch Universtity of Health Sciences- Univ. of Chicago 1991 — 1992
Certification, Healthcare Risk Management
Grossmont College 1970 — 1972
AS, Respiratory Therapy
Arcadian Health Plan October 2006 - December 2012
Trinity Mother Frances Health System January 2003 - August 2004
Sisters of Charity Health System June 1983 - September 2001
Education
Texas A&M University 1993 — 1996
BA, Business Administration
Juran Institute 1993 — 1994
Quality Improvement
Finch Universtity of Health Sciences- Univ. of Chicago 1991 — 1992
Certification, Healthcare Risk Management
Grossmont College 1970 — 1972
AS, Respiratory Therapy
Regis Haegler Regis Haegler's Arcadian Health Plan Experience 2010 - August 2012
Job Head of Finance
Industry Internet
Experience
HealthPocket, Inc. 2015 - Present
eHealthInsurance August 2012 - 2015
Arcadian Health Plan 2010 - August 2012
Wells Fargo 2008 - 2010
Education Finance Partners 2007 - 2008
Adobe 2006 - 2007
Maxtor 2005 - 2006
McMorgan & Company 2004 - 2005
Flextronics 2001 - 2002
Lehman Brothers 1999 - 2000
Skills
Corporate Finance, Investments, Financial Planning, Capital Markets, Investment Banking, Strategic Financial..., Financial Modeling, Forecasting, Start-ups, Mergers & Acquisitions, Strategy, Financial Analysis, Finance, Analysis, Managerial Finance, Accounting, Sarbanes-Oxley Act, Due Diligence, Management, Valuation, Executive Management, Leadership, Process Improvement
Education
Wharton School 1995 — 1999
BS, Finance
University of Chicago GSB 2002 — 2004
MBA, Finance & Entrepreneurship
HealthPocket, Inc. 2015 - Present
eHealthInsurance August 2012 - 2015
Arcadian Health Plan 2010 - August 2012
Wells Fargo 2008 - 2010
Education Finance Partners 2007 - 2008
Adobe 2006 - 2007
Maxtor 2005 - 2006
McMorgan & Company 2004 - 2005
Flextronics 2001 - 2002
Lehman Brothers 1999 - 2000
Skills
Corporate Finance, Investments, Financial Planning, Capital Markets, Investment Banking, Strategic Financial..., Financial Modeling, Forecasting, Start-ups, Mergers & Acquisitions, Strategy, Financial Analysis, Finance, Analysis, Managerial Finance, Accounting, Sarbanes-Oxley Act, Due Diligence, Management, Valuation, Executive Management, Leadership, Process Improvement
Education
Wharton School 1995 — 1999
BS, Finance
University of Chicago GSB 2002 — 2004
MBA, Finance & Entrepreneurship
Sarah Zahorchak Sarah Zahorchak's Arcadian Health Plan Experience July 2010 - February 2011
Job Manager, Consumer Loyalty & Retention Marketing at Kaiser Permanente
Industry Hospital & Health Care
Experience
Kaiser Permanente May 2015 - Present
Kaiser Permanente June 2013 - May 2015
Kaiser Permanente February 2011 - June 2013
Arcadian Health Plan July 2010 - February 2011
Arcadian Health Plan January 2009 - July 2010
Arcadian Health Plan November 2007 - January 2009
Arcadian Health Plan November 2007 - March 2008
Body Mind Spirit Expo October 2005 - September 2007
Skills
Direct Marketing, Marketing Communications, Writing, Direct Mail, Event Management, Email Marketing, Salesforce.com, Sales, Marketing, Leadership, Cross-functional Team..., Marketing Management, Strategy, Strategic Planning, Management, Marketing Strategy, Healthcare, Program Management, Online Marketing, Project Management
Education
University of Alabama 2002 — 2006
Bachelor of Arts (BA), Literature & Writing, (3.7 GPA)
Southern Oregon University 2005 — 2006
N/A - National Student Exchange Program, Writing, (4.0 GPA)
California State University-East Bay 2015 — 2017
Master of Science (MS), Health Care Administration
Kaiser Permanente May 2015 - Present
Kaiser Permanente June 2013 - May 2015
Kaiser Permanente February 2011 - June 2013
Arcadian Health Plan July 2010 - February 2011
Arcadian Health Plan January 2009 - July 2010
Arcadian Health Plan November 2007 - January 2009
Arcadian Health Plan November 2007 - March 2008
Body Mind Spirit Expo October 2005 - September 2007
Skills
Direct Marketing, Marketing Communications, Writing, Direct Mail, Event Management, Email Marketing, Salesforce.com, Sales, Marketing, Leadership, Cross-functional Team..., Marketing Management, Strategy, Strategic Planning, Management, Marketing Strategy, Healthcare, Program Management, Online Marketing, Project Management
Education
University of Alabama 2002 — 2006
Bachelor of Arts (BA), Literature & Writing, (3.7 GPA)
Southern Oregon University 2005 — 2006
N/A - National Student Exchange Program, Writing, (4.0 GPA)
California State University-East Bay 2015 — 2017
Master of Science (MS), Health Care Administration
Kelly (Lencioni) Trainer, SPHR Kelly (Lencioni) Trainer, SPHR's Arcadian Health Plan Experience February 2010 - January 2012
Job Human Resources Consultant IV at Kaiser Permanente
Industry Food Production
Experience
Kaiser Permanente November 2012 - Present
Aidells Sausage/Gallo Salame - The Gourmet Foods Group division of Hillshire Brands January 2012 - November 2012
Arcadian Health Plan February 2010 - January 2012
Arcadian Health Plan January 2009 - February 2010
The Permanente Medical Group July 2007 - December 2008
Sequoia Equities January 2007 - July 2007
Kasier Permanente September 2005 - January 2007
Discovery Foods December 2004 - July 2005
City Beach September 2001 - December 2004
Skills
Employee Relations, Organizational..., Onboarding, Employee Engagement, Coaching, Training, Human Resources, Interviews, Leadership, New Hire Orientations, Personnel Management, Recruiting
Education
California State University-Hayward 2006 — 2007
MPA, Public Administration
SLHS
Kaiser Permanente November 2012 - Present
Aidells Sausage/Gallo Salame - The Gourmet Foods Group division of Hillshire Brands January 2012 - November 2012
Arcadian Health Plan February 2010 - January 2012
Arcadian Health Plan January 2009 - February 2010
The Permanente Medical Group July 2007 - December 2008
Sequoia Equities January 2007 - July 2007
Kasier Permanente September 2005 - January 2007
Discovery Foods December 2004 - July 2005
City Beach September 2001 - December 2004
Skills
Employee Relations, Organizational..., Onboarding, Employee Engagement, Coaching, Training, Human Resources, Interviews, Leadership, New Hire Orientations, Personnel Management, Recruiting
Education
California State University-Hayward 2006 — 2007
MPA, Public Administration
SLHS
Sheetal Sethi Sheetal Sethi's Arcadian Health Plan Experience June 2011 - January 2013
Job HEDIS Process Manager at Humana
Industry Hospital & Health Care
Experience
Humana January 2013 - Present
Arcadian Health Plan June 2011 - January 2013
Monarch Healthcare IPA August 2006 - May 2011
Health Net September 2005 - August 2006
Skills
Strong analytical and..., Ability to handle..., Exceptional time..., Strong understanding..., Detail oriented with..., Proven ability to..., Excellent in..., Meet Deadlines, Problem Solving, Healthcare, Policy, Time Management, Credentialing, HEDIS, Health Insurance, Health Policy, JCAHO, Leadership, Managed Care, Medicaid, Medicare, NCQA, Quality Improvement, Team Building, HIPAA
Education
Delhi University 1996 — 1999
BA, 1999
Humana January 2013 - Present
Arcadian Health Plan June 2011 - January 2013
Monarch Healthcare IPA August 2006 - May 2011
Health Net September 2005 - August 2006
Skills
Strong analytical and..., Ability to handle..., Exceptional time..., Strong understanding..., Detail oriented with..., Proven ability to..., Excellent in..., Meet Deadlines, Problem Solving, Healthcare, Policy, Time Management, Credentialing, HEDIS, Health Insurance, Health Policy, JCAHO, Leadership, Managed Care, Medicaid, Medicare, NCQA, Quality Improvement, Team Building, HIPAA
Education
Delhi University 1996 — 1999
BA, 1999
Dale Cutler Dale Cutler's Arcadian Health Plan Experience 2007 - 2011
Job Healthcare Industry Leader/Strategist
Industry Hospital & Health Care
Experience
... March 2012 - Present
ABQ Health Partners 2015 - 2015
ABQ Health Partners 2015 - 2015
Amerigroup Community Care of New Mexico July 2012 - May 2014
UnitedHealth Group 2011 - 2012
Arcadian Health Plan 2007 - 2011
Interplan Health Group 2005 - 2007
MultiPlan 2001 - 2005
Skills
Healthcare, Strategic Development, Managed Care, Hospitals, Physician Management, Network Development, Contract Negotiations, Business Relationship..., Product Development, Key Account Management, Integrated Delivery..., Centers of..., Behavioral Health, Contract Negotiation, Budgets, EHR, Healthcare Industry, PPO, Medicare, Physicians, Credentialing, Disease Management, Healthcare Consulting, Utilization Management, Provider Relations, Medicaid, IDN, Business Strategy, Health Insurance, Healthcare Management
Education
BYU 1971 — 1975
Bachelors of Science, Exercise Physiology
... March 2012 - Present
ABQ Health Partners 2015 - 2015
ABQ Health Partners 2015 - 2015
Amerigroup Community Care of New Mexico July 2012 - May 2014
UnitedHealth Group 2011 - 2012
Arcadian Health Plan 2007 - 2011
Interplan Health Group 2005 - 2007
MultiPlan 2001 - 2005
Skills
Healthcare, Strategic Development, Managed Care, Hospitals, Physician Management, Network Development, Contract Negotiations, Business Relationship..., Product Development, Key Account Management, Integrated Delivery..., Centers of..., Behavioral Health, Contract Negotiation, Budgets, EHR, Healthcare Industry, PPO, Medicare, Physicians, Credentialing, Disease Management, Healthcare Consulting, Utilization Management, Provider Relations, Medicaid, IDN, Business Strategy, Health Insurance, Healthcare Management
Education
BYU 1971 — 1975
Bachelors of Science, Exercise Physiology
Daniel Dyer Daniel Dyer's Arcadian Health Plan Experience July 2008 - March 2012
Job GM, Medicare New England Aetna
Industry Hospital & Health Care
Experience
Aetna December 2013 - Present
Aetna March 2012 - December 2013
Arcadian Health Plan July 2008 - March 2012
Arcadian Health Plan October 2006 - June 2008
The Memorial Hospital July 2003 - September 2006
The Memorial Hospital - NH January 2000 - July 2003
Harvard Pilgrim Health Care 1998 - 2000
Blue Cross Blue Shield of Maine 1997 - 1998
Group Health Plan - St. Louis, MO 1995 - 1997
Group Health Plan - St. Louis, MO 1993 - 1995
Skills
Medicare, Managed Care, Network Development, Medicaid, Provider Relations, Health Policy, Physicians, Health Care Reform, Healthcare, Hospitals, Medicare Part D, Insurance, Health Insurance, Medicaid Managed Care, Physician Relations, Disease Management, Policy, Leadership, Process Improvement, PPO, Healthcare Industry, HIPAA, Credentialing, Revenue Cycle, Utilization Management, Healthcare Consulting, Healthcare Management, Healthcare Information..., Medical Compliance, HMO, EHR, Practice Management, Informatics, Medical Billing, Long-term Care, Medical Coding, EMR, Health Information..., Revenue Cycle Management, Quality Improvement, Home Care
Education
Baruch College, City University of New York (CUNY) 1983 — 1987
BS Business Administration
Aetna December 2013 - Present
Aetna March 2012 - December 2013
Arcadian Health Plan July 2008 - March 2012
Arcadian Health Plan October 2006 - June 2008
The Memorial Hospital July 2003 - September 2006
The Memorial Hospital - NH January 2000 - July 2003
Harvard Pilgrim Health Care 1998 - 2000
Blue Cross Blue Shield of Maine 1997 - 1998
Group Health Plan - St. Louis, MO 1995 - 1997
Group Health Plan - St. Louis, MO 1993 - 1995
Skills
Medicare, Managed Care, Network Development, Medicaid, Provider Relations, Health Policy, Physicians, Health Care Reform, Healthcare, Hospitals, Medicare Part D, Insurance, Health Insurance, Medicaid Managed Care, Physician Relations, Disease Management, Policy, Leadership, Process Improvement, PPO, Healthcare Industry, HIPAA, Credentialing, Revenue Cycle, Utilization Management, Healthcare Consulting, Healthcare Management, Healthcare Information..., Medical Compliance, HMO, EHR, Practice Management, Informatics, Medical Billing, Long-term Care, Medical Coding, EMR, Health Information..., Revenue Cycle Management, Quality Improvement, Home Care
Education
Baruch College, City University of New York (CUNY) 1983 — 1987
BS Business Administration
Marcello Miranda Marcello Miranda's Arcadian Health Plan Experience January 2010 - February 2013
Job Experienced Front End Developer
Industry Information Technology and Services
Experience
Arcadian Health Plan January 2010 - February 2013
FriendFinder Networks, Inc. January 2007 - December 2009
Reply.com April 2006 - August 2006
City and County of San Francisco March 2001 - April 2006
Environmental Protection Agency, San Francisco, CA July 2005 - October 2005
Skills
HTML, CSS, Dreamweaver, XHTML, CMS, WordPress, SEO, Flash, Graphic Design, JavaScript, Web Design, Web Development, Front-end, HTML 5
Education
Heald College 1999 — 2001
Associates, Computer Science
Arcadian Health Plan January 2010 - February 2013
FriendFinder Networks, Inc. January 2007 - December 2009
Reply.com April 2006 - August 2006
City and County of San Francisco March 2001 - April 2006
Environmental Protection Agency, San Francisco, CA July 2005 - October 2005
Skills
HTML, CSS, Dreamweaver, XHTML, CMS, WordPress, SEO, Flash, Graphic Design, JavaScript, Web Design, Web Development, Front-end, HTML 5
Education
Heald College 1999 — 2001
Associates, Computer Science
Lucas Garmon Lucas Garmon's Arcadian Health Plan Experience October 2006 - April 2007
Job Dynamic, Results Oriented Media Strategist, Metrics Analyst, Presenter, and New Portlander
Industry Marketing and Advertising
Experience
Consultant February 2014 - Present
BBK Worldwide September 2011 - January 2014
BBK Worldwide September 2008 - August 2011
Jazz at Lincoln Center April 2008 - May 2008
Avistar Communications August 2007 - March 2008
Arcadian Health Plan October 2006 - April 2007
Lily Films April 2005 - April 2006
Grassroots Campaigns August 2004 - November 2004
Skills
Strategic Media, Patient Recruitment, Media Planning, Interactive Media..., Social Media Marketing, Digital Media, Broadcast Media, Media Analysis, Client Services, Search Engine..., Marketing Communications, Corporate Communications, Market Research, Digital Marketing, Strategic Communications, SEO, Digital Strategy, Email Marketing, SEM, Integrated Marketing, Online Advertising, Press Releases, Google Analytics, Advertising
Education
Occidental College 2000 — 2004
Bachelor of Arts (BA), Diplomacy and World Affairs
Concord Academy
Consultant February 2014 - Present
BBK Worldwide September 2011 - January 2014
BBK Worldwide September 2008 - August 2011
Jazz at Lincoln Center April 2008 - May 2008
Avistar Communications August 2007 - March 2008
Arcadian Health Plan October 2006 - April 2007
Lily Films April 2005 - April 2006
Grassroots Campaigns August 2004 - November 2004
Skills
Strategic Media, Patient Recruitment, Media Planning, Interactive Media..., Social Media Marketing, Digital Media, Broadcast Media, Media Analysis, Client Services, Search Engine..., Marketing Communications, Corporate Communications, Market Research, Digital Marketing, Strategic Communications, SEO, Digital Strategy, Email Marketing, SEM, Integrated Marketing, Online Advertising, Press Releases, Google Analytics, Advertising
Education
Occidental College 2000 — 2004
Bachelor of Arts (BA), Diplomacy and World Affairs
Concord Academy
Lisa Henry Lisa Henry's Arcadian Health Plan Experience December 2011 - April 2013
Job District Sales Manager
Industry Hospital & Health Care
Experience
WellCare Health Plans May 2014 - Present
Eldercare Insurance Services May 2013 - May 2014
Arcadian Health Plan December 2011 - April 2013
Arcadian Health Plan April 2009 - December 2011
Arcadian Health Plan September 2005 - April 2009
Smith-Caldwell Inc January 1996 - January 2005
Skills
Healthcare, Health, Contract Negotiation, Health Insurance, Customer Relations, Customer Service, Medicare, Sales, Health Policy, Long-term Care, Training, Insurance, Process Improvement, Medicaid, Hospitals, Policy, Managed Care, Medicare Part D, Management, Sales Management, HMO, Leadership, Sales Operations, Employee Benefits, HIPAA, Healthcare Consulting, Healthcare Industry, Marketing, Pharmacy, Program Management, Provider Relations, Healthcare Information..., Physicians, Healthcare Management, Revenue Cycle, Disability Insurance, Network Development, Disease Management, Physician Relations
Education
University of Arkansas 1984 — 1989
B.A., Broadcast Journalism
WellCare Health Plans May 2014 - Present
Eldercare Insurance Services May 2013 - May 2014
Arcadian Health Plan December 2011 - April 2013
Arcadian Health Plan April 2009 - December 2011
Arcadian Health Plan September 2005 - April 2009
Smith-Caldwell Inc January 1996 - January 2005
Skills
Healthcare, Health, Contract Negotiation, Health Insurance, Customer Relations, Customer Service, Medicare, Sales, Health Policy, Long-term Care, Training, Insurance, Process Improvement, Medicaid, Hospitals, Policy, Managed Care, Medicare Part D, Management, Sales Management, HMO, Leadership, Sales Operations, Employee Benefits, HIPAA, Healthcare Consulting, Healthcare Industry, Marketing, Pharmacy, Program Management, Provider Relations, Healthcare Information..., Physicians, Healthcare Management, Revenue Cycle, Disability Insurance, Network Development, Disease Management, Physician Relations
Education
University of Arkansas 1984 — 1989
B.A., Broadcast Journalism
Paige Hamm Paige Hamm's Arcadian Health Plan Experience April 2011 - March 2013
Job Training Manager at Trillium Community Health Plan
Industry Hospital & Health Care
Experience
Trillium Community Health Plan March 2014 - Present
Arcadian Health Plan April 2011 - March 2013
Arcadian Health Plan October 2006 - April 2011
University of Southern Maine May 2006 - December 2007
John Stacey, Ph.D. October 2001 - May 2006
Center for Attention and Learning November 2001 - May 2005
Bookfairs by Toad Hall May 1999 - May 2001
Remington Hotels 1995 - 1999
MG's 1987 - 1990
Skills
Healthcare, PowerPoint, Customer Service, Excel, Customer Relations, Budgeting, Team Building, Budget Management, Microsoft Office, Salesforce.com, Event Management, Sales Management, Word, Data Analysis, Managed Care, Process Improvement, Administration, Strategic Planning, Outlook, Problem Solving, Public Speaking, Leadership Development, Mentoring, Policy, Cross-functional Team..., Health Insurance, HIPAA, Healthcare Management, Analysis, Data Entry, Account Management, Healthcare Industry, Writing, Compliance, Microsoft Excel, Insurance, Microsoft Word, Budgets, Marketing, Medicare, Training, Leadership, Time Management, PPO, Medicare Part D, Medicaid, Health Policy, Medicare/Medicaid..., Medical Compliance, Credentialing
Education
St. Olaf College 1993 — 1994
Operatic Performance
University of North Texas 1991 — 1993
Operatic Performance
Trillium Community Health Plan March 2014 - Present
Arcadian Health Plan April 2011 - March 2013
Arcadian Health Plan October 2006 - April 2011
University of Southern Maine May 2006 - December 2007
John Stacey, Ph.D. October 2001 - May 2006
Center for Attention and Learning November 2001 - May 2005
Bookfairs by Toad Hall May 1999 - May 2001
Remington Hotels 1995 - 1999
MG's 1987 - 1990
Skills
Healthcare, PowerPoint, Customer Service, Excel, Customer Relations, Budgeting, Team Building, Budget Management, Microsoft Office, Salesforce.com, Event Management, Sales Management, Word, Data Analysis, Managed Care, Process Improvement, Administration, Strategic Planning, Outlook, Problem Solving, Public Speaking, Leadership Development, Mentoring, Policy, Cross-functional Team..., Health Insurance, HIPAA, Healthcare Management, Analysis, Data Entry, Account Management, Healthcare Industry, Writing, Compliance, Microsoft Excel, Insurance, Microsoft Word, Budgets, Marketing, Medicare, Training, Leadership, Time Management, PPO, Medicare Part D, Medicaid, Health Policy, Medicare/Medicaid..., Medical Compliance, Credentialing
Education
St. Olaf College 1993 — 1994
Operatic Performance
University of North Texas 1991 — 1993
Operatic Performance
Henry Serrano Henry Serrano's Arcadian Health Plan Experience 2009 - 2012
Job Real Estate Investor , Sales Consultant & Mentor, Owner of Blue Ocean Safety Training
Industry Real Estate
Experience
KIKO Enterprises March 2009 - Present
Arcadian Health Plan 2009 - 2012
AIO Ideal concepts 2009 - 2012
Charles Schwab March 2007 - May 2009
H & R Block finacial advisor August 2004 - March 2007
A G Edwards May 1996 - August 2004
Skills
Health Insurance, Insurance, Strategic Planning, Long-term Care, Strategic Financial..., Small Business, Retirement Planning, Real Estate, Employee Benefits, Sales, Investments, New Business Development, Marketing Strategy, Business Development, Fixed Annuities, Retirement, Negotiation, Management, Finance, Investment Properties, Marketing, Coaching, Leadership, Investors, Selling
Education
National University 1991 — 1993
Masters, Business & Marketing
California State University, Fresno 1986 — 1989
B.S., Industrial Technology
KIKO Enterprises March 2009 - Present
Arcadian Health Plan 2009 - 2012
AIO Ideal concepts 2009 - 2012
Charles Schwab March 2007 - May 2009
H & R Block finacial advisor August 2004 - March 2007
A G Edwards May 1996 - August 2004
Skills
