Coventry Health Care, an Aetna Company
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Coventry Health Care, an Aetna Company Employees
Employee
Years
Job
Industry
Marie Broadnax Marie Broadnax's Coventry Health Care, an Aetna Company Experience January 2003 - February 2008
Job Health Program Specialist at Covered California
Industry Government Administration
Experience
Covered California January 2013 - Present
California Department of Managed Health Care April 2009 - January 2013
Coventry Health Care, an Aetna Company January 2003 - February 2008
Skills
Policy, Program Evaluation, Government, Program Management, Public Health, Policy Analysis, Community Outreach, Program Development, Data Analysis, Research, Nonprofits, Public Policy, Public Speaking, Access
Education
University of Phoenix 2007 — 2009
Health/Health Care Administration/Management
Covered California January 2013 - Present
California Department of Managed Health Care April 2009 - January 2013
Coventry Health Care, an Aetna Company January 2003 - February 2008
Skills
Policy, Program Evaluation, Government, Program Management, Public Health, Policy Analysis, Community Outreach, Program Development, Data Analysis, Research, Nonprofits, Public Policy, Public Speaking, Access
Education
University of Phoenix 2007 — 2009
Health/Health Care Administration/Management
Larry Lindsey Larry Lindsey's Coventry Health Care, an Aetna Company Experience October 2009 - December 2013
Job Contract Coordinator at Aetna Health Care
Industry Insurance
Experience
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2009 - December 2013
Coventry Health Care January 2009 - September 2009
Skills
Health Insurance, Insurance, Medicare/Medicaid..., Subject Matter Experts, Hospital Reimbursement, Financial Analysis, Fee Schedules, Business Process..., Business Analysis, Managed Care, Access, Microsoft Excel, SharePoint, Microsoft Office, Databases, Provider Relations, Medicaid, Contract Management, Contractual Agreements, Healthcare Analytics, InfoPath Forms, Claim Investigation, Contract Coordinator, Contract Implementation..., Ambulatory Surgery, Rate Management, Discrepancy Resolution, Pivot Tables, Medical Coding, Medical/Surgical, Ancillary Contract..., Healthcare Reimbursement, PowerPoint, Online Research, Contract Negotiation, Claim, Customer Service, Healthcare, Medicare, HIPAA, Process Improvement
Education
University of South Florida 2005 — 2008
Bachelor of Business Administration (BBA), Finance, Marketing
Rock Valley College 2004 — 2005
Associate of Arts (AA), General Studies
University of South Florida
Bachelor of Science (B.S.)
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company October 2009 - December 2013
Coventry Health Care January 2009 - September 2009
Skills
Health Insurance, Insurance, Medicare/Medicaid..., Subject Matter Experts, Hospital Reimbursement, Financial Analysis, Fee Schedules, Business Process..., Business Analysis, Managed Care, Access, Microsoft Excel, SharePoint, Microsoft Office, Databases, Provider Relations, Medicaid, Contract Management, Contractual Agreements, Healthcare Analytics, InfoPath Forms, Claim Investigation, Contract Coordinator, Contract Implementation..., Ambulatory Surgery, Rate Management, Discrepancy Resolution, Pivot Tables, Medical Coding, Medical/Surgical, Ancillary Contract..., Healthcare Reimbursement, PowerPoint, Online Research, Contract Negotiation, Claim, Customer Service, Healthcare, Medicare, HIPAA, Process Improvement
Education
University of South Florida 2005 — 2008
Bachelor of Business Administration (BBA), Finance, Marketing
Rock Valley College 2004 — 2005
Associate of Arts (AA), General Studies
University of South Florida
Bachelor of Science (B.S.)
