Chartered Health Plan
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Chartered Health Plan Employees
Northern Virginia Community College August 2014 - Present
Chartered Health Plan July 2008 - December 2013
Skills
Medicaid Managed Care, High Risk Pregnancy, MCOs, Microsoft Office, Managing Database, Medical Billing, OB/GYN, NICU, Customer Service, Long-term Care, Newborn, Medical Terminology, Healthcare, CPT, Utilization Management, Health Insurance, Enrollment Services, Ambulance, Case Managment, Case Management, Medicare, Medicaid
Education
Northern Virginia Community College 2014 — 2016
Associate's degree, Information Technology
Centura College-Chesapeake 2012 — 2012
Bachelor's degree, Business Administration and Management, General
Everest College-Arlington 2007 — 2008
Medical/Clinical Assistant
Aetna June 2015 - Present
Aetna February 2015 - June 2015
Delaware Physicians Care, Inc. June 2004 - January 2015
AmeriChoice August 1999 - January 2002
Chartered Health Plan August 1997 - July 1999
Keystone Mercy Health Plan 1993 - 1997
Skills
Medicaid, Healthcare, Medicine, Medicare, Health Policy, Managed Care, HIPAA, Healthcare Consulting, Physicians, Disease Management, Health Insurance, Leadership, Medicaid Managed Care, Strategic Planning
Education
Stanford University Graduate School of Business 2002 — 2003
MS Management, Business
Saint Louis University School of Medicine 1978 — 1982
MD, Medicine
AmeriHealth Caritas, District of Columbia May 2013 - Present
Chartered Health Plan April 2009 - April 2013
Prince George's Hospital Center April 2002 - June 2008
Skills
Health Insurance, Insurance, Provider Relations, HIPAA, Claim, Claims Management, HMO, Healthcare, Healthcare Management, Disease Management, Medical Records
Education
University of Maryland University College, Maryland 2000 — 2005
Master's degree, Health/Health Care Administration/Management
City University of New York-Hunter College
Bachelor of Science (BS), Nursing Science
AmeriHealth Caritas May 2013 - Present
Chartered Health Plan January 2013 - 2013
Mary's Center October 2009 - January 2012
Foley and Lardner LLC October 2008 - February 2009
University of Virginia August 2007 - May 2008
World Vision August 2007 - August 2007
World Vision 2007 - 2007
Skills
Program Management, Delegation, Task Management, Community Relations, Community Outreach, People Management, Service Orientation, Procedure Development, Customer Advocacy, Patient Advocacy, Accountability, Language Skills, Foreign Languages, Intercultural..., Data Analysis, Management, Leadership, Leadership Development, Qualitative Research, System Administration, Higher Education, Spanish, Language Development, Program Development, Workshop Facilitation, Social Services, Community Health, PowerPoint, Community Development, Time Management, Fundraising, Global Health, Healthcare, Reproductive Health, Event Planning, Health Education, Public Health, Policy Analysis, Microsoft Excel, Policy, Nonprofits, Public Speaking, Capacity Building, Project Management, Research, International..., Clinical Research, Plannning, Grant Writing, Grants
Education
University of Maryland - Robert H. Smith School of Business 2013 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
University of Virginia 2004 — 2008
B.A, Distinguished Major Prog. (DMP) in Human Biology focus in Health Care Policy/ Global Health
Providence Hospital - Infectious Disease & General Surgery February 2012 - Present
Formula January 2010 - April 2012
Unity Health Care August 2010 - September 2011
Chartered Health Plan May 2010 - December 2010
Health Right Inc. August 2009 - April 2010
Bread for the City August 2008 - May 2009
Skills
Brand Marketing, Social Media Marketing, Healthcare Management, Office Administration, Customer Relations, Social Services, MS Office Suite, Front Office, Concierge Services, Health Education, Counseling, Team Leadership, Customer Service, Public Health, Public Administration, Public Speaking, Public Relations, Government, Microsoft Office, Facebook, Microsoft Excel, Social Networking, Training, Data Entry, Program Management, Case Management
Education
Trinity University-Washington 2013 — 2015