Health Insurance, Insurance, Strategic Planning, Long-term Care, Strategic Financial..., Small Business, Retirement Planning, Real Estate, Employee Benefits, Sales, Investments, New Business Development, Marketing Strategy, Business Development, Fixed Annuities, Retirement, Negotiation, Management, Finance, Investment Properties, Marketing, Coaching, Leadership, Investors, Selling
Education
National University 1991 — 1993
Masters, Business & Marketing
California State University, Fresno 1986 — 1989
B.S., Industrial Technology
Rich Irwin Rich Irwin's Arcadian Health Plan Experience January 2011 - October 2012
Job Medicare Compliance Officer at Dell
Industry Insurance
Experience
Dell October 2012 - Present
Arcadian Health Plan January 2011 - October 2012
United Healthcare January 2008 - January 2011
Blue Cross of CA 2006 - 2008
PacifiCare, A UnitedHealthcare Company 2002 - 2006
PacifiCare Health Systems 1997 - 2002
PacifiCare Health Systems 1993 - 1997
FHP 1988 - 1993
Skills
Medicare
Education
Brigham Young University
BA, Communications
University of Phoenix
MBA, Business
Dell October 2012 - Present
Arcadian Health Plan January 2011 - October 2012
United Healthcare January 2008 - January 2011
Blue Cross of CA 2006 - 2008
PacifiCare, A UnitedHealthcare Company 2002 - 2006
PacifiCare Health Systems 1997 - 2002
PacifiCare Health Systems 1993 - 1997
FHP 1988 - 1993
Skills
Medicare
Education
Brigham Young University
BA, Communications
University of Phoenix
MBA, Business
Phillip Dollison Phillip Dollison's Arcadian Health Plan Experience January 2009 - February 2010
Job IT Specialist
Industry Computer Networking
Experience
san bernardino county registar of voter July 2015 - Present
Alta resource October 2014 - April 2015
3M Cogent March 2012 - November 2014
Arcadian Health Plan January 2009 - February 2010
Skills
A+ Certified, HIPAA Certified, Cpr Certified, Access, Active Directory, HIPAA, Hardware, Help Desk Support, Servers, Windows XP, Computer Hardware, Customer Service, Information Technology, Operating Systems, System Administration, Windows 7, Networking, Troubleshooting, Virtualization, Windows, Network Administration, VPN, Windows Server, VMware, Firewalls, DNS, Citrix, Security
Education
DeVry University Pomona 2010 — 2013
Bachelor, Network Communication Management
Platt College Ontario CA 2009 — 2010
Associates of Science, Medical Administration
Platt College-Ontario 2004 — 2006
Associate of Science (A.S.), Information Technology
san bernardino county registar of voter July 2015 - Present
Alta resource October 2014 - April 2015
3M Cogent March 2012 - November 2014
Arcadian Health Plan January 2009 - February 2010
Skills
A+ Certified, HIPAA Certified, Cpr Certified, Access, Active Directory, HIPAA, Hardware, Help Desk Support, Servers, Windows XP, Computer Hardware, Customer Service, Information Technology, Operating Systems, System Administration, Windows 7, Networking, Troubleshooting, Virtualization, Windows, Network Administration, VPN, Windows Server, VMware, Firewalls, DNS, Citrix, Security
Education
DeVry University Pomona 2010 — 2013
Bachelor, Network Communication Management
Platt College Ontario CA 2009 — 2010
Associates of Science, Medical Administration
Platt College-Ontario 2004 — 2006
Associate of Science (A.S.), Information Technology
Morgan Clark's Arcadian Health Plan Experience January 2010 - April 2012
Job Marketing Coordinator at Harrison Energy Partners
Industry Construction
Experience
Harrison Energy Partners April 2012 - Present
Arcadian Health Plan January 2010 - April 2012
Arcadian Health Plan September 2009 - December 2010
Sam M. Walton College of Business August 2005 - March 2009
Alltel Communications May 2007 - August 2007
The Limited Too May 2003 - August 2004
Skills
Customer Service, Invoicing, Word, Microsoft Word, Sales, Retail, Inventory Management, PowerPoint, Microsoft Excel, Marketing, Microsoft Office, Networking, Budget, Contract Management, Research, Event Management, Budgets, Recruiting, Management, Public Speaking, Outlook, Account Management, Leadership
Education
University of Arkansas 2005 — 2009
B.S.B.A, Marketing Management
Harrison Energy Partners April 2012 - Present
Arcadian Health Plan January 2010 - April 2012
Arcadian Health Plan September 2009 - December 2010
Sam M. Walton College of Business August 2005 - March 2009
Alltel Communications May 2007 - August 2007
The Limited Too May 2003 - August 2004
Skills
Customer Service, Invoicing, Word, Microsoft Word, Sales, Retail, Inventory Management, PowerPoint, Microsoft Excel, Marketing, Microsoft Office, Networking, Budget, Contract Management, Research, Event Management, Budgets, Recruiting, Management, Public Speaking, Outlook, Account Management, Leadership
Education
University of Arkansas 2005 — 2009
B.S.B.A, Marketing Management
Dr. Stefany Almaden Dr. Stefany Almaden's Arcadian Health Plan Experience March 2006 - March 2007
Job Executive VP/ Health Services Consulting
Industry Hospital & Health Care
Experience
The Almaden Group, Inc. August 2005 - Present
University of Phoenix April 2006 - Present
Cal State LA June 2011 - August 2013
CMSA 2012 - 2012
AAMCN 2008 - 2011
Arcadian Health Plan March 2006 - March 2007
Catholic Health Care West (CHW) February 2004 - August 2006
PacifiCare 2003 - 2004
CIGNA Healthcare July 1999 - June 2003
CIGNA Healthcare 1999 - 2003
Skills
Healthcare Management, Healthcare, Medicare, Healthcare Consulting, Healthcare Industry, Managed Care, Leadership, Training, Disease Management, Healthcare Information..., Nursing, Team Building, Hospitals, Health Policy, HIPAA, Coaching, Quality Improvement, Medicaid, Physicians, Organizational..., Process Improvement, Program Management, Informatics, Leadership Development, Home Care, Case Managment, Physician Relations, Mentoring, Teaching, Public Speaking, EMR, Patient Safety, Clinical Research, Health Services Research, Medicine, Acute Care, EHR, Performance Improvement, Public Health, Critical Care, Health Education, Nursing Education, Training & Development, Team-Building, Employee Training, Program Development, Process Development &..., Accreditation, Revenue Cycle, Practice Management
Education
Walden University 2007 — 2010
Ph.D., Health Services-Health Management & Policy
California State University-Los Angeles 1997 — 1998
MS, Case Management
California State University-Los Angeles 1985 — 1988
MS, Nursing Administration
American University of Beirut 1974 — 1977
BS, Nursing
The Almaden Group, Inc. August 2005 - Present
University of Phoenix April 2006 - Present
Cal State LA June 2011 - August 2013
CMSA 2012 - 2012
AAMCN 2008 - 2011
Arcadian Health Plan March 2006 - March 2007
Catholic Health Care West (CHW) February 2004 - August 2006
PacifiCare 2003 - 2004
CIGNA Healthcare July 1999 - June 2003
CIGNA Healthcare 1999 - 2003
Skills
Healthcare Management, Healthcare, Medicare, Healthcare Consulting, Healthcare Industry, Managed Care, Leadership, Training, Disease Management, Healthcare Information..., Nursing, Team Building, Hospitals, Health Policy, HIPAA, Coaching, Quality Improvement, Medicaid, Physicians, Organizational..., Process Improvement, Program Management, Informatics, Leadership Development, Home Care, Case Managment, Physician Relations, Mentoring, Teaching, Public Speaking, EMR, Patient Safety, Clinical Research, Health Services Research, Medicine, Acute Care, EHR, Performance Improvement, Public Health, Critical Care, Health Education, Nursing Education, Training & Development, Team-Building, Employee Training, Program Development, Process Development &..., Accreditation, Revenue Cycle, Practice Management
Education
Walden University 2007 — 2010
Ph.D., Health Services-Health Management & Policy
California State University-Los Angeles 1997 — 1998
MS, Case Management
California State University-Los Angeles 1985 — 1988
MS, Nursing Administration
American University of Beirut 1974 — 1977
BS, Nursing
Ramesh Jayasuriya Ramesh Jayasuriya's Arcadian Health Plan Experience February 2011 - July 2011
Job Vice President, Clinical & Quality Solutions at Optum
Industry Hospital & Health Care
Experience
Optum July 2011 - Present
Optum July 2011 - February 2014
OptumInsight July 2011 - March 2012
Arcadian Health Plan February 2011 - July 2011
Verisk Health August 2007 - February 2011
Wells Fargo Financial May 2006 - August 2007
Skills
HEDIS, Healthcare Technology, Healthcare IT, Performance Measurement, Healthcare, Analytics, Healthcare Information..., Analysis, Managed Care, Healthcare Industry, Consulting Experience, Health Plans, Medicare, Strategic Planning, Informatics, Strategy, Leadership, Healthcare Consulting, Quality Improvement, Healthcare Analytics, Vendor Management, Management, Consulting, Health Policy, Healthcare Management
Education
Concordia College
Bachelors, Marketing, Economics and Finance
Optum July 2011 - Present
Optum July 2011 - February 2014
OptumInsight July 2011 - March 2012
Arcadian Health Plan February 2011 - July 2011
Verisk Health August 2007 - February 2011
Wells Fargo Financial May 2006 - August 2007
Skills
HEDIS, Healthcare Technology, Healthcare IT, Performance Measurement, Healthcare, Analytics, Healthcare Information..., Analysis, Managed Care, Healthcare Industry, Consulting Experience, Health Plans, Medicare, Strategic Planning, Informatics, Strategy, Leadership, Healthcare Consulting, Quality Improvement, Healthcare Analytics, Vendor Management, Management, Consulting, Health Policy, Healthcare Management
Education
Concordia College
Bachelors, Marketing, Economics and Finance
Amy Tidwell Amy Tidwell's Arcadian Health Plan Experience May 2008 - December 2010
Job Utilization Nurse at Serco Inc
Industry Hospital & Health Care
Experience
LifePlans, Inc. December 2014 - Present
Grace Consulting January 2014 - Present
Serco May 2012 - Present
AmeriSys December 2010 - July 2012
SouthernCare, Inc. December 2010 - December 2011
Arcadian Health Plan May 2008 - December 2010
Regency Hospital Company January 2005 - February 2009
Medical Center of Central Georgia 2005 - 2008
Genezen Healthcare Prn 2004 - 2005
Health South 2001 - 2005
Skills
Healthcare, Utilization Review, Medicaid Managed Care, Medicare Advantage, Acute Care, Workers Compensation, Long Term Acute Care, HMO, Case Managment, HIPAA, Case Management, Healthcare Management, Managed Care, Nursing, Medicaid, Medicare
Education
Georgia Southern University 2006 — 2007
BSN, Nursing
Gordon College 1992 — 1994
Assiociates of Science, Nursing
Macon State College 1988 — 1990
liberal arts
LifePlans, Inc. December 2014 - Present
Grace Consulting January 2014 - Present
Serco May 2012 - Present
AmeriSys December 2010 - July 2012
SouthernCare, Inc. December 2010 - December 2011
Arcadian Health Plan May 2008 - December 2010
Regency Hospital Company January 2005 - February 2009
Medical Center of Central Georgia 2005 - 2008
Genezen Healthcare Prn 2004 - 2005
Health South 2001 - 2005
Skills
Healthcare, Utilization Review, Medicaid Managed Care, Medicare Advantage, Acute Care, Workers Compensation, Long Term Acute Care, HMO, Case Managment, HIPAA, Case Management, Healthcare Management, Managed Care, Nursing, Medicaid, Medicare
Education
Georgia Southern University 2006 — 2007
BSN, Nursing
Gordon College 1992 — 1994
Assiociates of Science, Nursing
Macon State College 1988 — 1990
liberal arts
John Scappatura John Scappatura's Arcadian Health Plan Experience 2009 - July 2010
Job Experienced IT Executive with Manufactruing Engieering background
Industry Retail
Experience
Menards October 2012 - Present
Arcadian Health Plan 2009 - July 2010
Capital One April 2007 - October 2008
Capital One Auto Finance April 2004 - March 2007
Razorfish January 1999 - March 2002
Northrop Grumman Information Systems June 1993 - December 1998
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1994 — 1996
MBA, Business
Western Michigan University
BS, Aviation Technology & Management
Menards October 2012 - Present
Arcadian Health Plan 2009 - July 2010
Capital One April 2007 - October 2008
Capital One Auto Finance April 2004 - March 2007
Razorfish January 1999 - March 2002
Northrop Grumman Information Systems June 1993 - December 1998
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1994 — 1996
MBA, Business
Western Michigan University
BS, Aviation Technology & Management
Mehul Ramani Mehul Ramani's Arcadian Health Plan Experience August 2010 - September 2011
Job Sr Principal Database Administrator
Industry Information Technology and Services
Experience
Symantec September 2014 - Present
Goldman Sachs January 2014 - August 2014
Goldman Sachs October 2011 - August 2014
Arcadian Health Plan August 2010 - September 2011
California State University, Long Beach September 2007 - May 2010
Tech Trader Corp September 2005 - December 2006
Skills
Microsoft SQL Server, SQL, SSIS, T-SQL, SSRS, Windows Server, Stored Procedures, Disaster Recovery, Performance Tuning, ETL, IIS, Unix, Oracle, TFS, Database Administration, VSS, Shell Scripting, Linux, Hadoop, Microsoft Office..., Visual Basic, Visio, Unix Shell Scripting, SQL Tuning, MongoDB, Ganglia, Oozie, Ambari, Nagios, Tortoise SVN, HADR, HDFS, Powershell, Apache Pig, Hive, Yarn, Apache Spark, Cassandra, Perforce, OpenStack, Amazon Web Services..., Python, SPSS
Education
California State University-Long Beach 2007 — 2010
MS, EE, Information Technology
University of Pune 2000 — 2005
BE, Electronics, Telecommunication
Symantec September 2014 - Present
Goldman Sachs January 2014 - August 2014
Goldman Sachs October 2011 - August 2014
Arcadian Health Plan August 2010 - September 2011
California State University, Long Beach September 2007 - May 2010
Tech Trader Corp September 2005 - December 2006
Skills
Microsoft SQL Server, SQL, SSIS, T-SQL, SSRS, Windows Server, Stored Procedures, Disaster Recovery, Performance Tuning, ETL, IIS, Unix, Oracle, TFS, Database Administration, VSS, Shell Scripting, Linux, Hadoop, Microsoft Office..., Visual Basic, Visio, Unix Shell Scripting, SQL Tuning, MongoDB, Ganglia, Oozie, Ambari, Nagios, Tortoise SVN, HADR, HDFS, Powershell, Apache Pig, Hive, Yarn, Apache Spark, Cassandra, Perforce, OpenStack, Amazon Web Services..., Python, SPSS
Education
California State University-Long Beach 2007 — 2010
MS, EE, Information Technology
University of Pune 2000 — 2005
BE, Electronics, Telecommunication
Frank Apgar MD Frank Apgar MD's Arcadian Health Plan Experience October 2009 - January 2011
Job Medical Director at Xerox State Healthcare LLC
Industry Hospital & Health Care
Experience
Health Net June 2015 - Present
Xerox State Healthcare LLC December 2012 - June 2015
Xerox State Healthcare September 2011 - December 2012
Arcadian Health Plan October 2009 - January 2011
CMA Foundation 2000 - 2010
Blue Shield of California May 2009 - October 2009
BloodSource January 2007 - December 2008
Magellan Health Services November 2002 - July 2008
National Imaging Associates Inc 2002 - 2006
Blue Shield of California May 1995 - November 2002
Skills
Healthcare, Healthcare Management, Clinical Research, Utilization Management, Managed Care, Healthcare Information..., Health Policy, Disease Management, Hospitals, Cross-functional Team..., Medicaid, Medicare
Education
David Geffen School of Medicine at UCLA 1972 — 1976
MD, Medicine
Health Net June 2015 - Present
Xerox State Healthcare LLC December 2012 - June 2015
Xerox State Healthcare September 2011 - December 2012
Arcadian Health Plan October 2009 - January 2011
CMA Foundation 2000 - 2010
Blue Shield of California May 2009 - October 2009
BloodSource January 2007 - December 2008
Magellan Health Services November 2002 - July 2008
National Imaging Associates Inc 2002 - 2006
Blue Shield of California May 1995 - November 2002
Skills
Healthcare, Healthcare Management, Clinical Research, Utilization Management, Managed Care, Healthcare Information..., Health Policy, Disease Management, Hospitals, Cross-functional Team..., Medicaid, Medicare
Education
David Geffen School of Medicine at UCLA 1972 — 1976
MD, Medicine
James M. O. Smith, MBA James M. O. Smith, MBA's Arcadian Health Plan Experience January 2008 - February 2008
Job Digital Project Manager at L.A. Care Health Plan
Industry Internet
Experience
L.A. Care Health Plan April 2015 - Present
Exaltation of Larks November 2014 - February 2015
Image X Media July 2014 - September 2014
Sensis August 2011 - July 2014
SuccessFactors August 2008 - January 2009
Public Health Institute April 2008 - July 2008
Arcadian Health Plan January 2008 - February 2008
S&S Enterprises October 2005 - December 2007
Tenet Healthcare 2002 - 2005
Royal Foods, Inc. 2001 - 2002
Skills
Change Management, Access, Construction Management, Production Managment, Strategic Planning, Project Management, Analytics, Process Improvement, Financial Analysis, Business Analysis, Project Planning, Budgets, Team Building, Management, Financial Modeling, Vendor Management, Consulting, Software Project..., Agile Project Management, Project Coordination, Web Project Management, Agile Methodologies, Data Mining, Operations Management, Website Development, Economics, Economic Research, Photography, Digital Photography, Photojournalism, Event Photography, Leadership, Marketing, Market Research, Social Media, Web Development, Analysis, Integration, Cross-functional Team..., CRM, Strategy, Program Management, E-commerce, Entrepreneurship, Strategic Partnerships, Start-ups, Integrated Marketing, Web Analytics, Digital Marketing, SEO
Education
University of New Orleans 2002 — 2005
MBA, Finance
Vanderbilt University 1998 — 2000
Ph.D. Studies, Economics
University of New Orleans 1996 — 1998
MA, Financial-Economics
University of South Alabama 1990 — 1996
BS, Economics
Grissom High School 1983 — 1987
L.A. Care Health Plan April 2015 - Present
Exaltation of Larks November 2014 - February 2015
Image X Media July 2014 - September 2014
Sensis August 2011 - July 2014
SuccessFactors August 2008 - January 2009
Public Health Institute April 2008 - July 2008
Arcadian Health Plan January 2008 - February 2008
S&S Enterprises October 2005 - December 2007
Tenet Healthcare 2002 - 2005
Royal Foods, Inc. 2001 - 2002
Skills
Change Management, Access, Construction Management, Production Managment, Strategic Planning, Project Management, Analytics, Process Improvement, Financial Analysis, Business Analysis, Project Planning, Budgets, Team Building, Management, Financial Modeling, Vendor Management, Consulting, Software Project..., Agile Project Management, Project Coordination, Web Project Management, Agile Methodologies, Data Mining, Operations Management, Website Development, Economics, Economic Research, Photography, Digital Photography, Photojournalism, Event Photography, Leadership, Marketing, Market Research, Social Media, Web Development, Analysis, Integration, Cross-functional Team..., CRM, Strategy, Program Management, E-commerce, Entrepreneurship, Strategic Partnerships, Start-ups, Integrated Marketing, Web Analytics, Digital Marketing, SEO
Education
University of New Orleans 2002 — 2005
MBA, Finance
Vanderbilt University 1998 — 2000
Ph.D. Studies, Economics
University of New Orleans 1996 — 1998
MA, Financial-Economics
University of South Alabama 1990 — 1996
BS, Economics
Grissom High School 1983 — 1987
Ray Blaylock Ray Blaylock's Arcadian Health Plan Experience September 2007 - April 2012
Job Vice President, National Contracting at Humana
Industry Hospital & Health Care
Experience
Humana April 2012 - Present
Arcadian Health Plan September 2007 - April 2012
Medcath, Inc. March 2006 - September 2007
Healthlink July 2005 - March 2006
Cox Communications June 2000 - July 2005
CIGNA August 1998 - June 2000
Methodist Hospital (Tenet) March 1997 - August 1998
Arkansas Blue Cross Blue Shield August 1993 - March 1997
Coresource, Inc. July 1991 - August 1993
Skills
Healthcare, Strategic Planning, Medicare, Project Management, Budget, Process Improvement, Financial Analysis, Contract Negotiation, Budgets, Business Development, Cross-functional Team..., Forecasting, Healthcare Consulting, Healthcare Management, Insurance, Managed Care, Leadership, Project Planning, Strategy, Team Building, Financial Modeling
Education
University of Arkansas at Fayetteville 1989 — 1991
Master of Business Administration, Management
University of Arkansas at Fayetteville 1984 — 1989
Bachelor of Science Business Administration, Finance
Humana April 2012 - Present
Arcadian Health Plan September 2007 - April 2012
Medcath, Inc. March 2006 - September 2007
Healthlink July 2005 - March 2006
Cox Communications June 2000 - July 2005
CIGNA August 1998 - June 2000
Methodist Hospital (Tenet) March 1997 - August 1998
Arkansas Blue Cross Blue Shield August 1993 - March 1997
Coresource, Inc. July 1991 - August 1993
Skills
Healthcare, Strategic Planning, Medicare, Project Management, Budget, Process Improvement, Financial Analysis, Contract Negotiation, Budgets, Business Development, Cross-functional Team..., Forecasting, Healthcare Consulting, Healthcare Management, Insurance, Managed Care, Leadership, Project Planning, Strategy, Team Building, Financial Modeling
Education
University of Arkansas at Fayetteville 1989 — 1991
Master of Business Administration, Management
University of Arkansas at Fayetteville 1984 — 1989
Bachelor of Science Business Administration, Finance
Alex Roberts, CUA's Arcadian Health Plan Experience March 2009 - April 2011
Job Professional, resultsdriven writer.
