Care1st Health Plan
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Care1st Health Plan Employees
Care1st Health Plan 2014 - Present
Sunburst Pet (Wholesale Distributor) August 2007 - August 2013
CIGNA Healthcare August 2002 - August 2007
Skills
Microsoft Excel, Team Building, Customer Service, PowerPoint, Account Management, Process Improvement, Inventory Management, Budgets, Sales, Outlook, Marketing, Strategic Planning, Access
Education
Rio Salado College
Certificate of Completion in General Business, General Business and Marketing
Rio Salado College
Associate’s Degree, General Business
Global Healthcare Alliance December 2014 - Present
Care1st Health Plan December 2012 - Present
Care1st Health Plan - Yes, its all about you. December 2005 - December 2012
Care1st Health Plan - Yes, its all about you. March 2005 - December 2005
Skills
HIPAA, EDI, Medicare, Managed Care, Healthcare, Systems Analysis, Crystal Reports, SQL, Process Improvement, Software Project..., Health Insurance, Medicaid, Visio, System Integration..., Microsoft Office, Project Coordination, Multiple Project..., Research, Microsoft CRM, SharePoint, TFS
Education
Midwestern State University 1997 — 2000
Bachelor of Business Administration (BBA)
University of Phoenix 1994 — 1996
Master's degree
Care1st Health Plan April 2014 - Present
Federal Occupational Health (FOH) April 2009 - April 2014
Sendx Medical, Inc. April 2005 - June 2010
Interim Heatlhcare July 2008 - January 2009
American Red Cross Blood Banking Services January 2004 - April 2005
HealthNet Federal Services April 1998 - December 2003
Scripps Health May 1997 - September 1998
Westford Nursing and Rehab Center July 1995 - March 1997
Mission Bay Hospital January 1993 - April 1995
Skills
Acute Care, Case Management, Clinical Research, Healthcare, Home Care, Hospitals, Inpatient, Medical/Surgical, Nursing, Phlebotomy, EKG, Wound Care, Medication..., Medicine, Disease Management
Education
Grossmont College 1990 — 1992
ADN, Registered Nursing/Registered Nurse
Aramark Uniform Services May 2015 - Present
Aramark Uniform Services April 2014 - May 2015
Care1st Health Plan November 2013 - April 2014
Cetera Financial Group September 2013 - November 2013
Care1st Health Plan July 2013 - September 2013
Southern California Edison July 2011 - July 2013
Southern California Edison May 2012 - July 2012
Southern California Edison May 2010 - June 2011
University of Southern California January 2009 - May 2011
Trevisan Cometal SpA (Societa' per Azioni) July 2003 - September 2005
Skills
Analysis, SAP, Business Intelligence, Data Analysis, Business Objects, Business Process, Corporate Finance, Access, Financial Analysis, Management, Auditing, SAP R/3, Databases, Mergers & Acquisitions, Human Resources, Talent Acquisition, Cantonese, Financial Reporting, Business Analysis, Training, ERP, Visio, Financial Accounting, PeopleSoft, Program Management, Accounting, Database Design, Business Process..., Project Management, Recruiting, Process Improvement, Risk Management, Web Intelligence, Relational Databases, Business Strategy, MS Project, Internal Audit, Analytics, Italian, Management Accounting, Management Consulting, Forecasting, Taleo Enterprise System, HCM Processes & Forms, Database Development, Database Analysis, VBA
Education
University of California, Los Angeles
Cornell University
California Institute of Technology
Certificate
University of Southern California - Marshall School of Business 2008 — 2011
Bachelor in Science
Mt. San Antonio College 2006 — 2008
University of Bologna
Juris Doctor - Dottore in legge
Union Bank November 2014 - Present
AltaMed Health Services January 2014 - September 2014
Omitted October 2012 - May 2013
Care1st Health Plan February 2012 - September 2012
AEI October 2011 - February 2012
Hensel Phelps Construction Co. May 2007 - February 2011
PHL Inc. dba VNSM January 2006 - March 2007
Weiss Sheet Metal Company April 2003 - January 2006
Robinson's May October 2001 - March 2003
Skills
Invoicing, Payroll, Customer Service, Process Scheduler, Contract Management, Office Management, Accounts Payable, Accounts Receivable, Spreadsheets, Leadership, Microsoft Excel, Project Planning, Microsoft Office, Construction, Supervisory Skills, Team Building, Process Improvement, Outlook, Change Orders, Time Management, Bookkeeping, Customer Satisfaction, Administrative..., Certified Payroll, Prevailing, Bid Response, JD Edwards, ACT, Enterprise Solution for..., AmdocsCRM, Rumba
Education
Mt. San Antonio College 1998 — 2000
N/A, General Education
Care1st Health Plan - Yes, its all about you. March 2015 - Present
Care1st Health Plan March 2013 - March 2015
Care1st Health Plan 2012 - 2013
Care1st Health Plan 2011 - 2012
Skills
Data Entry, Data Analysis, Project Management, Close Attention to..., Organization, Efficiency, Time Management, Customer Service, Nonprofits, Healthcare Management, Healthcare, Leadership, Medicaid, HIPAA, Medicare
Education
UC Berkeley 2007 — 2011
Bachelor of Arts (B.A.), Women's Studies
Healthcare/Medical December 2014 - Present
Kaiser Permanente September 2014 - November 2014
Kaiser Permanente September 2013 - July 2014
Various Medical Facilities August 2013 - December 2013
Care1st Health Plan April 2013 - July 2013
Southern California Heart Specialists February 2012 - April 2013
UnitedHealth Group December 2012 - March 2013
University of Southern California April 2011 - February 2012
Network Medical Management/Allied Physicians IPA May 2008 - April 2011
Los Angeles Cardiology Associates - An Affiliate of Cedars Sinai Heart Insitute January 2008 - May 2008
Skills
