Arcadian Management Services
Industry: Company
DescriptionFounded: 1996 Parent organization: Humana Subsidiaries: Arcadian Health Plan, Inc., Humana Health Company of New York, Inc., Arcadian Choice, Inc.
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Arcadian Management Services Employees
Caviar (Acquired August 2014) May 2012 - Present
815 Productions, LLC August 2010 - January 2014
Munch On Me (Acquired May 2012) January 2011 - May 2012
Google February 2010 - December 2010
Bank of America Merrill Lynch July 2009 - February 2010
Microsoft May 2008 - August 2008
Arcadian Management Services February 2007 - January 2008
Deloitte July 2007 - August 2007
World Savings January 2005 - May 2007
De La Rosa & Co. June 2006 - January 2007
Skills
Financial Modeling, Corporate Finance, Market Analysis, E-commerce, Start-ups, Credit Analysis, Social Networking, Fraud, Mobile Platforms, Banking, Financial Analysis, Salesforce.com, Business Strategy, SEO, Blogging, Facebook, Management, Market Research, Marketing Strategy, Product Management, Social Media Marketing, Entrepreneurship, Leadership
Education
Y Combinator 2011 — 2011
Entrepreneurship
University of California, Berkeley, Haas School of Business 2005 — 2009
Bachelor of Science, Business Administration
CFA Institute
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
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
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
Humana January 2013 - Present
Arcadian Management Services February 1999 - January 2013
Skills
Medical management, Medical claims review, Medical Cost Containment, Quality Improvement, Medicine, HEDIS, Managed Care, Healthcare, Management, Utilization Management
Education
UC Irvine 1980 — 1984
Doctor of Medicine (MD), Medicine
Loyola Marymount University 1976 — 1980
None, Bio-electrical engineering
Senior Outreach Network Lead Appeals SpecialistRegal Medical GroupJune 2005 - Present
Arcadian Management Services February 2002 - June 2005
Skills
Customer Service, Customer Relations, Microsoft Office, Process Improvement, Word, Title Insurance and..., Problem Solving, Excel, Social Media, Strategic Planning, Insurance, Health Insurance
Education
Mapua Institute of Technology 1976 — 1979
Civil Engineering
Mabini Academy 1970 — 1976
Elementary and High School Education
Optum July 2004 - Present
Arcadian Management Services 2001 - 2001
Sun Healthcare Group 1993 - 2000
Integrated Health Services 1990 - 1993
Sound Health and Good Health Plan 1989 - 1990
Skills
Medicare, Managed Care, Medicaid, Healthcare, Healthcare Management, Healthcare Industry, Health Insurance, Cross-functional Team..., Provider Relations, Strategic Planning, Process Improvement, Disease Management, Team Building, Project Management, Program Management, Case Managment, Contract Negotiation, Management, Healthcare Consulting, Network Development, HIPAA, Credentialing, Elder Care, EMR, Health Policy, Physician Relations, Utilization Management, Home Care, HMO, Business Development, Physicians, Insurance, PPO, EHR, Long-term Care, Revenue Cycle, Clinical Research, Performance Improvement, Provider Network..., Executive Management, Medicaid Managed Care, Healthcare Reimbursement, Medicare Part D
Education
Eastern Washington University 1985 — 1987
Bachelor of Arts (B.A.), Healthcare Administration
Assured Management Insurance Services October 2013 - Present
American Apparel April 2013 - September 2013
Assured Management Insurance Services January 2013 - March 2013
Physicians Care May 2009 - December 2012
