Bluegrass Family Health
Industry: Company
DescriptionHeadquarters: Lexington, KY Founded: 1993 Parent organization: Baptist Healthcare System, Inc.FeedbackDisclaimer Claim this knowledge panel Knowledge ResultSee outside Moved, closed, or was never hereReportBluegrass Family HealthWebsiteDirections Saved (0) Saved Save Non-profit organization in Lexington, Kentucky Address: 651 Perimeter Dr, Lexington, KY 40517 Hours: Open 24 hours WednesdayOpen 24 hoursThursdayOpen 24 hoursFridayOpen 24 hoursSaturdayClosedSundayClosedMondayOpen 24 hoursTuesdayOpen 24 hoursSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (800) 787-2680: Website: : Place name: Category: : : : : Website: http://www.bgfh.com/ Category: Non-Profit Organization Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. · Own this business? Questions & answers Ask a questionBe the first to ask a question
Bluegrass Family Health List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Bluegrass Family Health. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Bluegrass Family Health Employees
Bluegrass Family Health July 1998 - Present
Anthem September 1994 - July 1998
Kentucky Central Life Insurance April 1988 - July 1994
USMC February 1984 - December 1987
Skills
Claim, Employee Benefits, Risk Management, Medicare, Managed Care, Underwriting, Financial Analysis, Health Insurance, Insurance, Term Life Insurance, Legal Liability, Casualty, Reinsurance, Commercial Lines, Brokers, Commercial Insurance
Education
Ball State University 1979 — 1983
Bachelor of Applied Science (B.A.Sc.), Business and Math
SCIO Health Analytics July 2013 - Present
SCIO Health Analytics April 2008 - Present
Wood Connection, LLC May 1996 - Present
ACS, Inc October 2006 - March 2008
ACS 2004 - 2006
ACS 2002 - 2004
Bluegrass Family Health 2002 - 2002
AdvanceMed 2000 - 2001
Advantage Care 1993 - 2000
Lexington Clinic October 1989 - 1995
Skills
BPO, Process Improvement, Vendor Management, Healthcare Information..., HIPAA, Business Analysis, Program Management, Healthcare Management, Healthcare, Call Center, Outsourcing, Software Documentation, Call Centers, Training, SharePoint, Visio, Business Development, Leadership, Team Building, Business Process..., Medicaid, Insurance, Business Intelligence, Data Analysis, CRM, SDLC, Analysis, Project Management, Cross-functional Team..., Sales, Quality Assurance, Management, Strategic Planning, Account Management, Change Management, Requirements Analysis, Customer Service, New Business Development
Education
Eastern Kentucky University
Paralegal
University of Kentucky
South Western Communications January 2013 - Present
Bluegrass Family Health June 2010 - November 2012
Bluegrass Family Health September 2009 - July 2010
Belmont University May 2008 - July 2008
Skills
Marketing Communications, Social Media, Public Relations, Digital Marketing, Event Planning, Public Speaking, Corporate Communications, Microsoft Office, Blogging, Team Building, Writing, Project Portfolio..., Photoshop, InDesign, Adobe PhotoShop, Adobe InDesign, Licensed Life, Accident..., Adobe Captivate
Education
Belmont University 2005 — 2009
Organizational and Corporate Communications, Communications, Business
International College of Management Sydney 2007 — 2007
Accreon Inc. April 2013 - Present
UnitedHealth Group April 2011 - April 2013
Orion Health August 2006 - April 2011
ACS a Xerox Company January 2005 - July 2006
WellCare January 2004 - November 2004
Bluegrass Family Health June 2001 - December 2003
Health Management Services December 1997 - May 2001
BlueCross BlueShield of Tennessee April 1996 - November 1997
Humana May 1994 - August 1994
Skills
HL7, Health Information..., Business Intelligence, SQL, Project Management, Microsoft SQL Server, Informatics, SDLC, Integration, Healthcare Information..., Software Project..., Business Analysis, Access, DB2, Change Management, Data Warehousing, XML, Sybase, Oracle, Tableau, Requirements Analysis, SOA, Product Management, Visio, Software Documentation
Education
University of Kentucky 1998 — 1999
MBA, Concentration in Management Information Systems
University of Kentucky 1991 — 1995
Bachelor of Business Administration (B.B.A.), Finance, General
Baptist Health Plan March 2014 - Present