RN, BSN, Nursing Administration
University of Maryland University College 2011 — 2013
MBA, Business Administration
University of Maryland University College 2009 — 2011
Masters of Science, Helathcare Administration
Howard University 2005 — 2009
Bachelors of Science, Healthcare Management, Cum Laude
Self-employed September 2009 - Present
Chartered Health Plan August 2008 - September 2009
Amerigroup April 2000 - July 2008
Mt. Washington Pediatric Hospital June 1997 - April 2000
Skills
Healthcare Management, Case Managment, Disease Management, Utilization Management, Healthcare Consulting, Medicaid Managed Care, Medicare, Medicaid, Managed Care, Senior Executive..., Healthcare Industry, HIPAA, Quality Improvement, EHR, Healthcare Information..., EMR, Performance Improvement, Health Policy, Public Health, Nursing, Health Insurance, Healthcare, Strategic Planning, Process Improvement, Program Management, Program Development, Analysis, Management, Case Management
Education
The Catholic University of America 1993 — 1996
Master of Science (M.S.), Nursing, Pediatric Nurse Practitioner Track
Barry University 1984 — 1984
Bachelor of Science (B.S.), Nursing Practice
Saint Leo University 1977 — 1981
Bachelor of Science (B.S.), Biology
Contractor April 2008 - Present
UHS September 2006 - September 2008
DC Department of Youth Rehabilitation Services (DYRS) December 2003 - April 2006
Chartered Health Plan June 2001 - February 2003
George Washington University January 1995 - June 2001
Skills
Mental Health, Healthcare, Treatment, Case Management, Program Management, Social Services, Program Development, Organizational..., Customer Service, Training, Social Media, Leadership, Research, Public Speaking, Strategic Planning, Team Building, Microsoft Office
Education
Bowie State University 1997 — 2000
Master of Arts (M.A.), Organizational Communication, General
Winston-Salem State University 1990 — 1994
Bachelor of Arts, Public Relations, Advertising, and Applied Communication
William Fleming High 1987 — 1990
EXIT Realty Integrity Group September 2008 - Present
EXIT Bennett Realty April 2007 - Present
The Shekinah Group, LLC August 1996 - Present
Shekinah Realty Group, LLC 2014 - 2015
Remax Specialists 2005 - 2007
Coldwell Banker Commercial, NRT 2002 - 2005
Chartered Health Plan July 1997 - June 1999
America's Health Insurance Plans (AHIP) March 1997 - July 1997
Skills
Graduate Real Estate..., Certified Distress..., Investor Relations, Certified Executive..., Project Management, Social Entrepreneurship, Creative Writing, Text Editing, Team Leadership, Team Building, Success Driven, REO, Property, Short Sales, Real Estate, Buyer Representation, Investors, Sellers, Foreclosures, Sales, Brokerage, Investment Properties, Relocation, Buyers, Single Family Homes, Real Property, Property Management, Listings, First Time Home Buyers, Residential Homes, Commercial Real Estate
Education
Liberty University 2009 — 2012
Bachelor's, Education & Psychology
Georgia State University
Master's Degree, Real Estate
Capital One August 2014 - Present
MAC Cosmetics November 2014 - April 2015
Freelance Makeup Artistry September 2009 - April 2015
DC Chamber of Commerce May 2012 - November 2013
Chartered Health Plan December 2011 - February 2012
DC Department of Parks and Recreation June 2008 - September 2011
Skills
Quality Assurance, VMware, Microsoft Office, HTML, Research, Version One, CSS, Java, Agile Methodologies, Customer Service, Photoshop, PowerPoint, Teamwork, Community Outreach, Social Networking, Data Entry, Illustrator, Microsoft Excel, Healthcare, Healthcare Management, Adobe Creative Suite, Tourism, Hospitality, Office Administration, InDesign, Social Media, Office Management, Web Project Management, JavaScript, Child Development, Makeup Artistry, Stage Make-up, C++, Accounts Payable, Accounts Receivable, Public Speaking, Management, Bridal Makeup, Runway Makeup, Editorial Makeup, Microsoft Word
Education
Northern Virginia Community College 2014 — 2015
Information Technology
Year Up 2014 — 2015
University of the District of Columbia 2012 — 2015
Information Technology
School Without Walls SHS 2007 — 2011
High School
