Experience
Laser Spine Institute  January 2015 - Present
Digital Dreams, Inc.   January 1997 - Present
CareCentrix   September 2012 - January 2015
Universal Health Care  July 2011 - September 2012
Ozona Online, Inc.   2000 - 2003
MCI Corporate Development   1998 - 2000

Skills
PHP, Web Development, jQuery, MySQL, JavaScript, Microsoft SQL Server, Oracle, CSS, VB.NET, Software Project..., LAMP, ColdFusion, E-commerce, SEO, Perl, C#, Entrepreneurship, Start-ups, XML, Visio, Photoshop, Business Strategy, Online Advertising, Open Source, Linux, phpMyAdmin, ASP.NET, Linux System..., C++, Leadership, SDLC, Scrum, RAD, JAD, Process Improvement, Healthcare, CMS, HIPAA, Network Security, Telecommunications, Systems Analysis, Management, Project Management, Program Management, Software Development

Education
St. Petersburg College   2011 — 2013
Associate in Science, Computer/Web Programming and Analysis

St. Petersburg College   2011 — 2016
Bachelor of Applied Science, Technology Development and Management

Zend Technologies, Ltd.   2013 — 2013
Certificate of Completion, Zend Framework 2: Fundamentals

Springstead High School
Diploma

Experience
CareCentrix   September 2012 - Present
CareCentrix   January 2006 - September 2012
CareCentrix   January 2004 - March 2006
CareCentrix   June 2005 - January 2006

Skills
Healthcare, Healthcare Management, Managed Care, EMR, Hospitals, Healthcare Information..., EHR, Medicare, Customer Service, Process Improvement, HIPAA, Utilization Management, Home Care, Nursing, Medical Terminology

Education
The University of Connecticut   1998 — 1999
Bachelor of Education (B.Ed.), Early Childhood Education and Teaching

Windsor High School   1994 — 1998
General Studies

Experience
Zions Bancorporation  May 2015 - Present
CareCentrix   February 2011 - February 2015
Best Western International  May 2009 - March 2011
Acacia Internal Medicine   December 2010 - January 2011
AT&T  June 2008 - May 2009

Skills
Five plus years..., Microsoft Office, ICD-9, Linux, Windows, Eligibility and..., Prior Authorization, CPT, ICD-10, HCPCS, Service Codes, Medical Terminology, Mac OS, Healthcare Management, Hospitals, HIPAA, Healthcare Information..., Medicare, Managed Care, Process Improvement, Technical Support, Medical Records, Healthcare, Active Directory, Customer Service, Networking

Education
University of Phoenix   2014 — 2017
BACHELORS OF SCIENCE IN INFORMATION TECHNOLOGY, 3.87

Experience
CareCentrix   March 2015 - Present
Robert Half International  June 2013 - March 2015
East Point Systems   January 2013 - December 2013
Student Administrative Services Center, Bursar's Office   February 2012 - June 2013
Bass Museum of Art  December 2012 - December 2012
Highland Park Market  June 2007 - May 2012
KenMont KenWood Camps  June 2011 - July 2011

Skills
Painting, Printmaking, Customer Service, Photography, Microsoft Office, PowerPoint, Art, Photoshop, Microsoft Word, Digital Photography, Fine Art, Drawing, Visual Arts, Adobe Creative Suite, Illustrator, Teamwork, Leadership, Creative Writing, Mac, Packaging, InDesign, Graphic Design, Museums, Image Editing, Illustration, Acrylic, Oil Painting, Visual Communication, Digital Art, Digital Painting, Sculpture, Image Manipulation, Books, Storyboarding, Graphics, Adobe Acrobat, Email Marketing, Layout, QuarkXPress, Dreamweaver, Digital Illustration, Multimedia, Logo Design, Brochures, Newsletters, Typography, Event Management

Education
University of Hartford   2009 — 2013
Bachelors, Painting Major; Fine Arts

Bolton High School   2005 — 2009
General Studies

Experience
One Call Care Management  October 2012 - Present
CareCentrix   July 2010 - October 2012
TechHealth, Inc.   2006 - 2008
Sage  2002 - 2006

Skills
Healthcare, Contract Negotiation, Managed Care, Healthcare Management, HIPAA, EMR, Medicaid, Commercial Insurance, Workers Compensation, Utilization Review, Customer Service, Provider Relations, Medicare, Medical Billing, Healthcare Industry, Medical Terminology, Healthcare Information..., Training, Team Building, Health Insurance, Strategic Planning, Account Management, Management, Leadership, Process Improvement, Hospitals, Call Centers

Education
Ultimate Medical Academy-Tampa
Associate's degree, Health Science - Health Care Administration

Ultimate Medical Academy-Tampa
Medical/Clinical Assistant

Ultimate Medical Academy-Tampa
X Ray Tech

Experience
CareCentrix   March 2015 - Present
CareCentrix   March 2013 - March 2015
Universal Health Care  February 2012 - March 2013
Universal Health Care  August 2010 - February 2012
Humana  February 2008 - January 2010
Academic Financial Solutions   2006 - 2008

Skills
Insurance, Medicare, Health Insurance, Long-term Care, Managed Care, Customer Service, HMO, Provider Relations, Life Insurance, Healthcare Information..., Claim, Disability Insurance, Healthcare, Team Building, Medicare Part D, Employee Benefits, HIPAA, Medicaid, Revenue Cycle, Training, Sales, Healthcare Consulting, Network Development, Healthcare Industry, Healthcare Management, Hospitals, Call Centers, Physicians, Claims Management, Claims Resolution, Credentialing, Health Policy, Health Savings Accounts, Medicaid Managed Care, Medical Billing, Medicare/Medicaid..., PPO, Pharmacy Benefit..., Process Improvement, Term Life Insurance, Utilization Management, Workers Compensation, Medical Coding, Physician Relations, Healthcare Reimbursement, Disease Management, CPT, Medical Compliance, ICD-9, Health Care Reform

Education
University of South Florida   2001 — 2006
Bachelor's, Business Management

Experience
Aon  September 2015 - Present
CareCentrix   June 2015 - Present
Citi  September 2013 - February 2015
JPMorgan Chase  August 2011 - July 2013
Capital One  October 2010 - June 2011

Skills
Customer Service, Call Centers, Banking, Process Improvement, Microsoft Excel, Technical Support, Budgeting, Access, Financial Analysis, Software Documentation, Business Analysis, PowerPoint, Microsoft Office, Credit, Forecasting, Presentations, Vendor Management, Customer Satisfaction, Visio, Troubleshooting, Customer Experience, SharePoint, Leadership, Public Speaking, Social Media, Oracle, Outlook, Finance, Economics, Microsoft Word

Education
University of South Florida
Economics

Experience
CareCentrix   August 2015 - Present
Planet Hone Lending   May 2014 - July 2015
Capital One  October 2013 - May 2014
HSN  April 2013 - October 2013
HSN  May 2012 - April 2013
Coca-Cola Enterprises  February 2007 - March 2012

