Cariten Healthcare
Description
Headquarters: Knoxville, TN Founded: 1985 Parent organization: Humana Subsidiaries: Cariten Health Plan, Inc., Preferred Health Partnership, Inc.
Cariten Healthcare List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Cariten Healthcare. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Cariten Healthcare Employees
Employee
Years
Job
Industry
Jenny Gambrell Jenny Gambrell's Cariten Healthcare Experience August 2004 - January 2010
Job Emergency Medicine
Industry Staffing and Recruiting
Experience
TeamHealth May 2014 - Present
Provision Health Partners June 2013 - May 2014
OB/GYN Office September 2010 - June 2013
Cariten Healthcare August 2004 - January 2010
Kaiser Permanente July 2000 - July 2003
Skills
Practice Management, Healthcare Management, Medical Billing, Credentialing, EMR, Healthcare, Hospitals, Revenue Cycle, Medical Coding, CPT, Surgery, Physician Relations, EHR, Clinical Research, HIPAA, Medical Practice..., Medical Terminology
Education
Tusculum College 2004 — 2006
Bachelor of Science (B.S.), Business Administration and Management, General
Roane State Community College 1993 — 1997
Associate of Science (A.S.), Health Information/Medical Records Technology/Technician
TeamHealth May 2014 - Present
Provision Health Partners June 2013 - May 2014
OB/GYN Office September 2010 - June 2013
Cariten Healthcare August 2004 - January 2010
Kaiser Permanente July 2000 - July 2003
Skills
Practice Management, Healthcare Management, Medical Billing, Credentialing, EMR, Healthcare, Hospitals, Revenue Cycle, Medical Coding, CPT, Surgery, Physician Relations, EHR, Clinical Research, HIPAA, Medical Practice..., Medical Terminology
Education
Tusculum College 2004 — 2006
Bachelor of Science (B.S.), Business Administration and Management, General
Roane State Community College 1993 — 1997
Associate of Science (A.S.), Health Information/Medical Records Technology/Technician
Charles M. Mike Clemons's Cariten Healthcare Experience December 1997 - July 1999
Job Regional Operations Director at CIGNA Healthcare
Industry Insurance
Experience
CIGNA Healthcare May 2012 - Present
CMC Consulting April 2012 - May 2012
Coventry Health Care August 2010 - March 2012
ARC Review Services, LLC March 2010 - August 2010
iHealth Technologies January 2005 - February 2010
Coalition America, Inc September 2001 - January 2005
Kaiser Permanente July 1999 - September 2001
Cariten Healthcare December 1997 - July 1999
Blue Cross Blue Shield of Tennessee August 1994 - December 1997
EMSI-Examination Management Services, Inc. January 1991 - January 1996
Skills
Access, Account Management, Administration, Auditing, Budgets, Business Analysis, Business Development, Business Process, Call Centers, Change Management, Coaching, Continuous Improvement, Contract Management, Contract Negotiation, Customer Satisfaction, Employee Benefits, Customer Service, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Information..., Hospitals, Human Resources, Healthcare Management, Insurance, Leadership, Lotus Notes, Managed Care, Medical Billing, Medicaid, Management, Medicare, Microsoft Excel, Microsoft Word, Negotiation, Onboarding, Operations Management, Outlook, Process Improvement, Program Management, Project Management, Quality Management, Quality Assurance, Recruiting, Sales, Security, Software Documentation, Staff Development, Strategic Planning
Education
The University of Tennessee at Chattanooga 1980 — 1987
Marketing & Advertising
Chattanooga State
CIGNA Healthcare May 2012 - Present
CMC Consulting April 2012 - May 2012
Coventry Health Care August 2010 - March 2012
ARC Review Services, LLC March 2010 - August 2010
iHealth Technologies January 2005 - February 2010
Coalition America, Inc September 2001 - January 2005
Kaiser Permanente July 1999 - September 2001
Cariten Healthcare December 1997 - July 1999
Blue Cross Blue Shield of Tennessee August 1994 - December 1997
EMSI-Examination Management Services, Inc. January 1991 - January 1996
Skills
Access, Account Management, Administration, Auditing, Budgets, Business Analysis, Business Development, Business Process, Call Centers, Change Management, Coaching, Continuous Improvement, Contract Management, Contract Negotiation, Customer Satisfaction, Employee Benefits, Customer Service, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Information..., Hospitals, Human Resources, Healthcare Management, Insurance, Leadership, Lotus Notes, Managed Care, Medical Billing, Medicaid, Management, Medicare, Microsoft Excel, Microsoft Word, Negotiation, Onboarding, Operations Management, Outlook, Process Improvement, Program Management, Project Management, Quality Management, Quality Assurance, Recruiting, Sales, Security, Software Documentation, Staff Development, Strategic Planning
Education
The University of Tennessee at Chattanooga 1980 — 1987
Marketing & Advertising
Chattanooga State
Cheryll Ramsey Yoshida's Cariten Healthcare Experience November 1995 - January 1999
