Community Care Network (CCN)
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Community Care Network (CCN) Employees
Employee
Years
Job
Industry
Caretha Clifton Keith, MBA Caretha Clifton Keith, MBA's Community Care Network (CCN) Experience May 1997 - June 2005
Job Manager, Provider Network Contracting at United Healthcare
Industry Hospital & Health Care
Experience
UnitedHealth Group August 2011 - Present
UnitedHealth Group January 2011 - Present
MTC Development LLC June 2005 - January 2011
First Health June 1997 - June 2005
Community Care Network (CCN) May 1997 - June 2005
Skills
Network Development, Provider Relations, Managed Care, PPO, Medicare, HMO, Medicaid, Health Insurance, Healthcare Management, Contract Negotiation, Insurance, Healthcare, Credentialing, Healthcare Industry, Physicians, Physician Relations, Process Improvement, Provider Network..., Medicaid Managed Care, HIPAA, Health Policy, Healthcare Consulting, Healthcare Information..., Hospitals, Medicare Part D, Revenue Cycle, Utilization Management, Quality Improvement, Pharmacy Benefit..., Revenue Cycle Management, Medical Billing, Disease Management, Medical Compliance
Education
Mercer University 2008 — 2009
Master of Business Administration (MBA), Business Administration and Management, General
Auburn University 1991 — 1995
Bachelor of Science (BS), Business Administration and Management, General
Cherokee County High School 1987 — 1991
Diploma, College Prep
UnitedHealth Group August 2011 - Present
UnitedHealth Group January 2011 - Present
MTC Development LLC June 2005 - January 2011
First Health June 1997 - June 2005
Community Care Network (CCN) May 1997 - June 2005
Skills
Network Development, Provider Relations, Managed Care, PPO, Medicare, HMO, Medicaid, Health Insurance, Healthcare Management, Contract Negotiation, Insurance, Healthcare, Credentialing, Healthcare Industry, Physicians, Physician Relations, Process Improvement, Provider Network..., Medicaid Managed Care, HIPAA, Health Policy, Healthcare Consulting, Healthcare Information..., Hospitals, Medicare Part D, Revenue Cycle, Utilization Management, Quality Improvement, Pharmacy Benefit..., Revenue Cycle Management, Medical Billing, Disease Management, Medical Compliance
Education
Mercer University 2008 — 2009
Master of Business Administration (MBA), Business Administration and Management, General
Auburn University 1991 — 1995
Bachelor of Science (BS), Business Administration and Management, General
Cherokee County High School 1987 — 1991
Diploma, College Prep
Diane Patzlaff Diane Patzlaff's Community Care Network (CCN) Experience 1992 - 1995
Job Senior Account Executive at Anthem Blue Cross
Industry Insurance
Experience
Anthem Blue Cross 2002 - Present
CIGNA 1995 - 2002
Community Care Network (CCN) 1992 - 1995
Sedgwick James 1989 - 1992
Mutual Benefit Life 1983 - 1989
Skills
Health Insurance, Managed Care, Health Savings Accounts, Brokers, Employee Benefits, Disability Insurance, Medicare, Insurance, HMO, Claim, Medicare Part D, Life Insurance, Workers Compensation, COBRA
Education
California State University-Northridge 1980 — 1982
Bachelor of Science (BS), Psychology
Anthem Blue Cross 2002 - Present
CIGNA 1995 - 2002
Community Care Network (CCN) 1992 - 1995
Sedgwick James 1989 - 1992
Mutual Benefit Life 1983 - 1989
Skills
Health Insurance, Managed Care, Health Savings Accounts, Brokers, Employee Benefits, Disability Insurance, Medicare, Insurance, HMO, Claim, Medicare Part D, Life Insurance, Workers Compensation, COBRA
Education
California State University-Northridge 1980 — 1982
Bachelor of Science (BS), Psychology
Lory Wallach Lory Wallach's Community Care Network (CCN) Experience 1987 - 1997
Job Healthcare Leader
Industry Hospital & Health Care
Experience
Children's Hosptial of Orange County / Rady Children's November 2013 - Present