Skills
Customer Satisfaction, Call Centers, Customer Service, Sales, Management, Recruiting, Analysis, Interviews, Employee Benefits, Retail, Microsoft Office, Microsoft Excel, Outlook, Microsoft Word, Team Building, PowerPoint, Team Leadership, Data Entry, Invoicing, Merchandising, Change Management, Presentations, Healthcare Management

Education
Hillsborough Community College   2008 — 2011
Liberal Arts and Sciences/Liberal Studies, B

University of South Florida   2008 — 2008
Mangement and Supervision, Mangement and Supervision, A

New Milford High School   1980 — 1984
High School Diploma, General Studies

Experience
Lazard  September 2015 - Present
Alvarez & Marsal  July 2013 - August 2015
CSG Partners, LLC  October 2011 - June 2013
CareCentrix   June 2010 - August 2010
Open Solutions  June 2009 - August 2009

Skills
Financial Modeling, Leveraged Finance, Equity Valuation, Debt Structuring, VBA, Valuation, M&A due diligence, Investment Banking, ESOP, Mergers, Asset Based Lending, M&A analysis, Mergers & Acquisitions, Debt Restructuring, Corporate Finance, Financial Analysis, Capital Markets, Equities, Due Diligence, Investments, Restructuring, Private Equity, Finance

Education
University of Pennsylvania - The Wharton School   2007 — 2011
B.S., Finance, Strategic Management

Glastonbury High School   2003 — 2007
General Studies

University of Pennsylvania

Experience
CareCentrix   October 2013 - Present
Newport Television LLC  March 2008 - September 2013
Clear Channel Communications  May 2005 - March 2008
Raycom Media  2001 - 2005
Sinclair Broadcast Group  1997 - 2001
PwC  1995 - 1997

Skills
Financial Systems, Financial Reporting, Treasury Management, Budgeting, Forecasting, US GAAP, Benefits Administration, Purchase Price..., Payroll Taxes, Property Taxes, Risk Management, Credit Agreements, Mergers, Acquisitions, Sales & Use Tax..., Management, Staff Supervision, Project Management, Property Tax, Mergers & Acquisitions, Budgets, Credit, Purchase Price..., GAAP, Finance, SOP 97-2, Auditing, Microsoft Dynamics, SQL, SQL Reporting Services, SQL Analytical Services, Consolidation, Financial Modeling, Payroll, Accounting, Internal Controls

Education
University of Alabama   1994 — 1995
Master of Accountancy

University of Alabama
BS, Accounting

Experience
Peak 10  May 2015 - Present
Presidio  September 2014 - December 2014
Humana  November 2013 - March 2014
WellCare  March 2013 - May 2013
Catalina Marketing  August 2012 - November 2012
Tampa Bay Trane  September 2011 - May 2012
CareCentrix   2011 - 2011
American Strategic Insurance  2011 - 2011
Talbots  2010 - 2010
Stream Global Services  2008 - 2010

Skills
Soft Skills, Remote computer..., upgrading and..., call center environment..., considerable experience..., Dell Small to medium..., internet connectivity..., Software Quality..., SQL manipulation in..., Received A+ training, Desktop Computers, Dell Computers, Data Recovery, Operating Systems, Ticketing Systems, Remote Access, Windows 95, SQL, Windows Vista, Access, Technical Support, XP, Windows 7, Servers, Active Directory, Training, Scripting in Python, Scripting in LUA, Hardware, Help Desk Support, Laptops, Windows XP

Education
State College of Florida-Manatee-Sarasota   2003 — 2010
Associate of Arts (A.A.), General Studies

Experience
The RiseUP Group, Inc.   2012 - Present
CareCentrix   November 2013 - Present
GE Capital  October 2011 - July 2013
HuskyTHON at University of Connecitcut   May 2008 - May 2011
Aetna, INC.   December 2009 - December 2010
Beechwood Partners   June 2009 - August 2009
Pinnacle Trust Partners   July 2007 - January 2009

Skills
Fundraising, PowerPoint, Microsoft Excel, Microsoft Office, Project Management, Non-profit Program..., Financial Analysis, Youth Development, Start-ups, Higher Education, Community Development, Leadership, Financial Modeling, Investments, Public Speaking

Education
The University of Connecticut   2007 — 2011
BS, Finance

The University of Connecticut School of Business   2007 — 2011
B.BA, Finance

Suffield High School

Experience
CareCentrix   March 2015 - June 2015
Health Integrated, Inc.   September 2014 - March 2015
Gaen Healthcare Advisors, LLC   December 2012 - August 2014
Meaningful Healthcare   October 2011 - July 2012
VIVA Health  November 2010 - October 2011
Enhanced Care Initiatives   January 2008 - June 2010
Healthways  January 2004 - December 2005

Skills
Healthcare, Medicare, Healthcare Management, Management, Physicians, Strategic Planning, Leadership, CMS Value Based Payment..., Cross-functional Team..., Process Improvement, Program Management, Strategy, Hospitals, Health Policy, Managed Care, Microsoft Office, Healthcare Information..., Predictive Modeling, Data Analytics, P&L Management, Healthcare Consulting, Entrepreneurial..., Complex Care Management, All-Cause Readmission..., Medicare Revenue..., Medicare "Star's"..., MS Office Suite, Patient and Physician..., Custom EMR IT system..., Medicare Cost..., Remote Employee "Field..., Registered Nurse, Pay for Performance &..., EMR, Population Health, Disease Management, HIPAA, Medicaid

Education
University of Alabama at Birmingham   2004 — 2006
MBA

University of North Florida   1987 — 1990
BBA, Business Administration and Management, General

The University of Charleston   1979 — 1981
AA, Nursing

Experience
CareCentrix   April 2011 - Present
WellCare Health Plans  2008 - December 2010
GE Commercial Finance  2005 - 2007
GE Commercial Finance  2002 - 2004
Xerox Coproration   1980 - 2001

Skills
Business Process...

