CareCentrix Company
Industry: Company
DescriptionFounded: 1996 Parent organization: CareCentrix Holdings Inc. Subsidiaries: Sleep Management Solutions, LLC, Gentiva Health Services IPA, Inc, Carecentrix Of New Jersey, Inc.
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CareCentrix Employees
CareCentrix February 2014 - Present
AmerisourceBergen June 2013 - February 2014
United Biosource Corporation June 2012 - June 2013
T-Mobile June 1999 - June 2011
T-Mobile June 1999 - June 2011
Skills
Customer Retention, Wireless, Direct Sales, Management, Telecommunications, Sales, Sales Process, Account Management, Quotas, Sales Operations, Solution Selling
Education
Baker University
Master of Business Administration (MBA), Business Administration and Management, General
Baker University 2007 — 2009
Bachelor of Applied Science (BASc), Business Administration and Management, General
Kansas City Kansas Community College
Associate of Arts (A.A.)
Shore Power Inc February 2011 - Present
CareCentrix July 2008 - February 2011
CareCentrix 2000 - 2008
McLean Home Health and Hospice 1991 - July 2000
Hair Salon May 1984 - September 1992
Skills
Process Improvement, Microsoft Excel, Call Center, Microsoft Office, Customer Satisfaction, Data Analysis, Customer Service, Data Entry, Team Building, Outlook, Account Management, Quality Assurance, Call Centers, Inventory Management, Issue Resolution, Team Management, Leadership, Highly detail oriented, Training, Access, Teamwork, Management, Team Leadership, Customer Retention, Operations Management, Coaching, Troubleshooting, Strategic Planning, Employee Training, Time Management
Education
Albertus Magnus College
Business Management
CareCentrix February 2015 - Present
Moffitt Cancer Center October 2014 - February 2015
Amgen April 2007 - June 2014
Rhodes Technologies April 2006 - April 2007
Pfizer Pharmaceuticals September 1997 - April 2006
Skills
Pharmaceutical Industry, Clinical Development, Biotechnology, Clinical Trials, GCP, Sop, CRO, CTMS, FDA, Biopharmaceuticals, Clinical Data Management, Regulatory Affairs, Lifesciences, Cross-functional Team..., GMP
Education
Community College of Rhode Island 1991 — 1997
Associates, Business Management
East Lyme High School 1973 — 1977
Hillsborough Community College October 2014 - Present
GLG - Gerson Lehrman Group March 2005 - Present
CareCentrix June 2014 - October 2014
Troops to Teachers 1995 - 2014
Chapters Health Systems November 2012 - February 2013
Daytona State College September 2012 - December 2012
Evercare, UnitedHealth Group December 2007 - October 2009
UnitedHealth Group September 2001 - December 2007
AmeriChoice 2001 - 2007
Kaplan Test Prep and Admissions 2002 - 2006
Skills
Outcomes, Medicare, Medicaid, Managed Care, Data Warehousing, Data Analysis, Medical Informatics, Metrics, Healthcare, HMO, Med/Surg, Home Care, Business Intelligence, Financial Forecasting, Hospitals, PBM, Utilization Management, ETL, Health Insurance, Care Management, Network Development, Disease Management, PPO, Acute Care, Nursing, Business Analysis, Dashboards, Health Plans, Healthcare Management, Healthcare Information..., Health Policy, Process Improvement, Leadership, Informatics, Clinical Research, Training, Analysis, Management, Analytics, Quality Assurance, Healthcare Consulting, Access
Education
University of Florida - Warrington College Of Business 1997 — 1999
MBA, Healthcare Administration
Daytona Beach Community College 2012 — 2012
Computer Programming
New Horizons 2011 — 2012
Certificate, Project Management
New York University 2004 — 2005
Knowledge Management
Excelsior College 1993 — 1995
BA, Math, Psychology
Hillsborough Community College August 2013 - Present
CareCentrix February 2013 - October 2013
WellCare Health Plans August 2012 - November 2012
United Health Care October 2011 - May 2012
Macys November 2009 - August 2011
United States Air Force October 2007 - October 2009
Skills
Time Management, Human Resources, Customer Service, Sales, Healthcare, Telephone Skills, Data Entry, Databases, Merchandising, Onboarding, Manage Client...
Education
Hillsborough Community College 2013 — 2015
Associate of Science (A.S.), Allied Health and Medical Assisting Services
Defense Language Institute 2008 — 2009
Diploma, Korean Language and Culture Studies
Spanaway Lake High School 2004 — 2007
Diploma, General Education
CareCentrix 2013 - 2014
FMQAI 2011 - 2012
Coventry Health Care 2010 - 2011
Coventry Health Care 2006 - 2008
Arcadia Home Care & Staffing 2003 - 2007
Tampa General Hospital 2003 - 2003
Skills
Medicare, Nursing, Hospitals, Patient Education, Acute Care, Healthcare, Utilization Management, Utilization Review, Patient Advocacy, Medical/Surgical, Risk Management, Microsoft Office, Home Care, Medical Billing, Inpatient, Disease Management, Healthcare Information..., Long-term Care, Healthcare Management, EMR, HIPAA, Managed Care, Medicaid, Direct Patient Care, Wound Care, Health Insurance, Sleep Medicine, Respiratory Therapy, Workers' Compensation..., Medicare/Medicaid..., Nursing Documentation, Quality Assurance, Healthcare Information..., Gynecologic Oncology, Prescription Drugs, Durable Medical..., Negative Pressure Wound..., Infusion Pumps, Medical Coding, Medicine, Medical-Surgical
Education
University of Tampa 2011 — 2013
Nursing; Spanish
D G Erwin Technical Center
Diploma, Certificate, Practical Nursing, Intravenous (IV) Therapy
CareCentrix September 2010 - Present
Skills
Quality Patient Care
Education
Stone Academy-East Hartford 2011 — 2013
Licensed Practical Nurse Program
Shepherd Center December 2014 - Present
Delta Dental Insurance Company July 2014 - December 2014
CareCentrix June 2012 - February 2014
First Advantage April 2012 - June 2012
Kohl's Department Stores June 2010 - December 2011
Eastwood Medical Center May 2011 - July 2011
Skills
Medical Coding, Medical Terminology, Medical Records, ICD-9, HIPAA, Medical Billing, Data Entry, CPT, EHR, Medicare, EMR, HCPCS, Health Information...
Education
Florida Agricultural and Mechanical University 2006 — 2011
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Santa Fe Community College 2012 — 2012
Health IT Workforce Training Program, Practice Workflow and Information Management Redesign Specialist
CareCentrix December 2013 - Present
McKesson - Business Performance Services September 2012 - December 2013
CareCentrix September 2005 - September 2012
COM USA UMS June 2002 - April 2005
Fuelman div of WESCO December 1996 - June 2002
Skills
Healthcare, Process Improvement, HIPAA, Change Management, Management, Cross-functional Team..., Business Process, Requirements Analysis, Analysis, Vendor Management, Leadership, Call Centers, Team Building, Quality Assurance, Requirements Gathering, Visio, Project Management, Business Analysis, IT Management, SDLC, Integration, Software Documentation, Business Process...
Education
Baker College Business and Corporate Services
BBA, Computer Information Systems
StubHub April 2012 - Present
Hartford Life Insurance October 2010 - Present
Aerotek Professional Services October 2010 - January 2012
CareCentrix April 2011 - September 2011
Gentiva CareCentrix April 2011 - September 2011
Kelly Services April 2010 - October 2010
Kelly Services April 2010 - October 2010
Kelly Services April 2010 - October 2010
Sears September 2009 - October 2010
Shaw's Supermarket June 2006 - March 2007
Skills
Outstanding Customer..., Detailed Analysis, Fast and Efficient..., Judgment and Decision..., Microsoft Office, Data Entry, Typing, Proofing, Research, Customer Service
Education
Saint Joseph College
High School Diploma, Social Work
Delaware State University
Saint Joseph College
CareCentrix InternshipHoly Cross Medical GroupAugust 2014 - December 2014
Consumer Financial Services December 2008 - June 2013
Dispute Suite Software Company June 2008 - October 2012
Skills
Microsoft Office, Adobe Design Programs, Financial Services, Customer Service, Customer Oriented, Healthcare Information..., Highly Dedicated, Communication Skills, Teamwork, Data Entry, PowerPoint, Microsoft Word, Time Management, Microsoft Excel, Leadership, Access, Social Networking, Office Administration, Public Speaking
Education
Florida Atlantic University 2011 — 2014
Bachelor's Degree, Health/Health Care Administration/Management
Florida Atlantic University - College of Business 2011 — 2014
Bachelor's degree, Health/Health Care Administration/Management
CareCentrix January 2015 - Present
CareCentrix August 2012 - January 2015
CareCentrix February 2012 - August 2012
CCS Medical August 2010 - February 2012
Verizon April 2009 - October 2009
International Brotherhood of Electrical Workers October 2006 - October 2009
Verizon November 2005 - April 2009
US Army September 2003 - October 2007
Ocean Apparel Inc 1999 - 2001
Ocean Apparel Inc 1999 - 2001
Skills
Healthcare Information..., HIPAA, Healthcare, Process Improvement, Medicare, EHR, Hospitals, Healthcare Management, Call Centers, Customer Satisfaction, Data Entry, Leadership, Software Documentation, Training, Telecommunications, Health Insurance, Team Leadership, Microsoft Word, Inventory Management, Supervisory Skills, Team Building, Coaching, Accounts Receivable, Teamwork, Sales, Customer Service, Program Management, Management, Human Resources, Microsoft Excel, Quality Assurance, Access, Data Analysis, Operations Management, Insurance, Outlook, Customer Experience, PowerPoint, Employee Training, Employee Relations, Leadership Development, Cross-functional Team..., Microsoft Office, Interviews, Medical Records, Office Management, Retail
Education
Achieve Global Essential skills for leaders program 2015 — 2015
Ulysses Coaching Mentor and Service Mentor Certified 2014 — 2014
Florida Metropolitan University 2000 — 2002
Fred k Marchman Education Center 1997 — 1999
Automotive Technology, Automotive Technology/Technician
Aetna January 2015 - Present
Aetna June 2014 - January 2015
VMTurbo February 2014 - April 2014
Hartford Investment Management Company May 2013 - July 2013
CareCentrix December 2012 - January 2013
Tonic Life Communications June 2012 - July 2012
Connecticut Junior Soccer Association April 2006 - July 2012
Star Hill Family Athletic Center May 2011 - August 2011
Parks and Facilities Department June 2010 - August 2010
Marchese Landscaping and Lawn Care June 2009 - September 2009
Skills
Leadership, Customer Service, Interpersonal..., Reliability, Community Outreach, Organization, Teamwork, Microsoft Excel, Dedication to work, Multi Tasking, Flexible to Change, Self-motivated Team..., Management, Public Speaking, Social Media, PowerPoint, QuickBase, Computer Proficiency, Loyal, Cash Sales, Agile Project Management, Agile Methodologies
Education
Bentley University 2010 — 2014
Bachelor's Degree, Marketing and Health & Industry
Bealls Inc June 2013 - Present
CareCentrix January 2012 - June 2013
Pharmerica Inc 2008 - 2012
Bealls Inc 2007 - 2008
Marchon Eyewear May 2004 - July 2007
American Medical and Life Insurance Company 2002 - 2004
KOCH Entertainment 2000 - 2002
Dynax Solutions 1999 - 2000
Staff Builders December 1998 - June 1999
Olympus America 1997 - 1999
Skills
CLP, IBM AS/400, RPG, Requirements Analysis, OS/400, Systems Analysis, RPG III, Access, SQL, Visio, EDI, DB2, IBM iSeries, SDLC, IBM Certified, Database Design, Databases, Data Migration, Data Warehousing, Crystal Reports, Software Documentation, Stored Procedures, Business Intelligence
Education
Dowling College 1997 — 1999
BS, Information Technology
Suffolk County Community College 1992 — 1997
Associates of Applied Science, Information Technology
Brentwood High School 1979 — 1982
Brentwood High School 1978 — 1982
Anthem, Inc. January 2014 - Present
Transgenomic March 2013 - December 2013
CareCentrix September 2012 - December 2012
OptumInsight March 2011 - February 2012
Ingenix October 2010 - March 2011
WellPoint April 2009 - October 2010
WellPoint October 2005 - February 2009
WellPoint 1999 - 2005
WellPoint 1985 - 1999
Skills