Bluegrass Family Health January 2013 - March 2014
Bluegrass Family Health September 2012 - March 2013
CMD Health September 2011 - September 2012
CMD Health April 2011 - September 2011
Walgreens July 2008 - October 2010
Farmers National Bank of Danville, Kentucky January 2007 - July 2008
Skills
Insurance, Customer Service, Management, Health Insurance, Training, Banking, Underwriting, Microsoft Excel, Strategic Planning, Employee Benefits, Healthcare, Team Building, Human Resources, Account Management, Finance, PowerPoint, Microsoft Word, Budgets, Operations Management, Project Planning, Regulatory Compliance, Golf, Golf Course Management, Summary of Benefits and..., Licensing, Licensed Life & Health..., Licensed Property &..., Financial Analysis, Managerial Finance, Economics, Healthcare Management, Microsoft Office, Marketing, Process Improvement, Medicare, Managed Care, Benefits Administration, Risk Management
Education
Eastern Kentucky University 2004 — 2007
BBA, Business Administration in General Business
Georgetown College 2003 — 2004
Business/Commerce, General
Rotech Healthcare March 2014 - Present
Connextions August 2013 - November 2013
University of Louisville Physicians October 2011 - November 2012
Bluegrass Family Health September 2008 - October 2010
Humana April 2004 - October 2007
Speedway LLC June 2002 - April 2004
Kroger June 2001 - June 2002
Progressive Machine & Tool June 2000 - August 2000
Skills
Problem Solving, Microsoft Excel, Learn New Software..., Microsoft Word, Research, Analysis, Account Reconciliation, Customer Service, Public Speaking, Accounting, Invoicing, Employee Benefits, Leadership, Process Scheduler, Training, Telephone Skills, Management, Outlook, Auditing
Education
Berea College 1997 — 2002
Bachelor of Science (B.S.), Business Administration
Western MST Magnet High School
Tualatin High School 1994 — 1996
Fayette County Public Schools (KY) June 2014 - Present
Midway College August 2008 - May 2014
Bluegrass Family Health July 2003 - July 2008
Skills
Mathematics Education, College Teaching, Academic Advising, Underwriting, Distance Learning, Higher Education, Instructional Technology
Education
University of Kentucky 2001 — 2003
Master of Science (MS), Mathematics
Transylvania University 1997 — 2001
Bachelor of Arts (BA), Mathematics
Medasource September 2013 - Present
Brooksource January 2013 - September 2013
Bluegrass Family Health May 2012 - October 2012
Big Leaf Landscaping May 2010 - August 2011
Nevel Meade Golf Course May 2005 - August 2010
Skills
Recruiting, Account Management, Sales, Leadership, Healthcare Information..., Social Media, Onboarding, Microsoft Excel, Microsoft Word, PowerPoint, Technical Recruiting, Microsoft Outlook, Long-term Customer..., Networking, Microsoft PowerPoint
Education
University of Kentucky 2008 — 2012
Bachelor's degree, Business Management, Senior
South Oldham High School 2004 — 2008
High School Graduate, Graduated
Human Healthy Vending, Inc May 2014 - Present
Bluegrass Family Health September 2008 - December 2014
Sturgill, Turner, Barker & Moloney, PLLC January 2007 - July 2008
McAndrews, Held & Malloy, Ltd. October 2005 - August 2006
Spann Financial Investments and Insurance Services July 2003 - October 2005
Kirkland & Ellis LLP June 1999 - July 2003
Skills
Health Insurance, Insurance, Outlook, Microsoft Excel, Customer Service, Contract Negotiation, Microsoft Word, Microsoft Office, Public Speaking, Medicaid, Appeals, Legal Research, Contract Management, Health Law, Medicare, Managed Care, Insurance Law, Healthcare, Benefits Administration, Human Resources, Litigation Support, Employee Benefits, Litigation, HIPAA
Education
Washington University in St. Louis 1996 — 1999
Bachelor's Degree, History, 3.6
West Kentucky Community and Technical College 1994 — 1996
Associate's Degree, General Studies, 3.9
University of Kentucky 2011 — 2012
post baccalaureate courses, Health Administration, 4.0
Tates Creek High School 1977 — 1980
High School, General Studies
Clark Regional Medical Center August 2011 - Present
University of Kentucky 2009 - 2011
Bluegrass Family Health 2005 - 2009
Skills
Hospitals, Healthcare Management, Healthcare, Medicaid, Managed Care, Nursing, Medicare, HIPAA, Inpatient, Acute Care, Clinical Research, Healthcare Information...