Calibrated Healthcare Network April 2008 - April 2009
Arcadian Management Services September 2005 - March 2008
Employee Health Systems October 2000 - July 2003
Skills
Managed Care, Health Insurance, Team Building, Business Planning, Disability Insurance, Executive Management, Strategic Planning, Account Management
Education
University of Phoenix 2003 — 2007
BA, Business Managment
Camptown RV May 2013 - Present
Freelance Artist 2000 - Present
Arcadian Management Services February 2011 - November 2012
Student Solutions, Inc. October 2009 - February 2011
JJs Kids Cuts August 2006 - May 2007
Skills
Quickbooks, Salesforce.com, Microsoft Office 2007, Microsoft Office, Inventory Management, Excel, Word, Outlook, Customer Service, PowerPoint, Customer Relations, Office Management, Administration, Telephone Skills, Event Planning, Billing, Scheduling, Time Management, Problem Solving, Event Management, Account Management, Insurance, Research, Sales Support, Teamwork, Facebook, Retail, Public Speaking, Vendor Relations, Sales Management, Artists, Emerging Artists, Professional Organizing, Acrylic Painting, Painting, Microsoft Excel, Budgets, Sales, Sales Operations, Microsoft Word, Marketing, Management, Team Building, Strategic Planning, Training, Leadership
Education
University of Phoenix 2008 — 2010
•Associates of arts in Business Management, Business Management
Clayton High School, Clayton, NC 1999 — 2002
Salesforce September 2015 - Present
salesforce.com April 2014 - September 2015
Salesforce January 2012 - April 2014
Model Metrics ***We are now Salesforce.com!! June 2011 - January 2012
Arcadian Management Services October 2008 - June 2011
Merrill Lynch January 2008 - October 2008
MarketSource June 2005 - January 2008
Prudential Financial February 2005 - December 2005
Best Buy December 2002 - January 2004
Skills
Salesforce.com, SaaS, Access, PowerPoint, Business Process, Analytics, Business Analysis, Cloud Computing, Lead Generation, Scrum, Agile Methodologies, Microsoft Excel, Strategic Planning, Process Improvement, CRM, Business Process..., Requirements Analysis, Analysis, Marketing, Strategy, Professional Services, SDLC, Integration, Consulting, Agile Project Management, Force.com, Leadership, Management
Education
University of North Florida 2006 — 2008
MBA, Business
University of North Florida - College of Business Administration 2001 — 2006
Bachelors, International Business and Marketing
Affinity Medical Group June 2012 - April 2013
Durand Consulting Group January 2006 - December 2011
Arcadian Management Services June 2008 - August 2009
Sutter Health May 2002 - August 2005
NSA Wireless August 2000 - February 2002
Tenet Healthcare July 1998 - June 1999
First Health July 1993 - July 1998
Skills
Contract Negotiation, Contract Management, Network Development, Managed Care, Provider Relations, Process Improvement, Project Management, Training
Education
University of California, Davis - Graduate School of Management 1991 — 1993
MBA, Marketing and Operations Management
California State University-East Bay 1988 — 1989
BS, Business Administration
Grace Cathedral April 2015 - Present
Grace Cathedral December 2011 - April 2015
Arcadian Management Services August 2011 - December 2011
LA Galaxy April 2009 - December 2009
Skills
Research, Event Planning, Database Administration, Technical Writing, Editing, Community Outreach, Nonprofits, Volunteer Management, Social Media, Fundraising, Blogging, Facebook, Marketing, Social Networking, Public Speaking, PowerPoint, Microsoft Office, Microsoft Excel, Social Media Marketing, Microsoft Word, Event Management, Public Relations
