CareMore Health Plan
Industry: Company
DescriptionCareMore, a subsidiary of Anthem Inc., is an integrated health plan and care delivery system for Medicare and Medicaid patients. The company was founded in 1993 by Sheldon Zinberg as a small Southern California regional medical group. CEO: Sachin H. Jain Chief medical officer: Zubin J. Eapen Chief product officer: Vivek Garg Founded: 1993 Parent organization: CareMore Medical Enterprises
CareMore Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at CareMore Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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CareMore Health Plan Employees
University Healthcare Alliance (Stanford) June 2015 - Present
San Jose Physical Therapy October 2013 - Present
Nifty after Fifty November 2010 - October 2013
CareMore Health Plan 2010 - 2013
San Jose Athletic Club 2009 - 2010
Palo Alto Medical Foundation 1999 - 2003
First Lady spa 1988 - 2000
Skills
Fitness, Wellness, Health Education, Health Promotion, Cpr Certified, Exercise Physiology, Public Speaking, Nutrition, Wellness Coaching, Kinesiology, Weight Training, Research, Healthcare, Nutritional Counseling, Personal Training, CPR Certified
Education
San Jose City College 2011 — 2013
Health / Nutrition
San Jose City College 2011 — 2013
Associate's degree, Healthcare Administration, 3.8
DaVita HealthCare Partners August 2014 - Present
Davita healthcare partners April 2013 - Present
Collaborative Care, OptumHealth November 2010 - Present
CareMore Health Plan October 2007 - December 2010
Greater Newport Physicians IPA 2001 - 2007
PacifiCare of California 1998 - 2001
PacifiCare Health Systems 1998 - 2001
HealthCare Partners Medical Group 1989 - 1994
Skills
Managed Care, Healthcare Management, Internal Medicine, Utilization Management, Healthcare, Disease Management, Medicine, Medicare, Physicians, Medicaid, Healthcare Information..., EHR, Health Policy, Healthcare Consulting, EMR
Education
Oregon Health and Science University 1982 — 1986
MD, Medicine
CareMore Health Plan February 2011 - Present
Vasquez & Son's Plumbing, LLC. January 2007 - Present
Sunquest Information Systems (formerly Misys Healthcare Systems) December 1999 - January 2007
Misys Healthcare Systems 1999 - 2007
Skills
Customer Service, Databases, HIPAA, Hands-on Training, Healthcare, Healthcare Information..., Microsoft Office, Process Improvement, Salesforce.com, SharePoint, Siebel, Software Documentation, Software Implementation, Training, Troubleshooting, Visio
Education
Pima Community College
Education
CareMore Health Plan October 2014 - Present
Rush University Medical Center 2009 - Present
RUSH 2010 - October 2014
Rush University Medical Center 2008 - 2010
Methodist Healthcare 2006 - 2008
Methodist Healthcare 2003 - 2006
Skills
Healthcare Management, Transformational..., Strategic Planning, Physician Relations, Organizational..., Process Improvement, Business Plan..., Service Line Development, Performance Improvement, Hospitals, Healthcare, Project Management, Business Development, Leadership Development, Healthcare Consulting, Customer Service, Organizational..., Change Management, Leadership, Health Policy, Training
Education
The University of Memphis
Masters, Health Administration
University of Tennessee-Knoxville
Bachelor of Science, Biology
Central California Alliance for Health October 2014 - Present
CareMore Health Plan October 2013 - September 2014
The Salon Professional Academy San Jose August 2011 - October 2013
Spa In the Park September 2010 - August 2011
BJ's Restaurants, Inc. May 2010 - August 2011
Skills
Higher Education, Research, Public Speaking, Student Affairs, Curriculum Development, Adult Education, Staff Development, Educational Leadership, Community Outreach, Program Development, Social Networking, Training
Education
Sonoma State University 2006 — 2009
Woodrow Wilson Classical High School 2002 — 2006
Classical High School Diploma
Alignment Healthcare October 2013 - Present
CareMore Health Plan July 2011 - October 2013
CareMore Health Plan November 2008 - July 2011
Merritt Hawkins & Associates 2007 - 2008
Skills
Recruiting, Human Resources, Personnel Management, Screening, Contract Negotiation, Onboarding, Management, Policy, Talent Acquisition, Applicant Tracking..., Performance Management, Employee Benefits, Sourcing, Office Administration, Employee Engagement, Interviews, Benefits Administration, Temporary Placement, Labor Relations, Succession Planning, Training, Technical Recruiting, Coaching, Healthcare, Employee Relations, Project Planning, Team Building, Talent Management, Leadership, College Recruiting, Employee Training, Program Management, HRIS, Workforce Planning, Leadership Development, Deferred Compensation, New Hire Orientations, Taleo, FMLA, PeopleSoft, Hiring, Resume Writing, Job Fairs, Job Descriptions, Employee Handbooks, Internet Recruiting, HR Policies, Career Development, Employment Law
Education
Emory University
BA, English, History
Princeton Day School
The Lawrenceville School
CareMore Health Plan September 1993 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Data Entry, Hospitals, Healthcare
Education
University of Southern California 1991 — 1993
Doctor of Medicine (MD), Medicine
The Maharaja Sayajirao University of Baroda 1982 — 1989
Bachelor of Medicine, Bachelor of Surgery (MBBS), Medicine
Counseling4Kids May 2013 - Present
Private Practice - Self Employed January 2013 - Present
Pacific Oaks College September 2012 - Present
Center for The Psychology of Women January 2013 - April 2013
Child and Family Guidance Center July 2007 - January 2013
CareMore Health Plan July 2006 - June 2007
Los Angeles Unified School District September 1991 - June 2006
Skills
Adolescents, Psychotherapy, Mental Health, Family Therapy, Group Therapy, Teaching, Play Therapy, Counseling Psychology, Anger Management, Social Services, Behavioral Health, Life Transitions, Motivational..., Therapists
Education
Pacific Oaks College 2002 — 2005
Master of Arts (M.A.), Marriage and Family Therapy/Counseling
California State University, Bakersfield 1986 — 1991
Bachelor of Arts (B.A.), Liberal Arts and Sciences, General Studies and Humanities
CareMore Health Plan December 2008 - Present
San Jose Medical Group April 2006 - December 2008
Skills
Healthcare, EMR, Healthcare Management, Nursing, HIPAA, Medicare, Health Insurance, Medicine
Education
Heald College-San Jose 2004 — 2006
Associate of Arts and Sciences (A.A.S.), Medical/Clinical Assistant
Easy Choice Health Plan April 2015 - Present
Easy Choice Health Plan December 2014 - March 2015
CareMore Health Plan February 2013 - November 2014
SCAN Health Plan January 2005 - February 2013
CalOptima January 2000 - January 2005
St. Joseph Heritage Medical Group January 1998 - January 2000
ASEAN January 1995 - January 1998
St. Jude Heritage Medical Group January 1990 - January 1995
Institute for Biological Research and Developement January 1983 - January 1985
University of New Orleans January 1973 - January 1974
Skills
Utilization Management, Medicaid, Research, Case Managment, Nursing, Healthcare, Disease Management, Healthcare Management, Elder Care, Compliance, HIPAA, Training, Case Management, Social Services, Clinical Research, Treatment, Medicine, Managed Care, Medicare
Education
TUI University 2006 — 2014
PhD ABD, International Health
TUI University 2003 — 2005
M.S., International Health
Excelsior College
A.S, Registered Nurse
The University of the State of New York
B.S, Liberal Studies
Health Sciences Institute
Chronic Care Professional (CCP)
Johns Hopkins School of Nursing
Guided Care Nurse Certification (GCN)
The Commission for Case Manager Certification
Certified Case Manager (CCM)
Verisk Health December 2014 - Present
St Jude Heritage Medical Group December 2013 - December 2014
CareMore Health Plan August 2008 - November 2013
St. Joseph Home Health July 2007 - August 2008
Monarch Healthcare IPA April 2005 - June 2007
Memorial MRI 1995 - 2000
Skills
Medical Coding, CPT, HCPCS, ICD-9, HCC, Medicare Advantage, Anatomy, Physiology, Abstracting, Auditing, NextGen, Epic Systems, Meditech, All Scripts, IDX, Ascender, Optum Encoder Pro, HIPAA, EMR, Medical Terminology, Healthcare Information..., EHR, Medicare, Healthcare, Documentation, Medical Billing, Healthcare Management, Hospitals
Education
AAPC 2015 — 2015
Certificate, Risk adjustment
Santa Barbara City College 2006 — 2008
Health Information/Medical Records Technology/Technician
The Coding Source 2006 — 2006
Diploma, Medical Insurance Coding Specialist/Coder
Z Gallerie December 2013 - April 2015
JustFab February 2012 - February 2013
Care Concepts Louisiana inc October 2011 - January 2012
State Farm January 2011 - April 2011
CareMore Health Plan October 2010 - December 2010
CareMore Health Plan September 2010 - October 2010
Maritz June 2009 - July 2010
Skills
Fashion, Apparel, Visual Merchandising, Retail, Merchandising, E-commerce, Retail Sales, Customer Service, Sales, Personal Shopping, Trend Forecasting, Customer Retention, Customer Experience, Inventory Management, Styling, Fashion Design, Marketing, Social Media Marketing, Time Management, Brand Development, Textiles, Luxury Goods, Store Operations, Microsoft Word
Education
Long Beach City College 2009 — 2010
communication
Professional Community Management (PCM) September 2014 - Present
Professional Community Management (PCM) April 2012 - Present
CareMore Health Plan September 2011 - January 2012
QCM Design July 2009 - June 2011
Automobile Club of Southern California February 2008 - July 2009
Automobile Club of Southern California November 2006 - February 2008
Long Beach City College August 2005 - October 2006
Skills
Insurance, Data Entry, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Access, Microsoft Word, 10 Key, PowerPoint, Employee Benefits, Administrative..., PeopleSoft, Claim, Call Center, Filing, Property & Casualty..., Health Insurance, Visio, Research
Education
Long Beach City College
Saddleback College
Associate of Science, Computer Information Management
Sound Physicians April 2015 - Present
CareMore Health Plan October 2009 - March 2015
University Physicians Healthcare April 2004 - September 2009
Skills
Health Insurance, Medicare, Managed Care, Healthcare, Healthcare Management, Physicians, Medicine, Leadership, Medical Coding, Hospitals, Medical Billing, Provider Relations, Healthcare Consulting, EHR, Healthcare Information..., Family Medicine, EMR, Internal Medicine, Medical Records
Education
SUNY Stony Brook School of Medicine 1993 — 1997