Ralph Festa Ralph Festa's Coventry Health Care, an Aetna Company Experience March 2012 - March 2014
Job Admissions and Business Development Director
Industry Hospital & Health Care
Experience
Eldercrest Health and Rehabilitation Center March 2014 - Present
Coventry Health Care, an Aetna Company March 2012 - March 2014
Ursuline Senior Services June 2008 - March 2012
St. Cyril of Alexandria School January 2008 - June 2008
Skills
Marketing, Sales, Community Outreach, Physician Relations, Client Liaison, Business Development, Presentations, Customer Service, Relationship Building, Account Management, Healthcare, Medicaid, Hospitals, Healthcare Management, Managed Care, Medicare
Education
University of Pittsburgh-Greensburg 2004 — 2007
Bachelor of Science (BS), Psychology
Eldercrest Health and Rehabilitation Center March 2014 - Present
Coventry Health Care, an Aetna Company March 2012 - March 2014
Ursuline Senior Services June 2008 - March 2012
St. Cyril of Alexandria School January 2008 - June 2008
Skills
Marketing, Sales, Community Outreach, Physician Relations, Client Liaison, Business Development, Presentations, Customer Service, Relationship Building, Account Management, Healthcare, Medicaid, Hospitals, Healthcare Management, Managed Care, Medicare
Education
University of Pittsburgh-Greensburg 2004 — 2007
Bachelor of Science (BS), Psychology
Karyn Fife Karyn Fife's Coventry Health Care, an Aetna Company Experience May 2012 - December 2014
Job Program Business Analyst at Aetna
Industry Insurance
Experience
Aetna March 2015 - Present
Highmark Inc. January 2015 - March 2015
Coventry Health Care, an Aetna Company May 2012 - December 2014
UPMC Health Plan February 2006 - May 2012
UPMC Health Plan February 2005 - February 2006
UPMC Health Plan February 2002 - February 2005
Gateway Health Plan April 1999 - February 2002
Gateway Health Plan May 1998 - April 1999
Gateway Health Plan March 1997 - May 1998
Gateway Health Plan November 1996 - March 1997
Skills
Requirements Gathering, Systems Analysis, Visio, Medicare, SDLC, Business Analysis, Process Improvement, Cognos, Healthcare Information..., Requirements Analysis, Medicaid Managed Care, IT Operations, Financial Analysis, IT Solutions, Business Requirements, Electronic Enrollment, Production Support, Agile & Waterfall..., Medicare Letters, Creative Solutions, System Testing, Unit Testing, System Enhancements, Redetermination Projects, Statutory Reporting, Home Nursing Files, Benefit Cost Analysis, Department of Public..., Employee Training, Customer Service, Customer Retention, Microsoft Excel, Access Database, PowerPoint, Posnet, MC400, Amisys, Remedy Ticketing System, MMC, On-call Support, Access, Insurance, Leadership
Education
University of Pittsburgh 1990 — 1994
Bachelor of Science (BS), Business/Psychology
Upper St. Clair High School 1986 — 1990
High School
Aetna March 2015 - Present
Highmark Inc. January 2015 - March 2015
Coventry Health Care, an Aetna Company May 2012 - December 2014
UPMC Health Plan February 2006 - May 2012
UPMC Health Plan February 2005 - February 2006
UPMC Health Plan February 2002 - February 2005
Gateway Health Plan April 1999 - February 2002
Gateway Health Plan May 1998 - April 1999
Gateway Health Plan March 1997 - May 1998
Gateway Health Plan November 1996 - March 1997
Skills
Requirements Gathering, Systems Analysis, Visio, Medicare, SDLC, Business Analysis, Process Improvement, Cognos, Healthcare Information..., Requirements Analysis, Medicaid Managed Care, IT Operations, Financial Analysis, IT Solutions, Business Requirements, Electronic Enrollment, Production Support, Agile & Waterfall..., Medicare Letters, Creative Solutions, System Testing, Unit Testing, System Enhancements, Redetermination Projects, Statutory Reporting, Home Nursing Files, Benefit Cost Analysis, Department of Public..., Employee Training, Customer Service, Customer Retention, Microsoft Excel, Access Database, PowerPoint, Posnet, MC400, Amisys, Remedy Ticketing System, MMC, On-call Support, Access, Insurance, Leadership
Education
University of Pittsburgh 1990 — 1994
Bachelor of Science (BS), Business/Psychology
Upper St. Clair High School 1986 — 1990
High School
Charles Satterlee Charles Satterlee's Coventry Health Care, an Aetna Company Experience June 2004 - May 2005
Job ELearning Professional
Industry E-Learning
Experience
Pizza Famiglia February 2009 - September 2014
Shriners Hospitals for Children August 2012 - February 2013
Select Staffing June 2009 - August 2009
Bisk Education 2006 - 2008
United States Postal Service May 2005 - December 2005
Coventry Health Care, an Aetna Company June 2004 - May 2005
