Cap Management Systems
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Cap Management Systems Employees
Molina Healthcare August 2015 - Present
Molina Healthcare March 2012 - August 2015
Blue Shield of California June 2011 - January 2012
IBM Global Business Services August 2010 - January 2011
Infocrossing Healthcare Services April 2010 - June 2010
LA Care Health Plan April 2009 - November 2009
CAP Management Systems August 2006 - July 2008
Blue Cross of California August 2002 - December 2004
Premera Blue Cross of Washington and Alaska January 1999 - May 2002
Unicare Life and Health Insurance Company (a subsidiary of Wellpoint) March 1996 - January 1999
Skills
Business Analysis, SDLC, Requirements Gathering, Requirements Analysis, Business Requirements, Business Process..., Business Process, User Acceptance Testing, Analysis, Process Improvement, Software Documentation, Healthcare Information..., Healthcare, Project Delivery, Data Modeling, Change Management, Systems Analysis, Finance, Data Analysis, SharePoint, Visio, Business Intelligence, Business Process Design, Crystal Reports, Testing, HIPAA, Gap Analysis, Consulting, Access
Education
Loyola Marymount University 1985 — 1986
Economics
Self-employed 2011 - Present
CAP Management Systems July 2011 - December 2011
51 Minds Entertainment July 2010 - October 2010
Skills
Executive Level..., Microsoft Office, Administrative..., Customer Service, Customer Engagement, Customer Support, Accounts Receivable, Receptionist Duties, Telephone Reception, Telephone Manner, Accounts Payable, Account Reconciliation, Trade Shows, Travel Arrangements, Hotel Booking, Makeup Artistry, Gel Nails, Nail Care, Social Networking, iPhone, Blackberry, PowerPoint, Supply Ordering, Mail Merge, Mail Sorting, Voice Mail, Executive Calendar..., Outlook, Outlook Express, Heavy Phones, Heavy Calendaring, Letter Writing, Sales Letters, Resume Writing, IPAs, Written Correspondence, Email, Mac OS, Mac, Logging, Cold Calling Experience, Running Errands, Food & Beverage, catering order, FedEx, UPS Shipping, Vendor Relationships
Education
The Catholic University of America 2004 — 2006
N/A, Communication and Media Studies
West Los Angeles College 2009 — 2010
N/A, Arts, Entertainment, and Media Management
Kaiser Permanente April 2015 - Present
Health Net March 2007 - April 2015
Managed Health Network/Health Net May 2005 - March 2007
Cap Management Systems December 2003 - May 2005
Cap Management Systems October 2001 - November 2003
Cap Management Systems July 2000 - October 2001
Health Net June 1998 - July 2000
Health Net September 1996 - June 1998
Health Net July 1993 - September 1996
Kaiser Permanente June 1990 - July 1993
Skills
Operations Management, Staff Development, Public Speaking, Inventory Control, Managed Care, HIPAA, Health Insurance, Process Improvement, Medicare, Behavioral Health, Strategic Planning, Claim, Analysis, Software Documentation, Recruiting
Education
California State University 1982 — 1985
Business Administration special emphasis in Communications
Loyola Marymount University 1981 — 1982
Business Administration; History
L.A. Care Health Plan October 2010 - Present
REGAL MEDICAL GROUP July 2007 - August 2009
CAP MANAGEMENT SYSTEMS October 2004 - May 2007
WELLPOINT (BLUE CROSS BLUE SHIELD OF GEORGIA) 2003 - 2003
BLUE SHIELD OF CALIFORNIA 2002 - 2003
PRUDENTIAL HEALTHCARE MERGING AETNA INC May 1997 - 2002
Skills
Quality Auditing, Special Projects, Flexible Working, Critical Thinking, Data Analysis, Mathematical Analysis, Contract Review, Claims Resolution, Customer Satisfaction, Dispute Resolution, Training & Development, System Configuration, Acoustic Guitar, Piano, Singing
Education
University of Phoenix 2004 — 2005
MBA UNDERGRADUATE, HEALTHCARE MANAGEMENT
Mapua Institute of Technology 1980 — 1986
BSCE DEGREE, CIVIL ENGINEERING
UnitedHealth Group February 2009 - May 2010
PacifiCare Health Systems- (Currently UnitedHealth) August 2004 - February 2009