Doctor of Medicine (MD)
The Johns Hopkins University 1989 — 1993
Bachelor of Arts (BA), Biology
Cal state Fullerton September 2015 - Present
CareMore Health Plan August 2013 - Present
Pro-Am Beach Soccer March 2015 - June 2015
STARS Performance Training & Sports Medicine August 2014 - January 2015
CBS Radio August 2012 - October 2014
CareMore Health Plan September 2012 - March 2013
Disneyland Resort August 2011 - August 2012
Disney College Program January 2011 - August 2011
Ralphs Grocery Company February 2008 - August 2008
Skills
Board Operation, Administrative..., Water Polo, Facebook, Social Networking, Leadership, Research, Management, Public Speaking, Creative Writing, Event Planning, Advertising, Customer Service, Time Management, Editing, News Writing, Social Media Marketing, Social Media, Fundraising, Public Relations, Sports, Radio, Broadcast, Radio Promotions, Press Releases, Radio Broadcasting, Adobe Audition, Radio Producing, Broadcast Journalism, Radio Advertising, Entertainment, Radio Host, Podcasting
Education
University of San Francisco 2014 — 2016
Master's Degree, Sports Management
Sonoma State University 2008 — 2012
Bachelor of Arts (BA), Communication and Media Studies
Los Alamitos High School 2004 — 2008
Jones Lang LaSalle January 2013 - Present
CareMore Health Plan January 2010 - January 2013
Premier - Continental July 2004 - August 2009
LPA Inc May 1999 - July 2004
Wimberly Allison Tong & Goo April 1996 - May 1999
Howard F. Thompson Associates July 1994 - April 1996
SGPA May 1989 - March 1993
Skills
LEED, Feasibility Studies, Architecture, Construction, Real Estate, Interior Design, Mixed-use, Sustainable Design, Property Management, Facilities Management, Marketing, Leases, Project Planning, Fundraising, Entitlements, Architecture Management, Architectures, Commercial Real Estate, Comprehensive Planning, Construction Management, Contract Negotiation, Corporate Real Estate, Disposition, Green Building, LEED AP, Lease Negotiations, Location Intelligence, Management, Projects, Real Estate Development, Real Estate Economics, Residential Homes, Strategic Planning, Tenant Improvement, Value Engineering
Education
University of Southern California 1993 — 1996
MBA
University of Southern California 1984 — 1989
Bachelor of Architecture (BArch)
Syracuse University
Syracuse University
Syracuse University
Gentiva Hospice May 2014 - Present
CareMore Health Plan April 2012 - November 2013
East Cooper Medical Center September 2011 - February 2012
Carondelet Health Network July 2009 - August 2011
University Physicians Healthcare May 2008 - July 2009
Cornerstone Hospital of Southern Arizona May 2007 - May 2008
Skills
Healthcare Management, Nursing, Patient Safety, Acute Care, BLS, Clinical Research, Critical Care, EHR, EMR, HIPAA, Healthcare, Healthcare Consulting, Healthcare Information..., Hospitals, Informatics, Inpatient, Leadership, Leadership Development, Managed Care, Management, Medical/Surgical, Medicine, Performance Improvement, Physician Relations, Policy, Process Improvement, Program Development, Program Management, Quality Improvement, Strategic Planning, Training
Education
University of Phoenix 2008 — 2009
MBA
University of Phoenix 1998 — 2001
Bachelor of Science
Pearl River Community College 1985 — 1987
Associate's Degree, Nursing
City Of Downey Fire Department January 2014 - Present
Transamerican Wholesale December 2011 - August 2015
Larkspur Fire Protection District March 2011 - October 2011
CareMore Health Plan September 2009 - March 2011
TSA November 2007 - July 2009
HOV Services February 2006 - June 2007
Skills
Word, Excel, Data Entry, Customer Relations, Customer Service, Data Analysis, Data Center, Call Center, Call Processing, Spreadsheets, Community Outreach, Call Centers, Human Resources, Microsoft Word, PowerPoint, Microsoft Publisher
Education
El Camino College 2014 — 2015
Associate's Degree, Emergency Medical Technology/Technician
Long Beach City College 2007 — 2011
AA, Fire Science
Rio Hondo College 2010 — 2010
Certification, Fire Science / Public Safety
Lakewood High School 2003 — 2006
High School Diploma, general
CareMore Health Plan January 2015 - Present
St. Joseph Health 2010 - 2014
Molina Healthcare, Inc 2009 - 2010
Molina Healthcare, Inc. 2006 - 2009
United Healthcare (formerly PacifiCare Health Systems) 1990 - 2006
Skills
Medicare, Medicaid, Health Insurance, Hospitals, Process Improvement, Policy, Strategic Planning, Operations Management, Team Building, Insurance, Change Management, Program Management, HIPAA, Physician Relations, Provider Relations, Healthcare Consulting, Healthcare, Claim, Vendor Management, Healthcare Information..., Health Policy, Revenue Cycle, Leadership, Healthcare Industry, Project Management, Network Development, Training, Managed Care
Education
University of California, Davis
BS, Human Development
University of Southern California
Management Development Program in Health Care
Concerto Health Care January 2015 - Present
CareMore Health Plan 2006 - 2014
UnitedHealth Group 2003 - 2006
PacifiCare Health Systems 2000 - 2003
PacifiCare Health Systems 1998 - 2000
PacifiCare Health Systems 1997 - 1998
PacifiCare Health Systems 1995 - 1997
Skills
Medicare, Healthcare, Health Insurance, Forecasting, Managed Care, Insurance, Medicaid, Provider Relations, HMO, HIPAA, Health Policy, Healthcare Industry, Medicare Part D, Healthcare Consulting, Utilization Management, Data Analysis, Analytics, Financial Modeling
Education
University of California, Los Angeles - The Anderson School of Management
Master of Business Administration (MBA), General Management
University of California, San Diego
Bachelor of Science (BS) and Bachelor of Arts (BA), Management Science and Psychology (Double Major), Management Science with Honors
CareMore Health Plan July 2015 - Present
Kaiser Permanente August 2014 - Present
ReachLocal November 2013 - June 2014
Empire Broadcasting February 2013 - October 2013
Kaiser Permanente October 2012 - February 2013
Design Visionaries August 2010 - February 2013
Dalmatian Tile January 2001 - September 2012
Acer America Corp. 1999 - 2001
Amkor Technology 1996 - 1999
Open Market (Start Up) 1995 - 1996
Skills
Social Media, Salesforce.com, Sales Process, Marketing, Legal Compliance, Computer Forensics, Sales, Account Management, Start-ups, New Business Development, Lead Generation, Marketing Strategy, Forecasting, Solution Selling, Recruiting, Business Development, Team Building, Strategy, Customer Service, Management, Strategic Planning
Education
University of Massachusetts, Amherst 1987 — 1991
Bachelor's degree, Elem. Education/Science Minor, 3.5
University of California, Berkeley 1995 — 1996
CEC, New Business
CareMore Health Plan May 2014 - Present
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas June 2013 - May 2014
Kaiser Permanente July 2012 - December 2012
Nexvisionix February 2011 - March 2012
Capario May 2004 - December 2010
Skills
Healthcare EDI..., EDI ANSI X12, JavaScript, Microsoft Office, EDI, Program Management, Healthcare Information..., Process Improvement
Education
UC Santa Barbara 1974 — 1979
Bachelor of Arts (B.A.), Business Economics
Loyola Marymount University
Master of Business Administration (M.B.A.), Information Technology
Optimal Health & Weight Loss August 2014 - Present
CareMore Health Plan October 2013 - Present
MediMedi Marketing May 2006 - June 2013
Arcadian Health Plan 2006 - 2012
PacifiCare Health Systems 2003 - 2006
PacifiCare Health Systems 2000 - 2003
PacifiCare Health Systems 1995 - 2000
Allergan 1990 - 1993
Allergan 1988 - 1991
Allergan 1985 - 1988
Skills
Product Management, Dual Eligible Special..., Dual Eligible Market, Cross-functional Team..., Medicare, Medicaid, Multicultural Marketing, Marketing Communications, Marketing, Managed Care, Project Planning, Product Development, Problem Solving, Medicaid Managed Care, Strategic Planning, Corporate Events, Event Management, Training, Virtual Teams, Project Team Management, Health Care Reform, Affordable Care Act, Leadership, Management, Healthcare, Strategy, Health Insurance, Team Building, Insurance, Process Improvement
Education
San Diego State University-California State University 1976 — 1979
BS, Business Administration - Marketing
UCLA - Health Care Management Certificate Program 2012 — 2013
D&S Ingredient Solutions LLC January 2015 - Present
CareMore Health Plan July 2014 - January 2015
SCAN Health Plan November 2013 - July 2014
Independant Wellness, Health, Fitness Coach July 2013 - May 2014
Saratoga Food Specialties September 2011 - September 2013
Oak Surgical Institute August 2003 - March 2011
CTR Supply March 1998 - June 2003
Skills
Sales, Customer Service, Marketing, Budgets, Management, Competitive Analysis, Customer Satisfaction, Strategy, Software Documentation, Time Management, Human Resources, Purchasing, Analysis, Negotiation, Personal Training, Athletic Training, Nutrition, Medical/Surgical, Problem Solving, Fitness Industry, Pharmaceutical Industry, Fitness Modeling, Training, Retail, Lifestyle, Coaching
Education
Kankakee Community College 1998 — 2002
Associate's degree, Business Administration and Management
Chaffey Community College 1989 — 1992
Associate's degree, General studies
CareMore Health Plan January 2015 - Present
Intuit February 2012 - Present
Citi October 2010 - February 2012
Safeway November 2008 - October 2010
Skills
Microsoft Office, Customer Service, Microsoft Excel, Management, Microsoft Word, PowerPoint, Public Speaking, Research, Project Management, Leadership, Strategic Planning, Social Media
Education
Pima Medical Institute-Tucson 2014 — 2014
Certificate Program (Graduated Dec, 2015), Medical/Clinical Assistant, 4.0
Santa Rita High school 2007 — 2010
Blue Cross Blue Shield of Arizona August 2013 - Present
CareMore Health Plan June 2010 - August 2013
Health Net November 2006 - June 2010
Skills
Medicare Advantage, Sales Management, Sales Operations, Sales Presentations, Business Relationship..., Managed Care, Selling, Sales, Brokers, Cross-functional Team..., Insurance
Education
Ottawa University-Phoenix 2000 — 2004
Bachelor of Arts (B.A.), Business Administration
Aramark Higher Education August 2012 - Present
CareMore Health Plan July 2013 - August 2014
VivePeru February 2011 - May 2012
VivePeru (NPO) June 2011 - August 2011
Skills
Nutrition, Hospitals, Menu Development, Healthcare, Diabetes, Community Outreach, Weight Management, Wellness, Nutrition Education, Food, Cooking, Dietetics, Nutritional Counseling, Public Health, Medical Nutrition...