Industry Writing and Editing
Experience
Arkansas Blue Cross Blue Shield April 2013 - Present
Acxiom March 2013 - April 2013
RuffaloCODY May 2011 - March 2013
Arcadian Health Plan March 2009 - April 2011
Central Texas Blood and Tissue Center July 2010 - March 2011
Arkansas Local Foods Initiative June 2009 - August 2009
Travel Nurse across America, LLC June 2007 - January 2009
Education
University of Arkansas at Little Rock
Master's degree, Professional and Technical Writing
University of Central Arkansas
BA, Writing
Arkansas Blue Cross Blue Shield April 2013 - Present
Acxiom March 2013 - April 2013
RuffaloCODY May 2011 - March 2013
Arcadian Health Plan March 2009 - April 2011
Central Texas Blood and Tissue Center July 2010 - March 2011
Arkansas Local Foods Initiative June 2009 - August 2009
Travel Nurse across America, LLC June 2007 - January 2009
Education
University of Arkansas at Little Rock
Master's degree, Professional and Technical Writing
University of Central Arkansas
BA, Writing
Sal Spina Sal Spina's Arcadian Health Plan Experience July 2010 - Present
Job President at Caring for HealthCare, LLC
Industry Computer Software
Experience
Arcadian Health Plan July 2010 - Present
Caring for HealthCare, LLC May 2010 - Present
Health Access Solutions June 2005 - February 2010
Mills Peninsula Medical Group 1998 - 2004
Crescent Truck Lines, Inc. 1988 - 1998
Skills
HIPAA, SSIS, Healthcare, Healthcare Information..., Healthcare Industry, Business Analysis, Software Documentation, EHR, Healthcare Consulting, Process Improvement, Visio, Managed Care, Integration, Program Management, SDLC, Data Analysis, Healthcare Management, EMR, Software Development, EDI, Information Technology, SSRS, Project Management, Medicare, HL7, Microsoft SQL Server, SharePoint, Informatics, Crystal Reports, Health Information..., Medicaid, Database Design, Access
Education
Ohlone College 1985 — 1989
AA, Computer Science
BHS
Arcadian Health Plan July 2010 - Present
Caring for HealthCare, LLC May 2010 - Present
Health Access Solutions June 2005 - February 2010
Mills Peninsula Medical Group 1998 - 2004
Crescent Truck Lines, Inc. 1988 - 1998
Skills
HIPAA, SSIS, Healthcare, Healthcare Information..., Healthcare Industry, Business Analysis, Software Documentation, EHR, Healthcare Consulting, Process Improvement, Visio, Managed Care, Integration, Program Management, SDLC, Data Analysis, Healthcare Management, EMR, Software Development, EDI, Information Technology, SSRS, Project Management, Medicare, HL7, Microsoft SQL Server, SharePoint, Informatics, Crystal Reports, Health Information..., Medicaid, Database Design, Access
Education
Ohlone College 1985 — 1989
AA, Computer Science
BHS
William Lineman William Lineman's Arcadian Health Plan Experience September 2006 - February 2009
Job Vice President at Fidelis SecureCare
Industry Insurance
Experience
Fidelis SecureCare February 2013 - Present
Medicare Insurance Services July 2010 - January 2013
The Copeland Group October 2009 - January 2013
AlohaCare May 2009 - October 2009
Arcadian Health Plan September 2006 - February 2009
Neighborhood Health Providers 2004 - 2006
AmeriChoice / UHG 2001 - 2004
AmeriChoice, A UnitedHealth Group Company 2001 - 2004
Skills
Health Insurance, Long-term Care, Medicaid, Medicare, Managed Care, Healthcare Industry, Insurance, Fixed Annuities, Employee Benefits, Healthcare, Accident, Brokers, Call Centers, Claim, Disability Insurance, Executive Management, HIPAA, HMO, Health Policy, Health Savings Accounts, Healthcare Consulting, Healthcare Management, Hospitals, Leadership, Management, Marketing, Medicare Part D, Network Development, PPO, Physician Relations, Provider Relations, Sales, Salesforce.com, Start-ups, Strategic Financial..., Strategic Planning, Training, Healthcare Information..., Life Insurance, Process Improvement, Revenue Cycle, Term Life Insurance, Physicians, Workers Compensation, Disease Management
Education
City University of New York 1986 — 1990
Bachelors, Business
Fidelis SecureCare February 2013 - Present
Medicare Insurance Services July 2010 - January 2013
The Copeland Group October 2009 - January 2013
AlohaCare May 2009 - October 2009
Arcadian Health Plan September 2006 - February 2009
Neighborhood Health Providers 2004 - 2006
AmeriChoice / UHG 2001 - 2004
AmeriChoice, A UnitedHealth Group Company 2001 - 2004
Skills
Health Insurance, Long-term Care, Medicaid, Medicare, Managed Care, Healthcare Industry, Insurance, Fixed Annuities, Employee Benefits, Healthcare, Accident, Brokers, Call Centers, Claim, Disability Insurance, Executive Management, HIPAA, HMO, Health Policy, Health Savings Accounts, Healthcare Consulting, Healthcare Management, Hospitals, Leadership, Management, Marketing, Medicare Part D, Network Development, PPO, Physician Relations, Provider Relations, Sales, Salesforce.com, Start-ups, Strategic Financial..., Strategic Planning, Training, Healthcare Information..., Life Insurance, Process Improvement, Revenue Cycle, Term Life Insurance, Physicians, Workers Compensation, Disease Management
Education
City University of New York 1986 — 1990
Bachelors, Business
Lisa Bupp Lisa Bupp's Arcadian Health Plan Experience April 2011 - May 2012
Job Director, Grievances and Appeals at Molina Medicare
Industry Hospital & Health Care
Experience
Molina Medicare February 2012 - Present
Arcadian Health Plan April 2011 - May 2012
CalOptima July 2010 - April 2011
United Health Care May 1997 - December 2009
PacifiCare Dental & Vision 1996 - 1999
PacifiCare Health Systems May 1993 - August 1996
FHP, Inc May 1985 - May 1993
FHP Healthcare January 1985 - January 1993
Skills
Microsoft Office, HMO, Process Improvement, Medicare, Health Insurance, Training, Medicaid, Healthcare Information..., Managed Care, Health Policy, Call Centers, Healthcare, Utilization Management, Compliance, Medicare Part D, HIPAA, Insurance, Healthcare Industry, Network Development, PPO, Provider Relations
Education
California State University-Long Beach 1990 — 1993
Master's, Health Care Administration
CSULB 1986 — 1993
Bachelor of Arts; CSULBMasters of Science, Liberal Studies/Bilingual Education; Health Care Administration
Molina Medicare February 2012 - Present
Arcadian Health Plan April 2011 - May 2012
CalOptima July 2010 - April 2011
United Health Care May 1997 - December 2009
PacifiCare Dental & Vision 1996 - 1999
PacifiCare Health Systems May 1993 - August 1996
FHP, Inc May 1985 - May 1993
FHP Healthcare January 1985 - January 1993
Skills
Microsoft Office, HMO, Process Improvement, Medicare, Health Insurance, Training, Medicaid, Healthcare Information..., Managed Care, Health Policy, Call Centers, Healthcare, Utilization Management, Compliance, Medicare Part D, HIPAA, Insurance, Healthcare Industry, Network Development, PPO, Provider Relations
Education
California State University-Long Beach 1990 — 1993
Master's, Health Care Administration
CSULB 1986 — 1993
Bachelor of Arts; CSULBMasters of Science, Liberal Studies/Bilingual Education; Health Care Administration
Adriana Ahumada Adriana Ahumada's Arcadian Health Plan Experience March 2007 - March 2012
Job Experienced Compliance Specialist, Medicare Compliance Officer, Internal and External Auditor, Customer Service
Industry Hospital & Health Care
Experience
Alameda Alliance for Health March 2012 - January 2015
Arcadian Health Plan March 2007 - March 2012
Arcadian Health Plan June 2005 - March 2007
Skills
Medicare, Medicaid, Medicaid Managed Care, Managed Care, HIPAA, Provider Relations, Medical Compliance, Health Policy, Healthcare, Healthcare Industry, Healthcare Management, Health Insurance, HMO, Privacy Law, Call Centers, Medicare Part D
Education
University of California, Berkeley
Bachelor of Arts (BA)
Alameda Alliance for Health March 2012 - January 2015
Arcadian Health Plan March 2007 - March 2012
Arcadian Health Plan June 2005 - March 2007
Skills
Medicare, Medicaid, Medicaid Managed Care, Managed Care, HIPAA, Provider Relations, Medical Compliance, Health Policy, Healthcare, Healthcare Industry, Healthcare Management, Health Insurance, HMO, Privacy Law, Call Centers, Medicare Part D
Education
University of California, Berkeley
Bachelor of Arts (BA)
Anastasia Kaufmann Anastasia Kaufmann's Arcadian Health Plan Experience November 2010 - October 2012
Job Policy Consultant at Humana
Industry Insurance
Experience
Humana October 2012 - Present
Arcadian Health Plan November 2010 - October 2012
Arcadian Health Plan September 2008 - October 2010
Skills
Managed Care, Insurance, Health Insurance, Medicare, Healthcare, Strategic Planning, Leadership, HIPAA, Medicare Part D, Medicaid, SharePoint 2010, SharePoint Designer, SharePoint Site...
Education
Colgate University 2005 — 2008
BA, International Relations
Humana October 2012 - Present
Arcadian Health Plan November 2010 - October 2012
Arcadian Health Plan September 2008 - October 2010
Skills
Managed Care, Insurance, Health Insurance, Medicare, Healthcare, Strategic Planning, Leadership, HIPAA, Medicare Part D, Medicaid, SharePoint 2010, SharePoint Designer, SharePoint Site...
Education
Colgate University 2005 — 2008
BA, International Relations
Pamela Winston Curbeam Pamela Winston Curbeam's Arcadian Health Plan Experience July 2009 - November 2011
Job A Human Service specialist advocating life changes through supporting self awareness, selfsufficiency and empowerment.
Industry Individual & Family Services
Experience
H&R Block 2013 - Present
AmerisourceBergen November 2011 - November 2012
Arcadian Health Plan July 2009 - November 2011
Communities In Schools August 2009 - May 2010
Fighting Back January 1996 - January 1998
Department of Health and Human Services Youth and Family Services, Economic Services & Health Depa January 1984 - May 1994
Skills
Community Outreach, Interviews, Social Services, Customer Service, PowerPoint, Outlook, Community Service, Patient Advocacy, Case Managment, Microsoft Excel, Assessment Skills, Insurance Verification, Healthcare, Written/Oral..., Customer Retention, Interpersonal Skill, Eligibility, Call Center, Determination, Crisis Intervention, General Office..., Tax Preparation, Medicare Prescription..., Patient Education, Identifying Client Needs, Screening, Critical Thinking, Hospital Reimbursement, Family Services, Service Coordination, Electronic Document, Criticial Thinking, Leadership, Tax Returns, Human resources, Nonprofits, Research, Training, Microsoft Office, Alternative Dispute..., Data Entry, Public Speaking
Education
University of North Carolina at Greensboro 2013 — 2014
Bachelor of Arts, Social Sciences minor in Sociology and Health and Human Services
Central Piedmont Community College 2009 — 2011
Associate's of Applied Sciences (A.A.S.), Human Services Technology
Central Piedmont Community College 2009 — 2010
Associate's of General Education (A.G.E.), General Education/Liberal Studies
H&R Block 2013 - Present
AmerisourceBergen November 2011 - November 2012
Arcadian Health Plan July 2009 - November 2011
Communities In Schools August 2009 - May 2010
Fighting Back January 1996 - January 1998
Department of Health and Human Services Youth and Family Services, Economic Services & Health Depa January 1984 - May 1994
Skills
Community Outreach, Interviews, Social Services, Customer Service, PowerPoint, Outlook, Community Service, Patient Advocacy, Case Managment, Microsoft Excel, Assessment Skills, Insurance Verification, Healthcare, Written/Oral..., Customer Retention, Interpersonal Skill, Eligibility, Call Center, Determination, Crisis Intervention, General Office..., Tax Preparation, Medicare Prescription..., Patient Education, Identifying Client Needs, Screening, Critical Thinking, Hospital Reimbursement, Family Services, Service Coordination, Electronic Document, Criticial Thinking, Leadership, Tax Returns, Human resources, Nonprofits, Research, Training, Microsoft Office, Alternative Dispute..., Data Entry, Public Speaking
Education
University of North Carolina at Greensboro 2013 — 2014
Bachelor of Arts, Social Sciences minor in Sociology and Health and Human Services
Central Piedmont Community College 2009 — 2011
Associate's of Applied Sciences (A.A.S.), Human Services Technology
Central Piedmont Community College 2009 — 2010
Associate's of General Education (A.G.E.), General Education/Liberal Studies
April Chapa April Chapa's Arcadian Health Plan Experience February 2007 - April 2013
Job at
Industry Hospital & Health Care
Experience
Molina Healthcare June 2015 - Present
Molina Healthcare April 2013 - Present
Arcadian Health Plan February 2007 - April 2013
Outclick Media May 2006 - February 2007
PacifiCare Health Systems January 2000 - May 2006
Skills
Medicare, Internal Audit, Auditing, Process Improvement, Medicaid, Access, Healthcare Information..., HIPAA, Healthcare, Training, Customer Service, Policy, Managed Care, Health Insurance, HMO, Software Documentation, Employee Benefits, Data Analysis, Insurance, Change Management, Healthcare Industry, Analysis, Business Analysis, Medicare Part D, Financial Reporting, Leadership
Education
Cypress College 1998 — 2000
Molina Healthcare June 2015 - Present
Molina Healthcare April 2013 - Present
Arcadian Health Plan February 2007 - April 2013
Outclick Media May 2006 - February 2007
PacifiCare Health Systems January 2000 - May 2006
Skills
Medicare, Internal Audit, Auditing, Process Improvement, Medicaid, Access, Healthcare Information..., HIPAA, Healthcare, Training, Customer Service, Policy, Managed Care, Health Insurance, HMO, Software Documentation, Employee Benefits, Data Analysis, Insurance, Change Management, Healthcare Industry, Analysis, Business Analysis, Medicare Part D, Financial Reporting, Leadership
Education
Cypress College 1998 — 2000
Laura Zamora RN MHA CCM Laura Zamora RN MHA CCM's Arcadian Health Plan Experience 2011 - 2012
Job Case Manager | Nurse Administrator | Case Management | Project Manager
Industry Insurance
Experience
Aetna 2012 - Present
Arcadian Health Plan 2011 - 2012
Aetna 2009 - 2011
IASIS Healthcare 2008 - 2009
Peak Vista Community Health Centers June 2004 - June 2005
University of Colorado Colorado Springs 2003 - 2004
Skills
Healthcare Information..., Healthcare Management, Managed Care, Nursing, Medical Case Management, Women's Health, Medicare, Hospitals, Healthcare
Education
University of the Incarnate Word 2013 — 2015
MHA, Healthcare, Health/Health Care Administration/Management
Jacksonville University 2007 — 2009
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Pikes Peak Community College 1999 — 2002
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Spencerian College 1990 — 1991
diploma, Licensed Practical/Vocational Nurse Training, 3.75
Aetna 2012 - Present
Arcadian Health Plan 2011 - 2012
Aetna 2009 - 2011
IASIS Healthcare 2008 - 2009
Peak Vista Community Health Centers June 2004 - June 2005
University of Colorado Colorado Springs 2003 - 2004
Skills
Healthcare Information..., Healthcare Management, Managed Care, Nursing, Medical Case Management, Women's Health, Medicare, Hospitals, Healthcare
Education
University of the Incarnate Word 2013 — 2015
MHA, Healthcare, Health/Health Care Administration/Management
Jacksonville University 2007 — 2009
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Pikes Peak Community College 1999 — 2002
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Spencerian College 1990 — 1991
diploma, Licensed Practical/Vocational Nurse Training, 3.75
Joy Bailey Joy Bailey's Arcadian Health Plan Experience July 2011 - October 2011
Job Mental Health RN at Department of Veterans Affairs
Industry Mental Health Care
Experience
Department of Veterans Affairs October 2011 - Present
Arcadian Health Plan July 2011 - October 2011
Martins Point health care April 2006 - July 2011
Skills
Nursing, Case Managment, Healthcare, Mental Health, Healthcare Management, Hospitals, Social Services, Psychotherapy, Psychology, Mental Health Counseling, Community Outreach, Nonprofits, Training, Leadership Development, Staff Development, Case Management, Behavioral Health, Patient Advocacy
Education
University of Southern Maine 1993 — 1996
BSN, Nursing
Central Maine Medical Center College of Nursing and Health Professions 1988 — 1990
Associate's degree, Registered Nursing/Registered Nurse
Department of Veterans Affairs October 2011 - Present
Arcadian Health Plan July 2011 - October 2011
Martins Point health care April 2006 - July 2011
Skills
Nursing, Case Managment, Healthcare, Mental Health, Healthcare Management, Hospitals, Social Services, Psychotherapy, Psychology, Mental Health Counseling, Community Outreach, Nonprofits, Training, Leadership Development, Staff Development, Case Management, Behavioral Health, Patient Advocacy
Education
University of Southern Maine 1993 — 1996
BSN, Nursing
Central Maine Medical Center College of Nursing and Health Professions 1988 — 1990
Associate's degree, Registered Nursing/Registered Nurse
Amy Dubay Amy Dubay's Arcadian Health Plan Experience October 2009 - February 2012
Job Founder & CEO at Imperius Consulting Solutions
Industry Hospital & Health Care
Experience
Imperius Consulting Solutions December 2012 - Present
AmeriLife Group LLC February 2012 - December 2012
Arcadian Health Plan October 2009 - February 2012
Cabela's March 2008 - August 2009
QA Technology Co, Inc July 2004 - March 2008
Aviation Management Systems, Inc June 2003 - February 2004
York Hospital Home Care October 2002 - June 2003
Skills
Sales Operations, Medicare, Health Insurance, HIPAA, Sales Process, Marketing Strategy, Strategic Planning, Training, Recruiting, Managed Care, Healthcare Management, Healthcare, Insurance, Medicare Part D, Sales
Education
National American University 2008 — 2012
Caribou High School
High School Diploma
National American University
BS, Business Administration
University of Southern Maine
Nursing
Imperius Consulting Solutions December 2012 - Present
AmeriLife Group LLC February 2012 - December 2012
Arcadian Health Plan October 2009 - February 2012
Cabela's March 2008 - August 2009
QA Technology Co, Inc July 2004 - March 2008
Aviation Management Systems, Inc June 2003 - February 2004
York Hospital Home Care October 2002 - June 2003
Skills
Sales Operations, Medicare, Health Insurance, HIPAA, Sales Process, Marketing Strategy, Strategic Planning, Training, Recruiting, Managed Care, Healthcare Management, Healthcare, Insurance, Medicare Part D, Sales
Education
National American University 2008 — 2012
Caribou High School
High School Diploma
National American University
BS, Business Administration
University of Southern Maine
Nursing
Brian C. Smith Brian C. Smith's Arcadian Health Plan Experience 2007 - 2011
Job Strategic Consultant for Provider Development Center of Excellence Provider Engagement, Central Region
Industry Hospital & Health Care
Experience
Centene Corporation 2012 - 2014
Arcadian Health Plan 2007 - 2011
Baylor Scott & White Health Careers 2004 - 2006
Skills
Managed Care, Physician Relations, Contract Negotiation, Provider Network..., Sales, Medical Devices, Salesforce.com, Medicare/Medicaid..., Contract Management, Team Leadership, Strategic Leadership, Utilization Management, Financial Analysis, Medical Groups, Mentoring Of Staff, New Markets Development, Staff Management, Golf, Medicare Advantage, Tennis, Provider Engagement, Health Insurance
Education
Texas State University-San Marcos 1996 — 2000
MHA, Master of Healthcare Administration
Texas State University 1986 — 1991
Bachelor of Science (B.S.)