Job Provider Relations Manager Chattanooga and East Middle Tennessee Regions at Community Health Alliance CHA
Industry Insurance
Experience
Community Health Alliance December 2014 - Present
CHA 2014 - 2015
CHA 2014 - 2015
Humana March 2003 - December 2014
CIGNA Healthcare January 1999 - March 2003
Cariten Healthcare November 1995 - January 1999
Healthsource January 1993 - November 1995
GMAC Auto FInance June 1989 - January 1993
Provident Life and Accident March 1987 - May 1989
Skills
Disaster Recovery, Business Analysis, Health Insurance, Network Marketing, Network Administration, Network Services, HIPAA, Managed Care, Medicare Advantage, Medicare/Medicaid..., Medicare, Commercial Insurance, Network Contracting, Insurance Background, Claims Auditing, Claims Handling, Claims Review, Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Provider Network..., Service Provider..., Account Servicing, Healthcare Management, Credentialing, Disease Management, Health Policy, HMO, Healthcare Consulting, Physician Relations, Healthcare Industry, NCQA, PPO, Network Development, Medicaid Managed Care, Medicare Part D, Healthcare Reimbursement, Utilization Management, CPT, Physicians, Quality Improvement, JCAHO, HEDIS, Healthcare, Healthcare Information..., Insurance, Claim, Medicaid, Process Improvement
Education
Chattanooga State Community College 1986 — 1988
East Ridge High School 1983 — 1986
Community Health Alliance December 2014 - Present
CHA 2014 - 2015
CHA 2014 - 2015
Humana March 2003 - December 2014
CIGNA Healthcare January 1999 - March 2003
Cariten Healthcare November 1995 - January 1999
Healthsource January 1993 - November 1995
GMAC Auto FInance June 1989 - January 1993
Provident Life and Accident March 1987 - May 1989
Skills
Disaster Recovery, Business Analysis, Health Insurance, Network Marketing, Network Administration, Network Services, HIPAA, Managed Care, Medicare Advantage, Medicare/Medicaid..., Medicare, Commercial Insurance, Network Contracting, Insurance Background, Claims Auditing, Claims Handling, Claims Review, Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Provider Network..., Service Provider..., Account Servicing, Healthcare Management, Credentialing, Disease Management, Health Policy, HMO, Healthcare Consulting, Physician Relations, Healthcare Industry, NCQA, PPO, Network Development, Medicaid Managed Care, Medicare Part D, Healthcare Reimbursement, Utilization Management, CPT, Physicians, Quality Improvement, JCAHO, HEDIS, Healthcare, Healthcare Information..., Insurance, Claim, Medicaid, Process Improvement
Education
Chattanooga State Community College 1986 — 1988
East Ridge High School 1983 — 1986
Kevin O'Bryant Kevin O'Bryant's Cariten Healthcare Experience November 2002 - August 2005
Job Risk Manager
Industry Hospital & Health Care
Experience
Covenant Health August 2005 - May 2010
Cariten Healthcare November 2002 - August 2005
RLI November 1999 - October 2002
Skills
Database Admin, Risk Management, Healthcare Information..., Management, Project Management, Training, Financial Risk, Insurance, Microsoft Excel, Leadership, Business Intelligence, Customer Service, Underwriting
Education
Georgia State University - J. Mack Robinson College of Business 1997 — 1999
Covenant Health August 2005 - May 2010
Cariten Healthcare November 2002 - August 2005
RLI November 1999 - October 2002
Skills
Database Admin, Risk Management, Healthcare Information..., Management, Project Management, Training, Financial Risk, Insurance, Microsoft Excel, Leadership, Business Intelligence, Customer Service, Underwriting
Education
Georgia State University - J. Mack Robinson College of Business 1997 — 1999
Robert E. Parr Robert E. Parr's Cariten Healthcare Experience June 2002 - October 2005
Job Chief of Compensation and Benefits at City of Jacksonville, FL
Industry Insurance
Experience
City of Jacksonville, FL July 2014 - Present
Parr Consulting Services June 2005 - Present
Community Health Plan of Washington November 2011 - April 2013
MDI Healthcare Solutions April 2009 - June 2011
Fringe Benefit Management Co. October 2007 - March 2009
Cariten Healthcare June 2002 - October 2005
Health Care Savings July 1997 - April 2002
American Medical Security May 1993 - June 1997
Union Central Life 1980 - 1987
Skills
New Business Development, Executive Level..., Sales Management, Sales Recruitment, Compensation Plan..., Organizational Growth, Change Management, Team Building, Operations Management, Sales Operations, Problem Solving, Recruiting, Health Insurance, Strategy, Strategic Planning, Management, Leadership, Employee Benefits, Business Development, Provider Relations, Managed Care, Compensation & Benefit, Network Development, Cross-functional Team..., Health Policy, HMO, PPO, Claim, Healthcare, Healthcare Industry, Insurance, Start-ups, Training, Healthcare Management, HIPAA, Negotiation, Marketing, Sales, Medicare, Process Improvement, Product Development, CRM, Healthcare Information..., Leadership Development, Brokers, Public Speaking, Account Management, Medicaid, Public Relations, Custom Provider Networks