Education
Washington University in St. Louis 2014 — 2016
Master of Public Health (M.P.H.), Global Health
University of Arizona 2008 — 2012
Bachelor of Science (B.S.), Nutritional Sciences and Dietetics
CareMore Health Plan June 2014 - Present
Banner Health August 2010 - April 2014
Mary Washington Healthcare 2003 - 2010
Skills
English, Windows, Research, Outlook, Teaching, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java, ICU, Critical Care, Emergency Room, ACLS, Cpr Certified, Post Anesthesia Care, Primary Care, CPR Certified, Patient Education, Hospitals
Education
Grand Canyon University 2011 — 2014
Master's degree, Family Practice Nurse/Nursing
Grand Canyon University 2010 — 2014
MSN, Family Nurse Practitioner
Villa Julie College
BSN, Registered Nursing/Registered Nurse
CareMore Health Plan March 2011 - Present
Evercare Hospice and Palliative Care April 2009 - April 2011
Education
University of Arizona 2002 — 2006
Bachelor's Degree
OHSU April 2012 - Present
CareMore Health Plan February 2011 - February 2012
Skills
Board Certified, Cardiovascular Disease, Internal Medicine, Acute Care, Medical Education, Health Education, Clinical Research, Epic Systems, Cpr Certified, ACLS, BLS
Education
Oregon Health and Science University 2008 — 2010
MPAS, Physician Assistant
University of California, Berkeley 2005 — 2006
Public Health
University of California, Riverside 2000 — 2004
Bachelor of Arts (B.A.), Political Science and Government
CareMore Health Plan July 2014 - Present
Anthem September 2012 - August 2014
Horizon Blue Cross Blue Shield of New Jersey December 2010 - September 2012
Healthfirst November 2008 - December 2010
ADP October 2007 - October 2008
Prudential Financial October 2006 - October 2007
Towers Watson January 2005 - July 2005
MetLife 1994 - 2005
Skills
Vendor Management, SDLC, Process Improvement, Insurance, Business Analysis, Project Management, PMO, Program Management, Change Management, HIPAA, PMP, Business Process..., Requirements Gathering, Software Project..., IT Strategy, Team Leadership, Visio, Management, Requirements Analysis, Project Portfolio..., Business Intelligence, Business Process, Software Documentation, Strategy
Education
The University of Connecticut School of Business 1992 — 1994
Bachelor of Arts
University of Connecticut 1992 — 1994
BA
Saint Lawrence University 1990 — 1992
The Ethel Walker School
Intacct Corporation September 2014 - Present
Google February 2014 - September 2014
CareMore Health Plan August 2013 - January 2014
Jamba Juice January 2012 - August 2013
Starbucks Inc January 2011 - January 2012
Jamba Juice January 2009 - January 2011
Hawaii Pacific University Bookstore January 2009 - January 2010
Skills
Customer Service, Sales, PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office, Time Management, Interviews, Analysis, Public Speaking, Google Apps
Education
Hawaii Pacific University 2008 — 2013
Bachelor of Science in Business Administration, International Business
Gilroy High School
High School Diploma
Hawaii Pacific University
B.Sc, International Business
CareMore Health Plan June 2010 - Present
Health Net 2006 - 2010
United Healthcare August 2000 - September 2005
Skills
Health Insurance, Medicare
Education
Ottawa University 2002 — 2004
Bachelors, Business Adminstration
CareMore Health Plan January 2013 - Present
CareMore Health Plan January 2013 - June 2013
Health Choice Management company` February 2012 - December 2012
Lifeprint Health, Optum Health, United Health Group March 2011 - October 2012
Lifeprint, Optum Health, United Health Group February 2010 - March 2011
UnitedHealth Group 2010 - March 2011
HealthCare Partners July 2005 - October 2009
Pinnacle Health Systems July 2005 - October 2009
Advanced Animal Care Hospitals March 2006 - July 2009
Sierra Health Services October 2000 - July 2005
Skills
Medicare, Healthcare, Healthcare Consulting, Managed Care, Health Policy, Analysis, Management, Medicaid, Healthcare Industry, Health Insurance, HIPAA, Healthcare Management, Healthcare Information..., Revenue Cycle, Financial Analysis, Medicine
Education
The George Washington University 2009 — 2011
MBA, Healthcare
University of Illinois at Urbana-Champaign 1991 — 1991
CPA certificate, Public accounting
Loyola University Chicago 1987 — 1991
BBA, Public Accounting
Marian Catholic 1983 — 1987
HealthCare Partners February 2014 - Present
HealthCare Partners LLC June 2012 - Present
CareMore Health Plan 2011 - 2011
Express Employment Professionals, Culver City, CA 2007 - 2010
Countrywide Bank 2006 - 2007
Thrivent Financial for Lutherans 2003 - 2006
MoreDirect, Inc. 2001 - 2002
Unisys 2000 - 2001
Inacom Information Systems 1995 - 2000
Skills
Program Management, Program Development, Business Management, Business Development, Strategic Planning, Sales Management, Team Leadership, Operations Management, Vendor Management, Key Account Management, Customer Relations, Recruitment/Retention, Employee Relations, Mentoring, Event Planning, Microsoft Office, CRM software, Social Networking
Education
Woodbury University 1987 — 1991
BSBA, Business Management
Marymount College 1985 — 1987
AA, Liberal Arts and Business
Alignment Healthcare August 2015 - Present
North Shore-LIJ Health System June 2013 - July 2015
North Shore-LIJ Health System July 2012 - June 2013
Marwood Group September 2011 - June 2012
CareMore Health Plan August 2011 - August 2011
New York Academy of Medicine September 2010 - August 2011
Human Services Council of NY February 2010 - May 2011
County of Orange Office on Aging June 2009 - August 2009
Skills
Healthcare Management, Chronic Care Management, Population Health, Home-based Primary Care, Palliative Care, End-of-life, Health Policy, Policy Analysis, Public Policy, Value-based Payments, Public Health, Social Services, Team Leadership, Business Development, Philanthropic..., Fundraising, Project Management, Process Improvement, Strategic Planning, Business Planning, Social Entrepreneurship, Program Development, Market Analysis, Community Paramedicine, Telemedicine, Research, MS Office Suite, Excel, Spanish, Grant Writing, Writing, Editing, Yoga
Education
NYU Robert F. Wagner Graduate School of Public Service 2011 — 2012
Master of Public Administration (M.P.A.)
New York University 2007 — 2011
Bachelor of Arts (B.A.)
CareMore Health Plan May 1993 - Present
CareMore Health Plan 1993 - Present
Skills
Healthcare, Health
Education
New York Medical College 1976 — 1980
Doctor of Medicine (MD)
Stanford University 1974 — 1976
Bachelor of Science (BS), Chemistry
CareMore Health Plan March 2012 - Present
Monarch HealthCare May 2007 - March 2012
B. Braun Medical April 2006 - May 2007
Avery Dennison September 1999 - December 2004
Interealty Corp 1993 - 1996
Skills
Software Documentation, Customer Service, EHR, Healthcare Information..., EMR, HIPAA, Training, Visio, Healthcare, NextGen, SDLC, Access, HL7, Medicare, Healthcare Consulting, Business Analysis, Healthcare Management, Managed Care
Education
Pacific Lutheran University 1988 — 1991
Bachelor of Arts, German and International Relations
JP and Associates Insurance Services, LLC August 2014 - Present
CareMore Health Plan August 2012 - August 2014
United Health Care 2006 - November 2012
Allied Riser Co. 2000 - 2002
Transamerica Insurance Finance 1996 - 2000
Firemans Fund Insurance Company 1981 - 1996
Skills
Health Insurance, Medicare, Medicare Part D, Managed Care, Healthcare, Insurance, Brokers, Disability Insurance, Medicaid, Life Insurance, Claim, Underwriting, Long-term Care, Provider Relations, Process Improvement, Employee Benefits, General Insurance, HMO, Umbrella Insurance, HIPAA, Network Development
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1992 — 1994
MBA
University of Massachusetts Boston
BA, American History (United States)
CareMore Health Plan June 2015 - Present
Walgreens May 2012 - Present
St Cloud Vamc March 2015 - May 2015
Children's Hospitals and Clinics of Minnesota February 2015 - March 2015
Abbott Northwestern Hospital October 2014 - December 2014
Hennepin County Medical Center September 2014 - October 2014
DaVita Clinical Research July 2014 - August 2014
Thrifty White Pharmacy June 2014 - July 2014
Medication Management Systems, Inc. May 2014 - June 2014
University of Minnesota August 2012 - May 2014
Skills
Pharmacy, Medication Therapy..., Healthcare, Pharmacists, PowerPoint, Compounding, Immunization, Healthcare Information..., Clinical Pharmacology, Social Media, Premiere, Medication..., Photoshop, Patient Counseling, Health Communication, Clinical Research
Education
University of Minnesota-Duluth, Labovitz School of Business and Economics 2011 — 2016
Master of Business Administration (MBA), Business Administration and Management, General
University of Minnesota 2011 — 2015
Doctor of Pharmacy (PharmD), Pharmaceutical Care
University of California, Berkeley 2004 — 2008
Bachelor of Arts (B.A.), Molecular Cell Biology
CareMore Health Plan November 2012 - Present
Arizona Center for Brain Stimulation February 2009 - Present
Behavioral Evaluation Services of Tucson September 2008 - Present
El Rio Special Immunology Associates February 2007 - November 2012
Skills
Hospitals, Medicine, Healthcare, Healthcare Management, Treatment, Medical Education, Public Health, Mental Health, Psychiatry, Medical Devices, TMS, Internal Medicine, Board Certified, Managed Care, Therapists, Tape Management, Psychotherapy, Behavioral Health
Education
Harvard University 1996 — 1997
Psychosomatic Medicine Fellowship, Consultation Psychiatry
University of Arizona 1992 — 1996
Psychiatrist, Psychiatry Residency Program
University of Baja California Faculty of Medicine 1981 — 1987
Doctor of Medicine (MD), Medicine
CareMore Health Plan October 2012 - Present
Target June 2011 - October 2012
Kaiser Permanente April 2008 - August 2011
Skills
Pharmacists, Pharmacy, Healthcare, Hospitals, Pharmacology, Pharmacy Automation, Medicine, Diabetes, Managed Care, Public Speaking, Clinical Research, Pharmaceutical Industry, Customer Service, Medication Therapy...
Education
University of Southern California 2007 — 2011
Doctor of Pharmacy (Pharm.D.)
University of California, Berkeley 2001 — 2005
Bachelor of Arts (B.A.)
CareMore Health Plan November 2014 - Present
Monarch HealthCare February 2013 - November 2014
Long Beach Memorial Medical Center January 2004 - November 2014
Long Beach Memorial Medical Center January 2012 - January 2014
Memorial HealthCare IPA May 2011 - May 2013
Los Alamitos Medical Center January 2010 - April 2012
Kaiser Hospital-Vallejo, CA June 1999 - October 2004
Kaiser Permanente June 1996 - June 1999
Skills
Hospitals, Clinical, Healthcare Management, Healthcare, EMR, Board Certified, Physicians, Medicare, Patient Safety, Acute Care, Managed Care, Inpatient, Disease Management, Clinical Research, Medicine, Internal Medicine, Emergency Medicine, Healthcare Information..., Medical Education, Cardiology, Treatment, Physician Relations, Critical Care, Healthcare Consulting, ACLS, Family Medicine, EHR, ICU, Quality Improvement, Urgent Care, Leadership, Management
Education
Tel Aviv University 1991 — 1996
MD, Medicine
University of California, Riverside 1987 — 1991
Bachelor of Science, Biology
CAST Management Consultants January 2015 - Present
CAST Management Consultants January 2014 - January 2015
CAST Management Consultants July 2012 - December 2013
Keck Graduate Institute August 2011 - May 2012
The Pablove Foundation January 2011 - August 2011
CareMore Health Plan January 2010 - May 2010
Skills
Management Consulting, Project Management, Microsoft Excel, Microsoft Access, Data Analysis, Public Speaking, Tableau, Business Process..., Process Improvement, Visual Basic, Business Strategy, Fundraising, Economics
Education
Scripps College 2008 — 2012
Bachelor of Science, Science and Management
Centro Universitario de Estudios Hispánicos de Hamilton
CareMore Health Plan November 2014 - Present
Discount Dance Supply August 2011 - November 2014
A&E Associates September 2014 - October 2014
AE & Associates, LLC. January 2014 - March 2014
Payless ShoeSource March 2008 - August 2009
Riverside County Medical Health June 2007 - September 2007
Pauma Band of Mission Indians July 2005 - March 2007
Caremark February 2005 - July 2005
Pechanga Resort & Casino May 2001 - October 2004
Skills
Customer Service, Data Entry, Social Networking, Sales, Time Management, Training, Microsoft Office, PowerPoint, Filing, Retail, Medical Records, Inventory Control, Merchandising, Microsoft Word, Microsoft Excel, Outlook, Retail Sales, Team Building, Inventory Management, Recruiting, Telephone Skills, 10 Key, Access, Budgets, Cashiering, Contract Negotiation, Customer Retention, Customer Satisfaction, Distribution Center..., Hiring, Leadership, Loss Prevention, Management, Marketing, Marketing Strategy, Negotiation, New Business Development, Payroll, Process Improvement, Process Scheduler, Public Speaking, Research, Sales Management, Social Media, Store Management, Strategic Planning, Teaching, Team Leadership, Troubleshooting, Medical Coding
Education
Tri County Allied Health School 2013 — 2014
CCS, Medical Insurance Coding Specialist/Coder
Mt. San Jacinto Community College 2001 — 2003
Educational Leadership and Administration, General
Riverside Community College 1999 — 2001
CCS, Educational Leadership and Administration, General
Paloma Valley High School 1995 — 1999
Diploma, High School
HealthCompare September 2013 - Present
The Word & Brown Companies November 2012 - September 2013
The Word & Brown Companies May 2012 - November 2012
HealthCompare July 2010 - May 2012
CareMore Health Plan June 2009 - July 2010
UnitedHealthcare May 2006 - June 2008
PacifiCare Health Systems November 2002 - May 2006
Skills
Medicare, Healthcare, Operations Management, Succession Planning, Performance Improvement, Selling, Managerial Economics, Sales, Policy, Project Planning, Health Insurance, Insurance, Medicare Exchange, Carrier Development, Marketing Strategy, Call Center, Outside Sales, Inside Sales, Medicaid, HIPAA, Managed Care, Call Centers, Business Development, Management, Leadership, Process Improvement, Sales Management, Training, Marketing, Team Leadership, Business Analysis, Vendor Management, Sales Operations, Coaching, Team Building, Strategic Planning, Recruiting, Customer Service, Account Management, Time Management, Executive Management, Customer Retention, Healthcare Industry, Disability Insurance, Salesforce.com, Long-term Care, Cross-functional Team..., Brokers, Term Life Insurance, Underwriting
Education
Pepperdine University, The George L. Graziadio School of Business and Management 2008 — 2011
BS, Business Management
CareMore Health Plan January 2013 - Present
CareMore Health Plan October 2011 - December 2012
Our Lady of Refuge June 2008 - August 2008
Skills
Data Entry, Customer Service, Outlook, Spreadsheets, Access, Inventory Management, Salesforce.com, HIPAA, Compliance, Microsoft Word, Microsoft Office, Time Management
Education
DeVry University 2009 — 2011
Business Administration, Health Services Management
Salisbury Group, Inc. August 2014 - March 2015
Special Counsel January 2013 - May 2014
CareMore Health Plan September 2011 - February 2012
U.S. Department of the Interior, Office of the Solicitor, Washington, DC January 2011 - May 2011
Michigan State University College of Law Library January 2009 - December 2010
Los Angeles County District Attorney's Office May 2010 - August 2010
Los Angeles County District Attorney's Office May 2009 - August 2009
Manatt, Phelps and Phillips LLP September 2007 - August 2008
Community College Transfer Center, UC Berkeley March 2006 - May 2007
Bretoi and Associates Law Firm May 2006 - July 2006
Skills
Legal Research, Westlaw, Legal Writing, Courts, Trials, Criminal Law, Lexis, Research, Appeals
Education
Michigan State University College of Law 2008 — 2011
Doctor of Law (J.D.)