Education
Indiana Wesleyan University 2006 — 2009
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
Eastern Kentucky University 1995 — 1997
Associate's degree, Registered Nursing/Registered Nurse
Bluegrass Family Health June 2008 - Present
Human/CHA 2005-2008 February 2005 - June 2008
Select Specialty Hospital September 2002 - February 2005
UnitedHealthcare February 1999 - August 2002
Skills
Quality Improvement, Utilization Management, Managed Care, Microsoft Excel, Disease Management, Health Insurance, Medicaid, Healthcare, HMO, Medicare, Health Policy, Healthcare Information..., NCQA, Healthcare Consulting, Case Management, HIPAA
Education
Parkland College 1973 — 1974
Nursing
University of Illinois at Urbana-Champaign 1969 — 1972
Landscape Architecture
Bluegrass Family Health September 1999 - June 2002
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, Public Speaking, Teamwork, Healthcare, Medical Terminology, Medicine
Education
Medtech College-Lexington Campus 2010 — 2012
Associate of Arts (AA), Medical Billing and Coding
medtech 2010 — 2011
Associate of Arts (AA), Medical Billing & Coding
Kentucky Health Cooperative January 2014 - Present
Anthem August 2005 - Present
Humana August 2005 - Present
Bluegrass Family Health August 2005 - Present
UnitedHealthcare August 2005 - Present
Assurant Health August 2005 - Present
American Veterinary Medical Association Group Health & Life Insurance Trust January 1985 - Present
Skills
Health Insurance, Dental, Insurance, Employee Benefits, Long Term Care, Annuities, Term Life Insurance, Medicare Supplements, Group Benefits, Disability Insurance, Medicare, Health, Group Health, Retirement Planning, Underwriting, Long-term Care, Brokers
Education
University of Kentucky 1968 — 1973
Bachelor, Business Administration
Cutting Edge Training Services July 2011 - Present
Maximus Federal Services January 2014 - June 2014
TMG Health November 2011 - June 2013
Morehead State University September 2010 - July 2011
Bluegrass Family Health October 2007 - May 2010
Bluegrass Family Health April 2003 - October 2007
Grubb & Ellis October 2001 - April 2003
Southeastern Technical September 1998 - September 2001
Newton, Smith, Durden, Kaufold, Rice & Tribble June 1998 - February 2000
American Federation of State, County and Municipal April 1996 - June 1998
Skills
Access, Data Analysis, Analysis, Outlook, Program Management, Project Management, Microsoft Excel, Management, Microsoft Office, PowerPoint, Business Intelligence, Databases, Budgets, Microsoft Word, Healthcare, Quality Assurance, SQL, Software Documentation, Business Process, Training, Windows, Business Analysis, Visio, Process Improvement, Systems Analysis, Testing
Education
University of Phoenix 2007 — 2011
BSIT, Computer Programming/Network Security
Brewton-Parker College 1997 — 1998
Continuing Education, Computer Information Systems & Business Management
Ohio University 1995 — 1995
Certification, Electronic Records Control and Management
West Virginia University 1990 — 1994
Bachelor of Science (BS), Business Administration, Management and Operations
Spencer High School 1984 — 1988
Diploma, Pre-Engineering
McKinney Music Studio January 1990 - Present
First Consulting Group July 1999 - February 2002
Bluegrass Family Health 1997 - 1999
Bluegrass Family Health 1996 - 1997
Skills
Piano, Music, Music Education, Piano Education, Pianist, Composition, Teaching, Piano Performance, Music Theory, Classical, Orchestration, Musicians, Event Planning, Songs, Songwriting, Time Management, Customer Service, Band, Brass, Music Instruction, Meeting Planning, Customer Relations, Business Management, Small Business, Software Implementation, Microsoft Office, Music Industry, Accompaniment
Education
Miami University 1993 — 1996
M.M., Performance (Piano)
Northwest Missouri State University 1989 — 1993
B.S.ed., K-12 Instrumental Music
Blue Cross Blue Shield of Michigan January 2014 - Present
Blue Cross Blue Shield of Michigan October 2003 - January 2014
Ford Motor Company April 2003 - October 2003
Bluegrass Family Health September 2002 - April 2003
Bluegrass Family Health May 2000 - August 2002
