Care1st Health Plan

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Care1st Health Plan Employees

Employee
Years
Job
Industry
Connie Sherwood Connie Sherwood Phoenix, Arizona Area Details
Connie Sherwood's Care1st Health Plan Experience 2014 - Present
Job Care1st Health Plan
Industry Insurance
Experience
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

Margie Alexander Margie Alexander Houston, Texas Area Details
Margie Alexander's Care1st Health Plan Experience December 2012 - Present
Job IT Testing Lead at Global Healthcare Alliance
Industry Information Technology and Services
Experience
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

Sharon Gentry Sharon Gentry Greater San Diego Area Details
Sharon Gentry's Care1st Health Plan Experience April 2014 - Present
Job Complex Case Manager at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Sao Tran, JD Sao Tran, JD Greater Los Angeles Area Details
Sao Tran, JD's Care1st Health Plan Experience November 2013 - April 2014
Job Sr. Analyst, Workforce Analytics at Aramark Uniform Services
Industry Apparel & Fashion
Experience
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

Rianna Ferguson Rianna Ferguson Los Angeles, California Details
Rianna Ferguson's Care1st Health Plan Experience February 2012 - September 2012
Job Accepting Positions
Industry Banking
Experience
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

Rebecca Huff Rebecca Huff Torrance, California Details
Rebecca Huff's Care1st Health Plan Experience March 2013 - March 2015
Job LTSS Operations Supervisor at Care1st Health Plan Yes, its all about you.
Industry Hospital & Health Care
Experience
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

Elizabeth Montelongo, CCS, CPC, ICD-10 CM/PCS Elizabeth Montelongo, CCS, CPC, ICD-10 CM/PCS Greater Los Angeles Area Details
Elizabeth Montelongo, CCS, CPC, ICD-10 CM/PCS's Care1st Health Plan Experience April 2013 - July 2013
Job Multi Specialty Coder/Auditor/ICD10 Educator
Industry Medical Practice
Experience
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

Justin Bottger Justin Bottger Greater Los Angeles Area Details
Justin Bottger's Care1st Health Plan Experience September 2013 - July 2015
Job Regional Performance Manager at CareMore Health Plan
Industry Hospital & Health Care
Experience
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

Bradley Hebdon Bradley Hebdon Greater Los Angeles Area Details
Bradley Hebdon's Care1st Health Plan Experience September 2002 - December 2006
Job Experience Design Leader
Industry Online Media
Experience
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

Jordan Pena Jordan Pena Greater Los Angeles Area Details
Jordan Pena's Care1st Health Plan Experience April 2013 - March 2014
Job Doing best at what I do, Staff Accountant studying for the CPA Exam
Industry Accounting
Experience
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

Nghia (Jimmy) Phan Nghia (Jimmy) Phan Greater Los Angeles Area Details
Nghia (Jimmy) Phan's Care1st Health Plan Experience June 2013 - February 2015
Job Always gaining something on every journey!
Industry Computer Software
Experience
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

Kira Mires Kira Mires Greater San Diego Area Details
Kira Mires's Care1st Health Plan Experience January 2015 - March 2015
Job Medical Weight Loss Counselor at One Life Weight Loss
Industry Health, Wellness and Fitness
Experience
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

Kelly (Hyung Hwa) Chang Kelly (Hyung Hwa) Chang Greater Los Angeles Area Details
Kelly (Hyung Hwa) Chang's Care1st Health Plan Experience September 2014 - Present
Job Operations at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Julie Sanderson Julie Sanderson San Francisco Bay Area Details
Julie Sanderson's Care1st Health Plan Experience July 2010 - May 2011
Job Consulting
Industry Information Services
Experience
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

Alexis Jacobs, BSN, RN, PHN, MSHI Alexis Jacobs, BSN, RN, PHN, MSHI Santa Monica, California Details
Alexis Jacobs, BSN, RN, PHN, MSHI's Care1st Health Plan Experience August 2013 - February 2014
Job Clinical Quality Nurse at Advanced Medical Reviews
Industry Hospital & Health Care
Experience
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

Florence Liang Florence Liang Greater Los Angeles Area Details
Florence Liang's Care1st Health Plan Experience September 2004 - April 2005
Job Sales Agent at Keller Williams Realty Signature
Industry Real Estate
Experience
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

Michael Rowan Michael Rowan Orange County, California Area Details
Michael Rowan's Care1st Health Plan Experience September 2013 - Present
Job Vice President, Information Technology at Care1st Health Plan
Industry Information Technology and Services
Experience
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

John R. Sanchez, CPM/CFM John R. Sanchez, CPM/CFM Greater Los Angeles Area Details
John R. Sanchez, CPM/CFM's Care1st Health Plan Experience April 2007 - August 2014
Job Facilities Director at Alignment Healthcare
Industry Hospital & Health Care
Experience
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

Michael Griffis Michael Griffis Greater Los Angeles Area Details
Michael Griffis's Care1st Health Plan Experience August 2012 - October 2013
Job Corporate Medical Director at Care1st Health Plan
Industry Medical Practice
Experience
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