Sitel October 2004 - January 2005
Stream Global Services December 2003 - May 2004
Concentra July 2002 - December 2003
Skills
Visual Basic, Data Entry, Word Processing, Microsoft Office, Bilingual Communications, Customer Support, Visio, Microsoft Excel, Microsoft Word, 10 Key, AutoCAD, Sony Vegas Video, PowerPoint, Customer Retention, Customer Service, C++, JavaScript, Spanish Translation, Proofreading
Education
Hillsborough Community College 1995 — 2003
Computer Software Engineering
University of South Florida 1998 — 2000
Civil Engineering
Pizza Famiglia February 2009 - September 2014
Shriners Hospitals for Children August 2012 - February 2013
Select Staffing June 2009 - August 2009
Bisk Education 2006 - 2008
United States Postal Service May 2005 - December 2005
Coventry Health Care, an Aetna Company June 2004 - May 2005
Sitel October 2004 - January 2005
Stream Global Services December 2003 - May 2004
Concentra July 2002 - December 2003
Skills
Visual Basic, Data Entry, Word Processing, Microsoft Office, Bilingual Communications, Customer Support, Visio, Microsoft Excel, Microsoft Word, 10 Key, AutoCAD, Sony Vegas Video, PowerPoint, Customer Retention, Customer Service, C++, JavaScript, Spanish Translation, Proofreading
Education
Hillsborough Community College 1995 — 2003
Computer Software Engineering
University of South Florida 1998 — 2000
Civil Engineering
Mary Sue Wilczynski Mary Sue Wilczynski's Coventry Health Care, an Aetna Company Experience December 2005 - November 2013
Job Senior Product Service Manager at Inovalon
Industry Hospital & Health Care
Experience
Inovalon November 2013 - Present
Coventry Health Care, an Aetna Company December 2005 - November 2013
Gateway Health System June 2000 - December 2005
Skills
HEDIS, Managed Care, Project Management, NCQA, Team Leadership, Subject Matter Experts, Business Analysis, Data Analysis, Healthcare, Software Documentation, Health Insurance, SharePoint, Medicaid, HIPAA, Healthcare Information..., Medicare, Process Improvement
Education
University of Pittsburgh
Bachelor's degree, Health Information/Medical Records Administration/Administrator
Inovalon November 2013 - Present
Coventry Health Care, an Aetna Company December 2005 - November 2013
Gateway Health System June 2000 - December 2005
Skills
HEDIS, Managed Care, Project Management, NCQA, Team Leadership, Subject Matter Experts, Business Analysis, Data Analysis, Healthcare, Software Documentation, Health Insurance, SharePoint, Medicaid, HIPAA, Healthcare Information..., Medicare, Process Improvement
Education
University of Pittsburgh
Bachelor's degree, Health Information/Medical Records Administration/Administrator
Clarissa Prosser Clarissa Prosser's Coventry Health Care, an Aetna Company Experience January 2012 - Present
Job Sales Support Consultant at Aetna
Industry Real Estate
Experience
Coventry Health Care, an Aetna Company January 2012 - Present
Howard Hanna April 2011 - February 2012
OgilvyAction May 2009 - June 2011
Associated Estates Realty Corp February 2004 - August 2009
PRG Real Estate Management March 1993 - January 2004
Skills
Strategy, Customer Service, Team Building, Marketing, Leadership, Training, Management, Marketing Research, Real Estate, Sales, Strategic Planning, Sales Operations, Process Improvement, Time Management, Event Planning, Public Speaking, Contract Negotiation, Leases, Luxury
Education
University of Pittsburgh 1984 — 1988
B.A., Russian Language
Coventry Health Care, an Aetna Company January 2012 - Present
Howard Hanna April 2011 - February 2012
OgilvyAction May 2009 - June 2011
Associated Estates Realty Corp February 2004 - August 2009
PRG Real Estate Management March 1993 - January 2004
Skills
Strategy, Customer Service, Team Building, Marketing, Leadership, Training, Management, Marketing Research, Real Estate, Sales, Strategic Planning, Sales Operations, Process Improvement, Time Management, Event Planning, Public Speaking, Contract Negotiation, Leases, Luxury
Education
University of Pittsburgh 1984 — 1988
B.A., Russian Language
Adella Jackson Adella Jackson's Coventry Health Care, an Aetna Company Experience July 2013 - Present
Job Customer Service Rep at Coventry Health Care, an Aetna Company
Industry Insurance
Experience
Coventry Health Care, an Aetna Company July 2013 - Present
Mercer September 2009 - January 2010
Skills
Good communication,...
Education
University of Phoenix 2009 — 2012
Bachelor's Degree, Health care Administration/Health Information Technology, 3.22
Coventry Health Care, an Aetna Company July 2013 - Present
Mercer September 2009 - January 2010
Skills
Good communication,...