Skills
Healthcare, Managed Care, Health Insurance, Healthcare Management, Process Improvement, Contract Management, Medicare, Medicaid, Provider Relations, Contract Negotiation, Program Management, HIPAA, Strategic Planning, Project Management, Project Planning, Healthcare Information..., PPO, Management
Education
University of Kentucky 1998 — 2000
Masters in Health Administration, Health Administration
University of Maryland College Park 1993 — 1997
Bachelor of Science, Animal Science
Randolph High School
Randolph High School
UnitedHealth Group September 2011 - Present
Bluegrass Family Health April 1996 - June 2013
Williams & Wagner September 1990 - April 1996
Flaget Memorial Hospital 1988 - 1990
Flaget Memorial Hospital 1988 - 1990
Flaget Memorial Hospital 1988 - 1990
Skills
Provider Relations, Hospitals, Utilization Management, Disease Management, Network Development, Healthcare Management, Healthcare, Health Insurance, Managed Care, Medical Home, Healthcare Consulting, NCQA, Strategic Planning, Team Building, Medicine, HMO
Education
Tulane University School of Medicine 1996 — 1998
MMM, Medical Management
The University of Texas Southwestern Medical Center at Dallas 1983 — 1986
Doctor of Medicine (MD), Anesthesiology
University of Louisville School of Medicine 1980 — 1983
MD, Medicine
University of Louisville 1977 — 1979
MSc., Anatomy
University of Oklahoma 1969 — 1972
BA, History
Bluegrass Family Health October 2003 - Present
Skills
Organization Skills, Time Management, Interpersonal Skills, Marketing Communications
Education
University of Kentucky
Business Administration and Management, General
Bluegrass Family Health September 2013 - Present
Bluegrass Family Health March 2010 - September 2013
Bluegrass Family Health October 2005 - March 2010
Skills
HIPAA, Healthcare, Healthcare Information..., EDI, SQL Server Management..., Strategic Planning, Microsoft Visual Studio..., Business Intelligence..., Microsoft Excel, SQL, .NET, Core FTP, Unix, Data Warehousing
Education
Bluegrass Community and Technical College 1999 — 2001
BlueCross BlueShield of Illinois December 2012 - Present
United Healthcare 2006 - December 2012
Amerigroup Corporation 2002 - 2006
Bluegrass Family Health March 1994 - October 2003
Skills
Healthcare, Organizational..., Operations, Managed Care, Network Development, Provider Relations, Health Insurance, Medicaid
Education
Rush University 1981 — 1983
BS, Nursing
Calvin College 1979 — 1981
NA, Pre-Nursing
Wheaton North High School 1975 — 1979
UnitedHealthcare 2011 - Present
UnitedHealthcare 2005 - 2011
Bluegrass Family Health 2002 - 2005
Skills
Managed Care, Health Insurance, Healthcare, Healthcare Management, Healthcare Industry, Medicare, Network Development, Provider Relations, Hospitals, PPO, Strategic Planning, HMO, Health Policy, Process Improvement, Insurance, Physicians, Contract Negotiation
Education
University of Kentucky 1998 — 1999
MHA, Health/Health Care Administration/Management
Centre College 1988 — 1992
Bachelor of Science (BS)
Kentucky Refugee Ministries May 2014 - October 2014
Women First of Louisville, PLLC February 2008 - May 2014
Jacobson's Department Store November 2000 - August 2002
Ernst & Young, LLP September 1999 - November 2000
CHA Health February 1997 - May 1999
Bluegrass Family Health February 1994 - February 1997
Costain Oil, Gas & Process Ltd April 1993 - February 1994
Turf Town Properties January 1992 - April 1993
Robert Dow, Attorney At Law and Patricia Dow, RN August 1990 - January 1992
Kentucky Lottery Corporation February 1989 - April 1990
Skills
Public Speaking, Healthcare, Administrative..., Hospitals, Office Management, PowerPoint, Research, Microsoft Word, Outlook, Data Entry, Medical Terminology, Medical Records, Medical Coding, HIPAA, Human Resources, Medical Education, Medical Billing, Healthcare Management, Customer Service, Nonprofits, Event Planning, Community Outreach, Microsoft Office, Team Building, Administrative..., Microsoft Excel, Sales, Leadership, Fundraising, Strategic Planning, Grant Writing, Marketing Strategy, Marketing, Social Media Marketing, Facebook, Project Management, Teaching, Program Development, Management, Training, Interviews, Event Management, Budgets, Administration