Process Improvement, Medicare, Vendor Management, Change Management, Cross-functional Team..., Product Development, Business Strategy, Budget Process, Operations Management, Performance Management, Performance Improvement, P & L Ownership, Operational Risk..., Project Management, Corporate Recovery, Business Integration, Management, Managed Care, Insurance, Healthcare Industry, Strategic Planning, Analysis, Healthcare, Training, Data Analysis, Program Management, Business Planning, Risk Management, Mergers & Acquisitions, Business Development, Policy, Budgets, Integration, Executive Management, Business Process..., Project Portfolio..., Project Planning, Employee Benefits, Strategy, Leadership, Analytics, Claim, Health Insurance, Team Building
Education
Albertus Magnus College 2003 — 2005
BS, Business Management and HealthCare
St. Mary's School of Nursing
CareCentrix April 2014 - Present
HealthPlan Services July 2013 - October 2013
ClearPoint Credit Counseling Solutions May 2009 - September 2012
ByDesign Financial Solutions September 2008 - July 2009
ByDesign Financial Solutions October 2007 - August 2008
Premier Academy October 2007 - December 2007
WILD BLUE YONDER FOODS March 2007 - July 2007
MOUNTAIN GEAR, INC February 2006 - August 2006
Westminster Presbyterian Church September 2005 - August 2006
Pacific Landscape Management June 2005 - August 2005
Skills
Credit Counseling, Credit Analysis, Microsoft Excel, Financial Education, Microsoft Word, Data Analysis, Actuarial Science, Customer Service, Credit Scoring, Community Outreach, Debt Management, Public Speaking, Social Media, PowerPoint, Access, Editing, Actuarial Exams, Probability Theory, Microsoft Office, Credit Risk, Financial Risk, Blogging, Cash Flow, Cash Management, Hands-on Training, Personal Budgeting, Credit Cards, Risk Assessment, Speech Writing, Reverse Mortgages, Money Management, Lifestyle Coaching, Behavioral Counseling, Business Networking, Music Theory, Financial Mathematics, DebtPlus, Cisco Agent Desktop, Writing, Non-profits, Foreclosure Prevention, Christian Ministry, Excel VBA, SQL, Toad for Oracle, Medical Economics, Trend Analysis, HCPCS, Database Queries, Corporate Finance
Education
Whitworth University 2003 — 2005
BS, summa cum laude, Mathematics, 3.91
Cascadia Community College 2000 — 2003
Associate of Arts (A.A.), General Studies, 3.72
Universal American (TexanPlus) April 2014 - Present
CHRISTUS Health May 2006 - April 2014
CareCentrix 1997 - 2006
Jesse H. Jones Rotary House International 1995 - 1997
Eckerd Pharmacy 1992 - 1997
Skills
Managed Care, Healthcare Management, Hospitals, Healthcare, Health Insurance, Network Development, HIPAA, Provider Relations, Physician Relations, Physicians, Credentialing, HMO, PPO, Policy, CPT, Medical Devices, Patient Advocacy, Medicare/Medicaid..., Healthcare Industry, Revenue Cycle, Healthcare Information..., Insurance, Medicaid, Medicare, EHR, Claim, EMR, Process Improvement, Customer Service, Team Building, Management, Leadership
Education
Capella University 2010 — 2013
Bachelor of Science, Psychology
Amerigroup//KS Medicaid May 2014 - Present
Paycor July 2012 - May 2014
CareCentrix 2009 - October 2010
Americo Life 2006 - January 2009
Americo Insurance Company 2006 - January 2009
Harold A. Krueger, II, DDS 2004 - 2006
Humana 2001 - 2004
Dental Health Alliance 1999 - 2001
Fortis Dental 1995 - 1999
Fortis 1995 - 1999
Skills
Talent Acquisition, Data Analysis, Sales Management, Onboarding, Team Building, Employee Benefits, Software Documentation, Process Improvement, PowerPoint, Access, HRIS, Visio, Budgets, Account Management, Team Leadership, Customer Satisfaction, Microsoft Word, Project Management, Coaching, SharePoint, Lotus Notes, Benefits Administration, Microsoft Excel, Business Analysis, Policy, Data Entry, Employee Training, Strategic Planning, Analysis, Payroll, Medicare, Deferred Compensation, Healthcare, Recruiting, PeopleSoft, Management, Leadership, Claim, SDLC, Medicaid, Employee Relations, Sales, Vendor Management, HIPAA, Time Management, Performance Management, Change Management, Human Resources, Interviews, Workers Compensation
Education
Baker University 2003 — 2005
MSM, Management
Columbia College 2000 — 2003
BS, Business
Longview Community College
AAS, Business
KC College of Dental Assisting
Certificate, Dental Assisting
Raymore-Peculiar High School 1974 — 1977
Diploma
Apria Healthcare August 2013 - Present
CareCentrix April 2012 - July 2013
Education
University of Phoenix 2013 — 2014
Associate of Arts (A.A.), Health Administration and Electronic Records
Eastern New Mexico University-Roswell Campus 2006 — 2006
Certificate, Certified Nursing Assistance
Catholic Charities of Orange County July 2015 - Present
Catholic Charities of Orange County July 2015 - Present
Ezras Choilim Health Center January 2015 - June 2015
PrecisionCare Software December 2011 - January 2015
Company X May 2010 - August 2011
CareCentrix March 2008 - September 2009
Cyprexx Services December 2005 - August 2007
Skills
Negotiation, Word, Excel, Outlook, Microsoft Office, Database Administration, Access, PowerPoint, Lotus Notes, Customer Service, Writing, Coordination, Visio, Customer Relations, Supervisory Skills, Analysis, Windows, MS Project, Compliance, Planning, Team Building, Administration, SQL Server, Research, Coaching, Documentation, Event Management, Problem Solving, Scheduling, Accounts Payable, Inventory Management, Quickbooks, SAP, Databases, Teamwork, Accounts Receivable, English, Photoshop, Software Documentation, Microsoft Excel, Microsoft SQL Server
Education
University of South Florida 2005 — 2007
Bachelor's degree, Business/Managerial Economics
Florida International University - College of Business 2002 — 2005
Business/Managerial Economics
Spooner Inc November 2014 - July 2015
PES, Inc. April 2014 - November 2014
Aerotek November 2013 - April 2014
TechSaga Corporation November 2011 - January 2012
CareCentrix November 2010 - October 2011
Ponderosa Billing February 2009 - August 2010
Skills
Credentialing and data..., Administrative schedule..., Initial and renewals..., Executive level..., AHCCCS/other state..., NPI registry set up and..., CAQH and NPDB, Fingerprints electronic..., NURSYS and CGFNS reports, PECOS Medicare..., Primary Source..., AHCCCS enrollment..., Business process and..., Conflict and dispute..., EDI setup..., IRS Group Tax ID..., Accreditation standards..., Accreditation standards..., Enrollment auditing and..., OFAC, OIG, and Medicare..., Healthcare facility..., Business model process..., Fluent with Windows XP..., MDStaff, Intellisoft,..., 70+ WPM, Microsoft Office..., Fluent with Adobe..., Google Docs, Sheets…
Education
National American University 2008 — 2010
Associates of Applied Science, Healthcare Administration (HIT)
Everest College-Colorado Springs 2005 — 2006
Diploma, Medical Insurance Specialist/Medical Biller
Wells Fargo September 2014 - Present
State Street September 2013 - September 2014
CareCentrix October 2009 - November 2010
Critical Care Systems Inc. June 2008 - October 2009
Skills
Training, Management, Software Documentation, Auditing, Accounting, Invoicing, Policy, Healthcare, Insurance, Interviews, Coaching
Education
Kaplan University-Des Moines Campus 2012 — 2014
Master of Science in Accounting, Accounting - Audit, 3.4
Baker University 2005 — 2007
Master of Business Administration (MBA), Business Administration and Management, General
Baker University 1996 — 1998
Bachelor of Business Administration (BBA), Business Administration and Management, General
CareCentrix June 2013 - Present
Humana April 2010 - June 2013
Humana March 2010 - May 2011
Aetna US Healthcare May 2007 - March 2010
Skills
Public Health, Hospitals, Healthcare Management, Healthcare Information..., Nursing Education, Healthcare, Patient Safety, Nursing, Inpatient, Health Promotion, Health Education
Education
Florida International University 2008 — 2010
Masters in Public Health, Generalist
Florida International University 2001 — 2004
BSN, Nursing
University of Florida 1998 — 2000
BS, Entommology
CareCentrix January 2013 - February 2015
OSF Home Care November 2003 - November 2010
Midwest Kidney Centers, LLC Aquired by Fresenius Medical Care September 1993 - November 2003
Skills
Training, Healthcare, Medical Coding, Physicians, Budgets, Management, Customer Service, Strategic Planning, Team Building, Process Improvement, Healthcare Management, Medicare, Microsoft Excel, PowerPoint, Managed Care, Microsoft Word, Microsoft Office, Revenue Cycle Management, Claims Denial Appeals, Billing Systems, Collections, Patient Account..., Cash Application, Claims Procedures, Six Sigma Greenbelt, Account Receivable, HIPAA
Education
University of Tampa - John H. Sykes College of Business 2011 — 2012
BS Marketing, Marketing/Business Management
Bradley University 2009 — 2011
Illinois Central College 1993 — 1997
AAS, Associate in Arts and Science
Professional Development
Humana August 2014 - Present
Tampa Pain Relief Centers November 2013 - July 2014
CareCentrix February 2013 - September 2013
Universal Healthcare July 2012 - December 2012
Medco April 2009 - June 2012
Medco August 2008 - April 2009
Sprint together with Nextel March 2005 - May 2008
NW Hillsborough YMCA May 2003 - August 2004
Skills
Public Speaking, Customer Service, Sales, HIPAA, Outlook, Data Entry, Healthcare, Call Center, SharePoint, Sales Operations, Process Scheduler, Call Centers, Interviews, Telephone Skills, Insurance, Training, Managed Care, Medicare, Process Improvement, Team Building, Medicaid
Education
Florida Gulf Coast University 2003 — 2008
Bachelors, Communications
Gaither High School 1999 — 2003
Diploma
CareCentrix August 2013 - Present
Cessna Aircraft Company September 2012 - June 2013
Cessna Aircraft Company May 2011 - September 2012
Bayer HealthCare March 2008 - March 2011
Cadbury Schweppes March 2006 - March 2008
Cadbury Schweppes September 2004 - March 2006
Skills
Business Strategy, Management, Entrepreneurship, Marketing Management, Advertising, Sales, Shopper Marketing, Marketing Strategy, Digital Marketing, Competitive Analysis, Social Media, Marketing, Leadership, Teamwork, Customer Insight, Team Leadership, Cross-functional Team..., Segmentation, Consumer Products, Strategy, Direct Marketing, Sales Operations, Market Research, Product Development, Social Media Marketing, Lead Generation, Business Planning, P&L Management, Integrated Marketing, Strategic Planning
Education
Fairfield University 1990 — 1994
BS, Finance, Marketing
Fairfield University
MBA, Marketing
BioReference Laboratories June 2015 - Present
BioReference Laboratories August 2011 - Present
Accredo - An Express Scripts Company October 2008 - July 2011
CareCentrix October 2007 - October 2008
LabCorp April 2002 - October 2007
Florida Blue 1992 - 2000
Martin W Cohen & Co 1987 - 1990
Education
University of Tampa - John H. Sykes College of Business 1998 — 2001
MBA
CSU Sacramento
Bachelor of Science, Accountancy
CareCentrix March 2015 - Present
MedSolutions February 2014 - March 2015
MedSolutions September 2011 - February 2014
Dell Services August 2009 - September 2011
US Army 2001 - 2007
Skills
Leadership, Program Management, Process Improvement, Team Building, Management, Project Management, Cross-functional Team..., Product Management, Training, Healthcare, Leadership Development, Outsourcing, Software Documentation, Change Management, Start-ups, Project Planning
Education
Lipscomb University 2009 — 2010
Masters, MBA
Austin Peay State University 2007 — 2009
Bachelor, Economics
Retired and enjoying time to pursue personal interests and family Operations Member LiaisonAmerigroup CorporationNovember 2012 - March 2015
CareCentrix October 2009 - November 2012
EDS, an HP Company July 2002 - July 2009
Blue Cross Blue Shield of KS December 2000 - June 2002
Blue Cross Blue Shield of KS July 1996 - November 2000
EDS, an HP Company December 1991 - June 1996
Skills