Education
Florida Atlantic University
Bachelor of Business Administration (BBA), Finance and Management
Health Insurance Institute of America
HIA
National Association of Health Underwriters
CDHC
The American College
CLU, REBC, RHU
City of Jacksonville, FL July 2014 - Present
Parr Consulting Services June 2005 - Present
Community Health Plan of Washington November 2011 - April 2013
MDI Healthcare Solutions April 2009 - June 2011
Fringe Benefit Management Co. October 2007 - March 2009
Cariten Healthcare June 2002 - October 2005
Health Care Savings July 1997 - April 2002
American Medical Security May 1993 - June 1997
Union Central Life 1980 - 1987
Skills
New Business Development, Executive Level..., Sales Management, Sales Recruitment, Compensation Plan..., Organizational Growth, Change Management, Team Building, Operations Management, Sales Operations, Problem Solving, Recruiting, Health Insurance, Strategy, Strategic Planning, Management, Leadership, Employee Benefits, Business Development, Provider Relations, Managed Care, Compensation & Benefit, Network Development, Cross-functional Team..., Health Policy, HMO, PPO, Claim, Healthcare, Healthcare Industry, Insurance, Start-ups, Training, Healthcare Management, HIPAA, Negotiation, Marketing, Sales, Medicare, Process Improvement, Product Development, CRM, Healthcare Information..., Leadership Development, Brokers, Public Speaking, Account Management, Medicaid, Public Relations, Custom Provider Networks
Education
Florida Atlantic University
Bachelor of Business Administration (BBA), Finance and Management
Health Insurance Institute of America
HIA
National Association of Health Underwriters
CDHC
The American College
CLU, REBC, RHU
Rod Collins Rod Collins's Cariten Healthcare Experience December 1993 - June 2006
Job Computer Education Specialist at Covenant Health
Industry Hospital & Health Care
Experience
Covenant Health 2014 - Present
Covenant Health June 2006 - December 2013
Cariten Healthcare December 1993 - June 2006
Cariten HealthCare a HUMANA affiliate 1993 - 2006
Skills
Microsoft Office, Software Documentation, Troubleshooting, Healthcare, Customer Service, Process Improvement, Public Speaking, Team Building, Hospitals, Access, Training, Research, Healthcare Information..., Leadership, Healthcare Management, Data Analysis
Education
Southwestern Baptist Theological Seminary 1984 — 1987
Master of Arts, Religious Education
Carson-Newman College 1979 — 1984
Bachelor of Arts, Religion
Covenant Health 2014 - Present
Covenant Health June 2006 - December 2013
Cariten Healthcare December 1993 - June 2006
Cariten HealthCare a HUMANA affiliate 1993 - 2006
Skills
Microsoft Office, Software Documentation, Troubleshooting, Healthcare, Customer Service, Process Improvement, Public Speaking, Team Building, Hospitals, Access, Training, Research, Healthcare Information..., Leadership, Healthcare Management, Data Analysis
Education
Southwestern Baptist Theological Seminary 1984 — 1987
Master of Arts, Religious Education
Carson-Newman College 1979 — 1984
Bachelor of Arts, Religion
Kelley Goodson Kelley Goodson's Cariten Healthcare Experience August 2006 - May 2008
Job Account Manager Strategic Partnerships at BlueCross BlueShield of Tennessee
Industry Health, Wellness and Fitness
Experience
BlueCross BlueShield of Tennessee September 2014 - Present
Blue Cross Blue Shield of Tennessee December 2009 - Present
Beechstreet-A Viant Network November 2008 - August 2009
Cariten Healthcare August 2006 - May 2008
Cariten Healthcare 2006 - 2008
Skills
Healthcare, Contract Negotiation, Provider Contracting, Provider Relations, Network Development, Hospital Reimbursement, Negotiation, Managed Care, PPO, Team Leadership, Customer Service, Contract Management, Health Insurance, Healthcare Reimbursement, Healthcare Industry, Analysis, Medicare, Quality Improvement..., Insurance, Building Relationships, Microsoft Office, Medicare/Medicaid..., Claims Resolution, Team Building, Process Improvement, HIPAA, Strategic Planning, Claim, Logistics, Creative Problem Solving, Conflict Resolution, Volunteer Management, Sales, Inventory Management, Volunteer Coordination, Sales Operations, Problem Solving
Education
East Tennessee State University 1994 — 1999
Bachelor of Science Degree, Business Administration
BlueCross BlueShield of Tennessee September 2014 - Present
Blue Cross Blue Shield of Tennessee December 2009 - Present
Beechstreet-A Viant Network November 2008 - August 2009
Cariten Healthcare August 2006 - May 2008
Cariten Healthcare 2006 - 2008
Skills
Healthcare, Contract Negotiation, Provider Contracting, Provider Relations, Network Development, Hospital Reimbursement, Negotiation, Managed Care, PPO, Team Leadership, Customer Service, Contract Management, Health Insurance, Healthcare Reimbursement, Healthcare Industry, Analysis, Medicare, Quality Improvement..., Insurance, Building Relationships, Microsoft Office, Medicare/Medicaid..., Claims Resolution, Team Building, Process Improvement, HIPAA, Strategic Planning, Claim, Logistics, Creative Problem Solving, Conflict Resolution, Volunteer Management, Sales, Inventory Management, Volunteer Coordination, Sales Operations, Problem Solving