University of California, Berkeley 2003 — 2007
B.A.
Southwest Medical Consulting, LLC September 2008 - Present
ISS Hockey July 2015 - Present
California Health & Wellness February 2013 - June 2015
Gorman Health Group November 2009 - January 2015
Centene Corporation June 2010 - August 2014
CareMore Health Plan 2007 - 2009
Mega Health And Life Insurance Company 2003 - 2007
Midwest Surgical, Inc. 1991 - 2003
Skills
Healthcare Consulting, Contract Negotiation, Orthopedic, Network Development, Managed Care, Medicare, Healthcare, Medicaid, Healthcare Management, Hospitals, Health Insurance, Sports Medicine, Data Analysis, Provider Relations, Health Policy, Healthcare Industry, Training, HIPAA, Physicians, Process Improvement, Healthcare Information..., Clinical Research, EHR, Insurance, Revenue Cycle, EMR, Policy, Physician Relations, Disease Management, Medical Devices, Surgery, Executive Management, Practice Management, Management, Strategic Planning, Team Building, Leadership, Strategy, Consulting, Medicine, Program Management, Business Development, Medical Billing, Quality Improvement
Education
Uniformed Services University of the Health Sciences 1983 — 1988
Medical, Science
University of Maryland University College 1983 — 1987
BS, Science
East Leyden High School 1978 — 1982
Diploma, General
CFM Radiology June 2014 - Present
San Jose Medical Group August 2007 - Present
CareMore Health Plan November 2011 - December 2011
Most Holy Trinity Catholic Church 2002 - 2011
Skills
Healthcare, Hospitals, EMR, Patient Safety, Nursing, HIPAA, Healthcare Information..., Healthcare Management, CPR Certified, Clinical Research, Phlebotomy, Vital Signs, Customer Service, BLS, Medicine
Education
San Jose City College 2007 — 2015
wester career college 2006 — 2007
Certification, Medical assistant
CareMore Health Plan March 2013 - Present
CareMore Health Plan January 2013 - November 2014
MEDxm November 2012 - April 2013
Delta Locum Tenens December 2012 - February 2013
Seattle University Graduate Student Council August 2010 - August 2012
Neighborhood House January 2010 - June 2010
Herban Feast Catering & Events August 2007 - December 2009
Oakland Unified School District March 2003 - June 2007
InterAlianza August 2001 - August 2004
SEEDS (formerly Berkeley Dispute Resolution Service) November 2000 - August 2003
Skills
Nursing, Patient Education, Teaching, Community Outreach, Public Speaking, Spanish, Nurse Practitioners, Family Medicine, Community Health, Cpr Certified, Urgent Care, Primary Care, Microsoft Word, PowerPoint, Social Media, Editing, Patient Safety, EMR, BLS, Health Education, Hospitals, Geriatric Psychiatry, Social Services, Healthcare, Medicare, Public Health, Interdisciplinary..., Board Certified, Psychiatry, Behavioral Health, HIPAA, Managed Care, Nursing Education, Patient Advocacy, Crisis Intervention, Psychology, Mental Health Counseling, Case Management, Disease Management, Higher Education, Interventions, Symptom Management, Prevention, Treatment, Mental Health, Healthcare Management, Medicine, Clinical Research, Geriatric Nursing, Psychopharmacology
Education
Seattle University 2009 — 2012
Master's of Science in Nursing, Family Practice (sub-specialty in Psychiatry)
University of San Diego 2004 — 2007
Master's Degree / Education Specialist Teaching Credential thru Alameda County Board of Ed, Education/Teaching of Individuals in Junior High/Middle School Special Education Programs, 9-12
University of California, Berkeley 1998 — 2002
B.A. in Interdisciplinary Social Science, Non-violent Social Change
Laney College 1999 — 2001
Associate of Arts and Sciences (A.A.S.), Language Arts and Social Sciences
CareMore Health Plan October 2014 - Present
UnitedHealth Group August 2011 - October 2014
UnitedHealth Group August 2010 - August 2011
UnitedHealth Group July 2007 - August 2010
UnitedHealth Group July 2005 - July 2007
Skills
Health Insurance, Medicare Advantage, Provider Relations, Provider Network..., Compliance, Customer Service, Training, Claims Resolution, Claims Handling, Provider Education, Network Contracting, Commercial Insurance, Medicaid Managed Care, Call Centers, Customer Service..., Healthcare Industry, Medicare Part D, Medicare/Medicaid..., Government Programs, Medicare, Medicaid, Medical Billing, Contract Management
Education
Trinity Bible College 2002 — 2004
Associate of Arts (AA), General Education
Citrus Valley Health Partners December 2013 - Present
SynerMed December 2011 - October 2013
SCAN Health Plan October 2010 - December 2011
Molina Healthcare February 2006 - October 2010
CareMore Health Plan 2005 - 2006
Gambro Dialysis Clinic 2003 - 2004
Skills
Hospitals, Medicaid, Healthcare Management, Managed Care, Health Insurance, HIPAA, Healthcare, Healthcare Information..., Medicare, Healthcare Industry, Insurance, Health Policy, Healthcare Consulting, Clinical Research, Strategic Planning, Revenue Cycle, Physician Relations, Provider Relations, Strategy, Medical Billing, Network Development, Informatics, Management, Quality Improvement, Long-term Care, Medicare Part D, Project Management, Case Managment, Business Development, Budgets, Claim, Customer Service, Data Analysis, Software Documentation, Policy, Process Improvement, HMO, Leadership, Access, Team Building, Credentialing, PPO, Data Entry, Medicare/Medicaid..., Utilization Management, Physicians, Training, EHR, Analysis, Medical Coding
Education
Rio Hondo College
Health/Health Care Administration/Management
Watten, Discoe, Bassett & McMains July 2015 - Present
Legal Aid Society of Orange County January 2015 - July 2015
Ristorante Genovese January 2013 - July 2015
CareMore Health Plan April 2013 - October 2013
Genex Services October 2005 - March 2013
The Home Depot July 2005 - October 2005
Radisson Hotel and Suites January 2002 - July 2005
Skills
Legal Research, Legal Writing, Civil Litigation, Insurance, Customer Service, Provider Relations, PPO, Project Management, Workers' Compensation..., Leadership, CPT, ICD-9, Teamwork, Training, Claims Auditing, Claims Management, Microsoft Excel, Time Management, Medical Terminology, Microsoft Office, Medicare, Medicaid, Compliance Support, Fee Schedules, Inventory Management, Sales, PowerPoint, Microsoft Word, Outlook, LexisNexis, eDiscovery, Concordance, Quality Assurance, Data Entry
Education
Santa Ana College 2013 — 2015
Associate of Arts (AA), Legal Assistant/Paralegal
Santiago Canyon College 2013 — 2015
Associate of Arts (AA), Liberal Arts and Sciences, General Studies and Humanities
La Mirada High School
Hospitalists Now, Inc September 2014 - Present
BAYADA Home Health Care January 2014 - September 2014
CareMore Health Plan October 2012 - January 2014
Private Home Care September 2009 - July 2011
Gardens At Lake View February 2009 - June 2010
MCI Verizon Communications Inc. April 2007 - June 2008
Las Margaritas Restaurant August 2003 - October 2005
Skills
Medicaid Managed Care, Home Care, Healthcare Management, Leadership, Outlook, Leadership Development, Human Resources, Healthcare, Customer Service, Training, Microsoft Excel, PowerPoint, Team Management, Organized Multi-tasker, Communication Skills, HIPAA, Healthcare Information..., EMR, Public Relations, Patient Safety, Gerontology, Caseload Management, Case Managment, Alzheimer's disease, Dementia, Medical Terminology, Project Management, Business Development, Medicare, Customer Satisfaction, Managed Care, Team Leadership, Provider Relations, Administrative..., Healthcare Consulting, Spanish, Medical Records, Office Management, HMO, Customer-focused Service, Data Entry, Healthcare Industry, Cpr Certified, ICD-9, Time Management, Medical Billing, Process Improvement, CMS, Medicare Part D, Compliance
Education
Saint Leo University 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration
Saint Leo University 2010 — 2011
Bachelors, Health Care Management and Minor in Human Resources
Santa Fe College 2004 — 2006
Associates of Arts, Business/Health Care
Anthem, Inc. March 2011 - Present
CareMore Health Plan March 2011 - June 2013
L.A. Wilshire Orthopaedic and Associates, Inc, August 2008 - September 2010
Calamigos Equestrian August 2004 - August 2008
A Community of Friends August 2003 - June 2008
Skills
Executive..., C-Level Executive..., Executive Support, Administrative..., Healthcare, Health Insurance, Managed Care, Insurance, Medicare, Project Management, Strategic Planning, Process Improvement, Microsoft Office, Office Management, Employee Benefits, PeopleSoft, Travel Arrangements, Microsoft Excel, Customer Service, Coordinate Meetings, Special Events...