Education
Sullivan University 1980 — 1982
Associate of Science (A.S.), Executive Assistant/Executive Secretary
Logansport High School
High school diploma, Business/Commerce, General
Employee Benefit Associates, Inc. June 2005 - Present
Bluegrass Family Health May 1999 - May 2004
Skills
Administrative..., Outlook, Customer Service, Data Entry, Microsoft Excel, Microsoft Office, Microsoft Word, Office Management, Office Administration, Invoicing, Benefits Administration, Account Management, Health Insurance, Administrative..., Strategic Planning, Insurance
Education
Eastern Kentucky University 1991 — 1993
Baptist Health (KY) June 2015 - Present
Bluegrass Family Health September 1995 - June 2015
Bourbon Community Hospital November 1992 - September 1995
Clark Regional Medical Center 1988 - 1992
Skills
Provider Relations, Healthcare, Account Management, Research, Troubleshooting, Benefits Administration, Data Analysis, Microsoft Word, Negotiation, PowerPoint, Contract Negotiation, Contract Management, Strategic Planning, Project Management, Financial Analysis, Software Documentation, Hospitals, Program Management, Utilization Management, Quality Improvement, Case Management, HMO
Education
Midway College 2001 — 2004
Bachelor's Degree, Organizational Management
Eastern Kentucky University 1982 — 1986
Associate's Degree, Health information technology
Xerox April 2015 - Present
TEKsystems December 2014 - April 2015
Morgan, Lewis & Bockius LLP November 2014 - December 2014
Bingham McCutchen LLP June 2014 - November 2014
Corrisoft December 2013 - April 2014
Corrisoft December 2011 - December 2013
Corrisoft September 2011 - December 2011
Toyota August 2007 - September 2011
Bluegrass Family Health October 2003 - August 2007
CHA Health October 2002 - October 2003
Skills
Software Development, Project Management, Executive Leadership, Software Project..., Management, SDLC, Strategic Planning, IT & Business Strategy..., Product Management, Project Planning, Process Improvement, Vendor Management, Program Management, Quality Assurance, Quality Management, Team Building, Root Cause Problem..., Start-ups, Microsoft SQL Server, SQL, Data Warehousing, .NET, Integration, Requirements Analysis, T-SQL, Software Engineering, Business Analysis, Team Leadership, ASP.NET, Leadership, Software Documentation, Cross-functional Team..., JavaScript, Business Intelligence, HTML, Microsoft Office, Kaizen, Change Management, Visio, Agile Methodologies, Business Process, Business Process..., Requirements Gathering, Analysis
Education
University of Kentucky 1997 — 2001
Bachelor of Science, Computer Science
Anthem, Inc. September 2014 - Present
Anthem, Inc. October 2007 - September 2014
Anthem, Inc. November 2004 - October 2007
The Regence Group October 2002 - November 2004
Bluegrass Family Health August 2001 - October 2002
Skills
Operational Excellence, Client Liaison, Client Presentation, Auditing, Healthcare, Operating Systems, Business Process, Health Insurance, Managed Care, Medicaid, Medicare, Data Analysis, Access, Requirements Gathering, Product Development, Network Development, Predictive Modeling, Healthcare Management, Disease Management, Cross-functional Team..., Healthcare Industry, Account Management, Software Documentation, HIPAA, Analysis, Quality Improvement, Process Improvement, Strategy, Program Management, Health Policy
Education
The College of William and Mary - The Mason School of Business 2006 — 2008
MBA, Business Administration
Centre College 1997 — 2001
BS, Economics
The Physicians Network August 2012 - Present
Bluegrass Family Health June 2003 - July 2012
Education
University of Kentucky 1993 — 1996
MHA, Health Administration
Community Health Systems January 2007 - Present
Bluegrass Family Health December 2002 - January 2007
TriZetto Group, Inc March 2002 - July 2002
Sierra Health Services/Texas Health Choice May 1999 - January 2002
CIGNA Healthcare January 1998 - April 1999
Prudential April 1996 - December 1997
Inland Empire Roundtable, Adaptive Business Leaders Organization March 1995 - March 1996