Education
East Tennessee State University 1994 — 1999
Bachelor of Science Degree, Business Administration
Bryan McPeters Bryan McPeters's Cariten Healthcare Experience January 2003 - June 2009
Job Operations Support Analyst – Revenue Cycle/Provider Enrollment
Industry Hospital & Health Care
Experience
Healthcare Horizons Consulting Group, Inc. April 2013 - March 2015
ikaSystems November 2012 - April 2013
UnitedHealthcare May 2010 - November 2012
Humana June 2009 - May 2010
Cariten Healthcare January 2003 - June 2009
Skills
Medicare, Medicaid, Health Insurance, Managed Care, HIPAA, Healthcare, Insurance, Process Improvement, Provider Relations, Claim, SharePoint, Employee Benefits, Medical Coding, Business Process..., Auditing, Workers Compensation, Program Management, Data Analysis, Change Management, Strategic Planning, Project Management, Policy, Leadership, Commercial Insurance, Disability Insurance, Healthcare Information..., Healthcare Industry, Long-term Care, Medicare Part D, Customer Service, Health Policy, Legal Writing, Software Documentation, Management, Subrogation, EMR, Employee Relations, Training, Accident, Healthcare Management, Vendor Management, HMO, Credentialing, Healthcare Consulting, Analysis, Medical Compliance, Network Development, Health Information..., Medical Records, Revenue Cycle
Education
East Tennessee State University 2004 — 2006
Bachelor's of Science, Organizational Management
Roane State Community College 1996 — 1999
Associates of Science, Business Management
Rockwood High School 1993 — 1996
Honor's Diploma
Healthcare Horizons Consulting Group, Inc. April 2013 - March 2015
ikaSystems November 2012 - April 2013
UnitedHealthcare May 2010 - November 2012
Humana June 2009 - May 2010
Cariten Healthcare January 2003 - June 2009
Skills
Medicare, Medicaid, Health Insurance, Managed Care, HIPAA, Healthcare, Insurance, Process Improvement, Provider Relations, Claim, SharePoint, Employee Benefits, Medical Coding, Business Process..., Auditing, Workers Compensation, Program Management, Data Analysis, Change Management, Strategic Planning, Project Management, Policy, Leadership, Commercial Insurance, Disability Insurance, Healthcare Information..., Healthcare Industry, Long-term Care, Medicare Part D, Customer Service, Health Policy, Legal Writing, Software Documentation, Management, Subrogation, EMR, Employee Relations, Training, Accident, Healthcare Management, Vendor Management, HMO, Credentialing, Healthcare Consulting, Analysis, Medical Compliance, Network Development, Health Information..., Medical Records, Revenue Cycle
Education
East Tennessee State University 2004 — 2006
Bachelor's of Science, Organizational Management
Roane State Community College 1996 — 1999
Associates of Science, Business Management
Rockwood High School 1993 — 1996
Honor's Diploma
Alice Frost's Cariten Healthcare Experience 2005 - 2007
Job Product Service Manager for HEDIS Advantage at Inovalon, Inc.
Industry Information Technology and Services
Experience
Inovalon, Inc. May 2011 - Present
HealthSpring Inc. July 2007 - May 2011
Covenant Health Inc December 2005 - July 2007
Covenant Health December 2005 - July 2007
Cariten Healthcare 2005 - 2007
McKesson Corporation October 2005 - February 2006
McKesson Health Solutions 2005 - 2006
CHA Health May 1996 - October 2005
University of Kentucky Hospital 1978 - 1996
Skills
Managed Care, Healthcare, Healthcare Information..., HIPAA, Insurance, Integration, Leadership, EHR, EMR, Data Analysis, Process Improvement, Oracle, Management, Health Insurance, Public Health, SDLC, Software Documentation, Medical Coding, Medicaid, Health Policy, Claim, Medicare, Analysis, Disease Management, Data Mining, Testing, Data Management, Employee Benefits, Healthcare Industry, Microsoft SQL Server, Project Management, Predictive Modeling, Informatics, Nursing, CRM, Healthcare Management, Healthcare Consulting, Quality Assurance, Strategic Planning, Quality Improvement, Case Managment, Clinical Research, Accreditation, Inpatient, NCQA, Visio, Hospitals, Troubleshooting, HEDIS, Program Management
Education
University of Kentucky 1976 — 1991
Health Administration & Decision Management
University of Kentucky
Inovalon, Inc. May 2011 - Present
HealthSpring Inc. July 2007 - May 2011
Covenant Health Inc December 2005 - July 2007
Covenant Health December 2005 - July 2007
Cariten Healthcare 2005 - 2007
McKesson Corporation October 2005 - February 2006
McKesson Health Solutions 2005 - 2006
CHA Health May 1996 - October 2005
University of Kentucky Hospital 1978 - 1996
Skills