CPT, ICD-9, Medical Coding, EHR, Healthcare Management, Medicare, ICD-9-CM, Medical Records, HCPCS, Medical Billing, HIPAA, Healthcare, ICD-10, HEDIS, Medical Terminology, EMR, Analysis, Auditing, Prior Authorization, Workers Compensation, Physician Coding, Facility Coding, HCC Coding, Education, Medical Collections, Commercial Insurance, Medicare/Medicaid..., P4P, Claims Auditing, Data Analysis, Data Analytics, Reporting & Analysis, Physicians, Surgery, Denials, EOB, HCFA, Health Policy, CMS-1500, IDX, UB04, Charge Capture, Centricity, Charge Entry, Revenue Cycle, E/M coding, DRG, Coordination of Benefits, Provider Education, Modifiers
Education
Santa Barbara City College 2014 — 2016
Associate of Science (A.S.), RHIT, Health Information/Medical Records Technology/Technician
American Academy of Professional Coders 2014 — 2014
ICD-10 CM
Career College Consultants 2012 — 2013
CCS, Medical Insurance Coding Specialist/Coder
The Coding Source 2004 — 2004
CPC, Medical Insurance Coding Specialist/Coder
East Los Angeles College 2003 — 2004
Health Information Technology, Medical Billing
Pasadena City College 2000 — 2002
Pre Nursing, Certified Nursing Assistant, Emergency Medical Technician
Bryman College 1999 — 1999
Medical Assistant, Medical/Clinical Assistant
Reibursement Specialists
Medical Coding Auditing
CareMore Health Plan August 2015 - Present
Care1st Health Plan September 2013 - July 2015
SynerMed December 2012 - September 2013
SynerMed July 2011 - February 2013
LA Fitness February 2011 - July 2011
MEC Industries, Inc. September 2009 - January 2011
Aerotek Professional Services August 2008 - August 2009
LA Fitness September 2005 - January 2008
South Hills Properties 2008 - 2008
Skills
Customer Service, Leadership, Microsoft Office, Team Building, Management, Leadership Development, Recruiting
Education
California State Polytechnic University-Pomona 2003 — 2008
Business, Management and Human Resources
Avanade November 2014 - Present
Slalom Consulting June 2012 - October 2014
RED Interactive Agency July 2011 - June 2012
National Football League December 2007 - June 2011
Helio September 2007 - December 2007
The Designory January 2007 - August 2007
Care1st Health Plan September 2002 - December 2006
Independent Consultant November 1998 - 2006
Webmodulus Consulting Group January 2001 - August 2002
Skills
User Experience, User-centered Design, Information Architecture, Usability Testing, Paper Prototyping, Iterative Design, Design Leadership, Interaction Design, Experience Strategy, Wire Framing, Mobile Design, User Interface Design, Web Design, Client Interfacing, Client Engagement, Team Building, Team Leadership, Team Management, Product Strategy, Product Design, Thought Leadership, Digital Strategy, Social Media, Product Development, Concept Development, Content Strategy, Experience Design, User Experience Design, User Research, Usability, Contextual Inquiry, Information Design, Human Computer..., User Scenarios, Design Strategy, Task Analysis, Heuristic Evaluation, Wireframes, Persona, User Interface, Human Factors, User Stories, User Journeys, Interactive Marketing, Information..., Axure, InDesign, OmniGraffle, Wordpress, Sketching
Education
Salt Lake Community College 1996 — 1998
Associates of Applied Science
Advantage Sales & Marketing May 2015 - Present
Advantage Sales & Marketing May 2014 - April 2015
Stanley Black & Decker, Inc. (Spectrum Brands) March 2014 - May 2014
Care1st Health Plan April 2013 - March 2014
Skills
Sales, Customer Service, Teamwork, Finance, Analysis, Leadership, Microsoft Excel, Accounting, Management, Strategy, Public Speaking, Economics, Accounts Payable, Data Analysis, Sarbanes-Oxley Act, Corporate FP&A, General Ledger, Budget Forecasts, Contract Negotiation, Account Reconciliation, Journal Entries, Project Management, Organization, Contractual Agreements, Legal Documents, Salesforce.com, Financial Analysis, Microsoft Office, Investments, Financial Reporting, Navision
Education
University of California, Irvine 2008 — 2012
Bachelor's Degree, Economics
Harvard University
Economics
University of California, Irvine 2015 — 2016
Accounting Certificate, Applied Accounting
Care1st Health Plan - Yes, its all about you. February 2015 - Present
Care1st Health Plan June 2013 - February 2015
New Century Health December 2012 - June 2013
DexOne March 2012 - December 2012
Los Angeles County - Department of Mental Health July 2010 - February 2012
Department of Mental Health August 2008 - June 2010
Los Angeles County Sheriff's Department December 2007 - August 2008
Department of Public Social Services March 2006 - November 2007
Department of Public Social Services April 2005 - February 2006
Department of Community and Senior Services November 2003 - March 2005
Skills
HTML, Java, SQL Server, JavaScript, MySQL, C# 2.0, ASP.NET, Oracle PL/SQL..., Oracle SQL, Oracle Application..., CSS, SSIS, BizTalk, T-SQL, SQL, Microsoft SQL Server, ASP.NET MVC, .NET, ETL, Stored Procedures, Databases, C#, Web Services, PL/SQL
Education
California State University-Los Angeles 2000 — 2010
B.S, Computer Science
California State University-Los Angeles 2000 — 2010
B.S, Mathematics
California State University-Los Angeles 2000 — 2010
Minor, Computer Information System
One Life Weight Loss July 2015 - Present
Sharp HealthCare April 2015 - Present
Care1st Health Plan January 2015 - March 2015
Guardion Health Sciences, LLC March 2014 - January 2015
Ballast Point Brewing & Spirits June 2013 - September 2013
JWalcher Communications January 2009 - August 2009
Hollister Co. January 2008 - August 2008
Skills
Social Media, Public Relations, Social Networking, Marketing, Facebook, PowerPoint, Microsoft Office, Social Media Marketing, Microsoft Excel, Microsoft Word, WordPress, Event Planning, Public Speaking, Time Management, Press Releases, Nutritional Analysis, Nutritional Counseling, Health Education, Weight Loss Coaching
