Carolina Crescent Health Plan

Industry: Insurance company

Description

Founded: 2006 Parent organization: Total Carolina Care, Inc

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Carolina Crescent Health Plan Employees

Employee
Years
Job
Industry
Ke-Onna Davis Ke-Onna Davis Columbia, South Carolina Area Details
Ke-Onna Davis's Carolina Crescent Health Plan Experience September 2007 - April 2009
Job Provider Network Specialist II at Centene Corporation
Industry Hospital & Health Care
Experience
Centene Corporation  April 2009 - Present
Carolina Crescent Health Plan   September 2007 - April 2009

Skills
Medicaid, Provider Relations, Network Development, Managed Care, Medicare, PPO, Credentialing, HMO, HIPAA, Utilization Management, Healthcare Management, Health Insurance, Healthcare, Healthcare Information..., Medical Billing, Physician Relations, Healthcare Industry, Medicaid Managed Care, Healthcare Consulting, Disease Management

Education
University of Phoenix   2008 — 2009
Masters, Business Administration

Benedict College   1992 — 1997
Bachelors of Science in Business Administration, Management

Jane Young Jane Young Columbia, South Carolina Area Details
Jane Young's Carolina Crescent Health Plan Experience October 2006 - July 2010
Job Associate Vice President, Provider Relations NC/SC/GA at America's 1st Choice
Industry Hospital & Health Care
Experience
America's 1st Choice  June 2011 - Present
Carolina Sunshine for Children   2010 - 2015
America's 1st Choice  September 2010 - June 2011
Carolina Crescent Health Plan   October 2006 - July 2010
United Health Care  2005 - 2006
Carolina Care Plan  2000 - 2004

Skills
Provider Relations, Network Development, Health Insurance, Healthcare, Contract Negotiation, Negotiation, Managed Care, Medicaid, Medicare, Medicaid Managed Care, Medicare Advantage, Credentialing, Healthcare Management, HEDIS, Provider Network..., Healthcare Consulting, Healthcare Industry, Physician Relations, HIPAA, Healthcare Information..., Leadership, Team Building, Strategic Planning, Management, Process Improvement

Education
University of Phoenix   2003 — 2006
BSM, Management

University of Phoenix   2003 — 2004
Associates, General Education

Ashley Galloway Ashley Galloway Myrtle Beach, South Carolina Details
Ashley Galloway's Carolina Crescent Health Plan Experience December 2007 - May 2010
Job Provider Relations Representative at Molina Healthcare
Industry Insurance
Experience
Molina Healthcare  December 2013 - Present
ATI  June 2013 - Present
Ashley Galloway Pallets   January 2009 - Present
Windsor Health Plan  June 2010 - July 2013
Carolina Crescent Health Plan   December 2007 - May 2010

Skills
Contract Negotiation, Network Development, Provider Relations, Provider Contracting, Reiki, PPO, Medicaid, HMO, Managed Care, Credentialing, Health Insurance, Medicare, Insurance, Health Policy, Durable Medical..., Healthcare, Utilization Management, Hospitals, Workers Compensation, CRM, Healthcare Industry, Management, HIPAA, Provider Network...

Education
Mars Hill College   1993 — 1997
BA, Psychology

Anya Kim Anya Kim Chesapeake, Virginia Details
Anya Kim's Carolina Crescent Health Plan Experience November 2009 - May 2010
Job Administrative Assistant at Virginia Premier Health Plan, Inc.
Industry Hospital & Health Care
Experience
Virginia Premier Health Plan, Inc.   November 2009 - Present
Carolina Crescent Health Plan   November 2009 - May 2010

Skills
Data Entry, HIPAA, Analysis, Claim, Hospitals

Education
Columbia Southern University   2012 — 2014
Bachelor of Arts (B.A.), Health/Health Care Administration/Management

LaSheba McCullough LaSheba McCullough Columbia, South Carolina Area Details
LaSheba McCullough's Carolina Crescent Health Plan Experience August 2008 - April 2009
Job Member Connections Supervisor at Absolute Total Care
Industry Hospital & Health Care
Experience
Absolute Total Care Health Plan Inc   June 2010 - Present
Carolina Crescent Health Plan Inc   April 2009 - June 2010
Carolina Crescent Health Plan   August 2008 - April 2009
Carolina Crescent Health Plan   May 2007 - August 2007