Microsoft Word, Software Documentation, Healthcare, Healthcare Management, HIPAA, Access, Medicaid, Visio, Project Management, Customer Service, Public Speaking, Microsoft Office, Process Improvement, Vendor Management, SQL, Team Building, Data Analysis, Program Management, Leadership, Troubleshooting, Insurance, Training, Employee Benefits, Microsoft Excel, Managed Care, SDLC, Business Analysis, Strategic Planning, Outlook, Analysis, Quality Assurance, Management, Team Leadership, Customer Engagement, Teamwork
Education
Saint Paul School of Theology 1970 — 1973
Master of Divinity, Professional Ministry
Baker University 1968 — 1970
Bachelor of Arts, Religion
Coffeyville Community College
Associate of Arts (AA)
Washburn University
Accounting I& II
EF Englishtown February 2014 - Present
J M Home Improvement Services August 2010 - January 2014
CareCentrix March 2011 - December 2013
CareCentrix May 2010 - March 2011
New York Center Instituto de Idiomas July 2006 - April 2010
New York Center Instituto de Idiomas October 2005 - July 2006
Skills
Outlook, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, Photoshop, English, Windows, Budget, Teaching, HTML, ESL, Administration, Project Coordination, Network Management, Academic Coordinator, Curriculum Development
Education
Bible School for Christian Couples
Diploma, Bilingual Bible Education
Bloomfield High School
High School Diploma
New York Center Instituto de Idiomas
Teaching English as a Second Language, ESL
Universidad Abierta para Adultos
Diploma, English Linguistics
UnitedHealth Group January 2015 - Present
CareCentrix April 2013 - January 2015
UnitedHealth Group September 2004 - April 2013
Cigna January 2002 - September 2004
Skills
Health Insurance, Contract Managment, Contract Negotiation, Privacy Law, HIPAA, Regulatory Affairs, Vendor Contracts, Litigation Management, Data Privacy, Process Improvement, Employee Benefits, Claims Management, Legal Compliance
Education
Western New England College School of Law 1997 — 2001
Juris Doctor
College of Our Lady of the Elms
Bachelor of Arts (B.A.), Paralegal Studies
Health Integrated, Inc. July 2013 - Present
CareCentrix August 2012 - August 2013
The Jewish Home for the Elderly November 2010 - May 2013
Ludlowe Health and Rehabilitation October 2007 - May 2012
Skills
Nursing, Healthcare, Patient Safety, Medical/Surgical, Healthcare Information..., Inpatient, Medical Terminology, Acute Care, Disease Management, EHR, HIPAA, Home Care, Medicaid, Medicare, Patient Advocacy, Quality Improvement, Utilization Management, Case Management, Nursing Education, Medical-Surgical
Education
Galen School of Nursing-Tampa Bay 2014 — 2015
Associate's degree, Registered Nursing/Registered Nurse
University of Bridgeport 2010 — 2013
Bachelor of Science (BS), Psychology
Bullard-Havens Technical High School 2004 — 2006
License Practical Nurse, Nursing Education
Moffitt hospital 2015 - Present
CareCentrix April 2012 - May 2015
Citi February 2010 - April 2012
Skills
Medical Coding, ICD-9, HIPAA, Process Improvement, Medicare, Prior Authorization, Microsoft Excel, Medical Terminology, Medical Billing, Medicaid, Revenue Cycle, EOB, Medical Records, HCPCS, CPT, Accounts Receivable, Training, Invoicing, Data Entry, Call Centers, Customer Service, Healthcare, Leadership, Management, Software Documentation, Team Building, Vendor Management
Education
Concorde Career Institute-Tampa 1998 — 1999
PATIENT CARE TECH, PATIENT CARE TECHNICIAN
CareCentrix April 2015 - Present
SS&C GlobeOp December 2010 - Present
CareCentrix November 2009 - December 2010
Dollar Thrifty Automotive Group June 1994 - November 2009
UnitedHealthcare November 2007 - September 2009
FedEx Ground June 2007 - September 2007
FedEx Ground July 2005 - June 2007
FedEx Ground November 2004 - July 2005
Skills
Management, Customer Service, Employee Training, Human Resources, Operations Management, Process Improvement, Program Management, Software Documentation, Training, Insurance, Analysis, Employee Relations, Leadership, Team Leadership, Team Building
Education
Albertus Magnus College 2010 — 2012
Master of Business Administration (MBA), MBA, Honors 3.93 GPA
Capital Community College 2009 — 2009
Certificate, Project Management
The University of Connecticut 1998 — 2003
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
Myfertilityawareness.com October 2012 - Present
CareCentrix March 2012 - July 2012
McKesson Health Solutions October 2011 - January 2012
Kriangsak Thepveera, M.D. P.C. November 2008 - September 2011
Healthsource Saginaw/White Pine Mental Health May 2007 - September 2008
Skills
Medical Terminology, Medical Billing, Medical Coding, Medical Records, Office Management, Dental Assisting, Mental Health Law, Editing, Microsoft Excel, PowerPoint, Proofreading, Accounts Payable, Accounts Receivable, Account Reconciliation, PPO, Medicare, Medicare Part D, Medicare Advantage, Medicare/Medicaid..., Medicare Prescription..., Health Insurance, Holistic Health, Healthcare Information..., Appointment Scheduling, medical charting, Eligibility, Third Party Billing, private duty healthcare, Customer Service, Fertility, Infertility, EMT, Pharmacy Technicians
Education
Davenport University 2008 — 2010
Healthcare Administration
Ross Medical Education Center-Saginaw 1995 — 1996
Medical Assistant Certification, Medical/Clinical Assistant
Catamaran December 2013 - Present
Beautycounter October 2013 - Present
CareCentrix September 2012 - November 2013
Express Scripts (formerly Medco) July 2011 - August 2012
Medco 2009 - 2011
UnitedHealthcare 2009 - 2009
United Healthcare 2007 - 2009
United Healthcare 2005 - 2007
CT Multispecialty Group 2004 - 2005
Aetna 2000 - 2004
Skills
Medicare, P&L Financial Management, Medicaid, Strategic Planning, Staff Development, Product Development, Product Marketing, Operations Management, Sales Presentations, Brand Implementation, Field Training, Account Management, Sales, P&L Management, Leadership, Management, Strategy, HIPAA, Cross-functional Team..., Vendor Management, Medicare Part D, Disease Management, Health Policy, Healthcare, Process Improvement, Healthcare Information..., Utilization Management, Health Insurance, Pharmacists, CRM, Healthcare Industry, Pharmacy, Healthcare Consulting, Project Management, Healthcare Management, Employee Benefits, Home Care, Business Requirements, Training, Physicians, Provider Relations, EHR
Education
Briarwoord College
Associate of Science (A.S.), Business Administration and Management, General
Charter Oak State College
Bachelor's degree, Business Administration and Management, General
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2014 - Present
Alexandria Technical and Community College May 2011 - Present
CareCentrix June 2013 - September 2014
CL Healthcare Solutions, Inc. May 2013 - 2014
American Managed Care April 2013 - May 2013
American Managed Care May 2012 - April 2013
WellCare, Inc June 2009 - April 2012
St. Cloud Medical Group April 2008 - June 2009
Allina Hospitals & Clinics November 2005 - April 2008
Skills
Compliance, Billing, Revenue Cycle, Claims, Policy, HEDIS, Quality Management, Regulatory Policy, Regulatory Requirements, Performance Improvement, Key Performance..., Understanding Medical..., Team Leadership, Highly Effective Teams, Medical Coding, Claim, Data, Insurance, Medicaid, Managed Care, Healthcare, CPT, Disease Management, HMO, Leadership, Healthcare Consulting, Training, Software Documentation, Health Policy, Medical Billing, EHR
Education
Cornell University 2013 — 2013
Health Care Executive Leadership
Herzing
Bachelor of Science, Business Administration
Rasmussen Business College
Associate of Applied Science, Health Information Technology2002
CareCentrix August 2015 - Present
Univita Health Inc July 2014 - August 2015
Univita Health Inc September 2013 - June 2014
Healthways January 2011 - September 2013
Healthways January 2010 - January 2011
Hythiam, Inc. June 2008 - January 2010
Healthways January 2003 - June 2008
Gentiva Health Services 1995 - 2001
Skills
Disease Management, Managed Care, Healthcare, Account Management, HIPAA, Sales, New Business Development, Medicaid, Wellness, Healthcare Management, Health Insurance, Healthcare Consulting, Healthcare Information..., Medicare, Healthcare Industry, Business Development, Strategic Planning, Process Improvement, EHR, Health Policy, Start-ups, Management, Leadership, Team Building
Education
Indiana Wesleyan University 1998 — 2000
MBA, business
Bowling Green State University 1977 — 1981
BS Education, Spanish
CareCentrix September 2011 - Present
Presbyterian Health Care June 2010 - September 2011
RTW, Inc. August 2005 - October 2009
PARK NICOLLET CLINIC January 2000 - January 2005
Aspen Medical Group January 1998 - January 2000
ALTRU MEDICAL CLINIC January 1993 - January 1998
MIDWEST INTERNAL MEDICINE January 1991 - January 1993
Aspen Medical Group January 1983 - January 1991
Skills
Medicine, Home Care, Nursing, Healthcare, Healthcare Management, Case Managment, Hospitals, Medical Terminology, PowerPoint, EMR, Microsoft Excel, Microsoft Office, Medicare, Utilization Management
Education
The College Network 2011 — 2013
LPN to RN, Nursing
Augsburg College 1986 — 1987
communications/health
Eden Prairie Vocational tech. 1981 — 1982
Diploma, Licensed Practical Nursing
Suburban Vocational Institute 1981 — 1982
Diploma, Health Unit Coordination
CareCentrix March 2012 - Present
CareCentrix August 2009 - February 2012
CareCentrix November 2009 - August 2011
Renzenberger November 2007 - April 2009
St. Joseph Health Center February 1999 - August 2008
Tolbert Prepartory Academy June 2007 - October 2007
Olathe Medical Center 1992 - 1994
Skills
Medical Terminology, Healthcare, Insurance, Healthcare Management, Managed Care, Hospitals, Customer Service, Medical Billing
Education
Avila University 2002 — 2004
Teaching Certificate, Education/History
Point Loma Nazarene University 1988 — 1992
B.A., Religion
LEGO Group January 2015 - Present
CareCentrix April 2013 - January 2015
Robert Half February 2012 - March 2013
GAF Materials Corporation January 2011 - January 2012
Skills
Temporary Staffing, Temporary Placement, Applicant Tracking..., Contract Recruitment, College Recruiting, Screening Resumes, Customer Service, Human Resources, Staffing Services, Recruiting, Onboarding, Administrative..., Internet Recruiting, Talent Acquisition, Technical Recruiting, Benefits Negotiation, Corporate Recruiting, Candidate Generation, Recruitment Advertising, Sourcing
Education
American University
Bachelor of Arts (BA), Public Relations, Advertising, and Applied Communication
CareCentrix July 2015 - Present
CareCentrix August 2013 - Present
FM Facility Maintenance June 2012 - June 2013
Bank of America November 2011 - March 2012
Best Buy January 2011 - September 2011
Central Connecticut State University January 2008 - November 2010
Skills
Customer Service, Multi Tasking, Problem Solving, Time Management, Communication, High Level Of Accuracy, Sales, Technology, Banking, Cash Management, Public Speaking, Fast Learner, Microsoft Word, Microsoft Excel, Microsoft Office, Visio, Visual Basic, Access, Close Attention to..., PowerPoint, Retail, Outlook, Data Analysis, Teamwork
Education
Central Connecticut State University 2007 — 2012
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Capital Community College 2006 — 2006
Center for Advanced Reproductive Services August 2014 - Present
CareCentrix March 2013 - August 2014
Carestream Health February 2008 - October 2012
Evan Fox, MD LLC. 2001 - 2008
New Britain General Hospital 1998 - 2001
Eastman Kodak 1983 - 1998
Skills
Phlebotomy, Specimen Collection, SAP, SAP CRM, Therapist Helper, Sun Quest, Lotus notes, Bomgar, Coordinating Phase III..., Laboratory Management, Office Management, HCFA -1500, ISO, Technical & Customer..., Team Leadership, Customer Oriented, SOP development, Highly detail oriented, Clinical Research, Hardware, HCFA, Customer Service, Lotus Notes, Clinical Trials, Molecular Biology, Biotechnology, Laboratory, Digital Imaging, Hardware Diagnostics, Lifesciences, Medical Devices, Pharmaceutical Industry, In Vivo, Troubleshooting, Leadership