Education
University of Phoenix 2009 — 2012
Bachelor's Degree, Health care Administration/Health Information Technology, 3.22
Beverly Gillot Beverly Gillot's Coventry Health Care, an Aetna Company Experience July 2015 - Present
Job Senior Complaint and Appeal Analyst at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care, an Aetna Company July 2015 - Present
The Pilates Centre and LA Fitness November 2009 - Present
Coventry Health Care, an Aetna Company June 2012 - July 2015
UPMC May 2010 - January 2012
Oxford Athletic Club November 1999 - January 2007
CyberStrategies, Inc. January 1996 - January 2002
Skills
Leadership, Nonprofits, Strategic Planning, Public Speaking, Training, Management, Community Outreach, Healthcare, Program Development, HIPAA, Medicare, Fitness Training, Sales, Fitness, Community Development, Teaching, Wellness, Healthcare Management, Managed Care, Organization &..., Organizational..., Building Relationships, Microsoft Office, Project Management, Event Management, Pilates, Research, Coaching, Team Building, Case Managment, Budgets, Rehabilitation, Policy, Fundraising, Home Care, Recruiting, Program Evaluation, Grant Writing, Medicaid, Conflict Resolution, Leadership Development, Workshop Facilitation, Business Analysis
Education
University of Pittsburgh
Master’s Degree, Public and International Affairs
University of Pittsburgh
Bachelor of Arts, Social Work
Coventry Health Care, an Aetna Company July 2015 - Present
The Pilates Centre and LA Fitness November 2009 - Present
Coventry Health Care, an Aetna Company June 2012 - July 2015
UPMC May 2010 - January 2012
Oxford Athletic Club November 1999 - January 2007
CyberStrategies, Inc. January 1996 - January 2002
Skills
Leadership, Nonprofits, Strategic Planning, Public Speaking, Training, Management, Community Outreach, Healthcare, Program Development, HIPAA, Medicare, Fitness Training, Sales, Fitness, Community Development, Teaching, Wellness, Healthcare Management, Managed Care, Organization &..., Organizational..., Building Relationships, Microsoft Office, Project Management, Event Management, Pilates, Research, Coaching, Team Building, Case Managment, Budgets, Rehabilitation, Policy, Fundraising, Home Care, Recruiting, Program Evaluation, Grant Writing, Medicaid, Conflict Resolution, Leadership Development, Workshop Facilitation, Business Analysis
Education
University of Pittsburgh
Master’s Degree, Public and International Affairs
University of Pittsburgh
Bachelor of Arts, Social Work
Eric Chisholm Eric Chisholm's Coventry Health Care, an Aetna Company Experience February 1997 - July 2005
Job Sr. Quality Assurance Manager
Industry Computer Software
Experience
NCR Corporation July 2005 - Present
Coventry Health Care, an Aetna Company February 1997 - July 2005
United States Steel Corporation June 1991 - January 1997
Skills
Photography, Customer Service, Photoshop, Social Media, Microsoft Office, Advertising, Marketing, Graphic Design, Public Speaking, Social Media Marketing
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1993 — 1996
Master of Business Administration (M.B.A.), Business Administration and Management, General
Westminster College (PA) 1987 — 1992
Bachelor’s Degree, Computer Information Systems
Penn Hills Senior Highschool, Penn Hills, PA 1983 — 1987
High School, Academic
NCR Corporation July 2005 - Present
Coventry Health Care, an Aetna Company February 1997 - July 2005
United States Steel Corporation June 1991 - January 1997
Skills
Photography, Customer Service, Photoshop, Social Media, Microsoft Office, Advertising, Marketing, Graphic Design, Public Speaking, Social Media Marketing
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1993 — 1996
Master of Business Administration (M.B.A.), Business Administration and Management, General
Westminster College (PA) 1987 — 1992
Bachelor’s Degree, Computer Information Systems
Penn Hills Senior Highschool, Penn Hills, PA 1983 — 1987
High School, Academic
Shari Moore Shari Moore's Coventry Health Care, an Aetna Company Experience 1997 - 2014
Job Business Analyst at Aetna
Industry Insurance
Experience
Aetna September 1997 - Present
Coventry Health Care, an Aetna Company 1997 - 2014
Skills
Health Insurance, Workers Compensation, Claim, Insurance, Claims Management, Budgets, HIPAA, Business Requirements, Medicare, Employee Benefits, Provider Relations, Financial Risk, Software Documentation, Capacity Assessment, Staffing Analysis, Facilities Management, Space planning, Ergonomics, Visio, Lean Six Sigma, Data Analysis
Education
University of Phoenix 1998 — 1999
Aetna September 1997 - Present
Coventry Health Care, an Aetna Company 1997 - 2014
Skills