Hollywood Presbyterian Medical Group, Inc April 2002 - June 2004
Network Medical Management March 2002 - April 2002
Action Network Health Plan (SCAN) June 2001 - February 2002
CAP Management Systems April 1999 - June 2001
Education
University of California, Davis
BA, Business Management/International Relations
Agajanian, McFall, Weiss, Tetreault & Crist LLP March 2006 - Present
Mission Community Hospital 2003 - 2005
Cap Management Systems 2000 - 2003
University of West Los Angeles 1996 - 1998
Skills
Competitive Intelligence, Public Relations, Marketing Communications, Legal Marketing, Personal Branding, Media Relations, Social Media, Event Management, Presentation Development, Content Development, Marketing, Strategic Planning, Social Media Marketing, Marketing Strategy, Community Outreach, Brand Development, Brand Management, Online Marketing
Education
University of Southern California
BA, International Relations
University of Southern California
East Asian Studies Certificate
Coatstline College
Paralegal Certificate
Monarch HealthCare May 2012 - Present
Cap Management Systems August 2005 - July 2009
Prefferred IPA of California January 2000 - August 2005
Skills
Hospitals, Data Entry, Administrative Support, Customer Service, Word, Microsoft Office, Documentation, Excel, PowerPoint, Access, Employee Relations, Administration, Healthcare, Research, Problem Solving, Team Building, Outlook, Scheduling, Windows, Financial Analysis, Data Analysis, Medicare, Healthcare Management, HIPAA
Education
Glendale Career College 1999 — 1999
Computerized Office Assistant
Pasadena City College 1996 — 1997
General Education
California Institute of the Arts September 2012 - Present
The Price Pros June 2012 - September 2012
Arvato Digital Services July 2010 - September 2011
Cap Management Systems April 2010 - May 2010
IT Specialist October 2009 - October 2009
Skills
Call Center, Escalation, Technical Support, Troubleshooting, Customer Satisfaction, Customer Service, Workforce Management, Help Desk Support, Computer Hardware, Customer Support, Management
Education
College of the Canyons 2006 — 2009
Associate of Science (AS), Computer Networking
Blue Shield of California September 2014 - Present
Blue Shield of California January 2009 - Present
CIGNA Healthcare February 2006 - November 2008
AK Designs July 2002 - February 2006
CAP MANAGEMENT SYSTEMS 1998 - 2002
FPA MEDICAL FOUNDATION 1997 - 1998
ADVENTIST HEALTH MEDICAL FOUNDATION 1995 - 1997
Skills
Provider Relations, Medicaid, Managed Care, Medicare, Network Development, Health Insurance, Credentialing, Health Policy, Healthcare, Hospitals, Insurance, Physicians, HIPAA, Claim, PPO
Education
California State University-Northridge 1987 — 1990
St. Vincent IPA December 2007 - Present
CAP Management Systems 2008 - 2008
UHP Healthcare 1993 - 1999
Skills
Budgets, Customer Service, Coaching, Event Planning, Healthcare, Public Speaking, Social Media, Non-profits, Strategic Planning, Fundraising, Event Management, Public Relations
Education
University of California, San Diego 1988 — 1992
St. Bernard High School 1984 — 1988
Diploma, General Education Classes
Conifer Health Solutions January 2009 - Present
Cap Management Systems July 2009 - August 2010
Skills
Solid computer skills, Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Strategic Planning, Customer Service, Non-profits, Marketing, Public Speaking, Nonprofits, Social Media, Negotiation, Provider Relations, Medicare, Social Networking, Healthcare
Education
Azusa Pacific University 2009 — 2010
Masters degree, Business Administration, Management and Operations
University of Hawaii at Hilo 2005 — 2008
Bachelor of Arts (B.A.), Anthropology
University of Hawaii at Hilo 2005 — 2008
Bachelor of Arts (B.A.), Political Science and Government
St. Joseph Heritage Health December 2013 - Present
Prospect Medical August 2012 - May 2013
Regal Medical Group, Herritage Provider Network October 2011 - August 2012