Education
University of Missouri-Saint Louis   1976 — 1979
B.S., Management

Experience
Cigna-HealthSpring  September 2014 - Present
OptumHealth  May 2011 - August 2014
CareCentrix   August 2010 - May 2011
MedSolutions  August 2005 - August 2010

Skills
Six Sigma, Cross-functional Team..., Leadership, Management, Team Leadership, Change Management, Healthcare, Data Analysis, Business Analysis, Program Management, Call Centers, Vendor Management, Business Process..., Strategic Planning, Process Improvement, Call Center, Project Management, SDLC, Software Documentation, Quality Assurance, Analysis, Team Building, Strategy, Training, Visio, Operations Management, HIPAA, CRM, Business Intelligence, Healthcare Information..., Medicaid, Managed Care, Integration, SharePoint, IT Management, Medicare, Healthcare Industry, Healthcare Consulting, Requirements Gathering, Healthcare Management, PMO, Health Policy, Business Process, Insurance

Education
University of Missouri-Columbia   1992 — 1997

Princeton

Experience
Getty Systems   IT manager / Lead DeveloperHealthy CatalystMarch 2012 - Present
The Exetor Group  July 2005 - Present
CareCentrix   December 2011 - March 2013
Earthvisionz Inc.   June 2011 - November 2011
Inventive Health  August 2007 - September 2009

Education
University of Colorado Boulder - Leeds School of Business
Bachelors, Business Information Systems, Marketing

Experience
CareCentrix   2011 - Present
Viant  2007 - 2010
CIGNA Corporation  1992 - 2007
Cohn & Birnbaum, P.C.   1990 - 1992
Updike, Kelly & Spellacy   1989 - 1990

Skills
Privacy Law, Medicaid, Regulations, Medicare, PPO, Network Development, HMO, Health Policy, Insurance, Employee Benefits, Claim, Healthcare, Mergers & Acquisitions, Workers Compensation, Policy, Credentialing, Benefits Administration, HIPAA, Managed Care, Utilization Management, Provider Relations, Due Diligence, Medical Compliance, Healthcare Industry, Healthcare Consulting

Education
The University of Connecticut School of Law   1987 — 1989
Juris Doctorate with High Honors

Dalhousie University, Nova Scotia, Canada   1982 — 1986
B. Commerce with Honors, Finance

Experience
CareCentrix   July 2015 - Present
CareCentrix   2011 - 2013
Transform Your Business - Powered by HCL Infosystems   May 2006 - October 2006
DESS Pvt. Ltd.   March 2005 - May 2006

Skills
Regression Testing, Requirements Analysis, QTP, Defect Tracking, Manual Testing, Test Cases, Quality Center, System Testing, Test Management, User Acceptance Testing, Test Automation, SDLC, Testing, Agile Methodologies, Software Project..., Requirements Gathering, Software Configuration..., Performance Testing, Functional Testing, HP QTP, HP Quality Center

Education
University of Madras   2000 — 2004
Bachelor of Technology (BTech), Information Technology

Experience
Amerigroup  February 2014 - Present
CareCentrix   July 2011 - February 2014
All Children's Hospital  April 2010 - January 2011
Albany Medical Center  February 2008 - April 2010

Skills
Healthcare Information..., Wellness Coaching, Lifestyle Coaching, Public Speaking, Technical Writing, Report Writing, Teaching, Training, Hospitals, Healthcare Management, Case Managment, Healthcare, Utilization Management, Home Care, Health Care Systems, Clinical Research, Medicaid, HIPAA, Nursing, EHR, Mental Health

Education
Memorial Hospital School of Nursing   2005 — 2007
ADN, Nursing-RN

State University of New York Empire State College   1994 — 1998
Bachelor's degree, English Language and Literature/Letters

Experience
CareCentrix   February 2013 - Present
Horizon Homecare   July 2012 - November 2012
HCA Largo Medical Center  October 1999 - October 2008
Largo Heart Institute   October 1999 - May 2006
Televisual Communications   March 1999 - October 1999
Televisual Communications   March 1999 - October 1999
Largo Medical Center  September 1997 - March 1999
Vascular Care Center   July 1992 - September 1997
University of South Florida, College of Medicine  August 1989 - July 1992
University of South Florida, College of Medicine  July 1986 - August 1989

Skills
Hospitals, Orthopedic, Physician Relations, Physicians, Marketing, Operating Room, Sales, Sales Presentations, Program Management, Healthcare, New Business Development, Data Analysis, Account Management, Vascular, Acute Care

Education
University of Phoenix   2006 — 2008
Bachelor of Science, Business Management

Hillsborough Community College   1982 — 1985
Associate of Science, Registered Nurse

Experience
Cigna  January 2014 - Present
CareCentrix   October 2012 - January 2014
OptumHealth  March 2007 - September 2012
PwC  January 2001 - March 2007
DiaLogos  June 1999 - January 2001
Tata Consultancy Services  1995 - 1999
MBT  1993 - 1994

Education
University of Mumbai (Statistical Institute)   1990 — 1993
BS, Statistics

Wilson College   1988 — 1990

University of Pune
MBA, MIS and Operations Research

Experience
CareCentrix   September 2015 - Present
Cigna  January 2015 - August 2015
Cigna  February 2012 - February 2015
The Hartford  August 2010 - February 2012
The Hartford  June 2010 - August 2010
Barclays  June 2008 - February 2009
JPMorgan  August 2006 - May 2008
Sandler O'Neill  July 2004 - July 2005
Unilever  June 2003 - August 2003

Skills
Strategy, Business Strategy, Strategic Planning, Management Consulting, Leadership, Valuation, Executive Management, Management, Market Analysis, Organizational..., Corporate Finance, Marketing Strategy, Business Development, Financial Analysis, Financial Modeling, Operations Management, Mergers & Acquisitions, Cross-functional Team..., Cross Functional Team..., Strategic Consulting, Investments, Finance, Forecasting, Due Diligence, Investment Banking, Executive-level..., Insurance

Education
The University of Connecticut School of Business   2009 — 2011
MBA, Finance, Strategy, Marketing

UConn Foundation   2009 — 2010
Portfolio Manager - MBA SMF, Asset Management, Equity Research, Risk Management

University of Connecticut   2001 — 2004
Bachelor of Bus. Admin., Finance

Experience
Valbridge Property Advisors  July 2014 - Present
CareCentrix   December 2013 - July 2014
CareCentrix   July 2013 - December 2013
Hasbro  December 2012 - January 2013
University of New Hampshire  2009 - 2013
Boardwalk Inn and Cafe   June 2011 - September 2011

Skills
Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Research, Social Media, Public Speaking, Teamwork, Marketing Research, Customer Service, Leadership, Event Planning, Financial Analysis, Analysis, Alto Flute, Marketing, Time Management

Education
University of New Hampshire   2009 — 2013
Bachelor of Business Administration (B.B.A.), Marketing/Finance, Sr.