Health Insurance, Workers Compensation, Claim, Insurance, Claims Management, Budgets, HIPAA, Business Requirements, Medicare, Employee Benefits, Provider Relations, Financial Risk, Software Documentation, Capacity Assessment, Staffing Analysis, Facilities Management, Space planning, Ergonomics, Visio, Lean Six Sigma, Data Analysis
Education
University of Phoenix 1998 — 1999
William Sherman William Sherman's Coventry Health Care, an Aetna Company Experience September 2002 - December 2013
Job Senior Underwriting Consultant at Aetna
Industry Insurance
Experience
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company September 2002 - December 2013
Guardian Life August 2001 - September 2002
Educators Mutual Life June 1994 - August 2001
Education
University of Pittsburgh 1988 — 1992
Bachelor of Science (B.S.), Statistics
Aetna January 2014 - Present
Coventry Health Care, an Aetna Company September 2002 - December 2013
Guardian Life August 2001 - September 2002
Educators Mutual Life June 1994 - August 2001
Education
University of Pittsburgh 1988 — 1992
Bachelor of Science (B.S.), Statistics
Sarah Wetmore Sarah Wetmore's Coventry Health Care, an Aetna Company Experience November 2013 - Present
Job Medicare Appeals Coordinator Part D at Coventry Health Care, an Aetna Company
Industry Health, Wellness and Fitness
Experience
Coventry Health Care, an Aetna Company November 2013 - Present
Cigna April 2011 - November 2013
Southwood Psychiatric Hospital June 2010 - April 2011
Pace School April 2010 - June 2010
University of Pittsburgh January 2008 - April 2008
Skills
Healthcare, Managed Care, Health Insurance, Customer Service, New Hire Training, Mentoring New Hires, Development Of Employees, Data Management, Data Entry, Technical Writing, SOP development, Process Improvement, Root Cause Problem..., Statistical Data..., SPSS, MS Excel Pivot Tables, Microsoft Office
Education
University of Pittsburgh
Bachelor of Science, Psychology
Coventry Health Care, an Aetna Company November 2013 - Present
Cigna April 2011 - November 2013
Southwood Psychiatric Hospital June 2010 - April 2011
Pace School April 2010 - June 2010
University of Pittsburgh January 2008 - April 2008
Skills
Healthcare, Managed Care, Health Insurance, Customer Service, New Hire Training, Mentoring New Hires, Development Of Employees, Data Management, Data Entry, Technical Writing, SOP development, Process Improvement, Root Cause Problem..., Statistical Data..., SPSS, MS Excel Pivot Tables, Microsoft Office
Education
University of Pittsburgh
Bachelor of Science, Psychology
Douglas Lightbody Douglas Lightbody's Coventry Health Care, an Aetna Company Experience November 2000 - Present
Job Account Manager at Coventry Health Care, an Aetna Company.
Industry Insurance
Experience
Coventry Health Care, an Aetna Company November 2000 - Present
Walt Disney World 1993 - 2000
WESCO Distribution 1991 - 1993
Skills
Health Insurance, Managed Care, Employee Benefits, Account Management, Insurance, Sales, Marketing, Customer Service, Strategic Planning, Healthcare, Sales Management, New Business Development, Sales Process, Sales Operations, Process Improvement, Competitive Analysis, Cross-functional Team..., Cold Calling, Customer Retention, Management, Training, Product Development, Selling
Education
University of South Carolina-Columbia 1986 — 1991
Bachelor of Science (BS), Marketing
Coventry Health Care, an Aetna Company November 2000 - Present
Walt Disney World 1993 - 2000
WESCO Distribution 1991 - 1993
Skills
Health Insurance, Managed Care, Employee Benefits, Account Management, Insurance, Sales, Marketing, Customer Service, Strategic Planning, Healthcare, Sales Management, New Business Development, Sales Process, Sales Operations, Process Improvement, Competitive Analysis, Cross-functional Team..., Cold Calling, Customer Retention, Management, Training, Product Development, Selling
Education
University of South Carolina-Columbia 1986 — 1991
Bachelor of Science (BS), Marketing
Joe Arciaga RN BSN PHN's Coventry Health Care, an Aetna Company Experience November 2007 - June 2012
Job RN Field Case Manager at Integrated Care Management
Industry Hospital & Health Care
Experience
Integrated Care Management September 2013 - Present
Burbank Hospice Care, Inc. August 2012 - September 2013
American Workers & Seniors Healthcare Solutions June 2012 - September 2013
Coventry Health Care, an Aetna Company November 2007 - June 2012
Los Angeles County January 2005 - January 2007
Belmont Village January 2003 - January 2005
County of Los Angeles January 1998 - January 2001
Santa Clarita Home Health January 1997 - January 1998
Assisted Home Health and Hospice January 1996 - January 1998
US Army May 1986 - December 1991
Skills