Thomas Kruger, MBA, CPhT Thomas Kruger, MBA, CPhT Long Beach, California Details
Thomas Kruger, MBA, CPhT's Care1st Health Plan Experience April 2014 - Present
Job Project Specialist at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Budi Harnadi Budi Harnadi Diamond Bar, California Details
Budi Harnadi's Care1st Health Plan Experience February 2012 - July 2012
Job Senior Project Analyst
Industry Hospital & Health Care
Experience
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

Dulce Lopez Dulce Lopez Orange County, California Area Details
Dulce Lopez's Care1st Health Plan Experience August 2012 - January 2013
Job Cosmetic Teeth Whitening Technician
Industry Cosmetics
Experience
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

Todd Saalman Todd Saalman Greater Los Angeles Area Details
Todd Saalman's Care1st Health Plan Experience October 2013 - Present
Job Web Developer at Care1st Health Plan
Industry Computer Software
Experience
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

Pamela Mokler Pamela Mokler Greater Los Angeles Area Details
Pamela Mokler's Care1st Health Plan Experience October 2012 - Present
Job Gerontologist; Vice President of Long Term Services & Supports, Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Alena M. Inchausti Alena M. Inchausti Covina, California Details
Alena M. Inchausti's Care1st Health Plan Experience August 2011 - Present
Job QI/FSR Sr. Project Coordinator at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Lissette Rendon Lissette Rendon Downey, California Details
Lissette Rendon's Care1st Health Plan Experience October 2010 - Present
Job Coordinator at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Osvaldo Ozzy Torres Osvaldo Ozzy Torres Ontario, California Details
Osvaldo Ozzy Torres's Care1st Health Plan Experience May 2012 - Present
Job Corporate Senior Manager Telesales / Retention
Industry Hospital & Health Care
Experience
Alignment Healthcare  July 2014 - Present
Care1st Health Plan   May 2012 - Present
Care1st Health Plan   August 2007 - Present

Education
Mt. San Antonio College

Claudia Rebecca (Becky) Garcia Claudia Rebecca (Becky) Garcia Greater Los Angeles Area Details
Claudia Rebecca (Becky) Garcia's Care1st Health Plan Experience June 2013 - September 2015
Job Blogger & Influencer
Industry Entertainment
Experience
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

Joseph Wierzbinski Joseph Wierzbinski Phoenix, Arizona Area Details
Joseph Wierzbinski's Care1st Health Plan Experience June 2014 - October 2014
Job Contact Center Supervisor at The Home Depot
Industry Consumer Services
Experience
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

Rachel Cheng Rachel Cheng San Jose, California Details
Rachel Cheng's Care1st Health Plan Experience October 2012 - March 2014
Job REHS at Contra Costa County
Industry Hospital & Health Care
Experience
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

Maggie Beltran-Sanchez Maggie Beltran-Sanchez Greater Los Angeles Area Details
Maggie Beltran-Sanchez's Care1st Health Plan Experience February 2003 - July 2005
Job Consultant at Kaiser Foundation Health Plan
Industry Hospital & Health Care
Experience
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

Denise Sannicandro Denise Sannicandro San Diego, California Details
Denise Sannicandro's Care1st Health Plan Experience December 2005 - July 2007
Job MSN, PHN, RN, MBA
Industry Hospital & Health Care
Experience
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

Jonathan Shen, CPA Jonathan Shen, CPA Greater Los Angeles Area Details
Jonathan Shen, CPA's Care1st Health Plan Experience May 2012 - April 2013
Job Senior Manager at Andersen Tax
Industry Accounting
Experience
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

Lydia Koch Lydia Koch Greater San Diego Area Details
Lydia Koch's Care1st Health Plan Experience January 2013 - Present
Job Contract Specialist at Care1st Health Plan
Industry Insurance
Experience
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

Stan Filatov Stan Filatov Sherman Oaks, California Details
Stan Filatov's Care1st Health Plan Experience October 2012 - January 2013
Job Independent Health Plan Representative
Industry Hospital & Health Care
Experience
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

Leesa Johnson Leesa Johnson Greater Los Angeles Area Details
Leesa Johnson's Care1st Health Plan Experience April 2012 - March 2014
Job Managed Care Contracting
Industry Hospital & Health Care
Experience
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

Johnny (Kim) Garza Johnny (Kim) Garza Greater Los Angeles Area Details
Johnny (Kim) Garza's Care1st Health Plan Experience April 2007 - March 2009
Job Senior Project Manager Kaiser Permanente
Industry Hospital & Health Care
Experience
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

Celestin Pao Shimabukuro Celestin Pao Shimabukuro Greater Los Angeles Area Details
Celestin Pao Shimabukuro's Care1st Health Plan Experience November 2014 - January 2015
Job
Industry Oil & Energy
Experience
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

Greg T. Greenwood, Ph.D., MBA Greg T. Greenwood, Ph.D., MBA Greater San Diego Area Details
Greg T. Greenwood, Ph.D., MBA's Care1st Health Plan Experience November 2013 - March 2015
Job Consultant
Industry Management Consulting
Experience
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