Education
New York University
CareMore Health Plan August 2014 - September 2015
Loma Linda University Medical Center - Murrieta February 2013 - June 2014
California Rehabilitation and Sports Therapy November 2011 - August 2012
Anomaly Talent July 2009 - May 2012
URS Corporation October 2008 - May 2011
UC Irvine November 2010 - April 2011
Skills
Healthcare, Microsoft Office, Clinical Research, Microsoft Excel, Working With Children, Program Development, Environmental..., Microsoft Word, Research, PowerPoint, Event Planning, Data Analysis, Strategic Planning, Social Media, SPSS, Program Management, Public Speaking
Education
Loma Linda University 2012 — 2014
Master of Business Administration, Health Care Administration/Management
University of California, Irvine 2006 — 2010
Bachelor of Science, Public Health
SIS Solutions December 2011 - August 2014
CareMore Health Plan June 2011 - November 2011
Montevista Hospital November 2003 - June 2011
Education
CSU Long Beach 1978 — 1982
Masters, Public Administration
San Diego State University-California State University 1973 — 1974
Bachelor of Art, Major: Sociology Minor: Psychology
CareMore Health Plan July 2011 - Present
Starbucks Coffee Co. January 2007 - August 2011
Earthbound trading company January 2006 - December 2007
Skills
Customer Service, Auditing, Teamwork, Positive Work..., Friendly Personality, Dependable Team Player, Organized Multi-tasker, Pay Close Attention to..., Solid computer skills, Enthusiasm to learn, Passion for Helping..., Goal Oriented
Education
Irvine Valley College 2007 — 2009
Psychology
Hope International University 2005 — 2006
Psychology
Fidelis SecureCare November 2014 - Present
Cognizant Technology Solutions June 2014 - November 2014
CareMore Health Plan August 2010 - July 2014
Blue Shield of California 2007 - 2010
BlueCross BlueShield of South Carolina 2000 - 2006
Skills
Vendor Management, Insurance, Healthcare Information..., Managed Care, Healthcare, Medicare, HIPAA, Leadership, Health Insurance, Strategic Planning, Customer Service, Management, Process Improvement, Program Management, Team Building, Business Analysis, SDLC, Project Management, Analysis, Training
Education
Moorpark College
Associate of Science (A.S.), Training and Management
CareMore Health Plan September 2015 - Present
LifeCare Solutions June 2009 - August 2015
Lincare Holdings, Inc 2005 - 2009
Apria Healthcare 2002 - 2005
Stanislaus health service agency 1997 - 2002
Skills
Durable Medical..., Team Building, Medicare, Sales, Sales Management, Customer Service, Hospitals, Leadership, Nutrition, Account Management, Territory Growth, Territory Management, Liaison, Medical Equipment, Direct Patient Care, Wound Care, Managed Care, Healthcare Industry, Healthcare, Medical Devices, Public Speaking, Marketing
Education
Fresno Pacific University 2013 — 2015
Business Administration and Management, Leadership
Galen College-Modesto
Medical Office Assistant/Specialist
Modesto Junior College
General Studies
Agape Hospice & Palliative Care January 2014 - Present
Triad Medical Group December 2013 - Present
Seminars for Healthcare Ed, Inc 2003 - Present
CareMore Health Plan August 2012 - Present
Soreo Pathways January 2012 - October 2013
UnitedHealth Group March 2012 - January 2013
CareMore Health Plan April 2010 - March 2012
United Healthcare February 2008 - April 2010
Skills
Medicare Advantage, Educational Programs, Dementia and Assoc..., Medicaid, Network Development, HMO, Health Policy, Customer Service, Consulting, Pain Management
Education
The University of Kansas 1992 — 1995
MSN, Family Nurse Practitioner
Webster University 1989 — 1990
BSN, Registered Nursing/Registered Nurse
Kansas City Kansas Community College 1979 — 1982
ADN, Registered Nursing/Registered Nurse
CareMore Health Plan August 2012 - September 2015
Mutual of Omaha May 2011 - January 2015
Longevity Alliance Inc November 2008 - May 2011
Colonial Supplemental Insurance September 2007 - May 2011
A.G.I.A Insurance Services July 2003 - September 2007
Conseco Financial November 2001 - July 2003
American Express January 1996 - July 2001
American Express January 1996 - July 1998
Skills
Budgets, Strategic Planning, Health Insurance, Sales Operations, Marketing, Customer Satisfaction, Coaching, Disability Insurance, Banking, MS Project, Direct Sales, New Business Development, Contract Negotiation, Six Sigma, Databases, Visio, Process Improvement, Medicare, Insurance, Sales, Training
Education
The Master's College 1981 — 1986
B.A, Business Administration and Management
The Master's College 1981 — 1986
Bachelor's Degree- Business Administration/Management, Business, Management, Marketing, and Related Support Services
CareMore Health Plan September 2014 - Present
Molina Healthcare August 2013 - July 2014
St. Joseph Health System March 2013 - July 2013
UCLA Health System April 2011 - March 2013
HealthCare Partners August 2008 - April 2011
Kaiser Permanente 2000 - 2004
Skills
Nursing, EHR, Healthcare Management, Informatics, Management, EMR, Healthcare Information..., Healthcare, Hospitals, Ambulatory, Visio, Healthcare Consulting, Epic Systems, CPOE, HIPAA, Practice Management, Revenue Cycle, Leadership, Medicare, Medicaid, Managed Care, Consulting, Physician Relations, Program Management, Project Management, Process Improvement, Healthcare Industry, Strategic Planning, Quality Improvement, Information Technology, Strategy, Team Building, Clinical Research
Education
McMaster University 1995 — 1998
MBA, Health Management
McMaster University 1991 — 1995
BScN, Nursing
Trenton High School 1986 — 1991
CareMore Health Plan January 2015 - Present
Columbia United Providers December 2013 - September 2014
FamilyCare Health Plans September 2011 - December 2013
Kaiser Permanente June 2010 - September 2011
Kaiser Permanente January 2009 - June 2010
Kaiser Permanente January 2008 - January 2009
Kaiser Permanente June 2004 - January 2008
Kaiser Permanente May 2003 - June 2004
Kaiser Permanente January 1998 - May 2003
Kaiser Permanente 1989 - 1997
Skills
Healthcare, Healthcare Management, Program Management, Epic Systems, Managerial Finance, Leadership, EMR, Change Management, Hospitals, Healthcare Information..., Project Planning, Management, Human Resources, Strategic Planning, Strategy, Performance Improvement, Recruiting, HIPAA, Employee Relations, Ambulatory Care, Microsoft Office, Medicine, Home Care, Policy, Managed Care, Process Improvement, Leadership Development, Project Management, Utilization Management, EHR, Negotiation, Public Speaking, Clinical Research, Medicaid, Conflict Resolution, Provider Relations, Customer Service, Labor Relations, Temporary Placement, Quality Management, Medicare, Mental Health, Organizational..., Team Building, Behavioral Health
Education
University of Oregon
MBA, Oregon Executive MBA Program
Lewis and Clark College
BA, Biology
Attack! April 2010 - Present
PUSH Models February 2009 - Present
Turf-N-The World April 2014 - May 2015
K.E.K Scientific Co March 2008 - February 2014
SD Special Events Co LLC 2013 - 2014
CareMore Health Plan July 2012 - May 2013
Hyatt Hotels Corporation June 2011 - July 2012
Fossil Group, Inc. April 2007 - June 2008
Hallmark Cards November 2004 - April 2007
Small Animal Hospital January 2006 - January 2007
Skills
Customer Service, Marketing Communications, Community Outreach, Communication, Administrative..., Receptionist Duties, Time Management, Outstanding..., Oral & Written..., Promotions, Public Speaking, Sales, Volunteering, Typing, Brand Awareness, Business Planning, Appointment Scheduling, Advertising, Marketing, Social Networking, Social Media
Education
Riverside City College 2008 — 2011
NA, Psychology
Pepperdine University 2007 — 2008
NA, Social Psychology
Northwest Medical Center October 2008 - Present
CareMore Health Plan 2015 - 2015
CareMore Health Plan 2015 - 2015
Ferrell Duncan Clinic August 2000 - August 2008
Skills
Patient Safety, Critical Care, Healthcare Management, Medicine, Hospitals, BLS, Inpatient, ICU, ACLS, Medical Education, Board Certified, Acute Care, Healthcare, PALS, EMR
Education
Saint Louis University 1993 — 1997
Doctor of Medicine (M.D.)
Alignment Healthcare July 2015 - Present
CareMore Health Plan February 2012 - Present
CareMore Health Plan July 2009 - February 2012
Citibank (Banamex USA) August 2006 - August 2008
Washington Mutual Card Services 2004 - 2006
Skills
Training, Microsoft Applications, Analysis, Call Centers, HIPAA, Health Insurance, Healthcare, Leadership, Medicare, Process Improvement, Strategic Planning, Team Building, Vendor Management, Visio
Education
UC Irvine, Extension 2013 — 2015
Managed Healthcare Unlimited, Inc. June 2015 - Present
Heritage Provider Network December 2014 - May 2015
CareMore Health Plan January 2013 - December 2014
Centers for Medicare & Medicaid Services January 2003 - December 2012
Kaiser Foundation Health Plan of Georgia January 1997 - January 2003
Psychosocial Rehabilitation Center (Fellowship House) January 1989 - January 1995
Skills
Policy, Medicare, Medicaid, Health Insurance, Leadership, Training, Strategic Planning, Management, Budgets, Quality Improvement, Contract Management, Auditing, Health Policy, Medical Billing, Managed Care, Healthcare Management, Clinical Research, HIPAA, Nonprofits, Medicare Part D, Healthcare, Provider Relations, Healthcare Consulting, Healthcare Industry
Education
University of Phoenix 2003 — 2011
DHA, Health Administration
Troy University 1980 — 1982
MS, Management
Northeastern University 1977 — 1979
BS, Biology
American Institute of Medical Law
Optum Medical Network September 2013 - Present
CareMore Health Plan January 2011 - September 2013
Scottsdale Healthcare July 2007 - December 2010
Troy Comstock, MD, PC April 2002 - July 2007
Education
Indiana University School of Medicine 1992 — 1996
Doctor of Medicine (MD)
Exempla Saint Joseph Hospital Denver, Colorado 1996 — 1999
Internal Medicine Residency
Olivet Nazarene University 1988 — 1992
Bachelor of Science (BS), Biochemistry
James Hardie Building Products April 2014 - Present
AmeriClerkships Medical Society October 2012 - Present
AmeriClerkships Medical Society May 2012 - June 2013
Media Nation USA November 2011 - April 2012
Media Nation USA September 2010 - October 2011
CareMore Health Plan December 2009 - September 2010
TBB Media Group March 2009 - June 2009
SilverLeaf Custom Homes July 2007 - May 2009
Skills
Editing, Creative Writing, Freelance Writing, Microsoft Office, Spreadsheets, Copy Editing, Grammar, Organization &..., QuickBooks, Typing, Data Entry, Accountability, Analytical Skills, Imagination, Communication, Crochet, Young People, Integrity, Software, Fast Paced Environment, Fast Learner, Self-starter, Close Attention to..., Work Well Independently, Teamwork, Deadline Driven, Salesforce Administrator
Education
The University of Texas at San Antonio 2008 — 2009
English Language and Literature/Letters
University of Redlands 2002 — 2006
Bachelor of Arts (B.A.), Creative Writing
University of East Anglia 2004 — 2004
English Language and Literature/Letters
CareMore Health Plan November 2014 - August 2015
Health Dialog October 2013 - April 2014
Bupa Health Dialog October 2010 - October 2013
Health Dialog June 2006 - October 2010
Skills
Disease Management, Healthcare Management, Healthcare, Nursing, Healthcare Information..., Software Documentation, Managed Care, HIPAA, Health Insurance, Health Policy, Health Education, Informatics, Coaching, Hospitals, Team Building, Healthcare Consulting, Patient Safety, Health Promotion, Wellness, Process Improvement, Leadership, Healthcare Industry, Data Analysis, Strategic Planning, Customer Service, Project Management, Microsoft Office, Clinical Research, Employee Relations, Case Managment, Home Care, Utilization Management, Medicare, Public Health
Education
Grand Canyon University
Bachelor's Degree, Nursing
CareMore Health Plan November 2012 - Present
Daphne's Greek Cafe July 2012 - November 2012