Friends of the Children's Museum of La Habra July 1994 - March 1996
FHP Healthcare, California March 1993 - March 1996
FHP Healthcare September 1989 - February 1993
Skills
Contract Negotiations, Contract Management, p, Provider Relations, Strategic Planning, Managed Care, Healthcare, Hospitals, Network Development, Physicians, Revenue Cycle, Contract Negotiation, HMO, Team Building, Process Improvement, PPO, Health Policy, Healthcare Reimbursement, Healthcare Industry, Training, Provider Network..., Healthcare Consulting, Health Insurance, Medicaid, Physician Relations, Medicare, Utilization Management, Healthcare Management, Credentialing, Healthcare Information..., Practice Management, Revenue Cycle Management, EHR, HIPAA, Insurance, Employee Benefits, Home Care, EMR
Education
California State University-Long Beach
Master, Business Administration
Villanova University
Bachelor of Arts, Experimental Psychology
MedAssurant October 2011 - Present
Bluegrass Family Health August 2004 - October 2005
CHA Health December 1997 - May 2004
Skills
HEDIS, Medicaid, Quality Improvement, Managed Care, NCQA, Disease Management, Utilization Management, Healthcare, Health Insurance, HIPAA, Medicare, EMR, Healthcare Consulting, Health Policy, Healthcare Information..., Healthcare Management, Inpatient, Nursing, Revenue Cycle
Education
Morehead State University 1978 — 1981
Associate, Nursing
Bluegrass Family Health 2002 - Present
Skills
Managed Care, Life Insurance, Marketing, Health Insurance, Insurance, Employee Benefits, Medicare, Claim, Network Development, Healthcare, Brokers, Disease Management, Healthcare Consulting, Underwriting, Provider Relations, Long-term Care
Education
Central Michigan University 1975 — 1977
Master of Arts (MA), Public Administration
Southern Illinois University, Edwardsville 1970 — 1972
Master of Business Administration (MBA), Business, Management, Marketing, and Related Support Services
Glenville State College 1965 — 1969
Bachelor of Arts (BA), Business Administration and Management, General
Bluegrass Family Health June 2005 - Present
Kentucky Pharmacists Association July 2008 - July 2010
CHD Meridian Healthcare June 2003 - April 2005
Advanced Pharmacy Concepts July 2001 - June 2003
Skills
Pharmacy Benefit..., Pharmacy, Hospitals, Medicine, Pharmacueticals, Managed Care, Healthcare, Disease Management, Utilization Management, Home Infusion, Pharmacoeconomics, Clinical Research
Education
Residency 2000 — 2001
Pharmacy Practice Residency, Pharmacy
University of Rhode Island 1997 — 2000
Pharm.D., Pharmacy
University of Rhode Island 1984 — 1990
Doctor of Pharmacy (Pharm.D.), Pharmacy
Cigna-HealthSpring January 2013 - Present
Bluegrass Family Health December 2011 - December 2012
SHPS December 2008 - December 2011
Occupational Medicine Physicians 2004 - 2008
Skills
Board Certified in...
Education
University of Louisville School of Medicine 1997 — 2001
Virginia Polytechnic Institute and State University 1988 — 1993
B.S., Chemical Engineering
IntegriQual LLC June 2015 - Present
Eurofins AgroSciences July 2009 - June 2015
Compliance Assessment October 2008 - June 2009
Catalent July 2006 - October 2008
Cardinal Health September 2003 - July 2006
Bluegrass Family Health January 2000 - September 2003
PTRL East, Inc. September 1988 - December 1999
Skills
Quality Assurance, EPA, GLP, GMP, Regulatory Affairs, FDA, Quality System, Biotechnology, SOP, Pharmaceutical Industry, Life Sciences, Validation, Auditing, CAPA, R&D, Laboratory, DEA, HPLC, Quality Auditing, Microbiology, Software Documentation, 21 CFR Part 11, Aseptic Processing, Minitab, Lifesciences, Analytical Chemistry, Six Sigma, Quality Control, GxP, Change Control, Quality Systems, Documentation
Education
Eastern Kentucky University 1985 — 1991
Bachelors
Bluegrass Family Health AnesthesiologistWilliams & WagnerSeptember 1989 - April 1996
Education
Tulane University School of Medicine 1997 — 1998
MMM, Medical Managment
Southwestern Medical School 1983 — 1986
MD, Anesthesiology Residency
University of Louisville School of Medicine 1980 — 1983
MD
University of Louisville 1980 — 1982
MSc, Anatomy