Managed Care, Healthcare, Healthcare Information..., HIPAA, Insurance, Integration, Leadership, EHR, EMR, Data Analysis, Process Improvement, Oracle, Management, Health Insurance, Public Health, SDLC, Software Documentation, Medical Coding, Medicaid, Health Policy, Claim, Medicare, Analysis, Disease Management, Data Mining, Testing, Data Management, Employee Benefits, Healthcare Industry, Microsoft SQL Server, Project Management, Predictive Modeling, Informatics, Nursing, CRM, Healthcare Management, Healthcare Consulting, Quality Assurance, Strategic Planning, Quality Improvement, Case Managment, Clinical Research, Accreditation, Inpatient, NCQA, Visio, Hospitals, Troubleshooting, HEDIS, Program Management
Education
University of Kentucky 1976 — 1991
Health Administration & Decision Management
University of Kentucky
Stuart Everley Stuart Everley's Cariten Healthcare Experience July 2005 - November 2008
Job Sales Executive & Agency Relationship Manager
Industry Insurance
Experience
Humana November 2008 - Present
Cariten Healthcare July 2005 - November 2008
Price & Ramey Insurance, Inc. 2003 - 2005
Heritage Insurance Group, Inc. 2001 - 2003
Skills
Health Insurance, Disability Insurance, Sales, Insurance, Brokers, Health Savings Accounts, Medicare, Claim, Long-term Care, Managed Care, Employee Benefits, Term Life Insurance, Commercial Insurance, Underwriting, Life Insurance, Building Relationships, Key Account Acquisition..., Written & Oral..., account analysis, broker development, Self-funded, Group Insurance, Group Medical, Financial Analysis
Education
The University of Tennessee at Chattanooga 1995 — 1999
Bachelor of Science (BS), Finance and Marketing
Humana November 2008 - Present
Cariten Healthcare July 2005 - November 2008
Price & Ramey Insurance, Inc. 2003 - 2005
Heritage Insurance Group, Inc. 2001 - 2003
Skills
Health Insurance, Disability Insurance, Sales, Insurance, Brokers, Health Savings Accounts, Medicare, Claim, Long-term Care, Managed Care, Employee Benefits, Term Life Insurance, Commercial Insurance, Underwriting, Life Insurance, Building Relationships, Key Account Acquisition..., Written & Oral..., account analysis, broker development, Self-funded, Group Insurance, Group Medical, Financial Analysis
Education
The University of Tennessee at Chattanooga 1995 — 1999
Bachelor of Science (BS), Finance and Marketing
Shari Hurst Shari Hurst's Cariten Healthcare Experience 2000 - 2008
Job Procurement Analyst at Knoxville Utilities Board
Industry Utilities
Experience
Knoxville Utilities Board September 2008 - Present
Cariten Healthcare 2000 - 2008
PHP Companies, Inc. 1997 - 2000
Skills
Process Improvement, Contract Management, Procurement, Data Analysis, Microsoft Office, Municipal Regulatory..., Municipal Contract..., Municipal Purchasing..., Policy, Leadership, Government, Microsoft Word, Customer Service, Management, Strategic Planning
Education
East Tennessee State University
Bachelor of Business Administration (BBA), Business Management
Knoxville Utilities Board September 2008 - Present
Cariten Healthcare 2000 - 2008
PHP Companies, Inc. 1997 - 2000
Skills
Process Improvement, Contract Management, Procurement, Data Analysis, Microsoft Office, Municipal Regulatory..., Municipal Contract..., Municipal Purchasing..., Policy, Leadership, Government, Microsoft Word, Customer Service, Management, Strategic Planning
Education
East Tennessee State University
Bachelor of Business Administration (BBA), Business Management
Sharon Sharpe Sharon Sharpe's Cariten Healthcare Experience April 2001 - April 2008
Job Practice Manager and Network Coding Manager with University Medical Group
Industry Hospital & Health Care
Experience
University Physicians Associations Inc. April 2008 - Present
University Medical Group 2008 - Present
Cariten Healthcare April 2001 - April 2008
Healthsource/Cigna Healthcare 1996 - December 2000
Skills
LPN, CPC and currently..., EMR, EHR, Healthcare Management, Healthcare Information..., Patient Safety, CPOE, Hospitals, HL7, Revenue Cycle, Quality Improvement, Physician Relations, Medical Terminology, Medical Coding, JCAHO, Medicine, Nursing, Revenue Cycle Management, Radiology, Medicare
Education
Roane State Community College
TN Technology Center
University Physicians Associations Inc. April 2008 - Present
University Medical Group 2008 - Present
Cariten Healthcare April 2001 - April 2008
Healthsource/Cigna Healthcare 1996 - December 2000
Skills
LPN, CPC and currently..., EMR, EHR, Healthcare Management, Healthcare Information..., Patient Safety, CPOE, Hospitals, HL7, Revenue Cycle, Quality Improvement, Physician Relations, Medical Terminology, Medical Coding, JCAHO, Medicine, Nursing, Revenue Cycle Management, Radiology, Medicare
Education
Roane State Community College
TN Technology Center
Talbott Paynter Talbott Paynter's Cariten Healthcare Experience 2002 - 2004
Job Director of Business Development at Provision Center for Proton Therapy
Industry Hospital & Health Care
Experience
Provision Center for Proton Therapy 2012 - Present
Thompson Cancer Survival Center 2010 - 2012
Alliance Oncology 2010 - 2011
Gallup October 2008 - December 2009
King's Medical Group 2004 - 2008
Cariten Healthcare 2002 - 2004
Skills