Consuli and Sanitas, Inc. 2012 - 2014
UC San Diego Health System 2012 - 2013
Family Health Centers of San Diego 2008 - 2012
Sharp HealthCare 2005 - 2008
Executive Consultant 2001 - 2005
Novaeon 1998 - 2001
Alliance Healthcare Foundation (endowed by Community Care Network) 1996 - 1998
Community Care Network (CCN) 1987 - 1997
Skills
Six Sigma, Managed Care, JCAHO, Healthcare Management, Patient Safety, Healthcare Information..., Healthcare, EMR, Hospitals, Team Building, Medical Billing, Strategic Planning, Leadership, Program Development, Physicians, Strategy, Data Analysis, Public Health, Quality Management, Customer Experience, Lean Operations, Lean Transformation, mhealth, Program Management, Kaizen, EHR, Human Resources, Mobile Health, Health Policy, Change Management, Quality Improvement, Physician Relations, Healthcare Consulting, Process Improvement, Nursing, HIPAA, Informatics, Policy, Revenue Cycle, Medicine, Management, Medicare, Healthcare Industry
Education
Harvard University School of Public Health
Masters in Health Policy and Management, Health Policy and Management
Project Management Institute
Certified PMP - Project Management Proessional
Tufts University
BSOT, Occupational Therapy
Children's Hosptial of Orange County / Rady Children's November 2013 - Present
Consuli and Sanitas, Inc. 2012 - 2014
UC San Diego Health System 2012 - 2013
Family Health Centers of San Diego 2008 - 2012
Sharp HealthCare 2005 - 2008
Executive Consultant 2001 - 2005
Novaeon 1998 - 2001
Alliance Healthcare Foundation (endowed by Community Care Network) 1996 - 1998
Community Care Network (CCN) 1987 - 1997
Skills
Six Sigma, Managed Care, JCAHO, Healthcare Management, Patient Safety, Healthcare Information..., Healthcare, EMR, Hospitals, Team Building, Medical Billing, Strategic Planning, Leadership, Program Development, Physicians, Strategy, Data Analysis, Public Health, Quality Management, Customer Experience, Lean Operations, Lean Transformation, mhealth, Program Management, Kaizen, EHR, Human Resources, Mobile Health, Health Policy, Change Management, Quality Improvement, Physician Relations, Healthcare Consulting, Process Improvement, Nursing, HIPAA, Informatics, Policy, Revenue Cycle, Medicine, Management, Medicare, Healthcare Industry
Education
Harvard University School of Public Health
Masters in Health Policy and Management, Health Policy and Management
Project Management Institute
Certified PMP - Project Management Proessional
Tufts University
BSOT, Occupational Therapy
Tina Pugh Tina Pugh's Community Care Network (CCN) Experience 1992 - 1999
Job Account Manager at MedImpact
Industry Hospital & Health Care
Experience
MedImpact November 2012 - Present
Coventry Health Care ( Formerly First Health) March 2004 - January 2012
First Health (Formerly CCN) February 2002 - March 2004
Marsh 1999 - 2001
Community Care Network (CCN) 1992 - 1999
Aetna 1980 - 1992
Skills
Healthcare, Employee Benefits, Account Management, Insurance, Customer Relations, Underwriting, Training, Managed Care, Self-Funded Benefit..., Claims Administration, Report Analysis, Product Presentation, Savings Analysis, Auditing, Pharmacy Benefit..., Health Care Reform, Health Savings Accounts, Health Insurance, HMO, PPO, Brokers, CRM, Provider Relations, Sales, Workers Compensation
Education
University of Phoenix 2000 — 2003
Bachelors, Business Management
Grossmont College
Business
MedImpact November 2012 - Present
Coventry Health Care ( Formerly First Health) March 2004 - January 2012
First Health (Formerly CCN) February 2002 - March 2004
Marsh 1999 - 2001
Community Care Network (CCN) 1992 - 1999
Aetna 1980 - 1992
Skills