Education
Eastern Connecticut State University
BS, Biology, Concentration: Microbiology
CareCentrix August 2014 - Present
Boston University School of Management September 2012 - May 2014
Beacon Health Strategies June 2013 - August 2013
Brigham and Women's Hospital April 2013 - May 2013
Olios Health June 2010 - July 2012
JRW Investments, Inc June 2009 - May 2010
Skills
Financial Analysis, Management, Research, Investments, Negotiation, Microsoft Office, Microsoft Excel, Due Diligence, Finance, Market Research, Process Improvement, Business Analysis, Leadership, Healthcare, Project Management, Data Analysis, Analysis, Strategy
Education
Boston University - School of Management 2012 — 2014
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
University of California, Irvine 2002 — 2006
Bachelor of Arts (B.A.), Economics
Franklin Templeton Investments June 2013 - Present
CareCentrix August 2012 - June 2013
Universal Health Care Group July 2011 - August 2012
Universal Health Care Group July 2011 - August 2012
CCS Medical April 2002 - July 2011
CCS Medical April 2002 - July 2011
GTE Telecom July 1999 - May 2001
Skills
Team Building, Medicaid, Medicare, Managed Care, HIPAA, Software Documentation, Access, Health Insurance, Healthcare, Process Improvement, Visio, Call Center, Certified SCRUM Master
Education
Assumption College 1973 — 1977
BA, History
CareCentrix May 2013 - Present
Raymond James & Associates, Inc April 2011 - April 2013
Barclays Capital May 2007 - October 2008
Bank Street Group June 2005 - May 2007
Skills
oBusiness oDeveloping..., Analytical Skills, Corporate Finance, Financial Analysis, Investments, Financial Forecasting, Financial Modeling, Valuation, Mergers, Portfolio Management, Asset Managment, Fixed Income, Bloomberg, Capital Markets, Equities, Derivatives, Financial Reporting, Structured Finance, Analysis, Finance
Education
Carnegie Mellon University - Tepper School of Business 2003 — 2005
MBA, Finance
University of La Verne 1994 — 1998
B.Sc., Economics
CareCentrix January 2015 - Present
McIntyre Group/Standard Oil June 2014 - October 2014
RightClick / FocusVision April 2014 - May 2014
RandStad North America LP/ Hamilton Sundstrand December 2013 - March 2014
The Computer Merchant, Ltd / Sikorsky September 2013 - December 2013
Eze Castle Integration June 2011 - August 2011
Circuit City May 2007 - January 2009
Skills
Computer Hardware, Windows, Windows 7, Computer Repair, Microsoft Office, Linux, Troubleshooting, C++, VHDL, Microsoft Excel, Visual Basic, Remote Troubleshooting, Networking, Visio, Acronis and Clonezilla..., TrueCrypt, Check Point, Networking Security, Eclipse, SQL, HTML, CSS, Symantec Endpoint..., Symantec Ghost 8.3, Windows XP
Education
Central Connecticut State University 2009 — 2013
Bachelor's degree, Computer Engineering Technology, Senior
Central Connecticut State University 2009 — 2013
Computer Engineer Technology, Computer Engineering Technology
Coram CVS/specialty infusion services May 2015 - July 2015
CareCentrix July 2011 - June 2014
Healthcare Support Staffing November 2010 - April 2011
Aetna May 2007 - March 2009
Skills
Health Insurance, Customer Service, Management, Teamwork, Software Documentation, Attention To Detail, Spanish, Microsoft Office, Great People Skills, Staff Training, Home Infusion, Managed Care, Medicaid
Education
Community College of Allegheny County 2007 — 2009
Associate of Science (AS), Liberal Arts and Sciences, General Studies and Humanities
Tacoma Community College 2000 — 2001
Certificate, Human Services, General
CareCentrix
Skills
Healthcare Information..., Software Documentation, Active Directory, Technical Support, Healthcare, Windows XP, Visio, SharePoint, Process Improvement, Troubleshooting, Microsoft Exchange, Windows Server, VMware, IT Management, Access, Computer Hardware, Networking, Management, Leadership, Windows, Microsoft Excel, DNS, Network Administration, Microsoft Word, Team Leadership
Education
Emporia State University
Johnson County Community College
Boston College August 2015 - Present
FTI Consulting June 2015 - August 2015
Learning Resource Center for Student Athletes at Boston College January 2014 - May 2015
Weekapaug Inn Inc May 2014 - August 2014
Sleep Management Solutions (SMS) at CareCentrix May 2013 - July 2013
CareCentrix June 2012 - August 2012
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Leadership, Teamwork, Research, Time Management, Writing
Education
Boston College 2012 — 2016
Bachelor of Science (B.S.), Finance, Philosophy
Glastonbury High School 2008 — 2012
Federal Occupational Health (FOH) July 2015 - Present
Ross Stores, Inc. November 2014 - July 2015
Private Patient at Home April 2012 - June 2014
CareCentrix April 2007 - April 2012
CBIA July 1999 - June 2005
Fleet Bank October 1998 - June 1999
Co-opportunity, Inc. June 1995 - February 1997
Cigna October 1990 - June 1995
Skills
Home Care, Training, Healthcare, Wellness, Medicaid, Medical Assistant, Administrative Suupport, Receptionist, Microsoft Outlook, Customer Service, Health Care Coordination, Data Entry, Time Management, Employee Training, Medical Terminology, Payroll, Insurance, Microsoft Word, Medicare, HIPAA, Health Insurance, Fax, Call Centers, Administration, Healthcare Management, Telephone Skills, Administrative..., Medical Records, Leadership, Managed Care, Healthcare Information...
Education
Fox Institute of Business-West Hartford 2005 — 2006
Certificate Program, Certified Medical Assistant, 3.6
Greater Hartford Community College 1990 — 1990
Certificate Program, Computer Science, 3.4
A F Adderley High School 1976 — 1979
High School Diploma, High School/Secondary Diplomas and Certificates, 3.0
CareCentrix May 2015 - Present
CareCentrix January 2010 - Present
Promethean Surgical Devices September 2008 - April 2009
WFSB Channel 3/WSHM CBS 3/Meredith Corporation September 2005 - September 2008
WFSB Channel 3 August 2004 - September 2005
Carberry, O’Malley, Riley and Selinger, P.C August 2001 - August 2004
Skills
HIPAA, Process Improvement, Project Management, MS Project, Healthcare Information..., Healthcare Management, Managed Care, Healthcare, Medicaid, Analysis, Human Resources, Management, Data Entry, Training, Medicare, Vendor Management, Leadership, Team Building
Education
Eastern Connecticut State University 2005 — 2009
Bachelors Degree, Human Services/Business Administration
University of New Hampshire 1999 — 2001
None, Social Work
CareCentrix March 2015 - Present
CareCentrix August 2013 - March 2015
CareCentrix July 2009 - August 2013
Skills
Data Analysis, HIPAA, Healthcare, Healthcare Management, Leadership, Managed Care, Management, Process Improvement, Team Building, Training, Customer Service, Healthcare Information..., Medicaid, Medicare, Microsoft Excel, PowerPoint
Education
Albertus Magnus College 2006 — 2009
Bachelor's degree, Business Administration and Management, General
Central Connecticut State University 2001 — 2003
CareCentrix May 2015 - Present
Freedom Health February 2015 - May 2015
Skills
Acute Care, Long-term Care, Medical Record Review..., Healthcare, Managed Care, HIPAA, Health Insurance, Nursing
Education
D G Erwin Technical Center 2010 — 2011
Diploma, License Practical Nurse
UnitedHealth Group April 2014 - Present
CareCentrix April 2013 - April 2014
Developers Design Essentials December 2011 - November 2012
ROCKY POINT MARKET OF TAMPA October 2008 - November 2012
Images gallery and design August 2004 - July 2006
Skills
Foreign Languages, Microsoft Excel, Microsoft Word, Restaurants, Wiring, Platforms, Sales, Project Management, Event Management, Bar, Customer Service, Technical Translation, Technical Support, Pharmacology, Pharmaceutical Industry, Executive..., Assisting Executives, Cross-functional Team..., Managed Care, Training, Team Building, Healthcare, Medicare, Healthcare Management, Management, Process Improvement, Account Management
Education
University of Florida 1998 — 2000
Academy of Art University 1997 — 1998
CareCentrix May 2015 - Present
FM Facility Maintenance April 2014 - May 2015
Skills
Microsoft Office, Customer Service, Microsoft Word, PowerPoint, Management, Leadership, Public Speaking
Education
Manchester Community College 2011 — 2014
Medical Office Administrative
Fox Institute of Business-West Hartford 2010 — 2011
Medical Assistant
Retired and plan to travel December 2014 - Present
CareCentrix March 2012 - December 2014
Gulf Coast Rehabilitation Services October 2012 - August 2013
Lifepath Hospice/Chapters May 2007 - May 2012
New York City Health & Hospitals Corp. January 1979 - December 2005
Skills
Healthcare Management, Case Management, Medicare, Home Care, Hospitals, Managed Care, Medicaid, HIPAA, Nursing, Healthcare Information..., Clinical Research, EMR, EHR, Disease Management, Medical Records, Acute Care, Patient Advocacy, Insurance, Health Insurance, CPT, Provider Relations, Elder Care, JCAHO, Health Education, Revenue Cycle Management, Long-term Care, Public Health, Medical Coding, ICD-9, Revenue Cycle, Healthcare Industry, HCPCS, Health Policy, Medical Compliance, Informatics, Credentialing, Healthcare Consulting, Patient Safety, Accreditation, Medical Billing, HMO, Medicare Part D, Medicaid Managed Care, Palliative Care, Utilization Management, Medical Terminology, PPO, Claim, Healthcare, Public Speaking
Education
Cornell /New York City Division 2001 — 2002
Certificate/ International Labor Relation, Labor and Industrial Relations
Binghamton University 1972 — 1976
Bachelor of Arts (B.A.), Sociology
State University at SUNY Binghamtom 1972 — 1976
Bachelor of Arts (BA), Sociology
JSA Healthcare Corporation July 2015 - Present
JSA Healthcare Corporation August 2012 - July 2015
CareCentrix August 2011 - August 2012
Florida Hospital Connerton March 2010 - November 2011
Consulate Management Company April 2009 - November 2011
Kindred Healthcare January 2011 - July 2011
Skills
Hospitals, Healthcare Management, Nursing, Utilization Management, Home Care, Case Managment, Utilization Review, Healthcare, Managed Care, Acute Care, Medical/Surgical, Disease Management, Medicaid, Medicare, BLS, Inpatient, EMR, Patient Advocacy, Patient Safety, IV, Nursing Education, Medication..., Wound Care, Palliative Care, Patient Education, HIPAA, Physician Relations, JCAHO, Direct Patient Care, Critical Care, Medical Terminology, Case Management
Education
Excelsior College 2014 — 2016
Associate of Science (A.S.), Registered Nursing/Registered Nurse, 3.83
D G Erwin Technical Center 2008 — 2009
Licensed Practical Nurse Training, 3.87
CareCentrix March 2011 - May 2015
Leading Edge Consults, LLC - Consultants March 2009 - February 2011
Cardinal Health, Inc March 2004 - March 2009
Leading Edge Consults January 2002 - April 2004
John Hancock Financial Shared Services, Inc January 1999 - January 2002
Bank of AmericaCard Services Division January 1993 - January 1999
American Express - Optima April 1988 - December 1993
Skills
Call Center, Program Management, Leadership, Customer Service, Budgets, Recruiting, Sales, Cash Management, Credit Risk, Process Engineering, Accounts Receivable, Windows, Plannning, Credit, Analysis, Six Sigma, Call Centers, Process Improvement, Operations Management, Business Analysis, Strategy, Strategic Planning, Consulting, Proposal Writing, Negotiation, Vendor Management, Management, Start-ups, Training, Business Process..., Cross-functional Team..., Finance, Business Process, Team Building, Change Management, Executive Management, Healthcare, Team Leadership
Education
Concordia University Chicago
CareCentrix March 2013 - July 2013
Northeast Utilities (CL&P, NSTAR, PSNH, WMECO,Yankee Gas) May 2011 - December 2011
Bank of America March 2004 - March 2008
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Medical Terminology, ICD-9, ICD-10, PowerPoint, 10 Key, Data Entry, Customer Service, Claims Handling and...