Parvus Connect November 2013 - Present
New Target July 2009 - November 2013
MPower Media, LLC May 2007 - January 2009
DSK Solutions December 2006 - May 2007
Social & Scientific Systems October 2004 - November 2006
Cadence Business Software, LLC June 1996 - October 2004
Chartered Health Plan March 1993 - June 1996
Richard Strother & Associates, Inc. September 1989 - March 1993
Skills
Visio, Strategic Planning, Web Development, SQL, Customer Relations, Business Analysis, Customer Service, E-commerce, HTML, Web Design, PHP, ASP.NET, WordPress, Software Development, Integration, Program Management, Databases, Leadership, User Experience, Agile Methodologies, E-Commerce, Management, Project Management, Strategy
Education
University of Richmond 1985 — 1989
BA, Economics, Computer Science
District of Columbia Government December 2011 - Present
Children's School Services of Children's National Hospital November 2010 - December 2011
L'arche November 2006 - November 2011
HSCSN August 2010 - November 2010
Peace Corps June 2005 - June 2010
Azure, LLC August 2007 - May 2009
George Washington University Hospital March 2004 - June 2005
Careco, Inc May 2002 - May 2004
Chartered Health Plan February 2001 - May 2002
Chartered Health Plan June 2000 - February 2001
Skills
Health Services..., Medical Record Auditing, Systems Analysis, Business Process..., Utilization Management, Utilization Review, Medical Case Management, Safety Case Management, Occupational Health, Policy and Procedure..., Staff Development, Non-profit Consulting
Education
Howard University 1999 — 2001
Master of Business Administration (MBA), Health Services Administration
Howard University 1993 — 1998
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Aetna June 2015 - Present
Delaware Physicians Care, an Aetna Medicaid Plan June 2004 - December 2014
AmeriChoice of Pennsylvania August 1999 - January 2002
AmeriChoice / United 1999 - 2002
Chartered Health Plan August 1997 - July 1999
Skills
Managed Care, Medicare, Utilization Management, Disease Management, Healthcare Management, Healthcare, Medicaid, Healthcare Information..., Health Policy, Provider Relations, Hospitals, Health Insurance, HIPAA, Healthcare Consulting, Medicine, Informatics, EMR, EHR, HMO
Education
Stanford University 2002 — 2003
Master of Science (MS), Stanford Sloan Program of the Stanford University Graduate School of Business
Saint Louis University 1978 — 1982
Doctor of Medicine (MD), Medicine
Mb Staffing August 2014 - Present
Suited For Change January 2013 - Present
P-4-P Ministry 2009 - July 2015
HireStrategy June 2014 - August 2014
HireStrategy February 2014 - May 2014
Taproot Foundation December 2013 - April 2014
HireStrategy November 2013 - December 2013
The HSC Health Care System January 2009 - November 2012
ASTHO (Association of State and Territorial Health Organizations) October 2008 - December 2008
Chartered Health Plan September 2007 - July 2008
Skills
Employee Relations, Temporary Placement, Recruiting, Benefits Administration, HR Policies, Conflict Resolution, Employee Engagement, Policy Writing, Nonprofits, Human Resources, HRIS, Performance Management, Personnel Management, Career Development, Employee Training, HR Consulting, Leadership Development, Onboarding, Hiring, Career Counseling, Employee Benefits, Interviews, Training, Sourcing, New Hire Orientations, Talent Acquisition, Policy, PeopleSoft, Leadership, Talent Management, Coaching, Workforce Planning, Staff Development, College Recruiting, Resume Writing, Succession Planning, Management
Education
Howard University
Master of Business Administration (M.B.A.), Business Administration
Marymount University
Bachelor of Business Administration (BBA), Business Administration
Marymount University
Associate of Arts and Sciences (AAS), Applied Sciences
Center for Creative Leadership
Leadership Development for HR Professionals
State Farm Insurance June 2008 - Present
State Farm Insurance April 2004 - June 2009
MassMutual Financial Group April 1997 - October 1998
Chartered Health Plan March 1996 - April 1997
The Athlete's Foot December 1992 - March 1996
The Athlete's Foot December 1992 - March 1996
Skills