Education
UCLA 2006 — 2010
Bachelor of Arts (BA), Communication and Media Studies
Charles University in Prague 2008 — 2008
Seeker November 2014 - Present
Integrity Health Services May 2014 - November 2014
Ideal Personnel April 2013 - October 2013
All Medical Personnel September 2011 - July 2012
Independent Worker April 2009 - September 2011
Cottage Health System March 2002 - April 2009
Arcadian Management Services January 2002 - February 2002
Medical Pathways Management Corporation April 2000 - December 2001
Francisco Rivera Alvarez Legal Office February 1995 - February 2000
Skills
Customer Service, Office Management, Access, Adapt Quickly to Change, Appointment Scheduling, Attention To Detail, Data Entry, Confidentiality, Creative Problem Solving, Cultural Awareness, Cultural Diversity, Cultural Sensitivity, Employment Law, Event Planning, General Office Duties, Group Work, Healthcare, Hospitals, Independent, Internet, Instructional Manuals, Leadership, Legal Assistance, Legal Research, Lexis, Medical Terminology, Meticulous eye for..., Microsoft Excel, Microsoft Office, Microsoft Word, Multitasking Skills, Office Administration, Outlook, Problem Solving, PowerPoint, Public Speaking, Reliability, Research, Software Documentation, Social Networking, Sympathetic, Training, Translation, Westlaw, Spanish, Community Outreach, Administration, Process Improvement, Teamwork, Team Building
Education
Pontifical Catholic University of Puerto Rico, School of Law 1993 — 1996
61 credits, Juris Doctor
University of Puerto Rico-Rio Piedras 1986 — 1992
Bachelor in Arts, Labor Relations, 3.44 GPA
King RN Patient Advocates March 2013 - Present
BHM Healthcare Solutions 2015 - 2015
Humana SeniorBridge March 2013 - October 2014
CMSA June 2011 - May 2014
CMSA September 2010 - June 2013
Arcadian Management Services March 2012 - January 2013
Professional Patient Advocacy Insitute 2012 - 2013
CMSA February 2009 - October 2012
Chamberlain College November 2011 - June 2012
Banner Health May 2011 - May 2012
Skills
Case Managment, Medicaid, Healthcare, Hospitals, Patient Education, Clinical Research, Disease Management, EMR, Nursing, Healthcare Management, Program Management, Medicare, Health Care Systems, Utilization Management, Managed Care, Health Policy, Patient Advocacy, HIPAA, Home Care, Utilization Review, Acute Care, Medicine, Patient Safety, Elder Care, Management, Public Speaking, Case Management Services, Program Development, Healthcare Information..., EHR, Healthcare Consulting, Health Education, Wound Care, Physician Relations, Physicians, Healthcare Industry, BLS, Quality Improvement, Informatics, Nursing Education, JCAHO, Inpatient, Long-term Care, Medical/Surgical, Rehabilitation, Case Management, Critical Care, Palliative Care, Treatment
Education
University of Arizona 2013 — 2013
RN Patient Advocacy
Arizona State University 1992 — 1994
Masters of Science, Nursing Administration
Thomas Jefferson College of Allied Health Services 1977 — 1979
Baccalaureate of Science, Nursing
Hopewell valley HS
High School Diploma, College Prep
Wine Warehouse September 2013 - Present
ADP October 2011 - September 2013
Arcadian Management Services March 2011 - October 2011
PCV Murcor November 2010 - February 2011
Skills
Microsoft Office, Outlook, Customer Service, Process Scheduler, Databases, Management, Time Management, SAP, Spreadsheets, Microsoft Excel, Microsoft Word, PowerPoint, Data Entry, Invoicing, Administrative...
