Blue Cross of CA
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Blue Cross of CA Employees
Muir Medical Group, IPA February 2014 - Present
Sutter Health January 2008 - July 2012
Blue Shield of Ca August 2003 - January 2008
Blue Cross of Ca July 1986 - August 2003
Skills
Managed Care, Healthcare, Healthcare Management, Hospitals, Strategic Planning, Healthcare Information..., HIPAA, Healthcare Industry, Health Policy, Medicare, Healthcare Consulting, Physicians, Physician Relations, Management, Leadership, Team Building, Process Improvement, Health Insurance, Insurance, Employee Benefits, Training, Sales, Marketing, Medicaid, Account Management
Education
California State University-Northridge 1998 — 2002
Bachelor of Science (B.S.), Health Administration
Holyoke High
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
OnSite Physio July 2014 - Present
Align Networks June 2014 - July 2014
Network Synergy Group February 2012 - June 2014
PTPN April 2000 - February 2012
Blue Cross of CA April 1997 - April 2000
Thousand Oaks Toyota April 1994 - April 1997
Skills
Healthcare, B2B, Qualifying Prospects, Team Environments, Telemarketing, Managed Care, Customer Retention, Provider Network..., Managed Care Contracting, Trade Shows, Public Speaking, Orthopedic, Marketing Strategy, Insurance, Healthcare Consulting, Medicare, HIPAA, Healthcare Management, Marketing, Strategic Planning, Provider Relations, Management, Team Building, Sales
Education
Los Angeles Valley College 2010 — 2011
Notre Dame High School - Sherman Oaks 1986 — 1990
Anthem Blue Cross September 2008 - Present
HEALTH NET CALIFORNIA January 2007 - September 2008
WELLPOINT HEALTH NETWORKS January 1991 - January 2006
SMALL GROUP SERVICES January 2000 - January 2004
Blue Cross of CA January 1999 - January 2000
Blue Cross of CA January 1992 - January 1999
Skills
Process Improvement, Health Insurance, Managed Care, Medicare, Insurance, Medicaid, Provider Relations, Network Development, Utilization Management, Healthcare, HIPAA, Claim, Employee Benefits, Strategic Planning, Disease Management, Vendor Management, HMO, Team Building, Cross-functional Team..., PPO, Leadership, Healthcare Management, Quality Improvement, Management, Training, Budgets, Call Centers, Healthcare Industry, Medicare Part D, Health Policy, Business Analysis
Education
California Lutheran University 2009 — 2011
Business Management, Business Administration, Management and Operations
Pierce College 2004 — 2009
AA, Business
Los Angeles Pierce College
AA; BS Business Management, Business Management
Hummel Village September 2013 - April 2015
CLV Family Care Services May 2008 - January 2013
Blue Cross of CA. January 2000 - June 2006
Skills
Medical Billing, Leadership Development, Healthcare, Customer Service, Microsoft Office, Time Management, Public Speaking, Outlook
Education
Colorado Technical University 2014 — 2015
Healthcare Management, Health/Health Care Administration/Management
DeVry University-California 2010 — 2014
Associate of Science (AS), Health Information/Medical Records Technology/Technician
Metropolitian Business College, Long Beach, Ca 1987 — 1988
Certificate, Software Specialist
Pennsylvania Business College 1994 — 1996
Certificate in Small Business Management, Small Business Management
New York Life August 1987 - Present
NYLIFE Securities LLC 1987 - Present
Blue Cross of CA 1987 - Present
Blue Shield of California 1987 - Present
Kaiser Permanente 1987 - Present
BNI 2014 - 2015
ECN 2012 - 2014
Skills