Community Outreach, Non-profits, Claims, Budgeting, Insurance, Community Relations, Customer Service, Customer Relations, Strategic Planning, Media Relations, Mentoring, Internal Communications, Strategic Communications, Public Speaking, Philanthropy, Coaching, Negotiation, Social Media, Public Relations, Claims Management, Volunteer Management, Supervisory Skills, Claim, Event Planning, Budgets, Event Management, Nonprofits, Community Development, Marketing, Management, Fundraising, Public Affairs, Organizational..., Facebook, Newsletters, Project Management, Speech Writing, Program Management, Analysis, Crisis Communications, Employee Training, Project Planning, Corporate Communications, Communication Training, Sales
Education
Bowie State University 1997 — 2001
Masters, Business Management
Hampton University 1988 — 1992
BS, Marketing
DeMatha High School 1984 — 1988
Ss Constantine and Helen School August 2015 - Present
The Artemis Group November 2014 - March 2015
Brown Rudnick September 2010 - May 2014
Chartered Health Plan May 2009 - September 2010
Corporate Executive Board August 2008 - February 2009
Maggie Moo's Ice Cream April 2003 - April 2008
Skills
Event Planning, Management, Social Media, Facebook, Customer Service, Research, Event Management, Organization, Office Management, Outlook, Administrative..., Legal Research, Human Resources, Market Research, Nonprofits, Budgets, Organization &..., Conference Rooms, Meeting Scheduling
Education
University of Maryland College Park 2004 — 2008
BA, Political Science
Fuqua School of Business July 2015 - Present
The Urbane Group LLC March 2007 - Present
Houston Astros October 2012 - July 2015
Edward Jones June 2009 - October 2012
Edward Jones June 2008 - June 2009
Florida A&M University September 2007 - May 2008
Charles Schwab June 2007 - August 2007
Toyota June 2006 - December 2006
US Census Bureau June 2005 - December 2005
Chartered Health Plan June 2003 - August 2003
Skills
Sports Marketing, Sponsorship Activation, Sponsorship Relations, Event Planning, Event Marketing Strategy, Personal Financial..., Series 7, Series 66, Separately Managed..., Unified Managed Accounts, Investment Advisory, Investment Advisory..., Mutual Funds, Project Planning, Sponsorship, Customer Service, Uniform Combined State..., Investment Strategies, Leadership, Marketing, Retirement Planning, Microsoft Excel, Sales Management, FINRA, Microsoft Office, Sales, PowerPoint, Financial Analysis, Financial Services, Process Improvement
Education
Duke University - The Fuqua School of Business 2015 — 2017
Master of Business Administration (M.B.A.)
Florida Agricultural and Mechanical University 2003 — 2008
Bachelor’s Degree, Business Administration
DeMatha Catholic High School 1999 — 2003
Diploma
Chartered Health Plan January 2012 - September 2012
Chartered Health Plan June 2009 - August 2009
Chartered Health Plan November 2008 - February 2009
Melwood Horticultural Training Center June 2008 - August 2008
Chartered Health Plan June 2007 - August 2007
Skills
Microsoft Office, Data Entry, Secretarial Skills, Outlook, File Management, Microsoft Excel, PowerPoint, Data Analysis, Microsoft Word, Databases, Telephone Skills, Software Documentation
Education
Prince George's Community College 2008 — 2009
General Studies
Morgan State University 2006 — 2007
Architecture
Suitland HIgh School 2002 — 2006
HIgh School Diploma, University High Program
Kaiser Permanente September 2012 - August 2015
EuropAssistance-USA March 2009 - May 2011
Body by Faith, LLC September 2006 - March 2009
American Postal Workers Union Health Plan (APWU) February 2003 - October 2006
American Postal Workers Union Health Plan (APWU) June 2002 - February 2003
Chartered Health Plan June 2001 - June 2002
UnitedHealth Group June 2000 - June 2001
Skills
Benefits Administration, Customer Service, Health Insurance, Insurance, Process Improvement, Analysis, Auditing, Coaching, File Management, HIPAA, Managed Care, Management, Policy, Program Management, Project Planning, Provider Relations, Quality Assurance, Training, Cross-functional Team..., Problem Solving, Account Management, Compliance
Education
Marywood University 1984 — 1987
