Beech Street -A Viant Network
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Beech Street -A Viant Network Employees
MissionPoint Health Partners August 2014 - Present
WellPoint/Amerigroup June 2012 - August 2014
Amerigroup February 2011 - May 2012
Beech Street - A VIANT Network October 2003 - May 2010
Beech Street - A VIANT network March 2006 - January 2009
Beech Street - A VIANT Network October 2003 - March 2006
MED3000 August 2001 - September 2003
St.James Hospital and Health Center March 1999 - June 2000
Skills
Network Development, Provider Relations, Managed Care, PPO, HMO, Contract Negotiation, Medicaid, Health Policy, Credentialing, Medicare, Process Improvement, Medical Billing, Healthcare Industry, Healthcare Consulting, Healthcare Information..., Health Insurance, CPT, Management, Provider Network..., Strategy, EHR, Provider Education, Hospitals, HIPAA, Healthcare Management, Access, Physicians, Analysis, Medical Coding, Training, Quality Improvement, Healthcare, Utilization Management, Insurance, Claim, Physician Relations, Leadership, Medicare Part D, Revenue Cycle, Practice Management, Medicaid Managed Care, Pharmacy Benefit..., Medicare/Medicaid..., NCQA, Healthcare Reimbursement, Disease Management, ICD-9, Home Care, Revenue Cycle Management, EMR
Education
Lipscomb University 2010 — 2011
MBA, Non Profit Management
Reinhardt University 2006 — 2009
Bachelors, Organizational Leadership
HealthSmart May 2008 - Present
Viant June 2007 - May 2008
Beech Street a Viant Network 2007 - 2008
ppoNEXT January 2006 - June 2007
Concentra 2005 - 2005
Beech Street 1988 - 2005
CAPP Care 1993 - 1998
Skills
Managed Care, Healthcare Industry, HIPAA, Health Insurance, Business Analysis, Sales, Strategic Planning, Account Management, Contract Negotiation, Healthcare, Claim, Network Development, PPO, Healthcare Information..., Insurance, Marketing, Team Building, Provider Relations, Healthcare Management, Medicare, Medicaid, New Business Development, Health Savings Accounts, Business Process..., Process Improvement, Negotiation, Project Management, Employee Benefits, Customer Service, Claims Management, Budgets, Management, Data Analysis, Cross-functional Team..., Leadership, Vendor Management, Disease Management, Salesforce.com, Workers Compensation, Program Management
Education
California State University-Fullerton 1980 — 1983
Bachelors, Finance
Hardenbergh Staffing July 2010 - Present
The Hardenbergh Group, LLC July 2010 - Present
Integrated Solutions Health Network July 2010 - November 2012
Beech Street, A Viant Network June 2008 - May 2010
Beech Street, A Viant Network June 2008 - May 2010
Cypress Care September 2007 - June 2008
Cypress Care September 2007 - June 2008
HY TECH Credentialing May 1998 - December 2007
HY TECH Credentialing May 1998 - December 2007
Miracor Diagnostics August 2006 - August 2007
Skills
Network Development, Managed Care, Healthcare Management, Healthcare, Health Insurance, Medicare, Credentialing, Medicaid, Hospitals, Provider Relations, Physicians, Accreditation, JCAHO, HIPAA, Healthcare Consulting, NCQA, Health Policy, Healthcare Information...