P.F. Chang's China Bistro May 2008 - June 2012
Skills
Coaching, Public Speaking, Customer Satisfaction
Education
Cal State Dominguez Hills 2007 — 2011
BA, Communications/Public Relations
Long Beach City College 1999 — 2001
Acacia Springs & Heritage Springs September 2014 - Present
Pacifica Senior Living March 2013 - September 2014
CareMore Health Plan June 2012 - March 2013
Helping Hands of Vegas Valley June 2011 - May 2012
Oregon State Senator Chip Shields March 2011 - June 2011
Liberty Tax November 2010 - March 2011
Nevada Democratic Party July 2010 - November 2010
Dawg Tired and Cat Naps too November 2009 - May 2010
BHB Media Productions May 2005 - August 2008
Data Technology Corporation September 2003 - May 2005
Skills
Public Relations, Social Media Marketing, Press Releases, Media Relations, Event Management, Non-profits, Community Outreach, Advertising, Public Speaking, Newsletters, Marketing, Fundraising, Editing, Recruiting, Volunteer Management, Customer Service, Event Planning, Social Media, Strategic Planning, Social Networking, Grassroots Organizing, Political Campaigns, Nonprofits
Education
Nevada State College 2012 — 2014
Speech Language Pathology, SPL, 3.5
University of Nevada-Las Vegas 2001 — 2005
B.A, Communications
Boomers Insurance Services March 2013 - Present
M-Theory Group January 2013 - March 2013
Care1st Health Plan October 2012 - January 2013
CareMore Health Plan August 2011 - February 2012
CyberDefender September 2008 - July 2011
Avs Construction January 2006 - September 2008
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Budgets, Negotiation, Marketing, Sales, Sales Management, Sales Process, Direct Sales, Management, Account Executives, Presentations, Outside Sales, New Business Development, Customer Satisfaction
Education
Los Angeles Valley College 2009 — 2015
Associate of Arts and Sciences (AAS), Biology, General
CareMore Health Plan April 2014 - Present
Citi July 2013 - April 2014
St. Francis de Sales Parish June 2011 - July 2013
Old Navy July 2009 - June 2011
Bank of America June 2008 - June 2009
Skills
Customer Service, Microsoft Office, Public Speaking, PowerPoint, Event Planning, Microsoft Word, Microsoft Excel, Outlook, Leadership, Social Media, Data Entry, Community Outreach, Mortgage Lending, Team Building, Training, Time Management, Teamwork
Education
Trinity College of the Bible and Trinity Theological Seminary 2012 — 2013
Bachelor of Arts (B.A.), Religious Studies
University of Arizona 2012 — 2012
Transfer, Cross Categorical Special Education
Sabino High School 2004 — 2008
Diploma, General Studies
Long Beach Area Chamber of Commerce September 2015 - Present
Covered California March 2015 - September 2015
CareMore Health Plan June 2012 - March 2015
AutoTrader.com November 2011 - April 2012
Los Angeles Newspaper Group January 2011 - November 2011
Om Marketing Solutions March 2010 - January 2011
SuperMedia (Formerly Verizon Information Services) March 2004 - March 2010
Major League Baseball April 2000 - October 2004
Southern California Senior Life (Life July 1997 - March 2004
Sportsfan Radio Network 1999 - 2000
Skills
Award-winning team..., Outstanding..., Highly computer..., Exemplary interpersonal..., Assertive, innovative..., Marketing Strategies &..., Revenue Retention &..., New Client Acquisition, Web & Print Content..., Networking &..., Cold Calling & Bird..., Minimizing Decrease &..., New Product Launch, Exceptional oral,..., Networking, Organization, Cold Calling, Marketing Strategy, Customer Acquisition, Product Development, Content Development, CRM, Salesforce.com, Advertising, Lead Generation, Digital Marketing, SEM, Market Planning, Google Adwords, Direct Mail, Marketing, Event Management, Blogging, New Business Development, Sales, Sales Presentations, Strategic Partnerships, B2B Marketing, Management, Online Marketing, SEO, Sales Operations, Online Advertising, Account Management, Social Media, Selling, Social Networking, Advertising Sales, PPC, Social Media Marketing
Education
Santa Monica College
Broadcast/Journalism
Citizens Choice Healthplan September 2006 - August 2014
CalOptima May 2005 - September 2006
CareMore Health Plan 1999 - 2005
Skills
Medicare, Healthcare, Managed Care, Medicaid, Health Insurance, Healthcare Management, Marketing, Hospitals, Marketing Strategy, Strategic Planning, Team Building, Sales Management, Public Relations, Business Development, Budgets, Process Improvement, Project Management, Data Analysis, Customer Service, Marketing Management, Medicaid Managed Care, Provider Relations, HMO, Network Development, Healthcare Consulting, Healthcare Industry, Management, Insurance, Health Policy, New Business Development, Leadership
Education
USC 1987 — 1994
Master of Science, Gerontology and Health Administration
UCLA Anderson School of Management
Bachelor of Science (B.S.)
ExamWorks Clinical Solutions January 2012 - Present
CareMore Health Plan January 2014 - Present
Thomas D Lim, DPM, Inc July 2005 - Present
CareMore Health Plan 2014 - Present
Exam Works January 2011 - Present
Staten Island University Hospital 2002 - 2005
Skills
Clinical Research, Surgery, Healthcare, EMR, Public Health, Board Certified, BLS, Medicine, Hospitals, Healthcare Management, Medical Education, Internal Medicine, Pediatrics, Orthopedics, Physicians, Sports Medicine, Wound Care, Treatment, Healthcare Information..., Rehabilitation, Pain Management, EHR, Critical Care, Podiatry, Inpatient, Healthcare Consulting, Diabetes, Prevention, Reconstructive Surgery, Medical Devices, Sports Injuries, Patient Safety, Biomechanics
Education
UCLA 1993 — 1998
Bachelor of Science (BS), Biology, General
Samuel Merritt College 1998 — 2002
Doctor of Podiatric Medicine (DPM)
MegaPath Inc. August 2011 - Present
Tek Systems February 2010 - August 2010
Peak Virtual Accounting March 2010 - May 2010
United Law Group September 2008 - June 2009
RSoftware123 2009 - 2009
CareMore Health Plan 2002 - 2008
J.D. Power and Associates 1995 - 1997
Skills
C#, VB.NET, SQL Server
Education
Irvine Valley College 2008 — 2009
Harvey Mudd College 1988 — 1992
B.S., Mathematics
Alignment Healthcare July 2015 - Present
HealthCare Partners July 2014 - July 2015
CareMore Health Plan May 2012 - July 2014
Inovalon March 2010 - March 2012
Comprehensive Consulting Solutions LLC. December 2008 - March 2010
Andesa Services, Inc. December 2006 - November 2008
Pets United LLC September 2005 - December 2006
Skills
Microsoft SQL Server, SQL, Databases, XML, Software Development, SDLC, T-SQL, SSRS, SSIS, Data Warehousing, PL/SQL, Business Intelligence, Crystal Reports, .NET, Visio, Visual Basic, Scrum, VB.NET, C#, Web Services, Agile Methodologies, Oracle, JavaScript, DB2, ASP.NET, IIS, Java, Unix, SQL Server, HTML, C++, CSS, MySQL, VBScript, Assembly, CGI, Visual Studio, TFS, Database Design, Agile, Application Development, Object Oriented Design, Software Requirements, Software Testing Life..., Data Warehouse..., OLAP, OLTP, Data Modeling, Data Integration, Release Management
Education
Kutztown University of Pennsylvania
Bachelors of Science, Computer Science
Parkland
CareMore Health Plan October 2014 - Present
The West Clinic October 2012 - July 2014
Professional Care Services October 2007 - June 2012
University of Memphis August 2007 - October 2007
Rhodes College August 2006 - May 2007
Shelby County Crime Victims Center August 2005 - April 2006
Accredo Health September 2002 - August 2005
Youth Villages August 2002 - December 2002
Lambuth University September 1998 - May 2002
Skills
Psychotherapy, Counseling Psychology, Play Therapy, Clinical Supervision, Mindfulness, DBT, EMDR, Behavioral Health, Psychology, Treatment, Public Speaking, Social Services, Therapists, Interventions, Clinical Research
Education
The University of Tennessee Health Science Center 2004 — 2007
Master of Science (M.S.), Social Work
University of Tennessee 2004 — 2007
Masters of Science, Social Work
Lambuth University 1998 — 2002
Bachelor of Science; Bachelor of Science, Psychology; Political Science
Ridgeway High School 1994 — 1998
High School Diploma
CVS Caremark Corporation June 2014 - Present
CareMore Health Plan March 2012 - June 2014
The TriZetto Group March 2011 - January 2012
HCSC May 2010 - January 2011
Blue Care Network 2008 - September 2010
Manhard Consulting 2008 - 2008
Great-West Healthcare April 2006 - December 2006
CareSource Management Group January 2005 - February 2006
FlexTech, Inc. January 1998 - July 2005
SIHO 1994 - 1999
Skills
Business Analysis, SDLC, Requirements Analysis, Requirements Gathering, Visio, Business Intelligence, Data Warehousing, Healthcare Information..., Microsoft SQL Server, Vendor Management, Software Project..., Process Improvement, Software Documentation, SharePoint, Integration, Agile Methodologies, SQL, Consulting, Business Process..., Databases, Management, Oracle, HPSM, Systems Analysis
Education
The Ohio State University 1981 — 1983
Bachelor of Science (B.S.), Computer Science
Health Care DataWorks (HCD) August 2014 - July 2015
Intelligent Healthcare December 2012 - May 2014
CareMore Health Plan October 2010 - December 2012
White Branch Partners February 2010 - December 2010
Initiate Healthcare November 2009 - February 2010
Accenx Technologies November 2007 - November 2009
XLHealth Corporation June 2005 - November 2007
PacifiCare Health Systems January 2004 - June 2006
Gryphon Health Works, Inc January 2001 - January 2004
For Health, Inc January 1997 - January 2001
Skills
Strategic Planning, Healthcare, Marketing Strategy, Strategy, Dog Walking, Healthcare Management, Healthcare Information..., Managed Care, Management, Medicaid
Education
Saint Joseph's University
BS, Psychology
Vanderbilt University
MBA
Hanger, Inc. October 2014 - Present
Sysazzle, Inc. April 2014 - October 2014
CareMore Health Plan December 2012 - April 2014
Mitchelar Consulting LLC February 2011 - December 2012
The Revere Group January 2007 - February 2011
Cerner Corporation December 2005 - January 2007
Chase Property Management June 2004 - August 2005
Skills
Business Intelligence, SSIS, Microsoft SQL Server, ETL, SSRS, SQL, Business Analysis, Databases, SharePoint, Database Design, Data Integration, T-SQL, Dimensional Modeling, Unix, Crystal Reports, PL/SQL, XQuery, DB2, PowerPivot, Healthcare Information..., SAP Data Services, Clarity, Epic Systems, Cogito, PostgreSQL, Pentaho
Education
University of Illinois at Urbana-Champaign 2003 — 2005
BS, Economics
Illinois Central College 1999 — 2002
AAS, Finance
Richwoods High School 1995 — 1999
CareMore Health Plan May 2014 - Present
Caremore Medical Enterprises March 2012 - Present
Monarch HealthCare April 2006 - March 2012
BDO Seidman, LLP December 1996 - April 2006
Skills
Financial Analysis, Medicare, Clinical Research, Healthcare, Mergers, Process Improvement, Financial Reporting, Ad Hoc Reporting, Reporting Systems, Quantitative Analytics, Qualitative Data, Predictive Modeling, Predictive Analytics, Financial Modeling, Accountable Care, Performance Reporting
Education
University of California, Berkeley 1989 — 1993
Bachelor of Arts, Political Science
Brea Olinda High School
Anthem/Caremore July 2009 - Present
CareMore Health Plan 2009 - Present
HDSI January 1990 - June 2009
The Revere Group 2009 - 2009
Rx Solutions 2002 - 2008
Buy.com 1999 - 2001
Cendant Mobility 1997 - 1999
IRSC 1992 - 1997
Skills
Databases, Microsoft SQL Server, VB.NET, SQL, Software Development, Agile Methodologies, XML, Business Analysis, Web Applications, C#, ASP.NET, .NET, Web Services, AJAX, Business Intelligence, ETL, SDLC, Process Improvement, Integration, Web Development, Healthcare Information..., Visual Studio, Requirements Analysis
Education
Orange Coast College 1976 — 1981
Software Development
Orange Coast College 1976 — 1979
Computer Software Engineering
CareMore Health Plan October 2012 - Present
Healthsmart MSO, Inc February 2008 - October 2012
Home Loan Center 2003 - 2006
Skills