Hospitals, Marketing, Oncology, Healthcare, Sales, Marketing Strategy, Leadership, Sales Operations, Medical Devices, Strategic Planning, Business Development, New Business Development, Competitive Analysis, Product Launch, Team Building, Communication, Strategy, Management
Education
Lincoln Memorial University 2002 — 2004
Master of Business Administration (MBA), Healthcare, Finance, Management, Marketing, Leadership
University of Tennessee-Knoxville 1999 — 2001
Bachelor of Arts (BA), Business and Psychology
East Tennessee State University 1996 — 1998
J. Frank White Academy
Provision Center for Proton Therapy 2012 - Present
Thompson Cancer Survival Center 2010 - 2012
Alliance Oncology 2010 - 2011
Gallup October 2008 - December 2009
King's Medical Group 2004 - 2008
Cariten Healthcare 2002 - 2004
Skills
Hospitals, Marketing, Oncology, Healthcare, Sales, Marketing Strategy, Leadership, Sales Operations, Medical Devices, Strategic Planning, Business Development, New Business Development, Competitive Analysis, Product Launch, Team Building, Communication, Strategy, Management
Education
Lincoln Memorial University 2002 — 2004
Master of Business Administration (MBA), Healthcare, Finance, Management, Marketing, Leadership
University of Tennessee-Knoxville 1999 — 2001
Bachelor of Arts (BA), Business and Psychology
East Tennessee State University 1996 — 1998
J. Frank White Academy
Laura Quillen's Cariten Healthcare Experience December 2005 - October 2006
Job Director, Information Outcomes
Industry Hospital & Health Care
Experience
Holston Medical Group October 2014 - Present
CIGNA Healthcare January 2012 - September 2014
UnitedHealthcare May 2010 - December 2011
UnitedHealthcare October 2006 - May 2010
Cariten Healthcare December 2005 - October 2006
John Deere Health 2004 - 2005
John Deere Health January 1993 - January 2004
John Deere Health January 1990 - January 1993
Skills
Management, Provider Relations, Hospitals, Negotiation, Process Improvement, Program Management, Human Resources, Recruiting, Training, Marketing, Network Development, Medicare, Credentialing, Physicians, Medicaid, Clinical Research, Healthcare, Leadership, Managed Care, Customer Service, Claim, Healthcare Management, Medicine, HIPAA, Health Insurance, Healthcare Industry, Healthcare Information..., Healthcare Consulting, Insurance
Education
Gate City High School
King College
Bachelor, Business Administration
North East State Technical School
Associate Degree
Holston Medical Group October 2014 - Present
CIGNA Healthcare January 2012 - September 2014
UnitedHealthcare May 2010 - December 2011
UnitedHealthcare October 2006 - May 2010
Cariten Healthcare December 2005 - October 2006
John Deere Health 2004 - 2005
John Deere Health January 1993 - January 2004
John Deere Health January 1990 - January 1993
Skills
Management, Provider Relations, Hospitals, Negotiation, Process Improvement, Program Management, Human Resources, Recruiting, Training, Marketing, Network Development, Medicare, Credentialing, Physicians, Medicaid, Clinical Research, Healthcare, Leadership, Managed Care, Customer Service, Claim, Healthcare Management, Medicine, HIPAA, Health Insurance, Healthcare Industry, Healthcare Information..., Healthcare Consulting, Insurance
Education
Gate City High School
King College
Bachelor, Business Administration
North East State Technical School
Associate Degree
Linda Lyle's Cariten Healthcare Experience August 1996 - September 2011
Job
Industry Hospital & Health Care
Experience
Amerigroup Corporation May 2012 - Present
Marriott Business Services November 2010 - May 2012
Cariten HealthCare August 1996 - September 2011
Cigna (formerly Healthsource, TN) March 1995 - August 1996
Skills
CRM, Budgets, Integration, Project Planning, Healthcare, Marketing, Contract Management, Employee Benefits, Customer Service, Call Centers, Auditing, Medicaid, Medicare, Managed Care, HIPAA, Provider Relations, Healthcare Information..., Healthcare Management, Healthcare Consulting
Education
Tusculum College 2002 — 2004
BS
Amerigroup Corporation May 2012 - Present
Marriott Business Services November 2010 - May 2012
Cariten HealthCare August 1996 - September 2011
Cigna (formerly Healthsource, TN) March 1995 - August 1996
Skills
CRM, Budgets, Integration, Project Planning, Healthcare, Marketing, Contract Management, Employee Benefits, Customer Service, Call Centers, Auditing, Medicaid, Medicare, Managed Care, HIPAA, Provider Relations, Healthcare Information..., Healthcare Management, Healthcare Consulting
Education
Tusculum College 2002 — 2004
BS
Lyle Hill's Cariten Healthcare Experience 1999 - 2001
Job VP of Medicare Data Quality at HealthSpring
Industry Insurance
Experience
HealthSpring December 2004 - Present
HealthSpring June 2005 - July 2006
Cariten Healthcare 1999 - 2001
Kaiser Permanente 1998 - 1999
Skills
CRM, Data Warehousing, Managed Care, Integration, Medicare, Medicare Part D, Healthcare Information..., Health Policy, Process Improvement, Health Insurance, HIPAA, Program Management, HMO, Healthcare, Healthcare Management, Team Building, SQL
Education