Education
National Association Medical Staff Services 2009 — 2013
St. Ambrose University 1990 — 1996
Psychology
St. Ambrose University
Psychology
National Association Medical Staff Services
Psychology
Providence Health & Services October 2013 - Present
Varied Temporary Positions in Medford January 2010 - April 2013
Health Future August 2009 - December 2010
Beech Street a Viant Network 2008 - 2009
Beech Street September 2005 - December 2007
Beech Street November 2000 - September 2005
Beech Street March 2000 - November 2000
CAPP CARE February 1998 - June 2000
Beech Street February 1996 - March 2000
CAPP CARE July 1995 - February 1996
Skills
Analysis, Customer Satisfaction, Training Delivery, Team Building, Coaching, Employee Relations, Insurance, Change Management, Contract Negotiation, Microsoft Office, Organizing, PowerPoint, Problem Solving, Teaching, User Experience, Word, Writing, Microsoft Word, Software Documentation, CRM, Health Insurance, Project Management, Outlook, Management, Customer Service, Provider Relations
Education
CSU Sacramento
Bachelor of Arts, Communications
Diablo Valley College
AA, Communications
INETICO, Inc. May 2010 - Present
Viant September 1997 - May 2010
Beech Street, a Viant Network 1997 - May 2010
Beech Street Corporation 1997 - May 2010
Capp Care 1997 - 1998
Mutual of Omaha December 1992 - September 1997
GUARDIAN LIFE INSURANCE COMPANY October 1989 - December 1992
Skills
PPO, Managed Care, Health Insurance, Insurance, Account Management, Healthcare, Healthcare Industry, Salesforce.com, Building Relationships, Brokers, New Business Development, Executive Management, Sales Management, Process Improvement, Training, Leadership, Employee Benefits, Medicare, Relationship Building
Education
University of South Florida
Bachelor of Arts Degree, English and American Literature
Eastern Kentucky University 1984 — 1986
HealthSmart April 2013 - Present
HDR Consulting January 2013 - April 2013
UnitedHealth Group February 2011 - January 2013
Beech Street, A Viant Network 2007 - 2010
Beech Street 2003 - 2007
Roberts and Associates 2001 - 2003
ppoNext 1994 - 2001
Skills
Network Development, Negotiation, New Business Development, Contract Negotiation, Employee Relations, Unit Costing, DRG, Team Building, Team Leadership, Provider Relations, Hospital Contracting, Building Relationships, Medical Terminology, Pricing Strategy, Pricing Analysis, Strategic Negotiations, Passionate about work, Microsoft Office, Medicare/Medicaid..., Medicare Advantage, Salesforce.com, Microsoft Excel, Microsoft Word, PowerPoint development, Access, Lotus Notes, Contract Management, Managed Care, HMO, Medicaid, PPO, Medicare, HIPAA, Recruiting, Physicians, Healthcare, Employee Benefits, Health Policy, Healthcare Industry, Strategic Planning, Hospitals, Management, Training, Claim, Insurance, Analysis, Healthcare Consulting, Healthcare Information..., Pharmacy Benefit..., Leadership
Education
Haslam College of Business at the University of Tennessee 1980 — 1985
BS, Business Administration-Marketing
MultiPlan, Inc. April 2013 - Present
MultiPlan May 2010 - March 2013
Beech Street, a Viant Network 2005 - May 2010
Viant October 2005 - April 2010
Capital Surgeons Group, PLLC May 2001 - October 2005
Southwest Bariatric Surgeons/Capital Surgeons Group 2001 - 2005
Community Health Plan of the Rockies November 1999 - October 2000
QualMed Plans for Health July 1999 - November 1999
Beech Street Corporation May 1997 - March 1999
Medical Control, Inc. October 1994 - April 1997
Skills
Building Relationships, Product Development, Provider Relations, Managed Care, PPO, Network Development, HMO, Healthcare, Contract Negotiation, Credentialing, Medicare, Physicians, Medicaid, Health Insurance, Healthcare Industry, Insurance, Health Policy, Revenue Cycle, Leadership, Healthcare Information..., Healthcare Consulting, HIPAA, Training, Healthcare Management
Education
University of North Texas 1988 — 1993
BA, Mass Media Communications
MultiPlan November 2008 - Present
Beech Street a Viant Network April 2001 - November 2008