Public Health, Mental Health, Leadership, Public Speaking, Hospitals, Staff Development, Medicare, Patient Advocacy, Health Education, Training, Case Management, Community Outreach, Elder Care, Healthcare Consulting, Workers Compensation, Managed Care, Property & Casualty..., Community Organizing, Nonprofits, Insurance, Case Managment, Journalism, Leadership Development, Healthcare, Disability Management, Commercial Insurance, Life Insurance, Writing, Non-profit..., Nursing Management, Supervisory Experience, Field Work, Residential Care, Team Facilitation, Community Health, Community Engagement, Hospice, Administrative Work, Board of Directors, Executive Director Non-..., Director of Patient..., Management, Nursing, Home Care
Education
USC 1991 — 1994
Bachelor of Science, Nursing
Integrated Care Management September 2013 - Present
Burbank Hospice Care, Inc. August 2012 - September 2013
American Workers & Seniors Healthcare Solutions June 2012 - September 2013
Coventry Health Care, an Aetna Company November 2007 - June 2012
Los Angeles County January 2005 - January 2007
Belmont Village January 2003 - January 2005
County of Los Angeles January 1998 - January 2001
Santa Clarita Home Health January 1997 - January 1998
Assisted Home Health and Hospice January 1996 - January 1998
US Army May 1986 - December 1991
Skills
Public Health, Mental Health, Leadership, Public Speaking, Hospitals, Staff Development, Medicare, Patient Advocacy, Health Education, Training, Case Management, Community Outreach, Elder Care, Healthcare Consulting, Workers Compensation, Managed Care, Property & Casualty..., Community Organizing, Nonprofits, Insurance, Case Managment, Journalism, Leadership Development, Healthcare, Disability Management, Commercial Insurance, Life Insurance, Writing, Non-profit..., Nursing Management, Supervisory Experience, Field Work, Residential Care, Team Facilitation, Community Health, Community Engagement, Hospice, Administrative Work, Board of Directors, Executive Director Non-..., Director of Patient..., Management, Nursing, Home Care
Education
USC 1991 — 1994
Bachelor of Science, Nursing
Melonie Lyles's Coventry Health Care, an Aetna Company Experience April 2007 - October 2007
Job Medical Unit Manager at Travelers Insurance
Industry Insurance
Experience
Travelers July 2014 - Present
Travelers February 2012 - Present
Piedmont Medical Center August 2009 - February 2012
Travelers October 2007 - April 2009
Coventry Health Care, an Aetna Company April 2007 - October 2007
SC Department of Health and Human Services 2000 - October 2004
Providence Hospitals 1999 - 2000
Skills
Customer Service, Microsoft Office, Microsoft Excel, Workers Compensation, Leadership, Healthcare, Claim, Health Insurance, Strategic Planning, Training, Insurance, Claims Management, Medicare, Managed Care, Nursing, Commercial Insurance, Property & Casualty..., Liability, Case Management, Healthcare Management
Education
University of South Carolina-Columbia 1994 — 1998
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Travelers July 2014 - Present
Travelers February 2012 - Present
Piedmont Medical Center August 2009 - February 2012
Travelers October 2007 - April 2009
Coventry Health Care, an Aetna Company April 2007 - October 2007
SC Department of Health and Human Services 2000 - October 2004
Providence Hospitals 1999 - 2000
Skills
Customer Service, Microsoft Office, Microsoft Excel, Workers Compensation, Leadership, Healthcare, Claim, Health Insurance, Strategic Planning, Training, Insurance, Claims Management, Medicare, Managed Care, Nursing, Commercial Insurance, Property & Casualty..., Liability, Case Management, Healthcare Management
Education
University of South Carolina-Columbia 1994 — 1998
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Christopher Baldini's Coventry Health Care, an Aetna Company Experience November 2014 - Present
Job Clinical Pharmacist at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care, an Aetna Company November 2014 - Present
Coventry Health Care, an Aetna Company May 2013 - November 2014
Coventry Health Care October 2011 - May 2013
Highmark Blue Cross Blue Shield August 2006 - October 2011
ProCare Rx November 2010 - November 2010
UPMC-Shadyside Hospital August 2005 - August 2006
J.C. Blair Memorial Hospital April 1995 - August 2005
UPMC-Shadyside Hospital July 1990 - April 1995
UPMC-Presbyterian Hospital August 1989 - July 1990
Rite Aid Pharmacy February 1989 - August 1989
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Pharmacy, Health Policy, Medicare, Medication Therapy..., Healthcare Management, Insurance, Disease Management, Pharmacists, Medicare Part D, Clinical Research, Pharmacy Automation, Clinical Pharmacy, Diabetes, Medicaid, Pharmacoeconomics
Education
University of Washington 2000 — 2004