Centene Corporation 2012 - 2014
Arcadian Health Plan 2007 - 2011
Baylor Scott & White Health Careers 2004 - 2006
Skills
Managed Care, Physician Relations, Contract Negotiation, Provider Network..., Sales, Medical Devices, Salesforce.com, Medicare/Medicaid..., Contract Management, Team Leadership, Strategic Leadership, Utilization Management, Financial Analysis, Medical Groups, Mentoring Of Staff, New Markets Development, Staff Management, Golf, Medicare Advantage, Tennis, Provider Engagement, Health Insurance
Education
Texas State University-San Marcos 1996 — 2000
MHA, Master of Healthcare Administration
Texas State University 1986 — 1991
Bachelor of Science (B.S.)
Gagan Grewal, JD, CHC, CHPC Gagan Grewal, JD, CHC, CHPC's Arcadian Health Plan Experience March 2011 - January 2012
Job Privacy Officer, Peninsula Coastal Region at Sutter Health
Industry Hospital & Health Care
Experience
Sutter Health June 2015 - Present
UCLA Health System & David Geffen School of Medicine January 2012 - April 2015
Arcadian Health Plan March 2011 - January 2012
Adventist Health March 2010 - March 2011
Roman & Singh, LLP January 2009 - December 2009
Tokio Marine Management June 2007 - September 2007
Law Offices of Madeleine Bryant-Kambe January 2007 - June 2007
Skills
HIPAA, Compliance, Medicare, Healthcare, Policy, Legal Research, Fraud, Medicaid, Managed Care, Health Law, Privacy, Privacy Law, Analysis, Civil Litigation, Mediation, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Healthcare Consulting, Risk Management, Privacy Compliance
Education
University of the Pacific - McGeorge School of Law 2010 — 2011
LLM, Health Law & Policy
Loyola Law School, Los Angeles 2005 — 2008
JD, Law
University of California, Riverside
BA, Psychology and Political Science
Sutter Health June 2015 - Present
UCLA Health System & David Geffen School of Medicine January 2012 - April 2015
Arcadian Health Plan March 2011 - January 2012
Adventist Health March 2010 - March 2011
Roman & Singh, LLP January 2009 - December 2009
Tokio Marine Management June 2007 - September 2007
Law Offices of Madeleine Bryant-Kambe January 2007 - June 2007
Skills
HIPAA, Compliance, Medicare, Healthcare, Policy, Legal Research, Fraud, Medicaid, Managed Care, Health Law, Privacy, Privacy Law, Analysis, Civil Litigation, Mediation, Hospitals, Healthcare Information..., Healthcare Industry, Health Policy, Healthcare Consulting, Risk Management, Privacy Compliance
Education
University of the Pacific - McGeorge School of Law 2010 — 2011
LLM, Health Law & Policy
Loyola Law School, Los Angeles 2005 — 2008
JD, Law
University of California, Riverside
BA, Psychology and Political Science
Nicole Urieta Nicole Urieta's Arcadian Health Plan Experience January 2010 - March 2012
Job Regional Recruiter St. Joseph Health
Industry Hospital & Health Care
Experience
St. Joseph Hospital October 2012 - Present
Kaiser Permanente April 2012 - October 2012
Arcadian Health Plan January 2010 - March 2012
Marquee Staffing June 2008 - April 2009
Accounting Principals June 2006 - April 2008
Robert Half Finance & Accounting May 2004 - May 2006
Education
Riverside City College
Business Administration
St. Joseph Hospital October 2012 - Present
Kaiser Permanente April 2012 - October 2012
Arcadian Health Plan January 2010 - March 2012
Marquee Staffing June 2008 - April 2009
Accounting Principals June 2006 - April 2008
Robert Half Finance & Accounting May 2004 - May 2006
Education
Riverside City College
Business Administration
Raffi Kaprielian, PharmD Raffi Kaprielian, PharmD's Arcadian Health Plan Experience May 2008 - May 2011
Job
Industry Hospital & Health Care
Experience
Regal Medical Group & Affiliated Doctors of Orange County March 2012 - Present
RK Pharmacy Consulting November 2007 - December 2011
Safeway September 2007 - December 2011
Arcadian Health Plan May 2008 - May 2011
City of Hope January 2001 - July 2003
Skills
Managed Care, Medicare Part D, CMS, Clinical Pharmacy, Pharmacy Benefit..., Healthcare, Diabetes, Healthcare Industry, Medicare, Medicaid, Pharmacists, Pharmacy, Oncology, Healthcare Management, HIPAA, Patient Education, Clinical Research
Education
Western University of Health Sciences 2003 — 2007
PharmD
California State Polytechnic University-Pomona 1996 — 2001
BS
Regal Medical Group & Affiliated Doctors of Orange County March 2012 - Present
RK Pharmacy Consulting November 2007 - December 2011
Safeway September 2007 - December 2011
Arcadian Health Plan May 2008 - May 2011
City of Hope January 2001 - July 2003
Skills
Managed Care, Medicare Part D, CMS, Clinical Pharmacy, Pharmacy Benefit..., Healthcare, Diabetes, Healthcare Industry, Medicare, Medicaid, Pharmacists, Pharmacy, Oncology, Healthcare Management, HIPAA, Patient Education, Clinical Research
Education
Western University of Health Sciences 2003 — 2007
PharmD
California State Polytechnic University-Pomona 1996 — 2001
BS
Rebecca (Becca) Usher, MHA / MBA's Arcadian Health Plan Experience November 2007 - December 2012
Job Executive Recruiter Healthcare Administration at Aureus Group 888.239.5993 ext 1319 busher@aureusgroup.com
Industry Hospital & Health Care
Experience
Aureus Group 2013 - Present
Arcadian Health Plan November 2007 - December 2012
The Planning Group, Inc 2002 - 2007
Skills
Medicare, Medicaid, Provider Relations, Network Development, Managed Care, HMO, Utilization Management, Medicaid Managed Care, PPO, Healthcare Consulting, Healthcare Industry, Credentialing, Medicare Part D, HIPAA, Health Insurance, Physician Relations, Executive Search, Healthcare Management, Hospitals, Healthcare Information..., Healthcare, Networking
Education
University of Maryland University College 2010 — 2013
MHA / MBA
East Carolina University 1994 — 1998
BS, Exercise Sport Science, minor in Nutrition
Aureus Group 2013 - Present
Arcadian Health Plan November 2007 - December 2012
The Planning Group, Inc 2002 - 2007
Skills
Medicare, Medicaid, Provider Relations, Network Development, Managed Care, HMO, Utilization Management, Medicaid Managed Care, PPO, Healthcare Consulting, Healthcare Industry, Credentialing, Medicare Part D, HIPAA, Health Insurance, Physician Relations, Executive Search, Healthcare Management, Hospitals, Healthcare Information..., Healthcare, Networking
Education
University of Maryland University College 2010 — 2013
MHA / MBA
East Carolina University 1994 — 1998
BS, Exercise Sport Science, minor in Nutrition
Steven Klaus Steven Klaus's Arcadian Health Plan Experience November 2004 - November 2008
Job Director of Medicare at Centene Corporation
Industry Hospital & Health Care
Experience
Centene Corporation November 2011 - Present
HealthSpring November 2008 - May 2011
Arcadian Health Plan November 2004 - November 2008
Aetna August 1997 - May 2004
Skills
Process Improvement, Sales Management, Advertising, Marketing Strategy, Marketing Research, Product Development, Product Management, Benefits Design, Emerging Markets, Operational Excellence, Excel, Word, PowerPoint, Outlook, Medicare, Managed Care, Leadership, Health Insurance, HIPAA, Healthcare Industry, Account Management, Budgets, Call Centers, Contract Negotiation, Cross-functional Team..., Employee Benefits, Executive Management, Healthcare, Healthcare Management, Marketing, Marketing Communications, Medicaid, Microsoft Excel, Microsoft Word, Negotiation, Recruiting, Sales, Sales Operations, Salesforce.com, Start-ups, Strategic Planning, Team Building, Team Leadership
Education
University of California, Davis 1989 — 1990
Environmental Policy and Planning
Arizona State University 1986 — 1989
Environmental Design
Centene Corporation November 2011 - Present
HealthSpring November 2008 - May 2011
Arcadian Health Plan November 2004 - November 2008
Aetna August 1997 - May 2004
Skills
Process Improvement, Sales Management, Advertising, Marketing Strategy, Marketing Research, Product Development, Product Management, Benefits Design, Emerging Markets, Operational Excellence, Excel, Word, PowerPoint, Outlook, Medicare, Managed Care, Leadership, Health Insurance, HIPAA, Healthcare Industry, Account Management, Budgets, Call Centers, Contract Negotiation, Cross-functional Team..., Employee Benefits, Executive Management, Healthcare, Healthcare Management, Marketing, Marketing Communications, Medicaid, Microsoft Excel, Microsoft Word, Negotiation, Recruiting, Sales, Sales Operations, Salesforce.com, Start-ups, Strategic Planning, Team Building, Team Leadership
Education
University of California, Davis 1989 — 1990
Environmental Policy and Planning
Arizona State University 1986 — 1989
Environmental Design
Belinda Abeyta, MBA Belinda Abeyta, MBA's Arcadian Health Plan Experience 2009 - 2010
Job Vice President of Business Process Improvement at Primary Provider Management Company Inc.
Industry Hospital & Health Care
Experience
PPMC, Inc October 2013 - Present
PPMC, Inc April 2013 - October 2013
Inland Empire Health Plan November 2010 - April 2013
Arcadian Health Plan 2009 - 2010
St. Joseph Heritage Healthcare-Network Support Services July 2003 - September 2009
Hoag Hospital July 1999 - February 2003
Skills
Medicaid, Health Insurance, Managed Care, HMO, Medicare, HIPAA, Team Building, Healthcare, Healthcare Management, Insurance, Process Improvement, Software Documentation, Business Analysis, Hospitals, Visio, Healthcare Information..., Claim, Employee Benefits, Training, Data Analysis, Provider Relations, Utilization Management, Health Policy, Policy, Program Management, Healthcare Industry, Claims Management, EHR, Healthcare Consulting, Medical Billing, EMR, Revenue Cycle, Quality Improvement, Physician Relations, Disease Management, Business Process..., Analysis, Call Centers, Physicians, Practice Management, Performance Improvement, Medical Coding, Epic Systems, Leadership, Medical Terminology, Informatics, Strategic Planning, Medicare Part D, Credentialing
Education
University of Phoenix 2007 — 2009
MBA, Business
California State University-Long Beach 1983 — 1985
B.S., Health Science and Community Health Education
Riverside City College
A.A., General Education
PPMC, Inc October 2013 - Present
PPMC, Inc April 2013 - October 2013
Inland Empire Health Plan November 2010 - April 2013
Arcadian Health Plan 2009 - 2010
St. Joseph Heritage Healthcare-Network Support Services July 2003 - September 2009
Hoag Hospital July 1999 - February 2003
Skills
Medicaid, Health Insurance, Managed Care, HMO, Medicare, HIPAA, Team Building, Healthcare, Healthcare Management, Insurance, Process Improvement, Software Documentation, Business Analysis, Hospitals, Visio, Healthcare Information..., Claim, Employee Benefits, Training, Data Analysis, Provider Relations, Utilization Management, Health Policy, Policy, Program Management, Healthcare Industry, Claims Management, EHR, Healthcare Consulting, Medical Billing, EMR, Revenue Cycle, Quality Improvement, Physician Relations, Disease Management, Business Process..., Analysis, Call Centers, Physicians, Practice Management, Performance Improvement, Medical Coding, Epic Systems, Leadership, Medical Terminology, Informatics, Strategic Planning, Medicare Part D, Credentialing
Education
University of Phoenix 2007 — 2009
MBA, Business
California State University-Long Beach 1983 — 1985
B.S., Health Science and Community Health Education
Riverside City College
A.A., General Education
Tiffany Hill Valery, CPC-A's Arcadian Health Plan Experience 2009 - 2011
Job Project Team Manager at ARDX
Industry Management Consulting
Experience
ARDX January 2014 - Present
ARDX September 2013 - January 2014
ARDX June 2011 - September 2013
Arcadian Health Plan 2009 - 2011
Leading Through Change 2006 - 2009
Vascular & Transplant Specialists 2004 - 2006
Chesapeake Regional Medical Center 2000 - 2004
Skills
Process Improvement, Healthcare Consulting, Health Policy, Training, Leadership, Project Management, Training Facilitation, Team Leadership, Resource Allocation, Curriculum Development, Business Process..., ICD-9, ICD-10, Business Analysis, Medicare, Requirements Analysis, Functional Requirements, Provider Relations, HIPAA, OMB, Business Process Design, SOP Development, Medical Terminology, Research, Program Management, Credentialing, Medical Coding, Team Building, Distance Learning, Access, Vascular Surgery, Surgical Technology, Healthcare, Surgery Scheduling
Education
Tidewater Community College
ARDX January 2014 - Present
ARDX September 2013 - January 2014
ARDX June 2011 - September 2013
Arcadian Health Plan 2009 - 2011
Leading Through Change 2006 - 2009
Vascular & Transplant Specialists 2004 - 2006
Chesapeake Regional Medical Center 2000 - 2004
Skills
Process Improvement, Healthcare Consulting, Health Policy, Training, Leadership, Project Management, Training Facilitation, Team Leadership, Resource Allocation, Curriculum Development, Business Process..., ICD-9, ICD-10, Business Analysis, Medicare, Requirements Analysis, Functional Requirements, Provider Relations, HIPAA, OMB, Business Process Design, SOP Development, Medical Terminology, Research, Program Management, Credentialing, Medical Coding, Team Building, Distance Learning, Access, Vascular Surgery, Surgical Technology, Healthcare, Surgery Scheduling
Education
Tidewater Community College
Tara Otterson, MBA's Arcadian Health Plan Experience July 2007 - March 2009
Job Corporate Marketing Expert | Research, Analysis, Implementation | Team Leader
Industry Marketing and Advertising
Experience
RIX Industries January 2014 - Present
Blue Shield of California March 2012 - September 2013
Blue Shield of California March 2009 - March 2012
Arcadian Health Plan July 2007 - March 2009
Arcadian Health Plan August 2006 - July 2007
Costar Group, Inc. May 2004 - April 2006
ESRI Business Information Solutions September 2003 - May 2004
Honda Element College Program January 2003 - May 2003
Skills
Direct Marketing, Marketing Strategy, Strategy, Project Management, Vendor Management, Management, Lead Generation, Integrated Marketing, Medicare, Market Analysis, Segmentation, Process Analysis, Start-ups, Database Marketing, Product Marketing, Online Marketing, Creative Briefs, Marketing Communications, Advertising, Marketing, Strategic Planning, Leadership, Strategy Development, New Business Development, Process Improvement, Campaign Tracking &..., Sales Event Strategy, Sales Event Data &..., Product Material..., Market Opportunity..., Market Opportunity..., Creative Design, Creative Brief..., Marketing Data Analysis, Budget Management &..., Medicare Advantage, Medicare Compliance
Education
Saint Mary's College of California 2013 — 2015
Master of Business Administration (M.B.A.)
University of Southern California 2000 — 2003
Bachelor of Science (B.S.), Business Administration, Marketing
RIX Industries January 2014 - Present
Blue Shield of California March 2012 - September 2013
Blue Shield of California March 2009 - March 2012
Arcadian Health Plan July 2007 - March 2009
Arcadian Health Plan August 2006 - July 2007
Costar Group, Inc. May 2004 - April 2006
ESRI Business Information Solutions September 2003 - May 2004
Honda Element College Program January 2003 - May 2003
Skills
Direct Marketing, Marketing Strategy, Strategy, Project Management, Vendor Management, Management, Lead Generation, Integrated Marketing, Medicare, Market Analysis, Segmentation, Process Analysis, Start-ups, Database Marketing, Product Marketing, Online Marketing, Creative Briefs, Marketing Communications, Advertising, Marketing, Strategic Planning, Leadership, Strategy Development, New Business Development, Process Improvement, Campaign Tracking &..., Sales Event Strategy, Sales Event Data &..., Product Material..., Market Opportunity..., Market Opportunity..., Creative Design, Creative Brief..., Marketing Data Analysis, Budget Management &..., Medicare Advantage, Medicare Compliance
Education
Saint Mary's College of California 2013 — 2015
Master of Business Administration (M.B.A.)