Education
Capital Community College 2004 — 2011
Some Medical and Business Courses, Medical/Clinical Assistant
Manchester High/ Adult Education 2000 — 2003
Dipolma, General Studies
CareCentrix December 2012 - Present
Morgan Stanley Smith Barney October 2008 - January 2012
Cushman & Wakefield 2001 - October 2008
Prudential Financial 2001 - 2008
GVA Williams 1996 - 2001
The Bank of New York 1992 - 1996
Prodigy 1987 - 1992
Skills
Corporate Real Estate, Real Estate, Portfolio Management, Asset Managment, Leases, Disposition, Due Diligence, Real Estate Transactions, Property Management, Facilities Management, Investment Properties, Contract Negotiation, Shopping Centers, Property, Brokerage, Negotiation, Location Intelligence, Strategy, Real Estate Development, Real Estate Economics, Tenant, Lease Administration, Lease Negotiations, Commercial Real Estate, Acquisitions, Management, Leadership, Asset Management
Education
Rutgers, The State University of New Jersey-Newark 1982 — 1984
MBA, Finance
State University of New York at Binghamton 1978 — 1982
BA, Psychology
CareCentrix January 2013 - Present
Health Net May 1992 - March 2012
Dunhill July 1986 - May 1992
Skills
Change Management, Succession Planning, Career Pathing, Focus Group Facilitation, Program Development, Training Facilitation, Team Building, Collaborative, Employment Law, Internal Investigations, Focus Groups, Organizational Design, Employee Relations, Organizational..., Human Resources, Leadership, Organizational..., Training, Strategy, Talent Management, Insurance, Employee Benefits, Leadership Development, Employee Engagement, Management, Process Improvement, Performance Management, Personnel Management, Vendor Management, Workforce Planning
Education
Dean College
Associates Degree, Business
Hopkins School
CareCentrix March 2015 - Present
CareCentrix September 2012 - March 2015
North Family Medicine Ltd. May 2005 - October 2010
North Family Medicine Ltd. May 2000 - May 2005
Skills
Cross-functional Team..., Management, Marketing, Marketing Strategy, Microsoft Office, Operations Management, Process Improvement, Project Management, Leadership, Program Management
Education
Arizona State University - W. P. Carey School of Business 2009 — 2011
MBA, Marketing
Arizona State University - W. P. Carey School of Business 2002 — 2005
BS, Management
MetLife March 2013 - Present
Cigna Investment Management June 2009 - March 2013
CareCentrix August 2007 - June 2009
Maxim Healthcare July 2004 - June 2009
Aetna May 2007 - August 2007
New England Home Care April 2004 - May 2006
Alzheimer’s Resource Ctr January 2004 - May 2004
Skills
Clinical Research, Medicine, Pediatrics, Medical Records, Insurance, Healthcare, Nursing, Hospitals, Healthcare Management, Case Managment, Healthcare Information..., Management, Home Care, EMR, Analysis, Child Development, Pregnancy, Disease Management, Motivational..., Wellness Coaching, Managed Care, Cpr Certified, Health Insurance, Medical Terminology, Wellness, Utilization Management, HIPAA, Medicare, Patient Advocacy, Long-term Care, ICD-9, Employee Benefits, Medicaid, Patient Safety, Patient Education, Health Education, Inpatient, Nursing Education, Case Management, CPR Certified
Education
Capital Community College 2013 — 2016
Associates degree, RN
EC Goodwin Technical School 2002 — 2004
LPN, Nursing, 3.9
Bristol Central High School 1994 — 1998
High School Diploma
CareCentrix March 2013 - Present
FM Facility Maintenance September 2011 - July 2012
Advantage Sales and Marketing January 2010 - September 2011
Walmart August 2008 - April 2009
Skills
Customer Support, MS Office, PC Tech (Hardware), 6500 ksph, Customer-focused, Database Systems, Incoming, Intranet Portals, Customer Surveys, Accounts Payable, Inbound Marketing, Outbound Marketing, Switchboard, Self-driven, Non-profit Program..., Telephone Manner, Presentation Design, Research Institutes, Telemarketing, Keyboard Skills, Headsets, Software, Microsoft Applications, Sales, Paperwork, Grant Writing, Healthcare, Technology, Scripting, Maintenance Management, Alarm Management, Training
Education
Capital Community College
Associates, Mental and Social Health Services and Allied Professions
Canton High School 1998 — 2001
High School, General Studies
CareCentrix October 2013 - Present
Healthagen, Aetna September 2011 - October 2013
Aetna May 2011 - September 2011
Aetna April 2009 - May 2011
Aetna April 2009 - May 2011
Aetna April 2006 - April 2009
Skills
Clinical Analytics..., Health Policy, Healthcare Information..., Health Insurance, Healthcare Management, Disease Management, Healthcare, Informatics, Managed Care, Accountable Care, Quality Improvement, Utilization Management, Clinical Research, Internal Medicine, Provider Relations, Medicine, Healthcare Consulting, Medicare, Healthcare Industry, Physicians, Network Development, HIPAA, EHR, Medicaid, Hospitals, Health Economics, Pharmacy Benefit..., Health Care Reform, Public Health, Physician Relations
Education
Columbia University College of Physicians and Surgeons 1990 — 1995
MD/MPH, Epidemiology
Harvard University 1986 — 1990
AB, History of Science
CareCentrix September 2013 - Present
Hewlett-Packard March 2013 - August 2013
UnitedHealth Group January 2012 - December 2012
United Health Group March 2010 - December 2011
Secure Energy Solutions August 2009 - February 2010
MassMutual Financial Group August 2008 - April 2009
Starbucks Coffee Company August 2007 - August 2008
The Sports Authority June 2007 - August 2007
Skills
Employee Benefits, Strategic Planning, Management, Process Improvement, Account Management, Social Media, Insurance, Marketing, Customer Service, Sales, Training, Networking, Analysis, Accounting, Team Building
Education
Central Connecticut State University 2004 — 2008
BA, Psychology/Marketing
Mitchell College 2003 — 2004
CareCentrix May 2014 - Present
Bracewell & Giuliani LLP September 2011 - April 2014
Skills
Nonprofits, Microsoft Office, Research, Public Speaking, PowerPoint, Microsoft Excel, Microsoft Word, Customer Service, Strategic Planning, Social Media, Event Planning, Outlook, Photoshop, Negotiation, Fundraising, Legal Research, Legal Writing, Spanish, Securities Litigation, Contract Negotiation, Litigation, Securities Regulation, Westlaw, Civil Litigation
Education
Brooklyn Law School 2008 — 2011
Doctor of Law (J.D.)
Regis High School 1995 — 1999
Richards Hypnotherapy and Spiritual Offerings, LLC April 2012 - Present
Richards Hypnotherapy and Spiritual Offerings, LLC September 2011 - Present
Carecentrix 1996 - 2010
Decimus Corp March 1979 - February 1989
Skills
Training, Hypnotherapy, Wellness, Pain Management, Coaching, Insomnia, Smoking Cessation, HIPAA, Team Building, Healthcare Information..., Public Speaking, Leadership, Personal Development, Program Development, Medicaid, Healthcare Management, Wellness Coaching, Hospitals, Life Coaching, Medicare, Process Improvement, Provider Relations, Healthcare Industry, Performance Improvement, Utilization Management, Disease Management, Lifestyle Coaching, Treatment, CPT, EMR, Healthcare Consulting, Stress Management, Meditation, Stress, Physician Relations
Education
Southwest Institute of Healing Arts 2012 — 2012
Mind Body Wellness Practitioner/Clinical Hypnotherapy/Spiritual Studies
Diablo Valley College 1972 — 1974
Associate's degree, Business Administration and Management, General
General Braddock High School 1962 — 1966
General - Vocational
AvMed February 2015 - Present
CareCentrix February 2013 - February 2015
Moffitt Cancer Center March 2012 - February 2013
WellCare Health Plans, Inc. February 2011 - March 2012
WellCare Health Plans, Inc. 2007 - February 2011
Skills
Managed Care, Medicare, Health Insurance, Healthcare, SAS, Medicaid, Insurance, Data Analysis, Process Improvement, HIPAA, Financial Analysis, Visio, Hospitals, Access, Healthcare Management, Health Policy, Business Analysis, Analysis, Healthcare Information..., Claim, Healthcare Analytics, Healthcare Consulting, Business Intelligence, Health Economics, Analytics, Healthcare Industry, Provider Relations, Revenue Cycle
Education
University of Tampa 2007 — 2009
MBA, Finance
Baruch College, City University of New York (CUNY) 1999 — 2003
BBA, Finance
Beacon Health Options April 2015 - Present
Beacon Health Options October 2014 - March 2015
CareCentrix July 2009 - March 2014
Magellan Health January 2005 - May 2009
National Imaging Associates February 2004 - December 2004
National Imaging Associates April 2000 - January 2004
National Imaging Associates May 1996 - March 2000
Respironics / Vitalog Monitoring Inc. May 1994 - April 1996
Skills
Healthcare, Healthcare Management, Managed Care, Operations Management, Program Implementation, Utilization Management, Cross-functional..., Cross-team Collaboration, Account Management, Call Center Development, Operations Process..., Customer Satisfaction, Benefits Management, Health Insurance, Call Centers, Healthcare Industry, Healthcare Information..., Provider Relations, Strategic Planning, Call Center, Process Improvement, Medicaid, Contract Negotiation, Medicare, Healthcare Consulting, HMO, Health Policy, Cross-functional Team..., Leadership, Team Building, Management
Education
Far Eastern University
Bachelor’s Degree, Mass Communication
Anthem, Inc. November 2014 - Present
WellPoint July 2011 - June 2014
CareCentrix January 2011 - June 2011
Community Health Network of Connecticut January 2007 - December 2010
Maxim Healthcare Services October 2002 - December 2006
Skills
Managed Care, Health Insurance, Provider Relations, HIPAA, Medicaid, Network Development, Hospitals, Healthcare, Medicare, HMO, Leadership, Healthcare Management, Healthcare Information..., Strategic Planning, Healthcare Industry, Credentialing, Health Policy, PPO, Healthcare Consulting, Insurance, Utilization Management, Disease Management, Physician Relations, Claim, Physicians, ICD-9, Medicare Part D, Revenue Cycle, Medical Coding
Education
Bryant University 1998 — 2002
BS, Business Administration
Horizon Blue Cross Blue Shield of New Jersey March 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2011 - March 2013
CareCentrix December 2009 - July 2011
HR Acuity December 2007 - December 2009
State of New Jersey January 2007 - November 2007
Healthstar Communications April 2004 - January 2007
State of New Jersey October 2003 - March 2004
Clarkson University January 2003 - April 2003
Skills
Project Management, Project Planning, Microsoft Project, Planview, Visio, Budget Management, Business Analysis, Healthcare, Scope Management, Change Management, Enterprise Risk..., Vendor Management, Managing Offshore Teams, Business Systems..., Business Process..., Business Process..., Release Management, UAT Coordination, Training, Data Analysis, IBM Blueworks Live, SharePoint, Microsoft Excel, Access, SQL, Toad, Query Analyzer, Microsoft SQL Server, Oracle, ClearQuest, JIRA, FogBugz, Scarab, iTracker, PR Tracker, Axure RP, Adobe Creative Suite, Photoshop