B. S, Business Administration/Marketing
The Chappelle Group, LLC April 2001 - Present
Eastern Maine Medical Center November 2012 - September 2013
Chartered Health Plan August 2012 - December 2012
Not-For-Profit Hospital Corporation October 2011 - August 2012
Not-For-Profit Hospital Corporation August 2010 - March 2011
Capitol Medical Center November 2009 - July 2010
Stamford Hospital December 2007 - June 2008
The William and Sally Tandet Center July 2005 - December 2007
Sentient Medical Systems January 2005 - June 2005
Howard University Hospital December 2003 - February 2005
Skills
Executive Management, Financial Management, Operations Management, Managerial Finance, Healthcare, Revenue Cycle, Medicaid, Hospitals, Healthcare Consulting, Managed Care, HIPAA, Healthcare Management, Revenue Cycle Management, Informatics, Meditech, Management Consulting, Insurance, Physicians, Leadership, Process Improvement, Auditing, Practice Management, Healthcare Industry, Medicare, Performance Improvement, Policy, EMR, Healthcare Information..., EHR, Medical Billing, Home Care, Cerner, Health Information..., Medical Coding, Health Policy, Epic Systems, Analysis
Education
Morehouse College 1989 — 1993
Bachelor of Arts (B.A.), Banking, Corporate, Finance, and Securities Law
Morehouse College 1989 — 1993
Bachelor of Business Administration (B.B.A.) Finance, Banking, Corporate, Finance, and Securities Law
Serenity, Incorporated June 2008 — January 2012
The Kornegay Group December 2006 — Present
Get Focused Tutoring Service October 2005 — January 2012
Nursing Enterprises 2004 — 2005
DC Primary Care Association June 2004 — December 2004
Bon Secours Health System March 2003 — April 2003
Chartered Health Plan December 2000 — March 2002
Benova, Inc. October 1999 — November 2000
Bon Secours Health System April 1997 — August 1999
United Healthcare December 1995 — April 1997
Education
The Johns Hopkins University - Carey Business School 1999 — 2000
Leadership Development
Morgan State University 1985 — 1990
BS, Marketing
JBS International, Inc. July 2011 - Present
MayaTech Corporation April 2004 - January 2010
The Academy for Educational Development 2002 - 2004
Diverse Health Promotions and Education Services 1999 - 2002
AmeriCan Medical Plans of Georgia 1997 - 1999
Chartered Health Plan 1989 - 1997
Skills
Public Health, Program Evaluation, Program Development, Non-profits, Grant Writing, Program Management, Grants, Public Speaking, Proposal Writing, Community Outreach, Qualitative Research, Project Management, Policy Analysis, SPSS, Research, Health Education, Healthcare, Nonprofits
Education
The George Washington University 2005 — 2012
DrPH
American University 1981 — 1985
M.S.
University of Maryland College Park 1976 — 1981
B.S.
AmeriHealth Caritas District of Columbia May 2013 - Present
Zengagement, LLC. December 2007 - Present
Chartered Health Plan July 2011 - April 2013
Inovalon / MedAssurant April 2009 - July 2011
Carefirst BlueCross BlueShield February 2003 - September 2007
CareFirst BlueCross BlueShield October 2000 - February 2003
CareFirst BlueCross BlueShield 1999 - October 2000
CareFirst BlueCross BlueShield 1996 - 1999
CareFirst BlueCross BlueShield 1994 - 1996
Skills
Project Management, Program Development, Health Insurance, Web Development, Business Process..., Call Center, Change Management, Virtual Teams, SDLC, Program Management, High Performance Teams, Business Analysis
Education
University of Pennsylvania 2007 — 2008
Master's, Applied Positive Psychology
Loyola University Maryland 1997 — 2000
MBA, Business
University of Maryland University College 1990 — 1992
Bachelor's, Paralegal
Mokxa Technologies, LLC May 2013 - Present
Chartered Health Plan July 2012 - April 2013
Chartered Health Plan September 2011 - August 2012
CareFirst BlueCross BlueShield January 2011 - September 2011
Carefirst Blue Cross Blue Shield 2004 - January 2011
CareFirst BlueCross BlueShield April 2008 - November 2009
compuware 1997 - 2004
Skills