University of Southern California 2000 — 2003
Bachelor of Science (B.S.), Business Administration, Marketing
Sandy Monsees Sandy Monsees's Arcadian Health Plan Experience December 2010 - January 2012
Job Senior Training and Staff Development Specialist at County of Santa Clara
Industry Human Resources
Experience
County of Santa Clara April 2013 - Present
County of Santa Clara January 2012 - March 2013
CVS/pharmacy February 2008 - May 2012
Arcadian Health Plan December 2010 - January 2012
Longs Drug Stores January 2000 - January 2008
Longs Drug Stores August 1989 - February 2000
Skills
Virtural Training, Course Design, Collaborative Problem..., ADDIE, Job Aids, ILT, Help Files, Training Manuals, Training Guides, Proprietary, Survey, Synchronous, PowerPoint, Word, Information Mapping, Outlook, Microsoft Word, Training, Instructional Design, Organizational..., Performance Consulting, Leadership Development, Coaching, Strategic Planning, Organizational..., Program Management, Curriculum Design, Workshop Facilitation, E-Learning, Captivate, Staff Development, Cross-functional Team..., Onboarding
Education
Ashford University 2010 — 2011
Master's, Teaching with Technology
San Jose State University
Bachelor of Science, Business Administration
County of Santa Clara April 2013 - Present
County of Santa Clara January 2012 - March 2013
CVS/pharmacy February 2008 - May 2012
Arcadian Health Plan December 2010 - January 2012
Longs Drug Stores January 2000 - January 2008
Longs Drug Stores August 1989 - February 2000
Skills
Virtural Training, Course Design, Collaborative Problem..., ADDIE, Job Aids, ILT, Help Files, Training Manuals, Training Guides, Proprietary, Survey, Synchronous, PowerPoint, Word, Information Mapping, Outlook, Microsoft Word, Training, Instructional Design, Organizational..., Performance Consulting, Leadership Development, Coaching, Strategic Planning, Organizational..., Program Management, Curriculum Design, Workshop Facilitation, E-Learning, Captivate, Staff Development, Cross-functional Team..., Onboarding
Education
Ashford University 2010 — 2011
Master's, Teaching with Technology
San Jose State University
Bachelor of Science, Business Administration
Marsela Velez Marsela Velez's Arcadian Health Plan Experience July 2006 - October 2012
Job Project Analyst at Humana
Industry Hospital & Health Care
Experience
Humana October 2012 - Present
Arcadian Health Plan July 2006 - October 2012
UnitedHealthcare September 2005 - July 2006
CBC Professional Pharmacy August 2001 - September 2005
Skills
10 Key Touch, Type 70 WPM, Microsoft Excel, Microsoft Word, PowerPoint, Adobe Acrobat, RxClaims, Access, Spanish-speaking
Education
Adult & Career Education 2000 — 2001
Certified Pharmacy Technician, Pharmacy
Cal Poly Pomona 1997 — 2001
Psychology/Biology
Ganesha High School
High School Diploma
Humana October 2012 - Present
Arcadian Health Plan July 2006 - October 2012
UnitedHealthcare September 2005 - July 2006
CBC Professional Pharmacy August 2001 - September 2005
Skills
10 Key Touch, Type 70 WPM, Microsoft Excel, Microsoft Word, PowerPoint, Adobe Acrobat, RxClaims, Access, Spanish-speaking
Education
Adult & Career Education 2000 — 2001
Certified Pharmacy Technician, Pharmacy
Cal Poly Pomona 1997 — 2001
Psychology/Biology
Ganesha High School
High School Diploma
Catherine Sanchez Catherine Sanchez's Arcadian Health Plan Experience July 2010 - April 2012
Job IT Professional
Industry Information Technology and Services
Experience
All Covered June 2015 - Present
All Covered October 2013 - June 2015
Griffith Company April 2013 - September 2013
Humana April 2012 - November 2012
Arcadian Health Plan July 2010 - April 2012
Best Buy October 2004 - July 2010
H&R Block October 2003 - April 2004
Arcadian Management Services July 2003 - September 2003
Skills
Windows Server, Active Directory, Microsoft Exchange, Microsoft Office 2003, Microsoft Office 2007, Microsoft Office 2010, Microsoft Office 2013, Office 365, Windows XP, Windows 7, Windows 8.1, Software Installation, Norton Ghost, VPN, Cisco VPN client, Bomgar, GoToAssist, PC Anywhere, VNC, Voltage(email..., Utimaco (laptop..., Technical Support, Altiris, Inventory Accuracy, IT Asset Management, Troubleshooting, Computer Hardware, Printers, Laptops, Routers, Networking, iPhone Support, Andriod Phone Support, Computer Repair, A+ Certified, IP Phones, Mitel, Field Support, Multiple Sites, System Deployment, Kaseya, BMC Remedy, Axcient
Education
Platt College-Ontario 2002 — 2003
Associate of Science (A.S.), Information Technology Networking
All Covered June 2015 - Present
All Covered October 2013 - June 2015
Griffith Company April 2013 - September 2013
Humana April 2012 - November 2012
Arcadian Health Plan July 2010 - April 2012
Best Buy October 2004 - July 2010
H&R Block October 2003 - April 2004
Arcadian Management Services July 2003 - September 2003
Skills
Windows Server, Active Directory, Microsoft Exchange, Microsoft Office 2003, Microsoft Office 2007, Microsoft Office 2010, Microsoft Office 2013, Office 365, Windows XP, Windows 7, Windows 8.1, Software Installation, Norton Ghost, VPN, Cisco VPN client, Bomgar, GoToAssist, PC Anywhere, VNC, Voltage(email..., Utimaco (laptop..., Technical Support, Altiris, Inventory Accuracy, IT Asset Management, Troubleshooting, Computer Hardware, Printers, Laptops, Routers, Networking, iPhone Support, Andriod Phone Support, Computer Repair, A+ Certified, IP Phones, Mitel, Field Support, Multiple Sites, System Deployment, Kaseya, BMC Remedy, Axcient
Education
Platt College-Ontario 2002 — 2003
Associate of Science (A.S.), Information Technology Networking
Chester Brown Chester Brown's Arcadian Health Plan Experience August 2006 - February 2010
Job Director, Product Innovation at WellPoint
Industry Hospital & Health Care
Experience
Anthem March 2014 - Present
University of Phoenix October 2009 - Present
Anthem February 2011 - March 2014
L.A. Care Health Plan May 2010 - February 2011
Kaiser Permanente March 2010 - April 2010
Arcadian Health Plan August 2006 - February 2010
UnitedHealth Group December 2004 - April 2006
UCLA Medical Center September 2003 - December 2004
L.A. Care Health Plan May 2001 - September 2003
University Affiliates IPA, Inc. June 2000 - May 2001
Skills
Managed Care, Medicare, Medicaid, Medicare Part D, Healthcare, Risk Management, Medicare Advantage, Strategic Planning, Business Strategy, Financial Analysis, Financial Accounting, Process Improvement, Pharmacy, Revenue Cycle, Health Insurance, Employee Benefits, Strategy, Hospitals, Analysis, Healthcare Industry, Disease Management, Informatics, EMR, Business Analysis, Claim, Healthcare Management, HIPAA, EHR, Healthcare Consulting, Healthcare Information..., Pharmacy Benefit..., Health Policy, Quality Improvement, Physicians, Training, Physician Relations, Data Analysis, Management, Analytics, Epic Systems, Medical Coding, Cross-functional Team..., Performance Improvement, Insurance
Education
University of Southern California 1998 — 2000
MHA, Health Administration
University of California, Los Angeles 1993 — 1998
BA, Economics
University of Phoenix
Doctor of Management, Organizational Leadership
Anthem March 2014 - Present
University of Phoenix October 2009 - Present
Anthem February 2011 - March 2014
L.A. Care Health Plan May 2010 - February 2011
Kaiser Permanente March 2010 - April 2010
Arcadian Health Plan August 2006 - February 2010
UnitedHealth Group December 2004 - April 2006
UCLA Medical Center September 2003 - December 2004
L.A. Care Health Plan May 2001 - September 2003
University Affiliates IPA, Inc. June 2000 - May 2001
Skills
Managed Care, Medicare, Medicaid, Medicare Part D, Healthcare, Risk Management, Medicare Advantage, Strategic Planning, Business Strategy, Financial Analysis, Financial Accounting, Process Improvement, Pharmacy, Revenue Cycle, Health Insurance, Employee Benefits, Strategy, Hospitals, Analysis, Healthcare Industry, Disease Management, Informatics, EMR, Business Analysis, Claim, Healthcare Management, HIPAA, EHR, Healthcare Consulting, Healthcare Information..., Pharmacy Benefit..., Health Policy, Quality Improvement, Physicians, Training, Physician Relations, Data Analysis, Management, Analytics, Epic Systems, Medical Coding, Cross-functional Team..., Performance Improvement, Insurance
Education
University of Southern California 1998 — 2000
MHA, Health Administration
University of California, Los Angeles 1993 — 1998
BA, Economics
University of Phoenix
Doctor of Management, Organizational Leadership
Jen (Picard) Dewar Jen (Picard) Dewar's Arcadian Health Plan Experience July 2009 - December 2009
Job Marketing Consultant | B2B Lead Generation | Digital Marketing | Demand Generation | Content Marketing
Industry Marketing and Advertising
Experience
Jalydew April 2014 - Present
Girls in Tech, Inc. June 2015 - Present
Jalydew July 2011 - Present
Meltwater July 2013 - September 2014
Bright.com (acquired by LinkedIn) August 2012 - May 2013
Identified (acquired by Workday) July 2011 - July 2012
Alaniz Construction, Inc. November 2010 - May 2011
Abbott Diabetes Care March 2010 - September 2010
Arcadian Health Plan July 2009 - December 2009
PC Professional October 2007 - February 2009
Skills
Lead Generation, Email Marketing, Social Media Marketing, SEO, Marketing Communications, Digital Marketing, Marketing Strategy, Online Advertising, Content Marketing, Demand Generation, Social Media, Facebook, Product Marketing, Social Networking, Blogging, Advertising, LinkedIn, Corporate Branding, Brand Awareness, Event Planning, Google Analytics, PPC, B2B Marketing, New Business Development, Online Marketing, B2B, Integrated Marketing, Marketing Management, SEM, Analytics, Brand Management, Brand Development, Twitter, Market Research, Google Adwords, Event Management, Writing, Web Analytics, Search Engine..., Direct Marketing, Event Marketing, Website Development, Client Acquisition, Marketing Consulting, Webinars, Trade Shows, Marketing Automation, Recruitment Advertising, Employer Branding
Education
University of California, Berkeley 2009 — 2011
Certificate, Marketing
University of California, Santa Barbara 2002 — 2006
Bachelor of Arts, Socio-economic and Political Global Studies
Royal High School 1998 — 2002
Jalydew April 2014 - Present
Girls in Tech, Inc. June 2015 - Present
Jalydew July 2011 - Present
Meltwater July 2013 - September 2014
Bright.com (acquired by LinkedIn) August 2012 - May 2013
Identified (acquired by Workday) July 2011 - July 2012
Alaniz Construction, Inc. November 2010 - May 2011
Abbott Diabetes Care March 2010 - September 2010
Arcadian Health Plan July 2009 - December 2009
PC Professional October 2007 - February 2009
Skills
Lead Generation, Email Marketing, Social Media Marketing, SEO, Marketing Communications, Digital Marketing, Marketing Strategy, Online Advertising, Content Marketing, Demand Generation, Social Media, Facebook, Product Marketing, Social Networking, Blogging, Advertising, LinkedIn, Corporate Branding, Brand Awareness, Event Planning, Google Analytics, PPC, B2B Marketing, New Business Development, Online Marketing, B2B, Integrated Marketing, Marketing Management, SEM, Analytics, Brand Management, Brand Development, Twitter, Market Research, Google Adwords, Event Management, Writing, Web Analytics, Search Engine..., Direct Marketing, Event Marketing, Website Development, Client Acquisition, Marketing Consulting, Webinars, Trade Shows, Marketing Automation, Recruitment Advertising, Employer Branding
Education
University of California, Berkeley 2009 — 2011
Certificate, Marketing
University of California, Santa Barbara 2002 — 2006
Bachelor of Arts, Socio-economic and Political Global Studies
Royal High School 1998 — 2002
Brian Sawyer Brian Sawyer's Arcadian Health Plan Experience January 2012 - February 2014
Job Senior Systems Engineer at NEC
Industry Government Administration
Experience
NEC December 2013 - Present
Preferred Home Health Care & Nursing Services Inc. 2014 - 2015
Arcadian Health Plan January 2012 - February 2014
Panda Restaurant Group June 2011 - January 2012
Niagara Bottling, LLC August 2010 - March 2011
Niagara Water LLC August 2010 - March 2011
City of Loma Linda June 2006 - August 2010
City of Loma Linda June 2006 - August 2010
City of Santa Ana February 2005 - June 2006
City of February 2005 - June 2006
Skills
Microsoft Exchange, Disaster Recovery, Windows, Virtualization, Help Desk Support, Software Documentation, Active Directory, VMware, SharePoint, Routers, DNS, DHCP, Switches, System Administration, Network Security, HP, TCP/IP, Group Policy, LAN-WAN, Windows Server, VMware Infrastructure, Microsoft SQL Server, Data Center
Education
DeVry University 2003 — 2005
B.S., Network Communications and Management
DeVry University 2002 — 2005
B.S, Network Communications Management
NEC December 2013 - Present
Preferred Home Health Care & Nursing Services Inc. 2014 - 2015
Arcadian Health Plan January 2012 - February 2014
Panda Restaurant Group June 2011 - January 2012
Niagara Bottling, LLC August 2010 - March 2011
Niagara Water LLC August 2010 - March 2011
City of Loma Linda June 2006 - August 2010
City of Loma Linda June 2006 - August 2010
City of Santa Ana February 2005 - June 2006
City of February 2005 - June 2006
Skills
Microsoft Exchange, Disaster Recovery, Windows, Virtualization, Help Desk Support, Software Documentation, Active Directory, VMware, SharePoint, Routers, DNS, DHCP, Switches, System Administration, Network Security, HP, TCP/IP, Group Policy, LAN-WAN, Windows Server, VMware Infrastructure, Microsoft SQL Server, Data Center
Education
DeVry University 2003 — 2005
B.S., Network Communications and Management
DeVry University 2002 — 2005
B.S, Network Communications Management
Cheryl Perkins Cheryl Perkins's Arcadian Health Plan Experience January 2008 - December 2009
Job Experienced Healthcare Executive
Industry Hospital & Health Care
Experience
CP Consulting Services August 2011 - Present
WEC International June 2010 - June 2011
Arcadian Health Plan January 2008 - December 2009
Arcadian Management Services April 2006 - January 2008
Arcadian Management Services October 1997 - April 2006
Cost Care Inc 1993 - 1997
PacifiCare Health Systems 1992 - 1992
Health Plan of America 1987 - 1992
Skills
Medical Management, Cross-functional Team..., Managed Care, Healthcare
Education
California State University, Fresno 1980 — 1983
BSN, Nursing
CP Consulting Services August 2011 - Present
WEC International June 2010 - June 2011
Arcadian Health Plan January 2008 - December 2009
Arcadian Management Services April 2006 - January 2008
Arcadian Management Services October 1997 - April 2006
Cost Care Inc 1993 - 1997
PacifiCare Health Systems 1992 - 1992
Health Plan of America 1987 - 1992
Skills
Medical Management, Cross-functional Team..., Managed Care, Healthcare
Education
California State University, Fresno 1980 — 1983
BSN, Nursing
Jay Ferris's Arcadian Health Plan Experience July 2008 - July 2009
Job British Embassy Washington
Industry International Affairs
Experience
British Embassy Washington - UK Ministry of Defence - British Defence Staff Washington June 2012 - Present
Arcadian Health Plan July 2008 - July 2009
Centene Corporation September 2007 - May 2008
BlueCross BlueShield of South Carolina January 2006 - February 2007
Long's Drugs of South Carolina July 2001 - November 2005
Skills
Benefits, Data Entry, Pharmacy Operations, Negotiating Contracts, Customer Service, Web Design, Newsletters, Healthcare, Pharmaceuticals, Writing, Pharmaceutical Industry, Team Leadership, Employee Benefits, Event Planning, Project Management, Outlook, Public Speaking
Education
Embry-Riddle Aeronautical University 2011 — 2012
Business Administration and Management, General
University of South Carolina-Columbia 2001 — 2003
British Embassy Washington - UK Ministry of Defence - British Defence Staff Washington June 2012 - Present
Arcadian Health Plan July 2008 - July 2009
Centene Corporation September 2007 - May 2008
BlueCross BlueShield of South Carolina January 2006 - February 2007
Long's Drugs of South Carolina July 2001 - November 2005
Skills
Benefits, Data Entry, Pharmacy Operations, Negotiating Contracts, Customer Service, Web Design, Newsletters, Healthcare, Pharmaceuticals, Writing, Pharmaceutical Industry, Team Leadership, Employee Benefits, Event Planning, Project Management, Outlook, Public Speaking
Education
Embry-Riddle Aeronautical University 2011 — 2012
Business Administration and Management, General
University of South Carolina-Columbia 2001 — 2003
Irving Flores's Arcadian Health Plan Experience 2004 - 2006
Job PACS Administrator at enBio
Industry Health, Wellness and Fitness
Experience
enBio June 2014 - Present
Dignity Health (CHMC) 2014 - 2015
Dignity Health (CHMC) 2014 - 2015
Dignity Health (CHMC) 2014 - 2015
Centrelake Imaging & Oncology April 2009 - June 2014
Covina Imaging January 2007 - September 2008
Arcadian Health Plan 2004 - 2006
Skills
Active Directory, Healthcare Information..., HIPAA, System Administration, Network Administration, SonicWALL
Education
Platt College-Ontario 2004 — 2005
Associate's degree, Information Technology
ITT Technical Institute-West Covina 2002 — 2003
Associate's degree, Information Technology
enBio June 2014 - Present
Dignity Health (CHMC) 2014 - 2015
Dignity Health (CHMC) 2014 - 2015
Dignity Health (CHMC) 2014 - 2015
Centrelake Imaging & Oncology April 2009 - June 2014
Covina Imaging January 2007 - September 2008
Arcadian Health Plan 2004 - 2006
Skills
Active Directory, Healthcare Information..., HIPAA, System Administration, Network Administration, SonicWALL
Education
Platt College-Ontario 2004 — 2005
Associate's degree, Information Technology
ITT Technical Institute-West Covina 2002 — 2003
Associate's degree, Information Technology
Terri Rooney's Arcadian Health Plan Experience December 2009 - March 2012
Job Contracting Executive at Humana
Industry Hospital & Health Care
Experience
Humana August 2013 - Present
Independent Network Development Consultant 2008 - Present
Humana April 2012 - December 2012
Arcadian Health Plan December 2009 - March 2012
Healthcare Provider Connections January 2008 - January 2010
Raintree Systems, Inc. February 2006 - January 2008
Prospect Medical 2005 - 2006
Alliance Imaging 2004 - 2005
Murad 2003 - 2004
Comprehensive Medical Imaging 1997 - 2002
Skills
Managed Care, Healthcare, Healthcare Information..., Network Development, Medicare, Training, Healthcare Industry, HIPAA, Medicaid, Provider Relations, Project Management, Software Implementation, Provider Network..., Provider Contracting, Healthcare Management, Healthcare Consulting, Leadership, Physicians, Practice Management, Health Insurance, EHR, Hospitals, EMR, Credentialing, Disease Management, PPO
Education
Arizona State University
Business Administration
Humana August 2013 - Present
Independent Network Development Consultant 2008 - Present
Humana April 2012 - December 2012
Arcadian Health Plan December 2009 - March 2012
Healthcare Provider Connections January 2008 - January 2010
Raintree Systems, Inc. February 2006 - January 2008
Prospect Medical 2005 - 2006
Alliance Imaging 2004 - 2005
Murad 2003 - 2004
Comprehensive Medical Imaging 1997 - 2002
Skills
Managed Care, Healthcare, Healthcare Information..., Network Development, Medicare, Training, Healthcare Industry, HIPAA, Medicaid, Provider Relations, Project Management, Software Implementation, Provider Network..., Provider Contracting, Healthcare Management, Healthcare Consulting, Leadership, Physicians, Practice Management, Health Insurance, EHR, Hospitals, EMR, Credentialing, Disease Management, PPO
Education
Arizona State University
Business Administration
Virgilio Marcelo's Arcadian Health Plan Experience November 2000 - March 2012
Job CIO for HealthSourceMSO
Industry Hospital & Health Care
Experience
HealthSourceMSO April 2013 - Present
US Army October 1992 - Present
Humana March 2011 - March 2013
Arcadian Health Plan and Management Services 2000 - April 2012
Arcadian Health Plan November 2000 - March 2012
Action Media Technologies October 1997 - October 2000
Skills
CCNA, CCNP, Network+, Security+, CCNP Security, A+, CCSP, HIPAA, Citrix, VMware, CISSP, Active Directory, Business Analysis, CompTIA, ITIL, Information Technology, Integration, Network Administration, Network Security, Troubleshooting, CompTIA Security
Education
De La Salle University 1984 — 1990
Bachelor's degree, Electrical, Electronics and Communications Engineering
Malate Catholic School
General Studies
HealthSourceMSO April 2013 - Present
US Army October 1992 - Present
Humana March 2011 - March 2013