Healthcare, Employee Benefits, Account Management, Insurance, Customer Relations, Underwriting, Training, Managed Care, Self-Funded Benefit..., Claims Administration, Report Analysis, Product Presentation, Savings Analysis, Auditing, Pharmacy Benefit..., Health Care Reform, Health Savings Accounts, Health Insurance, HMO, PPO, Brokers, CRM, Provider Relations, Sales, Workers Compensation
Education
University of Phoenix 2000 — 2003
Bachelors, Business Management
Grossmont College
Business
Doug Reeves Doug Reeves's Community Care Network (CCN) Experience 1985 - 1995
Job Owner/Operator San Diego Training and Conference Center
Industry Events Services
Experience
San Diego Tax Office May 2011 - Present
San Diego Training and Conference Center June 1996 - Present
Community Care Network (CCN) 1985 - 1995
CCN, Inc. 1984 - 1995
Education
SUNY Brockport 1971 — 1975
BS, Psychology
San Diego Tax Office May 2011 - Present
San Diego Training and Conference Center June 1996 - Present
Community Care Network (CCN) 1985 - 1995
CCN, Inc. 1984 - 1995
Education
SUNY Brockport 1971 — 1975
BS, Psychology
Janette J Agustin Janette J Agustin's Community Care Network (CCN) Experience 1992 - 1995
Job Director, Fee Schedule Regulatory Implementation
Industry Insurance
Experience
Coventry Health Care January 2010 - Present
NITSUGA INTERNATIONAL (RELR US) May 2004 - January 2010
AON Corporation 1997 - 2002
Intracorp 1995 - 1997
Community Care Network (CCN) 1992 - 1995
Travelers Insurance 1982 - 1991
Skills
Managed Care, Medicare, Health Insurance, Insurance, Workers Compensation, Healthcare, Provider Relations, Process Improvement, Claim, Project Management, Strategic Planning, Vendor Management, Team Building, Contract Negotiation, Business Analysis, Call Center, Management, PPO
Education
Mission College 1994 — 1995
General
Coventry Health Care January 2010 - Present
NITSUGA INTERNATIONAL (RELR US) May 2004 - January 2010
AON Corporation 1997 - 2002
Intracorp 1995 - 1997
Community Care Network (CCN) 1992 - 1995
Travelers Insurance 1982 - 1991
Skills
Managed Care, Medicare, Health Insurance, Insurance, Workers Compensation, Healthcare, Provider Relations, Process Improvement, Claim, Project Management, Strategic Planning, Vendor Management, Team Building, Contract Negotiation, Business Analysis, Call Center, Management, PPO
Education
Mission College 1994 — 1995
General
Karen McAllister Karen McAllister's Community Care Network (CCN) Experience 1992 - 1994
Job Director of Provider Relations
Industry Hospital & Health Care
Experience
HealthCare Partners September 2013 - April 2015
Banner Health March 1997 - April 2013
Phoenix Memorial Hospital April 1994 - March 1997
Community Care Network (CCN) 1992 - 1994
Lincoln Health Plan 1988 - 1990
Skills
Healthcare Management, Physician Relations, Hospitals, Managed Care, Healthcare, Healthcare Industry, Provider Relations, Healthcare Consulting, Healthcare Information..., Medicare, EMR, HIPAA, Medicaid, Revenue Cycle, Credentialing, Physicians, Quality Improvement, Health Policy, Utilization Management, Practice Management, Network Development, EHR, Process Improvement, Leadership, Health Insurance
Education
University of Phoenix 1996 — 2001
Bachelor, Management/Adminstration
HealthCare Partners September 2013 - April 2015
Banner Health March 1997 - April 2013
Phoenix Memorial Hospital April 1994 - March 1997
Community Care Network (CCN) 1992 - 1994
Lincoln Health Plan 1988 - 1990
Skills
Healthcare Management, Physician Relations, Hospitals, Managed Care, Healthcare, Healthcare Industry, Provider Relations, Healthcare Consulting, Healthcare Information..., Medicare, EMR, HIPAA, Medicaid, Revenue Cycle, Credentialing, Physicians, Quality Improvement, Health Policy, Utilization Management, Practice Management, Network Development, EHR, Process Improvement, Leadership, Health Insurance
Education
University of Phoenix 1996 — 2001
Bachelor, Management/Adminstration
Diana Rosbrook Diana Rosbrook's Community Care Network (CCN) Experience December 1996 - September 1999