Cumberland High School   2006 — 2009

Experience
Accredo - An Express Scripts Company  December 2013 - Present
Byram Healthcare  January 2012 - December 2013
BioScrip  August 2009 - March 2011
CareCentrix   August 2006 - July 2009
Coram Healthcare  1991 - 2006

Skills
Managed Care, Home Infusion, Medicare, Healthcare, Healthcare Industry, Medicaid, Home Care, Healthcare Management, Disease Management, Pharmacy Benefit..., Diabetes, Medical Devices, Hospitals, Urology, Pharmaceutical Sales, HIPAA, Provider Relations, Healthcare Consulting, Physician Relations, Pharmacy, Physicians, Oncology, Neurology, Utilization Management, Cardiology, Medicare Part D, Durable Medical..., Healthcare Information..., Network Development, Wound Care, Rheumatology, Revenue Cycle, Health Policy, Orthopedic, Endocrinology, Gastroenterology, EHR, Medicare/Medicaid..., Healthcare Reimbursement, Pulmonology, Capital Equipment, PPO, HMO

Education
Saint Xavier University   1978 — 1983
BSN, Nursing

Experience
CareCentrix   May 2013 - Present
Arbitration Forums  October 2011 - May 2013
Health Plan Services  January 2008 - October 2011
Compuware  2000 - 2008
American Community Mutual Insurance Company  1989 - 2007

Skills
SDLC, Business Analysis, Analysis, MS Project, User Acceptance Testing, Vendor Management, Licensed Life & Health..., Medicare Certified, PMP, CSM, Visio, PMO, Project Portfolio..., Process Improvement, Requirements Gathering, Business Intelligence, Software Project..., Agile Methodologies, Business Requirements, Software Documentation, Business Process, SharePoint, Business Process..., Requirements Analysis, Program Management, Leadership, Resource Management

Education
University of Michigan   1984 — 1989
Computer Science

Experience
CareCentrix   February 2014 - Present
Training World International   August 2008 - December 2013
Universal HealthCare  July 2011 - April 2013
Shriners Hospitals for Children  2006 - 2007
Actavis  February 2004 - February 2006
Merck  2002 - 2004

Skills
Strategic Planning, Leadership Development, Organizational..., Certified DDI..., Human Resources, Performance Management, Coaching, Talent Management, Change Management, Recruiting, Team Building, Training Delivery, Situational Leadership, Instructional Design, Workshop Facilitation, Achieve Global Certified, Process Improvement, Management, Training, Healthcare, Public Speaking, Team Leadership, Program Management, Vendor Management, Analysis, Leadership, Employee Training, Succession Planning, Onboarding, Personnel Management, Performance Improvement, Staff Development, Management Consulting, Organizational..., 360 Feedback, Time Management, Operations Management, Project Planning, Career Development, Needs Analysis, Resume Writing, Training Facilitation, Strategy, Policy, Business Process..., Employee Relations, Workforce Planning, Talent Acquisition, Deferred Compensation

Education
Trinity International University   1994 — 1998
Bachelor's Degree, Business Management Economics, Leadership, Small Business Management, Marketing, Biblical Studies

University of Phoenix   2004 — 2006
Master of Business Administration (M.B.A.), Business Administration

Experience
CareCentrix   January 2015 - Present
FM Facility Maintenance  October 2013 - January 2015
FM Facility Maintenance  December 2012 - October 2013
FM Facility Maintenance  September 2011 - December 2012
FM Facility Maintenance  June 2011 - September 2011
FM Facility Maintenance  January 2011 - June 2011
FM Facility Maintenance  September 2009 - January 2011
Santa Fe Reporter  January 2009 - May 2009

Skills
Photography, Lightroom, Photoshop, Lotus Notes, Customer Relations, Vendor Relations, Contract Negotiation, Microsoft Excel, Management, Facilities Management, Customer Service, Contract Management, Analysis, Account Management, Access

Education
Walden University   2009 — 2011
Master of Business Administration (M.B.A.), Marketing

The College of Santa Fe   2005 — 2009
Bachelor of Arts (B.A.), Photography

Experience
Nielsen Media Research  September 2013 - Present
Nielsen Company  September 2013 - Present
Nielsen Media Research  September 2012 - August 2013
CareCentrix   October 2011 - April 2012
Available For You   January 2010 - June 2011
Arbitron  September 2007 - July 2010

Skills
Data Analysis, Access, Visio, Data Warehousing, ETL, Call Center, Software Documentation, SDLC, PeopleSoft, Business Analysis, SharePoint, Process Improvement, Leadership, Strategic Planning, Business Intelligence, Public Speaking, Team Building, Analysis, Analytics, Call Centers, Databases, Management

Education
University of Phoenix   2014 — 2015
Master of Business Administration (M.B.A.), Business Administration and Management, General

University of Phoenix   2010 — 2013
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General

The Community College of Baltimore County   1996 — 2005

Experience
CareCentrix   May 2015 - Present
Aetna  May 2011 - May 2015
Aetna  March 2009 - May 2011
Connecticut Appellate Prosecutor's Office   August 2008 - May 2009
Aetna  September 2007 - March 2009
Waterbury Public Defender’s Office   May 2008 - August 2008
Aetna  December 2003 - September 2007
Infinity Insurance  June 2002 - December 2003

Skills
Legal Research, Legal Writing, Legislation, Leadership, Litigation, Contract Management, Criminal Law, Health Insurance, Contract Drafting, Lobbying, Fraud, Legislative Analysis, Legislative Research, Compliance, Contract Negotiation, Contract Review, Legislative Tracking, Policy, Risk Management, Process Improvement, Public Speaking, Public Policy, Microsoft Office, Insurance, Campaign Finance, Political Action..., Health Care Reform, Vendor Management, Healthcare, HIPAA, Westlaw, Managed Care, Research, Microsoft Excel, Medicare, LexisNexis

Education
Quinnipiac University School of Law   2005 — 2009
Juris Doctor, Law

Trinity College-Hartford   1997 — 2001
B.S., Psychology

Experience
Transpirus  June 2012 - Present
Gentiva Health Services  June 2005 - June 2012
CareCentrix   August 2008 - August 2009

Skills
Medicaid, Medicare, Healthcare Information..., Revenue Cycle, Accounts Receivable, Medical Billing, General Ledger, Account Reconciliation, Revenue Recognition, ICD-9, HIPAA, CPT, Medical Coding, Accruals, Financial Reporting, Revenue Cycle Management, Accounting, HCPCS, Spreadsheets, Monthly Close, Financial Analysis, Medical Terminology, Auditing, HMO, Ad Hoc Reporting, Data Entry, Managed Care

Education
Saint Leo University   2014 — 2018
Bachelor of Applied Science (BASc), Computer and Information Sciences and Support Services

International College   1991 — 1993
Associate's degree, Banking and Financial Support Services

Experience
Community Health Network  March 2014 - Present
CareCentrix   January 2013 - September 2013
CareCentrix   January 2012 - January 2013
CareCentrix   September 2010 - January 2012
CCS Medical  May 2006 - September 2010
Quest Diagnostics  October 1998 - May 2006
GATX  1989 - 1998

Skills
Call Center, Process Improvement, Accounts Receivable, HIPAA, Healthcare, Medicare, Medicaid, Managed Care, Medical Billing, Strategic Planning, Team Building, Healthcare Management, Operations Management, Customer Service, Forecasting, Budgets, Health Insurance, Data Entry, Coaching, Revenue Cycle, Management, Call Centers, Outlook, ICD-9, Training, Account Management, Software Documentation, Insurance, Customer Satisfaction, Healthcare Industry, Provider Relations, Leadership, Policy, Invoicing, Quality Assurance, Data Analysis, Sales, Revenue Cycle Management, Medical Compliance, Employee Benefits