University of Houston-Downtown 1980 — 1985
Ocean Springs HS
HealthSpring December 2004 - Present
HealthSpring June 2005 - July 2006
Cariten Healthcare 1999 - 2001
Kaiser Permanente 1998 - 1999
Skills
CRM, Data Warehousing, Managed Care, Integration, Medicare, Medicare Part D, Healthcare Information..., Health Policy, Process Improvement, Health Insurance, HIPAA, Program Management, HMO, Healthcare, Healthcare Management, Team Building, SQL
Education
University of Houston-Downtown 1980 — 1985
Ocean Springs HS
George Andrews, MD, MBA, CPE, FACP, FACC, FCCP's Cariten Healthcare Experience September 2003 - October 2008
Job Corporate Chief of Quality, Humana Inc.,
Industry Hospital & Health Care
Experience
Humana January 2011 - Present
Cariten Healthcare September 2003 - October 2008
Cigna July 1999 - August 2003
Cigna September 1998 - July 1999
Coral Springs Cardiology Associates July 1983 - September 1998
Skills
Process Improvement, Medicaid, Medicare, Utilization Management, Health Insurance, Healthcare Management, Managed Care, Health Policy, Disease Management, Healthcare Information..., Healthcare, HIPAA, Healthcare Consulting, Healthcare Industry
Education
College of Business Administration, University of South Florida 1996 — 1998
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Jackson Memorial Hospital, University of Miami School of Medicine, Miami, Florida 1981 — 1983
Cardiology Fellowship, Cardiology specialty training
Columbia Presbyterian Hospital, Columbia University, New York, NY 1978 — 1981
Internship / Residency in Internal Medicine, Medicine
Mount Sinai School of Medicine of New York University 1974 — 1978
Doctor of Medicine (M.D.)
Columbia University in the City of New York 1970 — 1974
Bachelor of Arts (B.A.), Chemistry
Humana January 2011 - Present
Cariten Healthcare September 2003 - October 2008
Cigna July 1999 - August 2003
Cigna September 1998 - July 1999
Coral Springs Cardiology Associates July 1983 - September 1998
Skills
Process Improvement, Medicaid, Medicare, Utilization Management, Health Insurance, Healthcare Management, Managed Care, Health Policy, Disease Management, Healthcare Information..., Healthcare, HIPAA, Healthcare Consulting, Healthcare Industry
Education
College of Business Administration, University of South Florida 1996 — 1998
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Jackson Memorial Hospital, University of Miami School of Medicine, Miami, Florida 1981 — 1983
Cardiology Fellowship, Cardiology specialty training
Columbia Presbyterian Hospital, Columbia University, New York, NY 1978 — 1981
Internship / Residency in Internal Medicine, Medicine
Mount Sinai School of Medicine of New York University 1974 — 1978
Doctor of Medicine (M.D.)
Columbia University in the City of New York 1970 — 1974
Bachelor of Arts (B.A.), Chemistry
Glenn Bowman - LUTCF, RHU's Cariten Healthcare Experience September 1997 - April 2003
Job Senior Sales Professional | Managed Care | Group Medical Capitve | Voluntary Insurance
Industry Insurance
Experience
Roundstone December 2013 - June 2015
Century Healthcare, LLC 2008 - January 2013
Vested Health April 2005 - April 2007
Gardner & White 2003 - 2005
Cariten Healthcare September 1997 - April 2003
Fortis Benefits 1989 - 1996
Life of Georgia 1984 - 1989
Life of Virginia 1976 - 1983
Skills
Managed Care, Employee Benefits, Insurance, Health Insurance, Sales, Management, Term Life Insurance, Disability Insurance, Health Savings Accounts, Risk Management, Program Management, Retirement, Universal Life, Captives, Underwriting, Self-funded, Healthcare, Life Insurance, Long-term Care, Brokers, 401k, Benefits Administration, Legal Liability, Sales Operations, Dentistry, Medicare, Commercial Insurance, Property & Casualty..., Reinsurance, Fixed Annuities, New Business Development, Claim, Workers Compensation, Strategic Planning, HRA, Hospitals, Group Insurance, Recruiting, Account Management
Education
Shepherd University 1969 — 1973
BS Business Administration, Business
Roundstone December 2013 - June 2015
Century Healthcare, LLC 2008 - January 2013
Vested Health April 2005 - April 2007
Gardner & White 2003 - 2005
Cariten Healthcare September 1997 - April 2003
Fortis Benefits 1989 - 1996
Life of Georgia 1984 - 1989
Life of Virginia 1976 - 1983
Skills
Managed Care, Employee Benefits, Insurance, Health Insurance, Sales, Management, Term Life Insurance, Disability Insurance, Health Savings Accounts, Risk Management, Program Management, Retirement, Universal Life, Captives, Underwriting, Self-funded, Healthcare, Life Insurance, Long-term Care, Brokers, 401k, Benefits Administration, Legal Liability, Sales Operations, Dentistry, Medicare, Commercial Insurance, Property & Casualty..., Reinsurance, Fixed Annuities, New Business Development, Claim, Workers Compensation, Strategic Planning, HRA, Hospitals, Group Insurance, Recruiting, Account Management
Education
Shepherd University 1969 — 1973
BS Business Administration, Business
Cat Jennings's Cariten Healthcare Experience December 2003 - May 2005