Health, Insurance, Investments, Employee Benefits, Disability Insurance, Health Insurance, Retirement Planning, Retirement, Long-term Care, Customer Service, Healthcare, Fixed Annuities, Leadership, Risk Management, Finance, Medicare, Account Management, Personal Finance, Small Business, Term Life Insurance, Coaching, Life Insurance, Business Planning, Underwriting, Long Term Care, Annuities, Benefits, Public Speaking, Problem Solving, 401k Rollovers, CLU, Roth IRA, Simple IRA, Traditional IRA, SEP IRA, group health, 401k, Health Savings Accounts, Estate Planning, Sales, IRAs, Banking, Strategic Financial..., Property & Casualty..., Brokers, Commercial Insurance, Financial Services, Securities, Umbrella Insurance, Financial Planning
Education
Northeastern University 1974 — 1975
Liberal Arts and Sciences/Liberal Studies
Simons Rock 1971 — 1973
The American College
CLU, ChFC, CASL, Financial planning, insurance, taxation
LSA Associates, Inc. June 2004 - Present
Community Medical Centers November 2002 - April 2004
Mobile Onsite Mammgraphy January 1998 - October 2002
Seton Financial /Americare November 1990 - December 1997
Blue Cross of CA August 1985 - October 1990
US Air Force June 1976 - May 1984
Skills
Customer Service, Office Management, Microsoft Word, Microsoft Office, Management, Project Management, Budgets, Research, Hospitals, Employee Relations, PowerPoint, Healthcare, Accounts Receivable, HIPAA, EMR, Adobe Creative Suite, Contract Negotiation, Analysis, Accounting, Human Resources, Budget Management, Graphic Design, Marketing, Charge Master, Account Management, Data Analysis, Policy
Education
Christopher Newport University 1982 — 1984
Associate of Arts (AA), Business Law
Thomas Nelson Community College 1978 — 1982
Associate of Arts and Sciences (A.A.S.), Medical Assistant
USAF AreoSpace Medical School 1976 — 1978
Associate of Arts (AA), Pre-Medical Studies
Fresno City College 1975 — 1976
Certificate, PreMed
Sierra Union High School 1970 — 1975
Associate of Arts (A.A.), Medical/Clinical Assistant
CIGNA Dental September 2006 - Present
Princial Financial Group April 2004 - September 2006
Consumer Dental/SmileCare October 2001 - October 2002
CIGNA Dental April 1995 - February 2001
Dental Management Decisions November 1992 - April 1995
Blue Cross of CA September 1985 - November 1992
Quality Systems, Inc. October 1980 - September 1985
Education
Chapman University 2001 — 2003
MHA, Health Administration/Organizational Leadership
University of La Verne 1996 — 1999
BS, Health Services Management
Blue Cross of CA September 2006 - Present
PacifiCare of California/United Healthcare January 2001 - September 2006
InterMed Health Systems, Inc./Pacific Health Development Corporation May 1997 - December 2000
Comprehensive Healthcare Management, Inc./SynerMed February 1995 - April 1997
Skills
Provider Relations, HIPAA, Healthcare Management, Medicaid, Managed Care, Medicare, Healthcare Industry, Network Development, Health Insurance, PPO, Health Policy, Healthcare Information..., Revenue Cycle, Healthcare Consulting, Healthcare, Medicare Part D, HMO, EMR, Employee Benefits, Insurance, Hospitals, Physician Relations, Claim, Quality Improvement, Data Analysis, Process Improvement, Long-term Care, Medical Billing, Strategic Planning, Pharmacy Benefit..., Physicians
Education
Notre Dame de Namur University 2007 — 2008
Conflict Management, Advanced Negotiations
California State University-Fullerton, Mihaylo College of Business and Economics
Pink Depford January 2013 - Present
Commedia Volante March 2009 - Present
StarChild September 1987 - Present
Dickens Christmas Fair (Red Barn Productions) 2007 - June 2012
Beyond Compliance LLC October 2008 - March 2009
Beyond Compliance, LLC 2008 - 2009
Red Barn Productions 2006 - 2009
Blue Cross of CA May 2000 - February 2008
Renaissance Entertainment Comany March 1985 - October 1993
Skills