Job Manager I/S Decision Support Svcs at Sharp HealthCare
Industry Hospital & Health Care
Experience
Sharp HealthCare April 2014 - Present
Sharp HealthCare April 2009 - April 2014
UC San Diego September 1999 - April 2009
Community Care Network (CCN) December 1996 - September 1999
Skills
Data Warehousing, Data Analysis, Star Schema, Healthcare, Oracle, Cognos, Business Intelligence..., SDLC, Business Intelligence, Software Documentation, Visio, Business Analysis, SharePoint, Process Improvement, SQL, Management, Healthcare Information..., Requirements Analysis, Requirements Gathering, ASP.NET, HIPAA, Logical Data Modeling, Physical Data Modeling, Toad, SQL Server Management..., Hospitals
Education
San Diego State University-California State University 1991 — 1996
Bachelor of Science (B.S.), Information Systems
Sharp HealthCare April 2014 - Present
Sharp HealthCare April 2009 - April 2014
UC San Diego September 1999 - April 2009
Community Care Network (CCN) December 1996 - September 1999
Skills
Data Warehousing, Data Analysis, Star Schema, Healthcare, Oracle, Cognos, Business Intelligence..., SDLC, Business Intelligence, Software Documentation, Visio, Business Analysis, SharePoint, Process Improvement, SQL, Management, Healthcare Information..., Requirements Analysis, Requirements Gathering, ASP.NET, HIPAA, Logical Data Modeling, Physical Data Modeling, Toad, SQL Server Management..., Hospitals
Education
San Diego State University-California State University 1991 — 1996
Bachelor of Science (B.S.), Information Systems
Andrea Kessler Andrea Kessler's Community Care Network (CCN) Experience September 1989 - January 1991
Job Director, Business Development at Keller Benefit Services
Industry Insurance
Experience
Keller Benefit Services April 2003 - Present
Financial Advantage Associates, Inc. June 1999 - April 2003
Self-Employed February 1998 - June 1999
APWU Health Plan October 1994 - February 1998
ULLICO, Inc. April 1991 - September 1994
Community Care Network (CCN) September 1989 - January 1991
American PsychManagement April 1987 - August 1989
Eden Food Sales January 1985 - March 1987
Skills
Marketing Strategy, Marketing Communications, Sales, Direct Sales, Corporate Communications, Business Strategy, New Business Development, Business Development, Healthcare Industry, Health Insurance, Life Insurance, Disability Insurance, Healthcare Consulting, Retirement Benefits, New Business Generation, New Business..., Sales Operations, Sales Presentations, Proposal Writing, Proposal Generation, Corporate Branding, Managed Care, human resources..., Human Resources, Marketing
Education
University of Rochester 1973 — 1977
BA
Bronx High School of Science 1970 — 1973
Keller Benefit Services April 2003 - Present
Financial Advantage Associates, Inc. June 1999 - April 2003
Self-Employed February 1998 - June 1999
APWU Health Plan October 1994 - February 1998
ULLICO, Inc. April 1991 - September 1994
Community Care Network (CCN) September 1989 - January 1991
American PsychManagement April 1987 - August 1989
Eden Food Sales January 1985 - March 1987
Skills
Marketing Strategy, Marketing Communications, Sales, Direct Sales, Corporate Communications, Business Strategy, New Business Development, Business Development, Healthcare Industry, Health Insurance, Life Insurance, Disability Insurance, Healthcare Consulting, Retirement Benefits, New Business Generation, New Business..., Sales Operations, Sales Presentations, Proposal Writing, Proposal Generation, Corporate Branding, Managed Care, human resources..., Human Resources, Marketing
Education
University of Rochester 1973 — 1977
BA
Bronx High School of Science 1970 — 1973
Pat Sullivan Pat Sullivan's Community Care Network (CCN) Experience October 1986 - August 1997
Job President at The Sullivan Group
Industry Executive Office
Experience
The Sullivan Group February 2013 - Present
PMSI January 2011 - January 2013
The Sullivan Group February 2010 - January 2011
WorkCompWire April 2010 - December 2010
Coventry Workers' Comp Services August 2008 - February 2010
The Sullivan Group June 2000 - August 2008
Novaeon, Inc. January 1998 - June 2000
Community Care Network (CCN) October 1986 - August 1997
Skills
Mergers, Workers Compensation, Insurance, Healthcare, Human Resources, Finance, Claim, Medicare, Claims Management, Risk Management, Health Insurance, Commercial Insurance, Product Development, Process Improvement, Account Management, Liability, Team Building, Negotiation, Program Management, Acquisitions, Business Development, Executive Management, Board of Director..., Mergers & Acquisitions, Leadership, Strategic Partnerships, Strategy, Board of Directors
Education
University of California, Riverside 1977 — 1979
Bachelor of Science, Political Science and Administrative Studies
University of Southern California 1980 — 1981
Systems Management
The Sullivan Group February 2013 - Present
PMSI January 2011 - January 2013
The Sullivan Group February 2010 - January 2011
WorkCompWire April 2010 - December 2010
Coventry Workers' Comp Services August 2008 - February 2010
The Sullivan Group June 2000 - August 2008
Novaeon, Inc. January 1998 - June 2000
Community Care Network (CCN) October 1986 - August 1997
Skills
Mergers, Workers Compensation, Insurance, Healthcare, Human Resources, Finance, Claim, Medicare, Claims Management, Risk Management, Health Insurance, Commercial Insurance, Product Development, Process Improvement, Account Management, Liability, Team Building, Negotiation, Program Management, Acquisitions, Business Development, Executive Management, Board of Director..., Mergers & Acquisitions, Leadership, Strategic Partnerships, Strategy, Board of Directors
Education
University of California, Riverside 1977 — 1979
Bachelor of Science, Political Science and Administrative Studies
University of Southern California 1980 — 1981
Systems Management
nancy maples nancy maples's Community Care Network (CCN) Experience 1986 - 1998
Job AVP, Professional Development at CA Coast Credit Union
Industry Financial Services
Experience
CA Coast Credit Union AVP, HRCalifornia Coast Credit Union1999 - Present
Community Care Network (CCN) 1986 - 1998
Skills
Leadership, Employee Relations, Program Management
Education
Loyola University Chicago
CA Coast Credit Union AVP, HRCalifornia Coast Credit Union1999 - Present
Community Care Network (CCN) 1986 - 1998
Skills
Leadership, Employee Relations, Program Management
Education
Loyola University Chicago
Randy Cottingham's Community Care Network (CCN) Experience 1990 - 1993
Job Programmer Analyst at General Atomics Aeronautical Systems
Industry Computer Software
Experience
General Atomics Aeronautical Systems 2011 - Present
General Atomics Aeronautical Systems 2010 - 2011
Self-employed 2008 - 2011
LPL Financial 1998 - 2008
Quidel 1995 - 1997
GERS Retail Systems 1993 - 1995
Community Care Network (CCN) 1990 - 1993
IRI 1987 - 1990
Time Inc. 1986 - 1987
Kaufman Goldman Stral Inc. 1986 - 1986
Skills
Programming, Oracle Application..., PL/SQL, SQL, Data Modeling, Database Administration, Configuration Management, Technical Documentation, Word, Excel, PowerPoint, Visio, Adobe Creative Suite, SnagIt, Objective-C, Microsoft Excel, Subversion, Database Design, Oracle, SDLC, XML, Unix, Databases, Microsoft Word, JavaScript, Software Documentation, Business Analysis, Web Applications, SQL Tuning
Education
DePaul University 1989 — 1990
Computer Career Program Certificate, Computer Science
University of Wisconsin-Madison 1979 — 1983
BA, Journalism/Advertising
General Atomics Aeronautical Systems 2011 - Present
General Atomics Aeronautical Systems 2010 - 2011
Self-employed 2008 - 2011
LPL Financial 1998 - 2008
Quidel 1995 - 1997
GERS Retail Systems 1993 - 1995
Community Care Network (CCN) 1990 - 1993
IRI 1987 - 1990
Time Inc. 1986 - 1987
Kaufman Goldman Stral Inc. 1986 - 1986
Skills
Programming, Oracle Application..., PL/SQL, SQL, Data Modeling, Database Administration, Configuration Management, Technical Documentation, Word, Excel, PowerPoint, Visio, Adobe Creative Suite, SnagIt, Objective-C, Microsoft Excel, Subversion, Database Design, Oracle, SDLC, XML, Unix, Databases, Microsoft Word, JavaScript, Software Documentation, Business Analysis, Web Applications, SQL Tuning
Education
DePaul University 1989 — 1990
Computer Career Program Certificate, Computer Science
University of Wisconsin-Madison 1979 — 1983
BA, Journalism/Advertising
Cheryl Shetty's Community Care Network (CCN) Experience June 1998 - July 2004
Job Director of Operations at Anthem Workers' Compensation / Wellpoint
Industry Insurance
Experience
Anthem, Inc. November 2012 - Present
Coventry Health Care June 2001 - Present
Community Care Network (CCN) June 1998 - July 2004
Preferred Health Network January 1996 - April 1998
Preferred Health Network June 1989 - December 1996
First Health February 1990 - May 1994
Skills
Insurance, Workers Compensation, PPO, Network Development, Managed Care, Health Insurance, Medicare, Provider Relations, Management, Mentoring Of Staff, Vendor Management, SDLC, Healthcare Information..., Medicaid, Claim, Employee Benefits, Claims Management, Health Policy, Leadership, Healthcare, Healthcare Industry, HIPAA, Process Improvement, Healthcare Consulting, Credentialing, Pharmacy Benefit..., Utilization Management
Education
USC
Healthcare Management
Anthem, Inc. November 2012 - Present
Coventry Health Care June 2001 - Present
Community Care Network (CCN) June 1998 - July 2004
Preferred Health Network January 1996 - April 1998
Preferred Health Network June 1989 - December 1996
First Health February 1990 - May 1994
Skills
Insurance, Workers Compensation, PPO, Network Development, Managed Care, Health Insurance, Medicare, Provider Relations, Management, Mentoring Of Staff, Vendor Management, SDLC, Healthcare Information..., Medicaid, Claim, Employee Benefits, Claims Management, Health Policy, Leadership, Healthcare, Healthcare Industry, HIPAA, Process Improvement, Healthcare Consulting, Credentialing, Pharmacy Benefit..., Utilization Management
Education
USC
Healthcare Management
Donna Nagel's Community Care Network (CCN) Experience 1988 - 2002
Job
Industry Human Resources
Experience
ISG Holdings, Inc. 2004 - 2012
Community Care Network (CCN) 1988 - 2002
Mitchell International 1988 - 1989
Skills
Strategic Planning, Customer Service, Account Management, Healthcare, Business Analysis, Operations Management, Program Management, Training, Cross-functional Team..., Process Improvement, Change Management, Management, Leadership, Project Management, Mergers & Acquisitions, Business Intelligence, Vendor Management, Organizational..., Performance Management, Employee Relations, Employee Benefits, Insurance
Education
University of San Diego 1997 — 2002
Master's degree, Practical Theology
St. Ambrose University
Bachelor of Arts (B.A.)
ISG Holdings, Inc. 2004 - 2012
Community Care Network (CCN) 1988 - 2002
Mitchell International 1988 - 1989
Skills
Strategic Planning, Customer Service, Account Management, Healthcare, Business Analysis, Operations Management, Program Management, Training, Cross-functional Team..., Process Improvement, Change Management, Management, Leadership, Project Management, Mergers & Acquisitions, Business Intelligence, Vendor Management, Organizational..., Performance Management, Employee Relations, Employee Benefits, Insurance
Education
University of San Diego 1997 — 2002
Master's degree, Practical Theology
St. Ambrose University
Bachelor of Arts (B.A.)