Education
University of Phoenix   1998 — 2000
BS, Business Management

Brandon Senior High

Experience
St. Francis Medical Center  September 2013 - April 2014
CareCentrix   June 2013 - September 2013
UTMB  July 2012 - March 2013
Craneware  2007 - 2011
Partners HealthCare  2003 - 2007
Tufts Medical Center  1998 - 2003

Skills
Healthcare Reimbursement, Health Policy, Revenue Cycle, Healthcare, Healthcare Consulting, Medical Coding, Health Economics, Hospitals, Medical Billing, Epic Systems, Healthcare Industry, Software Documentation, Contract Negotiation, Healthcare Management, Managed Care, Revenue Cycle Management, Change Management, Medicaid, Finance, Analysis, Medicare, Process Improvement, Data Analysis, Decision Support, Health Information..., Healthcare Information..., EMR, Microsoft Excel, Microsoft Word, Employee Relations, Management, Business Intelligence, Software Implementation, Leadership, Business Analysis, HIPAA, Health Information..., Customer Service, Project Management, Ambulatory, Meditech, Performance Improvement, Inpatient, Medical Compliance, Health Insurance, Documentations, Microsoft Office, System Administration

Education
University of Massachusetts Boston   2015 — 2017
Master's of Science (MS), Policy & Global Studies - Gerontology/Management of Aging Services

Suffolk University   2001 — 2003
Master of Public Administration (MPA), Health/Health Care Administration/Management

University of Massachusetts, Amherst   1994 — 1998
Bachelor's degree, Health/Health Care Administration/Management

Experience
Covenant Care  June 2015 - Present
Apria Healthcare  August 2012 - June 2015
Apria Healthcare  July 2010 - August 2012
CareCentrix   February 2007 - July 2010
Schaller Anderson  February 2006 - February 2007
HealthNet of Arizona  January 2003 - February 2006
Beyond Call Medical Center   February 2001 - January 2003
Total LifeCare Centers, Inc.   May 2000 - February 2002
Blue Cross Blue Shield of Arizona  June 1996 - March 1999

Skills
Provider Relations, Healthcare, Leadership, Medicare, Managed Care, Medicaid, Network Development, Healthcare Management, Team Building, EHR, Hospitals, Healthcare Consulting, Insurance, Home Care, Physicians, Disease Management, HIPAA, Process Improvement, Healthcare Information..., Healthcare Industry, Durable Medical..., Revenue Cycle, PPO, HMO, Physician Relations, Utilization Management, Credentialing

Education
University of Phoenix
Bachelor of Science (B.S.), Bachelors of Science in Health Care Administration /Management

Experience
CareCentrix   2013 - Present
Cessna Aircraft Company  2012 - 2013
CitationAir by Cessna  2008 - 2012
Health Net  2006 - 2008
Health Net  2004 - 2006
British Airways  1999 - 2004
Standard & Poor's   1998 - 1999
Oxford Health Plans  1991 - 1998

Skills
Public Relations, Marketing Strategy, Advertising, Customer Relations, Segmentation, Strategy, Direct Marketing, Customer Service, Marketing, CRM, Business Development, Team Leadership, Budgets, Team Building, Analysis, Leadership, Product Development, Social Media, Management, Brand Management, Cross-functional Team..., Program Management, Strategic Planning, Brand Development, Sales, Product Management, B2B, Competitive Analysis, Market Planning, Selling, Change Management, Marketing Management

Education
University of Rochester
Bachelor of Arts, Magna Cum Laude, Psychology/Economics/Marketing

Experience
CareCentrix   January 2013 - Present
Konnect Public Relations  October 2011 - September 2012
WJZS FM 99.3 WADK AM 1540   August 2010 - December 2010
ABC  January 2010 - May 2010
The Charlotte Hungerford Hospital  May 2009 - August 2009
ProHealth Physicians  May 2004 - May 2008

Skills
Fashion, Time Management, Marketing, Facebook, Event Planning, Social Media, Retail, Management, Press Releases, Public Relations, Event Management, Sales, Social Networking, Newsletters, Social Media Marketing, Marketing Communications, Advertising

Education
University of Rhode Island   2008 — 2010
BA, Communication Studies

Suffolk University   2006 — 2008
Communication Studies

Experience
Chenoa Information Services  September 2010 - Present
CareCentrix   August 2011 - September 2014
Future Knowledge Services Ltd   February 2010 - September 2010
Rishabh Software Pvt. Ltd.   April 2009 - January 2010
Sai Information Technology Solutions, Ahmedabad   January 2007 - April 2009

Skills
Business Analysis, Web Services, JavaScript, Testing, Oracle, Integration, Software Development, Visio, Quality Assurance, User Acceptance Testing, Project Management, SDLC, CRM, Requirements Analysis

Education
South Gujarat University   2003 — 2007
BE, Computer

Experience
AxelaCare Health Solutions  February 2015 - Present
CareCentrix   July 2014 - February 2015
Apria Healthcare  August 2011 - July 2014
Boilermakers National Funds  April 2006 - July 2011
Walmart, Inc  August 2002 - November 2009
Hope House  August 2006 - May 2007

Skills
Health Insurance, Employee Benefits, Employee Training, Team Leadership, Leadership, Insurance, Management, Customer Service, Call Centers, Medicare, Mental Health, Claim, Medicaid, Group Therapy, Data Entry, Outlook, HIPAA

Education
University of Missouri-Kansas City   2000 — 2006
Masters of Arts, Counseling and Guidance

University of Missouri-Columbia   1999 — 2000
Master of Arts (MA), Mental Health Counseling/Counselor

Experience
Center for Corporate Innovation   January 2014 - Present
Blue Cross and Blue Shield of Minnesota  June 2013 - Present
Health Plan Holdings   November 2010 - Present
International Medical Group  September 2012 - Present
One Hundred Years   June 2012 - Present
dLife  December 2008 - March 2015
Metcare  April 2010 - December 2012
CareCentrix   September 2009 - September 2011
MDdatacor  March 2008 - September 2011
IPG  September 2008 - November 2009

Skills
Healthcare, Health Insurance, Managed Care, Strategic Planning, Medicaid, Insurance, Team Building, Medicare, Healthcare Information..., Health Policy, New Business Development, Executive Management

Education
University of California, Los Angeles
Bachelor of Arts, English

Experience
Willis  2015 - Present
CareCentrix   August 2013 - February 2015
Milliman  July 2012 - August 2013
Sage Advisory  August 2010 - May 2011
Milliman  June 2008 - August 2010
Sage Advisory  May 2006 - May 2008