University of Oklahoma 1969 — 1972
BA, History
Bluegrass Family Health November 1999 - Present
Skills
Health Insurance, Health Savings Accounts, Insurance, Managed Care, Benefits Administration, Employee Benefits, Claim, Term Life Insurance, Underwriting, Disability Insurance, Medicare, Brokers, Life Insurance, Flexible Spending..., Health Care Reform
Education
Lincoln Memorial University
Cotiviti April 2014 - Present
Cotiviti August 2013 - April 2014
Cotiviti April 2010 - July 2013
Bluegrass Family Health June 2006 - April 2010
Humana November 2004 - June 2006
Skills
Insurance, Claim, Health Insurance, Medicare, Microsoft Excel, Financial Analysis, Microsoft Office, Process Improvement, Access, Managed Care, Data Analysis, Analysis, Lotus Notes, Outlook, Customer Service, Healthcare, Data Warehousing, Microsoft Word, Project Management
Education
University of Louisville MBA
Master of Business Administration (MBA) Candidate 8/2016
University of Kentucky 2000 — 2009
Bachelors, English, Minor in Mathematics
Bluegrass Family Health October 2012 - Present
Julee D. Photography June 2008 - Present
Assurance Benefits & Collins & Wright Benefits Group January 2004 - September 2012
MassMutual Financial Group September 2003 - September 2012
Skills
Health Insurance, Insurance, Disability Insurance, Employee Benefits, Term Life Insurance, Life Insurance, Health Savings Accounts, Brokers, Benefits Administration
Education
University of Kentucky 1996 — 2000
Bachelor of Business Administration (B.B.A.), Marketing
Bluegrass Family Health November 2000 - Present
Advantage Care August 1996 - November 2000
Healthwise of Kentucky March 1994 - August 1996
Skills
Self-funded, Managed Care, Term Life Insurance, Employee Benefits, Claim, Insurance, Health Insurance, Customer Service, Underwriting, Contract Negotiation, Brokers, Healthcare, Microsoft Office, Health Savings Accounts, Account Management, New Business Development, Life Insurance, Disability Insurance, Medicare, Strategic Planning, HMO, Benefits Administration, Project Management
Education
Murray State University 1981 — 1986
Bachelor of Science, Marketing
Lincoln Community High School 1977 — 1981
Anthem Blue Cross Blue Shield Medicaid February 2014 - Present
AmeriHealth Caritas February 2013 - February 2014
Passport Health Plan September 2005 - February 2013
Humana September 2002 - September 2005
Bluegrass Family Health August 1999 - August 2002
United Healthcare January 1996 - August 1999
Skills
Medicaid, Healthcare Management, Managed Care, HIPAA, Healthcare, Provider Relations, PPO, Medicare, Team Leadership, Project Planning, Healthcare Industry, Network Development, Healthcare Consulting, Health Policy, Revenue Cycle
Education
University of Kentucky 1991 — 1995
BHS, Health Administration
Community Health Systems February 2008 - Present
Kentucky Cabinet for Health and Family Services February 2006 - February 2008
Bluegrass Family Health 2002 - 2006
HCA 1999 - 2001
BlueCross BlueShield of Tennessee 1996 - 1999
Skills
Managed Care, Healthcare, Access, Strategic Planning, Financial Analysis, Contract Negotiation, Decision Support, Revenue Cycle, Disaster Recovery, Provider Relations
Education
University of Kentucky 1989 — 1994
BBA, Finance
Bluegrass Family Health November 2000 - Present
Advantage Care October 1997 - November 2000
Skills
Managed Care, Healthcare, Health Insurance, Insurance, Hospitals, Provider Relations, Employee Benefits, Health Savings Accounts, Term Life Insurance, Medicare, PPO, Long-term Care, Disability Insurance, Underwriting
Education
Indiana State University 1972 — 1975
Bachelor of Science (B.S.), Communications and Marketing
Memorial Health February 2011 - Present
Memorial Health March 2010 - April 2011
Georgia Center for Reproductive Medicine 2006 - 2009
Center for Sight 2004 - 2005
Bluegrass Family Health January 1999 - January 2001
Cardinal Health January 1999 - January 2001
Cardinal Health January 1997 - January 1999
Campbell Construction, Inc January 1996 - January 1997
Unique Musique January 1985 - January 1995
Skills