Customer Service, Microsoft Office, Microsoft Word, Event Planning, Editing, Event Management, Research, Budgets, Outlook, Data Entry, Singing, Microsoft Excel, PowerPoint, Public Speaking, Entertainment, Acting, Photography, Creative Writing, Theatre, Community Outreach, Music, Marketing, Office Management, Time Management, Management, Access, Social Media, Stage, Fundraising, Dance, Teaching, Facebook, Improvisation, Blogging, Performing Arts, Stage Management, Social Networking, Mac, Public Relations, Musical Theatre, Volunteer Management, Comedy, Festivals, Set Design, Newsletters, Social Media Marketing, Film Production, Film, Copywriting, Costumes
Education
De Anza College 1983 — 1984
Language and History
Anthem April 2011 - Present
Anthem BCBS of CO April 2011 - Present
Anthem Blue Cross Blue Shield of CO May 2009 - April 2011
Anthem Blue Cross Blue Shield of CO May 2009 - April 2011
Anthem Blue Cross and Blue Shield June 2008 - September 2009
Anthem Blue Cross Blue Shield of CO February 2007 - December 2008
Blue Cross of CA January 1998 - January 2002
Prudential Health Insurance September 1997 - November 1998
Zonni, Ginoccio & Taylor April 1996 - May 1997
Skills
Training
Education
Los Angeles Pierce College
Bachelor of Science, Business Management
University of Phoenix 2005 — 2008
BS, Business, 3.85
Pierce College 2002 — 2004
English, 4.0
Glendale Career College
Liberal Arts 2002, 2005
Rockland Community College 1991 — 1992
English, Liberal Arts
University of Phoenix- Colorado
Home April 2011 - Present
James A Caplin,MD,PA November 2007 - March 2011
Hill Physicians Medical Group January 2001 - May 2007
Sutter Health June 1995 - November 2000
Health Net Insurance September 1987 - April 1995
Blue Cross of Ca August 1967 - April 1987
Skills
Customer Service, Microsoft Excel, Microsoft Office, Microsoft Word, Supervisory Skills, Cpr Certified, Texas Notary, Public Speaking, Community Outreach, Research, Strategic Planning
Education
Roy Miller High School
Samuel Merritt College
Lake Insurance Agency February 2015 - Present
Pacific Care November 1996 - January 2004
Blue Cross of CA June 1979 - November 1996
Skills
Insurance, Health Insurance, General Insurance, Commercial Insurance, Property & Casualty..., Organizational..., Customer Service
Education
University of San Francisco 1983 — 1984
Bachelor’s Degree, Organizational Behavior Studies
CA State University at Long Beach 1968 — 1971
Nursing Major, Registered Nursing/Registered Nurse
Adventist Health January 2007 - Present
Blue Cross of CA 1983 - 1995
Education
California State University-Northridge 1979 — 1983
Bachelor’s Degree, Accounting
Capgemini April 2010 - Present
IBM 2005 - 2009
Wellpoint 1984 - 2005
Wellpoint 1984 - 2005
Blue Cross of CA 1984 - 1995
Mission Insurance Group 1981 - 1984
CBS, Inc. July 1980 - February 1982
Lockheed Aircraft January 1980 - July 1980
Safeco Title Insurance September 1978 - December 1979
Education
Los Angeles Pierce College 1974 — 1976
AS, Computer Science
Anthem Blue Cross & Blue Shield of GA January 2010 - Present
Verint October 2007 - January 2010
HCA Healthcare October 2005 - October 2007
Blue Cross of CA 1998 - 2005
Education
Keller Graduate School of Managgement 2001 — 2003
MBA, Business Administration
Pepperdine University, The George L. Graziadio School of Business and Management 1996 — 1998
BSM, Business
Page River Bottom Farm August 2011 - Present
Yuma County Health Services District August 2009 - August 2011
United Health Centers 2002 - 2004
Blue Cross of Ca. 1997 - 2001
Skills
Community Outreach, Nonprofits, Public Speaking, Grant Writing, Fundraising, Marketing, Program Development, Event Planning, Public Relations, Social Media, Research, Social Networking, Volunteer Management, Leadership, Program Management, Community Development, Customer Service, Leadership Development, Strategic Planning
Education
Fresno City College 1986 — 1987