Program Management, SDLC, Enterprise Architecture, IT Strategy, Business Analysis, Integration, Business Intelligence, Requirements Analysis, Vendor Management, PMO, Data Warehousing, Software Project..., SharePoint, PMP, SOA, Business Requirements, Project Portfolio..., Solution Architecture, Business Process..., Cloud Computing, Agile Methodologies, IT Management, Agile Project Management, SQL, Process Improvement, Systems Analysis, Databases, Business Process, Disaster Recovery, Healthcare Information..., Software Development, Requirements Gathering, MS Project, Project Management, Visio, Oracle, Resource Management, CMMI, Outsourcing, Data Modeling, Information Technology, Governance, Software Documentation, Business Process Design, ITIL, IT Service Management, Business Process..., ERP, Health Care Systems
Education
Shri Ram College of Commerce 1991 — 1994
Guru Nanak Public School
Massachusetts Institute of Technology - Sloan School of Management
Strategy and Innovation
Chartered Health Plan July 2008 - June 2013
Hanger Orthopedic Group/Linkia May 2007 - July 2008
CareFirst BCBS February 2005 - May 2007
Carefirst BCBS 2000 - 2005
Pioneer EyeCare 1996 - 2000
CMG Health 1994 - 1996
Skills
Medicare, Health Insurance, Medicaid, Managed Care, HIPAA, Healthcare Management, Healthcare, Insurance, Healthcare Information..., Informatics, Claims Management, Healthcare Industry
Education
Towson University
Bachelor of Science (BS), Business Administration and Management, General
Chartered Health Plan
Education
Universidad Central (CO) 1996 — 2000
Bachelor’s Degree, Business/Managerial Economics, Economics
Universidad Externado de Colombia
TRUSTED HEALTHPLAN September 2014 - Present
TRUSTED HEALTHPLAN August 2013 - August 2014
Department of Defense - HEALTHNET FEDERAL SERVICES January 2011 - May 2013
Chartered Health Plan January 2010 - February 2011
Chartered Health Plan July 2008 - August 2010
Skills
Software Documentation, Clinical Research, UTILIZATION REVEIEW, Member Relations, APPEALS AND GRIEVANCES, Practice Management, Healthcare, Case Management, Nursing, Medicare, Managed Care, Hospitals, Utilization Management, Disease Management, Healthcare Management, Medicaid, Healthcare Information..., HIPAA, Customer Service, Training, Patient Safety, Treatment, Management, Patient Advocacy, Quality Improvement, Home Care, Nonprofits, Inpatient, Utilization Review
Education
Strayer University 2013 — 2015
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
NEW YORK CITY TECHNICAL COLLEGE 1995 — 1999
AAS, RN NURSING PROGRAM
AmeriHealth District of Columbia May 2013 - Present
Chartered Health Plan June 2012 - April 2013
CareFirst BlueCross BlueShield November 1996 - March 2012
MDS Associates March 1995 - October 1996
CSIS (Center for Strategic and International Studies) February 1995 - August 1995
Xerox February 1989 - September 1994
Skills
Managed Care, Healthcare, Strategic Planning, Cross-functional Team..., Business Development, Leadership, Strategy, Employee Benefits, Coaching, Policy, Program Management, Health Insurance, Management, Medicaid, Sales Operations, Analytics, Healthcare Management, Analysis, Integration, Sales, Medicare, Change Management, Business Analysis, Process Improvement
Education
Marymount University 1998 — 2000
MS, Healthcare Management
Marymount University 1991 — 1994
MBA, Business Administration
James Madison University 1984 — 1988
Bachelor of Science (BS), JMU
Staffing Plus June 2009 - Present
Chartered Health Plan June 2008 - June 2009
Anne Arundel Medical Center January 2008 - June 2008
Skills
Pharmacy, Public Speaking, Diabetes, Strategic Planning, Pharmaceutical Industry, Recruiting, Leadership Development, Coaching, Program Management, Organizational..., Non-profits, Patient Safety
Education
Mercer University 1988 — 1992
Doctor of Pharmacy (Pharm.D.), Pharmacy
Spelman College 1984 — 1988
Bachelor of Applied Science (BASc), Natural Sciences
Ascellon Corporation March 2007 - Present
Houston Associates 2005 - 2007
Chartered Health Plan 2004 - 2006
Magellan Health Services 2000 - 2004
Skills
Strategic Planning, Compliance, Healthcare, Insurance, Program Management, Change Management, HIPAA, Management, Management Consulting, Process Improvement, Project Management, Team Building, Business Process..., Cross-functional Team..., Leadership, Vendor Management, Healthcare Information...