Education
California Polytechnic State University-San Luis Obispo 2009 — 2014
Bachelor of Science, Nutrition; Applied Nutrition
Care1st Health Plan September 2014 - Present
Care1st Health Plan February 2013 - August 2014
Law Offices of Dennis K Shin April 2012 - December 2012
Skills
Health Plan Operations
Education
University of California, San Diego 2008 — 2012
Bachelor of Arts (B.A.), Communication, General
Tesla Motors December 2013 - Present
Premiere PAC Medical Corp, Gericare, Sunny Medical Transport April 2010 - January 2014
Robert Half Technology June 2013 - October 2013
Teklicon, Inc. June 2011 - May 2013
Care1st Health Plan July 2010 - May 2011
Wells Fargo July 2009 - February 2010
XL Construction February 2007 - March 2009
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC. June 2003 - February 2006
Skills
Intellectual Property, Licensing, Patents, Patent Litigation, Trade Secrets, Business Development, Salesforce.com, Solution Selling, Direct Sales, Sales Process, Account Management, SaaS, Sales, Strategic Partnerships, Strategic Planning, Strategy, Cross-functional Team..., Marketing, Entrepreneurship, Recruiting, Start-ups, Lead Generation, Negotiation, CRM, New Business Development, Sales Operations, Sales Presentations, Cold Calling, B2B, Product Marketing, Competitive Analysis, Selling, Market Research, Building Relationships, B2B Marketing
Education
California Polytechnic State University-San Luis Obispo 1998 — 2002
BS, International Business Management
Advanced Medical Reviews December 2014 - Present
LA Care Health Plan November 2014 - November 2014
DaVita HealthCare Partners, LLC. May 2014 - October 2014
Inovalon, Inc. February 2014 - May 2014
MSO, Inc. of Southern California February 2014 - May 2014
Care1st Health Plan August 2013 - February 2014
Molina Healthcare April 2013 - June 2013
Maxim Health Systems, Los Angeles, CA August 2010 - December 2010
Wellpoint / Anthem Blue Cross October 2008 - March 2010
Cedars-Sinai Medical Center July 2006 - September 2008
Skills
Nursing, Healthcare Information..., Change Management, Research, Budgets, Masters of Science in..., Healthcare, Oncology, Informatics, Clinical Research, Medical Devices, Clinical Trials, Diabetes, Public Health, Medicine, Cardiology, Marketing, Pharmaceutical Industry, Patient Safety, Hospitals, Management, Presentations, Leadership, Managed Care
Education
University of Illinois at Chicago 2011 — 2013
Masters of Science, Health Informatics
Mount St. Mary's College 2003 — 2005
Bachelor of Science, Nursing
Keller Williams Realty Signature Senior Human Resources AdministratorEverett Charles TechnologiesApril 2005 - March 2009
Care1st Health Plan September 2004 - April 2005
Education
University of California, Los Angeles 1999 — 2002
B.A., Psychology, Sociology
Care1st Health Plan September 2013 - Present
Care1st Health Plan September 2006 - August 2013
UHP Healthcare 2002 - 2006
Health Net 1992 - 2002
GardaWorld 1990 - 1992
Iron Mountain 1987 - 1990
Distribution Plus 1983 - 1987
Courier Express 1981 - 1983
Northern Messenger 1979 - 1980
Skills
HIPAA, Healthcare Information..., Healthcare, Medicaid, Managed Care, Strategic Planning, Process Improvement, Medicare, Health Information..., Healthcare Management, Team Building, Insurance, Project Management, Vendor Management, Visio, Databases, Technology Management, Health Insurance, Integration, Program Management, Healthcare Industry, Business Analysis, Strategy, Executive Management, Leadership, Employee Benefits, Business Intelligence, Management, Health Policy, Business Process, EHR, Informatics, Access, Information Technology, Software Documentation, EMR, Healthcare Consulting, Physicians, EDI, Revenue Cycle, Practice Management, Data Center, Revenue Cycle Management, Disaster Recovery, Epic Systems, HL7, Quality Improvement, Provider Relations, Performance Improvement, Hospitals
Education
California State University-Fullerton 1975 — 1979
BS, Psychology
Los Altos High School - Hacienda Heights 1969 — 1973
Independent Studies
Alignment Healthcare August 2014 - Present
Care1st Health Plan April 2007 - August 2014
Pacific Sunwear October 2000 - May 2006
Washington Mutual March 1998 - October 2000
Athens Services November 1995 - March 1998
Sparling Instruments September 1989 - November 1995
Skills
MS Great Plains, MS Excel, Word &..., Sage MAS 500, Purchasing, Procurement, Facilities Management, Leadership, Process Improvement, Microsoft Excel, Project Planning, Contract Negotiation, Project Management, PowerPoint, Team Building, Contract Management, Operations Management, Negotiation, Management, Forecasting, Great Plains Software, Budgets, Training, MAS500, Team Leadership, Inventory Management, Strategic Planning, Program Management, Access, Cross-functional Team..., Healthcare, Account Management, Sales, Business Planning, Customer Service, Business Development, Recruiting, Human Resources, Sales Management, New Business Development, Organizational..., Leadership Development, Business Strategy, Marketing, Supply Chain Management
Education
The Back School 2014 — 2014
Certified Ergonomic Assessment Specialist
Learning Tree University 1997 — 1998
Certified Facilities Manager
Glendale Community College 1991 — 1992
Total Quality Management
Learning Tree University 1989 — 1990
Certified Purchasing Manager
Northrop University 1985 — 1988
Bachelors, Business Management
Rio Hondo College 1982 — 1984
N/A, Computer Science
Care1st Health Plan - Yes, its all about you. November 2013 - Present
Care1st Health Plan August 2012 - October 2013
CVS Caremark Corporation April 2012 - August 2012
CVS Caremark Corporation June 2011 - March 2012
Heritage Provider Network January 2006 - May 2011