Skills
Microsoft Office, CCMS, Citrix, HIPAA, Healthcare, Medicaid, Medicare, Access, Outlook, Managed Care, Customer Service, Insurance, Credentialing, Health Insurance, Microsoft Excel, Medicaid Managed Care, Healthcare Management, NCQA, HMO, Hospitals, Employee Benefits, Provider Relations, Network Development, Health Policy, Community Outreach, Medical Terminology, Healthcare Industry, Utilization Management, Healthcare Information..., Medical Billing, Long-term Care, Healthcare Consulting, Medicare Part D, EMR, ICD-9, PPO

Education
University of Phoenix   2011 — 2014
Masters, Health Administration, 3.5

Voorhees College   2003 — 2008
B.S, Mass Communication

Bryan McGill Bryan McGill Columbia, South Carolina Area Details
Bryan McGill's Carolina Crescent Health Plan Experience March 2008 - September 2008
Job Printing Services at BlueCross BlueShield of SC
Industry Printing
Experience
BlueCross BlueShield of South Carolina  May 2015 - Present
BlueCross BlueShield of South Carolina  November 2013 - May 2015
BlueCross BlueShield of SC  January 2012 - October 2013
Sunbelt Computer Forms, Inc.   June 1994 - December 2010
Carolina Crescent Health Plan   March 2008 - September 2008

Skills
Inventory Management, Operations Management, Customer Service, Purchasing, Process Improvement, Microsoft Office, Accounts Payable, Accounts Receivable, Inventory Control, Problem Solving, Team Leadership, Pricing, Expansion, Hiring, Manufacturing, Human Resources, Microsoft Excel

Education
Presbyterian College   1990 — 1994
BS, Business Administration

Sue Hall Sue Hall Louisville, Kentucky Area Details
Sue Hall's Carolina Crescent Health Plan Experience April 2008 - September 2008
Job Founder & CEO at SlenderSuzie™
Industry Health, Wellness and Fitness
Experience
SlenderSuzie™   January 2013 - Present
Beachbody  July 2015 - Present
TruVision Health  July 2014 - July 2015
Plexus Worldwide, Inc.   May 2013 - July 2014
Pink Zebra Home  February 2012 - December 2013
Genesis Rehabilitation Services  November 2010 - June 2012
Palmetto Health  January 2010 - November 2010
Absolute Total Care  January 2009 - January 2010
Carolina Crescent Health Plan   April 2008 - September 2008
Community Care Behavioral Health  May 2006 - March 2008

Skills
Team Building, Customer Service, Leadership, Team Leadership, Social Media Marketing, Direct Sales, Network Marketing..., Weight Loss Coaching, Blogging, Motivational Speaking, Leadership Development, Strategic Planning, Entrepreneurship, Training, Public Speaking, Management, Social Networking

Education
Southern New Hampshire University   2015 — 2019
Bachelor of Science (B.S.), Social Media Marketing

North Pocono   1987 — 1991
High School Diploma

Hollie Strange Hollie Strange Columbia, South Carolina Area Details
Hollie Strange's Carolina Crescent Health Plan Experience April 2009 - April 2010
Job Quality Manager at Anthem
Industry Insurance
Experience
WellPoint  February 2014 - Present
WellPoint  September 2011 - February 2014
Centene Corporation  March 2010 - September 2011
Carolina Crescent Health Plan   April 2009 - April 2010
Carolina Crescent Health Plan   January 2008 - April 2009
WellCare  October 2007 - February 2008
Carolina Care Plan  2002 - 2007
Electronic Data Systems (EDS)   1997 - 2002

Skills
HEDIS, Medicaid, Provider Relations, Process Improvement, Network Development, HMO, Quality Improvement, NCQA, Data Analysis, Managed Care, Healthcare, Contract Negotiation, Recruiting, HIPAA, Credentialing, Disease Management, Employee Benefits, Health Policy, Insurance, Medicaid Managed Care, Medicare