Education
University of California, Riverside 2005 — 2009
Political Science, Political Science and Government
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
ZYMEDA Provider Solutions, Inc. February 2012 - Present
Avanti Health System, LLC July 2010 - May 2011
Arcadian Management Services January 2009 - July 2010
Arcadian Management Services January 2009 - July 2010
Platinum Standard Consulting January 2008 - January 2009
Primary Provider Managment Co 1997 - 2007
CalOptima 1995 - 1997
Skills
Managed Care, Medicaid, Healthcare Information..., Healthcare, Medicare, Healthcare Industry, Physician Relations, HIPAA, Health Policy, Healthcare Management, Provider Relations, Hospitals, Business Strategy, Performance Improvement, Disease Management, Utilization Management, EHR, Healthcare Consulting, Physicians, Revenue Cycle, Credentialing, Revenue Cycle Management, Leadership, Strategic Planning, Practice Management
Education
California State University-Long Beach
Business Major
North High
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
Li Chwen Se, CPA 2009 - Present
Kaiser Pharmacy 2012 - 2012
Arcadian Management Services 2011 - 2011
Achievo Corporation 2007 - 2008
Jefferson Wells 2004 - 2006
Diversified Collection Services, Inc. 2000 - 2004
Sara Lee 1997 - 1999
Village Roadshow / Golden Harvest 1994 - 1997
Coopers & Lybrand 1989 - 1993
Skills
SOX, Audit, Financial Reporting, Accounting, Internal Controls, Operational Audit, Sarbanes-Oxley Act, Auditing, Budgets, US GAAP, Forecasting, General Ledger
Education
National University of Singapore 1986 — 1989
Bachelor of Accountancy, Accounting
Raffles Junior College 1984 — 1985
Physics, Economics, Further Math, Math
ARROWHEAD REGIONAL MEDICAL CENTER June 2015 - Present
HEALTHCARE COST SOLUTIONS August 2013 - Present
ICDC COLLEGE February 2012 - Present
ARCADIAN MANAGEMENT SERVICES February 2010 - July 2010
NAMM CALIFORNIA June 2008 - February 2010
KAISER PERMANENTE May 2004 - May 2006
Skills
Managed Care, Healthcare Management, Healthcare, Performance Management, Hospitals, Program Management, Team Building, Organizational..., Recruiting, Strategic Planning, Business Process..., Leadership, Policy, Access, Training, HIPAA, Deferred Compensation, Healthcare Information..., Personnel Management, Six Sigma, Analysis, Management, Project Management, Data Analysis, Employee Training, Software Documentation, Staff Development, Process Improvement, Employee Relations, Customer Service, Performance Improvement, Quality Assurance, Human Resources, Onboarding, Employee Benefits, College Recruiting, Resume Writing, Administration, Benefits Administration, Coaching, Leadership Development, Hiring, Interviews, New Hire Orientations, Applicant Tracking...
Education
Walden University 2007 — 2014
Doctorate, Public Policy and Administration
American InterContinental University 2006 — 2007
Masters, Healthcare Management
American InterContinental University 2005 — 2006
Bachelors, Business Administration
L.A. Care Health Plan January 2011 - Present
BRIDGELiNX. September 2010 - December 2010
Sac Tec Labs, Inc. February 2010 - August 2010
Arcadian Management Services October 2009 - January 2010
Sac Tec Labs, Inc. February 2009 - October 2009
Molina Healthcare June 2008 - December 2008
The Coding Source 2008 - 2008
Capital Group December 2004 - June 2007
Alliance Imaging October 2001 - December 2004
HRCS September 1998 - September 2001
Skills
Applicant Tracking..., Recruiting, Sourcing, Interviews, Screening, Hiring, Start-ups, Healthcare, Software Documentation, Networking, Salary Negotiation, Talent Acquisition, Onboarding, College Recruiting, Internet Recruiting, Talent Management, Performance Management, Employee Relations, Executive Search
Education
California Polytechnic State University-San Luis Obispo
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
Riverside Medical Clinic July 2015 - Present
EPIC Management, LP January 2011 - July 2013
CareMore Health Plan August 2009 - January 2011
Arcadian Management Services June 2007 - January 2009
PPMC 2006 - 2007
NAMM California 2005 - 2006
IMMI / Bright Medical Associates 1999 - 2005
Skills