Mortgage Lending, Mortgage Banking, FHA, Credit, Refinance, Loan Origination, Underwriting, Real Estate, Banking, Residential Mortgages, Investment Properties, Management, Customer Service, Provider Network..., Provider Relations, Data Analysis, Service Providers, Problem Analysis, Leading Meetings, Regional Development, Healthcare Management, Financial Analysis, Joint Operations, Contract Management, Contract Recruitment, Contract Negotiation
Education
Long Beach City College 1999 — 2001
Long Beach City College 1999 — 2001
Landmark Health November 2014 - Present
CareMore Health Plan August 2013 - Present
CareMore Health Plan August 2010 - August 2013
CareMore Health Plan August 2009 - August 2010
Cardiovascular Surgery of Southern Nevada 2006 - 2009
Meridias Capital 2005 - 2006
Joseph A. Wineman, DMD, @ Dental 2003 - 2005
Skills
Network Development, Provider Relations, Managed Care, Medicare, Medicaid, Healthcare Management, Healthcare, Healthcare Industry, Healthcare Consulting, Credentialing, HIPAA, Physicians, Project Management, Insurance, Process Improvement, Medicare Part D, Utilization Management, Data Analysis, Provider Network..., HMO, Medical Cost Containment, Provider Networks, Contract Negotiation, Leadership, Physician Relations, Training, Quality Management, Healthcare Analytics
Education
University of Nevada-Las Vegas 2006 — 2008
MPH, Healthcare Administration
Trinity University 1999 — 2003
BA, Political Science, International Studies, Sociology
Nolan Catholic High School
Consultant April 2014 - Present
CareMore Health Plan June 2013 - Present
Cognizant Technology Solutions May 2011 - April 2014
Travelers September 2012 - May 2013
CUNA Mutual Group May 2011 - September 2012
We Energies April 2011 - May 2011
PriceWaterhouse Coopers November 2010 - April 2011
Ameriprise Financial Services, Inc. April 2006 - November 2010
Cognizant Technology Solutions September 2005 - November 2010
American Express October 2005 - April 2006
Skills
MDT, SCCM, Windows 7, Altiris, VMware, Infrastructure, Application Packaging, SDLC, System Deployment, VBScript, Virtualization, Windows, CRM, Microsoft Exchange, Windows Server, IT Strategy, Requirements Analysis, Business Analysis, Software Project..., Vendor Management
Education
Jawaharlal Nehru Technological University 2001 — 2005
Bachelor of Technology (B.Tech.), Electrical and Electronics Engineering
Alfa Junior College 1999 — 2001
High School, Mathematics
Little Angels High School 1987 — 1999
High School
WellPoint, Inc. August 2013 - Present
CareMore Health Plan August 2012 - August 2013
WellPoint September 2008 - August 2012
Skills
PPO, Healthcare, Provider Relations, Strategic Planning, Health Insurance, Managed Care, HMO, Network Development, Hospitals, Medicare, Business Process..., Credentialing, Management, Healthcare Information..., HIPAA, Healthcare Consulting, Process Improvement, Healthcare Management, Healthcare Industry, Employee Benefits, Leadership, Health Policy, Medicaid, Vendor Management
Education
Virginia Commonwealth University - School of Business 1995 — 1997
MBA
Thiel College 1990 — 1993
B.A., Actuarial Science and Accounting
University of Miami - School of Business 1989 — 1989
Accounting
Humana March 2014 - Present
CareMore Health Plan July 2012 - March 2014
Dunlop House - Assisted Living and Specialized Alzhemier's Care May 2012 - July 2012
Maxim Healthcare Services December 2007 - April 2012
Maxim Healthcare Services November 2003 - December 2007
Maxim Healthcare Services April 2002 - November 2003
Wal-Mart Pharmacy May 1997 - May 2002
Steel Master Buildings June 2001 - November 2001
Skills
Home Care, Healthcare, Hiring, Healthcare Management, New Business Development, Problem Solving, Financial Analysis, Sales Management, Recruiting, Employee Wellness..., Customer Service, Account Management, Profit Maximization, Gross Profit, Advocacy, Networking, Sales Operations, Budgets, Hospitals, Leadership, Managed Care, Management
Education
Liberty University 2013 — 2015
Longwood University 1996 — 2001
Bachelor of Science, Business Administration
VMS BioMarketing May 2013 - Present
Eli Lilly and Company 2006 - Present
CareMore Health Plan 2011 - 2013
Skills
Healthcare, Hospitals, Lifesciences, Certified Diabetes..., Nutritional Counseling, Nutrition Education
Education
University of Arizona 1986 — 1990
B.S., Nutrition
Texas A&M University 1991 — 1993
Master's degree, Nutrition Sciences
CareMore Health Plan August 2011 - Present
Delta Dental of California September 1997 - November 2010
DentiCare of California/ Foundation Health Vision Services October 1996 - October 1997
Dental Health Services February 1995 - October 1996
FHP, Inc. June 1988 - February 1995
Skills
Customer Service..., Staff Retention, Health Insurance, Medicare, Insurance, Managed Care, Employee Benefits, Medicaid, HIPAA, Call Center, Benefits Administration, Customer Service, Temporary Placement, Account Management, Team Building, Healthcare, Employee Relations, Customer Satisfaction, Recruiting, Claim, Training, Call Centers, Customer Retention, Sales, HMO, Provider Relations, PPO, Network Development
Education
Fullerton College 1986 — 1987
Business
San Diego State University-California State University
Business, Business
CareMore Health Plan Director, Member ServicesAlameda Alliance for HealthJanuary 2006 - December 2010
Education
University of California, Berkeley
B.A., Sociology
CareMore Health Plan August 2012 - December 2013
Crown Relocations January 2007 - October 2008
Le Meridien Hotels & Resorts January 2004 - April 2006
Budget Rent a Car May 1990 - May 2003
Skills
Marketing Communications, Loyalty Marketing, Customer Relations, Office Management, Project Coordination, Relocations, American Sign Language, Customer Service, Marketing Strategy, Social Media, Contract Negotiation
Education
Illinois State University
B.S./B.A., Marketing and Spanish, International Business Studies
Thunderbird School of Global Management
Masters, International Management
Phoenix Pharmaceuticals, Inc. July 2011 - Present
CareMore Health Plan August 2010 - May 2011
Skills
Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Financial Analysis, Process Improvement, Health Insurance, Medicare, Data Analysis, Managed Care, Business Development, Insurance
Education
University of Southern California 2008 — 2010
Master's degree, Health/Health Care Administration/Management
Fudan University 2004 — 2008
BS, Biology/Biological Sciences, General
CareMore Health Plan Registered NurseUCLA Medical Center2000 - 2005
Education
University of California, Los Angeles 2003 — 2005
MSN
Mount Saint Mary's University 1996 — 2000
BSN
South Bay Health & Ins. Services 2012 - Present
CareMore Health Plan July 2008 - March 2011
Skills
Healthcare, Managed Care, Public Speaking, Fundraising, Team Building, Strategic Planning, Event Planning, Customer Service, Marketing, Health Insurance, Clinical Research, Training
Education
Santa Clara University 2005 — 2007
Master's degree, Pastoral Counseling and Specialized Ministries
San Jose State University
Bachelor of Business Administration (B.B.A.), Business, Management, Marketing, and Related Support Services
Bechtel Corporation October 2011 - Present
CareMore Health Plan July 2010 - May 2011
Waste Management, Inc. November 1997 - March 2009
Education
University of Phoenix 1995 — 1998
Bachelor of Science, Information Systems Management
Glendale Community College
Associate of Arts and Sciences (A.A.S.), Agricultural Business and Management
CareMore Health Plan December 2011 - Present
Mobile meals of Tucson 2012 - 2014
CareMore Health Plan September 2009 - January 2011
Tucson Newspapers May 2009 - August 2009
GlaxoSmithKline August 1999 - February 2009
Skills
Sales, Employee Benefits, Medicare, Managed Care, Sales Management, Health Insurance, Account Management, Strategic Planning, Marketing Strategy, Insurance, New Business Development, Healthcare, Customer Service, Financial Analysis, Leadership, Marketing, Public Speaking, Team Building
Education
University of Arizona 1992 — 1996
BA, Economics
CareMore Health Plan November 2014 - Present
Baby Trend November 2012 - November 2014
Crowley Maritime February 2012 - November 2012
BAX Global 1999 - 2009
BAX Global Inc 1999 - 2009
Yamaha Music Corporation 1983 - 1994
Skills
EDI, IT Management, Supply Chain, COBOL, Application Development, Visio, Team Leadership, Problem Solving, Customer Relations, XML, AS400, Integration, Software Development, Supply Chain Management, Logistics, Customer Service, 3PL, Business Process, ERP, Software Documentation, Vendor Management, IBM iSeries, Process Improvement, Business Analysis, Business Intelligence, Transportation, Business Process..., Access, Air Freight, Information Technology, International Logistics, Logistics Management, Management, Operations Management, Shipping, SAP, Freight Forwarding, Freight, Warehouse Management
Education
Santa Ana College 1983 — 1984
Associates, Business
CareMore Health Plan August 2010 - Present
DB Schenker July 1999 - June 2010
OCB Reprographics 1999 - 2009
Jacobs Sverdrup October 1990 - July 1999
Skills
Software Development, Microsoft SQL Server, .NET, Visio, Software Documentation, Integration, Business Intelligence, SDLC, Team Building, Vendor Management, CSS, Unix, ASP.NET, Process Improvement, VB.NET, Oracle, Databases, C#, Web Development, T-SQL, Management, Program Management, Visual Basic, Sitecore, Team Foundation Server
Education
University of Arizona 1983 — 1987
Bachelor, Civil Engineering
Excel MSO, LLC May 2015 - Present
Anthem, Inc. August 2014 - May 2015
CareMore Health Plan February 2012 - August 2014
CareMore Health Plan September 2011 - June 2012
CareMore Health Plan February 2011 - September 2011
Alameda Alliance for Health January 2006 - December 2010
Arcadian Management Services September 2001 - January 2006
Skills
Medicaid, Medicare, Managed Care, Healthcare, Healthcare Management, HIPAA, Non-profits, Process Improvement, Program Development, Call Center, Health Insurance, Software Documentation, Project Management, Data Analysis, Team Building, Vendor Management, Program Management, Strategic Planning, Customer Service, Provider Relations, HMO, Call Centers, Nonprofits
Education
UC Berkeley
Bachelor of Arts (B.A.), Sociology
UA Nursing & Health Associates June 2015 - Present
UnitedHealth Group December 2014 - Present
Pinnacle Healthcare Group July 2014 - Present
Tucson Long Term Care Companies September 2011 - Present
Tucson Longterm Care Healthcare Companies April 2011 - Present
CareMore Health Plan May 2010 - April 2011
Evercare November 2007 - May 2010
Tucson Long Term Care Companies November 1998 - November 2007
Handmaker Jewish Services for the Aging October 1996 - November 1998
Skills
Dementia Care, Long Term Care, Nursing, Palliative Care, Chronic Illness, Healthcare, Hospice, Wound Care, Long-term Care, Managed Care, Hospitals, Medicaid, Nursing Education, Medicine, Treatment, Behavioral Health, Diabetes, Board Certified, Case Management, Social Services, Medicare, EMR
Education
University of Arizona 1994 — 1996
MSN, Adult Geriatric Nurse Practitioner
University of Delaware 1983 — 1987
BSN, Nursing
CareMore Health Plan Certified Medical AssistantCareMoreJuly 2012 - Present
Playboy Enterprises August 1998 - April 2002
Electrical Systems Engineering Co/General Switchgear Inc September 1989 - August 1994
Skills
Vital Signs, Software Documentation, Medicine, EMR, Physicians, Wound Care, Injectable, NextGen
Education
School of Continuing Education 2010 — 2012
Certificate, Medical Assisting
Irvine Valley College 2009 — 2009
Downey High School 1978 — 1981
Diploma, General Education
Kohl's Department Stores December 2012 - September 2013
CareMore Health Plan July 2011 - December 2011
NHSSV June 2004 - January 2008
Investor Direct Funding 1998 - 2000
Provident Funding Associates L.P. 1997 - 1998
Skills