Beech Street Corp October 1997 - April 2001
Unisys - Third Party Admin for State of Florida Employees Self Insurance Plan January 1996 - April 1997
Unisys January 1994 - January 1996
Skills
Managed Care, Account Management, Healthcare, Contract Negotiation, Provider Relations, Customer Service, Negotiation, PPO, Budgeting, Microsoft Office, Customer Relations, Outlook, Problem Solving, Excel, Health Insurance, Word, PowerPoint, Insurance, Claims, EDI, Forecasting, Contract Management, Salesforce.com, New Business Development, Health Plans, HIPAA, Call Center, Marketing Strategy, Public Speaking, Benefits Administration, Healthcare Industry, Healthcare Management, Sales Management, Management, Sales, Team Building, Training, CRM, Medicaid, Leadership, Team Leadership, Call Centers, Budgets, Employee Benefits, Business Development, Process Improvement, Strategic Planning
Education
Florida State University
BA in Communications, Communication and Media Studies
Comp IQ/Xerox March 2010 - January 2014
Zenith Administrators March 2008 - June 2009
Three Days til Monday January 2006 - March 2008
Beech Street Corporation May 1997 - January 2006
Beech Street Corporation / Viant 1997 - 2006
Beech Street Corporation, A Viant Company 1997 - 2006
BeechStreet, a Viant Company 1997 - 2006
Beech Street, a Viant Network 1997 - 2006
Skills
Leadership Development, Workers Compensation, Managed Care, Healthcare, Health Insurance, Process Improvement, Revenue Cycle, Healthcare Management, Operations Management, Human Resources, Leadership, Strategic Planning, Insurance, Employee Benefits, Team Building, Management, CRM, Employee Training, Sales, Call Centers, Executive Management
Education
Black Hills State University 1973 — 1977
Education
Viant Project ManagerMultiPlan2009 - Present
Beech Street Corporation 1996 - Present
Beech Street a Viant Network 1996 - Present
BeechStreet, a Viant Company 1996 - 2008
CAPP CARE, Inc 1995 - 1998
Hoag Hospital 1989 - 1993
Skills
Managed Care, SDLC, Process Improvement, Healthcare, Healthcare Industry, Healthcare Management, Health Insurance, HIPAA, Healthcare Information..., Project Management, Medicare, MS Project
Education
California State University-Long Beach 1987 — 1993
Riverside Community College August 2011 - August 2012
Beech Street a Viant Network 2002 - 2007
Aetna Health Plans 2000 - 2001
BPS Healthcare 1997 - 2000
Skills
PPO, Network Development, HMO, Provider Relations, Customer Service, Managed Care, Outlook, PowerPoint, Healthcare, Microsoft Office, Microsoft Excel, Schedules, Time Management, Social Media, Event Management, Event Planning, Social Networking, Social Media Marketing, Culinary Skills
Education
Riverside Culinary Academy 2011 — 2012
Certificate in Culinary Arts, Culinary Arts/Chef Training
Dillard University 1984 — 1988
BA, Business Administration
Cathedral High School 1979 — 1982
High School Diploma, General Studies
Bonn International High School 1974 — 1978
Lane Andrews Consulting 2010 - Present
Viant October 2006 - May 2010
Beech Street, A Viant Network October 2006 - May 2010
Viant Health Payment Solutions, Inc October 2006 - May 2010
Nuvision Financial Federal Credit Union January 1995 - March 2006
United California Savings Bank December 1989 - October 1994
United CA Savings Bank December 1989 - October 1994
J W Robinsons Department Stores July 1977 - June 1989
Skills
Employee Relations, Employee Benefits, Employee Engagement, Employee Management, Employee Handbooks, Employee Training, Employee Surveys, Employee Recognition, Employment Law, Employment..., Investigation, recommended actions, Employment Law..., Federal Employment Law, Resume Writing, Recruiting, Workers Compensation, Safety, Retirement Benefits, Qualified Retirement..., Interview Preparation, Motivational..., Exit Interviews, Behavioral Interviewing, Performance Management, Performance Improvement, Performance Appraisal, Survey Design, Exit Surveys, People-oriented, People Development, People Skills, Training, Leadership Development, Management, Hiring, Onboarding, Compensation & Benefit, Benefits Administration, Human Resources, Interviews, Personnel Management, Succession Planning