Jefferson Healthcare May 2005 - November 2005
The Vancouver Clinic August 2004 - May 2005
Pacific Medical Group 2003 - 2004
Education
University of Chicago - The Pritzker School of Medicine 2002 — 2003
Geriatric Medicine, Fellowship
University of California, San Francisco - School of Medicine 1999 — 2002
Family Practice, Residency
The Ohio State University College of Medicine 1994 — 1999
MD, Medicine
Harvard Business School 1982 — 1984
MBA, Finance & Marketing
Whitman College 1975 — 1979
BA, Chemistry & Spanish Literature
Care1st Health Plan April 2014 - Present
OptumRx November 2013 - March 2014
Walgreens July 2013 - August 2013
UCLA Health System February 2013 - March 2013
Binder One, Inc. January 2011 - January 2013
Wells Fargo March 2010 - September 2010
DB Schenker February 2006 - December 2009
Skills
Marketing Research, Competitive Analysis, Market Analysis, Marketing Communications, RFP preparation, Knowledge Base, German, Transportation, Global Logistics, Customer Relations, International Business, Logistics, Supply Chain Management, Excel, Word, PowerPoint, Microsoft Office, Market Research, Marketing Strategy, Supply Chain, Research, Product Development, Data Analysis, Pricing, Access, Problem Solving, Change Management, Microsoft Excel, Microsoft Word, Customer Service, Contract Management, Healthcare Information..., Training, Negotiation, Sales Operations, Sales, Marketing, Epic Systems, Analysis, Management, Operations Management, Contract Negotiation, Account Management, Business Analysis, Purchasing, Budgets, Process Improvement, Proposal Writing, Inventory Management, Leadership
Education
Career Step 2013 — 2013
Certificate of Graduation with High Honors, Pharmacy Technician
California State University-Long Beach - College of Business Administration 1999 — 2001
Master of Business Administration (M.B.A.), Marketing
University of Phoenix 1996 — 1998
Bachelor’s Degree, Business Administration
Vanguard Logistics Services October 2013 - Present
Warner Bros. Entertainment Group of Companies October 2012 - October 2013
Care1st Health Plan February 2012 - July 2012
Pioneer Furniture Manufacturing January 2011 - December 2011
Vigor Machinery Company February 2007 - December 2010
Sky Orbital July 2006 - January 2007
Skills
Healthcare, Healthcare Information..., Data Analysis, Access, SQL, Project Management, Business Analysis, Microsoft Office, Visio, Process Improvement, Microsoft Excel, Databases, Crystal Reports, Analysis, Microsoft SQL Server, SAP, microsoft access, Financial Analysis
Education
Cal State San Bernardino 2004 — 2006
Master of Business Administration (MBA), Information Technology
Cal State San Bernardino 2001 — 2004
Bachelor of Science (BS), Computer Science
Care1st Health Plan August 2012 - January 2013
Maxim Healthcare Services March 2009 - October 2011
Maxim Healthcare Services September 2004 - March 2009
Skills
Healthcare, Event Planning, Recruiting, Wellness, Contract Negotiation, Event Management, Team Leadership, Problem Solving, Customer Service, Mass Hiring, New Hire Orientations, Sales, Payroll, Screening Resumes, Management, Employee Relations, Job Fairs, College Recruiting, Program Management, Training
Education
California State University-Long Beach
Care1st Health Plan October 2013 - Present
Todd Saalman & Associates, Inc. September 1995 - Present
Taproot Foundation January 2008 - Present
City National Bank January 2013 - March 2013
MboxDesign December 2011 - November 2012
Los Angeles County Child Support Services Department May 1995 - August 2008
Los Angeles County District Attorney's Office May 1993 - May 1995
Skills
JavaScript, HTML, Software Development, ASP.NET, SQL, XHTML, Web Design, Web Applications, Visual Studio, Programming, Testing, Management, Web Development, Web Standards, MySQL
Education
Glendale College 2008 — 2010
AA, Computer Science - Web Development
University of Wisconsin-Madison 1965 — 1970
BA, Philosophy. Also, Nuclear Engineering, Journalism, Creative Writing
San Francisco State University
BA, Music Composition
University of California, Los Angeles
MA, Music Composition
Care1st Health Plan October 2012 - Present
Pamela Mokler & Associates October 2003 - October 2012
Care1st Health Plan Arizona 2009 - 2012
Care1st Health Plan 2009 - 2012
Council on Aging - Orange County 2009 - 2011
Amerigroup Corporation 2007 - 2009
Masspro 2008 - 2008
Novartis Pharmaceutical 2006 - 2007
WellPoint Senior Services August 2005 - December 2006
National Latino Health Care Task Force 2005 - 2006
Skills
Strategic Partnerships, Healthcare, Medicare, Qualitative Research, PowerPoint, Managed Care, Teaching, Elder Care, Gerontology, Long-term Care, Health Education, Medi-Cal, Seniors Housing, Experienced Change Agent, Coalition Development, Product Development, Public Policy, Strategic Visionary, Training, Entrepreneurship, HIPAA, Community Outreach, Nonprofits, Home Care, Health Insurance, Medicaid, Public Health, Employee Benefits, Strategic Planning, Mental Health, Hospitals, Healthcare Consulting, Revenue Cycle, Policy, Healthcare Management, Healthcare Industry, Case Managment, Social Services, Health Policy, Grants, Informatics, Physicians, EHR, Program Evaluation, Leadership, Program Development, Program Management, Clinical Research, Healthcare Information..., Quality Improvement
Education
California State University-Long Beach 1994 — 1997
MS, Gerontology
Hamilton High School
Northern Arizona University
Care1st Health Plan August 2011 - Present
Care 1st Health Plan August 2011 - Present
Skills
Healthcare Management, Customer Service, Healthcare, Healthcare Information..., HIPAA, Hospitals, Clinical Research, Process Improvement
Education
American Career College 2008 — 2010