Arcadian Health Plan and Management Services 2000 - April 2012
Arcadian Health Plan November 2000 - March 2012
Action Media Technologies October 1997 - October 2000
Skills
CCNA, CCNP, Network+, Security+, CCNP Security, A+, CCSP, HIPAA, Citrix, VMware, CISSP, Active Directory, Business Analysis, CompTIA, ITIL, Information Technology, Integration, Network Administration, Network Security, Troubleshooting, CompTIA Security
Education
De La Salle University 1984 — 1990
Bachelor's degree, Electrical, Electronics and Communications Engineering
Malate Catholic School
General Studies
Gary Herzberg's Arcadian Health Plan Experience September 2004 - July 2009
Job Medicare Medical Director at Blue Shield of California
Industry Medical Practice
Experience
Blue Shield of California July 2012 - Present
Regal Medical Group August 2009 - July 2012
Arcadian Health Plan September 2004 - July 2009
Skills
Managed Care, Medicare, HIPAA, Healthcare Management, Provider Relations, Utilization Management, Medicine, Case Managment, Medicaid, Behavioral Health, Healthcare
Education
Stanford University 1968 — 1972
Bachelor of Arts (B.A.), Anthropology
University of California, San Francisco - School of Medicine 1968 — 1972
MD, Medical
Blue Shield of California July 2012 - Present
Regal Medical Group August 2009 - July 2012
Arcadian Health Plan September 2004 - July 2009
Skills
Managed Care, Medicare, HIPAA, Healthcare Management, Provider Relations, Utilization Management, Medicine, Case Managment, Medicaid, Behavioral Health, Healthcare
Education
Stanford University 1968 — 1972
Bachelor of Arts (B.A.), Anthropology
University of California, San Francisco - School of Medicine 1968 — 1972
MD, Medical
Jane Pickett's Arcadian Health Plan Experience March 2012 - March 2013
Job Employee Benefits Professional
Industry Human Resources
Experience
Arcadian Health Plan March 2012 - March 2013
SOUTHERN MAINE COMMUNITY COLLEGE August 2009 - November 2011
IDEXX LABORATORIES, INC. May 2008 - June 2009
MERCER HEALTH & BENEFITS July 2007 - February 2008
SUSAN J. SZWED P.A April 2007 - June 2007
Mercy Hospital February 2006 - March 2007
SUSAN J. SZWED P.A July 2004 - November 2005
JLT SERVICES, INC October 2000 - May 2004
Bay State Gas May 1997 - December 1999
BOSE CORPORATION November 1995 - April 1997
Skills
Employee Relations, Healthcare, Managed Care, Outlook, HIPAA, Medicare, Employee Benefits, Health & Welfare..., Benefit Plan..., Leave of Absence..., Case Managment, Health Insurance, Medicaid, Insurance, Process Improvement, Healthcare Information..., Claim, Healthcare Management, Management, Access, Data Analysis, Customer Service, PeopleSoft
Education
Southern Maine Community College 2009 — 2011
Associate Degree in Applied Science, Nursing Education/Medical Assisting, GPA 3.8
New England College
Bachelor's Degree, Psychology/Sociology
Arcadian Health Plan March 2012 - March 2013
SOUTHERN MAINE COMMUNITY COLLEGE August 2009 - November 2011
IDEXX LABORATORIES, INC. May 2008 - June 2009
MERCER HEALTH & BENEFITS July 2007 - February 2008
SUSAN J. SZWED P.A April 2007 - June 2007
Mercy Hospital February 2006 - March 2007
SUSAN J. SZWED P.A July 2004 - November 2005
JLT SERVICES, INC October 2000 - May 2004
Bay State Gas May 1997 - December 1999
BOSE CORPORATION November 1995 - April 1997
Skills
Employee Relations, Healthcare, Managed Care, Outlook, HIPAA, Medicare, Employee Benefits, Health & Welfare..., Benefit Plan..., Leave of Absence..., Case Managment, Health Insurance, Medicaid, Insurance, Process Improvement, Healthcare Information..., Claim, Healthcare Management, Management, Access, Data Analysis, Customer Service, PeopleSoft
Education
Southern Maine Community College 2009 — 2011
Associate Degree in Applied Science, Nursing Education/Medical Assisting, GPA 3.8
New England College
Bachelor's Degree, Psychology/Sociology
Sara Tretbar's Arcadian Health Plan Experience October 2011 - August 2013
Job Systems Administrator
Industry Hospital & Health Care
Experience
Brown and Toland March 2014 - May 2014
Matthews International Capital Management October 2013 - January 2014
Arcadian Health Plan October 2011 - August 2013
Telecare Corporation October 2005 - October 2011
UPS Supply Chain Solutions October 1996 - October 2005
Skills
CCNA, Active Directory, DNS, DHCP, Network Administration, Cisco Technologies, VMware, System Administration, Routers, Troubleshooting, Networking, Laptops, Software Documentation, Backup Exec, Microsoft Exchange, Software Installation, Microsoft Technologies, Windows 7, Help Desk Support, Windows Server, Firewalls, Citrix, Rack and Stack, Disaster Recovery, LAN-WAN, VPN, Access, WAN, XP, Data Center, Virtualization, TCP/IP, Servers, IT Management, Security, VMware ESX, Network Security, IT Operations, Switches, Network Engineering, Blackberry, Computer Hardware, Operating Systems, NetApp, Storage, Windows, Routing, Visio, OSPF, High Availability
Education
City College of San Francisco
St. John's College (NM)
The Great Books Program, which was equivalent to a Math major and a Philosophy minor
Brown and Toland March 2014 - May 2014
Matthews International Capital Management October 2013 - January 2014
Arcadian Health Plan October 2011 - August 2013
Telecare Corporation October 2005 - October 2011
UPS Supply Chain Solutions October 1996 - October 2005
Skills
CCNA, Active Directory, DNS, DHCP, Network Administration, Cisco Technologies, VMware, System Administration, Routers, Troubleshooting, Networking, Laptops, Software Documentation, Backup Exec, Microsoft Exchange, Software Installation, Microsoft Technologies, Windows 7, Help Desk Support, Windows Server, Firewalls, Citrix, Rack and Stack, Disaster Recovery, LAN-WAN, VPN, Access, WAN, XP, Data Center, Virtualization, TCP/IP, Servers, IT Management, Security, VMware ESX, Network Security, IT Operations, Switches, Network Engineering, Blackberry, Computer Hardware, Operating Systems, NetApp, Storage, Windows, Routing, Visio, OSPF, High Availability
Education
City College of San Francisco
St. John's College (NM)
The Great Books Program, which was equivalent to a Math major and a Philosophy minor
RICHARD INGALLA's Arcadian Health Plan Experience October 2006 - January 2013
Job HEDIS Quality Analyst at Altegra Health
Industry Hospital & Health Care
Experience
Altegra Health January 2013 - Present
Arcadian Health Plan October 2006 - January 2013
Arcadian Management Services 2003 - 2006
MV Medical Management 2002 - 2003
Adventist Health 1999 - 2002
Skills
Healthcare, Managed Care, Medicare, HIPAA, Medicaid, Healthcare Industry, Healthcare Information..., HEDIS
Education
California State University-Long Beach 1986 — 1988
Electrical Engineering
Norwalk High School 1982 — 1986
GED, Secondary Education
Makati Polytechnic Community College 1980 — 1982
GED, High School GED
Altegra Health January 2013 - Present
Arcadian Health Plan October 2006 - January 2013
Arcadian Management Services 2003 - 2006
MV Medical Management 2002 - 2003
Adventist Health 1999 - 2002
Skills
Healthcare, Managed Care, Medicare, HIPAA, Medicaid, Healthcare Industry, Healthcare Information..., HEDIS
Education
California State University-Long Beach 1986 — 1988
Electrical Engineering
Norwalk High School 1982 — 1986
GED, Secondary Education
Makati Polytechnic Community College 1980 — 1982
GED, High School GED
Austin Henkel's Arcadian Health Plan Experience February 2010 - January 2012
Job Senior Consultant at Top Tier Consulting
Industry Hospital & Health Care
Experience
Top Tier Consulting January 2013 - Present
Top Tier Consulting January 2012 - January 2013
Arcadian Health Plan February 2010 - January 2012
Skills
Medicare, Healthcare, Strategy, Strategic Planning, Insurance, Data Analysis, Management Consulting, Financial Modeling, Business Strategy, Process Improvement, Healthcare Consulting, Project Management, Healthcare Management, Medicaid, Managed Care, Healthcare Information..., Team Building, Financial Analysis, Policy
Education
Claremont McKenna College 2002 — 2006
Bachelor of Arts, Economics - Accounting
Top Tier Consulting January 2013 - Present
Top Tier Consulting January 2012 - January 2013
Arcadian Health Plan February 2010 - January 2012
Skills
Medicare, Healthcare, Strategy, Strategic Planning, Insurance, Data Analysis, Management Consulting, Financial Modeling, Business Strategy, Process Improvement, Healthcare Consulting, Project Management, Healthcare Management, Medicaid, Managed Care, Healthcare Information..., Team Building, Financial Analysis, Policy
Education
Claremont McKenna College 2002 — 2006
Bachelor of Arts, Economics - Accounting
Todd Crippin's Arcadian Health Plan Experience November 2009 - June 2011
Job Director, Contracting & Network Development at Essence Healthcare
Industry Hospital & Health Care
Experience
Essence Healthcare September 2012 - Present
VHA June 2011 - September 2012
Arcadian Health Plan November 2009 - June 2011
UnitedHealthcare June 2006 - October 2009
UnitedHealthcare September 2004 - June 2006
Private Healthcare Systems August 1998 - September 2004
Pyramid Life Insurance Company 1996 - 1998
Principal Health Care January 1995 - January 1996
Principal Health Care September 1994 - January 1995
Principal Health Care August 1992 - September 1994
Skills
Contract Management, Contract Negotiations, Revenue Management, Network Development, Medicare, Managed Care, Health Insurance, Healthcare Consulting, Contract Negotiation, Healthcare Management, Provider Relations, HMO, PPO, Hospitals, Healthcare Industry, Healthcare, Physician Relations, Healthcare Reimbursement, Process Improvement, Revenue Analysis, Revenue Cycle, Physicians
Education
University of Kansas 2000 — 2003
Masters, Business Administration; information systems
Vanderbilt University 1983 — 1987
BA, Communication
Rockhurst Hight School 1979 — 1983
Essence Healthcare September 2012 - Present
VHA June 2011 - September 2012
Arcadian Health Plan November 2009 - June 2011
UnitedHealthcare June 2006 - October 2009
UnitedHealthcare September 2004 - June 2006
Private Healthcare Systems August 1998 - September 2004
Pyramid Life Insurance Company 1996 - 1998
Principal Health Care January 1995 - January 1996
Principal Health Care September 1994 - January 1995
Principal Health Care August 1992 - September 1994
Skills
Contract Management, Contract Negotiations, Revenue Management, Network Development, Medicare, Managed Care, Health Insurance, Healthcare Consulting, Contract Negotiation, Healthcare Management, Provider Relations, HMO, PPO, Hospitals, Healthcare Industry, Healthcare, Physician Relations, Healthcare Reimbursement, Process Improvement, Revenue Analysis, Revenue Cycle, Physicians
Education
University of Kansas 2000 — 2003
Masters, Business Administration; information systems
Vanderbilt University 1983 — 1987
BA, Communication
Rockhurst Hight School 1979 — 1983
James Little's Arcadian Health Plan Experience March 2011 - August 2011
Job Management Team at DLC
Industry Accounting
Experience
DLC April 2014 - Present
Hanson Research Corporation September 2013 - April 2014
DLC February 2007 - April 2014
Mobile Messenger July 2013 - August 2013
Machinima.com September 2011 - June 2013
Arcadian Health Plan March 2011 - August 2011
Apria Healthcare October 2010 - February 2011
CB Richard Ellis February 2010 - September 2010
The Apothecary Shops March 2009 - August 2009
ITSRx October 2008 - February 2009
Skills
Financial Reporting, Financial Analysis, Financial Modeling, Strategic Planning, Accounting
Education
California State University-Long Beach - College of Business Administration 1997 — 1999
MBA, Information Technology
California State University-Northridge 1985 — 1988
Bachelor of Science, Accounting
DLC April 2014 - Present
Hanson Research Corporation September 2013 - April 2014
DLC February 2007 - April 2014
Mobile Messenger July 2013 - August 2013
Machinima.com September 2011 - June 2013
Arcadian Health Plan March 2011 - August 2011
Apria Healthcare October 2010 - February 2011
CB Richard Ellis February 2010 - September 2010
The Apothecary Shops March 2009 - August 2009
ITSRx October 2008 - February 2009
Skills
Financial Reporting, Financial Analysis, Financial Modeling, Strategic Planning, Accounting
Education
California State University-Long Beach - College of Business Administration 1997 — 1999
MBA, Information Technology
California State University-Northridge 1985 — 1988
Bachelor of Science, Accounting
Nancy Freeman's Arcadian Health Plan Experience July 2004 - November 2009
Job VP, Operations, CareMore Inside at CareMore
Industry Insurance
Experience
CareMore October 2014 - Present
OptumInsight September 2011 - October 2014
Nancy Freeman - Managed Care Consulting January 2011 - September 2011
Bravo Health November 2009 - December 2010
Arcadian Health Plan July 2004 - November 2009
Arcadian Management Systems, Inc. July 2002 - November 2009
PacifiCare Health Systems October 1998 - January 2002
Skills
Network Development, Managed Care, Medicaid, Medicare, HMO, Health Policy, Provider Relations, Healthcare, Strategic Planning, Hospitals, Leadership, Management, Healthcare Management, Health Insurance, Healthcare Industry, Healthcare Consulting, Disease Management, Medicare Part D, Strategy, PPO, HIPAA, Utilization Management, Physician Relations, Revenue Cycle, Physicians, Healthcare Information...
Education
University of California, Los Angeles - Fielding School of Public Health 1979 — 1981
MPH, Behavioral Science & Health Education
CareMore October 2014 - Present
OptumInsight September 2011 - October 2014
Nancy Freeman - Managed Care Consulting January 2011 - September 2011
Bravo Health November 2009 - December 2010
Arcadian Health Plan July 2004 - November 2009
Arcadian Management Systems, Inc. July 2002 - November 2009
PacifiCare Health Systems October 1998 - January 2002
Skills
Network Development, Managed Care, Medicaid, Medicare, HMO, Health Policy, Provider Relations, Healthcare, Strategic Planning, Hospitals, Leadership, Management, Healthcare Management, Health Insurance, Healthcare Industry, Healthcare Consulting, Disease Management, Medicare Part D, Strategy, PPO, HIPAA, Utilization Management, Physician Relations, Revenue Cycle, Physicians, Healthcare Information...
Education
University of California, Los Angeles - Fielding School of Public Health 1979 — 1981
MPH, Behavioral Science & Health Education
Margaux Alvarez's Arcadian Health Plan Experience May 2010 - September 2010
Job CrossFit HQ Seminar Staff Member
Industry Health, Wellness and Fitness
Experience
CrossFit, Inc. October 2013 - Present
Margaux Alvarez - Coach & Athlete September 2009 - Present
CrossFit Solano June 2014 - December 2014
Diablo CrossFit August 2011 - April 2014
CrossFit Pleasanton September 2011 - September 2012
Carex Health Brands October 2010 - October 2011
Arcadian Health Plan May 2010 - September 2010
ClubSport of San Ramon/Oakwood Athletic Club August 2009 - May 2010
ClubSport of San Ramon/Oakwood Athletic Club August 2008 - May 2010
ClubSport of San Ramon/Oakwood Athletic Club May 2009 - December 2009
Skills
Public Relations, Marketing Communications, Public Speaking, Wellness Coaching, Communication Skills, Holistic Health, Personal Training, Fitness, Nutrition, Customer Service, Functional Training, Training, Endurance, Marketing Strategy, CrossFit, Time Management, Team Building, Sports, Fitness Training, Coaching, Strength & Conditioning, Athletics, Event Planning, Weight Training, Nutritional Counseling, Sports Nutrition, Athletic Training, Strength Training, Corporations, Health Education, Wellness, Spanish
Education
Hawaii Pacific University 2003 — 2008
BSBA
International University of Monaco 2005 — 2005
Student Exchange
Universidad de Salamanca 2004 — 2004
Student Exchange
CrossFit, Inc. October 2013 - Present
Margaux Alvarez - Coach & Athlete September 2009 - Present
CrossFit Solano June 2014 - December 2014
Diablo CrossFit August 2011 - April 2014
CrossFit Pleasanton September 2011 - September 2012
Carex Health Brands October 2010 - October 2011
Arcadian Health Plan May 2010 - September 2010
ClubSport of San Ramon/Oakwood Athletic Club August 2009 - May 2010
ClubSport of San Ramon/Oakwood Athletic Club August 2008 - May 2010
ClubSport of San Ramon/Oakwood Athletic Club May 2009 - December 2009
Skills
Public Relations, Marketing Communications, Public Speaking, Wellness Coaching, Communication Skills, Holistic Health, Personal Training, Fitness, Nutrition, Customer Service, Functional Training, Training, Endurance, Marketing Strategy, CrossFit, Time Management, Team Building, Sports, Fitness Training, Coaching, Strength & Conditioning, Athletics, Event Planning, Weight Training, Nutritional Counseling, Sports Nutrition, Athletic Training, Strength Training, Corporations, Health Education, Wellness, Spanish
Education
Hawaii Pacific University 2003 — 2008
BSBA
International University of Monaco 2005 — 2005
Student Exchange
Universidad de Salamanca 2004 — 2004
Student Exchange
Leslie Pollard's Arcadian Health Plan Experience 2005 - 2012
Job Independent Design Professional
Industry Design
Experience
Self October 2003 - Present
Arcadian Health Plan 2005 - 2012
Croxton Design April 1998 - October 2003
AltaPrint Digital ColorCenter January 1997 - April 1998
GraphicsAtlanta April 1996 - January 1997
Skills
Logo Design, Graphic Design, Photoshop, Corporate Identity, Illustrator
Education
Biola University 1991 — 1995
BachelorofArts, GraphicDesign; IllustrationandPhotography
Self October 2003 - Present
Arcadian Health Plan 2005 - 2012
Croxton Design April 1998 - October 2003
AltaPrint Digital ColorCenter January 1997 - April 1998
GraphicsAtlanta April 1996 - January 1997
Skills
Logo Design, Graphic Design, Photoshop, Corporate Identity, Illustrator
Education
Biola University 1991 — 1995
BachelorofArts, GraphicDesign; IllustrationandPhotography
Paul Sasse's Arcadian Health Plan Experience January 2007 - July 2007
Job Accounting Professional
Industry Accounting
Experience
BBR LLP July 2007 - August 2008
Arcadian Health Plan January 2007 - July 2007
Armanino McKenna LLP September 2005 - December 2006
Burr, Pilger & Mayer LLP September 2004 - September 2005
Leibowitz Shumaker Berger & Rubens September 2001 - September 2004
Gap Inc. January 1998 - August 2001
Levi Strauss & Co. June 1995 - August 1997
Levi Strauss & Co. August 1992 - June 1995
Education
Michigan State University
Batchelor of Science, Accounting
BBR LLP July 2007 - August 2008
Arcadian Health Plan January 2007 - July 2007
Armanino McKenna LLP September 2005 - December 2006
Burr, Pilger & Mayer LLP September 2004 - September 2005
Leibowitz Shumaker Berger & Rubens September 2001 - September 2004
Gap Inc. January 1998 - August 2001
Levi Strauss & Co. June 1995 - August 1997
Levi Strauss & Co. August 1992 - June 1995
Education
Michigan State University
Batchelor of Science, Accounting
Vibhuti Singhal's Arcadian Health Plan Experience September 2011 - Present
Job Manager IT at Arcadian Health Plan
Industry Hospital & Health Care
Experience
Arcadian Health Plan September 2011 - Present
MCS 2014 - 2014
MCS 2014 - 2014
MCS 2014 - 2014
Arcadian Health Plan and Management Services May 2009 - September 2011
Apria Healthcare November 2007 - April 2009
Skills
Healthcare, SDLC, HIPAA, Healthcare Information..., IT Management, Managed Care, Software Documentation, EDI, Process Improvement, SQL, Medicaid, Insurance, Software Development, Access, EHR, Visio
Education
California State University-Fullerton
MBA, Information Systems
IMS, Roorkee
St Anns Sen Sec School, Roorkee
Arcadian Health Plan September 2011 - Present
MCS 2014 - 2014
MCS 2014 - 2014
MCS 2014 - 2014
Arcadian Health Plan and Management Services May 2009 - September 2011
Apria Healthcare November 2007 - April 2009
Skills
Healthcare, SDLC, HIPAA, Healthcare Information..., IT Management, Managed Care, Software Documentation, EDI, Process Improvement, SQL, Medicaid, Insurance, Software Development, Access, EHR, Visio
Education
California State University-Fullerton
MBA, Information Systems
IMS, Roorkee
St Anns Sen Sec School, Roorkee
Doug Crispell's Arcadian Health Plan Experience June 2009 - October 2012
Job Director of Operations at Lash Group
Industry Pharmaceuticals
Experience
Lash Group September 2014 - Present
Consulting for Healthcare Solutions March 2013 - September 2014
Harvard Pilgrim Health Care October 2012 - March 2013
Arcadian Health Plan June 2009 - October 2012
HealthMarkets May 2007 - May 2009
UnitedHealth Group 2002 - 2007
Blue Cross Blue Shield of SC 1998 - 2002
Skills