Education
Arizona State University 1967 — 1970
Bachelor of Fine Arts (BFA), Environmental Design
PHR Chapman University
Professional, Human Resources
MultiPlan 1995 - Present
Beech Street, a Viant Network 1995 - 2010
Beech Street Corporation 1995 - 2008
Beech Street 1995 - 2008
Law office of William Hale 1993 - 1995
Skills
Network Development, Provider Relations, PPO, Managed Care, HMO, Medicare, Medicaid, Credentialing, Health Insurance, Healthcare, HIPAA, Healthcare Management, Hospitals, Workers Compensation, Healthcare Industry
Education
State University of New York College at Cortland 1970 — 1974
BS and MA, Education
Molina Healthcare December 2007 - Present
Monarch HealthCare 2005 - 2007
Beech Street January 1995 - June 2005
Beech Street a Viant Network 1995 - 2005
Beech Street Corporation (Viant Network acquired) 1995 - 2005
Skills
Managed Care, Healthcare Management, Healthcare, Health Insurance, Hospitals, Medicaid, Healthcare Industry, HIPAA, Healthcare Consulting, Utilization Management, Healthcare Information..., EHR, Medicare, Disease Management, Provider Relations
Education
California State University-Long Beach 1965 — 1970
Bachelor of Science, Nursing
Allergan August 2012 - Present
Sentinel Offender Services, LLC 2012 - August 2012
G4S Justice Services April 2009 - April 2012
Beech Street, a Viant Network February 2006 - March 2009
Beech Street, a Viant Network April 2001 - February 2006
Beech Street, a Viant Network August 1999 - April 2001
Beech Street, a Viant Network January 1998 - August 1999
Texas Medical Record Services August 1996 - November 1997
Skills
Microsoft Office, Excel Training Course, Outlook, Lotus Notes, SharePoint, Salesforce.com, RESX Online Travel..., Kenexa/Webhire Online..., Inside Coach Leadership..., Human Resources, Team Building, Leadership, Strategic Planning, Software Documentation, Healthcare, Analysis, Account Management, Management, Training, Budgets, Process Improvement, Employee Relations, Customer Service, Project Management, CRM
Education
California State University-Fullerton
Prestige Health Choice December 2013 - Present
Physicians United Plan February 2013 - September 2013
United Health Care February 2008 - February 2013
Beech Street -A Viant Network September 2005 - November 2007
Wellpoint Health Network/UNICARE Health Plans 1998 - 2005
Skills
Managed Care, Medicaid, Network Development, Medicare, Provider Relations, Leadership, HMO, Healthcare, Health Insurance, Contract Negotiation, Strategy, HIPAA, PPO, Health Policy, CPT, Utilization Management, Healthcare Management, Credentialing, Contract Management, Analytical Skills, People Skills, Provider Network..., Mentoring Of Staff, Insurance, Physicians, Process Improvement, Quality Management, Healthcare Industry, Hospitals, Healthcare Consulting, Healthcare Information..., Strategic Planning, Team Building, Claim, Microsoft Office, Microsoft Excel
Education
University of Phoenix 2006 — 2010
BS, Business Management
VQ Ortho February 2010 - Present
Beech Street a Viant Network August 2007 - December 2009
VQ Orthocare June 2005 - May 2008
First Health Conventry October 2004 - June 2005
Fertililty Centers of Illinois August 1999 - June 2004
Harmony Helath Plans of Illinois February 1997 - March 1998
Health Director Inc. January 1993 - January 1997
Skills
Provider Relations, Managed Care, Network Development, Medicare, Healthcare, Hospitals, Medical Devices, Health Insurance, Contract Negotiation, PPO, Contract Management, Account Management, Strategic Planning, Sales, Insurance, Recruiting, Management, HIPAA, Healthcare Industry, New Business Development, Revenue Cycle, Physicians, Orthopedic, Healthcare Information..., Medicaid, Healthcare Consulting, Healthcare Management, Durable Medical..., Health Policy, Leadership, Process Improvement, Team Building
Education
St. Francis University 2000 — 2003
MHA, Healthcare Administration
Roosevelt University 1987 — 1993
BS, Business Admin/Marketing