Human Resources, Employee Training, Interviews, Policy, Credit, Time Management, New Hire Orientations, Onboarding, Employee Relations, Applicant Tracking..., Customer Service, Benefits Administration, Microsoft Office, Recruiting, Workforce Planning, Payroll, Organizational..., Employee Benefits, PeopleSoft
Education
San Jose State University 2008 — 2010
BA, PsychologyHuman Resources Business Management
University of California, Santa Cruz 2008 — 2009
Certificate, Human Resources Management
West Valley College
AA, General Studies
CareMore Health Plan November 2010 - Present
TLC HealthCare Companies October 2008 - November 2010
Skills
Business Analysis, Insurance, Business Process..., Healthcare, Data Analysis, Process Improvement, Project Management, Healthcare Information..., Public Speaking, Customer Service
Education
University of Arizona 1980 — 1985
Bachelor of Arts, Psychology, Political Science, Business
CareMore Health Plan April 2014 - Present
Bayada Nurses June 2011 - April 2013
Dependable Nurses Inc October 2010 - June 2011
Advanced Home Care May 2010 - June 2011
Maryland Gardens June 2010 - February 2011
Immanuel Care Center May 2010 - October 2010
Skills
Nursing, Pediatrics, BLS, Hospitals
Education
Grand Canyon University 2011 — 2013
Master of Science in Nursing, Family Nurse Practioner
Grand Canyon University 2011 — 2013
Master of Science (MS), Family Nurse Practioner : FNP
Rio Salado College 2008 — 2009
AAS, Nursing
Northern Arizona University 1994 — 1995
Zoology
University of Arizona 1986 — 1993
BA, Economics
CareMore Health Plan February 2013 - Present
Staffcare November 2012 - February 2013
Schumacher Group October 2010 - June 2012
Schumacher Group 2010 - 2012
Skills
Nurse Practitioners, Urgent Care, Emergency Room, Nursing, ACLS, Acute Care, EMR, Healthcare Management, Healthcare, Hospitals, Clinical Research, Nursing Education, Primary Care, Family Medicine, ANCC, BLS
Education
Loyola University New Orleans 2003 — 2007
master of science of nursing, family nurse practitioner
CareMore Health Plan September 2013 - December 2014
UHS June 2011 - September 2013
Southwest Network September 2009 - December 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Research, PowerPoint, Leadership, Training, Photoshop
Education
Purdue University 2004 — 2006
Bachelor's degree, Sociology
CareMore Health Plan October 2011 - Present
Prospect Medical October 2010 - October 2011
Prospect Medical September 2007 - October 2010
Apria Healthcare January 2003 - September 2007
Apria Healthcare November 1997 - January 2003
Skills
Managed Care, Medicaid, Medicare, Program Management, Call Center, Network Administration, Healthcare, Training, Recruiting, Customer Service, Project Management, Leadership, Provider Relations, Sales, Healthcare Industry, Strategic Planning, HIPAA, Management, Call Centers, Analysis, Network Development, Process Improvement, Insurance, Budgets, Credentialing, Healthcare Management, Utilization Management, Access, Health Policy, HMO, Health Insurance, Policy
Education
Loyola Marymount University, College of Business Administration 1989 — 1993
BBA, Business Management, Hispanic Business
Mater Dei High School
CareMore Health Plan October 2012 - Present
NAMM California September 2002 - September 2012
North American Medical Management September 2002 - September 2012
County of San Bernardino 1999 - 2002
Skills
SQL Server, Databases, Healthcare, SQL Tuning, Architecture, Replication, System Architecture, Administration, Database Development, SSIS, Technical Leadership, Hospitals, SQL, Java, HTML, Budgeting, .NET, XML, Requirements Analysis, Database Administration, Computer Science, AJAX, Programming, ASP.NET, Application Architecture, Data Warehousing, Web Applications, Integration, T-SQL, Crystal Reports, Stored Procedures, Database Design, SQL Server 2000-2008, VB.NET, Data Modeling, PL/SQL, Relational Databases, Oracle SQL, Web Services, Application Development, Visual Studio, IIS, ASP, Visual Basic, Unix, Data Migration, SOAP, Microsoft SQL Server, Software Development, SDLC
Education
San Bernardino Valley College 1995 — 2001
Computer Science
University of California, Riverside 1996 — 2000
Computer Science
Orange Coast College 1978 — 1981
Electrical Engenerring
CareMore Health Plan April 2012 - August 2014
Self Employed August 2010 - June 2011
Urology Associates Ga July 2000 - July 2010
Education
Saint Louis University (PH) 1978 — 1984
Bachelor of Science in Commerce, Management & Marketing
Medical Assistant
CareMore Health Plan Network ManagerAetna1999 - 2005
UCI HealthSystems 1997 - 1999
Education
Loma Linda University
MHA
CareMore Health Plan September 2014 - Present
Shao Hua Ye, M.D. January 2014 - August 2014
Healthy Adventures Foundation September 2008 - January 2014
Rubin Edward, M.D. September 2013 - September 2013
Alhambra Hospital Medical Center October 2010 - February 2012
Skills
Microsoft Office, Microsoft Excel, Training, Nutrition, Health Education, Wellness, Cpr Certified, Fitness, Public Health, Nonprofits, Nutritional Counseling, Community Outreach, Healthcare, Health Promotion, Nutrition Education, Personal Training, Fitness Training, Customer Service, Lifestyle, Physical Therapy, Wellness Coaching, Employee Wellness, Sports Nutrition, Weight, Lifestyle Coaching, Strength Training, Weight Training
Education
San Diego State University-California State University
Bachelors, Kinesiology with an emphasis in Fitness, Nutrition, and Health
Regional Medical Center of San Jose November 2014 - Present
UCLA January 2012 - October 2013
CareMore Health Plan August 2011 - December 2011
Recreation Center January 2009 - January 2011
Central Health September 2009 - June 2010
Global Energy Services April 2009 - December 2009
Atlantic Square Dental June 2004 - December 2004
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Photoshop, Public Speaking, Strategic Planning, Budgets, Negotiation, Editing
Education
CSU, LOS ANGELES 2007 — 2010
BS in Health Sciences, Community Health
East Los Angeles College 2005 — 2007
CareMore Health Plan April 2012 - Present
Souther Arizona Infectious Diseases April 2010 - April 2012
Education
University of Arizona 2000 — 2002
MSN, Family Practice Nurse/Nursing
US Navy February 2012 - December 2013
CareMore Health Plan September 2012 - December 2012
EmblemHealth May 2006 - August 2012
EmblemHealth April 2006 - August 2012
Elderplan 2001 - 2006
Skills
First Responder, Healthcare, Healthcare Management, Credentialing, Medicaid, Medicare, Team Building, Managed Care, Hospitals, Network Development, Outlook, Customer Service, Policy, Government, Leadership, Health Policy, Utilization Management, Data Analysis, Revenue Cycle, HIPAA, Public Health, Data Entry, Program Management, Disease Management, HMO, Provider Relations, PPO, Strategic Planning, Healthcare Industry, Insurance, Contract Negotiation, Training, Management, Software Documentation, Process Improvement, Leadership Development, Access, Public Speaking, Health Insurance, Employee Training, Healthcare Consulting, JCAHO, Quality Improvement
Education
Excelsior College 2010 — 2012
BA
Care More Touch June 2014 - Present
CareMore Health Plan 2014 - 2015
CareMore Health Plan 2014 - 2015
Scottsdale Healthcare August 2008 - June 2014
Scottsdale Healthcare May 2007 - August 2008
Scottsdale Healthcare June 1998 - May 2007
Pueblo Norte Care Center March 1996 - June 1998
Southwest Ambulance February 1990 - September 1995
American Ambulance July 1989 - February 1990
Skills
Nursing, Acute Care, Medical/Surgical, BLS, Inpatient, Hospitals, EMR, Healthcare, Patient Advocacy, Patient Safety, Telemetry, Patient Education, Medication..., Registered Nurses, EKG, BCLS, Home Care, Wound Care, IV, Medical-Surgical
Education
Grand Canyon University 2011 — 2013
Masters of Science in Nursing, Family Nurse Practitioner, 3.76
Grand Canyon University 2009 — 2010
Bachelor, Nursing
Mesa Community College 2005 — 2008
Associate, Nursing
CareMore Health Plan October 2011 - Present
AirMethods November 2009 - October 2011
University Arizona Medical Center 2002 - 2008
Education
Northern Arizona University 2008 — 2011
Masters, Nursing
Pima Community College 1994 — 1999
Associate's degree, Nursing
CareMore Health Plan February 2012 - Present
Education
National University 2009 — 2012
Bachelor of Business Administration (B.B.A.), Human Resources Management/Personnel Administration, General
CareMore Health Plan February 2008 - Present
GeriNet Healthcare 2006 - 2007
Gerinet Medical Associates December 2003 - 2006
Skills
EMR, Healthcare, Healthcare Management, Managed Care, Medicaid, Medicare, Nursing, Utilization Management, Hospitals
Education
University of Phoenix-Southern California Campus 2004 — 2006
Master of Business Administration (MBA)
The University of Texas Health Science Center at Houston 1996 — 1998
Master of Science (MS), Nursing
University of Washington 1990 — 1994
Bachelor of Science (B.S.), Nursing
CareMore Health Plan August 2007 - Present
Department of Veterans Affairs January 2004 - July 2007
Skills
Healthcare, Medicine, EMR, Hospitals, Healthcare Management, EHR, Healthcare Information..., Public Health, Treatment, Critical Care, Clinical Research, Managed Care, Healthcare Consulting, Board Certified, Family Medicine
Education
Tufts University School of Medicine 1996 — 2001
Doctor of Medicine (M.D.)
University of California, Irvine 1990 — 1995
Bachelor of Science (B.S.), Biology, General
CareMore Health Plan July 2011 - Present
Bayless Behavioral Health Solutions June 2004 - July 2011
Private Practice June 2000 - August 2006
Arizona's Children Association September 1996 - June 2000
Skills
Mental Health Counseling, Christian Counseling, Program Development, Leadership, Program Management, Grant Writing, Teaching, Training, Clinical Supervision, Community Outreach, Public Speaking, Child Development, Crisis Intervention, Nonprofits, Provider Relations, Behavioral Health, Medicaid, Medicare, Healthcare, Utilization Management, Healthcare Management, Leadership Development, Elder Care, Disease Management, CBT, Treatment
Education
Augsburg College 1992 — 1994
Master's degree, Social Work
St. John's University 1984 — 1988
Bachelor's degree
CareMore Health Plan August 2011 - Present
Southern Az Rheumatology Associates November 2008 - August 2011
Education
Pima Community College
Pima Medical Institute-Tucson
Consultative Health and Medicine November 2013 - Present
CareMore Health Plan February 2010 - October 2013
UCLA Health System July 2004 - June 2012
Skills
Geriatric Nursing
Education
University of California, Los Angeles 2007 — 2009
Master's degree, Nursing
St. Olaf College 2000 — 2004
Bachelor of Arts (B.A.), Registered Nursing/Registered Nurse
Citizens Choice Health Plan November 2010 - Present
J.P. Morgan December 2008 - November 2010
CareMore Health Plan September 2004 - July 2007
Skills
Business Analysis
Education
Fremont College 2008 — 2012
Business Administration and Management, General
Alignment Healthcare May 2015 - Present
CareMore Health Plan April 2009 - April 2015
Anthem February 2007 - January 2009
Epstein Becker & Green, P.C. May 2006 - February 2007
K&R Law Group June 2004 - May 2006
Skills
Medicare, Corporate Law, Insurance, Medicaid, Health Law, Licensing, Managed Care, Legal Research, Contract Negotiation, Corporate Governance, Mergers, Healthcare, HIPAA
Education
Saint Louis University
Master of Public Health
University of San Francisco
Bachelor's degree
University of the Pacific - McGeorge School of Law
Doctor of Law (J.D.)
CareMore Health Plan October 2014 - Present
CareMore Health Plan 2012 - 2014
CareMore Health Plan 2008 - 2012
CareMore Health Plan 2006 - 2008
Skills
Healthcare, Data Analysis, Microsoft Office, Microsoft Excel, Customer Service, Medicare, Leadership, Managed Care, Health Insurance, EMR, HIPAA, Healthcare Information..., Medical Billing, Medical Coding, EHR, ICD-9
Education
East Los Angeles College
Associate's degree, Health Information Technology