Monarch HealthCare July 2008 - June 2012
Cap Management Systems January 1998 - January 2001
Skills
Healthcare Management, Managed Care, HIPAA, Medicaid, Quality Improvement, Insurance, Medicare, Provider Relations, Physicians, Network Administration, Healthcare, Revenue Cycle, Contract Negotiation, Healthcare Consulting, Healthcare Information..., PPO, Strategic Planning, EHR, Health Insurance, Network Development, Medicare Part D, EMR, Credentialing, Clinical Research, Hospitals, Medical Billing, Physician Relations, Leadership, HMO, Process Improvement, Team Building, Healthcare Industry, System Administration, Budgets, Medical Coding, Practice Management, Health Policy
Education
California State University-Northridge 1993 — 1998
BS, Healthcare Administration
The University of Texas Health Science Center at Houston (UTHealth) August 2013 - Present
Universal American March 2010 - June 2013
Accountable Healthcare IPA November 2008 - September 2009
Coast Healthcare Management, LLC. March 2003 - November 2008
Cap Management Systems August 1998 - December 2002
Pacific Communities MSO April 1996 - August 1998
Torrance Hospital IPA Management Consultants May 1995 - April 1996
Bay Harbor Hospital November 1990 - April 1995
Skills
SSIS, SQL, Databases, Crystal Reports, Access, Windows Server, Visual Basic, Technical Support, Visio, Microsoft SQL Server, Networking, SDLC, Operating Systems, Program Management
Education
California State University-Long Beach 1989 — 1993
Bachelor of Science (BS), Information Technology
Sutter Health July 2003 - Present
HealthBridge/PrimeCare October 1999 - August 2002
Cap Management Systems September 1998 - June 1999
National Health Plans February 1996 - June 1998
Skills
Healthcare, Managed Care, Provider Relations, Contract Negotiation, Customer Service, Microsoft Office, Excel, Microsoft Word, Epic Systems, Medicaid Managed Care, Strategic Planning, Microsoft Excel, Software Documentation, Cpr Certified
Education
Modesto Junior College
Associate of Science (A.S.), Business Administration and Management, General
Dell June 2012 - Present
St. Vincent Medical Center September 2005 - June 2012
Cap Management Systems August 2000 - August 2005
Health Source Medical Group January 1999 - July 2000
Skills
Hospitals, Healthcare, Healthcare Information..., Managed Care, HIPAA, EMR
Education
California State University-Northridge 2000 — 2002
Masters, Business Administration
San Diego State University-California State University 1995 — 1997
BS, Business Administration - Management
Health Net January 2013 - Present
Health Net September 2010 - January 2013
Health Net, Inc April 2006 - September 2010
WellPoint Inc January 2005 - February 2006
Cap Management Systems November 2002 - December 2004
McKesson Health Solutions April 2001 - August 2001
National Jewish Medical and Research Center June 1998 - September 2000
Skills
Visio, Access, MS Project, Analysis, Product Management, Excel, Cross-functional Team..., Health Insurance, Managed Care, Data Analysis, Integration, Budgets, Microsoft Excel, Product Development
Education
University of Colorado at Denver 1997 — 1998
MS, Health Administration
University of Massachusetts Boston 1993 — 1996
BS, Biology
Cap Management Systems May 2010 - Present
Aetna Inc. 2007 - 2010
Aetna Inc. 2005 - 2007
Aetna Inc. 2000 - 2007
Aetna Inc. 1992 - 2000
Aetna Inc. 1990 - 1992
Aetna Inc. 1987 - 1990
Skills
Client Relationship..., Performance Management, Financial Analysis, Creative Problem Solving, Supervisory Skills, Strategic Partnerships, Physician Recruitment, Membership Retention, Growth
Education
San Diego State University-California State University
MedPoint Management November 2011 - Present
Conifer Health Solutions October 2010 - November 2011
Century City Hospital June 2002 - June 2004
USC University Hospital June 2001 - June 2002
Cap Management Systems May 1997 - June 2001
Education
California State University-Northridge
Bachelor of Science (B.S.), Finance