Reggie Aberin Reggie Aberin Greater New York City Area Details
Reggie Aberin's Care1st Health Plan Experience June 2003 - April 2006
Job Systems Analyst at LRN
Industry Information Technology and Services
Experience
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

Cordell Welcome Cordell Welcome Greater Atlanta Area Details
Cordell Welcome's Care1st Health Plan Experience October 2001 - December 2005
Job Business Development Consultant
Industry Hospital & Health Care
Experience
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

Joy Castro Joy Castro Long Beach, California Details
Joy Castro's Care1st Health Plan Experience June 2013 - Present
Job Complex Case Manager at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Allan Gibbs Allan Gibbs Greater Los Angeles Area Details
Allan Gibbs's Care1st Health Plan Experience September 2009 - October 2011
Job Contract Adminstrator at Altegra Health
Industry Hospital & Health Care
Experience
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

Darryl Leong Darryl Leong Greater Los Angeles Area Details
Darryl Leong's Care1st Health Plan Experience 2007 - Present
Job Medical Director at Care 1st Health Plan
Industry Hospital & Health Care
Experience
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

Kimulet Winzer Kimulet Winzer Phoenix, Arizona Area Details
Kimulet Winzer's Care1st Health Plan Experience 2003 - 2007
Job Compliance Officer at United Health Group
Industry Health, Wellness and Fitness
Experience
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

Marc Shields Marc Shields Greater San Diego Area Details
Marc Shields's Care1st Health Plan Experience March 2012 - February 2014
Job Medicare Health Plan Specialist
Industry Insurance
Experience
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

Kathleen Wylie Kathleen Wylie Greater Los Angeles Area Details
Kathleen Wylie's Care1st Health Plan Experience Manager of HCCMemorial Healthcare IPA2005 - 2010
Job Risk Adjustment Manager at Care1st Health Plan
Industry Hospital & Health Care
Experience
Care1st Health Plan   Manager of HCCMemorial Healthcare IPA2005 - 2010

Education
University of La Verne   1989 — 1995
bs, MBA, business

Leda Tran Leda Tran Greater Los Angeles Area Details
Leda Tran's Care1st Health Plan Experience November 2012 - Present
Job Pharmacy Technican at Care1st Health Plan
Industry
Experience
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

Florence Liang Florence Liang Chino Hills, California Details
Florence Liang's Care1st Health Plan Experience October 2004 - March 2005
Job Real Estate Agent at Keller Williams Realty, Chino Hills
Industry Real Estate
Experience
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

Pamela Gregg Pamela Gregg Greater Los Angeles Area Details
Pamela Gregg's Care1st Health Plan Experience July 1998 - April 2001
Job Commercial Compliance Officer & Director Compliance
Industry Insurance
Experience
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

Janis Meza Janis Meza Greater Los Angeles Area Details
Janis Meza's Care1st Health Plan Experience November 2012 - Present
Job Claims Manager at Care1st Health Plan
Industry Hospital & Health Care
Experience
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

Ryan Ibaraki Ryan Ibaraki Greater Los Angeles Area Details
Ryan Ibaraki's Care1st Health Plan Experience April 2012 - June 2012
Job Helpdesk at L.A. Care Health Plan
Industry Information Technology and Services
Experience
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

Lily Chow Lily Chow West Covina, California Details
Lily Chow's Care1st Health Plan Experience April 2012 - Present
Job Care 1st Health Plan
Industry Hospital & Health Care
Experience
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

Fay Ho Fay Ho Orange County, California Area Details
Fay Ho's Care1st Health Plan Experience October 2012 - May 2013
Job Program Manager at CalOptima
Industry Hospital & Health Care
Experience
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

Karen Jane Lanting Karen Jane Lanting Temple City, California Details
Karen Jane Lanting's Care1st Health Plan Experience July 2005 - March 2008
Job Accounting Analyst at Synermed, Inc.
Industry Hospital & Health Care
Experience
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

Moises Ayala Campos Moises Ayala Campos Greater Los Angeles Area Details
Moises Ayala Campos's Care1st Health Plan Experience September 2011 - Present
Job
Industry Hospital & Health Care
Experience
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

Osula Lam Osula Lam Greater Los Angeles Area Details
Osula Lam's Care1st Health Plan Experience February 2012 - October 2014
Job Management Associate at L.A. Care Health Plan
Industry Hospital & Health Care
Experience
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

Janina Portillo Janina Portillo Los Angeles, California Details
Janina Portillo's Care1st Health Plan Experience Field Co-ordinaterCare1st Health Plan - Yes, its all about you.2014 - Present
Job Field Coordinater at Care1st Health Plan Yes, its all about you.
Industry Hospital & Health Care
Experience
Care1st Health Plan   Field Co-ordinaterCare1st Health Plan - Yes, its all about you.2014 - Present

Education
Hawaii Community College

Waialua, Hawaii