Associate of Occupational Science, Surgical Technology/Technologist
Care1st Health Plan October 2010 - Present
UHP Healthcare January 2005 - August 2006
UHP Healthcare January 2005 - August 2006
Skills
Community Outreach, Medicare, Social Services, Customer Service, Healthcare Management, Managed Care, Process Improvement, Inpatient, PowerPoint, Program Development
Education
California State University-Los Angeles 1997 — 2003
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
Alignment Healthcare July 2014 - Present
Care1st Health Plan May 2012 - Present
Care1st Health Plan August 2007 - Present
Education
Mt. San Antonio College
BeckyBoricua.com November 2013 - Present
Yandeleros VIP June 2013 - Present
Fan Club Oficial Mundial-Las Dinámicas de Wisin y Yandel February 2007 - Present
Care1st Health Plan June 2013 - September 2015
My Sangre Latina July 2012 - December 2013
Puerto Rico Under January 2011 - May 2013
Infinity Insurance 2007 - 2011
Bank of America December 2005 - April 2007
Skills
Social Media, Facebook, Insurance, Claim, Policy, Negotiation, Social Networking, Social Media Marketing, Microsoft Office, Customer Service, Microsoft Word, Investigation, Fraud Claims, Insurance Fraud, Criminal Justice, Criminal Investigations, Sales, Entertainment, Blogging, Web Content, Music, Music Industry, Editing, Creative Writing, Risk Management
Education
Long Beach City College 2011 — 2013
California State University-Long Beach 2005 — 2005
Certificate, Basic Applied Forensic Science and Crime Analysis
California State University-Long Beach 1999 — 2005
Bachelor of Science, Criminal Justice
OPTUM February 2015 - June 2015
Care1st Health Plan June 2014 - October 2014
General Dynamics Information Technology September 2008 - June 2014
Wells Fargo February 2005 - June 2008
Financial Management Services June 2004 - February 2005
IKON Office Solutions June 2002 - July 2004
NextCard October 2001 - June 2002
OSI March 2001 - September 2001
American Express October 1982 - March 2001
Skills
Leadership, Recruiting, Quality Assurance, Sales, Coaching, Team Leadership, Analysis, Project Management, Avaya, PeopleSoft, Microsoft Office, Budgets, Interviews, Call Centers, Financial Risk, Credit Analysis, Time Management, Business, Credit Risk, Lines Of Credit, Team Building, Call Center, Internet, Organization, Customer Service, Collections, Six Sigma Yellow Belt, Management, Process Improvement
Education
Amstead University
Bachelor's degree, Business Administration and Management, General
Arizona State University 1980 — 1982
Business Administration and Management, General
Contra Costa County Department of Environmental Health April 2014 - Present
Care1st Health Plan October 2012 - March 2014
Care1st Health Plan October 2011 - September 2012
County of Santa Clara Department of Public Health September 2011 - December 2011
County of Santa Clara Department of Environmental Health June 2011 - September 2011
USDA Western Human Nutrition Research Center- Metabolic Kitchen & Human Feeding Lab November 2010 - June 2011
Skills
Dietetic Technician..., CPR BLS Certified, HIPAA, Life & Health Insurance..., Marketing, Nutrition, Nutrition Education, Health Education, Health Plan Operations, Public Health, Healthcare, Research, Clinical Nutrition, Healthcare Management, Dietetics, Community Outreach, Public Speaking, Microsoft Word, Customer Service, Microsoft Excel, PowerPoint, Community Health
Education
University of California, Davis 2007 — 2011
Bachelor of Science (B.S.), Clinical Nutrition/Nutritionist
Kaiser Foundation Health Plan September 1990 - Present
Care1st Health Plan Arizona March 2003 - July 2005
Care1st Health Plan February 2003 - July 2005
Skills
Healthcare Information..., Ambulatory, Epic Systems, EMR, Healthcare Management, Inpatient, Ambulatory Care, Healthcare, Healthcare Consulting, HIPAA, Hospitals, JCAHO, Certified Professional..., AAPC (CPC) Certified..., Inpatient and..., ICD-9-CM, CPT, HCPCS, Compliance Auditor, Medical Terminology, Human Anatomy, Pharmacology, Human Physiology, Infectious Diseases
Education
Pasadena City College 1993 — 2003
Certification, Medical Coding/Clinical Assistant
East Los Angeles College 2000 — 2002
Advanced Medical Coding
San Gabriel High School 1978 — 1981
High School Diploma, Genral Education
National University July 2012 - Present
Anthem August 2014 - June 2015
Afterhours UR June 2013 - August 2014
Hospitals February 2009 - June 2014
Home Health November 1987 - January 2014
Apreva Hospice December 2008 - September 2009
Care1st Health Plan December 2005 - July 2007
Kaiser Permanente June 1998 - August 2005
California Department of Health Care Services April 1994 - July 1996
Acute Hospitals 1974 - 1984
Skills
Nursing, Hospitals, Managed Care, Healthcare, Case Managment, Medicaid, Home Care, Medicare, Utilization Review, Inpatient, Healthcare Management, Patient Advocacy, Healthcare Consulting, Utilization Management, Patient Education, Business Development, Legal Nurse Consulting, Clinical Research, Start-ups, Quality Management, Process Improvement, Regulatory Affairs, Regulatory Audits, NCQA, Operations Management
Education
University of Phoenix 2003 — 2006
MBA & MSN
Orange County Community SUNY Middletown, NY 1972 — 1974
Associates in Applied Science
Kaplan College of Professional Studies 2000 — 2002
Diploma
University of Phoenix 1993 — 1995
Bachelors in Science
Clare Institute 2007 — 2007
Andersen Tax January 2015 - Present
Andersen Tax April 2013 - December 2014
Care1st Health Plan May 2012 - April 2013
Wright Ford Young & Co. June 2006 - May 2012
Mosaic Sales Solutions August 2005 - March 2006
Affiliated Computer Services, Inc. July 2005 - September 2005
AECOM July 2004 - September 2004
Skills