Education
Old Dominion University 1979 — 1984
Business Administration, Business Management
Chartered Health Plan Route DriverFirst TransitApril 2015 - Present
Skills
Microsoft Excel, Coaching, Customer Service, Sports, Sales, Public Speaking, PowerPoint, Strategic Planning
Education
Prince George's Community College 1996 — 1998
Computer Systems
Washington, DC Metro Area August 2011 - Present
Chartered Health Plan February 2007 - August 2011
Chartered Health Plan June 2004 - February 2007
Garner Law Office May 1999 - July 2004
Delmarva Foundation July 2002 - November 2002
New Jersey, Department of Human Services June 2000 - July 2002
Medisys Quality Improvement August 1998 - June 2000
Keystone Mercy Health Plan May 1992 - November 1997
Skills
Healthcare Management, Microsoft Excel, Microsoft Office, Budgets, Research, Strategic Planning, PowerPoint, Contract Negotiation, Outlook, Microsoft Word, HIPAA, Customer Service, Public Speaking, Administration, Hospitals, Team Building, Healthcare, Process Improvement, Medical Compliance, Policy, Insurance, Access, Compliance Operations, Health Law, Risk Management, Training, Data Analysis, Compliance Program..., Medicaid, Medicare, Analysis, Program Management, Utilization Management
Education
Howard University College of Medicine 2006 — 2008
Master of Public Health (MPH), Environmental Health, Epidemiology, Biostatistics, Healthcare Administration, Data Mining, Research
Ottawa University-Kansas City 1995 — 1997
Bachelor of Arts (BA) - Health Services Management, Organizational Management
Nurses Training College,
Registered Nurse
The Robert Bobb Group, LLC January 2011 - Present
Chartered Health Plan December 2007 - December 2010
McKissack & McKissack 2005 - 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, Teamwork, Photoshop, Social Media, Public Speaking, C++, English, HTML, Windows, Event Planning, Time Management, Strategic Planning
Education
Georgetown University 2013 — 2014
Master's Degree, Technology, Information Security
Howard University 2005 — 2010
Bachelor's Degree, Communications / English, Cum Laude
ArtJewelryOnline.com August 2008 - Present
Chartered Health Plan January 2000 - January 2001
CIGNA Healthcare June 1998 - December 2000
Skills
Jewelry Design, Handmade Jewelry, Jewelry, Art, Craft, Mixed Media, Teaching, Fine Art, Fashion, Public Speaking
Education
La Salle University 1979 — 1983
Master of Business Administration (MBA), Marketing
Temple University - Fox School of Business and Management 1974 — 1979
Bachelor of Business Administration (BBA), Business Administration and Management, General
CareFirst BlueCross BlueShield September 2013 - Present
The Hospital for Sick Children/ Health Services for Children w/Special Needs March 2012 - September 2013
CareFirst BlueCross BlueShield November 2008 - March 2011
CareFirst BlueCross BlueShield August 2008 - November 2008
CareFirst BlueCross BlueShield March 2004 - August 2008
Chartered Health Plan August 2001 - March 2004
NRI Staffing January 2000 - August 2001
NRI Staffing January 1999 - January 2000
Staffbuildershr January 1994 - January 1999
District of Columbia General Hospital June 1992 - January 1994
Skills
Healthcare, Medicare, Utilization Review, Medicaid, Case Managment, Physicians, Medicine, Quality Improvement, Microsoft Office, Health Insurance, Medical Underwriting, Medical Record review, Claims Review, Discharge planning, Pharmacy, Interqual, Milliman, Modified AEP, FACETS 520, NASCO, Conducting meetings, STARS Informant, STARS Sentinel, STARS Commander
Education
Ashford University 2009 — 2010
MA, Organ. Manage. conc. Healthcare, 3.90
Howard University 1982 — 1992
BS, Nursing
U.S. Department of Labor August 2014 - Present
U.S. Department of Labor April 2009 - August 2014
Lockheed Martin November 2003 - February 2009
Independent Health Care Consultants 2002 - 2005