Skills
Excel, Word, PowerPoint, Bloomberg, BondEdge, Java, SAS, Valuation, Financial Analysis, Access, Statistics, Microsoft Excel, Management, Actuarial Science, Microsoft Word, Fixed Income, Analysis, Risk Management, Time Series Analysis, Financial Modeling, Portfolio Management, Economic Capital, Pensions, Insurance, Asset Allocation, Predictive Modeling, Data Analysis, Employee Benefits

Education
The University of Texas at Austin   2004 — 2008
B.S., Actuarial Science

Experience
Health Integrated, Inc.   March 2015 - Present
Norcross Consulting Services   January 1992 - Present
WellCare  September 2012 - March 2015
CareCentrix   March 2010 - August 2012
Suncoast Medical Clinic  June 2009 - February 2010
LifePath Hospice  June 2008 - June 2009
Citrus Health Care, Inc.   2007 - 2008
Pure Fitness Tampa (formerly Lady BodFit)   February 2004 - September 2007
Humana Medical Plans, Tampa, FL   January 1996 - February 2004
Suncoast Hospital, Largo, FL   January 1988 - January 1996

Skills
Utilization Management, Legal Nurse Consulting, Hospice, Outpatient Clinical..., Healthcare Risk..., Medicaid, Medicare &..., Ancillary Contracting, Nurse Expert, Medicare, Managed Care, Medicaid, Risk Management, Healthcare, Medicine, PPO, Healthcare Management, Disease Management, Clinical Research, Health Policy, Nursing, Network Development, HMO, Case Managment, Home Care, Medical Billing, Provider Relations, Hospitals, Leadership, Patient Safety, Healthcare Industry, Health Insurance, HIPAA, Healthcare Consulting, EHR, Physicians, Healthcare Information..., Quality Improvement, Critical Care, EMR, Inpatient, Revenue Cycle, Physician Relations, Medical Coding, Credentialing, Medical Terminology, Medicare Part D, Medical Records, Pharmacy Benefit..., Case Management, Management

Education
St. Petersburg College   1983 — 1986
Nursing, Nursing Science

American Institute of Medical Law   1982 — 1984
Certificate Healthcare Risk Management

Experience
CareCentrix   August 2014 - Present
Healthesystems  October 2008 - February 2014
Tech Data Corp  April 2002 - September 2008
Zebra Systems Inc.   August 1998 - October 2001
Systems Resources Consulting  January 1998 - July 1998
United Airlines  February 1989 - January 1998
Allstate Insurance  June 1988 - January 1989
Nielsen Media Research  January 1986 - February 1988

Skills
Databases, Microsoft SQL Server, SSIS, ETL, T-SQL, Database Design, Data Warehousing, SharePoint, SQL, SDLC, Business Intelligence, Requirements Analysis, Visio, Business Analysis, SSRS, Data Management, Disaster Recovery, Replication, Database Administration, Database Security, Erwin, Data Architecture, Data Modeling, Relational Databases, Dimensional Modeling, Performance Tuning, Data Analysis, Security, Stored Procedures, Analysis, Integration, Data Governance, Change Management, Leadership, Management, Strategic Leadership, Strategic Planning, Technical Leadership, Tactical Planning, Budget Process, Operations Management, Resource Management, Staff Development, Team Management, Technical Presentations, Process Improvement, Project Management, Microsoft Office, Healthcare, Cross Functional Team...

Education
University of South Florida   1983 — 1988
Bachelor, Engineering Technology in Computer Technology

Experience
CareCentrix   September 2008 - February 2015
Coca-Cola Enterprises, Inc.   July 2006 - August 2008
Chase Paymentech Solutions, LLC  January 2005 - June 2006
AEGON/Transamerica Fund Advisers, Inc.   March 2000 - December 2005

Skills
Financial Reporting, Financial Analysis, Accounting, Access, Process Improvement, Analysis, Auditing, Budgets, Management, Leadership, Accounts Receivable, Finance, PeopleSoft, Training, Microsoft Excel, Business Analysis, Forecasting, Internal Audit, Data Analysis, Business Process, Financial Modeling

Education
University of Florida
Bachelor of Science in Business Administration, Finance

Experience
BioTelemetry, Inc.   2014 - Present
BioTelemetry, Inc.   2013 - 2014
CareCentrix   2011 - 2013
Liberty Medical Supply  2010 - 2011
CCS Medical  2007 - 2010
CCS Medical  2003 - 2007
PharmChem, Inc.   2000 - 2003
Quest Diagnostics  1996 - 2000

Skills
Process Improvement, Healthcare, Leadership, Managed Care, Healthcare Industry, Management Consulting, Software Documentation, HIPAA, Call Centers, Medicare, Business Process..., Medicaid, Strategic Planning, Management, Healthcare Information..., Revenue Cycle Management, Team Building, Cross-functional Team..., Call Center, Performance Management, Healthcare Management, CRM, Operations Management, Medical Devices, Coaching, Healthcare Consulting, Revenue Cycle, Insurance, Outsourcing, Executive Management, Medical Billing, Home Care, Vendor Management, Customer Retention, Performance Improvement, Quality Assurance, Project Planning, Customer Service, Data Analysis, Accounts Receivable, Provider Relations, Business Development, Driving Business Growth

Education
University of Phoenix
MBA, Master of Business Administration

Ursinus College
BBA, Computer Science

Experience
CareCentrix   April 2013 - Present
Sykes  February 2010 - April 2013
Sykes  February 2005 - April 2013
SYKES Enterprises  January 2005 - October 2009
JPMorganChase  2001 - 2005
JP Morgan Chase  2001 - 2005

Skills
Performance Management, Leadership Development, Coaching, Change Management, Call Center, Talent Management, Team Building, Organizational..., Strategic Planning, Customer Service, Process Improvement, Employee Relations, Call Centers, Project Management, Leadership, Training, BPO, Training Delivery, Outsourcing, Employee Engagement, E-Learning, Succession Planning, Contact Centers, Management, Recruiting, Organizational..., Operations Management, Team Leadership

Education
Duke Integrative Medicine   2012 — 2013
Certified Integrative Health Coach

University of South Florida   1998 — 2000
M.Ed., Higher Education Administration

Experience
CareCentrix   2011 - Present
Triad Healthcare, Inc  2007 - 2010
The Stanley Works  2002 - 2007
Dun & Bradstreet Software  1987 - 2001
Security- Connecticut Life Insurance, Avon, CT   June 1982 - November 1987

Skills
Business Intelligence, Program Management, Project Management, Management, Strategy, Business Development, Strategic Planning, Leadership, Operations Management, Account Management, CRM, Human Resources

Education
Computer Processing Institute   1985 — 1986
Diploma, Business Computer Programming

University of Connecticut   1976 — 1980
Bachelor of Science, Business Management

Experience
CareCentrix   June 2014 - Present
Express Scripts  July 2012 - May 2014
Medco  November 2000 - June 2012
Toys R Us Intl   2007 - 2010
AT&T Wireless  1993 - 1997