Internal Controls, GAAP, Accounting, Income Tax, SEC filings, Auditing, Financial Reporting, Financial Accounting, General Ledger, US GAAP
Education
University of California, Riverside 2002 — 2006
B.S., Business Administration
Care1st Health Plan January 2013 - Present
CareFusion Solutions, LLC November 2010 - December 2012
Exclusively Legal September 2010 - November 2010
Office of the Attorney General July 2010 - September 2010
Brook Furniture Rental June 2008 - January 2010
Brook Furniture Rental June 2008 - January 2010
CORT February 2006 - May 2008
CORT February 2006 - May 2008
Neiman Marcus 2005 - 2006
Skills
Account Management, Contract Negotiation, Contract Management, Space Planning, SharePoint, New Business Development, Marketing Strategy, Business Development, Marketing, Management, Project Management, Negotiation, Sales, Customer Service
Education
University of San Diego 2010 — 2010
Paralegal Certificate, ABA Approved Paralegal Program, General Litigation Specialty
University of Arizona 2001 — 2005
Bachelor of Science, Retailing and Consumer Science
University of Arizona Tucson 2001 — 2005
Bachelor of Science, Retailing and Consumer Science
University of San Diego San 2001 — 2005
CA, Paralegal Certification
Boomers Insurance Services March 2013 - Present
M-Theory Group January 2013 - March 2013
Care1st Health Plan October 2012 - January 2013
CareMore Health Plan August 2011 - February 2012
CyberDefender September 2008 - July 2011
Avs Construction January 2006 - September 2008
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets, Negotiation, Marketing, Sales, Sales Management, Sales Process, Direct Sales, Management, Account Executives, Presentations, Outside Sales, New Business Development, Customer Satisfaction
Education
Los Angeles Valley College 2009 — 2015
Associate of Arts and Sciences (AAS), Biology, General
St. Vincent IPA March 2014 - Present
Care1st Health Plan April 2012 - March 2014
Humana July 2011 - July 2012
Central Health Plan of California July 2008 - July 2011
Prospect Medical March 2006 - June 2008
Skills
Healthcare, Provider Relations, Network Development, PPO, Hospitals, Insurance, Medicare, Physician Relations, Credentialing, Health Insurance, HMO, Medicaid, Analysis, Contract Negotiation, Cross-functional Team..., EHR, EMR, HIPAA, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Leadership, Managed Care, Management, Medical Billing, Physicians, Process Improvement, Quality Improvement, Revenue Cycle, Strategy, Training, Utilization Management
Education
California State University-Long Beach 1996 — 1998
Healthcare adminstration, Health/Health Care Administration/Management
Kaiser Permanente IT November 2011 - Present
ReLocate IT April 2009 - November 2011
Care1st Health Plan April 2007 - March 2009
NDC Engineering July 2005 - April 2007
Xantech Corporation March 2003 - July 2005
Dacor, Distinctive Appliances June 1997 - March 2003
Earthlink Network April 1996 - June 1997
Unisys Corporation February 1991 - March 1996
Skills
Solution Architecture, Process Improvement, Disaster Recovery, Strategic Planning, Capacity Planning, Integration, Virtualization, Cloud Computing, IT Operations, Management, Security, Unix, Vendor Management, Telecommunications, Servers, Visio, CRM, Project Planning, Start-ups, Data Center, SharePoint, Program Management, SDLC, HIPAA, Business Intelligence, Project Management, Information Technology, Software Documentation, Databases, Networking, Business Process, Leadership, Infrastructure, IT Management, ERP, Technical Support, ITIL, Enterprise Architecture, System Deployment, Business Analysis, Cross-functional Team..., WAN, Enterprise Software, SaaS, System Administration
Education
University of California, San Diego 1984 — 1989
Bachelor's degree
ZeroChaos February 2015 - Present
Care1st Health Plan November 2014 - January 2015
GroupAero December 2013 - October 2014
Tesoro June 2013 - October 2013
BP February 2012 - May 2013
BP October 2010 - February 2012
BP August 2008 - October 2010
BP ARCO ampm May 2005 - August 2008
Los Angeles JUNIOR Chamber of Commerce 2003 - 2005
Honeywell June 2004 - August 2004
Skills
Financial Services, Forecasting, Finance, Corporate Finance, Strategic Planning, Tax, Analysis, Accounting, Financial Modeling, Internal Controls, Energy, Strategy, Financial Analysis
Education
University of Southern California - Marshall School of Business 2003 — 2005
MBA, Finance, General
University of California, Los Angeles 1995 — 1999
BA, International Economics, East Asian Studies
Human Capital Specialists Inc. October 2008 - Present
Home For The Holidays Inc. October 2008 - Present
Care1st Health Plan November 2013 - March 2015
Anthem/ WellPoint 2004 - 2008
ValueOptions 2000 - 2004
Magellan Behavioral Health 1998 - 2000
Blue Cross and Blue Shield of Texas 1992 - 1998
American Biodyne 1986 - 1992
Indiana University School of Medicine 1984 - 1986
Skills
Healthcare, Leadership, Managed Care, Start-ups, Program Management, Behavioral Health, Healthcare Management, Management Consulting, Training, Strategic Planning, Mental Health, Team Building, Executive Management, Entrepreneurship, Change Management, Nonprofits, Clinical Research, Psychotherapy, Healthcare Information..., Consulting, Management, Policy, Program Development, Health Policy, Healthcare Consulting, Analytics, Health Insurance, Business Development, Business Planning, Executive Coaching, Analysis, Organizational..., Performance Management, Leadership Development, Psychology, Public Health, Strategy, Medicare, Process Improvement, Coaching, Mergers & Acquisitions, Operations Management, Contract Negotiation, Budgets, Social Services, Disease Management, Medicaid, Sales & Marketing..., Case Managment, Healthcare Industry
Education