Healthcare, Hospitals, Strategic Planning, Customer Relations, Team Building, EHR, Healthcare Industry, Healthcare Management, Medicaid, Medicare, Management, Healthcare Information..., Utilization Management, Managed Care, Customer Service, Case Management, Nursing
Education
University of Redlands 2008 — 2009
MA, Management
University of La Verne 1998 — 2001
BS, Health Services Management
Bethesda Hospital School of Nursing 1972 — 1975
Diploma, Nursing
QTC Management/ Lockheed Martin Company January 2015 - Present
Arcadian Health Plan August 2007 - Present
Arcadian Management Services June 2007 - Present
Arcadian Management Services 2007 - Present
Arcadian Health Plan and Management Services 2007 - Present
Humana-Arcadian Health Plan April 2012 - January 2014
Arcadian Health Plan January 2007 - April 2012
Skills
Medicare, Healthcare, Leadership, Healthcare Management, Access, Microsoft Excel, Analysis, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Industry, Hospitals, Managed Care, Provider Relations, Medical Coding
Education
University of Phoenix 2012 — 2014
Master's degree, Health/Health Care Administration/Management
University of Phoenix 2009 — 2011
BAHS, Health/Health Care Administration/Management
Glendora High School
University of Phoenix
Masters, Health Administration
University of Phoenix
BS, Health Adminstration
Excel MSO, LLC May 2015 - Present
Anthem, Inc. August 2014 - May 2015
CareMore Health Plan February 2012 - August 2014
CareMore Health Plan September 2011 - June 2012
CareMore Health Plan February 2011 - September 2011
Alameda Alliance for Health January 2006 - December 2010
Arcadian Management Services September 2001 - January 2006
Skills
Medicaid, Medicare, Managed Care, Healthcare, Healthcare Management, HIPAA, Non-profits, Process Improvement, Program Development, Call Center, Health Insurance, Software Documentation, Project Management, Data Analysis, Team Building, Vendor Management, Program Management, Strategic Planning, Customer Service, Provider Relations, HMO, Call Centers, Nonprofits
Education
UC Berkeley
Bachelor of Arts (B.A.), Sociology
Partnership HealthPlan of California March 2013 - Present
Alameda Alliance for Health May 2011 - February 2013
Arcadian Management Services August 2007 - August 2010
Skills
Medicaid, Managed Care, Healthcare, HMO, HIPAA, Health Insurance, Process Improvement, Medicare, Healthcare Industry, Healthcare Consulting, Insurance
Education
University of Phoenix 2011 — 2012
AA, Health Care Administration
MZI Health Care/EZ-CAP April 2012 - Present
Arcadian Management Services February 2004 - March 2012
Sanare 2011 - 2011
R Systems 2011 - 2011
Skills
Access, Active Directory, Business Analysis, Change Management, Customer Service, Data Analysis, Disaster Recovery, EDI, HIPAA, Healthcare, Healthcare Information..., IT Management, Management, Medicare, Microsoft SQL Server, Process Improvement, Program Management, Project Management, SDLC, SQL, Software Development, Software Documentation, Software Project..., Strategic Planning, Team Building, Vendor Management, Visio, Windows Server
Education
Tarleton State University 2000 — 2002
BA, Business Administration
University of Mary Hardin-Baylor 2000 — 2002
CIS, Computer Science
BD 2015 - Present
CareFusion 2009 - Present
Cardinal Health 2007 - 2009
VIASYS Healthcare (Acquired by Cardinal Health) 2005 - 2007
Arcadian Management Services 1998 - 2004
Skills
Customer Relations, Export Documentation, Operational Excellence, Six Sigma, Microsoft Office 2007, Healthcare, Medical, HMO, Customer Service, Medical Devices, Manufacturing, FDA, ISO 13485, Process Improvement, Validation, Training, Documentations, Product Development, Continuous Improvement, Cross-functional Team..., Microsoft Office
Education
Santa Barbara City College
Arcadian Management Services 1998 - Present
American Biodyne 1985 - 1991
Booz Allen Hamilton 1983 - 1985
Booz Allen Hamilton 1980 - 1982
Education
Stanford Graduate School of Business 1978 — 1980
MBA, Finance
Stanford University 1970 — 1974
BA, Economics
WellPoint June 2008 - Present
Arcadian Management Services January 2007 - May 2008
WellPoint January 2003 - April 2006
Skills
Managed Care, Healthcare, Utilization Management, Disease Management, HIPAA, Healthcare Management, Health Insurance, Nursing, Healthcare Information...
Education
UCLA
BSN, Nursing