Healthcare, Healthcare Information..., Managed Care, Data Analysis, Health Insurance, Health Education, EMR, HIPAA, Hospitals, Software Documentation, Inpatient, Physicians, Leadership, Team Building, Nursing Education, Clinical Research, ICU, Nursing, Healthcare Management, EHR, Patient Safety, Physician Relations, Quality Improvement, Management, Healthcare Industry, Healthcare Consulting, Performance Improvement
Education
Medical University of South Carolina 1996 — 1997
Master, Health Sciences & Health Information Administration
University Medical Center, Medical Univ
of SC Bachelor, Health Sciences
Lexington Clinic June 2012 - Present
Pacific Pulmonary Services February 2011 - June 2012
Neace Lukens August 2009 - February 2010
Xerox/ACS 2010 - 2010
Anthem February 2002 - July 2009
Gold Chip Insurance March 2000 - March 2001
Bluegrass Family Health April 1996 - March 2000
Skills
Team Building, Employee Benefits, Customer Service, Management, Insurance, Leadership, Public Speaking, Sales Operations, Analysis
Education
The Medical of Institue of Kentucky 2010 — 2011
Medical Billing and Coding, National Healthcare Association Certification
Radford University 1982 — 1984
MS, Counseling
Asbury College 1978 — 1982
BS, Social Science
Bluegrass Family Health September 2014 - Present
Susquehanna Health January 2008 - September 2014
Williamsport Physical Medicine November 2008 - December 2013
Spartanburg Regional Healthcare System September 2003 - January 2008
Wallace Thomson Hospital May 1999 - December 2007
Bon Secours Health System June 1998 - April 2003
Russell County Medical Center August 1990 - October 1998
Lee Regional Medical Center July 1997 - January 1998
Doctor's Care January 1994 - June 1997
Skills
Occupational Medicine, Emergency Medicine, Healthcare Management, Health and Wellness, Health and Productivity..., Chronic Disease..., Healthcare, Family Medicine, Medicine, Medical Terminology, Internal Medicine, Urgent Care, Critical Care, Disease Management, Occupational Health, Board Certified, Public Health, Physicians
Education
ETSU- Bristol FamilyPracitice 1989 — 1992
Family Medicine Residency Program
University of Louisville School of Medicine 1985 — 1989
Doctor of Medicine (M.D.)
Eastern Kentucky University 1981 — 1985
Chemistry- BA
Baptist Health Plan June 2015 - Present
Bluegrass Family Health June 2008 - May 2015
CHA HEALTH HMO 1999 - 2008
Kmart Corporation May 1988 - October 2000
Skills
Health Insurance, Managed Care, HIPAA, Medicaid, Customer Service, Software Documentation, Employee Benefits, Microsoft Word, Outlook, Microsoft Excel, Microsoft Office, Medicare Advantage, Claims Resolution, Claims Handling
Education
University of Kentucky 1991 — 1994
Bachelor of Arts (B.A.), Telecommunications
Owensboro Community and Technical College 1988 — 1991
Associate of Science (A.S.), Office Administration
Employer Direct Healthcare August 2013 - Present
GLG Research March 2013 - Present
Cleveland Clinic January 2010 - December 2012
Bluegrass Family Health 2009 - 2009
Jennie Stuart Medical Center February 2003 - December 2008
Cincinnati Children's Hospital Medical Center April 1999 - December 2002
HealthStar PPO August 1998 - January 1999
HealthStar PPO September 1997 - August 1998
HealthStar PPO May 1996 - September 1997
Education
Baker College Center for Graduate Studies 2004 — 2006
MBA, Business Administration and Management, General
Kent State University 1989 — 1994
Bachelor's degree, Sociology
Capital Benefit Communications January 2012 - Present
Capital Benefits Group July 2010 - January 2012
Bluegrass Family Health February 2007 - July 2010
Multilife, Inc. May 2004 - February 2007
Education
Belmont University 1985 — 2001
Bachelor of Science (BS), Political Science
WellCare April 2012 - Present
Progressive Insurance March 2005 - December 2005
Bluegrass Family Health March 1998 - November 2004
Skills
Medical Coding, Claims Auditing, PIP, Account Reconciliation, Coordination of Benefits, Claims Resolution, Workers' Compensation...
Education
Sullivan University 2001 — 2004
Bachelor of Science (B.S.), Business Administration and Management, General
Southeastern Louisiana University 1992 — 1994
Registered Nursing/Registered Nurse