Bowling Green State University 1978 — 1984
M.A. & Ph.D., Clinical Psychology, 3.84 out of 4.0
The University of Texas at Dallas - School of Management 1992 — 1995
MBA, Strategic Planning and Implementation/International Business, 3.93 out of 4.0
DePauw University 1973 — 1977
BA, Psychology, 3.75 out of 4.0
Northern Kentucky University—Salmon P. Chase College of Law 2005 — 2007
Discontinued due to moving, Law
LRN October 2006 - February 2011
LRN Corporation October 2006 - February 2011
Peter Pepper Products July 2006 - September 2006
Care1st Health Plan June 2003 - April 2006
Education
University of California, Santa Cruz 1999 — 2003
BS, Information Systems Management
University of California, Santa Cruz
Bachelor of Science, Information Systems Management
Regalado Healthcare Consulting, LLC June 2011 - Present
Medical Mutual of Ohio February 2009 - May 2011
Proactive Patient Services June 2007 - January 2009
AltaMed Health Services Corporation January 2006 - May 2007
Care1st Health Plan October 2001 - December 2005
Maxicare Health Plan October 2000 - October 2001
L.A.Care Health Plan January 1999 - September 2000
Vista Medical Foundation May 1996 - December 1998
Health Plan of San Joaquin May 1995 - April 1996
CIGNA Health Plan of CA January 1986 - April 1995
Skills
HMO, Marketing, Hospitals, Managed Care, Medicaid, Network Development, Medicare, Provider Relations, Healthcare Information..., Strategic Planning, Health Insurance, PPO, Physicians, Employee Benefits, Healthcare, Health Policy, Healthcare Management, Credentialing, Healthcare Industry, Utilization Management, HIPAA, Healthcare Consulting, Physician Relations, Medicaid Managed Care, Medicine, Policy, Disease Management, EHR, Public Health, EMR, Leadership
Education
University of California, Los Angeles - Fielding School of Public Health 1973 — 1974
MPH, Health Care Management
Savannah State College 1965 — 1969
Bachelor of Science, Biology
Care1st Health Plan June 2013 - Present
Healthcare Partners April 2010 - June 2013
Wellskin October 2006 - January 2012
DaVita 2009 - 2010
Torrance Memorial Medical Center August 2006 - August 2009
Skills
Nursing, Medical/Surgical, Orthopedic, Healthcare Management, Healthcare, Hospitals, EMR, Medicare, HIPAA, Case Managment, Nephrology, COPD, CHF, Acute Care, Tattoo Removal, Ambulatory
Education
California State University-Long Beach
BA, Family Consumer Science
Long Beach City College
ADN, Nursing
Altegra Health October 2011 - Present
st Health Plan September 2009 - Present
Care1st Health Plan September 2009 - October 2011
Huntington Hospital April 2006 - October 2009
Huntington Hospital April 2006 - September 2009
CCBill December 2003 - October 2005
CCBill/Cave Creek Web Hosting December 2003 - October 2005
State of Arizona - Office of the Attorney General August 2000 - December 2004
State of Arizona August 2000 - December 2003
Burch & Cracciolo August 1999 - August 2000
Skills
Process Improvement
Education
UCLA 2008 — 2009
PMP Certification, Project Management
University of Phoenix 2002 — 2005
MBA, Technology Management
University of Phoenix
Masters of Business Administration, Technology Management; Paralegal
Esquire College 1995 — 1996
Paralegal Certificate, Paralegal Studies
California State University-Northridge 1990 — 1994
BA, English Literature & Creative Writing
Esquire College
Bachelors of Arts, English Literature and Writing
California State University
Care 1st Health Plan 2007 - Present
Care1st Health Plan 2007 - Present
Skills
Healthcare Management, Informatics, Managed Care, Medicare, HMO
Education
University of Hawaii at Manoa
MPH, Maternal and Child Health
University of Minnesota Hospitals 1976 — 1979
Residency, Pediatrics
SUNY Buffalo
MD, Medicine
Reed College
BA, Chemistry
United Health Group April 2007 - Present
Care1st Health Plan Arizona 2003 - 2007
Care1st Health Plan 2003 - 2007
Southwest Catholic Health Network dba Mercy Care Plan August 1999 - June 2003
Arizona Health Care Cost Containment System (AHCCCS) April 1994 - June 1999
Skills
Medicare, Appeals, Benefits Administration, Claim, HIPAA, Health Policy, Healthcare Consulting, Healthcare Management, Managed Care, Medicaid, Utilization Management, Provider Relations, Physicians, Healthcare Industry, Network Development, Health Insurance, Hospitals, Healthcare, Strategic Planning
Education
Southern University and Agricultural and Mechanical College at Baton Rouge 1988 — 1991
Juris Doctorate, Law
Arizona State University 1984 — 1988
Bachelor of Science (BS), Justice Studies/School of Public Programs
Broker/Consultant January 2007 - Present
Care1st Health Plan March 2012 - February 2014
Medicare Healthcare Plans Consulting April 2007 - March 2012
Care Level Management January 2004 - April 2007
Home Oxygen 2 U January 2002 - January 2004
Health Net of California January 2001 - January 2003
Pacificare (Secure Horizons) January 1998 - January 2001
Skills
Healthcare, Insurance, Medicare, Strategic Planning, Public Relations, Community Relations..., Physician Marketing..., Healthplan Marketing..., Managed Care, Medicaid, Hospital Sales, Health Insurance, Long-term Care, Account Management, Selling, Disability Insurance, Employee Benefits, Hospitals, Physicians, PPO, Provider Relations, HIPAA, HMO, Healthcare Industry, Health Policy, Network Development, Medicare Part D, Healthcare Consulting, Disease Management, Healthcare Management, Credentialing, Claim, Healthcare Information..., Health Savings Accounts, Health Care Reform, Utilization Management, Workers Compensation, EHR, Marketing, EMR, Physician Relations, Sales, Team Building
Education
San Diego State University 1979 — 1983
B.A, Business Administration
San Diego State University-California State University 1979 — 1983