Affiliated Computer Services, Inc. July 2002 - November 2003
Prime Health Corporation April 1998 - June 2002
Chartered Health Plan June 1994 - April 1998
New York Life Insurance Company October 1990 - April 1994
Postmasters Benefit Plan February 1989 - October 1990
Skills
HIPAA, Leadership, Training, Medicaid, Medical Coding, Health Insurance, Project Management, Customer Service, Medicare, Healthcare Information..., Process Improvement, Medical Billing, Data Analysis, Team Leadership, Healthcare, 3M Core Software, IPPS, OPPS, HCPCS, ICD-10, CCI, Revenue Center Codes, CPT, Auditing, User Acceptance Testing, Code of Federal..., Automated Software..., Privacy Act, Policy Analysis, Team Facilitation, Process Enhancement, Procedure Development, Procedure Review, SharePoint, EDI, Claims Management, Claims Resolution, Managed Care, Business Analysis, Medical Terminology, Healthcare Management, Workers Compensation, Software Documentation, Team Building, Hospitals, Claim Investigation, Medical Compliance, Government Proposals, Dental Care, ICD-9
Education
University of Maryland University College 2003 — 2006
BS, Management Studies, 3.79
Strayer University-Maryland 2002 — 2003
Business Administraion
Dunbar Senior High School 1981 — 1984
Diploma with High Honors, College Bound Studies, 3.79
Polaris Project June 2013 - December 2013
Children’s National Medical Center January 2013 - May 2013
Pan American Health Organization August 2012 - December 2012
Pan American Health Organization February 2012 - May 2012
Chartered Health Plan August 2008 - August 2009
Ride for World Health April 2008 - May 2008
International Rescue Committee February 2007 - March 2008
Shanti Ashram May 2006 - June 2006
Freedom Wheelchairs May 2005 - May 2005
Population Council April 2004 - June 2004
Skills
Global Health, Health Education, Microsoft Word, Microsoft Excel, PowerPoint, Photoshop, Web Content, Content Management...
Education
George Washington University 2010 — 2013
Master of Public Health (MPH), Global Health: Design, Monitoring and Evaluation
Brigham Young University 1999 — 2006
Bachelor of Science (BS), Community Health
Trusted Health Plan May 2014 - Present
Inova Health System February 2014 - May 2014
Chartered Health Plan August 2010 - October 2013
Chartered Health Plan July 2009 - August 2010
Chartered Health Plan October 2008 - July 2009
Kaiser Permanente December 2007 - July 2008
Professional Healthcare Resources May 2006 - August 2007
National Institutes of Health October 2005 - April 2006
SAMBA Health Plans October 2004 - July 2005
Carefirst BCBS November 2000 - October 2004
Skills
Claims Processing, Appeals, Cost Recovery, Coordination of Benefits, Claim Check/Auto Audit..., Home Health Care..., Healthcare..., Medicaid, Data Entry, Healthcare, Claim, Training, Medical Records, Policy, Hospitals, Insurance, Medical Coding, Medical Terminology, Process Improvement, Program Management, Medicare, HIPAA, Health Insurance, Microsoft Excel
Education
AHIMA 2015 — 2015
Working on a Coding Certification, Healthcare Coding
Montgomery Community College 1993 — 1997
Woodrow Wilson SHS 1990 — 1993
HS Diploma
Washington D.C. Metro Area 2014 - Present
UnitedHealth Group 2003 - 2014
Chartered Health Plan 1996 - 2003
Skills
Provider Onboarding, Credentialing, Provider data Management, Fee Schedule set up and..., Claims troubleshooting..., Provider Systems..., Collaborative Problem..., Decision Making, Change Management, Workflow process..., Implementation of..., Federal & State..., Provider configuration..., Strategic Planning, Process Improvement, Healthcare, Medicare, Career Development, HIPAA, Team Building, Leadership, Managed Care, Medicaid, Customer Service, Management, Training, Healthcare Industry
Education
University of Maryland University College
Master's degree, Health/Health Care Administration/Management
University of Sierra Leone
Bachelor of Arts (BA), History