Managed Care, Medicare, PPO, Network Development, Medicaid, HMO, Data Analysis, Healthcare, Hospitals, Utilization Management, Budgets, Healthcare Industry, Provider Relations, Health Policy, Physicians, Credentialing, Healthcare Consulting
Education
University of North Florida - College of Business Administration 1988 — 1992
BBA, Finance
Lash Group September 2014 - Present
Consulting for Healthcare Solutions March 2013 - September 2014
Harvard Pilgrim Health Care October 2012 - March 2013
Arcadian Health Plan June 2009 - October 2012
HealthMarkets May 2007 - May 2009
UnitedHealth Group 2002 - 2007
Blue Cross Blue Shield of SC 1998 - 2002
Skills
Managed Care, Medicare, PPO, Network Development, Medicaid, HMO, Data Analysis, Healthcare, Hospitals, Utilization Management, Budgets, Healthcare Industry, Provider Relations, Health Policy, Physicians, Credentialing, Healthcare Consulting
Education
University of North Florida - College of Business Administration 1988 — 1992
BBA, Finance
nicole blanton's Arcadian Health Plan Experience 2007 - 2008
Job Admin Support Specialist at University of North Carolina at Chapel Hill
Industry Hospitality
Experience
University of North Carolina at Chapel Hill December 2014 - Present
Kalisher August 2011 - December 2014
Social Radius August 2009 - April 2010
Arcadian Health Plan 2007 - 2008
Rivercrest Realty 2007 - 2007
Skills
Research, Social Media Marketing, Social Media, Facebook, Email Marketing, Microsoft Excel, Copywriting
Education
Miami Ad School 2008 — 2010
Portfolio
University of North Carolina at Chapel Hill 2003 — 2007
BA, Advertising, Journalism and Mass Communication
University of North Carolina at Chapel Hill December 2014 - Present
Kalisher August 2011 - December 2014
Social Radius August 2009 - April 2010
Arcadian Health Plan 2007 - 2008
Rivercrest Realty 2007 - 2007
Skills
Research, Social Media Marketing, Social Media, Facebook, Email Marketing, Microsoft Excel, Copywriting
Education
Miami Ad School 2008 — 2010
Portfolio
University of North Carolina at Chapel Hill 2003 — 2007
BA, Advertising, Journalism and Mass Communication
Mary Ellen Kaier's Arcadian Health Plan Experience 2008 - 2011
Job Vice President at Brown & Brown of New York, Inc dba Rowlands & Barranca Agency
Industry Hospital & Health Care
Experience
Brown & Brown of New York, Inc dba Rowlands & Barranca Agency September 2015 - Present
Universal American November 2014 - August 2015
The Centers at St. Camillus St. Camillus Health and Rehabilitation Center July 2011 - November 2014
Northeast Community Care 2008 - 2011
Arcadian Health Plan 2008 - 2011
EmblemHealth December 2006 - November 2008
Upstate Medical University 1997 - 2006
Novalis Corporation 1994 - 1997
Empire Blue Cross Blue Shield 1986 - 1994
Skills
Medicare, Managed Care, Medicaid, Healthcare, Healthcare Information..., Process Improvement, Insurance, Healthcare Industry, Hospitals, Healthcare Management, HIPAA, Revenue Cycle, Health Policy, Health Insurance, EMR, Physicians, Home Care, Long-term Care, Practice Management, Quality Improvement, Provider Relations, Medicare Part D, EHR
Education
Rochester Institute of Technology
Graduate Courses
State University of New York College at Oswego
BS, Mathematics
Brown & Brown of New York, Inc dba Rowlands & Barranca Agency September 2015 - Present
Universal American November 2014 - August 2015
The Centers at St. Camillus St. Camillus Health and Rehabilitation Center July 2011 - November 2014
Northeast Community Care 2008 - 2011
Arcadian Health Plan 2008 - 2011
EmblemHealth December 2006 - November 2008
Upstate Medical University 1997 - 2006
Novalis Corporation 1994 - 1997
Empire Blue Cross Blue Shield 1986 - 1994
Skills
Medicare, Managed Care, Medicaid, Healthcare, Healthcare Information..., Process Improvement, Insurance, Healthcare Industry, Hospitals, Healthcare Management, HIPAA, Revenue Cycle, Health Policy, Health Insurance, EMR, Physicians, Home Care, Long-term Care, Practice Management, Quality Improvement, Provider Relations, Medicare Part D, EHR
Education
Rochester Institute of Technology
Graduate Courses
State University of New York College at Oswego
BS, Mathematics
Richard Yip's Arcadian Health Plan Experience April 2008 - April 2009
Job Information Systems Manager
Industry Hospital & Health Care
Experience
CareMore Health Plan 2009 - Present
Arcadian Health Plan April 2008 - April 2009
Arcadian Health Plan 2004 - 2008
Programmer Analyst III January 2003 - April 2005
Spark Online June 2000 - March 2001
City of Hope 1998 - 2000
Skills
Healthcare Information..., HIPAA, Medicare, Healthcare, SSIS, Health Insurance, Process Improvement, T-SQL, SSRS, Healthcare Management, Managed Care, Business Intelligence, Hospitals, Medicaid, Software Documentation, Visio, Healthcare Consulting, Data Analysis, Access, EHR, Revenue Cycle, Health Policy, Physicians, Insurance, Healthcare Industry, Provider Relations, Clinical Research
Education
California State Polytechnic University-Pomona 1993 — 1998
BS, CIS
Covina
CareMore Health Plan 2009 - Present
Arcadian Health Plan April 2008 - April 2009
Arcadian Health Plan 2004 - 2008
Programmer Analyst III January 2003 - April 2005
Spark Online June 2000 - March 2001
City of Hope 1998 - 2000
Skills
Healthcare Information..., HIPAA, Medicare, Healthcare, SSIS, Health Insurance, Process Improvement, T-SQL, SSRS, Healthcare Management, Managed Care, Business Intelligence, Hospitals, Medicaid, Software Documentation, Visio, Healthcare Consulting, Data Analysis, Access, EHR, Revenue Cycle, Health Policy, Physicians, Insurance, Healthcare Industry, Provider Relations, Clinical Research
Education
California State Polytechnic University-Pomona 1993 — 1998
BS, CIS
Covina
Whitney Birge's Arcadian Health Plan Experience August 2011 - September 2012
Job Senior Analyst Resource Management at Kaiser Permanente
Industry Hospital & Health Care
Experience
Kaiser Permanente September 2012 - Present
Arcadian Health Plan August 2011 - September 2012
Arcadian Health Plan September 2010 - August 2011
Arcadian Health Plan September 2009 - September 2010
Arcadian Health Plan April 2009 - August 2009
MPSF, Inc January 2006 - April 2007
California Transplant Donor Network January 2004 - December 2005
California Transplant Donor Network August 2003 - December 2003
Skills
Compliance Monitoring, Customer Service, Healthcare, Compliance, Contract Negotiation, Microsoft Excel, UAT coordination, PowerPoint, Internal Audit, External Audit, Management, Analysis, Policy, Salesforce.com, Sales Operations, Insurance, Medicare, Public Speaking, Business Analysis
Education
The University of Queensland 2007 — 2008
Masters, International Business
Oberlin College 1999 — 2003
BA, History
Kaiser Permanente September 2012 - Present
Arcadian Health Plan August 2011 - September 2012
Arcadian Health Plan September 2010 - August 2011
Arcadian Health Plan September 2009 - September 2010
Arcadian Health Plan April 2009 - August 2009
MPSF, Inc January 2006 - April 2007
California Transplant Donor Network January 2004 - December 2005
California Transplant Donor Network August 2003 - December 2003
Skills
Compliance Monitoring, Customer Service, Healthcare, Compliance, Contract Negotiation, Microsoft Excel, UAT coordination, PowerPoint, Internal Audit, External Audit, Management, Analysis, Policy, Salesforce.com, Sales Operations, Insurance, Medicare, Public Speaking, Business Analysis
Education
The University of Queensland 2007 — 2008
Masters, International Business
Oberlin College 1999 — 2003
BA, History
Michelle Talarico's Arcadian Health Plan Experience August 2008 - Present
Job Provider Relations at Arcadian Health Plan
Industry Hospital & Health Care
Experience
Arcadian Health Plan August 2008 - Present
MedCare February 2008 - August 2008
Eastern Star Nursing Home January 2007 - February 2008
Faxton-St. Luke's Healthcare March 2004 - February 2008
House of the Good Shepherd March 1996 - March 2003
Madison Oneida BOCES February 1980 - February 1996
Education
State University of New York College at Oneonta 1994 — 1997
Psychology/Sociology/Education
Maria Regina College 1976 — 1978
AS, Education
Arcadian Health Plan August 2008 - Present
MedCare February 2008 - August 2008
Eastern Star Nursing Home January 2007 - February 2008
Faxton-St. Luke's Healthcare March 2004 - February 2008
House of the Good Shepherd March 1996 - March 2003
Madison Oneida BOCES February 1980 - February 1996
Education
State University of New York College at Oneonta 1994 — 1997
Psychology/Sociology/Education
Maria Regina College 1976 — 1978
AS, Education
Dargan (Dee) Gilmore's Arcadian Health Plan Experience March 2008 - Present
Job Director of Utilization Management at Arcadian Health Plan
Industry
Experience
Arcadian Health Plan March 2008 - Present
Education
University of Miami - School of Business
MBA
University of North Carolina at Chapel Hill
BSN, Nursing
Arcadian Health Plan March 2008 - Present
Education
University of Miami - School of Business
MBA
University of North Carolina at Chapel Hill
BSN, Nursing
Joe Maddox, LUTCF's Arcadian Health Plan Experience June 2009 - January 2013
Job Sales Manager at United Insurance Company of America
Industry Insurance
Experience
United Insurance Company of America April 2013 - Present
Humana January 2013 - Present
Arcadian Health Plan June 2009 - January 2013
Alfa Insurance February 1992 - April 2006
Skills
Outlook, Sales Management, Strategic Planning, Word, Managed Care, Medicare, Medicare Supplements, Microsoft Office, Insurance, Healthcare, Salesforce.com, Product Development, Marketing Strategy, Medicaid, Microsoft Word, Health Insurance, Training
Education
Macon State College 1981 — 1984
Associate of Science (A.S.), Business Administration
United Insurance Company of America April 2013 - Present
Humana January 2013 - Present
Arcadian Health Plan June 2009 - January 2013
Alfa Insurance February 1992 - April 2006
Skills
Outlook, Sales Management, Strategic Planning, Word, Managed Care, Medicare, Medicare Supplements, Microsoft Office, Insurance, Healthcare, Salesforce.com, Product Development, Marketing Strategy, Medicaid, Microsoft Word, Health Insurance, Training
Education
Macon State College 1981 — 1984
Associate of Science (A.S.), Business Administration
Roy Dickerson's Arcadian Health Plan Experience May 2010 - December 2012
Job Director Network Management at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans January 2013 - Present
Arcadian Health Plan May 2010 - December 2012
Arcadian Health Plan February 2009 - May 2010
Arcadian Health Plan January 2008 - February 2009
Arcadian Health Plan August 2007 - January 2008
Arcadian Health Plan May 2005 - August 2007
UnitedHealth Group December 2002 - May 2005
UnitedHealth Group May 2000 - December 2002
St. Joseph's Hospital and Medical Center January 1998 - May 2000
Blue Cross Blue Shield of Arizona January 1997 - December 1997
Skills
Managed Care, Contract Negotiation, Medicare Advantage, Medicaid Managed Care, Strategic Planning, Budget, Healthcare, New Markets Development, Financial Analysis, Banking, Provider Relations, National Accounts
Education
University of Houston-Clear Lake 1993 — 1995
Master of Healthcare Administration
Lamar University 1982 — 1984
Master of Business Administration (M.B.A.), Finance, General
Lamar University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Marketing
WellCare Health Plans January 2013 - Present
Arcadian Health Plan May 2010 - December 2012
Arcadian Health Plan February 2009 - May 2010
Arcadian Health Plan January 2008 - February 2009
Arcadian Health Plan August 2007 - January 2008
Arcadian Health Plan May 2005 - August 2007
UnitedHealth Group December 2002 - May 2005
UnitedHealth Group May 2000 - December 2002
St. Joseph's Hospital and Medical Center January 1998 - May 2000
Blue Cross Blue Shield of Arizona January 1997 - December 1997
Skills
Managed Care, Contract Negotiation, Medicare Advantage, Medicaid Managed Care, Strategic Planning, Budget, Healthcare, New Markets Development, Financial Analysis, Banking, Provider Relations, National Accounts
Education
University of Houston-Clear Lake 1993 — 1995
Master of Healthcare Administration
Lamar University 1982 — 1984
Master of Business Administration (M.B.A.), Finance, General
Lamar University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Marketing
Adam Masciocchi's Arcadian Health Plan Experience October 2009 - October 2009
Job Medical Records File Clerk at Alta Bates Summit Medical Center
Industry Information Services
Experience
Sutter Health January 2010 - Present
CVS Caremark Corporation April 2010 - May 2011
Sutter Health November 2009 - January 2010
Arcadian Health Plan October 2009 - October 2009
Skills
Benefits Administration, Data Entry, Human Resources, Outlook, Kronos, Payroll, Customer Service, Taleo, Office Management, PowerPoint, Hospitals, Healthcare Information..., Epic Systems, Healthcare
Education
Bellarmine University 2013 — 2014
Medical Laboratory Sciences
University of California, Berkeley 2013 — 2013
Clinical Laboratory Science/Medical Technology/Technologist
Merced College 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
The University of North Dakota 2012 — 2012
University of North Dakota 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
Weber State University 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
Modesto Junior College 2011 — 2012
San Diego State University-California State University 2007 — 2009
Marketing, Business Administration
San Diego Mesa College 2006 — 2007
Associates of Arts, Transfer Studies
College of Alameda
Sutter Health January 2010 - Present
CVS Caremark Corporation April 2010 - May 2011
Sutter Health November 2009 - January 2010
Arcadian Health Plan October 2009 - October 2009
Skills
Benefits Administration, Data Entry, Human Resources, Outlook, Kronos, Payroll, Customer Service, Taleo, Office Management, PowerPoint, Hospitals, Healthcare Information..., Epic Systems, Healthcare
Education
Bellarmine University 2013 — 2014
Medical Laboratory Sciences
University of California, Berkeley 2013 — 2013
Clinical Laboratory Science/Medical Technology/Technologist
Merced College 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
The University of North Dakota 2012 — 2012
University of North Dakota 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
Weber State University 2012 — 2012
Clinical Laboratory Science/Medical Technology/Technologist
Modesto Junior College 2011 — 2012
San Diego State University-California State University 2007 — 2009
Marketing, Business Administration
San Diego Mesa College 2006 — 2007
Associates of Arts, Transfer Studies
College of Alameda
Agnes Lohi Orbih's Arcadian Health Plan Experience 2005 - 2009
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Arcadian Health Plan and Management Services October 2006 - March 2009
Arcadian Health Plan 2005 - 2009
Arcadian Health Plan November 2005 - October 2006
Motion Picture and Television Fund January 2004 - June 2005
Motion Picture and Television Fund 2004 - 2005
California State University Career Center April 2003 - June 2004
ITnet Plc January 1999 - January 2002
Education
California State University-Los Angeles 2003 — 2004
Ms, Healthcare Administration
The London School of Economics and Political Science (LSE) 1995 — 1996
Msc, Environmental Assessment and Evaluation
Bendel State University, Nigeria
Bachelors of Science, Chemistry
California State University (2004)
Masters of Science Degree, Healthcare Management
NE Surrey College of Technology
Associates of Arts Degree, Applied Biology
Arcadian Health Plan and Management Services October 2006 - March 2009
Arcadian Health Plan 2005 - 2009
Arcadian Health Plan November 2005 - October 2006
Motion Picture and Television Fund January 2004 - June 2005
Motion Picture and Television Fund 2004 - 2005
California State University Career Center April 2003 - June 2004
ITnet Plc January 1999 - January 2002
Education
California State University-Los Angeles 2003 — 2004
Ms, Healthcare Administration
The London School of Economics and Political Science (LSE) 1995 — 1996
Msc, Environmental Assessment and Evaluation
Bendel State University, Nigeria
Bachelors of Science, Chemistry
California State University (2004)
Masters of Science Degree, Healthcare Management
NE Surrey College of Technology
Associates of Arts Degree, Applied Biology
Christina Stacy's Arcadian Health Plan Experience November 2009 - November 2012
Job Sales Coordinator at Dougherty Equipment Company
Industry Business Supplies and Equipment
Experience
Dougherty Equipment Company January 2013 - Present
Arcadian Health Plan November 2009 - November 2012
Bruce’s Auto & Muffler May 2006 - November 2009
CMH Services August 2005 - May 2006
Kohl's Dept Store January 2004 - January 2005
Skills
Healthcare, Managed Care, Medicare, Direct Sales, Health Insurance, Sales Operations, Salesforce.com, Customer Service, Inventory Management, Sales, Process Scheduler, Training, Marketing, Management, Team Building, Time Management
Education
Berkeley High School 1990 — 1994
Diploma
Trident Technical College
Certificate, Business - Information Processing
Dougherty Equipment Company January 2013 - Present
Arcadian Health Plan November 2009 - November 2012
Bruce’s Auto & Muffler May 2006 - November 2009
CMH Services August 2005 - May 2006
Kohl's Dept Store January 2004 - January 2005
Skills
Healthcare, Managed Care, Medicare, Direct Sales, Health Insurance, Sales Operations, Salesforce.com, Customer Service, Inventory Management, Sales, Process Scheduler, Training, Marketing, Management, Team Building, Time Management
Education
Berkeley High School 1990 — 1994
Diploma
Trident Technical College
Certificate, Business - Information Processing
april dai's Arcadian Health Plan Experience September 2005 - September 2006
Job Director, Revenue Management at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare February 2008 - Present
Gorman Health Group March 2007 - February 2008
Arcadian Health Plan September 2005 - September 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, HTML, Strategic Planning, Budgets, Healthcare, Access, Data Analysis, Analysis, Healthcare Management
Education
California State Polytechnic University-Pomona 1996 — 1998
Master of Business Administration (MBA), Finance
Molina Healthcare February 2008 - Present
Gorman Health Group March 2007 - February 2008
Arcadian Health Plan September 2005 - September 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, HTML, Strategic Planning, Budgets, Healthcare, Access, Data Analysis, Analysis, Healthcare Management
Education
California State Polytechnic University-Pomona 1996 — 1998
Master of Business Administration (MBA), Finance
James Novello's Arcadian Health Plan Experience May 2010 - October 2012
Job Vice President, Chief Operating Officer at Molina Healthcare of California
Industry Hospital & Health Care
Experience
Molina Healthcare of California January 2014 - Present
Molina Healthcare October 2012 - January 2014
Arcadian Health Plan May 2010 - October 2012
Molina Healthcare May 2006 - May 2010
K&R Law Group January 2004 - January 2006
California Department of Managed Healthcare August 2000 - September 2003
Skills
Leadership, Management, Human Resources, Government, Litigation, Internal Audit, Medicaid, Managed Care, Medicare, HIPAA, Privacy Law, Mergers & Acquisitions, Health Policy, Corporate Governance, Claim, Corporate Law, Contract Negotiation, Insurance, Licensing
Education
Gonzaga University School of Law 1992 — 1994
JD
University of San Francisco 1988 — 1991
Ba. of Science
Molina Healthcare of California January 2014 - Present
Molina Healthcare October 2012 - January 2014
Arcadian Health Plan May 2010 - October 2012
Molina Healthcare May 2006 - May 2010
K&R Law Group January 2004 - January 2006
California Department of Managed Healthcare August 2000 - September 2003
Skills
Leadership, Management, Human Resources, Government, Litigation, Internal Audit, Medicaid, Managed Care, Medicare, HIPAA, Privacy Law, Mergers & Acquisitions, Health Policy, Corporate Governance, Claim, Corporate Law, Contract Negotiation, Insurance, Licensing
Education
Gonzaga University School of Law 1992 — 1994
JD
University of San Francisco 1988 — 1991
Ba. of Science
Tudy Atia's Arcadian Health Plan Experience April 2010 - December 2010
Job Associate General Counsel at Molina Healthcare
Industry Law Practice
Experience
Molina Healthcare September 2012 - Present
Humana/Arcadian Health Plan January 2011 - September 2012
Arcadian Health Plan April 2010 - December 2010
Education
USC Gould School of Law
University of California, Los Angeles - Fielding School of Public Health