Education
Clarkson University 2002 — 2003
MBA, Supply Chain Management, Business Administration
National Institute of Information Technology 1999 — 2002
Diploma, Information Systems
University of Mumbai 1999 — 2001
Bachelor, Commerce, Business Management
Bloomberg LP December 2014 - Present
Bloomberg LP May 2011 - December 2014
Tallan January 2010 - December 2014
International E-Z UP, Inc. December 2010 - May 2011
CareCentrix March 2010 - December 2010
TransPerfect Translations February 2007 - December 2009
Hospital for Special Surgery July 2004 - February 2007
HRA/DSS June 2001 - June 2004
Skills
.NET, Microsoft SQL Server, SQL, JavaScript, Oracle, Software Development, Object Oriented Design, Relational Databases, XSLT, Investment Strategies, J2EE Web Services, Wealth Management, Web Applications, C#, ASP.NET MVC, WPF, jQuery, Entity Framework, Database Administration, Architecture, Java, Spring, Hibernate, PL/SQL, Maven2, SOA, SOAP, SoapUI, ADO.NET
Education
New York University- Stern School of Business 2006 — 2009
MBA, Quantitative Finance/Information Systems
City University of New York-Hunter College 1996 — 2001
Bachelor of Science, Computer Science/Mathematics
CareCentrix September 2010 - Present
Acxiom September 2000 - September 2010
Skills
Active Directory, Windows Server, VPN, HP, Software Installation, Hardware, XP, Servers, Technical Support, Windows 7, Microsoft Certified..., Windows XP, Troubleshooting, Laptops, Operating Systems, SCCM, System Deployment
Education
Arizona State University
Community Health Network of Connecticut, Inc. October 2011 - Present
CareCentrix January 2007 - November 2011
The Hospital of Central Connecticut January 2006 - January 2007
Education
Columbia University in the City of New York 1995 — 1998
CareCentrix
Skills
Process Improvement, Data Analysis, Financial Modeling, Cross-functional Team..., Training, Financial Reporting, Healthcare, Analysis, Forecasting, Management, Financial Analysis, Team Building, Leadership, Business Analysis, Access
Education
Dowling College 1984 — 1993
Amerigroup June 2014 - Present
Amerigroup Corporation August 2011 - June 2014
Health Net of the Northeast, Inc. , division of Health Net, Inc. September 2009 - June 2011
Health Net of the Northeast, inc. , division of Health Net, Inc. March 2006 - September 2009
CareCentrix November 2004 - March 2006
Anthem March 2001 - September 2004
DSL.net October 2000 - August 2001
In-House Marketing, LLC September 1994 - September 2000
The Warner Theatre 1999 - 2000
Borough of Litchfield - Litchfield, CT 1994 - 1998
Skills
Regulations, Healthcare Management, Process Improvement, Medicare, Medicaid, Healthcare, Utilization Management, Nursing, Case Managment, Home Care, Hospitals, Leadership, Software Documentation, Training, Healthcare Industry, Program Management, Team Building, Management, Disease Management, Case Management, Managed Care, Physicians
Education
University of San Francisco - School of Management 1980 — 1984
MBA, Marketing
Duquesne University 1970 — 1975
B. S., Nursing
Sandata Technologies July 2014 - Present
Loving Care Agency, Inc February 2013 - July 2014
Loving Care Agency Inc. December 2007 - January 2013
CareCentrix 2006 - 2007
Gentiva Health Services 2000 - 2007
Gentiva 2000 - 2007
Olsten Staffing Services 1995 - 2000
Skills
Healthcare, Medicare, Managed Care, Healthcare Management, Hospitals, Nursing, Medicaid, HIPAA, Process Improvement, Healthcare Information..., Healthcare Industry, Team Building, Strategic Planning, Budgets, Customer Service, Provider Relations, Clinical Research, Home Care, Network Development, HMO, EMR, Disease Management, Revenue Cycle, Management, Elder Care
Education
City University of New York-Brooklyn College 1973 — 1977
Bachelor of Science (BS), Accounting
Brooklyn Technical High School 1969 — 1973
Diploma, College Preparatory
Carecentrix July 2012 - Present
CareCentrix, Ancillary benefits manager January 2012 - October 2012
WellCare Health Plans, Inc. July 2011 - September 2011
WellCare Health Plans May 2006 - July 2011
WellCare June 2008 - August 2009
Gentiva Health Services May 1999 - February 2006
Shands Homecare 1995 - 1999
Skills
Certified in Health..., Health Policy, Managed Care, Medicare, Health Care Compliance, Medicaid, Disease Management, Utilization Management, Healthcare, Home Care, Medical Compliance, Cross-functional Team..., HIPAA, Clinical Research, Health Insurance, Healthcare Management
Education
Emory University 1978 — 1979
Master of Medical Science, Clinical Nutrition with Education minor
Florida State University
Bachelor of Science, Clinical Nutrition/Dietetics
Massachusetts General Hospital Dietetic Internship
Dietetics and Clinical Nutrition Services
Hard Rock International March 2015 - Present
Walt Disney World February 2015 - March 2015
CareCentrix June 2014 - January 2015
Kenos Technologies LLC May 2013 - June 2014
Walt Disney World July 2012 - January 2014
Assa Abloy Hospitality December 2011 - July 2012
Adacel June 2009 - December 2011
McCree General Contractors and Architects June 2007 - January 2009
Geek Squad November 2006 - August 2007
Comcast Cable January 2005 - November 2006
Skills
Servers, Active Directory, Microsoft Office, XP, VPN, Troubleshooting, Windows Server, MS Project, Windows 7, Help Desk Support, Computer Hardware, Project Management, Budgets, Windows, TCP/IP, Hardware, Network Security, DNS, Information Security, Linux, Apple, Firewalls, Risk Management, Risk Assessment, Physical Security, CompTIA Network+, CISSP, security, Information Assurance, Vulnerability Assessment, Vulnerability Management, Vulnerability Scanning, Computer Security, Penetration Testing, Disaster Recovery, Compliance, Information Security..., IT Risk Management, IT Operations, IT Security Policies, IT Audit, Information Security..., Backtrack, Linux System..., VMware, VMware ESX, Cloud Security, Security Operations, Network Administration, Wireless Networking
Education
Capella University 2011 — 2014
Bachelor's Degree, Information Assurance and Security
CoAdvantage August 2015 - Present
CareCentrix January 2013 - August 2015
University Hospitals of Cleveland March 2008 - January 2013
CSC 2008 - October 2010
National City Bank 2006 - 2008
HCR Manor Care 2005 - 2006
IBM 2004 - 2005
Delphi 2002 - 2003
Ernst & Young 2000 - 2002
Skills
CISSP, HIPAA, Active Directory, IT Governance, Information Security, IT Audit, Security, Penetration Testing, Information Security..., Vulnerability Management, Network Security, PCI DSS, Application Security, Vulnerability Assessment, Computer Security, Security Architecture..., ITIL, Business Continuity, Risk Assessment, Identity Management, Incident Response, Ironport, McAfee, Websense, Quest Tools, Budget, Data Loss Protection, Powershell, Data Center, SAS70, NIST, IT Strategy, Great Organizer, CISM, FISMA, ISO 27001, Information Technology, DLP
Education
Carnegie Mellon University 2003 — 2004
MISM, Management Information Systems, General
University of Michigan - Stephen M. Ross School of Business 1996 — 2000
Bachelor of Business Administration (BBA), CIS and Finance
CareCentrix October 2006 - April 2012
Universal Technical Institute 2004 - 2006
Health Net 1999 - 2003
PacifiCare Health Systems 1998 - 1999
American Express February 1979 - 1998
Skills
Medicare, Healthcare, Healthcare Management, Healthcare Information..., Hospitals, HIPAA, Medicaid, Home Care, Healthcare Industry, Process Improvement, EMR, Health Insurance, Healthcare Consulting, Leadership
Education
Arizona State University, W. P. Carey School of Business 1997 — 1999
Master of Business Administration (MBA)
Arizona State University
Bachelor of Science (BS), Operations Management and Supervision
Thomas Houston associates, inc. May 2010 - Present
CareGuide November 2008 - March 2010
CHCS Services, Inc. April 1999 - November 2008
Thomas Houston and Associates Inc. January 2004 - January 2007
CareCentrix April 1996 - April 1999
Skills
Affirmative Action, Social Media, Project Portfolio..., Software Implementation, E-learning, OFCCP, Project Management, E-Learning, Program Management, SharePoint, Change Management
Education
Villanova University 2007 — 2007
Masters Certification in Project Management for IS/IT Professionals, Project Management
Florida Atlantic University 1992 — 1996
Bachelors, Health Care Administration
CareCentrix May 2015 - Present
Express Scripts September 2006 - April 2015
Express Scripts March 2011 - September 2013
Medco health solutions June 2010 - March 2011
Medco Health Solutions December 2009 - July 2010
Medco Health Solutions October 2007 - December 2009
Medco Health Solutions October 2006 - 2007
Health Integrated 2005 - 2006
Havensure April 2004 - 2005
CIGNA 1995 - 2004
Skills
Strategic Design, Change Management, Tactical Development, Team Leadership, Program Management, Integrated Marketing, Leadership, Marketing Communications, Staff Development, Managed Care, Healthcare, Health Insurance, Medicare, Healthcare Information..., Healthcare Management, Disease Management, Process Improvement, Strategic Planning, Business Development, Team Building, Hospitals, Account Management, Cross-functional Team..., Medicare Part D, Pharmacy, CRM, Insurance, Employee Benefits, Medicaid, Vendor Management, Utilization Management, Healthcare Industry, Training, Management, Leadership Development, Health Policy
Education
Cornell University 2005 — 2006
Certification, Leadership and Strategic Management
University of Connecticut 1987 — 1990
associates, business
CareCentrix March 2010 - Present
Skills
Access, Quality Assurance, Analysis, Testing, Data Analysis, Software Documentation, Visio, Databases, Management, Process Improvement, Microsoft Excel, SharePoint, MS Project, Toad Analysis for Data...
Education
Florida Agricultural and Mechanical University
CareCentrix January 2009 - Present
Skills
Requirements Analysis, Agile Methodologies, SDLC, Enterprise Architecture, Integration, MS Project, Business Analysis, PMP, PMO, HIPAA, EHR, IT Strategy, HTML, Rational XDE, Process Improvement, Project Portfolio..., Visual Basic, Business Process..., PL/SQL, XML, PHP, Systems Analysis, ClearCase, Perl, DB2, Testing, UML, Visio, Leadership, Business Intelligence, Healthcare, SharePoint, ClearQuest, J2EE Application..., Oracle, IT Management, Software Project..., Microsoft SQL Server, Vendor Management, Business Process, Struts, Healthcare Information..., EJB, Program Management, Project Management, CRM, Data Warehousing, Test Automation, Requirements Gathering, Change Management
Education
Clarkson University 2003 — 2004
M.S
University of Moratuwa 1997 — 2002
Bachelor of Science (B.Sc.)