Business Administration, Marketing
Care1st Health Plan Manager of HCCMemorial Healthcare IPA2005 - 2010
Education
University of La Verne 1989 — 1995
bs, MBA, business
Care1st Health Plan November 2012 - Present
CVS Caremark Corporation August 2006 - November 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Process Improvement, Hospitals, Healthcare, Cpr Certified, Data Analysis
Education
UC Irvine 2002 — 2007
Bachelor of Science (BS), Public Health
University of California, Irvine 2002 — 2007
Bachelors of science, Applied ecology
Keller Williams Realty May 2015 - Present
IRN Realty November 2013 - May 2015
Keller Williams Realty Signature February 2011 - November 2013
Everett Charles Technologies May 2005 - March 2009
Care1st Health Plan October 2004 - March 2005
Sweda Company April 2003 - July 2004
Education
University of California, Los Angeles 1999 — 2002
BA, Psychology, Sociololgy
Health Net December 2006 - Present
Health Net, Inc. April 2005 - December 2006
Health Net July 2003 - April 2005
Thrifty Management Services April 2001 - July 2003
Care1st Health Plan July 1998 - April 2001
US Navy June 1986 - February 1991
Skills
Leadership, Legal Compliance, Cross Functional Team..., Process Improvement, Management, Healthcare, Legal Research, Health Insurance, Managed Care, Program Management, HIPAA, Quality Management, Communication, Strategic Planning
Education
Old Dominion University 1993 — 1993
Master’s Degree, English Professional Writing
Radford University 1977 — 1981
Bachelor’s Degree, Journalism
Care1st Health Plan November 2012 - Present
Easy Choice Health Plan June 2009 - October 2012
Universal Care, Inc. 1995 - 2008
Skills
Notary Public, Basketball, Medicaid, Medicare, Managed Care, Claim, Healthcare Management, HMO, Health Insurance, HIPAA, ICD-9, Training, Claims Resolution, Medicare/Medicaid..., Claims Management, Medical Terminology, CPT, Workers' Compensation..., Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Industry, Disease Management, Management, Network Development, Medicaid Managed Care, Workers Compensation, Revenue Cycle Management, Credentialing, PPO, EHR, Revenue Cycle, Physician Relations, Health Policy, Medicare Part D, Provider Relations, JCAHO, Medical Coding, IDX, Process Improvement, EMR, Utilization Management, Hospitals, Insurance, Access, Claim Investigation, ICD-10, Employee Benefits, Disability Insurance, Medical Billing
Education
Penn Foster 2011 — 2013
Bachelor of Science (BS), Criminal Justice
CSU Dominguez Hills
General Education, Computers
UC Irvine
Bachelor of Science, Sociology
L.A. Care Health Plan October 2013 - Present
Verizon August 2013 - August 2013
L.A. Care Health Plan October 2012 - July 2013
Crystal Cruises July 2012 - September 2012
Care1st Health Plan April 2012 - June 2012
UCLA Anderson School of Management June 2008 - August 2008
Hawaii State Judiciary September 2005 - July 2007
Skills
Help Desk Support, Information Technology, Technical Support, Troubleshooting, Visio
Education
University of Southern California 2007 — 2010
Bachelor, Electrical Engineering
Hawaii Pacific University 2003 — 2007
Bachelor, Mathematics
Heald College 2001 — 2003
Associate, Electronics and Technology
Care1st Health Plan April 2012 - Present
Arcadian Health Plan November 2009 - January 2011
West Dermatology & Surgery Medical Group 2008 - 2009
CareMore Health Plan October 1998 - April 2008
FPA Medical Management, Inc. 1994 - 1998
Allied Physician of California 1992 - 1994
Skills
Medicare, Experienced in Medicare..., Knowledgable in CMS..., HEDIS, Health Policy, NCQA, Credentialing, HIPAA, Healthcare Consulting, Managed Care, Provider Relations, Medicaid, Healthcare Industry, HMO, Revenue Cycle, Utilization Management, Health Insurance
Education
Cal Poly Pomona
Bachelor's degree, Art
CalOptima January 2015 - Present
CalOptima December 2013 - January 2015
Care1st Health Plan October 2012 - May 2013
Garfield Health Center 2008 - 2012
Skills
Healthcare Management, Managed Care, Medicare, Medicaid, Program Development, Behavioral Health, Training, Mental Health, Health Policy, HMO, Policy
Education
Regis University
Post-Bachelor Certificate, Health Information Management
California State University-Los Angeles
Master of Science (M.S.), Health Care Management
University of California, Santa Barbara
Bachelor of Arts (B.A.), Art History
Synermed, Inc. March 2008 - Present
H&R Block November 2005 - April 2008
Care1st Health Plan July 2005 - March 2008
Education
Philippine School of Business Administration
Bachelor of Science (B.S.), Accounting
Care1st Health Plan September 2011 - Present
Basic Educational Services Team, Inc August 2010 - August 2011
CIT Nursing College January 2010 - May 2010
Citrus College August 2008 - June 2009
Citrus College February 2007 - June 2009
Skills
Windows, Teaching, Public Speaking, Network Design, Network Administration, Calculus, Physics, Cisco Technologies, TCP/IP protocols, Commitment to Customer..., Computer Science
Education
DeVry University 2009 — 2011
Bachelor of Science, Technical Management (Networking Communications)
DeVry University 2009 — 2011
Bachelors of Science, Business Technical Management; Networking Communications
Citrus College 2006 — 2009
Associate; Degree, Natural Science; Computer Engineering
Port of Los Angeles January 2015 - July 2015
L.A. Care Health Plan October 2014 - January 2015
Care1st Health Plan February 2012 - October 2014
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Access, PowerPoint, Outlook, Outlook Express, General Ledger
Education
UCLA 2009 — 2011
Bachelor of Science (B.S.), Biology, General
Care1st Health Plan Field Co-ordinaterCare1st Health Plan - Yes, its all about you.2014 - Present
Education
Hawaii Community College
Waialua, Hawaii