Job nutrition educator
Industry E-Learning
Experience
UT Agriculture Extension Office August 2010 - Present
University of Phoenix, Online June 2009 - Present
King College and Tusculum College January 2006 - Present
Northeast State Community College August 2008 - December 2010
Books A Million Co September 2007 - September 2008
NET Benefits, LLC June 2005 - August 2007
Cariten HealthCare December 2003 - May 2005
Havatar Associates, Inc Consultant January 1998 - January 2002
Insurance company January 1996 - January 1999
Richmond Hill Inn January 1995 - January 1996
Skills
Time Management, Leadership, Social Media, Coaching, Human Resources, Employee Training, Program Management, Microsoft Office, Strategic Planning, Customer Service, Curriculum Design, Management, Public Speaking, E-Learning, Teaching, Curriculum Development, Nonprofits, Event Planning, Social Networking
Education
Appalachian State University
Master of Arts College, Business; Human Resource Management and Industrial; Organizational Psychology
University of North Carolina at
Bachelor of Arts; Individualized, Social Sciences; Management
Appalachian State University
UT Agriculture Extension Office August 2010 - Present
University of Phoenix, Online June 2009 - Present
King College and Tusculum College January 2006 - Present
Northeast State Community College August 2008 - December 2010
Books A Million Co September 2007 - September 2008
NET Benefits, LLC June 2005 - August 2007
Cariten HealthCare December 2003 - May 2005
Havatar Associates, Inc Consultant January 1998 - January 2002
Insurance company January 1996 - January 1999
Richmond Hill Inn January 1995 - January 1996
Skills
Time Management, Leadership, Social Media, Coaching, Human Resources, Employee Training, Program Management, Microsoft Office, Strategic Planning, Customer Service, Curriculum Design, Management, Public Speaking, E-Learning, Teaching, Curriculum Development, Nonprofits, Event Planning, Social Networking
Education
Appalachian State University
Master of Arts College, Business; Human Resource Management and Industrial; Organizational Psychology
University of North Carolina at
Bachelor of Arts; Individualized, Social Sciences; Management
Appalachian State University
Mary Cogar's Cariten Healthcare Experience November 1995 - October 2008
Job Lead Risk Manager at Humana
Industry Insurance
Experience
Humana November 2008 - December 2009
Cariten Healthcare November 1995 - October 2008
Skills
Problem Solving, Enterprise Risk..., Compliance, Risk Mitigation
Education
Tusculum College 2002 — 2004
BS, Organizational Management
Humana November 2008 - December 2009
Cariten Healthcare November 1995 - October 2008
Skills
Problem Solving, Enterprise Risk..., Compliance, Risk Mitigation
Education
Tusculum College 2002 — 2004
BS, Organizational Management
Nathan Key's Cariten Healthcare Experience 2001 - 2004
Job Health Insurance
Industry Insurance
Experience
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
Valerie Colclough's Cariten Healthcare Experience April 2001 - October 2008
Job Contract Negotiator at Aetna
Industry Insurance
Experience
Aetna May 2015 - Present
United Healthcare April 2013 - May 2015
Humana October 2008 - November 2012
Cariten Healthcare April 2001 - October 2008
Skills
Insurance, Process Improvement, Managed Care, Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Provider Support, Provider Network..., Network Development, Credentialing, Medical Staff..., Network Contracting, Ancillary contracting, Large group contracting, Healthcare Consulting, Healthcare Management, Hospitals, Strategic Planning, Training, Physicians, HIPAA, Healthcare Information..., Team Building, Leadership
Education
East Tennessee State University
Bachelor's degree, Communications
Aetna May 2015 - Present
United Healthcare April 2013 - May 2015
Humana October 2008 - November 2012
Cariten Healthcare April 2001 - October 2008
Skills
Insurance, Process Improvement, Managed Care, Provider Relations, Provider Enrollment, Provider Education, Provider Networks, Provider Support, Provider Network..., Network Development, Credentialing, Medical Staff..., Network Contracting, Ancillary contracting, Large group contracting, Healthcare Consulting, Healthcare Management, Hospitals, Strategic Planning, Training, Physicians, HIPAA, Healthcare Information..., Team Building, Leadership
Education
East Tennessee State University
Bachelor's degree, Communications
Kimberly Everett's Cariten Healthcare Experience July 1996 - July 2004
Job Sales Executive at BlueCross BlueShield of Tennessee
Industry Insurance
Experience
BlueCross BlueShield of Tennessee July 2004 - Present
Cariten Healthcare July 1996 - July 2004
Education
East Tennessee State University 1993 — 1994
Master of Education (M.Ed.), Marriage and Family Therapy/Counseling
BlueCross BlueShield of Tennessee July 2004 - Present
Cariten Healthcare July 1996 - July 2004
Education
East Tennessee State University 1993 — 1994
Master of Education (M.Ed.), Marriage and Family Therapy/Counseling