Education
Francis Marion University

Cheryl Monnell Cheryl Monnell Columbia, South Carolina Area Details
Cheryl Monnell's Carolina Crescent Health Plan Experience July 2007 - December 2008
Job Director Quality Improvement
Industry Insurance
Experience
WellCare  September 2013 - Present
Absolute Total Care  June 2009 - September 2013
Qualis Health Plan   December 2008 - June 2009
Carolina Crescent Health Plan   July 2007 - December 2008
Carolina Care Plan  2007 - 2008
POMCO  June 1993 - February 2006

Skills
Medical Coding, Health Policy, Employee Benefits, Quality Assurance, Healthcare Consulting, Software Documentation, Network Development, Medical Terminology, Access, Data Analysis, Informatics, Analysis, Leadership, Physicians, Pharmacy, Call Centers, Provider Relations, Provider Network..., Quality Improvement, NCQA, Medicaid Managed Care, Process Improvement

Education
University of Phoenix   2014 — 2016
MHA, Informatics

Saint Joseph's College   1988 — 1995
BSPA, Health Care Administration

Onondaga Community College   1984 — 1985
AS, Nursing

Mike Bonar Mike Bonar Charleston, South Carolina Area Details
Mike Bonar's Carolina Crescent Health Plan Experience November 2007 - August 2010
Job Market Manager (Operations) at TriCounties ACC (CHS/UAM)
Industry Medical Practice
Experience
Tri-Counties ACC (CHS/UAM)   April 2014 - Present
Tri-Counties ACC (CHS/UAM)   July 2013 - March 2014
America's 1st Choice  October 2010 - July 2013
Physician Services of South Carolina   August 2010 - September 2010
Carolina Crescent Health Plan   November 2007 - August 2010
Sullivan Private Label   August 2005 - May 2007

Education
University of Cincinnati   1988 — 1992
BA, History

Cornelius Gude Cornelius Gude Columbia, South Carolina Area Details
Cornelius Gude's Carolina Crescent Health Plan Experience April 2009 - June 2010
Job Network Service Representative at Humana Veterans / Government
Industry Insurance
Experience
Humana Veterans / Government   July 2012 - Present
( DHEC ) South Carolina Department of Health and Environmental Control   July 2010 - June 2012
Carolina Crescent Health Plan   April 2009 - June 2010
Amerigroup, Columbia, SC   January 2008 - September 2008

Skills
Project Management, Operations Management, Strategic Planning, Team Building, Healthcare Management, Microsoft Office, Contract Negotiation, Microsoft Excel, Healthcare Information..., Health Insurance, Healthcare, Medicare, Medicaid, Hospitals, Insurance, Healthcare Industry, Managed Care, Provider Relations, Process Improvement

Education
Kaplan University   2007 — 2009
Bachelor of Science, Healthcare Management

Universtiy of Maryland   2004 — 2007

Harding High School

University of Phoenix Online

Katherine Hoover, RN Katherine Hoover, RN Lexington, South Carolina Details
Katherine Hoover, RN's Carolina Crescent Health Plan Experience 2009 - 2010
Job Recovery Audit Contractor at inVentiv Health
Industry Hospital & Health Care
Experience
inVentiv Health  December 2011 - August 2012
Carolina Crescent Health Plan   2009 - 2010
2008Heartland Hospice   August 2007 - November 2008
Palmetto Health  August 2003 - November 2008
Providence Hopsital   1990 - 2003
McLeod Medical Center/Aiken Medical Center   January 1992 - January 1996
Blue Cross Blue Shield  1992 - 1995
Providence Hospital  January 1989 - January 1992
Lexington Medical Center  January 1987 - January 1992

Skills
Inpatient, Medical Records, Hospitals, Healthcare Management, Medicaid, Medicare, HIPAA, Utilization Management, Critical Care, Acute Care, Patient Advocacy, ACLS, Home Care, IV, Disease Management, Medication..., Direct Patient Care, Cerner, Healthcare, Managed Care, Nursing, Medical Coding, Pain Management, EMR, Medical Terminology, Physician Relations, Healthcare Information...

Education
Midlands Technical College   1987 — 1990
Associate Degree, Nursing

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