Molina Healthcare September 2012 - Present
Humana/Arcadian Health Plan January 2011 - September 2012
Arcadian Health Plan April 2010 - December 2010
Education
USC Gould School of Law
University of California, Los Angeles - Fielding School of Public Health
Carrie Rhone's Arcadian Health Plan Experience June 2007 - September 2012
Job Practice Performance Manager
Industry Hospital & Health Care
Experience
UnitedHealth Group - XL Health Corporation September 2012 - Present
Arcadian Health Plan June 2007 - September 2012
Saline Memorial Hospital April 2000 - April 2007
Skills
Credentialing, Managed Care, Provider Relations, Network Development, HMO, Medicaid, Medicare, Healthcare Industry, Medicaid Managed Care, Health Policy
Education
University of Central Arkansas
UnitedHealth Group - XL Health Corporation September 2012 - Present
Arcadian Health Plan June 2007 - September 2012
Saline Memorial Hospital April 2000 - April 2007
Skills
Credentialing, Managed Care, Provider Relations, Network Development, HMO, Medicaid, Medicare, Healthcare Industry, Medicaid Managed Care, Health Policy
Education
University of Central Arkansas
Janiece Stokes's Arcadian Health Plan Experience July 2007 - July 2012
Job Provider Engagement Consultant at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group October 2014 - Present
Cigna - HealthSpring August 2012 - October 2014
Arcadian Health Plan July 2007 - July 2012
Good Shepherd Health System January 2002 - July 2007
Amil International January 1999 - January 2002
United Healthcare 1997 - 1997
Skills
Medicaid, Medicare, Healthcare Information..., HIPAA, Healthcare, Provider Relations, Managed Care, Hospitals, Physician Relations, Healthcare Management, Healthcare Industry, Health Insurance, Healthcare Consulting, Revenue Cycle, Network Development
Education
Texas State University 1995 — 1997
Bachelors, Health Care Administration
White Oak High School
UnitedHealth Group October 2014 - Present
Cigna - HealthSpring August 2012 - October 2014
Arcadian Health Plan July 2007 - July 2012
Good Shepherd Health System January 2002 - July 2007
Amil International January 1999 - January 2002
United Healthcare 1997 - 1997
Skills
Medicaid, Medicare, Healthcare Information..., HIPAA, Healthcare, Provider Relations, Managed Care, Hospitals, Physician Relations, Healthcare Management, Healthcare Industry, Health Insurance, Healthcare Consulting, Revenue Cycle, Network Development
Education
Texas State University 1995 — 1997
Bachelors, Health Care Administration
White Oak High School
Sally Sjobeck's Arcadian Health Plan Experience September 2010 - February 2012
Job Risk Adjustment
Industry Hospital & Health Care
Experience
ArroHealth January 2015 - April 2015
FJA-US/PHS December 2012 - January 2015
OptumInsight - Payer Solutions March 2013 - May 2013
Blue Cross Blue Shield of Michigan February 2012 - April 2012
Arcadian Health Plan September 2010 - February 2012
Kaiser Permanente Colorado October 2006 - April 2010
SIDUS, LLC February 1995 - August 2004
HealthTrust, Inc. June 1991 - February 1995
Skills
Network Management, Provider Relations and..., Strategic Planning and..., Process Improvement, Team Leadership, Mentoring, Revenue Enhancement, Compliance, Program Management, Healthcare Management, Network Administration, Revenue Cycle, Medicare, Managed Care, Leadership, Healthcare, Strategy, Provider Relations, Training, HIPAA, Physicians, Medicare Risk Adjustment, Risk Adjustment, Health Insurance..., Healthcare Consulting, EHR, Management, EMR, Strategic Planning, Team Building
Education
University of Denver
Masters
University of Utah
Bachelor of Science
Washington University in St. Louis
PNP Certificate
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC, CRC)
ArroHealth January 2015 - April 2015
FJA-US/PHS December 2012 - January 2015
OptumInsight - Payer Solutions March 2013 - May 2013
Blue Cross Blue Shield of Michigan February 2012 - April 2012
Arcadian Health Plan September 2010 - February 2012
Kaiser Permanente Colorado October 2006 - April 2010
SIDUS, LLC February 1995 - August 2004
HealthTrust, Inc. June 1991 - February 1995
Skills
Network Management, Provider Relations and..., Strategic Planning and..., Process Improvement, Team Leadership, Mentoring, Revenue Enhancement, Compliance, Program Management, Healthcare Management, Network Administration, Revenue Cycle, Medicare, Managed Care, Leadership, Healthcare, Strategy, Provider Relations, Training, HIPAA, Physicians, Medicare Risk Adjustment, Risk Adjustment, Health Insurance..., Healthcare Consulting, EHR, Management, EMR, Strategic Planning, Team Building
Education
University of Denver
Masters
University of Utah
Bachelor of Science
Washington University in St. Louis
PNP Certificate
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC, CRC)
Ana Colbert's Arcadian Health Plan Experience June 2011 - April 2012
Job Contract Safety Associate
Industry Staffing and Recruiting
Experience
Planet Pharma April 2015 - Present
Drug Safety Alliance, Inc. June 2012 - March 2015
Arcadian Health Plan June 2011 - April 2012
Quality Staffing Solutions 2010 - 2010
Skills
Nursing, Acute Care, Patient Education, BLS, Inpatient, Medical Terminology, Home Care, Medication..., Patient Advocacy, IV, EMR, Temporary Staffing, Disease Management, Medical/Surgical, Medical-Surgical, Clinical Research
Education
Barton School for Health Professionals 1976 — 1980
Practical Nursing Certificate/Licensure, Nursing
Pace University
Planet Pharma April 2015 - Present
Drug Safety Alliance, Inc. June 2012 - March 2015
Arcadian Health Plan June 2011 - April 2012
Quality Staffing Solutions 2010 - 2010
Skills
Nursing, Acute Care, Patient Education, BLS, Inpatient, Medical Terminology, Home Care, Medication..., Patient Advocacy, IV, EMR, Temporary Staffing, Disease Management, Medical/Surgical, Medical-Surgical, Clinical Research
Education
Barton School for Health Professionals 1976 — 1980
Practical Nursing Certificate/Licensure, Nursing
Pace University
Denise M. Bettencourt's Arcadian Health Plan Experience January 2012 - August 2012
Job Accounting Process Supervisor at Bay Medical Management, LLC
Industry Accounting
Experience
Bay Medical Management, LLC March 2013 - Present
Robert Half International March 2011 - March 2013
Arcadian Health Plan January 2012 - August 2012
Solar Millennium, LLC May 2011 - December 2011
Telecare Corporation March 2011 - May 2011
WaveLength Ventures December 1999 - January 2011
Bay Medical Management, LLC September 2010 - October 2010
Bay Medical Management, LLC 1997 - 1999
InterMedia Management, Inc. 1991 - 1997
PacTel Cellular 1990 - 1991
Skills
QuickBooks, General Ledger, Revenue Recognition, Account Reconciliation, Cash Flow, Financial Reporting, Financial Analysis
Education
Arizona State University 1985 — 1990
Bachelor of Science, Accounting
Bay Medical Management, LLC March 2013 - Present
Robert Half International March 2011 - March 2013
Arcadian Health Plan January 2012 - August 2012
Solar Millennium, LLC May 2011 - December 2011
Telecare Corporation March 2011 - May 2011
WaveLength Ventures December 1999 - January 2011
Bay Medical Management, LLC September 2010 - October 2010
Bay Medical Management, LLC 1997 - 1999
InterMedia Management, Inc. 1991 - 1997
PacTel Cellular 1990 - 1991
Skills
QuickBooks, General Ledger, Revenue Recognition, Account Reconciliation, Cash Flow, Financial Reporting, Financial Analysis
Education
Arizona State University 1985 — 1990
Bachelor of Science, Accounting
Khaled Ghaly's Arcadian Health Plan Experience January 2009 - February 2012
Job Associate VP, Claims
Industry Hospital & Health Care
Experience
Molina Healthcare June 2012 - Present
Molina Healthcare February 2012 - June 2012
Arcadian Health Plan January 2009 - February 2012
Health Net September 2004 - December 2008
Kaiser Permanente April 2002 - August 2004
NAMM California 2002 - 2002
Skills
Medicaid, Medicare, Managed Care, Healthcare Management, Healthcare, Health Insurance, Healthcare Industry, HMO, Healthcare Analytics, Provider Relations, Claim, Disease Management, EMR, Medicare Part D, Executive Management, Health Policy
Education
Tanta University 1988 — 1992
BS, Accounting
Molina Healthcare June 2012 - Present
Molina Healthcare February 2012 - June 2012
Arcadian Health Plan January 2009 - February 2012
Health Net September 2004 - December 2008
Kaiser Permanente April 2002 - August 2004
NAMM California 2002 - 2002
Skills
Medicaid, Medicare, Managed Care, Healthcare Management, Healthcare, Health Insurance, Healthcare Industry, HMO, Healthcare Analytics, Provider Relations, Claim, Disease Management, EMR, Medicare Part D, Executive Management, Health Policy
Education
Tanta University 1988 — 1992
BS, Accounting
Ginger Tebbe's Arcadian Health Plan Experience October 2009 - June 2012
Job National Accounts at Humana
Industry Hospital & Health Care
Experience
Humana October 2012 - Present
Arcadian Health Plan October 2009 - June 2012
Humana 2002 - 2009
USA Managed Care 1996 - 2002
Skills
Networking, Healthcare, Health Insurance, Medicaid, Claim, Healthcare Information..., Hospitals, Insurance
Education
Southwest Texas State University 1990 — 1994
Bachelor of Science, Healthcare Administration
Humana October 2012 - Present
Arcadian Health Plan October 2009 - June 2012
Humana 2002 - 2009
USA Managed Care 1996 - 2002
Skills
Networking, Healthcare, Health Insurance, Medicaid, Claim, Healthcare Information..., Hospitals, Insurance
Education
Southwest Texas State University 1990 — 1994
Bachelor of Science, Healthcare Administration
Ben Seibel's Arcadian Health Plan Experience September 2011 - December 2012
Job Graphic Designer
Industry Graphic Design
Experience
Graphic Design 2013 - Present
Arcadian Health Plan September 2011 - December 2012
Ply Design 2004 - 2011
Phoenix Gallery January 2004 - December 2009
Freelance 1998 - 2004
Hot Studio 1995 - 1998
Skills
Graphic Design, Web Design, User Experience, Information Architecture, Information Design, Brand Implementation, Illustrator, Adobe Creative Suite, Dreamweaver, After Effects, InDesign, Photoshop, Data Visualization, Typography, Interaction Design
Education
University of Kansas
BFA, Painting
Graphic Design 2013 - Present
Arcadian Health Plan September 2011 - December 2012
Ply Design 2004 - 2011
Phoenix Gallery January 2004 - December 2009
Freelance 1998 - 2004
Hot Studio 1995 - 1998
Skills
Graphic Design, Web Design, User Experience, Information Architecture, Information Design, Brand Implementation, Illustrator, Adobe Creative Suite, Dreamweaver, After Effects, InDesign, Photoshop, Data Visualization, Typography, Interaction Design
Education
University of Kansas
BFA, Painting
Anna Friedman's Arcadian Health Plan Experience September 2008 - November 2010
Job Supply Planner at Nestlé USA
Industry Food Production
Experience
Nestlé USA 2012 - Present
Nestlé USA 2011 - 2012
Arcadian Health Plan September 2008 - November 2010
Skills
Project Management, Process Improvement, Strategic Planning, Data Analysis, SQL, Microsoft Excel, Business Analysis, Cross-functional Team..., Analysis, Microsoft Office, Supply Chain Management, Budgets, Databases, Supply Chain, Forecasting, Leadership, Management
Education
Purdue University
Bachelors, Physics, Mathematics
University of California, Berkeley
Masters, Astrophysics
Nestlé USA 2012 - Present
Nestlé USA 2011 - 2012
Arcadian Health Plan September 2008 - November 2010
Skills
Project Management, Process Improvement, Strategic Planning, Data Analysis, SQL, Microsoft Excel, Business Analysis, Cross-functional Team..., Analysis, Microsoft Office, Supply Chain Management, Budgets, Databases, Supply Chain, Forecasting, Leadership, Management
Education
Purdue University
Bachelors, Physics, Mathematics
University of California, Berkeley
Masters, Astrophysics
Daphne Wilcox's Arcadian Health Plan Experience 2008 - October 2012
Job Humana Cares Coverage Coach Manager
Industry Insurance
Experience
Humana October 2012 - Present
Arcadian Health Plan 2008 - October 2012
Arkansas Blue Cross Blue Shield 2005 - 2008
Skills
Managed Care, Medicare, Health Insurance, EMR, Mental Health, Insurance, Medicaid, HMO, Health Policy, Clinical Research, Network Development, Program Management, Long-term Care, Leadership, Healthcare Consulting, Provider Relations, Management, Healthcare Information...
Education
University of Arkansas at Little Rock 1991 — 1993
ASN, Registered Nursing/Registered Nurse
Humana October 2012 - Present
Arcadian Health Plan 2008 - October 2012
Arkansas Blue Cross Blue Shield 2005 - 2008
Skills
Managed Care, Medicare, Health Insurance, EMR, Mental Health, Insurance, Medicaid, HMO, Health Policy, Clinical Research, Network Development, Program Management, Long-term Care, Leadership, Healthcare Consulting, Provider Relations, Management, Healthcare Information...
Education
University of Arkansas at Little Rock 1991 — 1993
ASN, Registered Nursing/Registered Nurse
Agnes Lohi Orbih, MSHCM HIT Pro's Arcadian Health Plan Experience November 2006 - March 2009
Job Program Coordinator at DHCH
Industry Hospital & Health Care
Experience
Duke University Health System Program CoordinatorDuke University Health SystemJuly 2013 - Present
Arcadian Health Plan November 2006 - March 2009
Islington Council 1998 - 2002
Skills
Hospitals, Healthcare IT, Healthcare, Health Insurance, Documentation, Customer Service, Scheduling, HIPAA
Education
California State University-Los Angeles 2003 — 2004
Master's degree, Health/Health Care Administration/Management
FGGC Benin
Duke University Health System Program CoordinatorDuke University Health SystemJuly 2013 - Present
Arcadian Health Plan November 2006 - March 2009
Islington Council 1998 - 2002
Skills
Hospitals, Healthcare IT, Healthcare, Health Insurance, Documentation, Customer Service, Scheduling, HIPAA
Education
California State University-Los Angeles 2003 — 2004
Master's degree, Health/Health Care Administration/Management
FGGC Benin
Viet Ngo's Arcadian Health Plan Experience August 2011 - Present
Job
Industry Information Technology and Services
Experience
Arcadian Health Plan August 2011 - Present
Education
Stanbridge College 2010 — 2011
Diploma in Information Technology, Computer Information Systems
University of California, Riverside 2002 — 2006
Bachelor of Science, Business Administration, Accounting Concentration
Arcadian Health Plan August 2011 - Present
Education
Stanbridge College 2010 — 2011
Diploma in Information Technology, Computer Information Systems
University of California, Riverside 2002 — 2006
Bachelor of Science, Business Administration, Accounting Concentration
Lily Chow's Arcadian Health Plan Experience November 2009 - January 2011
Job Care 1st Health Plan
Industry Hospital & Health Care
Experience
Care1st Health Plan April 2012 - Present
Arcadian Health Plan November 2009 - January 2011
West Dermatology & Surgery Medical Group 2008 - 2009
CareMore Health Plan October 1998 - April 2008
FPA Medical Management, Inc. 1994 - 1998
Allied Physician of California 1992 - 1994
Skills
Medicare, Experienced in Medicare..., Knowledgable in CMS..., HEDIS, Health Policy, NCQA, Credentialing, HIPAA, Healthcare Consulting, Managed Care, Provider Relations, Medicaid, Healthcare Industry, HMO, Revenue Cycle, Utilization Management, Health Insurance
Education
Cal Poly Pomona
Bachelor's degree, Art
Care1st Health Plan April 2012 - Present
Arcadian Health Plan November 2009 - January 2011
West Dermatology & Surgery Medical Group 2008 - 2009
CareMore Health Plan October 1998 - April 2008
FPA Medical Management, Inc. 1994 - 1998
Allied Physician of California 1992 - 1994
Skills
Medicare, Experienced in Medicare..., Knowledgable in CMS..., HEDIS, Health Policy, NCQA, Credentialing, HIPAA, Healthcare Consulting, Managed Care, Provider Relations, Medicaid, Healthcare Industry, HMO, Revenue Cycle, Utilization Management, Health Insurance
Education
Cal Poly Pomona
Bachelor's degree, Art
Berika Babers's Arcadian Health Plan Experience June 2008 - April 2010
Job Human Resources Generalist
Industry Human Resources
Experience
Cat Daddy's Inc. 2002 - Present
JC Fodale Energy Services February 2013 - May 2014
Calumet Specialty Products Partners, L.P. August 2010 - June 2012
Arcadian Health Plan June 2008 - April 2010
CenturyLink November 2002 - August 2006
United States Department of Defense July 2000 - October 2002
US Army May 1996 - October 1999
Education
DeVry University 2008 — 2009
Bachelor of Science (B.S.), Technical Business Management, Graduated Magna Cum Laude
Bossier Parish Community College 2004 — 2006
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Cat Daddy's Inc. 2002 - Present
JC Fodale Energy Services February 2013 - May 2014
Calumet Specialty Products Partners, L.P. August 2010 - June 2012
Arcadian Health Plan June 2008 - April 2010
CenturyLink November 2002 - August 2006
United States Department of Defense July 2000 - October 2002
US Army May 1996 - October 1999
Education
DeVry University 2008 — 2009
Bachelor of Science (B.S.), Technical Business Management, Graduated Magna Cum Laude
Bossier Parish Community College 2004 — 2006
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
John Muszynski's Arcadian Health Plan Experience June 2008 - September 2012
Job Sr. Commission Analyst at Tintri
Industry Information Technology and Services
Experience
Tintri February 2015 - Present
Accountemps April 2014 - January 2015
Proven Northern California October 2013 - December 2013
Volt Workforce Solutions March 2013 - June 2013
Arcadian Health Plan June 2008 - September 2012
Accountemps February 2008 - June 2008
Accountemps November 2007 - January 2008
Summerville Senior Living June 2006 - September 2007
Mt. Tallac Brewing Company August 2004 - September 2006
Bio-Friendly Gardens November 2004 - December 2005
Skills
Sales Commissions, Sales Compensation, Callidus, ActekSoft, ACom3, Microsoft Excel, Financial Analysis, Xactly, Forecasting, Access, Great Plains, Microsoft Word, PowerPoint, Accounting, Sales Operations, Medicare Advantage, Health Insurance, Accounts Receivable, Trend Analysis, Variance Analysis, Corporate Finance, Financial Modeling, Financial Accounting, QuickBooks, Investment Management, Business Valuation, Economics, Natural Resource..., Salesforce.com
Education
UC Berkeley 1991 — 1995
Bachelor of Science (BS), Political Economy of Natural Resources
UC Berkeley, Extension 1999 — 2002
Certificate, Corporate Finance
College of DuPage 1988 — 1991
Associate of Arts (AA), General Studies
Tintri February 2015 - Present
Accountemps April 2014 - January 2015
Proven Northern California October 2013 - December 2013
Volt Workforce Solutions March 2013 - June 2013
Arcadian Health Plan June 2008 - September 2012
Accountemps February 2008 - June 2008
Accountemps November 2007 - January 2008
Summerville Senior Living June 2006 - September 2007
Mt. Tallac Brewing Company August 2004 - September 2006
Bio-Friendly Gardens November 2004 - December 2005
Skills
Sales Commissions, Sales Compensation, Callidus, ActekSoft, ACom3, Microsoft Excel, Financial Analysis, Xactly, Forecasting, Access, Great Plains, Microsoft Word, PowerPoint, Accounting, Sales Operations, Medicare Advantage, Health Insurance, Accounts Receivable, Trend Analysis, Variance Analysis, Corporate Finance, Financial Modeling, Financial Accounting, QuickBooks, Investment Management, Business Valuation, Economics, Natural Resource..., Salesforce.com
Education
UC Berkeley 1991 — 1995
Bachelor of Science (BS), Political Economy of Natural Resources
UC Berkeley, Extension 1999 — 2002
Certificate, Corporate Finance
College of DuPage 1988 — 1991
Associate of Arts (AA), General Studies
Agatha Lynch's Arcadian Health Plan Experience 2011 - 2012
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Arcadian Health Plan 2011 - 2012
XL Healthcare June 2010 - June 2011
Skills
Utilization Review, Claim Investigation, Workers Compensation, Case Managment, Pediatrics, Telephone Triage, Internal Medicine, Infectious Diseases, Drug Testing, Discharge Planning, Retrospectives Reviews, Medicare/Medicaid...
Education
LaGrange College 1977 — 1979
Associate's degree, Registered Nursing/Registered Nurse
Arcadian Health Plan 2011 - 2012
XL Healthcare June 2010 - June 2011
Skills
Utilization Review, Claim Investigation, Workers Compensation, Case Managment, Pediatrics, Telephone Triage, Internal Medicine, Infectious Diseases, Drug Testing, Discharge Planning, Retrospectives Reviews, Medicare/Medicaid...
Education
LaGrange College 1977 — 1979
Associate's degree, Registered Nursing/Registered Nurse
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY