Coventry Health Care, an Aetna Company

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Coventry Health Care, an Aetna Company Employees

Employee
Years
Job
Industry
Kelly Cahill Kelly Cahill Miami/Fort Lauderdale Area Details
Kelly Cahill's Coventry Health Care, an Aetna Company Experience 2003 - 2008
Job Telecommunication Engineer
Industry Telecommunications
Experience
BREF Bahamas Managent, LLC   2014 - Present
Arrow S3  2008 - 2014
Coventry Health Care, an Aetna Company   2003 - 2008
Club Med  1998 - 2000

Skills
Microsoft Office, TCP/IP, VoIP, Avaya, Nortel, Cisco Routers, Call Centers, Call Center Architecture, Telecommunications, LAN-WAN, Integration, IP, Wireless, MPLS, Telephony, Networking, WAN, Unified Communications, Vendor Management, Troubleshooting, SIP

Education
ITT Technical Institute - Fort Luaderdale   1980 — 1982
Associate of Science (A.S.), Electrical, Electronic and Communications Engineering Technology/Technician

Florida State University   1979 — 1981
Associate's degree, Mathematics and Computer Science

Cooper Kellie Cooper Kellie Wichita, Kansas Details
Cooper Kellie's Coventry Health Care, an Aetna Company Experience October 2013 - Present
Job Direct of Network Management at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2013 - Present
Coventry Health Care  February 2011 - October 2013
Coventry Health Care  2002 - 2010
Coventry Health Care, Princiapl Healthcare   1996 - 2002
CIGNA Healthcare  1992 - 1994
Equicor  1990 - 1992
Equicor  1989 - 1990
Equicor  1989 - 1989

Skills
Provider Relations, Health Insurance, Vendor Management, Medicare, Managed Care, Medicaid, HIPAA, PPO, SharePoint, Process Improvement, Healthcare, Insurance, HMO, Customer Service, Leadership, Strategic Planning

Education
Wichita State University   1986 — 1988
Bachelor's degree, Business Administration and Management, General

Crowder College   1984 — 1986
Associates Degree

Blue Springs High School   1980 — 1984

Juan Nicasio Juan Nicasio Miami/Fort Lauderdale Area Details
Juan Nicasio's Coventry Health Care, an Aetna Company Experience November 2013 - November 2014
Job Insurance Agent at Healthcare Enrollment USA
Industry Insurance
Experience
Healthcare Enrollment USA   November 2014 - Present
Coventry Health Care, an Aetna Company   November 2013 - November 2014
Coventry Health Care of Florida   February 2011 - June 2014
South Florida Risk Mgt   November 2007 - November 2010
Nations Health  June 2006 - November 2007

Skills
Licensed Life & Health..., Disability Insurance, Term Life Insurance, Sales, Employee Benefits, Insurance, Training, Health Insurance, Claim, Cold Calling

Education
DeVry University   2004 — 2006
Associate's degree, Small Business Administration/Management

CUNY Bronx Community College   2002 — 2003
Small Business Administration/Management

Newtown High School   1998 — 2002
General High School Diploma, General Studies, 96.3

Brea Waye Brea Waye Atlanta, Georgia Details
Brea Waye's Coventry Health Care, an Aetna Company Experience July 2011 - November 2011
Job Experienced Help Desk/Tech Support Analyst
Industry Information Technology and Services
Experience
Ceridian  November 2013 - August 2014
LexisNexis  February 2013 - October 2013
New York Life Insurance Company  October 2012 - February 2013
State Farm  February 2012 - September 2012
Coventry Health Care, an Aetna Company   July 2011 - November 2011
Comcast Cable  June 2008 - April 2011

Skills
Active Directory, Troubleshooting, Technical Support, Windows 7, SQL, Windows, Computer Hardware, Windows XP, Microsoft Exchange, Microsoft Office, TCP/IP, Customer Service, Software Installation, VPN, Help Desk Support, Operating Systems, Networking, BMC Remedy, Call Centers, Wireless Networking, Group Policy, System Administration, Property, Insurance, Laptops, Printers, System Deployment, Windows Server, LAN-WAN, IT Management, Lotus Notes, Service Desk, Information Technology, Incident Management, Microsoft SQL Server

Education
Georgia Southern University   2003 — 2006
Accounting and Finance

Shiloh High School   2000 — 2003
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program, 3.8

Michael Carrillo Michael Carrillo Miami, Florida Details
Michael Carrillo's Coventry Health Care, an Aetna Company Experience January 2009 - November 2010
Job Regional Director of Provider Engagement at DentaQuest
Industry Insurance
Experience
DentaQuest  November 2012 - Present
Coventry Health Care  November 2010 - November 2012
Coventry Health Care, an Aetna Company   January 2009 - November 2010
Humana  November 2007 - December 2008
Humana  October 2004 - November 2007
UnitedHealth Group  December 2001 - October 2004

Skills
Network Development, Provider Relations, PPO, HMO, Medicaid, Medicare, Managed Care, Health Insurance, Credentialing, HIPAA, Healthcare Industry, Health Policy, Insurance, Claim, Healthcare

Education
Florida International University
International Relations and Affairs; Economics

Indiana University Bloomington
Bachelor's Degree, Economics

Albert Alfonso Albert Alfonso Tampa, Florida Details
Albert Alfonso's Coventry Health Care, an Aetna Company Experience August 2008 - June 2015
Job Supervisor of Service Operations with Moffitt Cancer Center
Industry Hospital & Health Care
Experience
Moffitt Cancer Center  July 2015 - Present
Coventry Health Care, an Aetna Company   August 2008 - June 2015
MHNet an Aetna Company   August 2008 - May 2009
Network Synergy Group  June 2000 - August 2008

Skills
Bilingual, Innovative creative..., Adaptable to Changes, Highly Reliable, Highly motivated..., Operations Management, Workers Compensation, Managed Care, Customer Service, Six Sigma, Microsoft Excel, Performance Reporting, Training, Subject Matter Experts, Policy Writing, ADP Payroll, Kronos Timekeeping, Human Anatomy, Health Education, Insurance, Quality Assurance, Healthcare, Health Insurance, Leadership, Process Improvement

Education
Concorde Career Institute-Tampa   2009 — 2010
Medical Insurance Coding Specialist, Medical Insurance Coding Specialist/Coder

Yachanlaz Institute   2007 — 2008
License # 798111149, Certified EKG Technician, 03/18/2008

Suncoast School of Massage   2003 — 2004
LMT, Massage Therapy/Therapeutic Massage

Lauren (Berdan) Fernandez, PHR, SHRM-CP Lauren (Berdan) Fernandez, PHR, SHRM-CP Tampa, Florida Details
Lauren (Berdan) Fernandez, PHR, SHRM-CP's Coventry Health Care, an Aetna Company Experience March 2011 - January 2014
Job HR Generalist
Industry Hospital & Health Care
Experience
Moffitt Cancer Center  November 2014 - Present
Progressus Therapy  February 2014 - October 2014
Coventry Health Care- An Aetna company  March 2011 - January 2014
Community Hospital (HCA)   October 2009 - March 2011
Blue Abaco   July 2008 - July 2009

Skills
Employee Relations, Kronos, Recruiting, Leave of Absence..., Employee Benefits, Benefits Administration, Onboarding, Talent Acquisition, HRIS, PeopleSoft, FMLA, Workers Compensation, E-Verify, New Hire Orientations, Talent Management, Performance Management, Taleo, Customer Service, Policy

Education
Florida State University - College of Business   2005 — 2009
Bachelor's degree, Marketing, Human Resource Management

Clearwater High

Jeremy Johns, MBA, PMP Jeremy Johns, MBA, PMP Sacramento, California Details
Jeremy Johns, MBA, PMP's Coventry Health Care, an Aetna Company Experience March 2011 - October 2013
Job Manager, IT Project Management at Aetna
Industry Insurance
Experience
Aetna  October 2013 - Present
Coventry Health Care, an Aetna Company   March 2011 - October 2013
COMSYS  November 2010 - March 2011
Eyefinity  May 2008 - October 2010
VSP Vision Care  June 2000 - May 2008

Education
Grand Canyon University   2014 — 2019
Doctorate of Business Administration (D.B.A) with an Emphasis in Management

Keller Graduate School of Management of DeVry University
Master of Business Administration (MBA), Business Administration and Project Management

National University
Bachelor of Business Administration (B.B.A.), Business

Ruth Ambroise Ruth Ambroise Boca Raton, Florida Details
Ruth Ambroise's Coventry Health Care, an Aetna Company Experience July 2013 - Present
Job Case Manager at Coventry Health Care, an Aetna Company
Industry Government Administration
Experience
Coventry Health Care, an Aetna Company   July 2013 - Present
Florida Department of Children and Families  January 2011 - July 2013
Florida Department of Children and Families  2010 - 2013

Skills
Child Welfare, Case Management, Crisis Intervention, Mental Health, Community Outreach, Group Therapy, Program Development, Adolescents, Mental Health Counseling, Psychotherapy, Program Evaluation, Nonprofits, Motivational..., Foster Care

Education
Florida Atlantic University
Master of Social Work (MSW), Children & Families

Dominique L Kenon Dominique L Kenon Greater Atlanta Area Details
Dominique L Kenon's Coventry Health Care, an Aetna Company Experience 2011 - September 2013
Job Business Analyst at AIG Claims, Inc.
Industry Hospital & Health Care
Experience
AIG Claims, Inc.   June 2014 - August 2015
Georgia Institute of Technology  December 2013 - May 2014
Coventry Health Care, an Aetna Company   2011 - September 2013
ANDP, Inc   February 2007 - November 2010

Skills
Raiser's Edge, Crystal Reports, Fundraising, Grants, Community Outreach, Community Development, SPSS, Volunteer Management, Nonprofits, Program Evaluation, Marketing, Federal Grants..., Operating Budgets, Public Services, Public Speaking, PeopleSoft, OPUS, Banner Finance, Compass, SQL, SharePoint, Access, Research Design, Qualitative Research, Data Analysis, Data Collection, Program Management, Survey Research, Proposal Writing, Grant Writing, Statistical Data..., Analysis, SAS programming, Statistical Modeling, Quantitative Research, Survey Design, Quantitative Analytics, Spanish, Critical Thinking, Policy, SAS, Non-profit..., Statistics, Policy Analysis, Statistical Software, Report Writing, Compliance, Medicaid, Program Development, Research

Education
Troy University   2014 — 2016
Master's Degree, Computer/Information Technology Administration and Management

Georgia State University   2009 — 2011
Bachelor of Arts (B.A.), Sociology

Christina Barker Christina Barker Raleigh-Durham, North Carolina Area Details
Christina Barker's Coventry Health Care, an Aetna Company Experience 2001 - 2002
Job Health and Benefits Senior Consultant at Aon Hewitt
Industry Outsourcing/Offshoring
Experience
Aon Hewitt  July 2006 - Present
Coventry Health Care  2002 - 2006
Coventry Health Care, an Aetna Company   2001 - 2002
Coventry Health Care, an Aetna Company   1999 - 2001
Coventry Health Care, an Aetna Company   1997 - 1999
Coventry Health Care, an Aetna Company   1996 - 1997
BCBSNC  1989 - 1994

Skills
Health Insurance, Claims Auditing, Quality Auditing, Auditing Standards, Operational Planning, Operational Excellence, Supervisory Experience, Supervisory Management, Provider Relations, Customer Service, Service Providers, Contract Negotiation, Contractual Agreements, Supervisory Skills, Claims Handling, Claims Management, Claims Resolution, Insurance Adjusting, Medical Billing, Client Billing, System Testing, System Administration, Recruiting

Education
Durham Technical Community College
Business/Commerce, General

Elizabeth Tague Elizabeth Tague West Grove, Pennsylvania Details
Elizabeth Tague's Coventry Health Care, an Aetna Company Experience January 2015 - Present
Job Regional Manager of Field Case Management at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   January 2015 - Present
Coventry Health Care  September 2007 - January 2015
Rosemont Presbyterian Village   March 2004 - August 2007
Broomall Presbyterian Village   October 1999 - March 2004

Skills
Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Certified Case Manager, Workers Compensation, Healthcare, Management, Training, Nursing, Medicare, Utilization Review, Home Care, Managed Care, Patient Safety, Insurance, Case Management

Education
Villanova University   2002 — 2004
Bachelor's degree, Registered Nursing/Registered Nurse

Delaware County Community College   1996 — 1999
Associate of Science (A.S.), Registered Nursing/Registered Nurse

Cesar Solis Cesar Solis Miami/Fort Lauderdale Area Details
Cesar Solis's Coventry Health Care, an Aetna Company Experience August 2007 - July 2009
Job SENIOR SALES REP MAPD PLANS MARKETING ADVISOR
Industry Insurance
Experience
Aetna  November 2014 - Present
Florida Healthcare Plus  July 2012 - November 2014
Medica healthcare plans   August 2009 - June 2011
Coventry Health Care, an Aetna Company   August 2007 - July 2009

Skills
Competitive Marketing..., Medicare Advantage..., HIPAA, Credentialing, Business Analysis, Claim, Customer Service, EMR, Medicare, Provider Relations, Health Insurance, HMO, Network Development, Physician Relations, B2B Marketing, Insurance, Medicaid, Healthcare, Healthcare Consulting, Leadership, Managed Care

Education
Florida International University   2013 — 2013
Healthcare Risk Management., certificate.

Adam Gojdas Adam Gojdas La Grange Park, Illinois Details
Adam Gojdas's Coventry Health Care, an Aetna Company Experience March 2008 - May 2013
Job Software Engineer/Developer
Industry Computer Software
Experience
VigiLanz   March 2015 - Present
Aetna  May 2013 - March 2015
Coventry Health Care, an Aetna Company   March 2008 - May 2013
Healthation, Inc.   April 2005 - March 2008
McKesson  September 2001 - April 2005
Pan-Pro LLC (Panduit Corporation)   July 2000 - June 2001
Keane  July 1997 - February 2000
Applied Composites Corporation   July 1995 - July 1997

Skills
Software Development, Microsoft SQL Server, T-SQL, C#, Visual Studio, .NET, JavaScript, SDLC, VB.NET, ASP.NET, Requirements Analysis, Access, SQL, Databases, Java, XML, VB6, ASP, Software Engineering, TFS, Web Applications, Programming, SSIS, Database Design, PL/SQL, Testing, Visual Basic, Oracle, OOP, Business Analysis, XSLT

Education
DePaul University
Master of Science with Distinction, Software Engineering, concentration in Software Development, ★ GPA 4.0/4.0 ★

Moraine Valley Community College   2001 — 2003
graduate student-at-large, (my continuous improvement)

Moraine Valley Community College
Certificate with High Honors, Windows Programming Developer Certification, ★ GPA: 4.0/4.0 ★

Northern Illinois University
Bachelor of Science, Technology

Nita Sprowson Nita Sprowson Springfield, Missouri Area Details
Nita Sprowson's Coventry Health Care, an Aetna Company Experience November 2013 - April 2014
Job Passionate Hard Worker
Industry Design
Experience
OACAC GCC  October 2014 - Present
Coventry Health Care, an Aetna Company   November 2013 - April 2014
Hotels.com  May 2013 - November 2013
UnitedHealth Group  January 2012 - May 2012
Chase  September 2008 - September 2011
T-Mobile  October 2007 - July 2008
Third Street Sportswear   July 2006 - August 2007
The Game Exchange   June 2003 - June 2006
Ozarks Technical Community College  August 2000 - December 2003
Equity Mortgage Bankers  June 1999 - May 2000

Skills
Photoshop, Photography, InDesign, Microsoft Office, Illustrator, Interior Design, Microsoft Word, Social Media, Adobe Creative Suite, PowerPoint, Customer Service

Education
Drury University   2004 — 2006
College Credit, General Studies

Ozarks Technical Community College   2000 — 2003
Associate of Arts (A.A.), Graphic Design

Nilda Cruz Nilda Cruz Tampa/St. Petersburg, Florida Area Details
Nilda Cruz's Coventry Health Care, an Aetna Company Experience March 2010 - August 2014
Job Customer Service Rep with Health Plan Services
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   March 2010 - August 2014
TechHealth  January 2008 - January 2010
Thompson Publishing Group  September 1996 - December 2007

Skills
Data Entry, Front Office Support, Cash Handling, Mail Sorting, PowerPoint, Outlook, Phone Manner, Telephone Skills, Customer Satisfaction, Teamwork, Critical Thinking, Microsoft Word, Access, Administrative..., Time Management, Public Speaking, Event Planning

Education
HCC Community College
Associate's Degree, Liberal Arts and Sciences, General Studies and Humanities, 3.7

Concorde Career Institute-Tampa
Dental Assistant, Dental Assisting/Assistant, 4.0

Saint Leo University
Elementary Education and Teaching, B

Boles Wendy Boles Wendy United States Details
Boles Wendy's Coventry Health Care, an Aetna Company Experience February 2002 - March 2003
Job Underwriting Consultant at Aetna
Industry Insurance
Experience
HealthAmerica  March 2003 - Present
Coventry Health Care, an Aetna Company   February 2002 - March 2003
Coventry Health Care, an Aetna Company   August 2001 - February 2002
Coventry Health Care, an Aetna Company   April 2000 - August 2001
Critical care Nursing Agency   January 1998 - March 2000

Skills
Nursing, Medical Underwriting, Underwriting, Financial Risk, Interviews, Communication, ICU, Cardiology, Medicine, Research, Report Writing, Grant Writing, Educational Leadership, Community Organizing, Photo Editor, Acting, Customer Service, Consulting, E-Learning, Health, Internal Audit, Journalism, Quantitative Research, Quality Management, Technical Writing, Typing, Volunteer Management, Writing, Wellness, Youth Work, Insurance, Managed Care, Health Savings Accounts, PPO

Education
Mountain State University   2005 — 2008
Bachelors of Science, Registered Nursing/Registered Nurse

Dalton State College   1992 — 1993
Nursing, LPN

Sylvia Wiley BSN, RN, CCM Sylvia Wiley BSN, RN, CCM Greater Chicago Area Details
Sylvia Wiley BSN, RN, CCM's Coventry Health Care, an Aetna Company Experience May 2014 - September 2015
Job Emergency Room Nurse/ Field Case Manager/ Legal Nurse Consultant.
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   May 2014 - September 2015
GENEX Services, Inc.   June 2012 - January 2014
CorVel Corporation  March 2008 - June 2012
Liitle Company of Mary Hospital   March 2003 - November 2010
Resurrection Health Care  July 1993 - July 2005

Skills
Nursing, Healthcare, Critical Care, Healthcare Management, Treatment, Medicine, Patient Education, Workers Compensation, Emergency Room, Claim, Managed Care, Emergency Planning, Emergency nursing, Orthopaedics assessment..., Catastrophic nursing..., Bed control, Teletracking bed control, Interqual trained, Millman's care..., PACU nurse phase I, II..., Urgent care nursing, Orthopedic, Management, Case Managment, Utilization Review, Patient Advocacy, Health Insurance, Certified Case Manager, Healthcare Information..., Disease Management, Utilization Management, Hospitals, Software Documentation, Medical Case Management, Medicare, Clinical Research, Training, ACLS, Acute Care, BLS, Case Management, EMR, HIPAA, Home Care, ICU, Inpatient, Medicaid, Medical Terminology, Medical/Surgical, Meditech

Education
DePaul University

Oakton Community College   1992 — 1993
ADN, Registered Nursing/Registered Nurse

Governors State University   1997 — 1999
BSN, Registered Nursing/Registered Nurse

Naomi Crabtree Naomi Crabtree Fort Lauderdale, Florida Details
Naomi Crabtree's Coventry Health Care, an Aetna Company Experience November 2013 - Present
Job South Florida Medicare Broker Manager
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   November 2013 - Present

Skills
Training, Medicare, Sales, Brokers, Sales Operations, Recruiting, Sales Presentations, Insurance, Health Insurance, Disability Insurance, Life Insurance, Health Savings Accounts, Healthcare, Management, Public Speaking, Team Building, Strategic Planning, Leadership, Account Management, Marketing, Microsoft Office, Customer Service

Education
Florida State University   1994 — 1998
Bachelor of Science (B.S.), Finance

Teresa Lilly Teresa Lilly Des Moines, Iowa Area Details
Teresa Lilly's Coventry Health Care, an Aetna Company Experience October 2014 - Present
Job RN/BSN/CCM
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2014 - Present
Sedgwick  June 2013 - June 2014
Principal Financial Group  March 2003 - September 2012
Iowa Health System  August 1991 - March 2003

Skills
Leadership, Management, Employee Benefits, Insurance, Healthcare, Workers Compensation, Certified Case Manager, Registered Nurse

Education
Grand View College   1993 — 1996
BSN, Nursing

Grand View College   1993 — 1996
BSN, Nursing Education

Robert Hobson Robert Hobson Henderson, Kentucky Details
Robert Hobson's Coventry Health Care, an Aetna Company Experience February 2015 - Present
Job Outreach Coordinator : Coventry Health Care an Aetna company.
Industry Consumer Services
Experience
Coventry Health Care, an Aetna Company   February 2015 - Present
Lincoln County Stanford, Kentucky   October 2012 - Present
Lake Cumberland Health Department   February 2014 - September 2014
Blackboard  June 2013 - August 2013
G4S  January 2013 - May 2013

Skills
Education, Management, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Team Leadership, Organizational..., Efficiency, Public Speaking, Public Relations, Health Insurance, Teaching, Training, Troubleshooting, Leadership, Research, Data Entry, Strategic Planning, Security, Access

Education
Eastern Kentucky University   2010 — 2013
Bachelor of Arts (B.A.), History Teaching

Somerset Community College

David Frankel, PMP David Frankel, PMP Greater Pittsburgh Area Details
David Frankel, PMP's Coventry Health Care, an Aetna Company Experience July 2012 - Present
Job Manager of Application Development at Coventry Health Care
Industry Information Technology and Services
Experience
Coventry Health Care, an Aetna Company   July 2012 - Present
PNC Bank  October 2007 - July 2012
The Bank of New York Mellon Corporation  June 1994 - September 2007

Skills
Vendor Management, Project Management, Business Analysis, Process Improvement, SDLC, Business Requirements, Risk Management, Banking, SQL, Product Management, Program Management, Requirements Gathering, Integration, Oracle, Software Project..., Microsoft SQL Server, Requirements Analysis, Visio, Databases, Software Development, IT Strategy, Enterprise Architecture, IT Management

Education
Duquesne University   1998 — 2002
MBA, eCommerce and Information Technology

James Madison University   1990 — 1994
BBA, Computer Information Systems

Mt Lebanon High   1986 — 1990

Jasmine Jarrett Jasmine Jarrett Atlanta, Georgia Details
Jasmine Jarrett's Coventry Health Care, an Aetna Company Experience February 2015 - Present
Job Registered Nurse at Emory Healthcare
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   February 2015 - Present
Emory Healthcare  June 2014 - January 2015
Vanderbilt University Medical Center  August 2011 - June 2014
riverbend maximum security prison   October 2013 - May 2014
St Thomas Rutherford   June 2010 - August 2011

Skills
Critical Care, Hemodynamic Monitoring, Patient Safety, Patient Education, ICU, CLABSI committee, neuro icu, surgical icu, Hospitals, Inpatient, Medical-Surgical, Nursing, Registered Nurses

Education
Cumberland University   2008 — 2010
Bachelor of Science (BS), Registered Nursing/Registered Nurse

Middle Tennessee State University   2005 — 2007

Edward Kim Edward Kim Baltimore, Maryland Area Details
Edward Kim's Coventry Health Care, an Aetna Company Experience February 2004 - February 2006
Job Systems Engineer at Cisco Systems, Inc.
Industry Information Technology and Services
Experience
Cisco  March 2006 - Present
Coventry Health Care, an Aetna Company   February 2004 - February 2006
BNY Mellon  July 1997 - February 2004

Skills
Cisco Technologies, VoIP, Unified Communications, QoS, Telecommunications, CCIE, Visio, Security, Routing, Virtualization, Firewalls, Network Design, Disaster Recovery, Cisco IOS, Troubleshooting, Wireless Networking, Cisco Call Manager, Information Technology, IP

Education
Duke University   2008 — 2012
Master's degree, Engineering Management

Carnegie Mellon University   1994 — 1998
Bachelor's degree

Michael Vrbicky Michael Vrbicky Greater Omaha Area Details
Michael Vrbicky's Coventry Health Care, an Aetna Company Experience April 2012 - Present
Job Business Project Management & Strategy
Industry Insurance
Experience
Coventry Health Care an Aetna Company  April 2012 - Present
Koley Jessen P.C.   November 2011 - December 2011
CREIGHTON'S BIOSCIENCE ENTREPRENEUR PROGRAM   January 2009 - December 2009
American Educational Telecommunications   July 2002 - August 2007

Skills
New Business Development, Market Research, Client Service, Strategy, Entrepreneurship, Analysis, Marketing, Project Management, Risk Management, Negotiation, Financial Analysis, Business Intelligence, Healthcare, Project Planning, Research, Account Management, Business Analysis

Education
Creighton University School of Law   2007 — 2010
BSBA/ JD

Creighton University   1997 — 2001
BSBA, Business-Marketing

Brian Sye Brian Sye Harrisburg, Pennsylvania Details
Brian Sye's Coventry Health Care, an Aetna Company Experience January 2009 - January 2011
Job Customer Service Support Rx Specialist at Capital BlueCross
Industry Health, Wellness and Fitness
Experience
Capital BlueCross  March 2013 - Present
BeneCard PBF  February 2011 - March 2013
Coventry Health Care, an Aetna Company   January 2009 - January 2011
WellPoint  October 2007 - September 2009
Highmark Blue Shield  June 1989 - September 2007

Skills
Wellness Coaching, Customer Service, Supplements, Sales, Sports Nutrition, Personal Training, Weight, Home Based Business, Budgets, Software Documentation, Training, Call Centers, Management, Leadership, Strategic Planning, Coaching, Network Marketing, Process Improvement, Microsoft Excel, Business Analysis, Microsoft Office, HIPAA, Weight Training, Team Building, Public Speaking

Education
Davis and Elkins College   1980 — 1983
Bachelor's Degree, Communication, General

Sarah Rueger Sarah Rueger Atlanta, Georgia Details
Sarah Rueger's Coventry Health Care, an Aetna Company Experience May 2012 - August 2012
Job Actuarial Analyst at Towers Watson
Industry Management Consulting
Experience
Towers Watson  June 2014 - Present
Oliver Wyman  May 2013 - August 2013
Coventry Health Care, an Aetna Company   May 2012 - August 2012

Skills
Actuarial Science, VBA, PowerPoint, Statistics, Microsoft Word, Analysis, Leadership, Public Speaking

Education
Georgia Institute of Technology   2010 — 2014
Bachelor of Science (B.S.), Applied Mathematics

John Spero MHP PAHM PHIAS John Spero MHP PAHM PHIAS Downers Grove, Illinois Details
John Spero MHP PAHM PHIAS's Coventry Health Care, an Aetna Company Experience March 2009 - Present
Job Service Operations Supervisor at Coventry Health Care
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   March 2009 - Present
Coventry Health Care, Inc  May 2005 - March 2009
McKesson Health Solutions  January 2004 - May 2005
AdvancePCS  January 2000 - January 2004
AdvancePCS  2001 - 2003
AdvancePCS  2000 - 2001
US Navy  January 1981 - January 1985

Skills
Health Insurance, Medicare, Managed Care, Insurance, HIPAA, Process Improvement, Call Center, Workforce Management, Operations Management, Provider Relations, Customer Service, Visio, Team Building, Healthcare Management, HMO, Change Management, Project Management, Quality Assurance, Call Centers, Leadership, Training, Cross-functional Team..., Employee Benefits, Analysis, Data Analysis, Healthcare, Management, Customer Satisfaction, Claim, Troubleshooting, Data Entry, Software Documentation, Coaching, Access, Testing, Policy, Supervisory Skills, Business Process..., Program Management, Business Analysis, Team Leadership, Medicare Part D, Customer Experience, Administration, Utilization Management, Customer Retention, Medicaid, Employee Training, Disease Management, Performance Management

Education
Glendale Community College   1980 — 1980

Nassau Community College   1979 — 1980
Liberal Arts and Sciences/Liberal Studies

East Meadow High School   1975 — 1978
High School

Olivia Conn Olivia Conn Greater Nashville Area Details
Olivia Conn's Coventry Health Care, an Aetna Company Experience June 2012 - Present
Job Local Call Coordinater
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   June 2012 - Present
McConnell House and Red Pony   June 2007 - January 2013
Coventry Health Care  December 2009 - June 2012
Coventry Health Care  January 2009 - July 2009
Criallo's Bar and Grill   August 2006 - June 2007
Carrabba's  February 2005 - January 2007
Berean Christian Stores  August 2002 - August 2004

Skills
Microsoft Excel, Access, Microsoft Office, Outlook, Customer Service, Microsoft Word, PowerPoint, Process Scheduler, Data Entry, Event Planning, Lotus Notes, Leadership, Software Documentation, Time Management, Training, Social Media, Public Speaking, Social Networking

Education
De Anza College   2002 — 2004
Music/English

DeAnza Community College, Foothill Community College   2002 — 2004

Foothill College   2002 — 2004
Arts/Music/English

Chelsea Lang Chelsea Lang Rochester, Pennsylvania Details
Chelsea Lang's Coventry Health Care, an Aetna Company Experience July 2012 - January 2013
Job Medical Assistant at Allegheny Health Network
Industry Hospital & Health Care
Experience
Allegheny Health Network  August 2014 - Present
Kmart Corporation  November 2013 - December 2013
Coventry Health Care, an Aetna Company   July 2012 - January 2013

Skills
Microsoft Office, Microsoft Word, Medisoft, springcharts, Emedsys, Microsoft Publisher

Education
DCI Career Institute   2013 — 2014
Medical/Clinical Assistant

Rochester High School   2011 — 2012

Adam Kurtz Adam Kurtz Harrisburg, Pennsylvania Details
Adam Kurtz's Coventry Health Care, an Aetna Company Experience August 2009 - November 2012
Job Pharmacy Audit Consultant at Aetna
Industry Insurance
Experience
Aetna  June 2015 - Present
The Home Depot  February 2006 - Present
Aetna  November 2012 - June 2015
Coventry Health Care, an Aetna Company   August 2009 - November 2012
Media Play  June 2002 - January 2006

Skills
Information Technology, Computer Maintenance, Computer Hardware, Software Installation, Computer Hardware..., Microsoft Office, Health Insurance, Insurance Claims, Data Analysis, Customer Service, Data Entry, Home Improvement, Consumer Electronics, Media & Entertainment, Forklift Operation, Employee Benefits, Phone Etiquette

Education
Harrisburg Area Community College
Associate of Arts (AA) Degree, Computer Information Systems

Central Dauphin Senior High School   2000 — 2004
High School DIploma, College/University Preparatory and Advanced High School/Secondary Diploma Program

William Penney William Penney Aliquippa, Pennsylvania Details
William Penney's Coventry Health Care, an Aetna Company Experience May 2008 - July 2011
Job Registered Nurse at Heritage Valley Health System
Industry Hospital & Health Care
Experience
Heritage Valley Health System  June 2013 - Present
Heritage Valley Health System  December 2012 - June 2013
Coventry Health Care, an Aetna Company   May 2008 - July 2011

Skills
Telemetry, ACLS, BLS, Inpatient, Medicine, Nursing, Patient Safety, EMR, Healthcare Management, Patient Education

Education
Penn State University   2013 — 2015
Bachelor's degree, Registered Nursing/Registered Nurse

Community College of Beaver County   2011 — 2013
Associate's degree, Registered Nursing/Registered Nurse

Christie Hoagland Christie Hoagland Bear, Delaware Details
Christie Hoagland's Coventry Health Care, an Aetna Company Experience November 2001 - Present
Job Complaint and Appeal Analyst at Aetna
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   November 2001 - Present
Pottery Barn  2005 - 2011
Wachovia Bank Card Services  September 1999 - November 2001

Skills
Health Insurance, Medicare, Medicaid, HMO, PPO, Insurance, Claim, HIPAA, Employee Benefits, Training, Outlook, Healthcare, Healthcare Industry, Process Improvement

Education
Delaware Technical and Community College-Stanton-Wilmington   2014 — 2016
Associate's Degree, Paralegal Studies

Nicole Tomassetti McGill Nicole Tomassetti McGill Greater Chicago Area Details
Nicole Tomassetti McGill's Coventry Health Care, an Aetna Company Experience February 1998 - November 2000
Job Senior Proposal Consultant at MetLife
Industry Insurance
Experience
MetLife  December 2014 - Present
Pacific Resources  October 2012 - November 2014
MetLife  October 2009 - October 2012
MetLife  January 2004 - October 2009
MetLife  November 2000 - January 2006
Coventry Health Care, an Aetna Company   February 1998 - November 2000
RR Donnelley  August 1995 - November 1998

Skills
Disability Insurance, Health Insurance, Life Insurance, Employee Benefits, Insurance, Brokers, Term Life Insurance, Account Management, Training, Process Improvement, Project Management, Leadership, Strategic Planning, Management

Education
Eastern Illinois University   1990 — 1994
Bachelor of Arts (B.A.), Business Administration, Management and Operations

Cuidad Universitaria, Madrid, Spain   1992 — 1993
Study Abroad Program - Language and Travel

Deborah Jefferson Deborah Jefferson United States Details
Deborah Jefferson's Coventry Health Care, an Aetna Company Experience 2007 - 2009
Job BA Consultant, Clinical & Quality Solutions at Optum Insight
Industry Consumer Services
Experience
UnitedHealth Group  2015 - Present
McKesson Health Solutions  2013 - 2015
Genpact - Jawood Healthcare Solutions/McKesson Health Solutions   May 2012 - 2013
Select Health of South Carolina  2010 - 2012
Coventry Health Care, an Aetna Company   2007 - 2009
Palmetto GBA  2000 - 2006

Skills
Process Improvement, Data Analysis, HIPAA, Managed Care, Training, Analysis, Leadership, Medicare, Requirements Gathering, Health Insurance, Healthcare Management, Insurance, Project Management, Software Documentation, Data Mining, Consulting, Visio, Management, Healthcare Information..., Healthcare, Business Objects, MS Project, Medical Terminology, SQL, Program Management, Business Analysis, Health Care Fraud, Database Admin, Analytics, Medicaid, Strategic Planning, Investigative Reporting, Statement Analysis, MS Office( Access,..., Microsoft Project, Database Management, IDX, Facets, Care Analyzer, DME Fraud Analysis, Test Case Implementation, NCQA HEDIS, Medicare/Medicaid..., HMO

Education
Emmanuel College
Bachelor's degree, Fine and Studio Arts

Limestone College
Associate of Arts (AA), Computer Science

Susan Norris, PhD Susan Norris, PhD Orlando, Florida Area Details
Susan Norris, PhD's Coventry Health Care, an Aetna Company Experience February 2008 - May 2010
Job Senior Vice President of Clinical Solutions
Industry Hospital & Health Care
Experience
InfoMC  November 2012 - Present
Comprehensive Care Corporation  July 2010 - August 2012
Coventry Health Care, an Aetna Company   February 2008 - May 2010
MHNet Behavioral Health  December 2004 - February 2008
MHNet Behavioral Health  November 2002 - December 2004
MHNet  December 2000 - November 2002
MHNet Behavioral Health  March 1998 - December 2000

Skills
Healthcare Management, Managed Care, Operations Management, Strategic Planning, P&L Responsibility, NCQA, Behavioral Health, Medicare, Medicaid, Healthcare Consulting, Six Sigma, Business Development, Special Needs..., Utilization Review, Disease Management, Dual Eligibles, URAC, Healthcare Information..., Chronic Care Management, Healthcare Industry, EHR, Healthcare, HIPAA

Education
Flagler College
Bachelor’s Degree, Psychology

Troy University
Master of Science (M.S.), Mental Health Counseling/Counselor

Walden University
Doctor of Philosophy (Ph.D.), Psychology

Donald Wandless Donald Wandless Greater St. Louis Area Details
Donald Wandless's Coventry Health Care, an Aetna Company Experience April 2010 - Present
Job Broker at Kemper Senior Solutions
Industry Insurance
Experience
Kemper Senior Solutions   May 2015 - Present
Morgan White Group  April 2015 - Present
AARP UHC   2011 - Present
Coventry Health Care, an Aetna Company   April 2010 - Present
Medico Insurance Comapny   2010 - Present
Care Improvement Plus  November 2009 - Present
Wandless Insurance Services   August 2009 - Present
Care Improvement Plus  2009 - Present
Care Improvement Plus  2008 - Present
Various Enrollment Companies   2005 - Present

Skills
Speaker, Mobile Entertainment, Health Insurance, Insurance, Disability Insurance, Term Life Insurance, Employee Benefits, Accident, Critical Illness, Long-term Care, Medicare, Life Insurance, Health Savings Accounts, Dentistry, Fixed Annuities, Universal Life, Accident Insurance, Workers Compensation, Underwriting, Cafeteria Plans, Whole Life, Public Speaking, Brokers

Education
Del Mar College

Texas A & I

Rita Farley, CPC CPMA Rita Farley, CPC CPMA Tampa/St. Petersburg, Florida Area Details
Rita Farley, CPC CPMA's Coventry Health Care, an Aetna Company Experience October 2014 - Present
Job Specialist in Workers Compensation Bill / Coding Audits
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2014 - Present
Coventry Health Care, an Aetna Company   October 2013 - October 2014
Eastern Insurance Holdings, Inc.   January 2008 - October 2013

Skills
Insurance, Workers Compensation, Claim, Customer Service, Health Insurance

Education
Consolidated School of Business-Lancaster
Associate's degree in Medical Administrative Assistant Specializing in Billing / Coding, Medical Insurance Coding Specialist/Coder

Angeline Bernard Angeline Bernard Pompano Beach, Florida Details
Angeline Bernard's Coventry Health Care, an Aetna Company Experience July 2013 - Present
Job Managed LongTerm Care/ Utilization Nurse at Coventry Health Care
Industry Health, Wellness and Fitness
Experience
Coventry Health Care, an Aetna Company   July 2013 - Present
GLC  January 2013 - July 2013
Gold Coast Home Health   October 2010 - March 2012
All About Staffing  July 2005 - January 2012
Broward Health Medical Center  September 2009 - October 2010
Holy Cross Hospital  October 2005 - September 2006
Professional Training Institute, INC   January 2004 - March 2006
Nursing Unlimited –   September 2002 - January 2004
Pascack Valley Hospital  June 1998 - January 2001

Skills
Teaching, Program Evaluation, Health Advocacy, Community Outreach, Health Education, Strategic Communications, Home Care, Public Speaking, Policy, Healthcare, Case Management, Leadership, Program Development, Event Planning, Nonprofits

Education
Villanova University   2014 — 2015
Certification, Six Sigma

Florida Atlantic University   2013 — 2013
Project Management Training, Project Management

Excelsior College   2007 — 2009
Bachelor of Applied Science (B.A.Sc.), Liberal Arts and Sciences/Liberal Studies

Bergen Pines Hospital School of Nursing   1997 — 1998
Diploma, Nursing

Rockland Community College   1990 — 1992
Associate, Applied Science; Business Administration

Alexis Daly Alexis Daly Fort Lauderdale, Florida Details
Alexis Daly's Coventry Health Care, an Aetna Company Experience December 2014 - July 2015
Job HEDIS Quality Management/ Medicare Risk Adjustment
Industry Insurance
Experience
Amicus MSO   July 2015 - Present
Coventry Health Care, an Aetna Company   December 2014 - July 2015
Plaza Medical Centers   June 2012 - January 2015
AMICUS MSO   2015 - 2015
AMICUS MSO   2015 - 2015

Skills
HIPAA, Access, Quality Improvement, Healthcare, Analysis, ICD-9, Data Analysis, CPT, Documentation, Insurance, Medicare/Medicaid..., HEDIS, Healthcare Management, Medicine

Education
Tallahassee Community College   2010 — 2011
Registered Nursing/Registered Nurse

Everest University-Pompano Beach   2007 — 2008
MEDICAL ASSISTANT, Medical/Health Management and Clinical Assistant/Specialist

Hallandale High Magnet School   2002 — 2006
DIPLOMA

Patrick Tarpey Patrick Tarpey United States Details
Patrick Tarpey's Coventry Health Care, an Aetna Company Experience June 2003 - June 2005
Job Graphic Designer, Media Specialist
Industry Graphic Design
Experience
Hercules Sealing Products  June 2005 - Present
Lotus Radio  March 2008 - August 2010
Coventry Health Care, an Aetna Company   June 2003 - June 2005
UDS  December 1999 - June 2003
IGT  December 1993 - December 1999
GWP  June 1991 - December 1993

Skills
Graphic Design, Photoshop, Illustrator, InDesign, Soundbooth, Premiere, Adobe Acrobat, Dreamweaver, Fireworks, Wacom Tablet, Digital Photography, Microsoft Office 2010, Windows 7 Professional, Apple, Catalog Design, Brochure Design, Business Card Design, Promotional Item Design, Trade Show Booth Design, Trade Show Coordination, Magazine Advertisements, Video Editing, Media Design, Social Media Marketing, Marketing Strategy, Email Marketing, ISO 9001, Certified Internal..., Trade Show Graphics, Adobe Fireworks, Microsoft Office, Trade Shows, Brochures, Marketing..., Direct Mail, Marketing, New Business Development, Customer Service, Graphics, Web Design, Social Media, Adobe Creative Suite, Social Networking, Mac

Education
Full Sail University   2015 — 2018
Bachelor's Degree, Graphic Design

Sparks High School   1987 — 1991

Brandon Scott Taylor Brandon Scott Taylor San Antonio, Texas Area Details
Brandon Scott Taylor's Coventry Health Care, an Aetna Company Experience September 2008 - April 2009
Job Litigation Specialist
Industry Insurance
Experience
Fred Loya Insurance  March 2015 - Present
TPCIGA   June 2013 - July 2014
USAA  April 2009 - June 2013
Coventry Health Care, an Aetna Company   September 2008 - April 2009
Wachovia Securities Financial Network  April 2008 - September 2008
UHC Medical InformaticsCompuGroup Holding   July 2006 - April 2008
Humana Inc.  June 2006 - June 2006
First Data Corporation  August 2004 - July 2005

Skills
Litigation, Insurance, Microsoft Word, Microsoft Excel, Microsoft Office, PowerPoint, English, Windows, Public Speaking, Financial Analysis, JavaScript, Coaching, Public Relations, Claim, Liability, Subrogation, Healthcare, Medicare, Risk Management, Mediation, Property, Medical Records, Negotiation, Arbitration, Accident, Workers Compensation, Medical Billing, Data Entry, Medical Coding, Litigation Management, Investments, Data Analysis, Hospitals, Mortgage Lending

Education
Abitration Forums, Inc.   2015 — 2015
Arbitrator, Arbitration

CPRC   2014 — 2014
Certification, First Aid & CPR

Kaplan   2009 — 2009
Property Casualty & Surety License, Insurance

Del Mar College   2004 — 2006
Associate of Arts and Sciences (A.A.S.), Surgical Technology/Technologist

Texas State Technical College Waco   1998 — 2000
Engineer's degree, Electrical and Electronics Engineering

Nathan Baehr Nathan Baehr Washington D.C. Metro Area Details
Nathan Baehr's Coventry Health Care, an Aetna Company Experience October 2004 - February 2015
Job Senior Director, Strategic Client Finance at Evolent Health
Industry Hospital & Health Care
Experience
Evolent Health  March 2015 - Present
Coventry Health Care, an Aetna Company   October 2004 - February 2015

Skills
Health Insurance, Insurance, Managed Care, Medicare, Employee Benefits, Process Improvement, Data Analysis, Underwriting, Healthcare, Claim, Access, Actuarial Science, Analysis, Financial Reporting, HIPAA, Health Policy, Medicaid, Reinsurance, Risk Management

Education
Grove City College

Tee Dinetz, RN, CCM Tee Dinetz, RN, CCM Greater Los Angeles Area Details
Tee Dinetz, RN, CCM's Coventry Health Care, an Aetna Company Experience May 2001 - March 2012
Job Healthcare Consultant/Independent Contractor
Industry Hospital & Health Care
Experience
Healthcare Consultant/Independent Contractor   October 2015 - Present
Integrated Care Management  March 2012 - September 2015
Coventry Health Care, an Aetna Company   May 2001 - March 2012
HealthCare Partners  June 1998 - April 2001
Trinity Care Home Health   February 1992 - June 1998

Skills
Healthcare, Workers Compensation, Certified Case Manager, Case Managment, Utilization Management, Nursing, Utilization Review, Medical Case Management, Disease Management, Disability Management, Healthcare Management, Home Care, Vocational..., Medicare, Clinical Research, Medicine, Health Insurance, Managed Care, Traumatic Brain Injury, Rehabilitation, HIPAA, Hospitals, Nursing Management, Claims Management, Inpatient, Medicaid, Acute Care, Quality Improvement, Patient Advocacy, CCM, Case Management, Healthcare Industry

Education
El Camino College   1984 — 1989
ASN, Registered Nurse

Denise Gasiciel Denise Gasiciel Honolulu, Hawaii Details
Denise Gasiciel's Coventry Health Care, an Aetna Company Experience July 2011 - December 2011
Job Business and Financial Operations
Industry Hospital & Health Care
Experience
TeamPraxis  September 2015 - Present
UnitedHealth Group  September 2014 - August 2015
Lakeview Pediatrics  January 2013 - September 2014
AIM Specialty Health  February 2012 - January 2013
BarSmart.com   June 2011 - November 2012
Coventry Health Care, an Aetna Company   July 2011 - December 2011
Susquehanna Health  August 2010 - December 2010
Clinton County Women's Center   May 2010 - July 2010
US Navy  October 2004 - August 2008

Skills
Training, Microsoft Office, Medical Terminology, Leadership, Public Speaking, Healthcare, Health Insurance, HIPAA, Data Entry, Intelligence Analysis, Recruitment Training, Community Health, Customer Service, Event Planning, Project Coordination, Volunteer Recruiting, Public Relations, Program Management, Sales, Grants, Epic Systems, Phlebotomy, Health Education, Program Development, Recruiting, Community Outreach, Organizational..., Nonprofits, Event Management, Social Networking, Social Media Marketing, Customer Satisfaction, Sales Presentations, Health Policy, Leadership Development, Proposal Writing, Public Health, Analytic Thinking, Marketing Strategy, EMR, Marketing, Microsoft Word, Administrative..., International Relations, Leisure Travel, Accounts Receivable, Microsoft Excel, Management, Social Media, Research

Education
University of Illinois at Chicago   2015 — 2016
Graduate Certificate, Patient Safety, Error Science, and Full Disclosure

Lock Haven University of Pennsylvania   2008 — 2011
Bachelors of Science, Public Health

Elgin Community College   2002 — 2004
Nursing Assistant Certification, Health Services/Allied Health/Health Sciences, General

Lucretia (Cretia) Roberson, MSN, RN Lucretia (Cretia) Roberson, MSN, RN Raleigh-Durham, North Carolina Area Details
Lucretia (Cretia) Roberson, MSN, RN's Coventry Health Care, an Aetna Company Experience September 2014 - Present
Job QM Nurse Consultant
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   September 2014 - Present
Coventry Health Care, an Aetna Company   September 2008 - September 2014
Coventry Health Care, an Aetna Company   October 2007 - September 2008
Coventry Health Care, an Aetna Company   March 2005 - October 2007
BCBSNC  January 2004 - March 2005
Rex Healthcare  January 2001 - January 2004
Blue Shield of CA via Duke University Health System   August 1999 - January 2001
IHS at Treyburn   April 1997 - January 2000
The Brian Center   January 1997 - April 1997
Medford Nursing Home   January 1996 - December 1996

Skills
Nursing, Nursing Documentation, Nursing Process, Nursing Management, Utilization Management, Medical Review, Insurance Fraud, Medical Underwriting, Prior Authorization, Employee Training, HIPAA, Process Improvement, Quality Auditing, Managed Care, Neurology, Neurosurgery, Medical/Surgical, Clinical Supervision, Delegation, Geriatric Nursing, Nursing Care, Healthcare, Hospitals, Utilization Review, Registered Nurses, HMO, Training, Patient Advocacy, Rehabilitation, Quality Improvement, Great Personality, Medical-Surgical

Education
Excelsior College   2010 — 2012
Master of Science (MSc), Registered Nursing/Registered Nurse, 4.0

North Carolina Central University   2001 — 2002
Bachelor of Science (BS), Nursing, 3.2

Excelsior College   1998 — 2000
Associate's degree, Registered Nursing/Registered Nurse

Florence-Darlington Technical College   1994 — 1995
Diploma - Licenced Practical Nursing (LPN), Health Services/Allied Health/Health Sciences, General

Jeff Protextor Jeff Protextor Greater Omaha Area Details
Jeff Protextor's Coventry Health Care, an Aetna Company Experience 2009 - 2010
Job Head of Regulatory Affairs & Corporate Compliance at PayFlex Systems USA, Inc., an Aetna Company
Industry Financial Services
Experience
PayFlex Systems USA, Inc., an Aetna Company   August 2010 - Present
Coventry Health Care, an Aetna Company   2009 - 2010
Mutual of Omaha  2003 - 2009
Aquila Merchant Services, Inc   2001 - 2003

Skills
Privacy Law, Legal Compliance, Health Insurance, Insurance, ERISA, COBRA, HIPAA, Health Policy, Compliance, Due Diligence, Disability Insurance, Contract Negotiation, Corporate Law, Financial Services, OFAC, Corporate Governance, Legal Research, Insurance Law, Employee Benefits, Legal Writing, Data Privacy, Legislation, Mediation, Regulatory Affairs, Contract Negotiations, Process Improvement, Contract Management, Regulatory Analysis, Contract Law, Group Insurance, Cafeteria Plans, Policy, Benefits Administration, Claim, Fraud

Education
Creighton University School of Law   1997 — 2000
J.D., Law

University of Nebraska-Lincoln   1992 — 1996
B.A., Political Science - Public Administration

University of Nebraska-Lincoln   1992 — 1996
B.A., Sociology

Reginald L. Henderson Reginald L. Henderson Port Saint Lucie, Florida Details
Reginald L. Henderson's Coventry Health Care, an Aetna Company Experience October 2013 - July 2014
Job CEO at The Henderson Group, LLC.
Industry Insurance
Experience
The Henderson Group, LLC.   July 2012 - Present
Your Insurance Group  February 2014 - Present
Transamerica Life Insurance Company  September 2013 - Present
Aflac  September 2013 - Present
Levinson & Associates, Inc.   June 2013 - Present
The Rosa M. Foundation   June 2013 - Present
Aetna  October 2013 - July 2014
Coventry Health Care, an Aetna Company   October 2013 - July 2014
Treasure Coast Christian Academy   April 2011 - May 2012
Dale Cassens School   August 2005 - August 2007

Skills
Insurance, Life Insurance, Prescription Drugs, Affordable Care Act, Final Expense Planning, College Savings Plans, College Funding..., Medicare Advantage, Health Insurance, Dental Insurance, Annuity Sales, Medicare Supplements, Medicare Part D, Variable Life, Whole Life, Universal Life, Medicare Prescription..., Variable Annuities, Accident Benefits, Mortgage Insurance, Disability Insurance, Long-term Care, Term Life Insurance, Dental Sales, Medicare, Short Term Medical, Accident Insurance, Social Networking, Social Media, Social Media Marketing, Fundraising, Public Relations, Community Outreach, Behavior Modification, Non-profits, Applied Behavior..., Behavioral Health, Behavior Management, Special Education, HIV/AIDS prevention, HIV/AIDS, Sexual Health, Sexuality Education, Customer Service, Education, Management, Leadership, Marketing, Team Building, Training

Education
GoldCoast Schools   2013 — 2013
0215-LIFE INCL VAR ANNUITY & HEALTH, Insurance

Full Sail University   2009 — 2011
BS, Entertainment Business

Indian River Community College   2001 — 2002
Applied Behavioral Analysis

Fort Pierce Central High   1989 — 1993
High School/Secondary Diploma Programs

Jeff Alfini Jeff Alfini Greater Chicago Area Details
Jeff Alfini's Coventry Health Care, an Aetna Company Experience July 2012 - March 2015
Job Senior Application Developer | MUMPS/Cache Expert | Health Care Software Developer | Managed Care
Industry Information Technology and Services
Experience
Coventry Health Care, an Aetna Company   July 2012 - March 2015
Engineering Services Network - ESN  March 2011 - May 2012
Northwestern Medical Faculty Foundation  August 2004 - March 2009
National Systems Corporation  September 1996 - August 2004
IDX Systems Corporation  July 1993 - August 1996

Skills
MUMPS, Intersystems Cache, IDX, VistA System, Epic Systems, Software Documentation, SharePoint, EHR

Education
DePaul University   2010 — 2010
Java Developer, Object-oriented applications development using the Java programming language, A

DePaul University   1992 — 1993
Computer Career Program, Structure Programming & Systems Analysis, A

University of Notre Dame   1983 — 1987
BA, Psychology

Barbara Spease Barbara Spease Enola, Pennsylvania Details
Barbara Spease's Coventry Health Care, an Aetna Company Experience September 2014 - Present
Job at HealthAmerica/Aetna
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   September 2014 - Present
Novitas Solutions, Inc.   May 2008 - August 2013

Skills
Healthcare, Medicare, Provider Relations, Medicaid, Customer Service, Hospitals, Microsoft Excel, HIPAA, Microsoft Word, PowerPoint, Outlook, Medical Terminology, Medical Billing, Data Entry, Software Documentation, Healthcare Information..., Insurance, Health Insurance

Education
HACC, Central Pennsylvania's Community College   1984 — 1986
Certificate Program, Respiratory Therapy Technician/Assistant

Sharon D. (Supino) Zimmerman Sharon D. (Supino) Zimmerman Greater New York City Area Details
Sharon D. (Supino) Zimmerman's Coventry Health Care, an Aetna Company Experience July 2013 - Present
Job Field Case Manager at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   July 2013 - Present
Hackensack University Medical Center  October 1999 - Present
Select Medical  March 2011 - June 2013
Med Assurant  October 2010 - March 2011
US Navy  August 1995 - August 1999

Skills
Critical Care, Nursing, Hospitals, Healthcare, BLS, Telemetry, Clinical Research, Medicare, Patient Advocacy, ACLS, ICU, Hemodynamic Monitoring, Pacemakers, Case Managment, Orthopedic, Spine, Workers Compensation, Expense Reports, Expense Management, Military Experience, Territory..., Marketing, Relationship Management, Building Relationships, Cost Management, Cost Control, Acute Care, Medical/Surgical, Medicine, Case Management

Education
Fairleigh Dickinson University
B.S.N; Bachelor of Science, Nursing

Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Science (BS), Human Ecology

Joseph Castellanos Joseph Castellanos La Mesa, California Details
Joseph Castellanos's Coventry Health Care, an Aetna Company Experience March 2010 - August 2011
Job Regional Financial Representative at SherwimWilliams
Industry Consumer Goods
Experience
Sherwin Williams  April 2014 - Present
Frazee Paints  November 2011 - April 2014
Coventry Health Care, an Aetna Company   March 2010 - August 2011
MasterTech Appliance   June 2005 - March 2010
MedImpact Healthcare Systems  July 2008 - July 2009

Skills
Invoicing, Accounts Receivable, Accounts Payable, Accounting, Medical Billing, Payments, Customer Service, Forecasting, Data Entry, Microsoft Excel, Inventory Management, Microsoft Word

Education
Grossmont College
Business Administration / Accounting

Musicians Institute

Nayroma Martinez Nayroma Martinez Miami/Fort Lauderdale Area Details
Nayroma Martinez's Coventry Health Care, an Aetna Company Experience March 2015 - Present
Job Complaint and Appeal Analyst at Coventry Health Care, Inc., an Aetna company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   March 2015 - Present
Coventry Health Care, an Aetna Company   July 2013 - March 2015
Holy Cross Hospital  December 2012 - April 2013
Baptist Health South Florida located in Miami, Florida  December 2009 - December 2012

Skills
Data Entry, Healthcare, HIPAA, Microsoft Publisher, Outlook, Medical Records, Insurance, Medical Terminology, Hospitals, Healthcare Management, Leadership, Medicare, Patient Safety, Nursing, Healthcare Information..., Medicaid, Administration, EMR, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Teamwork, NCQA, Appeals, Typing 60 wpm, Bilingual in English..., Team-oriented, Commercial Insurance, Individual Health..., Quality Of Care, Provider Relations

Education
Florida International University   2005 — 2010
BA, Health Services Administration

Jeff Benner, PMP Jeff Benner, PMP Greater Pittsburgh Area Details
Jeff Benner, PMP's Coventry Health Care, an Aetna Company Experience February 2012 - December 2013
Job Manager, IT Project Management at Aetna
Industry Information Technology and Services
Experience
Aetna  December 2013 - Present
Coventry Health Care, an Aetna Company   February 2012 - December 2013
Ahold  September 2009 - February 2012
Wilson College  September 1999 - February 2012
Ahold  September 2007 - September 2009
Ahold  August 2001 - September 2007
Corning Incorporated  May 1989 - August 2001

Skills
Management, Leadership, Project Portfolio..., Program Management, Project Planning, Analysis, Business Analysis, SDLC, Requirements Analysis, PMP, Business Process, Business Intelligence, IT Management, Visio, PMO, Vendor Management, MS Project, Cross-functional Team..., IT Strategy, Software Project..., Software Development, Six Sigma, Team Management, SharePoint, People Management, Healthcare Industry, Healthcare Information..., Business Process..., Grocery Industry

Education
Frostburg State University   1997 — 1999
Master of Business Administration (MBA)

Shippensburg University of Pennsylvania   1985 — 1989
Bachelor of Science, Computer Science

Danielle Frye Danielle Frye Mechanicsburg, Pennsylvania Details
Danielle Frye's Coventry Health Care, an Aetna Company Experience September 2002 - December 2003
Job Business Analyst at HewlettPackard
Industry Information Technology and Services
Experience
Hewlett-Packard  June 2007 - Present
Empire Medicare Services  September 2002 - June 2007
Coventry Health Care, an Aetna Company   September 2002 - December 2003

Skills
Business Analysis, Requirements Analysis, Business Intelligence, Business Process, IT Service Management, Agile Methodologies, Requirements Gathering, SQL, Solution Architecture, Integration, Business Process..., Project Management, IT Strategy, PMP, SharePoint, Microsoft SQL Server, Process Improvement

Education
State College Area High School   1980 — 1983

Harrisburg Area Community College

Amy Pittman Amy Pittman Roswell, Georgia Details
Amy Pittman's Coventry Health Care, an Aetna Company Experience February 2006 - March 2009
Job Sales Executive at Humana
Industry Insurance
Experience
Humana  June 2012 - Present
Shaw Hankins   March 2009 - June 2012
Coventry Health Care, an Aetna Company   February 2006 - March 2009

Skills
Health Insurance, Insurance, Life Insurance, Brokers, Employee Benefits, Disability Insurance, Account Management, Sales, Health Savings Accounts, Term Life Insurance, Medicare, Long-term Care, Claim

Education
Georgia State University   1998 — 1999
Bachelor of Science (B.S.), Mathematics

University of Georgia   1995 — 1998

Aaron Bromley Aaron Bromley Raleigh, North Carolina Details
Aaron Bromley's Coventry Health Care, an Aetna Company Experience October 2008 - November 2010
Job Project Specialist
Industry Real Estate
Experience
Plan365, inc   August 2014 - Present
Mortgage Connect LP  November 2010 - May 2014
Coventry Health Care, an Aetna Company   October 2008 - November 2010

Skills
Refinance, Loan Closings, Title Insurance, Title Clearing, HUD, Mortgage Underwriting, Customer Service, Customer Support, Sound Mixing, Sound Editing, Outlook, Microsoft Excel, QuickBooks, Real Estate, Mortgage Lending

Education
Full Sail University   2004 — 2005
Associate of Science (AS), Audio Engineering

Katie Felts Katie Felts Saint Louis, Missouri Details
Katie Felts's Coventry Health Care, an Aetna Company Experience May 2013 - Present
Job Marketing/Sales Associate at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   May 2013 - Present
Eastern Illinois University  August 2009 - December 2012
Sherwin-Williams Paints  May 2012 - August 2012
Judy's Hallmark   May 2010 - August 2012

Skills
Facebook, Social Networking, Leadership, Cold Calling, Social Media Marketing, Market Research, Merchandising

Education
Eastern Illinois University   2009 — 2012
Bachelor of Applied Science, Marketing

Lisa Phyillaier Lisa Phyillaier Dayton, Ohio Area Details
Lisa Phyillaier's Coventry Health Care, an Aetna Company Experience November 2013 - Present
Job FCM, Field Case Manager for Workers Comp at Coventry Health Care, an Aetna Company
Industry Events Services
Experience
Coventry Health Care, an Aetna Company   November 2013 - Present
Touch of Elegance, LLC   January 2009 - Present
Wilson Memorial Hospital  September 2009 - November 2013
NKP via Wilson Memorial Hospital   March 2002 - August 2009

Skills
Coordination, Event Planning, Interior Design, Consulting, Public Speaking, Medical Case Management, Workers Compensation, short term disability, long term disability, FMLA, Medical Education, Cpr Certified, CPR instructor, First Aid Instructor, Wedding Planning, Budgets, Healthcare, Event Management, Weddings, Corporate Events

Education
Edison Community College
Associate of Arts and Sciences (AAS), RN

Karen McCue Karen McCue Louisville, Kentucky Area Details
Karen McCue's Coventry Health Care, an Aetna Company Experience November 2011 - November 2012
Job Nurse Telehealth Educator at Lash Group
Industry Hospital & Health Care
Experience
Lash Group  June 2014 - Present
inVentiv Medical Management  December 2012 - May 2014
Coventry Health Care, an Aetna Company   November 2011 - November 2012
SHPS  June 2009 - November 2011
SHPS  April 2007 - June 2009
Jewish Hospital & St. Mary's HealthCare   January 1994 - March 2007

Skills
Microsoft Excel, Customer Service, Nursing, CCM, Disease Management, Utilization Management, Case Managment, Healthcare, Case Management, Medicaid, Hospitals, HIPAA, Inpatient, Healthcare Information..., Patient Education, Healthcare Management, Patient Advocacy, Medicare, Healthcare Industry, Home Care, Managed Care, Medical-Surgical

Education
Eastern Kentucky University   1989 — 1993
BSN, Registered Nursing/Registered Nurse

Kathryn Keys Kathryn Keys Washington D.C. Metro Area Details
Kathryn Keys's Coventry Health Care, an Aetna Company Experience 2009 - 2010
Job Principal Consultant at Keys Consulting Services
Industry Management Consulting
Experience
Keys Consulting Services   2003 - Present
Inovolon Inc   2012 - 2013
Coventry Health Care, an Aetna Company   2009 - 2010
Humana  2005 - 2008
Booz Allen Hamilton  2001 - 2003
PwC  1998 - 2001
CareFirst BlueCross BlueShield  1983 - 1998

Skills
Healthcare, Managed Care, Health Insurance..., Program Management, Process Improvement, Business Development, Account Management, Healthcare Management, Clinical Research, Hospitals, Strategy

Education
George Mason University
Executive MBA - Business Administration and Management

Temple University - Fox School of Business and Management
BBA - Marketing

University of Oxford
Continuing Education Program

Erick Verry, PMP, CSM, MISM Erick Verry, PMP, CSM, MISM Orange Park, Florida Details
Erick Verry, PMP, CSM, MISM's Coventry Health Care, an Aetna Company Experience December 2011 - May 2013
Job Senior IT Project Manager at Aetna
Industry Hospital & Health Care
Experience
Aetna  May 2013 - Present
Coventry Health Care, an Aetna Company   December 2011 - May 2013
Optima Health  March 2008 - December 2011
Atlantic Bay Mortgage Group  September 2004 - March 2008
Atlantic Bay Mortgage Group  September 2002 - September 2004

Skills
SharePoint, Project Management, Business Process..., Process Improvement, SDLC, Management, Visio, Business Analysis, Requirements Analysis, Vendor Management, Change Management, Training, Requirements Gathering, Testing, Healthcare, Agile & Waterfall..., Risk Management, Scrum

Education
University of Phoenix   2006 — 2007
Masters, Management Information Systems

Strayer University   2003 — 2005
Bachelor of Science (B.S.), Computer Networking

ECPI University   2000 — 2002
Associate's degree, Information Technology

Don Doyle Don Doyle Glendale, Arizona Details
Don Doyle's Coventry Health Care, an Aetna Company Experience September 2012 - Present
Job Senior Backup and Recovery Engineer at Coventry Health Care, an Aetna Company
Industry Computer Software
Experience
Coventry Health Care, an Aetna Company   September 2012 - Present
Santa Barbara Applied Research/Lockheed Martin   October 1988 - May 2012
Sutmyn Storage   June 1995 - October 1998
American Express  August 1989 - June 1995

Skills
Disaster Recovery, Unix, Data Center, Servers, Solaris, VMware, Virtualization, Operating Systems, Security, Storage, Shell Scripting, System Administration, Hardware, Red Hat Linux, Testing

Education
Citrix
XenApp Presentation Server 4.5 Administration

De Anza College
Computer Engineering

NetApp University
NetApp ONTAP 8.0 7-Mode Administration; NetApp 7.2 Fundamentals

Symantec Education
Netback 7.5 for Unix and Windows Advanced Administration

University of California, Santa Cruz
Unix Administration

VMware University
VMware ESX 3.0 Installation and Configuration

West Valley College
Assembler Programming

Christopher Mora Christopher Mora Greater Los Angeles Area Details
Christopher Mora's Coventry Health Care, an Aetna Company Experience April 2009 - Present
Job Director Network Development
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   April 2009 - Present
StrataCare  June 2008 - November 2009
Mitchell International  June 2006 - May 2008
Concentra  April 2003 - May 2006

Skills
Workers Compensation, Process Improvement, Vendor Management, Operations Management, Executive Management, Team Building, Strategic Planning, Contract Negotiation, Medical Billing, Project Management, Insurance, Marketing Strategy, Personnel Management, Outsourcing Management, Sales Management, Strategic Financial..., Managed Care, Leadership, Health Insurance, Healthcare, Revenue Analysis, Budget Process, Client Development, Compliance, Communication, Expert Witness, California Lien..., Medical Bill Review, Network Development, Negotiation

Education
Cornell University - Johnson Graduate School of Management
Graduate Certificate, Executive Leadership

University of Redlands   2007 — 2010
M.B.A., Finance

National University   2005 — 2007
Bachelor of Arts, English Language and Literature/Letters, Cum Laude

Loni Coleman Loni Coleman Tampa/St. Petersburg, Florida Area Details
Loni Coleman's Coventry Health Care, an Aetna Company Experience July 2012 - Present
Job Informatics Consultant/Lead at Aetna
Industry Hospital & Health Care
Experience
Aetna  June 2014 - Present
Aetna  December 2013 - Present
Coventry Health Care - An AETNA Company  July 2012 - Present
WellCare  March 2008 - July 2012
Market Street Mortgage  January 2000 - July 2007
CCN\Medview   November 1994 - November 1999

Skills
MS Project, Visual Basic, Visio, Project Management, Business Intelligence, COGNOS BI, P/L SQL, SDLC, Crystal Reports, Data Warehousing, Software Design, Systems Analysis, Requirements Analysis, SharePoint, Process Improvement, T-SQL, PL/SQL, Requirements Gathering, Microsoft SQL Server, Software Documentation, SQL, Data Modeling, Integration, Data Analysis, ETL, Analysis, Business Analysis, Cognos, Databases, Software Project..., Database Design, Business Process..., Full SDLC, Agile Methodologies, .NET, Management, ROI Management, Business Process, Enterprise Architecture, Access, Business Requirements, SSIS, Vendor Management

Education
Duke University   1977 — 1980

Mahopac High School

Chris Best Chris Best Richmond, Virginia Details
Chris Best's Coventry Health Care, an Aetna Company Experience March 2001 - April 2004
Job Associate Vice President Health Services at Virginia Premier Health Plan, Inc.
Industry Hospital & Health Care
Experience
Virginia Premier Health Plan, Inc.   July 2014 - Present
Aetna  March 2012 - July 2014
HCR ManorCare  May 2011 - September 2011
Sunrise Senior Living  December 2010 - May 2011
Maxim Healthcare Services  December 2007 - August 2010
Maxim Healthcare Services  April 2004 - December 2007
Coventry Health Care, an Aetna Company   March 2001 - April 2004
Pediatric Otolaryngology, Inc   April 2000 - March 2001
St. Louis Children’s Hospital   July 1998 - April 2000

Skills
Nursing, Home Care, Healthcare, Clinical, Case Management, Managed Care, Healthcare Management, Medicaid, Utilization Management, Pediatrics, Nursing Management, Leadership Development, Team Building, Certified Cas, Physician Relations, Medicare, Clinical Research, Case Managment, Medical Billing, JCAHO, Quality Improvement, HIPAA, Healthcare Industry, Medical Compliance, Performance Improvement, Disease Management, Healthcare Consulting, Elder Care, Hospitals, Wound Care, Health Policy, HMO, Health Insurance, NCQA, Medicaid Managed Care

Education
Fontbonne University   2000 — 2002
Bachelor, Business Administration

Lewis and Clark Community College
Associate, Nursing

Dana Mattingly Dana Mattingly Harrisburg, Pennsylvania Area Details
Dana Mattingly's Coventry Health Care, an Aetna Company Experience October 2011 - May 2013
Job Senior Director, Healthcare QualityClinical Strategy for Commercial Risk at Aetna
Industry Hospital & Health Care
Experience
Aetna  February 2015 - Present
Aetna  April 2014 - January 2015
Aetna  June 2013 - March 2014
Coventry Health Care, an Aetna Company   October 2011 - May 2013
Coventry Health Care, an Aetna Company   February 2007 - October 2011
Coventry Health Care, an Aetna Company   January 2004 - February 2007
Coventry Health Care, an Aetna Company   October 1998 - January 2004
Comfort Care Home Health Services, LLC  August 1996 - 2000
Edgewater Psychiatric Center   May 1995 - 2000
Coventry Health Care, an Aetna Company   September 1997 - October 1998

Skills
Disease Management, Medicaid, Medicare, Healthcare, Managed Care, Health Insurance, HMO, Network Development, Provider Relations, HIPAA, Healthcare Information..., Medicare Part D, Process Improvement, Employee Benefits, Health Policy, Customer Service, Insurance, Vendor Management, Pharmacy Benefit..., Cross-functional Team..., Healthcare Industry, Program Management, Leadership

Education
Harrisburg Area Community College   1993 — 1995
Associate Degree Nursing, Registered Nursing/Registered Nurse

Rosemont College   1987 — 1991
Bachelor of Science (B.S.), Business Administration and Management, General

Pennsylvania State University-Penn State Harrisburg
Master's Degree, Health/Health Care Administration/Management - Candidate

Debra Peters Debra Peters Greater Boston Area Details
Debra Peters's Coventry Health Care, an Aetna Company Experience January 2014 - Present
Job Application Technology Leader
Industry Information Technology and Services
Experience
Coventry Health Care, an Aetna Company   January 2014 - Present
Coventry Health Care  2007 - January 2014
EDS, an HP Company  1979 - 2007

Skills
Business Analysis, Requirements Gathering, Requirements Analysis, SDLC, IT Strategy, Business Process..., Integration, Process Improvement, Project Management, Visio, PMO, Business Process, Cross-functional Team..., Enterprise Architecture, Team Leadership, Program Management, Team Management, Software Project..., Outsourcing

Education
Duke University   1974 — 1978
A.B., Botany

Hunter College High School   1969 — 1974

Tami DeAngelis Tami DeAngelis Greater Chicago Area Details
Tami DeAngelis's Coventry Health Care, an Aetna Company Experience December 2008 - December 2013
Job Program Business Analyst
Industry Information Technology and Services
Experience
Aetna  January 2014 - Present
Coventry Health Care, an Aetna Company   December 2008 - December 2013
Advanced Technology Engineering Systems, Inc.   1989 - 1993
Accenture  1985 - 1989

Education
DePaul University
MS, Information Systems

Miami University
BS, Systems Analysis

Beth Giles Beth Giles Buffalo/Niagara, New York Area Details
Beth Giles's Coventry Health Care, an Aetna Company Experience July 2014 - Present
Job Medical Case Manager at Coventry Health Care, an Aetna Company
Industry Health, Wellness and Fitness
Experience
Coventry Health Care, an Aetna Company   July 2014 - Present
GENEX Services, Inc.   November 1999 - July 2014
Case Management Concepts   May 1997 - November 1999

Skills
Managed Care, Workers Compensation, Case Managment, Claim, Healthcare, Medicare, Nursing, Insurance, Disabilities, Disability Management, Healthcare Management, Medicaid, Process Improvement, Claims Management, Case Management, HIPAA

Education
Daemen College
Bachelor of Science (BS), Nursing

Donna Mick Donna Mick Harrisburg, Pennsylvania Area Details
Donna Mick's Coventry Health Care, an Aetna Company Experience August 2010 - November 2013
Job Human Service Program Specialist for Office of Children Youth and Families
Industry Public Policy
Experience
Commonwealth of Pennsylvania  June 2014 - Present
Commonwealth of Pennsylvania  November 2012 - May 2014
Coventry Health Care, an Aetna Company   August 2010 - November 2013
Celerity  October 2006 - August 2008
DST  2001 - 2006

Skills
Child Advocacy, Health Advocacy, Public Policy, Working With Children, Legislative Policy, Health & Safety..., Business Analysis, Visio, Testing, Requirements Gathering, Process Improvement, Business Process..., Policy Analysis, Microsoft Office

Education
HACC, Central Pennsylvania's Community College

Shasmay Davis Shasmay Davis Jacksonville, Florida Area Details
Shasmay Davis's Coventry Health Care, an Aetna Company Experience November 2011 - Present
Job at AI Dupont
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   November 2011 - Present
AI Dupont   September 2010 - October 2011
Nemours Children's Clinic  July 2008 - August 2010
Baptist Medical Center  March 2006 - March 2010
The Childrens Hospital of Philadelphia  October 2003 - February 2006
AmeriHealth Insurance Co of NJ  March 2001 - October 2003
Independence Blue Cross  April 2000 - March 2001
Independence Blue Cross  October 1997 - April 2000
Independence Blue Cross  February 1996 - October 1997
Independence Blue Cross  October 1995 - February 1996

Skills
Healthcare

Education
Thomas Jefferson University   1985 — 1988
BSN, Bachelor of Science in Nursing

Community College of Philadelphia   1983 — 1985
None, Nursing

Graeme Eastgate, MBA CSM Graeme Eastgate, MBA CSM Greater Pittsburgh Area Details
Graeme Eastgate, MBA CSM's Coventry Health Care, an Aetna Company Experience April 2004 - November 2013
Job Program Business Analyst at Aetna
Industry Information Technology and Services
Experience
Aetna  November 2013 - Present
Coventry Health Care, an Aetna Company   April 2004 - November 2013
Highmark Blue Cross Blue Shield  February 2002 - March 2004
Danet Inc.  May 2000 - November 2001

Skills
Business Analysis, Requirements Gathering, Visio, Process Improvement, Coaching, SDLC, SharePoint, Team Leadership, Business Development, Organizational..., Data Analysis, Youth Mentoring, Sports Management, Sports Coaching, Systems Analysis, System Deployment, Unit Testing, System Integration..., Mentoring, Youth Development, Training Delivery, Applications, Healthcare Information..., Website Development, Organizational..., Master Scheduling, Oracle SQL, Cognos, Impromptu Web Reports, Team-oriented, Communication Skills, Scrum, Agile Methodologies

Education
Scrum Alliance
Certified ScrumMaster

Duquesne University   1998 — 2000
MBA, Information Systems Management

Robert Morris University   1994 — 1998
BSBA, Management

Tejas Bhagat Tejas Bhagat Greater Chicago Area Details
Tejas Bhagat's Coventry Health Care, an Aetna Company Experience April 2008 - October 2011
Job DBA Consultant
Industry Computer & Network Security
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas   February 2014 - Present
The Warranty Group  October 2011 - January 2014
Coventry Health Care, an Aetna Company   April 2008 - October 2011
Brady Corporation  January 2007 - March 2008
Northwestern Mutual  February 2006 - December 2006
IBM  May 2003 - January 2006

Skills
Unix, Disaster Recovery, Databases, AIX, SQL, DB2, Performance Tuning, Microsoft SQL Server, IBM Certified, Hadoop, PMP, Big Data

Education
Illinois Institute of Technology   2001 — 2004
Masters, Computer Science

Gujarat University   1997 — 2001
Bachelor of Engineering (B.E.), Computer Engineering

Kimberly Berry Kimberly Berry Rockport, Indiana Details
Kimberly Berry's Coventry Health Care, an Aetna Company Experience March 2012 - Present
Job Provider Representative at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care  March 2012 - Present
Coventry Health Care, an Aetna Company   March 2012 - Present
St. Mary's Medical Center   May 2010 - March 2012
Owensboro Medical Health System  October 2003 - February 2009
MSO of Kentucky   June 2002 - October 2003

Skills
Excel, Healthcare, Microsoft Office, Healthcare Management, Hospitals, EMR, Healthcare Information..., Insurance, Medicare, Medicaid, Revenue Cycle, Medical Billing, Outlook, Software Documentation, HIPAA, Managed Care, Process Improvement, Customer Service, Leadership, Health Insurance, Healthcare Industry, Team Building, Provider Relations, Healthcare Consulting, Training, Management, Medical Terminology, Claim, Public Speaking

Education
Florida Community College at Jacksonville   1982 — 1986
Business Administration and Management, General

Eastern Kentucky University   1979 — 1980
no, art

Amy Hegg Amy Hegg Danville, Illinois Details
Amy Hegg's Coventry Health Care, an Aetna Company Experience August 2013 - Present
Job Contract Coordinator
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   August 2013 - Present
Walgreen Co  March 2007 - July 2013
Conway Freight  June 1993 - March 2007
Conway Freight  June 1993 - March 2007

Skills
Sales, Inventory Management, Call Centers, Leadership, Telephone Skills, Team Building, Health Insurance, HIPAA, Retail, Management, Customer Satisfaction, Customer Service, Data Entry, Microsoft Office, Marketing, Outlook

Education
Eastern Illinois University   2002 — 2012
Bachelor's degree

Jackie Poole Jackie Poole Scottsdale, Arizona Details
Jackie Poole's Coventry Health Care, an Aetna Company Experience January 2011 - May 2014
Job Service Operations Manager at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Aetna  May 2014 - Present
Coventry Health Care, an Aetna Company   January 2011 - May 2014
Bay State Medical   December 2009 - January 2011
Fairfax Northern Virginia Hematology Oncology   September 2009 - January 2011
Banner Desert Medical Center  September 2008 - 2009
Phoenix Childrens Hospital  December 2001 - September 2008
Maricopa County Bar Association  2000 - 2001

Skills
Healthcare Management, Medical Billing, CPT, Medical Terminology, EMR, Medical Records, HIPAA, Healthcare, Hospitals, Insurance, HCPCS, ICD-9, Health Insurance, Managed Care, Medicare, Medicaid, Practice Management, Physician Relations, Healthcare Information..., Provider Relations, Health Education, Healthcare Consulting, Health Policy, Health Information..., Pediatrics, JCAHO, Medical Compliance, Physicians, Healthcare Industry, Radiology, Leadership, Claim, Training, Revenue Cycle Management, Credentialing, Clinical Research, HMO, Team Building, Process Improvement, Quality Improvement, Disease Management, Employee Relations, Patient Advocacy, Claims Resolution, Utilization Management, Home Care

Education
Phoenix College   2012 — 2014
Certificate, Medical Billing and Coding

Ottawa University   2005 — 2008
Bachelor's, Health Care Management & Business

Gateway Community College   2004 — 2006
Associate's Degree, Health Service Management

Tonya Wilson, LCSW Tonya Wilson, LCSW Miami/Fort Lauderdale Area Details
Tonya Wilson, LCSW's Coventry Health Care, an Aetna Company Experience July 2006 - Present
Job Manager, Long Term Care
Industry Individual & Family Services
Experience
Coventry Health Care, an Aetna Company   July 2006 - Present
Memorial Regional Hospital  December 2000 - October 2007

Skills
Group Therapy, Social Services, Crisis Intervention, Adolescents, Mental Health, Case Management, Management, Leadership, Gerontology, Healthcare, Team Leadership, Team Motivation

Education
Florida State University   1989 — 1994
Master of Social Work (MSW), Social Work/Gerontology

Cody Kurtz Cody Kurtz Bismarck, North Dakota Details
Cody Kurtz's Coventry Health Care, an Aetna Company Experience November 2013 - August 2014
Job Office Manager at Good Samaritan Society
Industry Insurance
Experience
Good Samaritan Society  August 2014 - Present
Coventry Health Care, an Aetna Company   November 2013 - August 2014
Coventry Health Care, an Aetna Company   November 2009 - November 2013
Coventry Health Care, an Aetna Company   April 2008 - November 2009
Coventry Health Care, an Aetna Company   March 2006 - April 2008
Aetna  August 2002 - March 2006

Skills
Insurance, Health Insurance, Claim, Underwriting, Life Insurance, Process Improvement, Brokers, Liability, Workers Compensation, Property & Casualty...

Education
Dickinson State University   1995 — 1999

Shawn Myers Shawn Myers Greater Pittsburgh Area Details
Shawn Myers's Coventry Health Care, an Aetna Company Experience May 2006 - February 2014
Job Security Engineer at Aetna
Industry Insurance
Experience
Aetna  February 2014 - Present
Commonwealth of Pennsylvania  September 1999 - Present
Borough of Grove City   January 2012 - Present
Coventry Health Care, an Aetna Company   May 2006 - February 2014

Skills
SDLC, Compliance, Security, HIPAA, Access, Policy, Troubleshooting, Risk Management, Auditing, Analysis, HTML, Problem Solving, Policy Analysis, Audit, Microsoft Office, RSA Archer Certified..., XML, SQL, SharePoint, MySQL, IT Strategy, Disaster Recovery, Information Technology, Leadership, Management, Vendor Management, Process Improvement, Program Management, Integration, Business Analysis, Information Security..., Information Security, Visio

Education
Edinboro University of Pennsylvania   2004 — 2006
M.S., Information Technology

Slippery Rock University of Pennsylvania   2000 — 2004
B.S., Information Technology

Rosemary Borowski Rosemary Borowski Frederick, Maryland Details
Rosemary Borowski's Coventry Health Care, an Aetna Company Experience November 2013 - Present
Job Senior Business Analyst at Aetna/Coventry
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   November 2013 - Present
Acrometis  January 2013 - August 2013
Coventry Healthcare  June 2011 - September 2012
Coventry Healthcare  February 2008 - May 2011
MEDICAL MANAGEMENT SERVICES  January 2006 - October 2007
Medical Management Service   March 2004 - January 2006
AIG Claim Services  January 1996 - March 2004
American International Health & Rehabilitation   March 1994 - December 1995
American International Health & Rehabilitation Services   February 1992 - March 1994
American International Health & Rehabilitation Services   July 1991 - February 1992

Skills
Workers Compensation, Managed Care, Provider Relations, Process Improvement, Healthcare, Medical Bill Review, Six Sigma Experience, PPO Knowledge, Analytical Skills, Project Management, Strategic Planning, Staff Motivation, Medical Billing, Management, Policy, Leadership, Software Documentation

Education
Flagler College

James Grover James Grover Miami/Fort Lauderdale Area Details
James Grover's Coventry Health Care, an Aetna Company Experience October 1997 - June 2005
Job Sr Systems Admin
Industry Information Technology and Services
Experience
Bank of America  March 2013 - August 2014
AutoNation  December 2011 - March 2013
Bank of America  October 2008 - November 2011
Acosta Sales & Marketing  August 2006 - October 2008
Akos Technologies, LLC   June 2005 - July 2006
Coventry Health Care, an Aetna Company   October 1997 - June 2005

Skills
DNS, VMware, Active Directory, Integration, Troubleshooting, Vendor Management, Windows Server, SDLC, Virtualization, VMware ESX, Unix, Linux, Agile Methodologies, DHCP, SharePoint, Perl, Management, Team Leadership, System Administration, Networking, Customer Service, Process Improvement, Project Management, Microsoft Office, ITIL, Training, Team Building, Disaster Recovery, Data Center, SAN, Servers, Microsoft Exchange, Windows

Education
University of Phoenix   2000 — 2002
Bachelor's Degree, Information Technology, 3.95

Florida Community College at Jacksonville   1997 — 1999
Associate's Degree, Business Administration and Management, General

Torrence Austin Torrence Austin Greater Chicago Area Details
Torrence Austin's Coventry Health Care, an Aetna Company Experience January 2007 - May 2013
Job Data Warehouse Developer at Aetna Insurance
Industry Insurance
Experience
Aetna (formerly Coventry Healthcare Inc)   May 2013 - Present
Coventry Health Care, an Aetna Company   January 2007 - May 2013
Knightsbridge Solutions  September 2005 - December 2006
Gap Inc.  November 1999 - September 2005

Skills
Data Warehousing, SDLC, Business Intelligence, Data Modeling, Oracle, Microsoft SQL Server, ETL, Database Design, Cognos, Data Warehouse..., Business Objects, Data Integration, Informatica, SSRS

Education
Roosevelt University   2007 — 2011
Master of Business Administration (MBA), Accounting and Finance

DePaul University   2003 — 2006
MS-IS, Computer Science Information Systems

DePaul University   1999 — 2003
BS-IS with Honors, Computer Science Information Systems

Eileen Barzola Eileen Barzola Miami/Fort Lauderdale Area Details
Eileen Barzola's Coventry Health Care, an Aetna Company Experience August 2013 - Present
Job Sales & Marketing at Coventry Health Care of Florida
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   August 2013 - Present
Coventry Healthcare of Florida   2007 - Present
Swiss Caps   2003 - 2007
TechnoMarine  2000 - 2003
MIF   1999 - 2001
Miami International Forwarders   1999 - 2000

Skills
Health Insurance, Employee Benefits, Managed Care, Insurance, Healthcare, Sales, Strategic Planning, Medicare, Term Life Insurance, Account Management, Life Insurance, Customer Service, Marketing, Marketing Strategy, Benefits Administration, Microsoft Excel, Contract Negotiation, Cold Calling, HIPAA, Brokers, Outlook, Claim, Microsoft Word, PowerPoint, Public Speaking, Microsoft Office, Negotiation, Sales Management, HMO, Health Savings Accounts, Healthcare Industry, Long-term Care, Leadership, PPO, Workers Compensation, Disability Insurance, Health Care Reform, Medicaid, Network Development, Provider Relations, Team Building, Medicare Part D, Dentistry, New Business Development, Underwriting, Process Improvement, Management

Education
Florida International University   2000 — 2003
Business

Rita Rutledge Rita Rutledge Baltimore, Maryland Area Details
Rita Rutledge's Coventry Health Care, an Aetna Company Experience 2012 - 2013
Job Treasury Analyst at Synagro
Industry Banking
Experience
Synagro  2013 - Present
Synagro  2013 - Present
Coventry Health Care, an Aetna Company   2012 - 2013
Choice Hotels International  2009 - 2011
Etrade Financial  August 2005 - December 2007

Skills
Investments, Analysis, Treasury, Cash Management, Accounting

Education
Fairleigh Dickinson University
bachelor, Finance

Marcie Griesbach Marcie Griesbach Erie, Pennsylvania Area Details
Marcie Griesbach's Coventry Health Care, an Aetna Company Experience March 2013 - April 2015
Job Director, Network Management at Aetna
Industry Insurance
Experience
Aetna  April 2015 - Present
Coventry Health Care, an Aetna Company   March 2013 - April 2015
HealthAmerica  June 2006 - March 2013
HealthAmerica  May 2002 - May 2006
NewAlliance Health Plan   2000 - May 2002

Skills
Insurance, Health Insurance, Medicare, Claim, Provider Relations, Managed Care, Workers Compensation, Network Development, Employee Benefits, Process Improvement, Medicaid, PPO, HIPAA, Health Policy, Healthcare Industry, Credentialing, Healthcare

Education
Edinboro University of Pennsylvania
Undergraduate studies, Computer Science

Herlinda Ramirez Herlinda Ramirez Dallas/Fort Worth Area Details
Herlinda Ramirez's Coventry Health Care, an Aetna Company Experience 2012 - Present
Job Registered Nurse
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   2012 - Present
Parkland Hospital  1998 - 2011

Skills
Nursing, BLS, ACLS, Inpatient, Critical Care, Patient Safety, Hospitals, Acute Care, EMR, Epic Systems, Medical/Surgical, ICU, Healthcare, PALS, Patient Education, Healthcare Management, Pediatrics, Medication..., Patient Advocacy, Telemetry

Education
El Centro College
Associate's degree

Doris E Brown Doris E Brown Greater Atlanta Area Details
Doris E Brown's Coventry Health Care, an Aetna Company Experience Sales and Marketing AssistantCoventry Health Care of Georgia2002 - Present
Job Sales Associate
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   Sales and Marketing AssistantCoventry Health Care of Georgia2002 - Present

Skills
Customer Service, Employee Benefits, Health Insurance, Insurance, Outlook, Data Entry, Access, Administrative..., Call Centers, Healthcare, Office Management, Process Improvement, Account Management, Employee Relations, Human Resources, Invoicing, Sales, Recruiting, Training, Team Building, Medicare, Leadership, Payroll

Education
Georgia Perimeter College

Jodi Capitano Jodi Capitano Tampa/St. Petersburg, Florida Area Details
Jodi Capitano's Coventry Health Care, an Aetna Company Experience October 2013 - Present
Job Field Case Manager for the MLTC Program at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2013 - Present
Universal Health Care Group, Inc.   January 2007 - March 2013
Excel Rehabilitation  February 2002 - January 2007
Protegrity Worker's Compensation   December 1999 - February 2002
Travelers Insurance Company  January 1997 - October 1999
Integrated Health Services  January 1995 - December 1997
Integrated Health Services  January 1993 - January 1995

Skills
Medicaid Managed Care, Healthcare, Home Care, Medicare, HIPAA, Nursing, Provider Relations, Insurance, Healthcare Consulting, Elder Care, HMO, Utilization Review, Medical Terminology, Healthcare Industry, Workers Compensation, Training, Healthcare Information..., Medical Billing, Customer Service, EHR, HEDIS, Claims Management, Patient Advocacy, PPO, Network Development, Medical Records, Medical Coding, Health Policy, EMR, Physicians, Case Managment, Geriatrics, Leadership, Team Building, Coaching, Program Management, Case Management

Education
D G Erwin Technical Center
LPN

Hillsborough Community College

Tina Novinger Tina Novinger Harrisburg, Pennsylvania Area Details
Tina Novinger's Coventry Health Care, an Aetna Company Experience 1998 - 2013
Job Director at Aetna
Industry Insurance
Experience
Aetna  2013 - Present
Coventry Health Care, an Aetna Company   1998 - 2013
Vector Research, Inc (VRI)   1994 - 1998

Skills
Insurance, Analysis, Data Analysis, Risk Management, Health Insurance, Managed Care, Analytics, Budgets, Software Documentation, Healthcare, Product Development, Medicare, Process Improvement, Leadership, Employee Benefits, Medicaid, Claim, Management

Education
University of Maryland College Park   1995 — 1997
M.A., Statistics

Duquesne University   1990 — 1994
B.A., Mathematics

Justin Loncar Justin Loncar Greater Pittsburgh Area Details
Justin Loncar's Coventry Health Care, an Aetna Company Experience December 2013 - Present
Job Senior Analyst at Aetna
Industry Insurance
Experience
Aetna  January 2015 - Present
Coventry Health Care, an Aetna Company   December 2013 - Present
Coventry Health Care, an Aetna Company   May 2011 - December 2013
Coventry Health Care, an Aetna Company   March 2010 - May 2011
Coventry Health Care, an Aetna Company   October 2008 - March 2010
ServiceLink  May 2006 - June 2008

Skills
Access, Health Insurance, Insurance, HMO, Data Modeling, Visio, Requirements Gathering, Data Analysis, Business Analysis, HIPAA, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft SQL Server, SharePoint, Team Building, Process Improvement, Customer Service

Education
Community College of Beaver County
Associate's degree, Business Administration and Management, General

Sandra Schiffhauer Sandra Schiffhauer Greater St. Louis Area Details
Sandra Schiffhauer's Coventry Health Care, an Aetna Company Experience January 2000 - April 2008
Job Human Resources Data Analyst at Ascension
Industry Insurance
Experience
Ascension  August 2015 - Present
Lumeris  July 2014 - August 2015
Essence Healthcare  December 2011 - July 2014
Lumeris  April 2008 - December 2011
Coventry Health Care, an Aetna Company   January 2000 - April 2008
Health Care USA   November 1995 - January 2000
James B Becker Consulting Engineers   July 1994 - October 1995
PHILIP G. BRUMBAUGH CPA, CVA   October 1993 - July 1994
Brown Smith Wallace  April 1990 - July 1993

Skills
Business Analysis, Microsoft SQL Server, Data Warehousing, SQL, SDLC, SharePoint

Education
Fontbonne University   1997 — 1999
Bachelors in Business Administration

St. Louis Community College
Associate in Applied Science, Accounting

St. Louis Community College
Associate in Arts in Science, Fashion Merchandising

Stacy Key Stacy Key Greater St. Louis Area Details
Stacy Key's Coventry Health Care, an Aetna Company Experience October 2008 - Present
Job Medicare Specialist at Coventry Healthcare of MO
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2008 - Present

Skills
Microsoft Excel, Process Improvement, Property & Casualty..., Microsoft Word, Microsoft Office, Insurance, Customer Service, Project Management, Health Insurance, Outlook, Training

Education
Fontbonne University

Karen Painter Karen Painter Raleigh-Durham, North Carolina Area Details
Karen Painter's Coventry Health Care, an Aetna Company Experience November 2013 - Present
Job Senior Provider Data Analyst
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   November 2013 - Present
Coventry Health Care  September 1995 - November 2013
Doctors Health Plan  September 1995 - June 1996
BCBSNC  August 1987 - August 1995

Skills
Insurance, Process Improvement, Call Centers, Team Building, Customer Service, Operations Management, Leadership, Management, Vendor Management, Strategic Planning, HIPAA, Quality Auditing, SystemsTesting, Microsoft Excel, Microsoft Access, Microsoft Word, GEO Access, Claims Processing, Provider Enrollment, Provider Networks, Medical Terminology, Coordination of Benefits, Claims Review, Claims Auditing, User Acceptance Testing, Managed Care, Claims Handling, Provider Relations, Team Leadership, Underwriting, Supervisory Skills, Testing, Customer Experience, Healthcare Information..., Claims Resolution, Healthcare Industry, Medicare, Medicaid, Claim, HMO, Health Policy, Credentialing, Medical Coding, Health Insurance, Network Development, CPT, Medical Billing, Training

Education
Center for Insurance Education and Professional Devolopement   2011 — 2011
Professional Health Insurance Advanced Studies

Durham Technical Community College   2010 — 2011
Health Services/Allied Health/Health Sciences, General, Pass

Deborah Krause Deborah Krause Erie, Pennsylvania Area Details
Deborah Krause's Coventry Health Care, an Aetna Company Experience June 2014 - Present
Job Workers comp Field Case Manager at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   June 2014 - Present
UPMC Hamot  March 2011 - June 2014
Hamot Medical Center  June 2002 - March 2011

Education
Edinboro University of Pennsylvania   1989 — 1992
Bachelor of Science (B.S.), Nursing

Tuvy Guss Tuvy Guss Washington D.C. Metro Area Details
Tuvy Guss's Coventry Health Care, an Aetna Company Experience December 2005 - December 2013
Job Vice President, Pricing, Consumer Business at Aetna
Industry Insurance
Experience
Aetna  August 2014 - Present
Aetna  January 2014 - July 2014
Coventry Health Care, an Aetna Company   December 2005 - December 2013
Coventry Health Care, an Aetna Company   April 1998 - December 2005
Principal Health Care  December 1996 - March 1998
The Principal Financial Group  June 1993 - December 1996

Skills
Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Strategic Planning, Budgets, Negotiation

Education
Georgia State University   1991 — 1993
Bachelor of Business Administration, Risk Management, Magna Cum Laude

Hazel J. Leland Hazel J. Leland Tallahassee, Florida Area Details
Hazel J. Leland's Coventry Health Care, an Aetna Company Experience March 2013 - Present
Job Account Services Rep at Coventry Health Care of Florida
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   March 2013 - Present
Vista Health Plan and Coventry   July 2004 - Present
Fashion Bug  September 1990 - July 1992
Leon County School Board  August 1989 - 1991

Skills
Process Improvement, Account Management, Underwriting, Call Centers, Insurance, Time Management, Sales, Employee Benefits, Marketing, Customer Service, Leadership, Retail, Training, Team Building, Customer Retention, Healthcare

Education
Florida A&M University   1970 — 1974
Bachelor of Science (BS), Business Administration and Management, General

Sue Zurick Sue Zurick Greater Philadelphia Area Details
Sue Zurick's Coventry Health Care, an Aetna Company Experience 2013 - 2014
Job FCM Manager at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care  May 1989 - Present
Coventry Health Care, an Aetna Company   2013 - 2014
Dynamic Rehabiltiation Services   January 1984 - May 1989
Central Rehab Assoc   August 1981 - December 1983

Skills
Workers Compensation, Disability Management, Medical Case Management, Utilization Review, Claim, Claims Management, Insurance, Utilization Management, Health Insurance, Managed Care, Employee Benefits, Provider Relations, Customer Service

Education
Gwynedd-Mercy College   2010 — 2012
Associate's degree, Nursing

Temple University   1980 — 1981
Master's degree, Counseling Psychology

Penn State University   1976 — 1980
Bachelor's of Science, Rehabilitation Education

hossein daneshvar hossein daneshvar Lancaster, Pennsylvania Area Details
hossein daneshvar's Coventry Health Care, an Aetna Company Experience January 2012 - Present
Job Broker at Coventry Health Care, an Aetna Company
Industry Health, Wellness and Fitness
Experience
Coventry Health Care, an Aetna Company   January 2012 - Present
Universal American  November 2005 - December 2012
aig/american general  February 1991 - November 2005

Skills
Strategic Planning, Negotiation, Retirement Planning, Healthcare, Strategic Financial..., Long-term Care, Health Insurance, Team Building, Whole Life, Disability Insurance, Insurance, Term Life Insurance, Customer Service, Critical Illness, Fixed Annuities, Life Insurance, Employee Benefits, Brokers, Medicare, Property & Casualty..., Commercial Insurance, Underwriting, Sales, Management

Education
Eastern Mennonite University   1977 — 1981
Bachelor's Degree, Business Administration and Management, General

Eastern Mennonite University   1977 — 1981
life underwriter training council Fellow, American College of financial studies. Brynmar, Pa ( L.U.T.C F) 1990

Don Mosley Don Mosley Tampa, Florida Details
Don Mosley's Coventry Health Care, an Aetna Company Experience August 2013 - January 2014
Job Clinical Validation at Coventry Health Care, an Aetna Company
Industry Medical Practice
Experience
Coventry Health Care, an Aetna Company   August 2013 - January 2014
United Cerbral Palsy of Tampa Bay   February 2013 - March 2013
PARTNERS IN MEDICINE AND PLASTIC SURGERY   January 2012 - November 2012
BOYETTE WALK IN CLINIC   March 2011 - October 2011

Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Visionary, CARETRACKER INGENIX, Medisoft, NAVINET, Availability, AMAZING CHARTS

Education
Everest University-Brandon   2009 — 2012
Associate of Science (A.S.), MEDICAL INSURANCE BILLING AND CODING

TeeA Ong TeeA Ong Greater Pittsburgh Area Details
TeeA Ong's Coventry Health Care, an Aetna Company Experience June 2009 - June 2015
Job Senior Analyst
Industry Insurance
Experience
Aetna  June 2015 - Present
Coventry Health Care, an Aetna Company   June 2009 - June 2015

Skills
Access, Microsoft SQL Server, Visual Studio, VBA, vb, Public Speaking, Microsoft Office, Customer Service, Accounting, Analytics

Education
Dakota State University   2014 — 2016
Bachelor's Degree, Computer Science

Ivy Tech Community College
Associates, Accounting

Joanne Marsh Joanne Marsh Miami/Fort Lauderdale Area Details
Joanne Marsh's Coventry Health Care, an Aetna Company Experience December 2002 - Present
Job Senior Medical Economics Consultant at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   December 2002 - Present
Coventry Health Care, an Aetna Company   June 2003 - May 2006
Coventry Health Care, an Aetna Company   December 2002 - June 2003
Humana  November 2001 - December 2002
Humana  September 1993 - November 2001

Skills
Medical Cost Trending, Analytics, Cost Savings Strategies, Ad Hoc Reporting, Data Mining, Medicare, Medicaid, Commercial Lines, Managed Care, Health Insurance..., Healthcare Management, Microsoft SQL Server, Cognos, Microsoft Excel, SQL, Healthcare Analytics, Informatics, Data Analysis, Network Development, Healthcare Industry, HMO, PPO, Health Insurance, Analysis

Education
Florida International University   1978 — 1982
Bachelor's Degree, Marketing, 3.4

Danielle McKindley Danielle McKindley Midland, Pennsylvania Details
Danielle McKindley's Coventry Health Care, an Aetna Company Experience October 2013 - Present
Job Customer Service Representative at Coventry Health Care, an Aetna Company
Industry Medical Practice
Experience
Coventry Health Care, an Aetna Company   October 2013 - Present
Little Learners Daycare center   September 2006 - February 2007

Skills
Phlebotomy, Vital Signs, EKG, Hematocrit, Blood Glucose, Medical Assisting, Medical Ethics, Blood Pressure, Specimen Collection, Capillary Puncture, Spirometry, Triage, Throat Cultures, Medisoft, Glucose Testing, Telephone Triage, Suturing, Medical Records, Appointment Scheduling, Autoclave, Quality Patient Care, Chart, Medical History, Medical Terminology, ICD-9, Sterilization, Anatomy, Pulse Oximetry, Clinical Skills

Education
DCI Career Institute   2012 — 2013
Diploma, Medical/Clinical Assistant, 4.0

Becky Prather Becky Prather Lees Summit, Missouri Details
Becky Prather's Coventry Health Care, an Aetna Company Experience September 2004 - November 2005
Job Dedicated Customers Services Representative
Industry Consumer Goods
Experience
Blue Cross and Blue Shield of Kansas City  April 2015 - Present
Cerner Corporation  August 2012 - September 2014
Assurant Employee Benefits  January 2006 - March 2012
Coventry Health Care, an Aetna Company   September 2004 - November 2005
Health Midwest Comprehensive Care   April 1998 - July 2004
Blue Cross and Blue Shield of Kansas City  July 1984 - April 1997

Skills
Leadership, Project Management, Team Building, Provider Data Base..., Health Insurance Claims..., Health Insurance Claims..., Disability Claims..., Customer Service, Employee Benefits, Training, Medicare, Claim, Microsoft Excel, Access, Insurance, Communication, Healthcare

Education
Cypress College
Associate of Arts (A.A.), English Language and Literature/Letters

Cypress College
Associate's Degree, English Language and Literature, General

Kim Kresin Kim Kresin Urbana-Champaign, Illinois Area Details
Kim Kresin's Coventry Health Care, an Aetna Company Experience August 2013 - Present
Job Director, Network Operations at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   August 2013 - Present
Coventry Health Care  June 1986 - Present
PersonalCare Insurance of Illinois   October 2000 - July 2003
PersonalCare Insurance of Illinois   September 1989 - October 2000

Skills
Health Insurance, Medicare, Process Improvement, Provider Relations, Managed Care, Insurance, Employee Benefits, Healthcare, HIPAA, Leadership, Medicaid, Healthcare Industry, Management, Benefits Administration

Education
Eastern Illinois University
Bachelor of Arts (B.A.), Focus on Business

Tuscola High School

Sheryl Houk Sheryl Houk Urbandale, Iowa Details
Sheryl Houk's Coventry Health Care, an Aetna Company Experience June 2001 - August 2009
Job Senior Physician Advocate/Provider Relations at UniteHealthcare
Industry Insurance
Experience
UniteHealthcare   August 2009 - Present
Coventry Health Care, an Aetna Company   June 2001 - August 2009
Principal HealthCare  June 1993 - June 2001

Skills
Insurance, Health Insurance, Customer Service, Managed Care, Medicare, Healthcare Management, Microsoft Office, Hospitals, HIPAA, Microsoft Excel, Microsoft Word, Healthcare Information..., Nursing, PowerPoint

Education
Des Moines Area Community College

Mandi Cable Mandi Cable Brandon, Florida Details
Mandi Cable's Coventry Health Care, an Aetna Company Experience October 2006 - November 2008
Job Claims Repricing Analyst at Aetna
Industry Insurance
Experience
Coventry Health Care  November 2008 - Present
Coventry Health Care, an Aetna Company   October 2006 - November 2008
Coventry Health Care, an Aetna Company   March 2002 - October 2006
Coventry Health Care, an Aetna Company   March 1999 - March 2002
Coventry Health Care, an Aetna Company   March 1998 - March 1999

Skills
Corporate Training, Repricing, Contract Analysis, Data Analysis, Training, Management, Claim, Account Management, Auditing, Coaching, Hospitals, Spreadsheets, Insurance, Visio, Access, Business Services, Provider Relations, Information Systems, Finance, Process Improvement, Health Insurance, Order Fulfillment, Business, Software Documentation

Education
D G Erwin Technical Center   1997 — 1998
Diploma, Medical Transcription/Transcriptionist

Brandon High School   1990 — 1993
Diploma

Patricia McCullough Patricia McCullough New Brighton, Pennsylvania Details
Patricia McCullough's Coventry Health Care, an Aetna Company Experience October 2010 - Present
Job Business Analyst at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company   October 2010 - Present
Coventry Health Care, an Aetna Company   January 2008 - Present
Coventry Health Care, an Aetna Company   2005 - Present
Coventry Health Care, an Aetna Company   December 2001 - Present
Fairfax County Government  1990 - March 2000

Education
Community College of Beaver County
Continuing Studes

Bonnie Bishop Bonnie Bishop Senoia, Georgia Details
Bonnie Bishop's Coventry Health Care, an Aetna Company Experience January 2011 - Present
Job Life Insurance Specialist at Midland National Life Insurance Company
Industry Insurance
Experience
Allstate  November 2012 - Present
Midland National Life Insurance Company  April 2011 - Present
Coventry Health Care, an Aetna Company   January 2011 - Present
Self-employed  October 2006 - Present

Education
Georgia State University   1983 — 1986
Associate's degree, Marketing/Marketing Management, General, B

Sue McGill Sue McGill Greater St. Louis Area Details
Sue McGill's Coventry Health Care, an Aetna Company Experience 2002 - 2013
Job Director, IT Program Mgmt at Aetna
Industry Insurance
Experience
Aetna  December 2013 - Present
Coventry Health Care, an Aetna Company   2002 - 2013
Coventry Health Care, an Aetna Company   2001 - 2002
Coventry Health Care, an Aetna Company   2000 - 2001
Coventry Health Care, an Aetna Company   1999 - 2000
Coventry Health Care, an Aetna Company   1998 - 1999
Coventry Health Care, an Aetna Company   1995 - 1998

Skills
Management, Communication, Program Management, Project Management, PowerPoint, Customer Service, English, Research, Analysis, Microsoft Excel, Microsoft Office, Microsoft Word, Business Analysis, Business Process, Cross-functional Team..., Health Insurance, Process Improvement, Insurance, SDLC, Leadership, Visio, Strategic Planning, Vendor Management

Education
Fontbonne University   2000 — 2002
Master of Business Administration (MBA), Business Administration and Management, General

Fontbonne University   1998 — 2000
Bachelor of Business Administration (BBA), Business Administration and Management, General

Debbie Weiman, MS, PAHM Debbie Weiman, MS, PAHM Urbana-Champaign, Illinois Area Details
Debbie Weiman, MS, PAHM's Coventry Health Care, an Aetna Company Experience August 2014 - Present
Job Healthcare Management
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company   August 2014 - Present
Aetna Life Insurance Company  January 2014 - March 2014
Coventry Health Care of Illinois formerly PersonalCare Insurance of Illinois, Inc.   2003 - December 2013
Coventry Health Care of Illinois, formerly PersonalCare Insurance of Illinois, Inc.   1997 - 2003
Coventry Health Care of Illinois, formerly PersonalCare Insurance of Illinois, Inc.   1994 - 1997

Skills
NCQA, HEDIS, Managed Care, Credentialing, Medicare, Health Policy, HIPAA, Healthcare Management, Process Improvement, Insurance, Medical Terminology, Medical Transcription, Provider..., Delegation, Provider Database...

Education
University of St. Francis   1993 — 1996
Master of Science, Health Services Administration

Eastern Illinois University
Bachelor of Science, Health Studies/Community Health Administration and Business

Illinois Central College
Associate of Arts and Sciences, Medical Office Assistant

Roy Joseph Roy Joseph San Francisco Bay Area Details
Roy Joseph's Coventry Health Care, an Aetna Company Experience May 2012 - December 2012
Job Business Analytics
Industry Management Consulting
Experience
Mu Sigma  November 2013 - Present
Coventry Health Care, an Aetna Company   May 2012 - December 2012
Dept of Risk Management and Insurance , Georgia State University   August 2008 - April 2011
Infosys  January 2005 - April 2008

Skills
SQL, Data Analysis, R, Business Intelligence, Analytics, Java, Statistics, Optimization, Data Warehousing, Business Analysis, Microsoft Excel, Data Mining, Requirements Analysis, SAS, Statistical Modeling

Education
Georgia Institute of Technology   2011 — 2013
Master's degree

Georgia State University   2008 — 2011
Master's degree

National Institute of Technology Durgapur   2000 — 2004
Bachelor of Engineering (B.E.)

Howard Tong Howard Tong Atlanta, Georgia Details
Howard Tong's Coventry Health Care, an Aetna Company Experience May 2012 - August 2012
Job Risk Analyst at Atlanticus
Industry Financial Services
Experience
Atlanticus  March 2014 - Present
Coventry Health Care, an Aetna Company   May 2012 - August 2012

Skills
SQL, Microsoft Excel, SAS, Java

Education
Georgia Institute of Technology   2008 — 2013
Bachelor of Science (B.S.), Applied Mathematics

Georgia Institute of Technology   2008 — 2013
Bachelor of Science (B.S.), Economics

Ronald Acosta Ronald Acosta Chicago, Illinois Details
Ronald Acosta's Coventry Health Care, an Aetna Company Experience June 2005 - May 2013
Job Business Program Analyst at Aetna
Industry Insurance
Experience
Aetna  May 2013 - Present
Coventry Health Care, an Aetna Company   June 2005 - May 2013
Formula 1 Consulting   February 2002 - June 2005
Tek Consulting   June 2000 - December 2001
Modis Consulting  November 1999 - May 2000
Taylor Consulting  April 1998 - October 1999
Stopka and Associates  June 1997 - February 1998
The Revere Group  May 1995 - June 1997
Information Resources Inc.  June 1993 - May 1995

Skills
SDLC, MS Project, Unix, SQL, Functional..., Data Conversion, Requirements Gathering, Business Requirements, Visio, Business Analysis, Requirements Analysis

Education
DePaul University   1996 — 1999
Master of Science (MS), Information Technology

DePaul University   1990 — 1992
Bachelor of Science (BS), Information Technology

Moraine Valley Community College   1988 — 1990

Monica DeLuca Monica DeLuca Dillsburg, Pennsylvania Details
Monica DeLuca's Coventry Health Care, an Aetna Company Experience July 2013 - August 2013
Job Student at Robert Morris University
Industry
Experience
Robert Morris University  August 2013 - Present
Westfield Group/Westfield Insurance  June 2014 - August 2014
Coventry Health Care, an Aetna Company   July 2013 - August 2013

Education
Robert Morris University   2012 — 2016
Bachelor's degree, Actuarial Science

Harrisburg Area Community College   2011 — 2012
General Studies

Kathy Rowe-Sparks Kathy Rowe-Sparks Elkton, Maryland Details
Kathy Rowe-Sparks's Coventry Health Care, an Aetna Company Experience pre- authorization repCoventry Health Care, an Aetna CompanyFebruary 2013 - Present
Job pre authorization rep at Coventry Health Care, an Aetna Company
Industry Cosmetics
Experience
Coventry Health Care, an Aetna Company   pre- authorization repCoventry Health Care, an Aetna CompanyFebruary 2013 - Present
Mary Kay Cosmetics  February 2013 - Present

Education
Delaware Technical and Community College-Stanton-Wilmington   1979 — 1989

Bhanu Arora Bhanu Arora Dallas/Fort Worth Area Details
Bhanu Arora's Coventry Health Care, an Aetna Company Experience January 2007 - December 2008
Job Sr. Business Analyst at Nationstar Mortgage
Industry Information Technology and Services
Experience
Nationstar Mortgage  July 2015 - Present
Knowledgent Consultant   February 2014 - July 2015
Cigna  January 2013 - January 2014
Fairfield Clinic and Jefferson County Hospital   September 2010 - December 2012
Misys Healthcare Systems  January 2009 - August 2010
Coventry Health Care, an Aetna Company   January 2007 - December 2008

Skills
Project Management, SDLC, Hadoop, Apache Pig, Hive, HIPAA, Integration, Requirements Analysis, Process Improvement, SQL, Customer Service, Business Analysis, Software Development, Rally, SharePoint, Visio, Microsoft SQL Server, Rational Rose..., Agile Methodologies, Business Requirements, Business Process, Data Modeling

Education
University of Phoenix   2005 — 2008
Master's Degree, Information Technology

Delhi University   1999 — 2002
Bachelor's Degree, Computer Science

Miguel Bermudez Miguel Bermudez Miami/Fort Lauderdale Area Details
Miguel Bermudez's Coventry Health Care, an Aetna Company Experience March 2002 - October 2008
Job
Industry Computer Software
Experience
SunGard  April 2013 - Present
Independent Living Systems, LLC  October 2011 - April 2013
HOPS International, Inc.   November 2008 - September 2011
Coventry Health Care, an Aetna Company   March 2002 - October 2008
UnitedHealth Group  January 1998 - February 2002

Skills
Microsoft SQL Server, SQL, Agile Methodologies, Databases, Requirements Analysis, Business Analysis, Business Intelligence, Software Development

Education
Florida International University   1994 — 2001
Master's degree, Information Technology

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