Cognizant Technology Solutions November 2008 - Present
CareCentrix 2012 - 2013
Hewitt Associates 2000 - 2010
Education
Birla Institute of Technology and Science, Pilani
MS Software systems, Software Systems
Accusoft June 2014 - Present
Accusoft June 2012 - June 2014
Suncoast Solutions December 2010 - July 2012
Tallan December 2005 - December 2010
CareCentrix 2010 - 2010
OSI January 2005 - December 2005
Modulant 2001 - January 2005
Interactive Performance INC 1999 - 2001
Harris Teeter 1990 - 1997
Skills
VB.NET, SQL Server, C#, Visual Studio, Analysis Services, Certified Project..., PMP, Managerial Experience
Education
University of South Carolina - The Moore School of Business 2004 — 2006
MBA
College of Charleston 1995 — 1999
BS Computer Science
CareCentrix November 2001 - Present
Skills
Health Insurance, Healthcare, Managed Care, Process Improvement, HIPAA
Education
Arizona State University 1996 — 1999
B.A., English
CareCentrix March 2015 - June 2015
Independent Consultant January 2013 - January 2015
CIGNA October 2011 - March 2013
The Hartford August 2009 - January 2011
CIGNA Healthcare August 1997 - January 2009
WellPoint 1996 - 1997
Skills
Training, Recruiting, Business Analysis, Healthcare, Account Management, Sales Management, Process Improvement, Health Insurance, Leadership Development, Employee Benefits, Management, Leadership, Project Management, New Business Development, Insurance, Sales, Talent Management, Analysis, Customer Service, Vendor Management, Risk Management, Change Management, Program Management
Education
Boston University
BS, Business Administration
College of Saint Elizabeth
MS, Management
Wunderman Seattle February 2012 - Present
Sublime Media June 2009 - January 2011
CareCentrix September 2002 - December 2007
Skills
Budgeting, Customer Service, Administration, Policy, Employee Relations, Budgets, System Administration, Project Management, MS Project, Coaching, Project Planning, Microsoft Excel, Project Coordination, Leadership Development, Creative Direction, Cross-functional Team..., Leadership, Management, Microsoft Project, Online Advertising, Process Improvement, SDLC, Social Media, Social Media Marketing, Software Documentation
Education
Colorado Technical University 2011 — 2012
BS Business Administration, Project Management
Emdeon November 2014 - Present
Medical Audit Solutions, Inc. February 2004 - September 2014
CareCentrix August 2012 - November 2012
Quality Health Plans January 2010 - December 2011
Citrus Health Plans January 2009 - January 2010
Amerigroup Corporation February 2004 - October 2008
WellCare 2000 - 2004
Skills
Contract Negotiation, Health Insurance, Microsoft Office, Healthcare, Excel, Medicare, Compliance, Managed Care, Auditing, Process Improvement, Word, Strategic Planning, PowerPoint, Claims, Data Analysis, Problem Solving, Hospitals, Negotiation, Documentation, Billing, Outlook
Education
AAPC - American Association of Professional Coders 2007 — 2008
Certification - CPC - Certified Professional Coder, Medical Insurance Coding Specialist/Coder, Passed Exam for Certification
Univeristy of Central Florida 2006 — 2006
Certificate, Legal Nurse Consultant, 4.0
University of Tampa 1992 — 1994
Bachelor's of Science Degree, Nursing
Allegany College of Maryland 1981 — 1984
AA Degree, Nursing
HCR ManorCare September 2012 - August 2015
CareCentrix April 2009 - October 2012
Guardsmark April 2006 - November 2007
Porsche/Audi/Mercedes Benz of Albuquerque January 2001 - November 2005
Skills
Human Resources, Healthcare Management, Management, Leadership, Project Coordination, Healthcare Information..., Healthcare, HIPAA, Medicare, Medicaid, Software Documentation, Policy, Case Managment, ADP Payroll, Administrative..., Process Improvement, Program Management, Access, PeopleSoft, Horizon Meds Manager, Microsoft Office, Customer Service, Training, Case Management, Team Building
Education
The University of New Mexico 1997 — 2000
Bachelor's Degree, Organizational Learning & Instructional Technologies, 4.0 GPA
Central New Mexico Community College
Associate's Degree, Manufacturing Technologies, 3.5 GPA
CareCentrix Supervisor - International AccountsAetna US HealthCareJanuary 1989 - August 1997
Education
Florida Metropolitan University
Associates, HealthCare Business Administration
CareCentrix June 1999 - Present
Gentiva Health Services February 1997 - June 1999
Olsten Health Services February 1995 - June 1997
Skills
Healthcare, Contract Management, Leadership, HIPAA, Healthcare Management, Healthcare Information..., Process Improvement, Hospitals, Medicaid, Provider Relations, Health Insurance, Healthcare Industry, Call Centers, Medical Billing, Medicare, Coaching
Education
Project Management Academy 2014 — 2014
PMP Certification, Project Management
Biola
BS, Nursing
Biola University
BS in Nursing
Aetna February 2009 - May 2009
Aetna 2006 - 2007
Per-Se Technologies 2005 - 2006
CareCentrix December 2001 - August 2005
Homecare Management Strategies Inc 1997 - 2001
Skills
Hospitals, Healthcare Management, Healthcare, Customer Service, Managed Care, Medicare, HIPAA, Medical Coding, Leadership, Home Care, Team Building
Education
Cambridge College
NVCC
AustinCSI April 2015 - Present
Concierge Core Services LLC March 2013 - April 2015
CareCentrix March 2011 - March 2013
CSL Plasma June 2008 - March 2011
Purple Herring August 2009 - December 2009
Tri-City Cardiology June 2007 - March 2008
American Mortgage Specialists 2005 - 2006
Skills
Superior written &..., Building Strong..., Long Term Business..., Relationship Improvement, Statistics, Analysis, Creative Work, Microsoft Applications, Microsoft Excel, PowerPoint, Deadline Driven, Business Math, Mathematics, Book Writing, British Literature, Quality Assurance, Word Processing, Clinical Research, Medical Terminology, Hospitals, Healthcare, Clinical Trials, EKG, Patient Safety, Data Entry, HIPAA, Medical Records, Medical Billing, Medical Devices, Software Documentation, Microsoft Word
Education
Arizona State University 2006 — 2011
Bachelor's Degree
Highland High School 2001 — 2005
Consulting Services August 2012 - Present
CareCentrix December 2010 - August 2012
CareCentrix October 2008 - December 2010
CareCentrix March 2007 - October 2008
CareCentrix November 2002 - March 2007
CMP Media May 2000 - November 2002
Olsten Health Services January 1985 - May 2000
National Broadcasting Company August 1981 - January 1985
Price Waterhouse August 1977 - August 1981
Skills
Leadership, Strategic Planning, Process Improvement, Finance, Managed Care, Financial Analysis, Financial Modeling, Strategy, Medicaid, Financial Reporting, Change Management, Team Building, Medicare
Education
Bryant College 1973 — 1977
BS, Accounting
Horizon Blue Cross Blue Shield of New Jersey May 2012 - Present
VLink Inc June 2010 - Present
CareCentrix June 2011 - May 2012
Skills
Business Analysis, ASP.NET, .NET, Microsoft SQL Server, Oracle, Requirements Analysis, SQL, Start-ups, Testing, Visio
Education
American Public University System
University of South Alabama
BSCIS, Computer and Information Sciences and Support Services
CareCentrix October 2010 - Present
Apria Healthcare November 2004 - June 2010
Apria Healthcare March 1999 - October 2004
PharMerica February 1990 - March 1999
Skills
Budgets
Education
Central Connecticut State University 1990 — 1993
BA, Communications
Wesley College 1989 — 1990
CareCentrix December 2011 - Present
A New Leaf November 2009 - May 2011
Arizona Supreme Court February 2002 - July 2009
Skills
Network Development, Provider Relations, Managed Care, Contract Negotiation, Contract Management, Government, Quality Management, Strategic Consulting, Creative Problem Solving
Education
Northern Arizona University 1999 — 2001
M.Ed., Counseling
Bridgewater State College 1989 — 1993
Bachelor of Science (B.S.), Sociology
CareCentrix June 2001 - Present
Skills
Hospitals, Medicare, Healthcare Management
Education
Carlow University
MetLife March 2015 - Present
MetLife September 2005 - Present
CareCentrix 2003 - 2004
UnitedHealth Group 1998 - 2001
Guthrie 1997 - 1998
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, HTML, Strategic Planning
Education
American International College 2000 — 2005
Bachelor's degree, Biology, General
PharmaNet/i3 May 2011 - Present
OptumHealth August 2008 - May 2011
OptumHealth June 2007 - August 2008
CareCentrix September 2004 - June 2007
Broadridge Financial Solutions December 2002 - September 2004
Broadridge Financial Solutions February 1998 - December 2002
Salex Fleet Management May 1990 - October 1996
Skills
Financial Analysis, Trend Reporting, Process Development, Financial Forecasting, System Integration..., General Management and..., PeopleSoft/Hyperion..., Microsoft Office...
Education
Dowling College 2002 — 2003
Master of Business Administration (M.B.A.), Banking and Financial Support Services
New York Institute of Technology-Old Westbury 1996 — 1997
Bachelor of Applied Science (B.A.Sc.), Banking and Financial Support Services
Suffolk County Community College 1993 — 1995
Associate of Arts and Sciences (A.A.S.), Accounting
CareCentrix June 2014 - Present
SplendTek Inc May 2012 - Present
WellCare October 2013 - May 2014
Polaris Financial Technology Limited April 2011 - May 2012
Cognizant Technology Solutions August 2004 - July 2010
Skills
Project Management, New Business Development, Business Analysis, Testing Services, IBM Mainframe, ETL Tools, Databases
Education
Bharathiar University 1999 — 2003
Computer Engineering
CareCentrix January 2014 - Present
CareCentrix July 2011 - January 2014
Pediatric Health Choice 1993 - 2011
Skills
Healthcare Management, Nursing, Pediatrics, Utilization Management, Healthcare, Home Care, Hospitals, HIPAA, Medicare, Medicaid, Acute Care, Inpatient, BLS, IV, Healthcare Consulting, Healthcare Industry, Utilization Review, Quality Improvement, ICD-9, ICU, Call Centers, Case Managment, Clinical Research, Data Entry, Disease Management, Health Insurance, Healthcare Information..., Human Resources, Managed Care, Medicine, Training, Case Management, EHR
Education
American Public University System
RN to BSN program, Nursing Administration
HCC
AS, Nursing
CareCentrix FMLA SpecialistUPSOctober 2012 - Present
Key Office April 2009 - August 2011
Skills
Microsoft Office
Education
Ashford University 2010 — 2012
74 Credit Hours, Business Administration and Management, General, 3.0
Dodge City High School 1990 — 1996
Diploma, General Studies
CareCentrix 2014 - Present
Express Scripts August 2013 - May 2014
Express Scripts January 2013 - August 2013
Medco September 2010 - January 2013
Medco April 2008 - September 2010
Medco 1993 - 2008
Skills
Project Management, Project Planning, Process Improvement, Strategic Planning, Cross-functional Team..., Operations Management, Product Development, Quality Improvement, Staff Development, Packaging, Relationship Management, Healthcare Information..., Healthcare, Business Analysis, Leadership, Managed Care, Management, Program Management, Quality Assurance, Requirements Analysis, Strategy, Vendor Management, Visio
Education
John Jay College of Criminal Justice
Bachelor of Arts (B.A.), Business & Criminal Law
Sage Hospice February 2015 - Present
CareCentrix February 2014 - Present
Banner Health April 2011 - November 2013
John C. Lincoln Health Network July 2012 - August 2013
Dignity Health March 2011 - May 2012
Health Dialog November 2008 - August 2010
Health Temp June 1994 - June 2010
Nathan Adelson Hospice May 2007 - May 2008
Desert Springs Hospital January 2003 - June 2007
Skills
Case Managment, Nursing, Interqual Instructor, Home Care, Inpatient, Acute Care, ICU, Physicians, Hospitals, Utilization Review, Case Management, Patient Safety, Managed Care
Education
Augustana College (SD) 1981 — 1983
BA, Nursing
Coventry Health Care April 2012 - Present
CareCentrix July 2011 - April 2012
ProMed 2010 - July 2011
Advanced Nursing Solutions 2010 - July 2011
Consulate Health Care of Safety Harbor 2009 - September 2010