PharmD, Pharmacy
University of Pittsburgh 1984 — 1989
BS, Pharmacy
Coventry Health Care, an Aetna Company November 2014 - Present
Coventry Health Care, an Aetna Company May 2013 - November 2014
Coventry Health Care October 2011 - May 2013
Highmark Blue Cross Blue Shield August 2006 - October 2011
ProCare Rx November 2010 - November 2010
UPMC-Shadyside Hospital August 2005 - August 2006
J.C. Blair Memorial Hospital April 1995 - August 2005
UPMC-Shadyside Hospital July 1990 - April 1995
UPMC-Presbyterian Hospital August 1989 - July 1990
Rite Aid Pharmacy February 1989 - August 1989
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Pharmacy, Health Policy, Medicare, Medication Therapy..., Healthcare Management, Insurance, Disease Management, Pharmacists, Medicare Part D, Clinical Research, Pharmacy Automation, Clinical Pharmacy, Diabetes, Medicaid, Pharmacoeconomics
Education
University of Washington 2000 — 2004
PharmD, Pharmacy
University of Pittsburgh 1984 — 1989
BS, Pharmacy
Brent Goldsberry's Coventry Health Care, an Aetna Company Experience 2012 - 2013
Job Employee Benefit Specialist
Industry Insurance
Experience
Humana 2013 - 2014
Coventry Health Care, an Aetna Company 2012 - 2013
Ameritas Group January 2007 - October 2011
American United Life September 2004 - October 2006
Fort Dearborn Company 2002 - 2004
Bankers Conseco Life Insurance Company June 1994 - July 2002
Skills
Insurance, Health Insurance, Disability Insurance, Life Insurance, Sales Management, Underwriting, Employee Benefits, Brokers, Retirement Planning, Sales, Strategy, Term Life Insurance, Leadership, Health Savings Accounts, Account Management
Education
University of South Florida
Bachelor's Degree, Finance and Financial Management Services, 3.5
Humana 2013 - 2014
Coventry Health Care, an Aetna Company 2012 - 2013
Ameritas Group January 2007 - October 2011
American United Life September 2004 - October 2006
Fort Dearborn Company 2002 - 2004
Bankers Conseco Life Insurance Company June 1994 - July 2002
Skills
Insurance, Health Insurance, Disability Insurance, Life Insurance, Sales Management, Underwriting, Employee Benefits, Brokers, Retirement Planning, Sales, Strategy, Term Life Insurance, Leadership, Health Savings Accounts, Account Management
Education
University of South Florida
Bachelor's Degree, Finance and Financial Management Services, 3.5
Christine Ellison's Coventry Health Care, an Aetna Company Experience July 2011 - Present
Job Director, healthcare operations
Industry Insurance
Experience
Coventry Health Care, an Aetna Company July 2011 - Present
Gateway Health Plan December 2002 - July 2011
Skills
Medicare, Medicaid, Health Policy, Process Improvement, Medicare Part D, Health Insurance, Managed Care, HMO, Healthcare Industry, Healthcare Information..., Data Analysis, HIPAA, Disease Management, Access, HEDIS, Medicare Prescription..., Medicare/Medicaid..., Eligibility, Healthcare
Education
Waynesburg University 2006 — 2008
MBA, Healthcare Administration
University of Pittsburgh 1997 — 2002
BA, Communications
Coventry Health Care, an Aetna Company July 2011 - Present
Gateway Health Plan December 2002 - July 2011
Skills
Medicare, Medicaid, Health Policy, Process Improvement, Medicare Part D, Health Insurance, Managed Care, HMO, Healthcare Industry, Healthcare Information..., Data Analysis, HIPAA, Disease Management, Access, HEDIS, Medicare Prescription..., Medicare/Medicaid..., Eligibility, Healthcare
Education
Waynesburg University 2006 — 2008
MBA, Healthcare Administration
University of Pittsburgh 1997 — 2002
BA, Communications
Rena Spencer's Coventry Health Care, an Aetna Company Experience August 2011 - August 2012
Job Case manager at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care 2000 - Present
Coventry Health Care, an Aetna Company August 2011 - August 2012
Coventry Health Care, an Aetna Company January 2006 - August 2011
County of Lancaster January 1996 - January 2000
Skills
Case Management, Utilization Management, Managed Care, Disease Management, Health Insurance, Workers Compensation, Utilization Review, Insurance, Provider Relations, Healthcare, Medical Case Management
Education
University of South Carolina-Columbia 1990 — 1991
Master's degree, Vocational Rehabilitation Counseling/Counselor
University of South Carolina-Columbia 1984 — 1988
Biology, General
Coventry Health Care 2000 - Present
Coventry Health Care, an Aetna Company August 2011 - August 2012
Coventry Health Care, an Aetna Company January 2006 - August 2011
County of Lancaster January 1996 - January 2000
Skills
Case Management, Utilization Management, Managed Care, Disease Management, Health Insurance, Workers Compensation, Utilization Review, Insurance, Provider Relations, Healthcare, Medical Case Management