Skills
Medicaid, Business Analysis, Healthcare, Medicare, Business Intelligence, Process Improvement, SQL, Health Insurance, Healthcare Information..., HIPAA, Project Planning, Cross-functional Team..., Data Analysis, Compliance, Microsoft Excel, Health Care Reform, Pharmacy Benefit..., Program Management, Team Building, Project Portfolio..., SDLC, Medicare Part D, Change Management, Management, Managed Care, Access, Analytics, Requirements Gathering, Problem Solving, Product Development, Project Management, Mentoring, Product Management, Team Leadership, Software Project..., Requirements Analysis, Business Requirements, Data Warehousing, Strategic Planning, Risk Management, Business Process..., Business Process Design, Insurance, Vendor Management, MS Project, Solution Implementation, IT Strategy, PMP, Quality Assurance

Education
Stevens Institute of Technology
MS, Technology Management

William Paterson University of New Jersey
BA, Journalism and Public Relations

Experience
Avalon Healthcare Solutions  September 2013 - Present
University of Arkansas  2012 - 2014
Francisco Partners  May 2013 - September 2013
CareCentrix   May 2009 - May 2013
Wellcare  August 2007 - May 2009
Blue Cross and Blue Shield Florida   November 2004 - August 2007
Independence Blue Cross  2000 - 2004

Skills
Healthcare Management, Medicine, Utilization Management, Medicare, Employee Benefits, Clinical Trials, Managed Care, Inpatient, Hospitals, Health Policy, Program Management, Healthcare Consulting, Home Care, Healthcare, Healthcare Industry, Leadership, Disease Management, EHR, Medicaid, Healthcare Information..., Provider Relations, HIPAA, Physicians, Health Insurance, Clinical Research

Education
University of Houston-Clear Lake   1996 — 1998
MBA, Health Care

University of Arkansas for Medical Sciences, College of Medicine   1988 — 1993
MD, Medicine

University of Oxford   1990 — 1991
research assistant, Molecular Biology

University of Arkansas at Fayetteville   1984 — 1988
Bachelor of Arts, Chemistry

Experience
Cigna-HealthSpring  June 2012 - Present
HealthSpring  September 2008 - May 2012
CareCentrix   January 2006 - August 2008
Byram Healthcare Centers   2000 - 2006
MedSolutions  July 1999 - October 2000
Baptist Saint Thomas Health Associates   August 1998 - July 1999
American HomePatient  July 1997 - June 1998

Skills
Healthcare, Medicare, Managed Care, Network Development, Provider Relations, Healthcare Industry, Sales, Healthcare Management, Leadership, Strategic Planning, Team Building, Management, Health Insurance, HMO, Healthcare Consulting, Medicaid, Disease Management, Health Policy, Process Improvement, PPO, Insurance, Physician Relations, Performance Improvement, Quality Improvement, Medical Devices, Practice Management, Utilization Management, Medicare Part D, Pharmacy Benefit..., Medical Compliance, Case Managment, Long-term Care, Credentialing, Accreditation, Patient Safety, EMR, Executive Management, Healthcare Reimbursement, Acute Care, Informatics, Medicaid Managed Care, Claims Management, Revenue Cycle Management, HIPAA, Hospitals

Education
University of South Carolina-Columbia
Bachelor of Science (BS)

Experience
Tekmark Global Solutions  December 2013 - Present
CareCentrix   February 2013 - October 2013
Aetna  October 2009 - February 2013
Aetna  January 2009 - October 2009
Aetna  October 2007 - January 2009

Skills
Underwriting, Insurance, Health Insurance, Claim, Reinsurance, General Insurance, Employee Benefits, Access, Brokers

Education
University of Connecticut   2000 — 2004
BA, History

University of Connecticut   2000 — 2004
Bachelor's Degree, History

University of Connecticut   2000 — 2004
Bachelor's degree, History

Experience
PwC  April 2011 - Present
CareCentrix   September 2009 - April 2011

Skills
Accounting, Financial Accounting, Microsoft Excel, Tax, Corporate Tax, Tax Preparation, GAAP

Education
University of South Florida   2005 — 2009
B.S., Accounting

San Jose City College   2002 — 2004
AA, General Education

Experience
CareCentrix   August 2011 - Present
Trustmark Life Insurance Company  May 2001 - July 2011
Edgewater Technology  October 1994 - April 2001
Electronic Data Systems  September 1988 - August 1994

Skills
EDI, ETL, System Integration, Integration, COBOL

Education
University of Dayton   1984 — 1988
ME, Mechanical Engineering

Experience
Waste Management  May 2014 - Present
Meridian Medical Management  November 2013 - May 2014
CareCentrix   December 2010 - April 2012
Quest Diagnostics  January 2007 - December 2010
Quest Diagnostics  July 2004 - January 2007

Skills
Customer Service, Insurance, Leadership, Management, Process Improvement, Medical Billing, Training, Health Insurance, HIPAA, Business Process..., Healthcare, Coaching, Invoicing, Data Entry, Software Documentation, Program Management, Team Building, Strategic Planning

Education
Southern Connecticut State University   2005 — 2010
Master's, Business Administration

Saint Joseph College
Bachelor of Science Degree, Nutrition and Dietetics

Southern Connecticut State University   1991 — 1996
Bachelor of Arts Degree, Liberal Studies

O.H. Platt High School

Experience
Medical Clinic of Houston  August 2010 - Present
Access MediQuip  March 2006 - March 2010
CareCentrix   March 2004 - March 2006

Skills
Healthcare, Nursing, Case Managment, Healthcare Management, Data Analysis, Managed Care, Quality Assurance, Process Improvement, Customer Service, Microsoft Office, Medical Billing, Insurance, Microsoft Excel, Clinical Research, Medical Devices, Healthcare Compliance, HIPAA, Medicare, Medical Compliance, Healthcare Industry, Case Management, Hospitals, Medicaid, Quality Auditing

Education
The University of Texas Health Science Center at Houston   1996 — 1998
MPH, Public Health

The University of Texas Medical Branch at Galveston   1988 — 1990
BSN, Nursing

Experience
CareCentrix   March 2014 - Present
WellCare  August 2011 - February 2014
Excellus BCBS  March 2008 - June 2011
University of Rochester, Strong Hospital/University Orthopedics   October 2006 - February 2008
University of Rochester, Strong Hospital   January 2005 - October 2006
MVP Health Care (formerly Preferred Care)   September 1999 - December 2005
Branch of the service, Army   October 1991 - July 1994

Skills
Accounting, Medicare, Medicaid, Medical Billing, Medical Coding, Data Analysis, Analysis, Health Insurance, ICD-9, CPT, Healthcare, Insurance, Claim, Provider Relations, Managed Care, Hospitals

Education
State University of New York College at Brockport   1988 — 1991
Gen Ed

Experience
CareCentrix   March 1997 - Present
Gentiva Health Services  1997 - 2008
Lockheed Martin  1985 - 1997

Skills
Procurement, Healthcare Management, Healthcare, HIPAA, Managed Care, Healthcare Industry, Process Improvement, Medicare, Medicaid, Healthcare Information...