Skills
Healthcare, Home Care, Medicare, Utilization Review, EMR, Disease Management, Patient Safety, Healthcare Management, HEDIS, Acute Care, Nursing, Medicaid, Utilization Management, HIPAA, Medical Case Management, Hospitals, Medical Terminology, Medical/Surgical, Managed Care, Inpatient, IV, BLS, Telemetry, Nursing Education, PALS, Patient Advocacy, Critical Care, Pediatrics, ACLS, Wound Care, Direct Patient Care, Medication..., Patient Education, JCAHO, Palliative Care, Triage, ICD-9, Elder Care, Registered Nurses, Emergency Room, ICU, Vital Signs, Long-term Care, Nursing Care, Phlebotomy, Healthcare Industry, Medical Coding, EKG, Medical Records, Home Health Agencies
Education
Breckenridge School of Nursing @ ITT-Tampa 2010 — 2012
Associate of Science (A.S.), RN
Galen School of Nursing-Tampa Bay 2007 — 2009
Associate's degree, LPN
St. Petersburg College 2002 — 2006
Associate of Arts (AA), General Studies
Alabama A&M University 1987 — 1989
CareCentrix August 2006 - Present
Unicare January 1999 - September 2003
Skills
HIPAA, Healthcare Information..., Healthcare, Process Improvement, Training, Team Building, Hospitals, Business Analysis, Healthcare Management, Software Documentation, Analysis, Data Analysis
Education
College of Our Lady of the Elms 1997 — 1999
Business Administration and Management, General
Anthem, Inc. January 2014 - Present
CareCentrix April 2013 - January 2014
iHealth Technologies 2007 - 2012
Cigna 2001 - 2007
Miragee Corporation 1999 - 2000
Vencor 1996 - 1999
Skills
Business Analysis, Data Analysis, Process Improvement, Financial Reporting, Business Objects, Healthcare Information..., HIPAA, Access, Business Process..., Medicare, Cross-functional Team..., Healthcare, SDLC, Microsoft Excel, Software Documentation, Tableau, Cognos, Trend Analysis, MapPoint, Pentaho, SQL, SAS, Healthcare Consulting, Medicaid, Healthcare Analytics, Account Reconciliation, Software Implementation, General Ledger, Healthcare Industry, Data Modeling, Managerial Finance, Medical Terminology, Accounting, Medical Billing, ICD-9, CPT, Managed Care, Business Requirements, Analysis, Financial Analysis
Education
University of South Florida
Bachelor of Science (B.S.), Finance
Brown University
CareCentrix October 2011 - Present
Skills
Medical Billing, Customer Service, Health Insurance, Outlook, Microsoft Word, Microsoft Excel, Microsoft Office, PowerPoint, Leadership, Coaching
Education
Roseburg Beauty College 1983 — 1984
Cosmetology/Cosmetologist, General
Roseburg Senior High School 1981 — 1982
Gulf Coast Rehabilitation Services Inc October 2012 - Present
CareCentrix February 2012 - Present
HPC Healthcare/Lifepath Hospice May 2007 - May 2011
New York City Health & Hospital Corp. Jacobi Medical Center January 1979 - December 2006
Skills
Medicaid
Education
Cornell University 2000 — 2002
Certificate, International Labor Relations
Binghamton University 1972 — 1976
Bachelor of Arts (B.A.), Sociology
CareCentrix October 2002 - Present
Insurity April 2001 - February 2002
O'Malley Chiropractic Health Center March 1999 - January 2001
Peerless Insurance 1991 - 1998
Skills
Customer Service, Health Insurance, Commercial Insurance, Oral & Written..., American Sign Language
Education
Central Connecticut State University
Bachelor of Science (B.S.), Meteorology
Citrus Memorial Health System August 2008 - Present
CareCentrix September 2007 - July 2008
Maxim Healthcare Services September 2003 - July 2007
Skills
Direct hiring and..., Utilization of EMR, Compliance with State..., Strategic Planning, Analytical skills, Flexibility, Proactive self-starter, High Standards, Honest with high work..., Strategic Financial..., Performance Improvement, Communication Skills, Problem Analysis and..., Financially Astute, Customer Oriented, Healthcare Industry, Healthcare Consulting, Medicare, Quality Improvement, Physician Relations, Utilization Management, Home Care, Healthcare Management
Education
Baldwin Wallace University 1993 — 1996
Bachelor of Business Administration (B.B.A.), Management and Operations, 3.8 accum
Lakeland Community College 1977 — 1982
Associate’s Degree, Registered Nursing, 3.5 accum
CareCentrix May 2012 - Present
Skills
iv certified, Home Care
Education
D G Erwin Technical Center 2001 — 2002
Licensed Practical/Vocational Nurse Training
Hillsborough Community College 1997 — 1999
general education
Carecentrix February 2013 - Present
Better Living Now 2009 - January 2013
Skills
Outlook, Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Medical Devices, AS400 system
Education
Post University 2012 — 2014
Early Childhood Education and Teaching
CUNY Bronx Community College
Associate of Arts and Sciences (AAS)
CareCentrix February 2014 - Present
Skills
Management, Public Speaking, Team Building
Education
Albertus Magnus College 2011 — 2014
Associate's degree, Business Administration and Management, General
CareCentrix January 2013 - Present
Insurity Software Solutions May 2008 - February 2013
Insurity May 2008 - January 2013
Travelers Insurance Co February 2006 - May 2008
Smith Barney September 2005 - February 2006
UnitedHealth Group August 2003 - September 2005
Citigroup November 2001 - August 2003
CIGNA Healthcare December 1999 - August 2000
Skills
SharePoint, Vendor Management, Resource Management, MS Project, Project Portfolio..., PMO, Process Improvement, Testing, Active Directory, Software Project..., User Acceptance Testing, Requirements Gathering, Release Management
Education
Capital Community College 2010 — 2014
AS, Management
Tunxis Community College
Thomas Snell Weaver High School
Diploma
CareCentrix 2013 - Present
otis elevator 2007 - 2011
Skills
csr work, sales, admin,..., Account Management, Microsoft Office, Customer Retention, Operations Management, Call Centers, Salesforce.com, Process Improvement
Education
Central Connecticut State University 2008 — 2012
associates degree from MMC attended CCSU f/BS, Communications
Manchester Community College/CT Inst. of Hair Design/CCSU
Associates Degree, Communications
CareCentrix 2011 - 2013
The Hartford December 1985 - November 2009
Skills
Data Entry, Customer Service, Microsoft Word, Microsoft Excel, Windows, Front Office, Clerical Skills, Medical Records
Education
Branford Hall Career Institute-Windsor Campus 2010 — 2011
Health Care Specialist, Health Care Specialist
Marketing Network - January 2013 - Present
Carecentrix October 2011 - October 2012
Citrus Solutions February 2008 - April 2011
Tampa Family Healthcare January 2003 - June 2008
Skills
Windows, Microsoft Excel, Microsoft Word, PowerPoint, Customer Satisfaction, Strategic Planning, Small Business, Health, HIPAA, Authorization, Contract Recruitment, Consultants
Education
FAMU 2001 — 2003
Associate's Degree, Business Administration and Management, General, 7.0
Vashon High School 1982 — 1986
High School, Basic Skills, 7.0
Brewster Technical Center 1980 — 1981
Accounting, 7.0
UnitedHealth Group May 2015 - Present
CareCentrix January 2013 - May 2015
CareCentrix February 2009 - January 2013
Health Net February 2008 - June 2008
Cigna October 2005 - February 2008
US Navy November 1996 - August 2005
Skills
Healthcare, Managed Care, Medicare, Healthcare Management, Home Care, Hospitals, HIPAA, Medicaid, Process Improvement, Health Insurance, Case Management, Healthcare Information..., Healthcare Industry, Team Building, Provider Relations, Provider Network..., Provider Networks
Education
Capital Community College 2010 — 2011
Associate of Arts and Sciences (AAS), General Studies
CareCentrix 2013 - 2015
IMAPP, Inc 2004 - May 2013
Rita Technology Services January 2004 - October 2004
Skills
Oracle PL/SQL..., Visual C#, Visual Basic
Education
Colorado State University 1994 — 1998
Bachelor of Science (B.S.)
Private April 2002 - Present
CareCentrix August 2011 - February 2013
Scentsy Independent Consultant 2011 - 2013
Tampa General Hospital May 2010 - August 2011
Accredo Healthcare - a Medco Company February 2009 - April 2010
UPMC October 2000 - July 2007
Skills
Networking, Critical Care, Nursing, Home Infusion, HIPAA, Healthcare Management, Management, Healthcare, Insurance, Data Entry, Telemetry, Patient Advocacy, Managed Care
Education
Butler County Community College 2005 — 2006
Certificate, Medical Billing and Coding
CareCentrix 2014 - Present
American Medical Association 2011 - Present
Sleep Review 2015 - Present
American Medical Association 2010 - Present
American Journal of Medical Quality 2014 - 2015
American Medical Association 2013 - 2015
Quality Insights of Pennsylvania 2014 - June 2014
Centers for Medicare & Medicaid Services 2013 - 2014
American Academy of Sleep Medicine 2011 - 2014
Capital Health System 2012 - 2013
Skills
Healthcare, Health Policy, Medicine, Physicians, Medical Coding, Compliance, Outcome Measures, Quality Assurance, Healthcare Management, Sleep Disorders, Sleep Medicine, Medical Education, Business Planning, Organizational..., Utilization Management, Population Health, Innovation Development, Hospitals, Healthcare Information..., EMR, EHR, Clinical Research, Healthcare Consulting, Quality Improvement
Education
Isenberg School of Management, UMass Amherst
Master of Business Administration (MBA)
Medical College of Pennsylvania
Pulmonary, Critical Care & Sleep Medicine Residency Program
Philadelphia College of Osteopathic Medicine
Doctor of Medicine (MD)
Brandeis University
Bachelor of Arts (BA)
KeyView Labs January 2015 - Present
CareCentrix 2013 - 2013
Skills
Phlebotomy, Vital Signs, EMR, HIPAA, BLS, Medical Terminology, Medical Billing, EKG, Pediatrics, EHR, ICD-9, Medical Coding, Meditech, CPT, Medical Records, Healthcare Management, Healthcare, Hospitals, Nursing, Patient Safety, CPR Certified, Customer Service, Training, PowerPoint, Time Management, Microsoft Word, Microsoft Excel, Team Building
Education
Everest University-Brandon 2013 — 2014
Medical Insurance Billing&Coding, Medical Insurance Billing&coding
Lee Vocational Tech 1996 — 1997
Medical Assistant, Medical/Clinical Assistant
Estero High School 1987 — 1988
Diploma
McKesson Health Solutions January 2012 - July 2013
CareCentrix November 2009 - November 2010
Neurosurgery of Kansas City August 2006 - January 2008
Skills
Customer Service, Phlebotomy, Venipuncture, Pharmacology, Computer/Technical..., Medical Terminology, Medical Records, Laboratory Skills, Switchboard Operator, Data Entry, Call Centers, Microsoft Word, Microsoft Excel, Microsoft Office, Windows 7, Windows XP Pro, Medical Coding, Vital Signs, Appointment Scheduling, Surgery Scheduling, Outlook, Medical Manager, AS400 system, Triage, Telephone Triage, Front to Back Office, Sterilization, Lotus Notes, Ophthalmics, Document Review, Documentations, Echocardiography, Seibel, Kronos Timekeeping, Mitel 3300
Education
Kansas College of Nursing 2013 — 2013
Certification, Nursing Assistant/Aide and Patient Care Assistant/Aide
Concorde Career Colleges 2003 — 2004
Diploma, Medical/Clinical Assistant
CareCentrix April 2015 - Present
UnitedHealth Group July 2012 - April 2015
Humana May 2011 - June 2012
Humana August 2007 - May 2011
Skills
Leadership, Management, Process Improvement, Strategy, Employee Benefits, Consulting, Healthcare, Strategic Planning, Team Building, Health Insurance
Education
Arizona State University 2005 — 2007
Masters of Business Administration, Business Administration and Management, General
University of Wisconsin-Green Bay 2000 — 2003
Bachelor of Science (B.S.), Business Administration and Management, General
Novitex Enterprise Solutions September 2014 - December 2014
CareCentrix February 2013 - August 2013
First Choice Health 2012 - 2013
Skills
Medical Terminology, Hospitals, Patient Safety, Medicare, Medical Billing, Medical Records, Healthcare, Healthcare Management, CPR Certified, EMR, HIPAA
Education
weaver high school 1990 — 1994
diploma
Capital Community College
Criminal Justice
Urban League Of Hartford
Certification, Medical Administration
WEAVER HIGH SCHOOL