Education
University of South Carolina-Columbia 1990 — 1991
Master's degree, Vocational Rehabilitation Counseling/Counselor
University of South Carolina-Columbia 1984 — 1988
Biology, General
Lillian Milstead's Coventry Health Care, an Aetna Company Experience June 2008 - July 2009
Job Field Major Account Manager at Paychex Insurance Agency
Industry Human Resources
Experience
Paychex October 2009 - Present
Paychex Insurance Agency October 2009 - Present
Coventry Health Care, an Aetna Company June 2008 - July 2009
Associated Builders and Contractors January 2004 - May 2008
Skills
Employee Benefits, Cold Calling, Recruiting, Salesforce.com, Human Resources, Account Management, Sales Process, Employee Relations, Benefits Administration, Payroll, Talent Acquisition, Onboarding, Performance Management, Sales, HRIS, Applicant Tracking..., Sales Presentations, Direct Sales, Talent Management, Sales Management
Education
University of South Carolina-Columbia 1980 — 1984
Bachelor of Business Administration (B.B.A.), Marketing
Paychex October 2009 - Present
Paychex Insurance Agency October 2009 - Present
Coventry Health Care, an Aetna Company June 2008 - July 2009
Associated Builders and Contractors January 2004 - May 2008
Skills
Employee Benefits, Cold Calling, Recruiting, Salesforce.com, Human Resources, Account Management, Sales Process, Employee Relations, Benefits Administration, Payroll, Talent Acquisition, Onboarding, Performance Management, Sales, HRIS, Applicant Tracking..., Sales Presentations, Direct Sales, Talent Management, Sales Management
Education
University of South Carolina-Columbia 1980 — 1984
Bachelor of Business Administration (B.B.A.), Marketing
Joe Wisniewski's Coventry Health Care, an Aetna Company Experience April 2011 - April 2012
Job Business Analyst with Computer Aid Inc. at PennDOT
Industry Information Technology and Services
Experience
Computer Aid, Inc. November 2012 - Present
Celerity April 2012 - October 2012
Coventry Health Care, an Aetna Company April 2011 - April 2012
TEKsystems September 2010 - April 2011
Electronic Data Systems November 2003 - September 2010
Electronic Data Systems March 1999 - October 2003
Electronic Data Systems January 1996 - March 1999
Electronic Data Systems April 1995 - December 1995
Skills
Business Analysis, SDLC, Requirements Analysis, SQL, Requirements Gathering, Project Management, Software Project..., Visio, Process Improvement, Business Process..., SharePoint, Change Management, User Acceptance Testing, Analysis, Testing, Business Requirements, PMP
Education
University of Pittsburgh 1990 — 1994
Bachelor's degree, English Language and Literature, General
Computer Aid, Inc. November 2012 - Present
Celerity April 2012 - October 2012
Coventry Health Care, an Aetna Company April 2011 - April 2012
TEKsystems September 2010 - April 2011
Electronic Data Systems November 2003 - September 2010
Electronic Data Systems March 1999 - October 2003
Electronic Data Systems January 1996 - March 1999
Electronic Data Systems April 1995 - December 1995
Skills
Business Analysis, SDLC, Requirements Analysis, SQL, Requirements Gathering, Project Management, Software Project..., Visio, Process Improvement, Business Process..., SharePoint, Change Management, User Acceptance Testing, Analysis, Testing, Business Requirements, PMP
Education
University of Pittsburgh 1990 — 1994
Bachelor's degree, English Language and Literature, General
Guillermo Cardoza's Coventry Health Care, an Aetna Company Experience 2005 - 2012
Job Senior Business Analyst at New York Life Insurance Company
Industry Insurance
Experience
New York Life Insurance Company April 2012 - Present
Coventry Health Care, an Aetna Company 2005 - 2012
Skills
Business Analysis, Data Analysis, EDW, Microsoft SQL Server, Crystal Reports, Agile & Waterfall..., Microsoft Excel, Business Intelligence, Data Warehousing, Data Management, Business Process..., Business Process Mapping, BPMN, Management, PowerPoint, Lean Six Sigma, Outlook, Microsoft Word, Lotus, Dashboard
Education
University of South Florida 2001 — 2011
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
New York Life Insurance Company April 2012 - Present
Coventry Health Care, an Aetna Company 2005 - 2012
Skills
Business Analysis, Data Analysis, EDW, Microsoft SQL Server, Crystal Reports, Agile & Waterfall..., Microsoft Excel, Business Intelligence, Data Warehousing, Data Management, Business Process..., Business Process Mapping, BPMN, Management, PowerPoint, Lean Six Sigma, Outlook, Microsoft Word, Lotus, Dashboard
Education
University of South Florida 2001 — 2011
Bachelor of Business Administration (B.B.A.), Management Information Systems, General