Education
Suffolk County Community College   1983 — 1985
Accounting/Business Administration

Experience
CareCentrix   January 2015 - Present
Accenture  September 2010 - Present
Cisco  December 2013 - December 2014
State Farm  April 2012 - December 2013
Wellpoint Anthem  December 2010 - March 2012
Accenture  September 2008 - August 2010
Accenture  September 2006 - August 2008
Accenture  November 2004 - August 2006
IndiaCLEN   March 2002 - September 2004

Skills
SDLC, Agile Methodologies, Requirements Analysis, SOA, Requirements Gathering, Weblogic, Software Project..., PL/SQL, Websphere, Oracle, Solution Architecture, Web Services, Hibernate, Unix, Software Development, Struts, Testing, Ant, Java Enterprise Edition, Spring, Java, Core Java, JUnit, Unix Shell Scripting, Integration, Shell Scripting, JSP, Servlets, Tomcat, Design Patterns, Spring Framework, Enterprise Architecture, J2EE Application..., SoapUI, JIRA, Continuous Integration, JDBC, DB2, XML, Scrum, ESB, Application Architecture, ClearCase, Eclipse, Maven, Apache Camel

Education
University of Madras   1997 — 2001
BE, Computer Science

National Higher Secondary School   1995 — 1997
+2, Higher Secondary

Experience
Catalina Marketing  October 2010 - Present
CareCentrix   May 2010 - October 2010
BayCare Health System  September 2009 - May 2010
MarineMax  September 2007 - March 2009
BayRock Mortgage Corporation  2003 - 2006
The Clorox Company  May 1998 - April 2003

Education
St. Petersburg College   2009 — 2011

Experience
WellCare Health Plans  April 2014 - Present
CareCentrix   January 2014 - Present
Argus Dental   January 2013 - January 2014
Argus Dental   January 2013 - January 2014
Universal Health Care  November 2010 - December 2012
Amerigroup Corporation  June 2009 - November 2010
Jack Rice Insurance  January 2009 - June 2009

Skills
Medicaid, Medicare, Managed Care, Healthcare, Provider Relations, HIPAA, Healthcare Management, Health Insurance, HMO, Healthcare Information..., Healthcare Industry, Revenue Cycle, Insurance, Medical Billing, Claim, Employee Benefits, Claims Resolution, Call Centers, Access, Healthcare Consulting, Customer Service, EDI

Education
St. Petersburg College   1990 — 1993

Lakewood High School   1986 — 1989

Experience
CareCentrix   August 2006 - Present
Air Products Healthcare  June 2000 - August 2006
Joint Commission  1996 - 2002
American HomePatient  June 1996 - May 2000
Mercy Health System  September 1992 - June 1996

Skills
Home Care, Home Infusion, Healthcare Management, Hospitals, Healthcare, Medicare, Managed Care, Healthcare Information..., Medicaid, Revenue Cycle, Process Improvement, Medical Devices, Treatment, Healthcare Industry, Performance Improvement, HIPAA, Healthcare Consulting, EHR, Disease Management, Software Project..., Physician Relations, EMR, Physicians, Project Management, Patient Safety, Nursing

Education
Saint Joseph's University   1992 — 1996
Masters of Science, Healthcare Administration & Employee Assistance

West Chester University of Pennsylvania   1980 — 1984
Bachelor of Science, Respiratory Therapy; Health Education

Experience
CareCentrix   January 2013 - Present
WellCare Health Plans  2006 - 2012
WellCare Health Plans  2006 - 2012

Skills
Medicaid, Data Analysis, Medicare, Healthcare, Managed Care, Provider Relations, Health Insurance, Healthcare Management, Claim, Network Development, Call Centers, HIPAA, HMO, Utilization Management, Insurance, Process Improvement, Access, SDLC, Healthcare Industry, Visio, Healthcare Consulting, Health Policy, PPO, Disease Management, EHR, Healthcare Information...

Education
University of South Florida

Experience
Blue Cross Blue Shield of Arizona  September 2014 - Present
OptumRx  February 2013 - September 2014
Triwest Healthcare Alliance  July 2007 - February 2013
Preferred Therapy Providers Inc.   2006 - 2007
Horizon Home Health  2006 - 2006
CareCentrix   1999 - 2006

Skills
Project Management, Managed Care, Network Development, Healthcare Industry, Provider Relations, Medical Terminology, ICD-9, CPT, Medicare, Healthcare, HIPAA, Medicine, Medicaid, PPO, Hospitals, Healthcare Information..., Healthcare Management, Health Policy, Healthcare Consulting, Credentialing, Physician Relations, Revenue Cycle, Home Care, Medical Billing, EMR, Medical Coding, EHR, HMO, Health Insurance, Nursing, Health Information..., Utilization Management

Education
University of Phoenix   2007 — 2008
Master of Business Administration (MBA), Business Administration and Management, General

Experience
CareCentrix   November 2011 - January 2012
CareCentrix   January 2011 - May 2011
Gentiva Health Services  July 2009 - January 2011
Gentiva Health Services  April 2007 - September 2010
Lok Technology, Inc.   September 2005 - January 2007
Retirement Plan Specialists, Inc.   February 2004 - January 2005
Palmer & Cay (formerly Defrain Mayer)   January 2002 - June 2003
Palmer & Cay (formerly Defrain Mayer)   July 1998 - June 2003
Towers Perrin  August 1996 - July 1998
Solo Cup Company  March 1996 - May 1996

Skills
MS Excel, MS Word, MS Access, MS Power Point, QuickBooks, JD Edwards, SQL Ledger, Creative Solutions, Monarch Pro, DBVALii, Relius, DATAIR, MS Access 97, Claims98, Intake98, Unity, Access, Financial Statements

Education
University of Iowa   1989 — 1993
Bachelor of Business Administration (BBA), Finance with emphasis in Accounting

Experience
Rotech Healthcare  April 2014 - Present
Southern Ute Indian Tribe  April 2013 - April 2014
Kewa Pueblo Health Center   August 2010 - March 2013
Walgreens Respiratory Services   August 2010 - September 2011
CHRISTUS Health  February 2010 - August 2010
CareCentrix   July 2009 - February 2010
Lovelace Health System  January 2009 - July 2009
Western Dermatologh Consultants   April 2008 - January 2009
Su Vida Behavioral Health   February 2005 - April 2008
State of New Mexico  February 2005 - June 2007

Skills
Operations Management, Office Management,..., Medical Billing, Billing Services, Health Insurance, Medical Terminology, Medical Coding, Department Budgeting, Operating Budgets, Budget Reconciliation

Education
Santa Fe Community College   1999 — 2002
Medical Office Management/Administration

Pecos High School   1992 — 1996